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Sample records for dioxide-coated endotracheal tubes

  1. Pediatric cuffed endotracheal tubes

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    Neerja Bhardwaj

    2013-01-01

    Full Text Available Endotracheal intubation in children is usually performed utilizing uncuffed endotracheal tubes for conduct of anesthesia as well as for prolonged ventilation in critical care units. However, uncuffed tubes may require multiple changes to avoid excessive air leak, with subsequent environmental pollution making the technique uneconomical. In addition, monitoring of ventilatory parameters, exhaled volumes, and end-expiratory gases may be unreliable. All these problems can be avoided by use of cuffed endotracheal tubes. Besides, cuffed endotracheal tubes may be of advantage in special situations like laparoscopic surgery and in surgical conditions at risk of aspiration. Magnetic resonance imaging (MRI scans in children have found the narrowest portion of larynx at rima glottides. Cuffed endotracheal tubes, therefore, will form a complete seal with low cuff pressure of <15 cm H 2 O without any increase in airway complications. Till recently, the use of cuffed endotracheal tubes was limited by variations in the tube design marketed by different manufacturers. The introduction of a new cuffed endotracheal tube in the market with improved tracheal sealing characteristics may encourage increased safe use of these tubes in clinical practice. A literature search using search words "cuffed endotracheal tube" and "children" from 1980 to January 2012 in PUBMED was conducted. Based on the search, the advantages and potential benefits of cuffed ETT are reviewed in this article.

  2. A change in humidification system can eliminate endotracheal tube occlusion.

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    Doyle, Alex; Joshi, Manasi; Frank, Peter; Craven, Thomas; Moondi, Parvez; Young, Peter

    2011-12-01

    Inadequate airway humidification can result in endotracheal tube occlusion. There is evidence that heat and moisture exchangers (HMEs) are more prone to endotracheal tube occlusion than heated humidifiers (HHs) that contain a heated wire circuit. We aimed to compare the incidence of endotracheal tube occlusion while introducing a new dual-heated wire circuit HH in place of an established hydrophobic HME. This was a prospective observational study. All patients who required intubation were included in our analysis. Univariate statistical analysis was performed using a Fisher exact test. P humidification exclusively by HH. In the subsequent 18-month period, there were no further episodes of endotracheal tube occlusion. Our study demonstrates that there is a significant increase in the incidence of endotracheal tube occlusion when using a hydrophobic HME compared with an HH and that using a dual-heated wire circuit HH can eliminate endotracheal tube occlusion. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. Endotracheal tube cuff pressure monitoring during neurosurgery - Manual vs. automatic method

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    Mukul Kumar Jain

    2011-01-01

    Full Text Available Background: Inflation and assessment of the endotracheal tube cuff pressure is often not appreciated as a critical aspect of endotracheal intubation. Appropriate endotracheal tube cuff pressure, endotracheal intubation seals the airway to prevent aspiration and provides for positive-pressure ventilation without air leak. Materials and Methods: Correlations between manual methods of assessing the pressure by an experienced anesthesiologists and assessment with maintenance of the pressure within the normal range by the automated pressure controller device were studied in 100 patients divided into two groups. In Group M, endotracheal tube cuff was inflated manually by a trained anesthesiologist and checked for its pressure hourly by cuff pressure monitor till the end of surgery. In Group C, endotracheal tube cuff was inflated by automated cuff pressure controller and pressure was maintained at 25-cm H 2 O throughout the surgeries. Repeated measure ANOVA was applied. Results: Repeated measure ANOVA results showed that average of endotracheal tube cuff pressure of 50 patients taken at seven different points is significantly different (F-value: 171.102, P-value: 0.000. Bonferroni correction test shows that average of endotracheal tube cuff pressure in all six groups are significantly different from constant group (P = 0.000. No case of laryngomalacia, tracheomalacia, tracheal stenosis, tracheoesophageal fistula or aspiration pneumonitis was observed. Conclusions: Endotracheal tube cuff pressure was significantly high when endotracheal tube cuff was inflated manually. The known complications of high endotracheal tube cuff pressure can be avoided if the cuff pressure controller device is used and manual methods cannot be relied upon for keeping the pressure within the recommended levels.

  4. Evaluation of a new laser-resistant fabric and copper foil-wrapped endotracheal tube.

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    Sosis, M B; Braverman, B; Caldarelli, D D

    1996-07-01

    The risk of an endotracheal tube's combustion during laser airway surgery necessitates the use of special anesthetic techniques and equipment to prevent this complication. This study was designed to evaluate the Laser-Trach(TM), a new laser-resistant rubber endotracheal tube for use during laser airway surgery. The Laser-Trach endotracheal tubes that were evaluated were size 6.0 mm internal diameter (ID) red rubber endotracheal tubes which had been commercially wrapped by Kendall-Sheridan (Mansfield, Mass.) with copper foil tape and overwrapped with fabric. The fabric layer was saturated with water prior to our tests, as recommended by the manufacturer. The Laser-Trach endotracheal tubes were compared with plain (bare) size 6.0 mm ID Rusch red rubber endotracheal tubes. The tubes under study were positioned horizontally on wet towels in air and had 5 L x min(-1) of oxygen flowing through them. They were subjected to continuous laser radiation at 40 W from either a CO2 or an Nd-YAG laser. The Nd-YAG laser was propagated via a 600-micron fiber bundle. Each laser was directed perpendicularly at the shaft of the endotracheal tube being studied, and its output was continued until a blowtorch fire occurred or 60 seconds had elapsed. Sixty seconds of CO2 laser fire did not ignite any of the eight Laser-Trach endotracheal tubes tested. However, blowtorch ignition of all eight bare rubber tubes tested occurred after 0.87 +/- 0.21 (mean +/- SD) seconds of CO2 laser fire. Nd-YAG laser contact with the Laser-Trach endotracheal tubes caused the perforation and blowtorch ignition of all eight tubes tested after 18.79 +/- 7.83 seconds. This was a significantly (Presistant to the C02 laser. However, this endotracheal tube is not recommended for use with the Nd-YAG laser.

  5. Sphingosine Prevents Bacterial Adherence to Endotracheal Tubes: A Novel Mechanism to Prevent Ventilator-Associated Pneumonia

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    2016-06-21

    and resists the antimicrobial properties of the host defense” [9]. Bacterial adhesion is the first step in biofilm formation [10]; thus, prevention...ETTs. Future in vitro and animal studies are necessary to establish the safety of sphingolipid coatings, and future randomized clinical trials will...SUBJECT TERMS Ventilator-associated pneumonia, VAP, Gram-negative, bacteria, endotracheal tubes, sphingosine, antimicrobial coating 16. SECURITY

  6. A comparison of tape-tying versus a tube-holding device for securing endotracheal tubes in adults.

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    Murdoch, E; Holdgate, A

    2007-10-01

    During the transfer of intubated patients, endotracheal tube security is paramount. This study aims to compare two methods of securing an endotracheal tube in adults: tying with a cloth tape versus the Thomas Endotracheal Tube Holder (Laerdal). A manikin-based study was performed using paramedics and critical care doctors (consultants and senior trainees) as participants. Each participant was asked to secure an endotracheal tube that had been placed within the trachea of a manikin a total of six times, the first three times using tied cloth tape and the last three times using a Thomas Endotracheal Tube Holder. Following each 'fixation' and after the participant had left the room, the security of the tube was tested by applying a fixed force laterally and to the right by dropping a 1.25 kg weight a distance of 50 cm. The amount of movement of the tube with respect to the teeth was measured and recorded in millimetres. Two-hundred-and-seventy tube fixations (135 tied vs. 135 tube holder) were performed by 45 participants. The degree of tube movement was significantly higher when the tube was secured with a tie compared with when the tube holder was used (median movement 22 mm vs. 4 mm, P tube holder device minimised tube movement in a manikin model when compared with conventional tape tying. The use of this device when transporting intubated patients may reduce the risk of tube displacement though further clinical studies are warranted.

  7. Cuffed endotracheal tubes in paediatrics

    African Journals Online (AJOL)

    cuffed endotracheal tubes (CETTs) in children who are younger than eight years old. Most paediatric ... the smallest functional part of the infant airway, because the ... During the 2003 severe acute respiratory syndrome (SARS) outbreak in ...

  8. 18-gauge needle cap as adjunct to prevent kinking of endotracheal tube.

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    Chan, Fuan Chiang; Kawamoto, Henry K; Bradley, James P

    2012-11-01

    A self-retaining Dingman mouth retractor is widely used to keep the mouth open during cleft palate and intraoral surgery. The airway is at risk of being crushed or occluded as the gag (tongue plate) of the Dingman mouth retractor is being pushed against the endotracheal tube.Kinking of the endotracheal tube between the teeth and Dingman mouth retractor has been reported even with the oral Ring-Adair-Elwyn or flexometallic or armored endotracheal tubes. To minimize kinking of the endotracheal tube and its consequent complications, we routinely insert an 18-gauge needle cap at the potential space between the teeth and the tongue plate (gag) of the Dingman mouth retractor, which is situated lateral to the endotracheal tube. In our experience of approximately 5000 intraoral cases using a Dingman mouth retractor and 18-gauge needle cap, we have not had any tooth avulsion or aspiration of the 18-gauge foreign body while maintaining a consistent and secured airway during cleft palate and intraoral surgery.

  9. Sudden endotracheal tube block in a patient of Achalasia Cardia

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    Ajit Gupta

    2012-01-01

    Full Text Available Endotracheal tube block due to various mechanical causes such as mucous, blood clot, denture, and ampoules have been reported. A patient of achalasia cardia with chronic passive aspiration pneumonitis developed mucoid mass in the respiratory passage which dislodged during the surgical procedure. The episode occurred almost an hour after induction of anesthesia and the dislodged mucoid mass blocked the lumen of endotracheal tube, leading to hypoxia and impending cardiac arrest. However, the patient was salvaged by replacing the tube.

  10. Real-time tracheal ultrasonography for confirmation of endotracheal tube placement during cardiopulmonary resuscitation.

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    Chou, Hao-Chang; Chong, Kah-Meng; Sim, Shyh-Shyong; Ma, Matthew Huei-Ming; Liu, Shih-Hung; Chen, Nai-Chuan; Wu, Meng-Che; Fu, Chia-Ming; Wang, Chih-Hung; Lee, Chien-Chang; Lien, Wan-Ching; Chen, Shyr-Chyr

    2013-12-01

    This study aimed to evaluate the accuracy of tracheal ultrasonography for assessing endotracheal tube position during cardiopulmonary resuscitation (CPR). We performed a prospective observational study of patients undergoing emergency intubation during CPR. Real-time tracheal ultrasonography was performed during the intubation with the transducer placed transversely just above the suprasternal notch, to assess for endotracheal tube positioning and exclude esophageal intubation. The position of trachea was identified by a hyperechoic air-mucosa (A-M) interface with posterior reverberation artifact (comet-tail artifact). The endotracheal tube position was defined as endotracheal if single A-M interface with comet-tail artifact was observed. Endotracheal tube position was defined as intraesophageal if a second A-M interface appeared, suggesting a false second airway (double tract sign). The gold standard of correct endotracheal intubation was the combination of clinical auscultation and quantitative waveform capnography. The main outcome was the accuracy of tracheal ultrasonography in assessing endotracheal tube position during CPR. Among the 89 patients enrolled, 7 (7.8%) had esophageal intubations. The sensitivity, specificity, positive predictive value, and negative predictive value of tracheal ultrasonography were 100% (95% confidence interval [CI]: 94.4-100%), 85.7% (95% CI: 42.0-99.2%), 98.8% (95% CI: 92.5-99.0%) and 100% (95% CI: 54.7-100%), respectively. Positive and negative likelihood ratios were 7.0 (95% CI: 1.1-43.0) and 0.0, respectively. Real-time tracheal ultrasonography is an accurate method for identifying endotracheal tube position during CPR without the need for interruption of chest compression. Tracheal ultrasonography in resuscitation management may serve as a powerful adjunct in trained hands. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  11. Deep versus shallow suction of endotracheal tubes in ventilated neonates and young infants.

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    Gillies, Donna; Spence, Kaye

    2011-07-06

    Mechanical ventilation is commonly used in Neonatal Intensive Care Units to assist breathing in a variety of conditions. Mechanical ventilation is achieved through the placement of an endotracheal tube (ETT) which is left in-situ. The ETT is suctioned to prevent a build-up of secretions and blockage of the airway. Methods of suctioning the endotracheal tube vary according to institutional practice and the individual clinician performing the task. The depth of suctioning is one of these variables. The catheter may be passed to the tip of the ETT or beyond the tip into the trachea or bronchi to facilitate removal of secretions. However, trauma to the lower airways may result from the suction catheter being passed into the airway beyond the tip of the endotracheal tube. To compare the effectiveness and complications of deep (catheter passed beyond the tip of the ETT) versus shallow (catheter passed to length of ETT only) suctioning of the endotracheal tube in ventilated infants. In this first update the searches were expanded to the Cochrane Central Register of Controlled Trials (The Cochrane Library, March 30), MEDLINE (from January 1966 to May 30 2011), CINAHL (from 1982 to May 30 2011) and EMBASE (1980 to May 2011) using text words and subject headings relevant to endotracheal suctioning. There were no language restrictions. Controlled trials using random or quasi-random allocation of neonates receiving ventilatory support via an endotracheal tube to either deep or shallow endotracheal suctioning. The updated search resulted in 149 potentially relevant references. Two of the studies from this search were identified as potentially relevant. We included one of the potentially relevant studies and the other was excluded because it did not fit the inclusion criteria. One small crossover trial (n = 27) of shallow versus deep suctioning met the criteria for inclusion in this review. The reported outcomes were oxygen saturation and heart rate, during and after suctioning

  12. Reliability of Ultrasonography in Confirming Endotracheal Tube Placement in an Emergency Setting

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    Thomas, Vimal Koshy; Paul, Cherish; Rajeev, Punchalil Chathappan; Palatty, Babu Urumese

    2017-01-01

    Background and Objectives: Over the past few years, ultrasonography is increasingly being used to confirm the correct placement of endotracheal tube (ETT). In our study, we aimed to compare it with the traditional clinical methods and the gold standard quantitative waveform capnography. Two primary outcomes were measured in our study. First was the sensitivity and specificity of ultrasonography against the other two methods to confirm endotracheal intubation. The second primary outcome assessed was the time taken for each method to confirm tube placement in an emergency setting. Methods: This is a single-centered, prospective cohort study conducted in an emergency department of a tertiary care hospital. We included 100 patients with indication of emergency intubation by convenient sampling. The intubation was performed as per standard hospital protocol. As part of the study protocol, ultrasonography was used to identify ETT placement simultaneously with the intubation procedure along with quantitative waveform capnography (end-tidal carbon dioxide) and clinical methods. Confirmation of tube placement and time taken for the same were noted by three separate health-care staffs. Results and Discussion: Out of the 100 intubation attempts, five (5%) had esophageal intubations. The sensitivity and specificity of diagnosis using ultrasonography were 97.89% and 100%, respectively. This was statistically comparable with the other two modalities. The time taken to confirm tube placement with ultrasonography was 8.27 ± 1.54 s compared to waveform capnography and clinical methods which were 18.06 ± 2.58 and 20.72 ± 3.21 s, respectively. The time taken by ultrasonography was significantly less. Conclusions: Ultrasonography confirmed tube placement with comparable sensitivity and specificity to quantitative waveform capnography and clinical methods. But then, it yielded results considerably faster than the other two modalities. PMID:28584427

  13. Temporal comparison of ultrasound vs. auscultation and capnography in verification of endotracheal tube placement.

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    Pfeiffer, P; Rudolph, S S; Børglum, J; Isbye, D L

    2011-11-01

    This study compared the time consumption of bilateral lung ultrasound with auscultation and capnography for verifying endotracheal intubation. A prospective, paired, and investigator-blinded study carried out in the operating theatre. Twenty-five adult patients requiring endotracheal intubation were included. During intubation, transtracheal ultrasound was performed to visualize passage of the endotracheal tube. During bag ventilation, bilateral lung ultrasound was performed for the detection of lung sliding as a sign of ventilation simultaneous with capnography and auscultation of the epigastrium and chest. Primary outcome measure was time difference to confirmed endotracheal intubation between ultrasound and auscultation alone. Secondary outcome measure was time difference between ultrasound and auscultation combined with capnography. Both methods verified endotracheal tube placement in all patients. In 68% of patients, endotracheal tube placement was visualized by real-time transtracheal ultrasound. Comparing ultrasound with the combination of auscultation and capnography, there was a significant difference between the two methods. Median time for ultrasound was 40 s [interquartile range (IQR) 35-48 s] vs. 48 s (IQR 45-53 s), P auscultation alone. Median time for auscultation alone was 42 s (IQR 37-47 s), P = 0.6, with a mean difference of -0.88 s in favour of ultrasound (95% CI -4.2-2.5 s). Verification of endotracheal tube placement with ultrasound is as fast as auscultation alone and faster than the standard method of auscultation and capnography. © 2011 The Authors. Acta Anaesthesiologica Scandinavica © 2011 The Acta Anaesthesiologica Scandinavica Foundation.

  14. Use of Microcuff ® endotracheal tubes in paediatric laparoscopic surgeries

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    Rameshwar Mhamane

    2015-01-01

    Full Text Available Background and Aims: Traditionally, uncuffed endotracheal tubes have been used in children. Cuffed tubes may be useful in special situations like laparoscopy. Microcuff ® endotracheal tube is a specifically designed cuffed endotracheal tube for the paediatric airway. We studied the appropriateness of Microcuff ® tube size selection, efficacy of ventilation, and complications, in children undergoing laparoscopy. Methods: In a prospective, observational study, 100 children undergoing elective laparoscopy were intubated with Microcuff ® tube as per recommended size. We studied appropriateness of size selection, sealing pressure, ability to ventilate with low flow, quality of capnography and post-extubation laryngospasm or stridor. Results: Mean age of the patients was 5.44 years (range 8 months 5 days-9 years 11 months. There was no resistance for tube passage during intubation in any patient. Leak on intermittent positive pressure ventilation at airway pressure ≤20 cm H 2 O was present in all patients. Mean sealing pressure was 11.72 (1.9 standard deviation [SD] cm H 2 O. With the creation of pnemoperitoneum, mean intracuff pressure increased to 12.48 (3.12 SD cm H 2 O. With head low positioning, mean cuff pressure recorded was 13.32 (2.92 SD. Ventilation at low flow (mean flow 1 L/min, plateau-type capnography was noted in all patients. Mean duration of intubation was 83.50 min. Coughing at extubation occurred in 6 patients. Partial laryngospasm occurred in 4 patients, which responded to continuous positive airway pressure via face mask. Severe laryngospasm or stridor was not seen in any patient. Conclusion: Microcuff ® tubes can be safely used in children if size selection recommendations are followed and cuff pressure is strictly monitored. Advantages are better airway seal and effective ventilation, permitting use of low flows.

  15. [A comparison of degree of precision of auscultation, partial pressure of carbon dioxide in end-expiration, and transillumination technique in verifying accurate position of endotracheal tube].

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    Qi, Le; Liu, Rong; Tang, Enhui; Li, Shouchun; Jin, Jun; He, Xihuan; Lyu, Shaojun; Weng, Hao

    2015-10-01

    To evaluate the effect of auscultation, partial pressure of carbon dioxide in end-expiration (P(ET)CO2), transillumination technique to judge whether the endotracheal tube is misplaced into the esophagus. A blinded randomized controlled trial was conducted. Sixty patients with American Society of Anesthesiology (ASA) grade I - II undergoing endotracheal intubation in Fengxian Central Hospital admitted from September 2014 to February 2015 were enrolled. Two endotracheal tubes with the same size were respectively inserted into the trachea and esophagus for the same depth after general anesthesia by the same person. Two blinded anesthetists with different experience checked the tube position using three methods including auscultation, P(ET)CO2, and transillumination technique, respectively. The order of the tubes tested (trachea or esophagus) and the method used were randomized according to randomise numbers table. The experienced anesthetists conducted the test first, followed by an inexperienced anesthetist conducting the same methods. The numbers of right and wrong determinations with different methods by different anesthetists were recorded. Sixty patients underwent the procedures for 180 times, with intratracheal intubation for 90 times, and esophageal intubation for 90 times. It was shown that the results were not different in two groups [96.7% (174/180) vs. 92.2% (166/180), χ2 = 3.500, P = 0.057]. By using auscultation, the correct rate of experienced anesthetist was higher than that of inexperienced (95.0% vs. 78.3%, χ2 = 5.786, P = 0.013). Using P(ET)CO2, both anesthetists were correct in all cases, and the accuracy was 100%. Using transillumination, the experienced anesthetist was mistaken in 3 cases (accuracy was 95.0%), while the inexperienced mistook in 1 case (accuracy was 98.3%), and no significant difference was found between two groups χ2 = 0.500, P = 0.250). The correct rate of using transillumination was significantly higher than that of using

  16. Accidental transection of flexometallic endotracheal tube during partial maxillectomy

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    Sushma D Ladi

    2011-01-01

    Full Text Available We report a rare case of an 18-year-old female patient in whom accidental sectioning of flexometallic endotracheal tube occurred during partial maxillectomy for mass lesion under general anaesthesia. She was managed successfully by tracheostomy.

  17. A COMPARATIVE STUDY OF 2 AGENTS, AIR AND DISTILLED WATER FOR INFLATION OF THE CUFFS OF ENDOTRACHEAL TUBES DURING LAPAROSCOPIC SURGICAL PROCEDURES UNDER GENERAL ANAESTHESIA

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    Sistla Gopala Krishna

    2016-03-01

    Full Text Available BACKGROUND & AIM During Nitrous Oxide+ Oxygen anaesthesia and during laparoscopic surgeries using carbon dioxide for creating pneumoperitoneum, if cuff of endotracheal tube is inflated with air, cuff pressure can rise to dangerous limits and it can produce ischemia of tracheal mucosa. Hence distilled water as an alternative agent to air for inflation of cuffs of endotracheal tubes was used for our study. Our aim is to investigate the difference in increase of intra-cuff pressure with time during laparoscopic surgical procedures under general endotracheal anaesthesia with Nitrous oxide+ Oxygen+ relaxant technique when cuffs of endotracheal tube were inflated by air & distilled water. METHODS Fifty patients (n=50 undergoing different laparoscopic surgical procedures under general endotracheal anaesthesia were randomly divided into 2 groups. In group A, air was used & in group D, distilled water was used to inflate the cuffs of endotracheal tubes. General anaesthesia was given with Nitrous oxide+ Oxygen+ relaxant technique. The intra-cuff pressures of endotracheal tube cuffs were recorded in the beginning and at the end of laparoscopic surgical procedures. Increase of pressures with time were recorded and analysed. RESULTS In group in whom we inflated the cuffs with air, there was a significant increase in intra-cuff pressures with time and there was definite diffusion of gases into the cuffs. Increase of pressure with time was statistically highly significant (P=0.00001. But in group in whom we used distilled water to inflate the cuffs, there was no change in the volume of water used for inflation and water came out of cuffs at the end of the laparoscopic surgical procedures. No additional air could be aspirated from the cuffs at the end of laparoscopic surgeries in distilled water group, indicating that there was no diffusion of gases into the cuffs or the gases diffused got dissolved in distilled water. Hence there was no increase of volume

  18. Warming Endotracheal Tube in Blind Nasotracheal Intubation throughout Maxillofacial Surgeries

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    Hamzeh Hosseinzadeh

    2013-12-01

    Conclusion: In conclusion, our study showed that using an endotracheal tube softened by warm water could reduce the incidence and severity of epistaxis during blind nasotracheal intubation; however it could not facilitate blind nasotracheal intubation.

  19. Endotracheal tube cuff pressures during general anaesthesia while using air versus a 50% mixture of nitrous oxide and oxygen as inflating agents

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    Jesni Joseph Manissery

    2007-01-01

    Full Text Available The present study was aimed at assessing the efficacy of filling a 50% mixture of nitrous oxide : oxygen (50%N 2 O:O 2 in the endotracheal tube cuff to provide stable cuff pressures during general anaesthesia with 67%N 2 O. The endotracheal tube cuff pressures with air (control as the inflating agent in the tubes were found to have a total mean pressure of 62.60±12.33 at the end of one hour of general anaesthesia. When comparing the endotracheal tube cuff pressures in the Mallinckrodt tubes with that of the Portex tubes, with air as the inflating agent, the Portex tubes showed a significantly lower cuff pressures at the end of one hour. The endotracheal tube cuff pressures with 50%N 2 O:O 2 as the inflating agent showed a total mean pressure of 27.63 ± 3.221 at the end of one hour of general anaesthesia. This indicates that inflation of the cuff of the endotracheal tubes with a 50%N 2 O:O 2 rather than air maintains a stable intra cuff pressure. Therefore, the method of using a 50%N 2 O:O 2 for filling endotracheal tube cuff can be adopted for endotracheal tubes with high-volume, low-pressure cuffs to prevent both excessive cuff pressure and disruption of cuff seal, during general anaesthesia lasting up to one hour.

  20. Endotracheal tube defects: Hidden causes of airway obstruction

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    Sofi Khalid

    2010-01-01

    Full Text Available Manufacturing defects of endotracheal tube (ETT are still encountered in anesthesia practice. Many such defects go unnoticed during routine inspection prior to their use. Such defects in ETT may lead to partial or complete airway obstruction in an intubated patient. We report a case of partial airway obstruction with a prepacked, single use, uncuffed ETT due to a manufacturing defect in the form of a plastic meniscus at the distal end of the tube. This case report highlights the significance of standard monitoring of ventilation and the role of a vigilant clinician in detecting such defects in avoiding critical events as can arise from the use of such defective ETTs. It also emphasizes the need for double checking ETTs prior to their use.

  1. [Successful double-lumen endotracheal tube exchange with a soft-tipped extra firm exchange catheter in a patient with severe subcutaneous emphysema].

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    Okamoto, Kaori; Komasawa, Nobuyasu; Ishio, Junichi; Nakano, Shoko; Tatsumi, Shinichi; Minami, Toshiaki

    2014-07-01

    We report a case of successful double-lumen endotracheal tube exchange with a soft-tipped extra firm exchange catheter in a patient with severe subcutaneous emphysema. A 70-year-old man underwent right lower lobectomy for primary lung cancer under general anesthesia. He developed pneumothorax on postoperative day (POD) 14, which led to subcutaneous emphysema. An emergent operation was performed on POD20 to close the pulmonary fistula under general anesthesia with a single-lumen endotracheal tube and bronchial blocker. Subcutaneous emphysema became worse and pharyngeal emphysema was also suspected; re-operation to close the pulmonary or bronchial fistula was planned. We decided to place a double-lumen tube to precisely detect the fistula. Under the guide of a Pentax-AWS Airwayscope, the single-lumen endotracheal tube was exchanged uneventfully to a 35 Fr double-lumen endotracheal tube with a 110 cm soft-tipped extra firm exchange catheter. The fistula was detected by a leak test and the operation was performed uneventfully, leading to improvement of subcutaneous emphysema.

  2. MEASUREMENT OF ENDOTRACHEAL TUBE CUFF PRESSURE IN MECHANICALLYVENTILATED PATIENTS ON ARRIVAL TO INTENSIVE CARE UNIT - A CROSS-SECTIONAL STUDY

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    Arun Kumar Ajjappa

    2017-04-01

    Full Text Available BACKGROUND The monitoring of Endotracheal Tube (ETT cuff pressure in intubated patients on arrival to intensive care unit is very essential. The cuff pressure must be within an optimal range of 20-30cm H2O ensuring ventilation with no complications related to cuff overinflation and underinflation. This can be measured with a cuff pressure manometer. The aim of the study is to measure the endotracheal tube cuff pressure in patients on arrival to intensive care unit and to identify prevalence of endotracheal cuff underinflation and overinflation. MATERIALS AND METHODS A cross-sectional study was done on mechanically-ventilated patients who were intubated in casualty (emergency department on arrival to intensive care unit in S.S. Institute of Medical Sciences and Research Centre, Davangere. About 50 critically-ill patients intubated with a high volume, low pressure endotracheal tube were included in the study. An analogue manometer was used to measure the endotracheal tube cuff pressure. It was compared with the recommended level. The settings of mechanical ventilation, endotracheal tube size and peak airway pressure were recorded. RESULTS It was found that the mean cuff pressure was 64.10 cm of H2O with a standard deviation of 32.049. Of the measured cuff pressures, only 2% had pressures within an optimal range (20-30cm of H2O. 88% had cuff pressures more than 30cm of H2O. The mean peak airway pressure found to be 20.50cm of H2O with a Standard Deviation (SD of 5.064. CONCLUSION This study is done to emphasise the importance of cuff pressure measurement in all mechanically-ventilated patients as cuff pressure is found to be high in most of the patients admitted to intensive care unit. Complications of overinflation and underinflation can only be prevented if the acceptable cuff pressures are achieved.

  3. Management of dogs and cats with endotracheal tube tracheal foreign bodies

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    Nutt, Laura K.; Webb, Jinelle A.; Prosser, Kirsten J.; Defarges, Alice

    2014-01-01

    Two cats and 3 dogs were treated for an endotracheal tube tracheal foreign body (ETFB) during recovery from general anesthesia. Bronchoscopy was used to remove the ETFB. Animals were clinically normal at discharge. While rare, ETFB can occur upon recovery from anesthesia. Bronchoscopy is an effective way to remove ETFB. PMID:24891640

  4. Deep Convolutional Neural Networks for Endotracheal Tube Position and X-ray Image Classification: Challenges and Opportunities.

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    Lakhani, Paras

    2017-08-01

    The goal of this study is to evaluate the efficacy of deep convolutional neural networks (DCNNs) in differentiating subtle, intermediate, and more obvious image differences in radiography. Three different datasets were created, which included presence/absence of the endotracheal (ET) tube (n = 300), low/normal position of the ET tube (n = 300), and chest/abdominal radiographs (n = 120). The datasets were split into training, validation, and test. Both untrained and pre-trained deep neural networks were employed, including AlexNet and GoogLeNet classifiers, using the Caffe framework. Data augmentation was performed for the presence/absence and low/normal ET tube datasets. Receiver operating characteristic (ROC), area under the curves (AUC), and 95% confidence intervals were calculated. Statistical differences of the AUCs were determined using a non-parametric approach. The pre-trained AlexNet and GoogLeNet classifiers had perfect accuracy (AUC 1.00) in differentiating chest vs. abdominal radiographs, using only 45 training cases. For more difficult datasets, including the presence/absence and low/normal position endotracheal tubes, more training cases, pre-trained networks, and data-augmentation approaches were helpful to increase accuracy. The best-performing network for classifying presence vs. absence of an ET tube was still very accurate with an AUC of 0.99. However, for the most difficult dataset, such as low vs. normal position of the endotracheal tube, DCNNs did not perform as well, but achieved a reasonable AUC of 0.81.

  5. Effectiveness of the endotracheal tube cuff on the trachea: physical and mechanical aspects

    Directory of Open Access Journals (Sweden)

    Maira Soliani Del Negro

    2014-12-01

    Full Text Available Introduction: The inflation pressure of the endotracheal tube cuff can cause ischemia of the tracheal mucosa at high pressures; thus, it can cause important tracheal morbidity and tracheal microaspiration of the oropharyngeal secretion, or it can even cause pneumonia associated with mechanical ventilation if the pressure of the cuff is insufficient. Objective: In order to investigate the effectiveness of the RUSCH® 7.5 mm endotracheal tube cuff, this study was designed to investigate the physical and mechanical aspects of the cuff in contact with the trachea. Methods: For this end, we developed an in vitro experimental model to assess the flow of dye (methylene blue by the inflated cuff on the wall of the artificial material. We also designed an in vivo study with 12 Large White pigs under endotracheal intubation. We instilled the same dye in the oral cavity of the animals, and we analyzed the presence or not of leakage in the trachea after the region of the cuff after their deaths (animal sacrifice. All cuffs were inflated at the pressure of 30 cmH2O. Results: We observed the passage of fluids through the cuff in all in vitro and in vivo experimental models. Conclusion: We conclude that, as well as several other cuff models in the literature, the RUSCH® 7.5 mm tube cuffs are also not able to completely seal the trachea and thus prevent aspiration of oropharyngeal secretions. Other prevention measures should be taken.

  6. Endotracheal tube placement by EMT-Basics in a rural EMS system.

    Science.gov (United States)

    Pratt, Jeffrey C; Hirshberg, Alan J

    2005-01-01

    To evaluate the effectiveness of an intubation-training module and special-waiver project in which Emergency Medical Technician (EMT)-Basics were trained to perform endotracheal intubations in a rural community. This was a prospective observational study over a four-year period (July 1998 through May 2002) of all intubation attempts by EMT-Basics in the field. The authors observed intubation data, training methods, and quality-assurance methods of a special-waiver project agreed to by the State Department of Public Health to train and allow EMT-Basics to intubate patients. Data were from documentation unique to the project. Project documentation evaluated the placement and complication(s) of endotracheal tube (ETT) placement after arrival to the emergency department. An intubation attempt was defined as direct laryngoscopy. A successful attempt was defined as an appropriately sized ETT placed and secured in the trachea below the vocal cords and above the carina. Confirmation of placement in the field included accepted clinical methods and the use of qualitative colorimetric end-tidal carbon dioxide detectors. The EMT-Basics were trained using a paramedic curriculum, including operating room intubations on live adult patients. All patients were in either cardiopulmonary or respiratory arrest. Thirty-two intubations were performed by EMT-Basics. Thirty attempts were successful and two were unsuccessful (94%; 95% confidence interval [CI] 80-98%). Unsuccessful ETT placements were managed with accepted basic life support airway standards. There were no unrecognized esophageal ETT placements (0%; 95% CI 0-11%). This study demonstrated that with an intensive training program using selected highly motivated providers and close monitoring, a program of EMT-Basic ETT placement in a rural setting can achieve acceptable success rates in patients in cardiac or respiratory arrest.

  7. Obstruction of endotracheal tube with relevant respiratory acidosis during pediatric cardiac surgery

    NARCIS (Netherlands)

    Morei, N.M.; Mungroop, H. E.; Michielon, Guido; Scheeren, Thomas

    2014-01-01

    We describe a case of pediatric cardiac surgery in a 21- days old baby, in whom a nasal endotracheal tube (ETT) was inserted. At the end of surgery both ventilatory pressures and end-tidal CO2 increased suggesting airway obstruction. Suctioning of the ETT lumen did not relieve the problem, only ETT

  8. Comparison of Tidal Volumes at the Endotracheal Tube and at the Ventilator.

    Science.gov (United States)

    Kim, Paul; Salazar, Adler; Ross, Patrick A; Newth, Christopher J L; Khemani, Robinder G

    2015-11-01

    Lung protective ventilation for children with acute respiratory distress syndrome requires accurate assessment of tidal volume. Although modern ventilators compensate for ventilator tubing compliance, tidal volume measured at the ventilator may not be accurate, particularly in small children. Although ventilator-specific proximal flow sensors that measure tidal volume at the endotracheal tube have been developed, there is little information regarding their accuracy. We sought to test the accuracy of ventilator measured tidal volume with and without proximal flow sensors against a calibrated pneumotachometer in children. Prospective, observational. Tertiary care PICU. Fifty-one endotracheally intubated and mechanically ventilated children younger than 18 years. Tidal volumes were measured at the ventilator, using a ventilator-specific flow sensor, and a calibrated pneumotachometer connected to the SensorMedics 2600A Pediatric Pulmonary Function Cart. In a pressure control mode of ventilation: median tidal volume measured with the pneumotachometer (9.5 mL/kg [interquartile range, 8.2-11.7 mL/kg]) was significantly higher than tidal volume measured either at the ventilator (8.2 mL/kg [7.1-9.6 mL/kg]) or at the proximal flow sensor (8.1 mL/kg [7.2-10.0 mL/kg]) (p tidal volume measured with the pneumotachometer (10.2 mL/kg [8.8-12.4 mL/kg]) was significantly higher than tidal volume measured either at the ventilator (8.0 mL/kg [7.1-9.7 mL/kg]) or at the proximal flow sensor (8.5 mL/kg [7.3-10.4 mL/kg]) (p Tidal volume measured either at the endotracheal tube with a proximal flow sensor or at the ventilator with compensation for tubing compliance are both significantly lower than tidal volume measured with a calibrated pneumotachometer. This underestimation of delivered tidal volume may be particularly important when managing children with acute respiratory distress syndrome.

  9. Fluoroscopic guidance for placing a double lumen endotracheal tube in adults.

    Science.gov (United States)

    Calenda, Emile; Baste, Jean Marc; Hajjej, Ridha; Rezig, Najiba; Moriceau, Jerome; Diallo, Yaya; Sghaeir, Slim; Danielou, Eric; Peillon, Christophe

    2014-09-01

    The aim of this study was to assess the right placement of the double lumen endotracheal tube with fluoroscopic guidance, which is used in first intention prior to the fiberscope in our institution. This was a prospective observational study. The study was conducted in vascular and thoracic operating rooms. We enrolled 205 patients scheduled for thoracic surgery, with ASA physical statuses of I (n = 37), II (n = 84), III (n = 80), and IV (n = 4). Thoracic procedures were biopsy (n = 20), wedge (n = 34), culminectomy (n = 6), lobectomy (n = 82), pneumonectomy (n = 4), sympathectomy (n = 9), symphysis (n = 47), and thymectomy (n = 3). The intubation with a double lumen tube was performed with the help of a laryngoscope. Tracheal and bronchial balloons were inflated and auscultation was performed after right and left exclusions. One shot was performed to locate the position of the bronchial tube and the hook. Fluoroscopic guidance was used to relocate the tube in case of a wrong position. When the fluoroscopic guidance failed to position the tube, a fiberscope was used. Perioperative collapse of the lung was assessed by the surgeon during the surgery. Correct fluoroscopic image was obtained after the first attempt in 58.5% of patients therefore a misplaced position was encountered in 41.5%. The fluoroscopic guidance allowed an exact repositioning in 99.5% of cases, and the mean duration of the procedure was 8 minutes. A fiberscope was required to move the hook for one patient. We did not notice a moving of the double lumen endotracheal tube during the surgery. The surgeon satisfaction was 100%. The fluoroscopy evidenced the right position of the double lumen tube and allowed a right repositioning in 99.5% of patients with a very simple implementation. Copyright © 2014. Published by Elsevier B.V.

  10. Long-term outcome of conventional endotracheal tube balloon dilation of tracheal stenosis in a dog

    OpenAIRE

    Kahane, Nili; Segev, Gilad

    2014-01-01

    This report describes a successful dilation of tracheal stenosis in a 16-year-old dog using a conventional endotracheal tube balloon. This technique should be considered as palliative treatment when owners decline other therapeutic options.

  11. Long-term outcome of conventional endotracheal tube balloon dilation of tracheal stenosis in a dog.

    Science.gov (United States)

    Kahane, Nili; Segev, Gilad

    2014-01-01

    This report describes a successful dilation of tracheal stenosis in a 16-year-old dog using a conventional endotracheal tube balloon. This technique should be considered as palliative treatment when owners decline other therapeutic options.

  12. Intraoperative Atelectasis Due to Endotracheal Tube Cuff Herniation: A Case Report

    Directory of Open Access Journals (Sweden)

    Hossein Madineh

    2012-09-01

    Full Text Available Endotracheal tube (ETT cuff herniation is a rare, and often difficult to diagnose, cause of bronchial obstruction. We present a case of outside cuff herniation of an endotracheal tube that caused pulmonary right lung atelectasis. A 29-year-old man ,a case of car accident with multiple fractures, was admitted to the emergency ward and transferred to the operating room(OR for open reduction and internal fixation (ORIF of all fractures .The procedures were done under general anesthesia (G/A. The past medical history of the patient did not indicate any problem. Anesthesia was induced with thiopental, atracurium and then maintained by propofol and remifentanyl infusions and 100% O2 via orally inserted ETT. The patient was positioned in left lateral decubitus position for operation. Two hours after induction of anesthesia, the oxygen saturation level dropped to 85 % and the breath sounds in the right side of the chest were weakened. The chest x-ray images showed right lung atelectasis especially in the upper lobe. The problem was disappeared after removal of the ETT. In this case, we observed that an ETT cuff herniation can be a cause of airway obstruction. If there is a decreased unilateral breath sounds, we recommend replacement or repositioning of ETT.

  13. Ultrasonography for Proper Endotracheal Tube Placement Confirmation in Out-of-hospital Cardiac Arrest Patients: Two-center Experience

    Directory of Open Access Journals (Sweden)

    Jen-Tang Sun

    2014-06-01

    Conclusion: Real-time tracheal ultrasonography is an accurate method for identifying endotracheal tube position during cardiopulmonary resuscitation without the need for interruption of chest compression.

  14. Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess.

    Science.gov (United States)

    Thapa, Dennis B; Greene, Nathaniel H; Udani, Andrea G

    2017-01-01

    Intraoperative ventilatory failure is not an uncommon complication; however, acute endotracheal obstruction by a foreign body or blood clot can be difficult to quickly discriminate from other causes. Once the diagnosis is made, quick action is needed to restore ventilation. The ultimate solution is to exchange the endotracheal tube; however, there can be other ways of resolving this in situations where reintubation would be difficult or unsafe. This case report discusses such an event in an infant with multiple airway challenges including a retropharyngeal and anterior mediastinal abscess. We have also formulated a pathway based on various case reports involving complete ETT obstruction.

  15. Severed cuff inflation tubing of endotracheal tube: A novel way to prevent cuff deflation.

    Science.gov (United States)

    Rao, Amrut K; Chaudhuri, Souvik; Joseph, Tim T; Kamble, Deependra; Gotur, Gopal; Venkatesh, Sandeep

    2014-01-01

    A well-secured endotracheal tube (ETT) is essential for safe anesthesia. The ETT has to be fixed with the adhesive plasters or with tie along with adhesive plasters appropriately. It is specially required in patients having beard, in intensive care unit (ICU) patients or in oral surgeries. If re-adjustment of the ETT is necessary, we should be cautious while removal of the plasters and tie, as there may be damage to the cuff inflation system. This can be a rare cause of ETT cuff leak, thus making maintenance of adequate ventilation difficult and requiring re-intubation. In a difficult airway scenario, it can be extremely challenging to re-intubate again. We report an incidence where the ETT cuff tubing was severed while attempting to re-adjust and re-fix the ETT and the patient required re-intubation. Retrospectively, we thought of and describe a safe, reliable and novel technique to prevent cuff deflation of the severed inflation tube. The technique can also be used to monitor cuff pressure in such scenarios.

  16. Endobronchial intubation detected by insertion depth of endotracheal tube, bilateral auscultation, or observation of chest movements: randomised trial.

    Science.gov (United States)

    Sitzwohl, Christian; Langheinrich, Angelika; Schober, Andreas; Krafft, Peter; Sessler, Daniel I; Herkner, Harald; Gonano, Christopher; Weinstabl, Christian; Kettner, Stephan C

    2010-11-09

    To determine which bedside method of detecting inadvertent endobronchial intubation in adults has the highest sensitivity and specificity. Prospective randomised blinded study. Department of anaesthesia in tertiary academic hospital. 160 consecutive patients (American Society of Anesthesiologists category I or II) aged 19-75 scheduled for elective gynaecological or urological surgery. Patients were randomly assigned to eight study groups. In four groups, an endotracheal tube was fibreoptically positioned 2.5-4.0 cm above the carina, whereas in the other four groups the tube was positioned in the right mainstem bronchus. The four groups differed in the bedside test used to verify the position of the endotracheal tube. To determine whether the tube was properly positioned in the trachea, in each patient first year residents and experienced anaesthetists were randomly assigned to independently perform bilateral auscultation of the chest (auscultation); observation and palpation of symmetrical chest movements (observation); estimation of the position of the tube by the insertion depth (tube depth); or a combination of all three (all three). Correct and incorrect judgments of endotracheal tube position. 160 patients underwent 320 observations by experienced and inexperienced anaesthetists. First year residents missed endobronchial intubation by auscultation in 55% of cases and performed significantly worse than experienced anaesthetists with this bedside test (odds ratio 10.0, 95% confidence interval 1.4 to 434). With a sensitivity of 88% (95% confidence interval 75% to 100%) and 100%, respectively, tube depth and the three tests combined were significantly more sensitive for detecting endobronchial intubation than auscultation (65%, 49% to 81%) or observation(43%, 25% to 60%) (Pauscultation to detect inadvertent endobronchial intubation. But even experienced physicians will benefit from inserting tubes to 20-21 cm in women and 22-23 cm in men, especially when high

  17. Complete Obstruction of Endotracheal Tube in an Infant with a Retropharyngeal and Anterior Mediastinal Abscess

    Directory of Open Access Journals (Sweden)

    Dennis B. Thapa

    2017-01-01

    Full Text Available Intraoperative ventilatory failure is not an uncommon complication; however, acute endotracheal obstruction by a foreign body or blood clot can be difficult to quickly discriminate from other causes. Once the diagnosis is made, quick action is needed to restore ventilation. The ultimate solution is to exchange the endotracheal tube; however, there can be other ways of resolving this in situations where reintubation would be difficult or unsafe. This case report discusses such an event in an infant with multiple airway challenges including a retropharyngeal and anterior mediastinal abscess. We have also formulated a pathway based on various case reports involving complete ETT obstruction.

  18. Easy come, easy go: a simple and effective orthodontic enamel anchor for endotracheal tube stabilization in a child with extensive facial burns.

    Science.gov (United States)

    Sakata, Shinichiro; Hallett, Kerrod B; Brandon, Matthew S; McBride, Craig A

    2009-11-01

    Endotracheal tube stabilization in patients with facial burns is crucial and often challenging. We present a simple method of securing an endotracheal tube using two orthodontic brackets bonded to the maxillary central incisor teeth and a 0.08'' stainless steel ligature wire. Our technique is less traumatic, and is easier to maintain oral hygiene than with previously described methods. This anchorage system takes 5 min to apply and can be removed on the ward without the need for a general anaesthetic.

  19. Effects of shallow and deep endotracheal tube suctioning on cardiovascular indices in patients in intensive care units.

    Science.gov (United States)

    Irajpour, Alireza; Abbasinia, Mohammad; Hoseini, Abbas; Kashefi, Parviz

    2014-07-01

    Clearing the endotracheal tube through suctioning should be done to promote oxygenation. Depth of suctioning is one of the variables in this regard. In shallow suctioning method, the catheter passes to the tip of the endotracheal tube, and in deep suctioning method, it passes beyond the tip into the trachea or brunches. This study aimed to evaluate the effect of shallow and deep suctioning methods on cardiovascular indices in patients hospitalized in the intensive care units (ICUs). In this clinical trial, 74 patients were selected among those who had undergone mechanical ventilation in the ICU of Al-Zahra Hospital, Isfahan, Iran using convenience sampling method. The subjects were randomly allocated to shallow and deep suctioning groups. Heart rate (HR) and blood pressure (BP) were measured immediately before and 1, 2, and 3 min after each suctioning. Number of times of suctioning was also noted in both the groups. Data were analyzed using repeated measures analysis of variance (ANOVA), Chi-square and independent t-tests. HR and BP were significantly increased after suctioning in both the groups (P 0.05). The suctioning count was significantly higher in the shallow suctioning group than in the deep suctioning group. Shallow and deep suctioning were similar in their effects on HR and BP, but shallow suctioning caused further manipulation of patient's trachea than deep suctioning method. Therefore, in order to prevent complications, nurses are recommended to perform the endotracheal tube suctioning by the deep method.

  20. Easy method of centralized fixation of endotracheal tube in cleft lip and palate surgery

    Directory of Open Access Journals (Sweden)

    S P Bajaj

    2012-01-01

    Full Text Available As we all know that fixation of endotracheal tube is very important aspect in cleft palate and maxillofacial surgery. During cleft palate and oral surgery various methods of fixation and modified tubes are deviced to make surgery safer and ergonomically better. Our method consist of 3 point fixation of tube (RAE with dynaplast, which is freely available, cheap and good Adhesive quality. Dynaplast divided into 3 phalanges (one central and two lateral and one portion undivided as central limb. This undivided central limb is fixed in centre of chin and other 3 phalanges wrap around tube on either side. This fixation totally takes away any lateral movements of tube. This method can be used with any tube (RAE/ Oxford/Flexometallic. Our method is described for its simplicity, ease and convinence and result which impart universally similar results with all different members of our anesthetist team.

  1. Reliability and criterion-related validity testing (construct) of the Endotracheal Suction Assessment Tool (ESAT©).

    Science.gov (United States)

    Davies, Kylie; Bulsara, Max K; Ramelet, Anne-Sylvie; Monterosso, Leanne

    2018-05-01

    To establish criterion-related construct validity and test-retest reliability for the Endotracheal Suction Assessment Tool© (ESAT©). Endotracheal tube suction performed in children can significantly affect clinical stability. Previously identified clinical indicators for endotracheal tube suction were used as criteria when designing the ESAT©. Content validity was reported previously. The final stages of psychometric testing are presented. Observational testing was used to measure construct validity and determine whether the ESAT© could guide "inexperienced" paediatric intensive care nurses' decision-making regarding endotracheal tube suction. Test-retest reliability of the ESAT© was performed at two time points. The researchers and paediatric intensive care nurse "experts" developed 10 hypothetical clinical scenarios with predetermined endotracheal tube suction outcomes. "Experienced" (n = 12) and "inexperienced" (n = 14) paediatric intensive care nurses were presented with the scenarios and the ESAT© guiding decision-making about whether to perform endotracheal tube suction for each scenario. Outcomes were compared with those predetermined by the "experts" (n = 9). Test-retest reliability of the ESAT© was measured at two consecutive time points (4 weeks apart) with "experienced" and "inexperienced" paediatric intensive care nurses using the same scenarios and tool to guide decision-making. No differences were observed between endotracheal tube suction decisions made by "experts" (n = 9), "inexperienced" (n = 14) and "experienced" (n = 12) nurses confirming the tool's construct validity. No differences were observed between groups for endotracheal tube suction decisions at T1 and T2. Criterion-related construct validity and test-retest reliability of the ESAT© were demonstrated. Further testing is recommended to confirm reliability in the clinical setting with the "inexperienced" nurse to guide decision-making related to endotracheal tube

  2. A Note regarding Problems with Interaction and Varying Block Sizes in a Comparison of Endotracheal Tubes

    Directory of Open Access Journals (Sweden)

    Richard L. Einsporn

    2014-01-01

    Full Text Available A randomized clinical experiment to compare two types of endotracheal tubes utilized a block design where each of the six participating anesthesiologists performed tube insertions for an equal number of patients for each type of tube. Five anesthesiologists intubated at least three patients with each tube type, but one anesthesiologist intubated only one patient per tube type. Overall, one type of tube outperformed the other on all three effectiveness measures. However, analysis of the data using an interaction model gave conflicting and misleading results, making the tube with the better performance appear to perform worse. This surprising result was caused by the undue influence of the data for the anesthesiologist who intubated only two patients. We therefore urge caution in interpreting results from interaction models with designs containing small blocks.

  3. Removals of aqueous sulfur dioxide and hydrogen sulfide using CeO2-NiAl-LDHs coating activated carbon and its mix with carbon nano-tubes

    KAUST Repository

    Li, Jing; Chen, Fangping; Jin, Guanping; Feng, Xiaoshuang; Li, Xiaoxuan

    2015-01-01

    Ce-doped NiAl/layered double hydroxide was coated at activated carbon by urea hydrolysis method (CeO2-NiAl-LDHs/AC) in one pot, which was characterized by X-ray diffraction, infrared spectra, field emission scanning electron microscope and electrochemical techniques. CeO2-NiAl-LDHs/AC shows good uptake for aqueous sulfur dioxide (483.09mg/g) and hydrogen sulfide (181.15mg/g), respectively at 25°C. Meanwhile, the electrochemical removals of aqueous sulfur dioxide and hydrogen sulfide were respectively investigated at the mix of CeO2-NiAl-LDHs/AC and carbon nano-tubes modified homed paraffin-impregnated electrode. Both sulfur dioxide and hydrogen sulfide could be effectively oxidized to sulfuric acid at 1.0V in alkaline aqueous solution. © 2015 Elsevier B.V.

  4. Removals of aqueous sulfur dioxide and hydrogen sulfide using CeO2-NiAl-LDHs coating activated carbon and its mix with carbon nano-tubes

    KAUST Repository

    Li, Jing

    2015-07-01

    Ce-doped NiAl/layered double hydroxide was coated at activated carbon by urea hydrolysis method (CeO2-NiAl-LDHs/AC) in one pot, which was characterized by X-ray diffraction, infrared spectra, field emission scanning electron microscope and electrochemical techniques. CeO2-NiAl-LDHs/AC shows good uptake for aqueous sulfur dioxide (483.09mg/g) and hydrogen sulfide (181.15mg/g), respectively at 25°C. Meanwhile, the electrochemical removals of aqueous sulfur dioxide and hydrogen sulfide were respectively investigated at the mix of CeO2-NiAl-LDHs/AC and carbon nano-tubes modified homed paraffin-impregnated electrode. Both sulfur dioxide and hydrogen sulfide could be effectively oxidized to sulfuric acid at 1.0V in alkaline aqueous solution. © 2015 Elsevier B.V.

  5. Experience of monitoring the recurrent laryngeal nerve in thyroid surgery with endotracheal intubation

    Directory of Open Access Journals (Sweden)

    Liang Feng

    2017-01-01

    Full Text Available Purpose:To analysis clinical experience of applying recurrent laryngeal monitoring endotracheal tube (NIM EMG Endotracheal Tube in the surgery of thyroid. Method: A retrospective analysis of 84 patients who underwent endotracheal intubation laryngeal nerve monitoring by thyroid surgery in the Chinese-Japanese Friendship Hospital of Jilin University from March to December in 2015. To summarize the experience of intubation with NIM EMG Endotracheal Tube. Result 77 (91.7%had initial intubation achievement in the 84 patients.FROM the 77 cases we had gotten s atisfactory nerve monitoring signal.Whereas there are 7 cases (8.3% appear abnormal EMG or signal missing, in the 7 cases there is one which being intubated too deep, 3 cases which being intubated too shallow and 3 cases with malrotation intubation.Conclusion: We got the satisfactory signals after adjust1ing the tube by using the visual laryngoscope.

  6. Comparison of prophylactic effects of polyurethane cylindrical or tapered cuff and polyvinyl chloride cuff endotracheal tubes on ventilator-associated pneumonia.

    Directory of Open Access Journals (Sweden)

    Ata Mahmoodpoor

    2013-07-01

    Full Text Available Because microaspiration of contaminated supraglottic secretions past the endotracheal tube cuff is considered to be central in the pathogenesis of pneumonia, improved design of tracheal tubes with new cuff material and shape have reduced the size and number of folds, which together with the addition of suction ports above the cuff to drain pooled subglottic secretions leads to reduced aspiration of oropharyngeal secretions. So we conducted a study to compare the prophylactic effects of polyurethane-cylindrical or tapered cuff and polyvinyl chloride cuff endotracheal tubes (ETT on ventilator-associated pneumonia. This randomized clinical trial was carried out in a 12 bed surgical intensive care unit. 96 patients expected to require mechanical ventilation more than 96 hours were randomly allocated to one of three following groups: Polyvinyl chloride cuff (PCV ETT, Polyurethane (PU cylindrical Sealguard ETT and PU Taperguard ETT. Cuff pressure monitored every three hours 3 days in all patients. Mean cuff pressure didn't have significant difference between three groups during 72 hours. Pneumonia was seen in 11 patients (34% in group PVC, 8 (25% in Sealguard and 7 (21% in Taperguard group. Changes in mean cuff pressure between Sealguard and PVC tubes and also between Taperguard and PVC tubes did not show any significant difference. There was no significant difference in overinflation between three groups. The use of ETT with PU material results in reducing ventilator-associated pneumonia compared to ETT with PVC cuff. In PU tubes Taperguard has less incidence of ventilator-associated pneumonia compared to Sealguard tubes.

  7. Final Scientific/Technical Report "Arc Tube Coating System for Color Consistency"

    Energy Technology Data Exchange (ETDEWEB)

    Buelow, Roger [Energy Focus, Inc., Solon, OH (United States); Jenson, Chris [Energy Focus, Inc., Solon, OH (United States); Kazenski, Keith [Energy Focus, Inc., Solon, OH (United States)

    2013-03-21

    DOE has enabled the use of coating materials using low cost application methods on light sources to positively affect the output of those sources. The coatings and light source combinations have shown increased lumen output of LED fixtures (1.5%-2.0%), LED arrays (1.4%) and LED powered remote phosphor systems Philips L-Prize lamp (0.9%). We have also demonstrated lifetime enhancements (3000 hrs vs 8000 hrs) and shifting to higher CRI (51 to 65) in metal halide high intensity discharge lamps with metal oxide coatings. The coatings on LEDs and LED products are significant as the market is moving increasingly more towards LED technology. Enhancements in LED performance are demonstrated in this work through the use of available materials and low cost application processes. EFOI used low refractive index fluoropolymers and low cost dipping processes for application of the material to surfaces related to light transmission of LEDs and LED products. Materials included Teflon AF, an amorphous fluorinated polymer and fluorinated acrylic monomers. The DOE SSL Roadmap sets goals for LED performance moving into the future. EFOI's coating technology is a means to shift the performance curve for LEDs. This is not limited to one type of LED, but is relevant across LED technologies. The metal halide work included the use of sol-gel solutions resulting in silicon dioxide and titanium dioxide coatings on the quartz substrates of the metal halide arc tubes. The coatings were applied using low cost dipping processes.

  8. Comparison of armoured laryngeal mask airway with endotracheal tube for adenotonsillectomy

    International Nuclear Information System (INIS)

    Aziz, L.; Bashir, K.

    2006-01-01

    To assess the reliability of armoured laryngeal mask airway for adenotonsillectomy and to compare the haemodynamic changes during anaesthesia with those of endotracheal tube. A total of 100 patients undergoing adenotonsillectomy between ages 10-35 years and ASA I status were enrolled for the study. Two groups with 50 patients in each group were formed. Group I patients underwent surgery with armoured laryngeal mask airway while group II underwent surgery with endotracheal intubation. Baseline heart rate, systolic blood pressure and diastolic blood pressure were noted pre-operatively, one minute after insertion and every five minutes after induction in both the groups. A change in all these haemodynamic parameters from the baseline was noted. The effect of Boyle Davis Gag and adequacy of surgical access were also noted. Occurrence of cough, laryngospasm and stridor were noted at the time of recovery in both the groups. Baseline variables in both groups were identical. Surgical access was adequate in 48/50 patients in group I while it was adequate in 49/50 patients in group II. The frequencies of cough, laryngeal spasm and stridor were lower in group I. In group I, there was insignificant change from baseline in heart rate, systolic and diastolic blood pressure at one, five and ten minutes after induction. In group II, significant change from baseline was observed in heart rate (p <0.01), systolic blood pressure (p <0.05) and diastolic blood pressure (p <0.05). (author)

  9. COMPARISON OF THE EFFECTIVENESS OF TWO LEVELS OF SUCTION PRESSURE ON OXYGEN SATURATION IN PATIENTS WITH ENDOTRACHEAL TUBE

    Directory of Open Access Journals (Sweden)

    Muhaji

    2017-12-01

    Full Text Available Background: Endotracheal suctioning is one of the common supportive measures in intensive care units (ICU, which may be related to complications such as hypoxia. However, a questionable efficacy is still identified to choose suctioning pressure between 130 mmHg and 140 mmHg that is effective for patients with endotracheal tube. Objective: To compare the effectiveness of 130 mmHg and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube. Methods: This research used a quasy experimental design with pretest and posttest group. The study was conducted from 31 January to 1 March 2017 in the Hospital of Panti Wilasa Citarum and Hospital of Roemani Muhammadiyah Semarang. There were 30 samples recruited using consecutive sampling, with 15 assigned in the 130 mmHg and 140 mmHg suctioning pressure group. Pulse oximetry was used to measure oxygen saturation. Paired t-test and Independent t-test were used for data analysis. Results: Findings showed that there was a statistically significant effect of 130 and 140 mmHg suctioning pressure on oxygen saturation in patients with ETT with p-value <0.05. There was a significant mean difference of oxygen saturation between 130 mmHg and 140 mmHg suctioning pressure group with p-value 0.004 (<0.05. The mean difference of oxygen saturation between both groups was 13.157. Conclusion: The 140 mmHg suctioning pressure is more effective compared with 130 mmHg suctioning pressure in increasing oxygen saturation in patients with ETT.

  10. Randomized Pilot Trial of Two Modified Endotracheal Tubes To Prevent Ventilator-associated Pneumonia.

    Science.gov (United States)

    Deem, Steven; Yanez, David; Sissons-Ross, Laura; Broeckel, Jo Ann Elrod; Daniel, Stephen; Treggiari, Miriam

    2016-01-01

    Ventilator-associated pneumonia (VAP) is a prevalent and costly nosocomial infection related to instrumentation of the airway with an endotracheal tube (ETT), enabling microaspiration of contaminated secretions. Modification of the ETT design to reduce microaspiration and/or biofilm formation may play an important role in VAP prevention. However, there is insufficient evidence to provide strong recommendations regarding the use of modified ETT and unaddressed safety concerns. We performed a pilot randomized controlled trial comparing two modified ETTs designed specifically to prevent VAP, with the standard ETT, to test the feasibility of and inform planning for a large, pivotal, randomized trial. This study was conducted with institutional review board approval under exception from informed consent. We randomized in a blinded fashion patients undergoing emergency endotracheal intubation both out of and in hospital to receive one of three different ETT types: (1) a polyurethane-cuffed tube (PUC-ETT), (2) a polyurethane-cuffed tube equipped with a port for continuous aspiration of subglottic secretions (PUC-CASS-ETT), or a (3) standard polyvinylchloride-cuffed tube (PVC-ETT). In addition to investigating feasibility and safety, the study coprimary end points were tracheal bacterial colonization reaching a cfu count >10(6) cfu per milliliter and the incidence of invasively diagnosed VAP. A total of 102 subjects were randomized and met the eligibility criteria. Randomization procedures performed well and integrity of blinding at randomization was maintained. The majority of intubations occurred in the hospital setting (n = 77), and the remainder occurred out of hospital (n = 25). Compared with the PVC-ETT, there were no significant differences in tracheal colonization for PUC-ETT (odds ratio [OR], 0.98; 95% confidence interval [CI], 0.31-3.09) or for PUC-CASS-ETT (OR, 1.26; 95% CI, 0.42-3.76). There were no differences in the risk of invasively diagnosed VAP

  11. A comparison between the v-gel supraglottic airway device and the cuffed endotracheal tube for airway management in spontaneously breathing cats during isoflurane anaesthesia

    NARCIS (Netherlands)

    van Oostrom, H.; Krauss, M.W.; Sap, R.

    2013-01-01

    Abstract OBJECTIVE: To compare airway management using the v-gel supraglottic airway device (v-gel SGAD) to that using an endotracheal tube (ETT), with respect to practicability, leakage of volatile anaesthetics and upper airway discomfort in cats. STUDY DESIGN: Prospective, randomized clinical

  12. Improper tube fixation causing a leaky cuff

    Directory of Open Access Journals (Sweden)

    Gupta Babita

    2010-01-01

    Full Text Available Leaking endotracheal tube cuffs are common problems in intensive care units. We report a case wherein the inflation tube was damaged by the adhesive plaster used for tube fixation and resulted in leaking endotracheal tube cuff. We also give some suggestions regarding the tube fixation and some remedial measures for damaged inflation system.

  13. Reflood Heat Transfer in SiC and Graphene Oxide Coated Tube

    International Nuclear Information System (INIS)

    Kim, Kyung Mo; Lee, Seung Won; Bang, In Cheol

    2013-01-01

    The reflood tests have been performed flowing water into bare tube and nanoparticles coated tube at constant flow rate (3 cm/s). The quenching curves have been obtained at atmospheric pressure. Finally, Scanning Electron Microscopy (SEM) images are acquired and contact angles are measured in order to observe the surface structures and wettability effect on cooling performance. The quenching time decreases and quenching velocity increases as the coating time of nanoparticles on the tube increases, because the nanoparticles deposited on the tube destabilize and rupture the vapor film early in the effect of increased Leidenfrost point temperature. The SiC nanoparticles coated tubes have better quenching performance than GO nanoparticles coated tubes. The SEM images and contact angle observations proved the enhanced wettability and rough surface due to deposition of SiC nanoparticles. And the wettability of GO nanoparticles coated tubes shows the increase at 600 s coating. But, the wettability decreases on GO nanoparticles tube coated for 900 s despite the enhanced quenching performance. Thus, the porous structure affects to the better cooling performance in case of GO nanoparticles coated tubes

  14. The effectiveness of an endotracheal tube holder

    Directory of Open Access Journals (Sweden)

    Byung Gun Lim

    2016-01-01

    Full Text Available The security of the endotracheal tube (ETT is important in the anesthesia and intensive care settings. Recently, an ETT holder instead of an adhesive tape is frequently used to provide the fixation of the ETT. There are some studies that focused on the effectiveness of the ETT holder in preventing displacement of ETT compared to an adhesive tape (1, 2. I have experienced the use of an ETT holder (E-holder, KS medical, Bucheon, Korea in many different anesthesia settings and recognized its usefulness and convenience other than ETT security in the following specific settings.  Firstly, the ETT holder is definitely effective for patients undergoing procedures that frequently require the adjustment of ETT (or double lumen tube location including thoracic surgery. The location of double lumen tube needed for lung separation can be modified for effective ventilation during anesthetic induction or surgery, and after position changes. The tube can be easily relocated to the proper place for lung separation and effective ventilation by unlocking/relocking the button of the ETT holder under flexible bronchoscopic guidance (Fig. 1A, which can facilitate the operative procedure to be performed easily and quickly. Secondly, the ETT holder can be useful in procedures requiring the prone position (3. Especially, it is useful in all circumstances requiring the adjustment of ETT in the prone position. For instance, it is definitely useful for patients with Duchene muscular dystrophy undergoing scoliosis surgery under prone position. Adolescent patients with Duchene muscular dystrophy frequently have tracheobronchial malacia. If so, the airway pressure can be elevated due to the narrowing of the lesion of malacia when changed to the prone position (4. To overcome this problem, a reinforced ETT should be relocated so that it passes the narrowed tracheal lesion under flexible bronchoscopic guidance (Fig. 1B. However, the approach for this management is somewhat

  15. Comparison of ProSeal laryngeal mask airway (PLMA with cuffed and uncuffed endotracheal tubes in infants

    Directory of Open Access Journals (Sweden)

    Eyyup Sabri Ozden

    2016-11-01

    Full Text Available We aimed to compare cuffed and uncuffed endotracheal tubes (ETTs with ProSealTM laryngeal mask airway (PLMA in terms of airway security and extubation, starting out from the hypothesis that PLMA will provide alternative airway safety to the endotracheal tubes, and that airway complications will be less observed. After obtaining approval from the local Ethics Committee and parental informed consent, 120 pediatric patients 1-24 months old, American Society of Anesthesiologists physical status I-II, requiring general anesthesia for elective lower abdominal surgery, were randomized into PLMA (Group P, n = 40, cuffed ETT (Group C, n = 40, and uncuffed ETT (Group UC, n = 40 groups. The number of intubation or PLMA insertion attempts was recorded. Each patient’s epigastrium was auscultated for gastric insufflation, leak volumes and air leak fractions (leak volume/inspiratory volume were recorded. Post-operative adverse events related to airway management were also followed up during the first post-operative hour. Demographic and surgical data were similar among the groups. There were significantly fewer airway manipulations in the Group P than in the other groups (p < 0.01, and leak volume and air leak fractions were greater in the Group UC than in the other two groups (p < 0.01. Laryngospasm was significantly lower in the Group P during extubation and within the first minute of post-extubation than in the other groups (p < 0.01. Based on this study, PLMA may be a good alternative to cuffed and uncuffed ETTs for airway management of infants due to the ease of manipulation and lower incidence of laryngospasm.

  16. A simple method for accurate endotracheal placement of an intubation tube in Guinea pigs to assess lung injury following chemical exposure.

    Science.gov (United States)

    Nambiar, M P; Gordon, R K; Moran, T S; Richards, S M; Sciuto, A M

    2007-01-01

    ABSTRACT Guinea pigs are considered as the animal model of choice for toxicology and medical countermeasure studies against chemical warfare agents (CWAs) and toxic organophosphate pesticides because of the low levels of carboxylesterase compared to rats and mice. However, it is difficult to intubate guinea pigs without damaging the larynx to perform CWA inhalation experiments. We describe an easy technique of intubation of guinea pigs for accurate endotracheal placement of the intubation tube. The technique involves a speculum made by cutting the medium-size ear speculum in the midline leaving behind the intact circular connector to the otoscope. Guinea pigs were anesthetized with Telazol/meditomidine, the tongue was pulled using blunt forceps, and an otoscope attached with the specially prepared speculum was inserted gently. Insertion of the speculum raises the epiglottis and restrains the movements of vocal cord, which allows smooth insertion of the metal stylet-reinforced intubation tube. Accurate endotracheal placement of the intubation tube was achieved by measuring the length from the tracheal bifurcation to vocal cord and vocal cord to the upper front teeth. The average length of the trachea in guinea pigs (275 +/- 25 g) was 5.5 +/- 0.2 cm and the distance from the vocal cord to the front teeth was typically 3 cm. Coinciding an intubation tube marked at 6 cm with the upper front teeth accurately places the intubation tube 2.5 cm above the tracheal bifurcation. This simple method of intubation does not disturb the natural flora of the mouth and causes minimum laryngeal damage. It is rapid and reliable, and will be very valuable in inhalation exposure to chemical/biological warfare agents or toxic chemicals to assess respiratory toxicity and develop medical countermeasures.

  17. High-fidelity simulation of lung isolation with double-lumen endotracheal tubes and bronchial blockers in anesthesiology resident training.

    Science.gov (United States)

    Failor, Erin; Bowdle, Andrew; Jelacic, Srdjan; Togashi, Kei

    2014-08-01

    Demonstrate the feasibility of using the AirSim Bronchi airway simulator to teach residents how to manage lung isolation with double-lumen endotracheal tubes and bronchial blockers and evaluate their performance with a detailed checklist. Prospective observational study. University anesthesiology residency training program. Anesthesiology residents taking a cardiothoracic anesthesiology rotation. Residents were instructed in 7 tasks using the AirSim Bronchi: The use of the fiberoptic bronchoscope, methods for placing left and right double-lumen endotracheal tubes and 3 bronchial blockers (Univent, Arndt, and Cohen), and application of continuous positive airway pressure (CPAP) to the unventilated lung. Two to 3 weeks later, checklists and a detailed scoring system were used to assess performance. Residents rated the curriculum and their own confidence in performing the tasks using a 5-point Likert scale. Thirteen residents completed the curriculum. Their median Likert scale ratings of the curriculum based on a questionnaire with 6 items ranged from 4 to 5 of 5. Resident confidence scores for each lung isolation technique improved after the simulation training, with the median gain ranging from 0.5 to 1.5 Likert levels depending on the task. The largest improvement occurred with the bronchial blockers (psimulator in a novel simulation curriculum to teach lung-isolation techniques to anesthesiology residents and evaluated performance using a detailed checklist scoring system. This curriculum is a promising educational tool. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Temporal comparison of ultrasound vs. auscultation and capnography in verification of endotracheal tube placement

    DEFF Research Database (Denmark)

    Pfeiffer, P; Rudolph, S S; Neimann, Jens Dupont Børglum

    2011-01-01

    This study compared the time consumption of bilateral lung ultrasound with auscultation and capnography for verifying endotracheal intubation.......This study compared the time consumption of bilateral lung ultrasound with auscultation and capnography for verifying endotracheal intubation....

  19. A comparison of a traditional endotracheal tube versus ETView SL in endotracheal intubation during different emergency conditions: A randomized, crossover cadaver trial.

    Science.gov (United States)

    Truszewski, Zenon; Krajewski, Paweł; Fudalej, Marcin; Smereka, Jacek; Frass, Michael; Robak, Oliver; Nguyen, Bianka; Ruetzler, Kurt; Szarpak, Lukasz

    2016-11-01

    Airway management is a crucial skill essential to paramedics and personnel working in Emergency Medical Services and Emergency Departments: Lack of practice, a difficult airway, or a trauma situation may limit the ability of paramedics to perform direct laryngoscopy during cardiopulmonary resuscitation. Videoscope devices are alternatives for airway management in these situations. The ETView VivaSight SL (ETView; ETView Ltd., Misgav, Israel) is a new, single-lumen airway tube with an integrated high-resolution imaging camera. To assess if the ETView VivaSight SL can be a superior alternative to a standard endotracheal tube for intubation in an adult cadaver model, both during and without simulated CPR. ETView VivaSight SL tube was investigated via an interventional, randomized, crossover, cadaver study. A total of 52 paramedics participated in the intubation of human cadavers in three different scenarios: a normal airway at rest without concomitant chest compression (CC) (scenario A), a normal airway with uninterrupted CC (scenario B) and manual in-line stabilization (scenario C). Time and rate of success for intubation, the glottic view scale, and ease-of-use of ETView vs. sETT intubation were assessed for each emergency scenario. The median time to intubation using ETView vs. sETT was compared for each of the aforementioned scenarios. For scenario A, time to first ventilation was achieved fastest for ETView, 19.5 [IQR, 16.5-22] sec, when compared to that of sETT at 21.5 [IQR, 20-25] sec (p = .013). In scenario B, the time for intubation using ETView was 21 [IQR, 18.5-24.5] sec (p cadavers and the time to ventilation were improved with the ETView. The time to glottis view, tube insertion, and cuff block were all found to be shorter with the ETView. clinicaltrials.gov Identifier: NCT02733536.

  20. Is the Venner-PneuX Endotracheal Tube System A Cost-Effective Option For Post Cardiac Surgery Care?

    Science.gov (United States)

    Andronis, Lazaros; Oppong, Raymond A; Manga, Na'ngono; Senanayake, Eshan; Gopal, Shameer; Charman, Susan; Giri, Ramesh; Luckraz, Heyman

    2018-04-27

    Ventilator-associated pneumonia (VAP) is common and costly. In a recent randomized controlled trial, the Venner-PneuX (VPX) endotracheal tube system was found to be superior to standard endotracheal tubes (SET) in preventing VAP. However, VPX is considerably more expensive. We evaluated the costs and benefits of VPX to determine whether replacing SET with VPX is a cost-effective option for intensive care units. We developed a decision analytic model to compare intubation with VPX or SET for patients requiring mechanical ventilation post cardiac surgery. The model was populated with existing evidence on costs, effectiveness and quality of life. Cost-effectiveness and cost-utility analyses were conducted from an NHS hospital perspective. Uncertainty was assessed through deterministic and probabilistic sensitivity analyses. Compared to SET, VPX is associated with an expected cost saving of £738 per patient. VPX led to a small increase in quality-adjusted life years (QALYs), indicating that the device is overall less costly and more effective than SET. The probability of VPX being cost-effective at £30,000 per QALY is 97%. VPX would cease to be cost-effective if (i) it led to a risk reduction smaller than 0.02 compared to SET, (ii) the acquisition cost of VPX was as high as £890 or, (iii) the cost of treating a case of VAP was lower than £1,450. VPX resulted in improved outcomes and savings which far offset the cost of the device, suggesting that replacing SET with VPX is overall beneficial. Findings were robust to extreme values of key parameters. Copyright © 2018. Published by Elsevier Inc.

  1. Comparison of endotracheal tube cuff pressure values before and after training seminar.

    Science.gov (United States)

    Özcan, Ayça Tuba Dumanlı; Döğer, Cihan; But, Abdülkadir; Kutlu, Işık; Aksoy, Şemsi Mustafa

    2018-06-01

    It is recommended that endotracheal cuff (ETTc) pressure be between 20 and 30 cm H 2 O. In this present study, we intend to observe average cuff pressure values in our clinic and the change in these values after the training seminar. The cuff pressure values of 200 patients intubated following general anesthesia induction in the operating theatre were measured following intubation. One hundred patients whose values were measured before the training seminar held for all physician assistants, and 100 patients whose values were measured after the training seminar were regarded as Group 1 and Group 2, respectively. Cuff pressures of both groups were recorded, and the difference between them was shown. Moreover, cuff pressure values were explored according to the working period of the physician assistants. There was no significant difference between the groups in terms of age, gender and tube diameters. Statistically significant difference was found between cuff pressure values before and after the training (p values decreased, however no statistically significant different was found (p values and potential complications.

  2. Cryogenic testing of fluoropolymer-coated stainless steel tubing

    International Nuclear Information System (INIS)

    Dooley, J.B.

    1989-11-01

    Stainless steel tubing coated internally with two different types of fluorinated polymers were subjected to microscopic examination after a welding operation had been performed on the tubing. The welded assemblies were photographed and subjected to repeated cycles between liquid helium and room temperature. The green tetrafluoroethylene (TFE) coating peeled back in the area subjected to welding heat and displayed cracking all over its surface without regard to proximity to the weld area. The dark fluorinated ethylene propylene (FEP) coating showed a tendency to char or burn away progressively in the weld area. The dark (FEP) coating did not crack as extensively as the green TFE coating, but did show a few areas of ''crazing'' or cracking of the topmost surface after cryogenic exposure. 12 figs

  3. A simple coated-tube assay for alpha-foeto protein for clinical use

    International Nuclear Information System (INIS)

    Dakubu, S.; Ahene, I.S.; Foli, A.K.

    1977-01-01

    A standard method for coating plastic tubes with antiserum has been applied to coat tubes with rabbit antiserum to human alpha-foeto protein. The coated plastic tubes have been used to set up a radioimmunoassay system which is sensitive and convenient for use on the occasional clinical sample. For a successful coated-tube assay, it was found necessary to modify the final incubation mixture from what was suitable in a standard double antibody assay system. (orig.) [de

  4. Epistaxis during nasotracheal intubation: a randomized trial of the Parker Flex-Tip™ nasal endotracheal tube with a posterior facing bevel versus a standard nasal RAE endotracheal tube.

    Science.gov (United States)

    Earle, Rosie; Shanahan, Enda; Vaghadia, Himat; Sawka, Andrew; Tang, Raymond

    2017-04-01

    Nasotracheal intubation is a widely performed technique to facilitate anesthesia induction during oral, dental, and maxillofacial surgeries. The technique poses several risks not encountered with oropharyngeal intubation, most commonly epistaxis due to nasal mucosal abrasion. The purpose of this study was to test whether the use of the Parker Flex-Tip™ (PFT) nasal endotracheal tube (ETT) with a posterior facing bevel reduces epistaxis when compared with the standard nasal RAE ETT with a leftward facing bevel. Sixty American Society of Anesthesiologists physical status I and II patients undergoing oral or maxillofacial surgery with nasotracheal intubation were recruited. Patients were randomized to either a standard nasal RAE ETT or a PFT nasal ETT. The ETT was thermosoftened and lubricated for both study groups prior to insertion, and the size of the tube was chosen at the discretion of the attending anesthesiologist. The primary outcome was the incidence of epistaxis, with a secondary outcome of epistaxis severity (scored as none, mild, moderate, or severe). An investigator measured both outcomes five minutes after intubation was completed. Mild or moderate epistaxis was experienced by 22 of 30 (73%) patients in the PFT group compared with 21 of 30 (70%) patients in the standard nasal RAE ETT group (absolute risk reduction, 3%; 95% confidence interval, -19 to 25; P = 0.78). There were no occurrences of severe epistaxis in either group. There was no difference in the incidence or severity of epistaxis following nasal intubation using the Parker Flex-Tip nasal ETT when compared with a standard nasal RAE ETT. This trial was registered at ClinicalTrials.gov, identifier: NCT02315677.

  5. Efficacy of Hi-Lo Evac Endotracheal Tube in Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Poisoned Patients.

    Science.gov (United States)

    Ghoochani Khorasani, Ahmad; Shadnia, Shahin; Mashayekhian, Mohammad; Rahimi, Mitra; Aghabiklooei, Abbas

    2016-01-01

    Background. Ventilator-associated pneumonia (VAP) is the most common health care-associated infection. To prevent this complication, aspiration of subglottic secretions using Hi-Lo Evac endotracheal tube (Evac ETT) is a recommended intervention. However, there are some reports on Evac ETT dysfunction. We aimed to compare the incidence of VAP (per ventilated patients) in severely ill poisoned patients who were intubated using Evac ETT versus conventional endotracheal tubes (C-ETT) in our toxicology ICU. Materials and Methods. In this clinical randomized trial, 91 eligible patients with an expected duration of mechanical ventilation of more than 48 hours were recruited and randomly assigned into two groups: (1) subglottic secretion drainage (SSD) group who were intubated by Evac ETT (n = 43) and (2) control group who were intubated by C-ETT (n = 48). Results. Of the 91 eligible patients, 56 (61.5%) were male. VAP was detected in 24 of 43 (55.8%) patients in the case group and 23 of 48 (47.9%) patients in the control group (P = 0.45). The most frequently isolated microorganisms were S. aureus (54.10%) and Acinetobacter spp. (19.68%). The incidence of VAP and ICU length of stay were not significantly different between the two groups, but duration of intubation was statistically different and was longer in the SSD group. Mortality rate was less in SSD group but without a significant difference (P = 0.68). Conclusion. The SSD procedure was performed intermittently with one-hour intervals using 10 mL syringe. Subglottic secretion drainage does not significantly reduce the incidence of VAP in patients receiving MV. This strategy appears to be ineffective in preventing VAP among ICU patients.

  6. Efficacy of Hi-Lo Evac Endotracheal Tube in Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Poisoned Patients

    Directory of Open Access Journals (Sweden)

    Ahmad Ghoochani Khorasani

    2016-01-01

    Full Text Available Background. Ventilator-associated pneumonia (VAP is the most common health care-associated infection. To prevent this complication, aspiration of subglottic secretions using Hi-Lo Evac endotracheal tube (Evac ETT is a recommended intervention. However, there are some reports on Evac ETT dysfunction. We aimed to compare the incidence of VAP (per ventilated patients in severely ill poisoned patients who were intubated using Evac ETT versus conventional endotracheal tubes (C-ETT in our toxicology ICU. Materials and Methods. In this clinical randomized trial, 91 eligible patients with an expected duration of mechanical ventilation of more than 48 hours were recruited and randomly assigned into two groups: (1 subglottic secretion drainage (SSD group who were intubated by Evac ETT (n=43 and (2 control group who were intubated by C-ETT (n=48. Results. Of the 91 eligible patients, 56 (61.5% were male. VAP was detected in 24 of 43 (55.8% patients in the case group and 23 of 48 (47.9% patients in the control group (P=0.45. The most frequently isolated microorganisms were S. aureus (54.10% and Acinetobacter spp. (19.68%. The incidence of VAP and ICU length of stay were not significantly different between the two groups, but duration of intubation was statistically different and was longer in the SSD group. Mortality rate was less in SSD group but without a significant difference (P=0.68. Conclusion. The SSD procedure was performed intermittently with one-hour intervals using 10 mL syringe. Subglottic secretion drainage does not significantly reduce the incidence of VAP in patients receiving MV. This strategy appears to be ineffective in preventing VAP among ICU patients.

  7. Endotracheal Tube Cuff Pressures in Patients Intubated Prior to Helicopter EMS Transport

    Directory of Open Access Journals (Sweden)

    Joseph Tennyson

    2016-11-01

    Full Text Available Introduction Endotracheal intubation is a common intervention in critical care patients undergoing helicopter emergency medical services (HEMS transportation. Measurement of endotracheal tube (ETT cuff pressures is not common practice in patients referred to our service. Animal studies have demonstrated an association between the pressure of the ETT cuff on the tracheal mucosa and decreased blood flow leading to mucosal ischemia and scarring. Cuff pressures greater than 30 cmH2O impede mucosal capillary blood flow. Multiple prior studies have recommended 30 cmH2O as the maximum safe cuff inflation pressure. This study sought to evaluate the inflation pressures in ETT cuffs of patients presenting to HEMS. Methods We enrolled a convenience sample of patients presenting to UMass Memorial LifeFlight who were intubated by the sending facility or emergency medical services (EMS agency. Flight crews measured the ETT cuff pressures using a commercially available device. Those patients intubated by the flight crew were excluded from this analysis as the cuff was inflated with the manometer to a standardized pressure. Crews logged the results on a research form, and we analyzed the data using Microsoft Excel and an online statistical analysis tool. Results We analyzed data for 55 patients. There was a mean age of 57 years (range 18–90. The mean ETT cuff pressure was 70 (95% CI= [61–80] cmH2O. The mean lies 40 cmH2O above the maximum accepted value of 30 cmH2O (p120 cmH2O, the maximum pressure on the analog gauge. Conclusion Patients presenting to HEMS after intubation by the referral agency (EMS or hospital have ETT cuffs inflated to pressures that are, on average, more than double the recommended maximum. These patients are at risk for tracheal mucosal injury and scarring from decreased mucosal capillary blood flow. Hospital and EMS providers should use ETT cuff manometry to ensure that they inflate ETT cuffs to safe pressures.

  8. Tracheal palpation to assess endotracheal tube depth: an exploratory study.

    Science.gov (United States)

    McKay, William P; Klonarakis, Jim; Pelivanov, Vladko; O'Brien, Jennifer M; Plewes, Chris

    2014-03-01

    Correct placement of the endotracheal tube (ETT) occurs when the distal tip is in mid-trachea. This study compares two techniques used to place the ETT at the correct depth during intubation: tracheal palpation vs placement at a fixed depth at the patient's teeth. With approval of the Research Ethics Board, we recruited American Society of Anesthesiologists physical status I-II patients scheduled for elective surgery with tracheal intubation. Clinicians performing the tracheal intubations were asked to "advance the tube slowly once the tip is through the cords". An investigator palpated the patient's trachea with three fingers spread over the trachea from the larynx to the sternal notch. When the ETT tip was felt in the sternal notch, the ETT was immobilized and its position was determined by fibreoptic bronchoscopy. The position of the ETT tip was compared with our hospital standard, which is a depth at the incisors or gums of 23 cm for men and 21 cm for women. The primary outcome was the incidence of correct placement. Correct placement of the ETT was defined as a tip > 2.5 cm from the carina and > 3.5 cm below the vocal cords. Movement of the ETT tip was readily palpable in 77 of 92 patients studied, and bronchoscopy was performed in 85 patients. Placement by tracheal palpation resulted in more correct placements (71 [77%]; 95% confidence interval [CI] 74 to 81) than hospital standard depth at the incisors or gums (57 [61%]; 95% CI 58 to 66) (P = 0.037). The mean (SD) placement of the ETT tip in palpable subjects was 4.1 (1.7) cm above the carina, 1.9 cm (1.5-2.3 cm) below the ideal mid-tracheal position. Tracheal palpation requires no special equipment, takes only a few seconds to perform, and may improve ETT placement at the correct depth. Further studies are warranted.

  9. Oral and endotracheal tubes colonization by periodontal bacteria: a case-control ICU study.

    Science.gov (United States)

    Porto, A N; Cortelli, S C; Borges, A H; Matos, F Z; Aquino, D R; Miranda, T B; Oliveira Costa, F; Aranha, A F; Cortelli, J R

    2016-03-01

    Periodontal infection is a possible risk factor for respiratory disorders; however, no studies have assessed the colonization of periodontal pathogens in endotracheal tubes (ET). This case-control study analyzed whether periodontal pathogens are able to colonize ET of dentate and edentulous patients in intensive care units (ICU) and whether oral and ET periodontal pathogen profiles have any correlation between these patients. We selected 18 dentate and 18 edentulous patients from 78 eligible ICU patients. Oral clinical examination including probing depth, clinical attachment level, gingival index , and plaque index was performed by a single examiner, followed by oral and ET sampling and processing by quantitative polymerase chain reaction (total bacterial load, Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, and Tannerella forsythia). Data were statistically analyzed by Mann-Whitney U, two-way analysis of variance (p Periodontal pathogens can colonize ET and the oral cavity of ICU patients. Periodontal pathogen profiles tend to be similar between dentate and edentulous ICU patients. In ICU patients, oral cavity represents a source of ET contamination. Although accompanied by higher oral bacterial levels, teeth do not seem to influence ET bacterial profiles.

  10. Conjunctivodacryocystorhinostomy using a high-density porous polyethylene-coated tear drain tube.

    Science.gov (United States)

    Pushker, Neelam; Khurana, Saurbhi; Shrey, Dinesh; Bajaj, Mandeep S; Chawla, Bhavna; Chandra, Mahesh

    2013-08-01

    To evaluate the outcome of conjunctivodacryocystorhinostomy using a high-density porous polyethylene (HDPP)-coated tear drain tube. Patients with epiphora due to a proximal lacrimal system block were included in a prospective interventional case study. A total of 22 eyes were treated with lacrimal bypass surgery using the HDPP-coated tube. On follow-up (12-41 months), 21 eyes had a patent well-positioned tube with subjective relief of epiphora. In one eye, a loose sleeve was noted during surgery. The tube dislodged postoperatively and was removed. A high success rate with only a few minor complications is achievable using a HDPP-coated tear drain tube for lacrimal bypass surgery. Long-term follow-up is required to look for tube blockage due to conjunctival or nasal mucosal overgrowth.

  11. Colorimetric end-tidal CO2 detector for verification of endotracheal tube placement in out-of-hospital cardiac arrest.

    Science.gov (United States)

    Hayden, S R; Sciammarella, J; Viccellio, P; Thode, H; Delagi, R

    1995-06-01

    To evaluate the ability of a disposable, colorimetric end-tidal CO2 detector to verify proper endotracheal (ET) tube placement in out-of-hospital cardiac arrest, and to correlate semiquantitative CO2 measurements with the rate of return of spontaneous circulation (ROSC). Prospective, observational study using a convenience sample of intubated out-of-hospital cardiac arrest patients. A disposable, colorimetric end-tidal CO2 detector was attached to the ET tube after intubation. In the absence of a colorimetric change, the paramedics reassessed the tube placement and could reintubate the patient. Tube placement was verified at the hospital. Paramedics were instructed to contact the base station and report the colorimetric change upon hospital arrival. ROSC was defined as restoration of a self-sustaining pulse until hospital arrival. Between December 1990 and May 1993, ET tubes were placed in 566 victims of out-of-hospital cardiac arrest. 541 of the 566 intubations (95.6%) were associated with a color change. In one case with a color change and out-of-hospital clinical evidence of proper tube placement, the tube was determined to be in the esophagus at the hospital. Correct placement of the remaining 565 of 566 (99.8%) tubes was verified. Of the 566 patients who had a colorimetric change, 91 (16%) had ROSC vs one of 25 (4%) patients who did not have a color change. In one subgroup (n = 179), the degree of color change was highly associated with ROSC (p = 0.004). A disposable, colorimetric end-tidal CO2 detector appears reliable in verifying proper ET tube placement in victims of out-of-hospital cardiac arrest. The degree of color change correlates with the probability of ROSC.

  12. Coated tube for immunochemical and enzymatic assays

    International Nuclear Information System (INIS)

    Brown, J.L.; Lin, W.H.-T.; Woods, J.W.

    1979-01-01

    Containers such as test tubes suitable for use in solid phase immunochemical, enzymatical and particularly radioimmunoassay procedures are described. The lower part of the tube is a polymer, coated with an inert protein to which a biologically active substance eg an antibody to triiodothyronine, thyroxine or digoxin, is attached. (U.K.)

  13. Preparation of aluminide coatings on the inner surface of tubes by heat treatment of Al coatings electrodeposited from an ionic liquid

    International Nuclear Information System (INIS)

    Xue, Dongpeng; Chen, Yimin; Ling, Guoping; Liu, Kezhao; Chen, Chang’an; Zhang, Guikai

    2015-01-01

    Highlights: • Al coating is prepared on the inner surface of one-meter tube. • Al coating shows good adherence to the substrate. • The thickness of Al coating is uniform along the tube. • Aluminide coating is obtained by heat treating Al coating. • Structure of aluminide coating is regulated by different thickness of Al coating. - Abstract: Aluminide coatings were prepared on the inner surface of 316L stainless steel tubes with size of Ø 12 mm × 1000 mm by heat-treating Al coatings electrodeposited from AlCl 3 -1-ethyl-3-methyl-imidazolium chloride (AlCl 3 –EMIC) ionic liquid at room temperature. Studies on the electrolytic etching pretreatment of stainless tubes before Al coating electrodeposition were carried out. The Al coating showed good adherence to the substrate after electrolytic etching at 10 mA/cm 2 for 10 min. The thickness of Al coatings was uniform along the tube. The structure of prepared aluminide coatings can be regulated by different thickness of Al coating. The outer layer of aluminide coatings was FeAl, Fe 2 Al 5 and FeAl 3 for the samples of 1-μm, 5-μm and 10-μm thick Al coatings, respectively.

  14. Accuracy of automatic tube compensation in new-generation mechanical ventilators.

    Science.gov (United States)

    Elsasser, Serge; Guttmann, Josef; Stocker, Reto; Mols, Georg; Priebe, Hans-Joachim; Haberthür, Christoph

    2003-11-01

    To compare performance of flow-adapted compensation of endotracheal tube resistance (automatic tube compensation, ATC) between the original ATC system and ATC systems incorporated in commercially available ventilators. Bench study. University research laboratory. The original ATC system, Dräger Evita 2 prototype, Dräger Evita 4, Puritan-Bennett 840. The four ventilators under investigation were alternatively connected via different sized endotracheal tubes and an artificial trachea to an active lung model. Test conditions consisted of two ventilatory modes (ATC vs. continuous positive airway pressure), three different sized endotracheal tubes (inner diameter 7.0, 8.0, and 9.0 mm), two ventilatory rates (15/min and 30/min), and four levels of positive end-expiratory pressure (0, 5, 10, and 15 cm H2O). Performance of tube compensation was assessed by the amount of tube-related (additional) work of breathing (WOBadd), which was calculated on the basis of pressure gradient across the endotracheal tube. Compared with continuous positive airway pressure, ATC reduced inspiratory WOBadd by 58%, 68%, 50%, and 97% when using the Evita 4, the Evita 2 prototype, the Puritan-Bennett 840, and the original ATC system, respectively. Depending on endotracheal tube diameter and ventilatory pattern, inspiratory WOBadd was 0.12-5.2 J/L with the original ATC system, 1.5-28.9 J/L with the Puritan-Bennett 840, 10.4-21.0 J/L with the Evita 2 prototype, and 10.1-36.1 J/L with the Evita 4 (difference between each ventilator at identical test situations, p ventilator (p <.025). Flow-adapted tube compensation by the original ATC system significantly reduced tube-related inspiratory and expiratory work of breathing. The commercially available ATC modes investigated here may be adequate for inspiratory but probably not for expiratory tube compensation.

  15. Comparison the Effects of Shallow and Deep Endotracheal Tube Suctioning on Respiratory Rate, Arterial Blood Oxygen Saturation and Number of Suctioning in Patients Hospitalized in the Intensive Care Unit: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Mohammad Abbasinia

    2014-09-01

    Full Text Available Introduction: Endotracheal tube suctioning is essential for improve oxygenation in the patients undergoing mechanical ventilation. There are two types of shallow and deep endotracheal tube suctioning. This study aimed to evaluate the effect of shallow and deep suctioning methods on respiratory rate (RR, arterial blood oxygen saturation (SpO2 and number of suctioning in patients hospitalized in the intensive care units of Al-Zahra Hospital, Isfahan, Iran. Methods: In this randomized controlled trial, 74 patients who hospitalized in the intensive care units of Isfahan Al-Zahra Hospital were randomly allocated to the shallow and deep suctioning groups. RR and SpO2 were measured immediately before, immediately after, 1 and 3 minute after each suctioning. Number of suctioning was also noted in each groups. Data were analyzed using repeated measures analysis of variance (RMANOVA, chi-square and independent t-tests. Results: RR was significantly increased and SpO2 was significantly decreased after each suctioning in the both groups. However, these changes were not significant between the two groups. The numbers of suctioning was significantly higher in the shallow suctioning group than in the deep suctioning group. Conclusion: Shallow and deep suctioning had a similar effect on RR and SpO2. However, shallow suctioning caused further manipulation of patient’s trachea than deep suctioning method. Therefore, it seems that deep endotracheal tube suctioning method can be used to clean the airway with lesser manipulation of the trachea.

  16. Comparison the effects of shallow and deep endotracheal tube suctioning on respiratory rate, arterial blood oxygen saturation and number of suctioning in patients hospitalized in the intensive care unit: a randomized controlled trial.

    Science.gov (United States)

    Abbasinia, Mohammad; Irajpour, Alireza; Babaii, Atye; Shamali, Mehdi; Vahdatnezhad, Jahanbakhsh

    2014-09-01

    Endotracheal tube suctioning is essential for improve oxygenation in the patients undergoing mechanical ventilation. There are two types of shallow and deep endotracheal tube suctioning. This study aimed to evaluate the effect of shallow and deep suctioning methods on respiratory rate (RR), arterial blood oxygen saturation (SpO2) and number of suctioning in patients hospitalized in the intensive care units of Al-Zahra Hospital, Isfahan, Iran. In this randomized controlled trial, 74 patients who hospitalized in the intensive care units of Isfahan Al-Zahra Hospital were randomly allocated to the shallow and deep suctioning groups. RR and SpO2 were measured immediately before, immediately after, 1 and 3 minute after each suctioning. Number of suctioning was also noted in each groups. Data were analyzed using repeated measures analysis of variance (RMANOVA), chi-square and independent t-tests. RR was significantly increased and SpO2 was significantly decreased after each suctioning in the both groups. However, these changes were not significant between the two groups. The numbers of suctioning was significantly higher in the shallow suctioning group than in the deep suctioning group. Conclusion : Shallow and deep suctioning had a similar effect on RR and SpO2. However, shallow suctioning caused further manipulation of patient's trachea than deep suctioning method. Therefore, it seems that deep endotracheal tube suctioning method can be used to clean the airway with lesser manipulation of the trachea.

  17. Corrosion casting of the subglottis following endotracheal tube intubation injury: a pilot study in Yorkshire piglets

    Science.gov (United States)

    2013-01-01

    Purpose Subglottic stenosis can result from endotracheal tube injury. The mechanism by which this occurs, however, is not well understood. The purpose of this study was to examine the role of angiogenesis, hypoxia and ischemia in subglottic mucosal injury following endotracheal intubation. Methods Six Yorkshire piglets were randomized to either a control group (N=3, ventilated through laryngeal mask airway for corrosion casting) or accelerated subglottic injury group through intubation and induced hypoxia as per a previously described model (N=3). The vasculature of all animals was injected with liquid methyl methacrylate. After polymerization, the surrounding tissue was corroded with potassium hydroxide. The subglottic region was evaluated using scanning electron microscopy looking for angiogenic and hypoxic or degenerative features and groups were compared using Mann–Whitney tests and Friedman’s 2-way ANOVA. Results Animals in the accelerated subglottic injury group had less overall angiogenic features (P=.002) and more overall hypoxic/degenerative features (P=.000) compared with controls. Amongst angiogenic features, there was decreased budding (P=.000) and a trend toward decreased sprouting (P=.037) in the accelerated subglottic injury group with an increase in intussusception (P=.004), possibly representing early attempts at rapid revascularization. Amongst hypoxic/degenerative features, extravasation was the only feature that was significantly higher in the accelerated subglottic injury group (P=.000). Conclusions Subglottic injury due to intubation and hypoxia may lead to decreased angiogenesis and increased blood vessel damage resulting in extravasation of fluid and a decreased propensity toward wound healing in this animal model. PMID:24401165

  18. Evaluation of Endotracheal Tube Scraping on Airway Resistance.

    Science.gov (United States)

    Scott, J Brady; Dubosky, Meagan N; Vines, David L; Sulaiman, Adewunmi S; Jendral, Kyle R; Singh, Gagan; Patel, Ankeet; Kaplan, Carl A; Gurka, David P; Balk, Robert A

    2017-11-01

    Spontaneous breathing trials (SBTs) are used to assess the readiness for discontinuation of mechanical ventilation. When airway resistance (R aw ) is elevated, the imposed work of breathing can lead to prolongation of mechanical ventilation. Biofilm and mucus build-up within the endotracheal tube (ETT) can increase R aw . Scraping the ETT can remove the biofilm build-up and decrease mechanical R aw . The primary aim of this study was to evaluate the impact of ETT scraping on R aw . The secondary aim was to determine whether decreasing R aw would impact subsequent SBT success. Intubated, mechanically ventilated subjects were enrolled if they failed an SBT and had an R aw of > 10 cm H 2 O/L/s. SBT failure was based on institutional guidelines, and R aw was calculated by subtracting the difference between the measured peak and plateau pressures using a square flow waveform with an inspiratory flow set at 60 L/min. The endOclear device was inserted into the ETT and withdrawn per manufacturer's guidelines. Scraping was repeated until the ETT was cleared. Change in R aw was compared pre- and post-ETT scraping using a paired t test. A Mann-Whitney U test evaluated the difference in percentage change in R aw between SBT groups. Twenty-nine subjects completed the study. The mean pre- and post-ETT scraping R aw values were 15.17 ± 3.83 and 12.05 ± 3.19 cm H 2 O/L/s, respectively ( P < .001). Subsequent SBT success was 48%; however, there was no difference in percentage change in R aw between subsequent passed SBT (18.61% [interquartile range 8.90-33.93%]) and failed SBT (23.88% [interquartile range 0.00-34.80%]), U = 78.5, z = -0.284, P = .78. No adverse events were noted with ETT scraping. This study demonstrated that ETT scraping can reduce R aw . The decrease in R aw post-ETT scraping did not affect subsequent SBT success. Copyright © 2017 by Daedalus Enterprises.

  19. Progress in Effect of Nano-modified Coatings and Welding Process Parameters on Wear of Contact Tube for Non-copper Coated Solid Wires

    Directory of Open Access Journals (Sweden)

    LI Zhuo-xin

    2017-12-01

    Full Text Available Environment-friendly non-copper coated solid wire is the main developing trend for gas shielded solid wires, whereas wear of contact tube limits their wide application. The effect of nano-modified coatings and welding process parameters on wear of contact tube for non-copper coated solid wires was reviewed. It was found that the wear of contact tube can be reduced due to the formation of tribo-films on the rubbing surfaces of welding wires against contact tube; it is feasible to decrease contact tube wear when non-copper coated solid wires are coated with nano-modified lubricants, thereby displaying excellent lubricating and thermal or electrical conduction characteristics. The wear of contact tube increases with the increase of welding current. The wear of contact tube is worse in direct-current electrode positive (DCEP than in direct-current electrode negative (DCEN. Arc ablation and electrical erosion are the dominant wear mechanisms of contact tube.

  20. Novel device (AirWave) to assess endotracheal tube migration: a pilot study.

    Science.gov (United States)

    Nacheli, Gustavo Cumbo; Sharma, Manish; Wang, Xiaofeng; Gupta, Amit; Guzman, Jorge A; Tonelli, Adriano R

    2013-08-01

    Little is known about endotracheal tube (ETT) migration during routine care among critically ill patients. AirWave is a novel device that uses sonar waves to measure ETT migration and obstructions in real time. The aim of the present study is to assess the accuracy of the AirWave to evaluate ETT migration. In addition, we determined the degree of variation in ETT position and tested whether more pronounced migration occurs in specific clinical scenarios. After institutional review board approval, we included mechanically ventilated patients from February 2012 to May 2012. A chest radiography (CXR) was obtained at baseline and 24 hours when clinically indicated. The ETT distance at the lips was recorded at baseline and every 4 hours. The AirWave system continuously recorded ETT position changes from baseline, and luminal obstructions. A total of 42 patients (age: 61 [SD ±13] years, men: 52%) were recruited. A total of 19 patients had measurements of ETT migration at 24 hours by the 3 methodologies used in this study. The mean (SD) of the ETT migration at 24 hours was +0.04 (1.2), -0.42 (0.7) and +0.34 (1.81) cm when measured by portable CXR, ETT distance at the teeth and AirWave device, respectively. Bland-Altman analysis of tube migration at 24 hours comparing the AirWave with CXR readings showed a bias of 0.1 cm with 95% limit of agreement of -3.8 and +4.3 cm. Comparison of tube migration at 24 hours determined by AirWave with ETT distance at the lips revealed a bias of -0.4 with 95% limit of agreement -3.7 to +3 cm, similar to the values observed between CXR and ETT distance at the lips (bias of -0.3 cm, 95% limit of agreement of -3.4 to +2.8 cm). Factors associated with ETT migration at 24 hours were ETT size and initial measurement from ETT tip to carina by portable CXR. AirWave detected in eight patients some degree of ETT obstruction (30% ± 9.6%) that resolved with prompt ETT catheter suction. The AirWave may provide useful information regarding ETT

  1. Nasogastric tube placement with video-guided laryngoscope: A manikin simulator study.

    Science.gov (United States)

    Lee, Xiao-Lun; Yeh, Li-Chun; Jin, Yau-Dung; Chen, Chun-Chih; Lee, Ming-Ho; Huang, Ping-Wun

    2017-08-01

    This study aimed to investigate video-guided laryngoscopy for nasogastric tube placement. This was an observational comparative study performed in a hospital. The participants included volunteers from the medical staff (physicians and nurses) experienced with nasogastric intubation, and non-medical staff (medical students, pharmacists and emergent medical technicians) with knowledge of nasogastric intubation but lacking procedural experience. Medical and non-medical hospital staff performed manual, laryngoscope-assisted and video-guided laryngoscope nasogastric intubation both in the presence and in the absence of an endotracheal tube, using a manikin. Nasogastric intubation times were compared between groups and methods. Using the video-guided laryngoscope resulted in a significantly shorter intubation time compared to the other 2 methods, both with and without an endotracheal tube, for the medical and non-medical staff alike (all p guided laryngoscope without endotracheal intubation, direct laryngoscope with endotracheal intubation and video-guided laryngoscope with endotracheal intubation compared to manual intubation without endotracheal intubation (0.49, 0.63 and 0.72 vs. 5.63, respectively, p ≤ 0.008). For non-medical staff, nasogastric intubation time was significantly shorter using video-guided laryngoscope without endotracheal intubation, direct laryngoscope with endotracheal intubation and video-guided laryngoscope with endotracheal intubation compared to manual intubation without endotracheal intubation (1.67, 1.58 and 0.95 vs. 6.9, respectively, p ≤ 0.002). And mean nasogastric intubation time for video-guided laryngoscope endotracheal intubation was significantly shorter for medical staff than for non-medical staff (0.49 vs. 1.67 min, respectively, p = 0.041). Video-guided laryngoscope reduces nasogastric intubation time compared to manual and direct laryngoscope intubation, which promotes a consistent technique when performed by

  2. Surface characterisation and electrochemical behaviour of porous titanium dioxide coated 316L stainless steel for orthopaedic applications

    International Nuclear Information System (INIS)

    Nagarajan, S.; Rajendran, N.

    2009-01-01

    Porous titanium dioxide was coated on surgical grade 316L stainless steel (SS) and its role on the corrosion protection and enhanced biocompatibility of the materials was studied. X-ray diffraction analysis (XRD), atomic force microscopy (AFM), Fourier transform infrared (FTIR) spectroscopy, scanning electron microscopy (SEM) and energy dispersive X-ray analysis (EDAX) were carried out to characterise the surface morphology and also to understand the structure of the as synthesised coating on the substrates. The corrosion behaviour of titanium dioxide coated samples in simulated body fluid was evaluated using polarisation and impedance spectroscopy studies. The results reveal that the titanium dioxide coated 316L SS exhibit a higher corrosion resistance than the uncoated 316L SS. The titanium dioxide coated surface is porous, uniform and also it acts as a barrier layer to metallic substrate and the porous titanium dioxide coating induces the formation of hydroxyapatite layer on the metal surface.

  3. Predicting the need for nonstandard tracheostomy tubes in critically ill patients.

    Science.gov (United States)

    Pandian, Vinciya; Hutchinson, Christoph T; Schiavi, Adam J; Feller-Kopman, David J; Haut, Elliott R; Parsons, Nicole A; Lin, Jessica S; Gorbatkin, Chad; Angamuthu, Priya G; Miller, Christina R; Mirski, Marek A; Bhatti, Nasir I; Yarmus, Lonny B

    2017-02-01

    Few guidelines exist regarding the selection of a particular type or size of tracheostomy tube. Although nonstandard tubes can be placed over the percutaneous kit dilator, clinicians often place standard tracheostomy tubes and change to nonstandard tubes only after problems arise. This practice risks early tracheostomy tube change, possible bleeding, or loss of the airway. We sought to identify predictors of nonstandard tracheostomy tubes. In this matched case-control study at an urban, academic, tertiary care medical center, we reviewed 1220 records of patients who received a tracheostomy. Seventy-seven patients received nonstandard tracheostomy tubes (cases), and 154 received standard tracheostomy tubes (controls). Sex, endotracheal tube size, severity of illness, and computed tomography scan measurement of the distance from the trachea to the skin at the level of the superior aspect of the anterior clavicle were significant predictors of nonstandard tracheostomy tubes. Specifically, trachea-to-skin distance >4.4 cm and endotracheal tube sizes ≥8.0 were associated with nonstandard tracheostomy. The findings suggest that clinicians should consider using nonstandard tracheostomy tubes as the first choice if the patient is male with an endotracheal tube size ≥8.0 and has a trachea-to-skin distance >4.4 cm on the computed tomography scan. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Community analysis of dental plaque and endotracheal tube biofilms from mechanically ventilated patients.

    Science.gov (United States)

    Marino, Poala J; Wise, Matt P; Smith, Ann; Marchesi, Julian R; Riggio, Marcello P; Lewis, Michael A O; Williams, David W

    2017-06-01

    Mechanically ventilated patients are at risk for developing ventilator-associated pneumonia, and it has been reported that dental plaque provides a reservoir of respiratory pathogens that may aspirate to the lungs and endotracheal tube (ETT) biofilms. For the first time, metataxonomics was used to simultaneously characterize the microbiome of dental plaque, ETTs, and non-directed bronchial lavages (NBLs) in mechanically ventilated patients to determine similarities in respective microbial communities and therefore likely associations. Bacterial 16S rRNA gene sequences from 34 samples of dental plaque, NBLs, and ETTs from 12 adult mechanically ventilated patients were analyzed. No significant differences in the microbial communities of these samples were evident. Detected bacteria were primarily oral species (e.g., Fusobacterium nucleatum, Streptococcus salivarius, Prevotella melaninogenica) with respiratory pathogens (Staphylococcus aureus, Pseudomonas aeruginosa, Streptococcuspneumoniae, and Haemophilus influenzae) also in high abundance. The high similarity between the microbiomes of dental plaque, NBLs, and ETTs suggests that the oral cavity is indeed an important site involved in microbial aspiration to the lower airway and ETT. As such, maintenance of good oral hygiene is likely to be highly important in limiting aspiration of bacteria in this vulnerable patient group. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Postoperative Airway Emergency following Accidental Flexometallic Tube Transection

    Directory of Open Access Journals (Sweden)

    Karim Habib MR

    2015-10-01

    Full Text Available Endotracheal intubation using flexometallic tubes are often required in anaesthesia practice for a variety of reasons. It is preferred in the head and neck region surgeries due to its relative resistance to kinking forces. At times, these patients postoperatively may need to be shifted to ICU or HDU without extubation for further stabilization/management and extubation after adequate recovery. We present an unusual accident where a new flexometallic endotracheal tube was permanently tapered, transected and migrated proximally due to patient’s bite on tube leading to airway emergency in post-operative recovery period.

  6. Halloysite tubes as nanocontainers for anticorrosion coating with benzotriazole.

    Science.gov (United States)

    Abdullayev, Elshad; Price, Ronald; Shchukin, Dmitry; Lvov, Yuri

    2009-07-01

    Halloysite clay nanotubes were investigated as a tubular container for the corrosion inhibitor benzotriazole. Halloysite is a naturally occurring cylindrical clay mineral with an internal diameter in the nanometer range and a length up to several micrometers, yielding a high-aspect-ratio hollow tube structure. Halloysite may be used as an additive in paints to produce a functional composite coating material. A maximum benzotriazole loading of 5% by weight was achieved for clay tubes of 50 nm external diameters and lumen of 15 nm. Variable release rates of the corrosion inhibitor were possible in a range between 5 and 100 h, as was demonstrated by formation of stoppers at tube openings. The anticorrosive performance of the sol-gel coating and paint loaded with 2-5% of halloysite-entrapped benzotriazole was tested on copper and on 2024-aluminum alloy by direct exposure of the metal plates to corrosive media. Kinetics of the corrosion spot formation at the coating defects was analyzed by the scanning vibrating electrode technique, and an essential damping of corrosion development was demonstrated for halloysite-loaded samples.

  7. Three-finger tracheal palpation to guide endotracheal tube depth in children.

    Science.gov (United States)

    Gamble, Jonathan J; McKay, William P; Wang, Andrew F; Yip, Kinsha A; O'Brien, Jennifer M; Plewes, Christopher E

    2014-10-01

    Accurate endotracheal tube (ETT) depth is critical, especially in children. The current tools used to guide appropriate ETT depth have significant limitations. To evaluate the utility of tracheal palpation in the neck to guide appropriate ETT placement in children. A prospective observational study with a convenience sample of 50 children was conducted. During intubation, an investigator palpated the trachea with three fingertips side-by-side extending upward from the suprasternal notch. The anesthesiologist advanced the ETT slowly until palpated at the sternal notch. The investigator stated ETT palpation certainty as 'strongly felt', 'weakly felt', or 'not felt.' Final ETT position was determined by bronchoscopy and categorized as 'ETT too shallow' (tip in proximal ¼ of trachea), 'ETT too deep' (tip in distal ¼ of trachea), or 'ETT placement satisfactory' (between those extremes). Thirty boys and 20 girls undergoing dental surgery with nasal intubation were recruited (median age 4.4 years; range 2.0-10.8). The ETT (all ≥4 mm ID) was palpable at the sternal notch in all patients: 46 of 50 strongly palpable and 4 of 50 weakly palpable. The experimental methods led to satisfactory ETT placement in 49 of 50 patients, too deep in 1 of 50 patients. Compared with the Pediatrics Advanced Life Support (PALS) predictive formula, satisfactory placement would have been 41 of 50 patients (P guide ETT placement has excellent clinical performance and better guides appropriate ETT depth than the PALS formula in our study population. © 2014 John Wiley & Sons Ltd.

  8. Adhesion property and high-temperature oxidation behavior of Cr-coated Zircaloy-4 cladding tube prepared by 3D laser coating

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun-Gil, E-mail: hgkim@kaeri.re.kr; Kim, Il-Hyun; Jung, Yang-Il; Park, Dong-Jun; Park, Jeong-Yong; Koo, Yang-Hyun

    2015-10-15

    A 3D laser coating technology using Cr powder was developed for Zr-based alloys considering parameters such as: the laser beam power, inert gas flow, cooling of Zr-based alloys, and Cr powder control. This technology was then applied to Zr cladding tube samples to study the effect of Cr coating on the high-temperature oxidation of Zr-based alloys in a steam environment of 1200 °C for 2000s. It was revealed that the oxide layer thickness formed on the Cr-coated tube surface was about 25-times lower than that formed on a Zircaloy-4 tube surface. In addition, both the ring compression and the tensile tests were performed to evaluate the adhesion properties of the Cr-coated sample. Although some cracks were formed on the Cr-coated layer, the Cr-coated layer had not peeled off after the two tests.

  9. Innovative Application of a Microlaryngeal Surgery Tube for difficult Airway Management in a Case of Down's Syndrome.

    Science.gov (United States)

    Gulabani, Michell; Gupta, Akhilesh; Bannerjee, Neerja Gaur; Sood, Rajesh; Dass, Prashant

    2016-04-01

    An 11-year-old male child, known case of down's syndrome with congenital oesophageal stricture was posted for oesophageal dilatation. Preoperative airway assessment revealed a high arched palate, receding mandible and Mallampati Score of 2. During surgery, after loss of consciousness which was described as loss of eyelash reflex and adequate jaw relaxation, direct laryngoscopy and endotracheal intubation was attempted with a cuffed endotracheal tube number 5.0mm ID (internal diameter). The endotracheal tube could not be negotiated smoothly, so 5.0mm ID uncuffed endotracheal tube was used which passed through easily, but on auscultation revealed a significant leak. Later, intubation via a Micro Laryngeal Surgery (MLS) cuffed tube 4.0mm ID was attempted. The MLS tube advanced smoothly and there was no associated leak on positive pressure ventilation. Thus by innovative thinking and avant-garde reasoning, a definitive airway device could be positioned with no other suitable alternative at hand.

  10. Factors leading to self-extubation of endotracheal tubes in the intensive care unit.

    Science.gov (United States)

    Huang, Yuan-Ting

    2009-01-01

    To discuss the factors leading to self-extubation of endotracheal tubes (ETTs) and explore the differences between the groups of patients who did and did not self-remove their ETTs. Self-extubation of ETTs has been reported to occur in 4.2% of severely ill patients and is associated with adverse medical effects. A case-control study. One hundred and thirty-nine subjects were recruited from a teaching hospital in southern Taiwan based on purposive sampling. The rate of self-extubation of ETTs was 6.4%. Analysis of the two groups demonstrated that significant variables were identified and fell into three categories: (1) the department to which the patient was admitted (p self-extubation of the ETT. Among the 44 patients who had self-extubation of their ETT, 28 met the criteria to be extubated, 70% and 81.8% of whom were not sedated, and self-extubation of their ETT was conscious of the act. Of the patients who attempted to self-remove their ETT, 80% were successful and 93.2% did not incur any adverse medical effects. The medical doctor and nurse should fully evaluate a patient's oxygenation status, decrease the length of the extubation training session for patients and extubate patients promptly when extubation criteria are met. Adopting a proactive approach to patient extubation will improve the overall quality of care.

  11. The concordance of ultrasound technique versus X-ray to confirm endotracheal tube position in neonates.

    Science.gov (United States)

    Chowdhry, R; Dangman, B; Pinheiro, J M B

    2015-07-01

    Given the distressingly high incidence of ETT malposition in the neonatal population, patients are exposed to ionizing radiation to confirm endotracheal tube (ETT) position. Our objective is to determine if ultrasound technique is concordant with X-ray in determining whether an ETT is deeply positioned or not. Prospective observational clinical trial. After obtaining informed consent, patients with an ETT who required X-ray for clinical reasons underwent sonographic evaluation of the ETT by an ultrasound technologist or pediatric radiologist, usually within the hour. A total of 56 image pairs were obtained from 29 patients. Ninety-eight percent of the ultrasound/X-ray image pairs were suitable for analysis. The concordance of ultrasound with X-ray to identify deeply and not deeply positioned ETTs was 95% (53/56). The sensitivity of ultrasound to detect deeply positioned ETTs on X-ray was 86% (6/7). The specificity of ultrasound to detect ETTs that were not deeply positioned on X-ray was 96% (47/49). As the largest clinical trial of its kind to date, with the greatest number of ultrasound operators, we have further established US as a feasible imaging modality to determine whether an ETT is deeply positioned or not.

  12. A Comparative Study of Cuffed Pharyngeal Tube (CPR with Endotracheal Tube in Airway Management and Ventilation of Spontaneously Breathing Patients Undergoing General Anesthesia

    Directory of Open Access Journals (Sweden)

    F Mir Mohammad Sadeghi

    2002-09-01

    Full Text Available Background: Cuffed pharyngeal tube is a device designed for ventilation of anesthetized patients. CPT has advantages over face mask including: maintaining of face mask can be difficult and boring after several minutes and mobility of the practitioner is reduced due to involvement of hands. Mask pressure can cause soft tissue and nerve damage around the nose. Anesthetic gas leakage from the mask adds to the operation room pollution. In difficult intubation CPT can be life-saving. Materials and Methods: In our study CPT was compared with endotracheal tube (ET in anesthetized patients. A scoring system for evaluating ventilation of patients was designed using symmetric chest wall motion during ventilation with anesthesia bag and sensing lung compliance through it, auscultation of breathing sounds, oscilation of bag with breathing and peripheral oxygen saturation by pulse oxymetry. Respiratory complications (pulmonary aspiration, Iaryngospasm and bronchospasm, nausea and vomiting were looked for during anesthesia. Results: The results showed that CPT was successful as ET in ventilation of spontaneously breathing patients and incidence of respiratory complications with CPT was no more than ET. Airway resistance was significantly greater with CPT than ET (P<0.05. Patients with ET had significantly greater incidence of sore throat than with CPT (P<0.05. Conclusion: Thus we concluded that CPT can be used for ventilation of anesthetized patients not predisposed to pulmonary aspiration and whose peak airway pressure does not exceed 20-25 CmH2O.

  13. ProSeal laryngeal mask airway: An alternative to endotracheal intubation in paediatric patients for short duration surgical procedures

    Directory of Open Access Journals (Sweden)

    Jaya Lalwani

    2010-01-01

    Full Text Available The laryngeal mask airway (LMA is a supraglottic airway management device. The LMA is preferred for airway management in paediatric patients for short duration surgical procedures. The recently introduced ProSeal (PLMA, a modification of Classic LMA, has a gastric drainage tube placed lateral to main airway tube which allows the regurgitated gastric contents to bypass the glottis and prevents the pulmonary aspiration. This study was done to compare the efficacy of ProSeal LMA with an endotracheal tube in paediatric patients with respect to number of attempts for placement of devices, haemodynamic responses and perioperative respiratory complications. Sixty children, ASA I and II, weighing 10-20 kg between 2 and 8 years of age group of either sex undergoing elective ophthalmological and lower abdominal surgeries of 30-60 min duration, randomly divided into two groups of 30 patients each were studied. The number of attempts for endotracheal intubation was less than the placement of PLMA. Haemodynamic responses were significantly higher (P<0.05 after endotracheal intubation as compared to the placement of PLMA. There were no significant differences in mean SpO 2 (% and EtCO 2 levels recorded at different time intervals between the two groups. The incidence of post-operative respiratory complications cough and bronchospasm was higher after extubation than after removal of PLMA. The incidence of soft tissue trauma was noted to be higher for PLMA after its removal. There were no incidences of aspiration and hoarseness/sore throat in either group. It is concluded that ProSeal LMA can be safely considered as a suitable and effective alternative to endotracheal intubation in paediatric patients for short duration surgical procedures.

  14. Synthetic osteogenic extracellular matrix formed by coated silicon dioxide nanosprings

    Directory of Open Access Journals (Sweden)

    Hass Jamie L

    2012-01-01

    Full Text Available Abstract Background The design of biomimetic materials that parallel the morphology and biology of extracellular matrixes is key to the ability to grow functional tissues in vitro and to enhance the integration of biomaterial implants into existing tissues in vivo. Special attention has been put into mimicking the nanostructures of the extracellular matrix of bone, as there is a need to find biomaterials that can enhance the bonding between orthopedic devices and this tissue. Methods We have tested the ability of normal human osteoblasts to propagate and differentiate on silicon dioxide nanosprings, which can be easily grown on practically any surface. In addition, we tested different metals and metal alloys as coats for the nanosprings in tissue culture experiments with bone cells. Results Normal human osteoblasts grown on coated nanosprings exhibited an enhanced rate of propagation, differentiation into bone forming cells and mineralization. While osteoblasts did not attach effectively to bare nanowires grown on glass, these cells propagated successfully on nanosprings coated with titanium oxide and gold. We observed a 270 fold increase in the division rate of osteoblasts when grow on titanium/gold coated nanosprings. This effect was shown to be dependent on the nanosprings, as the coating by themselves did not alter the growth rate of osteoblast. We also observed that titanium/zinc/gold coated nanosprings increased the levels of osteoblast production of alkaline phosphatase seven folds. This result indicates that osteoblasts grown on this metal alloy coated nanosprings are differentiating to mature bone making cells. Consistent with this hypothesis, we showed that osteoblasts grown on the same metal alloy coated nanosprings have an enhanced ability to deposit calcium salt. Conclusion We have established that metal/metal alloy coated silicon dioxide nanosprings can be used as a biomimetic material paralleling the morphology and biology of

  15. Comparison of the effect of lignocaine instilled through the endotracheal tube and intravenous lignocaine on the extubation response in patients undergoing craniotomy with skull pins: A randomized double blind clinical trial

    Directory of Open Access Journals (Sweden)

    Smitha Elizabeth George

    2013-01-01

    Full Text Available Background: A desirable combination of smooth extubation and an awake patient after neurosurgical procedures is difficult to achieve in patients with skull pins. Lignocaine instilled into endotracheal tube has been reported to suppress cough by a local mucosal anesthetizing effect. We aimed to evaluate if this effect will last till extubation, if given before pin removal. Materials and Methods: A total of 114 patients undergoing elective craniotomy were divided into three groups and were given 1 mg/kg of intravenous (IV, 2% lignocaine (Group 1, placebo (Group 2 and 1 mg/kg of 2% lignocaine sprayed down the endotracheal tube (Group 3 before skull pin removal. The effectiveness of each to blunt extubation response was compared. Plasma levels of lignocaine were measured 10 min after administration of the study drug and at extubation. Sedation scores were noted, immediately after extubation and 10 min later. Results: Two percent of lignocaine instilled through endotracheal route was not superior to the IV route or placebo in attenuating cough or hemodynamic response at extubation when given 20-30 min before extubation. The plasma levels of lignocaine (0.8 μg/ml were not high enough even at the end of 10 min to have a suppressive effect on cough if given IV or intratracheally (IT. Lignocaine did not delay awakening in these groups. Conclusion: IT lignocaine in the dose of 1 mg/kg does not prevent cough at extubation if given 20-30 min before extubation. If the action is by a local mucosal anesthetizing effect, it does not last for 20-30 min to cover the period from pin removal to extubation.

  16. Effects of Two Purification Pretreatments on Electroless Copper Coating over Single-Walled Carbon Nano tubes

    International Nuclear Information System (INIS)

    Zheng, Z.; Li, L.; Dong, Sh.; Li, Sh.; Xiao, A.; Sun, Sh.

    2014-01-01

    To achieve the reinforcement of copper matrix composite by single-walled carbon nano tubes, a three-step-refluxing purification of carbon nano tubes sample with HNO 3 -NaOH-HCl was proposed and demonstrated. A previously reported purification process using an electromagnetic stirring with H 2 O 2 /HCl mixture was also repeated. Then, the purified carbon nano tubes were coated with copper by the same electroless plating process. At the end, the effects of the method on carbon nano tubes themselves and on copper coating were determined by transmission electron microscope spectroscopy, scanning electron microscope spectroscopy, X-ray diffractometry, thermogravimetric analysis, Fourier transformed infrared spectroscopy, and energy dispersive spectrometry. It was clearly confirmed that both of the two processes could remove most of iron catalyst particles and carbonaceous impurities without significant damage to carbon nano tubes. The thermal stability of the sample purified by H 2 O 2 /HCl treatment was slightly higher than that purified by HNO 3 -NaOH-HCl treatment. Nevertheless, the purification by HNO 3 -NaOH-HCl treatment was more effective for carboxyl functionalization on nano tubes than that by H 2 O 2 /HCl treatment. The Cu-coating on carbon nano tubes purified by both purification processes was complete, homogenous, and continuous. However, the Cu-coating on carbon nano tubes purified by H 2 O 2 /HCl was oxidized more seriously than those on carbon nano tubes purified by HNO 3 -NaOH-HCl treatment.

  17. 21 CFR 175.390 - Zinc-silicon dioxide matrix coatings.

    Science.gov (United States)

    2010-04-01

    ...) (using 20 percent alcohol as the solvent when the type of food contains approximately 20 percent alcohol... 21 Food and Drugs 3 2010-04-01 2009-04-01 true Zinc-silicon dioxide matrix coatings. 175.390 Section 175.390 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  18. Protective coating of inner surface of steel tubes via vacuum arc deposition

    Energy Technology Data Exchange (ETDEWEB)

    Maile, K.; Roos, E.; Lyutovich, A.; Boese, J.; Itskov, M. [Stuttgart Univ. (DE). Materialpruefungsanstalt (MPA); Ashurov, Kh.; Mirkarimov, A.; Kazantsev, S.; Kadirov, Kh. [Uzbek Academy of Science, Tashkent (Uzbekistan). Arifov Inst. of Electronics

    2010-07-01

    The Vacuum Arc Deposition (VAD) technique based on sputtering a chosen electrode material and its deposition via plasma allows highly-productive technology for creating a wide class of protecting coatings on complex structures. In this work, VAD was applied as a method for the protection of the inner surface of tubes for power-plant boilers against steam oxidation. For this aim, a source cathode of an alloy with high chromium and nickel content was employed in two different VAD treatment systems: a horizontal vacuum chamber (MPA) and a vertical system where the work-piece of the tubes to be protected served as a vacuum changer (Arifov Institute of Electronics). Surface coating with variation of deposition parameters and layer thickness was performed. Characterisation of coated tubes has shown that the method realised in this work allows attainment of material transfer from the cathode to the inner surface with nearly equal chemical composition. It was demonstrated that the initial martensitic structure of the tubes was kept after the vacuum-arc treatment which can provide for both the high mechanical robustness and the corrosion-resistance of the final material. (orig.)

  19. Plasma sputtering robotic device for in-situ thick coatings of long, small diameter vacuum tubes

    Energy Technology Data Exchange (ETDEWEB)

    Hershcovitch, A., E-mail: hershcovitch@bnl.gov; Blaskiewicz, M.; Brennan, J. M.; Fischer, W.; Liaw, C.-J.; Meng, W.; Todd, R. [Brookhaven National Laboratory, Upton, New York 11973 (United States); Custer, A.; Dingus, A.; Erickson, M.; Jamshidi, N.; Laping, R.; Poole, H. J. [PVI, Oxnard, California 93031 (United States)

    2015-05-15

    A novel robotic plasma magnetron mole with a 50 cm long cathode was designed, fabricated, and operated. The reason for this endeavor is to alleviate the problems of unacceptable resistive heating of stainless steel vacuum tubes in the BNL Relativistic Heavy Ion Collider (RHIC). The magnetron mole was successfully operated to copper coat an assembly containing a full-size, stainless steel, cold bore, RHIC magnet tubing connected to two types of RHIC bellows, to which two additional pipes made of RHIC tubing were connected. To increase the cathode lifetime, a movable magnet package was developed, and the thickest possible cathode was made, with a rather challenging target to substrate (de facto anode) distance of less than 1.5 cm. Achieving reliable steady state magnetron discharges at such a short cathode to anode gap was rather challenging, when compared to commercial coating equipment, where the target to substrate distance is 10's cm; 6.3 cm is the lowest experimental target to substrate distance found in the literature. Additionally, the magnetron developed during this project provides unique omni-directional uniform coating. The magnetron is mounted on a carriage with spring loaded wheels that successfully crossed bellows and adjusted for variations in vacuum tube diameter, while keeping the magnetron centered. Electrical power and cooling water were fed through a cable bundle. The umbilical cabling system is driven by a motorized spool. Excellent coating adhesion was achieved. Measurements indicated that well-scrubbed copper coating reduced secondary electron yield to 1, i.e., the problem of electron clouds can be eliminated. Room temperature RF resistivity measurement indicated that a 10 μm copper coated stainless steel RHIC tube has a conductivity close to that of pure copper tubing. Excellent coating adhesion was achieved. The device details and experimental results are described.

  20. Experimental Study on Cooling Heat Transfer of Supercritical Carbon Dioxide Inside Horizontal Micro-Fin Tubes

    Science.gov (United States)

    Kuwahara, Ken; Higashiiu, Shinya; Ito, Daisuke; Koyama, Shigeru

    This paper deals with the experimental study on cooling heat transfer of supercritical carbon dioxide inside micro-fin tubes. The geometrical parameters in micro-fin tubes used in the present study are 6.02 mm in outer diameter, 4.76 mm to 5.11 mm in average inner diameter, 0.15 mm to 0.24 mm in fin height, 5 to 25 in helix angle, 46 to 52 in number of fins and 1.4 to 2.3 in area expansion ratio. Heat transfer coefficients were measured at 8-10 MPa in pressure, 360-690 kg/(m2•s) in mass velocity and 20-75 °C in CO2 temperature. The measured heat transfer coefficients of micro-fin tubes were 1.4 to 2 times higher than those of the smooth tube having 4.42 in inner diameter. The predicted heat transfer coefficients using the correlation equation, which was developed for single-phase turbulent fluid flow inside micro-fin-tubes, showed large deviations to the measured values. The new correlation to predict cooling heat transfer coefficient of supercritical carbon dioxide inside micro-fin tubes was developed taking into account the shape of fins based on experimental data empirically. This correlation equation agreed within ±20% of almost all of the experimental data.

  1. Low flow anesthesia: Efficacy and outcome of laryngeal mask airway versus pressure-optimized cuffed-endotracheal tube

    Directory of Open Access Journals (Sweden)

    El-Seify Zeinab

    2010-01-01

    Full Text Available Background: Low flow anesthesia can lead to reduction of anesthetic gas and vapor consumption. Laryngeal mask airway (LMA has proved to be an effective and safe airway device. The aim of this study is to assess the feasibility of laryngeal mask airway during controlled ventilation using low fresh gas flow (1.0 L/min as compared to endotracheal tube (ETT. Patients and Methods : Fifty nine non-smoking adult patients; ASA I or II, being scheduled for elective surgical procedures, with an expected duration of anesthesia 60 minutes or more, were randomly allocated into two groups - Group I (29 patients had been ventilated using LMA size 4 for females and 5 for males respectively; and Group II (30 patients were intubated using ETT. After 10 minutes of high fresh gas flow, the flow was reduced to 1 L/min. Patients were monitored for airway leakage, end-tidal CO 2 (ETCO 2 , inspiratory and expiratory isoflurane and nitrous oxide fraction concentrations, and postoperative airway-related complications Results : Two patients in the LMA-group developed initial airway leakage (6.9% versus no patient in ETT-group. Cough and sore throat were significantly higher in ETT patients. There were no evidences of differences between both groups regarding ETCO 2 , uptake of gases, nor difficulty in swallowing. Conclusion : The laryngeal mask airway proved to be effective and safe in establishing an airtight seal during controlled ventilation under low fresh gas flow of 1 L/min, inducing less coughing and sore throat during the immediate postoperative period than did the ETT, with continuous measurement and readjustment of the tube cuff pressure.

  2. Endotracheal intubation: application of virtual reality to emergency medical services education.

    Science.gov (United States)

    Mayrose, James; Myers, Jeffrey W

    2007-01-01

    Virtual reality simulation has been identified as an emerging educational tool with significant potential to enhance teaching of residents and students in emergency clinical encounters and procedures. Endotracheal intubation represents a critical procedure for emergency care providers. Current methods of training include working with cadavers and mannequins, which have limitations in their representation of reality, ethical concerns, and overall availability with access, cost, and location of models. This paper will present a human airway simulation model designed for tracheal intubation and discuss the aspects that lend itself to use as an educational tool. This realistic and dynamic model is used to teach routine intubations, while future models will include more difficult airway management scenarios. This work provides a solid foundation for future versions of the intubation simulator, which will incorporate two haptic devices to allow for simultaneous control of the laryngoscope blade and endotracheal tube.

  3. Superior corrosion resistance properties of TiN-based coatings on Zircaloy tubes in supercritical water

    Energy Technology Data Exchange (ETDEWEB)

    Khatkhatay, Fauzia [Department of Electrical and Computer Engineering, Texas A and M University, College Station, TX 77843-3128 (United States); Jiao, Liang [Materials Science and Engineering Program, Texas A and M University, College Station, TX 77843-3003 (United States); Jian, Jie [Department of Electrical and Computer Engineering, Texas A and M University, College Station, TX 77843-3128 (United States); Zhang, Wenrui [Materials Science and Engineering Program, Texas A and M University, College Station, TX 77843-3003 (United States); Jiao, Zhijie [Nuclear Engineering and Radiological Sciences, University of Michigan, Ann Arbor, MI 48109-2104 (United States); Gan, Jian; Zhang, Hongbin [Idaho National Laboratory, Idaho Falls, ID 83415-6188 (United States); Zhang, Xinghang [Materials Science and Engineering Program, Texas A and M University, College Station, TX 77843-3003 (United States); Department of Mechanical Engineering, Texas A and M University, College Station, TX 77843-3123 (United States); Wang, Haiyan, E-mail: wangh@ece.tamu.edu [Department of Electrical and Computer Engineering, Texas A and M University, College Station, TX 77843-3128 (United States); Materials Science and Engineering Program, Texas A and M University, College Station, TX 77843-3003 (United States)

    2014-08-01

    Thin films of TiN and Ti{sub 0.35}Al{sub 0.65}N nanocomposite were deposited on polished Zircaloy-4 tubes. After exposure to supercritical water for 48 h, the coated tubes are remarkably intact, while the bare uncoated tube shows severe oxidation and breakaway corrosion. X-ray diffraction patterns, secondary electron images, backscattered electron images, and energy dispersive X-ray spectroscopy data from the tube surfaces and cross-sections show that a protective oxide, formed on the film surface, effectively prevents further oxidation and corrosion to the Zircaloy-4 tubes. This result demonstrates the effectiveness of thin film ceramics as protective coatings under extreme environments.

  4. Hierarchically structured nanoporous carbon tubes for high pressure carbon dioxide adsorption

    Directory of Open Access Journals (Sweden)

    Julia Patzsch

    2017-05-01

    Full Text Available Mesoscopic, nanoporous carbon tubes were synthesized by a combination of the Stoeber process and the use of electrospun macrosized polystyrene fibres as structure directing templates. The obtained carbon tubes have a macroporous nature characterized by a thick wall structure and a high specific surface area of approximately 500 m²/g resulting from their micro- and mesopores. The micropore regime of the carbon tubes is composed of turbostratic graphitic areas observed in the microstructure. The employed templating process was also used for the synthesis of silicon carbide tubes. The characterization of all porous materials was performed by nitrogen adsorption at 77 K, Raman spectroscopy, infrared spectroscopy, thermal gravimetric analysis (TGA, scanning electron microscopy (SEM as well as transmission electron microscopy (TEM. The adsorption of carbon dioxide on the carbon tubes at 25 °C at pressures of up to 30 bar was studied using a volumetric method. At 26 bar, an adsorption capacity of 4.9 mmol/g was observed. This is comparable to the adsorption capacity of molecular sieves and vertically aligned carbon nanotubes. The high pressure adsorption process of CO2 was found to irreversibly change the microporous structure of the carbon tubes.

  5. Comparison of an Endotracheal Cardiac Output Monitor to a Pulmonary Artery Catheter

    Science.gov (United States)

    2017-12-04

    8217-’ ’ ,, Background In combat, initial resuscitation and life saving measures are in itiated by securing a patent airway and administering fluid therapy. Wh...ile methods of fluid resuscitation remain controversial , maintenance of a patent airway and hemodynamic stabi lity as indicated by invasive...monito ri ng can influence the overall outcome of an injured individual. A patent airway may be maintained via an endotracheal tube . The use of

  6. New configuration for efficient and durable copper coating on the outer surface of a tube

    Directory of Open Access Journals (Sweden)

    Irfan Ahmad

    2017-03-01

    Full Text Available A well-adhered copper coating on stainless steel power coupler parts is required in superconducting radio frequency (SRF accelerators. Radio frequency power coupler parts are complex, tubelike stainless steel structures, which require copper coating on their outer and inner surfaces. Conventional copper electroplating sometimes produces films with inadequate adhesion strength for SRF applications. Electroplating also requires a thin nickel strike layer under the copper coating, whose magnetic properties can be detrimental to SRF applications. Coaxial energetic deposition (CED and sputtering methods have demonstrated efficient conformal coating on the inner surfaces of tubes but coating the outer surface of a tube is challenging because these coating methods are line of sight. When the substrate is off axis and the plasma source is on axis, only a small section of the substrate’s outer surface is exposed to the source cathode. The conventional approach is to rotate the tube to achieve uniformity across the outer surface. This method results in poor film thickness uniformity and wastes most of the source plasma. Alameda Applied Sciences Corporation (AASC has developed a novel configuration called hollow external cathode CED (HEC-CED to overcome these issues. HEC-CED produces a film with uniform thickness and efficiently uses all eroded source material. The Cu film deposited on the outside of a stainless steel tube using the new HEC-CED configuration survived a high pressure water rinse adhesion test. HEC-CED can be used to coat the outside of any cylindrical structure.

  7. Plasma Sputtering Robotic Device for In-Situ Thick Coatings of Long, Small Diameter Vacuum Tubes

    Science.gov (United States)

    Hershcovitch, Ady

    2014-10-01

    A novel robotic plasma magnetron mole with a 50 cm long cathode was designed fabricated & operated. Reason for this endeavor is to alleviate the problems of unacceptable ohmic heating of stainless steel vacuum tubes and of electron clouds, due to high secondary electron yield (SEY), in the BNL Relativistic Heavy Ion Collider (RHIC). The magnetron mole was successfully operated to copper coat an assembly containing a full-size, stainless steel, cold bore, RHIC magnet tubing connected to two types of RHIC bellows, to which two additional pipes made of RHIC tubing were connected. To increase cathode lifetime, movable magnet package was developed, and thickest possible cathode was made, with a rather challenging target to substrate (de facto anode) distance of less than 1.5 cm. Achieving reliable steady state magnetron discharges at such a short cathode to anode gap was rather challenging, when compared to commercial coating equipment, where the target to substrate distance is 10's cm; 6.3 cm is the lowest experimental target to substrate distance found in the literature. Additionally, the magnetron developed during this project provides unique omni-directional uniform coating. The magnetron is mounted on a carriage with spring loaded wheels that successfully crossed bellows and adjusted for variations in vacuum tube diameter, while keeping the magnetron centered. Electrical power and cooling water were fed through a cable bundle. The umbilical cabling system is driven by a motorized spool. Excellent coating adhesion was achieved. Measurements indicated that well-scrubbed copper coating reduced SEY to 1, i.e., the problem of electron clouds can be eliminated. Room temperature RF resistivity measurement indicated that 10 μm Cu coated stainless steel RHIC tube has conductivity close to that of pure copper tubing. Excellent coating adhesion was achieved. Device detail and experimental results will be presented. Work supported by Brookhaven Science Associates, LLC under

  8. Experimental investigation on carbon nano tubes coated brass rectangular extended surfaces

    International Nuclear Information System (INIS)

    Senthilkumar, Rajendran; Prabhu, Sethuramalingam; Cheralathan, Marimuthu

    2013-01-01

    Finned surface has been extensively used for free convection cooling of internal combustion engines and several electronic kits etc. Here rectangular brass fin was preferred for analysis. Thermocouples were attached all over the surface of the fin in equal distances. The measurement of surface temperature and calculated convective heat transfer rate were reported for several heat input values. The overall system performance can be improved by enhancing heat transfer rate of extended surfaces. Based on the above requirement, brass surface was coated by carbon nano tubes. The temperature and heat transfer characteristics were investigated using Taguchi method for experimental design. Finally the performances of coated and non-coated rectangular brass fins were compared. The average percentage of increase in heat transfer rate was proved around 12% for carbon nanocoated rectangular brass fins. - Graphical abstract: The designed Natural and Forced convection Heat Transfer Test Rig measures the enhanced rate of heat transfer for nano coated rectangular fins than in non-coated fins. Highlights: ► Rectangular brass fins were preferred for convective heat transfer process. ► The rectangular brass fins are coated with multi wall carbon nano tubes in EBPVD process with nanometer thickness. ► Temperature and heat transfer rate were investigated for nanocoated and non-coated fins by using Taguchi method. ► Multi wall carbon nanotubes act as a pin fin to enhance surface area for effective convective heat transfer rate.

  9. Phenol Photocatalytic Degradation by Advanced Oxidation Process under Ultraviolet Radiation Using Titanium Dioxide

    Directory of Open Access Journals (Sweden)

    Ali Nickheslat

    2013-01-01

    Full Text Available Background. The main objective of this study was to examine the photocatalytic degradation of phenol from laboratory samples and petrochemical industries wastewater under UV radiation by using nanoparticles of titanium dioxide coated on the inner and outer quartz glass tubes. Method. The first stage of this study was conducted to stabilize the titanium dioxide nanoparticles in anatase crystal phase, using dip-coating sol-gel method on the inner and outer surfaces of quartz glass tubes. The effect of important parameters including initial phenol concentration, TiO2 catalyst dose, duration of UV radiation, pH of solution, and contact time was investigated. Results. In the dip-coat lining stage, the produced nanoparticles with anatase crystalline structure have the average particle size of 30 nm and are uniformly distributed over the tube surface. The removal efficiency of phenol was increased with the descending of the solution pH and initial phenol concentration and rising of the contact time. Conclusion. Results showed that the light easily passes through four layers of coating (about 105 nm. The highest removal efficiency of phenol with photocatalytic UV/TiO2 process was 50% at initial phenol concentration of 30 mg/L, solution pH of 3, and 300 min contact time. The comparison of synthetic solution and petrochemical wastewater showed that at same conditions the phenol removal efficiency was equal.

  10. Verification of endotracheal intubation in obese patients - temporal comparison of ultrasound vs. auscultation and capnography.

    Science.gov (United States)

    Pfeiffer, P; Bache, S; Isbye, D L; Rudolph, S S; Rovsing, L; Børglum, J

    2012-05-01

    Ultrasound (US) may have an emerging role as an adjunct in verification of endotracheal intubation. Obtaining optimal US images in obese patients is generally regarded more difficult than for other patients. This study compared the time consumption of bilateral lung US with auscultation and capnography for verifying endotracheal intubation in obese patients. A prospective, paired and investigator-blinded study performed in the operating theatre. Twenty-four adult patients requiring endotracheal intubation for bariatric surgery were included. During post-intubation bag ventilation, bilateral lung US was performed for detection of lungsliding indicating lung ventilation simultaneous with capnography and auscultation of epigastrium and chest. Primary outcome measure was the time difference to confirmed endotracheal intubation between US and auscultation alone. The secondary outcome measure was time difference between US and auscultation combined with capnography. Both methods verified endotracheal tube placement in all patients. No significant difference was found between US compared with auscultation alone. Median time for verification by auscultation alone was 47.5 s [interquartile (IQR) 40-51 s], with a mean difference of -0.3 s in favor of US (95% confidence interval -3.5-2.9 s) P = 0.87. Comparing US with the combination of auscultation and capnography, there was a significant difference between the two methods. Median time for verification by US was 43 s (IQR 40-51 s) vs. 55 s (IQR 46-65 s), P auscultation alone and faster than the standard method of auscultation and capnography. © 2012 The Authors. Acta Anaesthesiologica Scandinavica © 2012 The Acta Anaesthesiologica Scandinavica Foundation.

  11. Prehospital endotracheal intubation and chest tubing does not prolong the overall resuscitation time of severely injured patients: a retrospective, multicentre study of the Trauma Registry of the German Society of Trauma Surgery.

    Science.gov (United States)

    Kulla, Martin; Helm, Matthias; Lefering, Rolf; Walcher, Felix

    2012-06-01

    The aim of this study was to determine whether prehospital endotracheal intubation (ETI) and chest tube placement is unnecessarily time consuming in severely injured patients. A retrospective, multicentre study including all adult patients (ISS ≥9; 2002-7) of the Trauma Registry of the German Society of Trauma Surgery who were not secondarily transferred to a trauma centre and received a definitive airway and a chest tube. Creating four groups: AA (n=963) receiving ETI and chest tube on scene, AB (n=1547) ETI performed in the prehospital setting but chest tubing later in the emergency department (ED) and BB (n=640) receiving both procedures in the ED. The BA collective (ETI performed in the ED, but chest tubing on scene) was excluded from the study because of the small sample size (n=41). The trauma resuscitation time (TRT), demographic data, injuries, treatment and outcome of the remaining three collectives were compared. The prehospital TRT of the AA collective was longer than the AB and BB subgroups (80±37 min vs 77±44 min 65±46 min; pchest tube placement do not prolong the total TRT of severely injured patients.

  12. Preparation of second antibody enhanced coated tubes for radioimmunoassay of triiodothyronine and thyroxine

    International Nuclear Information System (INIS)

    Mehany, N.L.; El-Kolaly, M.T.; Ghonaim, A.; Abdelmouhty, N.R.

    1999-01-01

    The production of high technology RIA reagents with low cost is considered to be one of the important goal of labelled compounds dept., Radioisotope production division, hot labs centre, egyptian atomic energy authority. The development of a direct radioimmunoassay for the measurement of triiodothyronine (T 3 ) and thyroxine (T 4 ) in human serum is described. The coating of polystyrene tubes with affinity purified second antibody (Donkey antisheep antibody, DASS) followed by sheep polyclonal antisera specific for each of T 3 and T 4 was carried out. The stability study of these coated tubes revealed that these tubes could stored for at least one year at 4degree C without any appreciable reduction in binding. The assays were performed by adding 200 MU1 radiolabelled hormones ( 125 I - T 3 or 125 I - T 4 ) to standards, unknown samples or quality controls (50 MU1 10 MU1 for T 3 and T 4 , respectively ) into corresponding assay tubes. The reaction is allowed to proceed at 37degree C for 2h and 1h for T 3 and T 4 respectively. Then the tubes were decanted, washed and counted. Twenty human serum samples of different thyroid disorders were analyzed for T 3 and T 4 using the present systems and with commercially available kits (DOC, coated tubes). The statistical analysis showed good correlations between the results obtained from the present systems and the DPC kits (r = 0.994 and 0.990 for T 3 and T 4 respectively). Hypothyroid, euthyroid and hyperthyroid subjects are reasonably and accurately distinguished using our methods

  13. Visual and reversible carbon dioxide sensing enabled by doctor blade coated macroporous photonic crystals.

    Science.gov (United States)

    Lin, Yi-Han; Suen, Shing-Yi; Yang, Hongta

    2017-11-15

    With significant impacts of carbon dioxide on global climate change, carbon dioxide sensing is of great importance. However, most of the existing sensing technologies are prone to interferences from carbon monoxide, or suffer from the use of sophisticated instruments. This research reports the development of reproducible carbon dioxide sensor using roll-to-roll compatible doctor blade coated three-dimensional macroporous photonic crystals. The pores are functionalized with amine groups to allow the reaction with carbon dioxide in the presence of humidity. The adsorption of carbon dioxide leads to red-shift and amplitude reduction of the optical stop bands, resulting in carbon dioxide detection with visible readout. The dependences of the diffraction wavelength on carbon dioxide partial pressure for various amine-functionalized photonic crystals and different humidities in the environment are systematically investigated. In addition, the reproducibility of carbon dioxide sensing has also been demonstrated in this research. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Endotracheal tubes and fluid aspiration: an in vitro evaluation of new cuff technologies.

    Science.gov (United States)

    Mariyaselvam, Maryanne Z; Marsh, Lucy L; Bamford, Sarah; Smith, Ann; Wise, Matt P; Williams, David W

    2017-03-04

    Aspiration of subglottic secretions past the endotracheal tube (ETT) cuff is a prerequisite for developing ventilator-associated pneumonia (VAP). Subglottic secretion drainage (SSD) ETTs reduce aspiration of subglottic secretions and have demonstrated lower VAP rates. We compared the performance of seven SSD ETTs against a non-SSD ETT in preventing aspiration below inflated cuffs. ETTs were positioned vertically in 2 cm diameter cylinders. Four ml of a standard microbial suspension was added above inflated cuffs. After 1 h, aspiration was measured and ETTs demonstrating no leakage were subjected to rotational movement and evaluation over 24 h. Collected aspirated fluid was used to inoculate agar media and incubated aerobically at 37 °C for 24 h. The aspiration rate, volume and number of microorganisms that leaked past the cuff was measured. Experiments were repeated (×10) for each type of ETT, with new ETTs used for each repeat. Best performing ETTs were then tested in five different cylinder diameters (1.6, 1.8, 2.0, 2.2 and 2.4 cm). Experiments were repeated as above using sterile water. Volume and time taken for aspiration past the cuff was measured. Experiments were repeated (×10) for each type of ETT. Results were analysed using non-parametric tests for repeated measures. The PneuX ETT prevented aspiration past the cuff in all experiments. All other ETTs allowed aspiration, with considerable variability in performance. The PneuX ETT was statistically superior in reducing aspiration compared to the SealGuard (p aspiration across the range of diameters compared to the SealGuard (p aspiration, relating to cuff material and design. Variability in performance was likely due to the random manner in which involutional folds form in the inflated ETT cuff. The PneuX ETT was the only ETT able to consistently prevent aspiration past the cuff in all experiments.

  15. An expiratory assist during spontaneous breathing can compensate for endotracheal tube resistance.

    Science.gov (United States)

    Uchiyama, Akinori; Chang, Cheng; Suzuki, Shinya; Mashimo, Takashi; Fujino, Yuji

    2009-08-01

    Although inspiratory assist of spontaneous breathing in intubated patients is common, expiratory assist functions have rarely been reported. Effective expiratory support (ES) could be used to compensate for endotracheal tube (ETT) resistance during spontaneous breathing. In this study, we examined the performance of a new system designed to provide both inspiratory support (IS) and ES during spontaneous breathing with the goal of reducing the effective resistance of the ETT. The ES system consisted of a ventilator demand valve and a computer-controlled piston cylinder, which aspirated gas from the respiratory circuit during the expiratory phase. The movement of the piston was synchronized with spontaneous breathing. We compared the pressures at the tip of the ETT and in the breathing circuit during spontaneous breathing through an ETT of internal diameter (ID) 5 mm with that of an ETT with ID 8 mm in nine healthy adult male volunteers. The ventilatory mode was set to maintain a continuous airway pressure of 0 cm H(2)O. Three ventilator settings (no support, IS only, and IS plus ES) were compared using ID 5 mm ETT. We monitored pressure in the breathing circuit (P(aw)), ETT tip pressure (P(tip)), and respiratory flow. The P(tip) of the ID 5 mm ETT showed a large negative deflection during inspiration and a positive deflection during expiration without support. IS alone did not improve the respiratory pattern through the small ETT. However, IS plus ES resulted in negative P(aw) during expiration in addition to positive deflection of P(aw) during inspiration, making the pressure characteristics of P(tip) similar to those of ID 8 mm ETT. Moreover, IS plus ES produced a respiratory pattern through the ID 5 mm ETT that was similar to that through the ID 8 mm ETT. In this study of healthy volunteers, IS plus ES compensated for the airway resistance imposed by a ID 5.0 mm ETT to create pressure changes at the tip of the ETT similar to those of an ID 8.0 mm ETT.

  16. Monitoring the monitors: tubes and lines on chest radiographs

    International Nuclear Information System (INIS)

    Wunderbaldinger, P. . patrick.wunderbaldinger@univie.ac.at

    2001-01-01

    Chest radiography is essential to evaluate the placement and position of tubes and lines in patients treated in intensive care units, such as central venous and arterial catheters, endotracheal and nasogastric tubes, thorax drains, cardiac pacemakers and defibrillators. Radiologic findings with respect to normal positioning, wrong positioning, and complications are described and illustrated. (author)

  17. Effects of fluorides and sulphur dioxide on pollen germination and growth of the pollen tube

    Directory of Open Access Journals (Sweden)

    Leon Mejnartowicz

    2014-01-01

    Full Text Available The action of fluorides and sulphur dioxides from emissions from a phosphate fertilizer factory significantly reduced the germination of Scots pine pollen grains. The pollen tube length indicated that its growth is uninhibited even though the pollen was collected under conditions of air-pollution. There are statistically significant differences showing longer tubes in the sensitive trees pollen grains. l he ageing of pollen from the sensitive trees occurs probably more rapidly than in the tolerant trees.

  18. Protection of uranium by metallic coatings

    International Nuclear Information System (INIS)

    Baque, P.; Koch, P.; Dominget, R.; Darras, R.

    1968-01-01

    A study is made of the possibilities of inhibiting or limiting, by means of protective metallic coatings, the oxidation of uranium by carbon dioxide at high temperature. In general, surface films containing intermetallic compounds or solid solutions of uranium with aluminium, zirconium, copper, niobium, nickel or chromium are formed, according to the techniques employed which are described here. The processes most to be recommended are those of direct diffusion starting from a thin sheet or tube, of vacuum deposition, or of immersion in a molten bath of suitable composition. The conditions for preparing these coatings have been optimized as a function of the protective effect obtained in carbon dioxide at 450 or at 500 C. Only the aluminium and zirconium based coatings are really satisfactory since they can lead to a reduction by a factor of 5 to 10 in the oxidation rate of uranium in the conditions considered; they make it possible in particular to avoid or to reduce to a very large extent the liberation of powdered oxide. Furthermore, the coatings produced generally give the uranium good protection against atmospheric corrosion. (author) [fr

  19. Sustained release of growth hormone and sodium nitrite from biomimetic collagen coating immobilized on silicone tubes improves endothelialization.

    Science.gov (United States)

    Salehi-Nik, Nasim; Malaie-Balasi, Zahra; Amoabediny, Ghassem; Banikarimi, Seyedeh Parnian; Zandieh-Doulabi, Behrouz; Klein-Nulend, Jenneke

    2017-08-01

    Biocompatibility of biomedical devices can be improved by endothelialization of blood-contacting parts mimicking the vascular endothelium's function. Improved endothelialization might be obtained by using biomimetic coatings that allow local sustained release of biologically active molecules, e.g. anti-thrombotic and growth-inducing agents, from nanoliposomes. We aimed to test whether incorporation of growth-inducing nanoliposomal growth hormone (nGH) and anti-thrombotic nanoliposomal sodium nitrite (nNitrite) into collagen coating of silicone tubes enhances endothelialization by stimulating endothelial cell proliferation and inhibiting platelet adhesion. Collagen coating stably immobilized on acrylic acid-grafted silicone tubes decreased the water contact angle from 102° to 56°. Incorporation of 50 or 500nmol/ml nNitrite and 100 or 1000ng/ml nGH into collagen coating decreased the water contact angle further to 48°. After 120h incubation, 58% nitrite and 22% GH of the initial amount of sodium nitrite and GH in nanoliposomes were gradually released from the nNitrite-nGH-collagen coating. Endothelial cell number was increased after surface coating of silicone tubes with collagen by 1.6-fold, and with nNitrite-nGH-collagen conjugate by 1.8-3.9-fold after 2days. After 6days, endothelial cell confluency in the absence of surface coating was 22%, with collagen coating 74%, and with nNitrite-nGH-collagen conjugate coating 83-119%. In the absence of endothelial cells, platelet adhesion was stimulated after collagen coating by 1.3-fold, but inhibited after nNitrite-nGH-collagen conjugate coating by 1.6-3.7-fold. The release of anti-thrombotic prostaglandin I 2 from endothelial cells was stimulated after nNitrite-nGH-collagen conjugate coating by 1.7-2.2-fold compared with collagen coating. Our data shows improved endothelialization and blood compatibility using nNitrite-nGH-collagen conjugate coating on silicone tubes suggesting that these coatings are highly suitable

  20. MULTILAYER COMPOSITE PLASMA COATINGS ON SCREEN PROTECTION ELEMENTS BASED ON ZIRCONIUM DIOXIDE

    Directory of Open Access Journals (Sweden)

    V. A. Okovity

    2017-01-01

    Full Text Available The paper contains results of investigations pertaining to an influence of plasma jet parameters (current, spraying distance, consumption of plasma formation gas (nitrogen, fractional composition of initial powder and degree of cooling with compressed air on anti-meteoric coating characteristics. Optimum modes (arc current 600 A; spray distance of 110 mm; consumption of plasma formation gas (nitrogen – 50 l/min; fractional composition of zirconium dioxide powder <50 μm; compressed air consumption for cooling – 1 m3/min; p = 4 bar make it possible to obtain anti-meteoric coatings based on zirconium dioxide with material utilization rate of 62 %, total ceramic layer porosity of 6 %. After exposure of compression plasma flows on a coating in the nitrogen atmosphere a cubic modification of zirconium oxide is considered as the main phase being present in the coating. The lattice parameter of cubic zirconium oxide modification is equal to 0.5174 nm. Taking into consideration usage of nitrogen as plasma formation substance its interaction with zirconium coating atoms occurs and zirconium nitride (ZrN is formed with a cubic crystal lattice (lattice parameter 0.4580 nm. Melting of pre-surface layer takes place and a depth of the melted layer is about 8 μm according to the results of a scanning electron microscopy. Pre-surface layer being crystallized after exposure to compression plasma flows is characterized by a homogeneous distribution of ele-ments and absence of pores formed in the process of coating formation. The coating structure is represented by a set of lar- ge (5–7 μm and small (1–2 μm zirconium oxide particles sintered against each other. Melting of coating surface layer and speed crystallization occur after the impact of compression plasma flows on the formed coating. Cracking of the surface layer arises due to origination of internal mechanical stresses in the crystallized part. While using a scanning electron microscopy a

  1. Technical - economical opportunity of replacing rubber coated steel in tubes and reinforcements by polyethylene of high density for corrosive media

    International Nuclear Information System (INIS)

    Alessandrescu, A.; Dogaru, D.

    2004-01-01

    The polyethylene of high density, PEHD, is currently used for methane gas, drinking water (hot and cool) tube systems as well as for interior and exterior installations for domestic and industrial consumers. In this paper one proposes an extension of the range of PEHD utilizations to irrigation grids, transport and distribution of the food and industrial liquids, for coating the optical fibres, replacing the systems of tubes with anti corrosive properties (stainless steels, carbon steels coated with rubber), protection of hot fluid transport tubes, fire extinguishers, etc.). To evidence the advantages of replacing the rubber coated steel tubing by PEHD tubes a comparative technical-economical thorough analysis was conducted in the Heavy Water Plant . The paper presents: - the PEHD, a thermoplastic material for fluid transport under pressure; - physico-chemical and mechanical properties of the PEHD products; - types of characteristic dimensions of the PEHD products; - techniques of joining used in mounting PEHD grids; - tools and devices used in welding. Presented are the general properties and computing elements for tubes, assembling procedures, testing and quality control in the mountings of PEHD tube systems. In conclusion, using PEHD in the fields mentioned is advantageous from both technical and economical point of view as compared with rubber coated tubing

  2. Clinical and histomorphometrical study on titanium dioxide-coated external fixation pins

    Directory of Open Access Journals (Sweden)

    Koseki H

    2013-02-01

    Full Text Available Hironobu Koseki,1 Tomohiko Asahara,1 Takayuki Shida,1 Itaru Yoda,1 Hidehiko Horiuchi,1 Koumei Baba,2 Makoto Osaki11Department of Orthopedic Surgery, Graduate School of Medicine, Nagasaki University, 2Industrial Technology Center of Nagasaki, Nagasaki, JapanBackground: Pin site infection is the most common and significant complication of external fixation. In this work, the efficacy of pins coated with titanium dioxide (TiO2 for inhibition of infection was compared with that of stainless steel control pins in an in vivo study.Methods: Pins contaminated with an identifiable Staphylococcus aureus strain were inserted into femoral bone in a rat model and exposed to ultraviolet A light for 30 minutes. On day 14, the animals were sacrificed and the bone and soft tissue around the pin were retrieved. The clinical findings and histological findings were evaluated in 60 samples.Results: Clinical signs of infection were present in 76.7% of untreated pins, but in only 36.7% of TiO2-coated pins. The histological bone infection score and planimetric rate of occupation for bacterial colonies and neutrophils in the TiO2-coated pin group were lower than those in the control group. The bone-implant contact ratio of the TiO2-coated pin group was significantly higher (71.4% than in the control pin group (58.2%. The TiO2 was successful in decreasing infection both clinically and histomorphometrically.Conclusion: The photocatalytic bactericidal effect of TiO2 is thought to be useful for inhibiting pin site infection after external fixation.Keywords: titanium dioxide, external fixation, bactericidal activity, Staphylococcus aureus

  3. Endotracheal tube and laryngeal mask airway cuff volume changes with altitude: a rule of thumb for aeromedical transport.

    Science.gov (United States)

    Mann, Catherine; Parkinson, Neil; Bleetman, Anthony

    2007-03-01

    Helicopters and light (unpressurised) aircraft are used increasingly for the transport of ventilated patients. Most of these patients are ventilated through endotracheal tubes (ETTs), others through laryngeal mask airways (LMAs). The cuffs of both ETTs and LMAs inflate with increases in altitude as barometric pressure decreases (30 mbar/1000 feet). Tracheal mucosa perfusion becomes compromised at a pressure of approximately 30 cm H2O; critical perfusion pressure is 50 cm H2O. The change in dimensions of the inflated cuffs of a size 8 ETT and a size 5 LMA were measured with digital callipers at 1000 feet intervals in the unpressurised cabin of an Agusta 109 helicopter used by the Warwickshire and Northamptonshire Air Ambulance. A linear expansion in cuff dimensions as a function of altitude increase was identified. For ETTs, a formula for removal of air from the cuff with increasing altitude was calculated and is recommended for use in aeromedical transfers. This is 1/17x1.1 = 0.06 ml/1000 foot ascent/ml initial cuff inflation. The data for LMA cuff expansion failed to show significant correlation with altitude change. Further work is required to determine a similar rule of thumb for LMA cuff deflation.

  4. CO2 driven endotracheal tube cuff control in critically ill patients: A randomized controlled study.

    Science.gov (United States)

    De Pascale, Gennaro; Pennisi, Mariano Alberto; Vallecoccia, Maria Sole; Bello, Giuseppe; Maviglia, Riccardo; Montini, Luca; Di Gravio, Valentina; Cutuli, Salvatore Lucio; Conti, Giorgio; Antonelli, Massimo

    2017-01-01

    To determine the safety and clinical efficacy of an innovative integrated airway system (AnapnoGuard™ 100 system) that continuously monitors and controls the cuff pressure (Pcuff), while facilitating the aspiration of subglottic secretions (SS). This was a prospective, single centre, open-label, randomized, controlled feasibility and safety trial. The primary endpoint of the study was the rate of device related adverse events (AE) and serious AE (SAE) as a result of using AnapnoGuard (AG) 100 during mechanical ventilation. Secondary endpoints were: (1) mechanical complications rate (2) ICU staff satisfaction; (3) VAP occurrence; (4) length of mechanical ventilation; (5) length of Intensive Care Unit stay and mortality; (6) volume of evacuated subglottic secretions. Sixty patients were randomized to be intubated with the AG endotracheal-tube (ETT) and connected to the AG 100 system allowing Pcuff adjustment and SS aspiration; or with an ETT combined with SS drainage and Pcuff controlled manually. No difference in adverse events rate was identified between the groups. The use of AG system was associated with a significantly higher incidence of Pcuff determinations in the safety range (97.3% vs. 71%; paspirated SS secretions: (192.0[64-413] ml vs. 150[50-200], p = 0.19 (total)); (57.8[20-88.7] ml vs. 50[18.7-62] ml, p = 0.11 (daily)). No inter-group difference was detected using AG system vs. controls in terms of post-extubation throat pain level (0 [0-2] vs. 0 [0-3]; p = 0.7), hoarseness (42.9% vs. 75%; p = 0.55) and tracheal mucosa oedema (16.7% vs. 10%; p = 0.65). Patients enrolled in the AG group had a trend to reduced VAP risk of ventilator-associated pneumonia(VAP) (14.8% vs. 40%; p = 0.06), which were more frequently monomicrobial (25% vs. 70%; p = 0.03). No statistically significant difference was observed in duration of mechanical ventilation, ICU stay, and mortality. The use AG 100 system and AG tube in critically ill intubated patients is safe and

  5. Incremental change in cross sectional area in small endotracheal tubes: A call for more size options.

    Science.gov (United States)

    Mortelliti, Caroline L; Mortelliti, Anthony J

    2016-08-01

    To elucidate the relatively large incremental percent change (IPC) in cross sectional area (CSA) in currently available small endotracheal tubes (ETTs), and to make recommendation for lesser incremental change in CSA in these smaller ETTs, in order to minimize iatrogenic airway injury. The CSAs of a commercially available line of ETTs were calculated, and the IPC of the CSA between consecutive size ETTs was calculated and graphed. The average IPC in CSA with large ETTs was applied to calculate identical IPC in the CSA for a theoretical, smaller ETT series, and the dimensions of a new theoretical series of proposed small ETTs were defined. The IPC of CSA in the larger (5.0-8.0 mm inner diameter (ID)) ETTs was 17.07%, and the IPC of CSA in the smaller ETTs (2.0-4.0 mm ID) is remarkably larger (38.08%). Applying the relatively smaller IPC of CSA from larger ETTs to a theoretical sequence of small ETTs, starting with the 2.5 mm ID ETT, suggests that intermediate sizes of small ETTs (ID 2.745 mm, 3.254 mm, and 3.859 mm) should exist. We recommend manufacturers produce additional small ETT size options at the intuitive intermediate sizes of 2.75 mm, 3.25 mm, and 3.75 mm ID in order to improve airway management for infants and small children. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  6. Feasibility study of aluminum beam tube for the collider: An option for no-coating and no-liner

    International Nuclear Information System (INIS)

    Chou, W.

    1994-07-01

    This report proposes to use a single-layer beam tube made of high strength, high resistivity aluminum alloy (such as 7039-T61 or A7N01) to replace the double-layer copper coated stainless steel tube in the SSC Collider. The main reasons are: (1) a potential saving of about $23 million which is basically the baseline cost of the copper coating and (2) the use of an extruded aluminum tube consisting of a beam chamber and a pumping chamber may solve the vacuum problem without any liner

  7. Experimental Study on Flow Boiling of Carbon Dioxide in a Horizontal Microfin Tube

    Science.gov (United States)

    Kuwahara, Ken; Ikeda, Soshi; Koyama, Shigeru

    This paper deals with the experimental study on flow boiling heat transfer of carbon dioxide in a micro-fin tube. The geometrical parameters of micro-fin tube used in this study are 6.07 mm in outer diameter, 5.24 mm in average inner diameter, 0.256 mm in fin height, 20.4 in helix angle, 52 in number of grooves and 2.35 in area expansion ratio. Flow patterns and heat transfer coefficients were measured at 3-5 MPa in pressure, 300-540 kg/(m2s) in mass velocity and -5 to 15 °C in CO2 temperature. Flow patterns of wavy flow, slug flow and annular flow were observed. The measured heat transfer coefficients of micro-fin tube were 10-40 kW/(m2K). Heat transfer coefficients were strongly influenced by pressure.

  8. Camera Embedded Single Lumen Tube as a Rescue Device for Airway Handling during Lung Separation

    DEFF Research Database (Denmark)

    Højberg Holm, Jimmy; Andersen, Claus

    2016-01-01

    .Keywords: Thoracic anesthesia; Airway handling; VivaSight; Vivasight-SL; Lobectomy; Camera-embedded tube; Endotracheal; Lung isolation; Video tube Taking the small stature into account, use of a small conventional 35-Fr right sided DLT was planned for the procedure. As it turned out, this tube could not be passed...

  9. Study on the preparation of antibody coated tubes for radioimmunoassay kit production

    International Nuclear Information System (INIS)

    Nguyen Thi Thu; Le Van So; Vo Thi Cam Hoa; Duong Van Dong; Mai Phuoc Tho

    2003-01-01

    The polystyrene tubes are coated with T3/ T4 antibodies by γ-globulin, second antibody and specific antibodies. They are immobilized on the solid at a suitably dilution and incubation for 24 h, pH 9.6. The variation of the binding capacity values (obtained for 10 consecutive preparations) was less than 10%. NSB <3%, Binding 30-50%. Using dried tubes coated either with anti-T3 or anti-T4 antibody according to the developed coating approach for the determination of total T3 and total T4 in human serum. The recovery of T3 was found to be between 85.5% and 104% while the recovery of T4 ranged between 90.9% and 119%. The cross-reactivity for T4 in the T3 assay was 0.22%. Both assays were sensitive, the detection limit of the RIA for total T3 assay was 0.15 ng/ml while the detection limit of the RIA for total T4 assay was 5 ng/ml. (author)

  10. Multiple-diffusion flame synthesis of pure anatase and carbon-coated titanium dioxide nanoparticles

    KAUST Repository

    Memon, Nasir; Anjum, Dalaver H.; Chung, Suk-Ho

    2013-01-01

    A multi-element diffusion flame burner (MEDB) is useful in the study of flame synthesis of nanomaterials. Here, the growth of pure anatase and carbon-coated titanium dioxide (TiO2) using an MEDB is demonstrated. Hydrogen (H2), oxygen (O2), and argon

  11. Decolorization of dyeing wastewater in continuous photoreactors using tio2 coated glass tube media

    Directory of Open Access Journals (Sweden)

    Jutaporn Chanathaworn

    2014-02-01

    Full Text Available The present study deals with a decolorization development of malachite green (MG dyeing wastewater using TiO2 thin films coated glass tube media in photoreactor. The TiO2 photocatalyst was synthesized by three methods: TTIP sol-gel, TiO2 powder-modified sol, and TiO2 powder suspension coating on raschig ring glass tube media and was investigated crystallinity phase by SEM, XRD, and AFM. Degradation kinetics of the dyeing wastewater by photocatalytic was carried out under UV light irradiation. The Langmuir first-order model provided the best fit to the experimental data. The catalyst prepared by powder suspension technique and coated on glass tube had given the highest of decolorization kinetics and efficiency. Continuous photoreactor packed with the TiO2 coating media was designed and proven to be the high effectiveness for MG dyeing degradation and stable throughout the recyclability test. The light intensity, dye solution flow rate, and TiO2 loading were the most important parameters that response to decolorization efficiency. The optimum condition of photo decolorization of MG dye solution can be obtained from RSM model. Effectiveness of the synthesized TiO2 thin films using suspension technique and the continuous photoreactor design were obtained with a great potential to be proven for wastewater treatment at industrial scale.

  12. Etching of Copper Coated Mylar Tubes With CF-4 Gas

    International Nuclear Information System (INIS)

    Ecklund, Karl M.; Hartman, Keith W.; Hebert, Michael J.; Wojcicki, Stanley G.

    1996-01-01

    Using 5 mm diameter copper coated mylar straw tubes at a potential of 2.30 KV relative to a concentric 20 (mu)m diameter gold-plated tungsten anode, it has been observed that with very low flow rates of CF4-based gases the conductive copper cathode material may be removed entirely from the mylar surface

  13. Coiled tubing drilling with supercritical carbon dioxide

    Science.gov (United States)

    Kolle , Jack J.

    2002-01-01

    A method for increasing the efficiency of drilling operations by using a drilling fluid material that exists as supercritical fluid or a dense gas at temperature and pressure conditions existing at a drill site. The material can be used to reduce mechanical drilling forces, to remove cuttings, or to jet erode a substrate. In one embodiment, carbon dioxide (CO.sub.2) is used as the material for drilling within wells in the earth, where the normal temperature and pressure conditions cause CO.sub.2 to exist as a supercritical fluid. Supercritical carbon dioxide (SC--CO.sub.2) is preferably used with coiled tube (CT) drilling equipment. The very low viscosity SC--CO.sub.2 provides efficient cooling of the drill head, and efficient cuttings removal. Further, the diffusivity of SC--CO.sub.2 within the pores of petroleum formations is significantly higher than that of water, making jet erosion using SC--CO.sub.2 much more effective than water jet erosion. SC--CO.sub.2 jets can be used to assist mechanical drilling, for erosion drilling, or for scale removal. A choke manifold at the well head or mud cap drilling equipment can be used to control the pressure within the borehole, to ensure that the temperature and pressure conditions necessary for CO.sub.2 to exist as either a supercritical fluid or a dense gas occur at the drill site. Spent CO.sub.2 can be vented to the atmosphere, collected for reuse, or directed into the formation to aid in the recovery of petroleum.

  14. Investigation of photocatalytic activity of titanium dioxide coating deposited on aluminium alloy substrate by plasma technique

    DEFF Research Database (Denmark)

    Daviðsdóttir, Svava; Soyama, Juliano; Dirscherl, Kai

    2011-01-01

    . Literature consists of large number of publications on titanium dioxide coating for self-cleaning applications, with glass as the main substrate. Only little work is available on TiO2 coating of metallic alloys used for engineering applications. Engineering materials, such as light-weight aluminium and steel...... have wide spread technological applications, where a combination of self-cleaning properties has a huge business potential. The results presented in this paper demonstrate superior photocatalytic properties of TiO2 coated aluminium compared to nano-scale TiO2 coating on glass substrate. The thickness...

  15. Technical note: Influence of surface roughness and local turbulence on coated-wall flow tube experiments for gas uptake and kinetic studies

    Directory of Open Access Journals (Sweden)

    G. Li

    2018-02-01

    Full Text Available Coated-wall flow tube reactors are frequently used to investigate gas uptake and heterogeneous or multiphase reaction kinetics under laminar flow conditions. Coating surface roughness may potentially distort the laminar flow pattern, induce turbulence and introduce uncertainties in the calculated uptake coefficient based on molecular diffusion assumptions (e.g., Brown/Cooney–Kim–Davis (CKD/Knopf–Pöschl–Shiraiwa (KPS methods, which has not been fully resolved in earlier studies. Here, we investigate the influence of surface roughness and local turbulence on coated-wall flow tube experiments for gas uptake and kinetic studies. According to laminar boundary theory and considering the specific flow conditions in a coated-wall flow tube, we derive and propose a critical height δc to evaluate turbulence effects in the design and analysis of coated-wall flow tube experiments. If a geometric coating thickness δg is larger than δc, the roughness elements of the coating may cause local turbulence and result in overestimation of the real uptake coefficient (γ. We further develop modified CKD/KPS methods (i.e., CKD-LT/KPS-LT to account for roughness-induced local turbulence effects. By combination of the original methods and their modified versions, the maximum error range of γCKD (derived with the CKD method or γKPS (derived with the KPS method can be quantified and finally γ can be constrained. When turbulence is generated, γCKD or γKPS can bear large difference compared to γ. Their difference becomes smaller for gas reactants with lower uptake (i.e., smaller γ and/or for a smaller ratio of the geometric coating thickness to the flow tube radius (δg ∕ R0. On the other hand, the critical height δc can also be adjusted by optimizing flow tube configurations and operating conditions (i.e., tube diameter, length, and flow velocity, to ensure not only unaffected laminar flow patterns but also other specific requirements for an

  16. Titanium dioxide antireflection coating for silicon solar cells by spray deposition

    Science.gov (United States)

    Kern, W.; Tracy, E.

    1980-01-01

    A high-speed production process is described for depositing a single-layer, quarter-wavelength thick antireflection coating of titanium dioxide on metal-patterned single-crystal silicon solar cells for terrestrial applications. Controlled atomization spraying of an organotitanium solution was selected as the most cost-effective method of film deposition using commercial automated equipment. The optimal composition consists of titanium isopropoxide as the titanium source, n-butyl acetate as the diluent solvent, sec-butanol as the leveling agent, and 2-ethyl-1-hexanol to render the material uniformly depositable. Application of the process to the coating of circular, large-diameter solar cells with either screen-printed silver metallization or with vacuum-evaporated Ti/Pd/Ag metallization showed increases of over 40% in the electrical conversion efficiency. Optical characteristics, corrosion resistance, and several other important properties of the spray-deposited film are reported. Experimental evidence indicates a wide tolerance in the coating thickness upon the overall efficiency of the cell. Considerations pertaining to the optimization of AR coatings in general are discussed, and a comprehensive critical survey of the literature is presented.

  17. Improvement of water resistance and dimensional stability of wood through titanium dioxide coating

    Science.gov (United States)

    Qingfeng Sun; Haipeng Yu; Yixing Liu; Jian Li; Yun Lu; John F. Hunt

    2010-01-01

    Moisture absorption and dimensional distortion are the major drawbacks of wood utilization as building material. In this study, poplar wood coated with a thin layer of titanium dioxide (TiO2) was prepared by the cosolvent-controlled hydrothermal method. Subsequently, its moisture absorption and dimensional stability were examined. Scanning...

  18. Ultrathin Hydrophobic Coatings Obtained on Polyethylene Terephthalate Materials in Supercritical Carbon Dioxide with Co-Solvents

    Science.gov (United States)

    Kumeeva, T. Yu.; Prorokova, N. P.

    2018-02-01

    The surface properties of ultradisperse polytetrafluoroethylene coatings on polyethylene terephthalate materials modified in a supercritical carbon dioxide medium with co-solvent additions (aliphatic alcohols) were analyzed. An atomic force microscopy study revealed the peculiarities of the morphology of the hydrophobic coatings formed in the presence of co-solvents. The contribution of the co-solvents to the formation of the surface layer with a low surface energy was evaluated from the surface energy components of the modified polyester material. The stability of the coatings against dry friction was analyzed.

  19. Optical properties of titanium di-oxide thin films prepared by dip coating method

    Science.gov (United States)

    Biswas, Sayari; Rahman, Kazi Hasibur; Kar, Asit Kumar

    2018-05-01

    Titanium dioxide (TiO2) thin films were prepared by sol-gel dip coating method on ITO coated glass substrate. The sol was synthesized by hydrothermal method at 90°C. The sol was then used to make TiO2 films by dip coating. After dip coating the rest of the sol was dried at 100°C to make TiO2 powder. Thin films were made by varying the number of dipping cycles and were annealed at 500°C. XRD study was carried out for powder samples that confirms the formation of anatase phase. Transmission spectra of thin films show sharp rise in the violet-ultraviolet transition region and a maximum transmittance of ˜60%. Band gap of the prepared films varies from 3.15 eV to 3.22 eV.

  20. Monitoring tidal volumes in preterm infants at birth: mask versus endotracheal ventilation.

    Science.gov (United States)

    van Vonderen, Jeroen J; Hooper, Stuart B; Krabbe, Vera B; Siew, Melissa L; Te Pas, Arjan B

    2015-01-01

    Upper airway distention during mask ventilation could reduce gas volumes entering the lung compared with ventilation via an endotracheal tube. Therefore, respiratory tract volumes were measured in lambs and tidal volumes were compared in preterm infants before and after intubation. In seven preterm lambs, volumes of the airways (oropharynx, trachea, lungs) were assessed. In 10 preterm infants, delta pressures, tidal volumes and leak were measured during ventilation 2 min before (mask ventilation) and 2 min after intubation (endotracheal ventilation). Inflations coinciding with breaths were excluded. Amount of upper airway distention in lambs and differences in inspiratory and expiratory tidal volume before and after intubation. In lambs, the combined trachea and oropharynx contributed to 14 (12-21) % (median (IQR), whereas the oropharynx contributed to 9 (7-10) % of the total tidal volume measured at the mouth. In preterm infants, inspiratory (11.1 (7.9-22.6) mL/kg vs 5.8 (3.9-9.6) mL/kg (p=0.01)) and expiratory (8.3 (6.8-15.4) mL/kg vs 4.9 (3.9-9.6) mL/kg (p=0.02)) tidal volumes were significantly larger during mask ventilation compared with endotracheal ventilation. Leak was 18.7 (3.3-28.7) % before versus 0 (0-2.3) % after intubation (p0.05). During mask ventilation, expiratory tidal volume increased from 10.0 (5.4-15.6) mL/kg to 11.3 (7.6-17.0) mL/kg (p=0.01), but remained unchanged during endotracheal ventilation. During neonatal mask ventilation, distention of the upper respiratory tract contributes to the tidal volumes measured and should be taken into account when targeting tidal volumes during mask ventilation. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  1. Evaporation heat transfer of carbon dioxide at low temperature inside a horizontal smooth tube

    Science.gov (United States)

    Yoon, Jung-In; Son, Chang-Hyo; Jung, Suk-Ho; Jeon, Min-Ju; Yang, Dong-Il

    2017-05-01

    In this paper, the evaporation heat transfer coefficient of carbon dioxide at low temperature of -30 to -20 °C in a horizontal smooth tube was investigated experimentally. The test devices consist of mass flowmeter, pre-heater, magnetic gear pump, test section (evaporator), condenser and liquid receiver. Test section is made of cooper tube. Inner and outer diameter of the test section is 8 and 9.52 mm, respectively. The experiment is conducted at mass fluxes from 100 to 300 kg/m2 s, saturation temperature from -30 to -20 °C. The main results are summarized as follows: In case that the mass flux of carbon dioxide is 100 kg/m2 s, the evaporation heat transfer coefficient is almost constant regardless of vapor quality. In case of 200 and 300 kg/m2 s, the evaporation heat transfer coefficient increases steadily with increasing vapor quality. For the same mass flux, the evaporation heat transfer coefficient increases as the evaporation temperature of the refrigerant decreases. In comparison of heat transfer correlations with the experimental result, the evaporation heat transfer correlations do not predict them exactly. Therefore, more accurate heat transfer correlation than the previous one is required.

  2. CO2 driven endotracheal tube cuff control in critically ill patients: A randomized controlled study.

    Directory of Open Access Journals (Sweden)

    Gennaro De Pascale

    Full Text Available To determine the safety and clinical efficacy of an innovative integrated airway system (AnapnoGuard™ 100 system that continuously monitors and controls the cuff pressure (Pcuff, while facilitating the aspiration of subglottic secretions (SS.This was a prospective, single centre, open-label, randomized, controlled feasibility and safety trial. The primary endpoint of the study was the rate of device related adverse events (AE and serious AE (SAE as a result of using AnapnoGuard (AG 100 during mechanical ventilation. Secondary endpoints were: (1 mechanical complications rate (2 ICU staff satisfaction; (3 VAP occurrence; (4 length of mechanical ventilation; (5 length of Intensive Care Unit stay and mortality; (6 volume of evacuated subglottic secretions. Sixty patients were randomized to be intubated with the AG endotracheal-tube (ETT and connected to the AG 100 system allowing Pcuff adjustment and SS aspiration; or with an ETT combined with SS drainage and Pcuff controlled manually.No difference in adverse events rate was identified between the groups. The use of AG system was associated with a significantly higher incidence of Pcuff determinations in the safety range (97.3% vs. 71%; p<0.01 and a trend to a greater volume of aspirated SS secretions: (192.0[64-413] ml vs. 150[50-200], p = 0.19 (total; (57.8[20-88.7] ml vs. 50[18.7-62] ml, p = 0.11 (daily. No inter-group difference was detected using AG system vs. controls in terms of post-extubation throat pain level (0 [0-2] vs. 0 [0-3]; p = 0.7, hoarseness (42.9% vs. 75%; p = 0.55 and tracheal mucosa oedema (16.7% vs. 10%; p = 0.65. Patients enrolled in the AG group had a trend to reduced VAP risk of ventilator-associated pneumonia(VAP (14.8% vs. 40%; p = 0.06, which were more frequently monomicrobial (25% vs. 70%; p = 0.03. No statistically significant difference was observed in duration of mechanical ventilation, ICU stay, and mortality.The use AG 100 system and AG tube in critically ill

  3. Flow boiling heat transfer of carbon dioxide inside a small-sized microfin tube

    Energy Technology Data Exchange (ETDEWEB)

    Dang, Chaobin; Haraguchi, Nobori; Hihara, Eiji [Department of Human and Engineered Environmental Studies, Graduate School of Frontier Sciences, The University of Tokyo, Kashiwanoha, Kashiwa-shi, Chiba 277-8563 (Japan)

    2010-06-15

    This study investigated the flow boiling heat transfer of carbon dioxide inside a small-sized microfin tube (mean inner diameter: 2.0 mm; helix angle: 6.3 ) at a saturation temperature of 15 C, and heat and mass flux ranges of 4.5-18 kW m{sup -2} and 360-720 kg m{sup -2} s{sup -1}, respectively. Although, experimental results indicated that heat flux has a significant effect on the heat transfer coefficient, the coefficient does not always increase with mass flux, as in the case of conventional refrigerants such as HFCs or HCFCs. Under certain conditions, the heat transfer coefficient at a high mass flux was lower than that at a lower mass flux, indicating that convective heat transfer had a suppression effect on nucleate boiling. The heat transfer coefficients in the microfin tubes were 1.9{proportional_to}2.3 times the values in smooth tubes of the same diameter under the same experimental conditions, and the dryout quality was much higher, ranging from 0.9 to 0.95. The experimental results indicated that using microfin tubes may considerably increase the overall heat transfer performance. (author)

  4. Improvement of the corrosion resistance by using enamel coating applied to the carbon steel fin tubes of the HRSG

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Won Seok; Lee, Jong Wook [BHI, Haman (Korea, Republic of)

    2014-07-15

    Gas side corrosion affects all heat recovery steam generators (HRSGs). Consequences range from unsightliness and reduced performance to reliability problems and potential safety hazards. The enamel coating used for the HRSG fin tubes was visually and microscopically inspected, analyzed and compared with original one. From the results of the analysis, there was not much different between the coating and the original in the comparison of the strength, SEM (scanning electron microscope), and thermal expansion. For the overall heat transfer due to the coating, it was found that the coating fin tubes have about 2% degradation in comparison with the original ones. However, the use of enamel coating can help strongly to delay the corrosion problem by flue gases in the HRSG.

  5. The incidence of ventilator-associated pneumonia using the PneuX System with or without elective endotracheal tube exchange: A pilot study

    Directory of Open Access Journals (Sweden)

    Blunt Mark

    2011-03-01

    Full Text Available Abstract Background The PneuX System is a novel endotracheal tube and tracheal seal monitor, which has been designed to minimise the aspiration of oropharyngeal secretions. We aimed to determine the incidence of ventilator-associated pneumonia (VAP in patients who were intubated with the PneuX System and to establish whether intermittent subglottic secretion drainage could be performed reliably and safely using the PneuX System. Findings In this retrospective observational study, data was collected from 53 sequential patients. Nine (17% patients were initially intubated with the PneuX System and 44 (83% patients underwent elective exchange to the PneuX System. There were no episodes of VAP while the PneuX System was in situ. On an intention to treat basis, the incidence VAP was 1.8%. There were no complications from, or failure of, subglottic secretion drainage during the study. Conclusions Our study demonstrates that a low incidence of VAP is possible using the PneuX System. Our study also demonstrates that elective exchange and intermittent subglottic secretion drainage can be performed reliably and safely using the PneuX System.

  6. Characterization of mechanical properties of hydroxyapatite-silicon-multi walled carbon nano tubes composite coatings synthesized by EPD on NiTi alloys for biomedical application.

    Science.gov (United States)

    Khalili, Vida; Khalil-Allafi, Jafar; Sengstock, Christina; Motemani, Yahya; Paulsen, Alexander; Frenzel, Jan; Eggeler, Gunther; Köller, Manfred

    2016-06-01

    Release of Ni(1+) ions from NiTi alloy into tissue environment, biological response on the surface of NiTi and the allergic reaction of atopic people towards Ni are challengeable issues for biomedical application. In this study, composite coatings of hydroxyapatite-silicon multi walled carbon nano-tubes with 20wt% Silicon and 1wt% multi walled carbon nano-tubes of HA were deposited on a NiTi substrate using electrophoretic methods. The SEM images of coated samples exhibit a continuous and compact morphology for hydroxyapatite-silicon and hydroxyapatite-silicon-multi walled carbon nano-tubes coatings. Nano-indentation analysis on different locations of coatings represents the highest elastic modulus (45.8GPa) for HA-Si-MWCNTs which is between the elastic modulus of NiTi substrate (66.5GPa) and bone tissue (≈30GPa). This results in decrease of stress gradient on coating-substrate-bone interfaces during performance. The results of nano-scratch analysis show the highest critical distance of delamination (2.5mm) and normal load before failure (837mN) as well as highest critical contact pressure for hydroxyapatite-silicon-multi walled carbon nano-tubes coating. The cell culture results show that human mesenchymal stem cells are able to adhere and proliferate on the pure hydroxyapatite and composite coatings. The presence of both silicon and multi walled carbon nano-tubes (CS3) in the hydroxyapatite coating induce more adherence of viable human mesenchymal stem cells in contrast to the HA coated samples with only silicon (CS2). These results make hydroxyapatite-silicon-multi walled carbon nano-tubes a promising composite coating for future bone implant application. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. TECHNOLOGICAL PECULIARITIES OF THERMAL BARRIER COATINGS BASED ON ZIRCONIUM DIOXIDE

    Directory of Open Access Journals (Sweden)

    V. V. Okovity

    2016-01-01

    Full Text Available A technology for formation of thermal barrier coatings (TBC based on zirconium dioxide has been developed in the paper. The paper investigates structures of phase composition and thermal stability of such developed coatings. Investigation results pertaining to formation of an oxide system ZrO2 – Y2O3, while using plasma spraying and subsequent high-energy processing, which allows to increase resistance of a thermal barrier coating to thermal cycling heat resistance of the coating at temperature of 1100 °C. This leads to longer protection of bottom layer against high-temperature exposure. The methodology is based on complex metallographic, X-ray diffraction and electron microscopy investigations of structural elements in composite plasma coatings of the ZrO2 – Y2O system. Resistance of plasma coatings (Мe – Cr – Al – Y/ZrO2 – Y2O3-type, used as TBC to protect gas turbine engine blades under conditions of frequent thermal cyclings is limited by cleavage of an outer ceramic layer. Structural and electron microprobe investigations have shown that as a result of thermal cycling an outer atmosphere due to porous structure of the ceramic coating layer, migrates to the surface of lower metal coating, causing its oxidation. As a result, the metal-ceramic Al2O3 layer is formed at a metal-ceramic interface and it changes a stress state of the coating that causes a reduction of protective properties. Thus, a high heat resistance of thermal barrier coatings depends on processes occurring at the interface between metal and ceramic coating layers. A laser impact on samples with TBC leads to changes in the structure of the oxide layer of ZrO2 – Y2O3. In this case its initial surface characterized by considerable relief is significantly flattened due to processing and the coating is fractured and it is separated in fragments. As the oxide coating has low thermal conductivity, and the time of laser exposure is about 10–3 sec, a heat flux

  8. EFFECT OF INTRACUFF MEDIA-ALKALINISED LIGNOCAINE, SALINE, AND AIR ON ENDOTRACHEAL TUBE INDUCED EMERGENCE PHENOMENA: A RANDOMIZED CONTROLLED STUDY

    Directory of Open Access Journals (Sweden)

    Indu S

    2016-07-01

    Full Text Available CONTEXT Emergence from general anaesthesia is associated with post extubation cough, hoarseness, sore throat, and dysphagia, which may affect the smoothness of extubation. Prophylactic interventions have been studied to reduce these tracheal morbidities with varying results. AIMS To compare the efficacy of air, alkalinised lignocaine and saline in maintaining intracuff pressure and reducing postoperative cough (PEC and sore throat (POST. SETTINGS AND DESIGN A randomised controlled study conducted in a teaching hospital. METHODS AND MATERIALS 105 patients scheduled for elective surgeries were randomly allocated into groups of 35 each. The endotracheal tube (ETT cuffs were inflated with air, alkalinised lignocaine, or saline. The intracuff pressure (ICP was initially set to 25-30 cm of H2O; measured every 30 minutes and before extubation; the minimum volume for occlusion (MOV noted. The incidence PEC and POST were monitored. STATISTICAL ANALYSIS Data analysed using Chi-square test, Fisher’s exact test; Bonferroni method allowed multiple comparisons. A p value <0.05 was considered significant. RESULTS Pre-lubricated ETT cuff inflation with liquid media maintained an acceptable ICP. Saline and alkalinised lignocaine were effective in reducing PEC and POST. Alkalinised lignocaine provided smoother extubation and fared better in the early postoperative period. CONCLUSIONS Pre-lubricated ETT cuffs with liquid media reduced PEC and POST. Alkalinised lignocaine showed better profile than saline. Optimum ICP reduces tracheal morbidity.

  9. Clinical and histomorphometrical study on titanium dioxide-coated external fixation pins.

    Science.gov (United States)

    Koseki, Hironobu; Asahara, Tomohiko; Shida, Takayuki; Yoda, Itaru; Horiuchi, Hidehiko; Baba, Koumei; Osaki, Makoto

    2013-01-01

    Pin site infection is the most common and significant complication of external fixation. In this work, the efficacy of pins coated with titanium dioxide (TiO(2)) for inhibition of infection was compared with that of stainless steel control pins in an in vivo study. Pins contaminated with an identifiable Staphylococcus aureus strain were inserted into femoral bone in a rat model and exposed to ultraviolet A light for 30 minutes. On day 14, the animals were sacrificed and the bone and soft tissue around the pin were retrieved. The clinical findings and histological findings were evaluated in 60 samples. Clinical signs of infection were present in 76.7% of untreated pins, but in only 36.7% of TiO(2)-coated pins. The histological bone infection score and planimetric rate of occupation for bacterial colonies and neutrophils in the TiO(2)-coated pin group were lower than those in the control group. The bone-implant contact ratio of the TiO(2)-coated pin group was significantly higher (71.4%) than in the control pin group (58.2%). The TiO(2) was successful in decreasing infection both clinically and histomorphometrically. The photocatalytic bactericidal effect of TiO(2) is thought to be useful for inhibiting pin site infection after external fixation.

  10. Use of the silicone tracheal T-tube for tracheostenosis or tracheomalacia.

    Science.gov (United States)

    Liu, H C; Wang, L S; Fahn, H J; Lee, Y C; Lu, C C; Chan, K H; Huang, M H

    1996-09-01

    Tracheobtenosib and tracheomalacia are trivial diseases. The conventional choice of managements with tracheostomy, either temporary or long-term usage, can only partially resolve the problems of airway obstruction. Silicone tracheal T-tube presents a substitute for it. We present 5 patients with tracheostenosis or tracheomalacia managed with nine procedures of long silicone Montgomery T-tube prothesis between 1984 and 1994 in VGH-Taipei. The primary diagnosis included tracheal injury (2), postintubation tracheal stenosis (2), and stenosis due to endotracheal tuberculosis (1). Three patients received a long segmental T-tube for permanent endotracheal stenting and the other two patients used T-tube insertion for temporary stenting of the trachea for 7 and 11 months, respectively, with satisfactory results. All patients got immediate benefit from the prothesis in respiration with simple postoperative care. Two patients with temporary T-tube placement had it successfully removed in 7 and 11 months, respectively. Placement of the T-tube for subglottic stenosis also protected the function of phonation. The tracheal T-tube restored airway patency reliably with good long-term results and could be the preferred management of chronic upper airway obstructive disease not amenable to surgical repair. The most common complication was airway obstruction caused by either granulations or sticky mucoid substance. Three patients and six tubes (60%) developed granulation obstruction and the average duration of granuloma formation was 7.7 months. Laser phototherapy or surgical intervention, such as tracheoplasty, with change of the T-tube was carried out for granuloma obstruction. T-tube is a good endoprothesis for tracheostenosis and tracheomalacia with minimal complication for cases of long tracheostenosis or complex tracheal injury.

  11. The effects of titanium dioxide coatings on light-derived heating and transdermal heat transfer in bovine skin

    Science.gov (United States)

    Bartle, S. J.; Thomson, D. U.; Gehring, R.; van der Merwe, D.

    2017-11-01

    The effects of titanium dioxide coatings of bovine hides on light absorption and transdermal transfer of light-derived heat were investigated. Four hair-on rug hides from Holstein cattle were purchased. Twelve samples about 20 cm on a side were cut from each hide; nine from the black-colored areas, and three from the white areas. Samples were randomized and assigned to four coating treatments: (1) white hide with no coating (White), (2) black hide with no coating (Black), (3) black hide with 50% coating (Mid), and (4) black hide with 100% coating (High). Coatings were applied to the black hide samples using a hand sprayer. Lux measurements were taken using a modified lux meter at three light intensities generated with a broad spectrum, cold halogen light source. Reflectance over a wavelength range of 380 to 900 nm was measured using a spectroradiometer. The transdermal transfer of heat derived from absorbed light was measured by applying a broad spectrum, cold halogen light source to the stratum corneum (coated) side of the sample and recording the temperature of the dermis-side using a thermal camera for 10 min at 30-s intervals. At the high light level, the White, Black, Mid, and High coating treatments had different ( P 400 to 750 nm), Black hides reflected 10 to 15% of the light energy, hides with the Mid coating treatment reflected 35 to 40%, and hides with the High coating treatment reflected 70 to 80% of the light energy. The natural White hide samples reflected 60 to 80% of the light energy. The average maximum temperatures at the dermis-side of the hides due to transferred heat were 34.5, 70.1, 55.0, and 31.7, for the White, Black, Mid, and High treatments, respectively. Reflective coatings containing titanium dioxide on cattle hides were effective in reducing light energy absorption and reduced light-derived heat transfer from the skin surface to deeper skin layers.

  12. Effect of Coating and Packaging Materials on Photocatalytic and Antimicrobial Activities of Titanium Dioxide Nanoparticles

    Science.gov (United States)

    Food safety or foodborne pathogen contamination is a major concern in food industry. Titanium dioxide (TiO2) is a photocatalyst and can inactivate a wide spectrum of microorganisms under UV illumination. There is significant interest in the development of TiO2-coated or –incorporated food packaging ...

  13. Blind Naso-Endotracheal Intubation

    African Journals Online (AJOL)

    Difficult endotracheal intubation techniques include, use of fiberoptic bronchoscope, intubating laryngeal mask airway, tracheostomy, blind nasotracheal and retrograde intubation. According to the Difficult Airway Society guidelines, intubating with the aid of a fiberoptic scope has taken its place as the standard adjuvant for.

  14. Biological Activity of Mesoporous Dendrimer-Coated Titanium Dioxide: Insight on the Role of the Surface-Interface Composition and the Framework Crystallinity.

    Science.gov (United States)

    Milowska, Katarzyna; Rybczyńska, Aneta; Mosiolek, Joanna; Durdyn, Joanna; Szewczyk, Eligia M; Katir, Nadia; Brahmi, Younes; Majoral, Jean-Pierre; Bousmina, Mosto; Bryszewska, Maria; El Kadib, Abdelkrim

    2015-09-16

    Hitherto, the field of nanomedicine has been overwhelmingly dominated by the use of mesoporous organosilicas compared to their metal oxide congeners. Despite their remarkable reactivity, titanium oxide-based materials have been seldom evaluated and little knowledge has been gained with respect to their "structure-biological activity" relationship. Herein, a fruitful association of phosphorus dendrimers (both "ammonium-terminated" and "phosphonate-terminated") and titanium dioxide has been performed by means of the sol-gel process, resulting in mesoporous dendrimer-coated nanosized crystalline titanium dioxide. A similar organo-coating has been reproduced using single branch-mimicking dendrimers that allow isolation of an amorphous titanium dioxide. The impact of these materials on red blood cells was evaluated by studying cell hemolysis. Next, their cytotoxicity toward B14 Chinese fibroblasts and their antimicrobial activity were also investigated. Based on their variants (cationic versus anionic terminal groups and amorphous versus crystalline titanium dioxide phase), better understanding of the role of the surface-interface composition and the nature of the framework has been gained. No noticeable discrimination was observed for amorphous and crystalline material. In contrast, hemolysis and cytotoxicity were found to be sensitive to the nature of the interface composition, with the ammonium-terminated dendrimer-coated titanium dioxide being the most hemolytic and cytotoxic material. This surface-functionalization opens the door for creating a new synergistic machineries mechanism at the cellular level and seems promising for tailoring the biological activity of nanosized organic-inorganic hybrid materials.

  15. Effects of Different Fuel Specifications and Operation Conditions on the Performance of Coated and Uncoated Superheater Tubes in Two Different Biomass-Fired Boilers

    DEFF Research Database (Denmark)

    Wu, Duoli; Dahl, Kristian V.; Madsen, Jesper L.

    2018-01-01

    Fireside corrosionis a serious concern in biomass firing powerplants such that the efficiency of boilers is limited by high temperature corrosion. Application of protective coatings on superheater tubes is a possible solution to combat fireside corrosion. The current study investigates the corros......Fireside corrosionis a serious concern in biomass firing powerplants such that the efficiency of boilers is limited by high temperature corrosion. Application of protective coatings on superheater tubes is a possible solution to combat fireside corrosion. The current study investigates...... the corrosion performance of coated tubes compared to uncoated Esshete 1250 and TP347H tubes, which were exposed in two different biomass-fired boilers for one year. Data on the fuel used, temperature of the boilers, and temperature fluctuations are compared for the two boilers, and how these factors influence...... deposit formation, corrosion, and the stability of the coatings is discussed. The coatings (Ni and Ni2Al3) showed protective behavior ina wood-fired plant where the outlet steam temperature was 520 °C. However, at the plant that fired straw with an outlet steam temperature of 540 °C and where severe...

  16. Multiple-diffusion flame synthesis of pure anatase and carbon-coated titanium dioxide nanoparticles

    KAUST Repository

    Memon, Nasir

    2013-09-01

    A multi-element diffusion flame burner (MEDB) is useful in the study of flame synthesis of nanomaterials. Here, the growth of pure anatase and carbon-coated titanium dioxide (TiO2) using an MEDB is demonstrated. Hydrogen (H2), oxygen (O2), and argon (Ar) are utilized to establish the flame, whereas titanium tetraisopropoxide is used as the precursor for TiO2. The nanoparticles are characterized using high-resolution transmission electron microscopy, with elemental mapping (of C, O, and Ti), X-ray diffraction, Raman spectroscopy, and thermogravimetric analysis. The growth of pure anatase TiO2 nanoparticles occurs when Ar and H2 are used as the precursor carrier gas, while the growth of carbon-coated nanoparticles ensues when Ar and ethylene (C2H4) are used as the precursor carrier gas. A uniform coating of 3-5nm of carbon is observed around TiO2 particles. The growth of highly crystalline TiO2 nanoparticles is dependent on the gas flow rate of the precursor carrier and amorphous particles are observed at high flow rates. Carbon coating occurs only on crystalline nanoparticles, suggesting a possible growth mechanism of carbon-coated TiO2 nanoparticles. © 2013 The Combustion Institute.

  17. An evaluation of the retromolar space for oral tracheal tube placement for maxillofacial surgery in children.

    Science.gov (United States)

    Arora, Suman; Rattan, Vidya; Bhardwaj, Neerja

    2006-11-01

    The eruption of the first and second permanent molar teeth may influence the size of the retromolar space. In this study we evaluated the adequacy of the retromolar space for retromolar intubation and any effect of eruption of the first and second permanent molar teeth on this space in children. Children 3-15 yr of age, undergoing surgery other than facial surgery were included for evaluation of the retromolar space. After standard oral tracheal intubation, the endotracheal tube was shifted to the retromolar space and the mandible was slowly closed to achieve centric occlusion. At the same time, any increase in airway resistance or decrease in oxygen saturation was noted. In the second part of the study, the feasibility of retromolar intubation in pediatric patients undergoing maxillofacial surgery with intraoperative maxillomandibular fixation was assessed. There was enough space for endotracheal tube placement in the retromolar region. The eruption of the first and second permanent molar teeth did not affect intubation. It was possible to achieve centric occlusion in 79 of 80 children with the endotracheal tube positioned in the retromolar space. Retromolar intubation was successfully accomplished in six pediatric patients undergoing maxillomandibular fixation and maxillofacial surgery. The retromolar space can be safely used for intubation in children when intraoperative maxillomandibular fixation, and simultaneous access to the nose and oral cavity are needed.

  18. Poly(ionic liquids)-coated stainless-steel wires packed into a polyether ether ketone tube for in-tube solid-phase microextraction.

    Science.gov (United States)

    Feng, Juanjuan; Wang, Xiuqin; Tian, Yu; Luo, Chuannan; Sun, Min

    2017-12-01

    An in-tube solid-phase microextraction device was developed by packing poly(ionic liquids)-coated stainless-steel wires into a polyether ether ketone tube. An anion-exchange process was performed to enhance the extraction performance. Surface properties of poly(ionic liquids)-coated stainless-steel wires were characterized by scanning electron microscopy and energy dispersive X-ray spectrometry. The extraction device was connected to high-performance liquid chromatography equipment to build an online enrichment and analysis system. Ten polycyclic aromatic hydrocarbons were used as model analytes, and important conditions including extraction time and desorption time were optimized. The enrichment factors from 268 to 2497, linear range of 0.03-20 μg/L, detection limits of 0.010-0.020 μg/L, extraction and preparation repeatability with relative standard deviation less than 1.8 and 19%, respectively were given by the established online analysis method. It has been used to detect polycyclic aromatic hydrocarbons in environmental samples, with the relative recovery (5, 10 μg/L) in the range of 85.1-118.9%. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  19. Influence Of Carboxymethyl Cellulose For The Transport Of Titanium Dioxide Nanoparticles In Clean Silica And Mineral-Coated Sands

    Science.gov (United States)

    The transport properties of titanium dioxide (anatase polymorph) nanoparticles encapsulated by carboxymethyl cellulose (CMC) were evaluated as a function of changes in the solute chemical properties in clean quartz, amorphous aluminum and iron hydroxide-coated sands. While prist...

  20. Bronchial lumen is the safer route for an airway exchange catheter in double-lumen tube replacement: preventable complication in airway management for thoracic surgery.

    Science.gov (United States)

    Wu, Hsiang-Ling; Tai, Ying-Hsuan; Wei, Ling-Fang; Cheng, Hung-Wei; Ho, Chiu-Ming

    2017-10-01

    There is no current consensus on which lumen an airway exchange catheter (AEC) should be passed through in double-lumen endotracheal tube (DLT) to exchange for a single-lumen endotracheal tube (SLT) after thoracic surgery. We report an unusual case to provide possible solution on this issue. A 71-year-old man with lung adenocarcinoma had an event of a broken exchange catheter used during a DLT replacement with a SLT, after a video-assisted thoracic surgery. The exchange catheter was impinged at the distal tracheal lumen and snapped during manipulation. All three segments of the catheter were retrieved without further airway compromises. Placement of airway tube exchanger into the tracheal lumen of double-lumen tube is a potential contributing factor of the unusual complication. We suggest an exchange catheter be inserted into the bronchial lumen in optimal depth with the adjunct of video laryngoscope, as the safe method for double-lumen tube exchange.

  1. Electrical and Optical Characterization of Sputtered Silicon Dioxide, Indium Tin Oxide, and Silicon Dioxide/Indium Tin Oxide Antireflection Coating on Single-Junction GaAs Solar Cells

    Directory of Open Access Journals (Sweden)

    Wen-Jeng Ho

    2017-06-01

    Full Text Available This study characterized the electrical and optical properties of single-junction GaAs solar cells coated with antireflective layers of silicon dioxide (SiO2, indium tin oxide (ITO, and a hybrid layer of SiO2/ITO applied using Radio frequency (RF sputtering. The conductivity and transparency of the ITO film were characterized prior to application on GaAs cells. Reverse saturation-current and ideality factor were used to evaluate the passivation performance of the various coatings on GaAs solar cells. Optical reflectance and external quantum efficiency response were used to evaluate the antireflective performance of the coatings. Photovoltaic current-voltage measurements were used to confirm the efficiency enhancement obtained by the presence of the anti-reflective coatings. The conversion efficiency of the GaAs cells with an ITO antireflective coating (23.52% exceeded that of cells with a SiO2 antireflective coating (21.92%. Due to lower series resistance and higher short-circuit current-density, the carrier collection of the GaAs cell with ITO coating exceeded that of the cell with a SiO2/ITO coating.

  2. The impact of hospital-wide use of a tapered-cuff endotracheal tube on the incidence of ventilator-associated pneumonia.

    Science.gov (United States)

    Bowton, David L; Hite, R Duncan; Martin, R Shayn; Sherertz, Robert

    2013-10-01

    Aspiration of colonized oropharyngeal secretions is a major factor in the pathogenesis of ventilator-associated pneumonia (VAP). A tapered-cuff endotracheal tube (ETT) has been demonstrated to reduce aspiration around the cuff. Whether these properties are efficacious in reducing VAP is not known. This 2-period, investigator-initiated observational study was designed to assess the efficacy of a tapered-cuff ETT to reduce the VAP rate. All intubated, mechanically ventilated patients over the age of 18 were included. During the baseline period a standard, barrel-shaped-cuff ETT (Mallinckrodt Hi-Lo) was used. All ETTs throughout the hospital were then replaced with a tapered-cuff ETT (TaperGuard). The primary outcome variable was the incidence of VAP per 1,000 ventilator days. We included 2,849 subjects, encompassing 15,250 ventilator days. The mean ± SD monthly VAP rate was 3.29 ± 1.79/1,000 ventilator days in the standard-cuff group and 2.77 ± 2.00/1,000 ventilator days in the tapered-cuff group (P = .65). While adherence to the VAP prevention bundle was high throughout the study, bundle adherence was significantly higher during the standard-cuff period (96.5 ± 2.7%) than in the tapered-cuff period (90.3 ± 3.5%, P = .01). In the setting of a VAP rate very near the average of ICUs in the United States, and where there was high adherence to a VAP prevention bundle, the use of a tapered-cuff ETT was not associated with a reduction in the VAP rate.

  3. The oxidation of titanium nitride- and silicon nitride-coated stainless steel in carbon dioxide environments

    International Nuclear Information System (INIS)

    Mitchell, D.R.G.; Stott, F.H.

    1992-01-01

    A study has been undertaken into the effects of thin titanium nitride and silicon nitride coatings, deposited by physical vapour deposition and chemical vapour deposition processes, on the oxidation resistance of 321 stainless steel in a simulated advanced gas-cooled reactor carbon dioxide environment for long periods at 550 o C and 700 o C under thermal-cycling conditions. The uncoated steel contains sufficient chromium to develop a slow-growing chromium-rich oxide layer at these temperatures, particularly if the surfaces have been machine-abraded. Failure of this layer in service allows formation of less protective iron oxide-rich scales. The presence of a thin (3-4 μm) titanium nitride coating is not very effective in increasing the oxidation resistance since the ensuing titanium oxide scale is not a good barrier to diffusion. Even at 550 o C, iron oxide-rich nodules are able to develop following relatively rapid oxidation and breakdown of the coating. At 700 o C, the coated specimens oxidize at relatively similar rates to the uncoated steel. A thin silicon nitride coating gives improved oxidation resistance, with both the coating and its slow-growing oxide being relatively electrically insulating. The particular silicon nitride coating studied here was susceptible to spallation on thermal cycling, due to an inherently weak coating/substrate interface. (Author)

  4. The effects of titanium dioxide coatings on light-derived heating and transdermal heat transfer in bovine skin

    NARCIS (Netherlands)

    Bartle, S J; Thomson, D U; Gehring, R; van der Merwe, B. D.

    2017-01-01

    The effects of titanium dioxide coatings of bovine hides on light absorption and transdermal transfer of light-derived heat were investigated. Four hair-on rug hides from Holstein cattle were purchased. Twelve samples about 20 cm on a side were cut from each hide; nine from the black-colored areas,

  5. Hydroxyapatite coatings on titanium dioxide thin films prepared by pulsed laser deposition method

    International Nuclear Information System (INIS)

    Suda, Yoshiaki; Kawasaki, Hiroharu; Ohshima, Tamiko; Nakashima, Shouta; Kawazoe, Syuichi; Toma, Tetsuya

    2006-01-01

    Hydroxyapatite (HAp) coated on titanium dioxide (TiO 2 ) thin films has been developed to supplement the defects of both TiO 2 and HAp. Thin films have been prepared by pulsed laser deposition (PLD) method using HAp and HAp(10%) + TiO 2 targets. X-ray diffraction (XRD) shows that there are many small peaks of Ca 1 0(PO 4 ) 6 (OH) 2 crystal, and no impurity other than HAp is detected in HAp films prepared using pure HAp target. The composition ratio of the film was analyzed by X-ray photoelectron spectroscopy (XPS). HAp coatings on TiO 2 thin films have been prepared using HAp(10%) + TiO 2 targets. XRD and XPS measurements suggest that crystalline HAp + TiO 2 thin films are obtained by the PLD method using HAp(10%) + TiO 2 target

  6. In situ atom trapping of Bi on W-coated slotted quartz tube flame atomic absorption spectrometry and interference studies

    Energy Technology Data Exchange (ETDEWEB)

    Kılınç, Ersin, E-mail: kilincersin@gmail.com [Medical Laboratory Techniques, Vocational Higher School of Healthcare Studies, Mardin Artuklu University, 47200 Mardin (Turkey); Bakırdere, Sezgin [Yıldız Technical University, Art and Science Faculy, Department of Chemistry, Esenler, TR 34220 İstanbul (Turkey); Aydın, Fırat [Dicle University, Faculty of Science, Department of Chemistry, Laboratory of Chemical Analysis, TR 21280 Diyarbakır (Turkey); Ataman, O. Yavuz [Middle East Technical University, Faculty of Arts and Sciences, Department of Chemistry, 06800 Ankara (Turkey)

    2013-11-01

    Analytical performances of metal coated slotted quartz tube flame atomic absorption spectrometry (SQT-FAAS) and slotted quartz tube in situ atom trapping flame atomic absorption spectrometry (SQT-AT-FAAS) systems were evaluated for determination of Bi. Non-volatile elements such as Mo, Zr, W and Ta were tried as coating materials. It was observed that W-coated SQT gave the best sensitivity for the determination of Bi for SQT-FAAS and SQT-AT-FAAS. The parameters for W-coated SQT-FAAS and W-coated SQT-AT-FAAS were optimized. Sensitivity of FAAS for Bi was improved as 4.0 fold by W-coated SQT-FAAS while 613 fold enhancement in sensitivity was achieved by W-coated SQT-AT-FAAS using 5.0 min trapping with respect to conventional FAAS. MIBK was selected as organic solvent for the re-atomization of Bi from the trapping surface. Limit of detection values for W-coated SQT-FAAS and W-coated SQT-AT-FAAS was obtained as 0.14 μg mL{sup −1} and 0.51 ng mL{sup −1}, respectively. Linear calibration plot was obtained in the range of 2.5–25.0 ng mL{sup −1} for W-coated SQT-AT-FAAS. Accuracy of the W-coated SQT-AT-FAAS system was checked by analyzing a standard reference material, NIST 1643e. - Highlights: • Further increasing in sensitivity of SQT-AT-FAAS was obtained by using a W coated SQT. • 613 fold sensitivity enhancement was achieved by W coated SQT-AT-FAAS versus FAAS. • A sensitive, rapid and simple technique for Bi was developed with an LOD of 0.51 ng mL{sup −1}. • The technique is suggested for laboratories equipped with only a flame AA spectrometer.

  7. In situ atom trapping of Bi on W-coated slotted quartz tube flame atomic absorption spectrometry and interference studies

    International Nuclear Information System (INIS)

    Kılınç, Ersin; Bakırdere, Sezgin; Aydın, Fırat; Ataman, O. Yavuz

    2013-01-01

    Analytical performances of metal coated slotted quartz tube flame atomic absorption spectrometry (SQT-FAAS) and slotted quartz tube in situ atom trapping flame atomic absorption spectrometry (SQT-AT-FAAS) systems were evaluated for determination of Bi. Non-volatile elements such as Mo, Zr, W and Ta were tried as coating materials. It was observed that W-coated SQT gave the best sensitivity for the determination of Bi for SQT-FAAS and SQT-AT-FAAS. The parameters for W-coated SQT-FAAS and W-coated SQT-AT-FAAS were optimized. Sensitivity of FAAS for Bi was improved as 4.0 fold by W-coated SQT-FAAS while 613 fold enhancement in sensitivity was achieved by W-coated SQT-AT-FAAS using 5.0 min trapping with respect to conventional FAAS. MIBK was selected as organic solvent for the re-atomization of Bi from the trapping surface. Limit of detection values for W-coated SQT-FAAS and W-coated SQT-AT-FAAS was obtained as 0.14 μg mL −1 and 0.51 ng mL −1 , respectively. Linear calibration plot was obtained in the range of 2.5–25.0 ng mL −1 for W-coated SQT-AT-FAAS. Accuracy of the W-coated SQT-AT-FAAS system was checked by analyzing a standard reference material, NIST 1643e. - Highlights: • Further increasing in sensitivity of SQT-AT-FAAS was obtained by using a W coated SQT. • 613 fold sensitivity enhancement was achieved by W coated SQT-AT-FAAS versus FAAS. • A sensitive, rapid and simple technique for Bi was developed with an LOD of 0.51 ng mL −1 . • The technique is suggested for laboratories equipped with only a flame AA spectrometer

  8. Tube Inner Coating of Non-Conductive Films by Pulsed Reactive Coaxial Magnetron Plasma with Outer Anode

    Directory of Open Access Journals (Sweden)

    Musab Timan Idriss Gasab

    2018-03-01

    Full Text Available The double-ended coaxial magnetron pulsed plasma (DCMPP method with auxiliary outer anode was introduced in order to achieve the uniform coating of non-conductive thin films on the inner walls of insulator tubes. In this study, titanium (Ti was employed as a cathode (sputtering target, and a glass tube was used as a substrate. In an argon (Ar and oxygen (O2 gas mixture, magnetron plasma was generated. Oxygen gas was introduced to deposit a titanium oxide (TiO2 film. A comparison between films coated with and without an auxiliary outer anode was made. As a result, it was clearly shown that the DCMPP method using an auxiliary outer anode enhanced the uniformity of the deposited non-conductive film compared to the conventional DCMPP method. Moreover, the optimum conditions under which the thin TiO2 film was deposited on the inner wall of the glass tube were revealed. From the results, it was supposed that the auxiliary outer anode contributed to the uniformity of the distributions of deposited negative charge on the non-conductive film and consequently the electric field and the plasma density uniform.

  9. Direct analysis of bacterial viability in endotracheal tube biofilm from a pig model of methicillin-resistant Staphylococcus aureus pneumonia following antimicrobial therapy.

    Science.gov (United States)

    Fernández-Barat, Laia; Li Bassi, Gianluigi; Ferrer, Miquel; Bosch, Anna; Calvo, Maria; Vila, Jordi; Gabarrús, Albert; Martínez-Olondris, Pilar; Rigol, Montse; Esperatti, Mariano; Luque, Néstor; Torres, Antoni

    2012-07-01

    Confocal laser scanning microscopy (CLSM) helps to observe the biofilms formed in the endotracheal tube (ETT) of ventilated subjects and to determine its structure and bacterial viability using specific dyes. We compared the effect of three different treatments (placebo, linezolid, and vancomycin) on the bacterial biofilm viability captured by CLSM. Eight pigs with pneumonia induced by methicillin-resistant Staphylococcus aureus (MRSA) were ventilated up to 96 h and treated with linezolid, vancomycin, or placebo (controls). ETT images were microscopically examined after staining with the live/dead(®) BacLight(™) Kit (Invitrogen, Barcelona, Spain) with a confocal laser scanning microscope. We analyzed 127 images obtained by CLSM. The median ratio of live/dead bacteria was 0.51, 0.74, and 1 for the linezolid, vancomycin, and control groups, respectively (P = 0.002 for the three groups); this ratio was significantly lower for the linezolid group, compared with the control group (P = 0.001). Images showed bacterial biofilm attached and non-attached to the ETT surface but growing within secretions accumulated inside ETT. Systemic treatment with linezolid is associated with a higher proportion of dead bacteria in the ETT biofilm of animals with MRSA pneumonia. Biofilm clusters not necessarily attach to the ETT surface. © 2012 Federation of European Microbiological Societies. Published by Blackwell Publishing Ltd. All rights reserved.

  10. Application of end-tidal carbon dioxide monitoring via distal gas samples in ventilated neonates.

    Science.gov (United States)

    Jin, Ziying; Yang, Maoying; Lin, Ru; Huang, Wenfang; Wang, Jiangmei; Hu, Zhiyong; Shu, Qiang

    2017-08-01

    Previous research has suggested correlations between the end-tidal partial pressure of carbon dioxide (P ET CO 2 ) and the partial pressure of arterial carbon dioxide (PaCO 2 ) in mechanically ventilated patients, but both the relationship between P ET CO 2 and PaCO 2 and whether P ET CO 2 accurately reflects PaCO 2 in neonates and infants are still controversial. This study evaluated remote sampling of P ET CO 2 via an epidural catheter within an endotracheal tube to determine the procedure's clinical safety and efficacy in the perioperative management of neonates. Abdominal surgery was performed under general anesthesia in 86 full-term newborns (age 1-30 days, weight 2.55-4.0 kg, American Society of Anesthesiologists class I or II). The infants were divided into 2 groups (n = 43 each), and carbon dioxide (CO 2 ) gas samples were collected either from the conventional position (the proximal end) or a modified position (the distal end) of the epidural catheter. The P ET CO 2 measured with the new method was significantly higher than that measured with the traditional method, and the difference between P ET CO 2 and PaCO 2 was also reduced. The accuracy of P ET CO 2 measured increased from 78.7% to 91.5% when the modified sampling method was used. The moderate correlation between P ET CO 2 and PaCO 2 by traditional measurement was 0.596, which significantly increased to 0.960 in the modified sampling group. Thus, the P ET CO 2 value was closer to that of PaCO 2 . P ET CO 2 detected via modified carbon dioxide monitoring had a better accuracy and correlation with PaCO 2 in neonates. Copyright © 2017. Published by Elsevier B.V.

  11. Endotracheal tube resistance and inertance in a model of mechanical ventilation of newborns and small infants—the impact of ventilator settings on tracheal pressure swings

    International Nuclear Information System (INIS)

    Hentschel, Roland; Buntzel, Julia; Guttmann, Josef; Schumann, Stefan

    2011-01-01

    Resistive properties of endotracheal tubes (ETTs) are particularly relevant in newborns and small infants who are generally ventilated through ETTs with a small inner diameter. The ventilation rate is also high and the inspiratory time (ti) is short. These conditions effectuate high airway flows with excessive flow acceleration, so airway resistance and inertance play an important role. We carried out a model study to investigate the impact of varying ETT size, lung compliance and ventilator settings, such as peak inspiratory pressure (PIP), positive end expiratory pressure (PEEP) and inspiratory time (ti) on the pressure–flow characteristics with respect to the resistive and inertive properties of the ETT. Pressure at the Y piece was compared to direct measurement of intratracheal pressure (P trach ) at the tip of the ETT, and pressure drop (ΔP ETT ) was calculated. Applying published tube coefficients (Rohrer's constants and inertance), P trach was calculated from ventilator readings and compared to measured P trach using the root-mean-square error. The most relevant for ΔP ETT was the ETT size, followed by (in descending order) PIP, compliance, ti and PEEP, with gas flow velocity being the principle in common for all these parameters. Depending on the ventilator settings ΔP ETT exceeded 8 mbar in the smallest 2.0 mm ETT. Consideration of inertance as an additional effect in this setting yielded a better agreement of calculated versus measured P trach than Rohrer's constants alone. We speculate that exact tracheal pressure tracings calculated from ventilator readings by applying Rohrer's equation and the inertance determination to small size ETTs would be helpful. As an integral part of ventilator software this would (1) allow an estimate of work of breathing and implementation of an automatic tube compensation, and (2) be important for gentle ventilation in respiratory care, especially of small infants, since it enables the physician to

  12. Passivation of Titanium Oxide in Polyethylene Matrices using Polyelectrolytes as Titanium Dioxide Surface Coating

    Directory of Open Access Journals (Sweden)

    Javier Vallejo-Montesinos

    2017-05-01

    Full Text Available One of the major challenges of the polyolefins nowadays is the ability of those to resist weathering conditions, specially the photodegradation process that suffer any polyolefin. A common way to prevent this, is the use of hindered amine light stabilizers (HALS are employed. An alternative route to avoid photodegradation is using polyelectrolites as coating of fillers such as metal oxides. Composites of polyethylene were made using titanium dioxide (TiO2 as a filler with polyelectrolytes (polyethylenimine and sodium polystyrene sulfonate attached to its surface, to passivate its photocatalytic activity. We exposed the samples to ultraviolet-visible (UV-Vis light to observe the effect of radiation on the degradation of coated samples, compared to those without the polyelectrolyte coating. From the experimental results, we found that polyethylenimine has a similar carbonyl signal area to the sample coated with hindered amine light stabilizers (HALS while sodium polystyrene sulfonate exhibit more degradation than the HALS coated samples, but it passivates the photocatalytic effect when compared with the non-coated TiO2 samples. Also, using AFM measurements, we confirmed that the chemical nature of polyethylenimine causes the TiO2 avoid the migration to the surface during the extrusion process, inhibiting the photodegradation process and softening the sample. On this basis, we found that polyethylenimine is a good choice for reducing the degradation caused by TiO2 when it is exposed to UV-Vis light.

  13. SUPRAGLOTTIC JET VENTILATION VERSUS CONVENTIONAL ENDOTRACHEAL VENTILATION IN MINOR LARYNGEAL SURGERIES

    Directory of Open Access Journals (Sweden)

    Illendual Upendranath

    2016-08-01

    Full Text Available Any attempt at intubation will cause many cardiovascular responses and the major concern during this time is to attenuate the same. Similar response is seen during procedures on Larynx in microlaryngeal surgery which produces an intense cardiovascular stimulation during suspension laryngoscopy and intubation. AIM OF STUDY Supraglottic jet ventilation versus conventional endotracheal ventilation in minor laryngeal surgeries. To evaluate the haemodynamic response in supraglottic jet ventilation and conventional intubation in minor laryngeal surgeries. METHODS Patients were randomised to 2 Groups: 30 patients in each group; Group A - in whom supraglottic jet ventilation was planned and Group B - in whom endotracheal intubation was planned. RESULT The haemodynamic response in terms of increase in MAP and HR is significantly more with endotracheal intubation than with supraglottic jet ventilation. CONCLUSION Our study showed that supraglottic jet ventilation showed a better haemodynamic stability when compared to conventional endotracheal intubation in patients undergoing minor laryngeal surgeries. Statistical scores were also in favour of the patients treated with supraglottic jet ventilation based on the p values.

  14. Food contact surfaces coated with nitrogen-doped titanium dioxide: effect on Listeria monocytogenes survival under different light sources

    International Nuclear Information System (INIS)

    Rodrigues, D.; Teixeira, P.; Tavares, C.J.; Azeredo, J.

    2013-01-01

    Improvement of food safety is a very important issue, and is on the basis of production and application of new/modified food contact surfaces. Titanium dioxide (TiO 2 ) and, more recently, nitrogen-doped titanium dioxide (N-TiO 2 ) coatings are among the possible forms to enhance food contact surfaces performance in terms of higher hygiene and easier sanitation. In this context, the present work aimed at evaluating the bactericidal activity of an N-TiO 2 coating on glass and stainless steel under two different sources of visible light – fluorescent and incandescent – and ultraviolet (UV) irradiation. Listeria monocytogenes was chosen as representative of major foodborne pathogens and its survival was tested on N-TiO 2 coated coupons. In terms of survival percentage, good results were obtained after exposure of coated surfaces to all light types since, apart from the value obtained after exposing glass to fluorescent light (56.3%), survival rates were always below 50%. However, no effective disinfection was obtained, given that for a disinfectant or sanitizing agent to be claimed as effective it needs to be able to promote at least a 3-log reduction of the microbial load, which was not observed for any of the experimental conditions assessed. Even so, UV irradiation was the most successful on eliminating cells on coated surfaces, since the amount of bacteria was reduced to 1.49 × 10 6 CFU/ml on glass and 2.37 × 10 7 on stainless steel. In contrast, both visible light sources had only slightly decreased the amount of viable cells, which remained in the range of 8 log CFU/ml. Hence, although some bactericidal effect was accomplished under visible light, UV was the most effective light source on promoting photocatalytic reactions on N-TiO 2 coated coupons and none of the experimental conditions have reached a satisfactory disinfection level. Thus, this surface coating needs further research and improvement in order to become truly effective against foodborne

  15. Food contact surfaces coated with nitrogen-doped titanium dioxide: effect on Listeria monocytogenes survival under different light sources

    Science.gov (United States)

    Rodrigues, D.; Teixeira, P.; Tavares, C. J.; Azeredo, J.

    2013-04-01

    Improvement of food safety is a very important issue, and is on the basis of production and application of new/modified food contact surfaces. Titanium dioxide (TiO2) and, more recently, nitrogen-doped titanium dioxide (N-TiO2) coatings are among the possible forms to enhance food contact surfaces performance in terms of higher hygiene and easier sanitation. In this context, the present work aimed at evaluating the bactericidal activity of an N-TiO2 coating on glass and stainless steel under two different sources of visible light - fluorescent and incandescent - and ultraviolet (UV) irradiation. Listeria monocytogenes was chosen as representative of major foodborne pathogens and its survival was tested on N-TiO2 coated coupons. In terms of survival percentage, good results were obtained after exposure of coated surfaces to all light types since, apart from the value obtained after exposing glass to fluorescent light (56.3%), survival rates were always below 50%. However, no effective disinfection was obtained, given that for a disinfectant or sanitizing agent to be claimed as effective it needs to be able to promote at least a 3-log reduction of the microbial load, which was not observed for any of the experimental conditions assessed. Even so, UV irradiation was the most successful on eliminating cells on coated surfaces, since the amount of bacteria was reduced to 1.49 × 106 CFU/ml on glass and 2.37 × 107 on stainless steel. In contrast, both visible light sources had only slightly decreased the amount of viable cells, which remained in the range of 8 log CFU/ml. Hence, although some bactericidal effect was accomplished under visible light, UV was the most effective light source on promoting photocatalytic reactions on N-TiO2 coated coupons and none of the experimental conditions have reached a satisfactory disinfection level. Thus, this surface coating needs further research and improvement in order to become truly effective against foodborne pathogens and

  16. Numerical simulation of trans-critical carbon dioxide (R744) flow through short tube orifices

    Energy Technology Data Exchange (ETDEWEB)

    Garcia-Valladares, O. [Centro de Investigacion en Energia de la Universidad Nacional Autonoma de Mexico, Privada Xochicalco S/N, Apdo. Postal 34, 62580 Temixco, Morelos (Mexico)

    2006-02-01

    A detailed one-dimensional numerical simulation of the fluid-dynamic behaviour of short tube orifices expansion devices working with trans-critical carbon dioxide (CO{sub 2} or R744) has been developed. The discretized governing equations are coupled using an implicit step by step method. A special treatment has been implemented in order to consider transitions (subcooled liquid region and equilibrium two-phase region). The numerical model allows analysis of aspects such as geometry, different working conditions, critical or non-critical flow conditions, etc. Comparison of the numerical simulation with experimental data presented in the technical literature will be shown in the present article. (author)

  17. Biopolymer Doped with Titanium Dioxide Superhydrophobic Photocatalysis as Self-Clean Coating for Lightweight Composite

    Directory of Open Access Journals (Sweden)

    Anika Zafiah M. Rus

    2013-01-01

    Full Text Available The development of a lightweight composite (LC based on Portland cement concrete with waste lightweight aggregate (WLA additive was carried out to improve the sustainability and environmental impact and to offer potential cost savings without sacrificing strength. Treatment of the surface of the LC exposed to environmental attack by coating with biopolymer based on waste cooking oil doped with titanium dioxide photocatalysis (TOP with superhydrophilic property was found to affect the mechanical properties of the LC in a systematic way. The results of compressive strength showed that the composite achieved the minimum required strength for lightweight construction materials of 17.2 MPa. Scratch resistance measurements showed that the highest percentages loading of superhydrophilic particles (up to 2.5% of biomonomer weight for LC's surface coating gave the highest scratch resistance while the uncoated sample showed the least resistances. Scanning electron microscope (SEM pictures revealed the difference between the surface roughness for LC with and without TOP coating. TOP is also formulated to provide self-cleaning LC surfaces based on two principal ways: (1 the development by coating the LC with a photocatalytic superhydrophilic, (2 if such a superhydrophilic is illuminated by light, the grease, dirt, and organic contaminants will be decomposed and can easily be swept away by rain.

  18. Tracheostomy Tube Ignition During Microlaryngeal Surgery Using Diode Laser: A Case Report

    Directory of Open Access Journals (Sweden)

    Hsun-Mo Wang

    2006-04-01

    Full Text Available Ignition of the tracheal tube during laser microlaryngeal surgery under general anesthesia is an uncommon complication with potentially serious consequences. We present here a case of a patient with glottic stenosis following endotracheal intubation, who experienced this potentially catastrophic combustion during endoscopic arytenoidectomy, using a diode laser under general anesthesia via 60% FiO2, with an airway fire occurring at the tracheostomy tube and causing tubal damage and obstruction. The anesthetic connecting tube was immediately disconnected and the tracheostomy tube replaced. No adverse consequences to this patient's upper airway were noted during follow-up visits. Higher oxygen concentrations, the presence of combustibles, and the narrowness of the surgical field during endolaryngeal diode laser surgery are risk factors for airway fires.

  19. Adhesion of volatile propofol to breathing circuit tubing.

    Science.gov (United States)

    Lorenz, Dominik; Maurer, Felix; Trautner, Katharina; Fink, Tobias; Hüppe, Tobias; Sessler, Daniel I; Baumbach, Jörg Ingo; Volk, Thomas; Kreuer, Sascha

    2017-08-21

    Propofol in exhaled breath can be measured and may provide a real-time estimate of plasma concentration. However, propofol is absorbed in plastic tubing, thus estimates may fail to reflect lung/blood concentration if expired gas is not extracted directly from the endotracheal tube. We evaluated exhaled propofol in five ventilated ICU patients who were sedated with propofol. Exhaled propofol was measured once per minute using ion mobility spectrometry. Exhaled air was sampled directly from the endotracheal tube and at the ventilator end of the expiratory side of the anesthetic circuit. The circuit was disconnected from the patient and propofol was washed out with a separate clean ventilator. Propofol molecules, which discharged from the expiratory portion of the breathing circuit, were measured for up to 60 h. We also determined whether propofol passes through the plastic of breathing circuits. A total of 984 data pairs (presented as median values, with 95% confidence interval), consisting of both concentrations were collected. The concentration of propofol sampled near the patient was always substantially higher, at 10.4 [10.25-10.55] versus 5.73 [5.66-5.88] ppb (p tubing was 4.58 [4.48-4.68] ppb, 3.46 [3.21-3.73] in the first hour, 4.05 [3.77-4.34] in the second hour, and 4.01 [3.36-4.40] in the third hour. Out-gassing propofol from the breathing circuit remained at 2.8 ppb after 60 h of washing out. Diffusion through the plastic was not observed. Volatile propofol binds or adsorbs to the plastic of a breathing circuit with saturation kinetics. The bond is reversible so propofol can be washed out from the plastic. Our data confirm earlier findings that accurate measurements of volatile propofol require exhaled air to be sampled as close as possible to the patient.

  20. Preparation and evaluation of a novel molecularly imprinted polymer coating for selective extraction of indomethacin from biological samples by electrochemically controlled in-tube solid phase microextraction

    Energy Technology Data Exchange (ETDEWEB)

    Asiabi, Hamid [Department of Chemistry, Tarbiat Modares University, P.O. Box 14115-175, Tehran (Iran, Islamic Republic of); Yamini, Yadollah, E-mail: yyamini@modares.ac.ir [Department of Chemistry, Tarbiat Modares University, P.O. Box 14115-175, Tehran (Iran, Islamic Republic of); Seidi, Shahram; Ghahramanifard, Fazel [Department of Analytical Chemistry, Faculty of Chemistry, K.N. Toosi University of Technology, Tehran (Iran, Islamic Republic of)

    2016-03-24

    In the present work, an automated on-line electrochemically controlled in-tube solid-phase microextraction (EC-in-tube SPME) coupled with HPLC-UV was developed for the selective extraction and preconcentration of indomethacin as a model analyte in biological samples. Applying an electrical potential can improve the extraction efficiency and provide more convenient manipulation of different properties of the extraction system including selectivity, clean-up, rate, and efficiency. For more enhancement of the selectivity and applicability of this method, a novel molecularly imprinted polymer coated tube was prepared and applied for extraction of indomethacin. For this purpose, nanostructured copolymer coating consisting of polypyrrole doped with ethylene glycol dimethacrylate was prepared on the inner surface of a stainless-steel tube by electrochemical synthesis. The characteristics and application of the tubes were investigated. Electron microscopy provided a cross linked porous surface and the average thickness of the MIP coating was 45 μm. Compared with the non-imprinted polymer coated tubes, the special selectivity for indomethacin was discovered with the molecularly imprinted coated tube. Moreover, stable and reproducible responses were obtained without being considerably influenced by interferences commonly existing in biological samples. Under the optimal conditions, the limits of detection were in the range of 0.07–2.0 μg L{sup −1} in different matrices. This method showed good linearity for indomethacin in the range of 0.1–200 μg L{sup −1}, with coefficients of determination better than 0.996. The inter- and intra-assay precisions (RSD%, n = 3) were respectively in the range of 3.5–8.4% and 2.3–7.6% at three concentration levels of 7, 70 and 150 μg L{sup −1}. The results showed that the proposed method can be successfully applied for selective analysis of indomethacin in biological samples. - Graphical abstract: An automated on

  1. Use and care of an endotracheal/ tracheostomy tube cuff — are ...

    African Journals Online (AJOL)

    Enrique

    care units (ICUs) in the Free State. Therefore, the ... informed about the use and care of ET/TT tube cuffs. ... There was no consensus regarding the length of time ... Department of Otorhinolaryngology, University of the Free State, Bloemfontein.

  2. Vacuum arc plasma deposition of thin titanium dioxide films on silicone elastomer as a functional coating for medical applications

    Energy Technology Data Exchange (ETDEWEB)

    Boudot, Cécile, E-mail: cecile.boudot@tum.de [Technical University of Munich, Department of Mechanical Engineering, Boltzmannstraße 15, D-85748 Garching bei München (Germany); Kühn, Marvin; Kühn-Kauffeldt, Marina; Schein, Jochen [Institute for Plasma Technology and Mathematics, University of Federal Armed Forces Munich, Werner-Heisenberg-Weg 39, D-85577 Neubiberg (Germany)

    2017-05-01

    Silicone elastomer is a promising material for medical applications and is widely used for implants with blood and tissue contact. However, its strong hydrophobicity limits adhesion of tissue cells to silicone surfaces, which can impair the healing process. To improve the biological properties of silicone, a triggerless pulsed vacuum cathodic arc plasma deposition technique was applied to deposit titanium dioxide (TiO{sub 2}) films onto the surface. Scanning electron microscopy, atomic force microscopy, X-ray photoelectron spectroscopy, Raman spectroscopy and contact angle measurements were used for coating characterization. Deposited films were about 150 nm thick and exhibited good adhesion to the underlying silicone substrate. Surface wettability and roughness both increased after deposition of the TiO{sub 2} layer. In addition, cell-biological investigations demonstrated that the in-vitro cytocompatibility of TiO{sub 2}-coated samples was greatly improved without impacting silicone's nontoxicity. For validation of use in medical devices, further investigations were conducted and demonstrated stability of surface properties in an aqueous environment for a period of 68 days and the coating's resistance to several sterilization methods. - Highlights: • Vacuum arc plasma was applied to deposit titanium dioxide films onto silicone. • Thickness, roughness and composition of the films were determined. • Cytocompatibility of coated silicone elastomer is greatly improved. • Films have good adhesion to the substrate and are stable, non-toxic and sterilizable.

  3. Treatment of hypertension following endotracheal intubation

    African Journals Online (AJOL)

    Treatment of hypertension following endotracheal intubation. A study comparing the efficacy of labetalol, practolol and placebo. R. J. MAHARAJ, M. THOMPSON, J. G. BROCK-UTNE,. J. W. DOWNING. R. WI LLlAMSON,. Summary. Labetalol, a new adrenergic receptor antagonist, has both a- and B-blocking properties.

  4. Continuous versus intermittent endotracheal cuff pressure control for the prevention of ventilator-associated respiratory infections in Vietnam: study protocol for a randomised controlled trial.

    Science.gov (United States)

    Dat, Vu Quoc; Geskus, Ronald B; Wolbers, Marcel; Loan, Huynh Thi; Yen, Lam Minh; Binh, Nguyen Thien; Chien, Le Thanh; Mai, Nguyen Thi Hoang; Phu, Nguyen Hoan; Lan, Nguyen Phu Huong; Hao, Nguyen Van; Long, Hoang Bao; Thuy, Tran Phuong; Kinh, Nguyen Van; Trung, Nguyen Vu; Phu, Vu Dinh; Cap, Nguyen Trung; Trinh, Dao Tuyet; Campbell, James; Kestelyn, Evelyne; Wertheim, Heiman F L; Wyncoll, Duncan; Thwaites, Guy Edward; van Doorn, H Rogier; Thwaites, C Louise; Nadjm, Behzad

    2018-04-04

    Ventilator-associated respiratory infection (VARI) comprises ventilator-associated pneumonia (VAP) and ventilator-associated tracheobronchitis (VAT). Although their diagnostic criteria vary, together these are the most common hospital-acquired infections in intensive care units (ICUs) worldwide, responsible for a large proportion of antibiotic use within ICUs. Evidence-based strategies for the prevention of VARI in resource-limited settings are lacking. Preventing the leakage of oropharyngeal secretions into the lung using continuous endotracheal cuff pressure control is a promising strategy. The aim of this study is to investigate the efficacy of automated, continuous endotracheal cuff pressure control in preventing the development of VARI and reducing antibiotic use in ICUs in Vietnam. This is an open-label randomised controlled multicentre trial. We will enrol 600 adult patients intubated for ≤ 24 h at the time of enrolment. Eligible patients will be stratified according to admission diagnosis (180 tetanus, 420 non-tetanus) and site and will be randomised in a 1:1 ratio to receive either (1) automated, continuous control of endotracheal cuff pressure or (2) intermittent measurement and control of endotracheal cuff pressure using a manual cuff pressure meter. The primary outcome is the occurrence of VARI, defined as either VAP or VAT during the ICU admission up to a maximum of 90 days after randomisation. Patients in both groups who are at risk for VARI will receive a standardised battery of investigations if their treating physician feels a new infection has occurred, the results of which will be used by an endpoint review committee, blinded to the allocated arm and independent of patient care, to determine the primary outcome. All enrolled patients will be followed for mortality and endotracheal tube cuff-related complications at 28 days and 90 days after randomisation. Other secondary outcomes include antibiotic use; days ventilated, in ICU and in hospital

  5. A new heat and moisture exchanger for laryngectomized patients: endotracheal temperature and humidity

    NARCIS (Netherlands)

    Scheenstra, Renske J.; Muller, Saar H.; Vincent, Andrew; Ackerstaff, Annemieke H.; Jacobi, Irene; Hilgers, Frans J. M.

    2011-01-01

    To assess the endotracheal temperature and humidity and clinical effects of 2 models of a new heat and moisture exchanger (HME): Rplus, which has regular breathing resistance, and Lplus, which has lower breathing resistance. We measured endotracheal temperature and humidity in 10 laryngectomized

  6. A new heat and moisture exchanger for laryngectomized patients: endotracheal temperature and humidity

    NARCIS (Netherlands)

    Scheenstra, R.J.; Muller, S.H.; Vincent, A.; Ackerstaff, A.H.; Jacobi, I.; Hilgers, F.J.M.

    2011-01-01

    Objective: To assess the endotracheal temperature and humidity and clinical effects of 2 models of a new heat and moisture exchanger (HME): Rplus, which has regular breathing resistance, and Lplus, which has lower breathing resistance. Methods: We measured endotracheal temperature and humidity in 10

  7. Tungsten oxide coatings deposited by plasma spray using powder and solution precursor for detection of nitrogen dioxide gas

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Chao, E-mail: zhangc@yzu.edu.cn [College of Mechanical Engineering, Yangzhou University, Yangzhou 225127 (China); Wang, Jie [College of Mechanical Engineering, Yangzhou University, Yangzhou 225127 (China); Geng, Xin [College of Mechanical Engineering, Yangzhou University, Yangzhou 225127 (China); College of Chemistry and Chemical Engineering, Yangzhou University, Yangzhou 225002 (China)

    2016-05-25

    Increasing attention has been paid on preparation methods for resistive-type gas sensors based on semiconductor metal oxides. In this work, tungsten oxide (WO{sub 3}) coatings were prepared on alumina substrates and used as gas sensitive layers. The coatings were deposited by atmospheric plasma spray using powder, solution precursor, or a combination of both. Tungsten oxide powder through a powder port and ammonium tungstate aqueous solution through a liquid port were injected into plasma stream respectively or together to deposit WO{sub 3} coatings. Phase structures in the coatings were characterized by X-ray diffraction analyzer. The field-emission scanning electron microscopy images confirmed that the coatings were in microstructure, nanostructure or micro-nanostructure. The sensing properties of the sensors based on the coatings exposed to 1 ppm nitrogen dioxide gas were characterized in a home-made instrument. Sensing properties of the coatings were compared and discussed. The influences of gas humidity and working temperature on the sensor responses were further studied. - Highlights: • Porous gas sensitive coatings were deposited by plasma spray using powder and solution precursor. • Crystallized WO{sub 3} were obtained through hybrid plasma spray plus a pre-conditioned step. • Plasma power had an important influence on coating microstructure. • The particle size of atmospheric plasma-sprayed microstructured coating was stable. • Solution precursor plasma-sprayed WO{sub 3} coatings had nanostructure and showed good responses to 1 ppm NO{sub 2}.

  8. U-tube based near-surface environmental monitoring in the Shenhua carbon dioxide capture and storage (CCS) project.

    Science.gov (United States)

    Li, Qi; Song, Ranran; Shi, Hui; Ma, Jianli; Liu, Xuehao; Li, Xiaochun

    2018-04-01

    The CO 2 injected into deep formations during implementation of carbon dioxide (CO 2 ) capture and storage (CCS) technology may leak and migrate into shallow aquifers or ground surfaces through a variety of pathways over a long period. The leaked CO 2 can threaten shallow environments as well as human health. Therefore, almost all monitoring programs for CCS projects around the world contain near-surface monitoring. This paper presents a U-tube based near-surface monitoring technology focusing on its first application in the Shenhua CCS demonstration project, located in the Ordos Basin, Inner Mongolia, China. First, background information on the site monitoring program of the Shenhua CCS demonstration project was provided. Then, the principle of fluid sampling and the monitoring methods were summarized for the U-tube sampler system, and the monitoring data were analyzed in detail. The U-tube based monitoring results showed that the U-tube sampler system is accurate, flexible, and representative of the subsurface fluid sampling process. The monitoring indicators for the subsurface water and soil gas at the Shenhua CCS site indicate good stratification characteristics. The concentration level of each monitoring indicator decreases with increasing depth. Finally, the significance of this near-surface environmental monitoring technology for CO 2 leakage assessments was preliminarily confirmed at the Shenhua CCS site. The application potential of the U-tube based monitoring technology was also demonstrated during the subsurface environmental monitoring of other CCS projects.

  9. Lightwand-Guided Endotracheal Intubation Performed by the Nondominant Hand is Feasible

    Directory of Open Access Journals (Sweden)

    Yi-Wei Kuo

    2007-10-01

    Full Text Available The aim of this study was to evaluate the efficiency of lightwand-guided endotracheal intubation (LWEI performed using either the right (dominant or left (nondominant hand. Two hundred and forty patients aged 21–64 years, with a Mallampati airway classification grade of I—II and undergoing endotracheal intubation under general anesthesia, were enrolled in this randomized and controlled study. Induction of anesthesia was initiated by intravenous administration of fentanyl (2 mg/kg and thiopentone (5mg/kg, and tracheal intubation was facilitated by intravenous atracurium (0.5 mg/kg. In the direct-vision laryngoscope group (group D; n = 80, the intubator held the laryngoscope in the left hand and inserted the endotracheal tube (ETT into the glottic opening with the right hand. In the group in which LWEI was performed with the right hand (group R; n = 80, the intubator lifted the patients' jaws with the left hand and inserted the ETT-LW unit into the glottic openings with the right hand. On the contrary, in the group in which LWEI was performed with the left hand (group L; n = 80, the intubator lifted the jaws with the right hand and inserted the ETT-LW unit with the left hand. Data including total intubation time, the number of intubation attempts, hemodynamic changes during intubation, and side effects following intubation, were collected. Regardless of whether lightwand manipulation was performed with the left hand (group L; 11.4 ± 9.3 s or the right-hand (group R; 12.4 ± 9.2 s, less time was consumed in the LWEI groups than in the laryngoscope group (group D; 17.9 ± 9.9s (p 95% on their first intubation attempts. The changes in mean arterial blood pressure and heart rate were similar among the three groups. A higher incidence of intubation-related oral injury and ventricular premature contractions (VPC was found in group D compared with groups L and R (oral injury: group D 8.5%, group L 1.3%, group R 0%, p = 0.005; VPC: group D 16

  10. Food contact surfaces coated with nitrogen-doped titanium dioxide: effect on Listeria monocytogenes survival under different light sources

    Energy Technology Data Exchange (ETDEWEB)

    Rodrigues, D.; Teixeira, P. [Institute for Biotechnology and Bioengineering, Centre of Biological Engineering, University of Minho, Campus de Gualtar, 4710-057 Braga (Portugal); Tavares, C.J. [Center of Physics, University of Minho, Campus de Azurém, 4800-058 Guimarães (Portugal); Azeredo, J., E-mail: jazeredo@deb.uminho.pt [Institute for Biotechnology and Bioengineering, Centre of Biological Engineering, University of Minho, Campus de Gualtar, 4710-057 Braga (Portugal)

    2013-04-01

    Improvement of food safety is a very important issue, and is on the basis of production and application of new/modified food contact surfaces. Titanium dioxide (TiO{sub 2}) and, more recently, nitrogen-doped titanium dioxide (N-TiO{sub 2}) coatings are among the possible forms to enhance food contact surfaces performance in terms of higher hygiene and easier sanitation. In this context, the present work aimed at evaluating the bactericidal activity of an N-TiO{sub 2} coating on glass and stainless steel under two different sources of visible light – fluorescent and incandescent – and ultraviolet (UV) irradiation. Listeria monocytogenes was chosen as representative of major foodborne pathogens and its survival was tested on N-TiO{sub 2} coated coupons. In terms of survival percentage, good results were obtained after exposure of coated surfaces to all light types since, apart from the value obtained after exposing glass to fluorescent light (56.3%), survival rates were always below 50%. However, no effective disinfection was obtained, given that for a disinfectant or sanitizing agent to be claimed as effective it needs to be able to promote at least a 3-log reduction of the microbial load, which was not observed for any of the experimental conditions assessed. Even so, UV irradiation was the most successful on eliminating cells on coated surfaces, since the amount of bacteria was reduced to 1.49 × 10{sup 6} CFU/ml on glass and 2.37 × 10{sup 7} on stainless steel. In contrast, both visible light sources had only slightly decreased the amount of viable cells, which remained in the range of 8 log CFU/ml. Hence, although some bactericidal effect was accomplished under visible light, UV was the most effective light source on promoting photocatalytic reactions on N-TiO{sub 2} coated coupons and none of the experimental conditions have reached a satisfactory disinfection level. Thus, this surface coating needs further research and improvement in order to become truly

  11. Orotracheal tube as a risk factor for lower respiratory tract infection: preliminary data from a randomised trial.

    Science.gov (United States)

    Muzlovic, Igor; Perme, Janja; Stubljar, David

    2018-05-01

    The aim of the study was to investigate whether polyurethane (PU) endotracheal tubes, continuous measurements of cuff pressure and aspiration of the subglottic space as a bundle of parameters could reduce patients' risk for developing ventilator associated pneumonia (VAP). Two groups of patients that differed only in terms of endotracheal tubes and intubation intervention were compared. Group A was ventilated using PU tubes a with conical cuff; they also had continuous cuff pressure measurement and continuous subglottic aspiration. Group B was ventilated using PVC tubes with a cylindrical cuff; the patients underwent intermittent cuff pressure measurement and intermittent subglottic aspiration. Seven patients in group A (13.2%) and 18 in group B (36.0%) out of 103 were diagnosed with VAP. VAP patients were in general older, stayed longer in the ICU and were ventilated significantly longer compared with the patients with no VAP. Eight more patients in group B died compared with group A. Moreover, subjects in group A survived longer. Patient age, hours on mechanical ventilation, and days on an ICU were all positively associated with the occurrence of VAP. Prevention parameters in ventilation (PU cuff, conical cuff, continuous subglottic drainage and continuous cuff pressure measurement) could prevent the incidence of VAP in ICU patients.

  12. Morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube or laryngeal mask airway.

    Science.gov (United States)

    Dias, Norimar Hernandes; Braz, José Reinaldo Cerqueira; Defaveri, Júlio; Carvalho, Lídia Raquel; Martins, Regina Helena Garcia

    2011-10-01

    To study morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube (ET) or laryngeal mask airway (LMA). Twelve dogs randomly were allocated to two groups: ET group (n-6) and LMA group (n-6), anaesthetized and mechanically ventilated, without CO(2) reabsorption. Haemodynamic and ventilatory parameters, tympanic temperature, temperature, relative and absolute humidity of the ambient and inhaled gases were analyzed during three hours. The animals were submitted to euthanasia and biopsies were carried out along the tracheal segment to morphological study. Three healthy dogs were used to morphological control. Inhaled gas temperature was maintained between 24ºC and 26ºC, relative humidity between 10% and 12%, and absolute humidity between 2 - 3 mg H(2)O.L(-1) with no significant differences between groups. In both groups, histological analysis showed epithelial inflammation and congestion in the corion and scanning electron microscopy showed ciliary grouping and disorganization. Transmission electron microscopy showed higher alterations in ET group than LMA group as widening of cell junctions, ciliary disorientation, cytoplasmic vacuolization, nuclear abnormalities, picnosis and chromatin condensation. LMA determined less pronounced changes in the tracheal epithelium in dogs exposed to the inhalation of poorly conditioned gases.

  13. A Study on Kaolin and Titanium dioxide affecting Physical Properties of Electrocoating

    International Nuclear Information System (INIS)

    Yang, Wonseog; Hwang, Woonsuk

    2013-01-01

    The electrocoating for automotive bodies is pigmented with a mixture of titanium dioxide and kaolin. In this study, the effects of titanium dioxide and kaolin contents in coating on electrodeposition process, drying, and surface properties such as surface roughness, gloss, impact resistance and corrosion resistance were investigated. Titanium dioxide and kaolin in coating do not have a decisive effect on curing reaction during drying and corrosion resistance but on gloss, surface roughness, impact resistance and electrodeposition process of coating. According to its size and shape on coating surface, pigment contents increased during drying process. However, the contents of kaolin and TiO 2 in coating didn't affect the corrosion resistance on zinc phosphated substrate, and the curing properties

  14. Preparation of antibody coated tubes

    International Nuclear Information System (INIS)

    Robles Berrueta, A.M.

    1997-01-01

    Full text: 1. Purification of IgG: 2-4 ml serum at pH 8 with Buffer tris 1M pH 8. Let serum pass through the column of Sepharose Prot. A (1-2 ml). Wash with: a) Buffer tris 0.1M pH 8; b) Buffer tris 0.01M pH 8. Elute with Glycine 0.1M pH 3 adding eluant at 0.5 ml fractions and collect in eppendorf tubes containing 50μ1 Buffer tris 1M pH 8 to neutralize. 20 fractions are collected. Absorbency at 280nm is measured in each fraction. Pool is formed with protein factions. Dialysis against water is done during 48 hours changing water twice during that lapse. Regenerate column for future use with 1 wash Urea 2M, second with LiCl 1M and third wash with Glycine 0.1 M pH 2.5. 2. Antibody Immobilization on an Activated Solid Phase: NUNC maxisorp, Star tube 75x12 mm is trade mark for polystyrene tubes from Pharmacia with less than 5% CV% inhomogeneity in adsorption of IgG and less than 10% for random bias of any result from mean value. They are kept closed until use. They are not reusable. The antibody is diluted to a working dilution with buffer carbonate-bi carbonate 0.1M, pH 9.6 (BCBic). Adequate volume is pipetted into maxisorb NUNC tubes paying attention not to produce droplets (1/200 dilution and 0.3 ml/tube are used for TSH assays). An incubation overnight is enough to get maximum IgG binding. Antibody solution is recovered for further use (after mixing with additional antibody). Solid phase is subject to washing with phosphate buffer with non-Ionic detergent (1 ml PB.5 + 0.5% Tween 20) and then with pure water. Tubes are left two hours upside down and kept tightly closed with dissicant at - 20 deg. C

  15. Endotracheal intubation with airtraq® versus storz® videolaryngoscope in children younger than two years - a randomized pilot-study

    Directory of Open Access Journals (Sweden)

    Sørensen Martin

    2012-04-01

    Full Text Available Abstract Background New laryngoscopes have become available for use in small children. The aim of the study was to compare the Storz® videolaryngoscope (SVL to the Airtraq® Optical laryngoscope (AOL for tracheal intubation in children younger than two years of age who had a normal airway assessment. Our hypothesis was that the SVL would have a better success rate than the AOL. Methods Ten children aged 2 years or younger scheduled for elective cleft lip/palate surgery were included. The anesthesia was standardized and a Cormack-Lehane (CL-score was obtained using a Macintosh laryngoscope. After randomization CL-score and endotracheal tube positioning in front of the glottis was performed with one device, followed by the same procedure and intubation with the other device. The video-feed was recorded along with real-time audio. The primary endpoint was the success rate, defined as intubation in first attempt. Secondary endpoints were the time from start of laryngoscopy to CL-score, tube positioning in front of the glottis, and intubation. Results Two intubation attempts were needed in two of five patients randomized to the SVL. The difference in time (SVL vs. AOL to CL-score was 4.5 sec (p = 0.0449. The difference in time (SVL vs. AOL to tube positioning was 11.6 sec (p = 0.0015. Time to intubation was 29.0 sec for SVL and 15.8 sec for AOL. Conclusion No difference in the success rate of endotracheal intubation could be established in this ten patient sample of children younger than two years with a normal airway assessment scheduled for elective cleft lip/palate surgery. However, the Airtraq® Optical videolaryngoscope showed a number of time related advantages over the Storz® videolaryngoscope. Because of the small sample size a larger trial is needed to confirm these findings. Both devices were considered safe in all intubations. Trial registration ClinicalTrials.gov; Identifier NCT01090726.

  16. Laryngotracheal Injury following Prolonged Endotracheal Intubation

    Directory of Open Access Journals (Sweden)

    J. Mehdizadeh

    2006-07-01

    Full Text Available Background: Prolonged endotracheal intubation is a growing method for supporting ventilation in patients who require intensive care. Despite considerable advancement in endotracheal intubation, this method still has some complications; the most important is laryngo-tracheal injuries. Methods: Over a 2-year period, this retrospective study was conducted on 57 patients with history of prolonged intubation who were referred to the ENT Department of Amir Alam Hospital. For each patient, a complete evaluation including history, physical examination, and direct laryngoscopy and bronchoscopy was done under general anesthesia. Results: Fifty-seven patients (44 male; mean age, 23.014.7 years were studied. Mean intubation period was 15.88 days. The most common presenting symptom was dyspnea (62%. Head trauma was responsible for most cases of intubation (72.4%. The most common types of tracheal and laryngeal lesions were tracheal (56.9% and subglottic (55.2% stenosis, respectively. Mean length of tracheal stenosis was 0.810.83 cm. There was a statistically significant relationship between length of tracheal stenosis and intubation period (P=0.0001 but no relation was observed between tracheal stenosis and age, sex, and etiology of intubation (All P=NS. Among the glottic lesions, inter- arytenoids adhesion was the most common lesion (25.9%. No statistically significant relation was found between glottic and subglottic lesions and age, sex and intubation period (all P=NS. Length of stenosis and intubation period was significantly greater in tracheal/ subglottic lesions than those in glottic/ supraglottic lesions (all P=NS. Conclusion: After prolonged endotracheal intubation, laryngo-tracheal lesions had no relation with patient’s age, sex, and cause of intubation.There was direct relation between length of tracheal stenosis and intubation period. Glottic lesions were more commonly observed in head trauma patients. Lesion length and intubation

  17. Comparative evaluation of various solid phases for the development of coated tube assays for the estimation of progesterone in human serum, bovine serum and bovine milk

    International Nuclear Information System (INIS)

    Karir, Tarveen; Samuel, Grace; Sivaprasad, N.; Venkatesh, Meera

    2009-01-01

    Immobilization of progesterone antibody using three polystyrene surfaces and two progesterone radiotracers for use in the development of a coated tube assay for the evaluation of progesterone levels in human serum, bovine serum and bovine milk was studied. The selection of the solid phase and the tracers were based on the maximum binding, non-specific binding, sensitivity and percentage recovery. Amongst the polystyrene tubes studied, streptavidin coated tubes showed the acceptable assay features such as low non-specific binding (0.5-1.0%), adequate sensitivity (0.13-0.16 ng/ml) and recovery (85-115%) for all the three sample matrices, human serum, bovine serum and bovine milk.

  18. Laryngeal morbidity after tracheal intubation

    DEFF Research Database (Denmark)

    Sørensen, M K; Rasmussen, N; Kristensen, M S

    2013-01-01

    BACKGROUND: Tracheal intubation may cause vocal fold damage. The trial was designed to assess laryngeal morbidity comparing the Endoflex(®) tube with a conventional endotracheal tube with stylet. We hypothesised that laryngeal morbidity within the first 24 h after extubation would be lower...... with the Endoflex tube than with the conventional endotracheal tube with stylet because of less rigidity. METHODS: This randomised trial included 130 elective surgical patients scheduled for general anaesthesia with endotracheal intubation. Pre- and post-operative assessment of hoarseness, vocal fold pathology......% with the Endoflex tube and 55% with the endotracheal tube with stylet at 24 h after extubation (P = 0.44). Post-operative vocal fold injury was present in 23% in the Endoflex tube group and in 36% in the endotracheal tube with stylet group (P = 0.13). The increase in shimmer, the voice analysis variable reflecting...

  19. Electrolytic Manganese Dioxide Coatings on High Aspect Ratio Micro-Pillar Arrays for 3D Thin Film Lithium Ion Batteries

    Directory of Open Access Journals (Sweden)

    Yafa Zargouni

    2017-05-01

    Full Text Available In this work, we present the electrochemical deposition of manganese dioxide (MnO2 thin films on carbon-coated TiN/Si micro-pillars. The carbon buffer layer, grown by plasma enhanced chemical vapor deposition (PECVD, is used as a protective coating for the underlying TiN current collector from oxidation, during the film deposition, while improving the electrical conductivity of the stack. A conformal electrolytic MnO2 (EMD coating is successfully achieved on high aspect ratio C/TiN/Si pillar arrays by tailoring the deposition process. Lithiation/Delithiation cycling tests have been performed. Reversible insertion and extraction of Li+ through EMD structure are observed. The fabricated stack is thus considered as a good candidate not only for 3D micorbatteries but also for other energy storage applications.

  20. Electrolytic Manganese Dioxide Coatings on High Aspect Ratio Micro-Pillar Arrays for 3D Thin Film Lithium Ion Batteries.

    Science.gov (United States)

    Zargouni, Yafa; Deheryan, Stella; Radisic, Alex; Alouani, Khaled; Vereecken, Philippe M

    2017-05-27

    In this work, we present the electrochemical deposition of manganese dioxide (MnO₂) thin films on carbon-coated TiN/Si micro-pillars. The carbon buffer layer, grown by plasma enhanced chemical vapor deposition (PECVD), is used as a protective coating for the underlying TiN current collector from oxidation, during the film deposition, while improving the electrical conductivity of the stack. A conformal electrolytic MnO₂ (EMD) coating is successfully achieved on high aspect ratio C/TiN/Si pillar arrays by tailoring the deposition process. Lithiation/Delithiation cycling tests have been performed. Reversible insertion and extraction of Li⁺ through EMD structure are observed. The fabricated stack is thus considered as a good candidate not only for 3D micorbatteries but also for other energy storage applications.

  1. Air-driven viscous film flow coating the interior of a vertical tube

    Science.gov (United States)

    Ogrosky, H. Reed; Camassa, Roberto; Olander, Jeffrey

    2017-11-01

    We discuss a model for the flow of a viscous liquid film coating the interior of a vertical tube when the film is driven upwards against gravity by airflow through the center of the tube. The model consists of two components: (i) a nonlinear model, exploiting the slowly-varying liquid-air interface, for the interfacial stresses created by the airflow, and (ii) a long-wave asymptotic model for the air-liquid interface. The stability of small interfacial disturbances is studied analytically, and it is shown that the modeled free surface stresses contribute to both an increased upwards disturbance velocity and a more rapid instability growth than those of a previously developed model. Numerical solutions to the long-wave model exhibit saturated waves whose profiles and velocities show improvement, with respect to the previous model, in matching experiments. The model results are then compared with additional experiments for a slightly modified version of the problem. We gratefully acknowledge funding from NSF DMS-0509423, DMS-0908423, DMS-1009750, DMS-1517879, RTG DMS-0943851, CMG ARC-1025523 and NIEHS 534197-3411.

  2. EXPERIMENTAL INVESTIGATION OF NICKEL ALUMINIDE (NI3AL) NANOSTRUCTURED COATED ECONOMISER TUBE IN BOILER

    OpenAIRE

    * Gokulakannan A, Karuppasamy K

    2016-01-01

    Thermal Power Stations all over the world are facing the problem of boiler tube leakage frequently. The consequences of which affects the performance of power plant and huge amount of money loss. Hot corrosion and erosion are recognized as serious problems in coal based power generation plants in India. The maximum number of cause of failure in economizer unit is due to flue gas erosion. The corrosion resistant coatings used conventionally are having some limitations like degradation of the c...

  3. Process Intensification of Alkynol Semihydrogenation in a Tube Reactor Coated with a Pd/ZnO Catalyst

    Directory of Open Access Journals (Sweden)

    Nikolay Cherkasov

    2017-11-01

    Full Text Available Semihydrogenation of 2-methyl-3-butyn-2-ol (MBY was studied in a 5 m tube reactor wall-coated with a 5 wt% Pd/ZnO catalyst. The system allowed for the excellent selectivity towards the intermediate alkene of 97.8 ± 0.2% at an ambient H2 pressure and a MBY conversion below 90%. The maximum alkene yield reached 94.6% under solvent-free conditions and 96.0% in a 30 vol % MBY aqueous solution. The reactor stability was studied for 80 h on stream with a deactivation rate of only 0.07% per hour. Such a low deactivation rate provides a continuous operation of one month with only a two-fold decrease in catalyst activity and a metal leaching below 1 parts per billion (ppb. The excellent turn-over numbers (TON of above 105 illustrates a very efficient utilisation of the noble metal inside catalyst-coated tube reactors. When compared to batch operation at 70 °C, the reaction rate in flow reactor can be increased by eight times at a higher reaction temperature, keeping the same product decomposition of about 1% in both cases.

  4. Corrosion behavior of ceramic-coated ZIRLO™ exposed to supercritical water

    Science.gov (United States)

    Mandapaka, Kiran K.; Cahyadi, Rico S.; Yalisove, Steven; Kuang, Wenjun; Sickafus, K.; Patel, Maulik K.; Was, Gary S.

    2018-01-01

    The corrosion behavior of ceramic coated ZIRLO™ tubing was evaluated in a supercritical water (SCW) environment to determine its behavior in high temperature water. Two coating architectures were analyzed; a 4 bi-layer TiAlN/TiN coating with Ti bond coat, and a TiN monolithic coating with Ti bond layer on ZIRLO™ tubes using cathodic arc physical vapor deposition (CA-PVD) technique. Femtosecond laser ablation was used to introduce reproducible defects in some of the coated tubes. On exposure to deaerated supercritical water at 542 °C for 48 h, coated tubes exhibited significantly higher weight gain compared to uncoated ZIRLO™. Examination revealed formation of a uniform ZrO2 layer beneath the coating of a thickness similar to that on the uncoated tube inner surface. The defects generated during the coating process acted as preferential paths for diffusion of oxygen resulting in the oxidation of substrate ZIRLO™. However, there was no delamination of the coating. There were insignificant differences in the oxidation weight gain between laser ablated and non-ablated tubes and the laser induced defects did not spread beyond their original size.

  5. In vitro evaluation of the method effectiveness to limit inflation pressure cuffs of endotracheal tubes

    Directory of Open Access Journals (Sweden)

    Rafael de Macedo Coelho

    2016-04-01

    Full Text Available ABSTRACT BACKGROUND AND OBJECTIVE: Cuffs of tracheal tubes protect the lower airway from aspiration of gastric contents and facilitate ventilation, but may cause many complications, especially when the cuff pressure exceeds 30 cm H2O. This occurs in over 30% of conventional insufflations, so it is recommended to limit this pressure. In this study we evaluated the in vitro effectiveness of a method of limiting the cuff pressure to a range between 20 and 30 cm H2O. METHOD: Using an adapter to connect the tested tube to the anesthesia machine, the relief valve was regulated to 30 cm H2O, inflating the cuff by operating the rapid flow of oxygen button. There were 33 trials for each tube of three manufacturers, of five sizes (6.5-8.5, using three times inflation (10, 15 and 20 s, totaling 1485 tests. After inflation, the pressure obtained was measured with a manometer. Pressure >30 cm H2O or <20 cm H2O were considered failures. RESULTS: There were eight failures (0.5%, 95% CI: 0.1-0.9%, with all by pressures <20 cm H2O and after 10 s inflation (1.6%, 95% CI: 0 5-2.7%. One failure occurred with a 6.5 tube (0.3%, 95% CI: -0.3 to 0.9%, six with 7.0 tubes (2%, 95% CI: 0.4-3.6%, and one with a 7.5 tube (0.3%, 95% CI: -0.3 to 0.9%. CONCLUSION: This method was effective for inflating tracheal tube cuffs of different sizes and manufacturers, limiting its pressure to a range between 20 and 30 cm H2O, with a success rate of 99.5% (95% CI: 99.1-99.9%.

  6. Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation.

    Science.gov (United States)

    Qureshi, Mosarrat J; Kumar, Manoj

    2018-03-15

    Providing effective positive pressure ventilation is considered to be the single most important component of successful neonatal resuscitation. Ventilation is frequently initiated manually with bag and face mask (BMV) followed by endotracheal intubation if respiratory depression continues. These techniques may be difficult to perform successfully resulting in prolonged resuscitation or neonatal asphyxia. The laryngeal mask airway (LMA) may achieve initial ventilation and successful resuscitation faster than a bag-mask device or endotracheal intubation. Among newborns requiring positive pressure ventilation for cardio-pulmonary resuscitation, is LMA more effective than BMV or endotracheal intubation for successful resuscitation? When BMV is either insufficient or ineffective, is effective positive pressure ventilation and successful resuscitation achieved faster with the LMA compared to endotracheal intubation? We used the standard search strategy of Cochrane Neonatal to search the Cochrane Central Register of Controlled Trials (CENTRAL 2017, Issue 1), MEDLINE via PubMed (1966 to 15 February 2017), Embase (1980 to 15 February 2017), and CINAHL (1982 to 15 February 2017). We also searched clinical trials registers, conference proceedings, and the reference lists of retrieved articles for randomised controlled trials and quasi-randomised trials. We included randomised and quasi-randomised controlled trials that compared LMA for neonatal resuscitation with either BMV or endotracheal intubation and reported on any outcomes related to neonatal resuscitation specified in this review. Two review authors independently evaluated studies for risk of bias assessments, and extracted data using Cochrane Neonatal criteria. Categorical treatment effects were described as relative risks and continuous treatment effects were described as the mean difference, with 95% confidence intervals (95% CI) of estimates. We included seven trials that involved a total of 794 infants. Five

  7. Preparing hydroxyapatite-silicon composite suspensions with homogeneous distribution of multi-walled carbon nano-tubes for electrophoretic coating of NiTi bone implant and their effect on the surface morphology

    International Nuclear Information System (INIS)

    Khalili, Vida; Khalil-Allafi, Jafar; Xia, Wei; Parsa, Alireza B.; Frenzel, Jan; Somsen, Christoph; Eggeler, Gunther

    2016-01-01

    Graphical abstract: - Highlights: • The stable composite suspensions of hydroxyapatite, silicon and multi-walled carbon nano-tubes was prepared using functionalization of and multi-walled carbon nano-tubes in HNO_3 vapor and triethanolamine as dispersing agent. • The zeta potential of composite suspensions is less than that of hydroxyapatite suspension. • The silicon particles presence in suspension causes to decrease the charge carrier in suspension and current density during electrophoretic deposition. • The orientation of multi-walled carbon nano-tubes to parallel direction of the applied electric field during electrophoretic deposition can facilitate their moving towards the cathode and increase current density. • The more zeta potential of suspension, the lower roughness of coatings during electrophoretic deposition. - Abstract: Preparing a stable suspension is a main step towards the electrophoretically depositing of homogeneous and dense composite coatings on NiTi for its biomedical application. In the present study, different composite suspensions of hydroxyapatite, silicon and multi-walled carbon nano-tubes were prepared using n-butanol and triethanolamine as media and dispersing agent, respectively. Multi-walled carbon nanotubes were first functionalized in the nitric acid vapor for 15 h at 175 °C, and then mixed into suspensions. Thermal desorption spectroscopy profiles indicate the formation of functional groups on multi-walled carbon nano-tubes. An excellent suspension stability can be achieved for different amounts of triethanolamine. The amount of triethanolamine can be increased by adding a second component to a stable hydroxyapatite suspension due to an electrostatic interaction between components in suspension. The stability of composite suspension is less than that of the hydroxyapatite suspension, due to density differences, which under the gravitational force promote the demixing. The scanning electron microscopy images of the

  8. Flow Vaporization of CO{sub 2} in Microchannel Tubes

    Energy Technology Data Exchange (ETDEWEB)

    Pettersen, Jostein

    2002-07-01

    Carbon dioxide is receiving renewed interest as an efficient and environmentally safe refrigerant in a number of applications, including mobile air conditioning and heat pump systems, and hot water heat pumps. Compact heat exchangers for CO{sub 2} systems are designed with small-diameter tubing. The purpose of this study is therefore to provide a better basis for understanding and predicting heat transfer and pressure drop during flow vaporization of CO{sub 2} in microchannels. The ''unusual'' properties of carbon dioxide give heat transfer and two-phase flow characteristics that are very different from those of conventional refrigerants. Examples of these differences are the much higher pressure, the resulting high vapour density, a very low surface tension, and a low liquid viscosity. High pressure and low surface tension has a major effect on nucleate boiling characteristics, and earlier test data have shown a clear dominance of nucleate boiling even at very high mass flux. Heat transfer tests were conducted in a rig using a flat, extruded aluminium microchannel tube of 540 mm length with 25 channels of 0.81 mm diameter. The horizontal test tube was heated by a water jacket in order to get representative boundary conditions for air-to-refrigerant heat transfer (''fluid heating''). Constant heat flux conditions do not simulate these boundary conditions well, and may give unrealistic behaviour especially in relation to dryout and post-dryout heat transfer. Systematic tests at constant heat flux with single-phase CO{sub 2} flow on the inside generated data that were used in the derivation of a model for water-side beat transfer coefficient. A regression based on these data gave a calibrated equation for water-side heat transfer on the form NuNu(Re,Pr). This equation was then used in later experiments to subtract water-side thermal resistance from the measured overall resistance (1/UA), thereby finding the internal heat

  9. [The role of endotracheal aspiration in the diagnosis of ventilator associated pneumonia].

    Science.gov (United States)

    Gürgün, Alev; Korkmaz Ekren, Pervin; Bacakoğlu, Feza; Başoğlu, Ozen Kaçmaz; Dirican, Nigar; Aydemir, Şöhret; Nart, Deniz; Sayıner, Abdullah

    2013-01-01

    Ventilator associated pneumonia (VAP) is one of the most important causes of mortality in patients treated with invasive mechanical ventilation (IMV) in intensive care unit (ICU). Microbiological examinations are required as clinical and radiological findings are usually insufficient in the diagnosis. Twenty four patients who were receiving IMV because of respiratory failure, had a Clinical Pulmonary Infection Score (CPIS) of ≥ 6 in the follow-up and died with the suspicion of VAP were enrolled in our study. Six patients were excluded as post-mortem biopsy could not be performed. The patients who had pre-mortem CPIS ≥ 6, in whom a causative organism was identified from the culture of post-mortem lung biopsy and/or histopathological examination of lung biopsy was compatible with pneumonia were diagnosed as VAP. In the 18 patients in whom a post-mortem lung biopsy was performed, quantitative culture results of endotracheal aspirate performed 48 hours prior to death were compared with microbiological and histopathological results of post-mortem lung biopsy specimens, and the role of endotracheal aspirate in the diagnosis of VAP was evaluated retrospectively. Out of 18 patients (12 men, mean age 67.0 ± 13.0 years) included in the study, 11 (61.1%) were diagnosed as VAP. The quantitative culture of endotracheal aspirate was positive in 9 (81.8%) out of 11 patients diagnosed as VAP. The sensitivity, specificity, positive and negative predictive values of endotracheal aspirate culture for identifying VAP were found to be 81.8%, 14.3%, 60.0% and 33.3%, respectively. Our study shown that quantitative culture of endotracheal aspirate is a practical and reliable method that can be used for the diagnosis of VAP in patients receiving IMV in ICU and having CPIS ≥ 6.

  10. Numerical simulation of flow boiling for organic fluid with high saturation temperature in vertical porous coated tube

    Energy Technology Data Exchange (ETDEWEB)

    Yang Dong, E-mail: dyang@mail.xjtu.edu.cn [State Key Laboratory of Multiphase Flow in Power Engineering, Xi' an Jiaotong University, Xi' an, Shaanxi Province 710049 (China); Pan Jie; Wu Yanhua; Chen Tingkuan [State Key Laboratory of Multiphase Flow in Power Engineering, Xi' an Jiaotong University, Xi' an, Shaanxi Province 710049 (China); Zhou, Chenn Q. [Department of Mechanical Engineering, Purdue University Calumet, Hammond, IN 46323 (United States)

    2011-08-15

    Highlights: > A model is developed for the prediction of flow boiling in vertical porous tubes. > The model assumes that the nucleate boiling plays an important role. > The present model can predict most of the experimental values within {+-}20%. > The results indicate the nucleate boiling contribution decreases from 50% to 15%. - Abstract: A semi-analytical model is developed for the prediction of flow boiling heat transfer inside vertical porous coated tubes. The model assumes that the forced convection and nucleate boiling coexist together in the annular flow regime. Conservations of mass, momentum, and energy are used to solve for the liquid film thickness and temperature. The heat flux due to nucleate boiling consists of those inside and outside micro-tunnels. To close the equations, a detailed analysis of various forces acting on the bubble is presented to predict its mean departure diameter. The active nucleation site density of porous layer is determined from the pool boiling correlation by introducing suppression factor. The flow boiling heat transfer coefficients of organic fluid (cumene) with high saturation temperature in a vertical flame-spraying porous coated tube are studied numerically. It is shown that the present model can predict most of the experimental values within {+-}20%. The numerical results also indicate that the nucleate boiling contribution to the overall heat transfer coefficient decreases from 50% to 15% with vapor quality increasing from 0.1 to 0.5.

  11. Low temperature sol-gel process for optical coatings based on magnesium fluoride and titanium dioxide; Niedertemperatur Sol-Gel Verfahren fuer optische Schichtsysteme auf Basis von Magnesiumfluorid und Titandioxid

    Energy Technology Data Exchange (ETDEWEB)

    Krueger, Hannes

    2009-09-24

    This work deals with the development of a low temperature sol-gel spincoating process for thin films with thicknesses in the nanometer range based on metal oxides and metal fluorides. Optical films such as anti-reflective (AR) or high reflective coatings are of much interest and consist of alternating dielectric layers of low and high refractive index materials. Regarding the general procedure for the metal fluorides a novel nonaqueous sol-gel synthesis starting from metal alkoxides and alcohol-dissolved HF was used. The coatings were dried and calcined at 100 C. The morphology of these films was characterised with REM, TEM and AFM. EDX and XPS were used to identify the chemical composition and ellipsometry and UV-vis spectroscopy to determine the optical properties of the films. This new process allows the preparation of homogeneous magnesium fluoride and titanium dioxide layers with low roughness (R{sub a} {<=} 1,9 nm) on silicon and quartz substrates. The magnesium fluoride layers are partially amorphous or microcrystalline with crystallite sizes from 2 nm to 10 nm. The titanium dioxide layers are predominantly amorphous. The thicknesses of the magnesium fluoride and titanium dioxide single layers were adjustable between 25 nm and 500 nm depending on the number of coating steps and on the concentration of the used sols. The magnesium fluoride layers had a refractive index of n{sub 500} = 1,36 and the titanium dioxide layers a refraction index of n{sub 500} = 2,05. For the first time, an alternating metal fluoride and oxide multilayer system was produced with a low temperature sol-gel method (consisting of magnesium fluoride and titanium dioxide). Based on the determined optical constants of the magnesium fluoride and titanium dioxide single layers, AR and HR multilayer systems were calculated and fabricated. The transmission spectra of the designs and the corresponding multilayer were in good agreement. Similar results were obtained with the reflection spectra

  12. Outstanding field emission properties of wet-processed titanium dioxide coated carbon nanotube based field emission devices

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Jinzhuo; Ou-Yang, Wei, E-mail: ouyangwei@phy.ecnu.edu.cn; Chen, Xiaohong; Guo, Pingsheng; Piao, Xianqing; Sun, Zhuo [Engineering Research Center for Nanophotonics and Advanced Instrument, Ministry of Education, Department of Physics, East China Normal University, 3663 North Zhongshan Road, Shanghai 200062 (China); Xu, Peng; Wang, Miao [Department of Physics, Zhejiang University, 38 ZheDa Road, Hangzhou 310027 (China); Li, Jun [Department of Electronic Science and Technology, Tongji University, 4800 Caoan Road, Shanghai 201804 (China)

    2015-02-16

    Field emission devices using a wet-processed composite cathode of carbon nanotube films coated with titanium dioxide exhibit outstanding field emission characteristics, including ultralow turn on field of 0.383 V μm{sup −1} and threshold field of 0.657 V μm{sup −1} corresponding with a very high field enhancement factor of 20 000, exceptional current stability, and excellent emission uniformity. The improved field emission properties are attributed to the enhanced edge effect simultaneously with the reduced screening effect, and the lowered work function of the composite cathode. In addition, the highly stable electron emission is found due to the presence of titanium dioxide nanoparticles on the carbon nanotubes, which prohibits the cathode from the influence of ions and free radical created in the emission process as well as residual oxygen gas in the device. The high-performance solution-processed composite cathode demonstrates great potential application in vacuum electronic devices.

  13. Thermoexpanded graphite modification by titanium dioxide

    International Nuclear Information System (INIS)

    Semko, L.S.; Gorbik, P.P.; Chujko, O.O.; Kruchek, Ya.Yi.; Dzyubenko, L.S.; Orans'ka, O.Yi.

    2006-01-01

    A method of the synthesis of thermoexpanded graphite (TEG) powders coated by titanium dioxide is developed. The conversion of n-buthylorthotitanate into TiO 2 on the TEG surface is investigated. The optimal parameters of the synthesis and the structure of titanium dioxide clusters on the TEG surface are determined

  14. Bromine-quenched high temperature G-M tube with passivated cathode

    International Nuclear Information System (INIS)

    Mitrofanov, N.

    1975-01-01

    A bromine doped self-quenching Geiger-Mueller tube having an operational life expectancy in excess of 1,200 hours at a temperature of 315 0 C is described. The tube comprises a passivated metal coated cathode which is conditioned or aged for operation at room temperature, thus obviating the necessity of thermally cycling the tube at progressively elevated temperatures. Useful metal coatings for the cathode include chromium, platinum, and nickel-copper alloys deposited in a layer less than about 1 mil thick. A method for passivating the metal coated cathode and subsequently conditioning the tube and its contents is disclosed. (auth)

  15. Boron nitride coated uranium dioxide and uranium dioxide-gadolinium oxide fuels

    Energy Technology Data Exchange (ETDEWEB)

    Gunduz, G [Department of Chemical Engineering, Middle East Technical Univ., Ankara (Turkey); Uslu, I; Tore, C; Tanker, E [Turkiye Atom Enerjisi Kurumu, Ankara (Turkey)

    1997-08-01

    Pure Urania and Urania-gadolinia (5 and 10%) fuels were produced by sol-gel technique. The sintered fuel pellets were then coated with boron nitride (BN). This is achieved through chemical vapor deposition (CVD) using boron trichloride and ammonia. The coated samples were sintered at 1600 K. The analyses under scanning electron microscope (SEM) showed a variety of BN structures, mainly platelike and rodlike structures were observed. Burnup calculations by using WIMSD4 showed that BN coated and gadolinia containing fuels have larger burnups than other fuels. The calculations were repeated at different pitch distances. The change of the radius of the fuel pellet or the moderator/fuel ratio showed that BN coated fuel gives the highest burnups at the present design values of a PWR. Key words: burnable absorber, boron nitride, gadolinia, CVT, nuclear fuel. (author). 32 refs, 14 figs.

  16. Boron nitride coated uranium dioxide and uranium dioxide-gadolinium oxide fuels

    International Nuclear Information System (INIS)

    Gunduz, G.; Uslu, I.; Tore, C.; Tanker, E.

    1997-01-01

    Pure Urania and Urania-gadolinia (5 and 10%) fuels were produced by sol-gel technique. The sintered fuel pellets were then coated with boron nitride (BN). This is achieved through chemical vapor deposition (CVD) using boron trichloride and ammonia. The coated samples were sintered at 1600 K. The analyses under scanning electron microscope (SEM) showed a variety of BN structures, mainly platelike and rodlike structures were observed. Burnup calculations by using WIMSD4 showed that BN coated and gadolinia containing fuels have larger burnups than other fuels. The calculations were repeated at different pitch distances. The change of the radius of the fuel pellet or the moderator/fuel ratio showed that BN coated fuel gives the highest burnups at the present design values of a PWR. Key words: burnable absorber, boron nitride, gadolinia, CVT, nuclear fuel. (author). 32 refs, 14 figs

  17. Pre-post evaluation of effects of a titanium dioxide coating on environmental contamination of an intensive care unit: the TITANIC study.

    Science.gov (United States)

    de Jong, B; Meeder, A M; Koekkoek, K W A C; Schouten, M A; Westers, P; van Zanten, A R H

    2018-07-01

    Among patients admitted to European hospitals or intensive care units (ICUs), 5.7% and 19.5% will encounter healthcare-associated infections (HAIs), respectively, and antimicrobial resistance is emerging. As hospital surfaces are contaminated with potentially pathogenic bacteria, environmental cleanliness is an essential aspect to reduce HAIs. To address the efficacy of a titanium dioxide coating in reducing the microbial colonization of environmental surfaces in an ICU. A prospective, controlled, single-centre pilot study was conducted to examine the effect of a titanium dioxide coating on the microbial colonization of surfaces in an ICU. During the pre- and post-intervention periods, surfaces were cultured with agar contact plates (BBL RODAC plates). Factors that were potentially influencing the bacterial colonization of surfaces were recorded. A repeated measurements analysis within a hierarchic multi-level framework was used to analyse the effect of the intervention, controlling for the explanatory variables. The mean ratio for the total number of colony-forming units (cfus) in a room between the pre- and post-intervention periods was 0.86 (standard deviation 0.57). The optimal model included the following explanatory variables: intervention (P=0.065), week (P=0.002), culture surfaces (P<0.001), ICU room (P=0.039), and interaction between intervention and week (P=0.002) and between week and culture surfaces (P=0.031). The effect of the intervention on the number of cfus from all culture plates in Week 4 between the pre- and post-intervention periods was -0.47 (95% confidence interval -0.24 to - 0.70). This study found that a titanium dioxide coating had no effect on the microbial colonization of surfaces in an ICU. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  18. Bioactivity and electrochemical behavior of hydroxyapatite-silicon-multi walled carbon nano-tubes composite coatings synthesized by EPD on NiTi alloys in simulated body fluid

    Energy Technology Data Exchange (ETDEWEB)

    Khalili, V., E-mail: V_khalili@sut.ac.ir [Department of Materials Engineering, Engineering Faculty, University of Bonab, Bonab (Iran, Islamic Republic of); Khalil-Allafi, J. [Research Center for Advanced Materials and Mineral Processing, Faculty of Materials Engineering, Sahand University of Technology, Tabriz (Iran, Islamic Republic of); Frenzel, J.; Eggeler, G. [Institute for Materials, Faculty of Mechanical Engineering, Ruhr-University Bochum, 44801 Bochum (Germany)

    2017-02-01

    In order to improve the surface bioactivity of NiTi bone implant and corrosion resistance, hydroxyapatite coating with addition of 20 wt% silicon, 1 wt% multi walled carbon nano-tubes and both of them were deposited on a NiTi substrate using a cathodic electrophoretic method. The apatite formation ability was estimated using immersion test in the simulated body fluid for 10 days. The SEM images of the surface of coatings after immersion in simulated body fluid show that the presence of silicon in the hydroxyapatite coatings accelerates in vitro growth of apatite layer on the coatings. The Open-circuit potential and electrochemical impedance spectroscopy were measured to evaluate the electrochemical behavior of the coatings in the simulated body fluid at 37 °C. The results indicate that the compact structure of hydroxyapatite-20 wt% silicon and hydroxyapatite-20 wt% silicon-1 wt% multi walled carbon nano-tubes coatings could efficiently increase the corrosion resistance of NiTi substrate. - Highlights: • The composite coatings of HA, Si and MWCNTs was prepared using electrophoretic deposition. • The presence of 1 wt.% MWCNTs in the HA coating provides more nucleation cites of apatite crystallites in SBF. • The presence of Si in HA coating increases the growth rate of apatite crystallites with the Ca/P atomic ratio of 1.67. • The EIS indicate the compact HA-20%Si and HA-20%Si-1%MWCNTs coatings efficiently increase corrosion resistance of NiTi. • The porous HA and HA-1%MWCNTs do not increase significantly corrosion resistance due to the easy diffusion path.

  19. Catalytic behaviors of ruthenium dioxide films deposited on ferroelectrics substrates, by spin coating process

    International Nuclear Information System (INIS)

    Khachane, M.; Nowakowski, P.; Villain, S.; Gavarri, J.R.; Muller, Ch.; Elaatmani, M.; Outzourhite, A.; Luk'yanchuk, I.; Zegzouti, A.; Daoud, M.

    2007-01-01

    Catalytic ruthenium dioxide films were deposited by spin-coating process on ferroelectric films mainly constituted of SrBi 2 Ta 2 O 9 (SBT) and Ba 2 NaNb 5 O 15 (BNN) phases. After thermal treatment under air, these ferroelectric-catalytic systems were characterized by X-ray diffraction and scanning electron microscopy (SEM). SEM images showed that RuO 2 film morphology depended on substrate nature. A study of CH 4 conversion into CO 2 and H 2 O was carried out using these catalytic-ferroelectric multilayers: the conversion was analyzed from Fourier transform infrared (FTIR) spectroscopy, at various temperatures. Improved catalytic properties were observed for RuO 2 films deposited on BNN oxide layer

  20. "COMPARISON OF HEMODYNAMIC CHANGES AFTER INSERTION OF LARYNGEAL MASK AIRWAY, FACEMASK AND ENDOTRACHEAL INTUBATION"

    Directory of Open Access Journals (Sweden)

    K. Montazari

    2004-11-01

    Full Text Available Hemodynamic changes are major hazards of general anesthesia and are probably generated by direct laryngoscopy and endotracheal intubation. We designed this prospective randomised study to assess the cardiovascular changes after either laryngeal mask airway (LMA, face mask (FM or endotracheal tube (ETT insertion in the airway management of adult patients anesthetised with nitrous oxide and halothane. A total of 195 healthy normotensive adult patients with normal airways were randomly assigned to one of the three groups according to their airway management (n= 65 each for transurethral lithotripsy procedures. Heart rate (HR, systolic blood pressure (SBP, diastolic blood pressure (DBP and mean arterial blood pressure (MAP values were recorded before the induction of anesthesia, and then every three minutes until 30 min thereafter. The mean maximum HR and MAP values obtained during 15 and 30 minutes after insertion of LMA were 81±13, 73±8 bpm and 82±14, 79 ±11 mmHg, respectively which were significantly smaller compared to those with FM (84±12, 80±6 bpm and 86±10, 83±13 mmHg and ETT (96±8, 88±7 bpm and 91±11, 82±9 mmHg (P< 0.05. Direct stimulation of the trachea appears to be a major cause of the hemodynamic changes associated with tracheal intubation during general anesthesia, but why hemodynamic changes in LMA were smaller than facemask needs further study. In healthy normotensive patients the use of LMA for the airway management during general anesthesia results in a smaller cardiovascular change than FM and ETT.

  1. I-gel Laryngeal Mask Airway Combined with Tracheal Intubation Attenuate Systemic Stress Response in Patients Undergoing Posterior Fossa Surgery

    Directory of Open Access Journals (Sweden)

    Chaoliang Tang

    2015-01-01

    patients. In this study, we proposed that I-gel combined with tracheal intubation could reduce the stress response of posterior fossa surgery patients. Methods. Sixty-six posterior fossa surgery patients were randomly allocated to receive either tracheal tube intubation (Group TT or I-gel facilitated endotracheal tube intubation (Group TI. Hemodynamic and respiratory variables, stress and inflammatory response, oxidative stress, anesthesia recovery parameters, and adverse events during emergence were compared. Results. Mean arterial pressure and heart rate were lower in Group TI during intubation and extubation (P<0.05 versus Group TT. Respiratory variables including peak airway pressure and end-tidal carbon dioxide tension were similar intraoperative, while plasma β-endorphin, cortisol, interleukin-6, tumor necrosis factor-alpha, malondialdehyde concentrations, and blood glucose were significantly lower in Group TI during emergence relative to Group TT. Postoperative bucking and serious hypertensions were seen in Group TT but not in Group TI. Conclusion. Utilization of I-gel combined with endotracheal tube in posterior fossa surgery patients is safe which can yield more stable hemodynamic profile during intubation and emergence and lower inflammatory and oxidative response, leading to uneventful recovery.

  2. Method of fabricating a poision tube for reactor control rods

    Energy Technology Data Exchange (ETDEWEB)

    Mori, Yasuhiko; Yoshida, Toshimi; Masaoka, Isao; Naruse, Akisuke

    1983-04-28

    A method to unify the neutron absorbing performance, enhance the workability in the insertion of neutron absorber tube and further decrease the stresses acting on the neutron absorber coating tube is described. The neutron absorber coated rod comprising neutron absorbing substance and a metal pipe is fabricated by compressing a metal pipe filled with the neutron absorber. Specifically, neutron absorbing substance such as boron carbide powder or the like is filled in a metal pipe such as made of stainless steel tube by way of vibration packing or the like. Then, after heating the metal pipe, it is applied with compression working such as swaging into a fine tube to increase the packing density of the absorbing substance filled in the pipe to greater than 60% of the theoretical density and completely contacted closely to the inner wall of the pipe. The neutron absorber coated rod thus fabricated can be inserted to an external coating tube with ease at a predetermined gap.

  3. The Study of Selected Properties of Ti EB PVD Coating Deposited Onto Inner Tube Surface at Low Temperature

    Directory of Open Access Journals (Sweden)

    Kottfer D.

    2016-03-01

    Full Text Available This study investigates the selected properties of the thin Ti coating applied by activated evaporation EB PVD technique. This technique was used for the deposition of Ti thin coating onto inner surface of OKhN3 MFA steel tubes. Deposition process was carried out at temperature 200°C. Conventional type of coatings - monolayer Ti - was analyzed by standard techniques for surface status and quality assessment - coating thickness, chemical composition by EDX analysis, adhesion, hardness, roughness, and growth direction of columns at room temperature. Ti monolayer achieved roughness Ra equal from 0.42 μm to 0.47 μm. The resulting hardness was from 2 GPa to 8.5 GPa depending on the sample location inside the vacuum chamber. Placing of the coated surface also affected the direction of grain growth of Ti coating columns. The angles α of grain growth were found to be from 40° to 60°. Angle α increased two to three times more than the incidence angle β (from 12° to 28° of evaporated Ti particles. Values of the adhesion measured along the Ti growth direction were mostly higher (up to 10% or the same as those measured perpendicular to it.

  4. In-service inspection of sub-coating defects in PWR reactor vessel tubes

    International Nuclear Information System (INIS)

    Birac, A.; Frappier, J.C.; Saglio, Robert.

    1982-08-01

    Since the presence of cracks under the coating of the tubes of certain PWR reactor vessels were noted during manufacture, the need emerged to develop a nondestructive testing method to guarantee the detection of existing cracks and to determine their potential evolution. An ultrasonic testing method was developed for the purpose. In Part 1, the choice of ultrasonic transducers is justified from the theoretical and practical standpoints. In Part 2, the results obtained on test specimens containing artificial defects are presented in accordance with the different parameters involved. In Part 3, covering parts with a large number of real defects, the results of real defect/recorded signal correlations are given, with respect to both detection and dimensions. Examples of automatic data processing are analyzed [fr

  5. Nanoporous Aluminum Oxide Membranes Coated with Atomic Layer Deposition-Grown Titanium Dioxide for Biomedical Applications: An In Vitro Evaluation.

    Science.gov (United States)

    Petrochenko, Peter E; Kumar, Girish; Fu, Wujun; Zhang, Qin; Zheng, Jiwen; Liang, Chengdu; Goering, Peter L; Narayan, Roger J

    2015-12-01

    The surface topographies of nanoporous anodic aluminum oxide (AAO) and titanium dioxide (TiO2) membranes have been shown to modulate cell response in orthopedic and skin wound repair applications. In this study, we: (1) demonstrate an improved atomic layer deposition (ALD) method for coating the porous structures of 20, 100, and 200 nm pore diameter AAO with nanometer-thick layers of TiO2 and (2) evaluate the effects of uncoated AAO and TiO2-coated AAO on cellular responses. The TiO2 coatings were deposited on the AAO membranes without compromising the openings of the nanoscale pores. The 20 nm TiO2-coated membranes showed the highest amount of initial protein adsorption via the micro bicinchoninic acid (micro-BCA) assay; all of the TiO2-coated membranes showed slightly higher protein adsorption than the uncoated control materials. Cell viability, proliferation, and inflammatory responses on the TiO2-coated AAO membranes showed no adverse outcomes. For all of the tested surfaces, normal increases in proliferation (DNA content) of L929 fibroblasts were observed over from 4 hours to 72 hours. No increases in TNF-alpha production were seen in RAW 264.7 macrophages grown on TiO2-coated AAO membranes compared to uncoated AAO membranes and tissue culture polystyrene (TCPS) surfaces. Both uncoated AAO membranes and TiO2-coated AAO membranes showed no significant effects on cell growth and inflammatory responses. The results suggest that TiO2-coated AAO may serve as a reasonable prototype material for the development of nanostructured wound repair devices and orthopedic implants.

  6. Estimation of optimal nasotracheal tube depth in adult patients.

    Science.gov (United States)

    Ji, Sung-Mi

    2017-12-01

    The aim of this study was to estimate the optimal depth of nasotracheal tube placement. We enrolled 110 patients scheduled to undergo oral and maxillofacial surgery, requiring nasotracheal intubation. After intubation, the depth of tube insertion was measured. The neck circumference and distances from nares to tragus, tragus to angle of the mandible, and angle of the mandible to sternal notch were measured. To estimate optimal tube depth, correlation and regression analyses were performed using clinical and anthropometric parameters. The mean tube depth was 28.9 ± 1.3 cm in men (n = 62), and 26.6 ± 1.5 cm in women (n = 48). Tube depth significantly correlated with height (r = 0.735, P < 0.001). Distances from nares to tragus, tragus to angle of the mandible, and angle of the mandible to sternal notch correlated with depth of the endotracheal tube (r = 0.363, r = 0.362, and r = 0.546, P < 0.05). The tube depth also correlated with the sum of these distances (r = 0.646, P < 0.001). We devised the following formula for estimating tube depth: 19.856 + 0.267 × sum of the three distances (R 2 = 0.432, P < 0.001). The optimal tube depth for nasotracheally intubated adult patients correlated with height and sum of the distances from nares to tragus, tragus to angle of the mandible, and angle of the mandible to sternal notch. The proposed equation would be a useful guide to determine optimal nasotracheal tube placement.

  7. Hands-Off Time for Endotracheal Intubation during CPR Is Not Altered by the Use of the C-MAC Video-Laryngoscope Compared to Conventional Direct Laryngoscopy. A Randomized Crossover Manikin Study.

    Directory of Open Access Journals (Sweden)

    Philipp Schuerner

    Full Text Available Sufficient ventilation and oxygenation through proper airway management is essential in patients undergoing cardio-pulmonary resuscitation (CPR. Although widely discussed, securing the airway using an endotracheal tube is considered the standard of care. Endotracheal intubation may be challenging and causes prolonged interruption of chest compressions. Videolaryngoscopes have been introduced to better visualize the vocal cords and accelerate intubation, which makes endotracheal intubation much safer and may contribute to intubation success. Therefore, we aimed to compare hands-off time and intubation success of direct laryngoscopy with videolaryngoscopy (C-MAC, Karl Storz, Tuttlingen, Germany in a randomized, cross-over manikin study.Twenty-six anesthesia residents and twelve anesthesia consultants of the University Hospital Zurich were recruited through a voluntary enrolment. All participants performed endotracheal intubation using direct laryngoscopy and C-MAC in a random order during ongoing chest compressions. Participants were strictly advised to stop chest compression only if necessary.The median hands-off time was 1.9 seconds in direct laryngoscopy, compared to 3 seconds in the C-MAC group. In direct laryngoscopy 39 intubation attempts were recorded, resulting in an overall first intubation attempt success rate of 97%, compared to 38 intubation attempts and 100% overall first intubation attempt success rate in the C-MAC group.As a conclusion, the results of our manikin-study demonstrate that video laryngoscopes might not be beneficial compared to conventional, direct laryngoscopy in easily accessible airways under CPR conditions and in experienced hands. The benefits of video laryngoscopes are of course more distinct in overcoming difficult airways, as it converts a potential "blind intubation" into an intubation under visual control.

  8. Hands-Off Time for Endotracheal Intubation during CPR Is Not Altered by the Use of the C-MAC Video-Laryngoscope Compared to Conventional Direct Laryngoscopy. A Randomized Crossover Manikin Study.

    Science.gov (United States)

    Schuerner, Philipp; Grande, Bastian; Piegeler, Tobias; Schlaepfer, Martin; Saager, Leif; Hutcherson, Matthew T; Spahn, Donat R; Ruetzler, Kurt

    2016-01-01

    Sufficient ventilation and oxygenation through proper airway management is essential in patients undergoing cardio-pulmonary resuscitation (CPR). Although widely discussed, securing the airway using an endotracheal tube is considered the standard of care. Endotracheal intubation may be challenging and causes prolonged interruption of chest compressions. Videolaryngoscopes have been introduced to better visualize the vocal cords and accelerate intubation, which makes endotracheal intubation much safer and may contribute to intubation success. Therefore, we aimed to compare hands-off time and intubation success of direct laryngoscopy with videolaryngoscopy (C-MAC, Karl Storz, Tuttlingen, Germany) in a randomized, cross-over manikin study. Twenty-six anesthesia residents and twelve anesthesia consultants of the University Hospital Zurich were recruited through a voluntary enrolment. All participants performed endotracheal intubation using direct laryngoscopy and C-MAC in a random order during ongoing chest compressions. Participants were strictly advised to stop chest compression only if necessary. The median hands-off time was 1.9 seconds in direct laryngoscopy, compared to 3 seconds in the C-MAC group. In direct laryngoscopy 39 intubation attempts were recorded, resulting in an overall first intubation attempt success rate of 97%, compared to 38 intubation attempts and 100% overall first intubation attempt success rate in the C-MAC group. As a conclusion, the results of our manikin-study demonstrate that video laryngoscopes might not be beneficial compared to conventional, direct laryngoscopy in easily accessible airways under CPR conditions and in experienced hands. The benefits of video laryngoscopes are of course more distinct in overcoming difficult airways, as it converts a potential "blind intubation" into an intubation under visual control.

  9. Inhibition of Tongue Coat and Dental Plaque Formation by Stabilized Chlorine Dioxide Vs Chlorhexidine Mouthrinse: A Randomized, Triple Blinded Study.

    Science.gov (United States)

    Yadav, Seema Roodmal; Kini, Vineet Vaman; Padhye, Ashvini

    2015-09-01

    Chlorine dioxide (ClO2) is an oxidizing agent with known bactericidal, viricidal and fungicidal properties. Its efficacy in reducing the halitosis has been established by previous literature. However, data evaluating its antiplaque property is scarce. Chlorhexidine (CHX) is considered as the gold standard and an effective adjunctive to mechanical plaque removal. However, it is associated with few reversible side effects. Therefore a study was conducted to assess the antiplaque property of ClO2 containing mouthrinse against CHX mouthrinse. To evaluate the efficacy of stabilized chlorine dioxide containing mouthrinse and CHX containing mouthrinse in inhibition of tongue coat accumulation and dental plaque formation using a four day plaque regrowth model clinically and microbiologically in a healthy dental cohort. A Single Center, Randomized, Triple blinded, Microbiological clinical trial was conducted involving 25 healthy dental students volunteers (11 males, 14 females). Two commercially available mouthrinse: Mouthrinse A - Aqueous based ClO2 mouthrinse Freshchlor(®) and Mouthrinse B - Aqueous based 0.2% CHX mouthrinse Hexidine(®) were selected as the test products. Subjects were asked to rinse and gargle for 1 minute with the allocated mouthrinse under supervision after supragingival scaling, polishing and tongue coat removal. After four hours, smears were taken from the buccal mucosa and tooth surface. On the fifth day from baseline of four day non brushing plaque regrowth model the samples were again taken from buccal mucosa and tooth surface followed by recording of plaque scores by Rastogi Modification of Navy Plaque index, extent of tongue coat by Winkel's tongue coating index and measuring tongue coat wet weight in grams. The samples collected were subjected to microbial analysis and the results were expressed as colony forming units (CFUs) per sample. The Data was analysed using SPSS 16.00 and presented using descriptive statistics. Independent t-test was

  10. influence of head flexion after endotracheal intuba- tion on ...

    African Journals Online (AJOL)

    David Ofori-Adjei

    2008-09-01

    Sep 1, 2008 ... Cataract is a common cause of visual impairment in older individuals. ... After induction of general anesthesia and endotracheal intubation, the ..... Stress re- sponse to tracheal intubation in patients undergoing coronary artery surgery: direct laryngoscopy versus an intubating laryngeal mask airway.

  11. Fuel Retention Improvement at High Temperatures in Tungsten-Uranium Dioxide Dispersion Fuel Elements by Plasma-Spray Cladding

    Science.gov (United States)

    Grisaffe, Salvatore J.; Caves, Robert M.

    1964-01-01

    An investigation was undertaken to determine the feasibility of depositing integrally bonded plasma-sprayed tungsten coatings onto 80-volume-percent tungsten - 20-volume-percent uranium dioxide composites. These composites were face clad with thin tungsten foil to inhibit uranium dioxide loss at elevated temperatures, but loss at the unclad edges was still significant. By preheating the composite substrates to approximately 3700 degrees F in a nitrogen environment, metallurgically bonded tungsten coatings could be obtained directly by plasma spraying. Furthermore, even though these coatings were thin and somewhat porous, they greatly inhibited the loss of uranium dioxide. For example, a specimen that was face clad but had no edge cladding lost 5.8 percent uranium dioxide after 2 hours at 4750 dgrees F in flowing hydrogen. A similar specimen with plasma-spray-coated edges, however, lost only 0.75 percent uranium dioxide under the same testing conditions.

  12. Whistle from Afar: A Case of Endotracheal Metastasis in Papillary Thyroid Cancer

    Directory of Open Access Journals (Sweden)

    Bitoti Chattopadhyay

    2012-01-01

    Full Text Available Endotracheal metastasis is a rare situation, usually associated with malignancies of breast and gastrointestinal tract, specially colon. Papillary carcinoma of thyroid commonly disseminates through lymphatic channels and tracheal involvement through vascular route is rarely reported. Here, we report a case of tracheal metastasis from papillary carcinoma of thyroid. The patient responded to external beam radiation therapy with cobalt 60 beams in a dose of 44 Gy followed by a 16 Gy boost. The patient is under followup and is presently asymptomatic. This paper adds to the repertoire of evidence in treatment of endotracheal metastasis.

  13. Bronchial Blocker Versus Left Double-Lumen Endotracheal Tube for One-Lung Ventilation in Right Video-Assisted Thoracoscopic Surgery.

    Science.gov (United States)

    Lu, Yao; Dai, Wei; Zong, Zhijun; Xiao, Yimin; Wu, Di; Liu, Xuesheng; Chun Wong, Gordon Tin

    2018-02-01

    The aim of this study was to compare the quality of lung deflation of a left-sided double-lumen endotracheal tube (DLT) with a bronchial blocker (BB) for one-lung ventilation in video-assisted thoracic surgery (VATS). A prospective, randomized, clinical study. A university-affiliated teaching hospital. Forty-five adult patients undergoing esophageal tumor surgery using VATS with right lung deflation. Patients were assigned by a computer-generated randomization sequence to either the left-sided DLT or BB group. The correct positioning of the airway device was confirmed using fiberoptic bronchoscopy. The variables assessed included: (1) time required to correctly place the devices and to achieve lung collapse; (2) the number of times the device malpositioned; (3) the quality of lung deflation as rated by the surgeon; (4) blood pressure and heart rate at baseline (T 1 ), immediately before (T 2 ) and after (T 3 ) and 1 minute (T 4 ) after intubation; (5) the number of patients with hypoxemia (SpO 2 one-lung ventilation (OLV) period; and (6) postoperative hoarseness of voice, sore throat, or pulmonary infection. Of the 45 patients approached for the study, 21 patients in the DLT group and 19 patients in the BB group were analyzed. The time required to place the device in the correct position was similar between the 2 groups. The time to achieve right lung collapse in the BB group was significantly longer (mean difference: 3.232, 95% confidence interval [CI]: 1.993-4.471; p = 0.003). The quality of lung collapse, OLV duration, number of patients with device malposition, and hypoxemia in both groups were similar. There were more patients suffering hoarseness (odds ratio [OR]: 4.85, 95% CI: 1.08-21.76; p = 0.034) or sore throat (OR: 4.29, 95% CI: 1.14-16.18; p = 0.030) in the DLT group, while no patients developed postoperative lung infection in either group. Compared to T 1 , systolic blood pressure (sBP), diastolic BP (dBP), and heart rate (HR) at T 2 in both groups

  14. Respiratory-aspirated 35-mm hairpin successfully retrieved with a Teflon® snare system under fluoroscopic guidance via a split endotracheal tube: a useful technique in cases of failed extraction by bronchoscopy and avoiding the need for a thoracotomy.

    Science.gov (United States)

    Gill, S S; Pease, R A; Ashwin, C J; Gill, S S; Tait, N P

    2012-09-01

    Respiratory foreign body aspiration (FBA) is a common global health problem requiring prompt recognition and early treatment to prevent potentially fatal complications. The majority of FBAs are due to organic objects and treatment is usually via either endoscopic or surgical extraction. FBA of a straight hairpin has been described as a unique entity in the literature, occurring most commonly in females, particularly during adolescence. In the process of inserting hairpins, the pins will typically be between the teeth with the head tilted backwards, while tying their hair with both hands. This position increases the risk of aspiration, particularly if there is any sudden coughing or laughing. To our knowledge, this is the first case report of a 35-mm straight metallic hairpin foreign body that has been successfully retrieved by a radiological snare system under fluoroscopic guidance. This was achieved with the use of a split endotracheal tube, and therefore avoided the need for a thoracotomy in an adolescent female patient.

  15. Effects of deposited pyrolytic carbon on some mechanical properties of zircaloy-4 tubes. Vol. 3

    Energy Technology Data Exchange (ETDEWEB)

    Shrkawy, S W; Abdel-razek, I D; El-Sayed, H A [Metallurgy Department, Nuclear Research Center, Atomic Energy Authority, Cairo (Egypt)

    1996-03-01

    Zircaloy cladding tubes are not compatible with the uranium fuel pellets as they suffer from failure due to pelletclad interaction (PCI). A carbon coating, as used in the canadian CANLUB fuel elements, is thought to improve the cladding performance with respect to the PCI problem. In this paper pyrolytic carbon coating was deposited on zircaloy-4 cladding tubes by the thermal cracking of commercial butant gas at the temperature range 250-450 degree C. In order to evaluate the effect of gaseous species on the mechanical properties of the tubes tensile and microhardness testing measurements were performed on samples prepared from the coated tubes. The fractured surface of the tensile zircaloy tubes and the deposited carbon coating, both, were examined by the SEM. The results of the tensile tests of zircaloy-4 tubes indicated that the coating process has insignificant effect on the ultimate strength of the tubes tested. The values of Vickers hardness numbers were not significantly changed across the tubes thickness. The microstructure of deposited carbon, due to the cracking process, was granular in all the temperature range (250-450 degree C) studied. 9 figs., 1 tab.

  16. Coating requirements for an ICF dry-wall design

    International Nuclear Information System (INIS)

    Taylor, L.H.; Sucov, E.W.

    1981-01-01

    A new concept for protecting the first wall of an ICF reactor has been developed which relies heavily on a coating to protect the steel tubes which comprise the first wall. This coating must survive the pellet explosion, be ductile, and be compatible with the materials in the ICF pellet. Calculations indicate that tantalum is the best choice for the coating material and that tantalum coated steel tubes can handle fusion thermal powers of 3500 MW in a 10 m radius spherical chamber

  17. [Difficult Ventilation Requiring Emergency Endotracheal Intubation during Awake Craniotomy Managed by Laryngeal Mask Airway].

    Science.gov (United States)

    Matsuda, Asako; Mizota, Toshiyuki; Tanaka, Tomoharu; Segawa, Hajime; Fukuda, Kazuhiko

    2016-04-01

    We report a case of difficult ventilation requiring emergency endotracheal intubation during awake craniotomy managed by laryngeal mask airway (LMA). A 45-year-old woman was scheduled to receive awake craniotomy for brain tumor in the frontal lobe. After anesthetic induction, airway was secured using ProSeal LMA and patient was mechanically ventilated in pressure-control mode. Patient's head was fixed with head-pins at anteflex position, and the operation started. About one hour after the start of the operation, tidal volume suddenly decreased. We immediately started manual ventilation, but the airway resistance was extremely high and we could not adequately ventilate the patient. We administered muscle relaxant for suspected laryngospasm, but ventilatory status did not improve; so we decided to conduct emergency endotracheal intubation. We tried to intubate using Airwayscope or LMA-Fastrach, but they were not effective in our case. Finally trachea was intubated using transnasal fiberoptic bronchoscopy. We discuss airway management during awake craniotomy, focusing on emergency endotracheal intubation during surgery.

  18. Effect of the polymeric coating thickness on the photocurrent performance of titanium dioxide nanorod arrays-polyaniline composite-based UV photosensor

    Science.gov (United States)

    Yusoff, M. M.; Mamat, M. H.; Malek, M. F.; Othman, , N.; Ismail, A. S.; Saidi, S. A.; Mohamed, R.; Suriani, A. B.; Khusaimi, Z.; Rusop, M.

    2018-05-01

    Titanium dioxide (TiO2) nanorod arrays (TNAs) were synthesized and deposited on fluorine tin oxide (FTO)-coated glass substrate using a one-step immersion method in a glass container. The effect of the polymeric coating thickness of p-type polyaniline (PANI) on the n-type TNAs was investigated in the p-n heterojunction photodiode (PD) for the application of ultraviolet (UV) photosensor. The fabricated photosensor demonstrated an increased photocurrent under UV irradiation in correlation with the thickness layer of PANI. The measured UV response showed the highest photocurrent of 0.014 µA at 1.0 V of reverse bias with low dark current under the UV radiation (365 nm, 750 µW/cm2). The thickness of the PANI film improved the photocurrent of the fabricated TNAs/PANI composite-based UV photosensor.

  19. Endotracheal intubation skill acquisition by medical students

    Directory of Open Access Journals (Sweden)

    Henry E. Wang MD MS

    2011-08-01

    Full Text Available During the course of their training, medical students may receive introductory experience with advanced resuscitation skills. Endotracheal intubation (ETI – the insertion of a breathing tube into the trachea is an example of an important advanced resuscitation intervention. Only limited data characterize clinical ETI skill acquisition by medical students. We sought to characterize medical student acquisition of ETI procedural skill.11Presented as a poster discussion on 17 October 2007 at the annual meeting of the American Society of Anesthesiologists in San Francisco, CA.The study included third-year medical students participating in a required anesthesiology clerkship. Students performed ETI on operating room patients under the supervision of attending anesthesiologists. Students reported clinical details of each ETI effort, including patient age, sex, Mallampati score, number of direct laryngoscopies and ETI success. Using mixed-effects regression, we characterized the adjusted association between ETI success and cumulative ETI experience.ETI was attempted by 178 students on 1,646 patients (range 1–23 patients per student; median 9 patients per student, IQR 6–12. Overall ETI success was 75.0% (95% CI 72.9–77.1%. Adjusted for patient age, sex, Mallampati score and number of laryngoscopies, the odds of ETI success improved with cumulative ETI encounters (odds ratio 1.09 per additional ETI encounter; 95% CI 1.04–1.14. Students required at least 17 ETI encounters to achieve 90% predicted ETI success.In this series medical student ETI proficiency was associated with cumulative clinical procedural experience. Clinical experience may provide a viable strategy for fostering medical student procedural skills.

  20. A catheter friction tester using balance sensor: Combined evaluation of the effects of mechanical properties of tubing materials and surface coatings.

    Science.gov (United States)

    Røn, Troels; Jacobsen, Kristina Pilgaard; Lee, Seunghwan

    2018-04-24

    In this study, we introduce a new experimental approach to characterize the forces emerging from simulated catherization. This setup allows for a linear translation of urinary catheters in vertical direction as controlled by an actuator. By employing silicone-based elastomer with a duct of comparable diameter with catheters as urethra model, sliding contacts during the translation of catheters along the duct is generated. A most unique design and operation feature of this setup is that a digital balance was employed as the sensor to detect emerging forces from simulated catherization. Moreover, the possibility to give a variation in environment (ambient air vs. water), clearance, elasticity, and curvature of silicone-based urethra model allows for the detection of forces arising from diverse simulated catherization conditions. Two types of commercially available catheters varying in tubing materials and surface coatings were tested together with their respective uncoated catheter tubing. The first set of testing on the catheter samples showed that this setup can probe the combined effect from flexural strain of bulk tubing materials and slipperiness of surface coatings, both of which are expected to affect the comfort and smooth gliding in clinical catherization. We argue that this new experimental setup can provide unique and valuable information in preclinical friction testing of urinary catheters. Copyright © 2018 Elsevier Ltd. All rights reserved.

  1. Synthesis and characterization of magnetite/hydroxyapatite tubes ...

    Indian Academy of Sciences (India)

    The first step is the formation of magnetite (Fe 3 O 4 ) tubes on natural template followed by hydroxyapatite (HAp) bioceramic coated on the Fe 3 O 4 tubes. HAp improves the biocompatibility and stability of the prepared tubes. Sintering at 900 ∘ C improves the crystalline stability of nanotubes and removes the natural ...

  2. Evaluation of performance of Streamlined Liner of the Pharynx Airway™, Laryngeal Mask Airway-ProSeal and endotracheal tube in prone position: A prospective, randomised study

    Directory of Open Access Journals (Sweden)

    Harihar Vishwanath Hegde

    2018-01-01

    Full Text Available Background and Aims: Airway used in prone position should be efficacious and safe. The Streamlined Liner of the Pharynx Airway (SLIPA™ and Laryngeal Mask Airway-ProSeal (PLMA provide better airway seal and protection against aspiration. We planned to evaluate the performance of SLIPA™, PLMA and endotracheal tube (ETT in prone position. Methods: 114 adult patients undergoing elective surgery in prone position under general anaesthesia were randomised into Group-T (ETT, Group-S (SLIPA™ and Group-P (PLMA. Airways were inserted in supine position and patients turned prone subsequently. Airway characteristics, ventilatory parameters and complications were noted. One-way analysis of variance, Mann–Whitney U-test and Chi-square or Fisher's exact test were used. Results: Tidal volumes, peak airway pressure and compliance were comparable at all times. Leak pressure was significantly higher (P < 0.001 in Group-T (mean leak pressure = 40 cmH2O when compared to Group-S and Group-P at all the times of recording, and there was no significant difference between Group-S and Group-P. The number of patients requiring airway/neck manipulation in prone position was significantly higher (P < 0.001 in Group-S (19 [55.9%] when the three groups were compared (none in Group-T and in comparison with Group-P (5 [14.7%], P < 0.001. On airway removal, the incidence of complications and airway reaction was significantly higher in Group-T. Group-S had a significantly higher incidence of dysphagia at 2 h postoperatively. Conclusion: ETT was most efficacious. SLIPA™ and PLMA were efficacious, safe and less stimulating to the airway during removal. More patients required SLIPA™ airway/neck manipulation.

  3. Flowmeter with silicon flow tube

    NARCIS (Netherlands)

    Lammerink, Theodorus S.J.; Dijkstra, Marcel; Haneveld, J.; Lötters, Joost Conrad

    2009-01-01

    A flowmeter comprising a system chip with a silicon substrate provided on a carrier, in an opening whereof at least one silicon flow tube is provided for transporting a medium whose flow rate is to be measured, said tube having two ends that issue via a wall of the opening into channels coated with

  4. Flexible substrates as basis for photocatalytic reduction of carbon dioxide

    DEFF Research Database (Denmark)

    Jensen, Jacob; Mikkelsen, Mette; Krebs, Frederik C

    2011-01-01

    A photocatalytic system for converting carbon dioxide into carbon monoxide was designed and constructed. The system relies on thin films of the photocatalyst prepared at low temperature using spray coating. We formulated inks based on the well-known photocatalyst titanium dioxide and characterized...

  5. Effect of Novel Quercetin Titanium Dioxide-Decorated Multi-Walled Carbon Nanotubes Nanocomposite on Bacillus subtilis Biofilm Development

    Directory of Open Access Journals (Sweden)

    Diana S. Raie

    2018-01-01

    Full Text Available The present work was targeted to design a surface against cell seeding and adhering of bacteria, Bacillus subtilis. A multi-walled carbon nanotube/titanium dioxide nano-power was produced via simple mixing of carbon nanotube and titanium dioxide nanoparticles during the sol-gel process followed by heat treatment. Successfully, quercetin was immobilized on the nanocomposite via physical adsorption to form a quercetin/multi-walled carbon nanotube/titanium dioxide nanocomposite. The adhesion of bacteria on the coated-slides was verified after 24 h using confocal laser-scanning microscopy. Results indicated that the quercetin/multi-walled carbon nanotube/titanium dioxide nanocomposite had more negativity and higher recovery by glass surfaces than its counterpart. Moreover, coating surfaces with the quercetin-modified nanocomposite lowered both hydrophilicity and surface-attached bacteria compared to surfaces coated with the multi-walled carbon nanotubes/titanium dioxide nanocomposite.

  6. Electroplating of nanostructured polyaniline-polypyrrole composite coating in a stainless-steel tube for on-line in-tube solid phase microextraction.

    Science.gov (United States)

    Asiabi, Hamid; Yamini, Yadollah; Seidi, Shahram; Esrafili, Ali; Rezaei, Fatemeh

    2015-06-05

    In this work, a novel and efficient on-line in-tube solid phase microextraction method followed by high performance liquid chromatography was developed for preconcentration and determination of trace amounts of parabens. A nanostructured polyaniline-polypyrrole composite was electrochemically deposited on the inner surface of a stainless steel tube and used as the extraction phase. Several important factors that influence the extraction efficiency, including type of solid-phase coating, extraction and desorption times, flow rates of the sample solution and eluent, pH, and ionic strength of the sample solution were investigated and optimized. Under the optimal conditions, the limits of detection were in the range of 0.02-0.04 μg L(-1). This method showed good linearity for parabens in the range of 0.07-50 μg L(-1), with coefficients of determination better than 0.998. The intra- and inter-assay precisions (RSD%, n=3) were in the range of 5.9-7.0% and 4.4-5.7% at three concentration levels of 2, 10, and 20 μg L(-1), respectively. The extraction recovery values for the spiked samples were in the acceptable range of 80.3-90.2%. The validated method was successfully applied for analysis of methyl-, ethyl-, and propyl parabens in some water, milk, and juice samples. Copyright © 2015 Elsevier B.V. All rights reserved.

  7. Vacuum arc plasma deposition of thin titanium dioxide films on silicone elastomer as a functional coating for medical applications.

    Science.gov (United States)

    Boudot, Cécile; Kühn, Marvin; Kühn-Kauffeldt, Marina; Schein, Jochen

    2017-05-01

    Silicone elastomer is a promising material for medical applications and is widely used for implants with blood and tissue contact. However, its strong hydrophobicity limits adhesion of tissue cells to silicone surfaces, which can impair the healing process. To improve the biological properties of silicone, a triggerless pulsed vacuum cathodic arc plasma deposition technique was applied to deposit titanium dioxide (TiO 2 ) films onto the surface. Scanning electron microscopy, atomic force microscopy, X-ray photoelectron spectroscopy, Raman spectroscopy and contact angle measurements were used for coating characterization. Deposited films were about 150nm thick and exhibited good adhesion to the underlying silicone substrate. Surface wettability and roughness both increased after deposition of the TiO 2 layer. In addition, cell-biological investigations demonstrated that the in-vitro cytocompatibility of TiO 2 -coated samples was greatly improved without impacting silicone's nontoxicity. For validation of use in medical devices, further investigations were conducted and demonstrated stability of surface properties in an aqueous environment for a period of 68days and the coating's resistance to several sterilization methods. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. Spray-coating process in preparing PTFE-PPS composite super-hydrophobic coating

    Directory of Open Access Journals (Sweden)

    Rui Weng

    2014-03-01

    Full Text Available In order to improve the performance of a liquid-floated rotor micro-gyroscope, the resistance of the moving interface between the rotor and the floating liquid must be reduced. Hydrophobic treatment can reduce the frictional resistance between such interfaces, therefore we proposed a method to prepare a poly-tetrafluoroethylene (PTFE-poly-phenylene sulphide (PPS composite super-hydrophobic coating, based on a spraying process. This method can quickly prepare a continuous, uniform PTFE-PPS composite super-hydrophobic surface on a 2J85 material. This method can be divided into three steps, namely: pre-treatment; chemical etching; and spraying. The total time for this is around three hours. When the PTFE concentration is 4%, the average contact angle of the hydrophobic coating surface is 158°. If silicon dioxide nanoparticles are added, this can further improve the adhesion and mechanical strength of the super-hydrophobic composite coating. The maximum average contact angle can reach as high as 164° when the mass fraction of PTFE, PPS and silicon dioxide is 1:1:1.

  9. Spray-coating process in preparing PTFE-PPS composite super-hydrophobic coating

    Science.gov (United States)

    Weng, Rui; Zhang, Haifeng; Liu, Xiaowei

    2014-03-01

    In order to improve the performance of a liquid-floated rotor micro-gyroscope, the resistance of the moving interface between the rotor and the floating liquid must be reduced. Hydrophobic treatment can reduce the frictional resistance between such interfaces, therefore we proposed a method to prepare a poly-tetrafluoroethylene (PTFE)-poly-phenylene sulphide (PPS) composite super-hydrophobic coating, based on a spraying process. This method can quickly prepare a continuous, uniform PTFE-PPS composite super-hydrophobic surface on a 2J85 material. This method can be divided into three steps, namely: pre-treatment; chemical etching; and spraying. The total time for this is around three hours. When the PTFE concentration is 4%, the average contact angle of the hydrophobic coating surface is 158°. If silicon dioxide nanoparticles are added, this can further improve the adhesion and mechanical strength of the super-hydrophobic composite coating. The maximum average contact angle can reach as high as 164° when the mass fraction of PTFE, PPS and silicon dioxide is 1:1:1.

  10. Laryngeal granuloma: a complication of prolonged endotracheal intubation.

    OpenAIRE

    Keiser, G. J.; Bozentka, N. E.; Gold, B. D.

    1991-01-01

    Laryngeal granuloma is an uncommon complication arising from irritation of the laryngeal structures. We present a case where bilateral laryngeal granulomas became clinically evident 3 mo after orthognathic surgery. The patient, a 19-yr-old female, developed acute dyspnea after experiencing gradual voice loss. Excision of the lesions under endotracheal general anesthesia led to an uneventful outcome. The causes, predisposing factors, diagnostic features, and treatment of laryngeal granuloma ar...

  11. Evaluation of Carbon Nanotubes Functionalized Polydimethylsiloxane Based Coatings for In-Tube Solid Phase Microextraction Coupled to Capillary Liquid Chromatography

    OpenAIRE

    Neus Jornet-Martínez; Pascual Serra-Mora; Yolanda Moliner-Martínez; Rosa Herráez-Hernández; Pilar Campíns-Falcó

    2015-01-01

    In the present work, the performance of carbon nanotubes (c-CNTs) functionalized polydimethylsiloxane (PDMS) based coatings as extractive phases for in-tube solid phase microextraction (IT-SPME) coupled to Capillary LC (CapLC) has been evaluated. Carboxylic-single walled carbon nanotubes (c-SWNTs) and carboxylic-multi walled carbon nanotubes (c-MWNTs) have been immobilized on the activated surface of PDMS capillary columns. The effect of different percentages of diphenyl groups in the PDMS ex...

  12. A Study on Condensation Heat Transfer at the Exterior Surface of S.A.M. Coated Titanium Tube Using in Steam Condensers

    Energy Technology Data Exchange (ETDEWEB)

    Im, Sung-Gu; Lee, Sang-Hyup; Ji, Dae-Yun; Park, Hyun-Gyu; Lee, Kwon-Yeong [Handong Global University, Pohang (Korea, Republic of)

    2016-10-15

    Condensation occurs when the temperature of a steam is reduced below its saturation temperature. There exist two forms of condensation on cooling surface: dropwise, and film condensations. Usually, dropwise condensation has a better heat transfer performance than film condensation, but it has limit of short period. Ma et al. executed heat transfer experiment in dropwise condensation with non-condensable gas, and studied how the amount of air and pressure difference affect condensation heat transfer coefficient. The more non-condensable gas exist, the condensation heat transfer coefficient is decreased. As a result, surface modified brass tube and stainless tube showed higher condensation heat transfer coefficient as much as 1.3 and 1.4 times comparing with their bare tubes in 70 kPa vacuum condition respectively. Most of power plants use sea water as coolant, so the surface of metal tubes could be corroded by the coolant. We had researched an experimental study related to condensation heat transfer on surface modified titanium tube. Our experimental facility was designed to show how two kinds of tube's heat transfer performances are different in a same condition. We changed the range of saturation pressure and coolant flow rate to observe tube's performance change. When saturation pressure and coolant flow rate increase, overall heat transfer coefficients were increased. When residue of non-condensable gases was decreased, the overall heat transfer coefficients were increased. S.A.M. coated tube's overall heat transfer coefficients were lower than those of bare tube, because the droplets didn't have a tendency of frequently falling down.

  13. ProSeal laryngeal mask airway as an alternative to standard endotracheal tube in securing upper airway in the patients undergoing beating-heart coronary artery bypass grafting

    Directory of Open Access Journals (Sweden)

    Kalpana Shah

    2017-01-01

    Full Text Available Background: ProSeal laryngeal mask airways (PLMAs are routinely used after failed tracheal intubation as airway rescue, facilitating tracheal intubation by acting as a conduit and to secure airway during emergencies. In long duration surgeries, use of endotracheal tube (ETT is associated with various hemodynamic complications, which are minimally affected during PLMA use. However, except for few studies, there are no significant data available that promote the use of laryngeal mask during cardiac surgery. This prospective study was conducted with the objective of demonstrating the advantages of PLMA over ETT in the patients undergoing beating-heart coronary artery bypass graft (CABG. Methodology: This prospective, interventional study was carried out in 200 patients who underwent beating-heart CABG. Patients were randomized in equal numbers to either ETT group or PLMA group, and various hemodynamic and respiratory parameters were observed at different time points. Results: Patients in PLMA group had mean systolic blood pressure 126.10 ± 5.31 mmHg compared to the patients of ETT group 143.75 ± 6.02 mmHg. Pulse rate in the PLMA group was less (74.52 ± 10.79 per min (P < 0.05 compared to ETT group (81.72 ± 9.8. Thus, hemodynamic changes were significantly lower (P < 0.05 in PLMA than in ETT group. Respiratory parameters such as oxygen saturation, pressure CO 2 (pCO 2 , peak airway pressure, and lung compliance were similar to ETT group at all evaluation times. The incidence of adverse events was also lower in PLMA group. Conclusion: In experience hand, PLMA offers advantages over the ETT in airway management in the patients undergoing beating-heart CABG.

  14. Plasma sprayed alumina-titania coatings

    International Nuclear Information System (INIS)

    Steeper, T.J.; Rotolico, A.J.; Nerz, J.E.; Riggs, W.L. II; Varacalle, D.J. Jr.; Wilson, G.C.

    1992-01-01

    This paper presents an experimental study of the air plasma spraying (APS) of alumina-titania powder using argon-hydrogen working gases. This powder system is being used in the fabrication of heater tubes that emulate nuclear fuel tubes for use in thermal-hydraulic testing. Experiments were conducted using a Taguchi fractional-factorial design parametric study. Operating parameters were varied around the typical spray parameters in a systematic design of experiments in order to display the range of plasma processing conditions and their effect on the resultant coatings. The coatings were characterized by hardness and electrical tests, surface profilometry, image analysis, optical metallography, and x-ray diffraction. Coating qualities are discussed with respect to dielectric strength, hardness, porosity, surface roughness, deposition efficiency, and microstructure. attempts are made to correlate the features of the coatings with the changes in operating parameters

  15. Tritium application: self-luminous glass tube(SLGT)

    International Nuclear Information System (INIS)

    Kim, K.; Lee, S.K.; Chung, E.S.; Kim, K.S.; Kim, W.S.; Nam, G.J.

    2005-01-01

    To manufacture SLGTs (self-luminous glass tubes), 4 core technologies are needed: coating technology, tritium injection technology, laser sealing/cutting technology and tritium handling technology. The inside of the glass tubes is coated with greenish ZnS phosphor particles with sizes varying from 4∝5 [μm], and Cu, and Al as an activator and a co-dopant, respectively. We also found that it would be possible to produce a phosphor coated glass tube for the SLGT using the well established cold cathode fluorescent lamp (CCFL) bulb manufacturing technology. The conceptual design of the main process loop (PL) is almost done. A delicate technique will be needed for the sealing/cutting of the glass tubes. Instead of the existing torch technology, a new technology using a pulse-type laser is under investigation. The design basis of the tritium handling facilities is to minimize the operator's exposure to tritium uptake and the emission of tritium to the environment. To fulfill the requirements, major tritium handling components are located in the secondary containment such as the glove boxes (GBs) and/or the fume hoods. The tritium recovery system (TRS) is connected to a GB and PL to minimize the release of tritium as well as to remove the moisture and oxygen in the GB. (orig.)

  16. Tidal Volume Delivery and Endotracheal Tube Leak during Cardiopulmonary Resuscitation in Intubated Newborn Piglets with Hypoxic Cardiac Arrest Exposed to Different Modes of Ventilatory Support.

    Science.gov (United States)

    Mendler, Marc R; Weber, Claudia; Hassan, Mohammad A; Huang, Li; Mayer, Benjamin; Hummler, Helmut D

    2017-01-01

    There are few data available on the interaction of inflations, chest compressions (CC), and delivery of tidal volumes in newborn infants undergoing resuscitation in the presence of endotracheal tube (ET) leaks. To determine the effects of different respiratory support strategies along with CC on changes in tidal volume and ET leaks in hypoxic newborn piglets with cardiac arrest. Asphyxiated newborn piglets, intubated with weight-adapted uncuffed ET, were randomized into three groups and resuscitated according to ILCOR 2010 guidelines: (1) T-piece resuscitator (TPR) group = peak inspiratory pressure (PIP)/positive end-expiratory pressure (PEEP) 25/5 cm H2O, rate 30/min, inflations interposed between CC (3:1 ratio); (2) self- inflating bag (SIB) group = PIP 25 cm H2O without PEEP, rate 30/min, inflations interposed between CC (3:1 ratio), and (3) ventilator group = PIP/PEEP of 25/5 cm H2O, rate 30/min. CC were applied with a rate of 120/min without synchrony to inflations. We observed a significant increase of leak (average increase 11.4%) when CC was added to respiratory support (p = 0.0001). Expired tidal volume was larger in the SIB group than in the two other modes which both applied PEEP. However, tidal volumes caused by CC only were larger in the two groups with PEEP than in the SIB group (without PEEP). There is interaction between lung inflations and CC affecting leak and delivery of tidal volume, which may be influenced by the mode/device used for respiratory support. Leak is larger in the presence of PEEP. However, CC cause additional tidal volume which is larger in the presence of PEEP. © 2016 S. Karger AG, Basel.

  17. Application of Coating Technology for Accident Tolerant Fuel Cladding

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun-Gil; Kim, Il-Hyun; Jung, Yang-Il; Park, Dong-Jun; Park, Jeong-Yong; Koo, Yang-Hyun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-10-15

    To commercialize the ATF cladding concepts, various factors are considered, such as safety under normal and accident conditions, economy for the fuel cycle, and developing development challenges, and schedule. From the proposed concepts, it is known that the cladding coating, FeCrAl alloy, and Zr-Mo claddings are considered as a near/mid-term application, whereas the SiC material is considered as a long-term application. Among them, the benefit of cladding coating on Zr-based alloys is the fuel cycle economy regarding the manufacturing, neutron cross section, and high tritium permeation characteristics. However, the challenge of cladding coating on Zr-based alloys is the lower oxidation resistance and mechanical strength at high-temperature than other concepts. Another important point is the adhesion property between the Zr-based alloy and coating materials. As an improved coating technology compared to a previous study, a 3D laser coating technology supplied with Cr powders is considered to make a coated cladding because it is possible to make a coated layer on the tubular cladding surface by controlling the 3-diminational axis. We are systematically studying the laser beam power, inert gas flow, cooling of the cladding tube, and powder control as key points to develop 3D laser coating technology. After Cr-coating on the Zr-based cladding, ring compression and ring tensile tests were performed to evaluate the adhesion property between a coated layer and Zr-based alloy tube at room temperature (RT), and a high-temperature oxidation test was conducted to evaluate the oxidation behavior at 1200 .deg. C of the coated tube samples. A 3D laser coating method supplied with Cr powders was developed to decrease the high-temperature oxidation rate in a steam environment through a systematic study for various coating parameters, and a Cr-coated Zircaloy-4 cladding tube of 100 mm in length to the axial direction can be successfully manufactured.

  18. Investigation of photocatalytic activity of titanium dioxide deposited on metallic substrates by DC magnetron sputtering

    DEFF Research Database (Denmark)

    Daviðsdóttir, Svava; Canulescu, Stela; Dirscherl, Kai

    2013-01-01

    The photocatalytic properties of titanium dioxide (TiO2) coating in the anatase crystalline structure deposited on aluminium AA1050 alloy and stainless steel S316L substrates were investigated. The coating was prepared by DC magnetron sputtering. The microstructure and surface morphology of the c......The photocatalytic properties of titanium dioxide (TiO2) coating in the anatase crystalline structure deposited on aluminium AA1050 alloy and stainless steel S316L substrates were investigated. The coating was prepared by DC magnetron sputtering. The microstructure and surface morphology...... sweep voltammetry, impedance measurements. The microstructure and surface morphology of the coating were similar irrespective of the nature of the substrate, while the photocatalytic behaviour was found to vary depending on the substrate type. In general the TiO2 coating on stainless steel was shown...

  19. Electrochemical Formation of Multilayer SnO2-Sb x O y Coating in Complex Electrolyte.

    Science.gov (United States)

    Maizelis, Antonina; Bairachniy, Boris

    2017-12-01

    The multilayer antimony-doped tin dioxide coating was obtained by cathodic deposition of multilayer metal-hydroxide coating with near 100-nm thickness layers on the alloy underlayer accompanied by the anodic oxidation of this coating. The potential regions of deposition of tin, antimony, tin-antimony alloy, and mixture of this metals and their hydroxides in the pyrophosphate-tartrate electrolyte were revealed by the cyclic voltammetric method. The possibility of oxidation of cathodic deposit consisting of tin and Sn(II) hydroxide compounds to the hydrated tin dioxide in the same electrolyte was demonstrated.The operations of alloy underlayer deposition and oxidation of multilayer metal-hydroxide coating were proposed to carry out in the diluted pyrophosphate-tartrate electrolyte, similar to the main electrolyte.The accelerated tests showed higher service life of the titanium electrode with multilayer antimony-doped tin dioxide coating compared to both electrode with single-layer electrodeposited coating and the electrode with the coating obtained using prolonged heat treatment step.

  20. Grooved tube plug rolls in

    International Nuclear Information System (INIS)

    Krausser, P.

    1991-01-01

    The removable plugs used to date by the Power Generation Group (KWU) of Siemens to seal defective steam generator tubes have a good track record. Their sealing principle is based on the elastic tensioning of three seal disks against the inside wall of the tube. Now a further removable plug is available -a roll-in plug with a metal-coated surface. It is particularly suitable for use in the roller-expanded zone of the tubes at the tube sheet. The plugs can be used in both Siemens-KWU steam generators and in steam generators manufactured in compliance with the guidelines of the ASME Code. (author)

  1. Recent RHIC in-situ coating technology developments

    CERN Document Server

    Hershcovitch, A.; Brennan, J.M.; Chawla, A.; Fischer, W.; Liaw, C-J; Meng, W.; Todd, R.; Custer, A.; Erickson, M.; Jamshidi, N.; Kobrin, P.; Laping, R.; Poole, H.J.; Jimenez, J.M.; Neupert, H.; Taborelli, M.; Yin-Vallgren, C.; Sochugov, N.

    2013-04-22

    To rectify the problems of electron clouds observed in RHIC and unacceptable ohmic heating for superconducting magnets that can limit future machine upgrades, we started developing a robotic plasma deposition technique for $in-situ$ coating of the RHIC 316LN stainless steel cold bore tubes based on staged magnetrons mounted on a mobile mole for deposition of Cu followed by amorphous carbon (a-C) coating. The Cu coating reduces wall resistivity, while a-C has low SEY that suppresses electron cloud formation. Recent RF resistivity computations indicate that 10 {\\mu}m of Cu coating thickness is needed. But, Cu coatings thicker than 2 {\\mu}m can have grain structures that might have lower SEY like gold black. A 15-cm Cu cathode magnetron was designed and fabricated, after which, 30 cm long samples of RHIC cold bore tubes were coated with various OFHC copper thicknesses; room temperature RF resistivity measured. Rectangular stainless steel and SS discs were Cu coated. SEY of rectangular samples were measured at ro...

  2. Method for the protection of the cladding tubes of fuel rods

    International Nuclear Information System (INIS)

    Steinberg, E.

    1978-01-01

    To present stress crack corrosion and to protect the cladding tubes of the fuel rods made of a circonium alloy from attack by iodine, the inward surfaces are provided with protective coatings. Therefore the casting tubes already filled with fuel element pellets are put under over-pressure at a temperature range between 300 and 500 0 C, until almost yield-point is reached. A small amount of H 2 O or H 2 O 2 , filled in, reacts with the cladding tube material to form the Zr-O 2 protective coating. Afterwards comes a pressure relief, and the cladding tube reaches its original dimensions. (DG) [de

  3. Endotracheal ectopic parathyroid adenoma mimicking asthma

    Directory of Open Access Journals (Sweden)

    M. Akif Özgül

    2014-01-01

    Full Text Available Primary benign tumors of the trachea are uncommon. These tumors may cause tracheal occlusion and lead to a misdiagnosis of asthma. Ectopic parathyroid adenoma (EPA can be seen anywhere between the mandibular angle and the mediastinum. The distal part of the trachea is a rare location for EPA, and EPA obstructing the endotracheal lumen has not been reported in the literature. We herein describe a 52-year-old female with a several-year history of asthma treatment who presented with progressive dyspnea. Computed tomography revealed a mass that was obstructing the tracheal lumen. Total mass excision was performed via endobronchial treatment, and pathologic examination revealed EPA.

  4. Confirming nasogastric tube placement: Is the colorimeter as sensitive and specific as X-ray? A diagnostic accuracy study.

    Science.gov (United States)

    Mordiffi, Siti Zubaidah; Goh, Mien Li; Phua, Jason; Chan, Yiong-Huak

    2016-09-01

    The effect of delivering enteral nutrition or medications via a nasogastric tube that is inadvertently located in the tracheobronchial tract can cause respiratory complications. Although radiographic examination is accepted as the gold standard for confirming the position of patients' enteral tubes, it is costly, involves risks of radiation, and is not failsafe. Studies using carbon dioxide sensors to detect inadvertent nasogastric tube placements have been conducted in intensive care settings. However, none involved patients in general wards. The objective of this study was to ascertain the diagnostic measure of colorimeter, with radiographic examination as the reference standard, to confirm the location of nasogastric tubes in patients. A prospective observational study of a diagnostic test. This study was conducted in the general wards of an approximately 1100-bed acute care tertiary hospital of an Academic Medical Center in Singapore. Adult patients with nasogastric tubes admitted to the general wards were recruited into the study. The colorimeter was attached to the nasogastric tube to detect for the presence of carbon dioxide, suggestive of a tracheobronchial placement. The exact location of the nasogastric tube was subsequently confirmed by a radiographic examination. A total of 192 tests were undertaken. The colorimeter detected carbon dioxide in 29 tested nasogastric tubes, of which radiographic examination confirmed that four tubes were located in the tracheobronchial tract. The colorimeter failed to detect carbon dioxide in one nasogastric tube that was located in the tracheobronchial tract, thus, demonstrating a sensitivity of 0.80 [95% CI (0.376, 0.964)]. The colorimeter detected absence of carbon dioxide in 163 tested nasogastric tubes in which radiographic examination confirmed 160 gastrointestinal and one tracheobronchial placements, demonstrating a specificity of 0.865 [95% CI (0.808, 0.907)]. The colorimeter detected one tracheobronchial

  5. Effects of palladium coatings on oxygen sensors of titanium dioxide thin films

    International Nuclear Information System (INIS)

    Castaneda, L.

    2007-01-01

    Titanium dioxide (TiO 2 -anatase phase) thin films were deposited by the ultrasonic spray pyrolysis technique employing titanium (IV) oxide acetylacetonate (TiO(acac) 2 ) dissolved in pure methanol as a source material. In order to prepare oxygen sensors, TiO 2 thin films were deposited on interdigitated gold electrodes with contacted alumina substrates. Palladium (Pd) coatings were carried out by vacuum thermal evaporation through a metallic mask. The effect of the surface additive (Pd) on the response of the thin film TiO 2 oxygen sensors was monitored in a mixture with zero-grade air. The electrical characterization (monitoring of the electrical surface resistance with the operation temperature) of the sensors in an atmosphere of oxygen (diluted in zero-grade air) was performed in a vacuum chamber (10 -6 Torr), where the gas pressure can be controlled. The films sensitivity was estimated by the following relation: s=R gas -R 0 /R 0 . The response time of the sensor is defined to be the time needed to reach a 0.9R 0 value when the oxygen excess is removed. The gas-sensing properties of TiO 2 sensors in an atmosphere of 10 4 ppm of oxygen were measured between 100 and 450 deg. C. Experimental results obtained using palladium as a surface additive show that the sensitivity reaches a stationary value of 1.18 for O 2 concentration of 100ppm in zero-grade air at 300 deg. C, which is as high as those reported for oxygen sensors prepared with more expensive and complex techniques. The role and activity of palladium coatings incorporated on solid-state oxygen sensors are determined by their chemical state, aggregation form and interaction with the metal-oxide semiconductor

  6. Determination of vanadium in sea water by graphite furnace atomic absorption spectrometry with a tube coated with pyrolytic graphite

    International Nuclear Information System (INIS)

    Shimizu, Tokuo; Sakai, Kaoru

    1981-01-01

    The trace amount of vanadium in sea water was determined by graphite furnace atomic absorption spectrometry with a tube coated with pyrolytic graphite. To correct the background absorption, a deuterium lamp with a higher-brilliant thermal cathode was used. The sensitivity for vanadium increased 10 -- 20 fold by the use of the tube coated with pyrolytic graphite, and the utility lifetime of the tube was greatly extended. Vanadium(V) - 4-(2-pyridylazo)resorcinol (PAR) complexes were extracted into chloroform as an ion-pair with benzyldimethyltetradecylammonium (Zephiramine) cation alternatively. The sample of sea water, which was made to 0.1 N in sulfuric acid and 0.1% in hydrogen peroxide, was loaded onto the column of Dowex 1-X 4 resin (SO 4 2- -form). Vanadium was then eluted from the resin with 1 N sulfuric acid-0.1% hydrogen peroxide or 1 N hydrochloric acid-0.1% hydrogen peroxide evaporated to dry. After dissolution of the elute in 0.2 N nitric acid, vanadium was extracted. Secondly, the sample of sea water was adjusted to pH 5.0, and loaded onto the column of Chelex-100 resin. Vanadium was eluted from the resin with 2 N ammonia. The above two methods took much time, but the coprecipitation method was not so and recommended for the determination of vanadium in sea water. Vanadium was coprecipitated with iron(III) hydroxide-hydrous titanium(IV) oxide at pH 6.0. The precipitate was digested with nitric acid-hydrogen peroxide. The solution was diluted to 50 ml with water. The resulting solutions were employed to determine the vanadium concentration by the graphite furnace atomic absorption measurement. The trace amounts of vanadium in various kinds of the coastal sea water were determined by the coprecipitation method. (author)

  7. Innovative coating of nanostructured vanadium carbide on the F/M cladding tube inner surface for mitigating the fuel cladding chemical interactions

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Yong [Univ. of Florida, Gainesville, FL (United States); Phillpot, Simon [Univ. of Florida, Gainesville, FL (United States)

    2017-11-29

    Fuel cladding chemical interactions (FCCI) have been acknowledged as a critical issue in a metallic fuel/steel cladding system due to the formation of low melting intermetallic eutectic compounds between the fuel and cladding steel, resulting in reduction in cladding wall thickness as well as a formation of eutectic compounds that can initiate melting in the fuel at lower temperature. In order to mitigate FCCI, diffusion barrier coatings on the cladding inner surface have been considered. In order to generate the required coating techniques, pack cementation, electroplating, and electrophoretic deposition have been investigated. However, these methods require a high processing temperature of above 700 oC, resulting in decarburization and decomposition of the martensites in a ferritic/martensitic (F/M) cladding steel. Alternatively, organometallic chemical vapor deposition (OMCVD) can be a promising process due to its low processing temperature of below 600 oC. The aim of the project is to conduct applied and fundamental research towards the development of diffusion barrier coatings on the inner surface of F/M fuel cladding tubes. Advanced cladding steels such as T91, HT9 and NF616 have been developed and extensively studied as advanced cladding materials due to their excellent irradiation and corrosion resistance. However, the FCCI accelerated by the elevated temperature and high neutron exposure anticipated in fast reactors, can have severe detrimental effects on the cladding steels through the diffusion of Fe into fuel and lanthanides towards into the claddings. To test the functionality of developed coating layer, the diffusion couple experiments were focused on using T91 as cladding and Ce as a surrogate lanthanum fission product. By using the customized OMCVD coating equipment, thin and compact layers with a few micron between 1.5 µm and 8 µm thick and average grain size of 200 nm and 5 µm were successfully obtained at the specimen coated between 300oC and

  8. Technique development for modulus, microcracking, hermeticity, and coating evaluation capability characterization of SiC/SiC tubes

    Energy Technology Data Exchange (ETDEWEB)

    Hu, Xunxiang [Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (United States); Ang, Caen K. [Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (United States); Singh, Gyanender P. [Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (United States); Katoh, Yutai [Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (United States)

    2016-08-01

    Driven by the need to enlarge the safety margins of nuclear fission reactors in accident scenarios, research and development of accident-tolerant fuel has become an important topic in the nuclear engineering and materials community. A continuous-fiber SiC/SiC composite is under consideration as a replacement for traditional zirconium alloy cladding owing to its high-temperature stability, chemical inertness, and exceptional irradiation resistance. An important task is the development of characterization techniques for SiC/SiC cladding, since traditional work using rectangular bars or disks cannot directly provide useful information on the properties of SiC/SiC composite tubes for fuel cladding applications. At Oak Ridge National Laboratory, experimental capabilities are under development to characterize the modulus, microcracking, and hermeticity of as-fabricated, as-irradiated SiC/SiC composite tubes. Resonant ultrasound spectroscopy has been validated as a promising technique to evaluate the elastic properties of SiC/SiC composite tubes and microcracking within the material. A similar technique, impulse excitation, is efficient in determining the basic mechanical properties of SiC bars prepared by chemical vapor deposition; it also has potential for application in studying the mechanical properties of SiC/SiC composite tubes. Complete evaluation of the quality of the developed coatings, a major mitigation strategy against gas permeation and hydrothermal corrosion, requires the deployment of various experimental techniques, such as scratch indentation, tensile pulling-off tests, and scanning electron microscopy. In addition, a comprehensive permeation test station is being established to assess the hermeticity of SiC/SiC composite tubes and to determine the H/D/He permeability of SiC/SiC composites. This report summarizes the current status of the development of these experimental capabilities.

  9. Measurement of serum type III procollagen aminopeptide with RIA-gnost PIIIP coated tube

    International Nuclear Information System (INIS)

    Maruyama, Katsuya; Takagi, Toshikazu; Okazaki, Isao

    1992-01-01

    In 55 patients with various alcoholic liver diseases, serum type III procollagen aminopeptide (PIIIP) was measured on admission, on biopsy (2-4 weeks after admission) and on discharge from hospital (3 months after admission) using RIA-gnost PIIIP coated tube, an assay kit recently launched by Hoechst Japan Limited. Serum PIIIP on admission showed a good correlation with the degree of hepatic fibrosis and was significantly higher in any disease group than in healthy controls, suggesting its usefulness as an indicator of hepatic fibrosis. After abstinence, however, serum PIIIP level exhibited an increasing tendency in all the disease groups expect alcoholic hepatitis, and the number of laboratory tests showing a significant correlation with PIIIP decreased as compared with that on admission. The mechanism of serum PIIIP elevations seen after abstience is yet to be elucidated in detail, considering their possible association with factors other than collagen synthesis in the liver. (author)

  10. Tritium application: self-luminous glass tube(SLGT)

    Energy Technology Data Exchange (ETDEWEB)

    Kim, K.; Lee, S.K.; Chung, E.S.; Kim, K.S.; Kim, W.S. [Nuclear Power Lab., Korea Electric Power Research Inst. (KEPRI), Daejeon (Korea); Nam, G.J. [Engineering Information Technology Center, Inst. for Advanced Engineering (IAE), Kyonggi-do (Korea)

    2005-07-01

    To manufacture SLGTs (self-luminous glass tubes), 4 core technologies are needed: coating technology, tritium injection technology, laser sealing/cutting technology and tritium handling technology. The inside of the glass tubes is coated with greenish ZnS phosphor particles with sizes varying from 4{proportional_to}5 [{mu}m], and Cu, and Al as an activator and a co-dopant, respectively. We also found that it would be possible to produce a phosphor coated glass tube for the SLGT using the well established cold cathode fluorescent lamp (CCFL) bulb manufacturing technology. The conceptual design of the main process loop (PL) is almost done. A delicate technique will be needed for the sealing/cutting of the glass tubes. Instead of the existing torch technology, a new technology using a pulse-type laser is under investigation. The design basis of the tritium handling facilities is to minimize the operator's exposure to tritium uptake and the emission of tritium to the environment. To fulfill the requirements, major tritium handling components are located in the secondary containment such as the glove boxes (GBs) and/or the fume hoods. The tritium recovery system (TRS) is connected to a GB and PL to minimize the release of tritium as well as to remove the moisture and oxygen in the GB. (orig.)

  11. Carbon materials-functionalized tin dioxide nanoparticles toward robust, high-performance nitrogen dioxide gas sensor.

    Science.gov (United States)

    Zhang, Rui; Liu, Xiupeng; Zhou, Tingting; Wang, Lili; Zhang, Tong

    2018-08-15

    Carbon (C) materials, which process excellent electrical conductivity and high carrier mobility, are promising sensing materials as active units for gas sensors. However, structural agglomeration caused by chemical processes results in a small resistance change and low sensing response. To address the above issues, structure-derived carbon-coated tin dioxide (SnO 2 ) nanoparticles having distinct core-shell morphology with a 3D net-like structure and highly uniform size are prepared by careful synthesis and fine structural design. The optimum carbon-coated SnO 2 nanoparticles (SnO 2 /C)-based gas sensor exhibits a low working temperature, excellent selectivity and fast response-recovery properties. In addition, the SnO 2 /C-based gas sensor can maintain a sensitivity to nitrogen dioxide (NO 2 ) of 3 after being cycled 4 times at 140 °C for, suggesting its good long-term stability. The structural integrity, good synergistic properties, and high gas-sensing performance of SnO 2 /C render it a promising sensing material for advanced gas sensors. Copyright © 2018 Elsevier Inc. All rights reserved.

  12. Laryngeal Chondroma: An Unusual Complication Endotracheal Entubation.

    Science.gov (United States)

    Gökdoğan, Ozan; Koybasioglu, Ahmet; Ileri, Fikret

    2016-06-01

    Laryngeal cartilaginous framework tumors are very rare. Chondroma and chondrosarcoma are the most common types of these tumors. A 27-year-old man with a history of intubation presented with exercise-induced dyspnea. A computed tomography scan of larynx showed a rounded and circumscribed mass without infiltration of the adjacent structures which obstructs 75% of airway. Histopathological investigation of the mass revealed the chondroma of the larynx. The patients' history of intubation trauma with the subsequent progressive onset of clinical symptoms demonstrates the relationship between these 2 entities. Clinicians should consider laryngeal chondroma in the differential diagnosis of dyspnea after endotracheal intubation.

  13. Comparison of expandable endotracheal stents in the treatment of surgically induced piglet tracheomalacia.

    Science.gov (United States)

    Mair, E A; Parsons, D S; Lally, K P; Van Dellen, A F

    1991-09-01

    Present surgical alternatives for pediatric tracheobronchomalacia are limited and associated with many potentially undesirable complications. The feasibility of different intraluminal expandable endotracheal stents for the treatment of surgically induced tracheomalacia was analyzed in 27 piglets. A potentially fatal tracheomalacia was surgically created. Either a stainless steel "zig-zag" stent or a woven polymeric stent was then implanted. Tracheal patency, mucosal function, histopathologic respiratory tract changes, and effects of the stent on esophageal motility were evaluated over a 16-week period. Piglets with steel stents uniformly experienced intense inflammation leading to tracheal dysfunction and death. Piglets with polymeric stents experienced minimal respiratory symptoms. Expandable polymeric endotracheal stents alleviate surgically induced piglet tracheomalacia, were easy to insert, allowed for tracheal growth, and reduced the need for high-risk surgical procedures with prolonged ventilatory support.

  14. Failure Analysis of Alumina Reinforced Aluminum Microtruss and Tube Composites

    Science.gov (United States)

    Chien, Hsueh Fen (Karen)

    The energy absorption capacity of cellular materials can be dramatically increased by applying a structural coating. This thesis examined the failure mechanisms of alumina reinforced 3003 aluminum alloy microtrusses and tubes. Alumina coatings were produced by hard anodizing and by plasma electrolytic oxidation (PEO). The relatively thin and discontinuous oxide coating at the hinge acted as a localized weak spot which triggered a chain reaction of failure, including oxide fracture, oxide spallation, oxide penetration to the aluminum core and severe local plastic deformation of the core. For the PEO microtrusses, delamination occurred within the oxide coating resulting in a global strut buckling failure mode. A new failure mode for the anodized tubes was observed: (i) axisymmetric folding of the aluminum core, (ii) longitudinal fracture, and (iii) alumina pulverization. Overall, the alumina coating enhanced the buckling resistance of the composites, while the aluminum core supported the oxide during the damage propagation.

  15. Distribution of endotracheally instilled surfactant protein SP-C in lung-lavaged rabbits.

    NARCIS (Netherlands)

    Bambang Oetomo, Sidarto; de Leij, Louis; Curstedt, T; ter Haar, J G; Schoots, Coenraad; Wildevuur, Charles; Okken, Albert

    In lung-lavaged surfactant-deficient rabbits (n = 6) requiring artificial ventilation, porcine surfactant was instilled endotracheally. This resulted in improvement of lung function so that the animals could be weaned off artificial ventilation. The animals were killed 4 1/2 h after surfactant

  16. Investigating the Inter-Tube Conduction Mechanism in Polycarbonate Nanocomposites Prepared with Conductive Polymer-Coated Carbon Nanotubes

    KAUST Repository

    Ventura, Isaac Aguilar

    2015-12-16

    A well-known strategy to improve the electrical conductivity of polymers is to dope them with high-aspect-ratio and conductive nanoparticles such as carbon nanotubes (CNTs). However, these nanocomposites also exhibit undesirable properties such as damage-sensitive and history-dependent conductivity because their macroscopic electrical conductivity is largely determined by the tunneling effect at the tube/tube interface. To reduce these issues, new nanocomposites have been developed with CNTs that have been coated with a conductive layer of poly(3,4-ethylenedioxythiophene)poly(styrenesulfonate) (PEDOT/PSS). It has been posited that the insulating region between the CNTs is replaced by a conductive polymer bridge; this has not been proven up to now. We propose here to investigate in-depth how the macroscopic conductivity of these materials is changing when (1) varying the frequency of the electrical loading (impedance spectroscopy), (2) varying the mechanical hydrostatic pressure, and (3) varying the voltage of the electrical loading. The response is systematically compared to the one of conventional carbon nanotube/polycarbonate (CNT/PC) nanocomposites so we can clarify how efficiently the tunneling effect is suppressed from these composites. The objective is to elucidate further the mechanism for conduction in such material formulations.

  17. Development of Coated Particle Fuel Technology

    International Nuclear Information System (INIS)

    Cho, Moon Sung; Kim, B. G.; Kim, Y. K.

    2009-04-01

    UO 2 kernel fabrication technology was developed at the lab sacle(20∼30g-UO 2 /batch). The GSP technique, modified method of sol-gel process, was used in the preparation of spherical ADU gel particle and these particles were converted to UO 3 and UO 2 phases in calcination furnace and sintering furnace respectively. Based on the process variables optimized using simulant kernels in 1-2 inch beds, SiC TRISO-coated particles were fabricated using UO 2 kernel. Power densities of TRISO coated particle fuels and gamma heat of the tubes are calculated as functions of vertical location of the fuel specimen in the irradiation holes by using core physics codes, MCNP and Helios. A finite model was developed for the calculations of temperatures and stresses of the specimen and the irradiation tubes. Dimensions of the test tubes are determined based on the temperatures and stresses as well as the gamma heat generated at the given condition. 9 modules of the COPA code (MECH, FAIL, TEMTR, TEMBL, TEMPEB, FPREL, MPRO, BURN, ABAQ), the MECH, FAIL, TEMTR, TEMBL, TEMPEB, and FPREL were developed. The COPA-FPREL was verified through IAEA CRP-6 accident benchmarking problems. KAERI participated in the round robin test of IAEA CRP-6 program to characterize the diameter, sphericity, coating thickness, density and anisotropy of coated particles provided by Korea, USA and South Africa. The inspection and test plan describing specifications and inspection method of coated particles was developed to confirm the quality standard of coated particles. The quality inspection instructions were developed for the inspection of coated particles by particle size analyzer, density inspection of coating layers by density gradient column, coating thickness inspection by X-ray, and inspection of optical anistropy factor of PyC layer. The quality control system for the TRISO-coated particle fuel was derived based on the status of quality control systems of other countries

  18. Deposition stress effects on thermal barrier coating burner rig life

    Science.gov (United States)

    Watson, J. W.; Levine, S. R.

    1984-01-01

    A study of the effect of plasma spray processing parameters on the life of a two layer thermal barrier coating was conducted. The ceramic layer was plasma sprayed at plasma arc currents of 900 and 600 amps onto uncooled tubes, cooled tubes, and solid bars of Waspalloy in a lathe with 1 or 8 passes of the plasma gun. These processing changes affected the residual stress state of the coating. When the specimens were tested in a Mach 0.3 cyclic burner rig at 1130 deg C, a wide range of coating lives resulted. Processing factors which reduced the residual stress state in the coating, such as reduced plasma temperature and increased heat dissipation, significantly increased coating life.

  19. Manganese dioxide-coated filters for removing radium from drinking water. Report for 19 September 1983-1 September 1987

    International Nuclear Information System (INIS)

    Menetrez, M.Y.; Anderson, D.G.; Stahel, E.P.

    1988-09-01

    Research was performed using manganese dioxide (MnO 2 ) to demonstrate that above pH3 cations are adsorbed from solution in the order of their affinity, and that the interaction is characterized by the pH dependence of the metal. The relationship of the zero-point charge of pH and the solution ionic strength effects on interfacial surface potential and adsorption were addressed. Characteristics of MnO 2 behavior, structure, and stability found in research investigation were reviewed. Most of the study was on the use of MnO 2 coated filters for the removal of radium. A few comparison tests on radium removal with ion exchange were also made. Specifically, these tests have shown that acrylic-fiber filters coated with MnO 2 will remove radium from water. For a high-hardness water with pH = 7.4, total radium removal was 14,200 pCi/g MnO 2 before the MCL of 5 pCi/L was exceeded, and for a low-hardness water with pH = 4.5, total radium removal was 5000 pCi/g MnO 2 before the MCL of 5 pCi/L was exceeded. Hardness passed through the MnO 2 filters with little change and, therefore, radium was highly preferred over hardness. A step-by-step process for the preparation of acrylic-fiber filters coated with MnO 2 was designed and operated successfully

  20. Adsorption performance of titanium dioxide (TiO2) coated air filters for volatile organic compounds.

    Science.gov (United States)

    Zhong, Lexuan; Lee, Chang-Seo; Haghighat, Fariborz

    2012-12-01

    The photocatalytic oxidation (PCO) technology as an alternative method for air purification has been studied for decades and a variety of PCO models indicate that the adsorption of reactants on the catalyst surface is one of the major physical and chemical processes occurring at a heterogeneous photocatalytic reaction. However, limited study explored the adsorption effect of a photocatalyst. This study carried out a systematic evaluation of adsorption performance of titanium dioxide (TiO(2)) coated fiberglass fibers (FGFs), TiO(2) coated carbon cloth fibers (CCFs), and original CCFs air filters at various relative humidity conditions for nine volatile organic compounds. TiO(2)/FGFs, TiO(2)/CCFs, and CCFs were characterized by SEM for morphology and N(2) adsorption isotherm for BET surface area and pore structure. A bench-scale adsorption test setup was constructed and adsorption tests were performed at various relative humidity conditions and four different injected concentrations for each compound. The isothermal adsorption curves at low concentration levels were obtained and they were well described by Langmuir isotherm model. It was noticed that there were significant differences between the adsorption behaviors and photocatalytic activities of TiO(2)/FGFs and TiO(2)/CCFs. It was concluded that adsorption performance is closely related to the characteristics of substrates and therefore, the development of a substrate with high adsorption ability is a promising trend for improving the performance of the UV-PCO technology. Copyright © 2012 Elsevier B.V. All rights reserved.

  1. High temperature solar selective coatings

    Science.gov (United States)

    Kennedy, Cheryl E

    2014-11-25

    Improved solar collectors (40) comprising glass tubing (42) attached to bellows (44) by airtight seals (56) enclose solar absorber tubes (50) inside an annular evacuated space (54. The exterior surfaces of the solar absorber tubes (50) are coated with improved solar selective coatings {48} which provide higher absorbance, lower emittance and resistance to atmospheric oxidation at elevated temperatures. The coatings are multilayered structures comprising solar absorbent layers (26) applied to the meta surface of the absorber tubes (50), typically stainless steel, topped with antireflective Savers (28) comprising at least two layers 30, 32) of refractory metal or metalloid oxides (such as titania and silica) with substantially differing indices of refraction in adjacent layers. Optionally, at least one layer of a noble metal such as platinum can be included between some of the layers. The absorbent layers cars include cermet materials comprising particles of metal compounds is a matrix, which can contain oxides of refractory metals or metalloids such as silicon. Reflective layers within the coating layers can comprise refractory metal silicides and related compounds characterized by the formulas TiSi. Ti.sub.3SiC.sub.2, TiAlSi, TiAN and similar compounds for Zr and Hf. The titania can be characterized by the formulas TiO.sub.2, Ti.sub.3O.sub.5. TiOx or TiO.sub.xN.sub.1-x with x 0 to 1. The silica can be at least one of SiO.sub.2, SiO.sub.2x or SiO.sub.2xN.sub.1-x with x=0 to 1.

  2. Functional doped metal oxide films. Zinc oxide (ZnO) as transparent conducting oxide (TCO) titanium dioxide (TiO{sub 2}) as thermographic phosphor and protective coating

    Energy Technology Data Exchange (ETDEWEB)

    Nebatti Ech-Chergui, Abdelkader

    2011-07-29

    Metalorganic chemical vapor deposition (MOCVD) was used in the present work. Un-doped and Al-doped ZnO films were developed using two reactors: Halogen Lamp Reactor (HLR) (a type of Cold Wall Reactor) and Hot Wall Reactor (HWR), and a comparison was made between them in terms of the film properties. Zinc acetylacetonate was used as precursor for ZnO films while aluminum acetylacetonate was used for doping. The amount of Al doping can be controlled by varying the gas flow rate. Well ordered films with aluminum content between 0 and 8 % were grown on borosilicate glass and silicon. The films obtained are 0.3 to 0.5 {mu}m thick, highly transparent and reproducible. The growth rate of ZnO films deposited using HLR is less than HWR. In HLR, the ZnO films are well oriented along c-axis ((002) plane). ZnO films are commonly oriented along the c-axis due to its low surface free energy. On the other hand, the HWR films are polycrystalline and with Al doping these films aligned along the a-axis ((100) plane) which is less commonly observed. The best films were obtained with the HLR method showing a minimum electrical resistivity of 2.4 m{omega}cm and transmittance of about 80 % in the visible range. The results obtained for Al-doped films using HLR are promising to be used as TCOs. The second material investigated in this work was un-doped and doped titanium dioxide (TiO{sub 2}) films- its preparation and characterization. It is well known that thermographic phosphors can be used as an optical method for the surface temperature measurement. For this application, the temperature-dependent luminescence properties of europium (III)-doped TiO{sub 2} thin films were studied. It was observed that only europium doped anatase films show the phosphorescence. Rutile phase do not show phosphorescence. The films were prepared by the sol-gel method using the dip coating technique. The structures of the films were determined by X-ray diffraction (XRD). The excitation and the emission

  3. Low-dose esmolol: hemodynamic response to endotracheal intubation in normotensive patients

    Directory of Open Access Journals (Sweden)

    Suresh Lakshmanappa

    2012-06-01

    Full Text Available Abstract Purpose: Endotracheal intubation is a frequently utilized and highly invasive component of anesthesia that is often accompanied by potentially harmful hemodynamic pressor responses. The purpose of this study was to investigate the efficiency of a single pre-induction 1 mg/kg bolus injection of esmolol for attenuating these hemodynamic responses to endotracheal intubation in normotensive patients. Material and methods: The study was composed of 100 randomly selected male and female patients between the ages of 18 and 60 that were scheduled for elective surgery and belonged to ASA grade I or II. Two minutes prior to intubation the control group received 10 mL of saline (n=50 and the experimental group received an injection of esmolol 1 mg/kg diluted to 10 mL (n=50. Heart rate (HR, systolic blood pressure (SBP, diastolic blood pressure (DBP, mean arterial pressure (MAP, and rate pressure product (RPP were compared to basal values before receiving medication (T-0, during pre-induction (T-1, induction (T-2, intubation (T-3, and post-intubation at 1 (T-4, 3 (T-6, 5 (T-8, and 10 (T-13 minutes. Results: Esmolol significantly attenuated the hemodynamic responses to endotracheal intubation at the majority of measured points. Attenuation of HR (10.8%, SBP (7.04%, DBP (3.99%, MAP (5%, and RPP (16.9% was observed in the esmolol group when compared to the control group values. Conclusions: A single pre-induction 1 mg/kg bolus injection of esmolol successfully attenuated the hemodynamic pressor response in normotensive patients. A significant attenuation of heart rate, systolic blood pressure, diastolic blood pressure and mean arterial pressure was observed at the majority of measured time points in the esmolol administered group compared to the control group. [J Contemp Med 2012; 2(2.000: 69-76

  4. Highly Selective Continuous Flow Hydrogenation of Cinnamaldehyde to Cinnamyl Alcohol in a Pt/SiO2 Coated Tube Reactor

    Directory of Open Access Journals (Sweden)

    Yang Bai

    2018-02-01

    Full Text Available A novel continuous flow process for selective hydrogenation of α, β-unsaturated aldehyde (cinnamaldehyde, CAL to the unsaturated alcohol (cinnamyl alcohol, COL has been reported in a tube reactor coated with a Pt/SiO2 catalyst. A 90% selectivity towards the unsaturated alcohol was obtained at the aldehyde conversion of 98.8%. This is a six-fold improvement in the selectivity compared to a batch process where acetals were the main reaction products. The increased selectivity in the tube reactor was caused by the suppression of acid sites responsible for the acetal formation after a short period on stream in the continuous process. In a fixed bed reactor, it had a similar acetal suppression phenomenon but showed lower product selectivity of about 47–72% due to mass transfer limitations. A minor change in selectivity and conversion caused by product inhibition was observed during the 110 h on stream with a turnover number (TON reaching 3000 and an alcohol production throughput of 0.36 kg gPt−1 day−1 in the single tube reactor. The catalysts performance after eight reaction cycles was fully restored by calcination in air at 400 °C. The tube reactors provide an opportunity for process intensification by increasing the reaction rates by a factor of 2.5 at the reaction temperature of 150 °C compared to 90 °C with no detrimental effects on catalyst stability or product selectivity.

  5. Endotracheal expandable metallic stent placement in dogs

    Energy Technology Data Exchange (ETDEWEB)

    Sawada, S; Tanabe, Y; Fujiwara, Y; Koyama, T; Tanigawa, N; Kobayashi, M; Katsube, Y; Nakamura, H [Tottori Univ. School of Medicine, Yonago (Japan). Dept. of Radiology Research Inst. for Microbial Diseases, Osaka (Japan). Dept. of Radiology

    1991-01-01

    Various types of Gianturco zig-zag wire stent were implanted into the tracheas of 4 dogs to define the suitable characteristics of the endotracheal wire stent in these animals. These stents were constructed of 0.45, and 0.33 mm stainless steel wire. The diameter of the fully expanded stents was 3 cm and their lengths were 2, 3, and 4 cm. The 2 cm stent constructed of 0.33 mm wire showed minimum pathologic changes of the trachea of the dog compared to the other stents, and at the same time had a complete covering of ciliated columnar epithelium over the stent surface. (orig.).

  6. Development of a discharge-heated plasma tube

    International Nuclear Information System (INIS)

    Cha, Byung Heon; Jin, J. T.; Nam, S. M.; Lee, S. M.; Choi, H. L.; Ko, D. K.; Kim, S. H.; Lee, Y. B.; Choi, Y. S.; Lee, J. M.; Lee, C. K.; Lee, H. G.; Lee, H. C.; Jung, S. M.; Kim, Y. J.; Choi, G. S.; Son, N. G.

    1999-12-01

    A discharge-heated type plasma tube was designed and constructed. The structure of the laser plasma tube was designed to be easy in maintenance. The inside plasma tube was made of a high purity alumina and the thermal insulator tube was made of a porous alumina. The electrode made of tungsten was chosen for the endurance of high discharge voltage. AR coated windows were used as laser windows. A proto-type laser plasma tube was tested with a pulse modulator. An average laser output power was 32 W at the discharge voltage of 28 kV, the electric input power of 4.6 kW, and the pulse repetition rates of 10 kHz. (author)

  7. Vanadium dioxide formed by the sol-gel process

    International Nuclear Information System (INIS)

    Potember, R.S.; Speck, K.R.; Hu, H.S.

    1990-01-01

    This patent describes a process for the deposition of a crystalline vanadium dioxide thin film. It comprises: providing a solution comprising a vanadium tetraalkoxide and solvent; allowing hydrolysis and condensation reactions to progressively form a homogeneous sol from the solution, applying a coating of the sol to the substrate; allowing a gel to form from the sol on the substrate by evaporating the solvent; dehydrating the gel by heat treatment under an inert atmosphere to form the crystalline vanadium dioxide film

  8. Cuff inflation to aid nasotracheal intubation using the C-mac ...

    African Journals Online (AJOL)

    The main thrust of the technique is that cuff inflation of the endotracheal tube is used to lift the endotracheal tube off the posterior pharyngeal wall and thus direct it towards the glottis. The technique was used successfully in 5 consecutive patients needing nasotracheal intubation. Indeed a couple of these patients might have ...

  9. Complex impedance study on nano-CeO2 coating TiO2

    International Nuclear Information System (INIS)

    Zhang Mei; Wang Honglian; Wang Xidong; Li Wenchao

    2006-01-01

    Titanium dioxide (TiO 2 ) nanoparticles and cerium dioxide (CeO 2 ) nanoparticles coated titanium dioxide (TiO 2 ) nanoparticles (CeO 2 -TiO 2 nanoparticles) have been successfully synthesized by sol-gel method. The complex impedance of the materials was investigated. The grain resistance, boundary resistance and activation energy of the nanoparticles were calculated according to Arrhenius equation. According to calculating results, the active capacity of pure TiO 2 nanoparticles has been improved because of nano-CeO 2 coating. An optimal CeO 2 content of 4.9 mol% was achieved. The high resolution electron microscopy images of CeO 2 -TiO 2 nanoparticles showed that TiO 2 nanoparticles, as a core, were covered by CeO 2 nanoparticles. The average size of CeO 2 coating TiO 2 nanoparticles was about 70 nm. Scanning electron microscopy observation indicted that CeO 2 nanoparticle coating improved the separation, insulation, and stability the CeO 2 -TiO 2 nanoparticles, which was benefit to the activity of materials

  10. Heat-shrink tubing as a solid-phase microextraction coating for the enrichment and determination of phthalic acid esters.

    Science.gov (United States)

    Luo, Xi; He, Chengxia; Zhang, Feifang; Wang, Hailong; Yang, Bingcheng; Liang, Xinmiao

    2014-12-01

    Heat-shrink tubing, which shrinks in one plane only (its diameter) when heated, commonly used for sealing protection in electrical engineering, was found to be able to function as a solid-phase microextraction coating. Its utility was demonstrated for the determination of phthalic acid esters in an aqueous solution combined with high-performance liquid chromatography equipped with a UV absorbance detector. The preparation procedure was rather simple and only ∼10 min was needed. The fiber cost is extremely low (∼10 cent each). The parameters affecting the extraction were optimized. Heat-shrink tubing fiber exhibited a significant enrichment effect for the three examined phthalic acid esters and up to 931-fold enrichment factor was obtained. The limit of detection was <10 μg/L for all analytes. The operation repeatability and fiber-to-fiber reproducibility were 1.2-8.3 and 5.4-9.1%, respectively. It was successfully applied for the analysis of bottled drinking water with recoveries ranging from 90.1-100.5%. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  11. Optimizing the photocatalytic properties and the synergistic effects of graphene and nano titanium dioxide immobilized on cotton fabric

    International Nuclear Information System (INIS)

    Karimi, Loghman; Yazdanshenas, Mohammad Esmail; Khajavi, Ramin; Rashidi, Abosaeed; Mirjalili, Mohammad

    2015-01-01

    Graphical abstract: - Highlights: • Producing superior photo-active cotton fabric using graphene/titanium dioxide nanocomposite. • Optimizing processing conditions using response surface methodology. • Obtaining significant photo-activity properties on cotton fabric by this method under sun irradiation. • Possessing excellent antimicrobial activity with low cytotoxicity on human fibroblasts. - Abstract: A new facile route based on cotton fabric coated with graphene/titanium dioxide nanocomposite is reported to produce photo-active cellulose textiles. A thin layer of graphene oxide has been produced on cotton fabrics by a dip-dry process. The graphene oxide-coated cotton fabrics were then immersed in titanium trichloride aqueous solution to yield a fabric coated with graphene/titanium dioxide nanocomposite. The photo-activity efficiency of the coated fabrics was tested by degradation of methylene blue in aqueous solution under UV and sunlight irradiations. To obtain the optimum condition, the response surface methodology (RSM) through the central composite design was applied and the role of both graphene oxide and titanium trichloride concentrations on photo-activity efficiency was investigated. The physicochemical properties of the prepared samples has been characterized by a series of techniques, including Raman spectroscopy, X-ray diffraction (XRD), scanning electron microscopy (SEM), and transmission electron microscopy (TEM). The effect of the application of graphene/titanium dioxide nanocomposite on the physical properties of the cotton fabric, such as tensile strength, bending rigidity and crease recovery angle has been analyzed. Other characteristics of treated fabrics such as antibacterial, antifungal and cytotoxicity were also investigated. Cotton fabric coated with optimum concentrations of graphene oxide and titanium trichloride obtained significant photo-activity efficiency under UV and sunlight irradiations. Moreover, the graphene

  12. Comparative study of patients suffering sore throat after general anesthesia using laryngeal mask airway and cuffed pharyngeal tube in adults

    Directory of Open Access Journals (Sweden)

    Hassani V

    2001-09-01

    Full Text Available Post-operative sore throat is one of the most common complications and complaints of patients after general anesthesia especially in operations that need endotracheal intubations. Its causes are: size of endotracheal tube and type of its cuff, inadequate airway humidification, trauma during intubation and suctioning, high flow of inspiratory gases, surgical manipulation of airway and adjacent organs, ect. Use of instruments with less invasion to upper respiratory tract, for example, face mask and airway, LMA or CPT are methods, used for decreasing the rate of post-operative sore throat. This study was performed to compare the rate of sore throat after general anesthesia between Laryngeal Mask Airway (LMA and Cuffed Pharyngeal Tube (CPT. From the patients, 120 ASA: PS-I cases, were selected, who were candidates for elective surgery of Orthopedics, Urology, General surgery and Gynecology in Hazrat Rasool-Akram Hospital Complex in the year 2000. Their operation were performed in supine position and did not need muscle relaxation and the patients had spontaneous breathing. Duration of surgery was less than 2 hours. The patients were randomly allocated into two groups: LMA was used for one group and CPT for others. Immediately after operation, in the recovery room and at 6, 12, 18 and 24 hours after removing the tube, the patients were asked about sore throat and the results were recorded in the related sheets. The results was 31.7 percent of patients in group LMA and 0 percent of patients in group CPT, had sore throat. There were significant difference between groups (LMA and CPT in presentation of sore throat (P<0.001.

  13. boron nitride coating of uranium dioxide and uranium dioxide-gadolinium oxide fuels by chemical precipitation method

    International Nuclear Information System (INIS)

    Uslu, I.; Tanker, E.; Guenduez, G.

    1997-01-01

    In this research pure urania and urania-gadolinia (5 and 10 %) fuels were coated with boron nitride (BN). This is achieved through chemical vapor deposition (CVD) using boron tricloride BCl 3 ) and ammonia (NH 3 ) at 600 C.Boron tricloride and ammonia are carried to tubular furnace using hydrogen as carrier gas. The coated samples were sintered at 1600 K. The properties of the coated samples were observed using BET surface area analysis, infrared spectra (IR), X-Ray Diffraction and Scanning Electron Microscope (SEM) techniques

  14. Low-Cost Repairable Oxidation Resistant Coatings for Carbon-Carbon Composites via CCVD

    National Research Council Canada - National Science Library

    Hendrick, Michelle

    2000-01-01

    ...) thin film process to yield oxidation resistant coatings on carbon-carbon (C-C) composites. Work was on simple coatings at this preliminary stage of investigation, including silicon dioxide, platinum and aluminum oxide...

  15. Intumescent Coatings as Fire Retardants

    Science.gov (United States)

    Parker, J. A.; Fohlen, G. M.; Sawko, P. M.; Fish, R. H.

    1970-01-01

    The development of fire-retardant coatings to protect surfaces which may be exposed to fire or extreme heat is a subject of intense interest to many industries. A fire-retardant paint has been developed which represents a new chemical approach for preparing intumescent coatings, and potentially, is very important to fire-prevention authorities. The requirements for a superior coating include ease of application, suitability to a wide variety of surfaces and finishes, and stability over an extended period of time within a broad range of ambient temperature and humidity conditions. These innovative coatings, when activated by the heat of a fire, react to form a thick, low-density, polymeric coating or char layer. Water vapor and sulphur dioxide are released during the intumescent reaction. Two fire-protection mechanisms thus become available: (1) the char layer retards the flow of heat, due to the extremely low thermal conductivity; and (2) water vapor and sulfur dioxide are released, providing fire quenching properties. Still another mechanism functions in cases where the char, by virtue of its high oxidation resistance and low thermal conductivity, reaches a sufficiently high temperature to re-radiate much of the incident heat load. The coatings consist of dispersions of selective salts of a nitro-amino-arornatic compound. Specifically, para-nitroaniline bisulfate and the ammonium salt of para-nitroaniline-ortho sulphuric acid (2-amino-5-nitrobenzenesulphuric acid) are used. Suitable vehicles are cellulose nitrate of lacquer grade, a nitrite-phenolic modified rubber, or epoxy-polysulfide copolymer. Three separate formulations have been developed. A solvent is usually employed, such as methylethyl ketone, butyl acetate, or toluene, which renders the coatings suitably thin and which evaporates after the coatings are applied. Generally, the intumescent material is treated as insoluble in the vehicle, and is ground and dispersed in the vehicle and solvent like an

  16. Fabrication of tubed functionally graded material by slurry dipping process. Thickness control of dip-coated layer

    International Nuclear Information System (INIS)

    Watanabe, Ryuzo

    1997-03-01

    In order to obtain long life fuel cladding tubes for the fast breeder reactor, the concept of functionally graded material was applied for the material combination of Molybdenum/stainless steel/Titanium, in which Titanium and Molybdenum were placed at the inner and outer sides, respectively. Slurry dipping method was employed because of its capability of shape forming and microstructural control. We have hitherto reported the design criteria for the graded layers, preparation of the slurry, and microstructural control of the dip-coated layers. In the present report, the thickness control of the dip-coated layer is described in detail. The thickness of the dip-coated layer depends primarily on the viscosity of the slurry. Nevertheless, for the stable dispersion of the powder in the slurry, which dominates the microstructural homogeneity, an optimum viscosity value is present for the individual slurries. With stable slurries of Ti, Mo, stainless steel powders and their mixtures, the thicknesses of dip-coated layers were controlled in dependence of their viscosities and yield values. For Ti and stainless steel powders and their mixture a PAANa was used as a dispersing agent. A NaHMP was found to be effective for the dispersion of Mo powder and Mo/stainless steel powder mixture. For all slurries tested in the present investigation PVA addition was helpful for the viscosity control. Dip-coating maps have been drawn for the stabilization of the slurries and for the formation of films with a sufficient strength for further manipulation for the slurries with low viscosity (∼10 mPa s). The final film thickness for the low-viscosity slurry with the optimum condition was about 200 μm. The slurries with high viscosities of several hundreds mPa s had a good stability and the yield value was easy to be controlled. The film thickness was able to be adjusted in the size range between several tens and several hundreds μm. The final thickness of the graded layer was determined

  17. Functional foam coatings inside tubing and custom developed diamond ignition targets

    International Nuclear Information System (INIS)

    Dawedeit, Christoph

    2014-01-01

    The development of inertial confinement fusion targets requires new efficient ablator materials and characteristic temperature measurements during confinement. Here, an aerogel coating process is developed to coat inside spheres and cylinders. The characteristic emission spectrum of doped aerogel inside diamond targets is used as temperature gauge during confinement. Coatings inside metal cylinders confirmed the generality of the coating procedure. In addition artificial diamond is characterized which represents an interesting ablator material.

  18. Endotracheal temperature and humidity measurements in laryngectomized patients: intra- and inter-patient variability

    NARCIS (Netherlands)

    Scheenstra, R.J.; Muller, S.H.; Vincent, A.; Sinaasappel, M.; Zuur, J.K.; Hilgers, F.J.M.

    2009-01-01

    This study assesses intra- and inter-patient variability in endotracheal climate (temperature and humidity) and effects of heat and moister exchangers (HME) in 16 laryngectomized individuals, measured repeatedly (N = 47). Inhalation Breath Length (IBL) was 1.35 s without HME and 1.05 s with HME (P <

  19. Endotracheal temperature and humidity measurements in laryngectomized patients: intra- and inter-patient variability

    NARCIS (Netherlands)

    Scheenstra, R. J.; Muller, S. H.; Vincent, A.; Sinaasappel, M.; Zuur, J. K.; Hilgers, Frans J. M.

    2009-01-01

    This study assesses intra- and inter-patient variability in endotracheal climate (temperature and humidity) and effects of heat and moister exchangers (HME) in 16 laryngectomized individuals, measured repeatedly (N = 47). Inhalation Breath Length (IBL) was 1.35 s without HME and 1.05 s with HME (P

  20. Risk factors for endotracheal intubation and mechanical ventilation in patients with opioids intoxication

    International Nuclear Information System (INIS)

    Mirmoghtadaee, P.; Mood, N.E.; Sabzghabaee, A.M.; Yaraghi, A.

    2012-01-01

    Objectives: Patients poisoned with opioids sometimes need endotracheal intubation with or without the use of mechanical ventilation. This study was done to determine the prognostic risk factors for of the need for endotracheal intubation and mechanical ventilation. Methodology: In this cross-sectional study which was performed in Isfahan (Iran), one hundred (n=100) opioid poisoned patients whom their overdoses were diagnosed by their full and reliable history, physical examination and positive response to naloxone; vital signs at the hospital admission, blood biochemistry, ABG details and also the type and estimated dosage of opioid, route of consumption, and their need to mechanical ventilation were evaluated. Results: Patients were mostly aged between 20-40 years old. Seventy nine patients were male and 26 cases (21 men) required endotracheal intubation and 15 cases (14 men) needed both intubation and mechanical ventilation. The most consumed opiates among the poisoned patients were opium (35%), heroin (16%), Tramadol (15%), Methadone (9%), crack (6%), Diphenoxylate (4%) and others (15%). There was a significant difference between the mean heart rates and respiratory rate of the patients who were connected to the ventilator and others (99.8 +- 21.8 and 87.3 +- 16.3; p=0.01). The lower level of consciousness [OR: 2.2 95% Confidence Interval (CI): 1.2-4.2], and lower admission level of hemoglobin (OR: 3.6; CI:1.2-10.8) were among the factors for predicting the need for intubation and ventilation. Conclusion: Determining the risk factors with prognostic value for the need to intubation or ventilation seems to be necessary for improving the standard of therapy in opioids poisoned patients. (author)

  1. The Effect of Progressive Muscle Relaxation Exercises After Endotracheal Extubation on Vital Signs and Anxiety Level in Open Heart Surgery Patients

    Directory of Open Access Journals (Sweden)

    Özlem İbrahimoğlu

    2017-12-01

    Full Text Available Objective: The purpose of this study was to examine the effects of the exercises of progressive muscle relaxation (PMR on vital signs and anxiety level after endotracheal extubation in open heart surgery. Materials and Methods: This study was carried out as quasi-experimental, pre-test, and post-test with a control group. The study recruited 30 experimental and 30 control group open heart surgery patients, who met the inclusion criteria, from a cardiac and vascular surgery clinic of a university hospital. PMR exercises, which were taught before the surgery, were implemented after the surgery in the intensive care unit simultaneously with endotracheal extubation. The vital signs of the patients were monitored for the first 30 min. The anxiety levels were measured after 30 min of extubation with state anxiety inventory. Results: The lower rates of heartbeat, breathing, arterial blood pressure, and anxiety were observed in the experimental group in all measurements (first 30 min after endotracheal extubation, and the differences were statistically significant in favor of the experimental group (p<0.05. Conclusion: The study showed that the relaxation exercises after endotracheal extubation in open heart surgery patients was effective in improving vital signs and reducing anxiety level.

  2. Effect of Tube Diameter on Heat Transfer to Vertically Upward Flowing Supercritical CO2

    International Nuclear Information System (INIS)

    Kang, Deog Ji; Kim, Sin; Bae, Yoon Yeong; Kim, Hwan Yeol; Kim, Hyung Rae

    2007-01-01

    Heat transfer characteristics of supercritical carbon dioxide are being investigated experimentally in the test loop named as SPHINX(Supercritical Pressure Heat Transfer Investigation for NeXt generation) at KAERI. The main purpose of the experiment is to provide a reliable heat transfer database for a SCWR (SuperCritical Water-cooled Reactor) by a prudent extension of the carbon dioxide test results to the estimation of a heat transfer for water. The produced data will be used in the thermo-hydraulic design of core and safety analysis for SCWR. The aim of the present paper is to study the influence of a tube diameter on a heat transfer. The experiments were completed for tubes of an inside diameter of 4.4mm and 9.0mm, respectively. The heat transfer characteristics from the two tubes of different diameters were compared and discussed

  3. Nickel electroplating of steam generator tubes (kiss sleeving process)

    International Nuclear Information System (INIS)

    Michaut, B.

    1988-01-01

    This process, the nickel electroplating of steam generator tubes, has been jointly developed under a Belgatom (Laborelec) and Framatome agreement with shared experience gained by both companies, industrial applications being under the responsibility of Framatome. Application of the coating in zones where residual stresses or cracks are present prevents contact between the primary water and the tube, which stops the stress corrosion process. In the Doel 2 plant, 91 tubes have been plated since 1985, and different sets of parameters have been used for comparison purposes. Among these tubes, 9 have been preventively plugged because of defective plating, 9 have been pulled out for laboratory examinations, 2 just after plating and 7 after 1 or 2 yr of service. There are 73 plated tubes still in service. From the tests that were performed, it was possible to select an optimized set of parameters guaranteeing the following properties: bridging of existing cracks and good behavior of the coating in relevant zones, good adhesion to the Inconel tube, high ductility, low residual stresses, thermal shock resistance, corrosion resistance, erosion resistance, and low cobalt content. The licensability of this process is being completed. It is based first on the leak-before-break concept to determine the characteristics of the nickel plating, thickness in particular, and second on the inspectability of ultrasonic testing methods

  4. Deposition stress effects on the life of thermal barrier coatings on burner rigs

    Science.gov (United States)

    Watson, J. W.; Levine, S. R.

    1984-01-01

    A study of the effect of plasma spray processing parameters on the life of a two layer thermal barrier coating was conducted. The ceramic layer was plasma sprayed at plasma arc currents of 900 and 600 amps onto uncooled tubes, cooled tubes, and solid bars of Waspalloy in a lathe with 1 or 8 passes of the plasma gun. These processing changes affected the residual stress state of the coating. When the specimens were tested in a Mach 0.3 cyclic burner rig at 1130 deg C, a wide range of coating lives resulted. Processing factors which reduced the residual stress state in the coating, such as reduced plasma temperature and increased heat dissipation, significantly increased coating life.

  5. Plasma sputtering robotic device for in-situ thick coatings of long, small diameter vacuum tubesa)

    Science.gov (United States)

    Hershcovitch, A.; Blaskiewicz, M.; Brennan, J. M.; Custer, A.; Dingus, A.; Erickson, M.; Fischer, W.; Jamshidi, N.; Laping, R.; Liaw, C.-J.; Meng, W.; Poole, H. J.; Todd, R.

    2015-05-01

    A novel robotic plasma magnetron mole with a 50 cm long cathode was designed, fabricated, and operated. The reason for this endeavor is to alleviate the problems of unacceptable resistive heating of stainless steel vacuum tubes in the BNL Relativistic Heavy Ion Collider (RHIC). The magnetron mole was successfully operated to copper coat an assembly containing a full-size, stainless steel, cold bore, RHIC magnet tubing connected to two types of RHIC bellows, to which two additional pipes made of RHIC tubing were connected. To increase the cathode lifetime, a movable magnet package was developed, and the thickest possible cathode was made, with a rather challenging target to substrate (de facto anode) distance of less than 1.5 cm. Achieving reliable steady state magnetron discharges at such a short cathode to anode gap was rather challenging, when compared to commercial coating equipment, where the target to substrate distance is 10's cm; 6.3 cm is the lowest experimental target to substrate distance found in the literature. Additionally, the magnetron developed during this project provides unique omni-directional uniform coating. The magnetron is mounted on a carriage with spring loaded wheels that successfully crossed bellows and adjusted for variations in vacuum tube diameter, while keeping the magnetron centered. Electrical power and cooling water were fed through a cable bundle. The umbilical cabling system is driven by a motorized spool. Excellent coating adhesion was achieved. Measurements indicated that well-scrubbed copper coating reduced secondary electron yield to 1, i.e., the problem of electron clouds can be eliminated. Room temperature RF resistivity measurement indicated that a 10 μm copper coated stainless steel RHIC tube has a conductivity close to that of pure copper tubing. Excellent coating adhesion was achieved. The device details and experimental results are described.

  6. Physical and chemical analysis of interaction between oxide fuel and pyrocarbon coating of coated particles

    International Nuclear Information System (INIS)

    Lyutikov, R.A.; Kromov, Yu.F.; Chernikov, A.S.

    1991-01-01

    In terms of the model proposed the equilibrium pressure of gases (CO, Kr, Xe) in pyrocarbon-coated uranium dioxide fuel particles has been calculated, as function of the initial composition of the fuel (O/U), the design features of the coated particles, the fuel temperature, and the burnup. The possibility of reducing gas pressure in the particles by alloying the kernels with uranium carbide, and increasing the kernel capacity for retention of solid fission products by alloying the uranium oxide with aluminum-silicates, has been investigated. (author)

  7. Stop Smoking—Tube-In-Tube Helical System for Flameless Calcination of Minerals

    Directory of Open Access Journals (Sweden)

    Nils Haneklaus

    2017-11-01

    Full Text Available Mineral calcination worldwide accounts for some 5–10% of all anthropogenic carbon dioxide (CO2 emissions per year. Roughly half of the CO2 released results from burning fossil fuels for heat generation, while the other half is a product of the calcination reaction itself. Traditionally, the fuel combustion process and the calcination reaction take place together to enhance heat transfer. Systems have been proposed that separate fuel combustion and calcination to allow for the sequestration of pure CO2 from the calcination reaction for later storage/use and capture of the combustion gases. This work presents a new tube-in-tube helical system for the calcination of minerals that can use different heat transfer fluids (HTFs, employed or foreseen in concentrated solar power (CSP plants. The system is labeled ‘flameless’ since the HTF can be heated by other means than burning fossil fuels. If CSP or high-temperature nuclear reactors are used, direct CO2 emissions can be divided in half. The technical feasibility of the system has been accessed with a brief parametric study here. The results suggest that the introduced system is technically feasible given the parameters (total heat transfer coefficients, mass- and volume flows, outer tube friction factors, and –Nusselt numbers that are examined. Further experimental work will be required to better understand the performance of the tube-in-tube helical system for the flameless calcination of minerals.

  8. Oxide Dispersion Strengthened Iron Aluminide by CVD Coated Powders

    Energy Technology Data Exchange (ETDEWEB)

    Asit Biswas Andrew J. Sherman

    2006-09-25

    This I &I Category2 program developed chemical vapor deposition (CVD) of iron, aluminum and aluminum oxide coated iron powders and the availability of high temperature oxidation, corrosion and erosion resistant coating for future power generation equipment and can be used for retrofitting existing fossil-fired power plant equipment. This coating will provide enhanced life and performance of Coal-Fired Boilers components such as fire side corrosion on the outer diameter (OD) of the water wall and superheater tubing as well as on the inner diameter (ID) and OD of larger diameter headers. The program also developed a manufacturing route for readily available thermal spray powders for iron aluminide coating and fabrication of net shape component by powder metallurgy route using this CVD coated powders. This coating can also be applid on jet engine compressor blade and housing, industrial heat treating furnace fixtures, magnetic electronic parts, heating element, piping and tubing for fossil energy application and automotive application, chemical processing equipment , heat exchanger, and structural member of aircraft. The program also resulted in developing a new fabrication route of thermal spray coating and oxide dispersion strengthened (ODS) iron aluminide composites enabling more precise control over material microstructures.

  9. Plasma deposition of antimicrobial coating on organic polymer

    Science.gov (United States)

    Rżanek-Boroch, Zenobia; Dziadczyk, Paulina; Czajkowska, Danuta; Krawczyk, Krzysztof; Fabianowski, Wojciech

    2013-02-01

    Organic materials used for packing food products prevent the access of microorganisms or gases, like oxygen or water vapor. To prolong the stability of products, preservatives such as sulfur dioxide, sulfites, benzoates, nitrites and many other chemical compounds are used. To eliminate or limit the amount of preservatives added to food, so-called active packaging is sought for, which would limit the development of microorganisms. Such packaging can be achieved, among others, by plasma modification of a material to deposit on its surface substances inhibiting the growth of bacteria. In this work plasma modification was carried out in barrier discharge under atmospheric pressure. Sulfur dioxide or/and sodium oxide were used as the coating precursors. As a result of bacteriological studies it was found that sulfur containing coatings show a 16% inhibition of Salmonella bacteria growth and 8% inhibition of Staphylococcus aureus bacteria growth. Sodium containing coatings show worse (by 10%) inhibiting properties. Moreover, films with plasma deposited coatings show good sealing properties against water vapor. Contribution to the Topical Issue "13th International Symposium on High Pressure Low Temperature Plasma Chemistry (Hakone XIII)", Edited by Nicolas Gherardi, Henryca Danuta Stryczewska and Yvan Ségui.

  10. Lack of agreement and trending ability of the endotracheal cardiac output monitor compared with thermodilution

    DEFF Research Database (Denmark)

    Møller-Sørensen, H; Hansen, K L; Ostergaard, M

    2012-01-01

    BACKGROUND: Minimally invasive monitoring systems of central haemodynamics are gaining increasing popularity. The present study investigated the precision of the endotracheal cardiac output monitor (ECOM) system and its agreement with pulmonary artery catheter thermodilution (PAC TD) for measuring...

  11. Assessment of corrosion failure in copper tube of refrigerator unit

    International Nuclear Information System (INIS)

    Mohd Harun; Hafizal Yazid; Zaiton Selamat; Mohd Shariff Sattar; Muhamamd Jalil

    2007-01-01

    The copper tubes of the refrigerator unit have been coated with red and white color paints. According to the date of purchase and complaint recorded, the tube leaked after operation about one year. It was observed that the tubes became black and green in color at U-bend of the tube. No corrosion occurred on the internal surface of the tube. The leaking started at outer surface of the tube. The leaking started at outer surface and propagated to the internal surface of the tubes. The leaking damage was caused by corrosive species either from atmospheric corrosion or the paint contained chloride and sulfur elements. The corrosive species of sulfur and chlorine were a main factor in pitting corrosion. (author)

  12. Anodic growth of titanium dioxide nanostructures

    DEFF Research Database (Denmark)

    2010-01-01

    Disclosed is a method of producing nanostructures of titanium dioxide (TiO 2 ) by anodisation of titanium (Ti) in an electrochemical cell, comprising the steps of: immersing a non-conducting substrate coated with a layer of titanium, defined as the anode, in an electrolyte solution...... an electrical contact to the layer of titanium on the anode, where the electrical contact is made in the electrolyte solution...

  13. Application of Palm Stearin-Chitosan Edible Coating on Star Fruits (Averrhoa carambola L.)

    International Nuclear Information System (INIS)

    Nurul Hanani Mohamad Zaki; Halimahton Zahrah Mohamed Som; Zaibunnisa Abdul Haiyee

    2012-01-01

    An edible coating comprising of hydrophilic (chitosan) and hydrophobic (palm stearin) components which demonstrated gas barrier and moisture barrier properties respectively, was developed to prolong the post harvest life of star fruits (Averrhoa carambola L.). The physicochemical properties of the coated star fruits were evaluated in terms of weight loss, firmness, visual appearance, colour and glossiness, respiratory gases (oxygen and carbon dioxide) concentrations and ethylene concentration during storage at chilled temperature for 40 days. The results obtained showed that coating reduced weight loss, and maintained firmness and appearance of star fruits. Formulation 1:1 (chitosan:stearin) prevented decline in oxygen production, slowed down carbon dioxide production, and maintained firmness of star fruits. Visual appearance of star fruits showed that coating had lengthened the post harvest life of star fruits up to 40 days with no sign of mould growth. (author)

  14. Effect of Tube Diameter on Heat Transfer to Vertically Upward Flowing Supercritical CO{sub 2}

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Deog Ji; Kim, Sin [Cheju National University, Jeju (Korea, Republic of); Bae, Yoon Yeong; Kim, Hwan Yeol; Kim, Hyung Rae [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2007-07-01

    Heat transfer characteristics of supercritical carbon dioxide are being investigated experimentally in the test loop named as SPHINX(Supercritical Pressure Heat Transfer Investigation for NeXt generation) at KAERI. The main purpose of the experiment is to provide a reliable heat transfer database for a SCWR (SuperCritical Water-cooled Reactor) by a prudent extension of the carbon dioxide test results to the estimation of a heat transfer for water. The produced data will be used in the thermo-hydraulic design of core and safety analysis for SCWR. The aim of the present paper is to study the influence of a tube diameter on a heat transfer. The experiments were completed for tubes of an inside diameter of 4.4mm and 9.0mm, respectively. The heat transfer characteristics from the two tubes of different diameters were compared and discussed.

  15. Differential Effects of Endotracheal Suctioning on Gas Exchanges in Patients with Acute Respiratory Failure under Pressure-Controlled and Volume-Controlled Ventilation

    Directory of Open Access Journals (Sweden)

    Xiao-Wei Liu

    2015-01-01

    Full Text Available This study was conducted to evaluate the effects of open endotracheal suctioning on gas exchange and respiratory mechanics in ARF patients under the modes of PCV or VCV. Ninety-six ARF patients were treated with open endotracheal suctioning and their variations in respiratory mechanics and gas exchange after the suctions were compared. Under PCV mode, compared with the initial level of tidal volume (VT, ARF patients showed 30.0% and 27.8% decrease at 1 min and 10 min, respectively. Furthermore, the initial respiratory system compliance (Crs decreased by 29.6% and 28.5% at 1 min and 10 min, respectively. Under VCV mode, compared with the initial level, 38.6% and 37.5% increase in peak airway pressure (PAP were found at 1 min and 10 min, respectively. Under PCV mode, the initial PaO2 increased by 6.4% and 10.2 % at 3 min and 10 min, respectively, while 18.9% and 30.6% increase of the initial PaO2 were observed under VCV mode. Summarily, endotracheal suctioning may impair gas exchange and decrease lung compliance in ARF patients receiving mechanical ventilation under both PCV and VCV modes, but endotracheal suctioning effects on gas exchange were more severe and longer-lasting under PCV mode than VCV.

  16. Silver-coated ion exchange membrane electrode applied to electrochemical reduction of carbon dioxide

    International Nuclear Information System (INIS)

    Hori, Y.; Ito, H.; Okano, K.; Nagasu, K.; Sato, S.

    2003-01-01

    Silver-coated ion exchange membrane electrodes (solid polymer electrolyte, SPE) were prepared by electroless deposition of silver onto ion exchange membranes. The SPE electrodes were used for carbon dioxide (CO 2 ) reduction with 0.2 M K 2 SO 4 as the electrolyte with a platinum plate (Pt) for the counterelectrode. In an SPE electrode system prepared from a cation exchange membrane (CEM), the surface of the SPE was partly ruptured during CO 2 reduction, and the reaction was rapidly suppressed. SPE electrodes made of an anion exchange membrane (SPE/AEM) sustained reduction of CO 2 to CO for more than 2 h, whereas, the electrode potential shifted negatively during the electrolysis. The reaction is controlled by the diffusion of CO 2 through the metal layer of the SPE electrode at high current density. Ultrasonic radiation, applied to the preparation of SPE/AEM, was effective to improve the electrode properties, enhancing the electrolysis current of CO 2 reduction. Observation by a scanning electron microscope (SEM) showed that the electrode metal layer became more porous by the ultrasonic radiation treatment. The partial current density of CO 2 reduction by SPE/AEM amounted to 60 mA cm -2 , i.e. three times the upper limit of the conventional electrolysis by a plate electrode. Application of SPE device may contribute to an advancement of CO 2 fixation at ambient temperature and pressure

  17. Investigation of DC magnetron-sputtered TiO2 coatings: Effect of coating thickness, structure, and morphology on photocatalytic activity

    DEFF Research Database (Denmark)

    Daviðsdóttir, Svava; Shabadi, Rajashekhara; Galca, Aurelian Catalin

    2014-01-01

    The photocatalytic performance of magnetron-sputtered titanium dioxide (TiO2) coatings of different thickness in anatase crystalline structure deposited on aluminium 1050 alloy substrates was investigated using a combination of photo-electrochemistry, methylene blue decomposition, and microscopic...

  18. Surface coating of jeungjing wood (Paraserianthes Falcataria (L) NIELSEN) with acrylate resins by using radiation technique

    International Nuclear Information System (INIS)

    Suhariyono, Gatot

    1998-01-01

    An experiment on surface coating with acrylate resins has been done by using radiation technique to improve the quality and added value of jeunjing wood (Paraserianthes Falcataria (L) NIELSEN). Doses used in Electron Beam (BE) radiation were 20, 40, and 60 kGy. Epoxy acrylate and ester acrylate resins were used as coating materials after added with tripropylene glycol diacylate (TPGDA) monomer, 2,2-dimethyl-2hidroxy acetophenone (Darocur 1173) photoinitiator and talc as base coat. Top coat consists of este acrylate Setacure AM 548, after added with titanium dioxide OK 412 as additive respectively. Titanium dioxides in the mixture were varied at the concentration level of 0, 2, 4 and 6 % by weight. Conventional coating as comparison was carried out by using varnish as coating material. The results showed that the properties of film on jeunjing wood by EB curing are better than that of conventional one. (authors)

  19. High-temperature air oxidation of E110 and Zr-1%Nb alloys claddings with coatings

    International Nuclear Information System (INIS)

    Kuprin, A.S.; Belous, V.A.; Voyevodin, V.N.; Bryk, V.V.; Vasilenko, R.L.; Ovcharenko, V.D.; Tolmachova, G.N.; V'yugov, P.N.

    2014-01-01

    Results of experimental study of the influence of protective vacuum-arc claddings on the base of compounds zirconium-chromium and of its nitrides on air oxidation resistance at temperatures 660, 770, 900, 1020, 1100 deg C during 3600 s. of tubes produced of zirconium alloys E110 and Zr-1%Nb (calcium-thermal alloy of Ukrainian production) are presented. Change of hardness, the width of oxide layer and depth of oxygen penetration into alloys from the side of coating and without coating are investigated by the methods of nanoindentation and by scanning electron microscopy. It is shown that the thickness of oxide layer in zirconium alloys at temperatures 1020 and 1100 deg C from the side of the coating doesn't exceed 5 μm, and from the unprotected side reaches the value of ≥ 120 μm with porous and rough structure. Tubes with coatings save their shape completely independently of the type of alloy; tubes without coatings deform with the production of through cracks

  20. Geospatial Analysis of Pediatric EMS Run Density and Endotracheal Intubation

    Directory of Open Access Journals (Sweden)

    Matthew Hansen

    2016-09-01

    Full Text Available Introduction: The association between geographic factors, including transport distance, and pediatric emergency medical services (EMS run clustering on out-of-hospital pediatric endotracheal intubation is unclear. The objective of this study was to determine if endotracheal intubation procedures are more likely to occur at greater distances from the hospital and near clusters of pediatric calls. Methods: This was a retrospective observational study including all EMS runs for patients less than 18 years of age from 2008 to 2014 in a geographically large and diverse Oregon county that includes densely populated urban areas near Portland and remote rural areas. We geocoded scene addresses using the automated address locator created in the cloud-based mapping platform ArcGIS, supplemented with manual address geocoding for remaining cases. We then use the Getis-Ord Gi spatial statistic feature in ArcGIS to map statistically significant spatial clusters (hot spots of pediatric EMS runs throughout the county. We then superimposed all intubation procedures performed during the study period on maps of pediatric EMS-run hot spots, pediatric population density, fire stations, and hospitals. We also performed multivariable logistic regression to determine if distance traveled to the hospital was associated with intubation after controlling for several confounding variables. Results: We identified a total of 7,797 pediatric EMS runs during the study period and 38 endotracheal intubations. In univariate analysis we found that patients who were intubated were similar to those who were not in gender and whether or not they were transported to a children’s hospital. Intubated patients tended to be transported shorter distances and were older than non-intubated patients. Increased distance from the hospital was associated with reduced odds of intubation after controlling for age, sex, scene location, and trauma system entry status in a multivariate logistic

  1. Analysis of algorithms for detection of resonance frequencies in vibration measurements on super heater tubes; Analys av algoritmer foer detektering av resonansfrekvenser i vibrationsmaetningar paa oeverhettartuber

    Energy Technology Data Exchange (ETDEWEB)

    Eriksson, Daniel

    2010-07-01

    Combustion of fuel in thermal power plants emits particles which creates coatings on the super heater tubes. The coatings isolate the tubes and impairs the efficiency of the heat transfer. Cleaning the tubes occurs while the power plant is running but without any knowledge of the actual coating. A change in frequency corresponds to a change in mass of the coatings. This thesis has been focusing in estimating resonance frequencies in vibration measurements made by strain gauges on the tubes. To improve the estimations a target tracking algorithm had been added. The results indicates that it is possible to estimate the resonance frequencies but the algorithms need to be verified on more signals.

  2. High temperature (salt melt) corrosion tests with ceramic-coated steel

    Energy Technology Data Exchange (ETDEWEB)

    Schütz, Adelheid [University Bayreuth, Metals and Alloys, Ludwig-Thoma-Str. 36b, D-95447 Bayreuth (Germany); Günthner, Martin; Motz, Günter [University Bayreuth, Ceramic Materials Engineering, L.-Thoma-Str. 36b, D-95447 Bayreuth (Germany); Greißl, Oliver [EnBW Kraftwerke AG, Schelmenwasenstraße 13-15, D-70567 Stuttgart (Germany); Glatzel, Uwe, E-mail: uwe.glatzel@uni-bayreuth.de [University Bayreuth, Metals and Alloys, Ludwig-Thoma-Str. 36b, D-95447 Bayreuth (Germany)

    2015-06-01

    Thermal recycling of refuse in waste-to-energy plants reduces the problems connected to waste disposal, and is an alternative source of electric energy. However, the combustion process in waste incinerators results in a fast degradation of the steam-carrying superheater steel tubes by corrosive attack and abrasive wear. Higher firing temperatures are used to increase their efficiency but lead to higher corrosion rates. It is more economical to apply protective coatings on the superheater steel tubes than to replace the base material. In-situ tests were conducted in a waste-to-energy plant first in order to identify and quantify all involved corrosive elements. Laboratory scale experiments with salt melts were developed accordingly. The unprotected low-alloyed steel displayed substantial local corrosion. Corrosion was predominant along the grain boundaries of α-ferrite. The corrosion rate was further increased by FeCl{sub 3} and a mixture of HCL and FeCl{sub 3}. Coatings based on pre-ceramic polymers with specific filler particles were engineered to protect superheater tubes. Tests proved their suitability to protect low-alloYed steel tubes from corrosive attack under conditions typical for superheaterS in waste incinerators, rendering higher firing temperatures in waste-to-energy plants possible. - Highlights: • Corrosion wall thickness losses of 400 μm/2 weeks occurred in a waste incinerator. • Abrasion is a major problem on superheater tubes in waste incinerators. • Laboratory salt melt tests can simulate metal corrosion in waste incinerators. • Corrosion protection coatings for steel (temperature: max. 530 °C) were developed. • Higher steam temperatures are possible in WIs with the developed coatings.

  3. Nano-scale analysis of titanium dioxide fingerprint-development powders

    International Nuclear Information System (INIS)

    Reynolds, A J; Jones, B J; Sears, V; Bowman, V

    2008-01-01

    Titanium dioxide based powders are regularly used in the development of latent fingerprints on dark surfaces. For analysis of prints on adhesive tapes, the titanium dioxide is suspended in a surfactant and used in the form of a small particle reagent (SPR). Analysis of commercially available products shows varying levels of effectiveness of print development, with some powders adhering to the background as well as the print. Scanning electron microscopy (SEM) images of prints developed with different powders show a range of levels of aggregation of particles. Analytical transmission electron microscopy (TEM) of the fingerprint powder shows TiO 2 particles with a surrounding coating, tens of nanometres thick, consisting of Al and Si rich material. X ray photoelectron spectroscopy (XPS) is used to determine the composition and chemical state of the surface of the powders; with a penetration depth of approximately 10nm, this technique demonstrates differing Ti: Al: Si ratios and oxidation states between the surfaces of different powders. Levels of titanium detected with this technique demonstrate variation in the integrity of the surface coating. The thickness, integrity and composition of the Al/Si-based coating is related to the level of aggregation of TiO 2 particles and efficacy of print development.

  4. Nano-scale analysis of titanium dioxide fingerprint-development powders

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, A J; Jones, B J [Experimental Techniques Centre, Brunei University, Kingston Lane, Uxbridge, Middlesex, UB8 3PH (United Kingdom); Sears, V; Bowman, V [Fingerprint and Footwear Forensics, Home Office Scientific Development Branch, Sandridge, St Albans, Hertfordshire, AL4 9HQ (United Kingdom)], E-mail: b.j.jones@physics.org

    2008-08-15

    Titanium dioxide based powders are regularly used in the development of latent fingerprints on dark surfaces. For analysis of prints on adhesive tapes, the titanium dioxide is suspended in a surfactant and used in the form of a small particle reagent (SPR). Analysis of commercially available products shows varying levels of effectiveness of print development, with some powders adhering to the background as well as the print. Scanning electron microscopy (SEM) images of prints developed with different powders show a range of levels of aggregation of particles. Analytical transmission electron microscopy (TEM) of the fingerprint powder shows TiO{sub 2} particles with a surrounding coating, tens of nanometres thick, consisting of Al and Si rich material. X ray photoelectron spectroscopy (XPS) is used to determine the composition and chemical state of the surface of the powders; with a penetration depth of approximately 10nm, this technique demonstrates differing Ti: Al: Si ratios and oxidation states between the surfaces of different powders. Levels of titanium detected with this technique demonstrate variation in the integrity of the surface coating. The thickness, integrity and composition of the Al/Si-based coating is related to the level of aggregation of TiO{sub 2} particles and efficacy of print development.

  5. A preliminary study of oxidation-resistant coatings on refractory-metal thermocouple sheaths

    International Nuclear Information System (INIS)

    Wilkins, S.C.

    1985-01-01

    The need to make reliable temperature measurements up to 2200 0 C or higher in steam environments during in-pile nuclear fuel damage tests led to a search for oxidation-resistant coatings for the refractory-metal sheaths used to enclose and protect thermocouples used for such measurements. Iridium, thoria, and thoria-over-iridium coatings were separately sputter-deposited on molybdenum-rhenium alloy protection tubes for evaluation. The coated samples were individually heated in flowing steam in an induction furnace. An extension tube welded to each sample was connected to a vacuum pump and gauge; failure of the sample was detected by noting the degradation of the vacuum maintained in the sample. Relatively heavy coatings of iridium provided a modest degree of oxidation protection at the temperatures of interest. Thoria coatings provided no significant protection at those temperatures, compared to uncoated control samples

  6. Minimization of the negative influence on the biosphere in heavy oil extraction and ecologically clean technology for the injection of the steam with supercritical parameters in oil strata on the basis of new ecologically clean tubing pipes with heat-resistant coatings

    Science.gov (United States)

    Komkov, M. A.; Moiseev, V. A.; Tarasov, V. A.; Timofeev, M. P.

    2015-12-01

    Some ecological problems related to heavy-oil extraction and ways for minimizing the negative impacts of this process on the biosphere are discussed. The ecological hazard of, for example, frequently used multistage hydraulic fracturing of formation is noted and the advantages and perspectives of superheated steam injection are considered. Steam generators of a new type and ecologically clean and costeffective insulating for tubing pipes (TPs) are necessary to develop the superheated steam injection method. The article is devoted to solving one of the most important and urgent tasks, i.e., the development and usage of lightweight, nonflammable, environmentally safe, and cost-effective insulating materials. It is shown that, for tubing shielding operating at temperatures up to 420°C, the most effective thermal insulation is a highly porous material based on basalt fiber. The process of filtration deposition of short basalt fibers with a bunch of alumina thermal insulation tubing pipe coatings in the form of cylinders and cylindrical shells from liquid pulp is substantiated. Based on the thermophysical characteristics of basalt fibers and on the technological features of manufacturing highly porous coating insulation, the thickness of a tubing pipe is determined. During the prolonged pumping of the air at an operating temperature of 400°C in the model sample of tubing pipes with insulation and a protective layer, we find that the surface temperature of the thermal barrier coating does not exceed 60°C. Introducing the described technology will considerably reduce the negative impact of heavy-oil extraction on the biosphere.

  7. Microstructural investigations of Ni and Ni2Al3 coatings exposed in biomass power plants

    DEFF Research Database (Denmark)

    Wu, D. L.; Dahl, K. V.; Christiansen, T. L.

    2018-01-01

    The present work investigates the corrosion resistance of Ni and Ni2Al3 coated austenitic stainless steel (TP347H) tubes, which were exposed in a biomass-fired boiler with an outlet steam temperature of 540 °C for 6757 h. The Ni2Al3 coating was produced by electroplating Ni followed by low...... temperature pack cementation. After exposure, microstructural investigations were performed by light optical and electron microscopy (SEM-EDS). Electroplated Ni coatings were not protective in straw firing power plants and exhibited similar corrosion morphology as uncoated tubes. For Ni2Al3 coatings...

  8. Verification of endotracheal intubation in obese patients - temporal comparison of ultrasound vs. auscultation and capnography

    DEFF Research Database (Denmark)

    Pfeiffer, P; Bache, Stefan Holst; Isbye, D L

    2012-01-01

    Ultrasound (US) may have an emerging role as an adjunct in verification of endotracheal intubation. Obtaining optimal US images in obese patients is generally regarded more difficult than for other patients. This study compared the time consumption of bilateral lung US with auscultation and capno...

  9. Dexmedetomidine as an adjunct to anesthetic induction to attenuate hemodynamic response to endotracheal intubation in patients undergoing fast-track CABG

    Directory of Open Access Journals (Sweden)

    Menda Ferdi

    2010-01-01

    Full Text Available During induction of general anesthesia hypertension and tachycardia caused by tracheal intubation may lead to cardiac ischemia and arrhythmias. In this prospective, randomized study, dexmedetomidine has been used to attenuate the hemodynamic response to endotracheal intubation with low dose fentanyl and etomidate in patients undergoing myocardial revascularization receiving beta blocker treatment. Thirty patients undergoing myocardial revascularization received in a double blind manner, either a saline placebo or a dexmedetomidine infusion (1 µg/kg before the anesthesia induction. Heart rate (HR and blood pressure (BP were monitored at baseline, after placebo or dexmedetomidine infusion, after induction of general anesthesia, one, three and five minutes after endotracheal intubation. In the dexmedetomidine (DEX group systolic (SAP, diastolic (DAP and mean arterial pressures (MAP were lower at all times in comparison to baseline values; in the placebo (PLA group SAP, DAP and MAP decreased after the induction of general anesthesia and five minutes after the intubation compared to baseline values. This decrease was not significantly different between the groups. After the induction of general anesthesia, the drop in HR was higher in DEX group compared to PLA group. One minute after endotracheal intubation, HR significantly increased in PLA group while, it decreased in the DEX group. The incidence of tachycardia, hypotension and bradycardia was not different between the groups. The incidence of hypertension requiring treatment was significantly greater in the PLA group. It is concluded that dexmedetomidine can safely be used to attenuate the hemodynamic response to endotracheal intubation in patients undergoing myocardial revascularization receiving beta blockers.

  10. Laboratory and field studies of photocatalytic NOx and O3 removal by coatings on concrete.

    Science.gov (United States)

    2017-03-01

    This project involved thorough testing of titanium dioxide (TiO2)-containing commercial photocatalytic coatings : applied to portland cement concrete for highway applications, focusing on the use of these coatings as an : abatement method for atmosph...

  11. Vacuum-arc chromium coatings for Zr-1%Nb alloy protection against high-temperature oxidation in air

    International Nuclear Information System (INIS)

    Kuprin, A.S.; Belous, V.A.; Bryk, V.V.; Vasilenko, R.L.; Voevodin, V.N.; Ovcharenko, V.D.; Tolmacheva, G.N.; Kolodij, I.V.; Lunev, V.M.; Klimenko, I.O.

    2015-01-01

    The effect of vacuum-arc Cr coatings on the alloy E110 resistance to the oxidation in air at temperatures 1020 and 1100 deg C for 3600 s has been investigated. The methods of scanning electron microscope, X-ray analysis and nanoindentation were used to determine the thickness, phase, mechanical properties of coatings and oxide layers. The results show that the chromium coating can effectively protect fuel tubes against high-temperature oxidation in air for one hour. In the coating during oxidation at T = 1100 deg C a Cr 2 O 3 oxide layer of 5 μm thickness is formed preventing further oxygen penetration into the coating, and thus the tube shape is conserved. Under similar test conditions the oxidation of uncoated tubes with formation of a porous monocline oxide of ZrO 2 of a thickness more than ≥ 250 μm is observed, then the deformation and cracking of samples occur and the oxide layer breaks away

  12. Integration of thermal insulation coating and moving-air-cavity in a cool roof system for attic temperature reduction

    International Nuclear Information System (INIS)

    Yew, M.C.; Ramli Sulong, N.H.; Chong, W.T.; Poh, S.C.; Ang, B.C.; Tan, K.H.

    2013-01-01

    Highlights: • A novel integrated cool roof system for attic temperature reduction is introduced. • 13 °C temperature reduction achieved due to its efficient heat transfer mechanism. • Aluminium tube cavity of the roof is able to reduce the attic temperature. • This positive result is due to its efficient heat reflection and hot air rejection. • Thermal insulation coating incorporates the usage of eggshell waste as bio-filler. - Abstract: Cool roof systems play a significant role in enhancing the comfort level of occupants by reducing the attic temperature of the building. Heat transmission through the roof can be reduced by applying thermal insulation coating (TIC) on the roof and/or installing insulation under the roof of the attic. This paper focuses on a TIC integrated with a series of aluminium tubes that are installed on the underside of the metal roof. In this study, the recycled aluminium cans were arranged into tubes that act as a moving-air-cavity (MAC). The TIC was formulated using titanium dioxide pigment with chicken eggshell (CES) waste as bio-filler bound together by a polyurethane resin binder. The thermal conductivity of the thermal insulation paint was measured using KD2 Pro Thermal Properties Analyzer. Four types of cool roof systems were designed and the performances were evaluated. The experimental works were carried out indoors by using halogen light bulbs followed by comparison of the roof and attic temperatures. The temperature of the surrounding air during testing was approximately 27.5 °C. The cool roof that incorporated both TIC and MAC with opened attic inlet showed a significant improvement with a reduction of up to 13 °C (from 42.4 °C to 29.6 °C) in the attic temperature compared to the conventional roof system. The significant difference in the results is due to the low thermal conductivity of the thermal insulation paint (0.107 W/mK) as well as the usage of aluminium tubes in the roof cavity that was able to transfer

  13. Protective Coatings for Wet Storage of Aluminium-Clad Spent Fuel

    Energy Technology Data Exchange (ETDEWEB)

    Fernandes, S.M.C.; Correa, O.V.; Souza, J.A. De; Ramanathan, L.V. [Materials science and Technology Center, Instituto de Pesquisas Energeticas e Nucleares - IPEN, Av. Prof. Lineu Prestes 2242, Cidade Universitaria, 05508-000 Sao Paulo (Brazil)

    2011-07-01

    Corrosion protection of spent RR fuel for long term wet storage was considered important, primarily from the safety standpoint and the use of conversion coatings was proposed in 2008. This paper presents the results of: (a) on-going field tests in which un-coated and lanthanide-based conversion coated Al alloy coupons were exposed to the IEA-R1 reactor spent fuel basin for durations of up to a year; (b) preparation of cerium modified hydrotalcite coatings and cerium sealed boehmite coatings on AA 6061 alloy; (c) corrosion resistance of coated specimens in NaCl solutions. The field studies indicated that the oxidized and cerium dioxide coated coupons were the most corrosion resistant. The cerium modified hydrotalcite and cerium sealed boehmite coated specimens showed marked increase in pitting corrosion resistance. (author)

  14. Heavy-ion induced desorption of a TiZrV coated vacuum chamber bombarded with 5 MeV/u Ar8+ beam at grazing incidence

    International Nuclear Information System (INIS)

    Hedlund, E.; Malyshev, O. B.; Westerberg, L.; Krasnov, A.; Semenov, A. S.; Leandersson, M.; Zajec, B.; Kollmus, H.; Bellachioma, M. C.; Bender, M.; Kraemer, A.; Reich-Sprenger, H.

    2009-01-01

    TiZrV nonevaporable getter (NEG) coated vacuum chambers is a new vacuum technology which is already used in many particle accelerators worldwide. This coating is also of interest for heavy-ion accelerator vacuum chambers. Heavy-ion desorption yields from an activated as well as a CO saturated NEG coated tube have been measured with 5 MeV/u Ar 8+ beam. The sticking probability of the NEG film was obtained by using the partial pressure ratios on two sides of the NEG coated tube. These ratios were compared to results of modeling of the experimental setup with test particle Monte Carlo and angular coefficient methods. The partial pressures inside the saturated NEG coated tube bombarded with heavy ions were up to 20 times larger than those inside the activated one. However, the partial pressure of methane remained the same. The value of the total desorption yield from the activated NEG coated tube is 2600 molecules/ion. The desorption yields after saturation for CH 4 , H 2 , and CO 2 were found to be very close to the yields measured after the activation, while CO increased by up to a factor of 5. The total desorption yield for the saturated tube is up to 7000 molecules/ion. The large value of the desorption yield of the activated NEG coated tube, an order of magnitude higher than the desorption yield from a stainless steel tube at normal incident angle, could be explained by the grazing incident angle

  15. A supercritical carbon dioxide plasma process for preparing tungsten oxide nanowires

    International Nuclear Information System (INIS)

    Kawashima, Ayato; Nomura, Shinfuku; Toyota, Hiromichi; Takemori, Toshihiko; Mukasa, Shinobu; Maehara, Tsunehiro

    2007-01-01

    A supercritical carbon dioxide (CO 2 ) plasma process for fabricating one-dimensional tungsten oxide nanowires coated with amorphous carbon is presented. High-frequency plasma was generated in supercritical carbon dioxide at 20 MPa by using tungsten electrodes mounted in a supercritical cell, and subsequently an organic solvent was introduced with supercritical carbon dioxide into the plasma. Electron microscopy and Raman spectroscopy investigations of the deposited materials showed the production of tungsten oxide nanowires with or without an outer layer. The nanowires with an outer layer exhibited a coaxial structure with an outer concentric layer of amorphous carbon and an inner layer of tungsten oxide with a thickness and diameter of 20-30 and 10-20 nm, respectively

  16. SiO2@TiO2 Coating: Synthesis, Physical Characterization and Photocatalytic Evaluation

    Directory of Open Access Journals (Sweden)

    A. Rosales

    2018-03-01

    Full Text Available Use of silicon dioxide (SiO2 and titanium dioxide (TiO2 have been widely investigated individually in coatings technology, but their combined properties promote compatibility for different innovative applications. For example, the photocatalytic properties of TiO2 coatings, when exposed to UV light, have interesting environmental applications, such as air purification, self-cleaning and antibacterial properties. However, as reported in different pilot projects, serious durability problems, associated with the adhesion between the substrate and TiO2, have been evidenced. Thus, the aim of this work is to synthesize SiO2 together with TiO2 to increase the durability of the photocatalytic coating without affecting its photocatalytic potential. Therefore, synthesis using sonochemistry, synthesis without sonochemistry, physical characterization, photocatalytic evaluation, and durability of the SiO2, SiO2@TiO2 and TiO2 coatings are presented. Results indicate that using SiO2 improved the durability of the TiO2 coating without affecting its photocatalytic properties. Thus, this novel SiO2@TiO2 coating shows potential for developing long-lasting, self-cleaning and air-purifying construction materials.

  17. Progressive hematoma in anterior neck after endovascular treatment of middle cerebral artery aneurysm

    Directory of Open Access Journals (Sweden)

    Aysun Ankay Yilbas

    Full Text Available Abstract Background: Cervical hematomas can lead to airway compromise, a life threatening condition, regardless of the cause. The following case is the first presentation of cervical hematoma as a complication of endovascular treatment of middle cerebral artery aneurysm. Case report: A 49 year-old woman was scheduled for stent placement under general anesthesia for middle cerebral artery aneurysm. Few days before intervention, acetyl salicylic acid and clopidogrel treatment was started. Following standard monitoring and anesthesia induction, the patient's trachea was intubated with a 7.5 mm endotracheal tube and the procedure was completed without any complications. Three hours later, dyspnea developed and physical examination revealed progressive swelling and stiffness in the neck. Endotracheal intubation was performed with a 6 mm diameter uncuffed tube with the aid of sedation. The vocal cords were completely closed due to compression. There was no leak around the endotracheal tube. The rapidly performed computerized tomography scans showed an enormous hematoma around the neck and extravasation of contrast medium through superior thyroid artery. After coil embolization of superior thyroid artery, she was taken to the intensive care unit as intubated and sedated. Surgical exploration of the hematoma was not recommended by the surgeons, because she was on clopidogrel. After two days, the patient's trachea was extubated safely ensuring that the swelling was sufficiently ceased and leak detected around the endotracheal tube. Conclusions: Securing the airway rapidly by endotracheal intubation is the most crucial point in the management of cervical hematomas. Diagnostic and therapeutic procedures should be performed only afterwards.

  18. The Effect of Endotracheal Inflation Technique on Endotracheal Cuff Pressure

    Science.gov (United States)

    1999-10-01

    had upon tracheal wall blood flow of anesthetized dogs . This study found that low-volume, high-pressure cuffs required 320 to 360 mm Hg of pressure to...Som, P., Khilnani, M., Keller, R., & Som, M. (1972). Tracheal stenosis secondary to cuffed tubes. Mount Siai Journal of Medicine, 40, 652-665

  19. Protective coatings of hafnium dioxide by atomic layer deposition for microelectromechanical systems applications

    Energy Technology Data Exchange (ETDEWEB)

    Berdova, Maria, E-mail: maria.berdova@aalto.fi [Aalto University, Department of Materials Science and Engineering, 02150, Espoo (Finland); Wiemer, Claudia; Lamperti, Alessio; Tallarida, Grazia; Cianci, Elena [Laboratorio MDM, IMM CNR, Via C. Olivetti 2, 20864, Agrate Brianza, MB (Italy); Lamagna, Luca; Losa, Stefano; Rossini, Silvia; Somaschini, Roberto; Gioveni, Salvatore [STMicroelectronics, Via C. Olivetti 2, 20864, Agrate Brianza, MB (Italy); Fanciulli, Marco [Laboratorio MDM, IMM CNR, Via C. Olivetti 2, 20864, Agrate Brianza, MB (Italy); Università degli studi di Milano Bicocca, Dipartimento di Scienza dei Materiali, 20126, Milano (Italy); Franssila, Sami, E-mail: sami.franssila@aalto.fi [Aalto University, Department of Materials Science and Engineering, 02150, Espoo (Finland)

    2016-04-15

    Graphical abstract: - Highlights: • Atomic layer deposition of HfO{sub 2} from (CpMe){sub 2}Hf(OMe)Me or Hf(NMeEt){sub 4} and ozone for potential applications in microelectromechanical systems. • ALD HfO{sub 2} protects aluminum substrates from degradation in moist environment and at the same time retains good reflectance properties of the underlying material. • The resistance of hafnium dioxide to moist environment is independent of chosen precursors. - Abstract: This work presents the investigation of HfO{sub 2} deposited by atomic layer deposition (ALD) from either HfD-CO4 or TEMAHf and ozone for microelectromechanical systems (MEMS) applications, in particular, for environmental protection of aluminum micromirrors. This work shows that HfO{sub 2} films successfully protect aluminum in moist environment and at the same time retain good reflectance properties of underlying material. In our experimental work, the chemical composition, crystal structure, electronic density and roughness of HfO{sub 2} films remained the same after one week of humidity treatment (relative humidity of 85%, 85 °C). The reflectance properties underwent only minor changes. The observed shift in reflectance was only from 80–90% to 76–85% in 400–800 nm spectral range when coated with ALD HfO{sub 2} films grown with Hf(NMeEt){sub 4} and no shift (remained in the range of 68–83%) for films grown from (CpMe){sub 2}Hf(OMe)Me.

  20. SAPO-34 coated adsorbent heat exchanger for adsorption chillers

    International Nuclear Information System (INIS)

    Freni, Angelo; Bonaccorsi, Lucio; Calabrese, Luigi; Caprì, Angela; Frazzica, Andrea; Sapienza, Alessio

    2015-01-01

    In this work, adsorbent coatings on aluminum surfaces were prepared by dip-coating method starting from a water suspension of SAPO-34 zeolite and a silane-based binder. Silane-zeolite coatings morphology and surface coverage grade were evaluated by scanning electron microscopy. Adhesive and mechanical properties were evaluated by peel, pull-off, impact and micro-hardness tests, confirming the good interaction between metal substrate, binder and zeolite. Adsorption equilibrium and kinetics of water vapour adsorption on the adsorbent coating were studied in the range T = 30–150 °C and pH 2 O = 11 mbar using a CAHN 2000 thermo-balance. It was found that, in the investigated conditions, the organic binder doesn't affect the water adsorption capacity and adsorption kinetics of the original SAPO-34 zeolite. Subsequently, the zeolite coating was applied on a finned flat-tubes aluminum heat exchanger realizing a full-scale AdHEx with an uniform adsorbent coating 0.1 mm thick and a metal/adsorbent mass ratio = 6. The cooling capacity of the realized coated AdHEx was measured by a lab-scale adsorption chiller under realistic operating conditions for air conditioning applications. The coated AdHEx produced up to 675 W/kg ads specific cooling power with a cycle time of 5 min. Adsorption stability of the coated adsorber subjected to 600 sorption cycles was successfully verified. - Highlights: • Adsorbent coatings on aluminum surfaces were prepared by dip-coating method. • Silane-zeolite coatings morphology, and mechanical properties were studied. • The zeolite coating was applied on a finned flat-tubes aluminum heat exchanger. • The coated AdHEx was tested in a lab scale adsorption chiller

  1. Antibacterial and antiadherent properties of silver dioxide-coated brackets

    OpenAIRE

    Rizwan A Gilani; S M Laxmikanth; C S Ramachandra; Sangeeta L Prasad; Sushruth Shetty; S D Vasudevan

    2017-01-01

    Introduction: Enamel demineralization after fixed orthodontic treatment can occur in 50% of patients. Brackets play a significant role in enamel demineralization. Silver has already been prooved to have antibacterial properties. Hence the present study is conducted to assess the antiadherent and antibacterial properties of photocatalytic silver dioxide (AgO2) surface modified stainless steel orthodontic brackets against S. mutans. Materials and Methods: 80 stainless steel brackets of maxillar...

  2. Titanium dioxide-coated fluorine-doped tin oxide thin films for improving overall photoelectric property

    International Nuclear Information System (INIS)

    Li, Bao-jia; Huang, Li-jing; Ren, Nai-fei; Zhou, Ming

    2014-01-01

    Titanium (Ti) layers were deposited by direct current (DC) magnetron sputtering on commercial fluorine-doped tin oxide (FTO) glasses, followed by simultaneous oxidation and annealing treatment in a tubular furnace to prepare titanium dioxide (TiO 2 )/FTO bilayer films. Large and densely arranged grains were observed on all TiO 2 /FTO bilayer films. The presence of TiO 2 tetragonal rutile phase in the TiO 2 /FTO bilayer films was confirmed by X-ray diffraction (XRD) analysis. The results of parameter optimization indicated that the TiO 2 /FTO bilayer film, which was formed by adopting a temperature of 400 °C and an oxygen flow rate of 15 sccm, had the optimal overall photoelectric property with a figure of merit of 2.30 × 10 −2 Ω −1 , higher than 1.78 × 10 −2 Ω −1 for the FTO single-layer film. After coating a 500 nm-thick AZO layer by DC magnetron sputtering on this TiO 2 /FTO bilayer film, the figure of merit of the trilayer film achieved to a higher figure of merit of 3.12 × 10 −2 Ω −1 , indicating further improvement of the overall photoelectric property. This work may provide a scientific basis and reference for improving overall photoelectric property of transparent conducting oxide (TCO) films.

  3. Validation study of two-microphone acoustic reflectometry for determination of breathing tube placement in 200 adult patients.

    Science.gov (United States)

    Raphael, David T; Benbassat, Maxim; Arnaudov, Dimiter; Bohorquez, Alex; Nasseri, Bita

    2002-12-01

    Acoustic reflectometry allows the construction of a one-dimensional image of a cavity, such as the airway or the esophagus. The reflectometric area-distance profile consists of a constant cross-sectional area segment (length of endotracheal tube), followed either by a rapid increase in the area beyond the carina (tracheal intubation) or by an immediate decrease in the area (esophageal intubation). Two hundred adult patients were induced and intubated, without restrictions on anesthetic agents or airway adjunct devices. A two-microphone acoustic reflectometer was used to determine whether the breathing tube was placed in the trachea or esophagus. A blinded reflectometer operator, seated a distance away from the patient, interpreted the acoustic area-distance profile alone to decide where the tube was placed. Capnography was used as the gold standard. Of 200 tracheal intubations confirmed by capnography, the reflectometer operator correctly identified 198 (99% correct tracheal intubation identification rate). In two patients there were false-negative results, patients with a tracheal intubation were interpreted as having an esophageal intubation. A total of 14 esophageal intubations resulted, all correctly identified by reflectometry, for a 100% esophageal intubation identification rate. Acoustic reflectometry is a rapid, noninvasive method by which to determine whether breathing tube placement is correct (tracheal) or incorrect (esophageal). Reflectometry determination of tube placement may be useful in airway emergencies, particularly in cases where visualization of the glottic area is not possible and capnography may fail, as in patients with cardiac arrest.

  4. Magnesium diboride on inner wall of copper tube: A test case for superconducting radio frequency cavities

    Science.gov (United States)

    Withanage, Wenura K.; Lee, N. H.; Penmatsa, Sashank V.; Wolak, M. A.; Nassiri, A.; Xi, X. X.

    2017-10-01

    Superconductor magnesium diboride is considered one of the viable materials to substitute bulk niobium for superconducting radio frequency cavities. Utilizing a MgB2 coating on the inner wall of a copper cavity will allow operation at higher temperatures (20-25 K) than Nb cavities due to the high transition temperature of MgB2 (39 K) and the high thermal conductivity of Cu. In this paper, we present results of MgB2 coating on Cu tubes with similar dimensions to a 3 GHz cavity, as the first step towards coating the actual cavity, using the hybrid physical chemical vapor deposition technique. The results show successful coating of a uniform MgB2 layer on the inner wall of the Cu tubes with Tc as high as 37 K.

  5. Development of Protective Coatings for Co-Sequestration Processes and Pipelines

    Energy Technology Data Exchange (ETDEWEB)

    Bierwagen, Gordon; Huang, Yaping

    2011-11-30

    The program, entitled Development of Protective Coatings for Co-Sequestration Processes and Pipelines, examined the sensitivity of existing coating systems to supercritical carbon dioxide (SCCO2) exposure and developed new coating system to protect pipelines from their corrosion under SCCO2 exposure. A literature review was also conducted regarding pipeline corrosion sensors to monitor pipes used in handling co-sequestration fluids. Research was to ensure safety and reliability for a pipeline involving transport of SCCO2 from the power plant to the sequestration site to mitigate the greenhouse gas effect. Results showed that one commercial coating and one designed formulation can both be supplied as potential candidates for internal pipeline coating to transport SCCO2.

  6. An experimental study of flow boiling chf with porous surface coatings and surfactant solutions

    International Nuclear Information System (INIS)

    Sarwar, Mohammad Sohail

    2007-02-01

    The boiling crisis or critical heat flux (CHF) phenomenon is an enormously studied topic of the boiling heat transfer. The great interest in the CHF is due to practical motives, since it is desirable to design an equipment (heat exchanger or boiler, etc) to operate at as high a heat flux as possible with optimum heat transfer rates but without the risk of physical burnout. This study consists of two parts of flow boiling CHF experiment: with porous surface coated tubes and by using surfactant solutions as working fluid. In first part, the effect of micro- and nano-porous inside surface coated vertical tubes on the CHF was determined for flow boiling of water in vertical round tubes at atmospheric pressure. CHF was measured for a smooth and three different coated tubes, at mass fluxes of 100∼300 kg/m 2 s and two inlet subcooling temperatures (50 .deg. C and 75 .deg. C). Greater CHF enhancement was found with microporous coatings. Al 2 O 3 microporous coatings with particle size <10 μm and coating thickness of 50 μm showed the best CHF enhancement. The maximum increase in the CHF was about 25% for microporous Al 2 O 3 . A wettability test was performed to study the physical mechanism of increase of CHF with microporous coated surfaces and contact angle was measured for smooth and coated surfaces. Pressure drop measurements were also performed across the coated tubes using the DP-cell apparatus. In second part, surfactant effect on the CHF was determined for water flow boiling at atmospheric pressure in a closed loop filled with solution of tri-sodium phosphate (TSP, Na 3 PO 4 ·12H 2 O). The TSP is usually added to the containment sump water to adjust pH level during accident in nuclear power plants. The CHF was measured for four different surfactant solutions of water in vertical tubes, at different mass fluxes (100 ∼ 500 kg/m 2 s) and two inlet subcooling temperatures (50 .deg. C and 75 .deg. C). Surfactant solutions in the range of 0.05%∼0.2% at low mass

  7. Underclad crack development of steam generators tube sheets and reactor vessels nozzles in PWR plants

    International Nuclear Information System (INIS)

    Faure, F.; Bocquet, P.; Boudot, R.; Zacharie, G.

    1985-01-01

    Defects formed, before stress relieving treatment, under the coating of tube plates of steam generators and vessel pipes are cold cracks formed in the segregation zone during surface coating without pre- and postheating of the 2nd layers and eventually of the following coating layers. To solve this problem, the conditions of pre- and post-heating are reinforced and applied to all the coating layers. 13 refs [fr

  8. Process and device for subdividing a glass tube filled with a radioactive gas

    International Nuclear Information System (INIS)

    Caffarella, T.E.; Radda, G.J.; Watts, D.J.

    1977-01-01

    A process is described for subdividing into individual sealed segments an elongated glass tube coated internally with a luminescent material and filled with a radioactive gas, this tube having a longitudinal axis. It consists in directing a focused laser beam on to the surface of the tube in an ambient atmosphere with a pressure greater than that of the gas in the tube and to create a relative, repetitive and alternating movement between the laser beam and the surface of the tube. This movement is transversal to the longitudinal axis of the tube, so as to heat and soften the tube along a cutting line until the tube divides and presents new ends where it contracts, causing these ends to seal up [fr

  9. Determination of mercury and selenium in herbal medicines and hair by using a nanometer TiO2-coated quartz tube atomizer and hydride generation atomic absorption spectrometry

    International Nuclear Information System (INIS)

    Li, Shun-Xing; Zheng, Feng-Ying; Cai, Shu-Jie; Cai, Tian-Shou

    2011-01-01

    The nanometer TiO 2 particle was coated onto the inner wall of a T-shaped quartz tube atomizer (QTA) and then was used as a new atomizer (NT-QTA) for the determination of Hg and Se by hydride generation atomic absorption spectrometry (HGAAS). After coating 67.4 mg TiO 2 on a quartz tube, the analytical performance of NT-QTA-HGAAS was compared to conventional QTA-HGAAS and it was improved as follows: (a) the linear range of the calibration curves was expanded from 10.0-80.0 ng mL -1 to 5.0-150.0 ng mL -1 for Hg, and from 10.0-70.0 ng mL -1 to 5.0-100.0 ng mL -1 for Se; (b) the characteristic concentration of was decreased from 2.8 ng mL -1 /1% to 1.1 ng mL -1 /1% for Hg and from 1.2 ng mL -1 /1% to 0.8 ng mL -1 /1% for Se; and (c) the interference from the coexistence of As on the determination of Hg and Se could be eliminated. The achieved technique was applied for the determination of Hg and Se in herbal medicines and hair.

  10. Coated particle waste form development

    International Nuclear Information System (INIS)

    Oma, K.H.; Buckwalter, C.Q.; Chick, L.A.

    1981-12-01

    Coated particle waste forms have been developed as part of the multibarrier concept at Pacific Northwest Laboratory under the Alternative Waste Forms Program for the Department of Energy. Primary efforts were to coat simulated nuclear waste glass marbles and ceramic pellets with low-temperature pyrolytic carbon (LT-PyC) coatings via the process of chemical vapor deposition (CVD). Fluidized bed (FB) coaters, screw agitated coaters (SAC), and rotating tube coaters were used. Coating temperatures were reduced by using catalysts and plasma activation. In general, the LT-PyC coatings did not provide the expected high leach resistance as previously measured for carbon alone. The coatings were friable and often spalled off the substrate. A totally different concept, thermal spray coating, was investigated at PNL as an alternative to CVD coating. Flame spray, wire gun, and plasma gun systems were evaluated using glass, ceramic, and metallic coating materials. Metal plasma spray coatings (Al, Sn, Zn, Pb) provided a two to three orders-of-magnitude increase in chemical durability. Because the aluminum coatings were porous, the superior leach resistance must be due to either a chemical interaction or to a pH buffer effect. Because they are complex, coated waste form processes rank low in process feasibility. Of all the possible coated particle processes, plasma sprayed marbles have the best rating. Carbon coating of pellets by CVD ranked ninth when compared with ten other processes. The plasma-spray-coated marble process ranked sixth out of eleven processes

  11. Pyrolytic carbon coatings for nuclear fuels from commercial butane

    International Nuclear Information System (INIS)

    Abdelrazek, I.D.; Abdelhalim, A.S.

    1976-01-01

    Uranium dioxide and graphite semi-spherical particles (average diameter = 300 um) were coated with pyrolytic carbon at relatively low temperatures (800 to 1200 0 C). The spouting gas was a mixture of commercial butane and nitrogen. The hydrocarbon served as a source for carbon whereas nitrogenated as a diluent and a support for the bed. The total gas flow rate was 3.5 lit/min and the hydrocarbon content varied from 3 to 10%. Coating efficiencies ranging from 4 to 25 percent were obtained. The densities of the coatings varied from 1.25 g/cm 3 (which corresponds to coatings of laminar microstructures) and 1.82 g/cm 3 (which suggests the formation of isotropic coatings. Metallographic examination (using polarized light) of the pyrolytic carbon formed at the experimental conditions indicated the possibility of using the coatings for nuclear fuel applications

  12. Immobilization of nanoparticle titanium dioxide membrane on polyamide fabric by low temperature hydrothermal method

    International Nuclear Information System (INIS)

    Zhang Hui; Yang Lu

    2012-01-01

    A thin layer of nanoparticle titanium dioxide was immobilized on polyamide 6 (PA6) fiber using titanium sulfate and urea at low temperature hydrothermal condition. The titanium dioxide loaded fabric was characterized by scanning electron microscopy, transmission electron microscopy, X-ray diffraction, Fourier transform infrared spectroscopy, differential scanning calorimetry and thermal gravimetry techniques. The optical and mechanical properties, water absorption and degradation of methylene blue dye under ultraviolet (UV) irradiation of the PA6 fabric before and after treatments were also examined. It was found that when PA6 fabric was treated in titanium sulfate and urea aqueous solution, anatase nanocrystalline titanium dioxide was synthesized and simultaneously adhered onto the fiber surface. The average crystal size of titanium dioxide nanoparticles was about 13.2 nm. The thermal behavior of PA6 fiber distinctly changed and the onset decomposition temperature decreased. As compared with the untreated fabric, the protection against UV radiation was improved. The water absorbency increased slightly. As the fabric dimensions were reduced in warp and weft directions, the breaking load and tensile strain increased to some extent. The titanium dioxide coated fabric could degradate methylene blue dye under UV irradiation. - Highlights: ► We employed a method to immobilize TiO 2 nanoparticle on polyamide fiber. ► We fabricated the TiO 2 -coated polyamide fabric with the photocatalytic activity. ► The modification method may be suitable for the potential applications.

  13. Procedure for coating articles with pyrolytic carbon

    International Nuclear Information System (INIS)

    Adams, C.C.; Allen, C.L.; Besenbruch, G.E.A.

    1976-01-01

    A method to coat articles with pyrolytic carbon is described which is particularly suitable for small nuclear fuel particles as one obtains a very homogeneous layer. The pyrolytic carbon is produced according to the invention by decomposing a hydrocarbon gas mixture composed of an inert gas share (20-65 Vol%) and a mixture of acetylene and propylene. It is favourable to have the hydrocarbon mixture contain between 50 and 55 Vol% acetylene. Variations on the known procedure are given. The coating of spherical thorium dioxide particles is mentioned as an example. (UWI) [de

  14. Method of reactivity control in pressure tube reactor

    International Nuclear Information System (INIS)

    Fukumura, Nobuo.

    1988-01-01

    Purpose: To provide a method of controlling reactivity in a pressure tube reactor at high conversion ratio intended for high burn-up degree. Method: Control tubes are inserted in heavy water moderator. Light water is filled in the tubes at the initial burning stage. Along with the advance of the burning, the light water is gradually removed and replaced with gases of less reactive nuclear reactivity with neutrons such as air or gaseous carbon dioxide. The tubes are made of less neutron absorbing material such as aluminum. By filling light water, infinite multiplication factor is reduced to suppress the reactivity at the initial burning stage. As light water is gradually removed and replaced with air, etc., it provides an effect like that elimination of heavy water moderator to increase the conversion ratio. Accordingly, nuclear fission materials are produced additionally by so much to extend the burn-up degree. In this way, it can provide excellent effect in realizing high burn-up ratio and high conversion ratio. (Kamimura, M.)

  15. Magnesium diboride on inner wall of copper tube: A test case for superconducting radio frequency cavities

    Directory of Open Access Journals (Sweden)

    Wenura K. Withanage

    2017-10-01

    Full Text Available Superconductor magnesium diboride is considered one of the viable materials to substitute bulk niobium for superconducting radio frequency cavities. Utilizing a MgB_{2} coating on the inner wall of a copper cavity will allow operation at higher temperatures (20–25 K than Nb cavities due to the high transition temperature of MgB_{2} (39 K and the high thermal conductivity of Cu. In this paper, we present results of MgB_{2} coating on Cu tubes with similar dimensions to a 3 GHz cavity, as the first step towards coating the actual cavity, using the hybrid physical chemical vapor deposition technique. The results show successful coating of a uniform MgB_{2} layer on the inner wall of the Cu tubes with T_{c} as high as 37 K.

  16. Endotracheal Tube Cuff Management at Altitude

    Science.gov (United States)

    2014-02-05

    the volume of saliva, if any, leaking around ETT cuffs. To simulate the clinical environment, four transport ventilators (Model 731, Impact...ETT. Table 1. Changes in ETT Cuff Pressure during the Study Method Sea Level (Baseline)a 8,000 fta Sea Level (Post-Flight)a 7.5 mm 8.0 mm...threshold typically required to prevent aspiration of secretions around the cuff. These findings have important clinical implications, as cuff

  17. Preliminary Study of Fermented Tapioca for Synthesis of Carbon Nano tubes

    International Nuclear Information System (INIS)

    Nurulhuda Ismail; Ying, P.Y.

    2011-01-01

    Carbon nano tubes had been produced by various precursor such as gas (methane, carbon dioxide), oil (camphor oil, olive oil, and cooking oil) and alcohol. Different methods used for carbon nano tubes synthesis like arc discharge method, laser ablation method and chemical vapour deposition method. In this experiment, thermal chemical vapour deposition method was selected for carbon nano tubes synthesis. Starting material of fermented tapioca was used as carbon source for the process. Argon gas flow were controlled at around 10-15 bubbles per minute and deposition time around 20 to 30 minute. Others parameters such as temperature of furnace 1 and 2, amount of inoculum and catalyst have been studied. The asThermogravimetri (TGA) was used to determine the volatile temperature of the mixing catalyst and fermented tapioca extract. The grown carbon nano tubes morphology was characterized through Raman spectroscopy, scanning and Field Emission Scanning Electron Microscopy (FESEM) techniques. The surface morphology and uniformity of carbon nano tubes are reliant to parameters used. (author)

  18. Comparison of bolus and continuous infusion of esmolol on hemodynamic response to laryngoscopy, endotracheal intubation and sternotomy in coronary artery bypass graft

    Directory of Open Access Journals (Sweden)

    Esra Mercanooglu Efe

    2014-07-01

    Full Text Available BACKGROUND AND OBJECTIVE: The aim of this randomized, prospective and double blinded study is to investigate effects of different esmolol use on hemodynamic response of laryngoscopy, endotracheal intubation and sternotomy in coronary artery bypass graft surgery. METHODS: After approval of local ethics committee and patients' written informed consent, 45 patients were randomized into three groups equally. In Infusion Group; from 10 min before intubation up to 5th minute after sternotomy, 0.5 mg/kg/min esmolol infusion, in Bolus Group; 2 min before intubation and sternotomy 1.5 mg/kg esmolol IV bolus and in Control Group; %0.9 NaCl was administered. All demographic parameters were recorded. Heart rate and blood pressure were recorded before infusion up to anesthesia induction in every minute, during endotracheal intubation, every minute for 10 minutes after endotracheal intubation and before, during and after sternotomy at first and fifth minutes. RESULTS: While area under curve (AUC (SAP × time was being found more in Group B and C than Group I, AUC (SAP × T int and T st and AUC (SAP × T2 was found more in Group B and C than Group I (p < 0.05. Moreover AUC (HR × T st was found less in Group B than Group C but no significant difference was found between Group B and Group I. CONCLUSION: This study highlights that esmolol infusion is more effective than esmolol bolus administration on controlling systolic arterial pressure during endotracheal intubation and sternotomy in CABG surgery.

  19. Comparative sensitivity of photosynthesis and translocation to sulfur dioxide damage in Phaseolus vulgaris L

    International Nuclear Information System (INIS)

    Noyes, R.D.

    1978-01-01

    The inhibiting effect of sulfur dioxide on photosynthesis in a mature bean leaf and, simultaneously, on the rate of carbohydrate translocation from this same leaf has been examined. The results show a reduction of 0, 13, and 73% in net photosynthesis and 39, 44, and 69% in translocation, at concentrations of 0.1, 1, and 3 ppm sulfur dioxide, respectively. The inhibition of translocation at 0.1 ppm sulfur dioxide without any accompanying inhibition of net photosynthesis indicates that translocation is considerably more sensitive to sulfur dioxide damage. The mechanism of translocation inhibition at 1 ppm sulfur dioxide or less is shown to be independent of photosynthetic inhibition. Whereas, it is suggested that at higher concentrations significant inhibition of photosynthesis causes an additive reduction of translocation due to reduced levels of transport sugars. Autoradiograms of 14 C-labeled source leaves indicate that one possible mechanism of sulfur dioxide damage to translocation is the inhibition of sieve-tube loading. Inhibition of phloem translocation at common ambient levels (0.1 ppm) of sulfur dioxide is important to the overall growth and yield of major agricultural crops sensitive to sulfur dioxide

  20. Bronchial blocker versus left double-lumen endotracheal tube in video-assisted thoracoscopic surgery: a randomized-controlled trial examining time and quality of lung deflation.

    Science.gov (United States)

    Bussières, Jean S; Somma, Jacques; Del Castillo, José Luis Carrasco; Lemieux, Jérôme; Conti, Massimo; Ugalde, Paula A; Gagné, Nathalie; Lacasse, Yves

    2016-07-01

    Double-lumen endotracheal tubes (DL-ETT) and bronchial blockers (BB) have both been used for lung isolation in video-assisted thoracic surgery (VATS). Though not well studied, it is widely thought that a DL-ETT provides faster and better quality lung collapse. The aim of this study was to compare a BB technique vs a left-sided DL-ETT strategy with regard to the time and quality of lung collapse during one-lung ventilation (OLV) for elective VATS. Forty patients requiring OLV for VATS were randomized to receive a BB (n = 20) or a left-sided DL-ETT (n = 20). The primary endpoint was the time from pleural opening (performed by the surgeon) until complete lung collapse. The time was evaluated offline by reviewing video recorded during the VATS. The quality of lung deflation was also graded offline using a visual scale (1 = no lung collapse; 2 = partial lung collapse; and 3 = total lung collapse) and was recorded at several time points after pleural incision. The surgeon also graded the time to complete lung collapse and quality of lung deflation during the procedure. The surgeon's guess as to which device was used for lung isolation was also recorded. Of the 40 patients enrolled in the study, 20 patients in the DL-ETT group and 18 in the BB group were analyzed. There mean (standard deviation) time to complete lung collapse of the operative lung was significantly faster using the BB compared with using the DL-ETT [7.5 (3.8) min vs 36.6 (29.1) min, respectively; mean difference, 29.1 min; 95% confidence interval, 1.8 to 7.2; P < 0.001]. Overall, a higher proportion of patients in the BB group than in the DL-ETT group achieved a quality of lung collapse score of 3 at five minutes (57% vs 6%, respectively; P < 0.004), ten minutes (73% vs 14%, respectively; P = 0.005), and 20 min (100% vs 25%, respectively; P = 0.002) after opening the pleura. The surgeon incorrectly guessed the type of device used in 78% of the BB group and 50% of the DL-ETT group (P = 0.10). The time and

  1. Disconnection of Cobe SMARxT tubing from the venous outlet of the Terumo Capiox SX25RX oxygenator during cardiopulmonary bypass.

    Science.gov (United States)

    Ottens, Jane; Baker, Robert A; Sanderson, Andrew J; Newland, Richard F

    2010-06-01

    The use of surface modified, biocompatible tubing in cardiopulmonary bypass has been reported to decrease the inflammatory responses caused by blood contact with the non endothelial surface of poly vinyl chloride (PVC) tubing. The combination of advances in biocompatible tubing and increased affordability resulted in a change to our cardiopulmonary bypass circuit, with the Terumo Capiox SX25 oxygenator and Cobe PVC tubing being replaced with a Terumo Capiox SX25RX (with X coating) and Cobe SMARxT tubing. Prior to the introduction of the coated oxygenator, no connection problems had been evident. One unrelated disconnection involving coated tubing was reported in June 2005 to the Australian and New Zealand College of Perfusionists Perfusion Incident Reporting System. At this time we revised all of our set up protocols and the recommended actions from manufacturers. We further report three separate incidents of pump boot disconnection from the venous reservoir outlet of the oxygenator during bypass (that occurred within a 13-month period), and an outline of immediate and prospective evaluation of the probable cause. We propose that SMARxT 3/8" x 3/32" tubing should not be used on the venous outlet connector of Terumo Capiox SX25RX oxygenators. It appears as though the design of the outlet combined with the properties of SMARxT tubing may contribute to the disconnection.

  2. Feasibility study on the sol-gel deposition of nanostructured materials based on oxides and fluorides for coatings on solar collector glazing

    Energy Technology Data Exchange (ETDEWEB)

    Schueler, A.; Chambrier, E. De

    2005-10-15

    This illustrated annual report reviews work done at the Federal Institute of Technology (EPFL) in Lausanne, Switzerland, on the architectural integration of thermal solar collectors into buildings. This is often limited by their black colour and the visibility of the tubes and corrugations of the absorber sheets. Although a certain freedom in the choice of colour would be desirable, the coloured appearance should not cause excessive performance degradation. Multi-layered thin film interference filters on the collector glazing can produce a coloured reflection while transmitting the non-reflected radiation entirely to the absorber. The paper describes suitable optical interference filters which have been designed and optimised by numerical simulation and that will be manufactured by the sol-gel dip-coating process. Light scattering has to be avoided, which implies a need for particle sizes much smaller than the wavelengths of the incoming light. The paper proposes that corresponding thin films should therefore consist of nano-structured materials. The sol-gel deposition of all proposed materials has been demonstrated successfully. The paper presents the results of the work using various materials including titanium-silicon mixed oxides, gold-silicon dioxide, porous silicon dioxide, magnesium fluoride and quaternary films.

  3. Oxidation resistant coatings for ceramic matrix composite components

    Energy Technology Data Exchange (ETDEWEB)

    Vaubert, V.M.; Stinton, D.P. [Oak Ridge National Lab., TN (United States); Hirschfeld, D.A. [New Mexico Inst. of Mining and Technology, Socorro, NM (United States). Dept. of Materials and Metallurgical Engineering

    1998-11-01

    Corrosion resistant Ca{sub 0.6}Mg{sub 0.4}Zr{sub 4}(PO{sub 4}){sub 6} (CMZP) and Ca{sub 0.5}Sr{sub 0.5}Zr{sub 4}(PO{sub 4}){sub 6} (CS-50) coatings for fiber-reinforced SiC-matrix composite heat exchanger tubes have been developed. Aqueous slurries of both oxides were prepared with high solids loading. One coating process consisted of dipping the samples in a slip. A tape casting process has also been created that produced relatively thin and dense coatings covering a large area. A processing technique was developed, utilizing a pre-sintering step, which produced coatings with minimal cracking.

  4. Plastic tube hadron calorimeter: study of operation properties and particle separation

    International Nuclear Information System (INIS)

    Akopdzhanov, G.A.; Belousov, V.I.; Blik, A.M.; Romanovski, V.I.

    1988-01-01

    The DELPHI hadron calorimeter prototype plastic tubes were tested to show a long-term stability of the prototype operating with the gas mixture carbon dioxide isobutane. The operating properties of the prototype are investigated and presented as well as the results on particles separation. 5 refs.; 11 figs.; 9 tabs

  5. Permeation tubes. Their use in the preparation of controlled gas atmospheres

    International Nuclear Information System (INIS)

    Galianos, J. A.; Palomares, F.

    1981-01-01

    In this paper, the state of the art on the nature, construction and properties of the permeation tubes Is reviewed; after describing the main calibration procedures In use, examples of their application in the area of the atmospheric pollution are given, especially in the case of sulfur dioxides. (Author) 38 refs

  6. Supercritical heat transfer correlation for carbon dioxide flowing upward in a vertical tube

    International Nuclear Information System (INIS)

    Mokry, S. J.; Pioro, I. L.; Farah, A.; King, K.

    2010-01-01

    The objective of the current study was to analyze heat-transfer at supercritical conditions using carbon dioxide as a modeling fluid, and to develop a heat-transfer correlation based on data published in open literature. Supercritical (SC) fluids have unique properties. Beyond the critical point (22.1 MPa and 374.1 deg.C for water and 7.38 MPa and 31.0 deg.C for carbon dioxide), the fluid resembles a dense gas. The transition from single-phase liquid to single-phase gas does not involve a distinct phase change under these conditions. Phenomena such as dryout (or critical heat flux) are therefore not relevant. However, at supercritical conditions, deteriorated heat-transfer regime, (i.e., lower Heat Transfer Coefficient (HTC) values, compared to those for the normal or regular heat-transfer regime) may exist. Experiments with Supercritical Water (SCW) are very expensive due to high critical parameters. Therefore, a number of experiments are performed in modeling fluids such as carbon dioxide or/and refrigerants. However, there is no common opinion if SC modeling fluids' correlations can be applied to SCW and vice versa. Thus, the objective of this work was to generalize SC carbon dioxide data with a new correlation, and also, to compare these data with SCW correlations The experimental data was analyzed, and a new correlation was developed as part of a larger project assessing the feasibility of Generation IV SCW reactor concepts. Results are given for supercritical heat-transfer for several combinations of wall and bulk-fluid temperatures that were below, at or above the pseudo critical temperature. Uncertainties of all primary parameters were estimated. Two modes of heat transfer at supercritical pressures have been identified: (I) Normal Heat Transfer (NHT), and (2) Deteriorated Heat Transfer (DHT) characterized by lower-than-expected HTCs (i.e., higher-than-expected wall temperatures) than in the normal heat-transfer regime. These heat-transfer data are

  7. On-line electrochemically controlled in-tube solid phase microextraction of inorganic selenium followed by hydride generation atomic absorption spectrometry

    Energy Technology Data Exchange (ETDEWEB)

    Asiabi, Hamid [Department of Chemistry, Tarbiat Modares University, P.O. Box 14115-175, Tehran (Iran, Islamic Republic of); Yamini, Yadollah, E-mail: yyamini@modares.ac.ir [Department of Chemistry, Tarbiat Modares University, P.O. Box 14115-175, Tehran (Iran, Islamic Republic of); Seidi, Shahram [Department of Analytical Chemistry, Faculty of Chemistry, K.N. Toosi University of Technology, Tehran (Iran, Islamic Republic of); Shamsayei, Maryam; Safari, Meysam; Rezaei, Fatemeh [Department of Chemistry, Tarbiat Modares University, P.O. Box 14115-175, Tehran (Iran, Islamic Republic of)

    2016-05-30

    In this work, for the first time, a rapid, simple and sensitive microextraction procedure is demonstrated for the matrix separation, preconcentration and determination of inorganic selenium species in water samples using an electrochemically controlled in-tube solid phase microextraction (EC-in-tube SPME) followed by hydride generation atomic absorption spectrometry (HG-AAS). In this approach, in which EC-in-tube SPME and HG-AAS system were combined, the total analysis time, was decreased and the accuracy, repeatability and sensitivity were increased. In addition, to increases extraction efficiency, a novel nanostructured composite coating consisting of polypyrrole (PPy) doped with ethyleneglycol dimethacrylate (EGDMA) was prepared on the inner surface of a stainless-steel tube by a facile electrodeposition method. To evaluate the offered setup and the new PPy-EGDMA coating, it was used to extract inorganic selenium species in water samples. Extraction of inorganic selenium species was carried out by applying a positive potential through the inner surface of coated in-tube under flow conditions. Under the optimized conditions, selenium was detected in amounts as small as 4.0 parts per trillion. The method showed good linearity in the range of 0.012–200 ng mL{sup −1}, with coefficients of determination better than 0.9996. The intra- and inter-assay precisions (RSD%, n = 5) were in the range of 2.0–2.5% and 2.7–3.2%, respectively. The validated method was successfully applied for the analysis of inorganic selenium species in some water samples and satisfactory results were obtained. - Graphical abstract: An electrochemically controlled in-tube solid phase microextraction followed by hydride generation atomic absorption spectrometry was developed for extraction and determination ultra-trace amounts of Se in aqueous solutions. - Highlights: • A nanostructured composite coating consisting of PPy doped with EGDMA was prepared. • The coating was

  8. Isolation of Separate Ureaplasma Species From Endotracheal Secretions of Twin Patients.

    Science.gov (United States)

    Beeton, Michael L; Maxwell, Nicola C; Chalker, Victoria J; Brown, Rebecca J; Aboklaish, Ali F; Spiller, O Brad

    2016-08-01

    Isolation of Ureaplasma spp. from preterm neonates and the association with development of bronchopulmonary dysplasia has been previously investigated. However, few studies have contrasted the nature of infection in twins. In this article, we report that dizygotic twins (1 girl, 1 boy) born at 24 weeks gestation both yielded culturable Ureaplasma from endotracheal secretions. The samples were part of a serial blind collection cohort of ventilated premature neonates, and analysis of repeat cultures showed stable, separate infections over a period of 17 and 21 days, respectively. Immunoblot and probe-specific quantitative polymerase chain reaction analysis determined that Twin 1 was solely infected with Ureaplasma parvum (specifically, serovar 6 by gene sequencing), whereas Twin 2 was solely infected with Ureaplasma urealyticum (specifically, genotype A- serovars 2, 5, and 8 by gene sequencing). Immunoblot analysis found that the major surface antigen (multiple-banded antigen) altered relative mass for both strains during the course of infection. Quantitative polymerase chain reaction analysis of extracted endotracheal aspirates confirmed no evidence of mixed infection for either twin. Failure of sentinel ventilated preterm infants on the same ward to acquire Ureaplasma infection after the first week of birth suggests no cot-to-cot transfer of Ureaplasma infection occurred. This study demonstrated not only a contrasting clinical outcome for a set of twins infected with 2 separate species of Ureaplasma, but also the first real-time demonstration of multiple-banded antigen alteration and evolution of Ureaplasma over the course of a clinical infection. Copyright © 2016 by the American Academy of Pediatrics.

  9. ACCURACY OF NONINVASIVE ANESTHETIC MONITORING IN THE ANESTHETIZED GIRAFFE (GIRAFFA CAMELOPARDALIS)

    DEFF Research Database (Denmark)

    Bertelsen, Mads F; Grøndahl, Carsten; Stegmann, George F

    2017-01-01

    This study evaluated the accuracy of pulse oximetry, capnography, and oscillometric blood pressure during general anesthesia in giraffes (Giraffa camelopardalis). Thirty-two giraffes anesthetized for physiologic experiments were instrumented with a pulse oximeter transmittance probe positioned...... on the tongue and a capnograph sampling line placed at the oral end of the endotracheal tube. A human size 10 blood pressure cuff was placed around the base of the tail, and an indwelling arterial catheter in the auricular artery continuously measured blood pressure. Giraffes were intermittently ventilated...... using a Hudson demand valve throughout the procedures. Arterial blood for blood gas analysis was collected at multiple time points. Relationships between oxygen saturation as determined by pulse oximetry and arterial oxygen saturation, between arterial carbon dioxide partial pressure and end...

  10. Titanium dioxide-coated fluorine-doped tin oxide thin films for improving overall photoelectric property

    Energy Technology Data Exchange (ETDEWEB)

    Li, Bao-jia, E-mail: bjia_li@126.com [School of Materials Science and Engineering, Jiangsu University, Zhenjiang 212013 (China); Jiangsu Provincial Key Laboratory of Center for Photon Manufacturing Science and Technology, Jiangsu University, Zhenjiang 212013 (China); Huang, Li-jing [School of Materials Science and Engineering, Jiangsu University, Zhenjiang 212013 (China); Jiangsu Provincial Key Laboratory of Center for Photon Manufacturing Science and Technology, Jiangsu University, Zhenjiang 212013 (China); Ren, Nai-fei [Jiangsu Provincial Key Laboratory of Center for Photon Manufacturing Science and Technology, Jiangsu University, Zhenjiang 212013 (China); School of Mechanical Engineering, Jiangsu University, Zhenjiang 212013 (China); Zhou, Ming [The State Key Laboratory of Tribology, Tsinghua University, Beijing 100084 (China)

    2014-01-30

    Titanium (Ti) layers were deposited by direct current (DC) magnetron sputtering on commercial fluorine-doped tin oxide (FTO) glasses, followed by simultaneous oxidation and annealing treatment in a tubular furnace to prepare titanium dioxide (TiO{sub 2})/FTO bilayer films. Large and densely arranged grains were observed on all TiO{sub 2}/FTO bilayer films. The presence of TiO{sub 2} tetragonal rutile phase in the TiO{sub 2}/FTO bilayer films was confirmed by X-ray diffraction (XRD) analysis. The results of parameter optimization indicated that the TiO{sub 2}/FTO bilayer film, which was formed by adopting a temperature of 400 °C and an oxygen flow rate of 15 sccm, had the optimal overall photoelectric property with a figure of merit of 2.30 × 10{sup −2} Ω{sup −1}, higher than 1.78 × 10{sup −2} Ω{sup −1} for the FTO single-layer film. After coating a 500 nm-thick AZO layer by DC magnetron sputtering on this TiO{sub 2}/FTO bilayer film, the figure of merit of the trilayer film achieved to a higher figure of merit of 3.12 × 10{sup −2} Ω{sup −1}, indicating further improvement of the overall photoelectric property. This work may provide a scientific basis and reference for improving overall photoelectric property of transparent conducting oxide (TCO) films.

  11. Disconnection of Cobe SMARxT® Tubing from the Venous Outlet of the Terumo Capiox® SX25RX Oxygenator During Cardiopulmonary Bypass

    Science.gov (United States)

    Ottens, Jane; Baker, Robert A.; Sanderson, Andrew J.; Newland, Richard F.

    2010-01-01

    Abstract: The use of surface modified, biocompatible tubing in cardiopulmonary bypass has been reported to decrease the inflammatory responses caused by blood contact with the non endothelial surface of poly vinyl chloride (PVC) tubing. The combination of advances in biocompatible tubing and increased affordability resulted in a change to our cardiopulmonary bypass circuit, with the Terumo Capiox® SX25 oxygenator and Cobe PVC tubing being replaced with a Terumo Capiox® SX25RX (with X coating) and Cobe SMARxT® tubing. Prior to the introduction of the coated oxygenator, no connection problems had been evident. One unrelated disconnection involving coated tubing was reported in June 2005 to the Australian and New Zealand College of Perfusionists Perfusion Incident Reporting System. At this time we revised all of our set up protocols and the recommended actions from manufacturers. We further report three separate incidents of pump boot disconnection from the venous reservoir outlet of the oxygenator during bypass (that occurred within a 13-month period), and an outline of immediate and prospective evaluation of the probable cause. We propose that SMARxT® 3/8″ × 3/32″ tubing should not be used on the venous outlet connector of Terumo Capiox® SX25RX oxygenators. It appears as though the design of the outlet combined with the properties of SMARxT® tubing may contribute to the disconnection. PMID:20648902

  12. Titanium dioxide, single-walled carbon nanotube composites

    Science.gov (United States)

    Yao, Yuan; Li, Gonghu; Gray, Kimberly; Lueptow, Richard M.

    2015-07-14

    The present invention provides titanium dioxide/single-walled carbon nanotube composites (TiO.sub.2/SWCNTs), articles of manufacture, and methods of making and using such composites. In certain embodiments, the present invention provides membrane filters and ceramic articles that are coated with TiO.sub.2/SWCNT composite material. In other embodiments, the present invention provides methods of using TiO.sub.2/SWCNT composite material to purify a sample, such as a water or air sample.

  13. Monitoring tablet surface roughness during the film coating process

    DEFF Research Database (Denmark)

    Seitavuopio, Paulus; Heinämäki, Jyrki; Rantanen, Jukka

    2006-01-01

    The purpose of this study was to evaluate the change of surface roughness and the development of the film during the film coating process using laser profilometer roughness measurements, SEM imaging, and energy dispersive X-ray (EDX) analysis. Surface roughness and texture changes developing during...... the process of film coating tablets were studied by noncontact laser profilometry and scanning electron microscopy (SEM). An EDX analysis was used to monitor the magnesium stearate and titanium dioxide of the tablets. The tablet cores were film coated with aqueous hydroxypropyl methylcellulose, and the film...... coating was performed using an instrumented pilot-scale side-vented drum coater. The SEM images of the film-coated tablets showed that within the first 30 minutes, the surface of the tablet cores was completely covered with a thin film. The magnesium signal that was monitored by SEM-EDX disappeared after...

  14. Experimental evaluation of optimization method for developing ultraviolet barrier coatings

    Science.gov (United States)

    Gonome, Hiroki; Okajima, Junnosuke; Komiya, Atsuki; Maruyama, Shigenao

    2014-01-01

    Ultraviolet (UV) barrier coatings can be used to protect many industrial products from UV attack. This study introduces a method of optimizing UV barrier coatings using pigment particles. The radiative properties of the pigment particles were evaluated theoretically, and the optimum particle size was decided from the absorption efficiency and the back-scattering efficiency. UV barrier coatings were prepared with zinc oxide (ZnO) and titanium dioxide (TiO2). The transmittance of the UV barrier coating was calculated theoretically. The radiative transfer in the UV barrier coating was modeled using the radiation element method by ray emission model (REM2). In order to validate the calculated results, the transmittances of these coatings were measured by a spectrophotometer. A UV barrier coating with a low UV transmittance and high VIS transmittance could be achieved. The calculated transmittance showed a similar spectral tendency with the measured one. The use of appropriate particles with optimum size, coating thickness and volume fraction will result in effective UV barrier coatings. UV barrier coatings can be achieved by the application of optical engineering.

  15. Halloysite nanotubes-titanium dioxide as a solid-phase microextraction coating combined with negative corona discharge-ion mobility spectrometry for the determination of parathion.

    Science.gov (United States)

    Saraji, Mohammad; Jafari, Mohammad Taghi; Mossaddegh, Mehdi

    2016-07-05

    Halloysite nanotubes-titanium dioxide (HNTs-TiO2) as a biocompatible environmentally friendly solid-phase microextraction (SPME) fiber coating was prepared. HNTs-TiO2 was chemically coated on the surface of a fused-silica fiber using a sol-gel process. Parathion as an organophosphorus pesticide was selected as a model compound to investigate the extraction efficiency of the fiber. The extracted analyte was detected by negative corona discharge-ion mobility spectrometer (NCD-IMS). The effective parameters on the extraction efficiency, such as salt effect, extraction temperature and extraction time were investigated and optimized. The extraction efficiency of HNTs-TiO2 fiber was compared with bare-silica (sol-gel based coating without HNTs-TiO2), HNTs, carbon nanotubes and commercial SPME fibers (PA, PDMS, and PDMS-DVB). The HNTs-TiO2 fiber showed highest extraction efficiency among the studied fibers. The intra- and inter-day relative standard deviations were found to be 4.3 and 6.3%, respectively. The limit of detection and limit of quantification values were 0.03 and 0.1 μg L(-1), respectively. The dynamic range of the method was in the range of 0.1-25 μg L(-1). The spiking recoveries were between 85 (±9) and 97 (±6). The SPME-HNTs-TiO2 combined with NCD-IMS was successfully applied for the determination of parathion in apple, strawberry, celery and water samples. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. Synthesis and Physical Characterization of Carbon Nano tubes Coated by Conducting Poly pyrrole

    International Nuclear Information System (INIS)

    Talib, A.B.Z.A.; Wan Mahmood Mat Yunus; Kasar Behzad; Nayereh Soltani

    2011-01-01

    This study describes the preparation of poly pyrrole multi walled carbon nano tube (PPy/ MWNT) composites by in situ chemical oxidative polymerization. Various ratios of functionalized MWNTs are dispersed in the water, and PPy are then synthesized via in-situ chemical oxidative polymerization on the surface of the carbon nano tubes. The morphology of the resulting complex nano tubes (MWNT-PPY) was characterized by scanning electron microscopy (SEM). The conductivity of each composite showed a maximum in the temperature scale of 120- 160 degree Celsius and then decreased dramatically with the increase of temperature. (author)

  17. Management of avulsed permanent maxillary central incisors during endotracheal intubation

    Directory of Open Access Journals (Sweden)

    Ritesh R Kalaskar

    2016-01-01

    Full Text Available Avulsion is serious injury that may encounter during endotracheal intubation and its management often presents a challenge. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. The present article describes the management of air-dried maxillary permanent incisors that have been avulsed due to direct laryngoscopy during the induction of general anesthesia for tonsillectomy procedure. The replanted maxillary central incisors had maintained its function and esthetic for 1 year after replantation. Children in a mixed dentition phase are high-risk group children for traumatic dental injury during laryngoscopy; therefore, Anesthetic Departments should have local protocols to refer patients for dental treatment postoperatively in the event of trauma.

  18. Submental Intubation in Patients with Complex Maxillofacial Injuries

    Science.gov (United States)

    Cheong, Yuseon; Kang, Seong Sik; Kim, Minsoo; Son, Hee Jeong; Park, Jaewoo; Kim, Jeong-Mo

    2016-01-01

    Airway management in patients with complex maxillofacial injuries is a challenge to anesthesiologists. Submental intubation is a useful technique that is less invasive than tracheostomy in securing the airways where orotracheal and nasotracheal intubation cannot be performed. This procedure avoids the use of tracheostomy and bypasses its associated morbidities. A flexible and kink-resistant reinforced endotracheal tube with detachable universal connector is commonly used for submental intubation. Herein, we report cases involving submental intubation using a reinforced endotracheal tube with a non-detachable universal connector in patients with complex maxillofacial injuries. PMID:27924286

  19. The electrochemical synthesis and corrosion behaviour of TiO2/poly(indole-co-aniline multilayer coating: Experimental and theoretical approach

    Directory of Open Access Journals (Sweden)

    Serap Toprak Döşlü

    2018-01-01

    Full Text Available The aim of this study was to protect stainless steel against corrosion via poly (indole-co-aniline with the help of titanium dioxide pre-coating. Different monomer ratios (1:1 and 1:9 were applied in order to determine the suitable chain composition to synthesize the copolymer in lithium perchlorate containing acetonitrile. The structures, morphologies, electrochemical properties and corrosion resistances of the mono and multi-layer coatings were investigated by Fourier-transform infrared spectra, scanning electron microscope, energy dispersive X-ray spectrometer, electrochemical impedance spectroscopy and anodic polarization. Furthermore the geometric structure and electronic properties of indole, aniline, and indole-co-aniline (dimmer molecules have been investigated by quantum calculations. The results indicated that corrosion protection of copolymers was increased via titanium dioxide pre-coating. The 1:1 copolymer coating showed better corrosion prevention than 1:9 coating. The correlation was determined between experimental and theoretical parameters.

  20. Novel Chemical Process for Producing Chrome Coated Metal

    OpenAIRE

    Pelar, Christopher; Greenaway, Karima; Zea, Hugo; Wu, Chun-Hsien; Luhrs, Claudia C.; Phillips, Jonathan

    2018-01-01

    The article of record as published may be found at http://dx.doi.org/10.3390/ma11010078 This work demonstrates that a version of the Reduction Expansion Synthesis (RES) process, Cr-RES, can create a micron scale Cr coating on an iron wire. The process involves three steps. I. A paste consisting of a physical mix of urea, chrome nitrate or chrome oxide, and water is prepared. II. An iron wire is coated by dipping. III. The coated, and dried, wire is heated to ~800 ◦C for 10 min in a tube fu...

  1. Antimicrobial polymers - The antibacterial effect of photoactivated nano titanium dioxide polymer composites

    International Nuclear Information System (INIS)

    Huppmann, T.; Leonhardt, S.; Krampe, E.; Wintermantel, E.; Yatsenko, S.; Radovanovic, I.; Bastian, M.

    2014-01-01

    To obtain a polymer with antimicrobial properties for medical and sanitary applications nanoscale titanium dioxide (TiO 2 ) particles have been incorporated into a medical grade polypropylene (PP) matrix with various filler contents (0 wt %, 2 wt %, 10 wt % and 15 wt %). The standard application of TiO 2 for antimicrobial efficacy is to deposit a thin TiO 2 coating on the surface. In contrast to the common way of applying a coating, TiO 2 particles were applied into the bulk polymer. With this design we want to ensure antimicrobial properties even after application of impact effects that could lead to surface defects. The filler material (Aeroxide® TiO 2 P25, Evonik) was applied via melt compounding and the compounding parameters were optimized with respect to nanoscale titanium dioxide. In a next step the effect of UV-irradiation on the compounds concerning their photocatalytic activity, which is related to the titanium dioxide amount, was investigated. The photocatalytic effect of TiO 2 -PP-composites was analyzed by contact angle measurement, by methylene blue testing and by evaluation of inactivation potential for Escherichia coli (E.coli) bacteria. The dependence of antimicrobial activity on the filler content was evaluated, and on the basis of different titanium dioxide fractions adequate amounts of additives within the compounds were discussed. Specimens displayed a higher photocatalytic and also antimicrobial activity and lower contact angles with increasing titania content. The results suggest that the presence of titania embedded in the PP matrix leads to a surface change and a photocatalytic effect with bacteria killing result

  2. Oxidation Behavior of FeCrAl -coated Zirconium Cladding prepared by Laser Coating

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Il-Hyun; Kim, Hyun-Gil; Choi, Byung-Kwan; Park, Jeong-Yong; Koo, Yang-Hyun; Kim, Jin-Seon [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-05-15

    From the recent research trends, the ATF cladding concepts for enhanced accident tolerance are divided as follows: Mo-Zr cladding to increase the high temperature strength, cladding coating to increase the high temperature oxidation resistance, FeCrAl alloy and SiC/SiCf material to increase the oxidation resistance and strength at high temperature. To commercialize the ATF cladding concepts, various factors are considered, such as safety under normal and accident conditions, economy for the fuel cycle, and developing development challenges, and schedule. From the proposed concepts, it is known that the cladding coating, FeCrAl alloy, and Zr-Mo claddings are considered as a near/mid-term application, whereas the SiC material is considered as a long-term application. Among them, the benefit of cladding coating on Zr-based alloys is the fuel cycle economy regarding the manufacturing, neutron cross section, and high tritium permeation characteristics. However, the challenge of cladding coating on Zr-based alloys is the lower oxidation resistance and mechanical strength at high-temperature than other concepts. Another important point is the adhesion property between the Zr-based alloy and coating materials. A laser coating method supplied with FeCrAl powders was developed to decrease the high-temperature oxidation rate in a steam environment through a systematic study for various coating parameters, and a FeCrAl-coated Zircaloy-4 cladding tube of 100 mm in length to the axial direction can be successfully manufactured.

  3. The effects of succinylcholine or low-dose rocuronium to aid endotracheal intubation of adult sows

    Science.gov (United States)

    Duke-Novakovski, Tanya; Ambros, Barbara; Auckland, Crissie D.; Harding, John C.S.

    2012-01-01

    This randomized, prospective, blinded study compared the use of succinylcholine or rocuronium to aid endotracheal intubation of 27 adult sows [mean body weight 261 ± 28 (standard deviation) kg]. Preliminary trials allowed development of the intubation technique and skills. The sows were premedicated with azaperone, atropine, and morphine, and anesthesia was induced with thiopental [6 mg/kg body weight (BW)]. Nine sows each received succinylcholine (1.0 mg/kg BW), rocuronium (0.5 mg/kg BW), or saline (15 mL) after induction. Increments of thiopental (1 mg/kg BW) were used if swallowing impaired intubation. Intubation was performed 45 s after injection of the test drug and was timed and scored. The intubation scores were analyzed with Kruskal-Wallis analysis of variance (ANOVA). Time taken for intubation, body weight, and total dose of thiopental were analyzed with ANOVA and Bonferroni’s multiple-comparisons test. No significant differences (at P < 0.05) were found between the groups with regard to intubation score, time taken for intubation, or total thiopental dose. Thus, neuromuscular blocking agents did not aid endotracheal intubation of adult sows anesthetized with thiopental. PMID:22754096

  4. Development of Self-Luminous Glass Tube (SLGT) Manufacturing Technology

    International Nuclear Information System (INIS)

    Kim, Kwang Sin; Kim, Kyeong Sook; Chung, Eun Su; Song, Kyu Min; Lee, Sook Kyung; Son, Soon Hwan

    2005-01-01

    Tritium produced from the Wolsong Tritium Removal Facility (WTRF) will be a radioactive waste when it is stored in the vault inside the WTRF, which requires maintenance cost and is a troublesome waste such that it cannot be sent to the radioactive waste disposal facility. However, when tritium is utilized it can be valuable resource for many applications. As a starting point to utilize tritium we tried to domesticate the selfluminous glass tube (SLGT) manufacturing technology. As a hydrogen isotope, tritium has similar chemical properties to hydrogen but slightly different physical properties. Due to its unstable nature, tritium emits beta rays, which are streams of electrons, with 0∼18.6 keV (5.7 keV in average) energies and 12.323 years of a half-life. The energy level of tritium is relatively low and the biological effects of tritium to the human body are not significant, which makes tritium a popular radioactive isotope for use in industries. The electrons in a beta ray collide with phosphor to produce light so that tritium sealed in phosphor coated glass tubes can make the tubes glow without an external supply of energy. To manufacture these SLGTs, 4 core technologies are needed: coating technology, tritium injection technology, laser sealing/cutting technology and tritium handling technology

  5. Meconium Aspiration

    Science.gov (United States)

    ... is done by using an endotracheal tube (a plastic tube that's placed into the baby's windpipe through ... thanks to treatments such as suctioning and a reduction in the number of post-term births. Prevention ...

  6. Correlation of refrigerant mass flow rate through adiabatic capillary tubes using mixture refrigerant carbondioxide and ethane for low temperature applications

    Science.gov (United States)

    Nasruddin, Syaka, Darwin R. B.; Alhamid, M. Idrus

    2012-06-01

    Various binary mixtures of carbon dioxide and hydrocarbons, especially propane or ethane, as alternative natural refrigerants to Chlorofluorocarbons (CFCs) or Hydro fluorocarbons (HFCs) are presented in this paper. Their environmental performance is friendly, with an ozone depletion potential (ODP) of zero and Global-warming potential (GWP) smaller than 20. The capillary tube performance for the alternative refrigerant HFC HCand mixed refrigerants have been widely studied. However, studies that discuss the performance of the capillary tube to a mixture of natural refrigerants, in particular a mixture of azeotrope carbon dioxide and ethane is still undeveloped. A method of empirical correlation to determine the mass flow rate and pipe length has an important role in the design of the capillary tube for industrial refrigeration. Based on the variables that effect the rate of mass flow of refrigerant in the capillary tube, the Buckingham Pi theorem formulated eight non-dimensional parameters to be developed into an empirical equations correlation. Furthermore, non-linear regression analysis used to determine the co-efficiency and exponent of this empirical correlation based on experimental verification of the results database.

  7. Study on corrosion of thermal power plant condenser tubes

    Energy Technology Data Exchange (ETDEWEB)

    Mohammadi, Abdolreza Rashidi; Zhaam, Ali Akbar [Niroo Research Institute, end of Poonak Bakhtari blvd., Shahrak Ghods, Tehran (Iran)

    2004-07-01

    The aim of this investigation is to study kinds of corrosion mechanisms in thermal power plant condenser tubes. Condenser is a shell and tube heat exchanger in which cooling water flows through its tubes. While the steam from low pressure turbine passes within condenser tubes, it is condensed by cooling water. The exhausted steam from low pressure turbine is condensed on external surface of condenser tubes and heat is transferred to cooling water which flow into tubes. Tubes composition is usually copper-based alloys, stainless steel or titanium. Annual damages due to corrosion cause much cost for replacement and repairing metallic equipment and installations in electric power industry. Because of existence of different contaminants in water and steam cycle, condenser tubes surfaces are exposed to corrosion. Contaminants like oxygen, carbon dioxide, chloride ion and ammonia in water and steam cycle originate several damages such as pitting and crevice corrosion, erosion, galvanic attack, SCC, condensed corrosion, de-alloying in thermal power plant condenser. The paper first states how corrosion damage takes place in condensers and then introduces types of usual alloys used in condensers and also their corrosion behavior. In continuation, a brief explanation is presented about kinds of condenser failures due to corrosion. Then, causes and locations of different mechanisms of corrosion events on condenser tubes and effects of different parameters such as composition, temperature, chloride and sulfide ion concentration, pH, water velocity and biological precipitation are examined and finally protection methods are indicated. Also some photos of tubes specimens related to power plants are studied and described in each case of mentioned mechanisms. (authors)

  8. Determination of mercury and selenium in herbal medicines and hair by using a nanometer TiO{sub 2}-coated quartz tube atomizer and hydride generation atomic absorption spectrometry

    Energy Technology Data Exchange (ETDEWEB)

    Li, Shun-Xing, E-mail: lishunxing@fjzs.edu.cn [Department of Chemistry and Environmental Science, Zhangzhou Normal University, Zhangzhou 363000 (China); Fujian Province University Key Laboratory of Analytical Science (Zhangzhou Normal University), Zhangzhou 363000 (China); Zheng, Feng-Ying [Department of Chemistry and Environmental Science, Zhangzhou Normal University, Zhangzhou 363000 (China); Fujian Province University Key Laboratory of Analytical Science (Zhangzhou Normal University), Zhangzhou 363000 (China); Cai, Shu-Jie; Cai, Tian-Shou [Department of Chemistry and Environmental Science, Zhangzhou Normal University, Zhangzhou 363000 (China)

    2011-05-15

    The nanometer TiO{sub 2} particle was coated onto the inner wall of a T-shaped quartz tube atomizer (QTA) and then was used as a new atomizer (NT-QTA) for the determination of Hg and Se by hydride generation atomic absorption spectrometry (HGAAS). After coating 67.4 mg TiO{sub 2} on a quartz tube, the analytical performance of NT-QTA-HGAAS was compared to conventional QTA-HGAAS and it was improved as follows: (a) the linear range of the calibration curves was expanded from 10.0-80.0 ng mL{sup -1} to 5.0-150.0 ng mL{sup -1} for Hg, and from 10.0-70.0 ng mL{sup -1} to 5.0-100.0 ng mL{sup -1} for Se; (b) the characteristic concentration of was decreased from 2.8 ng mL{sup -1}/1% to 1.1 ng mL{sup -1}/1% for Hg and from 1.2 ng mL{sup -1}/1% to 0.8 ng mL{sup -1}/1% for Se; and (c) the interference from the coexistence of As on the determination of Hg and Se could be eliminated. The achieved technique was applied for the determination of Hg and Se in herbal medicines and hair.

  9. Production of ceramic-metal joints for high-vacuum applications and development of simulation program for discharge tube

    Energy Technology Data Exchange (ETDEWEB)

    Kang, S. H.; Chung, K. H. [Seoul National University, Seoul (Korea)

    2000-04-01

    To develop a ceramic-metal jointed tube for high-vacuum applications, metalizing process and active metal brazing were investigated. Active metal brazing was adopted as a joining process to produce a high-vacuum tube which had high joint strength and reliability. A possibility for the development of new composition of Mo-Mn paste was studied. Also, to improve the strength and reliability of active metal brazed joint, TiN coating was introduced as a diffusion barrier. It was revealed that TiN coating could improve the joint strength and reliability. 100mm {phi} tube joint was produced using incusil ABA brazing alloy. The strength and reliability of manufactured tube showed higher value than commercial one. The electric field distribution in ceramic tube under high voltage was analyzed. Two dimensional electric field distribution was investigated under the existence of charged particles. From this result, electric field distribution at the surface of ceramic tube and the location of high electric field was predicted. Finally, Arc discharge was simulated to analyze the effect of arc discharge on the discharge tube wall. The maximum temperature of arc was 12000-13000K. The wall temperature was increased 100-170K by the arc discharge. 45 refs., 57 figs., 4 tabs. (Author)

  10. Development of antimicrobial coating by later-by-layer dip coating of chlorhexidine-loaded micelles.

    Science.gov (United States)

    Tambunlertchai, Supreeda; Srisang, Siriwan; Nasongkla, Norased

    2017-06-01

    Layer-by-layer (LbL) dip coating, accompanying with the use of micelle structure, allows hydrophobic molecules to be coated on medical devices' surface via hydrogen bonding interaction. In addition, micelle structure also allows control release of encapsulated compound. In this research, we investigated methods to coat and maximize the amount of chlorhexidine (CHX) on silicone surface through LbL dip coating method utilizing hydrogen bonding interaction between PEG on micelle corona and PAA. The number of coated cycles was varied in the process and 90 coating cycles provided the maximum amount of CHX loaded onto the surface. In addition, pre-coating the surface with PAA enhanced the amount of coated CHX by 20%. Scanning electron microscope (SEM) and Fourier Transform Infrared Spectroscopy (FTIR) were used to validate and characterize the coating. For control release aspect, the coated film tended to disrupt at physiological condition; hence chemical crosslinking was performed to minimize the disruption and maximize the release time. Chemical crosslinking at pH 2.5 and 4.5 were performed in the process. It was found that chemical crosslinking could help extend the release period up to 18 days. This was significantly longer when compared to the non-crosslinking silicone tube that could only prolong the release for 5 days. In addition, chemical crosslinking at pH 2.5 gave higher and better initial burst release, release period and antimicrobial properties than that of pH 4.5 or the normal used pH for chemical crosslinking process.

  11. "Detachment of the carinal hook following endobronchial intubation with a double lumen tube"

    Directory of Open Access Journals (Sweden)

    Rocha Ana C

    2011-10-01

    Full Text Available Abstract Background Carinal hooks increases difficulty at endotracheal intubation. Amputation of the carinal hook during passage and malpositioning of the tube to the hook are some of the potential problems related with left-sided Carlens double lumen tube (DLT. This article reports an amputation of the hook during a difficult selective intubation and aimed at calling the attention to complications associated with DLTs and the importance of fiberoptic bronchoscopy. Case presentation A 68 year-old woman was scheduled for right-sided thoracotomy in whom blind DLT insertion was performed. Narrowed trachea causes difficulty in rotating the DLT 90° counter-clockwise. After carinal hook was noticed upon visual inspection of the DLT, fiberoptic bronchoscopy was used to remove the missing part (with the use of forceps from the right mainstem bronchus. Conclusion Insertion of DLTs with carinal hook is associated with technical problems and potentially life-threatening hazards have discouraged their use. Fiberoptic evaluation and repositioning solves most of the problems. Although amputation of the carinal hook has not been previously reported, clinicians should be alert. This case report emphasizes the utility of the fiberoptic bronchoscopy in the operating theatre for placement, positioning and inspection of the carinal hook DLT.

  12. Effect of photocatalytic and hydrophobic coatings on brewery surface microorganisms.

    Science.gov (United States)

    Priha, O; Laakso, J; Tapani, K; Levänen, E; Kolari, M; Mäntylä, T; Storgårds, E

    2011-11-01

    The aim of this study was to determine whether process hygiene in the beverage industry could be improved by applying new coating techniques to process surfaces. Photocatalytic titanium dioxide (TiO(2)) and hydrophobic coatings applied to stainless steel with or without added antimicrobial compounds were studied in laboratory attachment tests and in a 15-month process study. No clear reductions in numbers of attached microbes were obtained with photocatalytic coatings, except for coatings to which silver had been added. These TiO(2)+Ag coatings reduced microbial coverage in laboratory studies and in some process samples. Hydrophobic coatings reduced the area coverage of microorganisms in 4-h laboratory studies but did not affect colony counts in laboratory or process studies. The surfaces had changed from hydrophobic into hydrophilic during the process study. The coatings did not mechanically fully withstand process conditions; part of the hydrophobic coatings had peeled off, most of the precipitated Ag had dissolved, and some of the TiO(2) coatings were damaged. In conclusion, functional coatings have potential for reducing microbial loads on beverage industry surfaces, but these coatings need further development.

  13. Investigation of the interaction of carbon dioxide fluid with internal and external single-wall carbon nanotubes by DFT

    Directory of Open Access Journals (Sweden)

    M. Oftadeh

    2011-07-01

    Full Text Available The effective parameters of (5, 0 and (5, 5 single-wall carbon nanotubes during the interaction with carbon dioxide as sensors are determined. The interaction of carbon dioxide  molecules with internal and external walls of the nanotubes is studied using Gaussian 03 coding by density functional theory (DFT at the B3LYP/6-311G level of theory. CO2 rotation around tube axles vertically and parallel to the internal and external walls has been investigated. The carbon dioxide molecule is predicted to bind only weakly to nanotubes, and the tube-molecule interactions can be identified as physisorption. CO2 adsorption is stronger on external wallsthan on internal walls, and adsorption on the external wall of (5, 0 is stronger than on the external wall of (5, 5; the adsorption energies are exothermic and equal to -0.8884 and -0.0528 kcal/mol, respectively. The rotation energy barrier for (5, 5 is lower than that for (5, 0 in all rotations, therefore in these interactions (5, 5 is more active. The energy gap significantly changes in the presence of  carbon  dioxide molecules on the inside surface of (5, 0 and the electric conductivity is affected, but no remarkable change is observed in the electronic structure of (5, 5.

  14. Electrophoretic deposition of PEEK-TiO 2 composite coatings on stainless steel

    KAUST Repository

    Seuß , Sigrid; Subhani, Tayyab; Yi Kang, Min; Okudaira, Kenji; Ventura, Isaac Aguilar; Boccaccini, Aldo R.

    2012-01-01

    Electrophoretic deposition (EPD) has been successfully used to deposit composite coatings composed of polyetheretherketone (PEEK) and titanium dioxide (TiO 2) nanoparticles on 316L stainless steel substrates. The suspensions of TiO2 nanoparticles

  15. Lead determination at ng/mL level by flame atomic absorption spectrometry using a tantalum coated slotted quartz tube atom trap.

    Science.gov (United States)

    Demirtaş, İlknur; Bakırdere, Sezgin; Ataman, O Yavuz

    2015-06-01

    Flame atomic absorption spectrometry (FAAS) still keeps its importance despite the relatively low sensitivity; because it is a simple and economical technique for determination of metals. In recent years, atom traps have been developed to increase the sensitivity of FAAS. Although the detection limit of FAAS is only at the level of µg/mL, with the use of atom traps it can reach to ng/mL. Slotted quartz tube (SQT) is one of the atom traps used to improve sensitivity. In atom trapping mode of SQT, analyte is trapped on-line in SQT for few minutes using ordinary sample aspiration, followed by the introduction of a small volume of organic solvent to effect the revolatilization and atomization of analyte species resulting in a transient signal. This system is economical, commercially available and easy to use. In this study, a sensitive analytical method was developed for the determination of lead with the help of SQT atom trapping flame atomization (SQT-AT-FAAS). 574 Fold sensitivity enhancement was obtained at a sample suction rate of 3.9 mL/min for 5.0 min trapping period with respect to FAAS. Organic solvent was selected as 40 µL of methyl isobutyl ketone (MIBK). To obtain a further sensitivity enhancement inner surface of SQT was coated with several transition metals. The best sensitivity enhancement, 1650 fold enhancement, was obtained by the Ta-coated SQT-AT-FAAS. In addition, chemical nature of Pb species trapped on quartz and Ta surface, and the chemical nature of Ta on quartz surface were investigated by X-ray photoelectron spectroscopy (XPS) and Raman Spectroscopy. Raman spectrometric results indicate that tantalum is coated on SQT surface in the form of Ta2O5. XPS studies revealed that the oxidation state of Pb in species trapped on both bare and Ta coated SQT surfaces is +2. For the accuracy check, the analyses of standard reference material were performed by use of SCP SCIENCE EnviroMAT Low (EU-L-2) and results for Pb were to be in good agreement with

  16. Investigating the Influence of Micro-Arc Oxide Coating on Rigidity and Strength of Long Force Elements of Spacecraft

    Directory of Open Access Journals (Sweden)

    V. K. Shatalov

    2014-01-01

    Full Text Available Outboard elements (arms, towers are widely used in spacecraft structure for setting-out of a payload; their high stiffness-weight ratio provides an opportunity to decrease the mass. The deployment unit is considered as an example of outboard structure. Its strength beams work under special conditions in operation. At the transportation stage beams are under considerable vibration loads. Therefore for increasing the natural resonance frequency it is rational to increase their rigidity. Using the micro-arc oxide coating suggests itself because the modulus of elasticity of the micro-arc oxide coating is more than that of the aluminium alloy. The beams suffer considerable bending load at the step of deploying; therefore the aluminium alloy with the micro-arc oxide coating must have suitable loading capacity, in addition to increased rigidity.Influence of micro-arc oxide coating on the rigidity and strength of tubes f rom aluminium alloy is investigated. It is determined that forming the micro-arc oxide coating on thin-walled tubes with a ratio of the coating area to the cross-section area of more than 25% is the most rational. In this case the rigidity of composite material considerably exceeds the rigidity of the aluminium alloy of the same cross-section while the redistribution of stresses in the surface coating of heterogeneous elasticity cross-section doesn’t cause the sudden increase of stresses. Also forming an attainable thickness of the micro-arc oxide coating on the surface of tube from aluminium alloy will be rational solution because the increase of attainable thickness of the microarc oxide coating provides an opportunity to form it on thick-walled tubes saving an acceptable, in the context of the strength, ratio of the coating area to the overall cross-section area.Micro-arc oxidation is an advanced method to form the wear resistant, resistant to corrosion, heat-shielding and electrically insulating coatings, but depending on the

  17. Zeolitic imidazolate framework-coated acoustic sensors for room temperature detection of carbon dioxide and methane.

    Science.gov (United States)

    Devkota, Jagannath; Kim, Ki-Joong; Ohodnicki, Paul R; Culp, Jeffrey T; Greve, David W; Lekse, Jonathan W

    2018-05-03

    The integration of nanoporous materials such as metal organic frameworks (MOFs) with sensitive transducers can result in robust sensing platforms for monitoring gases and chemical vapors for a range of applications. Here, we report on an integration of the zeolitic imidazolate framework - 8 (ZIF-8) MOF with surface acoustic wave (SAW) and thickness shear mode quartz crystal microbalance (QCM) devices to monitor carbon dioxide (CO2) and methane (CH4) under ambient conditions. The MOF was directly coated on the Y-Z LiNbO3 SAW delay lines (operating frequency, f0 = 436 MHz) and AT-cut quartz TSM resonators (resonant frequency, f0 = 9 MHz) and the devices were tested for various gases in N2 under ambient conditions. The devices were able to detect the changes in CO2 or CH4 concentrations with relatively higher sensitivity to CO2, which was due to its higher adsorption potential and heavier molecular weight. The sensors showed full reversibility and repeatability which were attributed to the physisorption of the gases into the MOF and high stability of the devices. Both types of sensors showed linear responses relative to changes in the binary gas compositions thereby allowing to construct calibration curves which correlated well with the expected mass changes in the sorbent layer based on mixed-gas gravimetric adsorption isotherms measured on bulk samples. For 200 nm thick films, the SAW sensitivities to CO2 and CH4 were 1.44 × 10-6/vol% and 8 × 10-8/vol%, respectively, against the QCM sensitivities 0.24 × 10-6/vol% and 1 × 10-8/vol%, respectively, which were evaluated as the fractional change in the signal. The SAW sensors were also evaluated for 100 nm-300 nm thick films, the sensitivities of which were found to increase with the thickness due to the increased number of pores for the adsorption of a larger amount of gases. In addition, the MOF-coated SAW delay lines had a good response in wireless mode, demonstrating their potential to operate remotely for the

  18. Phased laser diode array permits selective excitation of ultrasonic guided waves in coated bone-mimicking tubes

    Science.gov (United States)

    Moilanen, Petro; Salmi, Ari; Kilappa, Vantte; Zhao, Zuomin; Timonen, Jussi; Hæggström, Edward

    2017-10-01

    This paper validates simulation predictions, which state that specific modes could be enhanced in quantitative ultrasonic bone testing. Tunable selection of ultrasonic guided wave excitation is useful in non-destructive testing since it permits the mediation of energy into diagnostically useful modes while reducing the energy mediated into disturbing contributions. For instance, it is often challenging to distinguish and extract the useful modes from ultrasound signals measured in bone covered by a soft tissue. We show that a laser diode array can selectively excite ultrasound in bone mimicking phantoms. A fiber-coupled diode array (4 elements) illuminated two solid tubes (2-3 mm wall thickness) embraced by an opaque soft-tissue mimicking elastomer coating (5 mm thick). A predetermined time delay matching the selected mode and frequency was employed between the outputs of the elements. The generated ultrasound was detected by a 215 kHz piezo receiver. Our results suggest that this array reduces the disturbances caused by the elastomer cover and so pave way to permit non-contacting in vivo guided wave ultrasound assessment of human bones. The implementation is small, inexpensive, and robust in comparison with the conventional pulsed lasers.

  19. Studies on the mechanism of printing film-coated tablets containing titanium dioxide in the film by using UV laser irradiation.

    Science.gov (United States)

    Kato, Yoshiteru; Nakashima, Yasuhiko; Shino, Naoki; Sasaki, Koichi; Hosokawa, Akihiro; Ishihara, Hiroshi

    2010-04-01

    The purpose of this article is to study a detailed mechanism of printing when film-coated tablets were irradiated by UV laser at a wavelength of 355 nm. Hydroxypropylmethylcellulose (HPMC) film containing titanium dioxide (TiO(2)) and the film not containing TiO(2) and TiO(2) powder were lirradiated by the UV laser and estimated by the morphological observation by zoom stereo microscope, thermogravimetric analysis (TGA), total color difference (dE), X-ray powder diffraction (XRD), and dispersive Raman microscopy. In the case of the film containing TiO(2), the film showed a visible change in its color from white to gray by the UV laser irradiation. By zoom stereo microscope, it was found that the entire UV laser-irradiated area was not grayed uniformly, but many black particles, whose diameter was about 2 microm, were observed on the film. When TiO(2) powder was irradiated by the UV laser, a visible change in its color from white to gray was observed similar to the case of the film containing TiO(2). There were many black particles locally in the UV laser-treated TiO(2) powder by the morphological observation, and these black particles, agglomerates of the grayed oxygen-defected TiO(2), were associated with the visible change of the TiO(2). It was found that the film-coated tablets were printed utilizing the formation of the black particles by the agglomeration of the grayed oxygen-defected TiO(2) by the UV laser irradiation.

  20. Postobstructive pulmonary edema after biopsy of a nasopharyngeal mass.

    Science.gov (United States)

    Mehta, Keyur Kamlesh; Ahmad, Sabina Qureshi; Shah, Vikas; Lee, Haesoon

    2015-01-01

    We describe a case of 17 year-old male with a nasopharyngeal rhabdomyosarcoma who developed postobstructive pulmonary edema (POPE) after removing the endotracheal tube following biopsy. He developed muffled voice, rhinorrhea, dysphagia, odynophagia, and difficulty breathing through nose and weight loss of 20 pounds in the preceding 2 months. A nasopharyngoscopy revealed a fleshy nasopharyngeal mass compressing the soft and hard palate. Head and neck MRI revealed a large mass in the nasopharynx extending into the bilateral choana and oropharynx. Biopsy of the mass was taken under general anesthesia with endotracheal intubation. Immediately after extubation he developed oxygen desaturation, which did not improve with bag mask ventilation with 100% of oxygen, but improved after a dose of succinylcholine. He was re-intubated and pink, frothy fluid was suctioned from the endotracheal tube. Chest radiograph (CXR) was suggestive of an acute pulmonary edema. He improved with mechanical ventilation and intravenous furosemide. His pulmonary edema resolved over the next 24 h. POPE is a rare but serious complication associated with upper airway obstruction. The pathophysiology of POPE involves hemodynamic changes occurring in the lung and the heart during forceful inspiration against a closed airway due to an acute or chronic airway obstruction. This case illustrates the importance of considering the development of POPE with general anesthesia, laryngospasm and removal of endotracheal tube to make prompt diagnosis and to initiate appropriate management.

  1. Electromechanical responses of a long piezoelectric tube subjected to dynamic loading

    International Nuclear Information System (INIS)

    Huang, Jin H; Shiah, Y C; Lee, Bing Jean

    2008-01-01

    This paper deals with the fully coupled electromechanical response of a long piezoelectric tube subjected to periodic excitation loads. By adopting the variation approach for generalized loading conditions and utilizing Hamilton's principle, the governing differential equations are described in this paper. For studying the direct and converse effect of the piezoelectric tube, the equations of motion are then solved to give exact solutions corresponding to different boundary conditions prescribed for the tube functioning as sensors or actuators. For numerical illustrations of our analysis, a long tube made of polyvinylidene difluoride is investigated for its dynamic responses under different harmonic excitation loads. Contributing to the development of novel acousto-optic, actuator and sensor devices, this work may be extended to investigating the electromechanical responses of piezoelectric coatings on optical fibres

  2. Categorization of nano-structured titanium dioxide according to physicochemical characteristics and pulmonary toxicity

    Directory of Open Access Journals (Sweden)

    Naoki Hashizume

    Full Text Available A potentially useful means of predicting the pulmonary risk posed by new forms of nano-structured titanium dioxide (nano-TiO2 is to use the associations between the physicochemical properties and pulmonary toxicity of characterized forms of TiO2. In the present study, we conducted intratracheal administration studies in rats to clarify the associations between the physicochemical characteristics of seven characterized forms of TiO2 and their acute or subacute pulmonary inflammatory toxicity. Examination of the associations between the physicochemical characteristics of the TiO2 and the pulmonary inflammatory responses they induced revealed (1 that differences in the crystallinity or shape of the TiO2 particles were not associated with the acute pulmonary inflammatory response; (2 that particle size was associated with the acute pulmonary inflammatory response; and (3 that TiO2 particles coated with Al(OH3 induced a greater pulmonary inflammatory response than did non-coated particles. We separated the seven TiO2 into two groups: a group containing the six TiO2 with no surface coating and a group containing the one TiO2 with a surface coating. Intratracheal administration to rats of TiO2 from the first group (i.e., non-coated TiO2 induced only acute pulmonary inflammatory responses, and within this group, the acute pulmonary inflammatory response was equivalent when the particle size was the same, regardless of crystallinity or shape. In contrast, intratracheal administration to rats of the TiO2 from the second group (i.e., the coated TiO2 induced a more severe, subacute pulmonary inflammatory response compared with that produced by the non-coated TiO2. Since alteration of the pulmonary inflammatory response by surface treatment may depend on the coating material used, the pulmonary toxicities of coated TiO2 need to be further evaluated. Overall, the present results demonstrate that physicochemical properties may be useful for predicting the

  3. Antimicrobial polymers - The antibacterial effect of photoactivated nano titanium dioxide polymer composites

    Energy Technology Data Exchange (ETDEWEB)

    Huppmann, T., E-mail: teresa.huppmann@tum.de; Leonhardt, S., E-mail: stefan.leonhardt@mytum.de, E-mail: erhard.krampe@tum.de; Krampe, E., E-mail: stefan.leonhardt@mytum.de, E-mail: erhard.krampe@tum.de; Wintermantel, E., E-mail: wintermantel@tum.de [Institute of Medical and Polymer Engineering, Technische Universität München (Germany); Yatsenko, S., E-mail: s.yatsenko@skz.de; Radovanovic, I., E-mail: i.radovanovic@skz.de, E-mail: m.bastian@skz.de; Bastian, M., E-mail: i.radovanovic@skz.de, E-mail: m.bastian@skz.de [SKZ- German Plastics Center, Würzburg (Germany)

    2014-05-15

    To obtain a polymer with antimicrobial properties for medical and sanitary applications nanoscale titanium dioxide (TiO{sub 2}) particles have been incorporated into a medical grade polypropylene (PP) matrix with various filler contents (0 wt %, 2 wt %, 10 wt % and 15 wt %). The standard application of TiO{sub 2} for antimicrobial efficacy is to deposit a thin TiO{sub 2} coating on the surface. In contrast to the common way of applying a coating, TiO{sub 2} particles were applied into the bulk polymer. With this design we want to ensure antimicrobial properties even after application of impact effects that could lead to surface defects. The filler material (Aeroxide® TiO{sub 2} P25, Evonik) was applied via melt compounding and the compounding parameters were optimized with respect to nanoscale titanium dioxide. In a next step the effect of UV-irradiation on the compounds concerning their photocatalytic activity, which is related to the titanium dioxide amount, was investigated. The photocatalytic effect of TiO{sub 2}-PP-composites was analyzed by contact angle measurement, by methylene blue testing and by evaluation of inactivation potential for Escherichia coli (E.coli) bacteria. The dependence of antimicrobial activity on the filler content was evaluated, and on the basis of different titanium dioxide fractions adequate amounts of additives within the compounds were discussed. Specimens displayed a higher photocatalytic and also antimicrobial activity and lower contact angles with increasing titania content. The results suggest that the presence of titania embedded in the PP matrix leads to a surface change and a photocatalytic effect with bacteria killing result.

  4. Study on the use of oxidant scrubbers for elimination of interferences due to nitrogen dioxide in analysis of atmospheric dimethylsulfide

    Directory of Open Access Journals (Sweden)

    Rodrigues Beatriz A.

    2000-01-01

    Full Text Available In this work, oxidant scrubbers were evaluated for their ability to prevent sampling losses of dimethylsulfide caused by reactions with nitrogen dioxide. Various compounds and mixtures were used in the preparation of the oxidant scrubbers. An automatic flow analysis device was used to compare scrubbing efficiency for nitrogen dioxide. Among the scrubbers tested, the best were shown to be the one made with filter paper or glass wool coated with iron (II sulfate, sulfuric acid and pyrogallic acid, and the one made from with paper coated with triethanolamine. The results obtained under laboratory conditions, using dimethylsulfide standard gas, and in field experiments confirmed that these scrubbers are suitable for the prevention of oxidation during sampling.

  5. Laryngeal tube use in out-of-hospital cardiac arrest by paramedics in Norway

    Directory of Open Access Journals (Sweden)

    Sunde Geir A

    2012-12-01

    Full Text Available Abstract Background Although there are numerous supraglottic airway alternatives to endotracheal intubation, it remains unclear which airway technique is optimal for use in prehospital cardiac arrests. We evaluated the use of the laryngeal tube (LT as an airway management tool among adult out-of-hospital cardiac arrest (OHCA patients treated by our ambulance services in the Haukeland and Innlandet hospital districts. Methods Post-resuscitation forms and data concerning airway management in 347 adult OHCA victims were retrospectively assessed with regard to LT insertion success rates, ease and speed of insertion and insertion-related problems. Results A total of 402 insertions were performed on 347 OHCA patients. Overall, LT insertion was successful in 85.3% of the patients, with a 74.4% first-attempt success rate. In the minority of patients (n = 46, 13.3%, the LT insertion time exceeded 30 seconds. Insertion-related problems were recorded in 52.7% of the patients. Lack of respiratory sounds on auscultation (n = 100, 28.8%, problematic initial tube positioning (n = 85, 24.5%, air leakage (n = 61, 17.6%, vomitus/aspiration (n = 44, 12.7%, and tube dislocation (n = 17, 4.9% were the most common problems reported. Insertion difficulty was graded and documented for 95.4% of the patients, with the majority of insertions assessed as being “Easy” (62.5% or “Intermediate” (24.8%. Only 8.1% of the insertions were considered to be “Difficult”. Conclusions We found a high number of insertion related problems, indicating that supraglottic airway devices offering promising results in manikin studies may be less reliable in real-life resuscitations. Still, we consider the laryngeal tube to be an important alternative for airway management in prehospital cardiac arrest victims.

  6. Wire winding increases lifetime of oxide coated cathodes

    Science.gov (United States)

    Kerslake, W.; Vargo, D.

    1965-01-01

    Refractory-metal heater base wound with a thin refractory metal wire increases the longevity of oxide-coated cathodes. The wire-wound unit is impregnated with the required thickness of metal oxide. This cathode is useful in magnetohydrodynamic systems and in electron tubes.

  7. Extracorporeal circuits and autoregulation: effect of albumin coating

    NARCIS (Netherlands)

    Borgdorff, P.; Kok, W. E.; van den Bos, G. C.

    1992-01-01

    Autoregulation of muscle blood flow often is difficult to demonstrate when extracorporeal perfusion is used. This could be caused by contact of blood and foreign material. Accordingly, we tested whether autoregulation is preserved when the system is coated with albumin. Polyurethane tubing between

  8. Retrograde Intubation in Temporomandibular Joint Ankylosis-A Double Guide Wire Technique

    Directory of Open Access Journals (Sweden)

    Vitha K Dhulkhed

    2008-01-01

    Full Text Available Intubating a patient with temporomandibular joint ankylosis is always a challenge particularly when fibreoptic laryngo-scope is not available. In a 20-year-old male patient we successfully carried out endotracheal intubation with 7 mm portex cuffed PVC tube with the help of two flexible J tipped guide wires. One guide wire was passed into the airway from cricothyroid puncture site and another from subcricoid site. Both were brought out through the nose. The first guide wire was used for retracting the epiglottis and the second as a guide for passing the endotracheal tube.

  9. Acute airway obstruction, an unusual presentation of vallecular cyst

    Directory of Open Access Journals (Sweden)

    Sameer M Jahagirdar

    2011-01-01

    Full Text Available A 18-year-old female presented to us with acute respiratory obstruction, unconsciousness, severe respiratory acidosis, and impending cardiac arrest. The emergency measures to secure the airway included intubation with a 3.5-mm endotracheal tube and railroading of a 6.5-mm endotracheal tube over a suction catheter. Video laryngoscopy done after successful resuscitation showed an inflamed swollen epiglottis with a swelling in the left vallecular region, which proved to be a vallecular cyst. Marsupialisation surgery was performed on the 8 th post admission day and the patient discharged on 10 th day without any neurological deficit.

  10. Uptake of gaseous formaldehyde onto soil surfaces: a coated-wall flow tube study

    Science.gov (United States)

    Li, Guo; Su, Hang; Li, Xin; Meusel, Hannah; Kuhn, Uwe; Pöschl, Ulrich; Shao, Min; Cheng, Yafang

    2015-04-01

    Gaseous formaldehyde (HCHO) is an important intermediate molecule and source of HO2 radicals. However, discrepancies exist between model simulated and observed HCHO concentrations, suggesting missing sources or sinks in the HCHO budget. Multiphase processes on the surface of soil and airborne soil-derived particles have been suggested as an important mechanism for the production/removal of atmospheric trace gases and aerosols. In this work, the uptake of gaseous HCHO on soil surfaces were investigated through coated-wall flow tube experiments with HCHO concentration ranging from 10 to 40 ppbv. The results show that the adsorption of HCHO occurred on soil surfaces, and the uptake coefficient dropped gradually (i.e., by a factor of 5 after 1 hour) as the reactive surface sites were consumed. The HCHO uptake coefficient was found to be affected by the relative humidity (RH), decreasing from (2.4 ± 0.5) × 10-4 at 0% RH to (3.0 ± 0.08) × 10-5 at 70% RH, due to competition of water molecule absorption on the soil surface. A release of HCHO from reacted soil was also detected by applying zero air, suggesting the nature of reversible physical absorption and the existence of an equilibrium at the soil-gas interface. It implies that soil could be either a source or a sink for HCHO, depending on the ambient HCHO concentration. We also develop a Matlab program to calculate the uptake coefficient under laminar flow conditions based on the Cooney-Kim-Davis method.

  11. An experimental study of the composite CNT/copper coating

    Science.gov (United States)

    Panarin, Valentin Ye.; Svavil‧nyi, Nikolai Ye.; Khominich, Anastasiya I.

    2018-03-01

    This paper presents experimental results on the preparation and investigation of the carbon nanotubes-copper composite material. Carbon nanotubes (CNTs) were synthesized on silicon substrates by the chemical vapor deposition (CVD) method and then filled with copper by evaporation from a melting pot in a vacuum. Copper evenly covered both the surface of the entangled tubes and the free substrate surface between the tubes. To improve the adhesion of tubes and matrix material, a carbon substructure was grown on the surface of tubes by adding working gas plasma to the CNT synthesis area. It is proposed to use a copper coating as a diffusion barrier upon subsequent filling of the reinforcing CNT frame by a carbide-forming materials matrix with predetermined physico-mechanical and tribological properties.

  12. 76 FR 33200 - Light-Walled Rectangular Pipe and Tube from Turkey; Notice of Preliminary Results of Antidumping...

    Science.gov (United States)

    2011-06-08

    ...) metallic coating; (3) painted/non-painted; (4) perimeter; (5) wall thickness; and (6) shape. See the... pipe and tube from Turkey. Atlas Tube, Inc. and Searing Industries, Inc. are petitioners in this case... through April 2010. Our analysis indicated, based on record evidence, that the appropriate date of sale of...

  13. Gas phase deposition of oxide and metal-oxide coatings on fuel particles

    International Nuclear Information System (INIS)

    Patokin, A.P.; Khrebtov, V.L.; Shirokov, B.M.

    2008-01-01

    Production processes and properties of oxide (Al 2 O 3 , ZrO 2 ) and metal-oxide (Mo-Al 2 O 3 , Mo-ZrO 2 , W-Al 2 O 3 , W-ZrO 2 ) coatings on molybdenum substrates and uranium dioxide fuel particles were investigated. It is shown that the main factors that have an effect on the deposition rate, density, microstructure and other properties of coatings are the deposition temperature, the ratio of H 2 and CO 2 flow rates, the total reactor pressure and the ratio of partial pressures of corresponding metal chlorides during formation of metal-oxide coatings

  14. Comparison of rocuronium at two different doses and succinylcholine for endotracheal intubation in adult patients for elective surgeries

    Directory of Open Access Journals (Sweden)

    S G Chavan

    2016-01-01

    Conclusion: Rapid sequence induction of anesthesia with propofol and fentanyl, succinylcholine allowed a more rapid endotracheal intubation sequence and created superior intubation conditions than rocuronium. However, the technique of using a large dose of rocuronium to achieve perfect conditions for tracheal intubation may have application whenever succinylcholine is relatively contraindicated.

  15. Analysis of the incidence of postintubation injuries in patients intubated in the prehospital or early hospital conditions of the hospital emergency department and the intensive care unit

    Directory of Open Access Journals (Sweden)

    Cierniak M

    2015-10-01

    Full Text Available Marcin Cierniak,1 Dariusz Timler,1 Renata Sobczak,1 Andrzej Wieczorek,2 Przemyslaw Sekalski,3 Natalia Borkowska,2 Tomasz Gaszynski1 1Department of Emergency Medicine and Disaster Medicine, Barlicki University Hospital, 2Department of Anesthesiology and Intensive Therapy, Medical University of Lodz, 3Department of Microelectronics and Computer Science, IT Centre, Lodz University of Technology, Lodz, Poland Background: Intubation is still one of the best methods to secure the airway. In the case of prehospital or early hospital conditions when factors such as urgency, stress, or inaccuracy of the undertaken activities are involved, the risk of causing complications, for instance, edema or postintubation injuries, increases, especially while dealing with a difficult intubation. The risk of improper inflation of the endotracheal tube cuff also increases, which is considered in this study.Objective: The aim of this study was to evaluate the prevalence of postintubation complications, such as postintubation injuries or edema, in a research sample, and to examine whether such complications occur more often, for example, while using a guidewire. In this study, we also evaluated the injuries associated with the inflation of the endotracheal tube cuff.Materials and methods: This study was performed on a group of 153 patients intubated in prehospital conditions. The tests were carried out in three clinical sites that received patients from prehospital care. Postintubation injuries were revealed and photographed using videolaryngoscope, such as the C-MAC and the McGrath series 5. The endotracheal tube cuff pressure was measured using a pressure gage manual (VBM Medizintechnik GmbH. The quantitative analyses of differences between incidence of variables were assessed using χ2 test for P<0.05. Analyses have been carried out using the Statistica software.Results: In the group of 153 patients, postintubation injuries occurred in 17% of cases. The dependency

  16. Review on the Photocatalyst Coatings of TiO2: Fabrication by Mechanical Coating Technique and Its Application

    Directory of Open Access Journals (Sweden)

    Yun Lu

    2015-07-01

    Full Text Available This review presents the latest results of studies directed at photocatalyst coatings of titanium dioxide (TiO2 prepared by mechanical coating technique (MCT and its application. Compared with traditional coating techniques, MCT is a simple, low cost and useful coating formation process, which is proposed and developed based on mechanical frictional wear and impacts between substrate materials and metal powder particles in the bowl of planetary ball mill. The formation process of the metal coatings in MCT includes four stages: The nucleation by adhesion, the formation and coalescence of discrete islands, formation and thickening of continuous coatings, exfoliation of continuous coatings. Further, two-step MCT was developed based on the MCT concept for preparing composite coatings on alumina (Al2O3 balls. This review also discusses the influence on the fabrication of photocatalyst coatings after MCT and improvement of its photocatalytic activity: oxidation conditions, coating materials, melt salt treatment. In this review, the oxidation conditions had been studied on the oxidation temperature of 573 K, 673 K, 773 K, 873 K, 973 K, 1173 K and 1273 K, the oxidation time of 0.5 h, 1 h, 3 h, 10 h, 15 h, 20 h, 30 h, 40 h, and 50 h. The photocatalyst coatings showed the highest photocatalytic activity with the oxidation condition of 1073 K for 15 h. The metal powder of Ti, Ni and Cr had been used as the coating materials. The composite metal powder could affect the surface structure and photocatalytic activity. On the other hand, the melt salt treatment with KNO3 is an effective method to form the nano-size structure and enhance photocatalytic activity, especially under visible light.

  17. Derived thermodynamic properties for the (ethanol + decane) and (carbon dioxide + ethanol + decane) systems at high pressures

    International Nuclear Information System (INIS)

    Zamora-López, Héctor S.; Galicia-Luna, Luis A.; Elizalde-Solis, Octavio; Hernández-Rosales, Irma P.; Méndez-Lango, Edgar

    2012-01-01

    Highlights: ► Experimental density data are reported for (ethanol + decane) and (ethanol + decane + CO 2 ) mixtures. ► Compressed liquid densities were measured in a vibrating tube densimeter from (313 to 363) K. ► Excess molar volumes for (ethanol + decane) mixtures are positive. ► The presence of carbon dioxide in the (ethanol + decane) mixture causes negative excess molar volumes. - Abstract: Volumetric properties for the binary (ethanol + decane) and ternary (ethanol + decane + carbon dioxide) systems are reported from (313 to 363) K and pressures up to 20 MPa. Compressed liquid densities of both systems were measured in a vibrating tube densimeter at different compositions. Binary mixtures {x 1 ethanol + (1-x 1 ) decane} were prepared at x 1 = 0.0937, 0.1011, 0.2507, 0.4963, 0.7526, 0.9014. Compositions for the ternary system were prepared by varying the ethanol/decane relation and trying to keep constant the presence of carbon dioxide at about 0.2 mole fraction. These were {x 1 ethanol + x 2 decane + (1-x 1 -x 2 ) carbon dioxide} x 1 = 0.0657, 0.1986, 0.4087, 0.6042, 0.7109. Density results were correlated using an empirical model with five parameters. Deviations between experimental and calculated values agree and are within the experimental uncertainty. Isobaric expansivity, isothermal compressibility, thermal pressure coefficient, and internal pressure have been calculated for both binary and ternary systems using the empirical model.

  18. The LMACTrach, a Aew Approach for Endotracheal Intubation: Apilot Study in 100 Patients Undergoing Elective Surgery

    OpenAIRE

    Valiollah Hassani; Maryam Zafarghandi; Mohammad Farhadi

    2010-01-01

    Backgroundand endotracheal intubation under direct vision in both anticipated and unexpecteddifficult intubation situations.: The LMA CTrach system is a new device for airway managementMethodsdifferent types of elective surgeries. After randomly selecting the patients for intubationwith this new device, the airway characteristics, height,weight, dental overbiteand thyromental distance were all evaluated before induction.Our goal was to exploreprimarily the success rate of intubation with LMAC...

  19. Nanoparticles in facade coatings: a survey of industrial experts on functional and environmental benefits and challenges

    International Nuclear Information System (INIS)

    Hincapié, Ingrid; Künniger, Tina; Hischier, Roland; Cervellati, Dario; Nowack, Bernd; Som, Claudia

    2015-01-01

    Integrating engineered nanoparticles (ENPs) into facade coatings is expected to offer considerable potential for improved or novel functionality, or even several functionalities at the same time (multifunctional materials). Little information is available about the tangible use of ENPs in facade coatings and the real improvements that their functionalities provide. In order to increase this information, we carried out a survey among selected coating manufacturers and ENP producers in Europe. We asked them about the improved functionalities enabled by ENPs, the quality of nano-enhanced facade coatings in comparison to conventional ones, and the handling of waste. The survey results indicated that the ENPs most frequently used in facade coatings in Europe were silver, titanium dioxide, and silicon dioxide. The most frequently mentioned potential benefits were ultraviolet-protection, water and dirt repellency (easy to clean), and antimicrobial properties. Improving environmental performance through the use of nano-enhanced facade coatings did not appear to be a focus for innovation. The survey also revealed mixed results in the comparison between nano-enhanced and conventional facade coatings: 36 % of respondents saw a notable improvement, 27 % noted a gradual improvement of functionalities, and 37 % detected no improvement over traditional materials. Some respondents mentioned a variety of tests that can be applied to investigate the quality of coating functionalities. These tests could be valuable in helping us to better understand the tangible improvements of nano-enhanced facade coating functionalities. Respondents were uncertain about how to properly handle the wastes resulting from nano-enhanced products

  20. Nanoparticles in facade coatings: a survey of industrial experts on functional and environmental benefits and challenges

    Energy Technology Data Exchange (ETDEWEB)

    Hincapié, Ingrid [EMPA Swiss Federal Laboratories for Materials Science and Technology, Technology and Society Laboratory (Switzerland); Künniger, Tina [EMPA Swiss Federal Laboratories for Materials Science and Technology, Applied Wood Materials Laboratory (Switzerland); Hischier, Roland [EMPA Swiss Federal Laboratories for Materials Science and Technology, Technology and Society Laboratory (Switzerland); Cervellati, Dario [GFC Chimica S.r.l (Italy); Nowack, Bernd; Som, Claudia, E-mail: claudia.som@empa.ch [EMPA Swiss Federal Laboratories for Materials Science and Technology, Technology and Society Laboratory (Switzerland)

    2015-07-15

    Integrating engineered nanoparticles (ENPs) into facade coatings is expected to offer considerable potential for improved or novel functionality, or even several functionalities at the same time (multifunctional materials). Little information is available about the tangible use of ENPs in facade coatings and the real improvements that their functionalities provide. In order to increase this information, we carried out a survey among selected coating manufacturers and ENP producers in Europe. We asked them about the improved functionalities enabled by ENPs, the quality of nano-enhanced facade coatings in comparison to conventional ones, and the handling of waste. The survey results indicated that the ENPs most frequently used in facade coatings in Europe were silver, titanium dioxide, and silicon dioxide. The most frequently mentioned potential benefits were ultraviolet-protection, water and dirt repellency (easy to clean), and antimicrobial properties. Improving environmental performance through the use of nano-enhanced facade coatings did not appear to be a focus for innovation. The survey also revealed mixed results in the comparison between nano-enhanced and conventional facade coatings: 36 % of respondents saw a notable improvement, 27 % noted a gradual improvement of functionalities, and 37 % detected no improvement over traditional materials. Some respondents mentioned a variety of tests that can be applied to investigate the quality of coating functionalities. These tests could be valuable in helping us to better understand the tangible improvements of nano-enhanced facade coating functionalities. Respondents were uncertain about how to properly handle the wastes resulting from nano-enhanced products.

  1. Mechanical properties of orthodontic wires covered with a polyether ether ketone tube.

    Science.gov (United States)

    Shirakawa, Nobukazu; Iwata, Toshio; Miyake, Shinjiro; Otuka, Takero; Koizumi, So; Kawata, Toshitugu

    2018-03-21

    To evaluate the esthetics and frictional force of an orthodontic wire passed through a newly designed tube made of a polyether ether ketone (PEEK) resin. Two types of standard PEEK tubes were prepared at 0.5 × 0.6ф and 0.8 × 0.9ф, and different archwires were passed through the tubes. Color values were determined according to brightness and hues. Friction was assessed with different bracket-wire combinations, and surface roughness was determined by stereomicroscopy before and after the application of friction. The PEEK tube showed a color difference that was almost identical to that of coated wires conventionally used in clinical practice, indicating a sufficient esthetic property. The result of the friction test showed that the frictional force was greatly reduced by passing the archwire through the PEEK tube in almost all of the archwires tested. Use of the new PEEK tube demonstrated a good combination of esthetic and functional properties for use in orthodontic appliances.

  2. A Randomized Comparison of In-hospital Rescuer Positions for Endotracheal Intubation in a Difficult Airway

    OpenAIRE

    Le Parc, Joanna M.; Bischof, Jason J.; King, Andrew M.; Greenberger, Sarah; Way, David P.; Panchal, Ashish R.; Finnegan, Geoffrey I.; Terndrup, Thomas E.

    2018-01-01

    Introduction: Emergency endotracheal intubation (ETI) is a common and critical procedure performed in both prehospital and in-hospital settings. Studies of prehospital providers have demonstrated that rescuer position influences ETI outcomes. However, studies of in-hospital rescuer position for ETI are limited. While we adhere to strict standards for the administration of ETI, we posited that perhaps requiring in-hospital rescuers to stand for ETI is an obstacle to effectiveness. Our objectiv...

  3. Tunable top-down fabrication and functional surface coating of single-crystal titanium dioxide nanostructures and nanoparticles

    Science.gov (United States)

    Ha, Seungkyu; Janissen, Richard; Ussembayev, Yera Ye.; van Oene, Maarten M.; Solano, Belen; Dekker, Nynke H.

    2016-05-01

    Titanium dioxide (TiO2) is a key component of diverse optical and electronic applications that exploit its exceptional material properties. In particular, the use of TiO2 in its single-crystalline phase can offer substantial advantages over its amorphous and polycrystalline phases for existing and yet-to-be-developed applications. However, the implementation of single-crystal TiO2 has been hampered by challenges in its fabrication and subsequent surface functionalization. Here, we introduce a novel top-down approach that allows for batch fabrication of uniform high-aspect-ratio single-crystal TiO2 nanostructures with targeted sidewall profiles. We complement our fabrication approach with a functionalization strategy that achieves dense, uniform, and area-selective coating with a variety of biomolecules. This allows us to fabricate single-crystal rutile TiO2 nanocylinders tethered with individual DNA molecules for use as force- and torque-transducers in an optical torque wrench. These developments provide the means for increased exploitation of the superior material properties of single-crystal TiO2 at the nanoscale.Titanium dioxide (TiO2) is a key component of diverse optical and electronic applications that exploit its exceptional material properties. In particular, the use of TiO2 in its single-crystalline phase can offer substantial advantages over its amorphous and polycrystalline phases for existing and yet-to-be-developed applications. However, the implementation of single-crystal TiO2 has been hampered by challenges in its fabrication and subsequent surface functionalization. Here, we introduce a novel top-down approach that allows for batch fabrication of uniform high-aspect-ratio single-crystal TiO2 nanostructures with targeted sidewall profiles. We complement our fabrication approach with a functionalization strategy that achieves dense, uniform, and area-selective coating with a variety of biomolecules. This allows us to fabricate single-crystal rutile

  4. performance calculations of gadolinium oxide and boron nitride coated fuel

    International Nuclear Information System (INIS)

    Tanker, E.; Uslu, I.; Disbudak, H.; Guenduez, G.

    1997-01-01

    A comparative study was performed on the behaviour of natural uranium dioxide-gadolinium oxide mixture fuel and boron nitride coated low enriched fuel in a pressurized water reactor. A fuel element containing one burnable poison fuel pins was modeled with the computer code WIMS, and burn-up dependent critically, fissile isotope inventory and two dimensional power distribution were obtained. Calculations were performed for burnable poison fuels containing 5% and 10% gadolinium oxide and for those coated with 1μ,5μ and 10μ of boron nitride. Boron nitride coating was found superior to gadolinium oxide on account of its smoother criticality curve, lower power peaks and insignificant change in fissile isotope content

  5. Auscultation versus Point-of-care Ultrasound to Determine Endotracheal versus Bronchial Intubation: A Diagnostic Accuracy Study.

    Science.gov (United States)

    Ramsingh, Davinder; Frank, Ethan; Haughton, Robert; Schilling, John; Gimenez, Kimberly M; Banh, Esther; Rinehart, Joseph; Cannesson, Maxime

    2016-05-01

    Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus of this double-blinded randomized study was to assess the accuracy of point-of-care ultrasound in verifying the correct position of the ETT and to compare it with the accuracy of auscultation. Forty-two adult patients requiring general anesthesia with ETT were consented. Patients were randomized to right main bronchus, left main bronchus, or tracheal intubation. After randomization, the ETT was placed via fiber-optic visualization. Next, the location of the ETT was assessed using auscultation by a separate blinded anesthesiologist, followed by an ultrasound performed by a third blinded anesthesiologist. Ultrasound examination included assessment of tracheal dilation via cuff inflation with air and evaluation of pleural lung sliding. Statistical analysis included sensitivity, specificity, positive predictive value, negative predictive value, and interobserver agreement for the ultrasound examination (95% CI). In differentiating tracheal versus bronchial intubations, auscultation showed a sensitivity of 66% (0.39 to 0.87) and a specificity of 59% (0.39 to 0.77), whereas ultrasound showed a sensitivity of 93% (0.66 to 0.99) and specificity of 96% (0.79 to 1). Identification of tracheal versus bronchial intubation was 62% (26 of 42) in the auscultation group and 95% (40 of 42) in the ultrasound group (P = 0.0005) (CI for difference, 0.15 to 0.52), and the McNemar comparison showed statistically significant improvement with ultrasound (P auscultation in determining the location of ETT.

  6. Ceramic wash-coat for catalyst support

    Science.gov (United States)

    Kulkarni, Anand A.; Subramanian, Ramesh; Sabol, Stephen M.

    2012-08-14

    A wash-coat (16) for use as a support for an active catalyst species (18) and a catalytic combustor component (10) incorporating such wash-coat. The wash-coat is a solid solution of alumina or alumina-based material (Al.sub.2O.sub.3-0-3 wt % La.sub.2O.sub.3) and a further oxide exhibiting a coefficient of thermal expansion that is lower than that exhibited by alumina. The further oxide may be silicon dioxide (2-30 wt % SiO.sub.2), zirconia silicate (2-30 wt % ZrSiO.sub.4), neodymium oxide (0-4 wt %), titania (Al.sub.2O.sub.3-3-40% TiO.sub.2) or alumina-based magnesium aluminate spinel (Al.sub.2O.sub.3-25 wt % MgO) in various embodiments. The active catalyst species may be palladium and a second metal in a concentration of 10-50% of the concentration of the palladium.

  7. HEAT AND MOISTURE EXCHANGE CAPACITY OF THE UPPER RESPIRATORY TRACT AND THE EFFECT OF TRACHEOTOMY BREATHING ON ENDOTRACHEAL CLIMATE

    NARCIS (Netherlands)

    Scheenstra, Renske J.; Muller, Sara H.; Vincent, Andrew; Hilgers, Frans J. M.

    2011-01-01

    Background. The aim of this study was to assess the heat and moisture exchange (HME) capacity of the upper respiratory tract and the effect of tracheotomy breathing on endotracheal climate in patients with head and neck cancer. Methods. We plotted the subglottic temperature and humidity measurements

  8. Heat and moisture exchange capacity of the upper respiratory tract and the effect of tracheotomy breathing on endotracheal climate

    NARCIS (Netherlands)

    Scheenstra, R.J.; Muller, S.H.; Vincent, A.; Hilgers, F.J.M.

    2011-01-01

    Background. The aim of this study was to assess the heat and moisture exchange (HME) capacity of the upper respiratory tract and the effect of tracheotomy breathing on endotracheal climate in patients with head and neck cancer. Methods. We plotted the subglottic temperature and humidity measurements

  9. Surface modification of polyamide thin film composite membrane by coating of titanium dioxide nanoparticles

    Directory of Open Access Journals (Sweden)

    Thu Hong Anh Ngo

    2016-12-01

    Full Text Available In this paper, the coating of TiO2 nanoparticles onto the surface of a polyamide thin film composite nanofiltration membrane has been studied. Changes in the properties and separation performance of the modified membranes were systematically characterized. The experimental results indicated that the membrane surface hydrophilicity was significantly improved by the presence of the coated TiO2 nanoparticles with subsequent UV irradiation. The separation performance of the UV-irradiated TiO2-coated membranes was improved with a great enhancement of flux and a very high retention for removal of residual dye in an aqueous feed solution. The antifouling property of the UV-irradiated TiO2-coated membranes was enhanced with higher maintained flux ratios and lower irreversible fouling factors compared with an uncoated membrane.

  10. Five years of nitrogen dioxide measurement with diffusion tube samplers at over 1000 sites in the UK

    Science.gov (United States)

    Stevenson, Ken; Bush, Tony; Mooney, Diane

    In 1993, a large (>1000 monitoring sites) co-ordinated monitoring network for nitrogen dioxide, using diffusion tube samplers, was established in urban areas throughout the UK. The primary aim of this network is to assess the spatial and temporal distribution of NO 2 throughout the UK and highlight areas of high concentration which may require more detailed monitoring with automatic analysers. This paper presents a summary of the results for the first 5-years of monitoring, 1993-1997 inclusive. The network has shown that highest concentrations occur in London and urban areas of Yorkshire and Humberside and the East and West Midlands of the UK. Averaged over the whole of the UK, NO 2 concentrations have been remarkably similar for most of the 5 years, though a significant decrease was observed at urban background locations in 1997. Overall, average NO 2 concentrations during 1997 were 23 ppb at kerbside locations and 13 ppb at urban background locations. The results of the network have been used by the Department of Environment, Transport and the Regions as one of the criteria for the selection of priority areas for expansion of the UK Automatic Urban Network in recent years. Extensive quality assurance and control procedures incorporated into the network ensure that the estimated accuracy of the data is broadly comparable with the accuracy requirement for indicative monitoring specified in the EU "daughter" Directive for NO2 (±25%) . The complete dataset of results for the network can be found on the world wide web at http://www.environment.detr.gov.uk/airq/aqinfo.htm.

  11. Fetoscopic Open Neural Tube Defect Repair: Development and Refinement of a Two-Port, Carbon Dioxide Insufflation Technique.

    Science.gov (United States)

    Belfort, Michael A; Whitehead, William E; Shamshirsaz, Alireza A; Bateni, Zhoobin H; Olutoye, Oluyinka O; Olutoye, Olutoyin A; Mann, David G; Espinoza, Jimmy; Williams, Erin; Lee, Timothy C; Keswani, Sundeep G; Ayres, Nancy; Cassady, Christopher I; Mehollin-Ray, Amy R; Sanz Cortes, Magdalena; Carreras, Elena; Peiro, Jose L; Ruano, Rodrigo; Cass, Darrell L

    2017-04-01

    To describe development of a two-port fetoscopic technique for spina bifida repair in the exteriorized, carbon dioxide-filled uterus and report early results of two cohorts of patients: the first 15 treated with an iterative technique and the latter 13 with a standardized technique. This was a retrospective cohort study (2014-2016). All patients met Management of Myelomeningocele Study selection criteria. The intraoperative approach was iterative in the first 15 patients and was then standardized. Obstetric, maternal, fetal, and early neonatal outcomes were compared. Standard parametric and nonparametric tests were used as appropriate. Data for 28 patients (22 endoscopic only, four hybrid, two abandoned) are reported, but only those with a complete fetoscopic repair were analyzed (iterative technique [n=10] compared with standardized technique [n=12]). Maternal demographics and gestational age (median [range]) at fetal surgery (25.4 [22.9-25.9] compared with 24.8 [24-25.6] weeks) were similar, but delivery occurred at 35.9 (26-39) weeks of gestation with the iterative technique compared with 39 (35.9-40) weeks of gestation with the standardized technique (Pmet in 9 of 12 (75%) and 3 of 10 (30%), respectively, and 7 of 12 (58%) compared with 2 of 10 (20%) have been treated for hydrocephalus to date. These latter differences were not statistically significant. Fetoscopic open neural tube defect repair does not appear to increase maternal-fetal complications as compared with repair by hysterotomy, allows for vaginal delivery, and may reduce long-term maternal risks. ClinicalTrials.gov, https://clinicaltrials.gov, NCT02230072.

  12. On the Electrodeposition of Ca-P Coatings on Nitinol Alloy: A Comparison Between Different Surface Modification Methods

    Science.gov (United States)

    Etminanfar, M. R.; Khalil-Allafi, J.

    2016-02-01

    In this study, a combination of surface modification process and the electrochemical deposition of Ca-P coatings was used for the modification of the Nitinol shape memory alloy. DSC, SEM, GIB-XRD, FT-Raman, XPS, and FTIR measurements were performed for the characterization of the samples. Results indicated that chemical etching and boiling of the samples in distilled water formed TiO film on the surface. After the chemical modification, subsequent aging of the sample, at 470 °C for 30 min, converted the oxide film to a stable structure of titanium dioxide. In that case, the treated substrate indicated a superelastic behavior. At the same electrochemical condition, the treated substrate revealed more stable and uniform Ca-P coatings in comparison with the abraded Nitinol substrate. This difference was attributed to the presence of hydroxyl groups on the titanium dioxide surface. Also, after soaking the sample in SBF, the needle-like coating on the treated substrate was completely covered with the hydroxyapatite phase which shows a good bioactivity of the coating.

  13. Biomineralized diamond-like carbon films with incorporated titanium dioxide nanoparticles improved bioactivity properties and reduced biofilm formation.

    Science.gov (United States)

    Lopes, F S; Oliveira, J R; Milani, J; Oliveira, L D; Machado, J P B; Trava-Airoldi, V J; Lobo, A O; Marciano, F R

    2017-12-01

    Recently, the development of coatings to protect biomedical alloys from oxidation, passivation and to reduce the ability for a bacterial biofilm to form after implantation has emerged. Diamond-like carbon films are commonly used for implanted medical due to their physical and chemical characteristics, showing good interactions with the biological environment. However, these properties can be significantly improved when titanium dioxide nanoparticles are included, especially to enhance the bactericidal properties of the films. So far, the deposition of hydroxyapatite on the film surface has been studied in order to improve biocompatibility and bioactive behavior. Herein, we developed a new route to obtain a homogeneous and crystalline apatite coating on diamond-like carbon films grown on 304 biomedical stainless steel and evaluated its antibacterial effect. For this purpose, films containing two different concentrations of titanium dioxide (0.1 and 0.3g/L) were obtained by chemical vapor deposition. To obtain the apatite layer, the samples were soaked in simulated body fluid solution for up to 21days. The antibacterial activity of the films was evaluated by bacterial eradication tests using Staphylococcus aureus biofilm. Scanning electron microscopy, X-ray diffraction, Raman scattering spectroscopy, and goniometry showed that homogeneous, crystalline, and hydrophilic apatite films were formed independently of the titanium dioxide concentration. Interestingly, the diamond-like films containing titanium dioxide and hydroxyapatite reduced the biofilm formation compared to controls. A synergism between hydroxyapatite and titanium dioxide that provided an antimicrobial effect against opportunistic pathogens was clearly observed. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. SiO2 coating of silver nanoparticles by photoinduced chemical vapor deposition

    International Nuclear Information System (INIS)

    Boies, Adam M; Girshick, Steven L; Roberts, Jeffrey T; Zhang Bin; Nakamura, Toshitaka; Mochizuki, Amane

    2009-01-01

    Gas-phase silver nanoparticles were coated with silicon dioxide (SiO 2 ) by photoinduced chemical vapor deposition (photo-CVD). Silver nanoparticles, produced by inert gas condensation, and a SiO 2 precursor, tetraethylorthosilicate (TEOS), were exposed to vacuum ultraviolet (VUV) radiation at atmospheric pressure and varying temperatures. The VUV photons dissociate the TEOS precursor, initiating a chemical reaction that forms SiO 2 coatings on the particle surfaces. Coating thicknesses were measured for a variety of operation parameters using tandem differential mobility analysis and transmission electron microscopy. The chemical composition of the particle coatings was analyzed using energy dispersive x-ray spectrometry and Fourier transform infrared spectroscopy. The highest purity films were produced at 300-400 0 C with low flow rates of additional oxygen. The photo-CVD coating technique was shown to effectively coat nanoparticles and limit core particle agglomeration at concentrations up to 10 7 particles cm -3 .

  15. Growth of anatase titanium dioxide nanotubes via anodization

    Directory of Open Access Journals (Sweden)

    Ed Adrian Dilla

    2012-06-01

    Full Text Available In this work, titanium dioxide nanotubes were grown via anodization of sputtered titanium thin films using different anodization parameters in order to formulate a method of producing long anatase titanium dioxide nanotubes intended for solar cell applications. The morphological features of the nanotubes grown via anodization were explored using a Philips XL30 Field Emission Scanning Electron Microscope. Furthermore, the grown nanotubes were also subjected to X-ray diffraction and Raman spectroscopy in order to investigate the effect of the predominant crystal orientation of the parent titanium thin film on the crystal phase of the nanotubes. After optimizing the anodization parameters, nanotubes with anatase TiO2 crystal phase and tube length more than 2 microns was produced from parent titanium thin films with predominant Ti(010 crystal orientation and using ammonium fluoride in ethylene glycol as an electrolyte with a working voltage equal to 60V during 1-hour anodization runs.

  16. Apparatus for spot welding sheathed thermocouples to the inside of small-diameter tubes at precise locations

    International Nuclear Information System (INIS)

    Baucum, W.E.; Dial, R.E.

    1976-01-01

    Equipment and procedures used to spot weld tantalum- or stainless-steel-sheathed thermocouples to the inside diameter of Zircaloy tubing to meet the requirements of the Multirod Burst Test (MRBT) Program at ORNL are described. Spot welding and oxide cleaning tools were fabricated to remove the oxide coating on the Zircaloy tubing at local areas and spot weld four thermocouples separated circumferentially by 90 0 at any axial distribution desired. It was found necessary to apply a nickel coating to stainless-steel-sheathed thermocouples to obtain acceptable welds. The material and shape of the inner electrode and resistance between inner and outer electrodes were found to be critical parameters in obtaining acceptable welds

  17. Weight-correction of carbon dioxide diffusion coefficient (DCO2 ) reduces its inter-individual variability and improves its correlation with blood carbon dioxide levels in neonates receiving high-frequency oscillatory ventilation.

    Science.gov (United States)

    Belteki, Gusztav; Lin, Benjamin; Morley, Colin J

    2017-10-01

    Carbon-dioxide elimination during high-frequency oscillatory ventilation (HFOV) is thought to be proportional to the carbon dioxide diffusion coefficient (DCO 2 ) which is calculated as frequency x (tidal volume) 2 . DCO 2 can be used to as an indicator of CO 2 elimination but values obtained in different patients cannot be directly compared. To analyze the relationship between DCO 2 , the weight-corrected DCO 2 (DCO 2 corr) and blood gas PCO 2 values obtained from infants receiving HFOV. DCO 2 data were obtained from 14 infants at 1/s sampling rate and the mean DCO 2 was determined over 10 min periods preceding the time of the blood gas. DCO 2 corr was calculated by dividing the DCO 2 by the square of the body weight in kg. Weight-correction significantly reduced the inter-individual variability of DCO 2 . When data from all the babies were combined, standard DCO 2 showed no correlation with PCO 2 but DCO 2 corr showed a weak but statistically significant inverse correlation. The correlation was better when the endotracheal leak was correlation between the HFOV tidal volume (VThf) and the PCO 2 . In any baby, DCO 2 corr >50 mL 2 /sec/kg 2 or VThf > 2.5 mL/kg was rarely needed to avoid hypercapnia. Weight-correction of DCO 2 values improved its comparability between patients. Weight-corrected DCO 2 correlated better with PCO 2 than uncorrected DCO 2 but the correlation was weak. © 2017 Wiley Periodicals, Inc.

  18. Silicon Dioxide Thin Film Mediated Single Cell Nucleic Acid Isolation

    Science.gov (United States)

    Bogdanov, Evgeny; Dominova, Irina; Shusharina, Natalia; Botman, Stepan; Kasymov, Vitaliy; Patrushev, Maksim

    2013-01-01

    A limited amount of DNA extracted from single cells, and the development of single cell diagnostics make it necessary to create a new highly effective method for the single cells nucleic acids isolation. In this paper, we propose the DNA isolation method from biomaterials with limited DNA quantity in sample, and from samples with degradable DNA based on the use of solid-phase adsorbent silicon dioxide nanofilm deposited on the inner surface of PCR tube. PMID:23874571

  19. [Balloon dilatation of the cartilaginous portion of the Eustachian tube in the children presenting with relapsing exudative otitis media].

    Science.gov (United States)

    Burova, O V; Bogomil'sky, M R; Polunin, M M; Soldatsky, Yu L

    2016-01-01

    The objective of the present study was to evaluate the effectiveness and the safety of balloon dilatation of the cartilaginous portion of the Eustachian tube in the children presenting with relapsing exudative otitis media. A total of 15 children (22 ears) at the age from 3 to 16 years suffering from relapsing exudative otitis media over 18 months in duration were available for the examination. Neither conservative nor surgical treatment produced any stable beneficial effect in these patients. Acoustic impedancometry yielded type B tympanograms. All the children were treated with the use of balloon dilatation of the cartilaginous portion of the Eustachian tube under endotracheal anesthesia. The follow-up examination carried out within 6--8 weeks after the treatment revealed the complete recovery of the function of the middle ear (type A tympanograms) in 11 (73.3%) children. Partial restoration of this function (as evidenced by type C tympanogram) was documented in 4 children. These patients underwent the second course of conservative therapy that resulted in the complete restoration of the function of the middle ear. It is concluded that balloon dilatation of the cartilaginous portion of the Eustachian tube in the children presenting with relapsing exudative otitis media provides the efficient and safe approach to the management of this condition. Being a minimally invasive method, it has good prospects for the practical application and is worth further investigation.

  20. Postobstructive pulmonary edema after biopsy of a nasopharyngeal mass

    Directory of Open Access Journals (Sweden)

    Keyur Kamlesh Mehta

    2015-01-01

    Full Text Available We describe a case of 17 year-old male with a nasopharyngeal rhabdomyosarcoma who developed postobstructive pulmonary edema (POPE after removing the endotracheal tube following biopsy. He developed muffled voice, rhinorrhea, dysphagia, odynophagia, and difficulty breathing through nose and weight loss of 20 pounds in the preceding 2 months. A nasopharyngoscopy revealed a fleshy nasopharyngeal mass compressing the soft and hard palate. Head and neck MRI revealed a large mass in the nasopharynx extending into the bilateral choana and oropharynx. Biopsy of the mass was taken under general anesthesia with endotracheal intubation. Immediately after extubation he developed oxygen desaturation, which did not improve with bag mask ventilation with 100% of oxygen, but improved after a dose of succinylcholine. He was re-intubated and pink, frothy fluid was suctioned from the endotracheal tube. Chest radiograph (CXR was suggestive of an acute pulmonary edema. He improved with mechanical ventilation and intravenous furosemide. His pulmonary edema resolved over the next 24 h. POPE is a rare but serious complication associated with upper airway obstruction. The pathophysiology of POPE involves hemodynamic changes occurring in the lung and the heart during forceful inspiration against a closed airway due to an acute or chronic airway obstruction. This case illustrates the importance of considering the development of POPE with general anesthesia, laryngospasm and removal of endotracheal tube to make prompt diagnosis and to initiate appropriate management.

  1. Endotracheal Intubation Using the Macintosh Laryngoscope or KingVision Video Laryngoscope during Uninterrupted Chest Compression

    Directory of Open Access Journals (Sweden)

    Ewelina Gaszynska

    2014-01-01

    Full Text Available Objective. Advanced airway management, endotracheal intubation (ETI, during CPR is more difficult than, for example, during anesthesia. However, new devices such as video laryngoscopes should help in such circumstances. The aim of this study was to assess the performance of the KingVision video laryngoscopes in a manikin cardiopulmonary resuscitation (CPR scenario. Methods. Thirty students enrolled in the third year of paramedic school took part in the study. The simulated CPR scenario was ETI using the standard laryngoscope with a Macintosh blade (MCL and ETI using the KingVision video laryngoscope performed during uninterrupted chest compressions. The primary endpoints were the time needed for ETI and the success ratio. Results. The mean time required for intubation was similar for both laryngoscopes: 16.6 (SD 5.11, median 15.64, range 7.9–27.9 seconds versus 17.91 (SD 5.6, median 16.28, range 10.6–28.6 seconds for the MCL and KingVision, respectively (P=0.1888. On the first attempt at ETI, the success rate during CPR was comparable between the evaluated laryngoscopes: P=0.9032. Conclusion. The KingVision video laryngoscope proves to be less superior when used for endotracheal intubation during CPR compared to the standard laryngoscope with a Mackintosh blade. This proves true in terms of shortening the time needed for ETI and increasing the success ratio.

  2. Airway Management in a Patient With Tracheal Disruption due to Penetrating Neck Trauma With Hollow Point Ammunition: A Case Report.

    Science.gov (United States)

    Johnson, Angela M; Hill, James L; Zagorski, Dave J; McClain, Joseph M; Maronian, Nicole C

    2018-05-01

    Rapid sequence induction and intubation was performed for a patient in respiratory distress after a gunshot wound to the neck. Resistance was noted distal to vocal cords. With a bronchoscope unavailable, the endotracheal tube was advanced with a corkscrew maneuver. Subcutaneous emphysema had developed. The endotracheal tube was advanced into the right mainstem with adequate ventilation. Imaging illustrated tracheoesophageal injury. The patient was emergently explored. An intraluminal bullet was removed, lateral wall tracheal defect was repaired, and a tracheostomy was placed. The intubating provider should secure the airway by the method they are most comfortable, have high suspicion of airway injury, and prepare to manage airway disruption.

  3. High Temperature Behavior of Cr3C2-NiCr Coatings in the Actual Coal-Fired Boiler Environment

    Science.gov (United States)

    Bhatia, Rakesh; Sidhu, Hazoor Singh; Sidhu, Buta Singh

    2015-03-01

    Erosion-corrosion is a serious problem observed in steam-powered electricity generation plants, and industrial waste incinerators. In the present study, four compositions of Cr3C2-(Ni-20Cr) alloy coating powder were deposited by high-velocity oxy-fuel spray technique on T-91 boiler tube steel. The cyclic studies were performed in a coal-fired boiler at 1123 K ± 10 K (850 °C ± 10 °C). X-ray diffraction, scanning electron microscopy/energy dispersive X-ray analysis and elemental mapping analysis techniques were used to analyze the corrosion products. All the coatings deposited on T-91 boiler tube steel imparted hot corrosion resistance. The 65 pctCr3C2 -35 pct (Ni-20Cr)-coated T-91 steel sample performed better than all other coated samples in the given environment.

  4. Fabrication of a segmented composite stainless steel-alumina discharge tube for a theta-pinch coil

    International Nuclear Information System (INIS)

    Dickinson, J.M.; Stoddard, S.D.; Muller, J.F.

    1975-11-01

    An 80-mm-diam segmented discharge tube that simulated in a simplified way the blanket and first wall of the Reference Theta-Pinch Reactor (RTPR) has been constructed. The segments were fabricated by plasma-arc spraying an alumina coating on tubular stainless steel trapezoids. These were laid up to form a cylinder that was contained in a fully dense alumina vacuum tube. The fabrication processes are discussed in detail

  5. Airway and Respiratory Complications in Children Undergoing Cleft ...

    African Journals Online (AJOL)

    2010-03-01

    Mar 1, 2010 ... Standard inhalational halothane induction or intravenous induction using thiopentone or propofol was employed. The trachea was intubated with a RAE tube (for cleft lip repair only) or armoured endotracheal tube (for palatal surgery) under deep inhalational anaesthesia or muscle relaxants. Standard intra-.

  6. Electrochemical behavior of tube-fin assembly for an aluminum automotive condenser with improved corrosion resistance

    Directory of Open Access Journals (Sweden)

    M.A. Pech-Canul

    Full Text Available An aluminum automotive condenser was designed to exhibit high corrosion resistance in the seawater acetic acid test (SWAAT combining zinc coated microchannel tubes and fins made with AA4343/AA3003(Zn/AA4343 brazing sheet. Electrochemical measurements in SWAAT solution were carried out under laboratory conditions using tube-fin assembly and individual fin and tube samples withdrawn from the condenser core. The aim was to gain information on the protective role of the zinc sacrificial layer and about changes in corrosion behavior as a function of immersion time. External corrosion of the tube-fin system was simulated by immersion of mini-core samples under open circuit conditions. The corrosion rate increased rapidly during the first 6 h and slowly afterwards. The short time behavior was related to the dissolution of the oxide film and fast dissolution of the outermost part of the zinc diffusion layer. With the aid of cross-sectional depth corrosion potential profiles, it was shown that as the sacrificial layer gets dissolved, the surface concentration of zinc decreases and the potential shifts to less negative values. The results of galvanic coupling of tube and fins in a mini-cell showed that the tube became the anode while the fins exhibited cathodic behavior. An evolution in the galvanic interaction was observed, due to the progressive dissolution of the sacrificial zinc layer. The difference of uncoupled potentials between tube and fins decreased from 71 mV to 32 mV after 84 h of galvanic coupling. At the end of such period there was still a part of the zinc sacrificial layer remaining which would serve for protection of the tube material for even longer periods and there were indications of slight corrosion in the fins. Keywords: Aluminum, Automotive, Corrosion, Galvanic, Zn coating

  7. Nano-Ceramic Coated Plastics

    Science.gov (United States)

    Cho, Junghyun

    2013-01-01

    Plastic products, due to their durability, safety, and low manufacturing cost, are now rapidly replacing cookware items traditionally made of glass and ceramics. Despite this trend, some still prefer relatively expensive and more fragile ceramic/glassware because plastics can deteriorate over time after exposure to foods, which can generate odors, bad appearance, and/or color change. Nano-ceramic coatings can eliminate these drawbacks while still retaining the advantages of the plastic, since the coating only alters the surface of the plastic. The surface coating adds functionality to the plastics such as self-cleaning and disinfectant capabilities that result from a photocatalytic effect of certain ceramic systems. These ceramic coatings can also provide non-stick surfaces and higher temperature capabilities for the base plastics without resorting to ceramic or glass materials. Titanium dioxide (TiO2) and zinc oxide (ZnO) are the candidates for a nano-ceramic coating to deposit on the plastics or plastic films used in cookware and kitchenware. Both are wide-bandgap semiconductors (3.0 to 3.2 eV for TiO2 and 3.2 to 3.3 eV for ZnO), so they exhibit a photocatalytic property under ultraviolet (UV) light. This will lead to decomposition of organic compounds. Decomposed products can be easily washed off by water, so the use of detergents will be minimal. High-crystalline film with large surface area for the reaction is essential to guarantee good photocatalytic performance of these oxides. Low-temperature processing (nano-ceramic coatings (TiO2, ZnO) on plastic materials (silicone, Teflon, PET, etc.) that can possess both photocatalytic oxide properties and flexible plastic properties. Processing cost is low and it does not require any expensive equipment investment. Processing can be scalable to current manufacturing infrastructure.

  8. Investigation of passive and active silica-tin oxide nanostructured optical fibers fabricated by " inverse dip-coating " and " powder in tube " method based on the chemical sol-gel process and laser emission

    OpenAIRE

    Granger , Geoffroy; Restoin , Christine; Roy , Philippe; Jamier , Raphaël; Rougier , Sébastien; Duclere , Jean-René; Lecomte , André; Dauliat , Romain; Blondy , Jean-Marc

    2015-01-01

    International audience; This paper presents a study of original nanostructured optical fibers based on the SiO 2-SnO 2-(Yb 3+) system. Two different processes have been developed and compared: the sol-gel chemical method associated to the " inverse dip-coating " (IDC) and the " powder in tube " (PIT) process. The microstructural and optical properties of the fibers are studied according to the concentration of SnO 2. X-Ray Diffraction as well as Transmission Electron Microscopy studies show t...

  9. Synthesis and characterization of a novel tube-in-tube nanostructured PPy/MnO2/CNTs composite for supercapacitor

    International Nuclear Information System (INIS)

    Li, Juan; Que, Tingli; Huang, Jianbin

    2013-01-01

    Graphical abstract: A novel tube-in-tube nanostructured PPy/MnO 2 /CNTs composite have been successfully fabricated. Its inner tubules are CNTs and the outer tubules are template-synthesized PPy. Most MnO 2 nanoparticles are sandwiched between the inner and outer wall, some relatively large particles are also latched onto the outside wall of the PPy tube. The composite yields a good electrochemical reversibility through 1000 cycles’ cyclic voltammogram (CV) test and galvanostatic charge–discharge experiments at different current densities. Display Omitted Highlights: ► We fabricate a ternary organic–inorganic complex of PPy/MnO 2 /CNTs composite. ► We characterize its morphological structures and properties by several techniques. ► The composite possesses the typical tube-in-tube nanostructures. ► Most MnO 2 nanoparticles are sandwiched between the inner CNTs and outer PPy wall. ► The composite has good electrochemical reversibility for supercapacitor. -- Abstract: Ternary organic–inorganic complex of polypyrrole/manganese dioxide/carbon nanotubes (PPy/MnO 2 /CNTs) composite was prepared by in situ chemical oxidation polymerization of pyrrole in the host of inorganic matrix of MnO 2 and CNTs, using complex of methyl orange (MO)/FeCl 3 was used as a reactive self-degraded soft-template. The morphological structures of the composite were characterized by scanning electron microscopy (SEM), transmission electron microscopy (TEM), high-resolution transmission electron microscopic (HRTEM), Fourier transform infrared spectroscopy (FT-IR) and X-ray diffraction (XRD), respectively. All the results indicate that the PPy/MnO 2 /CNTs composite possesses the typical tube-in-tube nanostructures: the inner tubules are CNTs and the outer tubules are template-synthesized PPy. MnO 2 nanoparticles may either sandwich the space between the inner and outer tubules or directly latch onto the wall of the PPy tubes. The composite yields a good electrochemical

  10. Bacterial Stress and Osteoblast Responses on Graphene Oxide-Hydroxyapatite Electrodeposited on Titanium Dioxide Nanotube Arrays

    Directory of Open Access Journals (Sweden)

    Yardnapar Parcharoen

    2017-01-01

    Full Text Available To develop bone implant material with excellent antibacterial and biocompatible properties, nanotubular titanium surface was coated with hydroxyapatite (HA and graphene oxide (GO. Layer-by-layer deposition was achieved by coating HA on an anodic-grown titanium dioxide nanotube array (ATi with electrolytic deposition, followed by coating with GO using anodic-electrophoretic deposition. The antibacterial activity against both Gram-negative (Escherichia coli and Gram-positive (Staphylococcus aureus bacteria was determined based on the percentage of surviving bacteria and the amount of ribonucleic acid (RNA leakage and correlated with membrane disruption. The oxidative stress induced in both strains of bacteria by GO was determined by cyclic voltammetry and is discussed. Importantly, the antibacterial GO coatings on HA-ATi were not cytotoxic to preosteoblasts and promoted osteoblast proliferation after 5 days and calcium deposition after 21 days in standard cell culture conditions.

  11. Gastrostomy Tube (G-Tube)

    Science.gov (United States)

    ... any of these problems: a dislodged tube a blocked or clogged tube any signs of infection (including redness, swelling, or warmth at the tube site; discharge that's yellow, green, or foul-smelling; fever) excessive bleeding or drainage from the tube site severe abdominal pain lasting ...

  12. Design of Ablation Test Device for Brick Coating of Gun

    Science.gov (United States)

    shirui, YAO; yongcai, CHEN; fei, WANG; jianxin, ZHAO

    2018-03-01

    As a result of the live ammunition test conditions, the barrel resistance of the barrel coating has high cost, time consuming, low efficiency and high test site requirements. This article designed a simple, convenient and efficient test device. Through the internal trajectory calculation by Matlab, the ablation environment produced by the ablation test device has achieved the expected effect, which is consistent with the working condition of the tube in the launching state, which can better reflect the ablation of the coating.

  13. Simulations of fill tube effects on the implosion of high-foot NIF ignition capsules

    International Nuclear Information System (INIS)

    Dittrich, T R; Hurricane, O A; Berzak-Hopkins, L F; Callahan, D A; Casey, D T; Clark, D; Dewald, E L; Doeppner, T; Haan, S W; Hammel, B A; Harte, J A; Hinkel, D E; Kozioziemski, B J; Kritcher, A L; Ma, T; Nikroo, A; Pak, A E; Parham, T G; Park, H-S; Patel, P K

    2016-01-01

    Encouraging results have been obtained using a strong first shock during the implosion of carbon-based ablator ignition capsules. These “high-foot” implosion results show that capsule performance deviates from 1D expectations as laser power and energy are increased. A possible cause of this deviation is the disruption of the hot spot by jets originating in the capsule fill tube. Nominally, a 10 μm outside diameter glass (SiO 2 ) fill tube is used in these implosions. Simulations indicate that a thin coating of Au on this glass tube may lessen the hotspot disruption. These results and other mitigation strategies will be presented. (paper)

  14. Simulations of fill tube effects on the implosion of high-foot NIF ignition capsules

    Science.gov (United States)

    Dittrich, T. R.; Hurricane, O. A.; Berzak-Hopkins, L. F.; Callahan, D. A.; Casey, D. T.; Clark, D.; Dewald, E. L.; Doeppner, T.; Haan, S. W.; Hammel, B. A.; Harte, J. A.; Hinkel, D. E.; Kozioziemski, B. J.; Kritcher, A. L.; Ma, T.; Nikroo, A.; Pak, A. E.; Parham, T. G.; Park, H.-S.; Patel, P. K.; Remington, B. A.; Salmonson, J. D.; Springer, P. T.; Weber, C. R.; Zimmerman, G. B.; Kline, J. L.

    2016-05-01

    Encouraging results have been obtained using a strong first shock during the implosion of carbon-based ablator ignition capsules. These “high-foot” implosion results show that capsule performance deviates from 1D expectations as laser power and energy are increased. A possible cause of this deviation is the disruption of the hot spot by jets originating in the capsule fill tube. Nominally, a 10 μm outside diameter glass (SiO2) fill tube is used in these implosions. Simulations indicate that a thin coating of Au on this glass tube may lessen the hotspot disruption. These results and other mitigation strategies will be presented.

  15. Determination of sulfur in steels by isotope dilution mass spectrometry after dissolution with sealed tube

    International Nuclear Information System (INIS)

    Watanabe, Kazuo

    1981-01-01

    The scaled tube dissolution technique was studied for the complete conversion of sulfur in steels to sulfate. Isotope dilution mass spectrometry was used for the determination of sulfur in the sulfate. Sample (0.5 g) was dissolved in nitric acid (7 ml) and hydrochloric acid (3 ml) in a scaled borosilicate glass tube on being heated above 180 0 C overnight. Nitrate ions were removed by repeated evaporation with hydrochloric acid. The residue was dissolved in hydrochloric acid. Sulfate was reduced with a mixture of hydrochloric, hydroiodic and hypophosphorous acids; hydrogen sulfide evolved was absorbed in cadmium acetate solution, then converted to silver sulfide, which was burned to sulfur dioxide in pure oxygen at low pressure, for isotopic analysis. Analytical blank in whole procedure was 0.8 μg of sulfur. This technique was applied to the determination of sulfur in NBS low alloy steels. The principal cause of low values obtained by the open beaker dissolution technique was evaporation losses of sulfur as sulfur dioxide during the dissolution. (author)

  16. Design and technology parameters influence on durability for heat exchangers tube to tubesheet joints

    Science.gov (United States)

    Ripeanu, R. G.

    2017-02-01

    The main failures of heat exchangers are: corrosion of tubes and jacket, tubes blockage and failures of tube to tubesheet joints also by corrosion. The most critical zone is tube to tubesheet joints. Depending on types of tube to tubesheet joints, in order to better respect conditions of tension and compression, this paper analyses the tubesheet holes shapes, smooth and with a grove, on corrosion behavior. In the case of welding tubes with tubesheet, welding parameters modify corrosion behavior. Were realized welded joints by three welding regimes and tested at corrosion in two media, tap water and industrial water. Were tested also samples made of smooth tubes, finned tubes and tubes coated with a passive product as applied by a heat exchanger manufacturer. For all samples, the roughness parameters were measured, before and after the corrosion tests. The obtained corrosion rates show that stress values and their distribution along the joint modify the corrosion behavior. The optimum welding parameters were established in order to increase the joint durability. The paper has shown that passive product used is not proper chosen and the technology of obtaining rolled thread pipes diminishes tubes’ durability by increasing the corrosion rate.

  17. Comparative characteristic and erosion behavior of NiCr coatings deposited by various high-velocity oxyfuel spray processes

    Science.gov (United States)

    Sidhu, Hazoor Singh; Sidhu, Buta Singh; Prakash, S.

    2006-12-01

    The purpose of this study is to analyze and compare the mechanical properties and microstructure details at the interface of high-velocity oxyfuel (HVOF)-sprayed NiCr-coated boiler tube steels, namely ASTM-SA-210 grade A1, ASTM-SA213-T-11, and ASTM-SA213-T-22. Coatings were developed by two different techniques, and in these techniques liquefied petroleum gas was used as the fuel gas. First, the coatings were characterized by metallographic, scanning electron microscopy/energy-dispersive x-ray analysis, x-ray diffraction, surface roughness, and microhardness, and then were subjected to erosion testing. An attempt has been made to describe the transformations taking place during thermal spraying. It is concluded that the HVOF wire spraying process offers a technically viable and cost-effective alternative to HVOF powder spraying process for applications in an energy generation power plant with a point view of life enhancement and to minimize the tube failures because it gives a coating having better resistance to erosion.

  18. Thermally Oxidized C, N Co-Doped ANATASE-TiO2 Coatings on Stainless Steel for Tribological Properties

    Science.gov (United States)

    Wang, Hefeng; Shu, Xuefeng; Li, Xiuyan; Tang, Bin; Lin, Naiming

    2013-07-01

    Ti(C, N) coatings were prepared on stainless steel (SS) substrates by plasma surface alloying technique. Carbon-nitrogen co-doped titanium dioxide (C-N-TiO2) coatings were fabricated by oxidative of the Ti(C, N) coatings in air. The prepared C-N-TiO2 coatings were characterized by SEM, XPS and XRD. Results reveal that the SS substrates were entirely shielded by the C-N-TiO2 coatings. The C-N-TiO2 coatings are anatase in structure as characterized by X-ray diffraction. The tribological behavior of the coatings was tested with ball-on-disc sliding wear and compared with substrate. Such a C-N-TiO2 coatings showed good adhesion with the substrate and tribological properties of the SS in terms of much reduced friction coefficient and increased wear resistance.

  19. Electrophoretic deposition (EPD) of multi-walled carbon nano tubes (MWCNT) onto indium-tin-oxide (ITO) glass substrates

    International Nuclear Information System (INIS)

    Mohd Roslie Ali; Shahrul Nizam Mohd Salleh

    2009-01-01

    Full text: Multi-Walled Carbon Nano tubes (MWCNT) were deposited onto Indium-Tin-Oxide (ITO)-coated glass substrates by introducing the use of Electrophoretic Deposition (EPD) as the method. The Multi-Walled Carbon Nano tubes (MWCNT) were dispersed ultrasonically in ethanol and sodium hydroxide (NaOH) to form stable suspension. The addition of Sodium Hydroxide in ethanol can stabilize the suspension, which was very important step before the deposition take place. Two substrates of Indium-Tin-Oxide(ITO)-coated glass placed in parallel facing each other (conductive side) into the suspension. The deposition occurs at room temperature, which the distance fixed at 1 cm between both electrodes and the voltage level applied was fixed at 400 V, respectively. The deposition time also was fixed at 30 minutes. The deposited ITO-Glass with Multi-Walled Carbon Nano tubes (MWCNT) will be characterized using Scanning Electron Microscope (SEM), Atomic Force Microscope (AFM), and Raman Microscope. The images of SEM shows that the Multi -Walled Carbon Nano tubes (MWCNT) were distributed uniformly onto the surface of ITO-Glass. The deposited ITO-Glass with Multi-Walled Carbon Nano tubes (MWCNT) could be the potential material in various practical applications such as field emission devices, fuel cells, and super capacitors. Electrophoretic deposition (EPD) technique was found to be an efficient technique in forming well distribution of Multi-Walled Carbon Nano tubes (MWCNT) onto ITO-Glass substrates, as proved in characterization methods, in which the optimum conditions will play the major role. (author)

  20. Bond strength tests between silicon wafers and duran tubes (fusion bonded fluidic interconnects)

    NARCIS (Netherlands)

    Fazal, I.; Berenschot, Johan W.; de Boer, J.H.; Jansen, Henricus V.; Elwenspoek, Michael Curt

    2005-01-01

    The fusion bond strength of glass tubes with standard silicon wafers is presented. Experiments with plain silicon wafers and those coated with silicon oxide and silicon nitride are presented. Results obtained are discussed in terms of homogeneity and strength of fusion bond. High pressure testing

  1. Analysis of different coating thickness on new type of planar interdigital sensors for endotoxin detection

    KAUST Repository

    Syaifudin, A. R Mohd

    2013-05-01

    New types of planar interdigital sensors have been fabricated on Silicon/Silicon Dioxide (Si/SiO2) wafers. The sensors were coated with pre-cursor silica functionalized with APTES (3-aminopropyltrietoxysilane) at different thicknesses. All sensors were then immobilized with Polymyxin, B (PmB). PmB is an antimicrobial peptide produced by the Gram-positive bacterium-Bacillus, has been immobilized on the coated sensors because of its specific binding properties to endotoxin. Studies were conducted to analyze the effect of different thicknesses of coatings on the sensitivity and selectivity of the sensors. It was observed sensors coated with 3 layers of coating has better sensitivity and selectivity to the target molecules (endotoxin) compared to sensors with 5 layers of coating. The repeatability and stability of the coated sensors were tested by multiple standard endotoxin measurement and it was observed that the sensors give a good reproducibility and stability up to six continuous measurements before the coating degrades. © 2013 IEEE.

  2. The fabrication of a vanadium-stainless steel test section for MHD testing of insulator coatings in flowing lithium

    International Nuclear Information System (INIS)

    Reed, C.B.; Mattas, R.F.; Smith, D.L.; Chung, H.; Tsai, H.-C.; Morgan, G.D.; Wille, G.W.; Young, C.

    1996-01-01

    To test the magnetohydrodynamic (MHD) pressure drop reduction performance of candidate insulator coatings for the ITER Vanadium/Lithium Breeding Blanket, a test section comprised of a V- 4Cr-4Ti liner inside a stainless steel pipe was designed and fabricated. Theoretically, the MHD pressure drop reduction benefit resulting, from an electrically insulating coating on a vanadium- lined pipe is identical to the benefit derived from an insulated pipe fabricated of vanadium alone. A duplex test section design consisting of a V alloy liner encased in a SS pressure boundary provided protection for vanadium from atmospheric contamination during operation at high temperature and obviated any potential problems with vanadium welding while also minimizing the amount of V alloy material required. From the MHD and insulator coating- point of view, the test section outer SS wall and inner V alloy liner can be modeled simply as a wall having a sandwich construction. Two 52.3 mm OD x 2.9 m long V-alloy tubes were fabricated by Century Tubes from 64 mm x 200 mm x 1245 mm extrusions produced by Teledyne Wah Chang. The test section's duplex structure was subsequently fabricated at Century Tubes by drawing down a SS pipe (2 inch schedule 10) over one of the 53.2 mm diameter V tubes

  3. SiO{sub 2} coating of silver nanoparticles by photoinduced chemical vapor deposition

    Energy Technology Data Exchange (ETDEWEB)

    Boies, Adam M; Girshick, Steven L [Department of Mechanical Engineering, University of Minnesota, 111 Church Street SE, Minneapolis, MN 55455 (United States); Roberts, Jeffrey T [Department of Chemistry, University of Minnesota, 207 Pleasant Street SE, Minneapolis, MN 55455 (United States); Zhang Bin; Nakamura, Toshitaka; Mochizuki, Amane, E-mail: jtrob@umn.ed, E-mail: slg@umn.ed [Nitto Denko Technical Corporation, 501 Via Del Monte, Oceanside, CA 92058 (United States)

    2009-07-22

    Gas-phase silver nanoparticles were coated with silicon dioxide (SiO{sub 2}) by photoinduced chemical vapor deposition (photo-CVD). Silver nanoparticles, produced by inert gas condensation, and a SiO{sub 2} precursor, tetraethylorthosilicate (TEOS), were exposed to vacuum ultraviolet (VUV) radiation at atmospheric pressure and varying temperatures. The VUV photons dissociate the TEOS precursor, initiating a chemical reaction that forms SiO{sub 2} coatings on the particle surfaces. Coating thicknesses were measured for a variety of operation parameters using tandem differential mobility analysis and transmission electron microscopy. The chemical composition of the particle coatings was analyzed using energy dispersive x-ray spectrometry and Fourier transform infrared spectroscopy. The highest purity films were produced at 300-400 {sup 0}C with low flow rates of additional oxygen. The photo-CVD coating technique was shown to effectively coat nanoparticles and limit core particle agglomeration at concentrations up to 10{sup 7} particles cm{sup -3}.

  4. The development of an auto-sealing system using an electrically shrinkable tube under a low-pressure condition

    Energy Technology Data Exchange (ETDEWEB)

    Okano, Yoshihiro; Kitagawa, Takao [NKK Corp, Tsu, Mie (Japan); Shoji, Norio [NKK Corp., Yokohama (Japan); Namioka, Toshiyuki [Nippon Kokan Koji Corp., Yokohama (Japan). Research and Development Dept.; Komura, Minoru [Nitto Denko Corp., Fukaya, Saitama (Japan)

    1997-04-01

    This article describes the development of a system to create high quality, automatic sealing of field joints of polyethylene coated pipelines. The system uses a combination of an electrically heated shrinkable tube and a low-pressure chamber. The self-heating shrinkable tube includes electric heater wires that heat when connected to electricity. A method was developed to eliminate air trapped between the tube and the steel pipe by shrinking the tube under a low-pressure condition. The low-pressure condition was automatic and easily attained by using a vacuum chamber. It was verified that the system produced high quality sealing of the field joints.

  5. Robotic weld overlay coatings for erosion control

    Science.gov (United States)

    The erosion of materials by the impact of solid particles has received increasing attention during the past twenty years. Recently, research has been initiated with the event of advanced coal conversion processes in which erosion plays an important role. The resulting damage, termed Solid Particle Erosion (SPE), is of concern primarily because of the significantly increased operating costs which result in material failures. Reduced power plant efficiency due to solid particle erosion of boiler tubes and waterfalls has led to various methods to combat SPE. One method is to apply coatings to the components subjected to erosive environments. Protective weld overlay coatings are particularly advantageous in terms of coating quality. The weld overlay coatings are essentially immune to spallation due to a strong metallurgical bond with the substrate material. By using powder mixtures, multiple alloys can be mixed in order to achieve the best performance in an erosive environment. However, a review of the literature revealed a lack of information on weld overlay coating performance in erosive environments which makes the selection of weld overlay alloys a difficult task. The objective of this project is to determine the effects of weld overlay coating composition and microstructure on erosion resistance. These results will lead to a better understanding of erosion mitigation in CFB's.

  6. The development of lavage procedures for the upper and lower respiratory tract of the cat

    International Nuclear Information System (INIS)

    McCarthy, Grainne; Quinn, P.J.

    1986-01-01

    New techniques for routine bronchopulmonary lavage (BPL) and nasal flushing in the anaesthetized cat which are safe, reproducible and simple to use have been developed. Five adult mixed-breed cats from a specific pathogen-free colony were selected, fasted overnight and weighed. The feeding tube was passed through the endotracheal tube and down the trachea until it became wedged in the bronchus. Nasal flushing was then immediately carried out after the BPL with the endotracheal tube in position. Radiological and fluoroscopic examinations were carried out to determine the position of the feeding tube in the lung. Lateral and dorsoventral views of the thorax of each cat were taken. These examinations identified the tube most frequently in the caudal lobe of the lung. The lavage techniques described provide a definite procedure for investigating the cellular and humoral mechanisms operating in the upper and lower respiratory tract of the cat. These methods can be used to sample directly the cellular and humoral constituents contributing to defence mechanisms in the feline respiratory tract and to monitor the local changes accompanying respiratory disease

  7. Synthesis and characterization of a novel tube-in-tube nanostructured PPy/MnO{sub 2}/CNTs composite for supercapacitor

    Energy Technology Data Exchange (ETDEWEB)

    Li, Juan, E-mail: lj-panpan@163.com [College of Chemistry and Chemical Engineering, Xinjiang University, Urumqi 830046 (China); Beijing National Laboratory for Molecular Sciences (BNLMS), State Key Laboratory for Structural Chemistry of Unstable and Stable Species, College of Chemistry and Molecular Engineering, Peking University, Beijing 100871 (China); Que, Tingli [College of Chemistry and Chemical Engineering, Xinjiang University, Urumqi 830046 (China); Huang, Jianbin, E-mail: JBhuang@pku.edu.cn [College of Chemistry and Chemical Engineering, Xinjiang University, Urumqi 830046 (China); Beijing National Laboratory for Molecular Sciences (BNLMS), State Key Laboratory for Structural Chemistry of Unstable and Stable Species, College of Chemistry and Molecular Engineering, Peking University, Beijing 100871 (China)

    2013-02-15

    Graphical abstract: A novel tube-in-tube nanostructured PPy/MnO{sub 2}/CNTs composite have been successfully fabricated. Its inner tubules are CNTs and the outer tubules are template-synthesized PPy. Most MnO{sub 2} nanoparticles are sandwiched between the inner and outer wall, some relatively large particles are also latched onto the outside wall of the PPy tube. The composite yields a good electrochemical reversibility through 1000 cycles’ cyclic voltammogram (CV) test and galvanostatic charge–discharge experiments at different current densities. Display Omitted Highlights: ► We fabricate a ternary organic–inorganic complex of PPy/MnO{sub 2}/CNTs composite. ► We characterize its morphological structures and properties by several techniques. ► The composite possesses the typical tube-in-tube nanostructures. ► Most MnO{sub 2} nanoparticles are sandwiched between the inner CNTs and outer PPy wall. ► The composite has good electrochemical reversibility for supercapacitor. -- Abstract: Ternary organic–inorganic complex of polypyrrole/manganese dioxide/carbon nanotubes (PPy/MnO{sub 2}/CNTs) composite was prepared by in situ chemical oxidation polymerization of pyrrole in the host of inorganic matrix of MnO{sub 2} and CNTs, using complex of methyl orange (MO)/FeCl{sub 3} was used as a reactive self-degraded soft-template. The morphological structures of the composite were characterized by scanning electron microscopy (SEM), transmission electron microscopy (TEM), high-resolution transmission electron microscopic (HRTEM), Fourier transform infrared spectroscopy (FT-IR) and X-ray diffraction (XRD), respectively. All the results indicate that the PPy/MnO{sub 2}/CNTs composite possesses the typical tube-in-tube nanostructures: the inner tubules are CNTs and the outer tubules are template-synthesized PPy. MnO{sub 2} nanoparticles may either sandwich the space between the inner and outer tubules or directly latch onto the wall of the PPy tubes. The composite

  8. Reduced adhesion of Staphylococcus aureus to ZnO/PVC nanocomposites

    Directory of Open Access Journals (Sweden)

    Geilich BM

    2013-03-01

    Full Text Available Benjamin M Geilich,1 Thomas J Webster21Program in Bioengineering, 2Department of Chemical Engineering, College of Engineering, Northeastern University, Boston, MA, USAAbstract: In hospitals and clinics worldwide, medical device surfaces have become a rapidly growing source of nosocomial infections. In particular, patients requiring mechanical ventilation (and, thus, intubation with an endotracheal tube for extended lengths of time are faced with a high probability of contracting ventilator-associated pneumonia. Once inserted into the body, the endotracheal tube provides a surface to which bacteria can adhere and form a biofilm (a robust, sticky matrix that provides protection against the host immune system and antibiotic treatment. Adding to the severity of this problem is the spread of bacterial genetic tolerance to antibiotics, in part demonstrated by the recent and significant increase in the prevalence of methicillin-resistant Staphylococcus aureus. To combat these trends, different techniques in biomaterial design must be explored. Recent research has shown that nanomaterials (materials with at least one dimension less than 100 nm may have the potential to prevent or disrupt bacterial processes that lead to infections. In this study, polyvinyl chloride (PVC taken from a conventional endotracheal tube was embedded with varying concentrations of zinc oxide (ZnO nanoparticles. S. aureus biofilms were then grown on these nanocomposite surfaces during a 24-hour culture. Following this, biofilms were removed from the surfaces and the number of colony forming units present was assessed. Bacterial proliferation on the samples embedded with the highest concentration of ZnO nanoparticles was 87% less when compared to the control, indicating that this technique is effective at reducing biofilm formation on PVC surfaces without the use of antibiotics.Keywords: nanomaterials, endotracheal tube, biofilm, zinc oxide, nanoparticles, Staphylococcus aureus

  9. Dry rotary swaging with structured and coated tools

    Science.gov (United States)

    Herrmann, Marius; Schenck, Christian; Kuhfuss, Bernd

    2018-05-01

    Rotary swaging is a cold bulk forming process for manufacturing of complex bar and tube profiles like axles and gear shafts in the automotive industry. Conventional rotary swaging is carried out under intense use of lubricant usually based on mineral oil. Besides lubrication the lubricant fulfills necessary functions like lubrication, flushing and cooling, but generates costs for recycling, replacement and cleaning of the workpieces. Hence, the development of a dry process design is highly desirable, both under economic and ecological points of view. Therefore, it is necessary to substitute the functions of the lubricant. This was realized by the combination of newly developed a-C:H:W coating systems on the tools to minimize the friction and to avoid adhesion effects. With the application of a deterministic structure in the forging zone of the tools the friction conditions are modified to control the axial process forces. In this study infeed rotary swaging with functionalized tools was experimentally investigated. Therefore, steel and aluminum tubes were formed with and without lubricant. Different structures which were coated and uncoated were implemented in the reduction zone of the tools. The antagonistic effects of coating and structuring were characterized by measuring the axial process force and the produced workpiece quality in terms of roundness and surface roughness. Thus, the presented results allow for further developments towards a dry rotary swaging process.

  10. Simulation and Experimental Determination of Technological Liquid Molding Parameters of Tubing Basalt Insulation

    Directory of Open Access Journals (Sweden)

    Yu. V. Badanina

    2015-01-01

    Full Text Available The article is dedicated to one of the most important and urgent tasks in mechanical engineering development - the creation of low-density and environmentally-friendly thermoinsulation from available cheap basalt fibers for products to operate at temperatures up to 700°C.One of the most effective applications of such thermo-insulation is to develop and provide highly porous coatings from short basalt fibers by liquid filtration for tubing (T to supply superheated up to 420° C steam under pressure of 35 MPa in the deep layers with severe highviscosity oil. Tubing with the short low-density basalt insulation can be used for a greater depth than the vacuum-insulated tubing, which are also called "thermo-cases", and do not fully meet business needs for long-term reliability of oil vacuum tubes, too large mass per unit length of their design and, as a consequence, the impossibility to use such pipes for deep wells.The aim of the work is to simulate a liquid filtration process of short fibers and determine technological parameters of producing thermal insulation coatings of tubing pipes from basalt fibers and mineral binder shaped as cylinders and cylindrical shells. The paper proposes a mathematical model of free filtration deposition of short fibers from liquid slurry, which describes dynamics of creating thermal insulation products and allows us to determine the rational parameters of their manufacturing process. It shows methods to improve the products quality while forming the thermal insulation by filtration through additional vacuum deposition of a filtrate chamber and the final prepressing of sediment layer, giving dimensions and shape to the final product.The paper defines a prescription hydro mass composition. It shows that to increase the compressive strength of highly fibrous rings and cylindrical shells it is necessary to use based on oxide А12O3 5-7% by weight mineral binder, which fixes basalt fibers in places of their contacts. It

  11. Comparison of the antifungal activity of titanium dioxide based nanosilver packaging and conventional polyethylene packaging in consumed bread

    Directory of Open Access Journals (Sweden)

    H Mohammadi

    2014-12-01

    Full Text Available Using titanium dioxide nanosilver packaging which is antibacterial and resistance to the diffusion of gases such as oxygen is increasing in food industry. Therefore we compared the effect of titanium dioxide based nanosilver packaging and conventional polyethylene packaging - on fungal flora of consuming bread in order to increase the shelf life storage of  consuming bread. One hundred forty four samples of 6 different types of loaf of bread randomly obtained from 12 bakeries in District 2 of Tehran. The samples were packaged with 3%, 5% and 10% nano coatings and also conventional polyethylene coatings as control group. The bacterial examination and monitoring of samples, according to the national standards of Iran was carried out 3 times, on days 1, 3, 7, 14 and 28, of study period.This study showed that the film type and storage period, were main factors which significantly influenced fungal flora of bread. The lowest rate of various fungi growth (%14 was observed in 10% Nano film, while the highest rate of various fungi growth (47% was observed in conventional polyethylene coating (P<0.001. With increasing storage periods,  the number of various fungi increased, however this correlation was not similar in most of breads and fungi types. There were significant difference between them (P = 0.001. According to the results of the present study, due to increasing population growth and in order to improve food security, using packages with nanosilver particles which are based on titanium dioxide, prevails over the polyethylene packages. Therefore using such packages are highly recommended in bakery industry.

  12. The large scale use of strippable coatings in preventative, tie-down and decontamination applications

    International Nuclear Information System (INIS)

    Sanders, M.J.; Pengelly, M.G.A.

    1985-05-01

    The use of strippable coatings both to remove and prevent the radioactive contamination of equipment is discussed. Details of application by brush, roller, conventional (air) and airless spray are given. The use of strippable coatings to prevent the components of a re-useable temporary containment system from becoming contaminated is described and results of simple tests in which the coatings were used to remove plutonium dioxide contamination from a number of different surfaces in a Pressurised Suit Area are given. It is concluded that strippable coatings are particularly useful in contamination prevention and tie-down roles but test results indicate that they do not possess overwhelming advantages when used as a decontamination technique. The products used in the work reported here are water based. (author)

  13. Development of NEG Coating for RHIC Experimental Beamtubes

    CERN Document Server

    Weiss, Daniel; Hseuh Hsiao Chaun; Todd, Robert J

    2005-01-01

    As RHIC beam intensity increases beyond original scope, pressure rises in some regions have been observed. The luminosity limiting pressure rises are associated with electron multi-pacting, electron stimulated desorption and beam induced desorption. Non-Evaporable Getter (NEG) coated beampipes have been proven effective to suppress pressure rise in synchrotron radiation facilities. Standard beampipes have been NEG coated by a vendor and added to many RHIC UHV regions. BNL is developing a cylindrical magnetron sputtering system to NEG coat special beryllium beampipes installed in RHIC experimental regions. It features a hollow, liquid cooled cathode producing power density of 500W/m and deposition rate of 5000 Angstrom/hr on 7.5cm OD beampipe. The cathode, a titanium tube partially covered with zirconium and vanadium ribbons, is oriented for horizontal coating of 4m long chambers. Ribbons and magnets are arranged to provide uniform sputtering distribution and deposited NEG composition. Vacuum performance of NE...

  14. Film Thickness Estimation for the Oil Applied to the Inner Surface of Slim Tubes

    Directory of Open Access Journals (Sweden)

    Jozef Svetlík

    2017-09-01

    Full Text Available The article deals with the approximation of the results of experimental measurement of coating of the inner surface of slim pipes with special oil, using a dispersion oil fraction. The reason for such treatment of the inner surface of the tubes is the anti-corrosion protection or various other requirements. The oil manufacturer prescribes the minimum required layer to guarantee the anti-corrosion protection parameters. Therefore, it is advisable to know the most exact coating parameters for different pipe diameters. The measured results give us an assumption of how much oil is sufficient to coat the inside of a pipe. The main idea lies in the correct estimation of coefficients in the three-parameter exponential dependence. For the initial estimates, Nelder–Mead’s minimization method was used. The condition for meeting the lower estimate of the minimum thickness of the oil layer was determined. Following graphic processing of minimization of individual pipe diameters, in some cases, the coefficients were adjusted manually. The result is that the oil thickness depends on the distance of the investigated point from the beginning of the tube, or on the point of entry of the dispersion oil fraction.

  15. Electrophoretic deposition of PEEK-TiO 2 composite coatings on stainless steel

    KAUST Repository

    Seuß, Sigrid

    2012-03-01

    Electrophoretic deposition (EPD) has been successfully used to deposit composite coatings composed of polyetheretherketone (PEEK) and titanium dioxide (TiO 2) nanoparticles on 316L stainless steel substrates. The suspensions of TiO2 nanoparticles and PEEK microparticles for EPD were prepared in ethanol. PEEK-TiO 2 composite coatings were optimized using suspensions containing 6wt% PEEK-TiO 2 in ethanol with a 3:1 ratio of PEEK to TiO 2 in weight and by applying a potential difference of 30 V for 1 minute. A heat-treatment process of the optimized PEEK-TiO 2 composite coatings was erformed at 335°C for 30 minutes with a heating rate of 10°Cmin -1 to densify the deposits. The EPD coatings were microstructurally evaluated by scanning electron microscopy (SEM). It was demonstrated that EPD is a convenient and rapid method to fabricate PEEK/TiO 2 coatings on stainless steel which are interesting for biomedical applications. © (2012) Trans Tech Publications, Switzerland.

  16. Prevention of Ventilator-Associated Pneumonia in the Intensive Care Unit: Beyond the Basics.

    Science.gov (United States)

    Larrow, Vickie; Klich-Heartt, Eira I

    2016-06-01

    Ventilated-associated pneumonia (VAP) is a major concern for hospitals and a major problem for ventilated patients in the intensive care unit. Included in the basics are hand hygiene, wearing gloves, endotracheal tube suctioning, head of bed at 30°, stress ulcer prophylaxis, turning patient side to side at least every two hours, and giving the patient a sedation vacation each morning. Beyond the basics included here are oral hygiene, oral suctioning, endotracheal tube cuff pressure, artificial humidification, the difference in practice between registered nurses and respiratory therapists, using the beach chair position and early mobilization, and the VAP bundle. The prevention of VAP becomes the focus for both nurses and respiratory therapists working with patients who are ventilated.

  17. Fructose-enhanced reduction of bacterial growth on nanorough surfaces

    Directory of Open Access Journals (Sweden)

    Durmus NG

    2012-02-01

    Full Text Available Naside Gozde Durmus1, Erik N Taylor1, Fatih Inci3,4, Kim M Kummer1, Keiko M Tarquinio5, Thomas J Webster1,21School of Engineering, Brown University, Providence, RI, USA; 2Department of Orthopedics, Brown University, Providence, RI, USA; 3Bio-Acoustic-MEMS in Medicine (BAMM Laboratory, Center for Biomedical Engineering, Department of Medicine, Brigham and Women's Hospital, Harvard-MIT Health Sciences and Technology, Harvard Medical School, MA, USA; 4Istanbul Technical University, Molecular Biology-Genetics and Biotechnology Program, Mobgam, Maslak, Istanbul, Turkey; 5Division of Pediatric Critical Care Medicine, Rhode Island Hospital, Providence, RI, USAAbstract: Patients on mechanical ventilators for extended periods of time often face the risk of developing ventilator-associated pneumonia. During the ventilation process, patients incapable of breathing are intubated with polyvinyl chloride (PVC endotracheal tubes (ETTs. PVC ETTs provide surfaces where bacteria can attach and proliferate from the contaminated oropharyngeal space to the sterile bronchoalveolar area. To overcome this problem, ETTs can be coated with antimicrobial agents. However, such coatings may easily delaminate during use. Recently, it has been shown that changes in material topography at the nanometer level can provide antibacterial properties. In addition, some metabolites, such as fructose, have been found to increase the efficiency of antibiotics used to treat Staphylococcus aureus (S. aureus infections. In this study, we combined the antibacterial effect of nanorough ETT topographies with sugar metabolites to decrease bacterial growth and biofilm formation on ETTs. We present for the first time that the presence of fructose on the nanorough surfaces decreases the number of planktonic S. aureus bacteria in the solution and biofilm formation on the surface after 24 hours. We thus envision that this method has the potential to impact the future of surface engineering of

  18. In situ measurement of ceramic vacuum chamber conductive coating quality

    International Nuclear Information System (INIS)

    Doose, C.; Harkay, K.; Kim, S.; Milton, S.

    1997-01-01

    A method for measuring the relative surface resistivity and quality of conductive coatings on ceramic vacuum chambers was developed. This method is unique in that it allows one to test the coating even after the ceramic chamber is installed in the accelerator and under vacuum; furthermore, the measurement provides a localized surface reading of the coating conductance. The method uses a magnetic probe is calibrated using the measured DC end-to-end resistance of the tube under test and by comparison to a high quality test surface. The measurement method has also been verified by comparison to high frequency impedance measurements. A detailed description, results, and sensitivity of the technique are given here

  19. Control of biofouling on titanium condenser tubes with the use of electroless copper plating

    International Nuclear Information System (INIS)

    Anandkumar, B.; George, R.P.; Kamachi Mudali, U.; Ramachandran, D.

    2015-01-01

    In sea water environments titanium condenser tubes face serious issues of biofouling and biomineralization. Electroless plating of nanocopper film is attempted inside the tubes for the control of biofilm formation. Using advanced techniques like AFM, SEM, and XPS, electroless copper plated flat Ti specimens were characterized. Examination of Cu coated Ti surfaces using AFM and SEM showed more reduction in the microroughness compared to anodized Ti surface. Cu 2p 3/2 peak in XPS spectral analysis showed the shift in binding energy inferring the reduction of the hydroxide to metallic copper. Tubular specimens were exposed to sea water up to three months and withdrawn at monthly intervals to evaluate antibacterial activity and long term stability of the coating. Total viable counts and epifluorescence microscopy analyses showed two orders decrease in bacterial counts on copper coated Ti specimens when compared to as polished control Ti specimens. Molecular biology techniques like DGGE and protein expression analysis system were done to get insight into the community diversity and copper tolerance of microorganisms. DGGE gel bands clearly showed the difference in the bacterial diversity inferring from the 16S rRNA gene fragments (V3 regions). Protein analysis showed distinct protein spots appearing in electroless copper coated Ti biofilm protein samples in addition to protein spots common to both the biofilms of Cu coated and as polished Ti. The results indicated copper accumulating proteins in copper resistant bacterial species of biofilm. Reduced microroughness of the surface and toxic copper ions resulted in good biofouling control even after three months exposure to sea water. (author)

  20. Trends in the Microwave-Assisted Synthesis of Metal Oxide Nanoparticles Supported on Carbon Nano tubes and Their Applications

    International Nuclear Information System (INIS)

    Motshekga, S.C.; Pillai, S.K.; Ray, S.S.; Motshekga, S.C.; Ray, S.S.; Jalama, K.; Krause, Rui.W.M.

    2012-01-01

    The study of coating carbon nano tubes with metal/oxides nanoparticles is now becoming a promising and challenging area of research. To optimize the use of carbon nano tubes in various applications, it is necessary to attach functional groups or other nano structures to their surface. The combination of the distinctive properties of carbon nano tubes and metal/oxides is expected to be applied in field emission displays, nano electronic devices, novel catalysts, and polymer or ceramic reinforcement. The synthesis of these composites is still largely based on conventional techniques, such as wet impregnation followed by chemical reduction of the metal nanoparticle precursors. These techniques based on thermal heating can be time consuming and often lack control of particle size and morphology. Hence, there is interest in microwave technology recently, where using microwaves represents an alternative way of power input into chemical reactions through dielectric heating. This paper covers the synthesis and applications of carbon-nano tube-coated metal/oxides nanoparticles prepared by a microwave-assisted method. The reviewed studies show that the microwave-assisted synthesis of the composites allows processes to be completed within a shorter reaction time with uniform and well-dispersed nanoparticle formation.

  1. Incidence and Risk Factors for Delirium among Mechanically Ventilated Patients in an African Intensive Care Setting: An Observational Multicenter Study

    Directory of Open Access Journals (Sweden)

    Arthur Kwizera

    2015-01-01

    Full Text Available Aim. Delirium is common among mechanically ventilated patients in the intensive care unit (ICU. There are little data regarding delirium among mechanically ventilated patients in Africa. We sought to determine the burden of delirium and associated factors in Uganda. Methods. We conducted a multicenter prospective study among mechanically ventilated patients in Uganda. Eligible patients were screened daily for delirium using the confusional assessment method (CAM-ICU. Comparisons were made using t-test, chi-squares, and Fisher’s exact test. Predictors were assessed using logistic regression. The level of statistical significance was set at P<0.05. Results. Of 160 patients, 81 (51% had delirium. Median time to onset of delirium was 3.7 days. At bivariate analysis, history of mental illness, sedation, multiorgan dysfunction, neurosurgery, tachypnea, low mean arterial pressure, oliguria, fevers, metabolic acidosis, respiratory acidosis, anaemia, physical restraints, marital status, and endotracheal tube use were significant predictors. At multivariable analysis, having a history of mental illness, sedation, respiratory acidosis, higher PEEP, endotracheal tubes, and anaemia predicted delirium. Conclusion. The prevalence of delirium in a young African population is lower than expected considering the high mortality. A history of mental illness, anaemia, sedation, endotracheal tube use, and respiratory acidosis were factors associated with delirium.

  2. A Barrel IFR Instrumented With Limited Streamer Tubes for BABAR Experiment

    International Nuclear Information System (INIS)

    Andreotti, M.; Ferrara U.; INFN, Ferrara

    2006-01-01

    The new barrel Instrumented Flux Return (IFR) of BABAR detector will be reported here. Limited Streamer Tubes (LSTs) have been chosen to replace the existing RPCs as active elements of the barrel IFR. The layout of the new detector will be discussed: in particular, a cell bigger than the standard one has been used to improve efficiency and reliability. The extruded profile is coated with a resistive layer of graphite having a typical surface resistivity between 0.2 and 0.4 MOhm/square. The tubes are assembled in modules and installed in 12 active layers of each sextant of the IFR detector. R and D studies to choose the final design and Quality Control procedure adopted during the tube production will be briefly discussed. Finally the performances of installed LSTs into 2/3 of IFR after 8 months of operations will be reported

  3. A Zirconium Dioxide Ammonia Microsensor Integrated with a Readout Circuit Manufactured Using the 0.18 μm CMOS Process

    Directory of Open Access Journals (Sweden)

    Ming-Zhi Yang

    2013-03-01

    Full Text Available The study presents an ammonia microsensor integrated with a readout circuit on-a-chip fabricated using the commercial 0.18 μm complementary metal oxide semiconductor (CMOS process. The integrated sensor chip consists of a heater, an ammonia sensor and a readout circuit. The ammonia sensor is constructed by a sensitive film and the interdigitated electrodes. The sensitive film is zirconium dioxide that is coated on the interdigitated electrodes. The heater is used to provide a working temperature to the sensitive film. A post-process is employed to remove the sacrificial layer and to coat zirconium dioxide on the sensor. When the sensitive film adsorbs or desorbs ammonia gas, the sensor produces a change in resistance. The readout circuit converts the resistance variation of the sensor into the output voltage. The experiments show that the integrated ammonia sensor has a sensitivity of 4.1 mV/ppm.

  4. Development of an environmentally friendly protective coating for the depleted uranium-0.75 wt% titanium alloy

    International Nuclear Information System (INIS)

    Roeper, Donald F.; Chidambaram, Devicharan; Clayton, Clive R.; Halada, Gary P.; Derek Demaree, J.

    2006-01-01

    Molybdenum oxide-based conversion coatings have been formed on the surface of the depleted uranium-0.75 wt% titanium alloy using either concentrated nitric acid or fluorides for surface activation prior to coating formation. The acid-activated surface forms a coating that offers corrosion protection after a period of aging, when uranium species have migrated to the surface. X-ray photoelectron spectroscopy (XPS) revealed that the protective coating is primarily a polymolybdate bound to a uranyl ion. Rutherford backscattering spectroscopy (RBS) on the acid-activated coatings also shows uranium dioxide migrating to the surface. The fluoride-activated surface does not form a protective coating and there are no uranium species on the surface as indicated by XPS. The coating on the fluoride-activated samples has been found to contain a mixture of molybdenum oxides of which the main component is molybdenum trioxide and a minor component of an Mo(V) oxide

  5. Non-chapped, vertically well aligned titanium dioxide nanotubes fabricated by electrochemical etching

    Science.gov (United States)

    Loan Nguyen, Thu; Dieu Thuy Ung, Thi; Liem Nguyen, Quang

    2014-06-01

    This paper reports on the fabrication of non-chapped, vertically well aligned titanium dioxide nanotubes (TONTs) by using electrochemical etching method and further heat treatment. Very highly ordered metallic titanium nanotubes (TNTs) were formed by directly anodizing titanium foil at room temperature in an electrolyte composed of ammonium fluoride (NH4F), ethylene glycol (EG), and water. The morphology of as-formed TNTs is greatly dependent on the applied voltage, NH4F content and etching time. Particularly, we have found two interesting points related to the formation of TNTs: (i) the smooth surface without chaps of the largely etched area was dependent on the crystalline orientation of the titanium foil; and (ii) by increasing the anodizing potential from 15 V to 20 V, the internal diameter of TNT was increased from about 50 nm to 60 nm and the tube density decreased from 403 tubes μm-2 down to 339 tubes μm-2, respectively. For the anodizing duration from 1 h to 5 h, the internal diameter of each TNT was increased from ˜30 nm to 60 nm and the tube density decreased from 496 tubes μm-2 down to 403 tubes μm-2. After annealing at 400 °C in open air for 1 h, the TNTs were transformed into TONTs in anatase structure; further annealing at 600 °C showed the structural transformation from anatase to rutile as determined by Raman scattering spectroscopy.

  6. Investigating the Inter-Tube Conduction Mechanism in Polycarbonate Nanocomposites Prepared with Conductive Polymer-Coated Carbon Nanotubes

    KAUST Repository

    Ventura, Isaac Aguilar; Zhou, Jian; Lubineau, Gilles

    2015-01-01

    such as damage-sensitive and history-dependent conductivity because their macroscopic electrical conductivity is largely determined by the tunneling effect at the tube/tube interface. To reduce these issues, new nanocomposites have been developed with CNTs

  7. PMEA polymer-coated PVC tubing maintains anti-thrombogenic properties during in vitro whole blood circulation

    NARCIS (Netherlands)

    Yoshizaki, T; Tabuchi, N; Van Oeveren, W; Shibamiya, A; Koyama, T; Sunamori, M

    Poly(2-methoxyethylacrylate) (PMEA) is a new coating material that appears to reduce protein and platelet adsorption. However, the exact performance of PMEA coated circuit remains to be revealed in well-controlled experiments. Therefore, we compared its hemocompatibility with covalent-bound

  8. Complete separation of the tube from the mask of a reusable classic laryngeal mask airway: a case report

    Directory of Open Access Journals (Sweden)

    Ali Shahriari

    2007-06-01

    Full Text Available

    The laryngeal mask airway (LMA is an important addition to the anesthetist's equipments. However, its usage may involve some complications. We have encountered an unusual and potentially serious complication using this equipment. A 45-year old man underwent cataract surgery under general anesthesia. After the induction of anesthesia, a size 4 of the reusable classic LMA was inserted without any difficulties and the cuff was inflated. After a little manipulation, the proximal tube of the LMA was separated from the distal part, leaving the distal mask inside the pharynx. The exit of the remaining portion of the LMA was very difficult and made the ventilation of the patient impossible. The patient’s oxygen saturation decreased to 40%. The remaining portion of the LMA was removed by a great clamp and with an extreme effort. Then, an endotracheal tube was inserted and the patient was ventilated with 100% oxygen. After 6 hours, the patient was discharged with no apparent complications. The autoclave was used several times for the sterilization of the LMA.

    KEY WORDS: Laryngeal mask airway, autoclave.

  9. VO2 /TiN Plasmonic Thermochromic Smart Coatings for Room-Temperature Applications.

    Science.gov (United States)

    Hao, Qi; Li, Wan; Xu, Huiyan; Wang, Jiawei; Yin, Yin; Wang, Huaiyu; Ma, Libo; Ma, Fei; Jiang, Xuchuan; Schmidt, Oliver G; Chu, Paul K

    2018-03-01

    Vanadium dioxide/titanium nitride (VO 2 /TiN) smart coatings are prepared by hybridizing thermochromic VO 2 with plasmonic TiN nanoparticles. The VO 2 /TiN coatings can control infrared (IR) radiation dynamically in accordance with the ambient temperature and illumination intensity. It blocks IR light under strong illumination at 28 °C but is IR transparent under weak irradiation conditions or at a low temperature of 20 °C. The VO 2 /TiN coatings exhibit a good integral visible transmittance of up to 51% and excellent IR switching efficiency of 48% at 2000 nm. These unique advantages make VO 2 /TiN promising as smart energy-saving windows. © 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  10. Percutaneous dilatational tracheostomy using the ETView Tracheoscopic Ventilation Tube®: a teaching course in a pig model.

    Science.gov (United States)

    Fiorelli, Alfonso; Ferraro, Fausto; Frongillo, Elisabetta; Fusco, Pierluigi; Pierdiluca, Matteo; Nagar, Francesca; Iuorio, Angela; Santini, Mario

    2017-10-01

    We planned a training course for trainees of different specialties with the aim of teaching the skills of a new procedure for performing percutaneous dilatational tracheostomy (PDT) with an ETView tracheoscopic ventilation tube instead of standard bronchoscopy in an ex vivo pig model. The endotracheal tube, with a camera-embedded tip, was used as an alternative to standard bronchoscopy for visualization of patient airways. The procedure was performed on a home-made animal model. The participants were asked to perform PDT in three different sessions to improve their dexterity. The primary endpoint was the reduction of complications seen during the different sessions of the training course. The secondary endpoint was the satisfaction of the participants as assessed by an anonymous survey. Thirty-seven residents in anesthesiology and 7 in thoracic surgery in the first 2 years of their training and without any confidence with percutaneous tracheostomy participated in the study. Tracheal cuff lesions and impalement of the tracheal tube were the most observed complications, and were concentrated in the early sessions. A significant reduction in complications and operative time was seen during the ongoing sessions of the course. No lesions of the posterior tracheal wall and only a ring fracture occurred during the last session of the course. All participants were satisfied with the course. Our course seems to confer the technical skills to perform percutaneous tracheostomy to trainees and instill confidence with the procedure. However, the experience acquired on a training course should be evaluated in clinical practice.

  11. MAPLE Fabricated Fe3O4@Cinnamomum verum Antimicrobial Surfaces for Improved Gastrostomy Tubes

    Directory of Open Access Journals (Sweden)

    Alina Georgiana Anghel

    2014-06-01

    Full Text Available Cinnamomum verum-functionalized Fe3O4 nanoparticles of 9.4 nm in size were laser transferred by matrix assisted pulsed laser evaporation (MAPLE technique onto gastrostomy tubes (G-tubes for antibacterial activity evaluation toward Gram positive and Gram negative microbial colonization. X-ray diffraction analysis of the nanoparticle powder showed a polycrystalline magnetite structure, whereas infrared mapping confirmed the integrity of C. verum (CV functional groups after the laser transfer. The specific topography of the deposited films involved a uniform thin coating together with several aggregates of bio-functionalized magnetite particles covering the G-tubes. Cytotoxicity assays showed an increase of the G-tube surface biocompatibility after Fe3O4@CV treatment, allowing a normal development of endothelial cells up to five days of incubation. Microbiological assays on nanoparticle-modified G-tube surfaces have proved an improvement of anti-adherent properties, significantly reducing both Gram negative and Gram positive bacteria colonization.

  12. Impact of chorioamnionitis on exhaled nitric oxide and endotracheal aspirate levels of nitrites-nitrates and interleukin-8 in mechanically ventilated preterm neonates.

    Science.gov (United States)

    Figueras-Aloy, Josep; Salvia-Roiges, Maria Dolors; Rodriguez-Miguélez, J Manuel; Miracle-Echegoyen, Xavier; Botet-Mussons, Francesc; Marín-Soria, J Luís; Carbonell-Estrany, Xavier

    2011-06-01

    To assess the influence of maternal chorioamnionitis on early exhaled nitric oxide (NO) and levels of nitrites-nitrates and interleukin (IL)-8 in endotracheal aspirate fluid in mechanically ventilated preterm neonates. Cross-sectional study. PATIENT-SUBJECT SELECTION: Between September 2007 and August 2009, 54 mechanically ventilated preterm neonates were included. Patients were divided into two groups according to the presence or absence of maternal chorioamnionitis, and those without chorioamnionitis (controls) were further stratified into two subgroups by birth weight nitrates were significantly higher in the chorioamnionitis group than in controls (3.6 vs. 1.07 µmol/L; P = 0.035). Nitrites-nitrates levels were positively correlated with exhaled NO in ppb (ρ = 0.367; P = 0.006). Minute exhaled endogenous NO was significantly higher in the chorioamnionitis group (0.48 vs. 0.27 nl/min/kg; P = 0.021). In mechanically ventilated preterm infants weighing nitrates in endotracheal aspirate fluid. Copyright © 2011 Wiley-Liss, Inc.

  13. Matrix effect on leaching of Bisphenol A diglycidyl ether (BADGE) from epoxy resin based inner lacquer of aluminium tubes into semi-solid dosage forms.

    Science.gov (United States)

    Lipke, Uwe; Haverkamp, Jan Boris; Zapf, Thomas; Lipperheide, Cornelia

    2016-04-01

    To study the impact of different semi-solid dosage form components on the leaching of Bisphenol A (BPA) and Bisphenol A diglycidyl ether (BADGE) from the epoxy resin-based inner lacquer of aluminium tubes, the tubes were filled with different matrix preparations and stored at an elevated temperature. Despite compliance with the European Standards EN 15348 and EN 15766 on porosity and polymerisation of internal coatings of aluminium tubes, the commercially available tubes used in the study contained an increased amount of polymerisation residues, such as unbound BPA, BADGE and BADGE derivatives in the lacquer, as determined by acetonitrile extraction. Storage of Macrogol ointments in these tubes resulted in an almost quantitative migration of the unbound polymerisation residues from the coating into the ointment. In addition, due to alterations observed in the RP-HPLC chromatograms of the matrix spiked with BADGE and BADGE derivatives it is supposed that the leachates can react with formulation components. The contamination of the medicinal product by BPA, BADGE and BADGE derivatives can be precluded by using aluminium tubes with an internal lacquer with a low degree of unbound polymerisation residues. Copyright © 2015 The Authors. Published by Elsevier B.V. All rights reserved.

  14. Boron-coated straws as a replacement for 3He-based neutron detectors

    International Nuclear Information System (INIS)

    Lacy, Jeffrey L.; Athanasiades, Athanasios; Sun, Liang; Martin, Christopher S.; Lyons, Tom D.; Foss, Michael A.; Haygood, Hal B.

    2011-01-01

    US and international government efforts to equip major seaports with large area neutron detectors, aimed to intercept the smuggling of nuclear materials, have precipitated a critical shortage of 3 He gas. It is estimated that the annual demand of 3 He for US security applications alone is more than the worldwide supply. This is strongly limiting the prospects of neutron science, safeguards, and other applications that rely heavily on 3 He-based detectors. Clearly, alternate neutron detection technologies that can support large sensitive areas, and have low gamma sensitivity and low cost must be developed. We propose a low-cost technology based on long copper tubes (straws), coated on the inside with a thin layer of 10 B-enriched boron carbide ( 10 B 4 C). In addition to the high abundance of boron on Earth and low cost of 10 B enrichment, the boron-coated straw (BCS) detector offers distinct advantages over conventional 3 He-based detectors, and alternate technologies such as 10 BF 3 tubes and 10 B-coated rigid tubes. These include better distribution inside moderator assemblies, many-times faster electronic signals, no pressurization, improved gamma-ray rejection, no toxic or flammable gases, and ease of serviceability. We present the performance of BCS detectors dispersed in a solid plastic moderator to address the need for portal monitoring. The design adopts the outer dimensions of currently deployed 3 He-based monitors, but takes advantage of the small BCS diameter to achieve a more uniform distribution of neutron converter throughout the moderating material. We show that approximately 63 BCS detectors, each 205 cm long, distributed inside the moderator, can match or exceed the detection efficiency of typical monitors fitted with a 5 cm diameter 3 He tube, 187 cm long, pressurized to 3 atm.

  15. Boron-coated straws as a replacement for 3He-based neutron detectors

    Science.gov (United States)

    Lacy, Jeffrey L.; Athanasiades, Athanasios; Sun, Liang; Martin, Christopher S.; Lyons, Tom D.; Foss, Michael A.; Haygood, Hal B.

    2011-10-01

    US and international government efforts to equip major seaports with large area neutron detectors, aimed to intercept the smuggling of nuclear materials, have precipitated a critical shortage of 3He gas. It is estimated that the annual demand of 3He for US security applications alone is more than the worldwide supply. This is strongly limiting the prospects of neutron science, safeguards, and other applications that rely heavily on 3He-based detectors. Clearly, alternate neutron detection technologies that can support large sensitive areas, and have low gamma sensitivity and low cost must be developed. We propose a low-cost technology based on long copper tubes (straws), coated on the inside with a thin layer of 10B-enriched boron carbide ( 10B 4C). In addition to the high abundance of boron on Earth and low cost of 10B enrichment, the boron-coated straw (BCS) detector offers distinct advantages over conventional 3He-based detectors, and alternate technologies such as 10BF 3 tubes and 10B-coated rigid tubes. These include better distribution inside moderator assemblies, many-times faster electronic signals, no pressurization, improved gamma-ray rejection, no toxic or flammable gases, and ease of serviceability. We present the performance of BCS detectors dispersed in a solid plastic moderator to address the need for portal monitoring. The design adopts the outer dimensions of currently deployed 3He-based monitors, but takes advantage of the small BCS diameter to achieve a more uniform distribution of neutron converter throughout the moderating material. We show that approximately 63 BCS detectors, each 205 cm long, distributed inside the moderator, can match or exceed the detection efficiency of typical monitors fitted with a 5 cm diameter 3He tube, 187 cm long, pressurized to 3 atm.

  16. A simple, high-yield, apparatus for NEG coating of vacuum beamline elements

    International Nuclear Information System (INIS)

    Ron, G; Oort, R; Lee, D

    2010-01-01

    Non-Evaporable Getter (NEG) materials are extremely useful in vacuum systems for achieving Ultra High Vacuum. Recently, these materials have been used to coat the inner surfaces of vacuum components, acting as an internal, passive, vacuum pump. We have constructed a low cost apparatus, which allows coating of very small diameter vacuum tubes, used as differential pumping stages. Despite the relative ease of construction, we are routinely able to achieve high coating yields. We further describe an improvement to our system, which is able to achieve the same yield, at an even lower complexity by using an easily manufactured permanent magnet arrangement. The designs described are extendible to virtually any combination of length and diameter of the components to be coated.

  17. Airway accidents in critical care unit: A 3-year retrospective study in a Public Teaching Hospital of Eastern India

    Science.gov (United States)

    Dasgupta, Sugata; Singh, Shipti Shradha; Chaudhuri, Arunima; Bhattacharya, Dipasri; Choudhury, Sourav Das

    2016-01-01

    Background: Although tracheal tubes are essential devices to control and protect airway in a critical care unit (CCU), they are not free from complications. Aims: To document the incidence and nature of airway accidents in the CCU of a government teaching hospital in Eastern India. Methods: Retrospective analysis of all airway accidents in a 5-bedded (medical and surgical) CCU. The number, types, timing, and severity of airway accidents were analyzed. Results: The total accident rate was 19 in 233 intubated and/or tracheostomized patients over 1657 tube days (TDs) during 3 years. Fourteen occurred in 232 endotracheally intubated patients over 1075 endotracheal tube (ETT) days, and five occurred in 44 tracheostomized patients over 580 tracheostomy TDs. Fifteen accidents were due to blocked tubes. Rest four were unplanned extubations (UEs), all being accidental extubations. All blockages occurred during night shifts and all UEs during day shifts. Five accidents were mild, the rest moderate. No major accident led to cardiorespiratory arrest or death. All blockages occurred after 7th day of intubation. The outcome of accidents were more favorable in tracheostomy group compared to ETT group (P = 0.001). Conclusions: The prevalence of airway accidents was 8.2 accidents per 100 patients. Blockages were the most common accidents followed by UEs. Ten out of the 15 blockages and all 4 UEs were in endotracheally intubated patients. Tracheostomized patients had 5 blockages and no UEs. PMID:27076709

  18. High Surface Area Nanoporous Ti02 Coating for Effective Water Condensation.

    Science.gov (United States)

    Kaynar, Mehmet; McGarity, Mark; Yassitepe, Emre; Shah, S.

    2013-03-01

    A water collection device utilizing nanoparticles has been researched, towards the possible goal of providing water in much needed areas on Earth. Titanium dioxide nanoparticles were spray coated on stainless steel substrates to measure their effect on atmospheric water condensation. A simple thermoelectric cooler, also called a Peltier device, was used to lower the temperature of the coated and uncoated stainless steel substrates to below the dew point temperature of the surrounding air. The thickness of the spray coating was varied to measure its effect on water condensation. This increase in surface area had a direct effect on the amount of water condensed. Compared with bare stainless steel, the TiO2 spray coated stainless steel had a considerably smaller contact angle of H20 droplets. In addition, the super-hydrophilic properties of TiO2 allowed water to flow more easily off the device. Supported by TUBITAK-BIDEB 2214-Abroad Research Scholarship program.

  19. Superelastic NiTi memory alloy micro-tube under tension - nucleation and propagation of martensite band

    International Nuclear Information System (INIS)

    Li, Z.Q.; Sun, Q.P.

    2000-01-01

    The superelastic behavior of polycrystalline NiTi shape memory alloy micro-tube under tension is studied experimentally. The nominal stress-strain curve of the micro-tube is recorded. By using a special surface coating it is found that the deformation of the tube is via the nucleation and propagation of stress-induced martensite band. The experiments show that the martensite nucleates in the form of a spiral lens-shaped narrow band that is inclined at 61 to the axis of loading when the stress reaches the peak of stress-strain curve. The width and the length of the band grew gradually with increase of loading and finally joined and merged into a single band. The subsequent deformation of the tube is realized by the propagation of this cylindrical martensite band. (orig.)

  20. Parameter optimization for Ag-coated TiO2 nanotube arrays as recyclable SERS substrates

    Science.gov (United States)

    Sun, Yuyang; Yang, Lulu; Liao, Fan; Dang, Qian; Shao, Mingwang

    2018-06-01

    The Ag-coated titanium dioxide nanotube arrays (Ag-coated TNTs) are obtained via the deposition of Ag nanoparticles on the two-step anodized TNTs. The wall thickness of TNTs is modulated via finite difference time domain simulation to get the favorable electromagnetic field for surface enhanced Raman scattering (SERS). Ag-coated TNTs with optimal wall thickness of 20 nm were employed as the SERS substrates to detect 2-mercaptobenzoxazole, which show superior detection sensitivity and uniformity. In addition, due to the photocatalysis of TNTs, the SERS substrates could clean themselves and be repeatedly used by photo-degradation of target molecules under the ultra-violet irradiation. The Ag-coated TNTs are a kind of bifunctional SERS substrates which can produce high-quality SERS signals and reuse to reduce the cost.