A high‐efficiency MUF method benefits postoperative hemodynamic stability and oxygen delivery in neonates with transposition of great arteries

Background: A number of adverse effects are associated with the use of cardiopulmonary bypass (CPB) in pediatric patients undergoing cardiac surgery. Pulmonary compliance and gas exchange are decreased, and myocardial edema may result in diastolic dysfunction. Modified ultrafiltration (MUF) after CPB in children decreases body water, removes inflammatory mediators, improves hemodynamics, and decreases transfusion requirements. Purpose: To determine the factors that influence cerebral tissue oxygenation during MUF. Pediatric patients received the usual treatment, with MUF times from 10 to 19 min, as determined by circuit volume and patient hemodynamic stability. Results: Preliminary results in five patients with arterial saturation >95% during MUF demonstrates four predictors of cerebral oxygenation, using stepwise multiple linear regression with cerebral oxygen saturation as the dependant variable. In order of significance, they are pCO2, ultrafiltration flow rate, mean arterial pressure, and hematocrit. Conclusions: The results of this study will be used to determine the optimal performance of MUF. Maximizing cerebral oxygen delivery during this early post-bypass period is extremely important, and identifying the factors responsible for increased cerebral oxygen delivery during MUF allows the clinician to make the appropriate changes necessary to achieve this.

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Optimizing oxygen delivery in sepsis: A review

10.25259/aujmsr_4_2019 ◽

2019 ◽

Vol 1 ◽

pp. 8-15

Author(s):

Minnu M. Panditrao ◽

Mridul M. Panditrao

Keyword(s):

Multiple Organ Failure ◽

Mitochondrial Dysfunction ◽

Organ Failure ◽

Respiratory Chain ◽

Oxygen Delivery ◽

Mitochondrial Respiratory Chain ◽

Cellular Level ◽

Multiple Organ ◽

Hemodynamic Stability ◽

Therapeutic Modalities

Multiple organ failure syndrome (MOFS) is a hallmark of sepsis. The continued dysfunction of microvascular perfusion has been implicated as the inciting factor for this. Multiple etiopathological factors are involved in producing this disequilibrium in the demand, supply, and extraction of oxygen as a result of derecruitment of microcirculation. This is further complicated by mitochondrial dysfunction in the form of the inhibition of mitochondrial respiratory chain of enzymes, leading to difficulty in extraction of the oxygen at the cellular level. Eventually, although hemodynamic stability of systemic/macrovascular circulation may have been achieved, the process of deficient and defective delivery of oxygen to the tissues goes on relentlessly. The indicators and monitoring of this process of impairment of oxygen delivery (DO2) have been discussed in this review. In addition, the review also encompasses various therapeutic modalities and their efficacy, based on the evidence. The latest guidelines regarding optimizing the DO2 in sepsis are also included here.

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Microcalorimeters for X-Ray Spectroscopy

International Astronomical Union Colloquium ◽

10.1017/s0252921100107365 ◽

1988 ◽

Vol 102 ◽

pp. 41

Author(s):

E. Silver ◽

C. Hailey ◽

S. Labov ◽

N. Madden ◽

D. Landis ◽

...

Keyword(s):

High Resolution ◽

High Efficiency ◽

Thermal Response ◽

Low Noise ◽

High Resolution Spectroscopy ◽

Superconducting Transition ◽

Sapphire Substrates ◽

Laboratory Plasmas ◽

Adiabatic Demagnetization ◽

Theoretical Predictions

The merits of microcalorimetry below 1°K for high resolution spectroscopy has become widely recognized on theoretical grounds. By combining the high efficiency, broadband spectral sensitivity of traditional photoelectric detectors with the high resolution capabilities characteristic of dispersive spectrometers, the microcalorimeter could potentially revolutionize spectroscopic measurements of astrophysical and laboratory plasmas. In actuality, however, the performance of prototype instruments has fallen short of theoretical predictions and practical detectors are still unavailable for use as laboratory and space-based instruments. These issues are currently being addressed by the new collaborative initiative between LLNL, LBL, U.C.I., U.C.B., and U.C.D.. Microcalorimeters of various types are being developed and tested at temperatures of 1.4, 0.3, and 0.1°K. These include monolithic devices made from NTD Germanium and composite configurations using sapphire substrates with temperature sensors fabricated from NTD Germanium, evaporative films of Germanium-Gold alloy, or material with superconducting transition edges. A new approache to low noise pulse counting electronics has been developed that allows the ultimate speed of the device to be determined solely by the detector thermal response and geometry. Our laboratory studies of the thermal and resistive properties of these and other candidate materials should enable us to characterize the pulse shape and subsequently predict the ultimate performance. We are building a compact adiabatic demagnetization refrigerator for conveniently reaching 0.1°K in the laboratory and for use in future satellite-borne missions. A description of this instrument together with results from our most recent experiments will be presented.

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Imaging and diffraction modes in Scanning Transmission Electron Microscopy

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100144814 ◽

1986 ◽

Vol 44 ◽

pp. 684-687

Author(s):

J. M. Cowley ◽

R. Glaisher ◽

J. A. Lin ◽

H.-J. Ou

Keyword(s):

Scanning Transmission Electron Microscopy ◽

High Efficiency ◽

Fiber Optic ◽

Image Intensifier ◽

Detector System ◽

Detector Plane ◽

Secondary Electrons ◽

Transmission Electron ◽

Scanning Transmission ◽

Special Detector

Some of the most important applications of STEM depend on the variety of imaging and diffraction made possible by the versatility of the detector system and the serial nature, of the image acquisition. A special detector system, previously described, has been added to our STEM instrument to allow us to take full advantage of this versatility. In this, the diffraction pattern in the detector plane may be formed on either of two phosphor screens, one with P47 (very fast) phosphor and the other with P20 (high efficiency) phosphor. The light from the phosphor is conveyed through a fiber-optic rod to an image intensifier and TV system and may be photographed, recorded on videotape, or stored digitally on a frame store. The P47 screen has a hole through it to allow electrons to enter a Gatan EELS spectrometer. Recently a modified SEM detector has been added so that high resolution (10Å) imaging with secondary electrons may be used in conjunction with other modes.

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Influence of MBE Growth Conditions on Dislocation Densities of GaAs/Ge Epilayers Grown on Silicon Substrates

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100118692 ◽

1985 ◽

Vol 43 ◽

pp. 364-365

Author(s):

K.M. Hones ◽

P. Sheldon ◽

B.G. Yacobi ◽

A. Mason

Keyword(s):

High Efficiency ◽

Lattice Mismatch ◽

Low Cost ◽

Growth Conditions ◽

Nonradiative Recombination ◽

Device Structure ◽

Si Substrates ◽

Transmission Electron ◽

Dislocation Densities ◽

Dislocation Type

There is increasing interest in growing epitaxial GaAs on Si substrates. Such a device structure would allow low-cost substrates to be used for high-efficiency cascade- junction solar cells. However, high-defect densities may result from the large lattice mismatch (∼4%) between the GaAs epilayer and the silicon substrate. These defects can act as nonradiative recombination centers that can degrade the optical and electrical properties of the epitaxially grown GaAs. For this reason, it is important to optimize epilayer growth conditions in order to minimize resulting dislocation densities. The purpose of this paper is to provide an indication of the quality of the epitaxially grown GaAs layers by using transmission electron microscopy (TEM) to examine dislocation type and density as a function of various growth conditions. In this study an intermediate Ge layer was used to avoid nucleation difficulties observed for GaAs growth directly on Si substrates. GaAs/Ge epilayers were grown by molecular beam epitaxy (MBE) on Si substrates in a manner similar to that described previously.

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The use of high-resolution FESEM to study solid-state phase transformations and reactions

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100172875 ◽

1994 ◽

Vol 52 ◽

pp. 1028-1029

Author(s):

P. G. Kotula ◽

D. D. Erickson ◽

C. B. Carter

Keyword(s):

Solid State ◽

High Resolution ◽

Phase Transformations ◽

High Efficiency ◽

Sol Gel ◽

Quantitative Information ◽

Solid State Reactions ◽

Critical Dimensions ◽

Backscattered Electrons ◽

Backscattered Electron

High-resolution field-emission-gun scanning electron microscopy (FESEM) has recently emerged as an extremely powerful method for characterizing the micro- or nanostructure of materials. The development of high efficiency backscattered-electron detectors has increased the resolution attainable with backscattered-electrons to almost that attainable with secondary-electrons. This increased resolution allows backscattered-electron imaging to be utilized to study materials once possible only by TEM. In addition to providing quantitative information, such as critical dimensions, SEM is more statistically representative. That is, the amount of material that can be sampled with SEM for a given measurement is many orders of magnitude greater than that with TEM.In the present work, a Hitachi S-900 FESEM (operating at 5kV) equipped with a high-resolution backscattered electron detector, has been used to study the α-Fe2O3 enhanced or seeded solid-state phase transformations of sol-gel alumina and solid-state reactions in the NiO/α-Al2O3 system. In both cases, a thin-film cross-section approach has been developed to facilitate the investigation. Specifically, the FESEM allows transformed- or reaction-layer thicknesses along interfaces that are millimeters in length to be measured with a resolution of better than 10nm.

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Interlayer confinement synthesis of Ir nanodots/dual carbon as an electrocatalyst for overall water splitting

Journal of Materials Chemistry A ◽

10.1039/d0ta09358k ◽

2020 ◽

Author(s):

Yaru Li ◽

Yu-Quan Zhu ◽

Weili Xin ◽

Song Hong ◽

Xiaoying Zhao ◽

...

Keyword(s):

Water Splitting ◽

Noble Metal ◽

High Efficiency ◽

Overall Water Splitting ◽

Highly Dispersed

Rationally designing low-content and high-efficiency noble metal nanodots offers opportunities to enhance electrocatalytic performances for water splitting. However, the preparation of highly dispersed nanodots electrocatalysts remains a challenge. Herein, we...

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The biochemistry of drugs and doping methods used to enhance aerobic sport performance

Essays in Biochemistry ◽

10.1042/bse0440063 ◽

2008 ◽

Vol 44 ◽

pp. 63-84 ◽

Cited By ~ 7

Author(s):

Chris E. Cooper

Keyword(s):

Oxygen Uptake ◽

Oxygen Content ◽

Oxygen Delivery ◽

Sport Performance ◽

Blood Substitutes ◽

Altitude Training ◽

Blood Oxygen ◽

Oxygen Carriers ◽

Sports Performance ◽

Blood Doping

Optimum performance in aerobic sports performance requires an efficient delivery to, and consumption of, oxygen by the exercising muscle. It is probable that maximal oxygen uptake in the athlete is multifactorial, being shared between cardiac output, blood oxygen content, muscle blood flow, oxygen diffusion from the blood to the cell and mitochondrial content. Of these, raising the blood oxygen content by raising the haematocrit is the simplest acute method to increase oxygen delivery and improve sport performance. Legal means of raising haematocrit include altitude training and hypoxic tents. Illegal means include blood doping and the administration of EPO (erythropoietin). The ability to make EPO by genetic means has resulted in an increase in its availability and use, although it is probable that recent testing methods may have had some impact. Less widely used illegal methods include the use of artificial blood oxygen carriers (the so-called ‘blood substitutes’). In principle these molecules could enhance aerobic sports performance; however, they would be readily detectable in urine and blood tests. An alternative to increasing the blood oxygen content is to increase the amount of oxygen that haemoglobin can deliver. It is possible to do this by using compounds that right-shift the haemoglobin dissociation curve (e.g. RSR13). There is a compromise between improving oxygen delivery at the muscle and losing oxygen uptake at the lung and it is unclear whether these reagents would enhance the performance of elite athletes. However, given the proven success of blood doping and EPO, attempts to manipulate these pathways are likely to lead to an ongoing battle between the athlete and the drug testers.

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Prime Mover of High Efficiency—I

Scientific American ◽

10.1038/scientificamerican09271919-204supp ◽

1919 ◽

Vol 88 (2282supp) ◽

pp. 204-205

Author(s):

Frank E. D. Acland

Keyword(s):

High Efficiency ◽

Prime Mover

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