Effects of a Rapid Response Team on the Clinical Outcomes of Cardiopulmonary Resuscitation of Patients Hospitalized in General Wards

Purpose: This study investigated differences in the clinical outcomes of cardiopulmonary resuscitation (CPR) of patients hospitalized in general wards according to the operation of a rapid response team.Methods: This retrospective study included 122 patients over the age of 19 who were admitted to general ward of a hospital located in Suwon, between July 1, 2015 and December 31, 2019, and received CPR during the operating hours of the rapid response team. The collected data were analyzed by descriptive statistics, the x2 test, Fisher's exact test, and one-way analysis of variance using SPSS for Windows version 25.0.Results: The proportion of nurses who were the initial responders to cardiac arrest was 79.1% during the extended-operation period. 41.2% during the pre-operation period, and 42.2% during the limited-operation period (p<.001). The rate of good neurological recovery at discharge post-CPR was 25.0% in patients who received CPR during the pre-operation period, 36.4% during the limited-operation period, and 87.5% during the extended-operation period (p=.042).Conclusion: This study identified clinical outcomes in patients who received CPR according to the operation status of the rapid response team. These results are expected to help in the further implementation of rapid response teams.

A highly stable, nanotube-enhanced, CMOS-MEMS thermal emitter for mid-IR gas sensing

The gas sensor market is growing fast, driven by many socioeconomic and industrial factors. Mid-infrared (MIR) gas sensors offer excellent performance for an increasing number of sensing applications in healthcare, smart homes, and the automotive sector. Having access to low-cost, miniaturized, energy efficient light sources is of critical importance for the monolithic integration of MIR sensors. Here, we present an on-chip broadband thermal MIR source fabricated by combining a complementary metal oxide semiconductor (CMOS) micro-hotplate with a dielectric-encapsulated carbon nanotube (CNT) blackbody layer. The micro-hotplate was used during fabrication as a micro-reactor to facilitate high temperature (>700 $$^{\circ }$$ ∘ C) growth of the CNT layer and also for post-growth thermal annealing. We demonstrate, for the first time, stable extended operation in air of devices with a dielectric-encapsulated CNT layer at heater temperatures above 600 $$^{\circ }$$ ∘ C. The demonstrated devices exhibit almost unitary emissivity across the entire MIR spectrum, offering an ideal solution for low-cost, highly-integrated MIR spectroscopy for the Internet of Things.

Estimation and Error Analysis for Optomechanical Inertial Sensors

A sensor model and methodology to estimate the forcing accelerations measured using a novel optomechanical inertial sensor with the inclusion of stochastic bias and measurement noise processes is presented. A Kalman filter for the estimation of instantaneous sensor bias is developed; the outputs from this calibration step are then employed in two different approaches for the estimation of external accelerations applied to the sensor. The performance of the system is demonstrated using simulated measurements and representative values corresponding to a bench-tested 3.76 Hz oscillator. It is shown that the developed methods produce accurate estimates of the bias over a short calibration step. This information enables precise estimates of acceleration over an extended operation period. These results establish the feasibility of reliably precise acceleration estimates using the presented methods in conjunction with state of the art optomechanical sensing technology.

Safety considerations and time constant determined extended operations for fuel cell-powered aircrafts

Proton exchange membrane fuel cells (PEMFC) are seen to be promising for achieving the transformation from traditional aircrafts to All Electric aircrafts (AEA). While several field studies already proved the feasibility of a fuel cell-powered aircraft, the limiting factor for the implementation in the civilian aircraft sector is widely thought to be the specific power of the fuel cell system. Moreover, potentially, this specific power is notably affected by the aviation safety code. This study aims to quantify and relieve this effect by introducing a novel extended operation strategy. This strategy takes advantage of the degradation time constants of the fuel cell system in case of sub-system failure. The results show the great influence of the aviation certification code on system specific power. The extended operation strategy seems working notably. However, for practical implementation, individual failure probabilities on a component level need to be studied more extensively.

A highly stable, nanotube-enhanced, CMOS-MEMS thermal emitter for mid-IR gas sensing

The gas sensor market is growing fast, driven by many socioeconomic and industrial factors. Mid-infrared (MIR) gas sensors offer excellent performance for an increasing number of sensing applications in healthcare, smart homes, and the automotive sector. Having access to low-cost, miniaturized, energy efficient light sources is of critical importance for the monolithic integration of MIR sensors. Here, we present an on-chip broadband thermal MIR source fabricated by combining a complementary metal oxide semiconductor (CMOS) micro-hotplate with a dielectric-encapsulated carbon nanotube (CNT) blackbody layer. The micro-hotplate was used during fabrication as a micro-reactor to facilitate high temperature (>700 • C) growth of the CNT layer and also for post-growth thermal annealing. We demonstrate, for the first time, stable extended operation in air of devices with a dielectric-encapsulated CNT layer at heater temperatures above 600 • C. The demonstrated devices exhibit almost unitary emissivity across the entire MIR spectrum, offering an ideal solution for low-cost, highly-integrated MIR spectroscopy for the Internet of Sensors.

In-Service Inspection of Extended Dry Storage of Spent Nuclear Fuel, Part I: Crawler Technology Development

This paper describes development and demonstration of remote crawling systems to support periodic examinations of interim dry storage system (DSS) canisters for spent nuclear fuel in the USA. Specifically, this work relates to robotic crawler developments for “canister” based DSS systems, which form the majority population of DSSs in the USA for interim storage of spent nuclear fuel. Consideration of potential degradation of the welded stainless-steel canister in these systems is required for continued usage in the period of extended operation (PEO) beyond their initial licensed or certified terms. Challenges with performing the periodic examinations are associated with physical access to the canister surface, which is constrained due to narrow annulus spaces between the canister and the overpack, tortuous entry pathways, and high temperatures and radiation doses that can be damaging to materials and electronics. Motivations for performing periodic examinations and developing robotic crawlers for performing those examinations remotely will be presented, and several activities to demonstrate robotic crawlers for different DSS systems are summarized.

Modeling Control and Robustness Assessment of Multilevel Flying-Capacitor Converters

When performing AC/DC-DC/AC power conversions, multilevel converters provide several advantages as compared to classical two-level converters. This paper deals with the dynamic modeling, control, and robustness assessment of multilevel flying-capacitor converters. The dynamic model is derived using the Power-Oriented Graphs modeling technique, which provides the user with block schemes that are directly implementable in the Matlab/Simulink environment by employing standard Simulink libraries. The performed robustness assessment has led to the proposal of a divergence index, which allows for evaluating the voltage balancing capability of the converter using different voltage vector configurations for the extended operation of the converter, namely when the number of output voltage levels is increased for a given number of capacitors. A new variable-step control algorithm is then proposed. The variable-step control algorithm safely enables the converter extended operation, which prevents voltage balancing issues, even under particularly unfavorable conditions, such as a constant desired output voltage or a sudden load change. The simulation results showing the good performances of the proposed variable-step control as compared to a classical minimum distance approach are finally provided and commented in detail.

Reconstruction of Pretibial Defect Using Bone-Anchored Advancement Flap

While free flaps have been widely used for reconstruction of pretibial defects, the extended operation times are known to be a major drawback. This report presents a case of successful lower leg reconstruction for a large pretibial defect with a bone-anchored advancement flap and split-thickness skin graft. A 59-year-old female patient underwent wide excision of sarcoma on the pretibial area. The skin defect measured 14×6 cm with a 10×2 cm exposure of the tibia in the medial aspect of the defect. An advancement flap was elevated from the medial side of the tibia to cover the exposed bone. The bone defect was reconstructed by the advancement flap with the aid of an anchoring suture to the tibia. Remaining defect with exposed muscles was covered using split-thickness skin graft. No immediate postoperative complication developed. One year after the operation, well-contoured reconstruction was achieved without functional morbidities. In reconstruction of pretibial defects, bone-anchored advancement flap can be considered in patients who are reluctant to or have risk factors for free flap reconstruction.

Compact Quantum Magnetometer System on an Agile Underwater Glider

This paper presents results from the integration of a compact quantum magnetometer system and an agile underwater glider for magnetic survey. A highly maneuverable underwater glider, ROUGHIE, was customized to carry an increased payload and reduce the vehicle’s magnetic signature. A sensor suite composed of a vector and scalar magnetometer was mounted in an external boom at the rear of the vehicle. The combined system was deployed in a constrained pool environment to detect seeded magnetic targets and create a magnetic map of the test area. Presented is a systematic magnetic disturbance reduction process, test procedure for anomaly mapping, and results from constrained operation featuring underwater motion capture system for ground truth localization. Validation in the noisy and constrained pool environment creates a trajectory towards affordable littoral magnetic anomaly mapping infrastructure. Such a marine sensor technology will be capable of extended operation in challenging areas while providing high-resolution, timely magnetic data to operators for automated detection and classification of marine objects.