Reliability Analysis for Unrepairable Automotive Components

The analysis of the reliability parameters of a technical object and the determination of the change in the reliability of the object over time, requires the knowledge of the functional characteristics and reliability parameters of the elements included in a system. On the basis of the failure data of the selected element of the object, in this case the vehicle, it is possible to determine the average working time to failure of the element and the appropriate form of distribution that characterizes the reliability and durability parameters of the tested element. The main purpose of the research presented in the article was to develop a method of assessing the reliability of an electronic component of a vehicle-a boot lid contactor. This paper also presents three possible methods of repairing the boot lid contactor (sealing the housing with adhesive with better way, replacing the element with a new one or the most time-consuming solution, changing the shape of the boot lid). The authors also decided to determine the reliability and cost parameters that will allow preventive replacement of this element. The tests were carried out on a fleet of 61 vehicles of the same model, but with different body structures. Contactor failures were reported in 41 cases, of which 29 were in the hatchback construction and 12 in the estate type. The analysis of the distribution selection for the tested part of the passenger car-the boot lid contactor-was performed using the Likelihood Value (LKV) test to determine the rank of distributions. Also the maximum likelihood (MLE) method was used to estimate the distribution parameters. The three-parameter Weibull distribution was the best-fitted distribution in both cases. It was clearly defined that one model of car with two different types of body have vastly different reliability characteristic. Based on the reliability characteristic and parameters, the appropriate preventive actions can be taken, minimizing the risk of damage, thus avoiding financial losses and guaranteeing an appropriate level of vehicle safety.     

Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges

Surgeries for gastrointestinal tract malignancies are based on the paradigm that we should remove the tumour together with its lymphatic drainage in one block. This concept was initially proposed in rectal surgery and called a total mesorectal excision. This procedure gained much interest and has improved oncological results in rectal cancer surgery. The same idea for mesogastric and complete mesogastric excisions was proposed but, because of the complexity of the gastric mesentery, it has not become a standard technique. In this review, we analysed anatomical and embryological factors, proposed technical aspects of this operation and incorporated the available initial results of this concept. We also discussed analogies to other gastrointestinal organs, as well as challenges to this concept.     

Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis

BackgroundThe present meta-analysis of clinical and simulation trials aimed to compare video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation (V-DACPR) with conventional audio-instructed dispatcher-assisted bystander cardiopulmonary resuscitation (C-DACPR).MethodsWe searched PubMed, Embase, Web of Science, Cochrane Collaboration databases and Scopus from inception until June 10, 2021. The primary outcomes were the prehospital return of spontaneous circulation (ROSC), survival to hospital discharge, and survival to hospital discharge with a good neurological outcome for clinical trials, and chest compression quality for simulation trials. Odds ratios (ORs) and mean differences (MDs) with 95% confidence intervals (CIs) indicated the pooled effect. The analyses were performed with the RevMan 5.4 and STATA 14 software.ResultsOverall, 2 clinical and 8 simulation trials were included in this meta-analysis. In clinical trials, C-DACPR and V-DACPR were characterised by, respectively, 11.8% vs. 24.3% of prehospital ROSC (OR = 0.46; 95% CI: 0.30, 0.69; I² = 66%; p < .001), 10.7% vs. 22.3% of survival to hospital discharge (OR = 0.46; 95% CI: 0.30, 0.70; I² = 69%; p < .001), and 6.3% vs. 16.0% of survival to hospital discharge with a good neurological outcome (OR = 0.39; 95% CI: 0.23, 0.67; I² = 73%; p < .001). In simulation trials, chest compression rate per minute equalled 91.3 ± 22.6 for C-DACPR and 107.8 ± 12.6 for V-DACPR (MD = −13.40; 95% CI: −21.86, −4.95; I² = 97%; p = .002). The respective values for chest compression depth were 38.7 ± 14.3 and 41.8 ± 12.5 mm (MD = −2.67; 95% CI: −8.35, 3.01; I² = 98%; p = .36).ConclusionsAs compared with C-DACPR, V-DACPR significantly increased prehospital ROSC and survival to hospital discharge. Under simulated resuscitation conditions, V-DACPR exhibited a higher rate of adequate chest compressions than C-DACPR.

Key messages

• Bystander cardiopulmonary resuscitation parameters significantly depend on the dispatcher’s support and the manner of the support provided.
• Video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation can increase the rate of prehospital return of spontaneous circulation and survival to hospital discharge.
• Video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation improves the quality of chest compressions compared with dispatcher-assisted resuscitation without video instruction.

     

Higher plasma asparaginase activity after intramuscular than intravenous Erwinia asparaginase

It is unclear if dosing intervals for Erwinase can be extended with intramuscular (i.m.) versus intravenous (i.v.) dosing. Children with acute lymphoblastic leukemia received Erwinase at 30 000‐42 000 IU/m² i.v. or i.m. I.m. Erwinase (n = 22) achieved activity above 0.1 IU/mL for longer than i.v. Erwinase (n = 33) (3.4 vs 2.9 days, P = 0.0007). With 30 000 IU/m² Monday, Wednesday, Friday, more patients achieved adequate concentrations over the weekend with i.m. vs i.v. dosing (P = 5 × 10^?36). A schedule with i.v. doses on Monday and Wednesday and i.m. doses on Friday of 30 000 IU/m² maintained activity > 0.1 IU/mL over the weekend in 80% of patients.     

Team approach: Management of osteonecrosis in children with acute lymphoblastic leukemia

With current treatments for acute lymphoblastic leukemia (ALL), the overall prognosis for survival is favorable. Increasing emphasis is placed on recognizing and managing the long‐term consequences of ALL and its treatment, particularly involving osteonecrosis. Early osteonecrosis diagnosis and management may improve outcomes and is best accomplished through coordinated teams that may include hematologic oncologists, radiologists, orthopedic surgeons, physical therapists, and the patient and their family. Magnetic resonance imaging is the “gold standard” for diagnosis of early‐stage and/or multifocal osteonecrosis. Treatments for osteonecrosis in ALL patients are risk stratified and may include observation, corticosteroid or chemotherapy adjustment, and pharmaceutical or surgical approaches.     

Differential Analysis of Volumetric Strain Method Characterization in the Context of Phase Change of Water in Carbonate Rocks

Modernized technological processes or increasing demands on building materials force the scientific community to analyze in more detail the suitability of individual raw materials and deposits. New or modernized research methodologies make it possible to better understand not only the geometrical structure of the pore space of materials but also the processes taking place in them and the interaction of many factors at the same time. Despite the extensive literature in the field of research on capillary-porous materials, scientists still face many challenges because not everything is known. Carbonate rocks are the most common (one-tenth of Earth’s crust) sedimentary rocks. Analysis of the test results obtained with the use of the modernized differentia analysis of volumetric strain (DAVS) methodology allows for a better adjustment of rock deposits to the products that can be produced from them. In this manner, it is possible that it will contribute to a more rational use of exhaustible rock deposits and not only carbonate ones. This research subject is of great importance for modern science, which was also noted in many of science publications.     

Bacterial Nanocellulose Fortified with Antimicrobial and Anti-Inflammatory Natural Products from Chelidonium majus Plant Cell Cultures

In this work we developed a bi-functional Bacterial-Nano-Cellulose (BNC) carrier system for cell cultures of Chelidonium majus—a medicinal plant producing antimicrobial compounds. The porous BNC was biosynthesized for 3, 5 or 7 days by the non-pathogenic Komagataeibacter xylinus bacteria and used in three forms: (1) Without removal of K. xylinus cells, (2) partially cleaned up from the remaining K. xylinus cells using water washing and (3) fully purified with NaOH leaving no bacterial cells remains. The suspended C. majus cells were inoculated on the BNC pieces in liquid medium and the functionalized BNC was harvested and subjected to scanning electron microscopy observation and analyzed for the content of C. majus metabolites as well as to antimicrobial assays and tested for potential proinflammatory irritating activity in human neutrophils. The highest content and the most complex composition of pharmacologically active substances was found in 3-day-old, unpurified BNC, which was tested for its bioactivity. The assays based on the IL-1β, IL-8 and TNF-α secretion in an in vitro model showed an anti-inflammatory effect of this particular biomatrix. Moreover, 3-day-old-BNC displayed antimicrobial and antibiofilm activity against Staphylococcus aureus, Pseudomonas aeruginosa and Candida albicans. The results of the research indicated a possible application of such modified composites, against microbial pathogens, especially in local surface infections, where plant metabolite-enriched BNC may be used as the occlusive dressing.     

In-Plane Strain Measurement in Composite Structures with Fiber Bragg Grating Written in Side-Hole Elliptical Core Optical Fiber

In this paper, the application of a fiber Bragg grating written in a highly birefringent side-hole elliptical core optical fiber for two-axial strain measurement is presented. Hybrid optical fiber structures achieved by combining large side-holes and elliptical core result in a very high birefringence of 1 × 10⁻³ and thus high initial Bragg peak spectral separation of 1.16 nm, as well as a very high transverse force sensitivity, of up to 650 pm/(N/mm) or even −1150 pm/(N/mm), depending on the fiber orientation with respect to the applied force. Due to the ~22 %m/m GeO₂ concentration in the core the fiber being highly photosensitive, which significantly simplifies FBG fabrication by UV illumination without the need for prior hydrogen loading, which worsens thermal stability. Finally, the developed FBGs written in the highly birefringent side-hole elliptical core optical fiber were embedded in the square composite plates and applied for strain measurements. Tests of two-directional four-point bending have shown usability of such FBG for two-axial in-plane strain measurement with a single FBG in iso-thermal conditions.     

In vivo imaging of the human eye using a 2-photon-excited fluorescence scanning laser ophthalmoscope

BackgroundNoninvasive assessment of metabolic processes that sustain regeneration of human retinal visual pigments (visual cycle) is essential to improve ophthalmic diagnostics and to accelerate development of new treatments to counter retinal diseases. Fluorescent vitamin A derivatives, which are the chemical intermediates of these processes, are highly sensitive to UV light; thus, safe analyses of these processes in humans are currently beyond the reach of even the most modern ocular imaging modalities.MethodsWe present a compact, 2-photon-excited fluorescence scanning laser ophthalmoscope and spectrally resolved images of the human retina based on 2-photon excitation (TPE) with near-infrared light. A custom Er:fiber laser with integrated pulse selection, along with intelligent postprocessing of data, enables excitation with low laser power and precise measurement of weak signals.ResultsWe demonstrate spectrally resolved TPE fundus images of human subjects. Comparison of TPE data between human and mouse models of retinal diseases revealed similarity with mouse models that rapidly accumulate bisretinoid condensation products. Thus, visual cycle intermediates and toxic byproducts of this metabolic pathway can be measured and quantified by TPE imaging.ConclusionOur work establishes a TPE instrument and measurement method for noninvasive metabolic assessment of the human retina. This approach opens the possibility for monitoring eye diseases in the earliest stages before structural damage to the retina occurs.FundingNIH, Research to Prevent Blindness, Foundation for Polish Science, European Regional Development Fund, Polish National Agency for Academic Exchange, and Polish Ministry of Science and Higher Education.