Lithium-antimony-lead liquid metal battery for grid-level energy storage.

The ability to store energy on the electric grid would greatly improve its efficiency and reliability while enabling the integration of intermittent renewable energy technologies (such as wind and solar) into baseload supply. Batteries have long been considered strong candidate solutions owing to their small spatial footprint, mechanical simplicity and flexibility in siting. However, the barrier to widespread adoption of batteries is their high cost.

Airborne nanoparticle concentrations in the manufacturing of polytetrafluoroethylene (PTFE) apparel.

One form of waterproof, breathable apparel is manufactured from polytetrafluoroethylene (PTFE) membrane laminated fabric using a specific process to seal seams that have been sewn with traditional techniques. The sealing process involves applying waterproof tape to the seam by feeding the seam through two rollers while applying hot air (600 °C). This study addressed the potential for exposure to particulate matter from this sealing process by characterizing airborne particles in a facility that produces more than 1000 lightweight PTFE rain jackets per day.

Nanoparticle collection efficiency of capillary pore membrane filters.

The surface and overall collection efficiencies of capillary pore membrane filters were measured for sub-micrometer particles. Collection efficiencies were derived from the surface loadings of particles on filters measured by scanning electron microscopy and from airborne particle concentrations measured with a scanning mobility particle sizer. Tests used filters with nominal pore diameters of 0.

Understanding accreditation council for graduate medical education (ACGME) guidelines: resident and program director interpretation of work-hour restrictions.

Purpose: All residency programs must comply with the Accreditation Council for Graduate Medical Education (ACGME) work-hour guidelines, but compliance requires accurate interpretation of the rules. We previously surveyed the residents and program directors of general surgery residency programs and found significant discordance between what program directors and residents considered violations. Our current study expands our research to include family medicine and emergency medicine residents and program directors.

Are postoperative activity restrictions evidence-based?

Background: Many surgeons restrict activities postoperatively. Intra-abdominal pressure during some activities is known; however, many everyday activities have not been studied. Our aim was to compare the intra-abdominal pressures created during unavoidable physical activities with activities that commonly are restricted after surgery.

Solid acid proton conductors: from laboratory curiosities to fuel cell electrolytes.

The compound CsH2PO4 has emerged as a viable electrolyte for intermediate temperature (200-300 degrees C) fuel cells. In order to settle the question of the high temperature behavior of this material, conductivity measurements were performed by two-point AC impedance spectroscopy under humidified conditions (p[H2O] = 0.4 atm).

Relative adrenal insufficiency among trauma patients in a community hospital.

Background: The integrity of the hypothalamic-pituitary-adrenal (HPA) axis is a major determinant of the host response to stress. Recent studies have proven that low doses of hydrocortisone and fludrocortisone can significantly reduce mortality in patients with relative adrenal insufficiency (RAI) without increasing adverse events.

Study Design: This study was a retrospective chart review of patients in a community hospital who carried the diagnosis of both adrenal insufficiency and trauma.

Factors influencing surgical career decisions.

Objective: The purpose of this project is to evaluate factors that residents consider when choosing a career in surgery or a surgical subspecialty. Once these factors are identified, surgical residency programs may use the information in their recruiting efforts to attract the most qualified applicants for postgraduate surgical training.

Design: A descriptive survey consisting of 20 questions was conducted.

High-performance solid Acid fuel cells through humidity stabilization.

Although they hold the promise of clean energy, state-of-the-art fuel cells based on polymer electrolyte membrane fuel cells are inoperable above 100 degrees C, require cumbersome humidification systems, and suffer from fuel permeation. These difficulties all arise from the hydrated nature of the electrolyte. In contrast, "solid acids" exhibit anhydrous proton transport and high-temperature stability.

Solid acids as fuel cell electrolytes.

Fuel cells are attractive alternatives to combustion engines for electrical power generation because of their very high efficiencies and low pollution levels. Polymer electrolyte membrane fuel cells are generally considered to be the most viable approach for mobile applications. However, these membranes require humid operating conditions, which limit the temperature of operation to less than 100 degrees C; they are also permeable to methanol and hydrogen, which lowers fuel efficiency.

Effect of intramuscular intraoperative pain medication on narcotic usage after laparoscopic cholecystectomy.

The purpose of this randomized, double-blind, clinical trial was to determine whether intraoperative, intramuscular (IM) injections of meperidine or ketorolac would improve postoperative pain relief in patients undergoing elective laparoscopic cholecystectomy. A total of 125 patients were entered into five study groups: 1) (N = 23) control placebo; 2) (N = 31) meperidine 100 mg IM intraoperative preprocedure; 3) (N = 20) meperidine 100 mg IM intraoperative postprocedure; 4) (N = 25) ketorolac tromethamine 60 mg IM intraoperative preprocedure; 5) (N = 26) ketorolac tromethamine 60 mg IM postprocedure. All groups were analyzed by comparing the amount of pain medication received in the recovery room, the time until first oral pain medication was requested, the overall amount of pain medication used in the first 24 hours, the percent requiring IM medication, and the pain score ratings from each group.

Comparison of laparoscopic cholecystectomy versus elective open cholecystectomy.

Laparoscopic cholecystectomy has essentially replaced open cholecystectomy as the procedure of choice for gallbladder disease. This rapid shift to laparoscopic cholecystectomy, however, has resulted more from marketing forces than from prospective clinical trials. To evaluate the safety and efficacy of laparoscopic cholecystectomy, the first 486 laparoscopic cholecystectomies at two institutions were studied.

Risks and benefits of laparoscopic cholecystectomy in the community hospital setting.

Laparoscopic cholecystectomy has rapidly become more popular than open cholecystectomy. To further evaluate the safety and efficacy of laparoscopic cholecystectomy in the community setting, the first 190 patients to undergo the procedure in Saginaw, Michigan were studied. There were 159 females and 31 males.

Clinical experience with three-in-one admixtures administered peripherally.

The purpose of this report was to describe the tolerance of hyperosmolar nutritionally complete solutions infused peripherally, as a bridge to enteral therapy in the surgical patient. Solutions providing approximately 40% of calories as carbohydrates were administered to 23 surgical patients with the fats, amino acids, and dextrose mixed in one container. Final osmolarity, when measured directly with additives, ranged from 1200-1350 mOsm/L.