Nonalcoholic Fatty Liver Disease (NAFLD) and Cardiovascular Risk: Is Imaging Helpful?

Nonalcoholic Fatty Liver Disease (NAFLD) is proving to be a globally prevalent condition. Moreover, NAFLD may be an independent risk factor associated with higher cardiovascular (CVD) morbidity and mortality. Further studies are needed to assess whether NAFLD needs to be included in the atherosclerotic risk score algorithms or whether patients with NAFLD need to be screened early on to assess their CVD risk especially since imaging such as positron emission tomography can be used to assess both NAFLD and CV disease at the same time.

Physician Self-assessment of Shared Decision-making in Simulated Intensive Care Unit Family Meetings.

Importance: Professional guidelines have identified key communication skills for shared decision-making for critically ill patients, but it is unclear how intensivists interpret and implement them.

Objective: To compare the self-evaluations of intensivists reviewing transcripts of their own simulated intensive care unit family meetings with the evaluations of trained expert colleagues.

Design, Setting, And Participants: A posttrial web-based survey of intensivists was conducted between January and March 2019.

Family-Centered Care During the COVID-19 Era.

Family support is more, not less, important during crisis. However, during the COVID-19 pandemic, maintaining public safety necessitates restricting the physical presence of families for hospitalized patients. In response, health systems must rapidly adapt family-centric procedures and tools to circumvent restrictions on physical presence.

Effect of Intensivist Communication in a Simulated Setting on Interpretation of Prognosis Among Family Members of Patients at High Risk of Intensive Care Unit Admission: A Randomized Trial.

Importance: Discordance about prognosis between a patient's health care decision-making surrogate and the treating intensivist is common in the intensive care unit (ICU). Empowering families, friends, and caregivers of patients who are critically ill to make informed decisions about care is important, but it is unclear how best to communicate prognostic information to surrogates when a patient is expected to die.

Objective: To determine whether family members, who are often health care decision-making surrogates, interpret intensivists as being more optimistic when questions about prognosis in the ICU are answered indirectly.

Robust ultrasonic damage detection under complex environmental conditions using singular value decomposition.

Guided wave ultrasonics is an attractive monitoring technique for damage diagnosis in large-scale plate and pipe structures. Damage can be detected by comparing incoming records with baseline records collected on intact structure. However, during long-term monitoring, environmental and operational conditions often vary significantly and produce large changes in the ultrasonic signals, thereby challenging the baseline comparison based damage detection.

Low-pressure cardiac tamponade masquerading as severe sepsis diagnosed with a bedside ultrasound and as the initial presentation of malignancy.

Objective: We report a patient with low-pressure cardiac tamponade masquerading as sepsis and as the initial presentation of malignancy. A quick diagnosis was done by the intensivist performing a bedside ultrasound.

Background: The diagnosis of low-pressure cardiac tamponade is a challenge because the classic physical signs of cardiac tamponade can be absent.

Surface acoustic wave devices for harsh environment wireless sensing.

Langasite surface acoustic wave devices can be used to implement harsh-environment wireless sensing of gas concentration and temperature. This paper reviews prior work on the development of langasite surface acoustic wave devices, followed by a report of recent progress toward the implementation of oxygen gas sensors. Resistive metal oxide films can be used as the oxygen sensing film, although development of an adherent barrier layer will be necessary with the sensing layers studied here to prevent interaction with the langasite substrate.

Langasite surface acoustic wave gas sensors: modeling and verification.

We report finite element simulations of the effect of conductive sensing layers on the surface wave velocity of langasite substrates. The simulations include both the mechanical and electrical influences of the conducting sensing layer. We show that three-dimensional simulations are necessary because of the out-of-plane displacements of the commonly used (0, 138.

Phase transition in the Jarzynski estimator of free energy differences.

The transition between a regime in which thermodynamic relations apply only to ensembles of small systems coupled to a large environment and a regime in which they can be used to characterize individual macroscopic systems is analyzed in terms of the change in behavior of the Jarzynski estimator of equilibrium free energy differences from nonequilibrium work measurements. Given a fixed number of measurements, the Jarzynski estimator is unbiased for sufficiently small systems. In these systems the directionality of time is poorly defined and the configurations that dominate the empirical average, but which are in fact typical of the reverse process, are sufficiently well sampled.

Langasite surface acoustic wave sensors: fabrication and testing.

We report on the development of harsh-environment surface acoustic wave sensors for wired and wireless operation. Surface acoustic wave devices with an interdigitated transducer emitter and multiple reflectors were fabricated on langasite substrates. Both wired and wireless temperature sensing was demonstrated using radar-mode (pulse) detection.

Bilateral symmetrical cortical osteolytic lesions in two patients with Gaucher disease.

Gaucher disease (GD) is an autosomal recessive lysosomal storage disorder characterized by the reduced or absent activity of glucocerebrosidase. The disease is split into three types. Type 3, or chronic neuronopathic GD, manifests with heterogeneous clinical presentations.

High-temperature langasite SAW oxygen sensor.

High-temperature langasite SAW oxygen sensors using sputtered ZnO as a resistive gas-sensing layer were fabricated and tested. Sensitivity to oxygen gas was observed between 500°C to 700°C, with a sensitivity peak at about 625°C, consistent with the theoretical predictions of the acoustoelectric effect.

Type 2 Gaucher disease: phenotypic variation and genotypic heterogeneity.

Gaucher disease (GD), the most common lysosomal storage disease, results from a deficiency of the lysosomal enzyme glucocerebrosidase. GD has been classified into 3 types, of which type 2 (the acute neuronopathic form) is the most severe, presenting pre- or perinatally, or in the first few months of life. Traditionally, type 2 GD was considered to have the most uniform clinical phenotype when compared to other GD subtypes.

Hippocampal contributions to the processing of architectural ranking.

Theories of rhetoric and architecture suggest that buildings designed to be high ranking according to the Western architectural decorum have more impact on the minds of their beholders than low-ranking buildings. Here, we used event-related potentials in a visual object categorization task to probe this assumption and to examine whether the hippocampus contributes to the processing of architectural ranking. We found that early negative potentials between 200 and 400 ms differentiated between high- and low-ranking buildings in healthy subjects and patients with temporal lobe epilepsy with and without hippocampal sclerosis.

Brain electrical responses to high- and low-ranking buildings.

Since the ancient world, architecture generally distinguishes two categories of buildings with either high- or low-ranking design. High-ranking buildings are supposed to be more prominent and, therefore, more memorable. Here, we recorded event-related potentials (ERPs) to drawings of buildings with either high- or low-ranking architectural ornaments and found that ERP responses between 300 and 600 ms after stimulus presentation recorded over both frontal lobes were significantly more positive in amplitude to high-ranking buildings.

Generation and detection of guided waves using PZT wafer transducers.

We report here the use of finite element simulation and experiments to further explore the operation of the wafer transducer. We have separately modeled the emission and detection processes. In particular, we have calculated the wave velocities and the received voltage signals due to A0 and S0 modes at an output transducer as a function of pulse center frequency.

On the slow dynamics of density fluctuations near the colloidal glass transition.

Slow dynamics of density fluctuations near the colloidal glass transition is discussed from a new viewpoint by numerically solving a nonlinear stochastic diffusion equation for the density fluctuations recently proposed by one of the present authors (MT). The effects of spatial heterogeneities on the dynamics of density fluctuations are then investigated in an equilibrium system. The spatial heterogeneities are generated by the nonlinear density fluctuations, while in a nonequilibrium system they are described by a nonlinear deterministic equation for the average number density.

MEMS ultrasonic transducers for the testing of solids.

Arrays of capacitive diaphragm ultrasonic transducers could potentially be used for non-destructive ultrasonic testing and structural monitoring. In this paper, we consider the efficiency of coupling of these transducers to solid media. We show that efficient coupling can be realized by using a silicone coating as a coupling medium.

Electrical characterization of coupled and uncoupled MEMS ultrasonic transducers.

We report electrical characterization of micromachined polysilicon capacitive diaphragms for use as ultrasonic transducers. Admittance measurements yield insight into the resonant behavior and also the damping resulting from ultrasonic radiation and frictional forces caused by the etch release holes. Unbonded transducers exhibit sharp resonances with Q values that increase with decreasing air pressure.

Dressed polyions, counterion condensation, and adsorption excess in polyelectrolyte solutions.

The phenomenon of Manning-Oosawa counterion condensation is given an explicit statistical mechanical and qualitative basis via a dressed polyelectrolyte formalism in connection with the topology of the electrostatic free-energy surface and is derived explicitly in terms of the adsorption excess of ions about the polyion via the nonlinear Poisson-Boltzmann equation. The approach is closely analogous to the theory of ion binding in micelles. Our results not only elucidate a Poisson-Boltzmann analysis, which shows that a fraction of the counterions lie within a finite volume around the polyion even if the volume of the system tends towards infinity, but also provide a direct link between Manning's theta-the number of condensed counterions for each polyion site-and a statistical thermodynamic quantity, namely, the adsorption excess per monomer.

Low-temperature relaxation and entropic barriers in supercooled liquids.

The low-temperature relaxation dynamics of supercooled liquids are a long-standing theoretical problem of considerable interest. The vast amount of experimental data on such liquids indicates that viscosity and diffusion in supercooled liquids are non-Arrhenius over a wide range of temperatures. The non-Arrhenius temperature dependence of the relaxation time of the slow modes in glass-forming liquids is investigated in connection with the topology of the potential energy landscape in configuration space.