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Recycled carbon fibre (rCF) composites are increasingly being explored for applications such as strain sensing, manufacturing of automobile parts, assistive technologies, and structural health monitoring due to their properties and economic and environmental benefits. The high conductivity of carbon and its wide application for sensing makes rCF very attractive for integrating sensing into passive structures. In this paper, capacitive sensors have been fabricated using rCF composites of varying compositions. First, we investigated the suitability of recycled carbon fibre polymer composites for different sensing applications. As a proof of concept, we fabricated five touch/proximity sensors and three soil moisture sensors, using recycled carbon fibre composites and their performances compared. The soil moisture sensors were realised using rCF as electrodes. This makes them corrosion-resistant and more environmental-friendly, compared to conventional soil moisture sensors realised using metallic electrodes. The results of the touch/proximity sensing show an average change in capacitance (ΔC/C~34) for 20 mm and (ΔC/C~5) for 100 mm, distances of a hand from the active sensing region. The results of the soil moisture sensors show a stable and repeatable response, with a high sensitivity of ~116 pF/mL of water in the linear region. These results demonstrate their respective potential for touch/proximity sensing, as well as smart and sustainable agriculture.

Background: Transcranial Doppler (TCD) sonography of major cerebral arteries is now recommended for routine screening for stroke risk in children with sickle cell disease (SCD)., Methods: We performed TCD studies on children with sickle cell anemia (SCA) seen at the pediatric hematology clinic over a period of 2 years. TCD scans were repeated yearly in children with normal flow velocities and every 3 months in children with elevated velocities. Findings were correlated with clinical variables, hematologic indices, and arterial oxygen saturation. Predictors of elevated velocities were identified by multiple linear regressions., Results: We enrolled 237 children and performed a total of 526 TCD examinations. Highest time-averaged maximum flow velocities were ≥170 cm/s in 72 (30.3%) cases and ≥200 cm/s in 20 (8.4%). Young age, low hematocrit, low hemoglobin, and arterial oxygen desaturation <95% showed significant correlations with presence of increased cerebral flow velocities., Conclusions: Low hematocrit, low hemoglobin concentration, young age, and low arterial oxygen desaturation predicted elevated cerebral blood flow velocities and, invariably, increased stroke risk, in children with SCA. Children who exhibit these features should be given high priority for TCD examination in the setting of limited resources., (Copyright © 2013 Wiley Periodicals, Inc.)

Introduction: Pre- and intraoperative glycemic control has been identified as a putative target to improve outcomes of surgical patients. Glycemic control requires frequent monitoring of blood glucose levels with appropriate adjustments. However, monitoring standards have been called into question, especially in cases in which capillary samples are used. Point-of-care testing (POCT) using capillary samples and glucometers has been noted to give relatively accurate results for critically ill patients. However, the package inserts of most glucometers warn that they should not be used for patients in shock. This has led clinicians to doubt their accuracy in the operating room. The accuracy of capillary samples when tested in patients undergoing surgical procedures has not been proven. This study aims to determine the accuracy of intraoperative blood glucose values using capillary samples relative to arterial samples., Methods: A prospective study was conducted by collecting paired capillary and arterial samples of patients undergoing major operations at a tertiary medical center from August 2009 to May 2011. Subjects were a convenience sample of patients who had arterial lines and needed glucose testing while undergoing the procedure. Precision Xceed Pro (Abbott) handheld glucometers were used to obtain the blood glucose values. Our primary outcome of interest was the degree of correlation between capillary and arterial blood glucose values or the degree to which arterial glucose levels can be predicted by capillary glucose samples. We used linear regression and the Student t tests for statistical analyses., Results: Seventy-two-paired samples were collected. Of the cases, 54% were major abdominal operations, whereas 24% were vascular operations. The mean values ± standard deviation for glucose levels were 146 ± 35 mg/dL (capillary) and 147 ± 36 mg/dL (arterial). The mean time ± standard deviation between the collection of both samples was 3.5 ± 1.3 minutes. The regression coefficient showed a strong positive correlation of .91 between capillary glucose values and arterial values (P < .001) although correlation was less stringent at the hyperglycemic range of values. The R(2) statistic was 84%. Differences in values between capillary and arterial samples would not have altered the diagnosis of hypo- and hyperglycemia using typical thresholds., Conclusions: Capillary samples collected intraoperatively are strongly correlated with arterial samples. Glucose monitoring in the operating room can be safely performed by collecting capillary samples for POCT. However, clinicians should still be cautious when interpreting glucose levels that are high, either by repeating the blood glucose test or by having samples sent to the laboratory., (Copyright © 2012 Elsevier Inc. All rights reserved.)

Background: Emergency status adversely affects surgical outcomes. Predictors of increased morbidity of emergency general surgery are unknown. We determined predictors of postoperative complications of emergency general surgery., Methods: We conducted a retrospective study of Brigham and Women's Hospital American College of Surgeons National Surgical Quality Improvement Program patients who had an emergency general surgery procedure from January 1, 2007, to December 31, 2009. Additional non-American College of Surgeons National Surgical Quality Improvement Program variables were collected. Our primary outcome was postoperative complications within 30 days., Results: Of 819 cases, 24.7% had 1 or more complications, with 8.9% mortality within 30 days. Common complications were respiratory (47%) and wound occurrences (18%). Age, sex, blood glucose level, creatinine level, albumin level, surgery duration, and smoking were independent predictors of morbidity., Conclusions: Emergency general surgery patients with postoperative complications are likely to be older, male, smokers, have increased blood glucose and creatinine levels, lower albumin levels, and longer surgical times. Fluid resuscitation and experienced surgical teams are putative targets to improve outcomes., (Copyright © 2011 Elsevier Inc. All rights reserved.)