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Isolated sacral injuries: Postoperative length of stay, complications, and readmission

World Journal of Orthopedics 2015年第8期6卷 629-635页

作者： vasanth sathiyakumar Hanyuan Shi Rachel V Thakore Young M Lee David Joyce Jesse Ehrenfeld William T Obremskey Manish K Sethi the Vanderbilt Orthopaedic Institute Center for Health Policy Medical Center East

AIM: To investigate inpatient length of stay(LOS), complication rates, and readmission rates for sacral fracture patients based on operative approach.METHODS: All patients who presented to a large tertiary care center with isolated sacral fractures in an 11-year period were included in a retrospective chart review. Operative approach(open reduction internal fixation vs percutaneous) was noted, as well as age, gender, race, and American Society of Anesthesiologists' score. Complications included infection, nonunion and malunion, deep venous thrombosis, and hardware problems; 90-d readmissions were broken down into infection, surgical revision of the sacral fracture, and medical complications. LOS was collected for the initial admission and readmission visits if applicable. Fisher's exact and non-parametric t-tests(Mann-Whitney U tests) were employed to compare LOS, complications, and readmissions between open and percutaneous approaches.RESULTS: Ninety-four patients with isolated sacral fractures were identified: 31(30.4%) who underwentopen reduction and internal fixation(ORIF) vs 63(67.0%) who underwent percutaneous fixation. There was a significant difference in LOS based on operative approach: 9.1 d for ORIF patients vs 6.1 d for percutaneous patients(P = 0.043), amounting to a difference in cost of $13590. Ten patients in the study developed complications, with no significant difference in complication rates or reasons for complications between the two groups(19.4% for ORIF patients vs 6.3% for percutaneous patients). Eight patients were readmitted, with no significant difference in readmission rates or reasons for readmission between the two groups(9.5% percutaneous vs 6.5% ORIF).CONCLUSION: There is a significant difference in LOS based on operative approach for sacral fracture patients. Given similar complications and readmission rates, we recommend a percutaneous approach.

关键词： Sacral fractures Open reduction and internal fixation Percutaneous complications Readmissions Length of stay

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Corrosion behavior of Mg-Zn-Zr-RE alloys under physiological environment-Impact on mechanical integrity and biocompatibility

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Journal of Magnesium and Alloys 2022年第6期10卷 1542-1572页

作者： Marwa AbdelGawad Chaudhry A.Usman vasanth C.Shunmugasamy Ibrahim Karaman Bilal Mansoor Mechanical Engineering Program Texas A&M University at QatarEducation CityDoh1Qatar Department of Mechanical Engineering Texas A&M University3123 TAMUCollege StationTX 77843United States of America Department of Materials Science and Engineering Texas A&M University3003 TAMUCollege StationTX 77843United States of America

Benefits of RE addition on Mg alloys strength and corrosion resistance are widely reported but their effects on biodegradability and biocompatibility are still of concern.This paper investigates the effect of RE additions on biodegradability of Mg-Zn alloys under simulated physiological conditions.In this context,two commercial Mg-Zn-Zr-RE alloys,namely ZE41 and EZ33,with same RE addition but different concentrations are studied in Hank’s Balanced Salt Solution(HBSS)at 37℃and with pH of 7.4.Weight-loss,hydrogen evolution,real-time insitu drop test,electrochemical impedance spectroscopy(EIS)and potentiodynamic polarization are deployed to study corrosion characteristics.The mechanical integrity of both alloys is assessed by mechanical testing post immersion.Furthermore,in vitro biocompatibility is evaluated by indirect cytotoxicity tests using NIH3T3 cells.Results reveal that although both alloys showed similar microstructure,size and distribution of precipitates played a significant role on its corrosion response.EIS and open circuit potential results show stable film formation on EZ33,while ZE41 showed passive layer formation followed by its deterioration,over the analyzed time period.Using real-time drop test,it was shown in ZE41 alloy that both T-phase and Zr-rich precipitates acted as micro cathodes,resulting in an unstable surface film.In EZ33,Zr-rich regions did not influence corrosion response,resulting in better corrosion resistance that was corroborated by post-immersion surface morphology investigations.The higher degradation observed in ZE41 alloy resulted in higher drop in flexural and tensile strength compared to EZ33 alloy.In addition,cytotoxicity tests on NIH3T3 cells revealed that cell viability of EZ33 increased with increasing incubation time,contrary to ZE41,owing to its lower biodegradation behavior and despite higher concentrations of REs.Present results show that an increase in RE concentration in EZ33,relative to ZE41,had a positive effect on corrosion rate that subsequently controlled allo

关键词： Magnesium alloy Corrosion EIS Mechanical integrity Cytotoxicity

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In vitro and in vivo study on fine-grained Mg-Zn-RE-Zr alloy as a biodegradeable orthopedic implant produced by friction stir processing

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Bioactive Materials 2023年第10期28卷 448-466页

作者： vasanth C.Shunmugasamy Marwa AbdelGawad Muhammad Umar Sohail Talal Ibrahim Talha Khan Thomas Daniel Seers Bilal Mansoor Mechanical Engineering Program Texas A&M University at QatarEducation CityDohaQatar Department of Mechanical Engineering Texas A&M University3123 TAMUCollege StationTX 77843USA Proteomics Core Weill Cornell MedicineEducation CityDohaQatar Department of Surgery Division of Orthopedic SurgerySidra MedicineDohaQatar Clinical Orthopedic Surgery Weill Cornell MedicineEducation CityDohaQatar Petroleum Engineering Program Texas A&M University at QatarEducation CityDohaQatar Department of Materials Science and Engineering Texas A&M University3003 TAMUCollege StationTX 77843USA

Magnesium alloys containing biocompatible components show tremendous promise for applications as temporary biomedical devices. However, to ensure their safe use as biodegradeable implants, it is essential to control their corrosion rates. In concentrated Mg alloys, a microgalvanic coupling between the α-Mg matrix and secondary precipitates exists which results in increased corrosion rate. To address this challenge, we engineered the microstructure of a biodegradable Mg-Zn-RE-Zr alloy by friction stir processing (FSP), improving its corrosion resistance and mechanical properties simultaneously. The FS processed alloy with refined grains and broken and uniformly distributed secondary precipitates showed a relatively uniform corrosion morphology accompanied with the formation of a stable passive layer on the alloy surface. In vivo corrosion evaluation of the processed alloy in a small animal model showed that the material was well-tolerated with no signs of inflammation or harmful by-products. Remarkably, the processed alloy supported bone until it healed till eight weeks with a low in vivo corrosion rate of 0.7 mm/year. Moreover, we analyzed blood and histology of the critical organs such as liver and kidney, which showed normal functionality and consistent ion and enzyme levels, throughout the 12- week study period. These results demonstrate that the processed Mg-Zn-RE-Zr alloy offers promising potential for osseointegration in bone tissue healing while also exhibiting controlled biodegradability due to its engineered microstructure. The results from the present study will have profound benefit for bone fracture management, particularly in pediatric and elderly patients.

关键词： Biodegradable magnesium Bone healing Friction stir processing Microstructure Corrosion resistance

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WO_(3) passivation layer-coated nanostructured TiO_(2): An efficient defect engineered photoelectrode for dye sensitized solar cell

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Journal of Semiconductors 2021年第5期42卷 91-98页

作者： Arya Babu Arya vasanth Shantikumar Nair Mariyappan Shanmugam Amrita Centre for Nanosciences and Molecular Medicine Amrita Vishwa VidyapeethamKochiKerala-682041India

Major loss factors for photo-generated electrons due to the presence of surface defects in titanium dioxide(Ti O_2)were controlled by RF-sputtered tungsten trioxide(WO_3) passivation. X-ray photoelectron spectroscopy assured the coating of WO3 on the Ti O_2 nanoparticle layer by showing Ti 2 p, W 4 f and O 1 s characteristic peaks and were further confirmed by X-ray diffraction studies. The coating of WO_3 on the Ti O_2 nanoparticle layer did not affect dye adsorption significantly. Dye sensitized solar cells(DSSCs) fabricated using WO_3-coated Ti O_2 showed an enhancement of ~10% compared to DSSCs fabricated using pristine Ti O_2-based photo-electrodes. It is attributed to the WO_3 passivation on Ti O_2 that creates an energy barrier which favored photo-electron injection by tunneling but blocked reverse electron recombination pathways towards holes available in highest occupied molecular orbital of the dye molecules. It was further evidenced that there is an optimum thickness(duration of coating) of WO_3 to improve the DSSC performance and longer duration of WO_3 suppressed photo-electron injection from dye to Ti O_2 as inferred from the detrimental effect in short circuit current density values. RF-sputtering yields pinhole-free,highly uniform and conformal coating of WO_3 onto any area of interest, which can be considered for an effective surface passivation for nanostructured photovoltaic devices.

关键词： charge transport recombination tungsten oxide solar cell interface defects

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Steam as coolant and lubricant in turning of metal matrix composites

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Journal of Zhejiang University-Science A(Applied Physics & Engineering) 2008年第9期9卷 1245-1250页

作者： Raviraj SHETTY Raghuvir PAI vasanth KAMATH Shrikanth S.RAO Department of Mechanical and Manufacturing Engineering Manipal Institute of TechnologyKarnatakaIndia Department of Mechanical Engineering National Institute of TechnologyKarnatakaIndia

Green cutting has become focus of attention in ecological and environmental protection. Steam is cheap, pollu-tion-free and eco-friendly, and then is a good and economical coolant and lubricant. Steam generator and steam feeding system were developed to generate and feed steam. Comparative experiments were carried out in cutting AA6061-15 vol.% SiC (25 μm particle size), with cubic boron nitride (CBN) insert KB-90 grade under the conditions of compressed air, oil water emulsion, steam as coolant and lubricant, and dry cutting, respectively. The experimental results show that, with steam as coolant and lu-bricant, gradual reduction in the cutting force, friction coefficient, surface roughness and cutting temperature values were observed. Further, there was reduction in built up edge formation. It is proved that use of water steam as coolant and lubricant is environ-mentally friendly.

关键词：机械制造建筑材料旋转角度推力摩擦技术

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Characterization of Intracellular Gold Nanoparticles Synthesized by Biomass of Aspergillus terreus

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Acta Metallurgica Sinica(English Letters) 2014年第4期27卷 569-572页

作者： Baskar Gurunathan Pranav vasanthi Bathrinarayanan vasanth Kumar Muthukumarasamy Dilliganesh Thangavelu Department of Biotechnology St.Joseph’s College of EngineeringChennai 600 119India

Greener synthesis of nanoparticle is a revolutionizing area in research field.Biological method of reduction of metal ions is often preferred because they are clean,safe,biocompatible,and environmentally acceptable than physical,chemical,and mechanical methods.The wet biomass of Aspergillus terreus（A.terreus） was utilized for the intracellular synthesis of gold nanoparticles.Gold nanoparticles were produced when an aqueous solution of chloroauric acid was reduced by A.terreus biomass as the reducing agent.Production of gold nanoparticles was confirmed by the color change of biomass from yellow to pinkish violet.The produced nanoparticles were then characterized by FT-IR,SEM,EDS,and XRD.The SEM images revealed that the nanoparticles were spherical,irregularly shaped with no definite morphology.Average size of the biosynthesized gold nanoparticles was 186 nm.The presence of the gold nanoparticle was confirmed by EDS analysis.Crystalline nature of synthesized gold nanoparticle was confirmed by XRD pattern.

关键词： Gold nanoparticles Biosynthesis Characterization Scanning electron microscope Energy dispersive spectroscopy

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Floral extract of Tecoma stans:A potent inhibitor of gentamicin-induced nephrotoxicity in vivo

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Asian Pacific Journal of Tropical Medicine 2011年第9期4卷 680-685页

作者： Raju S Kavimani S Uma Maheshwara rao V Sreeramulu Reddy K vasanth Kumar G Vijaya College of Pharmacy MunaganoorRanga Reddy DistAndhra PradeshIndia-505511 Mather Theresa Post Graduate Institute of Health Sciences.Gorimedu PuducherryIndia Nulla Narsimha Reddy College of Pharmacy KorremulaRanga Reddy DistAndhra Pradesh.India Assistant manager - Clinical R&D Shantha Biotechnics LimitedHyderabadAndhra Pradesh.India -500004 Health Management and Research Institute HyderabadAndhra PradeshIndia

Objective:To highlight the nephroprotective activity of ethyl acetate extract of dried flowers of Tecomu stans for its protective effects on genlamicin-induced nephrotoxicity in albino rats. Methods:For studying acute toxicity study,single oral dose of 5（KM） mg ethyl acetate floral extract/kg hodv weight was administered to albino rats（five females,five males）.Nephrotoxicity was induced in albino rats by intraperitoneal administration of gentamicin 80 mg/kg/day for eight days.Effect of concurrent administration of ethyl acetate floral extract of Tecoma stans at a dose of 100.200 and 300 mg/kg/day given by oral mute was determined using serum creatinine,serum uric acid,blood urea nitrogen and serum urea as indicators of kidney damage.The study groups contained six rats in each group.As nephrotoxicity of gentamicin is known to involve induction of oxidative stress,in vitro antioxidant aclivity and free radical-scavenging activity of this extract was also evaluated.Results:For acute toxicity testing both female and male rats administered with the extract at a dose of 5 000 mg/kg.The results showed no toxicity in terms of general behavior change,mortality,or change in gross appearance of internal organs(LD50>5 000 mg/kg). It was observed that the ethyl acetate floral extract of Tecoma stans significantly protected rat kidneys from gentamicin-induced histopathological changes.Gentamicin-induced glomerular congestion,peritubular and blood vessel congestion,epithelial desquamation,accumulation ol inflamnialoiy cells and necrosis of the kidney cells were found to be reduced in the groups receiving the ethyl acetate floral extract of Tecoma starts along with gentamicin in a dose dependent manner.The floral extract also reduced the gentamicin-induced increase in serum creatinine,serum uric acid,blood urea nitrogen and serum urea levels（P>0.01）.Conclusions: The present study indicates a verv important role of reactive oxygen species（BOS） and the relation to renal dysfunction and point to the therapeutic pot

关键词： Gentamicin Tecoma stans Rats Nephrotoxicity Serum urea Creatinine

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Bio-inspired carbon electro-catalysts for the oxygen reduction reaction

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Journal of Energy Chemistry 2016年第2期25卷 226-233页

作者： Kathrin Preuss vasanth Kumar Kannuchamy Adam Marinovic Mark Isaacs Karen Wilson Isaac Abrahams Maria-Magdalena Titirici School of Engineering and Materials Science Queen Mary University of London Materials Research Institute Queen Mary University of London European Bioenergy Research Institute Aston University School of Biological and Chemical Sciences Queen Mary University of London

We report the synthesis, characterisation and catalytic performance of two nature-inspired biomassderived electro-catalysts for the oxygen reduction reaction in fuel cells. The catalysts were prepared via pyrolysis of a real food waste（lobster shells） or by mimicking the composition of lobster shells using chitin and CaCO3 particles followed by acid washing. The simplified model of artificial lobster was prepared for better reproducibility. The calcium carbonate in both samples acts as a pore agent, creating increased surface area and pore volume, though considerably higher in artificial lobster samples due to the better homogeneity of the components. Various characterisation techniques revealed the presence of a considerable amount of hydroxyapatite left in the real lobster samples after acid washing and a low content of carbon（23%）, nitrogen and sulphur（〈1%）, limiting the surface area to 23 m^2/g, and consequently resulting in rather poor catalytic activity. However, artificial lobster samples, with a surface area of ≈200 m^2/g and a nitrogen doping of 2%, showed a promising onset potential, very similar to a commercially available platinum catalyst, with better methanol tolerance, though with lower stability in long time testing over 10,000 s.

关键词： Carbonisation Biomass-derived carbons Oxygen reduction reaction Fuel cells Electro-catalysis

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Effect of nanoparticles on the performance of magnetorheological fluid damper during hard turning process

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Friction 2015年第4期3卷 333-343页

作者： P.Sam PAUL J.Agnelo IASANTH X.Ajay vasanth A.S.VARADARAJAN Department of Mechanical Engineering Karunya UniversityCoimbatore 641114Tamil NaduIndia Nehru College of Engineering and Research Centre ThrissurKerala 678506India

Magnetorheological(MR)fluid damper which allows the damping characteristics of the damper to be continuously controlled by varying the magnetic field is extensively used in metal cutting to suppress tool vibration.Even though magnetorhelogical fluids have been successful in reducing tool vibration,durability of magnetorhelogical fluids remains a major challenge in engineering sector.Temperature effect on the performance of magnetorhelogical fluids over a prolonged period of time is a major concern.In this paper,an attempt was made to reduce temperature and to improve viscosity of magnetorhelogical fluids by infusing nanoparticles along with MR fluids.Aluminium oxide and titanium oxide nanoparticles of 0.1%and 0.2%concentration by weight were considered and experimental tests were conducted to study the influence of nanoparticles on the performance of magnetorheological fluid.From the experimental results it was observed that the presence of nanoparticles in MR fluid reduces temperature and increases the viscosity of MR fluid thereby increasing the cutting performance during turning of hardened AISI 4340 steel.

关键词： magnetorheological(MR)fluid nanoparticles tool vibration hard turning temperature viscosity

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Relationship of High Sensitivity C-Reactive Protein with Cardiovascular, Diabetic, and Hepatic Biomarkers

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International Journal of Clinical Medicine 2023年第9期14卷 389-401页

作者： Hari Krishnan Krishnamurthy Swarnkumar Reddy vasanth Jayaraman Karthik Krishna Qi Song Karenah E. Rajasekaran Tianhao Wang Kang Bei John J. Rajasekaran Vibrant Sciences LLC San Carlos CA USA Vibrant America LLC San Carlos CA USA

Biomarkers are early predictors of various disorders, circulating level of C-reactive protein is a sensitive biomarker of systemic inflammation and may also be associated with the development of diabetic, hepatic, and cardiovascular diseases. In the present study, we aimed to investigate the association between circulating levels of high sensitive C-reactive protein (hs-CRP) and various biomarkers for hepatic, diabetic, and cardiovascular health. The retrospective analysis included 438 individuals who were tested for these panels simultaneously at Vibrant America Clinical Laboratory. The study population included free-living individuals without any preexisting clinical conditions. Among the cardiovascular markers, a positive correlation and significant association was found between high levels of hs-CRP and serum levels of triglycerides (r = 0.0964, p −0.1423, p −0.1216, p < 0.0105) with circulating levels of hs-CRP. Among all the diabetic markers, glucose (r = 0.1547, p < 0.0011) and glycated serum protein (r = 0.1725, p < 0.0003) were positively correlated with circulating hs-CRP. In the hepatic panel, AST, a transaminase that plays a vital role in amino acid metabolism, was found to have a strong positive correlation with hs-CRP (r = 0.2139, p < 0.0001). In conclusion, the results clearly show the association of hs-CRP with diabetic, hepatic, and cardiovascular risk factors indicating its central value as a key marker for several lifestyle-associated disorders.

关键词： High Sensitive C-Reactive Protein Systemic Inflammation Cardiovascular Disorders Diabetes Triglycerides

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