Radiographic complicated and uncomplicated descending aortic dissections: aortic morphological differences by CT angiography and risk factor analysis.

AIMS: To identify radiographic differences between patients with uncomplicated and complicated descending aortic dissections. METHODS AND RESULTS: Between April 2009 and July 2021, 209 patients with acute descending aortic dissections were analysed as complicated (malperfusion, rupture, diameter progress, and diameter ≥ 55 mm) or uncomplicated. Detailed CTA measurements (slice thickness ≤ 3 mm) were taken in multiplanar reconstruction. A composite endpoint (early aortic failure) was defined as reoperation, diameter progression, and early mortality. Seventy-seven patients were female (36.8%) [complicated n = 27 (36.5%); uncomplicated n = 50 (37.0%) P = 1.00]. Seventy-four (35%) patients were categorized as morphologically complicated, and 135 (65%) as uncomplicated. In patients with complicated dissections, the dissection extended more frequently to the aortic bifurcation (P = 0.044), the coeliac trunk (P = 0.003), the superior mesenteric artery (P = 0.007), and both iliac arteries (P < 0.001) originated less frequently from the true lumen. The length of the most proximal communication (entry) in type B aortic dissection was longer, 14.0 mm [12.0 mm; 27.0 mm] vs. 6.0 mm [4,0 mm; 13.0 mm] in complicated cases (P = 0.005). Identified risk factors for adverse aortic events were connective tissue disease [HR 8.0 (1.9-33.7 95% CI HR)], length of the aortic arch [HR 4.7 (1.5-15.1 95% CI HR)], a false lumen diameter > 19.38 mm [HR 3.389 (1.1-10.2 95% CI HR)], and origin of the inferior mesenteric artery from the false lumen [HR 4.2 (1.0-5.5 95% CI HR)]. CONCLUSION: We identified significant morphological differences and predictors for adverse events in patients presenting complicated and uncomplicated descending dissections. Our morphological findings will help guide future aortic therapies, taking a tailored patient approach.

Exodex Adam-A Reconfigurable Dexterous Haptic User Interface for the Whole Hand.

Applications for dexterous robot teleoperation and immersive virtual reality are growing. Haptic user input devices need to allow the user to intuitively command and seamlessly "feel" the environment they work in, whether virtual or a remote site through an avatar. We introduce the DLR Exodex Adam, a reconfigurable, dexterous, whole-hand haptic input device. The device comprises multiple modular, three degrees of freedom (3-DOF) robotic fingers, whose placement on the device can be adjusted to optimize manipulability for different user hand sizes. Additionally, the device is mounted on a 7-DOF robot arm to increase the user's workspace. Exodex Adam uses a front-facing interface, with robotic fingers coupled to two of the user's fingertips, the thumb, and two points on the palm. Including the palm, as opposed to only the fingertips as is common in existing devices, enables accurate tracking of the whole hand without additional sensors such as a data glove or motion capture. By providing "whole-hand" interaction with omnidirectional force-feedback at the attachment points, we enable the user to experience the environment with the complete hand instead of only the fingertips, thus realizing deeper immersion. Interaction using Exodex Adam can range from palpation of objects and surfaces to manipulation using both power and precision grasps, all while receiving haptic feedback. This article details the concept and design of the Exodex Adam, as well as use cases where it is deployed with different command modalities. These include mixed-media interaction in a virtual environment, gesture-based telemanipulation, and robotic hand-arm teleoperation using adaptive model-mediated teleoperation. Finally, we share the insights gained during our development process and use case deployments.

Solubilisation of Ni(II) and Eu(III) through complexation with a polyaryl ether based superplasticizer in alkaline media.

Solubilisation of Ni(II) and Eu(III) by complexation with a polyaryl ether based superplasticizer (PAE SP) in alkaline solutions was studied. The solubilisation was investigated in two types of artificial cement pore waters simulating different stages of cement degradation at a pH of 12.4 and 13.3, respectively. The solubility of Ni(II) and Eu(III) increased as the concentration of superplasticizer was increased from 0.04 to 0.4 wt%. When the concentration of SP was increased from 0.4 to 4%, the solubility of Eu(III) and Ni(II) increased in the pore water with a pH of 12.4, while the concentrations decreased in the pore water with a pH of 13.3. This is explained by a more rapid degradation of the superplasticizer at higher pH leading to a release of phosphate groups and thereby precipitation of Eu(III) and Ni(II) as phosphates. Based on results of the solubilisation of Ni(II) and Eu(III) by model compounds (anisole and PEG 400) and 31P NMR spectroscopy it was confirmed that the complexation of the studied metals with the PAE polymer occurs via the phosphate group of the superplasticizer.

On the change in UO2 redox reactivity as a function of H2O2 exposure.

To assess the long-term leaching behaviour of UO2, the main constituent of spent nuclear fuel, the oxidative dissolution of UO2 pellets was studied at high H2O2 exposures ranging from 0.33 mol m-2 to 1.36 mol m-2. The experiments were performed in aqueous media containing 10 mM HCO3- where the pellets were exposed to H2O2 three consecutive times. The results indicate that the dissolution yield (amount of dissolved uranium per consumed H2O2) at high H2O2 exposures is significantly lower compared to previous studies of both pellets and powders and decreases for each H2O2 addition for a given pellet. This implies a change in redox reactivity, which is attributed to irreversible alteration of the pellet surface. Surface characterization after the exposure to H2O2, by SEM, XRD and Raman spectroscopy shows, that the surface of all pellets is significantly oxidized.