Defect by design: Harnessing the "petal effect" for advanced hydrophobic surface applications.

HYPOTHESIS: In the interfacial wetting boundary, the superhydrophobic surface is often damaged, and the anisotropic wettability of its surface has attracted many researchers' attention. The "petal effect" surface has typical anisotropic wettability. We predict that under the dual conditions of structural defects and high impact velocity, the "petal effect" becomes more adhesive on the surface. EXPERIMENTS: This study refers to the droplet state on rose petals, structural defects were constructed on the superhydrophobic surface. This paper studies the influence of macro-structural defects on the wettability change from natural to bionic "lotus effect" to "petal effect" in both static and dynamic angles. FINDINGS: Macro defects significantly change the static contact angle of the superhydrophobic surface. The higher the impact velocity of the droplet, the higher the energy dissipation of the "petal effect" surface (DSHS), which improves the adhesion of the surface to the droplet and prolongs the contact time. It is found that the defect structure and high impact velocity will directly affect the deposition and desorption of droplets on the superhydrophobic surface, and they are both essential. This wetting dynamic law is very likely to be helpful in the quantitative design of defect structure scale for dynamic desorption of droplets on superhydrophobic surfaces.

Development of a lateral flow immuno-chromatic strip assay for the detection of cyprinid herpesvirus 3 (CyHV-3).

Cyprinid herpesvirus 3 (CyHV-3) is the main pathogen of koi herpesvirus disease (KHVD), which has caused serious damage to the ornamental and food-producing carp industry. Effective and rapid on-site detection methods are needed for early diagnosis of CyHV-3. A lateral flow immuno-chromatographic assay (LFIA) using two specific anti-CyHV-3 monoclonal antibodies has been developed and validated for on-site detection of CyHV-3. MAb 3C9 was used to bio-conjugate CyHV-3 antigen with colloidal gold, and MAb 2A8 was used to capture antigen bound colloidal gold on the test line. The control line was lined with goat anti-mouse IgG to capture unbound colloidal gold to validate performance. The test results can be viewed within 10 min after putting the strip into CyHV-3 virus infection fluid. The lowest limit of detection for the LFIA test was found to be 1.5 × 104 copies/µL and it showed no cross-reactivity with other fish viral pathogens. The specificity of the strip was 100% when spleen and kidney tissues of CyHV-3-infected and healthy koi were validated at the field level. The LFIA strip will be an effective device for the early detection of CyHV-3 in the future.

A simple pre-disease state prediction method based on variations of gene vector features.

BACKGROUND: The progression of disease can be divided into three states: normal, pre-disease, and disease. Since a pre-disease state is the tipping point of disease deterioration, accurately predicting pre-disease state may help to prevent the progression of disease and develop feasible treatment in time. METHODS: In the perspective of gene regulatory network, the expression of a gene is regulated by its upstream genes, and then it also regulates that of its downstream genes. In this study, we define the expression value of these genes as a gene vector to depict its state in a specific sample. Then, we propose a novel pre-disease prediction method by such vector features. RESULTS: The results of an influenza virus infection dataset show that our method can successfully predict the pre-disease state. Furthermore, the pre-disease state related genes predicted by our methods are highly associated with each other and enriched in influenza virus infection related pathways. In addition, our method is more time efficient in calculation than previous works. The code of our method is accessed at https://github.com/ZhenshenBao/sPGVF.git.

Study on Microwave Curing of Unsaturated Polyester Resin and Its Composites Containing Calcium Carbonate.

Microwave curing technology has been widely used in resin and its composite materials. In order to study its effect for curing unsaturated polyester resin (UPR) composites containing calcium carbonate (CaCO3) filler, this paper first investigated the influence of microwave power and microwave irradiation time on the curing characteristics of UPR. Then, CaCO3 particles were added to the UPR to investigate the microwave curing effect of the UPR composites containing the CaCO3. The results showed that microwave irradiation could heat the UPR sample evenly, and rapidly cause the chain growth reaction, thus greatly shortening the curing time. The curing degree and products of the samples after microwave curing were consistent with that of the thermal curing. The addition of CaCO3 particles could increase the heating rate of the UPR composites, which would accelerate the curing rate of the UPR. However, higher microwave power could lead to pore defects inside the UPR composites with higher CaCO3 content, resulting in a lower strength. Thus, the compactness of the samples should be improved by reducing the microwave power and prolonging the microwave treatment time.

Development and characterization of monoclonal antibodies specific for cyprinid herpesvirus 2.

Infections of Cyprinid herpesvirus 2 in goldfish and farmed crucian carp (Carassius auratus gibelio) are still an urgent problem worldwide. Detection and prevention are necessary for the control of haematopoietic necrosis disease caused by CyHV-2. Although many sensitive molecular diagnostic methods have been developed, effective immunodiagnosis and neutralization approaches based on monoclonal antibodies (MAbs) against CyHV-2 are still important to CyHV-2 study. In this experiment, purified CyHV-2 was used as antigens to produce monoclonal antibodies (Mabs). Six Mabs bound to different proteins were selected by Dot-blot screening and Western-blot analysis, and no one had cross-reactivity with closely related koi herpesvirus. Among them, Mabs 2E1-B10, 1F5-A3 and 4C4-A7 belonged to IgG1 isotype, while other three Mabs 3G9-B11, 3B4-G5 and 4F4-B7 belonged to IgM isotype. These six Mabs all could specifically detect CyHV-2 in CyHV-2 infected caudal fin of Carassius auratus gibelio (GiCF) cells by immunofluorescence assays. Then, the neutralization ability was tested in vitro, and the result showed that all six Mabs can attenuate CPE by CyHV-2 in vitro among which 2E1-B10 had the best neutralization ability. The virus proteins recognized by these six Mabs were identified by mass spectrometry identification, and the result showed they probably were ORF88, ORF55R, ORF115 and ORF151R. This study is the first to prepare Mabs by purifying CyHV-2, which will provide a practical basis for the in-depth study of CyHV-2 virus.

Relationship Between Skin Scales and the Main Flow Field Around the Shortfin Mako Shark Isurus oxyrinchus.

The aim of this study was to reveal potential relationship between the main flow field around a shortfin mako shark and the surface morphology of shark skin. Firstly, a numerical simulation using the large eddy simulation (LES) method was conducted to obtain the main flow field around a smooth shark model. Then, the surface morphology characteristics of a shark (Isurus oxyrinchus) at different positions were characterized by scanning electron microscope (SEM), which showed that the morphology, riblet size, and density of scales at different positions on the shark were significantly different. At positions where the surfaces face into the water flow direction (i.e., nose and leading edge of fins), the scales were flat and round, with a lower density, and the pressure or wall shear stress (WSS) was greater. Scales with three longitudinal riblets ending in three tips were found on the middle and trailing edges of the first dorsal fin and caudal fin, where water flow states progress from transitional to turbulent. The ranges of the ratio of riblet depth to spacing (RD/RS) in the anterior zone, middle zone and posterior zone of the shark were 0.05-0.17, 0.08-0.23, and 0.32-0.33, respectively. The riblet angle generally followed the flow direction, but it varied across different areas of the body. The turbulence intensity increased gradually across the first dorsal fin, pectoral fin, caudal fin, and the shark body overall. In summary, it was found that the microstructure riblets on the shark skin surface, generally thought to be drag reduction structures, were only located in transitional and turbulent regions at the middle and trailing edge of the shark body and fin surfaces, and there were almost no microstructural grooves in the laminar flow regions along the leading edge. These findings can provide design guidance for engineering applications of bionic riblet surfaces. Riblets placed in transitional and fully turbulent regions can be used to effectively reduce drag. The riblet direction should be consistent with the direction of flow.

Generation and application of a monoclonal antibody specific for the ORF121 of cyprinid herpesvirus 2.

Cyprinid herpesvirus 2 (CyHV-2) is a viral pathogen worldwide and causing high mortality on goldfish and silver crucian carp (Carassius auratus gibelio). In order to establish a stable and sensitive immunological diagnostic approach, the recombinant ORF121 protein encoded by the CyHV-2 ORF121 gene, was selected as a capture antigen to identify cells and tissues infected with CyHV-2 by immunological methods in this study. Firstly, the open reading frame of CyHV-2 ORF121 was cloned into the PGEX-4T-3 vector and expressed in Escherichia coli. Purified recombinant ORF121 protein was then used as an antigen to prepare monoclonal antibodies, and an efficient hybridoma cell line was selected by dot-blot assay. The resulting mAb-3D9 was applied to detect CyHV-2 in infected caudal fin of Carassius auratus gibelio (GiCF) cells and fish tissues by western blotting, immunofluorescence assays and immunohistological asays. The monoclonal antibody could specifically identify CyHV-2 in infected GiCF cells and the gills, the kidney and the spleen tissues, and it could attenuate CPE by CyHV-2 in vitro, suggesting it can be applied for CyHV-2 detection in the crucian carp and ORF121 may be a candidate vaccine against CyHV-2.

Increased atherogenic index in the general hearing loss population.

PURPOSE: The purpose of this study was to evaluate the association of hearing loss with atherogenic index (AI) in the general population. METHODS: A multistage study using cluster random sampling method was conducted in the Zhejiang province from 2016 to 2018. Pure-tone air-conduction hearing thresholds were measured at frequencies of 0.125-8 kHz for each subject. After obtaining their consent, all participants were asked to provide their own plasma lipid data. RESULTS: A total of 3,414 eligible participants were included, 1,765 (51.7%) were men and 1,649 (48.3%) were women and 1,113 (32.6%) had hearing loss. Ridge regression showed increased AI in subjects with hearing loss. The subgroup with the highest quartile of AI, presenting the highest risk of hearing loss as compared to the lowest quartile, comprised young and middle-aged women. Further analysis revealed that the AI in people with different categories of hearing loss was higher than that in the normal population, except for those with (extremely) severe hearing loss. Moreover, the young and middle-aged women exhibited the most significant correlations between AI and hearing loss. CONCLUSION: AI was positively associated with hearing loss in the general population, especially the young and middle-aged women.

Nonwet Kingfisher Flying in the Rain: The Tumble of Droplets on Moving Oriented Anisotropic Superhydrophobic Substrates.

Extensive studies of antiwetting have been restricted to stationary substrates, while dewetting mechanisms on moving interfaces are still poorly understood. Due to the hydrophobic and anisotropic surface characteristics of kingfishers, they are able to easily change flight direction even under high-intensity precipitation. The present study aims to mechanistically analyze how the synergy of interfacial movement, anisotropy, and superhydrophobicity affects rapid dehydration. We have designed a droplet-conveyor system to simulate the bouncing of droplets on moving anisotropic superhydrophobic targets and performed simulations via the lattice Boltzmann algorithm. The moving interface can induce a directional tumbling behavior of the droplet and effectively avoid continuous wetting in the same region. We found that droplet tumbling is essentially caused by transformed depinning velocity vectors at the interface downstream. Also, the hang time of a tumbling droplet is positively related to the angle between the motion vector and the texture. The oriented anisotropic motion facilitates the tumbling of droplets and decreases their hang time by up to 23% as compared to that on a stationary inclined superhydrophobic surface. Similar interfacial process dehydration also occurs on a nonwet kingfisher flying in the rain, and we believe that these findings provide valuable new insights for high-efficiency water repellency of surfaces.

Environmental exposure to lead and cadmium and hearing loss in Chinese adults: A case-control study.

Hearing loss is the second most common nonfatal problem affecting the Chinese population. Historical studies have suggested an association between exposure to heavy metals, such as cadmium and lead, and hearing loss. Few studies have investigated this relationship in the general population in China. We conducted a case-control study with 1008 pairs of participants from a cross-sectional epidemiological survey conducted in Zhejiang Province. A self-designed questionnaire was adopted to collect information on demographics, chronic diseases, lifestyles and environmental noise. Pure-tone averages of hearing thresholds at frequencies of 0.5, 1, 2, and 4 kHz were computed. Blood lead and cadmium levels were analyzed with an atomic absorption spectrometer. After adjusting for all other potential confounding factors, compared with the lowest blood cadmium quartile (0.00-0.53 µg/L), blood cadmium quartile 2 (0.54-0.92 µg/L), quartile 3 (0.93-1.62 µg/L) and quartile 4 (1.63-57.81 µg/L) exhibited significantly elevated risks for hearing loss, with odds ratios of 1.932 (95% CI: 1.356-2.751), 2.036 (95% CI: 1.423-2.914) and 1.495 (95% CI: 1.048-2.133), respectively (P-trend<0.001). However, an association of lead with hearing loss was not found. Young age (less than 60 years), male sex and current smoking were associated with increased blood cadmium concentration. Additionally, a positive association between blood cadmium and lead concentrations was found. Therefore, we conclude that exposure to environmental cadmium may be a risk factor for hearing loss among the general population in China.

Effects of eigen and actual frequencies of soft elastic surfaces on droplet rebound from stationary flexible feather vanes.

The aim of this paper is to investigate the effect of eigenfrequency and the actual frequency of the elastic surface for droplet rebound. The elastic surface used in this study is the stationary flexible feather vanes. A fluid-structure interaction (FSI) numerical model is proposed to predict the phenomenon, and later it is validated by an experiment where droplets impact the stationary flexible feather vanes. The effect of mass and stiffness of the surface is analysed. First, a suitable combination of mass and stiffness of the surface will enhance the drop rebound. Second, a small mass system with a higher eigenfrequency will decrease the minimum contact time. Finally, the actual frequencies of the elastic surface, approximately 75 Hz, can accelerate the drop rebound for all cases.

Robust adhesion of droplets via heterogeneous dynamic petal effects.

HYPOTHESIS: Bionics and dynamic interface wetting intensely appeal to many research communities due to their unique practical implications. The rose petals had a highly robust dynamic water-retaining capacity under heavy precipitation. We predicted that the roses became more "hydrophilic" at higher Weber numbers. EXPERIMENTS: Fresh rose petals were directly impacted by droplets, and facile artificial petal-like substrates and superhydrophobic substrates were used in the comparative analysis. The wetting dynamics of the droplet (e.g., topography, bounce dynamics, contact time, three-phase contact lines, and oscillations) were investigated when interacting with four selected target substrates. FINDINGS: The present work first time investigated the dynamic wetting rule of the sticky superhydrophobic substrates (SSHS). Simulated and experimental investigations confirmed that the unique coupling synergy between the pinning effect and the inhomogeneous micropapillaes resulted in lopsided contact line velocities, which remarkably suppressed the lateral oscillation and rebounding. This may be a new strategy when designing dynamic water-repellent surfaces and open a promising avenue for emerging areas such as super-efficiency energy conversion and harvesting.

Silencing of heat shock protein 27 increases the radiosensitivity of non­small cell lung carcinoma cells.

Radiotherapy is a useful treatment for malignant tumors, including lung carcinoma; however, non­small cell lung carcinoma (NSCLC) is frequently insensitive to radiation. It has been reported that heat shock protein 27 (HSPB1) is a radioresistance­associated protein in nasopharyngeal carcinoma. In the present study, the role of HSPB1 in NSCLC cells induced by irradiation was investigated. The viability of cells was determined by a Cell Counting Kit­8 assay. The apoptotic activity, cell cycle distribution and mitochondrial membrane potential (MMP) of cells were evaluated via flow cytometry. Reverse transcription­quantitative polymerase chain reaction and western blot analyses were employed to measure the expression of various genes and proteins. It was observed that knockdown of HSPB1 with small interfering RNA (si­HSPB1) markedly decreased the viability of A549 NSCLC cells and induced cell cycle arrest in the G2/M phase following exposure to 6 Gy irradiation. Furthermore, it was revealed that si­HSPB1 significantly downregulated cyclin B1 and cyclin G1 expression. Additionally, si­HSPB1 promoted apoptosis and depolarized the MMP of cells exposed to 6 Gy irradiation. The expression levels of B­cell lymphoma­2 (Bcl­2), mitochondrial cytochrome c (cyto c) and pro­caspase­8 were downregulated, whereas those of Bcl­2 associated X protein (Bax), cytosolic cyto c and cleaved­caspase­8 were upregulated. Collectively, silencing of HSPB1 increased the radiosensitivity of NSCLC cells by reducing cell viability, depolarizing the MMP, arresting the cell cycle in the G2/M phase and promoting cell apoptosis. Therefore, HSPB1 may be a novel target for increasing radiosensitivity in the treatment of NSCLC.

Non-wet kingfisher flying in the rain: The water-repellent mechanism of elastic feathers.

HYPOTHESIS: Flying in the rain presents a greater challenge for smaller animals such as kingfishers, compared with aircraft in the same situation. Regardless, kingfishers have developed advanced water repellency as reflected in the hydrophobicity and elasticity of their feathers. Therefore, it is possible to confirm that the elastic superhydrophobic surface can enhance the water repellency of the surface by experimental and theoretical analysis. EXPERIMENTS: A simplified device simulating droplet impact on a kingfisher feather was configured for comparison. Moreover, the dynamic behavior of droplets (with varying Weber numbers-2 ≤ We ≤ 42) impinging on the elastic and rigid substrate was analyzed, such as spreading, retraction, lift-off, the secondary droplet, and contact time with a high-speed camera. FINDINGS: The elastic substrate significantly affected the retraction and lift-off of the droplet-that is, an earlier and more efficient morphological rearrangement of the droplet-reducing the contact time by up to 8.3% (17 < We ≤ 32). The combination of elasticity and hydrophobicity is a new bioinspired strategy that provides an insight into one of the mechanisms by which birds flying in the rain cannot be bedewed while guiding the design of water-repellent surfaces.

Space Radiation and Plasma Effects on Satellites and Aviation: Quantities and Metrics for Tracking Performance of Space Weather Environment Models.

The Community Coordinated Modeling Center has been leading community-wide space science and space weather model validation projects for many years. These efforts have been broadened and extended via the newly launched International Forum for Space Weather Modeling Capabilities Assessment (https://ccmc.gsfc.nasa.gov/assessment/). Its objective is to track space weather models' progress and performance over time, a capability that is critically needed in space weather operations and different user communities in general. The Space Radiation and Plasma Effects Working Team of the aforementioned International Forum works on one of the many focused evaluation topics and deals with five different subtopics (https://ccmc.gsfc.nasa.gov/assessment/topics/radiation-all.php) and varieties of particle populations: Surface Charging from tens of eV to 50-keV electrons and internal charging due to energetic electrons from hundreds keV to several MeVs. Single-event effects from solar energetic particles and galactic cosmic rays (several MeV to TeV), total dose due to accumulation of doses from electrons (>100 keV) and protons (>1 MeV) in a broad energy range, and radiation effects from solar energetic particles and galactic cosmic rays at aviation altitudes. A unique aspect of the Space Radiation and Plasma Effects focus area is that it bridges the space environments, engineering, and user communities. The intent of the paper is to provide an overview of the current status and to suggest a guide for how to best validate space environment models for operational/engineering use, which includes selection of essential space environment and effect quantities and appropriate metrics.

Analytical Representations for Characterizing the Global Aviation Radiation Environment Based on Model and Measurement Databases.

The Nowcast of Atmospheric Ionizing Radiation for Aviation Safety climatological model and the Automated Radiation Measurements for Aerospace Safety (ARMAS) statistical database are presented as polynomial fit equations. Using equations based on altitude, L shell, and geomagnetic conditions an effective dose rate for any location from a galactic cosmic ray (GCR) environment can be calculated. A subset of the ARMAS database is represented by a second polynomial fit equation for the GCR plus probable relativistic energetic particle (REP; Van Allen belt REP) effective dose rates within a narrow band of L shells with altitudinal and geomagnetic dependency. Solar energetic particle events are not considered in this study since our databases do not contain these events. This work supports a suggestion that there may be a REP contribution having an effect at aviation altitudes. The ARMAS database is rich in Western Hemisphere observations for L shells between 1.5 and 5; there have been many cases of enhanced radiation events possibly related to effects from radiation belt particles. Our work identifies that the combined effects of an enhanced radiation environment in this L shell range are typically 15% higher than the GCR background. We also identify applications for the equations representing the Nowcast of Atmospheric Ionizing Radiation for Aviation Safety and ARMAS databases. They include (i) effective dose rate climatology in comparison with measured weather variability and (ii) climatological and statistical weather nowcasting and forecasting. These databases may especially help predict the radiation environment for regional air traffic management, for airport overflight operations, and for air carrier route operations of individual aircraft.

Sexual dimorphism in antennal morphology and sensilla ultrastructure of a pupal endoparasitoid Tetrastichus howardi (Olliff) (Hymenoptera: Eulophidae).

Tetrastichus howardi (Olliff) (Hymenoptera: Eulophidae), a pupal parasitoid of a great number of Lepidoptera pests, has a great potential for biological control. To investigate the olfactory system of this parasitoid, we examined the morphology and ultrastructure of the antennal sensilla of both male and female T. howardi using scanning and transmission electron microscopic techniques. Antennae of male and female T. howardi were geniculate in shape, which consisted of scape, pedicel and flagellum with 5 and 4 flagellomeres, respectively. The sexual differences were recorded in the types, structure, distribution and abundance of antennal sensilla of T. howardi. Fourteen morphologically distinct types of antennal sensilla were found on the female antennae, while seventeen on the male antennae. They were: multiporous plate sensilla (MPS1-4), chaetica sensilla (CH1-3), multiporous trichodea sensilla (MTS), aporous trichodea sensilla (ATS1-5), multiporous grooved peg sensilla (MGPS), coeloconic sensilla (COS), campaniform sensilla (CAS), terminal finger-like hairy sensilla (TFI), cuticular pore (CP), and ventral sensory plaque (VSP). MPS4, ATS (3-5), and VSP only occurred on the male antennae, while MPS2 and MPS3 only on the female antennae. The MPSs, MTS, MGPS, TFI, and CP may function as olfactory sensilla involving in detecting odor stimuli whereas the ATSs, CHs, and CAS may serve as mechanoreceptors. COS were presumed to play a role as chemo-, thermo- or hygro-receptor. The results could facilitate future studies on the biology of olfaction in T. howardi.

Temperature effects on enzyme activity of chicken liver esterase used in calorimetric biosensor.

The temperature effects on enzyme activity at the conditions with and without inhibition, operation, and storage were investigated for free esterase and immobilized chicken liver esterase with three methods (adsorption, adsorption-microcapsule, and adsorption-crosslinking) used in a calorimetric biosensor. The results indicated that the temperature had significant effects on the enzyme activity by means of catalytic reaction, irreversible denaturation, mass transfer, and structure deformation of resin. Among all the esterase, the adsorption-crosslinking immobilized esterase had the best performances of enzyme activity retention ratio (EARR), above 96% in operation and 90% in storage on condition of maintaining its response to dichlorvos.

[Nipple-areolar reconstruction with the modified arrow flap].

OBJECTIVE: To introduce the clinical experience of nipple-areolar reconstruction with the modified arrow flap. METHODS: The arrow flaps were modified for nipple-areolar reconstruction in 12 cases. Among them, 2 cases were treated with combined thin split-thickness skin graft; 4 cases with autologous rib implant and tattoo; 6 cases with tattoo. RESULTS: All the reconstructed nipples were survived. The reconstructed nipples lost projection 1 month after operation in 2 cases. The other 10 cases retained 50% of the nipple projection 3 months after operation. The results were maintained with satisfactory symmetry during the follow-up period of 6 months to one year. CONCLUSIONS: The modified flap is easily performed with reasonable design and no need of donor site. The nipple projection can be maintained with good long-term effect.

[The best concentration ratio of propofol controlled-infusion combined with sevoflurane in anesthesia for patients undergoing laparoscopy].

OBJECTIVE: To investigate the best concentration ratio of propofol controlled-infusion combined with sevoflurane in anesthesia for patients undergoing laparoscopy. METHODS: One hundred patients undergoing cholecystectomy under laparoscopy were randomly divided into 5 equal groups treated with propofol controlled plasma at the concentrations of 1, 2, 3, 4, and 5 microg/ml respectively (Group 1-5). Bispectral index (BIS) was maintained at a range of 50 +/- 5 by adjusting sevoflurane inhalation. The end-tidal concentration of sevoflurane (ETsevo), systolic pressure, diastolic pressure, recovery time, awareness, and post-operative nausea and vomiting (PONV) within 24 h after operation were recorded. The best concentration ratio of propofol controlled-infusion combined with sevoflurane with the definition as the highest ETsevo without PONV decrease along with the increase of propofol concentration. RESULTS: ETsevo was negatively correlated with and propofol concentration. There were nit significant differences in the systolic pressure, diastolic pressure, and recovery time among different groups. No incidence of intra-operative awareness was found. The PONV rates of Group 1 and 2 were both 60%, significantly higher than those of the other 3 groups (all P < 0.05) without significant differences in PONV rate among Group 3 - 5. The best concentration ratio of propofol controlled-infusion combined with sevoflurane was propofol controlled-infusion at the concentration of 1 microg/ml with ETsevo at the concentration as 1 minimal alveolar concentration (MAC). CONCLUSION: Propofol controlled-infusion at the concentration of 1 microg/ml with ETsevo at the concentration as 1 MAC is the best concentration ratio with low PONV rate and a possibility to prevent intra-operative awareness.