A Study on Rheological Properties of Blood and Improvements with High-Voltage Plasma Discharge
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A Study on Rheological Properties of Blood and Improvements with High-Voltage Plasma Discharge A Thesis Submitted to the Faculty of Drexel University by Jin Mu Jung in partial fulfillment of the requirements for the degree of Doctor of Philosophy May 2012 © Copyright 2012 Jin Mu Jung. All Rights Reserved. iii Acknowledgement I would like to express my greatest gratitude to my adviser Prof. Young I. Cho. His kind help, full support, and sincere advice enabled me to achieve my research goal during my years at Drexel University. His guidance has always led me to the right direction and taught me how to explore solutions to the questions with a creative thinking, a process which was one of the biggest learnings in my life so far. I also would like to convey my deep appreciation to Prof. Alexander Fridman, with whom I have a great pleasure and luck to have worked. I have been always amazed at not only the depth of his profound knowledge in plasma chemistry but also his broad understanding in both science and engineering. Also, I am deeply grateful to Profs. Ying Sun, Mikhail Pekker, and Greg Fridman for their valuable advice as committee members. Without their sincere endeavors and support, it would not have been possible to complete my Ph.D. program. I am very thankful to my friends and colleagues at A.J. Drexel Plasma Institute. During the years at DPI, I have experienced both the value of true friendship and the warmth of encouragement, which will make me smile whenever I look back to the days at DPI. Special thanks to Hyoungsup Kim, Yong Yang, Alla, Yelena, Kamau, Nathan, Natalie and Ivan with their endless help. I feel thankful to my friends (Jonghyun Oh, Dalhyoung Kim and his family, Hwabok Wee and his family, Hojun Shin, and Hoyeon Lee and his family) who have always offered a true word of encouragement. Best of all, I can’t find the words to thank my family enough for all the support, understanding, and love during the years of my study. iv Table of Contents List of Figures ....................................................................................................... vii List of Tables ........................................................................................................ xiii Abstract ................................................................................................................ xiv CHAPTER 1: INTRODUCTION ..................................................................................... 17 1.1 Needs to Study Blood Viscosity ................................................................ 17 1.1.1 Introduction to Blood Viscosity ....................................................... 17 1.1.2 Significance of Blood Viscosity Related to Cardiovascular Disease 18 1.2. Methods to Measure Blood Viscosity ....................................................... 24 1.2.1 Conventional Methods to Measure Blood Viscosity ........................ 24 1.2.1 Scanning Capillary Tube Viscometer (SCTV) ................................. 26 1.3 Objectives of the Present Study ................................................................. 29 CHAPTER 2: A NEW HEMATOCRIT-CORRECTION MODEL ........................... 31 2.1 Motivations and Literature Survey on the Correction of WBV ................ 31 2.2 Methods ..................................................................................................... 39 2.2.1 Sample Preparation .......................................................................... 39 2.2.1 Measurement of WBV and Plasma Viscosity ................................... 41 2.2.3 Data Analysis .................................................................................... 42 2.3 Results and Discussion .............................................................................. 44 2.3.1. A New Procedure to Correct the Measured WBV ........................... 44 2.3.2 The Comparison of a New Hematocrit-Correction Model to the Matrai’s Model .......................................................................................... 56 2.4 Limitations ................................................................................................. 78 v CHAPTER 3: A NEW ON-LINE CONDUCTANCE CELL FOR HEMATOCRIT MEASUREMENTS ...................................................... 79 3.1 Motivations and Literature Survey on Hematocrit Measurement ............. 79 3.2 Methods ..................................................................................................... 82 3.2.1 Experimental Setup .......................................................................... 82 3.2.2 Description of Power Supply and Signal Analyzer .......................... 86 3.2.3 Sample Preparation .......................................................................... 88 3.2.4 Experimental Procedure ................................................................... 89 3.2.5 Statistical Analysis ........................................................................... 91 3.3 Results and Discussion .............................................................................. 91 3.4 Limitations ............................................................................................... 105 CHAPTER 4: PLASAMA DISCAHRGE TREATMENT TO IMPROVE HEMORHEOLOGYCAL PROPERTIES ............................................ 106 4.1 Motivations and Literature Survey on Reduction of Blood Viscosity ..... 106 4.2 The Effect of DBD Treatment on Blood Viscosity .................................. 107 4.2.1 Methods .......................................................................................... 107 4.2.2 Results and Discussion ....................................................................112 4.3 The Effect of Corona Discharge Treatment on Blood Viscosity ............. 123 4.3.1 Methods .......................................................................................... 123 4.3.2. Results and Discussion .................................................................. 128 4.4 Limitations ............................................................................................... 144 CHAPTER 5: A STANDARD VISCOSITY FLUID FOR BLOOD VISCOSITY MEASUREMENTS .................................................................................. 146 vi 5.1 Motivations and Literature Survey on a Standard Viscosity Fluid for Blood Viscosity Measurements ............................................................... 146 5.2 Experimental Methods ............................................................................. 151 5.2.1 Sample Preparation ........................................................................ 151 5.2.2 Experimental Procedures ................................................................ 153 5.3 Results and Discussion ............................................................................ 154 5.3.1 Viscosity Profiles of SVFs ............................................................. 154 5.3.2 Dye Concentration .......................................................................... 158 5.3.3 Repeatability Test ........................................................................... 159 5.3.4 Degradation Test with/without EDTA ............................................ 165 5.4 Limitations ............................................................................................... 173 CHAPTER 6: CONCLUSIONS .................................................................................... 175 6.1 A New Hematocrit-Correction Model ..................................................... 175 6.2 A New On-Line Conductance Cell for Hematocrit Measurements ......... 176 6.3 Plasma Discharge Treatment to Improve Hemorheological Properties ... 176 6.4 A Standard Viscosity Fluid for Blood Viscosity Measurements .............. 177 List of References ................................................................................................ 179 VITA .................................................................................................................... 191 vii List of Figures Figure 1-1. Deaths due to cardiovascular disease in the United States between 1900-2007 (source: National Center for Health Statistics & AHA) [4] ................ 19 Figure 1-2. Percentage breakdown of deaths due to cardiovascular disease in the United States in 2007 (source: National Heart, Lung, and Blood Institute from National Center for Health Statistics reports and AHA) [4] ................................. 19 Figure 1-3. Cardiovascular disease deaths versus cancer deaths by age of the United States in 2007 (source: National Center for Health Statistics & AHA & Xu et al) [4, 5] ....................................................................................................... 20 Figure 1-4. Curves of WBV versus shear rates from 1 to 1,000 s-1 for normal and hardened RBCs in blood plasma [1, 2] ........................................................... 25 Figure 1-5. Schematic diagram of the SCTV system for blood viscosity measurement used in the present study [41, 43] ................................................... 27 Figure 2-1. Differences in blood viscosity between native hematocrit (left) and corrected hematocrit (right) cases for control, stable angina, unstable angina and acute myocardial infarction patients [47] .............................................................. 34 Figure 2-2. Magnetic resonance angiography (MRA) image (top left) and meshed model of a carotid bifurcation (top right) with the results of a numerical simulation