Anthracene-based thiol-ene networks with thermo-degradable and photo-reversible properties

Reversible networks based on an alkenefunctionalized dimer of 9-anthracenemethanol were synthesized by photoinitiated radical thiol ene polyaddition, using either a poly(dimethylsiloxane-co-propylmercaptomethylsiloxane) or a novel aliphatic trithiol synthesized from 1,2,4trivinylcyclohexane in a simple two-step procedure. The obtained networks were analyzed using differential scanning calorimetry, dynamic mechanical analysis, polarization microscopy, X-ray diffraction, and (photo)rheology. The two types of networks showed weak endothermic transitions between 50 and 60 degrees C, which proved to originate either from melting of a crystalline anthracene-dimer phase (trithiol network) or from a liquid crystalline phase (PDMS network) based on X-ray diffraction and polarization microscopy. Using rheology, both types of networks were shown to cleanly decompose into multifunctional anthracene monomers at temperatures above 180 degrees C. Irradiation of these anthracene monomers resulted in the formation of networks having similar physical properties as the original materials

Improved detection of Pneumocystis jirovecii in upper and lower respiratory tract specimens from children with suspected pneumocystis pneumonia using real-time PCR: a prospective study

<p>Abstract</p> <p>Background</p> <p><it>Pneumocystis </it>pneumonia (PCP) is a major cause of hospitalization and mortality in HIV-infected African children. Microbiologic diagnosis relies predominantly on silver or immunofluorescent staining of a lower respiratory tract (LRT) specimens which are difficult to obtain in children. Diagnosis on upper respiratory tract (URT) specimens using PCR has been reported useful in adults, but data in children are limited. The main objectives of the study was (1) to compare the diagnostic yield of PCR with immunofluorescence (IF) and (2) to investigate the usefulness of upper compared to lower respiratory tract samples for diagnosing PCP in children.</p> <p>Methods</p> <p>Children hospitalised at an academic hospital with suspected PCP were prospectively enrolled. An upper respiratory sample (nasopharyngeal aspirate, NPA) and a lower respiratory sample (induced sputum, IS or bronchoalveolar lavage, BAL) were submitted for real-time PCR and direct IF for the detection of <it>Pneumocystis </it><it>jirovecii</it>. A control group of children with viral lower respiratory tract infections were investigated with PCR for PCP.</p> <p>Results</p> <p>202 children (median age 3.3 [inter-quartile range, IQR 2.2 - 4.6] months) were enrolled. The overall detection rate by PCR was higher than by IF [180/349 (52%) vs. 26/349 (7%) respectively; p < 0.0001]. PCR detected more infections compared to IF in lower respiratory tract samples [93/166 (56%) vs. 22/166 (13%); p < 0.0001] and in NPAs [87/183 (48%) vs. 4/183 (2%); p < 0.0001]. Detection rates by PCR on upper (87/183; 48%) compared with lower respiratory tract samples (93/166; 56%) were similar (OR, 0.71; 95% CI, 0.46 - 1.11). Only 2/30 (6.6%) controls were PCR positive.</p> <p>Conclusion</p> <p>Real-time PCR is more sensitive than IF for the detection of <it>P. jirovecii </it>in children with PCP. NPA samples may be used for diagnostic purposes when PCR is utilised. Wider implementation of PCR on NPA samples is warranted for diagnosing PCP in children.</p

Cost-Effectiveness Analysis of Diagnostic Options for Pneumocystis Pneumonia (PCP)

Diagnosis of Pneumocystis jirovecii pneumonia (PCP) is challenging, particularly in developing countries. Highly sensitive diagnostic methods are costly, while less expensive methods often lack sensitivity or specificity. Cost-effectiveness comparisons of the various diagnostic options have not been presented.We compared cost-effectiveness, as measured by cost per life-years gained and proportion of patients successfully diagnosed and treated, of 33 PCP diagnostic options, involving combinations of specimen collection methods [oral washes, induced and expectorated sputum, and bronchoalveolar lavage (BAL)] and laboratory diagnostic procedures [various staining procedures or polymerase chain reactions (PCR)], or clinical diagnosis with chest x-ray alone. Our analyses were conducted from the perspective of the government payer among ambulatory, HIV-infected patients with symptoms of pneumonia presenting to HIV clinics and hospitals in South Africa. Costing data were obtained from the National Institutes of Communicable Diseases in South Africa. At 50% disease prevalence, diagnostic procedures involving expectorated sputum with any PCR method, or induced sputum with nested or real-time PCR, were all highly cost-effective, successfully treating 77-90% of patients at $26-51 per life-year gained. Procedures using BAL specimens were significantly more expensive without added benefit, successfully treating 68-90$189-232 per life-year gained. A relatively cost-effective diagnostic procedure that did not require PCR was Toluidine Blue O staining of induced sputum ($25 per life-year gained, successfully treating 68$109 per life-year gained) compared with several molecular diagnostic options.For diagnosis of PCP, use of PCR technologies, when combined with less-invasive patient specimens such as expectorated or induced sputum, represent more cost-effective options than any diagnostic procedure using BAL, or chest x-ray alone

Analyse du rapport EPI 2008

audience: researcher, professiona

A review on self-healing polymers for soft robotics

The intrinsic compliance of soft robots provides safety, a natural adaptation to its environment, allows to absorb shocks, and protects them against mechanical impacts. However, a literature study shows that the soft polymers used for their construction are susceptible to various types of damage, including fatigue, overloads, interfacial debonding, and cuts, tears and perforations by sharp objects. An economic and ecological solution is to construct future soft robotic systems out of self-healing polymers, incorporating the ability to heal damage. This review paper proposes criteria to evaluate the potential of a self-healing polymer to be used in soft robotic applications. Based on these soft robotics requirements and on defined performance parameters of the materials, linked to the mechanical and healing properties, the different types of self-healing polymers already available in literature are critically assessed and compared. In addition to a description of the state of the art on self-healing soft robotics, the paper discusses the driving forces and limitations to spur the interdisciplinary combination between self-healing polymer science and soft robotics

Roadmap on soft robotics: multifunctionality, adaptability and growth without borders

Soft robotics aims at creating systems with improved performance of movement and adaptability in unknown, challenging, environments and with higher level of safety during interactions with humans. This Roadmap on Soft Robotics covers selected aspects for the design of soft robots significantly linked to the area of multifunctional materials, as these are considered a fundamental component in the design of soft robots for an improvement of their peculiar abilities, such as morphing, adaptivity and growth. The roadmap includes different approaches for components and systems design, bioinspired materials, methodologies for building soft robots, strategies for the implementation and control of their functionalities and behavior, and examples of soft-bodied systems showing abilities across different environments. For each covered topic, the author(s) describe the current status and research directions, current and future challenges, and perspective advances in science and technology to meet the challenges