Real time three dimensional echocardiographic assessment on patients with beta-thalassaemia major

published_or_final_versionMedical SciencesMasterMaster of Medical Science

Clinical whole-exome sequencing reveals a common pathogenic variant in patients with CoQ10 deficiency: An underdiagnosed cause of mitochondriopathy

[Background]: Primary CoQ deficiency occurs because of the defective biosynthesis of coenzyme Q, one of the key components of the mitochondrial electron transport chain. Patients with this disease present with a myriad of non-specific symptoms and signs, posing a diagnostic challenge. Whole-exome sequencing is vital in the diagnosis of these cases.[Case]: Three unrelated cases presenting as either encephalopathy or cardiomyopathy have been diagnosed to harbor a common pathogenic variant c.370G > A in COQ4. COQ4 encodes a key structural component for stabilizing the multienzymatic CoQ biosynthesis complex. This variant is detected only among East and South Asian populations.[Conclusions]: Based on the population data and our case series, COQ4-related mitochondriopathy is likely an underrecognized condition. We recommend including the COQ4 c.370G > A variant as a part of the screening process for mitochondriopathy in Chinese populations.This work was supported by the S.K. Yee Medical Foundation, Hong Kong

Microwave processing of oil palm wastes for bioenergy production and circular economy: Recent advancements, challenges, and future prospects

The valorization and conversion of biomass into various value-added products and bioenergy play an important role in the realization of sustainable circular bioeconomy and net zero carbon emission goals. To that end, microwave technology has been perceived as a promising solution to process and manage oil palm waste due to its unique and efficient heating mechanism. This review presents an in-depth analysis focusing on microwave-assisted torrefaction, gasification, pyrolysis and advanced pyrolysis of various oil palm wastes. In particular, the products from these thermochemical conversion processes are energy-dense biochar (that could be used as solid fuel, adsorbents for contaminants removal and bio-fertilizer), phenolic-rich bio-oil, and H2-rich syngas. However, several challenges, including (1) the lack of detailed study on life cycle assessment and techno-economic analysis, (2) limited insights on the specific foreknowledge of microwave interaction with the oil palm wastes for continuous operation, and (3) effects of tunable parameters and catalyst's behavior/influence on the products’ selectivity and overall process's efficiency, remain to be addressed in the context of large-scale biomass valorization via microwave technology.</p

Microwave processing of oil palm wastes for bioenergy production and circular economy: Recent advancements, challenges, and future prospects

The valorization and conversion of biomass into various value-added products and bioenergy play an important role in the realization of sustainable circular bioeconomy and net zero carbon emission goals. To that end, microwave technology has been perceived as a promising solution to process and manage oil palm waste due to its unique and efficient heating mechanism. This review presents an in-depth analysis focusing on microwave-assisted torrefaction, gasification, pyrolysis and advanced pyrolysis of various oil palm wastes. In particular, the products from these thermochemical conversion processes are energy-dense biochar (that could be used as solid fuel, adsorbents for contaminants removal and bio-fertilizer), phenolic-rich bio-oil, and H2-rich syngas. However, several challenges, including (1) the lack of detailed study on life cycle assessment and techno-economic analysis, (2) limited insights on the specific foreknowledge of microwave interaction with the oil palm wastes for continuous operation, and (3) effects of tunable parameters and catalyst’s behavior/influence on the products’ selectivity and overall process’s efficiency, remain to be addressed in the context of large-scale biomass valorization via microwave technology

High Skin Sympathetic Nerve Activity in Patients with Recurrent Syncope

(1) Background: The autonomic imbalance plays a role in vasovagal syncope (VVS) diagnosed by head-up tilting test (HUT). neuECG is a new method of recording skin electrical signals to simultaneously analyze skin sympathetic nerve activity (SKNA) and electrocardiogram. We hypothesize that SKNA is higher in subjects with tilt-positive than tilt-negative and the SKNA surges before syncope. (2) Methods: We recorded neuECG in 41 subjects who received HUT (according to the “Italian protocol”), including rest, tilt-up, provocation and recovery phases. Data were analyzed to determine the average SKNA (aSKNA, μV) per digitized sample. Electrocardiogram was used to calculate standard deviation of normal-to-normal beat intervals (SDNN). The “SKNA-SDNN index” was calculated by rest aSKNA multiplied by the ratio of tilt-up to rest SDNN. (3) Results: 16 of 41 (39%) subjects developed syncope. The aSKNA at rest phase is significantly higher in the tilt-positive (1.21 ± 0.27 µV) than tilt-negative subjects (1.02 ± 0.29 µV) (p = 0.034). There are significant surges and withdraw of aSKNA 30 s before and after syncope (both p ≤ 0.006). SKNA-SDNN index is able to predict syncope (p &lt; 0.001). (4) Conclusion: Higher SKNA at rest phase is associated with positive HUT. The SKNA-SDNN index is a novel marker to predict syncope during HUT