Association between obstructive apnea syndrome during sleep and damages to anterior labyrinth: Our experience

The obstructive sleep apnea syndrome is a chronic condition characterized by frequent episodes of collapse of the upper airways during sleep. It can be considered a multisystem disease. Among the districts involved, even the auditory system was seen to be concerned. It was enrolled a population of 20 patients after polysomnographic diagnosis of OSAS (Apnea Hypopnea Index > 10) and a control group of 28 healthy persons (Apnea Hypopnea Index < 5). Each patient has been subjected to Pure Tone Audiometry, Tympanometry, study of Acoustic Reflex, Otoacoustic Emissions and Auditory Brainstem Response. Moreover they were submitted to endoscopy of upper airway with Muller Maneuver and Epworth Sleepiness Scale (ESS). The values of ESS was 13.5 in OSAS group and 5.4 in control group. The tone audiometry is worse in all frequencies analyzed in OSAS patients, but within the normal range for both groups analyzed by 250 to 1000 Hertz. Otoacoustic emissions show a reduced reproducibility and a lower signal/ noise ratio in OSAS group (P <0.01)

Fatigue damage modelling of PEEK short fibre composites

Abstract In the present research the fatigue damage evolution of a PEEK based composite was studied. Examined material consisted of a PEEK matrix reinforced by carbon micro-fibres with addition of fillers such as graphite and PTFE. Fatigue tests in load control were carried out up to 106 cycles at different stress level, with cycle ratio R = 0 and frequency 10 Hz. The damage evolution was evaluated by defining damage parameter based on elastic modulus reduction observed under cyclic loading. The cyclic damage evolution of PEEK based composite, which is a function of applied stress level, presented significantly different damage stages. In order to reproduce fatigue damage kinetic observed experimentally a phenomenological modelling approach was then implemented into a finite element code, based on fatigue damage model recently proposed for short fibre reinforced thermoplastic composites

A numerical approach for the analysis of deformable journal bearings

This paper presents a numerical approach for the analysis of hydrodynamic radial journal bearings. The effect of shaft and housing elastic deformation on pressure distribution within oil film is investigated. An iterative algorithm that couples Reynolds equation with a plane finite elements structural model is solved. Temperature and pressure effects on viscosity are also included with the Vogel-Barus model. The deformed lubrication gap and the overall stress state were calculated. Numerical results are presented with reference to atypical journal bearing configuration at two different inlet oil temperatures. Obtained results show the great influence of elastic deformation of bearing components on oil pressure distribution, compared with results for ideally rigid components obtained by Raimondi and Boyd solution

Bipolar Quantum Molecular Resonance versus Blunt Dissection tonsillectomy

Bipolar Quantum Molecular Resonance versus Blunt Dissection tonsillectomy. Objectives: This study compared a quantum molecular resonance tonsillectomy (QMRT) to a standard blunt dissection tonsillectomy (BDT) for effectiveness and safety. Methodology: From January 2011 to September 2012, we recruited 80 children (ages 3 to 16 y) with paediatric obstructive sleep apnoea syndrome and/or recurrent tonsillitis. Patients were randomly assigned to receive QMRT (N = 40) or BDT (N = 40). The operating time and blood loss during surgery were evaluated. During the first postoperative week, the patients' parents completed a questionnaire to evaluate bleeding, ear and neck pain, nausea, vomiting, interrupted sleep, oral liquid intake or discomfort in fluid assumption, and analgesic consumption. Results: The average tonsillectomy duration was significantly shorter in the QMRT group (22.07 min \ub1 9.05) than in the BDT group (35.12 min \ub1 13.32; p < 0.000005). The average blood loss during tonsillectomy was significantly lower for the QMRT group (5.62 ml \ub1 7.44) than for the BDT group (43 ml \ub1 33.20; p < 000000001). However, the BDT group reported significantly lower pain scores than the QMRT group on days 2 (p < 0.05), 5 (p < 0.05), and 6 (p < 0.05); on other days, the groups were not significantly different. The BDT group reported two early and one late bleeding episodes; the QMRT group recorded only two late bleeding episodes. Conclusions: QMRT significantly reduced the operating time and intra-operative blood loss. No significant differences were found between the two techniques in postoperative pain or bleeding

Outpatient satisfaction during pharmacotherapy followup

This study aimed to investigate the satisfaction of patients with uncontrolled hypertension referred for pharmacotherapy followup. A cross-sectional study by semi-structured interview was used. The sample comprised patients undergoing pharmacotherapy followup, patients who had discontinued pharmacotherapy followup and patients who had not kept the appointments. A total of 80 (76.9 %) out of 104 patients registered were contacted. The majority of patients undergoing pharmacotherapy followup (91.1 %) were fully satisfied with the pharmacists' care given, their relationship with them (94.9 %), the manner in which their therapy was conducted (99.2 %) and the environment where it was carried out (85.3 %). The reasons for non-attendance were mostly forgetting the date, illness on the appointment day and other arrangements on the same day. Interestingly, all of these patients were completely satisfied with the pharmacists' care given. The satisfaction of patients with the pharmaceutical care is high among patients that have continuous followup, but a relevant proportion discontinued followup. Newer approaches to keep these patients under followup are necessary.Colegio de Farmacéuticos de la Provincia de Buenos Aire

Application of a low-cost camera on a UAV to estimate maize nitrogen-related variables

The development of small unmanned aerial vehicles and advances in sensor technology have made consumer digital cameras suitable for the remote sensing of vegetation. In this context, monitoring the in-field variability of maize (Zea mays L.), characterized by high nitrogen fertilization rates, with a low-cost color-infrared airborne system could be the basis for a site-specific nitrogen (N) fertilization support system. An experimental field with different N treatments applied to silage maize was monitored during the years 2014 and 2015. Images of the field and reference destructive measurements of above ground biomass, its N concentration and N uptake were taken at V6 and V9 development stages. Classical normalized difference vegetation indices (NDVI) and the indices adjusted by crop ground cover were calculated and regressed against the measured variables. Finally, image colorgrams were used to explore the potential of band-related information in variable estimation. A colorgram is a linear signal that summarizes the color content of each digital image. It is composed of a sequence of the frequency distribution curves of the camera bands, of their related parameters and of results of the principal components analysis applied to each image. The best predictors were found to be the ground cover and the adjusted green-based NDVI: regression equation at V9 resulted in R2 of 0.7 and RRMSE &lt; 25% in external validation. Colorgrams did not improve prediction performance due to the spectral limitations of the camera. Therefore, the feasibility of the method should be tested in future research. In spite of limitations of sensor setup, the modified camera was able to estimate maize biomass due to the very high spatial resolution. Since the above ground biomass is a robust proxy of N status, the modified camera could be a promising tool for a low-cost N fertilization support system

Unraveling the effect of proliferative stress in vivo in hematopoietic stem cell gene therapy mouse study

The hematopoietic system of patients enrolled in hematopoietic stem cells (HSC) gene therapy (GT) treatments is fully reconstituted upon autologous transplantation of engineered stem cells. HSCs highly proliferate up to full restoration of homeostasis and compete for niche homing and engraftment. The impact of the proliferation stress in HSC on genetic instability remains an open question that cured patients advocate for characterizing long-term safety and efficacy. The accumulation of somatic mutations has been widely used as a sensor of proliferative stress. Vector integration site (IS) can be used as a molecular tool for clonal identity, inherited by all HSC progeny, to uncover lineage dynamics in vivo at single-cell level. Here we characterized at single-clone granularity the proliferative stress of HSCs and their progeny over time by measuring the accumulation of mutations from the DNA of each IS. To test the feasibility of the approach, we set-up an experimental framework that combines tumor-prone Cdkn2a-/- and wild type (WT) mouse models of HSC-GT and molecular analyses on different hematopoietic cell lineages after transplantation of HSCs transduced with genotoxic LV (LV.SF.LTR) or GT-like non-genotoxic LV (SIN.LV.PGK). The Cdkn2a-/- mouse model provided the experimental conditions to detect the accumulation of somatic mutations, since the absence of p16INK4A and p19ARF enhances the proliferative potential of cells that have acquired oncogenic mutations. As expected, mice transplanted with Cdkn2a-/- Lin- cells marked with LV.SF.LTR (N=24) developed tumors significantly earlier compared to mock (N=20, p&lt;0.0001), while mice treated with SIN. LV.PGK (N=23) did not. On the other side, mice that received WT Lin- cells treated with LV.SF.LTR (N=25) or SIN.LV.PGK (N=24) vector have not developed tumors. Given this scenario, we expect that Cdkn2a-/- Lin- cells transduced with LV.SF.LTR are associated with higher mutation rates compared to the SIN.LV.PGK group and wild type control mice. The composition of peripheral blood, lymphoid (B and T) and myeloid compartments was assessed by FACS on samples collected every 4 weeks and IS identification. More than 200,000 IS have been recovered. To identify the presence of somatic mutations, the genomic portions of sequencing reads flanking each different IS were analyzed with VarScan2. The accumulation rates of mutations have been evaluated by our new Mutation Index (MI) which normalizes the number of mutations by clones and coverage. Considering that a large portion of IS has been discarded since not covered by a minimum number of 5 unique reads (genomes), the remaining number of IS contained &gt;90% of reads in each group. The MI increased over time in both LV.SF.LTR groups, with higher values for the Cdkn2a-/-. On the other hand, treatment with SIN.LV.PGK resulted in lower MI in both groups compared to LV.SF.LTR groups, reflecting the higher clonal composition of the cells treated with the SIN.LV.PGK and the phenomenon of insertional mutagenesis in the LV.SF.LTR. Moreover, the higher MI values of the SIN.LV.PGK Cdkn2a-/- group compared with the WT group proved the induction of DNA fragility. Our results showed that the analysis of the accumulation of somatic mutations at single clone unraveled HSC proliferation stress in vivo, combining for the first time the analysis of acquired mutations with IS. We are now applying our model to different clinical trials, and studying HSCs sub- clonal trees by symmetric divisions, previously indistinguishable by IS only. Our study will open the doors to in vivo long-term non-invasive studies of HSC stability in patients

A numerical approach for the analysis of deformable journal bearings

This paper presents a numerical approach for the analysis of hydrodynamic radial journal bearings. The effect of shaft and housing elastic deformation on pressure distribution within oil film is investigated. An iterative algorithm that couples Reynolds equation with a plane finite elements structural model is solved. Temperature and pressure effects on viscosity are also included with the Vogel-Barus model. The deformed lubrication gap and the overall stress state were calculated. Numerical results are presented with reference to a typical journal bearing configuration at two different inlet oil temperatures. Obtained results show the great influence of elastic deformation of bearing components on oil pressure distribution, compared with results for ideally rigid components obtained by Raimondi and Boyd solution