18 research outputs found

    Ion-exchange membrane chromatography

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    Chromatography is a powerful separation technique that has become an important unit operation when high levels of purity are required. The selectivity of the separation process depends on the interactions between the stationary phase and the mobile phase components. This gives the process great flexibility, as several functionalities can be incorporated into the stationary phase and stationary phases of different types and formats are possible. The focus of this volume is on ion-exchange chromatography, which is the most widely used process chromatography technique, and in this chapter, we will focus on ion-exchange membrane chromatography. Transport phenomena in membrane chromatography are discussed in detail highlighting the differences from packed column resin chromatography. We will then present different ways of stacking membranes into units and the limitations of existing module designs, finally we will present membrane adsorbers currently on the market and conclude with some application examples

    Clinical factors associated with baseline history of atrial fibrillation and subsequent clinical outcomes following initial implantable cardioverter-defibrillator placement.

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    Atrial fibrillation (AF) is frequently present in patients with heart failure (HF) and an implantable cardioverter-defibrillator (ICD). This study aims to identify clinical factors associated with a baseline history of AF in ICD recipients, and compares subsequent clinical outcomes in those with and without a baseline history of AF.We studied 566 consecutive first-time ICD recipients at an academic center between 2011 and 2018. Logistic regression multivariable analyses were used to identify clinical factors associated with a baseline history of AF at the time of ICD implant. Cox-proportional hazard regression models were constructed for multivariate analysis to examine associations between a baseline history of AF with subsequent clinical outcomes, including ICD therapies, HF readmission, and all-cause mortality.Of all patients, 201 (36%) had a baseline history of AF at the time of ICD implant. In multivariate analyses, clinical factors associated with a baseline history of AF included hypertension, valvular heart disease, body weight, PR interval, and serum creatinine level. After multivariate adjustment for potential confounders, a baseline history of AF was associated with an increased risk of anti-tachycardia pacing (HR = 1.84, 95% CI = 1.19-2.85, P = .006), appropriate ICD shocks (HR = 1.80, 95% CI = 1.05-3.09, P = .032), and inappropriate ICD shocks (HR = 3.72, 95% CI = 1.7-7.77, P = .0001), but not other adverse outcomes.Among first-time ICD recipients, specific clinical characteristics were associated with a baseline history of AF at the time of ICD implant. After adjustment for potential confounders, a baseline history of AF was associated with a higher risk of all ICD therapies in follow-up
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