The Combined Effect of Air Layers and Membrane Superhydrophobicity on Biofouling in Membrane Distillation

Previous studies of membrane distillation (MD) have shown that superhydrophobic membranes experience dramatically less inorganic and particulate fouling. However, little explanation for this improved performance has been given in the literature. Furthermore, studies comparing membrane superhydrophobicity and biofouling are lacking, though superhydrophobic surfaces are known to be more vulnerable to biofouling than other types. In non-membrane surfaces, visible air layers on superhydrophobic surfaces have been correlated with significant decreases in biofouling. Therefore, it was proposed here to use superhydrophobic MD membranes with periodic introduction of air to maintain an air layer on the membrane surface. Superhydrophobic membranes were created with initiated chemical vapor deposition (iCVD) of a fluorinated compound, perfluorodecyl acrylate (PFDA). The substrate membrane was PVDF. To test MD fouling, an MD membrane was placed on top of a fouling solution, with a heater and stirrer to caus e evaporation of water through the membrane. Results were analyzed with foulant mass measurements. Alginate gel fouling was examined, as this compound is a common proxy for biological fouling in ocean w ater. The introduction of air layers was found to dramatically decrease foulant adhesion to the membrane, by 95-97%. Membrane superhydrophobicity made a much smaller impact in reducing fouling. Keywords membrane distillation, superhydrophobic surfaces, alginate, air layers, anti-foulin

The Use of Virtual Reality Facilitates Dialectical Behavior Therapy® “Observing Sounds and Visuals” Mindfulness Skills Training Exercises for a Latino Patient with Severe Burns: A Case Study

Sustaining a burn injury increases an individual's risk of developing psychological problems such as generalized anxiety, negative emotions, depression, acute stress disorder, or post-traumatic stress disorder. Despite the growing use of Dialectical Behavioral Therapy® (DBT®) by clinical psychologists, to date, there are no published studies using standard DBT® or DBT® skills learning for severe burn patients. The current study explored the feasibility and clinical potential of using Immersive Virtual Reality (VR) enhanced DBT® mindfulness skills training to reduce negative emotions and increase positive emotions of a patient with severe burn injuries. The participant was a hospitalized (in house) 21-year-old Spanish speaking Latino male patient being treated for a large (>35% TBSA) severe flame burn injury.Methods: The patient looked into a pair of Oculus Rift DK2 virtual reality goggles to perceive the computer-generated virtual reality illusion of floating down a river, with rocks, boulders, trees, mountains, and clouds, while listening to DBT® mindfulness training audios during 4 VR sessions over a 1 month period. Study measures were administered before and after each VR session.Results: As predicted, the patient reported increased positive emotions and decreased negative emotions. The patient also accepted the VR mindfulness treatment technique. He reported the sessions helped him become more comfortable with his emotions and he wanted to keep using mindfulness after returning home.Conclusions: Dialectical Behavioral Therapy is an empirically validated treatment approach that has proved effective with non-burn patient populations for treating many of the psychological problems experienced by severe burn patients. The current case study explored for the first time, the use of immersive virtual reality enhanced DBT® mindfulness skills training with a burn patient. The patient reported reductions in negative emotions and increases in positive emotions, after VR DBT® mindfulness skills training. Immersive Virtual Reality is becoming widely available to mainstream consumers, and thus has the potential to make this treatment available to a much wider number of patient populations, including severe burn patients. Additional development, and controlled studies are needed

Behavioural and Developmental Interventions for Autism Spectrum Disorder: A Clinical Systematic Review

Background: Much controversy exists regarding the clinical efficacy of behavioural and developmental interventions for improving the core symptoms of autism spectrum disorders (ASD). We conducted a systematic review to summarize the evidence on the effectiveness of behavioural and developmental interventions for ASD. Methods and Findings: Comprehensive searches were conducted in 22 electronic databases through May 2007. Further information was obtained through hand searching journals, searching reference lists, databases of theses and dissertations, and contacting experts in the field. Experimental and observational analytic studies were included if they were written in English and reported the efficacy of any behavioural or developmental intervention for individuals with ASD. Two independent reviewers made the final study selection, extracted data, and reached consensus on study quality. Results were summarized descriptively and, where possible, meta-analyses of the study results were conducted. One-hundred-and-one studies at predominantly high risk of bias that reported inconsistent results across various interventions were included in the review. Meta-analyses of three controlled clinical trials showed that Lovaas treatment was superior to special education on measures of adaptive behaviour, communication and interaction, comprehensive language, daily living skills, expressive language, overall intellectual functioning and socialization. High-intensity Lovaas was superior to low-intensity Lovaas on measures of intellectual functioning in two retrospective cohort studies. Pooling the results of two randomized controlle

Combining air recharging and membrane superhydrophobicity for fouling prevention in membrane distillation

In previous studies of the desalination technology membrane distillation (MD), superhydrophobicity of the membrane has been shown to dramatically decrease fouling in adverse conditions, but the mechanism for this is not well understood. Additionally, air layers present on submerged solid superhydrophobic surfaces have been shown to dramatically reduce biofouling, and air-bubbling has been used to reducing fouling and increase flux and efficiency in MD. The present work studies the effect of maintaining air layers on the membrane surface and superhydrophobicity as a new method for preventing fouling of MD membranes by salts, particulates, and organic particles. Superhydrophobic MD membranes were prepared using initiated chemical vapor deposition (iCVD) of perfluorodecyl acrylate (PFDA) on poly(vinyldene fluoride) PVDF membranes and used to study the effects of surface energy on fouling. A static MD setup with evaporation through an MD membrane but no condensing of permeate was used to examine the effect of air exposure on fouling, by measuring the increase in weight of the membrane caused by scale deposition. Theory was derived for the reduction of fouling on superhydrophobic surfaces, and a review of related theory was included. Air layers may displace fouling gels, reduce the area of feed in contact with the membrane, reduce foulant adhesion, and enhance superhydrophobicity in a Cassie–Baxter state. The study shows that the presence of air on the membrane surface significantly reduces biological fouling, but in some cases had mildly exacerbating effects by increasing crystal formation of salts, especially when the air was not saturated with water vapor. Air recharging combined with superhydrophobicity reduced fouling in several cases where hydrophobic membranes alone did little.National Science Foundation (U.S.). Materials Research Science and Engineering Centers (Program) (DMR-1120296)Masdar Institute of Science and Technology/MIT/UAE (Cooperative agreement, Reference no.02/MI/MI/ CP/11/07633/GEN/G/00

Temporal Trends of Wild-Type Transthyretin Amyloid Cardiomyopathy in the Transthyretin Amyloidosis Outcomes Survey

Transthyretin amyloid cardiomyopathy results from the accumulation of wild-type (ATTRwt) or variant (ATTRv) transthyretin amyloid fibrils in the myocardium. THAOS (Transthyretin Amyloidosis Outcomes Survey) is a global, longitudinal, observational survey of patients with ATTRv and ATTRwt amyloidosis and asymptomatic patients with transthyretin mutations. This study explored temporal trends in ATTRwt amyloidosis diagnoses using data from THAOS. Using THAOS data from December 2007 to January 2020, the following comparisons were made according to year: ATTRwt amyloidosis diagnoses in the United States versus rest of the world, ATTRwt versus ATTRv amyloidosis with cardiac-associated mutations diagnoses, and ATTRwt amyloidosis diagnoses by tissue biopsy versus bone scintigraphy. There were 1,069 patients with ATTRwt amyloidosis and 525 with ATTRv amyloidosis with cardiac mutations enrolled in THAOS. The median time from symptom onset to ATTRwt amyloidosis diagnosis did not change over the past 5 years (>60 months from 2015–2019). ATTRwt amyloidosis diagnoses increased from 2 in 2005 to >100 per year from 2016, with a more pronounced increase in the United States compared with the rest of the world. Diagnoses of ATTRwt amyloidosis by tissue biopsy increased yearly and peaked in 2014 before declining, whereas diagnoses by bone scintigraphy increased markedly since 2011. ATTRv amyloidosis with cardiac mutation diagnoses increased from 3 in 2005 to 37 in 2011, then plateaued. The proportion of patients with ATTRwt amyloidosis diagnosed with New York Heart Association functional class III/IV heart failure decreased from 2012 (46.4%) to 2019 (16.0%). In the past decade, ATTRwt amyloidosis diagnoses increased worldwide. Despite the growing utilization of bone scintigraphy, patients are diagnosed several years after symptom onset. (Transthyretin Amyloidosis Outcomes Survey [THAOS]; NCT00628745) [Display omitted

Traumatic brain injury : integrated approaches to improve prevention, clinical care, and research

Rahul Raj on työryhmän InTBIR Participants Investigators jäsen.Peer reviewe