Molecular monitoring of minimal residual disease in two patients with MLL-rearranged acute myeloid leukemia and haploidentical transplantation after relapse

This report describes the clinical courses of two acute myeloid leukemia patients. Both had MLL translocations, the first a t(10;11)(p11.2;q23) with MLL-AF10 and the second a t(11;19)(q23;p13.1) with MLL-ELL fusion. They achieved a clinical remission under conventional chemotherapy but relapsed shortly after end of therapy. Both had a history of invasive mycoses (one had possible pulmonary mycosis, one systemic candidiasis). Because no HLA-identical donor was available, a haploidentical transplantation was performed in both cases. Using a specially designed PCR method for the assessment of minimal residual disease (MRD), based on the quantitative detection of the individual chromosomal breakpoint in the MLL gene, all patients achieved complete and persistent molecular remission after transplantation. The immune reconstitution after transplantation is described in terms of total CD3+/CD4+, CD3+/CD8+, CD19+, and CD16+/CD56+ cell numbers over time. The KIR and HLA genotypes of donors and recipients are reported and the possibility of a KIR-mediated alloreactivity is discussed. This report illustrates that haploidentical transplantation may offer a chance of cure without chronic graft-versus-host disease in situations where no suitable HLA-identical donor is available even in a high-risk setting and shows the value of MRD monitoring in the pre- and posttransplant setting

Influence of an oxygen-free atmosphere on laser beam brazing of aluminium with prior surface deoxidation by pulsed laser radiation

Aluminium alloys, like AlMgSi1 and AlMg3, cannot be joined in industrial processes by laser beam brazing without the use of fluxes due to their resistant oxide layer. The aim of this study is to dispense with the use of flux. For the investigations, an oxygen-free atmosphere was created by using the highly reactive gas monosilane and thus achieving O2 partial pressures of 10-18 mbar. After removal of the oxides by a laser source with 1064 nm wavelength, pulse energies of max. 0.3 µJ and pulse durations of 45 ns, reoxidation is prevented by the oxygen-free atmosphere, so that brazing is carried out on an oxide-free material surface. The bead on plate seams show a materially bonded brazed joint in cross-section. Reference experiments without monosilane either show no wetting or an increased melting of base material. The influence of laser beam power for brazing, pulse energy for deoxidation and wire feed was investigated

Surface roughness of real operationally used compressor blade and blisk

Deterioration of axial compressors is in general a major concern in aircraft engine maintenance. Among other effects, roughness in high-pressure compressor reduces the pressure rise and thus efficiency, thereby increasing the specific fuel consumption of an engine. Therefore, it is important to improve the understanding of roughness on compressor blading and their impact on compressor performance. To investigate the surface roughness of rotor blades of a compressors, different stages of an axial high-pressure compressor and a first-stage blisk (BLade–Integrated–dISK) of a regional aircraft engine is measured by a three-dimensional laser scanning microscope. Fundamental types of roughness structures can be identified: impacts in different sizes, depositions as isotropically distributed single elements with steep flanks and anisotropic roughness structures direct approximately normal to the flow direction. To characterise and quantify the roughness structures in more detail, roughness parameters were determined from the measured surfaces. The quantification showed that the roughness height varies through the compressor depending on the stage, position and the blade side. Overall complex roughness structures of different shape, height and size are detected regardless of the type of the blades

Effects of the Back Plate Inner Diameter on the Frictional Heat Input and General Performance of Brush Seals

Reducing losses in the secondary air system of gas and steam turbines can significantly increase the efficiency of such machines. Meanwhile, brush seals are a widely used alternative to labyrinth seals. Their most valuable advantage over other sealing concepts is the very small gap between the sealing package and the rotor and thus reduced leakage mass flow. This small gap can be achieved due to the great radial flexibility without running the risk of severe detrimental deterioration in case of rubbing. Rubbing between rotor and seal during operation might occur as a result of e.g., an unequal thermal expansion of the rotor and stator or a rotor elongation due to centrifugal forces or manoeuvre forces. Thanks to the flexible structure of the brush seal, the contact forces during a rubbing event are reduced; however, the frictional heat input can still be considerable. Particularly in aircraft engines with their thin and lightweight rotor structures, the permissible material stresses can easily be exceeded by an increased heat input and thus harm the engine’s integrity. The geometry of the seal has a decisive influence on the resulting contact forces and consequently the heat input. This paper is a contribution to further understand the influence of the geometrical parameters of the brush seal on the heat input and the leakage during the rubbing of the seal on the rotor. In this paper, a total of three seals with varied back plate inner diameter are examined in more detail. The experimental tests were carried out on the brush seal test rig of the Institute of Thermal Turbomachinery (ITS) under machine-relevant conditions. These are represented by pressure differences of 1 to 7, surface speeds of 30 to 180 m / s and radial interferences of 0.1 to 0.4mm . For a better interpretation, the results were compared with those obtained at the static test rig of the Institute of Jet Propulsion and Turbomachinery (IFAS) at the Technical University of Braunschweig. The stiffness, the blow-down and the axial behaviour of the seals as a function of the differential pressure can be examined at this test rig. It could be shown that the back plate inner diameter has a decisive influence on the overall operating behaviour of a brush seal

Switchable mesomeric betaines derived from pyridinium-phenolates and bis(thienyl)ethane

Syntheses of push–pull substituted non-symmetric bis(thienyl)ethenes (BTEs) possessing a central perfluorocyclopentene core are described. The substituent effects of anisole, phenole, and phenolate as well as pyridine, pyridinium, and N-methylpyridinium substituents, joined through their 3- or 4-positions to the central BTE core, respectively, cover the range from very strongly electron-donating [σ(4-phenolate)=−1.00] to extremely strongly electron-withdrawing [σ(pyridinium-4-yl)=+2.57] in the title mesomeric betaines. The different isomers possessing 4-yl/4-yl, 4-yl/3-yl and 3-yl/3-yl substituents represent different combinations of conjugated and cross-conjugated partial structures and cause different spectroscopic properties. In addition, through-space conjugation between the 2- and 2′-position of the thiophenes can be observed which circumvents the charge-separation of through-bond cross-conjugation. The BTE possessing the push–pull chromophore consisting of 3-anisole and 4-pyridinium substituents (24) displays the best extinction coefficients within the series of compounds described here (ϵ=33.8/15.7 L/mol ⋅ cm), while the mesomeric betaine possessing an N-methylpyridinium-4-yl and a 4-phenolate substituent (29) displays considerable bathochromic shifts to λmax=724 nm in its closed form

Covid-19 triage in the emergency department 2.0: how analytics and AI transform a human-made algorithm for the prediction of clinical pathways

The Covid-19 pandemic has pushed many hospitals to their capacity limits. Therefore, a triage of patients has been discussed controversially primarily through an ethical perspective. The term triage contains many aspects such as urgency of treatment, severity of the disease and pre-existing conditions, access to critical care, or the classification of patients regarding subsequent clinical pathways starting from the emergency department. The determination of the pathways is important not only for patient care, but also for capacity planning in hospitals. We examine the performance of a human-made triage algorithm for clinical pathways which is considered a guideline for emergency departments in Germany based on a large multicenter dataset with over 4,000 European Covid-19 patients from the LEOSS registry. We find an accuracy of 28 percent and approximately 15 percent sensitivity for the ward class. The results serve as a benchmark for our extensions including an additional category of palliative care as a new label, analytics, AI, XAI, and interactive techniques. We find significant potential of analytics and AI in Covid-19 triage regarding accuracy, sensitivity, and other performance metrics whilst our interactive human-AI algorithm shows superior performance with approximately 73 percent accuracy and up to 76 percent sensitivity. The results are independent of the data preparation process regarding the imputation of missing values or grouping of comorbidities. In addition, we find that the consideration of an additional label palliative care does not improve the results

Accelerating the path towards carbon-free aviation

This paper, created by a group of aviation and energy experts from renowned universities and research centres in Europe, who oversee the fields of energy carriers, energy storage and conversion, propulsion, aerodynamics, flight mechanics, controls, structures, materials, multidisciplinary design, and life‐cycle engineering, aims to give an overview and assessment of promising future technologies. The paper therefore identifies the potential as well as research demands of these technologies on the path to a sustainable and more environmentally friendly aviation