Laser spectroscopy for breath analysis : towards clinical implementation

Detection and analysis of volatile compounds in exhaled breath represents an attractive tool for monitoring the metabolic status of a patient and disease diagnosis, since it is non-invasive and fast. Numerous studies have already demonstrated the benefit of breath analysis in clinical settings/applications and encouraged multidisciplinary research to reveal new insights regarding the origins, pathways, and pathophysiological roles of breath components. Many breath analysis methods are currently available to help explore these directions, ranging from mass spectrometry to laser-based spectroscopy and sensor arrays. This review presents an update of the current status of optical methods, using near and mid-infrared sources, for clinical breath gas analysis over the last decade and describes recent technological developments and their applications. The review includes: tunable diode laser absorption spectroscopy, cavity ring-down spectroscopy, integrated cavity output spectroscopy, cavity-enhanced absorption spectroscopy, photoacoustic spectroscopy, quartz-enhanced photoacoustic spectroscopy, and optical frequency comb spectroscopy. A SWOT analysis (strengths, weaknesses, opportunities, and threats) is presented that describes the laser-based techniques within the clinical framework of breath research and their appealing features for clinical use.Peer reviewe

Insight into volatile behavior at Nyamuragira volcano (D.R. Congo, Africa) through olivine-hosted melt inclusions

Author Posting. © American Geophysical Union, 2011. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geochemistry Geophysics Geosystems 12 (2011): Q0AB11, doi:10.1029/2011GC003699.We present new olivine-hosted melt inclusion volatile (H2O, CO2, S, Cl, F) and major element data from five historic eruptions of Nyamuragira volcano (1912, 1938, 1948, 1986, 2006). Host-olivine Mg#'s range from 71 to 84, with the exception of the 1912 sample (Mg# = 90). Inclusion compositions extend from alkali basalts to basanite-tephrites. Our results indicate inclusion entrapment over depths ranging from 3 to 5 km, which agree with independent estimates of magma storage depths (3–7 km) based on geophysical methods. Melt compositions derived from the 1986 and 2006 Nyamuragira tephra samples best represent pre-eruptive volatile compositions because these samples contain naturally glassy inclusions that underwent less post-entrapment modification than crystallized inclusions. Volatile concentrations of the 1986 and 2006 samples are as follows: H2O ranged from 0.6 to 1.4 wt %, CO2 from 350 to 1900 ppm, S from 1300 to 2400 ppm, Cl from 720 to 990 ppm, and F from 1500 to 2200 ppm. Based on FeOT and S data, we suggest that Nyamuragira magmas have higher fO2 (>NNO) than MORB. We estimate the total amount of sulfur dioxide (SO2) released from the 1986 (0.04 Mt) and 2006 (0.06 Mt) Nyamuragira eruptions using the petrologic method, whereby S contents in melt inclusions are scaled to erupted lava volumes. These amounts are significantly less than satellite-based SO2 emissions for the same eruptions (1986 = ∼1 Mt; 2006 = ∼2 Mt). Potential explanations for this observation are: (1) accumulation of a vapor phase within the magmatic system that is only released during eruptions, and/or (2) syn-eruptive gas release from unerupted magma.Funding for this work was provided by NSF (grant EAR 0910795 (to SAC) and grant EAR 0646694 (to AMS)), as well as the National Geographic Society (grant 7698-04 (to SAC))

A genetic locus and gene expression patterns associated with the priming effect on lettuce seed germination at elevated temperatures

Seeds of most cultivated varieties of lettuce (Lactuca sativa L.) fail to germinate at warm temperatures (i.e., above 25–30°C). Seed priming (controlled hydration followed by drying) alleviates this thermoinhibition by increasing the maximum germination temperature. We conducted a quantitative trait locus (QTL) analysis of seed germination responses to priming using a recombinant inbred line (RIL) population derived from a cross between L. sativa cv. Salinas and L. serriola accession UC96US23. Priming significantly increased the maximum germination temperature of the RIL population, and a single major QTL was responsible for 47% of the phenotypic variation due to priming. This QTL collocated with Htg6.1, a major QTL from UC96US23 associated with high temperature germination capacity. Seeds of three near-isogenic lines (NILs) carrying an Htg6.1 introgression from UC96US23 in a Salinas genetic background exhibited synergistic increases in maximum germination temperature in response to priming. LsNCED4, a gene encoding a key enzyme (9-cis-epoxycarotinoid dioxygenase) in the abscisic acid biosynthetic pathway, maps precisely with Htg6.1. Expression of LsNCED4 after imbibition for 24 h at high temperature was greater in non-primed seeds of Salinas, of a second cultivar (Titan) and of NILs containing Htg6.1 compared to primed seeds of the same genotypes. In contrast, expression of genes encoding regulated enzymes in the gibberellin and ethylene biosynthetic pathways (LsGA3ox1 and LsACS1, respectively) was enhanced by priming and suppressed by imbibition at elevated temperatures. Developmental and temperature regulation of hormonal biosynthetic pathways is associated with seed priming effects on germination temperature sensitivity

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

The impact of moderate-scale explosive eruptions on stratospheric gas injections

Volcanic gases such as SO2, H2S, HCl and COS emitted during explosive eruptions significantly affect atmospheric chemistry and therefore the Earth's climate. We have evaluated the dependence of volcanic gas emission into the atmosphere on altitude, latitude, and tectonic setting of volcanoes and on the season in which eruptions occurred. These parameters markedly influence final stratospheric gas loading. The latitudes and altitudes of 360 active volcanoes were compared to the height of the tropopause to calculate the potential quantity of volcanic gases injected into the stratosphere. We calculated a possible stratospheric gas loading based on different volcanic plume heights (6, 10, and 15 km) generated by moderate-scale explosive eruptions to show the importance of the actual plume height and volcano location. At a plume height of 15 km for moderate-scale explosive eruptions, a volcano at sea level can cause stratospheric gas loading because the maximum distance to the tropopause is 15–16 km in the equatorial region (0–30°). Eruptions in the tropics have to be more powerful to inject gas into the stratosphere than eruptions at high latitudes because the tropopause rises from ca. 9–11 km at the poles to 15–16 km in the equatorial region (0–30°N and S). The equatorial region is important for stratospheric gas injection because it is the area with the highest frequency of eruptions. Gas injected into the stratosphere in equatorial areas may spread globally into both hemispheres

Effective uniform bounding in partial differential fields

We compiled a global data set of volcanic degassing during both explosive and quiescent volcanic events. The data set comprises estimates of gas emissions of volcanoes from Europe (e.g. Etna), Asia (e.g. Merapi), the Americas (e.g. Fuego), Africa (e.g. Erta Ale) and ocean islands (e.g. Kilauea) over the past 100 yr. The set includes 50 monitored volcanoes and similar to310 extrapolated explosively erupting volcanoes. Among the similar to360 volcanoes, 75% are located in the Northern and 25% in the Southern Hemisphere. We have estimated the total annual global volcanic sulfur emission into the atmosphere to be on the order of 7.5-10.5 X 10(12) g/yr S (here as SO2), amounting to 10-15% of the annual anthropogenic sulfur output (similar to70 X 10(12) g/yr S during the decade 1981-1990) and 7.5-10.5% of the total global sulfur emission (e.g. biomass burning, anthropogenic, dimethylsulfide) with similar to 100 X 10(12) g/yr S. The estimates of other volcanic gases emitted (e.g. H2S, HCl) are based on the assumption that the different gas components emitted by a volcano are in equilibrium with each other. Accordingly, the molar ratios of the gas species in high-temperature fumaroles are similar to molar ratios equilibrated at depth where the gas separates from the magma. Thus, we can use the directly measured SO2 fluxes and known molar ratios (e.g. H2S/SO2) for a semi-quantitative estimate of other gas components emitted (e.g. H2S). The total annual emission of HCl is 1.2-170X10(12) g/yr, that of H2S 1.5-37.1 X 10(12) g/yr, of HF 0.7-8.6 x 10(12) g/yr, of HBr 2.6-43.2 x 10(9) g/yr, and of OCS 9.4 X 10(7)-3.2 X 10(11) g/yr. We estimate an emission of 1.3 X 10(7)-4.4 x 10(11) g/yr for CS2. (C) 2002 Elsevier Science B.V. All rights reserved

The germination niches of grassland species targeted for restoration: effects of seed pre-treatments

Restoration of semi-natural grassland communities involves a combination of (1) sward disturbance to create a temporal window for establishment, and (2) target species introduction, the latter usually by seed sowing. With great regularity, particular species establish only poorly. More reliable establishment could improve outcome of restoration projects and increase cost-effectiveness. We investigated the abiotic germination niche of ten poorly establishing calcareous grassland species by simultaneously exploring the effects of moisture and light availability and temperature fluctuation on percentage germination and speed of germination. We also investigated the effects of three different pre-treatments used to enhance seed germination – cold-stratification, osmotic priming and priming in combination with gibberellic acid (GA3) – and how these affected abiotic germination niches. Species varied markedly in width of abiotic germination niche, ranging from Carex flacca with very strict abiotic requirements, to several species reliably germinating across the whole range of abiotic conditions. Our results suggest pronounced differences between species in gap requirements for establishment. Germination was improved in most species by at least one pre-treatment. Evidence for positive effects of adding GA3 to seed priming solutions was limited. In several species, pre-treated seeds germinated under a wider range of abiotic conditions than untreated seeds. Improved knowledge of species-specific germination niches and the effects of seed pre-treatments may help to improve species establishment by sowing, and to identify species for which sowing at a later stage of restoration or introduction as small plants may represent a more viable strategy