Secondary Endothelial Keratoplasty—A Narrative Review of the Outcomes of Secondary Corneal Endothelial Allografts

Background: We review the literature on the efficacy and safety outcomes of secondary Descemet stripping endothelial keratoplasty (DSEK) and Descemet membrane endothelial keratoplasty (DMEK). Methods: Literature search of English-written publications up to September 27, 2020 in PubMed database, using the terms "endothelial keratoplasty" in combination with keywords "secondary" or "repeat." In addition, we manually searched the references of the primary articles. Results: Twenty-seven studies (n = 651 eyes) were retained and reviewed, including 10 studies on repeat DSEK, 8 studies on repeat DMEK, 6 studies of DMEK following DSEK, and 3 studies of DSEK after failed DMEK. All studies reported significant improvement in visual acuity after secondary endothelial keratoplasty (EK). Twelve studies compared visual outcomes between primary and secondary EK, reporting conflicting findings. Sixteen studies reported endothelial cell loss rates after secondary EK, and only 1 study reported significantly increased endothelial cell loss rates compared with primary EK. Allograft rejection episodes occurred in 1.8% of eyes (range, 0%-50%). Six studies compared complication rates between primary and secondary EK eyes, and only 1 study found a higher median number of complications. However, 2 studies reported higher regraft failure rates compared with primary EK eyes. Conclusions: Secondary EK is surgically feasible and renders significant visual improvement after failed primary EK, although it is not clear whether visual outcomes and allograft survival are comparable with primary EK, raising the question of whether secondary EK eyes are "low risk" as primary EK eyes. Further larger, prospective studies are encouraged to obtain additional quality data on secondary corneal endothelial allotransplantation.info:eu-repo/semantics/publishedVersio

Biology and ecology of the non-indigenous goby Acentrogobius pflaumii (Bleeker 1853) in the Swan-Canning Estuary

Non-indigenous species can have significant deleterious impacts on the ecosystems in which they become established. Following the recent establishment of the Striped Sandgoby Acentrogobius pflaumii in the Swan-Canning Estuary, south-western Australia, a study was initiated to determine its spatial and temporal distribution and biological characteristics. Although A. pflaumii was not recorded in the coarse sandy sediment present in the nearshore, shallow waters of the estuary, substantial numbers were recorded on soft muddy sediments in the deeper waters, where it comprised 55% of the total number of gobies. While A. pflaumii dominated the gobiid fauna in Lower Melville Water (~98%), its contributions declined progressively upstream, indicating a preference for waters with a salinity close to that of full strength sea water. Size and age compositions determined that the oldest individual was 3.9 years old and 89 mm in total length, but that the population is dominanted by 1+ individuals. Population mortality and turn-over rates are therefore likely to be very high. Both males and females attained > 87% of their asymptotic lengths (L∞) of 74.9 and 69.3 mm, respectively, during the first year of life, which is characteristic of smaller, shorter-lived species of fish. The results from gonadosomatic indices and the histological examination of gonads suggest that A. pflaumii is able to spawn throughout most of the year, with a peak from November to February. The presence of mature, spawning and depleted gonads in A. pflaumii suggests that this species spawns within the Swan-Canning Estuary. Acentrogobius pflaumii can be thus considered an estuarine & marine species like Favonigobius lateralis. As A. pflaumii attains high densities over a relatively large part of the estuary and can breed within the system, it is likely to be a permanent resident and further work is needed to determine its impact on the native gobiid fauna

Improving Mechanical Properties and Reaction to Fire of EVA/LLDPE Blends for Cable Applications with Melamine Triazine and Bentonite Clay

The high flame-retardant loading required for ethylene-vinyl acetate copolymer blends with polyethylene (EVA-PE) employed for insulation and sheathing of electric cables represents a significant limitation in processability and final mechanical properties. In this work, melamine triazine (TRZ) and modified bentonite clay have been investigated in combination with aluminum trihydroxide (ATH) for the production of EVA-PE composites with excellent fire safety and improved mechanical properties. Optimized formulations with only 120 parts per hundred resin (phr) of ATH can achieve self-extinguishing behavior according to the UL94 classification (V0 rating), as well as reduced combustion kinetics and smoke production. Mechanical property evaluation shows reduced stiffness and improved elongation at break with respect to commonly employed EVA-PE/ATH composites. The reduction in filler content also provides improved processability and cost reductions. The results presented here allow for a viable and halogen-free strategy for the preparation of high performing EVA-PE composites

On the use of continuous spectrum and discrete-mode differential models to predict contraction-flow pressure drops for Boger fluids

Over recent years, there has been slow but steady progress towards the qualitative numerical prediction of observed behaviour when highly elastic Boger fluids flow in contraction geometries. This has led to an obvious desire to seek quantitative agreement between prediction and experiment, a subject which is addressed in the current paper. We conclude that constitutive models of non-trivial complexity are required to make headway in this regard. However, we suggest that the desire to move from qualitative to quantitative agreement between theory and experiment is making real progress. In the present case with differential models, this has involved the introduction of a generalized continuous spectrum model. This is based on direct data input from material functions and rheometrical measurements. The class of such models assumes functional separability across shear and extensional deformation, through two master functions, governing independently material-time and viscous-response. The consequences of such a continuous spectrum representation are compared and contrasted against discrete-mode alternatives, via an averaged single-mode approximation and a multi-modal approximation. The effectiveness of each chosen form is gauged by the quality of match to complex flow response and experimental measurement. Here, this is interpreted in circular contraction-type flows with Boger fluids, where large experimental pressure-drop data are available and wide disparity between different fluid responses has been recorded in the past. Findings are then back-correlated to base-material response from ideal viscometric flow

Effect of ionic strength on rheological behavior of polymer-like cetyltrimethylammonium tosylate micellar solutions

Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.The influence of ionic strength on the rheological properties of polymer-like aqueous micellar solutions of cetyltrimethylammonium tosylate (CTAT) containing different salts (KCl, KBr, (COONa)2, K2SO4 or K3PO4) is investigated. The rheological behavior of the solutions is analyzed above the concentration where a micellar entanglement network is formed, varying surfactant and salt concentration, salt counterion valency and temperature. A master curve of the linear viscoelastic properties is obtained by multiple superposition of time, temperature, salt type, and surfactant and salt concentration. Application of the existent kinetic theory provides information suggesting that the micellar solutions are in the fast breaking regime (i.e., the relaxation is kinetically controlled) regardless of salt type and concentration. Moreover, these solutions exhibit shear-banding flow with a reduced stress plateau (σ/G0, being σ and G0 the shear stress and the plateau modulus, respectively) that increases with salt content and counterion valency. The zero-shear viscosity (η0) and the main relaxation time (τC) diminish with increasing salt content according to a step-like function, in which the number of steps increases with the salt counterion valence. In contrast, G0 only increases slightly with increasing salt content for the five salts employed. These results are discussed in terms of ionic strength and screening of the electrostatic-interactions caused by the addition of salt. In addition, it was found that the influence of anions on the viscoelastic properties of the polymer-like micelles follows the Hofmeister series commonly encountered in macromolecular and biological systems. This finding opens a challenge for scientists in the experimental and theoretical fields

Convoluted models & high-Weissenberg predictions for micellar thixotropic fluids in contraction-expansion flows

This study is concerned with finite element/volume modelling of contraction-expansion axisymmetric pipe flows for thixotropic and non-thixotropic viscoelastic models. To obtain solutions at high Weissenberg numbers (Wi) under a general differential form , both thixotropic Bautista-Manero micellar and non-thixotropic EPTT f-functionals have been investigated. Here, three key modifications have been implemented: first, that of convoluting EPTT and micellar Bautista-Manero f-functionals, either in a multiplicative (Conv*) or additive (Conv+) form; second, by adopting f-functionals in absolute form (ABS-f-correction); and third, by imposing pure uniaxial-extension velocity-gradient components at the pure-stretch flow-centreline (VGR-correction). With this combination of strategies, highly non-linear solutions have been obtained to impressively high Wi [=O(5000+)].This capability permits analysis of industrial applications, typically displaying non-linear features such as thixotropy, yield stress and shear banding. The scope of applications covers enhanced oil- recovery, industrial processing of plastics and foods, as well as in biological and microfluidic flows. The impact of rheological properties across convoluted models (moderate-hardening, shear-thinning) has been observed through steady-state solutions and their excess pressure-drop (epd) production, stress, f-functional field structure, and vortex dynamics. Three phases of vortex-behaviour have been observed with rise in elasticity, along with upstream-downstream Moffatt vortices and plateauing epd-behaviour at high-Wi levels. Moreover, enhancement of positive-definiteness in stress has improved high-Wi solution attenuation

Experimental Observation of Differences in the Dynamic Response of Newtonian and Viscoelastic Fluids

In this paper we present an experimental study of the dynamic responses of a Newtonian fluid and a Maxwellian fluid under an oscillating pressure gradient. We use laser Doppler anemometry in order to determine the velocity of each fluid inside a cylindrical tube. In the case of the Newtonian fluid, the dissipative nature is observed and the response obeys the Zhou and Sheng universality (PRB 39, 12027 (1989)). In the dynamic response of the Maxwellian fluid an enhancement at the frequencies predicted by the corresponding theory (PRE 58, 6323 (1998)) is observed.Comment: 5 pages, 4 Figures, paper to be published in Phys. Rev.

The DAC system and associations with acute leukemias and myelodysplastic syndromes

Imbalances of histone acetyltransferase (HAT) and deacetylase activity (DAC) that result in deregulated gene expression are commonly observed in leukemias. These alterations provide the basis for novel therapeutic approaches that target the epigenetic mechanisms implicated in leukemogenesis. As the acetylation status of histones has been linked to transcriptional regulation of genes involved particularly in differentiation and apoptosis, DAC inhibitors (DACi) have attracted considerable attention for treatment of hematologic malignancies. DACi encompass a structurally diverse family of compounds that are being explored as single agents as well as in combination with chemotherapeutic drugs, small molecule inhibitors of signaling pathways and hypomethylating agents. While DACi have shown clear evidence of activity in acute myeloid leukemia, myelodysplastic syndromes and lymphoid malignancies, their precise role in treatment of these different entities remain to be elucidated. Successful development of these compounds as elements of novel targeted treatment strategies for leukemia will require that clinical studies be performed in conjunction with translational research including efforts to identify predictive biomarkers