Hydrogen Storage: State-of-the-Art and Future Perspective.

Abstract not availableJRC.F-Institute for Energy (Petten

Perceptions of fecal microbiota transplantation for Clostridium difficile infection: factors that predict acceptance.

BackgroundDespite the effectiveness of fecal microbiota transplantation (FMT) for treating recurrent Clostridium difficile (C. difficile) infection, some patients are reluctant to accept this therapy. Our study examined attitudes towards FMT and factors that contribute to patients' acceptance of this treatment.MethodsWe distributed patient surveys at a Veterans Affairs hospital, a public hospital, and an academic faculty practice. Multivariable logistic regression was performed, adjusting for factors associated with FMT acceptance on univariate analysis and prior experience with C. difficile infection.ResultsOf 267 patients, only 12% knew of FMT prior to the survey, but 77% would undergo the procedure if medically indicated. On multivariable analysis, those with children and with college degrees or higher were more likely to agree to FMT (odds ratio [OR] 2.11, 95% confidence interval [CI] 1.02-4.35; OR 2.27, 95% CI 1.11-4.60 respectively). Sixty-five respondents (71%) chose colonoscopy as the preferred vehicle for FMT, while nasogastric tube was least preferred. Disease transmission was the most common concern (30%, n=242), and FMT success rate was the least selected concern (9.1%).ConclusionsMost patients in a diverse sample of gastroenterology clinics had no prior knowledge of FMT, but were receptive to the procedure. Having children and higher education levels were predictors for FMT acceptance. Our findings suggest that barriers to FMT utilization may be overcome with counseling about safety concerns. More data on the risk of transmitting diseases or clinical characteristics, such as obesity, through FMT are needed and will be important for the acceptance of this procedure

A Protocol for Space Charge Measurements in Full-size HVDC Extruded Cables

This position paper, prepared by the IEEE DEIS HVDC Cable Systems Technical Committee, illustrates a protocol recommended for the measurement of space charges in full-size HVDC extruded cables during load cycle qualification tests (either prequalification load cycles or type test load cycles). The protocol accounts for the experimental practices of space charge measurements in the thick insulation of coaxial cables in terms of poling time, depolarization time, heating and cooling of specimens, as well as for the experience gained very recently from such kind of measurements performed in the framework of qualification tests relevant to ongoing HVDC cable system projects. The goal of the protocol is not checking the compliance with any maximum acceptable limit of either space charge or electric field. Rather, this protocol aims at assessing the variation of the electric field profile in the cable insulation wall during poling time at the beginning and at the end of load cycle qualification tests for full-size HVDC extruded cables. Indeed, in the design stage the electric field distributions are determined by the cable geometry and by temperature gradient in the insulation. Thus, the design is based on macroscopic parameters conductivity and permittivity and how they depend upon temperature. Any disturbance of the electric field due to space charge accumulation will only be revealed during space charge measurements either in as-manufactured state or in the aged state after load cycle qualification tests

Developments in FINDbase worldwide database for clinically relevant genomic variation allele frequencies

FINDbase (http://www.findbase.org) aims to document frequencies of clinically relevant genomic variations, namely causative mutations and pharmacogenomic markers, worldwide. Each database record includes the population, ethnic group or geographical region, the disorder name and the related gene, accompanied by links to any related databases and the genetic variation together with its frequency in that population. Here, we report, in addition to the regular data content updates, significant developments in FINDbase, related to data visualization and querying, data submission, interrelation with other resources and a new module for genetic disease summaries. In particular, (i) we have developed new data visualization tools that facilitate data querying and comparison among different populations, (ii) we have generated a new FINDbase module, built around Microsoft’s PivotViewer (http://www.getpivot.com) software, based on Microsoft Silverlight technology (http://www.silverlight.net), that includes 259 genetic disease summaries from five populations, systematically collected from the literature representing the documented genetic makeup of these populations and (iii) the implementation of a generic data submission tool for every module currently available in FINDbase

Transcaval versus Supra-Aortic Vascular Accesses for Transcatheter Aortic Valve Replacement: A Systematic Review with Meta-Analysis.

A growing body of evidence suggests that extrathoracic vascular accesses for transcatheter aortic valve replacement (TAVR) yield favorable outcomes and can be considered as primary alternatives when the gold-standard transfemoral access is contraindicated. Data comparing the transcaval (TCv) to supra-aortic (SAo) approaches (transcarotid, transsubclavian, and transaxillary) for TAVR are lacking. We aimed to compare the outcomes and safety of TCv and SAo accesses for TAVR as alternatives to transfemoral TAVR. A systematic review with meta-analysis was performed by searching PubMed/MEDLINE and EMBASE databases for all articles comparing TCv-TAVR against SAo-TAVR published until September 2023. Outcomes included in-hospital or 30-day all-cause mortality (ACM) and postoperative complications. A total of three studies with 318 TCv-TAVR and 179 SAo-TAVR patients were included. No statistically significant difference was found regarding in-hospital or 30-day ACM (relative risk [RR] 1.04, 95% confidence interval [CI] 0.47-2.34, p = 0.91), major bleeding, the need for blood transfusions, major vascular complications, and acute kidney injury. TCv-TAVR was associated with a non-statistically significant lower rate of neurovascular complications (RR 0.39, 95%CI 0.14-1.09, p = 0.07). These results suggest that both approaches may be considered as first-line alternatives to transfemoral TAVR, depending on local expertise and patients' anatomy. Additional data from long-term cohort studies are needed

Expanded national database collection and data coverage in the FINDbase worldwide database for clinically relevant genomic variation allele frequencies

FINDbase (http://www.findbase.org) is a comprehensive data repository that records the prevalence of clinically relevant genomic variants in various populations worldwide, such as pathogenic variants leading mostly to monogenic disorders and pharmacogenomics biomarkers. The database also records the incidence of rare genetic diseases in various populations, all in well-distinct data modules. Here, we report extensive data content updates in all data modules, with direct implications to clinical pharmacogenomics. Also, we report significant new developments in FINDbase, namely (i) the release of a new version of the ETHNOS software that catalyzes development curation of national/ethnic genetic databases, (ii) the migration of all FINDbase data content into 90 distinct national/ethnic mutation databases, all built around Microsoft’s PivotViewer (http://www.getpivot.com) software (iii) new data visualization tools and (iv) the interrelation of FINDbase with DruGeVar database with direct implications in clinical pharmacogenomics. The above mentioned updates further enhance the impact of FINDbase, as a key resource for Genomic Medicine applications

The Insulation of HVDC Extruded Cable System Joints. Part 1: Review of Materials, Design and Testing Procedures

This position paper by the DEIS HVDC Cable Systems Technical Committee provides a review of existing diagnostic electrical and dielectric techniques for testing the insulation of polymeric extruded HVDC cable joints in the present Part 1. Here, the state of the art on the insulation of HVDC extruded cable system joints is covered with reference to types, design and testing techniques. This helps to identify routine tests as the first target for the onset of new testing procedures, AC-PD measurements as the readily-available measurement from manufacturers' practices for quality control of the insulation of accessories during routine tests and VHF/UHF wireless sensors as the best tool for performing such measurements on joints in the noisy factory environment. Thereby, a novel protocol for the measurement of partial discharges using AC voltages and VHF/UHF sensors, for quality control during routine tests on such joints, is derived in the next Part 2. This protocol is the main novelty of this investigation

The Insulation of HVDC Extruded Cable System Joints. Part 2: Proposal of a New AC Voltage PD Measurement Protocol for Quality Control during Routine Tests

The review of materials, design and testing of joints for HVDC extruded cable systems provided in previous Part 1 paved the way to this Part 2 position paper by the DEIS HVDC Cable Systems Technical Committee, whose aim is to remedy the scarcity of existing standardized tests on joints. After a sound analysis, here routine tests are identified as the first practical target for the onset of new testing procedures, AC-PD measurements as the readily-available measurement from manufacturers’ experience for quality control of joints during routine tests and VHF/UHF wireless sensors as the best tool for such measurements in the noisy environment of factories. Thereby, a novel protocol for PD measurement using AC voltages and VHF/UHF electromagnetic sensors, for quality control during routine tests on HVDC extruded joints, is proposed