Lung Transplantation for Primary Ciliary Dyskinesia and Kartagener Syndrome: A Multicenter Study.

Primary ciliary dyskinesia, with or without situs abnormalities, is a rare lung disease that can lead to an irreversible lung damage that may progress to respiratory failure. Lung transplant can be considered in end-stage disease. This study describes the outcomes of the largest lung transplant population for PCD and for PCD with situs abnormalities, also identified as Kartagener's syndrome. Retrospectively collected data of 36 patients who underwent lung transplantation for PCD from 1995 to 2020 with or without SA as part of the European Society of Thoracic Surgeons Lung Transplantation Working Group on rare diseases. Primary outcomes of interest included survival and freedom from chronic lung allograft dysfunction. Secondary outcomes included primary graft dysfunction within 72 h and the rate of rejection ≥A2 within the first year. Among PCD recipients with and without SA, the mean overall and CLAD-free survival were 5.9 and 5.2 years with no significant differences between groups in terms of time to CLAD (HR: 0.92, 95% CI: 0.27-3.14, p = 0.894) or mortality (HR: 0.45, 95% CI: 0.14-1.43, p = 0.178). Postoperative rates of PGD were comparable between groups; rejection grades ≥A2 on first biopsy or within the first year was more common in patients with SA. This study provides a valuable insight on international practices of lung transplantation in patients with PCD. Lung transplantation is an acceptable treatment option in this population

Extreme geomagnetic field variability indicated by Eastern Mediterranean full-vector archaeomagnetic records

The magnetic field of the Earth can exhibit considerable variations at short time scales, even as short as decades. The archaeomagnetic studies of Middle Eastern artefacts (mainly from Israel and Jordan) show evidence for an exceptionally high intensity period from 1050-700 BC which displays two distinct spikes over the Levant, the Levantine Iron Age Anomaly (LIAA). Its exact duration and geographical extent are still poorly known. Despite the wealth of ancient settlements, the extensive cultural heritage and a long history of trade and immigration, the archaeomagnetism of Turkey and Cyprus remains largely unexplored. This study presents a large data set of ancient directions and intensities from seven archaeological sites in the Eastern Mediterranean covering a time span of ∼2000 yrs. The recorded directions from thirteen sets of samples are coherent with our earlier findings, yet show significantly larger swings than existing field models. In particular, we confirm the very large swing in inclination we found earlier, from 1910-1850 BC, that is also captured by the Greek PSV curve, and shallower by more than 10° than predicted by existing field models. Consequently, these models require substantial revision in this region. We were able to determine the archaeointensity from five sets of mud-bricks, from the thirteen attempted, allowing us to provide the full field vector. Furthermore, we present thirty-one new archaeointensity results from potsherds and mud-bricks that considerably enhance existing data, especially when a set of strict selection criteria is applied. Fourteen sets of potsherds from a single site (Tell Atchana) provide the longest sequence recorded so far in Turkey, from 2100 to 1350 BC. We find exceptionally high intensities of 145 and 175 ZAm2 around 700 BC, in well-dated mud-bricks and potsherds from two different locations (Tell Tayinat and Kilise Tepe), supporting extreme geomagnetic field variability in the region. Moreover, these two high intensities confirm the younger spike of the LIAA in Turkey

A high-performance 8 nV/root Hz 8-channel wearable and wireless system for real-time monitoring of bioelectrical signals

Background: It is widely accepted by the scientific community that bioelectrical signals, which can be used for the identification of neurophysiological biomarkers indicative of a diseased or pathological state, could direct patient treatment towards more effective therapeutic strategies. However, the design and realisation of an instrument that can precisely record weak bioelectrical signals in the presence of strong interference stemming from a noisy clinical environment is one of the most difficult challenges associated with the strategy of monitoring bioelectrical signals for diagnostic purposes. Moreover, since patients often have to cope with the problem of limited mobility being connected to bulky and mains-powered instruments, there is a growing demand for small-sized, high-performance and ambulatory biopotential acquisition systems in the Intensive Care Unit (ICU) and in High-dependency wards. Finally, to the best of our knowledge, there are no commercial, small, battery-powered, wearable and wireless recording-only instruments that claim the capability of recording electrocorticographic (ECoG) signals. Methods: To address this problem, we designed and developed a low-noise (8 nV/√Hz), eight-channel, battery-powered, wearable and wireless instrument (55 × 80 mm2). The performance of the realised instrument was assessed by conducting both ex vivo and in vivo experiments. Results: To provide ex vivo proof-of-function, a wide variety of high-quality bioelectrical signal recordings are reported, including electroencephalographic (EEG), electromyographic (EMG), electrocardiographic (ECG), acceleration signals, and muscle fasciculations. Low-noise in vivo recordings of weak local field potentials (LFPs), which were wirelessly acquired in real time using segmented deep brain stimulation (DBS) electrodes implanted in the thalamus of a non-human primate, are also presented. Conclusions: The combination of desirable features and capabilities of this instrument, namely its small size (~one business card), its enhanced recording capabilities, its increased processing capabilities, its manufacturability (since it was designed using discrete off-the-shelf components), the wide bandwidth it offers (0.5 – 500 Hz) and the plurality of bioelectrical signals it can precisely record, render it a versatile and reliable tool to be utilized in a wide range of applications and environments

Thermal Transport in Micro- and Nanoscale Systems

Small-scale (micro-/nanoscale) heat transfer has broad and exciting range of applications. Heat transfer at small scale quite naturally is influenced – sometimes dramatically – with high surface area-to-volume ratios. This in effect means that heat transfer in small-scale devices and systems is influenced by surface treatment and surface morphology. Importantly, interfacial dynamic effects are at least non-negligible, and there is a strong potential to engineer the performance of such devices using the progress in micro- and nanomanufacturing technologies. With this motivation, the emphasis here is on heat conduction and convection. The chapter starts with a broad introduction to Boltzmann transport equation which captures the physics of small-scale heat transport, while also outlining the differences between small-scale transport and classical macroscale heat transport. Among applications, examples are thermoelectric and thermal interface materials where micro- and nanofabrication have led to impressive figure of merits and thermal management performance. Basic of phonon transport and its manipulation through nanostructuring materials are discussed in detail. Small-scale single-phase convection and the crucial role it has played in developing the thermal management solutions for the next generation of electronics and energy-harvesting devices are discussed as the next topic. Features of microcooling platforms and physics of optimized thermal transport using microchannel manifold heat sinks are discussed in detail along with a discussion of how such systems also facilitate use of low-grade, waste heat from data centers and photovoltaic modules. Phase change process and their control using surface micro-/nanostructure are discussed next. Among the feature considered, the first are microscale heat pipes where capillary effects play an important role. Next the role of nanostructures in controlling nucleation and mobility of the discrete phase in two-phase processes, such as boiling, condensation, and icing is explained in great detail. Special emphasis is placed on the limitations of current surface and device manufacture technologies while also outlining the potential ways to overcome them. Lastly, the chapter is concluded with a summary and perspective on future trends and, more importantly, the opportunities for new research and applications in this exciting field

USE OF HIGH SURFACE NANOFIBROUS MATERIALS IN MEDICINE

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Anxiety and pain during dental treatment among children with haemophilia

PubMedID: 24313579Aim: Dental interventions are potentially overwhelming for children with hemophilia; the study was designed to assess the levels of dental anxiety related to the first dental intervention for these children. Materials and methods: Fifty-six boys with severe haemophilia A and B and 56 healthy peers between the ages of 7-12 in need of primary dental extraction were chosen for this study. Facial Analog Scale and Visual Analog Scale were applied to all participants. Results: No significant differences among the groups were detected by means of the dental anxiety scores (FIS) and pain scores (VAS). The FIS scores of children who had experienced dental pain before the treatment were significantly higher regardless of the group they were part of (p=0.001). Conclusion: Children with haemophilia are not at an increased risk of dental anxiety using special precautions and with the help of adequate treatment regimens. Pain is a predictor for dental fear and anxiety on dental chair both for children with haemophilia and healthy ones

Peripheral and nasal eosinophilia and serum total immunoglobulin E levels in children with ascariasis

In order to evaluate peripheral and nasal eosinophilia and serum total IgE levels in ascariasis, 30 children between two and 12 years of age whose fecal samples were found to contain Ascaris lumbricoides, and 30 children between 1.5 and 12 years of age who did not have ascaris in their fecal samples, were enrolled in the study. Peripheral eosinophil counts and serum total IgE levels were significantly higher in the study group, but there was no significant difference between the nasal eosinophil counts of the two groups. Since total serum IgE levels differ according to age, the patients and the control groups were also evaluated within three age-groups. Peripheral eosinophil counts and serum total IgE levels of patients with ascariasis in all age ranges were significantly higher, but nasal eosinophil values did not differ significantly. These results show that in ascariasis the presence of peripheral eosinophilia and high total serum IgE levels are similar to those in atopic diseases, and some allergic symptoms such as nasal itching can be caused by parasites. However, nasal itching does not correlate with nasal eosinophilia in ascariasis. This is an important feature in the differential diagnosis