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American Journal of Ophthalmology Case... Dec 2022To report the efficacy of combination therapy using intravitreal injection of brolucizumab (IVbr) and sub-Tenon's injection of triamcinolone acetonide (STTA) and of...
PURPOSE
To report the efficacy of combination therapy using intravitreal injection of brolucizumab (IVbr) and sub-Tenon's injection of triamcinolone acetonide (STTA) and of monitoring with a laser flare-cell photometer (LFP) in a case of polypoidal choroidal vasculopathy (PCV) with intraocular inflammation (IOI).
OBSERVATIONS
A 72-year-old Japanese woman with PCV had her treatment switched to IVbr due to being refractory to aflibercept. Two weeks after starting IVbr, her visual acuity (VA) declined to 0.40 from 0.10 logarithm of the minimum angle of resolution (logMAR) VA at baseline. In addition, the LFP flare increased to 51.2 photon count/ms (pc/ms) compared with the baseline of 16.1 pc/ms. We diagnosed her with the onset of IOI and immediately started treatment with sub-Tenon's injection of 20 mg triamcinolone acetonide (STTA). Two weeks after receiving STTA, her VA had recovered to 0.15 logMAR, and the LFP flare had decreased to 17.9 pc/ms with dry macula. Eight weeks after the first IVbr treatment, the logMAR VA had improved to -0.18 with achievement of dry macula and stabilization of the LFP flare at 12.2 pc/ms. We administered combined therapy using IVbr and STTA to our patient, and 12 weeks later, the logMAR VA remained at 0.00 with dry macula and 18.1 pc/ms for LFP flare. We continued combination therapy, and after 8 months, her logMAR VA remained at -0.08, and optical coherence tomography showed dry macula, while the LFP flare had stabilized at 16.6 pc/ms.
CONCLUSIONS AND IMPORTANCE
Combination therapy of IVbr and STTA stabilized IOI and achieved dry macula. The LFP flare score clearly showed the degree of and changes in inflammation.
PubMed: 36281264
DOI: 10.1016/j.ajoc.2022.101727 -
African Journal of Laboratory Medicine 2023Haemolysis - one of the major limiting factors of red cell concentrate quality - must be measured as a quality-monitoring requirement. According to international quality...
BACKGROUND
Haemolysis - one of the major limiting factors of red cell concentrate quality - must be measured as a quality-monitoring requirement. According to international quality standards, percentage haemolysis must be monitored in 1.0% of red cell concentrates produced monthly and maintained under 0.8%.
OBJECTIVE
This study assessed three alternative methods for determining plasma haemoglobin concentration in peripheral blood banks that lack a plasma or low haemoglobin photometer - the gold-standard method - in Sri Lanka.
METHODS
A standard haemolysate was prepared using an unexpired whole blood pack of normal haemoglobin concentration. A concentration series from 0.1 g/dL to 1.0 g/dL was prepared by diluting portions of standard haemolysate with saline. The alternative methods, namely visual haemoglobin colour scale, spectrophotometric calibration graph, and standard haemolysate capillary tube comparison, were designed using this concentration series and were used to test red cell concentrates received at the Quality Control Department of the National Blood Center, Sri Lanka, from February 2021 to May 2021.
RESULTS
A strong correlation was observed between the haemoglobin photometer method and the alternative methods ( = ~0.9). Based on the linear regression model, the standard haemolysate capillary tube comparison method was the best of the three alternative methods ( = 0.974).
CONCLUSION
All three alternative methods are recommended for use in peripheral blood banks. The standard haemolysate capillary tube comparison method was the best model.
PubMed: 36873291
DOI: 10.4102/ajlm.v12i1.1987 -
Journal of Toxicology and Environmental... Jun 2021This comprehensive review introduces occupational (industrial) hygienists and toxicologists to the seven basic additive manufacturing (AM) process categories. Forty-six...
This comprehensive review introduces occupational (industrial) hygienists and toxicologists to the seven basic additive manufacturing (AM) process categories. Forty-six articles were identified that reported real-world measurements for all AM processes, except sheet lamination. Particles released from powder bed fusion (PBF), material jetting (MJ), material extrusion (ME), and directed energy deposition (DED) processes exhibited nanoscale to submicron scale; real-time particle number (mobility sizers, condensation nuclei counters, miniDiSC, electrical diffusion batteries) and surface area monitors (diffusion chargers) were generally sufficient for these processes. Binder jetting (BJ) machines released particles up to 8.5 µm; optical particle sizers (number) and laser scattering photometers (mass) were sufficient for this process. PBF and DED processes (powdered metallic feedstocks) released particles that contained respiratory irritants (chromium, molybdenum), central nervous system toxicants (manganese), and carcinogens (nickel). All process categories, except those that use metallic feedstocks, released organic gases, including (but not limited to), respiratory irritants (toluene, xylenes), asthmagens (methyl methacrylate, styrene), and carcinogens (benzene, formaldehyde, acetaldehyde). Real-time photoionization detectors for total volatile organics provided useful information for processes that utilize polymer feedstock materials. More research is needed to understand 1) facility-, machine-, and feedstock-related factors that influence emissions and exposures, 2) dermal exposure and biological burden, and 3) task-based exposures. Harmonized emissions monitoring and exposure assessment approaches are needed to facilitate inter-comparison of study results. Improved understanding of AM process emissions and exposures is needed for hygienists to ensure appropriate health and safety conditions for workers and for toxicologists to design experimental protocols that accurately mimic real-world exposure conditions. ABS : acrylonitrile butadiene styrene; ACGIH® TLV® : American Conference of Governmental Industrial Hygienists Threshold Limit Value; ACH : air change per hour; AM : additive manufacturing; ASA : acrylonitrile styrene acrylate; AVP : acetone vapor polishing; BJ : binder jetting; CAM-LEM : computer-aided manufacturing of laminated engineering materials; CNF : carbon nanofiber; CNT : carbon nanotube; CP : co-polyester; CNC : condensation nuclei counter; CVP : chloroform vapor polishing; DED : directed energy deposition; DLP : digital light processing; EBM : electron beam melting; EELS : electron energy loss spectrometry; EDB : electrical diffusion batteries; EDX : energy dispersive x-ray analyzer; ER : emission rate; FDM™ : fused deposition modeling; FFF : fused filament fabrication; IAQ : indoor air quality; LSP : laser scattering photometer; LCD : liquid crystal display; LDSA : lung deposited particle surface area; LOD : limit of detection; LOM : laminated object manufacturing; LOQ : limit of quantitation; MCE : mixed cellulose ester filter; ME : material extrusion; MJ : material jetting; OEL : occupational exposure limit; OPS : optical particle sizer; PBF : powder bed fusion; PBZ : personal breathing zone; PC : polycarbonate; PEEK : poly ether ether ketone; PET : polyethylene terephthalate; PETG : Polyethylene terephthalate glycol; PID : photoionization detector; PLA : polylactic acid; PM : particulate matter with aerodynamic diameter less than 1 µm; PM : particulate matter with aerodynamic diameter less than 2.5 µm; PM : particulate matter with aerodynamic diameter less than 10 µm; PSL : plastic sheet lamination; PVA : polyvinyl alcohol; REL : recommended exposure limit; SDL : selective deposition lamination; SDS : safety data sheet; SEM : scanning electron microscopy; SL : sheet lamination; SLA : stereolithography; SLM : selective laser melting; SMPS : scanning mobility particle sizer; SVOC : semi-volatile organic compound; TEM : transmission electron microscopy; TGA : thermal gravimetric analysis; TPU : thermo polyurethane; UAM : ultrasonic additive manufacturing; UC : ultrasonic consolidation; TVOC : total volatile organic compounds; TWA : time-weighted average; VOC : volatile organic compound; VP : vat photopolymerization.
PubMed: 34139957
DOI: 10.1080/10937404.2021.1936319 -
Optics Express Feb 2023In order to increase the optical path and related sensitivity of photometers, multiple axial-reflection of parallel light-beam inside a capillary cavity is one of the...
In order to increase the optical path and related sensitivity of photometers, multiple axial-reflection of parallel light-beam inside a capillary cavity is one of the most effective ways. However, there is a non-optimum trade-off between optical path and light intensity, e.g., smaller aperture on cavity mirror can increase multiple axial-reflection times (i.e., longer optical path) due to the lower cavity-loss, but it would also reduce coupling efficiency, light intensity, and related signal-to-noise ratio. Herein, an optical beam shaper, which is composed of two optical lenses with an apertured mirror, was proposed to focus the light beam (i.e., increasing coupling efficiency) without deteriorating beam parallelism and related multiple axial-reflection. Thus, by combining the optical beam shaper with a capillary cavity, large optical path enhancement (10-fold of capillary length) and high coupling efficiency (>65%) can be realized simultaneously, where the coupling efficiency was improved 50-fold. An optical beam shaper photometer (with a 7 cm long capillary) was fabricated and applied to detect water in ethanol with a detection limit of 12.5 ppm, which is 800-fold and 32∼80 fold lower than that of the commercial spectrometer (1 cm cuvette) and previous reports, respectively.
PubMed: 36859917
DOI: 10.1364/OE.478937 -
ACS Omega Oct 2023To clarify the coal structure, spatial distribution, and controlling factors of the 2# coal seam in Jiaozuo mining, the drilling coal samples were collected to observe...
To clarify the coal structure, spatial distribution, and controlling factors of the 2# coal seam in Jiaozuo mining, the drilling coal samples were collected to observe the coal type and coal structure. The coal macerals were identified by a MPVSP microscope photometer, and the spatial characteristics of the coal structure were obtained through interpreting deep lateral resistivity logging, natural gamma ray logging, density logging, and acoustic logging curves. The influence of coal properties, burial depth, geological stress, and faults on the coal structure were discussed correspondingly. The results exhibit that granulitic-mylonite coal was most developed in the 2# coal seam, followed by primary coal and cataclastic coal; the coal type was dominated by semibright coal, followed by clarain and semidull coal. Granulitic-mylonite, cataclastic, and primary coals were the main components of clarain, semibright coal, and semidull coal, respectively. Higher vitrinite and organic matter contents were conducive to the development of granulitic-mylonite. The coal structure combinations were spatially varied, and the granulitic-mylonite combinations were the most common. Granulitic-mylonite coal was developed in the east and south parts of the study area, and the coal structure was fragmented with a greater burial depth and larger thickness. The geological stress is the fundamental cause of coal structure damage as well as the cutting of faults.
PubMed: 37901576
DOI: 10.1021/acsomega.3c04643 -
International Journal of Environmental... 2023One of the greatest environmental risks in the cement industry is particulate matter emission (i.e., PM and PM). This paper aims to develop descriptive-analytical...
UNLABELLED
One of the greatest environmental risks in the cement industry is particulate matter emission (i.e., PM and PM). This paper aims to develop descriptive-analytical solutions for increasing the accuracy of predicting particulate matter emissions using resample data of Kerman cement plant. Photometer instruments DUST TRAK and BS-EN-12341 method were used to determine concentration of PM and PM. Sampling was performed on 4 environmental stations of Kerman cement plant in the four seasons. In order to accurate assessment of particulate matter concentration, a new model was proposed to resample cement plant time series data using Pandas in Python. The effect of meteorological parameters including wind speed, relative humidity, air temperature and rainfall on the particulate matter concentration was investigated through statistical analysis. The results indicated that the maximum annual average of 24-h of PM belonged to the east side (opposite the clinker depot) in 2019 (31.50 μg m) and west side (in front of the mine) in 2020 (31.00 μg m). Also, maximum annual average of 24-h of PM belonged to the west side (in front of the mine) in 2020 (121.00 μg m) and east side (opposite the clinker depot) in 2020 (120.75 μg m). The PM and PM concentrations are more than the allowable limit. The results demonstrate that particulate matter concentration increases with increasing relative humidity and rainfall. Finally, the SARIMA model was used to predict the particulate matter concentration.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s13762-022-04645-3.
PubMed: 36405244
DOI: 10.1007/s13762-022-04645-3 -
Journal of Anaesthesiology, Clinical... 2022Blood loss in neurosurgical procedures can be rapid and tremendous leading to consequential hemodynamic instability. HemoCue is a portable photometer used for the...
BACKGROUND AND AIMS
Blood loss in neurosurgical procedures can be rapid and tremendous leading to consequential hemodynamic instability. HemoCue is a portable photometer used for the measurement of blood hemoglobin concentration. Using this point of care device, we contemplated this study to assess the reliability of HemoCue for suction hemoglobin determination and calculation of surgical blood loss by comparing with the gold standard laboratory Coulter Counter method in patients undergoing neurosurgical procedures.
MATERIAL AND METHODS
This prospective observational study was conducted in 233 patients undergoing elective neurosurgical procedures in the age group of 18 to 60 years and having preoperative hemoglobin (Hb) values above 9 g/dL. Values of preoperative hemoglobin, suction hemoglobin, and volume in the suction container were used to obtain the estimated blood loss. The normality of the data was tested using the Kolmogorov Smirnov test. Bland Altman analysis was used to test the reliability of HemoCue in estimating hemoglobin and blood loss with reference to the gold standard laboratory Coulter Counter automated hematology analyzer.
RESULTS
Median blood loss calculated in our study using HemoCue was 554.65 mL with an interquartile range of 336.81 mL to 982.39 mL. Laboratory counter method estimated median blood loss was 533.37 mL with an interquartile range of 335.21 mL to 994.73 mL. The majority of the data obtained and analyzed using the Bland and Altman analysis method were within a 95% confidence interval.
CONCLUSION
The HemoCue method is a reliable method and henceforth can be used to estimate blood loss in suction fluid in patients undergoing neurosurgical procedures.
PubMed: 36778832
DOI: 10.4103/joacp.JOACP_638_20 -
Measurement : Journal of the... May 2021Respirators are one of the most useful personal protective equipment which can effectively limit the spreading of coronavirus (COVID-19). There are a worldwide shortage...
Respirators are one of the most useful personal protective equipment which can effectively limit the spreading of coronavirus (COVID-19). There are a worldwide shortage of respirators, melt-blown non-woven fabrics, and respirator testing possibilities. An easy and fast filtering efficiency measurement method was developed for testing the filtering materials of respirators. It works with a laser-based particle counting method, and it can determine two types of filtering efficiencies: Particle Filtering Efficiency (PFE) at given particle sizes and Concentration Filtering Efficiency (CFE) in the case of different aerosols. The measurement method was validated with different aerosol concentrations and with etalon respirators. Considerable advantages of our measurement method are simplicity, availability, and the relatively low price compared to the flame-photometer based methods. The ability of the measurement method was tested on ten different types of Chinese KN95 respirators. The quality of these respirators differs much, only two from ten reached 95% filtering efficiency.
PubMed: 33642662
DOI: 10.1016/j.measurement.2021.109173 -
Applied Optics Apr 2021The Ocean Color component of the global Aerosol Robotic Network (AERONET-OC) utilizes CE-318 sun photometers modified for above-water radiometry from fixed structures...
The Ocean Color component of the global Aerosol Robotic Network (AERONET-OC) utilizes CE-318 sun photometers modified for above-water radiometry from fixed structures such as oil rigs, lighthouses, and service platforms. Primarily, AERONET-OC measurements allow determination of the water-leaving radiance required for the validation of ocean color satellite data products. One instrument from the AERONET-OC network, identified as AERONET #080, was studied in this work. A laser-illuminated integrating sphere of known radiance enabled determination of the linearity with flux and absolute radiance responsivity at multiple wavelengths within seven of the AERONET #080 filter bands. We compared the results to calibrations from the AERONET facility at the Goddard Space Flight Center of the National Aeronautics and Space Administration and from the Joint Research Centre of the European Commission. These results agree within the estimated mean comparison uncertainty of 1.88 % (=2). We also assessed these results using calibrated lamp-illuminated integrating spheres and observed a spectral dependence to the comparison results that is unexplained.
PubMed: 33983243
DOI: 10.1364/AO.419766 -
JMIR Biomedical Engineering Dec 2023Clinicians face barriers when assessing lung maturity at birth due to global inequalities. Still, strategies for testing based solely on gestational age to predict the...
BACKGROUND
Clinicians face barriers when assessing lung maturity at birth due to global inequalities. Still, strategies for testing based solely on gestational age to predict the likelihood of respiratory distress syndrome (RDS) do not offer a comprehensive approach to addressing the challenge of uncertain outcomes. We hypothesize that a noninvasive assessment of skin maturity may indicate lung maturity.
OBJECTIVE
This study aimed to assess the association between a newborn's skin maturity and RDS occurrence.
METHODS
We conducted a case-control nested in a prospective cohort study, a secondary endpoint of a multicenter clinical trial. The study was carried out in 5 Brazilian urban reference centers for highly complex perinatal care. Of 781 newborns from the cohort study, 640 were selected for the case-control analysis. Newborns with RDS formed the case group and newborns without RDS were the controls. All newborns with other diseases exhibiting respiratory manifestations were excluded. Skin maturity was assessed from the newborn's skin over the sole by an optical device that acquired a reflection signal through an LED sensor. The device, previously validated, measured and recorded skin reflectance. Clinical data related to respiratory outcomes were gathered from medical records during the 72-hour follow-up of the newborn, or until discharge or death, whichever occurred first. The main outcome measure was the association between skin reflectance and RDS using univariate and multivariate binary logistic regression. Additionally, we assessed the connection between skin reflectance and factors such as neonatal intensive care unit (NICU) admission and the need for ventilatory support.
RESULTS
Out of 604 newborns, 470 (73.4%) were from the RDS group and 170 (26.6%) were from the control group. According to comparisons between the groups, newborns with RDS had a younger gestational age (31.6 vs 39.1 weeks, P<.001) and birth weight (1491 vs 3121 grams, P<.001) than controls. Skin reflectance was associated with RDS (odds ratio [OR] 0.982, 95% CI 0.979-0.985, R=0.632, P<.001). This relationship remained significant when adjusted by the cofactors antenatal corticosteroid and birth weight (OR 0.994, 95% CI 0.990-0.998, R=0.843, P<.001). Secondary outcomes also showed differences in skin reflectance. The mean difference was 0.219 (95% CI 0.200-0.238) between newborns that required ventilatory support versus those that did not and 0.223 (95% CI 0.205-0.241) between newborns that required NICU admission versus those that did not. Skin reflectance was associated with ventilatory support (OR 0.996, 95% CI 0.992-0.999, R=0.814, P=.01) and with NICU admission (OR 0.994, 95% CI 0.990-0.998, R=0.867, P=.004).
CONCLUSIONS
Our findings present a potential marker of lung immaturity at birth using the indirect method of skin assessment. Using the RDS clinical condition and a medical device, this study demonstrated the synchrony between lung and skin maturity.
TRIAL REGISTRATION
Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-3f5bm5; https://tinyurl.com/9fb7zrdb.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)
RR2-10.1136/bmjopen-2018-027442.
PubMed: 38875690
DOI: 10.2196/52468