Heart transplantation in Chagas' disease. 10 years after the initial experience

BACKGROUND: Heart transplantation (HT) as a therapeutic option for end-stage chronic Chagas' heart disease (CCHD) is controversial. Reactivation of Trypanosoma cruzi infection and recurrence of the disease in the allograft are likely to occur. Furthermore, active myocarditis has been reported to predispose patients to an increased incidence and severity of rejection. METHODS AND RESULTS: We prospectively investigated the long-term follow-up of 10 patients with CCHD who underwent HT. Immunosuppression was based on cyclosporine A and azathioprine. T cruzi reactivation was prevented with benzonidazole. Besides allograft rejection surveillance, T cruzi infection was monitored through blood tests, myocardial biopsies, and serological tests. Over a mean follow-up period of 34 +/- 38 months (range, 73 to 124 months), 7 patients are alive and in NYHA functional class I. Life expectancy was 78% for the second year and 65% for 10 years. Rejection was less frequent in chagasic than in age- and sex-matched control patients (mean +/- SD, 1.60 +/- 1.26 versus 5.70 +/- 1.89 episodes per patient, respectively; P = .0001); decreased severity of rejection was also observed (P = .006). T cruzi parasitemias detected on three occasions were successfully treated with benzonidazole. There were no signs of recurrence of the disease in the allograft. CONCLUSIONS: These results suggest an important role of HT in the treatment of CCHD. There was a low frequency of T cruzi infection reactivation and no signs of recurrence of the disease in the allograft. The surprisingly decreased rejection incidence and severity require further studies for elucidation.     

Catalytic degradation of polyethylene over SAPO-37 molecular sieve

The degradation of high-density polyethylene (HDPE) was studied alone and in presence of silicoaluminophosphate type silicoaluminophosphate (SAPO-37) as catalyst. This material was synthesized by the hydrothermal method using tetrapropylammonium hydroxide and tetramethylammonium chloride as organic templates. The characterization by X-ray diffraction, infrared spectroscopy, thermogravimetry and scanning electron microscopy showed that typical faujasite structure for the SAPO-37 was obtained. The total acidity, determined by n-butylamine adsorption, it was equivalent to 0.558 mmol g⁻¹, corresponding to moderate acid strength. For catalytic reaction, a physical mixture of 25%SAPO-37/HDPE was decomposed in a thermobalance at heating rates of 5, 10 and 20 °C min⁻¹, from 380 to 520 °C. At the maximum degradation rate, the products were collected in a cold trap and analyzed by a coupled gas chromatograph/mass spectrometer. The degradation of HDPE without catalyst was carried out at the same conditions for comparison with the obtained data with SAPO-37. The HDPE alone suffers decomposition to a wide range of hydrocarbons (C₅–C₂₅) while in the presence of catalyst, light hydrocarbons (C₂–C₁₂) were obtained. By the application of the Vyazovkin model-free kinetic method, it was observed that the activation energy decreased from 290 kJ mol⁻¹ for HDPE alone, to 220 kJ mol⁻¹ for 25%SAPO-37/HDPE, evidencing that SAPO-37 is an effective catalyst for polyethylene degradation.     

Antibody isotypes, including IgG subclasses, in Ecuadorian patients with pulmonary paragonimiasis

An ELISA test was developed to detect Paragonimus-specific antibodies, including IgG subclasses, using P. mexicanus crude water-soluble antigens. The test was standardized to detect antibodies in sera of Ecuadorian patients with pulmonary paragonimiasis and negative controls from the endemic area. The detected mean levels of IgG (0.753, SEM: 0.074) and IgM (0.303, SEM: 0.033) were significantly elevated (P < 0.05). Within the IgG subclasses, IgG4 showed the highest detected mean level (0.365, SEM: 0.116) and the other three subclasses showed considerably lower mean levels (IgG1, 0.186 SEM: 0.06; IgG2, 0.046 SEM: 0.01; IgG3, 0.123 SEM: 0.047). The number of P. mexicanus eggs found in sputum of infected individuals showed a positive correlation with the level of antibodies detected for IgM, IgG and its subclasses (P < 0.001). The relevance of these findings in Ecuadorian patients suffering from pulmonary paragonimiasis is discussed.     

Geometric properties of central catadioptric line images and their application in calibration

In central catadioptric systems lines in a scene are projected to conic curves in the image. This work studies the geometry of the central catadioptric projection of lines and its use in calibration. It is shown that the conic curves where the lines are mapped possess several projective invariant properties. From these properties, it follows that any central catadioptric system can be fully calibrated from an image of three or more lines. The image of the absolute conic, the relative pose between the camera and the mirror, and the shape of the reflective surface can be recovered using a geometric construction based on the conic loci where the lines are projected. This result is valid for any central catadioptric system and generalizes previous results for paracatadioptric sensors. Moreover, it is proven that systems with a hyperbolic/elliptical mirror can be calibrated from the image of two lines. If both the shape and the pose of the mirror are known, then two line images are enough to determine the image of the absolute conic encoding the camera's intrinsic parameters. The sensitivity to errors is evaluated and the approach is used to calibrate a real camera.     

Turbo equalization with cancelation of nonlinear distortion for CP-assisted and zero-padded MC-CDM schemes

In this paper, we consider MC-CDM schemes (MultiCarrier Code Division Multiplexing) where clipping techniques are employed to reduce the envelope fluctuations of the transmitted signals. Both CP-assisted (Cyclic Prefix) and ZP (Zero- Padded) MC-CDM schemes are studied. We develop frequencydomain turbo equalizers combined with an iterative estimation and cancelation of nonlinear distortion effects, with relatively low complexity since they allow FFT-based (Fast Fourier Transform), frequency-domain implementations. Our performance results show that the proposed receivers allow significant performance improvements at low and moderate SNR (Signal-to-Noise Ratio), even when strongly nonlinear transmitters are employed. The receiver for ZP MC-CDM is of special interest for systems where the duration of the channel impulse response is not a small fraction of the duration of the MC-CDM blocks, being suitable to MC-CDM systems with very large blocks (hundreds or even thousands of subcarriers), since they do not require the inversion nor the multiplication of large matrixes.     

Energy Management Fuzzy Logic Supervisory for Electric Vehicle Power Supplies System

This paper introduces an energy management strategy based on fuzzy logic supervisory for road electric vehicle, combining a fuel cell power source and two energy storage devices, i.e., batteries and ultracapacitors. The control strategy is designed to achieve the high-efficiency operation region of the individual power source and to regulate current and voltage at peak and average power demand, without compromising the performance and efficiency of the overall system. A multiple-input power electronic converter makes the interface among generator, energy storage devices, and the voltage dc-link bus. Classical regulators implement the control loops of each input of the converter. The supervisory system coordinates the power flows among the power sources and the load. The paper is mainly focused on the fuzzy logic supervisory for energy management of a specific power electronic converter control algorithm. Nevertheless, the proposed system can be easily adapted to other converters arrangements or to distributed generation applications. Simulation and experimental results on a 3-kW prototype prove that the fuzzy logic is a suitable energy management control strategy.     

CFD predictions for hazardous area classification

This study aimed to describe a Computational Fluid Dynamics(CFD) procedure using the ANSYS CFX software 16.1 and Design of Experiments for the determination of volume and extension of explosive atmospheres due to fugitive emissions of flammable gases.The multidimensional statistical sampling technique Latin Hypercube was used, which defined 100 simulations of random methane gas leak conditions.The CFD model proved to be robust in predicting the extension and volume of the explosive atmosphere for orifice diameters from 0.1 to2.5 mm, pressure from 0.1 MPa to 12 MPa and temperatures from 0 ℃ to 400 ℃.It was found that the calculation domain must be parameterized 8 m in length for each millimeter of the diameter of the source of release to ensure the predictions.In order not to lose precision for very small diameters, the mesh was parameterized with 50 elements along the orifice diameter.It was proved that gravity does not influence the extension and volume of the explosive atmosphere at sonic emissions.The deviation from the ideal gas behavior in the reservoir,achieved by applying the Soave–Redlich–Kwong equation of state, also has not significantly influenced the extension and volume of the explosive atmosphere.The results showed that the size of the explosive atmosphere varies directly with the diameter of the source emission and reservoir pressure, and inversely with the temperature of the reservoir.The diameter of the source is the parameter that has the major effect on the extension of the explosive atmosphere, followed by the pressure and lastly the temperature of the reservoir.     

Pharmacokinetic Parameters of HIV-1 Protease Inhibitors

Since the beginning of the HIV epidemic, research has been carried out to control the virus. Understanding the mechanisms of replication has given access to the various classes of drugs that over time have transformed AIDS into a manageable chronic disease. The class of protease inhibitors (PIs) gained notice in anti-retroviral therapy, once it was found that peptidomimetic molecules act by blocking the active catalytic center of the aspartic protease, which is directly related to HIV maturation. However, mutations in enzymatic internal residues are the biggest issue for these drugs, because a small change in biochemical interaction can generate resistance. Low plasma concentrations of PIs favor viral natural selection; high concentrations can inhibit even partially resistant enzymes. Food-drug/drug-drug interactions can decrease the bioavailability of PIs and are related to many side effects. Therefore, this review summarizes the pharmacokinetic properties of current PIs, the changes when pharmacological boosters are used and also lists the major mutations to help understanding of how long the continuous treatment can ensure a low viral load in patients.     

Flexible and transparent capacitors based on gel-type natural polymers

In this work, we study the capacitive properties of gel-type natural abundant polymers without any dopants, mainly commercial gelatin and agar in deionized water. Here, we propose a facile fabrication of flexible, transparent, and planar electrolytic capacitors using these gel-type and indium tin oxide thin films as electrodes deposited on poly(ethylene terephthalate) substrates. Through cyclic voltammetry and galvanostatic charge–discharge techniques, we found that the devices show a specific capacitance in the order of the millifarads per gram, a specific power of ~10 mW cm⁻², which is sufficient to active low-power devices, and a life cycle with nearly 100% efficiency after 1,000 cycles. We found that we do not need to add dopants that improve the ionic conductivity of the natural polyelectrolytes to obtain capacitances within the millifarads per gram. The flexibility of the capacitors was demonstrated by bending them, after which they exhibited the same electrochemical performance as the unbent devices. The optical transparency of the capacitors was measured by UV–V is spectroscopy showing a high transmittance in the visible region.