Defining Dry Eye from a Clinical Perspective

Over the past decades, the number of patients with dry eye disease (DED) has increased dramatically. The incidence of DED is higher in Asia than in Europe and North America, suggesting the involvement of cultural or racial factors in DED etiology. Although many definitions of DED have been used, discrepancies exist between the various definitions of dry eye disease (DED) used across the globe. This article presents a clinical consensus on the definition of DED, as formulated in four meetings with global DED experts. The proposed new definition is as follows: “Dry eye is a multifactorial disease characterized by a persistently unstable and/or deficient tear film (TF) causing discomfort and/or visual impairment, accompanied by variable degrees of ocular surface epitheliopathy, inflammation and neurosensory abnormalities.” The key criteria for the diagnosis of DED are unstable TF, inflammation, ocular discomfort and visual impairment. This definition also recommends the assessment of ocular surface epitheliopathy and neurosensory abnormalities in each patient with suspected DED. It is easily applicable in clinical practice and should help practitioners diagnose DED consistently. This consensus definition of DED should also help to guide research and clinical trials that, to date, have been hampered by the lack of an established surrogate endpoint.     

Lead differentially modifies cytokine production in vitro and in vivo

An imbalance between helper T cell type 1 (Th1) and helper T cell type 2 (Th2) activation can result in immunodysregulations leading to impaired cell-mediated immunity with an increased incidence of infectious disease or cancer and/or aberrant humoral immunity that may culminate with an autoimmune disease. Mercury, a heavy-metal toxicant, is known to induce renal autoimmunity characterized by a predominant Th2 response. Lead, another metal toxicant, causes enhanced B cell activities and impairs host resistance to several bacterial and viral infections. In addition, Pb was reported to enhance Th2 proliferation and inhibit Th1 proliferation. The differential effects of Pb on Th subset activation have been further investigated. In vitro IL-4 production by a Th2 clone was significantly increased by the addition of PbCl2, whereas IFN gamma production by a Th1 clone was decreased by the addition of PbCl2. When BALB/c mice were subcutaneously exposed to PbCl2, ex vivo Il-4 production by anti-CD3-stimulated splenic T cells was enhanced, but IFN gamma production was inhibited. Additionally, the plasma IL-4 and IgE levels of Pb-exposed mice were increased, and the plasma IFN gamma levels were significantly lowered in the absence of any additional exogenous antigen. In vitro, ex vivo, and in vivo treatment with HgCl2 produced similar findings. This study is the first report of the preferential activation of a Th2 response by Pb in vivo and suggests that PB, like Hg, may induce autoimmune responses by upsetting the balance between Th1- and Th2-like cells, which could enhance production of antibodies to self antigens.     

Analysis of culture fluorescence by a fiber-optic sensor inNicotiana tabacum plant cell culture

The on-line sensing of viable cell weight in plant cell culture process is applied to analysis and control of process. The fiber-optic fluorescence sensor was constructed to measure the NADH-dependent fluorescence inNicotiana tabacum plant cell culture and the analysis of fluorescence signal was done to be correlated with the viable cell weight. The structured kinetic model for cell growth was proposed to estimate the theoretical viable cell weight. The dimensional analysis was proposed for the interpretation of fluorescence signal, in which the path length, the inner filter effect and the hydrodynamic conditions were considered as the key factors on fluorescence signal. The dimensional analysis and empirical correlation of fluorescence signal to viable cell weight was applied to the interpretation of the detected fluorescence signal during cultivation. The proposed interpretation of fluorescence signal using dimensional analysis was well correlated with the viable cell weight estimated by the structured kinetic model as well as by empirical correlation.     

An enhanced zone 3 algorithm of a distance relay using transient components and state diagram

Zone 3 of a distance relay is used to provide the remote backup protection in case of the failure of the primary protection. However, the risk of maloperation under stressed conditions such as heavy loading, voltage, and transient instability is quite high. Zone 3 is used in combination with the derivatives of the voltage and current, etc. to prevent maloperation. At times, the impedance characteristics that restrict the tripping area of relay are used to avoid maloperation due to load encroachment. This work presents a novel zone 3 scheme based on combining the steady-state components (i.e., 60 Hz) and the transient components (TCs) using a state diagram that visualizes the sequence of studies that emanate from the sequence of events. The simulation results show that the novel zone 3 distance relay elements using the proposed method operate correctly for the various events.     

Effects of potential and heat treatment on phase transition of alumina dielectric layer

The characteristics and growth behaviors of alumina dielectric layer formed by anodic oxidation were investigated. The aluminum oxide layer anodized at 400 V was predominantly amorphous alumina, but at the applied potentials more than 500 V, amorphous and crystalline γ-alumina were existed in anodic oxide layer and the ratio of γ-alumina increased with the increasing applied potential. During the heat treatment at 600^°C or higher temperature, amorphous alumina layer was transformed into the crystalline γ-alumina. The phase transition of anodic amorphous alumina into crystalline depends on anodic applied potentials and heat-treatment temperatures.     

Dynamic reaction inside co‐rotating twin screw extruder. I. Truck tire model material/polypropylene blends

Waste ground rubber tire (WGRT) is a complex composite containing various elastomers, carbon black, zinc oxide, stearic acid, processing oils, and other curatives. Most of the waste ground rubber tire is composed of mainly natural rubber (NR) and styrene butadiene rubber (SBR) in varying proportions. Blending it with other thermoplastic materials is difficult due to the inherent thermodynamic incompatibility. But, the compatibility can be increased by making the reactive sites in WGRT with suitable chemicals under optimum condition of shearing inside a twin screw extruder and it is said to undergo a dynamic reaction inside the extruder. To understand the mechanism of dynamic reaction process of a rubber/polyolefin blend, the blending of a truck tire model material rubber with polyolefin was first tried before it was applied to waste WGRT material. It was observed that the blends of a truck tire model rubber material and PP thermoplastic are physical mixture of two incompatible polymers in which a continuous plastic phase is largely responsible for the tensile properties. The rubber particles are the dispersed phase. The large particle size and the poor adhesion of these rubber particles are believed to be liable for the poor tensile properties. In case of blends of truck tire model material with isotactic polypropylene the tensile properties are found to be lower than that of its PP‐g‐MA counterpart which can be attributed to the reaction of the MA with the carbon black particles. A schematic representation of the possible interactions has been proposed. The effect of addition of compatibilizers such as SEBS and SEBS‐g‐MA has also been studied. The tensile and TGA studies indicate that the polarity of SEBS and SEBS‐g‐MA induces an increase in the performance characteristics for both types of polyolefins but the intensity of this increase is higher in the PP‐g‐MA based blends. © 2007 Wiley Periodicals, Inc. J Appl Polym Sci 106: 3193–3208, 2007     

Energy Transfer and Population Inversion in Heavy Metal Oxide Glasses Doped with Tm3+ and Tb3+

Emission properties and energy transfer of PbO–Bi₂O₃–Ga₂O₃–GeO₂ glasses codoped with Tm³⁺ and Tb³⁺ ions were investigated. The 1.48-μm emission due to the Tm³⁺:³H₄→³F₄ transition can be used to amplify the S-band (1460–1530-nm) signal light. With Tb³⁺ addition, the lifetime and emission intensity of the Tm³⁺:³F₄ level decreased sharply via the Tm³⁺:³F₄→Tb³⁺:⁷F_0,1,2 energy transfer. Population densities of the ³F₄ and ³H₄ levels in Tm³⁺ calculated from rate equations clearly verified that population inversion in Tm³⁺ ions became possible with as little as 0.1 mol% of Tb³⁺ addition.     

Study on the thermoplastic vulcanizate using ultrasonically treated rubber powder

Nowadays, waste EPDM (ethylene propylene diene monomer) increasingly has been causing significant environmental problems with increasing numbers of vehicles. From the perspective of the environment and economics, recycling is the best method to treat waste materials. This study investigated waste EPDM/PP (polypropylene) blends with waste EPDM. Waste EPDM powders were treated ultrasonically, which physically modifies the rubber particles to confer good mechanical properties. Also investigated were the relevance of the mass percentage of the dispersed phase, the influence of the geometry and rotation speeds of the screw used in extrusion, and the melting temperature of PP materials on the morphology and mechanical properties of the blend. The purpose of this study was to develop a valuable thermoplastic elastomer from waste EPDM. This study concentrated on determining the optimum conditions for producing a blend by extrusion, including parameters of screw geometry, screw rotational speed, and operating temperature. © 2003 Wiley Periodicals, Inc. J Appl Polym Sci 90: 2503–2507, 2003     

Companion robots for older adults: Rodgers’ evolutionary concept analysis approach

Intelligent Service Robotics - This study aims to analyze the concept of companion robots for older adults from the perspective of nursing. This study employed a concept analysis. The literature...     

Effect of yttrium on the stability of aluminide-yttrium composite coatings in a cyclic high-temperature hot-corrosion environment

A composite coating of aluminide-yttrium has shown excellent corrosion resistance in a cyclic high-temperature hot-corrosion environment. To understand the effect of yttrium on the stability of the composite coating, the specimens were prepared with various coating parameters of Y thickness, sequence of post heat treatment and surface condition before Y-ion plating. Performance of the composite coating was evaluated by isothermal oxidation and cyclic high-temperature hot corrosion. Isothermal-oxidation-test results show that the Y in the composite coating helps to form a thick and dense Al₂O₃ scale which is ductile and resistant to thermal stress. The Y in Al₂O₃ may act as a donor which leads to an increase in concentration of interstitial oxygen and, thus, increases in oxidation rate. The presence of Y₂O₃ and (Y, Al) O-type compounds in grain boundaries of Al₂O₃ and boundaries between the Al₂O₃ and NiAl effectively prohibits the fast diffusion of oxidants (such as O and S) and Al along grain boundaries. Consequently, it may induce slow diffusion through the matrix, and thus the corrosion resistance of the composite coating under cyclic hot corrosion increases substantially.