Cell-mediated cytotoxicity: a predictor of chronic rejection in pediatric HLA haploidentical renal transplants

BACKGROUND: Recipient antidonor cytotoxic T-cell activity has been associated with graft loss and acute rejection in renal allograft recipients. The role of immunologic mechanisms in the development of chronic graft rejection is controversial. We analyzed all living related renal transplants performed at Children's Hospital (Boston, MA) from 1983 to 1995 to assess whether cell-mediated cytotoxicity, determined in vitro and measured before transplantation, was predictive of chronic rejection. METHODS: Eighty-three patients were studied retrospectively. Fifty-seven patients with one haplotype-matched renal transplants from living related donors were studied to determine the association between cell-mediated lympholysis (CML) level, acute rejection, chronic rejection, and graft failure. Acute rejection was defined by the decision to treat. Chronic rejection was defined by histology and/or the absolute serum creatinine value using an increasing serum creatinine level >1.0 mg/dl for children less than 3, a creatinine level >1.5 mg/dl for children between 3 and 10 years of age, and a creatinine level >2.0 mg/dl for children above 10 years of age. Return to dialysis or retransplantation was considered graft failure. RESULTS: Of the 57 haploidentical patients, there were 33 males and 24 females. The mean age at transplant was 11.1 years (SD=6.7). Twelve patients developed chronic rejection, 24 patients developed acute rejection, and 7 patients had graft failure. Pretransplant cytotoxic T lymphocyte activity was associated with chronic rejection (P=0.001) and graft failure (P=0.013) but only marginally with acute rejection (P=0.058). Controlling for age and sex, Cox's proportional hazards model revealed that CML level was predictive of time to chronic rejection (P<0.01) but not acute rejection (P=0.11). It was estimated that every 1-unit increase in CML level raises the monthly risk of chronic rejection by 7%. Ten children received HLA-identical kidneys from their siblings. There were no episodes of chronic rejection after 5 years. Two patients with high CML levels had episodes of acute rejection; both patients responded to treatment. CONCLUSION: Our data demonstrate an association between pretransplant cell-mediated cytotoxicity and the occurrence of chronic rejection in living related one-haploidentical renal transplants in pediatric patients.     

Finite element modeling of transient heat transfer and microstructural evolution in welds: Part II. Modeling of grain growth in austenitic stainless steels

During welding, structures are subjected to localized heating and cooling cycles, as described in Part I.[1] A mathematical model is proposed to determine the metallurgical changes that occur in austenitic stainless steel due to the welding thermal cycle. The proposed kinetic model computes the austenite grain growth as a function of time and temperature. It is based on a Zener pinning grain growth model. The results obtained indicate that the model is in good agreement with the experimental data reported in the literature. Furthermore, it was observed that rewriting the kinetic constant in the grain growth equation as a function of the peak temperature led to improved results for the majority of the cases examined.     

Calendering analysis without the lubrication approximation

A general-purpose finite-element program has been used to simulate the flow of Newtonian, power-law, and viscoelastic fluids in calendering. The analysis is fully two-dimensional and does not make use of the lubrication approximation. Isothermal and nonisothermal calendering is studied and the results are compared with predictions from the lubrication approximation. The free surface is determined and circulatory flow patterns are predicted in the melt bank. Detailed calculations have been performed for a rigid poly(vinyl chloride) (PVC) resin that exhibits slip at the wall using rheological data for the melt and machine parameters. The results include determination of the shape and location of the free surface, vortex patterns, temperature and pressure distributions, and predictions of roll-separating force, torque, and power consumption. Comparisons are made with experimental data available in the literature.     

A numerical study of the effect of normal stresses and elongational viscosity on entry vortex growth and extrudate swell

A general-purpose finite element program has been used to simulate the flow of a typical polystyrene melt in the entry and exit regions of a slit die. Instead of using a general viscoelastic constitutive equation, simplified models were used that include correlations based on experimental data available in the literature for the shear and elongational viscosities and the normal stresses. With such simple models convergence of the iterative scheme is extended to relatively high Deborah numbers (De ≈ 5). The models predict vortex growth in the entry region and an increase of extrudate swell at the exit in qualitative agreement with experimental observations. It was found that the normal stresses are primarily responsible for these phenomena, while the elongational viscosity tends to increase the end (Bagley) correction and decrease the swelling.     

Morphological and mechanical studies of surface treated mica reinforced high density polyethylene

Morphological studies of high density polyethylene (HDPE) reinforced by mica flakes has been investigated. The mica flakes were surface treated by silane and titanate coupling agents. Effects of these treatments on the polymer-mica interface is discussed. It is found that surface treatment, particularly silane treated composites, have better adhesion between the reinforcing agent and the polymer matrix. This effect can only be detected when the mica concentration is higher than 20 weight percent. This interfacial adhesion could not be seen across the surface of the sample but only when the measurements were made parallel to the surface.     

Light weight model for intra mode selection in HEVC

Multimedia Tools and Applications - The High Efficiency Video Coding (HEVC) efficiently reduces the size of the multimedia contents, but at the cost of high computation complexity. In order to make...     

Modeling and Analysis of Temperature Compensation for Multi-temperature Zone Sintering Furnace Temperature Sensing

International Journal of Control, Automation and Systems - The surface temperature of workpieces in a multi-temperature zone sintering furnace is an important parameter to characterize the...