Loss Factor Research Articles

Microalbuminuria and Functional Iron Deficiency are Risk Factors for Hearing Loss in Adolescents.

Renal impairment and some systemic diseases are associated with hearing loss (HL) in adults. However, studies of these relationship in adolescents are rare. The objective of this study was to determine the association between HL and renal or systemic disease in adolescents. Subjects were extracted from the 5th Korea National Health and Nutrition Examination Survey from 2011 to 2012. We included adolescents aged 10-19 years old with normal tympanic membrane and those who underwent a physical and laboratory examination and pure tone audiometry. HL, high-frequency hearing loss (HFHL), albuminuria, impaired glomerular filtration rate, hypertension, diabetes, and obesity were evaluated based on the data. Individuals with microalbuminruia (MIA) exhibited higher prevalence of HL (p = 0.003) and HFHL (p = 0.012) than those without MIA. The prevalence of HL and HFHL appeared to increase according to the severity of albuminuria. Additionally, individuals with HL or HFHL showed lower transferrin saturation (TSAT) than individuals without HL (p = 0.002) or HFHL (p = 0.001). And, HFHL was associated with lower ferritin levels (p = 0.017). HL and HFHL were related to MIA (p = 0.004 and p = 0.022, respectively) and TSAT (p = 0.005 and p = 0.011, respectively) after controlling other factors. MIA and TSAT level were independently associated with the HL and HFHL. Since MIA can be easily detected by dipstick test and urine analysis, hearing evaluations for individuals with MIA might be helpful to identify hearing impairments earlier in adolescents. 3 (individual cross-sectional study) Laryngoscope, 134:3329-3334, 2024.

Correlation analysis between the changes in plasma ghrelin level and weight loss after sleeve gastrectomy combined with fundoplication

BackgroundLaparoscopic sleeve gastrectomy combined with fundoplication (LSGFD) can significantly control body weight and achieve effective anti-reflux effects. The aim of this study is to investigate the correlation between the alteration in Ghrelin levels and weight loss following SGFD, and to compare Ghrelin levels, weight loss and metabolic improvements between SG and SGFD, with the objective of contributing to the existing body of knowledge on SGFD technique in the management of patients with obesity and gastroesophageal reflux disease (GERD).MethodsA retrospective analysis was conducted on the clinical data of 115 obese patients who underwent bariatric surgery between March 2023 and June 2023 at the Department of Minimally Invasivew Surgery, Hernia and Abdominal Wall Surgery, People’s Hospital of Xinjiang Uygur Autonomous Region. The subjects were divided into two groups based on surgical methods: sleeve gastrectomy group (SG group, 93 cases) and sleeve gastrectomy combined with fundoplication group (SGFD group, 22 cases). Clinical data, such as ghrelin levels before and after the operation, were compared between the two groups, and the correlation between changes in ghrelin levels and weight loss effectiveness after the operation was analyzed. Results: Three months after the operation, there was no significant difference in body mass, BMI, EWL%, fasting blood glucose, triglyceride, cholesterol, and uric acid levels between the SG and SGFD groups (P > 0.05). However, the SGFD group exhibited a significant decrease in body weight, BMI, and uric acid levels compared to preoperative levels (P < 0.05), while the decrease in ghrelin levels was not statistically significant (P > 0.05). Logistic regression analysis indicated that ghrelin levels three months after the operation were influential in postoperative weight loss.ConclusionThe reduction of plasma Ghrelin level in patients after SGFD is not as obvious as that in patients after SG, but it can make obese patients get the same good weight loss and metabolic improvement as patients after SG. Ghrelin level at the third month after operation is the influencing factor of postoperative weight loss.

Outcomes of apexification in immature traumatised necrotic teeth and risk factors for premature tooth loss: A 20-year longitudinal study.

To evaluate the long-term survival of immature traumatized incisors with pulp necrosis and apical periodontitis after endodontic treatment with two apexification techniques (calcium hydroxide apexification and MTA-apical plug) and to identify major factors affecting the survival of these teeth. Records of 2400 children and adolescents were screened for presence of traumatic dental injuries to immature incisors where endodontic treatment with the two apexification techniques was performed during January 2003 and December 2022, compared to a control group of mature teeth treated with conventional endodontic techniques. The studied variables were age; sex; apexification technique, presence of luxation and hard tissue injuries; preoperative root development stage (RDS), preoperative and postoperative periapical index (PAI), the time-point for tooth loss, and overall survival time in years. Kaplan-Meier estimates were used to graphically present the survival functions and Cox proportional hazard model to calculate hazard ratios (HR, 95% CI). The median survival time was 10 years for calcium hydroxide apexification, 16.1 for MTA-apexification, for luxation injuries other than intrusions and avulsions 15.5 years, for intrusions 12.5 years and for avulsions 6.8 years. The variables with significant negative impact on tooth survival were calcium hydroxide apexification, avulsion and postoperative PAI 3-5. No significant relationships were found for the variables MTA apexification, concussion; subluxation; lateral luxation; extrusion, intrusion, hard tissue injuries, preoperative RDS and PAI scores and postoperative PAI 1-2. After adjustment, the risk for premature tooth loss was 13.5 times higher in calcium hydroxide apexification, approximately 2 to 4 times higher in PAI 3-5, and 5.6 times higher in avulsions. Calcium hydroxide apexification, avulsion, and postoperative PAI 3-5 were identified as prognostic variables with significant negative impact on the risk for premature tooth loss.

Green bio-derived epoxidized linseed-oil plasticizer improves the toughness, strength, and dimensional stability of furfuryl alcohol-modified wood

Furfuryl alcohol (FA) modification represents a sustainable approach to wood modification; however, it significantly reduces the toughness of the wood, limiting its practical applications. This study introduced epoxidized linseed oil (ELO) as an environmentally friendly and bio-derived plasticizer to enhance the toughness and mechanical properties of FA-modified wood. Microstructural analyses confirmed the integration of FA and ELO into the cellular structure of the wood. The chemical interactions between the epoxy groups of ELO and hydroxyl groups of FA were characterized using Fourier-transform infrared spectroscopy and nuclear magnetic resonance spectroscopy, illustrating that a ring-opening reaction occurred that grafted the long flexible aliphatic chains of ELO onto the FA chains, thereby enhancing the chain mobility and flexibility. This interaction significantly decreased the crosslinking density, thereby achieving toughening. FA–ELO modification resulted in significantly enhanced dimensional stability and mechanical properties. Specifically, the anti-swelling efficiency exceeded 80 %, while the modulus of elasticity, modulus of rupture, and along-grain compressive strength increased by up to 35.0 %, 36.8 %, and 45.7 %, respectively. Additionally, significant enhancements in the elongation at break and impact strength were achieved, at 369.1 % and 72.4 %, respectively. The loss factor also increased. The optimal ELO content was 20 wt%. This study effectively demonstrated how ELO mitigates the brittleness of FA-modified wood and supports its application in high-value fields such as construction.

Development of New Lead Free Ceramic Substrate for Rectangular Patch Antenna Application in X-Band Communication

This work introduces the use of Bi0.5Na0.5TiO3 (BNT) ceramic material as substrates for microstrip patch antennas operating within the frequency range of 8-12GHz. The simulated antenna was constructed using a substrate composed of a synthesized ferroelectric perovskite-based material with a thickness of t=1.02mm. This study investigated the intricate electromagnetic properties including permittivity, permeability, dielectric loss, magnetic loss, and miniaturization factor. Characterization techniques are used to investigate the crystal structure, local vibrational properties, surface morphology, and elemental composition of the synthesized sample. The reflection loss, return loss, and radiation pattern of the split ring microstrip patch antenna with a rectangular base were calculated using CST Microwave Studio version 2019. The parametric adjustment of the synthesized sample's uniqueness was achieved by modifying its thickness for t=0.7mm, t=0.9mm, t=1mm, t=1.02mm, and t=1.04mm.

Application of wavelet transform in anti-Compton phoswich detector for gamma spectrum

The response of an anti-Compton phoswich detector to gamma rays was investigated using Monte-Carlo method, and the pulses from different crystal cases, including gamma deposition only in the LaBr3(Ce) or CsI(Tl) crystal and coincidence in both crystals, were analyzed. A novel pulse discrimination method for gamma deposition events based on wavelet transform analysis, called SSD (Scale Shape Discrimination), was developed in this study. Compared to the traditional PSD (Pulse Shape Discrimination) method, SSD has the advantage of transforming one-dimensional pulses in the time-domain into two-dimensional time-frequency spectra, providing the more useful features for pulse discrimination. The performances of the Compton suppression and Full-energy peak loss using PSD and SSD methods was studied. The results show that the Compton suppression factor IPSD = 5.12 and ISSD = 5.32, and FEP loss factor PLPSD = 0.0554 and PLSSD = 0.0587. Meanwhile, the influences of the cutoff values for pulse discrimination on the results of I and PL with different method were analyzed.

Viscoelastic characterization of coating layers by ultrasonic interference and critical attenuation

This study proposes a characterization technique for a viscoelastic coating layer on a metal substrate immersed in water based on ultrasonic interference and critical attenuation phenomena. Theoretical analysis shows that the reflection spectrum for the normal incidence wave has local minima at the resonance frequencies of the coating layer, which provide its elastic property if the layer thickness is given a priori. Furthermore, it is revealed that the lower envelope of the reflection spectrum takes a minimum, whose frequency can be related to the critical attenuation condition. This feature implies a possibility that the viscous property of the coating material can be estimated by similarly measuring a characteristic frequency to the estimation of the elastic property. Two bonded specimens consisting of polycarbonate (PC) sheets and metal substrates were prepared to validate the proposed method. The reflection spectra measured for the normal wave incidence showed multiple local minima and critical attenuation, which are predicted to appear by theoretical predictions. The wave velocities and loss factors of PC estimated from the two specimens are in fair agreement with the properties shown in the previous paper. This result demonstrates that the ultrasonic interference and critical attenuation behavior can be applied to the characterization of the viscoelastic coating layers.

Demographic and Audiological Characteristics of Candidates for Over-the-Counter Hearing Aids in the United States.

This report presents descriptive data on the demographic and audiological characteristics of US adults with perceived mild-to-moderate hearing loss, the primary candidates for over-the-counter (OTC) hearing aids. The analyses are descriptive and present population-weighted responses for various self-reported demographic and audiological variables for adults with mild or moderate perceived hearing trouble. Results of pure-tone audiometry and immittance measures are also presented. Nationally representative datasets from the National Health and Nutrition Examination Surveys (NHANES) for 2011 to 2012, 2015 to 2016, and 2017 to 2020, the three most recent NHANES datasets with audiological information, were used. The NHANES datasets indicated that there are 49.5 million adults in the United States with perceived mild-to-moderate hearing trouble. Results indicated that OTC hearing-aid candidates are most frequently 50 to 69 years of age, married, and identify as non-Hispanic White race/ethnicity. Most of these individuals graduated from high school, had several risk factors for hearing loss, had not had a hearing test in the past 5 years, and had never used hearing aids or assistive listening devices previously. The typical audiometric profile was a bilaterally symmetrical sloping hearing loss with slight to mild hearing loss above 2000 Hz. Group data showed normal immittance measures and absence of otoscopic abnormalities except for the presence of excessive (not impacted) cerumen in about 13% of the OTC hearing-aid candidates. Tens of millions of US adults have perceived mild-to-moderate hearing trouble but have not pursued assistance, either through obtaining a hearing test or acquiring prescription hearing aids.

Imbalance of thalamic metabolites in an experimental model of hypertension: role of bergamot polyphenols

Abstract Funding Acknowledgements None. Hypertension is emerging as a pathogenic factor in vascular-based cognitive impairment, altering the structure and function of cerebral vasculature, and representing the main risk factor for cerebral small vessel diseases and neuronal loss. Some studies correlated a reduction in regional cerebral blood flow in the thalamus of elderly hypertensive brains with the decrease in certain cerebral metabolites, because of hypoperfusion. Patients with severe hypertension show a reduced oxygen consumption in regions with reduced cerebral blood flow suggesting that, the vascular dysfunction and the reduced cerebral blood flow could be related to reduced metabolic demands due to brain dysfunction and damage. Chronic cerebral hypoperfusion is associated with increased inflammatory state and oxidative stress. Herein, we hypothesized to prevent or reduce the onset of oxidative stress using natural occurring antioxidant compounds could be of particular importance for the management of hypertension-induced cerebral complications. Hypertension was induced on Wistar male rats by left renal artery ligation (RAL). After complete recovery from surgery, the animals were treated with 20 mg/kg deoxycorticosterone acetate twice a week for 4 weeks, and 1% sodium chloride (NaCl) water. A subgroup of hypertensive rats received Bergamot Polyphenolic Fraction (BPF) by gavage. A control group was treated with sub-cutaneous injection of saline. At baseline (T0), after 2 weeks (T1) and at the end of the experimental period (T2), the thalamic neurochemical profile were evaluated using proton magnetic resonance spectroscopy (1H-MRS), performed with a Bruker Pharmascan 70/16 7T. VAPOR water-suppression module was used and optimized to reduce residual water, then thalamic spectra were acquired using a short echo time single voxel point-resolved spectroscopy technique (voxel size 3x3x3 mm). The absolute quantification of metabolite concentrations has been performed using TARQUIN (v.4.3.10). A reduction tending to significance of the tNAA/tCr ratio, emerged in the thalamus of RAL DOCA-Salt rats compared to control rats at T2. A significant reduction of the tNAA/tCr ratio was observed in the group of RAL DOCA-Salt rats at the T2 compared to the same animals at the T1. In addition, a significantly decrease of the tCho/tCr ratio was highlighted in the RAL DOCA-Salt animals compared to the CTRL rats starting from the T1. The administration of BPF ameliorates the tNAA/tCr ratios in the thalamus of RAL DOCA-Salt rats. Such evidence of the influence of hypertension on tNAA/tCr and tCho/tCr ratios could better explain the relationship between brain structure and modulation of some metabolites, providing new insights into hypertension-induced brain complications and the contribution that the use of natural compounds could give to their management.

Investigation of Frequency-Dependent Characteristics of Wire Rope under Tension Based on Transfer Function Method

Wire rope is a complex structure made by twisting wires of various sizes in the longitudinal direction. It is used to support or move engineering structures and is subject to various tensions. Dynamic properties are important parameters to evaluate the resistance to bending deformation and vibration reduction of various structures. They are affected by the magnitude of tension. In this study, an experimental method for measuring the frequency-dependent characteristics of wire rope under tension is proposed. The study analyzed flexural wave propagation employing a vibration transfer function. Experimental results showed that the transfer function of wire rope under tension is affected by tension and bending stiffness. The Newton–Raphson method was employed to numerically measure wavenumbers of the wire rope. The bending stiffness and loss factor were determined from the wavenumbers. Changes in the bending stiffness and loss factor as the tension increased were explained by the dynamic behavior of the structure under tension. As the tension increased, the bending stiffness increased, and the loss factor decreased. Hysteresis analysis indicated that the energy dissipation of wire rope is greater than that of a steel beam due to the friction between the wires. Statistical analysis confirmed a significant correlation between dynamic characteristics and tension in wire rope.

Temporal dynamics of RAS mutations in circulating tumor DNA in metastatic colorectal cancer: clinical significance of mutation loss during treatment

PurposeIn metastatic colorectal cancer (mCRC), RAS mutation loss may occur during the standard-of-care regimen. In this study, we aimed to investigate the temporal dynamics of the RAS gene and its clinical significance.MethodsThis was a retrospective, single-center study that included 82 patients with tissue RAS-mutant (RAS-MT) mCRC who underwent circulating tumor DNA (ctDNA) RAS monitoring between January, 2013–April, 2023. Patients were analyzed for the rate of change over time to acquired RAS mutation loss (aRAS-ML) and clinicopathological factors. The prognostic relevance of mutation loss was assessed.ResultsaRAS-ML was detected in 33 (40.2%) patients, 32 of whom had a mutation loss in the first ctDNA RAS assay. Patients with a RAS mutation detected in the first assay had a median time of 8 months until the second ctDNA RAS assay, with 4.5% cases newly converted to aRAS-ML; no new conversions were detected at the third assay. The aRAS-ML group exhibited more single-organ metastases in the target organ during ctDNA measurement (aRAS-ML: 84.8% vs. RAS-MT: 59.2%, p = 0.02). Of the 33 patients with aRAS-ML, seven (21.2%) received anti-epidermal growth factor receptor (EGFR) therapy, with a median progression-free survival of 8 months. Multivariate analysis revealed that persistent ctDNA RAS mutation was an independent prognostic factor for overall survival (hazard ratio: 2.7, 95% confidence interval: 1.1–6.3, p = 0.02).ConclusionThe rate of ctDNA mutation loss in patients with RAS-MT mCRC decreases over time. Therefore, using a ctDNA RAS assay early in treatment will assist in challenging the use of EGFR regimens.

3D printing of shape memory Alloys for complex architectures of smart structures

Shape Memory Alloys (SMA) are materials used to design smart structures with intrinsic functional properties and improved efficiency. This is a key aspect of aerospace industry and makes SMA good candidates in this field. One of the most widespread SMA is the equiatomic NiTi alloy which, however, has the strong limitation of poor machinability, so only simple shapes can be obtained. Additive Manufacturing processes allow to overcome this limit and to design complex shapes. Compared to other metallic materials, the optimization of the process for NiTi alloy is complicated because, beside mechanical properties and presence of defects, considerable attention needs to be dedicated to the material functionality. The high temperatures involved in the additive process significantly affect the material properties due to possible evaporation of Ni and formation of precipitates that enable a shift of the phase transformation temperatures. This paper is focused on the optimization of the process parameters of the NiTi alloy printed through the Laser Powder Bed Fusion (L-PBF) to ensure optimal pseudo-elastic behaviour, which is essential for the design of structural dampers. This was accomplished starting from simple structures and then designing a damper that couples the pseudoelasticity of NiTi with load support capacity.The L-PBF is a powder-bed technique that selectively melts layers of micrometric metal powder. A pseudoelastic NiTi powder with 50.8 at. % of Ni content was selected and characterized through scanning electron microscope (SEM) and observations connected to an Energy Dispersive X-ray Spectroscopy (EDX) probe. After that, some cubic samples were manufactured, with the dimension of 3 × 3 × 15 mm3. A set of different laser powers and scanning speeds were used to find the set of process parameters that optimize the functional properties of the printed parts. Near fully dense specimens with density higher than 99.5 % were selected for further investigations. Differential scanning calorimetry (DSC) and mechanical tests were performed on as-built and heat-treated samples.Quasi-static mechanical tests were accomplished in compression mode, at different strains, up to 8 %. It was observed that the residual strain for cyclic loading at 4 % is lower than 1 %, so good recovery of the deformation was shown. Moreover, numerical analyses that mimic the pseudoelastic behaviour in compression tests were implemented.Finally, the best set of parameters was selected on the basis of the material's ability to recover deformations and its loss factor.

Association between underweight, serum albumin levels, and height loss in the Japanese male population: a retrospective study.

Previous study has shown that height loss (defined as the highest quartile of height loss per year) was inversely associated with serum albumin levels. Furthermore, comparatively healthy hyponutrition has been linked with being underweight; as such, underweight might be inversely associated with serum albumin levels and positively associated with height loss. To clarify the associations between serum albumin level, underweight status, and height loss, we conducted a retrospective study of 8,096 men over 4.0years (median). Serum albumin level at baseline was inversely associated with being underweight (body mass index [BMI]: < 18.5kg/m2) at baseline and height loss. The known cardiovascular risk factor adjusted odds ratio (OR) and 95% confidence interval (CI) of underweight at baseline and of height loss for 1 standard deviation increment of serum albumin (0.28g/dL) was 0.79 (0.70, 0.90) and 0.84 (0.80, 0.88). Underweight was also shown to be positively associated with height loss: with the reference of normal-low weight (BMI: 18.5-22.9kg/m2), the adjusted OR (95% CI) was 1.60 (1.21, 2.10). Comparative healthy hyponutrition, which is related to low serum albumin levels and being underweight, is a significant risk factor for height loss among Japanese men. These results help to clarify the mechanisms underlying height loss.

Paradoxical Embolism in Juveniles and Young Adults With Severe-to-Profound Sudden Sensorineural Hearing Loss.

Objective: Paradoxical embolism from right-to-left shunting is a common cause of cryptogenic stroke in the young. Circulatory ischemia of the cochlea is closely connected with severe-to-profound sudden sensorineural hearing loss. This study aimed to explore the role of paradoxical embolism in severe-to-profound sudden sensorineural hearing loss in juveniles and young adults. Methods: From August 2021 to September 2022, consecutive outpatients under 35 years of age with severe-to-profound sudden hearing loss were included in the study. Routine auditory electrophysiological testing and contrast transcranial Doppler ultrasonography (c-TCD) were conducted, and the results were retrospectively analyzed. Results: Seven patients (age: 19.4 ± 6.5 years) were enrolled, including 5 juveniles and 2 young adults. Three patients had severe deafness, and 4 patients had profound deafness. Right-to-left shunting was detected in all patients through c-TCD. Patent foramen ovale was found in 2 patients while pulmonary arteriovenous fistula was found in 1 patient through contrast transthoracic echocardiography or cardiac catheterization. No patients had precipitating factors for sudden sensorineural hearing loss, and none had abnormalities on head magnetic resonance imaging. Six patients underwent whole-exome sequencing, and no known deafness gene variant was detected. After standard treatment for 1 month, 2, 3, and 2 patients had complete, slight, and no hearing recovery, respectively. Conclusions: Paradoxical embolism is a possible cause of severe-to-profound sudden sensorineural hearing loss in juveniles and young adults. In young patients, c-TCD is an effective screening tool to detect right-to-left shunting, while contrast transthoracic echocardiography is a complementary examination to c-TCD.

Lightweight damping layer with acoustic black hole profile bonded to a beam for broadband vibration reduction

Inspired by the thickness reduction and wave focusing characteristics of the acoustic black hole (ABH) effect, a so-called ABH-damping layer (ABHD) is proposed for the broadband vibration reduction of a host structure, different from the common-used uniform thickness damping layer (UNID). The ABHD has a lighter weight and shows better vibration suppression ability. It can overcome the defect that ABHs cannot serve as the main load-bearing component due to the stiffness reduction. The primary beam structure and damping layer both follow the Timoshenko beam theory. The null space method handles the continuity between the two-layer structures. Analyses reveal the difference in vibration suppression characteristics between UNID and ABHD, further exhibiting the wave-gathering properties of ABH. The mass reduction ratio of ABHs is presented under different damping material loss factors. Finally, an experiment is conducted to verify the correctness of the proposed method and the feasibility of designing the ABHD. The damping layer’s weight of ABHD is reduced by 30.8% less than that of UNID, when the material loss factor is equal to 1.0. This study provides a new method for lightweight, strong vibration suppression performance and wide-band vibration reduction in engineering with the application of ABH.

Optimization of conductors arrangement in slot for alternating current winding losses reduction

Purpose The purpose of this study is to evaluate and minimize the losses of alternating current (AC) in the winding of electrical machines. AC winding losses are frequently disregarded at low frequencies, but they become a significant concern at high frequencies. This is the situation where applications require a high speed. The most significant applications in this category are electrical propulsion and drive systems. Design/methodology/approach An analytical model is used to predict the AC losses in the winding of electrical machines. The process involves dividing the slot into separate layers and then calculating the AC loss factor for each layer. The model aims to calculate AC losses for two different winding arrangements involving circular conductors. This application focuses on the stator winding of a permanent magnet synchronous motor that is specifically designed for electric vehicles. The model is integrated into an optimization process that makes use of the genetic algorithm method to minimize AC losses resulting from the arrangement of conductors within the slot. Findings This study and its findings demonstrate that the arrangement of the conductors within the slot has a comparable effect on the AC losses in the winding as the machine's geometric and physical properties. The effectiveness of electrical machines depends heavily on optimizing the arrangement of conductors in the slot to minimize AC winding losses. Originality/value The proposed strategy seeks to minimize AC winding losses in high-speed electric machines by providing a cost-effective and precise solution to improve energy efficiency.

Dosimetric analysis of hearing loss after cranial radiation therapy in children: A single-institution study from the French national registry PediaRT

PurposeTo identify dosimetric predictive factors of sensorineural hearing loss (SNHL) in children after cranial radiation therapy (RT) in a single institution using dosimetric data from the French National Registry PediaRT. Methods and MaterialsComplete audiological follow-up data were available for 44 children treated with cranial RT between 2014 and 2021 at our institution. The median age at the time of RT initiation was 9 years (range: 2–17 years). No children presented with hearing loss prior to treatment. SNHL was defined as a Chang ototoxicity grade ≥ 1a or higher. ResultsMedian audiometric follow-up duration was 51 months. Seven children (16 %) developed SNHL with a median time to occurrence of 33 months (range, 18–46 months). The estimated SNHL cumulative rate at 2 years post-RT was 4,5% ± 3,1% and at 5 years was 21 % ± 7.2 %. Multiple Cox regression models showed that the association of the age at radiotherapy and the dosimetric values to the inner ear canal and cochlea were the most significant predictive factors of SNHL occurrence. No child who received less than 35 Gy on average to both cochleae (n = 26) suffered from SNHL, whereas the 5-year SNHL cumulative incidence for the children who received greater than or equal to 35 Gy on average to either cochlea (n = 18) was 51.8 % ± 15.1 %. ConclusionDoses received by the inner ear canal and cochlea, associated with the age at RT initiation, are the main predictive factors for radiation-induced SNHL. A median dose to either cochlea over 35 Gy significantly increases the risk of SNHL and justify close audiometric monitoring to detect and equip hearing loss at an early stage.

Research on quality marker based on the processing from Aconiti lateralis radix praeparata to Heishunpian.

Aconiti lateralis radix praeparata (ALRP), the sub root of Aconitum carmichaelii Debx., is a traditional Chinese medicine with good pharmacological effects. Heishunpian (HSP), prepared through the process of brine immersing, boiling, rinsing, dyeing, and steaming ALRP is one of the most widely used forms of decoction pieces in clinical practice. This study aims to investigate the mechanisms of component changes and transformations during the processing from ALRP to HSP, and to screen for their quality markers through UHPLC-QTOF-MS analysis. Samples from ALRP to HSP during processing were prepared and analyzed by UHPLC-QTOF-MS. By comparing the differences between before and after each processing step, the purpose of processing and the transformation of components during processing were studied. In addition, multiple batches of ALRP and HSP were determined, and potential quality markers were screened. Through the analysis of ALRP and five key processing samples, 55 components were identified. Immersing in brine, rinsing, and dyeing were the main factors of component loss, and boiling caused a slight loss of components. Some components were enhanced during the steaming process. Combining the screened differences components between multiple ALRP and HSP, 10 components were considered as potential quality biomarkers. This study found that the adjacent hydroxyl groups of the ester group may have a positive impact on the hydrolysis of the ester group, and 10 quality markers were preliminarily screened. It provides a reference for quality control and clinical application of ALRP and HSP.

#3036 The influence of first renal graft on second graft rejection and survival: the importance of revisiting histocompatibility and clinical outcomes

Abstract Background and Aims Kidney retransplantation confers a robust survival benefit over dialysis and recent data has shown similar outcomes to first kidney transplant. The number of HLA mismatches is an important predictor of graft loss and sensitization and the presence of donor specific antibodies (DSA) -pre and -post transplant is a major risk factor for rejection and worst outcomes. However, the importance of HLA matching of first graft and the relevance of first donor DSAs on second graft outcomes is less known. Our aim was to identify risk factors to second graft acute rejection and graft loss, related to second and first graft features. Method We performed a retrospective, longitudinal study including all patients submitted to a 2nd kidney transplant between January 2008 and December 2021, excluding patients with more than 2 grafts or multi-organ transplant. Clinical and histocompatibility data from the first and second donor and recipient were collected. HLA antibodies were detected by solid phase assays and considered if MFI &amp;gt;2500. For subsequent kidney transplants, repeated mismatches are not allowed and unacceptable antigens are those for which the patient has pre-formed -A, -B and -DR antibodies, with MFI&amp;gt;1000. Biopsy proven acute rejection was defined according to Banff 2017 criteria. Follow-up was 31st December 2023 for functioning grafts or time to graft failure, with a mean time of 92 ± 53 months. Results We included 114 patients, 73 (64%) males, mostly Caucasians (96%), with a mean age of 43.9 ± 13 years at 2nd transplant. First kidney transplant was performed before 2010 for 99 patients (87%), with a median first graft survival of 82.5 [12.5-144] months and 19 patients (16.7%) presented primary disfunction due to surgical/vascular complications. After graft loss, 43 patients (37.7%) had their graft removed. For second transplant, 11 (9.6%) patients had a living donor. Induction therapy with thymoglobulin occurred in 94 patients (83%) and maintenance therapy with mycophenolic acid, calcineurin inhibitors and steroids was prescribed in 83 patients (73%). During follow-up, 20 patients (17.5%) presented biopsy proven acute rejection, 13 (65%) T cell mediated and 7 (35%) antibody-mediated, the majority during the first-year post-transplant (N = 17, 85%). The risk factors for second graft rejection are summarized in Table 1. Patients with a first graft nephrectomy had a higher risk of acute rejection (OR 3.9, 95% CI [1.4-10.9], p &amp;lt; 0.006) and were more susceptible to the development of second donor post-transplant DSA (58% vs 35%, p = 0.02). Death censored second allograft loss occurred in 24 patients (21%) at follow up and acute rejection was an important risk factors (OR 4.3, 95% CI [1.5-12.1], p = 0.004). First-year graft survival was 93% and a survival at follow up was 79%. On survival analysis the presence of second graft DSA was a major risk factor for graft loss, especially class 2 -DQ and -DR. First transplant total mismatch load, especially on class 1 contributed to worst graft survival. Conclusion Worst outcomes in first kidney transplant were related with an increased risk of acute rejection in second graft and 1st graft nephrectomy increases the risk of the development of 2nd graft DSA and acute rejection. First transplant mismatch load decreased second graft survival.

Experimental Heat Transfer Analysis of a New Turbulator in a Concentric Heat Exchanger Tube: A Full Factorial Design Approach

Abstract People have been looking for alternative energy sources because current sources may be depleted. Furthermore, it is critical to utilize available energy sources as effectively as possible. Turbulators are among the topics to consider when it comes to energy efficiency. In practice, turbulators are often used in exchangers to enhance heat transfer. Putting newly constructed turbulators in determined locations of the constant surface temperature heat exchanger, velocity, temperatures, pressure, and flow measurements have been performed in the inlet and outlet. In the case of using different numbers of turbulators, their placement in different locations, their arrangement at different distances, and their use at different Reynolds, the changes in pressure drop, Nusselt number, friction factor, efficiency, exergy loss rate, and NTU were determined with the full-factor experimental design. When the test data were evaluated, it was seen that as the number of turbulators increased, the thermal efficiency, friction factor, and pressure loss also increased. Using turbulators in different numbers, at different positions, at different distances, and with different Reynolds numbers, the effect ratio on the pressure loss, Nusselt number, and friction factor parameters was detected. In the analyses made, the most efficient parameters on heat transfer were determined, respectively, as Reynolds number (64.55%), the position of turbulators (19.73%), the distance between turbulators (6.09%), and the number of turbulators (5.94%).