Replacement Solution Research Articles

Bioreactance noninvasive cardiac output monitoring in euvolemic adult horses subjected with 7.2% saline and 6% hydroxyethyl starch (130/0.4) solution infusions.

To compare the ability of bioreactance noninvasive cardiac output (BR-NICO) with thermodilution cardiac output (TDCO) for the measurement of cardiac output (CO) in healthy adult horses receiving 2 different IV volume replacement solutions. Prospective randomized crossover study from September to November 2021. University teaching hospital. Six university-owned adult horses. Horses were randomly assigned to receive 7.2% hypertonic saline solution (HSS) or 6% hydroxyethyl starch (130/0.4) solution (HETA). BR-NICO and TDCO were measured simultaneously at baseline, 10, 20, 30, 40, 50, 60, 90, and 120minutes before fluid administration and again at the same times after starting a bolus infusion of IV volume replacers. All solutions were administered within 10minutes. BR-NICO and TDCO were strongly correlated (Pearson r2=0.93; P<0.01). Regression analysis showed the relationship between TDCO and BR-NICO was BR-NICO=0.48×TDCO+0.6. For the corrected BR-NICO values, the Bland-Altman agreement mean bias and lower/upper limits of agreement were -0.62 and -5.3 to 3.9L/min, respectively. Lin's concordance (95% confidence interval) between methods was 0.894 (0.825-1.097). Compared with baseline, HSS increased the CO at 10 and 20minutes (TDCO and BR-NICO). Compared with baseline, HETA decreased the CO at 10 and 20minutes (TDCO and BR-NICO) and increased the CO at 90 (TDCO only) and 120minutes (TDCO and BR-NICO). BR-NICO strongly agreed with TDCO in the measurement of CO in healthy unsedated adult horses. HSS administration significantly increased CO in the first 30minutes, while HETA initially decreased CO at 10minutes but increased CO to above baseline values by 90minutes.

High-Throughput Compatibility Screening of Materials for SF6-Alternative Insulation.

With the annual global electricity production exceeding 30,000 TWh, the safe transmission of electric power has been heavily relying on SF6, the most potent industrial greenhouse gas. While promising SF6 alternatives have been proposed, their compatibilities with materials used in gas-insulated equipment (GIE) must be thoroughly studied. This is particularly true as the emerging SF6 alternatives generally leverage their relatively higher reactivity to achieve lower global warming potentials (GWPs). Here, a high-throughput compatibility screening of common GIE materials was conducted with a representative SF6 alternative, namely, C4F7N (2,3,3,3-tetrafluoro-2-(trifluoromethyl)propanenitrile)/CO2 gas mixtures. In this screening, the insulation performance of C4F7N/CO2 gas mixtures, as an indicator of the C4F7N/materials compatibility level, was periodically monitored during the thermal aging with tens of materials from SF6-insulated GIE, including desiccants/adsorbents, rubber, plastics, composites, ceramics, metals, etc. The identification of incompatible materials and the follow-up mechanism studies suggested that the acidity of materials represents the primary cause for C4F7N/materials incompatibility when C4F7N/CO2 gas mixtures are used as a drop-in replacement solution for existing SF6-insulated apparatuses. Mitigation strategies tackling the acidity of materials were then proposed and validated. Additionally, the amphoteric characteristics of C4F7N were briefly discussed. This work provides insight into the materials incompatibility of SF6 alternatives, along with validated mitigation strategies, for the selection and design of materials used in future eco-friendly GIE.

Tailored therapies: Exploring macromolecule based delivery science for personalized medicine

The advent of personalized medicine has revolutionized healthcare, transitioning from a one-size-fits-all model to tailored therapies that address the unique genetic, environmental, and lifestyle factors of individual patients. Central to this shift is the field of macromolecule-based delivery science which involves the use of biologically derived or synthetically engineered macromolecules, like proteins, nucleic acids, and polysaccharides. These macromolecules have shown immense potential in improving the specificity, efficacy and safety of therapeutic interventions, paving the way for more precise and effective treatments. Macromolecule-based delivery systems are designed to overcome the limitations of traditional small-molecule drugs, such as poor solubility, rapid degradation, nonspecific distribution and potential toxicity. Unlike small molecules, macromolecules can be engineered for high specificity toward target cells or tissues, reducing off-target effects and enhancing therapeutic outcomes. The ability to modify and functionalize these macromolecules with various chemical and biological entities allows for the development of multifunctional delivery platforms capable of addressing complex pathophysiological conditions. These systems have been instrumental in targeting specific antigens on cancer cells, leading to highly effective therapies with reduced systemic toxicity. In addition, RNA-based therapies offer innovative solutions for gene silencing and protein replacement, providing hope for patients with previously untreatable genetic disorders.

Chemotherapy plus therapeutic plasmapheresis with 4% human albumin solution in multiple myeloma patients with acute kidney injury: a prospective, open-label, proof-of-concept study

As no unified treatment protocol or evidence yet exists for plasmapheresis without plasma, this study explored the outcomes of using 4% human albumin (ALB) solution as a replacement solution in patients undergoing plasma exchange for multiple myeloma (MM) patients with acute kidney injury (AKI). This study was prospectively registered (ChiCTR2000030640 and NCT05251896). Bortezomib-based chemotherapy plus therapeutic plasmapheresis (TPP) with 4% human ALB solution was assessed for three years in patients with MM aged >18 years, with AKI according to the Kidney Disease Improving Global Outcomes criteria, and without previous renal impairment from other causes. The primary endpoints were changes in renal function over 18 weeks and survival outcomes at 36 months. The secondary endpoints were the incidence of adverse reactions and symptom improvement. Among the 119 patients included in the analysis, 108 experienced renal reactions. The M protein (absolute changes: median −12.12%, interquartile ranges (IQRs) −18.62 to −5.626) and creatine (median −46.91 μmol/L, IQR −64.70 to −29.12) levels decreased, whereas the estimated glomerular filtration rate (eGFR) increased (median 20.66 mL/(min·1.73 m2), IQR 16.03–25.29). Regarding patient survival, 68.1% and 35.3% of patients survived for >12 and >36 months, respectively. The three symptoms with the greatest relief were urine foam, poor appetite, and blurred vision. All 11 patients (7.6%) who experienced mild adverse reactions achieved remission. In conclusion, in MM patients with AKI, plasma-free plasmapheresis with 4% human ALB solution and bortezomib-based chemotherapy effectively alleviated light chain damage to kidney function while improving patient quality of life.

A Simulation-Free Replacement Solution for Radiation Therapy Immobilization Devices Using Computer Numerical Control (CNC) -Milled Polystyrene Molds

In radiation therapy (RT), if an immobilization device is lost or damaged, the patient may need to be brought back for resimulation, device fabrication, and treatment planning, causing additional imaging radiation exposure, inconvenience, cost, and delay. We describe a simulation-free method for replacing lost or damaged RT immobilization devices. Replacement immobilization devices were fabricated using existing simulation scans as design templates by computer numerical control (CNC) milling of molds made from extruded polystyrene (XPS). XPS material attenuation and bolusing properties were evaluated, a standard workflow was established, and 12 patients were treated. Setup reproducibility was analyzed postfacto using Dice similarity coefficient (DSC) and mean distance to agreement (MDA) calculations comparing onboard treatment imaging with computed tomography (CT) simulations. Results showed that XPS foam material had less dosimetric impact (attenuation and bolusing) than materials used for our standard immobilization devices. The average direct cost to produce each replacement mold was $242.17, compared with over $2000 for standard resimulation. Hands-on time to manufacture was 86.3 minutes, whereas molds were delivered in as little as 4 hours and mostly within 24 hours, compared with a week or more required for standard resimulation. Each mold was optically scanned after production and was measured to be within 2-mm tolerance (pointwise displacement) of design input. All patients were successfully treated using the CNC-milled foam mold replacements, and pretreatment imaging verified satisfactory clinical setup reproduction for each case. The external body contours from the setup cone beam CT and the original CT simulation with matching superior-inferior extent were compared by calculating the DSC and MDA. DSC average was 0.966 (SD, 0.011), and MDA average was 2.694 mm (SD, 0.986). CNC milling of XPS foam is a quicker and more convenient solution than traditional resimulation for replacing lost or damaged RT immobilization devices. Satisfactory patient immobilization, low dosimetric impact compared with standard immobilization devices, and strong correlation of onboard contours with CT simulations are shown. We share our clinical experience, workflow, and manufacturing guide to help other clinicians who may want to adopt this solution.

Thermal Screening UAV for Solar Panels and Electric Towers

These days, enormous windmills, solar panels, heating towers, and power plants are frequently situated in isolated locations and may experience heating problems. The operator must climb to these high places and search for heating problems to identify these problems. Therefore, there is a risk to life. Sending numerous crews with protective gear to various towers and panels comes at a considerable cost. It takes a great deal of time to climb each tower and carefully inspect for problems. Therefore, we suggest a replacement solution that uses a thermal screening drone to quickly and efficiently check for heating problems. To ensure extended range control during flying, the drone is equipped with a controller. The thermal sensor can have a limited resolution and be unable to detect problems with thermal heating from things that are close together. Using a raspberry pi, the thermal sensor footage is captured for subsequent review. As a result, the thermal screening procedure is automated and made safer by the drone. We will facilitate the process and assist industries in taking more care of safety to prevent mishaps in this way

Computation Offloading Based on a Distributed Overlay Network Cache-Sharing Mechanism in Multi-Access Edge Computing

Multi-access edge computing (MEC) enhances service quality for users and reduces computational overhead by migrating workloads and application data to the network edge. However, current solutions for task offloading and cache replacement in edge scenarios are constrained by factors such as communication bandwidth, wireless network coverage, and limited storage capacity of edge devices, making it challenging to achieve high cache reuse and lower system energy consumption. To address these issues, a framework leveraging cooperative edge servers deployed in wireless access networks across different geographical regions is designed. Specifically, we propose the Distributed Edge Service Caching and Offloading (DESCO) network architecture and design a decentralized resource-sharing algorithm based on consistent hashing, named Cache Chord. Subsequently, based on DESCO and aiming to minimize overall user energy consumption while maintaining user latency constraints, we introduce the real-time computation offloading (RCO) problem and transform RCO into a multi-player static game, prove the existence of Nash equilibrium solutions, and solve it using a multi-dimensional particle swarm optimization algorithm. Finally, simulation results demonstrate that the proposed solution reduces the average energy consumption by over 27% in the DESCO network compared to existing algorithms.

The role of therapeutic plasma exchange in plasma cell disorders.

Therapeutic plasma exchange (TPE) is an extracorporeal technique where patient's plasma containing pathogenic substances is separated and removed from the whole blood, while the cellular component is returned to the patient mixed with replacement solution via an apheresis machine. Due to its ability to remove pathogenic substances from plasma including immunoglobulins, TPE has proven efficacious in the management of various disorders across different medical disciplines, including plasma cell dyscrasias, which are characterized by the abundant secretion of non-functional immunoglobulins produced by an abnormally proliferating plasma cell clone. This review summarizes the current indications of TPE in plasma cell-related disorders and discusses its application, safety, and therapeutic effects.

Nut bush pesticide limits: urgent need for a comprehensive strategy to address current and emerging insect pests and insecticide options in the Australian macadamia industry.

In Australia, macadamia orchards are attacked by four main insect pest groups. Management and control of three of these key pests currently relies on broad-spectrum insecticides whose long-term future is questionable. Of the 23 insecticides registered for use in macadamia in Australia, 19 face issues affecting their availability and 12 are presently not approved in the EU, the USA or Canada. These international markets may refuse produce that does not adhere to their own insecticide use standards, hence Australian produce may be excluded from market access. Many of the potential replacement integrated pest management methods of pest control are generally considered less effective by the industry and have not been adopted. There are 17 insect pest groups identified by the industry, any of which have potential to become major problems if broad-spectrum insecticide options become unavailable. Thirteen pest groups need urgent attention as they are at risk of losing current effective control methods, and no replacement solutions have yet been developed. The lag period for research and development to identify new chemical and biological control solutions means there is now an urgent need for the macadamia industry to craft a strategy for sustainable pest management for each pest. Critically, this industry strategy needs to address the vulnerabilities identified in this paper, identify potential solutions for any cases of market failure and consider funding mechanisms to address these gaps. On economic and sustainability grounds, potential biological control options should be explored, especially in cases where insecticide control options are vulnerable. © 2024 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

Effect of annealing treatment and infill percentage on 3D-printed PEEK samples by Fused Filament Fabrication

A strategy that is gaining momentum in several industrial sectors is metal replacement, which aims to find suitable alternatives for replacing metal components with lighter ones. One possible solution is represented by high-performance polymers (HPP), which are a family of materials with improved thermo-mechanical and functional properties, compared to commodity plastics. Additive manufacturing (AM) is revolutionizing the industrial world due to its high design freedom, dimensional accuracy, and shortened total production time. Thus, combining the use of HPP with AM technologies could lead to innovative results, which could offer new metal replacement solutions through redesign and new material properties. However, HPPs have some manufacturing limitations, for example, they require high processing temperatures, and some of them are subject to significant warping and deformation phenomena. This aspect is particularly significant for semi-crystalline polymers, as in the case of poly(ether-ether-ketone) (PEEK), which is affected by thermal gradients during 3D printing. In this research, an investigation was carried out on the Fused Filament Fabrication (FFF) of different 3D printed PEEK samples, evaluating the effect on final properties not only of various infill percentages (30%, 50%, 70%, and 100%) but also of two different heating treatments. In this regard, a traditional annealing in oven, post 3D printing, was compared to a direct annealing approach, performed during FFF. The mechanical performance of the samples was characterized through tensile and compression tests along with the thermal properties and the thermal stability. In addition, for all different cases, energy consumption was measured, to provide an indication of the sustainability of the presented approaches. The findings suggest that the direct annealing solution holds promise and merits further investigation to bridge knowledge gaps in this domain. This research contributed to advance the understanding of PEEK 3D printing by FFF and played a vital role in the practical implementation of metal replacement as a sustainable strategy across various industrial applications.

Microalgae as fishmeal alternatives in aquaculture: current status, existing problems, and possible solutions.

Fishmeal is an indispensable ingredient for most aquatic animals. However, the finite supply and escalating price of fishmeal seriously limit its use in aquaculture. Thus the development of new, sustainable protein ingredients has been a research focus. Microalgae are potential fishmeal alternatives owing to their high protein content and balanced amino acid profile. Studies suggest that suitable replacement of fishmeal with microalgae is beneficial for fish growth performance, but excessive replacement would induce poor growth and feed utilization. Therefore, this paper aims to review research on the maximum substitutional level of fishmeal by microalgae and propose the main issues and possible solutions for fishmeal replacement by microalgae. The maximum replacement level is affected by microalgal species, fish feeding habits, quality of fishmeal and microalgal meals, and supplemental levels of fishmeal in the control group. Microalgae could generally replace 100%, 95%, 95%, 64.1%, 25.6%, and 18.6% fishmeal protein in diets of carp, shrimp, catfish, tilapia, marine fish, and salmon and trout, respectively. The main issues with fishmeal replacement using microalgae include low production and high production cost, poor digestibility, and anti-nutritional factors. Possible solutions to these problems are recommended in this paper. Overall, microalgae are promising fishmeal alternatives in aquaculture.

Use of a Novel Buffered Hypertonic Saline Solution for Fluid Replacement and Resuscitation During Spinal Surgery in Adolescents.

During major orthopedic procedures, such as posterior spinal fusion (PSF), isotonic fluids, colloids, starches, or gelatins are commonly used to replace the preoperative fluid deficit and provide ongoing fluid resuscitation. Given recent concerns regarding the potential adverse physiologic effects of albumin solutions, we have modified our intraoperative practice to include the use of a novel 2% buffered hypertonic saline solution during major orthopedic procedures. We present our preliminary clinical experience with this novel fluid for intraoperative resuscitation and its impact on limiting the use of 5% albumin. A retrospective review was performed to identify patients who received 2% buffered hypertonic saline during PSF. The intraoperative course of these patients was compared to case-matched control patients who received standard care with isotonic fluids plus 5% albumin as an adjunct for intravascular resuscitation. The study cohort included 23 patients who received 2% buffered hypertonic saline and 25 in the case-matched control group. There was no difference in the volume of intraoperative isotonic crystalloid fluids, estimated blood loss, and urine output between the two groups. In the control cohort, 19 of 25 patients (76%) received 5% albumin compared to only six of 23 patients (26%, P = 0.0005) in the 2% buffered hypertonic saline group. The final pH was higher in the patients that received 2% buffered hypertonic saline than in the control group (7.40 ± 0.03 versus 7.36 ± 0.06, P = 0.0131). Additionally, the starting and final serum sodium values were higher in the patients that received 2% buffered hypertonic saline, although no difference was noted in the mean change from the starting value (average increase of 2 mEq/L in both groups). Use of a novel 2% buffered hypertonic saline solution for intraoperative resuscitation during major orthopedic procedures decreases the need for 5% albumin while avoiding the development of hyperchloremic metabolic acidosis which may occur with standard sodium chloride solutions.

Renal xenotransplantation : state of the art

Xenotransplantation could be an inexhaustible source of organs and change the life of end-stage kidney disease patients with reduction of morbidity and mortality. Through genetic engineering it is now possible to reduce the risk of hyperacute and acute graft rejection and improve the overall immune compatibility between two different species. Some experiments have already brought promising perspectives. Nevertheless, there are still difficulties to overcome. The risk of animal-related infectious diseases, ethnic limitations, safety, and applicability of large-scale xenotransplantation should be assessed. We still need to improve the technical aspects and define the purpose of these procedures: definitive replacement or temporary solution?

Comparative study of Eimeria tenella development in different cell culture systems.

Cell culture systems have long been recognised as great resources to mitigate the use of animals in research, offering effective solutions for replacement or reduction with benefits commonly including lower costs, shorter duration and improved reproducibility. The use of in vitro culture methods has been extensively explored for many apicomplexan parasites, supporting significant research advances, but studies with Eimeria are often limited since they still depend on the animal host. In this study we have used 2.5D and 3D culture systems for the first time to evaluate the growth of Eimeria tenella parasites using a panel of cell lines (MDBK, HD11, COLO-680N and HCC4006). Results were compared to growth in 2D monolayers following established protocols. Observations using the fluorescent transgenic strain Et-dYFP showed invasion and development of parasites inside cells suspended in a collagen matrix (2.5D or 3D), supporting the development of asexual stages with the release of first-generation merozoites. Similar findings were observed when Scaffold-free 3D cell spheroids of HD11 cells were infected with sporozoites. No subsequent developmental stages were identified while evaluating these cell lines and further work will be required to improve in vitro culture systems to a point where reduction and replacement of animal use becomes routine.

A CXCR3-Activating Peptide Increases Tear Break Up Time and Corrects Corneal haze in a Rabbit Model of Environmental Dry Eye.

Environmentally-triggered dry eye disease (DED) or keratoconjunctivitis sicca (KCS), which constitutes the majority of DED cases, currently is palliatively treated with aqueous replacement solutions that do not target the dysfunction of the mucin and lipid components of tears. We tested whether a peptide that increased goblet cell numbers in a model of scleral chemical injury would also improve tear quality in environmental DED. Environmental DED was established by exposing New Zealand white rabbits (8 per group, female) to 20% humidity with rapid air replacement and b.i.d. atropine sulfate eyedrops for 3 weeks prior to test article administration; this continued for the subsequent 3 weeks of testing. Animals were dosed by (A) saline, (B) b.i.d. eyedrop of peptide in saline, (C) b.i.d. eyedrop of peptide in coacervate, or (D) weekly subconjunctival injection of peptide. In vitro, human conjunctival epithelial cells (HCjE) were exposed to TNFα in the presence or absence of peptide to determine inflammatory responsiveness. The environmental DED was established with both Schirmer and TBUT being reduced at the start of test article; these levels were maintained as low through the testing period. All three treatment regimens increased TBUT approximately 3x to levels greater than prior to desiccation (P < 0.01), with little effect on Schirmer. Corneal haze was present in all eyes after induction, and completely reversed in 36 of 48 eyes across the treatments (P < 0.05). Co-treatment of HCjE with peptide reduced the production of TNFα in response to an inflammatory stimulus. The treatment of environmental DED/KCS with a peptide that activates CXCR3 improved tear quality and reversed corneal pathology by promoting tear stability and likely dampening the corneal inflammation, while not affecting aqueous volume of the tears.

Role of recycled brick powder and alkaline solution on the properties of eco-friendly alkali-activated foam concrete

To cater for the need of the low-carbon era, this study proposed a solution by using recycled brick powder (RBP) and ground granulated blast furnace slag (GGBS) together with alkaline solution in the preparation of eco-friendly alkali-activated foam concrete. Effects of RBP replacement and alkaline solution on the work performance, hardened properties and microstructure of foam concrete were explored. Inclusion of RBP delayed the initial setting time, but high alkaline solution changed initial setting time and fluidity loss greatly. High RBP replacement combined with high alkaline solution were conducive to gain closed porosity, thereby impeding thermal conductivity. Though the presence of RBP was destructive to strength development, the increment of activator modulus or Na2O concentration could compensate its drawback. Microstructure results shown that the incorporation of RBP coarsened pore size and increased irregular shape pore, and this degradation was aggregated with high alkali solution. However, more GGBS and RBP activated by high alkaline solution participated in the geopolymerisation reaction to generate more hydration products, thus helped in forming closed pores and dense matrix. Overall, incorporating RBP in the blended system together with proper alkaline solution performed better in enhancing thermal insulation with comparable strength, thereby boosting RBP recycling rate and applying into dwelling structure.

Modoru: Clos nanosecond optical switching for distributed deep training [Invited

Distributed deep training has become a significant consumer of bandwidth across datacenter-scale networks. The diverse parallel strategies employed in deep training require different communication patterns, necessitating the periodic adaptation of dynamic topologies. Since electrical switching approaches its capacity limit due to high bandwidths and has difficulties in regard to topology adaptation (i.e., logical and physical topologies are isomorphic), optical switching has become an attractive option to address these bottlenecks. In this paper, we propose Modoru, a wavelength- and datarate-agnostic Clos architecture with a switching speed of O(10ns). Modoru is a drop-in replacement solution that has no constraints on achieving a high radix. To verify its topological flexibility, we also develop topology-as-a-service, which provisions sequentially dynamic topologies for training jobs and guarantees high topology availability over the entire network. Large-scale simulations show a basic 7.9× acceleration in deep training jobs using Modoru. Additionally, experiments on the Modoru prototype demonstrate acceleration of deep training jobs through the provisioning of adaptive topologies.

A pilot study of intensive short-time continuous renal replacement therapy to substitute maintenance hemodialysis during transitional period of COVID-19.

There is a lack of perfect solutions for maintenance hemodialysis (MHD) in patients with a high transmission risk of SARS-CoV-2. MHD patients with a high risk of SARS-CoV-2 transmission from April 1 to June 30, 2022, were recruited. We performed 4-h continuous renal replacement therapy with Prismaflex dialysis machine and ST100 suite using continuous venovenous hemodiafiltration (CVVHDF) mode with a fluid exchange volume of 8000 mL/h. Forty-five MHD patients were included with a median dialysis age of 91 months. Overall spKt/V reached 0.96 ± 0.19. Urea reduction ratio was 50.29 ± 7.60% with the ultrafiltration of 2.18 ± 0.79 kg. Dry weight was significantly inversely correlated with spKt/V (R = -0.563, p < 0.001). Female gender was a significant positive factor of spKt/V. Preheating of replacement solution using an incubator solved the complication of shivering in most patients. Intensive short-time CVVHDF may be considered as an alternative for routine MHD during COVID-19 transitional period.

Evaluating Risk Factors for Developing Allergic Reactions during Plasma Exchange using Fresh-frozen Plasma: A Single-center Retrospective Study.

Objective Allergic reactions are a severe complication of plasma exchange (PEx). Few reports have analyzed allergic reactions during PEx using fresh-frozen plasma (FFP) as a replacement solution. We therefore clarified the relationship between risk and exacerbation factors that lead to the onset of PEx-related allergic reactions, particularly PEx, using FFP, and examined whether or not allergic reactions were predictable. Methods This retrospective study included 88 consecutive patients who underwent PEx with FFP as a replacement solution at Kitasato University Hospital. The patients were grouped according to the presence of allergic reactions and compared. Data were analyzed using the χ2 test, Mann-Whitney U test, and a binomial logistic analysis. Statistical analyses were performed using EZR software program, version 1.54, with p <0.05 considered statistically significant. Results There were 44 allergic reaction cases. The average time to the onset of an allergic reactions was 63.5 (45-93) min. The allergic reaction-onset group had significantly higher average albumin (Alb) levels than did the non-allergic reaction-onset group. The binomial logistic analysis identified Alb levels as independent risk factors for allergic reactions. The receiver operating characteristic analysis identified an Alb level ≥3.4 g/dL as a risk factor for allergic reactions (area under the curve: 0.731; 95% confidence interval: 0.622-0.84). Conclusion Allergic reaction onset occurred approximately one hour after PEx initiation in the critical period. A serum Alb level ≥3.4 g/dL was identified as a risk factor for predicting allergic reactions. Patients with Alb levels ≥3.4 g/dL at the first PEx should be monitored for allergic reaction symptoms.

The ZooScan and the ZooCAM zooplankton imaging systems are intercomparable: A benchmark on the Bay of Biscay zooplankton

ABSTRACTZooplankton analysis represents a bottleneck in marine ecology studies due to the difficulty to obtain zooplankton data. The last decades have seen the intense development of zooplankton imaging systems, to increase the zooplankton data spatio‐temporal resolution as well as enabling the combination of size, taxonomy, and functional traits in aquatic ecology studies. Here, we propose a benchmark between the ZooScan, a commercially available, laboratory‐based scanner, which analyses zooplankton preserved samples, and the ZooCAM, an in‐flow imaging system designed for on‐board live zooplankton imaging. Sixty‐one zooplankton samples collected over the Bay of Biscay in environments ranging from estuarine to offshore blue waters were imaged with both instruments. Zooplankton Normalized Biovolume‐Size Spectra slopes, mean sizes, abundances, and zooplankton community biogeographical patterns were computed for each instrument and compared at the taxonomic group, the sampling stations and the Bay of Biscay scales. Both instruments produced similar zooplankton variables by stations and by taxa and described similar zooplankton community compositions and biogeographical patterns, on the large mesozooplankton size range, i.e., [0.3–3.39] mm ESD. We conclude that the ZooCAM and the ZooScan data can be combined to generate long term or spatially resolved zooplankton time series. Our study shows that benchmarking imaging instruments or techniques (1) offers a robust assessment of interoperability between instruments, mitigating possible instrumental biases, and (2) may be of great interest in the case of instrumental obsolescence or breakdown, to choose the most conservative replacement solution in a long term time series framework.