Hypersensitivity reactions to non beta-lactam antimicrobial agents, a statement of the WAO special committee on drug allergy

Antibiotics are used extensively in the treatment of various infections. Consequently, they can be considered among the most important agents involved in adverse reactions to drugs, including both allergic and non-allergic drug hypersensitivity [J Allergy Clin Immunol 113:832–836, 2004]. Most studies published to date deal mainly with reactions to the beta-lactam group, and information on hypersensitivity to each of the other antimicrobial agents is scarce. The present document has been produced by the Special Committee on Drug Allergy of the World Allergy Organization to present the most relevant information on the incidence, clinical manifestations, diagnosis, possible mechanisms, and management of hypersensitivity reactions to non beta-lactam antimicrobials for use by practitioners worldwide.

Experimental and numerical analysis of dry contact in the pin on disc test

The reduction of friction and wear in systems presenting metal-to-metal contacts, as in several mechanical components, represents a traditional challenge in tribology. In this context, this work presents a computational study based on the linear Archard's wear law and finite element modeling (FEM), in order to analyze unlubricated sliding wear observed in typical pin on disc tests. Such modeling was developed using finite element software Abaqus® with 3-D deformable geometries and elastic–plastic material behavior for the contact surfaces. Archard's wear model was implemented into a FORTRAN user subroutine (UMESHMOTION) in order to describe sliding wear. Modeling of debris and oxide formation mechanisms was taken into account by the use of a global wear coefficient obtained from experimental measurements. Such implementation considers an incremental computation for surface wear based on the nodal displacements by means of adaptive mesh tools that rearrange local nodal positions. In this way, the worn track was obtained and new surface profile is integrated for mass loss assessments. This work also presents experimental pin on disc tests with AISI 4140 pins on rotating AISI H13 discs with normal loads of 10, 35, 70 and 140 N, which represent, respectively, mild, transition and severe wear regimes, at sliding speed of 0.1 m/s. Numerical and experimental results were compared in terms of wear rate and friction coefficient. Furthermore, in the numerical simulation the stress field distribution and changes in the surface profile across the worn track of the disc were analyzed. The applied numerical formulation has shown to be more appropriate to predict mild wear regime than severe regime, especially due to the shorter running-in period observed in lower loads that characterizes this kind of regime.

Speciation of tetravalent plutonium in contact with humic substances and kaolinite under environmental conditions

Plutonium represents the major contribution to the radiotoxicity of spent nuclear fuel over storage times of up to several hundred thousand years. The speciation of plutonium in aquifer systems is important in order to assess the risks of high-level nuclear waste disposal and to acquire a deep knowledge of the mobilization and immobilization behavior of plutonium. In aqueous solutions, plutonium can coexist in four oxidation states and each one of them has different chemical and physical behavior. Tetravalent plutonium is the most abundant under natural conditions. Therefore, detailed speciation studies of tetravalent plutonium in contact with humic substances (HS) and kaolinite as a model clay mineral have been performed in this work. Plutonium is present in the environment at an ultratrace level. Therefore, speciation of Pu at the ultratrace level is mandatory. Capillary electrophoresis (CE) coupled to resonance ionization mass spectrometry (RIMS) was used as a new speciation method. CE-RIMS enables to improve the detection limit for plutonium species by 2 to 3 orders of magnitude compared to the previously developed CE-ICP-MS. For understanding the behavior of Pu(IV) in aqueous systems, redox reactions, complexation, and sorption behavior of plutonium were studied. The redox behavior of plutonium in contact with humic acid (HA) and fulvic acid (FA) was investigated. A relatively fast reduction of Pu(VI) in contact with HS was observed. It was mainly reduced to Pu(IV) and Pu(III) within a couple of weeks. The time dependence of the Pu(IV) complexation with Aldrich HA was investigated and a complex constant (logßLC) between 6.4 - 8.4 of Pu(IV) was determined by means of ultrafiltration taking into account the loading capacity (LC). The sorption of tetravalent plutonium onto kaolinite was investigated as a function of pH in batch experiments under aerobic and anaerobic conditions. The sorption edge was found at about pH = 1 and a maximum sorption at around pH = 8.5. In the presence of CO2 at pH > 8.5, the sorption of plutonium was decreased probably due to the formation of soluble carbonate complexes. For comparison, the sorption of Th(IV) onto kaolinite was also investigated and consistent results were found. The Pu(IV) sorption onto kaolinite was studied by XANES and EXAFS at pH 1, 4, 9 and the sorbed species on kaolinite surface was Pu(IV). Depending on the pH, only 1 - 10 % of the sorbed plutonium is desorbed from kaolinite and released into a fresh solution at the same pH value. Furthermore, the sorption of HS onto kaolinite was studied as a function of pH at varying concentrations of HS, as a prerequisite to understand the more complex ternary system. The sorption of HA onto kaolinite was found to be higher than that of FA. The investigation of the ternary systems (plutonium-kaolinite-humic substances) is performed as a function of pH, concentration of HS, and the sequences of adding the reactants. The presence of HS strongly influences the sorption of Pu(IV) onto kaolinite over the entire pH range. For comparison, the influence of HS on the sorption of Th(IV) onto kaolinite was also investigated and a good agreement with the results of Pu(IV) was obtained.

Numerical simulation of interdigitated back contact hetero-junction solar cells

The goal of this thesis is the application of an opto-electronic numerical simulation to heterojunction silicon solar cells featuring an all back contact architecture (Interdigitated Back Contact Hetero-Junction IBC-HJ). The studied structure exhibits both metal contacts, emitter and base, at the back surface of the cell with the objective to reduce the optical losses due to the shadowing by front contact of conventional photovoltaic devices. Overall, IBC-HJ are promising low-cost alternatives to monocrystalline wafer-based solar cells featuring front and back contact schemes, in fact, for IBC-HJ the high concentration doping diffusions are replaced by low-temperature deposition processes of thin amorphous silicon layers. Furthermore, another advantage of IBC solar cells with reference to conventional architectures is the possibility to enable a low-cost assembling of photovoltaic modules, being all contacts on the same side. A preliminary extensive literature survey has been helpful to highlight the specific critical aspects of IBC-HJ solar cells as well as the state-of-the-art of their modeling, processing and performance of practical devices. In order to perform the analysis of IBC-HJ devices, a two-dimensional (2-D) numerical simulation flow has been set up. A commercial device simulator based on finite-difference method to solve numerically the whole set of equations governing the electrical transport in semiconductor materials (Sentuarus Device by Synopsys) has been adopted. The first activity carried out during this work has been the definition of a 2-D geometry corresponding to the simulation domain and the specification of the electrical and optical properties of materials. In order to calculate the main figures of merit of the investigated solar cells, the spatially resolved photon absorption rate map has been calculated by means of an optical simulator. Optical simulations have been performed by using two different methods depending upon the geometrical features of the front interface of the solar cell: the transfer matrix method (TMM) and the raytracing (RT). The first method allows to model light prop-agation by plane waves within one-dimensional spatial domains under the assumption of devices exhibiting stacks of parallel layers with planar interfaces. In addition, TMM is suitable for the simulation of thin multi-layer anti reflection coating layers for the reduction of the amount of reflected light at the front interface. Raytracing is required for three-dimensional optical simulations of upright pyramidal textured surfaces which are widely adopted to significantly reduce the reflection at the front surface. The optical generation profiles are interpolated onto the electrical grid adopted by the device simulator which solves the carriers transport equations coupled with Poisson and continuity equations in a self-consistent way. The main figures of merit are calculated by means of a postprocessing of the output data from device simulation. After the validation of the simulation methodology by means of comparison of the simulation result with literature data, the ultimate efficiency of the IBC-HJ architecture has been calculated. By accounting for all optical losses, IBC-HJ solar cells result in a theoretical maximum efficiency above 23.5% (without texturing at front interface) higher than that of both standard homojunction crystalline silicon (Homogeneous Emitter HE) and front contact heterojuction (Heterojunction with Intrinsic Thin layer HIT) solar cells. However it is clear that the criticalities of this structure are mainly due to the defects density and to the poor carriers transport mobility in the amorphous silicon layers. Lastly, the influence of the most critical geometrical and physical parameters on the main figures of merit have been investigated by applying the numerical simulation tool set-up during the first part of the present thesis. Simulations have highlighted that carrier mobility and defects level in amorphous silicon may lead to a potentially significant reduction of the conversion efficiency.

La misura dell'impedenza locale con tecnologia Contact nello studio elettrofisiologico

Questo lavoro di Tesi Magistrale, si focalizza sulla più importante delle aritmie atriali, ovvero la Fibrillazione Atriale, e sul trattamento della stessa attraverso le procedure di ablazione a radio frequenza (RF). Il lavoro di tesi, svolto presso l'Ospedale 'M. Bufalini' di Cesena, affronta in particolare l'uso della tecnologia EnSite NavX (un sistema di mappaggio elettroanatomico delle cavità cardiache) ed EnSite Contact (un sistema basato sulla misura dell'impedenza locale per la valutazione del contatto elettrodo tessuto). L'acquisizione e l'analisi dei dati di ECI (indice di accoppiamento elettrico), forniti dal modulo Contact, hanno permesso di comprendere come questo parametro, derivato dalla misura dell'impedenza locale, possa contribuire a fornire importanti informazioni in real-time all'elettrofisiologo e come lo studio della sua dinamica, con particolare attenzione alle variazioni tra pre e post ablazione, possa risultare utile per verificare l'avvenuta erogazione di energia ai tessuti.

Tailoring molecule nanostructures on insulating surfaces investigated by non-contact atomic force microscopy

Self-assembled molecular structures were investigated on insulating substrate surfaces using non-contact atomic force microscopy. Both, substrate preparation and molecule deposition, took place under ultra-high vacuum conditions. First, C60 molecules were investigated on the TiO2 (110) surface. This surface exhibits parallel running troughs at the nanometer scale, which strongly steer the assembly of the molecules. This is in contrast to the second investigated surface. The CaF2 (111) surface is atomically flat and the molecular assemblyrnwas observed to be far less affected by the surface. Basically different island structures were observed to what is typically know. Based on extensive experimental studies and theoretical considerations, a comprehensive picture of the processes responsible for the island formation of C60 molecules on this insulating surfaces was developed. The key process for the emergence of the observed novel island structures was made out to be the dewetting of molecules from the substrate. This new knowledge allows to further understand andrnexploit self-assembly techniques in structure fabrication on insulating substrate surfaces. To alter island formation and island structure, C60 molecules were codeposited with second molecule species (PTCDI and SubPc) on the CaF2 (111) surface. Depending on the order of deposition, quiet different structures were observed to arise. Thus, these are the first steps towards more complex functional arrangements consisting of two molecule species on insulating surfaces.

Analisi di celle solari "back contact" mediante simulatore di reti elettriche distribuite basato su spice

Analisi di celle solari mediante simulatore di reti elettriche distribuite basato su Spice