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mmune system (AHSCT), transition to immunomodulation (satralizumab) and reserve immunosuppression (inebilizumab) as 4th line. AHSCT might also be used as rescue therapy for severe breakthrough disease after NMO-DMTs.
A formal transition program has not been described for neurosurgical adolescent patients with an indwelling shunt device. Transitioning from pediatric neurosurgical care to adult care without transition guidance has caused abrupt transfer of care at this institution. The goal of this pilot transition program was to help patients and caregivers feel informed and prepared for transition.

The Got Transition®, Six Core Elements of Transition, were used to create this program. Both a policy and a registry to track and monitor patients were created. A validated questionnaire for transition readiness was measured. Education was provided based on the results of the questionnaire to prepare the adolescent for transfer of care. A smartphone application was used to promote health care independence. Transfer to adult neurosurgical care included hand-off between the pediatric and adult teams, child life and social work involvement, and scheduled follow up with an adult neurosurgical provider.

All patients 14 to 18years with indwelling shunts were enrolled in the pilot program. Eight patients completed a baseline transition readiness assessment, received education and anticipatory guidance, and downloaded the smartphone application. At the end of the six month pilot, three patients were successfully transferred to adult care.

The integration of a transition readiness questionnaire and smart phone application during this pilot program was feasible and continues to be used at this institution. Adolescent patients with shunts require gradual and carefully planned transition services.
The integration of a transition readiness questionnaire and smart phone application during this pilot program was feasible and continues to be used at this institution. Adolescent patients with shunts require gradual and carefully planned transition services.Chronic lung allograft dysfunction (CLAD) is the major long-term cause of morbidity and mortality after lung transplantation. Both bronchiolitis obliterans syndrome and restrictive lung allograft syndrome, two main types of CLAD, lead to fibrosis in either the small airways or alveoli and pleura. Pathological pathways in CLAD and other types of fibrosis, for example idiopathic pulmonary fibrosis, are assumed to overlap and therefore fibrosis biomarkers could aid in the early detection of CLAD. These biomarkers could help to differentiate between different phenotypes of CLAD and could, in comparison to biomarkers of inflammation, possibly distinguish an infectious event from CLAD when a decline in lung function is present. This review gives an overview of known CLAD specific biomarkers, describes new promising fibrosis biomarkers currently investigated in other types of fibrosis, and discusses the possible use of these fibrosis biomarkers for CLAD.Microalgae cultivation for food purposes could have high environmental impacts. The study performed life cycle assessment (LCA) of hypothetical model combining phototrophic and heterotrophic cultivations, exchanging produced gases (carbon dioxide from heterotrophic and oxygen from autotrophic) as a potential strategy to reduce the environmental impact of microalgae cultivation. The LCA indicated that the production of Galdieria sulphuraria in a combined cultivation system has environmental benefits compared with the separate phototrophic cultivation and an almost twice lower carbon footprint than phototrophic cultivation. The benefits are based on the lower volume of culture broth and consequently reduced energy demand as well as less demanding wastewater treatment of the heterotrophic cultivation. Such combination of cultivation activities could be recommended to the producers dealing with phototrophic cultivation as a sustainable strategy for the environmental impact reduction.The multistage bio-contact oxidation reactor (BCOR) is a widely used biological strategy to treat wastewater, however, little is known about the performance and microbial community information of BCOR during the treatment of low-COD and high-salinity oilfield produced water. In this study, the performance of a multistage BCOR in treating produced water was investigated. The result suggested the BCOR could efficiently remove COD, BOD5, NH4+-N, and oil pollutants. Besides, high-throughput sequencing analysis revealed that oil content was the main variable in shaping the community structure. The highest total relative abundance of potential pollutants degraders in first BCOR stage suggested significant role of this stage in pollutants removal. In addition, the correlation analysis disclosed the key functional genera during the degradation process, including Rhodobacter, Citreibacter, and Roseovarius. Moreover, network analysis revealed that the microbial taxa within same module had strong ecological linkages and specific functions.Rangeliosis is a condition transmitted by the tick Amblyomma aureolatum and caused by the protozoan parasite Rangelia vitalii in canids. In domestic dogs, the disease causes a severe hemolytic disease, while in wild canids the piroplasm is often detected without any clinical abnormality. This study aimed to detect and quantify the number of copies of the R. vitalii Hsp70 gene (indirect parasite burden) in several organs of domestic and South American wild canids (Cerdocyon thous and Lycalopex gymnocercus) to elucidate distinct clinical presentations of rangeliosis in these species. A total of seven domestic dogs that died due to rangeliosis and 38 wild foxes were initially included, with all dogs presenting histological and molecular features of rangeliosis, while eight C. thous were positive at the molecular analysis for R. selleck chemical vitalii. Fragments of 22 organs collected from domestic (n = 7) and wild foxes (n = 8) were employed for histological and molecular quantification using real-time polymerase chain reactioct as accidental hosts, presenting a severe and more pathogenic schizogony phase, resulting in characteristic clinical and pathological rangeliosis.
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