Continuous gas temperature measurement of cold plasma jets containing microdroplets, using a focussed spot IR sensor

Controlling gas temperature via continuous monitoring is essential in various plasma applications especially for biomedical treatments and nanomaterial synthesis but traditional techniques have limitations due to low accuracy, high cost or experimental complexity. We demonstrate continuous high-accuracy gas temperature measurements of low-temperature atmospheric pressure plasma jets using a small focal spot infrared sensor directed at the outer quartz wall of the plasma. The impact of heat transfer across the capillary tube was determined using calibration measurements of the inner wall temperature. Measured gas temperatures varied from 25 °C–50 °C, increasing with absorbed power and decreased gas flow. The introduction into the plasma of a stream (∼105 s−1) of microdroplets, in the size range 12 μm–15 μm, led to a reduction in gas temperature of up to 10 °C, for the same absorbed power. This is an important parameter in determining droplet evaporation and its impact on plasma chemistry

Impact of Intermediate Hyperglycemia and Diabetes on Immune Dysfunction in Tuberculosis

Supplementary Data: Supplementary materials are available at Clinical Infectious Diseases online at https://academic.oup.com/cid/article/72/1/69/5857148#274319223 . Consisting of data provided by the authors to benefit the reader, the posted materials are not copyedited and are the sole responsibility of the authors, so questions or comments should be addressed to the corresponding author.Copyright © The Author(s) 2020. Background: People with diabetes have an increased risk of developing active tuberculosis (TB) and are more likely to have poor TB-treatment outcomes, which may impact on control of TB as the prevalence of diabetes is increasing worldwide. Blood transcriptomes are altered in patients with active TB relative to healthy individuals. The effects of diabetes and intermediate hyperglycemia (IH) on this transcriptomic signature were investigated to enhance understanding of immunological susceptibility in diabetes-TB comorbidity. Methods: Whole blood samples were collected from active TB patients with diabetes (glycated hemoglobin [HbA1c] ≥6.5%) or IH (HbA1c = 5.7% to <6.5%), TB-only patients, and healthy controls in 4 countries: South Africa, Romania, Indonesia, and Peru. Differential blood gene expression was determined by RNA-seq (n = 249). Results: Diabetes increased the magnitude of gene expression change in the host transcriptome in TB, notably showing an increase in genes associated with innate inflammatory and decrease in adaptive immune responses. Strikingly, patients with IH and TB exhibited blood transcriptomes much more similar to patients with diabetes-TB than to patients with only TB. Both diabetes-TB and IH-TB patients had a decreased type I interferon response relative to TB-only patients. Conclusions: Comorbidity in individuals with both TB and diabetes is associated with altered transcriptomes, with an expected enhanced inflammation in the presence of both conditions, but also reduced type I interferon responses in comorbid patients, suggesting an unexpected uncoupling of the TB transcriptome phenotype. These immunological dysfunctions are also present in individuals with IH, showing that altered immunity to TB may also be present in this group. The TB disease outcomes in individuals with IH diagnosed with TB should be investigated further.European Union’s Seventh Framework Programme (FP7 2007-2013 - Health) under grant agreement No 305279

Implementation of Health Information Systems in Romania

Summary Objectives: The paper aimed to present and analyze the development of Healthcare Information Systems in Romania during the last decade. The first part was dedicated to the analysis of a large national project, HMIS – Healthcare Management Information System, and the second to the current state of the hospital information systems and primary care systems. Methods: The approach of a “case study” was used. The description of the HMIS project comprised the objectives and its structure, implementation, results and lessons learned. This is followed by a classical short presentation of the current state at the hospital and primary care levels. Results: The very modest results of the HMIS project were critically analyzed, listing the ‘failure factors’ at various moments, both weak points of the project as well as the consequences of the structural-organizational changes within the Romanian healthcare system during the implementation. However, mainly positive results were registered in the last years at lower levels, hospitals and primary care, which can also partially be interpreted as ‘lesson learned’. Conclusions: There are several things to be learned from the Romanian experience. Healthcare information system analysis is quite complex. Obtaining better results requires several additional measures including better education and training, adopting standards and appropriate quality assessment tools.</jats:p