Effect of device-guided breathing exercises on blood pressure in hypertensive patients with type 2 diabetes mellitus:A randomized controlled trial

Objective In patients with type 2 diabetes mellitus (DM2), it is hard to reach treatment objectives for blood pressure (BP) with classical treatment options. Recently, reducing breathing frequency has been advocated as a method to reduce BP. We examined if an electronic device such as Resperate, by reducing breathing frequency, would lead to BP reduction in a population of patients with DM2 and hypertension. Our secondary objective was to study the effect of this device on quality of life (QOL). Methods A randomized, single-blind, controlled trial was conducted over a period of 8 weeks to evaluate the effect of this therapy on BP and QOL. The control group listened to music and used no other therapeutic device. BP and QOL changes were studied in 30 patients with DM2 and hypertension. Results There was no significant difference in change in BP between groups; -7.5 [95% confidence interval (CI) -12.7, -2.3]/-1.0 (95% CI -5.5, 3.6) mmHg in the intervention group and -12.2 (95% CI -17.4, -7.0)/-5.5 (95% CI -9.7, -1.4) mmHg in the control group. Whether or not the target breathing frequency of 10 breaths/min was reached did not affect BP. There were no significant changes in QOL. Conclusions The effects of Resperate on BP and QOL were not significantly different from those found in the control group. Furthermore, 40% of patients did not reach the target breathing frequency, making this device less suitable for clinical practice in patients with DM2

Molecular systems for smart materials:spectroscopic and electrochemical studies, from solution to surfaces

In dit proefschrift wordt de ontwikkeling van intelligente moleculaire systemen besproken. Deze intelligente systemen bestaan uit moleculen die onder invloed van een prikkel (bijvoorbeeld licht of stroom) een verandering ondergaan in de eigenschappen van het materiaal (bijvoorbeeld de kleur of de geleidbaarheid). Deze verandering wordt veroorzaakt door een verandering op moleculair niveau, bijvoorbeeld een andere lading of nieuwe structuur. Responsieve systemen komt men in vele varianten tegen. In dit proefschrift worden verschillende benaderingen in de ontwikkeling van intelligente moleculaire systemen gepresenteerd. Het moleculair ontwerp is slechts de eerste stap van de uitdaging, de analyse van een gevormd materiaal is minstens zo belangrijk. In dit proefschrift wordt een combinatie van technieken gebruikt voor de analyse van gemodificeerde oppervlakken. Een belangrijke toepassing van responsieve materialen is in de beïnvloeding van stroming door microfluide kanalen, welke ongeveer de dikte van een haar hebben (100 micrometer). In deze kleine kanalen heeft het oppervlak een groot effect op het soort stroming dat waargenomen wordt, hierdoor kunnen microkanalen gebruikt worden als methode om het effect van de schakeling in responsieve oppervlaktes waar te nemen. Vijf verschillende routes in de ontwikkeling van intelligente moleculaire systemen worden behandeld. Ieder project bevat slechts een klein deel van de puzzel, waarvan de oplossing de toepassing van responsieve materialen mogelijk zal maken. Zoals bij elk onderzoeksproject blijven er voldoende uitdagingen over om in de toekomst verder te bestuderen

Subtractive isolation of phage-displayed single-chain antibodies to thymic stromal cells by using intact thymic fragments

In the murine thymus, the stroma forms microenvironments that control different steps in T cell development. To study the architecture of such microenvironments and more particularly the nature of communicative signals in lympho–stromal interaction during T cell development, we have employed the phage antibody display technology, with the specific aim of isolating thymic stromal cellspecific single-chain antibodies from a semisynthetic phage library. A subtractive approach using intact, mildly fixed thymic fragments as target tissue and lymphocytes as absorber cells generated monoclonal phages (MoPhabs) detecting subsets of murine thymic stromal cells. In the present paper we report on the reactivity of single-chain antibodies derived from three MoPhabs, TB4–4, TB4–20, and TB4–28. While TB4–4 and TB4–20 are both epithelium specific, TB4–28 detects an epitope expressed on both epithelial- and mesenchymal-derived stromal cells. TB4–4 reacts with all cortical epithelial cells and with other endoderm-derived epithelia, but this reagent leaves the majority of medullary epithelial cells unstained. In contrast, MoPhab TB4–20 detects both cortical and medullary thymic epithelial cells, as well as other endoderm- and ectoderm-derived epithelial cells. Cross-reaction of single-chain antibodies to human thymic stromal cells shows that our semisynthetic phage antibody display library, in combination with the present subtractive approach, permits detection of evolutionary conserved epitopes expressed on subsets of thymic stromal cells

STEREOLOGIC BASELINE DATA OF NORMAL HUMAN EPIDERMIS

Stereologic techniques for electron microscopic morphometry have been applied to normal human interfollicular epidermis of the submammary and iliac crest regions. The aim was to obtain objective baseline data for the study of epidermal morphometric pathology. The results, expressed mainly in surface, volume, and numerical densities of epidermal components and keratinocyte organelles, revealed ascending or descending gradients throughout the epithelial strata. The cytoplasmic ground substance remained almost constant in the four studied layers. No important regional differences were found between the epidermal morphometric parameters at either site. The epidermis showed striking volumetric composition similarities with other keratinizing epithelia

Computational analysis of transitional airflow through packed columns of spheres using the finite volume technique

Copyright © 2010 Elsevier. NOTICE: this is the author’s version of a work that was accepted for publication in Computers and Chemical Engineering. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Computers and Chemical Engineering, Volume 34 Issue 6 (2010), DOI: 10.1016/j.compchemeng.2009.10.013We compare computational simulations of the flow of air through a packed column containing spherical particles with experimental and theoretical results for equivalent beds. The column contained 160 spherical particles at an aspect ratio N=7.14N=7.14, and the experiments and simulations were carried out at particle Reynolds numbers of (RedP=700−5000)(RedP=700−5000). Experimental measurements were taken of the pressure drop across the column and compared with the correlation of Reichelt (1972) using the fitted coefficients of Eisfeld and Schnitzlein (2001). An equivalent computational domain was prepared using Monte Carlo packing, from which computational meshes were generated and analysed in detail. Computational fluid dynamics calculations of the air flow through the simulated bed was then performed using the finite volume technique. Results for pressure drop across the column were found to correlate strongly with the experimental data and the literature correlation. The flow structure through the bed was also analysed in detail