RESUMEN
The predisposition of preterm neonates to invasive infection is, as yet, incompletely understood. Regulatory T cells (Tregs ) are potential candidates for the ontogenetic control of immune activation and tissue damage in preterm infants. It was the aim of our study to characterize lymphocyte subsets and in particular CD4(+) CD25(+) forkhead box protein 3 (FoxP3)(+) Tregs in peripheral blood of well-phenotyped preterm infants (n = 117; 23 + 0 - 36 + 6 weeks of gestational age) in the first 3 days of life in comparison to term infants and adults. We demonstrated a negative correlation of Treg frequencies and gestational age. Tregs were increased in blood samples of preterm infants compared to term infants and adults. Notably, we found an increased Treg frequency in preterm infants with clinical early-onset sepsis while cause of preterm delivery, e.g. chorioamnionitis, did not affect Treg frequencies. Our data suggest that Tregs apparently play an important role in maintaining maternal-fetal tolerance, which turns into an increased sepsis risk after preterm delivery. Functional analyses are needed in order to elucidate whether Tregs have potential as future target for diagnostics and therapeutics.
Asunto(s)
Enfermedades del Prematuro/inmunología , Recien Nacido Prematuro/inmunología , Sepsis/inmunología , Linfocitos T Reguladores/inmunología , Adulto , Amnios/microbiología , Corioamnionitis/inmunología , Femenino , Factores de Transcripción Forkhead/sangre , Edad Gestacional , Humanos , Tolerancia Inmunológica , Lactante , Recién Nacido , Subgrupos Linfocitarios/citología , Subgrupos Linfocitarios/inmunología , Embarazo , Sepsis/microbiologíaRESUMEN
3D Perception technologies have been explored in various fields. This paper explores the application of such technologies for surgical operating theatres. Clinical applications can be found in workflow detection, tracking and analysis, collision avoidance with medical robots, perception of interaction between participants of the operation, training of the operation room crew, patient calibration and many more. In this paper a complete perception solution for the operating room is shown. The system is based on the ToF technology integrated to the Microsoft Kinect One implements a multi camera approach. Special emphasize is put on the tracking of the personnel and the evaluation of the system performance and accuracy.
