Green Deep Eutectic Solvents (DESs) for Sustainable Metal Recovery from Thermally Treated PCBs: A Greener Alternative to Conventional Methods.

Waste PCBs the core of e-waste is rich in copper, tin, zinc, iron, and nickel. Leaching base metals from PCB used to be done in toxic, corrosive acidic/alkali mediums. In this work, an environmentally friendly method for leaching metals from thermally treated PCBs (TPCBs) of mobile phones was proposed using choline chloride based deep eutectic solvents (DES). DES selectivity and solubility of metals from metal oxides were the main screening criteria. FA-ChCl had the maximum solubility of Cu, Fe, and Ni, while Urea-ChCl had high Zn selectivity and solubility. Oxalic acid has high selectivity for Sn. FA-ChCl extracted Cu and Fe best at 16 h, 100 °C, and 1/30 g/mL. Urea-ChCl extracted Zn (90.4±2.9 %) from TPCBs at 100 °C, 21 h, 1/20 g/mL, and 400 rpm. Oxalic acid (1 M) removed 92.3±2.1 % Sn from TPCBs in 1 h at 80 °C and 1/20 g/mL. The shrinking core model-based kinetic investigation of FA-ChCl for Cu extraction showed a diffusion-controlled process. The proposed method is greener than mineral acids utilized for metal extraction.

A feasible approach for the treatment of waste computer casing plastic using subcritical to supercritical acetone: Statistical modelling and optimization.

Electronic waste (e-waste) usage has increased tremendously with the rapid evolution of technologies. The accumulated e-waste has now emerged as one of the crucial concerns regarding environmental pollution and human health. Recycling e-waste is commonly focused on metal recovery; nevertheless, a significant fraction of plastics (20-30%) are in e-waste. There is an indispensable need to focus on e-waste plastic recycling in an effective way, which has been mostly overlooked to date. An environmentally safe and efficient study is conducted using subcritical to supercritical acetone (SCA) to degrade the real waste computer casing plastics (WCCP) in the central composite design (CCD) of response surface methodology (RSM) to achieve the maximum oil yield of the product. The experiment parameters were varied in the temperature span of 150-300 °C, residence time between 30 and 120 min, solid/liquid ratio between 0.02 and 0.05 (g/ml), and NaOH amount from 0 to 0.5 g. Adding NaOH into the acetone helps to achieve efficient degradation and debromination efficiency. The study emphasized the attributes of oils and solid products recovered from the SCA-treated WCCP. The characterization of feed and formed products is performed with different characterization techniques such as TGA, CHNS, ICP-MS, FTIR, GC-MS, Bomb calorimeter, XRF, and FESEM. The highest oil yield achieved is 87.89% from the SCA process at 300 °C, in 120min, 0.05 S/L ratio, and 0.5 g of NaOH. GC-MS results disclose that the liquid product (oil) comprises single- and duplicate-ringed aromatic and oxygen-containing compounds. Isophorone is the significant component of the liquid product obtained. Furthermore, SCA's possible polymer degradation mechanistic route, bromine distribution, economic feasibility, and environmental aspect were also explored. This present work represents an environmentally friendly and promising approach for recycling the plastic fraction of e-waste and recovering valuable chemicals from WCCP.

A sustainable route for the recovery of metals from waste printed circuit boards using methanesulfonic acid.

The rapid increase in electronic waste (e-waste) generation and its unsustainable management pose a threat to the environment and human well-being. However, various valuable metals are present in e-waste, which makes it a potential secondary source to recover metals. Therefore, in the present study, efforts were made to recover valuable metals (Cu, Zn, and Ni) from waste printed circuit boards (WPCB) of computers using methanesulfonic acid (MSA). MSA is contemplated as a biodegradable green solvent and has a high solubility for various metals. The effect of various process parameters (MSA concentration, H2O2 concentration, stirring speed, liquid to solid ratio, time, and temperature) was investigated on metal extraction to optimize the process. At the optimized process conditions, 100% extraction of Cu and Zn was achieved, while Ni extraction was around 90%. The kinetic study for metal extraction was performed using a shrinking core model and findings showed that MSA-aided metal extraction is a diffusion-controlled process. Activation energies were found to be 9.35, 10.89, and 18.86 kJ/mol for Cu, Zn, and Ni extraction, respectively. Furthermore, the individual recovery of Cu and Zn was achieved using the combination of cementation and electrowinning, which resulted in 99.9% purity of Cu and Zn. The current study proposes a sustainable solution for the selective recovery of Cu and Zn from WPCB.

A sustainable approach for material and metal recovery from E-waste using subcritical to supercritical methanol.

The heterogeneous nature of e-waste, which is a rich source of metals, polymers, glass fibres and ceramics, is troublesome. Multi-step processes are employed to effectively treat e-waste with minimum environmental impact. In this research, a subcritical to supercritical methanol environment was investigated to pre-treat e-waste, recovering non-metallic fractions and eventually concentrate metals from e-waste. Experiments were conducted in the temperature range of 150 °C to 300 °C at an autogenous pressure with initial atmospheric pressure. The mechanism of depolymerization was investigated by varying reaction time from 30 min to 240 min; solid to liquid ratio of 1:10 to 1:30 g/ml in a batch reactor under N2 environment. Comparative analysis of liquid products obtained after Supercritical Methanol (SCM) treatment for both Waste Random Access Memory (WRAM) and Waste Printed Circuit Board (WPCB) was done with pyrolyzed oil/liquid product. This research briefly illustrates oil and solid product compositional changes with operating temperature, pressure, and solid/liquid ratio range. The metal concentrations of copper, nickel, silver, zinc, and gold are greater than 90% after SCM treatment. For comparison, the feed material was pyrolyzed under the same condition, the difference in oil and solid products are assessed. In the end section, the environmental and economic benefits of SCM were also discussed compared to other supercritical and conventional technologies. An efficient and greener approach of supercritical solvent is proposed via this research for e-waste recycling.

Microwave-assisted extraction of lignin from coconut coir using deep eutectic solvents and its valorization to aromatics.

Lignin is a rich renewable source of aromatics present in lignocellulosic biomass (LCB). The extraction of lignin from the intricate LCB network is a challenging task for successful commercialization of sustainable biorefineries. In the present study, a series of choline chloride (ChCl)-carboxylic acid based deep eutectic solvents (DESs) were used for the extraction of lignin from coconut coir under microwave irradiation. Among the synthesized DESs, ChCl: lactic acid (LA) (1:4) gave the highest lignin yield of 82% with >95% purity. Interestingly, the severity factor (H factor) for the pretreatment process was found to be a significantly lower (55.5) as compared to reported studies due to efficient microwave heating. Moreover, the DES showed good recyclability for four recycle runs thus making it a promising candidate for the delignification of LCB. Finally, the extracted lignin was converted to aromatics via catalytic transfer hydrogenation (CTH) using Ru/C and isopropanol as in-situ hydrogen donor.

Comparison of Airway Ultrasound Indices and Clinical Assessment for the Prediction of Difficult Laryngoscopy in Elective Surgical Patients: A Prospective Observational Study.

BACKGROUND: Ultrasound is evolving as a probable tool in airway assessment. The upper airway is a superficial structure and has sonographically identifiable structures which makes it ideal for evaluation with the ultrasound. AIMS: The aim of this study was to evaluate the role of skin to hyoid and skin to thyrohyoid membrane distance in prediction of difficult laryngoscopy. SETTINGS AND DESIGN: This is a prospective observational study included 150 patients aged 18-60 years of American Society of Anesthesiologists Physical Status I and II scheduled to undergo surgery under general anesthesia requiring laryngoscopy and endotracheal intubation. MATERIALS AND METHODS: The modified Mallampati score, mouth opening, mentohyoid distance, thyromental distance were noted. Skin to hyoid bone distance and skin to thyrohyoid membrane distance were measured by ultrasound. Patients were clubbed retrospectively into easy and difficult laryngoscopy groups on the basis of Cormack Lehane grading, and the characteristics of both groups were compared. STATISTICAL ANALYSIS: Statistical Package for the Social Sciences, Version 23 was used for statistical analysis. Independent samples t-test was used to compare the means between difficult and easy laryngoscopy patients. Diagnostic accuracy of the significant (P < 0.05) variables between difficult and easy laryngoscopy patients was calculated using receiver operating characteristics curve in terms of their area under curve. Appropriate cutoff values (with corresponding sensitivity, specificity, and overall accuracy) were also identified. RESULTS: Out of 150 patients, 13 (8.7%) were identified as difficult laryngoscopy whereas 137 patients (91.3%) were identified as easy laryngoscopy. The demographics of both groups were comparable. Mentohyoid distance, skin to hyoid bone distance, and skin to thyrohyoid distance were statistically different between easy and difficult laryngoscopy patients, with lower mentohyoid distance and higher skin to hyoid bone distance and skin to thyrohyoid distance in difficult laryngoscopy patients. Diagnostic accuracy of the mentohyoid distance (70.3%) was slightly superior to skin to hyoid bone distance (67.1%) and skin to thyrohyoid distance (68.1%). CONCLUSION: Ultrasound measurements of skin to hyoid bone and skin to thyrohyoid membrane distance fail to eclipse clinical parameters in accurately predicting a difficult laryngoscopy.

High quality liquid fuel production from waste plastics via two-step cracking route in a bottom-up approach using bi-functional Fe/HZSM-5 catalyst.

Plastic waste is a serious menace to the world due to its fastest growth rate of ~ 5% per annum and requires efficient technologies for its safe disposal. Plastic liquefaction producing liquid hydrocarbons is an effective way to dispose waste plastics in an eco-friendly manner. In present study, high quality liquid fuel is produced from waste plastics via two-step bottom-up cracking approach. A comparative analysis of liquid products obtained in thermal and catalytic cracking performed at relatively lower temperature (350 °C) with minimal catalyst to plastic feed ratio (1:30) has been studied. Catalytic cracking via two-step bottom-up route provides higher fraction of fuel range hydrocarbons in comparison to the thermal cracking. Catalytic cracking is performed using two different catalysts; HZSM-5 and 5%Fe/HZSM-5 in which later results in higher liquid yield (76 wt%) than former (60 wt%) having comparable fuel characteristics. GC-MS results confirm that liquid product obtained via catalytic cracking contains higher fraction of fuel range hydrocarbons (C6-C20); 66.39% for 5%Fe/HZSM-5 and 47.33% for HZSM-5 which is comparatively higher than that obtained in thermal cracking (27.39%). FT-IR, 1H and 13C NMR spectroscopic studies confirm that liquid hydrocarbons obtained via catalytic cracking have comparable chemical characteristics with fuel range hydrocarbons. Physiochemical properties of catalysts are studied using XRD, XPS, BET, FE-SEM, HR-TEM, NH3-TPD and H2-TPR techniques and correlated with activity results. Analysis of commercial diesel fuel is also incorporated to compare the fuel characteristics of liquid products.

Efficient recovery of Cu and Ni from WPCB via alkali leaching approach.

The large generation of electronic waste (e-waste) is posing a serious threat to society. It is important to develop sustainable technology for the effective management of e-waste and the recovery of valuable metals from it. The present study employed hydrometallurgical approach for Cu and Ni extraction from waste printed circuit boards (WPCB) of mobile phones. This study demonstrates the application of ammonia-ammonium sulfate leaching for the maximum recovery of Cu and Ni. Investigations revealed that the most favourable reaction parameters for efficient metal extraction are - ammonia concentration - 90 g/L, ammonium sulfate concentration - 180 g/L, H2O2 concentration - 0.4 M, time - 4 h, liquid to solid ratio - 20 mL/g, temperature - 80 °C and agitation speed - 700 rpm. Under these conditions, 100% Cu and 90% Ni were extracted. Furthermore, the kinetic study was performed using the shrinking core model which revealed that the internal diffusion is the rate-controlling step for Cu and Ni extraction. The activation energies for Cu and Ni extraction were found out to be 4.5 and 5.7 kJ/mol, respectively. Finally, Cu was recovered with 98.38% purity using electrowinning at a constant DC voltage of 2.0 V at Al cathode. The present study provides a solution for concurrent extraction of Cu and Ni from the raw WPCB of mobile phones and selective recovery of Cu from metal leached solution. The process has the potential to recover the resources from WPCB while minimising the pollution caused by mismanagement of WPCB.

Controlling liquid hydrocarbon composition in valorization of plastic waste via tuning zeolite framework and SiO2/Al2O3 ratio.

Abundance of plastic waste has become threat to the mankind and aquatic life and thus needs to be recycled or converted into value added products. Liquefaction of waste plastics via catalytic cracking is one the efficient routes towards plastic waste management. Concerning this, in present study, conversion of polymer mixture containing polypropylene, low-density polyethylene and high-density polyethylene (PP, LDPE and HDPE) was done for the production of gasoline and diesel range hydrocarbons using two-step cracking approach. MWW and MFI (12 and 10 member ring structures respectively) type zeolites having different pore structure and acidity were used for catalytic cracking of polymer feed at 350 °C. Investigations revealed that MWW type zeolite having two independent pore channels selectively provides gasoline range of hydrocarbons (C7-C12, 99.12%) in polymer cracking reaction as compared to MFI type which results in C13-C20 range of hydrocarbons (73.19%). Hydrocarbon compositions were confirmed from GC-MS, 1H, 13C NMR and FT-IR techniques. In activity results it was observed that acidity of zeolites affects the liquid yield and hydrocarbon distribution as analysed by using zeolites of two different SiO2/Al2O3 (SAR) ratio (30 and 55) which directs that zeolite (MFI/MWW) with lower SAR (30) having higher acidity results in higher yield of fuel range liquid hydrocarbons as compared to higher SAR (55) zeolite. Characterization studies such as XRD, N2-physisorption, NH3-TPD, FE-SEM and EDX were performed to check the physiochemical properties of zeolite and correlated with the activity. Overall, the present investigation provides detailed comparative study on plastic degradation using MFI and MWW type zeolites resulting into different range of liquid hydrocarbons.

Pretreatment of lignocellulosic biomass: A review on recent advances.

Depleting fossil reserves and growing energy needs have raised the demand for an alternative and clean energy source. The use of ubiquitously available lignocellulosic biomass for developing economic and eco-friendly large scale biorefinery applications has provided the much-needed impetus in this regard. The pretreatment process is a vital step for biomass transformation into added value products such as sugars, biofuels, etc. Different pretreatment approaches are employed to overcome the recalcitrance of lignocellulosic biomass and expedite its disintegration into individual components- cellulose, hemicellulose, and lignin. The conventional pretreatment methods lack sustainability and practicability for industrial scale up. The review encompasses the recent advances in selective physical and chemical pretreatment approaches such as milling, extrusion, microwave, ammonia fibre explosion, eutectic solvents etc. The study will allow a deeper understanding of these pretreatment processes and increase their scope as sustainable technologies for developing modern biorefineries.

Unravelling the reactivity of metastable molybdenum carbide nanoclusters in the C-H bond activation of methane, ethane and ethylene.

C-H bond activation steps in non-oxidative methane dehydroaromatization (MDA), constitute a key functionalization of the reactant and adsorbed species to form aromatics. Previous studies have focused on studying the energetics of these steps at the most stable active sites involving molybdenum carbide species. Herein, a different paradigm is presented via studying the reactivity of a metastable molybdenum carbide (Mo2C6) nanocluster for the C-H bond activation of methane, ethane, and ethylene and comparing it with the reactivity of the lowest energy Mo2C6 nanocluster. Interestingly, the metastable nanocluster is observed to result in a consistent reduction (by half) in the C-H bond activation barrier of the respective alkane and alkene molecules compared to the global minimum isomer. This specific metastable form of the nanocluster is identified from a cascade genetic algorithm search, which facilitated a rigorous scan of the potential energy surface. We attribute this significant lowering of the C-H bond activation barrier to unique co-planar orbital overlap between the reactant molecule and active centers on the metastable nanocluster. Based on geometrical and orbital analysis of the transition states arising during the C-H bond activation of methane, ethane, and ethylene, a proton-coupled electron transfer mechanism is proposed that facilitated C-H bond cleavage. Motivated by the high reactivity for C-H bond activation observed on the metastable species, a contrasting framework to analyze the elementary-step rate contributions is presented. This is based on the statistical ensemble analysis of nanocluster isomers, where the calculated rates on respective isomers are normalized with respect to the Boltzmann probability distribution. From this framework, the metastable isomer is observed to provide significant contributions to the ensemble average representations of the rate constants calculated for C-H bond activation during the MDA reaction.

Environmentally friendly approach for the recovery of metallic fraction from waste printed circuit boards using pyrolysis and ultrasonication.

Electronic waste (e-waste) with an annual growth rate of 3-5% is one of the fastest-growing waste streams. The unregulated accumulation and improper recycling can cause grave hazards to human beings and the environment. On the contrary, e-waste can be considered as a secondary source of metals and energy due to its high metal content and polymeric material. Thus, the present study demonstrates technology for the metallic fraction recovery and the production of valuable gases from e-waste. The process involves pyrolysis at a temperature range of 200 °C-600 °C in a fixed bed setup for 10-60 min. Under optimized operating conditions, 35 wt% combustible gases and 60 wt% solid product were obtained at a pyrolysis temperature of 400 °C in 20 min. The gaseous product consisted of CH4, H2, CO and CO2, having the heating value 28 MJ/kg whereas, the solid product is a mixture of metals and other solid residue material. Treatment of the solid product using an ultrasonication process resulted in around 90 wt% recovery of metallic fraction, thereby leaving behind solid residue. Moreover, the transfer of precious metals (Au, Ag, Pd and Pt) was nearly 100% to the metallic fraction. This process combines mild temperature pyrolysis and ultrasonication process to provide a solution for efficient management of e-waste, metallic fraction recovery and valuable gases production.

Development of Self-Healing Cement Slurry through the Incorporation of Dual-Encapsulated Polyacrylamide for the Prevention of Water Ingress in Oil Well.

In the present work, a novel cross-linked polymer was synthesized though the anionic polymerization of cyanoacrylate with moisture as an initiator, methylene-bis-acrylamide as a cross-linker, and linseed oil as a spacer. Two layers of the synthesized polymer was coated over polyacrylamide for its homogenous impregnation in Class-G cement slurry for the synthesis of cement core. Fourier Transformation Infrared spectroscopy and X-Ray diffraction spectrum of the synthesized polymer and cement core were obtained to investigate the presence of different functional groups and phases. Moreover, the morphologies of the dual-encapsulated polyacrylamide was observed through scanning electron microscopy. Furthermore, the water-absorption capacity of the synthesized dual-encapsulated polyacrylamide in normal and saline conditions were tested. A cement core impregnated with 16% of dosage of dual-encapsulated polyacrylamide possesses an effective self-healing capability during the water-flow test. Moreover, the maximum linear expansion of the cement core was observed to be 26%. Thus, the impregnation of dual-encapsulated polyacrylamide in cement slurry can exhibit a superior self-healing behavior upon water absorption in an oil well.

An ultra-light flexible aerogel-based on methane derived CNTs as a reinforcing agent in silica-CMC matrix for efficient oil adsorption.

Bamboo shaped multi-walled Carbon Nanotubes were synthesized by the thermo-catalytic decomposition of methane in a modified chemical vapour deposition reactor. The prepared carbon nanotubes were reinforced in the mero-hydrophobic carboxymethyl cellulose and silica matrix for the preparation of low density, highly flexible aerogel. The synthesized aerogel exhibited a large specific surface area and uniform pore structure as confirmed by the nitrogen adsorption-desorption analysis. The water contact angle of 148.8° for the aerogel demonstrated that the synthesized aerogels were superhydrophobic in nature. The performance of aerogels was tested for the adsorption of singer oil and motor oil. Investigations revealed that aerogel can adsorb more than 28 times its weight effectively. Moreover, the adsorbed oil can be recovered by mechanical squeezing owing to its flexible nature. In addition, the aerogel could maintain its oil adsorption capacity even after 5 regeneration cycles, demonstrating superior recyclability. The peculiar properties - outstanding flexibility and superhydrophobicity exhibited by the aerogels establish them as a proficient and recyclable oil adsorbents during the oil seepage.

A comparison of 24 chemicals in the six-well bacterial reverse mutation assay to the standard 100-mm Petri plate bacterial reverse mutation assay in two laboratories.

The bacterial reverse mutation assay (Ames) is a fundamental genetic toxicology test, and efforts to miniaturize the regulatory GLP version are essential in assessing genotoxic liabilities earlier in the drug development pipeline. Two versions of the Ames were compared: the six-well (miniaturized) plate and the standard 100-mm plate test at two different laboratories. Of twenty-four chemicals tested, a subset of six chemicals was tested in the six-well test only and the remaining eighteen were evaluated in both versions of the test. The plate incorporation procedure was used with one Escherichia coli and four different Salmonella strains. The six-well test uses the same plating procedure and evaluation methods as the standard Ames assay in 100-mm plates, but the smaller format requires 20% of the test chemical. Additionally, the six-well test uses a limit concentration of 1000 µg/well versus the standard Petri plate test limit concentration of 5000 µg/plate. Testing across the two formats resulted in 100% concordance in overall mutagenicity judgement and 94% concordance across all tester strains and conditions. Known mutagenic positive control chemicals were correctly detected as positive in both formats. The overall conclusion is that the six-well assay results are concordant with the standard assay format in this evaluation and could be a reliable alternative.

Differential effects of donor-specific HLA antibodies in living versus deceased donor transplant.

The presence of donor-specific anti-HLA antibodies (DSAs) is associated with increased risk of graft failure after kidney transplant. We hypothesized that DSAs against HLA class I, class II, or both classes indicate a different risk for graft loss between deceased and living donor transplant. In this study, we investigated the impact of pretransplant DSAs, by using single antigen bead assays, on long-term graft survival in 3237 deceased and 1487 living donor kidney transplants with a negative complement-dependent crossmatch. In living donor transplants, we found a limited effect on graft survival of DSAs against class I or II antigens after transplant. Class I and II DSAs combined resulted in decreased 10-year graft survival (84% to 75%). In contrast, after deceased donor transplant, patients with class I or class II DSAs had a 10-year graft survival of 59% and 60%, respectively, both significantly lower than the survival for patients without DSAs (76%). The combination of class I and II DSAs resulted in a 10-year survival of 54% in deceased donor transplants. In conclusion, class I and II DSAs are a clear risk factor for graft loss in deceased donor transplants, while in living donor transplants, class I and II DSAs seem to be associated with an increased risk for graft failure, but this could not be assessed due to their low prevalence.

Percentiles for skeletal muscle index, area and radiation attenuation based on computed tomography imaging in a healthy Caucasian population.

BACKGROUND/OBJECTIVES: Muscle mass is a key determinant of nutritional status and associated with outcomes in several patient groups. Computed tomography (CT) analysis is increasingly used to assess skeletal muscle area (SMA), skeletal muscle index (SMI) and muscle radiation attenuation (MRA). However, interpretation of these muscle parameters is difficult since values in a healthy population are lacking. The aim of this study was to provide sex specific percentiles for SMA, SMA and MRA in a healthy Caucasian population and to examine the association with age and BMI in order to define age- and BMI specific percentiles. SUBJECTS/METHODS: In this retrospective cross-sectional study CT scans of potential kidney donors were used to assess SMA, SMI and MRA at the level of the third lumbar vertebra. Sex specific distributions were described and, based on the association between age/BMI and muscle parameters, age, and BMI specific predicted percentiles were computed. The 5th percentile was considered as cut-off. RESULTS: CT scans of 420 Individuals were included (age range 20-82 years and BMI range 17.5-40.7 kg/m2). Sex specific cut-offs of SMA, SMI and MRA were 134.0 cm2, 41.6 cm2/m2 and 29.3 HU in men and 89.2 cm2, 32.0 cm2/m2 and 22.0 HU in women, respectively. Correlations were negative between age and all three muscle parameters, positive between BMI and SMA/SMI and negative between BMI and MRA, resulting in age- and BMI specific percentiles. CONCLUSIONS: This study provides sex specific percentiles for SMA, SMI, and MRA. In addition, age- and BMI specific percentiles have been established.

Early Conversion to Prednisolone/Everolimus as an Alternative Weaning Regimen Associates With Beneficial Renal Transplant Histology and Function: The Randomized-Controlled MECANO Trial.

In renal transplantation, use of calcineurin inhibitors (CNIs) is associated with nephrotoxicity and immunosuppression with malignancies and infections. This trial aimed to minimize CNI exposure and total immunosuppression while maintaining efficacy. We performed a randomized controlled, open-label multicenter trial with early cyclosporine A (CsA) elimination. Patients started with basiliximab, prednisolone (P), mycophenolate sodium (MPS), and CsA. At 6 months, immunosuppression was tapered to P/CsA, P/MPS, or P/everolimus (EVL). Primary outcomes were renal fibrosis and inflammation. Secondary outcomes were estimated glomerular filtration rate (eGFR) and incidence of rejection at 24 months. The P/MPS arm was prematurely halted. The trial continued with P/CsA (N = 89) and P/EVL (N = 96). Interstitial fibrosis and inflammation were significantly decreased and the eGFR was significantly higher in the P/EVL arm. Cumulative rejection rates were 13% (P/EVL) and 19% (P/CsA), (p = 0.08). A post hoc analysis of HLA and donor-specific antibodies at 1 year after transplantation revealed no differences. An individualized immunosuppressive strategy of early CNI elimination to dual therapy with everolimus was associated with decreased allograft fibrosis, preserved allograft function, and good efficacy, but also with more serious adverse events and discontinuation. This can be a valuable alternative regimen in patients suffering from CNI toxicity.

Study of the effect of loop inductance on the RF transmission line to cavity coupling coefficient.

Coupling of RF power is an important aspect in the design and development of RF accelerating structures. RF power coupling employing coupler loops has the advantage of tunability of ß, the transmission line to cavity coupling coefficient. Analytical expressions available in literature for determination of size of the coupler loop using Faraday's law of induction show reasonably good agreement with experimentally measured values of ß below critical coupling (ß ≤ 1) but show large deviation with experimentally measured values and predictions by simulations for higher values of ß. In actual accelerator application, many RF cavities need to be over-coupled with ß > 1 for reasons of beam loading compensation, reduction of cavity filling time, etc. This paper discusses a modified analytical formulation by including the effect of loop inductance in the determination of loop size for any desired coupling coefficient. The analytical formulation shows good agreement with 3D simulations and with experimentally measured values. It has been successfully qualified by the design and development of power coupler loops for two 476 MHz pre-buncher RF cavities, which have successfully been conditioned at rated power levels using these coupler loops.

How can we reduce costs of solid-phase multiplex-bead assays used to determine anti-HLA antibodies?

Solid-phase multiplex-bead assays are widely used in transplantation to detect anti-human leukocyte antigen (HLA) antibodies. These assays enable high resolution detection of low levels of HLA antibodies. However, multiplex-bead assays are costly and yield variable measurements that limit the comparison of results between laboratories. In the context of a Dutch national Consortium study we aimed to determine the inter-assay and inter-machine variability of multiplex-bead assays, and we assessed how to reduce the assay reagents costs. Fifteen sera containing a variety of HLA antibodies were used yielding in total 7092 median fluorescence intensities (MFI) values. The inter-assay and inter-machine mean absolute relative differences (MARD) of the screening assay were 12% and 13%, respectively. The single antigen bead (SAB) inter-assay MARD was comparable, but showed a higher lot-to-lot variability. Reduction of screening assay reagents to 50% or 40% of manufacturers' recommendations resulted in MFI values comparable to 100% of the reagents, with an MARD of 12% or 14%, respectively. The MARD of the 50% and 40% SAB assay reagent reductions were 11% and 22%, respectively. From this study, we conclude that the reagents can be reliably reduced at least to 50% of manufacturers' recommendations with virtually no differences in HLA antibody assignments.