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Background: Autoimmune hepatitis (AIH) is a rare, chronic inflammatory disease of the liver. The treatment goal is reaching complete biochemical response (CR), defined as the normalisation of aspartate and alanine aminotransferases and immunoglobulin gamma. Ongoing AIH activity can lead to fibrosis and (decompensated) cirrhosis. Incomplete biochemical response is the most important risk factor for liver transplantation or liver-related mortality. First-line treatment consists of a combination of azathioprine and prednisolone. If CR is not reached, tacrolimus (TAC) or mycophenolate mofetil (MMF) can be used as second-line therapy. Both products are registered for the prevention of graft rejection in solid organ transplant recipients. The aim of this study is to compare the effectiveness and safety of TAC and MMF as second-line treatment for AIH. Methods: The TAILOR study is a phase IIIB, multicentre, open-label, parallel-group, randomised (1:1) controlled trial performed in large teaching and university hospitals in the Netherlands. We will enrol 86 patients with AIH who have not reached CR after at least 6 months of treatment with first-line therapy. Patients are randomised to TAC (0.07 mg/kg/day initially and adjusted by trough levels) or MMF (max 2000 mg/day), stratified by the presence of cirrhosis at inclusion. The primary endpoint is the difference in the proportion of patients reaching CR after 12 months. Secondary endpoints include the difference in the proportion of patients reaching CR after 6 months, adverse effects, difference in fibrogenesis, quality of life and cost-effectiveness. Discussion: This is the first randomised controlled trial comparing two second-line therapies for AIH. Currently, second-line treatment is based on retrospective cohort studies. The rarity of AIH is the main issue in clinical research for alternative treatment options. The results of this trial can be implemented in existing international clinical guidelines. Trial registration: ClinicalTrials.gov NCT05221411. Retrospectively registered on 3 February 2022; EudraCT number 2021–003420-33. Prospectively registered on 16 June 2021. [ABSTRACT FROM AUTHOR]

BiFeO3 is a multiferroic material with a perovskite structure that has a lot of potential for use in sensors and transducers. However, obtaining pure single-phase BiFeO3 ceramic with a low electrical conductivity via solid-state reactions remains a problem that limits its application. In this work, the suppression of secondary phases in BiFeO3 was studied by varying the compositional parameters and the sintering temperature. The addition of 1% Bi2O3 to the stoichiometric precursor mixture prevented the formation of secondary phases observed when sintering stoichiometric precursors. The pure phase ceramic had a p-type conductivity and a three-decade lower electrical conductivity as measured by impedance spectroscopy. Annealing of optimally synthesized material at different partial pressures of oxygen in an oxygen–nitrogen gas atmosphere showed that the reason for this type of conductivity lies in the high concentration of defects associated with oxygen. By annealing in various mixtures of nitrogen and oxygen, it is possible to control the concentration of these defects and hence the conductivity, which can go down another two decades. At a pO2  ≤ 10 % , the conductivity is determined by intrinsic charge carriers in the material itself. [ABSTRACT FROM AUTHOR]

A new polymeric adsorbent to improve portable dialysis treatment by simplifying urea removal at the dialysate regeneration step is proposed. An adsorbent to remove urea was synthesized by molecular imprinting technology that can potentially overcome drawbacks existing in urease enzyme-based dialysate regeneration technology. Molecularly imprinted polymer (MIP) for urea generates cavities both in shape and in size targeted for urea. Using the synthesized MIP, we have shown removal of urea present in the dialysate buffer. Various experimental conditions such as choice of monomers, porogen, and template to monomer ratios were optimized to achieve highest binding capacity on a column flow through system monitored using high-performance liquid chromatography (HPLC). Taking advantage of the basicity of urea molecule, monomers having Brønsted acidic groups such as acrylic acid, methacrylic acid and itaconic acid were screened. The MIP synthesized using urea:acrylic acid:EGDMA (1:4:12) in acetonitrile:ethylene dichloride (1:1) as porogen gave highest binding capacity of 24.5 g/kg of urea in the dialysate buffer matrix. [ABSTRACT FROM AUTHOR]

This article will provide an overview of recent developments for microneedles made using injection molding and hot embossing techniques for active transdermal drug delivery. Microneedle arrays are developed for pain‐free and efficient drug delivery without using a cold chain. The focus of this article will be on the use of engineering thermoplastics and microneedle manufacturing techniques including patterning. Recent developments demonstrate that commercialization of polymer‐based microneedle systems is feasible. POLYM. ENG. SCI., 59:877–890, 2019. © 2019 Society of Plastics Engineers [ABSTRACT FROM AUTHOR]

A new membrane distillation (MD) concept (MemPower) has been developed for the simultaneous production of high-quality water from various aqueous feedstocks with cogeneration of mechanical power (electricity). Driven by low-grade heat (waste, solar, geothermal, etc.) a pressurized distillate can be produced by operating TNO’s Memstill®process at high hydraulic pressures. These pressures are theoretically limited by the liquid entry pressure (LEP) of the membrane. The proof of principle has been shown and is based on the transport of water vapor against a hydraulic pressure gradient. Various commercially available membranes have been evaluated in order to obtain high yields in water flux and power densities. Power densities have been measured which are sufficient to drive the pumps in MD. This allows standalone Memstill®units without electricity consumption to be possible, which are fully driven by waste heat. The application of new incompressible hydrophobic membranes, combining a high permeance with a highLEP, will allow for much higher power densities. [ABSTRACT FROM PUBLISHER]

Pulsed laser beam welding was used successfully to join the oxide dispersion-strengthened (ODS) Eurofer steel. The joining was conducted with a laser power of 2500 W and a pulsed duration of 4 ms. With the filler material being used, a minor material loss and microvoids were observed in the joint. The microstructure of the fusion zone consists of dual phase elongated structures. The heat-affected zone has a width of around 0.06 mm with finer grains. The transmission electron microscopy observation reveals that nanoprecipitates are finely distributed in the fusion zone. The tensile strength, yield strength and elongation of the joint are slightly inferior to the base material. The fractography results reveal a typical ductile fracture. The experimental results indicate a reasonable joint from the perspective of both the microstructure and mechanical behaviour. [ABSTRACT FROM AUTHOR]