Prenatal, Perinatal, and Early Childhood Factors Associated with Childhood Obstructive Sleep Apnea.

OBJECTIVES: To investigate prenatal, perinatal, and early childhood factors, including cord and early childhood plasma leptin, on a clinical diagnosis of obstructive sleep apnea (OSA) among children in the Boston Birth Cohort. STUDY DESIGN: We conducted a secondary analysis of 2867 mother-child pairs from the Boston Birth Cohort who were enrolled between 1998 and 2014 at Boston Medical Center and followed from birth to age 16 years. Child's OSA was defined based on clinical diagnoses documented in the medical record. Plasma leptin was measured in cord and early childhood blood samples. Logistic regression was used to examine individual and combined effects of early life factors on the risk of OSA, adjusting for potential confounders. RESULTS: The mean age of the study children was 6.39 years (SD = 3.77); 49.3% were girls, and 209 (7.3%) had ever been diagnosed with OSA. Four significant risk factors for OSA were identified: maternal obesity/diabetes during pregnancy (OR, 1.63; 95% CI, 1.21-2.21; P = .001), preterm/low birth weight (OR, 1.74; 95% CI, 1.30-2.32; P < .001), early childhood obesity (OR, 1.89; 95% CI, 1.37-2.62; P < .001), and high leptin levels in early childhood (OR, 1.94; 95% CI, 1.22-3.09; P = .005). The presence of all these 4 risk factors significantly amplified the odds of OSA by about 10 times (OR, 9.95; 95% CI, 3.42-28.93; P < .001) compared with those lacking these factors. CONCLUSIONS: Our findings, if further confirmed, provide new insight into the early life risk factors of pediatric OSA and underscore the need for early screening and prevention of OSA among children with those risk factors.

Base dependent DNA-carbon nanotube interactions: activation enthalpies and assembly-disassembly control.

We quantify the base dependent interactions between single stranded DNA and single walled carbon nanotubes (SWNTs) in solution. DNA/SWNT hybrids hold the promise of applications ranging from nanoscale electronics and assembly of nanotube based materials, to drug delivery and DNA sequencing. These applications require control over the hybrid assembly and disassembly. Our analytical assay reveals the order of nucleobase binding strengths with SWNTs as G>C>A>T. Furthermore, time dependent fixed temperature experiments that probe the kinetics of the dissociation process provide values for the equilibrium constants and dissociation enthalpies that underlie the microscopic interactions. Quantifying the base dependency of hybrid stability shows how insight into the energetics of the component interactions facilitates control over hybrid assembly and disassembly.

Optical absorption of DNA-carbon nanotube structures.

We measured the UV optical absorption of single-stranded DNA bound to single-walled carbon nanotubes (DNA/SWNT). The nucleotide absorbance from DNA/SWNT provides the first experimental confirmation that DNA binds to nanotubes through pi-stacking. Because the hypochromic absorbance typical of pi-stacked structures are expected to occur primarily for DNA dipole transitions that lie along the axis of the optically anisotropic SWNTs, the absorbance changes following binding of DNA to nanotubes reveal the preferred orientation assumed by each of the four bound nucleotides with respect to the nanotube's long axis.

Infrastructure in the electric sense: admittance data from shark hydrogels.

Elasmobranchs (sharks, skates, and rays) possess an electrosensory system with an infrastructure of canals connecting the electrosensors to the environment. The electrosensors and canals are filled with a uniform hydrogel, but the gel's function has not yet been determined. We present electrical admittance spectra collected from the hydrogel from 0.05 to 100 kHz, covering the effective range of the electrosensors. We have taken samples of this gel, postmortem, from Triaenodon obesus and Carcharodon carcharias; for purposes of comparison, we have synthesized a series of collagen-based hydrogel samples. The shark hydrogels demonstrate suppressed admittance when compared to both seawater and collagen gels. In particular, collagen hydrogels with equivalent ion concentrations are roughly 2.5 times more polarizable than the shark samples. We conclude that the shark hydrogels strongly localize ionic species, and we discuss the implications for the related roles of the gel and the canals in the electric sense. The gel-filled canals appear better suited to fostering voltage differences along their length than to providing direct electrical contact to the seawater environment.

Thermoelectricity in natural and synthetic hydrogels.

We describe a technique for measuring a Seebeck effect in gels and present data for three systems. Notably distinct signals are obtained for gel originating in the electrosensitive organs of marine sharks, synthetic collagen-based gel, and as a control, seawater, the gels' solvent. Only the gel of sharks shows a reversible thermoelectric signal. The difference between gel samples and seawater simply confirms that gels suppress mass transport. The difference between synthetic gel and the gel of sharks shows that the charged polymers of the shark gel restrict mass transport much more successfully than the polymers of the collagen gel, and we submit that this sort of ion localization is key to the emergence of thermoelectricity in a gelatinous substance. We compare the properties of the natural gel to those of established thermoelectrics.

Electrical characterization of gel collected from shark electrosensors.

To investigate the physical mechanism of the electric sense, we present an initial electrical characterization of the glycoprotein gel that fills the electrosensitive organs of marine elasmobranchs (sharks, skates, and rays). We have collected samples of this gel, postmortem, from three shark species, and removed the majority of dissolved salts in one sample via dialysis. Here we present the results of dc conductivity measurements, low-frequency impedance spectroscopy, and electrophoresis. Electrophoresis shows a range of large protein-based molecules fitting the expectations of glycoproteins, but the gels of different species exhibit little similarity. The electrophoresis signature is unaffected by thermal cycling and measurement currents. The dc data were collected at various temperatures, and at various electric and magnetic fields, showing consistency with the properties of seawater. The impedance data collected from a dialyzed sample, however, show large values of static permittivity and a loss peak corresponding to an unusually long relaxation time, about 1 ms. The exact role of the gel is still unknown, but our results suggest its bulk properties are well matched to the sensing mechanism, as the minimum response time of an entire electric organ is on the order of 5 ms.