The pharmacogenetics of tacrolimus in renal transplant patients: association with tremors, new-onset diabetes and other clinical events.

Our study is the first study to investigate the effect of SNPs in CYP3A5, CYP3A4, ABCB1 and POR genes on the incidence of tremors, nephrotoxicity, and diabetes mellitus. A total of 223 renal transplant patients receiving tacrolimus and mycophenolate mofetil (MMF) were recruited. Both adults and children patients participated in the study. Genotyping was performed using PROFLEX-PCR followed by RFLP. MPA and tacrolimus plasma concentrations were measured by immunoassay. The AUC0-12h of MMF was estimated by a Bayesian method. We found a statistically significant association between the CYP3A5*3 and CYP3A4*1B genotypes and the tacrolimus exposure. We found a lower occurrence of nephrotoxicity (p = 0.03), tremor (p = 0.01), and new-onset diabetes (p = 0.002) associated with CYP3A5*1 allele. The CYP3A4*1B allele was significantly associated with a lower occurrence of new-onset diabetes (p = 0.026). The CYP3A5*1 allele was significantly associated with an increased risk of acute and chronic rejection (p = 0.03 and p < 0.001, respectively). Our results support the usefulness of tacrolimus pharmacokinetics in pre-kidney transplant assessments.

Self-Powered Synchronized Switching Interface Circuit for Piezoelectric Footstep Energy Harvesting.

Piezoelectric Vibration converters are nowadays gaining importance for supplying low-powered sensor nodes and wearable electronic devices. Energy management interfaces are thereby needed to ensure voltage compatibility between the harvester element and the electric load. To improve power extraction ability, resonant interfaces such as Parallel Synchronized Switch Harvesting on Inductor (P-SSHI) have been proposed. The main challenges for designing this type of energy management circuits are to realise self-powered solutions and increase the energy efficiency and adaptability of the interface for low-power operation modes corresponding to low frequencies and irregular vibration mechanical energy sources. In this work, a novel Self-Powered (SP P-SSHI) energy management circuit is proposed which is able to harvest energy from piezoelectric converters at low frequencies and irregular chock like footstep input excitations. It has a good power extraction ability and is adaptable for different storage capacitors and loads. As a proof of concept, a piezoelectric shoe insole with six integrated parallel piezoelectric sensors (PEts) was designed and implemented to validate the performance of the energy management interface circuit. Under a vibration excitation of 1 Hz corresponding to a (moderate walking speed), the maximum reached efficiency and power of the proposed interface is 83.02% and 3.6 mW respectively for the designed insole, a 10 kΩ resistive load and a 10 µF storage capacitor. The enhanced SP-PSSHI circuit was validated to charge a 10 µF capacitor to 6 V in 3.94 s and a 1 mF capacitor to 3.2 V in 27.64 s. The proposed energy management interface has a cold start-up ability and was also validated to charge a (65 mAh, 3.1 V) maganese dioxide coin cell Lithium battery (ML 2032), demonstrating the ability of the proposed wearable piezoelectric energy harvesting system to provide an autonomous power supply for wearable wireless sensors.

Energy-Aware System Design for Autonomous Wireless Sensor Nodes: A Comprehensive Review.

Nowadays, wireless sensor networks are becoming increasingly important in several sectors including industry, transportation, environment and medicine. This trend is reinforced by the spread of Internet of Things (IoT) technologies in almost all sectors. Autonomous energy supply is thereby an essential aspect as it decides the flexible positioning and easy maintenance, which are decisive for the acceptance of this technology, its wide use and sustainability. Significant improvements made in the last years have shown interesting possibilities for realizing energy-aware wireless sensor nodes (WSNs) by designing manifold and highly efficient energy converters and reducing energy consumption of hardware, software and communication protocols. Using only a few of these techniques or focusing on only one aspect is not sufficient to realize practicable and market relevant solutions. This paper therefore provides a comprehensive review on system design for battery-free and energy-aware WSN, making use of ambient energy or wireless energy transmission. It addresses energy supply strategies and gives a deep insight in energy management methods as well as possibilities for energy saving on node and network level. The aim therefore is to provide deep insight into system design and increase awareness of suitable techniques for realizing battery-free and energy-aware wireless sensor nodes.