Single-Chamber Leadless Cardiac Pacemaker in Patients Without Atrial Fibrillation: Findings From Campania Leadless Registry

Introduction:Little is known about the clinical performance of single-chamber leadless pacemaker (LLPM) in patients without atrial fibrillation (AF) as pacing indication. The aim of this study was to describe the clinical characteristics of patients who underwent single chamber LLPM implantation at three tertiary referral centers and to compare the safety and effectiveness of the single-chamber LLPM among patients with or without AF.Materials and Methods:All the consecutive patients who underwent LLPM implantation at three referral centers were analyzed. The indications to LLPM in a real-world setting were described. The study population was divided into two groups according to AF as pacing indication. We assessed the procedure-related complications; moreover, we compared syncope, cardiac hospitalization, pacemaker syndrome, and all-cause death recurrence during the follow-up between patients with and without AF as pacing indication.Results:A total of 140 consecutive patients (mean age, 76.7 ± 11.24 years, men 64.3%) were included in the study. The indication to implantation of LLPM was permanent AF with slow ventricular response (n: 67; 47.8%), sinus node dysfunction (n: 25; 17.8%), third atrioventricular block (AVB) (n: 20; 14.2%), second-degree AVB (n: 18; 12.8%), and first degree AVB (n: 10; 7.1%). A total of 7 patients (5%) experienced perioperative complications with no differences between the AF vs. non-AF groups. During a mean follow-up of 606.5 ± 265.9 days, 10 patients (7.7%) died and 7 patients (5.4%) were reported for cardiac hospitalization; 5 patients (3.8%) experienced syncope; no patients showed pacemaker syndrome. No significant differences in the clinical events between the groups were shown. The Kaplan–Meier analysis for the combined endpoints did not show significant differences between the AF and non-AF groups [hazard ratio (HR): 0.94, 95% CI: 0.41–2.16; p = 0.88].Conclusion:Our real-world data suggest that LLPM may be considered a safe and reasonable treatment in patients without AF in need of pacing. Further studies are needed to confirm these preliminary results.

Rumen Inoculum Enhances Cathode Performance in Single-Chamber Air-Cathode Microbial Fuel Cells

During the last decade, bioprospecting for electrochemically active bacteria has included the search for new sources of inoculum for microbial fuel cells (MFCs). However, concerning power and current production, a Geobacter-dominated mixed microbial community derived from a wastewater inoculum remains the standard. On the other hand, cathode performance is still one of the main limitations for MFCs, and the enrichment of a beneficial cathodic biofilm emerges as an alternative to increase its performance. Glucose-fed air-cathode reactors inoculated with a rumen-fluid enrichment and wastewater showed higher power densities and soluble chemical oxygen demand (sCOD) removal (Pmax = 824.5 mWm−2; ΔsCOD = 96.1%) than reactors inoculated only with wastewater (Pmax = 634.1 mWm−2; ΔsCOD = 91.7%). Identical anode but different cathode potentials suggest that differences in performance were due to the cathode. Pyrosequencing analysis showed no significant differences between the anodic community structures derived from both inocula but increased relative abundances of Azoarcus and Victivallis species in the cathodic rumen enrichment. Results suggest that this rarely used inoculum for single-chamber MFCs contributed to cathodic biofilm improvements with no anodic biofilm effects.

Comparison of different infiltration amounts of CeO2 inside Ni-YSZ anodes to improve stability and efficiency of Single-Chamber SOFCs operating in methane

Electrochemically active oxide-based anodes capable of working in Single-Chamber Solid Oxide Fuel Cells (SC-SOFCs) were developed. Their performance is related to the selectivity of the electrodes. Tests are carried out on lab-scale devices with YSZ pellets as solid electrolytes in electrolyte supported cells. Selecting methane as a fuel, a gas mixture in the ratio CH4/O2 = 2 was chosen. The Ni-YSZ (NiO:YSZ=60:40) anode was optimized through CeO2 nanocatalysts infiltration to enhance the anode catalytic activity and make its reduction easier. Several infiltration amounts were compared, from null to 15% of the electrode weight. Both symmetric and complete cells (with LSCF-based cathodes) were tested in H2 and CH4/O2. For increasing amounts of infiltrated CeO2, symmetric cells tests describe an area specific resistance (ASR) reduction from 40 Ω cm2 to 1.7 Ω cm2 in hydrogen and from 11 Ω cm2 to 3.9 Ω cm2 in the methane/oxygen mixture. While complete cells tests displayed an ASR drop from 30 Ω cm2 to 2.9 Ω cm2 in H2, and from 8.7 Ω cm2 to 4.3 Ω cm2 in the methane/oxygen mixture, while OCP and power grew from 478 mV and 3.7 mW cm-2 to 766 mV and 13 mW cm-2.

Single-Chamber Microbial Fuel Cell with Multiple Plates of Bamboo Charcoal Anode: Performance Evaluation

In this study, three single-chamber microbial fuel cells (MFCs), each having Pt-coated carbon cloth as a cathode and four bamboo charcoal (BC) plates as an anode, were run in a fed-batch mode, individually and in series. Simulated potato-processing wastewater was used as a substrate for supporting the growth of a mixed bacterial culture. The maximum power output increased from 0.386 mW with one MFC to 1.047 mW with three MFCs connected in series. The maximum power density, however, decreased from 576 mW/m2 (normalized to the cathode area) with one MFC to 520 mW/m2 with three MFCs in series. The experimental results showed that power can be increased by connecting the MFCs in series; however, choosing low resistance BC is crucial for increasing power density.

Living Bacteria Directly Embedded into Electrospun Nanofibers: Design of New Anode for Bio-Electrochemical Systems

The aim of this work is the optimization of electrospun polymeric nanofibers as an ideal reservoir of mixed electroactive consortia suitable to be used as anodes in Single Chamber Microbial Fuel Cells (SCMFCs). To reach this goal the microorganisms are directly embedded into properly designed nanofibers during the electrospinning process, obtaining so called nanofiber-based bio-composite (bio-NFs). This research approach allowed for the designing of an advanced nanostructured scaffold, able to block and store the living microorganisms inside the nanofibers and release them only after exposure to water-based solutions and electrolytes. To reach this goal, a water-based polymeric solution, containing 5 wt% of polyethylene oxide (PEO) and 10 wt% of environmental microorganisms, is used as the initial polymeric solution for the electrospinning process. PEO is selected as the water-soluble polymer to ensure the formation of nanofiber mats offering features of biocompatibility for bacteria proliferation, environment-friendliness and, high ionic conductivity. In the present work, bio-NFs, based on living microorganisms directly encapsulated into the PEO nanofiber mats, were analyzed and compared to PEO-NFs made of PEO only. Scanning electron microscopy allowed researchers to confirm the rise of a typical morphology for bio-NFs, evidencing the microorganisms’ distribution inside them, as confirmed by fluorescence optical microscopy. Moreover, the latter technique, combined with optical density measurements, allowed for demonstrating that after electrospinning, the processed microorganisms preserved their proliferation capability, and their metabolic activity after exposure to the water-based electrolyte. To demonstrate that the energy-production functionality of exo-electrogenic microorganisms was preserved after the electrospinning process, the novel designed nanomaterials, were directly deposited onto carbon paper (CP), and were applied as anode electrodes in Single Chamber Microbial Fuel Cells (SCMFCs). It was possible to appreciate that the maximum power density reached by bio-NFs, which resulted in being double of the ones achieved with PEO-NFs and bare CP. SCMFCs with bio-NFs applied as anodic electrodes reached a current density value, close to (250 ± 5.2) mA m−2, which resulted in being stable over time and was comparable with the one obtained with carbon-based electrode, thus confirming the good performance of the whole device.