ECFS standards of care on CFTR-related disorders: Towards a comprehensive program for affected individuals

After three publications defining an updated guidance on the diagnostic criteria for people with cystic fibrosis transmembrane conductance regulator (CFTR)-related disorders (pwCFTR-RDs), establishing its relationship to CFTR-dysfunction and describing the individual disorders, this fourth and last paper in the series addresses some critical challenges facing health care providers and pwCFTR-RD. Topics included are: 1) benefits and obstacles to collect data from pwCFTR-RD are discussed, together with the opportunity to integrate them into established CF-registries; 2) the potential of infants designated CRMS/CFSPID to develop a CFTR-RD and how to communicate this information; 3) a description of the challenges in genetic counseling, with particular regard to phenotypic variability, unknown long-term evolution, CFTR testing and pregnancy termination 4) a proposal for the assessment of potential barriers to the implementation and dissemination of the produced documents to health care professionals involved in the care of pwCFTR-RD and a process to monitor the implementation of the CFTR-RD recommendations; 5) clinical trials investigating the efficacy of CFTR modulators in CFTR-RD and how endpoints and outcomes might be adapted to the heterogeneity of these disorders.

SODI-COLLOID: a combination of static and dynamic light scattering on board the International Space Station

Microgravity research in space is a complex activity where the often scarce resources available for the launch, accommodation, and operation of instrumentation call for a careful experiment planning and instrument development. In this paper we describe a module of the Selectable Optical Diagnostic Instrument, that has been designed as a compact optical diagnostic instrument for colloidal physics experiments. The peculiarity of the instrument is the combination of a novel light scattering technique known as near field scattering and standard microscopy with a low-coherence laser light source. We describe its main design features, as well as measurement results on colloidal aggregation taken on the International Space Station.