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1.
Mar Pollut Bull ; 205: 116610, 2024 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-38905734

RESUMEN

It has been found that algae have a variety of health benefits, although investigations showed that they contain radiotoxic elements, including 226Ra, 232Th, 40K, and 137Cs, which may affect human health. This study is connected to activity concentration measurements of the above radionuclides in the algae supplements available in the Middle East markets. The annual effective radiation doses of measured radionuclides in analyzed algal supplements have been calculated. The highest values of annual effective doses have been estimated for 226Ra in Ecklonia (13.39 µSv/y) and for 232Th in Red Marine Algae (11.80 µSv/y), both from South Korea. In algal "superfoods", the effective dose of 137Cs is not significantly affected by the Fukushima Nuclear Power Plant. Based on these results, it can be concluded that the activity levels of radionuclides are low, the naturally occurring radionuclides provide the most effective doses, and algae supplements can be considered safe.

2.
Heliyon ; 9(7): e17838, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37456003

RESUMEN

We report the functional assessment of tungsten (VI) oxide on gamma-ray attenuation properties of 60Sb2O3-(40-x)NaPO3-xWO3 antimony glasses. The elemental mass-fractions and glass-densities of each glass sample are specified separately for the MCNPX Monte Carlo code. In addition to fundamental gamma absorption properties, Transmission Factors throughout a broad radioisotope energy range were measured. According to findings, holmium (Ho) incorporation into the glass structure resulted in a net increase of 0.3406 g/cm3, whereas cerium (Ce) addition resulted in a net increase of 0.2047 g/cm3. The 40% WO3 reinforced S7 sample was found to have the greatest LAC value, even though seven glass samples exhibited identical behavior. The S2 sample had the lowest HVL values among the glass groups evaluated in this work, computed in the energy range of 0.015-15 MeV. The lowest EBF and EABF values were reported for 40% WO3 reinforced S7 sample with the highest LAC and density values. According to the findings of this research, WO3 will likely make a significant contribution to the gamma ray absorption properties of antimony glasses, which are employed for optical and structural modification. Therefore, it can be concluded that WO3 may be treated monotonically and can be employed successfully in circumstances where gamma-ray absorption characteristics, optical properties, and structural qualities need to be enhanced.

3.
Cureus ; 15(4): e38022, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37228536

RESUMEN

BACKGROUND: Child abuse is a significant issue across many countries. Despite the situation's innate understanding, many children are not reported to authorities and continue to experience abuse, sometimes even death. Healthcare professionals must be alert for abuse in any child who appears with injuries that are out of the ordinary because it is easy for indicators of child abuse to go unnoticed in a busy emergency department. The current study aims to evaluate and detect the challenges in diagnosing and reporting cases of child abuse among healthcare practitioners in emergency, pediatrics, and family medicine. METHODS: A self-administered online disseminated questionnaire was used for data collection during the period from October 1 to December 30, 2022. A cross-sectional study was conducted on emergency, pediatrics, and family medicine healthcare practitioners working in hospitals in healthcare centers in Riyadh, Saudi Arabia. All data were collected, tabulated, and statistically analyzed using SPSS 23.0 for (IBM Corp., Armonk, NY) Windows. RESULTS: The study sample constituted 200 physicians working in the front lines of healthcare like emergency, pediatrics, and family medicine primary care services, 50.5% were males and 49.5% were females. 36.5% of participants were 31-39 years old. 42% were family medicine physicians, 36.5% were pediatricians, and 21.5% were emergency medicine. About 43% of participants attended an educational workshop on child abuse. Nineteen percent of participants are very familiar with the diagnosis of child abuse and 36% of participants reported one to three cases of child abuse in the emergency department in the last year, 5% reported four to six cases and 56.5% reported none. Forty-seven percent of participants reported diagnosing one to five cases of child abuse throughout their whole career, 13% reported 11-15 cases, 6.5% reported six to 10 cases and 28.5% reported none. Causes of underdiagnosis of child abuse by healthcare providers were reported as 63% inexperience, 59% inadequate time for physical examination, 59% lack of diagnosis protocol, 51% lack of confidence in communicating with parents, 36% physicians' cultural background, and 38% lack of confidence in the diagnosis. 93.5% of participants think that healthcare practices need further education for child abuse. CONCLUSION: In conclusion, physicians in Saudi Arabia who participated in the study had good knowledge to diagnose a case of child abuse. Inexperience, inadequate time for physical examination, lack of diagnosis protocol, lack of confidence in communicating with parents, and physicians' cultural background were the main identified challenges for diagnosing child abuse. Familiarity with cases of child abuse was significantly associated with physicians' age, specialty, and level of training.

4.
Biomedicines ; 11(4)2023 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-37189792

RESUMEN

This study highlights the use of 89Zr-oxalate in diagnostic applications with the help of WinAct and IDAC2.1 software. It presents the biodistribution of the drug in various organs and tissues, including bone, blood, muscle, liver, lung, spleen, kidneys, inflammations, and tumors, and analyzes the maximum amount of nuclear transformation per Bq intake for each organ. The retention time of the maximum nuclear transformation and the absorbed doses of the drug in various organs and tissues are also examined. Data from clinical and laboratory studies on radiopharmaceuticals are used to estimate the coefficients of transition. The accumulation and excretion of the radiopharmaceutical in the organs is assumed to follow an exponential law. The coefficients of transition from the organs to the blood and vice versa are estimated using a combination of statistical programs and digitized data from the literature. WinAct and IDAC 2.1 software are used to calculate the distribution of the radiopharmaceutical in the human body and to estimate the absorbed doses in organs and tissues. The results of this study can provide valuable information for the biokinetic modeling of wide-spectrum diagnostic radiopharmaceuticals. The results show that 89Zr-oxalate has a high affinity for bones and a relatively low impact on healthy organs, making it helpful in targeting bone metastases. This study provides valuable information for further research on the development of this drug for potential clinical applications.

5.
Heliyon ; 9(5): e15891, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-37168890

RESUMEN

In this study, we combine two novel methods, the conformable double Laplace-Sumudu transform (CDLST) and the modified decomposition technique. We use the new approach called conformable double Laplace-Sumudu modified decomposition (CDLSMD) method, to solve some nonlinear fractional partial differential equations. We present the essential properties of the CDLST and produce new results. Furthermore, five interesting examples are discussed and analyzed to show the efficiency and applicability of the presented method. The results obtained show the strength of the proposed method in solving different types of problems.

6.
Materials (Basel) ; 16(8)2023 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-37109873

RESUMEN

Solar cells in superstrate arrangement need a protective cover glass as one of its main components. The effectiveness of these cells is determined by the cover glass's low weight, radiation resistance, optical clarity, and structural integrity. Damage to the cell covers brought on by exposure to UV irradiation and energetic radiation is thought to be the root cause of the ongoing issue of a reduction in the amount of electricity that can be generated by solar panels installed on spacecraft. Lead-free glasses made of xBi2O3-(40 - x)CaO-60P2O5 (x = 5, 10, 15, 20, 25, and 30 mol%) were created using the usual approach of melting at a high temperature. The amorphous nature of the glass samples was confirmed using X-ray diffraction. At energies of 81, 238, 356, 662, 911, 1173, 1332, and 2614 keV, the impact of various chemical compositions on gamma shielding in a phospho-bismuth glass structure was measured. The evaluation of gamma shielding revealed that the results of the mass attenuation coefficient of glasses increase as the Bi2O3 content increases but decrease as the photon energy increases. As a result of the study conducted on the radiation-deflecting properties of ternary glass, a lead-free low-melting phosphate glass that exhibited outstanding overall performance was developed, and the optimal composition of a glass sample was identified. The 60P2O5-30Bi2O3-10CaO glass combination is a viable option for use in radiation shielding that does not include lead.

7.
J Anim Physiol Anim Nutr (Berl) ; 107(5): 1187-1197, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37016439

RESUMEN

The response of enhanced dietary dairy cows with linolenic-rich sources during the persistence period was studied to determine its effectiveness on some blood constituents, milk yield and milk fatty acid profile. A complete randomized design experiment was conducted in the spring and involved 20 Friesian cows (60 days in milk) that were divided into four groups of five animals by milk production according to different types of flax source in isonitrogenous and isoenergetic rations: a traditional diet with no flax source (CO), a diet contains flaxseed meal (FLM), a diet contains whole flaxseed (FLS) and a diet contains flax oil (FLO). DM intake and DMI% of weight were increased for cows fed FLM. However, Omega-3 intake was reduced for cows fed on CO ration. Although, blood serum metabolites did not differ among treatments (p < 0.05) except serum cholesterol which was increased with FLO cows, and serum total lipid which was reduced with FLM cows. Cows fed on flax product and control peaked in milk production at the same time (8-week post-partum), and cows fed on FLM continued in peak production for a longer period. Using flax products enhanced milk production, cows fed FLM had higher milk yield than those fed CO (20.76 vs.16.32 kg/d), and there was no difference between cows fed FLO (17.87 kg/d) and those fed FLS (18.01 kg/d). Also, energy-corrected milk yield and 3.5 fat-corrected milk yield were increased with cows fed on FLM as compared with cows fed CO ration. Flax products had no significant effect on milk fat and protein %, whereas cows fed FLM had the greatest fat% value (3.35%) and FLS had the greatest protein% value (2.66%). Moreover, fat and protein yield increased significantly in treatment groups compared to the CO group, whereas they were the greatest in FLM g (0.700 and 0.540 kg/d), respectively. Concentrations of omega-3-fatty acids in milk fat were increased by using FLO in the ration; using flaxseed meal enhanced conjugated linoleic acids in milk fat and resulted in the highest omega-6-to-omega-3-fatty-acids ratio. The data suggest that flax seed meals can be used as a fat source in the diet of dairy cows during the persistence period with a good response to milk production and its health properties. Moreover, flax oil should be protected before use in rations to prevent its components from saturation or being changed in the rumen.


Asunto(s)
Ácidos Grasos Omega-3 , Lino , Animales , Bovinos , Femenino , Dieta/veterinaria , Ácidos Grasos/metabolismo , Ácidos Grasos Omega-3/metabolismo , Lactancia/fisiología , Leche/metabolismo
8.
Nanomaterials (Basel) ; 13(3)2023 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-36770498

RESUMEN

The main objective of this work is to recycle unwanted industrial waste in order to produce innovative nanocomposites with improved mechanical, tribological, and thermal properties for use in various industrial purposes. In this context, powder metallurgy (PM) technique was used to fabricate iron (Fe)/copper (Cu)/niobium carbide (NbC)/granite nanocomposites having outstanding mechanical, wear and thermal properties. Transmission electron microscopy (TEM) and X-ray diffraction (XRD) examinations were used to investigate the particle size, crystal size, and phase composition of the milled samples. Additionally, it was investigated how different volume percentages of the NbC and granite affected the sintered specimens in terms of density, microstructure, mechanical and wear properties, and coefficient of thermal expansion (CTE). According to the findings, the milled powders included particles that were around 55 nm in size and clearly contained agglomerates. The results showed that the addition of 4 vol.% NbC and 8 vol.% granite nanoparticles caused a reduction in the Fe-Cu alloy matrix particle sizes up to 47.8 nm and served as a barrier to the migration of dislocations. In addition, the successive increase in the hybrid concentrations led to a significant decrease in the crystal size of the samples prepared as follows: 29.73, 27.58, 22.69, 19.95 and 15.8 nm. Furthermore, compared with the base Fe-Cu alloy, the nanocomposite having 12 vol.% of hybrid reinforcement demonstrated a significant improvement in the microhardness, ultimate strength, Young's modulus, longitudinal modulus, shear modulus, bulk modulus, CTE and wear rate by 94.3, 96.4, 61.1, 78.2, 57.1, 73.6, 25.6 and 61.9%, respectively. This indicates that both NbC and granite can actually act as excellent reinforcements in the Fe alloy.

9.
J Med Microbiol ; 72(2)2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36763078

RESUMEN

Introduction. Using rapid antigen diagnostic tests (RADTs) in clinical practice has shown excellent specificity but often has diminished sensitivity.Gap Statement. Local data for evaluating the diagnostic performance of a new fluorescence-based RADT and its influence on the antibiotic prescription rate are not available.Aim. To evaluate the accuracy of fluorescent immunoassay (FIA)-RADTs for diagnosing group A streptococcal (GAS) pharyngitis among children and its estimated effect as a point of care test (POCT) on the antibiotic prescription rate at the paediatric emergency department.Methodology. A prospective study was conducted, comprising children 3 to 14 years old presenting with pharyngitis. Throat swab culture and FIA-RADTs were performed on all samples. Conventional PCR was performed on the discordant samples.Results. A total of 246 children were included in this study. The sensitivity, specificity, and positive and negative predictive values of the FIA-RADT, based on culture results and PCR detection combined, were 95.6, 96.8, 94.6 and 97.4 %, respectively. Antibiotics have been prescribed to 162 (65.9 %) children; however, if FIA-RADTs had been added in the clinical practice as a POCT, only 92 (37.4 %) children would have received antibiotics in total. Additionally, implementation of FIA-RADTs would significantly reduce the antibiotic prescription rate from 48.8 and 60.6 % to 9.5 and 31.9 % among patients with clinical scores of 2 and 3, respectively.Conclusion. The new FIA-RADT is simple, prompt and reliable. It is helpful in clinical settings and may be used to reduce antibiotic overprescription, especially for children who have a low risk for GAS pharyngitis, according to the clinical score.


Asunto(s)
Faringitis , Infecciones Estreptocócicas , Niño , Humanos , Preescolar , Adolescente , Antibacterianos/uso terapéutico , Estudios Prospectivos , Infecciones Estreptocócicas/diagnóstico , Infecciones Estreptocócicas/tratamiento farmacológico , Sensibilidad y Especificidad , Antígenos Bacterianos , Streptococcus pyogenes , Faringitis/diagnóstico , Faringitis/tratamiento farmacológico , Prescripciones , Servicio de Urgencia en Hospital
11.
Heliyon ; 8(10): e10839, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36247126

RESUMEN

The nuclear spectroscopy method has long been used for advanced studies on nuclear physics. In order to decrease costs and increase the efficiency of nuclear radiation investigations, quick and efficient solutions are required. The purpose of this research was to calculate the whole energy peak efficiency values for a range of gamma-ray energies, from 30.973 keV to 1408 keV, at various source-detector distances using the MCNPX Monte Carlo code, which is extensively used in nuclear medicine, industry, and scientific research. As a result, the modeled detectors' full-energy peak efficiencies were calculated and compared to both experimental data and Monte Carlo simulations. Experiment results and prior studies using Monte Carlo simulations were found to be very consistent with these results. The counting efficiency against source-detector distance is then calculated using the modeled detectors. The data we have show that LaBr3(Ce) has outstanding detection properties. This study's findings might be used to improve the design of detectors for use in wide range of high-tech gamma spectroscopy and nuclear research applications.

12.
Sci Rep ; 12(1): 15495, 2022 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-36109533

RESUMEN

For technical and radioprotection causes, it has become essential to find new trends of smart materials which used as protection from ionizing radiation. To overcome the undesirable properties in lead aprons and provide the proper or better shielding properties against ionizing radiation, the tendency is now going to use ferrite as a shielding material. The co-precipitation method was utilized to prevent any foreign phases in the investigated MZN nano-ferrite. X-ray diffraction (XRD) and Fourier transmission infrared spectroscopy (FTIR) methods were used to analyze the manufactured sample. As proven by XRD and FTIR, the studied materials have their unique spinel phase with cubic structure Fd3m space group. The DC resistivity of Mg-Zn ferrite was carried out in the temperature range (77-295 K), and its dependence on temperature indicates that there are different charge transport mechanisms. The Mössbauer spectra analysis confirmed that the ferrimagnetic to superparamagnetic phase transition behaviour depends on Zn concentration. The incorporation of Zn to MZF enhanced the nano-ferrite density, whereas the addition of different Zn-oxides reduced the density for nano-ferrite samples. This variation in density changed the radiation shielding results. The sample containing high Zn (MZF-0.5) gives us better results in radiation shielding properties at low gamma, so this sample is superior in shielding results for charged particles at low energy. Finally, the possibility to use MZN nano-ferrite with various content in different ionizing radiation shielding fields can be concluded.

13.
Artículo en Inglés | MEDLINE | ID: mdl-36078432

RESUMEN

The current contribution goal is to measure the distribution of the radionuclide within the exposed rock units of southwestern Sinai, Seih-Sidri area, and assess the radiological risk. Gneisses, older granites, younger gabbro, younger granites, and post granitic dikes (pegmatites) are the main rock units copout in the target area. Radioactivity, as well as radiological implications, were investigated for forty-three samples from gneisses (seven hornblende biotite gneiss and seven biotite gneiss), older granites (fourteen samples), and younger granites (fifteen samples of syenogranites) using NaI (Tl) scintillation detector. External and internal hazard index (Hex, Hin), internal and external level indices (Iα, Iγ), absorbed dose rates in the air (D), the annual effective dose equivalent (AED), radium equivalent activity (Raeq), annual gonadal dose (AGDE), excess lifetime cancer risk (ELCR), and the value of Upper Continental Core 232Th/238U mass fractions were determined from the obtained values of 238U, 232Th and 40K for the examined rocks of Seih-Sidri area. The average 238U mg/kg in hornblende biotite gneiss and biotite gneiss, older granites, and syenogranites is 2.3, 2.1, 2.7, and 8.4 mg/kg, respectively, reflecting a relatively higher concentration of uranium content in syenogranites. The results suggest that using these materials may pose risks to one's radiological health.


Asunto(s)
Monitoreo de Radiación , Radiactividad , Radio (Elemento) , Contaminantes Radiactivos del Suelo , Uranio , Radioisótopos de Potasio/análisis , Monitoreo de Radiación/métodos , Radioisótopos/análisis , Salud Radiológica , Radio (Elemento)/análisis , Contaminantes Radiactivos del Suelo/análisis , Torio/análisis , Uranio/análisis
14.
Front Public Health ; 10: 892789, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35968466

RESUMEN

Purpose: This study aimed to evaluate Artificial Neural Network (ANN) modeling to estimate the significant dose length product (DLP) value during the abdominal CT examinations for quality assurance in a retrospective, cross-sectional study. Methods: The structure of the ANN model was designed considering various input parameters, namely patient weight, patient size, body mass index, mean CTDI volume, scanning length, kVp, mAs, exposure time per rotation, and pitch factor. The aforementioned examination details of 551 abdominal CT scans were used as retrospective data. Different types of learning algorithms such as Levenberg-Marquardt, Bayesian and Scaled-Conjugate Gradient were checked in terms of the accuracy of the training data. Results: The R-value representing the correlation coefficient for the real system and system output is given as 0.925, 0.785, and 0.854 for the Levenberg-Marquardt, Bayesian, and Scaled-Conjugate Gradient algorithms, respectively. The findings showed that the Levenberg-Marquardt algorithm comprehensively detects DLP values for abdominal CT examinations. It can be a helpful approach to simplify CT quality assurance. Conclusion: It can be concluded that outcomes of this novel artificial intelligence method can be used for high accuracy DLP estimations before the abdominal CT examinations, where the radiation-related risk factors are high or risk evaluation of multiple CT scans is needed for patients in terms of ALARA. Likewise, it can be concluded that artificial learning methods are powerful tools and can be used for different types of radiation-related risk assessments for quality assurance in diagnostic radiology.


Asunto(s)
Inteligencia Artificial , Tomografía Computarizada por Rayos X , Teorema de Bayes , Estudios Transversales , Humanos , Dosis de Radiación , Estudios Retrospectivos , Medición de Riesgo , Tomografía Computarizada por Rayos X/métodos
15.
Artículo en Inglés | MEDLINE | ID: mdl-35805783

RESUMEN

The specific activity of U-238 and Th-232, as well as K-40 radionuclides, in twenty-nine investigated medicinal herbs used in Egypt has been measured using a high-purity germanium (HP Ge) detector. The measured values ranged from the BDL to 20.71 ± 1.52 with a mean of 7.25 ± 0.54 (Bq kg-1) for uranium-238, from the BDL to 29.35 ± 1.33 with a mean of 7.78 ± 0.633 (Bq kg-1) for thorium-232, and from 172 ± 5.85 to 1181.2 ± 25.5 with a mean of 471.4 ± 11.33 (Bq kg-1) for potassium-40. Individual herbs with the highest activity levels were found to be 20.71 ± 1.52 (Bq kg-1) for uranium-238 (H4, Thyme herb), 29.35 ± 1.33 (Bq kg-1) for thorium-232 (H20, Cinnamon), and 1181.2 ± 25.5 (Bq kg-1) for potassium-40 (H24, Worm-wood). (AACED) Ingestion-related effective doses over the course of a year of uranium-238 and thorium-232, as well as potassium-40 estimated from measured activity concentrations, are 0.002304 ± 0.00009 (minimum), 0.50869 ± 0.0002 (maximum), and 0.0373 ± 0.0004 (average)(mSv/yr). Radium equivalent activity (Raeq), annual gonadal dose equivalent (AGDE), absorbed gamma dose rate (Doutdoor, Dindoor), gamma representative level index (I), annual effective dose (AEDtotal), external and internal hazard index (Hex, Hin), and excess lifetime cancer risk were determined in medicinal plants (ELCR). The radiological hazards assessment revealed that the investigated plant species have natural radioactivity levels that are well within the internationally recommended limit. This is the first time that the natural radioactivity of therapeutic plants has been measured in Egypt. In addition, no artificial radionuclide (for example, 137Cs) was discovered in any of the samples. Therefore, the current findings are intended to serve as the foundation for establishing a standard safety and guideline for using these therapeutic plants in Egypt.


Asunto(s)
Plantas Medicinales , Monitoreo de Radiación , Radiactividad , Radio (Elemento) , Contaminantes Radiactivos del Suelo , Uranio , Radiación de Fondo , Radioisótopos de Cesio , Radioisótopos de Potasio/análisis , Radio (Elemento)/análisis , Contaminantes Radiactivos del Suelo/análisis , Torio/análisis , Uranio/análisis
16.
Materials (Basel) ; 15(7)2022 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-35407796

RESUMEN

In this study, three different sliding bearing alloy samples were investigated in terms of their performance on attenuation characteristics and behavioral attitudes under 0.015-15 MeV gamma-ray exposure. Accordingly, different types of advanced calculation methods were utilized to calculate the radiation shielding parameters. Next, several gamma-ray shielding parameters and exposure rates in addition to fast neutron removal cross-section were determined. Furthermore, exposure and energy absorption buildup factors were determined by using G-P fitting method. Mass attenuation coefficients (MAC) values were recorded as 2.5246, 2.5703, and 2.5827 (cm2/g) for Alloy1, Alloy2, and Alloy3 samples at 15 MeV photon energy, respectively. At 40 mfp, the highest EBF values were reported as 1,376,274, 1,003,593, and 969,373 for Alloy1, Alloy2, and Alloy3 samples. The results of this extended investigation showed that the Alloy3 sample with the highest Pb reinforcement amount has superior shielding capability among the investigated samples. It can be concluded from the results that substitution of Pb with Bi in the recent alloy structure has a monotonic effect on different types of shielding parameters. Therefore, it can also be concluded that Pb is a remarkable tool for the improvement of the shielding properties of studied alloy structures.

17.
BMJ Open ; 12(3): e053722, 2022 03 11.
Artículo en Inglés | MEDLINE | ID: mdl-35277403

RESUMEN

OBJECTIVE: To describe the risk factors, clinical profile and outcomes of COVID-19 in the paediatric population. DESIGN: Multicentre, retrospective observational study. SETTING: Four tertiary hospitals in Saudi Arabia. PATIENTS: We recruited 390 paediatric patients aged 0-18 years who presented from March to December 2020 and tested positive for COVID-19 on PCR. MAIN OUTCOME MEASURES: We retrospectively analysed medical records for sociodemographics, health indicators, clinical presentations, laboratory findings, clinical complications, and outcomes. RESULTS: The mean participant age was 5.66±4.90 years, and the mean hospital stay was 2.17±3.48 days. Forty patients, mostly school-aged children (16, 40.00%; p=0.005) and children with comorbidities (25, 62.50%; p<0.001), received more than just supportive care. Complications were seen in 15 (3.9%) patients, bacterial infection being the most common (6, 40.00%). Patients presented with dyspnoea (OR 6.89; 95% CI 2.89 to 20.72), abnormal chest radiographs (OR 6.11; 95% CI 1.26 to 29.38), lethargy (OR 9.04; 95% CI 2.91 to 28.06) and elevated ferritin (OR 14.21; 95% CI 4.18 to 48.37) and D-dimer (OR 48.40; 95% CI 14.32 to 163.62), with higher odds of developing complications. The odds of paediatric intensive care unit (ICU) admission were higher for patients with dyspnoea (adjusted OR 4.66; 95% CI 1.24 to 17.50) and elevated white blood cell count (adjusted OR 3.54; 95% CI 1.02 to 12.30). CONCLUSIONS: COVID-19 complications were limited among our patients. However, dyspnoea, abnormal chest radiographs, lethargy and elevated ferritin and D-dimer were associated with an increased risk of complications. Dyspnoea, leucocytosis, comorbidities and abnormal chest radiographs at presentation increased the risk of ICU admission.


Asunto(s)
COVID-19 , Adolescente , COVID-19/epidemiología , Niño , Preescolar , Hospitalización , Humanos , Lactante , Recién Nacido , Estudios Retrospectivos , Factores de Riesgo , Arabia Saudita/epidemiología
18.
J Sci Med Sport ; 25(6): 505-510, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35346580

RESUMEN

OBJECTIVES: To measure motor competence among a representative sample of Iranians aged 5-85 years. DESIGN: Cross-sectional. METHODS: Motor competence was assessed quantitatively by the Test of Motor Competence; two fine motor skills (placing and building bricks) and two gross motor skills (heel-to-toe-walking and walking/running in slopes) to assess dynamic balance. Task scores were summed and transformed into standardized scores (z-scores). Data were stratified by 12 chronological age groups and sex. RESULTS: Participants were 500 Iranians aged 5-85 years (females = 64%, age 5-35 years = 82%). There were significant age differences in motor competence and the distribution between age and z-score distribution was u-shaped. Between childhood and adolescence there was a rapid improvement in motor competence with maximal speed (-2 standard deviations) occurring among 19-25-year-olds. For each decade after age 25 years, z-scores progressively decreased approximately 1 standard deviations until age ≥56 years when performance decreased to approximately the same speeds as children (> +3 standard deviations). Sex differences were observed between children and adolescents. CONCLUSIONS: The sample characteristics constrain the generalizability of our findings. The Test of Motor Competence is easy to administer, uses a standardized test battery for people aged 5-85 years, and the quantitative outcome enables longitudinal monitoring of motor competence across the life course. As life expectancy and the proportion of populations aged >65 years increases, understanding how to maintain health in older age is an important public health issue in 21st century.


Asunto(s)
Longevidad , Destreza Motora , Adolescente , Niño , Estudios Transversales , Femenino , Humanos , Irán , Masculino , Caminata
19.
Eur J Prosthodont Restor Dent ; 30(1): 20-35, 2022 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-33934582

RESUMEN

OBJECTIVE: Despite the increased popularity of endocrowns, there is no clear consensus considering their effectiveness to restore severely-destructed endodontically treated premolars. This study aimed to assess the biomechanical behavior of endodontically treated maxillary first premolars restored with a novel endocrown system compared to the conventional one. MATERIALS AND METHODS: Twenty sound human maxillary first premolars were collected. After endodontic treatment, they were divided into 2 groups (n=10) according to the system used for endocrown fabrication. Group C (Control): conventional monolithic IPS e.max CAD endocrowns. Group P: novel bi-layered endocrowns (Pekkton ivory coping veneered with cemented IPS e.max CAD). All specimens were subjected to 10000 thermal cycles followed by 240000 dynamic load cycles. Surviving specimens were subjected to fracture resistance test followed by qualitative analysis using Stereomicroscopy and Scanning Electron Microscopy. RESULTS: A significantly higher load was observed for Group P (1831.37 ± 240.69 N) than Group C (1433.47 ± 174.39 N) (p ⟨ 0.001). A statistically significant difference was observed considering the failure mode (p = 0.036), with more favorable fractures detected with Group P. CONCLUSIONS: The tested novel endocrown system improved the biomechanical behavior of the tooth/ restoration complex in the restored endodontically treated maxillary first premolars. CLINICAL SIGNIFICANCE: The tested novel endocrown system with a PEKK coping veneered with cemented IPS e.max CAD can be considered a promising option for restoration of severely-destructed endodontically treated premolar teeth. It can be considered as a conservative alternative option to the conventional treatment modalities.


Asunto(s)
Fracturas de los Dientes , Diente no Vital , Diente Premolar , Coronas , Porcelana Dental , Fracaso de la Restauración Dental , Análisis del Estrés Dental , Humanos , Ensayo de Materiales , Fracturas de los Dientes/terapia , Diente no Vital/terapia
20.
Materials (Basel) ; 14(24)2021 Dec 13.
Artículo en Inglés | MEDLINE | ID: mdl-34947296

RESUMEN

The direct influence of La3+ ions on the gamma-ray shielding properties of cobalt-doped heavy metal borate glasses with the chemical formula 0.3CoO-(80-x)B2O3-19.7PbO-xLa2O3: x = 0, 0.5, 1, 1.5, and 2 mol% was examined herein. Several significant radiation shielding parameters were evaluated. The glass density was increased from 3.11 to 3.36 g/cm3 with increasing La3+ ion content from 0 to 2 mol%. The S5 glass sample, which contained the highest concentration of La3+ ions (2 mol%), had the maximum linear (µ) and mass (µm) attenuation coefficients for all photon energies entering, while the S1 glass sample free of La3+ ions possessed the minimum values of µ and µm. Both the half value layer (T1/2) and tenth value layer (TVL) of all investigated glasses showed a similar trend of (T1/2, TVL)S1 > (T1/2, TVL)S2 > (T1/2, TVL)S3 > (T1/2, TVL)S4 > (T1/2, TVL)S5. Our results revealed that the S5 sample had the highest effective atomic number (Zeff) values over the whole range of gamma-ray energy. S5 had the lowest exposure (EBF) and energy absorption (EABF) build-up factor values across the whole photon energy and penetration depth range. Our findings give a strong indication of the S5 sample's superior gamma-ray shielding characteristics due to the highest contribution of lanthanum oxide.

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