Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 80
Filtrar
1.
Spectrochim Acta A Mol Biomol Spectrosc ; 324: 124989, 2024 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-39154403

RESUMO

A newly developed 2H5MA-MOF sensor by covalently linking NH2-MIL-53(Al) with 2'-Hydroxy-5'-methylacetophenon, designed for highly sensitive and selective detection of Cd2+ ions using fluorometric methods. Detailed structural and morphological analyses confirmed the sensor's unique properties. It demonstrated an impressive linear detection range from 0 to 2 ppm, with an exceptionally low detection limit of 5.77 × 10-2 ppm and a quantification limit of 1.75 × 10-1 ppm, indicating its high sensitivity (R2 = 0.9996). The sensor also responded quickly, detecting Cd2+ within just 30 s at pH 4. We successfully tested it on real samples of tap water and human blood plasma, achieving recovery rates between 96 % and 104 %. The accuracy of these findings was further validated by comparison with ICP-OES. Overall, the 2H5MA-MOF sensor shows great potential for fast, ultra-sensitive, and reliable detection of Cd2+ ions, making it a promising tool for environmental and biomedical applications.

2.
BMC Rheumatol ; 8(1): 32, 2024 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-39103942

RESUMO

BACKGROUND: Interstitial lung disease (ILD) is an increasingly recognized complication of rheumatoid arthritis (RA) and is associated with significant morbidity and mortality. Many risk factors for RA-related ILD were reported. The current study aims to explore the features and risk factors of Saudi patients with RA-ILD. METHODS: This is a multicenter, retrospective, observational study of patients with RA-ILD. Clinical and radiological data from patients with RA-ILD were obtained from electronic medical records, including demographics, clinical characteristics, laboratory tests, pulmonary function tests, ECHO, and HRCT images. RESULT: Out of 732 patients, 57 had RA-ILD. The mean age at the time of ILD diagnosis was 61.9 (± 12.2) years. RA-ILD diagnosis was significantly less among females (p = 0.008). Patients who ever smoked had significantly more RA-ILD (p < 0.001). Patients with RA-ILD were more likely to present with medical comorbidities, namely diabetes (p < 0.001), hypertension (p < 0.001), ischemic heart disease (p < 0.001), and osteoarthritis (p = 0.030). The multivariate analysis revealed that the age (OR: 1.035, 95% CI: 48.45-52.86, p = 0.0001); gender (OR: 2.581, CI: 1.77-1.86, p = 0.001), DM (OR: 2.498, 95% Cl: 1.65-1.76, P = 0.0001), HTN (OR: 1.975, 95% Cl: 1.61-1.74, P = 0.019), IHD (OR: 6.043, 95% Cl: 1.89-1.93, P = 0.0001) have a significant positive association with RA-ILD. No significant differences were observed between seropositive parameters with or without RA-ILD (p > 0.05). The most common symptoms of RA-ILD were cough (55.6%) and dyspnea (30.2%), and the most common ILD pattern was Non-specific Interstitial Pneumonia (NSIP) (55.6%) followed by Usual Interstitial Pneumonia (UIP) (38.9%). Traction bronchiectasis (75.5%) and glass ground opacities (73.6%) were also observed. The mean FVC and DLCO at baseline were 64.6% and 53.3%, respectively. CONCLUSION: In this cohort of patients, Saudi RA-ILD patients had a predominant NSIP pattern conversely to what is seen globally. These findings could be explained by the lower rates of smoking in our patient population. Future prospective national studies are needed to confirm the current findings and better evaluate RA-ILD epidemiology and risk factors.

3.
J Bone Metab ; 31(2): 75-89, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38886966

RESUMO

Vitamin D (ViD), plays an important role in calcium absorption and bone mineralization, is associated with bone mineral density. Severe deficiency in ViD has long been linked to conditions such as rickets in children and osteomalacia in adults, revealing its substantial role in skeletal health. Additionally, investigations show an existing interconnection between ViD and insulin resistance (Ins-R), especially in patients with type 2 diabetes mellitus (T2DM). Obesity, in conjunction with Ins-R, may augment the risk of osteoporosis and deterioration of skeletal health. This review aims to examine recent studies on the interplay between ViD, Ins-R, obesity, and their impact on skeletal health, to offer insights into potential therapeutic strategies. Cochrane Library, Google Scholar, and Pubmed were searched to investigate relevant studies until December 2023. Current research demonstrates ViD's impact on pancreatic ß-cell function, systemic inflammation, and insulin action regulation. Our findings highlight an intricate association between ViD, Ins-R, obesity, and skeletal health, providing a perspective for the prevention and/or treatment of skeletal disorders in patients with obesity, Ins-R, and T2DM.

4.
Ann Thorac Med ; 19(2): 147-154, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38766376

RESUMO

BACKGROUND: Since its first outbreak, coronavirus disease 2019 (COVID-19) has led to a great deal of published literature highlighting the short-term determinants of morbidity and mortality. Recently, several studies have reported radiological and functional sequelae from 3 months to 1 year among hospitalized COVID-19 survivors; however, long-term (more than 1 year) respiratory consequences in this population remain to be evaluated. OBJECTIVE: To assess the long-term radiological and pulmonary function outcomes of patients with COVID-19 2 years after resolution of the initial infection. METHODS: Hospitalized COVID-19 patients with moderate to severe disease who survived acute illness were included in this prospective and partially retrospective study. Clinical assessment, laboratory tests, high-resolution computed tomography scans, and pulmonary function tests (PFTs) were performed at baseline, followed by radiological and lung function assessments at 6 and 24 months. RESULTS: Among 106 enrolled participants (mean age 62 ± 13.5 years; males: 61), 44 (41.5%) and 27 (25.4%) underwent radiological assessment at 6 and 24 months, respectively. Overall, 22.6% (24) of patients had residual radiological abnormalities. Overt fibrosis was observed in 12.2% of patients. Computed tomography disease severity and extent diminished significantly at 6 (13 ± 6, P < 0.001) and 24 months (11 ± 6, P < 0.001) from baseline. PFTs were performed in 65 (61.3%), 22 (20.7%), and 34 (32%) patients at baseline, 6 and 24 months, respectively. Impaired diffusion capacity (median diffusion capacity for carbon monoxide: 60%, interquartile range [IQR]: 51-80), restrictive lung defect (mean total lung capacity: 73.4% ± 18% predicted), and reduced exercise tolerance (median 6-min walk distance: 360 m, IQR: 210-400) were the predominant features at baseline. With the exception of exercise tolerance, a statistically significant improvement was observed in lung function parameters at the extended follow-up (2 years). CONCLUSIONS: Hospitalized COVID-19 survivors are at increased risk of developing long-term pulmonary complications, including lung fibrosis. A protocol-based approach to the management of post-COVID-19 patients is mandatory to improve future outcomes.

5.
RSC Adv ; 14(17): 11633-11642, 2024 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-38605901

RESUMO

The natural gas production industry faces the problem of the proper disposal of produced water and its treatment with significantly advanced technologies to meet the minimum quality standard for irrigation activities, commercial purposes, and consumption by living organisms. This study describes an effective method for reducing the COD (chemical oxygen demand) content in formation water using different metal oxide nanoparticles such as iron oxide (FO), iron zinc oxide (FZO), and iron vanadium oxide (FVO) nanoparticles. These nanoparticles were synthesized and fully characterized using powder X-ray diffraction (XRD) analysis, Fourier transform infrared (FT-IR) spectroscopy, field emission scanning electron microscopy (SEM), energy dispersive X-ray (EDX) analysis, dynamic light scattering particle size (DLS) analysis and zeta potential analysis. The experimental results revealed that the maximum reduction of COD content was 42.18% using FVO nanoparticles with a dose of 3 g L-1 at 25 °C and pH = 6. Compared to commercial products [Redoxy and Oxy(OXYSORB)], the synthesized FO, FZO, and FVO nanoparticles demonstrated their superiority by achieving excellent results in decreasing the COD content of wastewater associated with natural gas production by more than 86%. This study introduces a promising technique for decreasing the COD content using metal oxide nanoparticles, which are eco-friendly, bio-safe, cheap, and nontoxic materials, and improving the quality of wastewater associated with natural gas production for its safe disposal through sewage and treatment plants.

6.
ACS Omega ; 9(5): 5386-5394, 2024 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-38343948

RESUMO

The present study described the construction and the electrochemical futures of a novel inject-printed electrochemical sensor based on spinel ferrite-doped manganese oxide nanoparticles (FMnONPs) for the sensitive differential pulse voltammetric quantification of brimonidine (BRIM) in ophthalmic solutions. At the optimized electroanalytical parameters, calibration graphs were linear within the BRIM concentration range of 24-3512 ng mL-1 and recorded a detection limit value of 8.21 ng mL-1. Cyclic voltammograms recorded at different scan rates indicated an adsorption-reaction mechanism for the electrooxidation of BRIM at the electrode surface with the involvement of two electrons and one proton based on the oxidation of the five-membered ring nitrogen atom as recommended by the molecular orbital calculations. The enhanced performance of the introduced inkjet-printed sensors integrated with FMnONPs encourages their application for monitoring BRIM residues in ophthalmic solutions and biological fluids in the presence of BRIM degradation products and other interferents for diverse quality control applications.

7.
Naunyn Schmiedebergs Arch Pharmacol ; 397(3): 1817-1828, 2024 03.
Artigo em Inglês | MEDLINE | ID: mdl-37750935

RESUMO

Antihypertensive medications have been associated with a reduction in hemoglobin (Hb) levels, leading to clinically significant anemia. We aimed to provide valuable insights into the impact of angiotensin receptor blockers (ARBs) and calcium channel blockers (CCBs) on hematological parameters by measuring the levels of erythropoietin (EPO), ferritin, and complete blood count (CBC) in individuals with type 2 diabetes mellitus (T2DM), particularly considering the duration of the antihypertensives use. In addition to comparing their effects on blood pressure, glycemic status, and renal function, a retrospective cohort study was conducted at the consultation unit of Alsalam Teaching Hospital, Mosul, Nineveh Province, between October 2022 and February 2023. A total of 160 participants were enrolled after being fully examined by the consultants to detect their eligibility for inclusion in the study and to rule out any abnormality. They consisted of 40 healthy controls, 30 T2DM patients (T2DM group), 30 T2DM patients with newly diagnosed hypertension (HT) (T2DM+HT group), 30 type 2 diabetic-hypertensives on ARBs (T2DM+HT+ARBs group), and 30 type 2 diabetic-hypertensives on CCBs (T2DM+HT+CCBs group). Five milliliters of blood was drawn from a vein and divided into two parts. Two milliliters was transferred into an anticoagulant tube for the measurement of HbA1c and complete blood picture. Serum was obtained from the remaining blood and used for assessment of ferritin, EPO, FSG, creatinine, urea, and uric acid. Significantly reduced FSG and HbA1c levels were observed in T2DM+HT+CCBs and T2DM+HT+ARBs groups vs T2DM+HT group (p < 0.05). The T2DM+HT+CCBs group had statistically higher urea levels than the T2DM group (p < 0.05). Both CCBs and ARBs use resulted in reduced creatinine clearance (CrCl). T2DM+HT+CCBs group exhibited slightly higher uric acid levels compared to controls (p < 0.05). Prolonged use of CCBs and ARBs led to disturbances in hematological parameters, with CCBs users showing the lowest levels of hemoglobin (Hb), RBCs, and hematocrit (Hct) among the groups. ARBs users displayed the lowest values of EPO and ferritin compared to other patient groups, along with reduced levels of Hb, RBCs, and Hct, albeit slightly higher than CCBs users. Our study highlights the importance of a balanced approach in prescribing ARBs and CCBs to patients with T2DM, given their potential to induce blood abnormalities, particularly with prolonged usage.


Assuntos
Diabetes Mellitus Tipo 2 , Hipertensão , Humanos , Bloqueadores dos Canais de Cálcio/uso terapêutico , Diabetes Mellitus Tipo 2/complicações , Antagonistas de Receptores de Angiotensina/uso terapêutico , Hemoglobinas Glicadas , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Creatinina , Estudos Retrospectivos , Ácido Úrico , Anti-Hipertensivos/uso terapêutico , Hipertensão/tratamento farmacológico , Hemoglobinas , Ureia , Ferritinas/uso terapêutico
8.
Chronic Obstr Pulm Dis ; 11(1): 121-132, 2024 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-37813825

RESUMO

Background: Alpha-1 antitrypsin deficiency (AATD) is an often-overlooked genetic condition that makes individuals susceptible to early onset of chronic obstructive pulmonary disease (COPD). The established benefits of exercise-based pulmonary rehabilitation (PR) for usual COPD patients are unclear for those with underlying AATD, especially given potentially differing muscle adaptations to exercise. This review seeks to compare PR outcomes between AATD and usual COPD patients and to consolidate current knowledge on exercise intervention outcomes for the AATD population. Methods: A thorough search of 4 databases (Ovid, Medline, CINAHL, CENTRAL) was conducted based on 3 search concepts: (1) alpha-1 antitrypsin deficiency, (2) pulmonary rehabilitation OR exercise, and (3) muscle morphology. A dual review process and quality assessment were independently implemented throughout all stages of the review. Results: Four studies highlighted modest exercise capacity and quality of life in AATD patients undergoing PR. However, one study reported unique muscle and mitochondrial responses compared to usual COPD patients. Additionally, a moderate exercise session did not alter pro-inflammatory cytokine levels in AATD patients, despite higher levels of tumor necrosis factor-α levels in muscle biopsies compared to usual COPD patients. Conclusions: The current literature base insufficiently addresses the efficacy of PR on AATD, with indications that exercise adaptation may deviate from that of usual COPD patients. Further research is needed to optimize PR, particularly in identifying the most suitable exercise intensity, and delivery setting, and addressing specific educational needs for individuals with AATD.

9.
Med Sci Monit ; 29: e941488, 2023 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-37997301

RESUMO

BACKGROUND The aim of this study was to assess the influence of maxillofacial prosthodontic rehabilitation on anxiety/depression severity in patients with rhino-orbital cerebral mucormycosis (ROCM) after maxillectomy. MATERIAL AND METHODS Sixty post-mucormycotic patients treated with maxillectomy (33 males, 27 females) were divided into 5 groups based on maxillectomy types (unilateral/bilateral, subtotal/total) and treatment given (psychotherapy/obturator/implant/orbital/ocular prosthesis). Anxiety and depression symptoms were assessed using appearance anxiety inventory (AAI) and patient health questionnaire (PHQ9). Data were collected at 4 time intervals [T0 (before prosthesis), T1 (2 weeks after prosthesis), T2 (6 months) and T3 (1 year). Frequency distribution and mean values were determined for individual group/subgroups/total cohort. Differences between groups were determined using one-way ANOVA (single-factor/Friedman's) followed by post hoc correction (Bonferroni) and t test for unequal variance with probability P value being statistically significant at <0.05. RESULTS The mean scores for appearance anxiety were 29.13±4.72 (diagnostic for existing body dysmorphic disorder) at T0, which decreased to 16.88±3.02 at T3 for the total cohort. The differences for the gender-based cohort, its various groups, and respective subgroups were significant (P<0.05) at various time intervals. The mean scores in the total cohort for depression symptom severity were 16.81±4.89 (moderately severe) at T0, which increased to 18.5±4.94 at T1, followed by reduction at T2 (12.0±4.43; moderate) and T3 (7.38±3.37; mild). Gender differences for both variables were found to be statistically significant (P<0.05). CONCLUSIONS Comprehensive rehabilitation that included a diagnosis of psychological symptoms followed by psychotherapeutic/pharmacotherapeutic/prosthodontic intervention reduced the anxiety/depression symptom levels to normal at 1 year.


Assuntos
COVID-19 , Mucormicose , Masculino , Feminino , Humanos , Depressão/psicologia , Prostodontia , Ansiedade/psicologia
10.
J Hazard Mater ; 459: 132205, 2023 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-37604036

RESUMO

Comprehensive air and surface soil monitoring was conducted for new and legacy organochlorine pesticides (OCPs) to fill the knowledge and data gap on the sources and fate of pesticidal persistent organic pollutants (POPs) in the Sultanate of Oman. DDTs in agricultural soil samples ranged from 0.013 to 95.80 ng/g (mean: 8.4 ± 25.06 ng/g), with a median value of 0.07 ng/g. The highest concentration was observed at Shinas, where intensive agricultural practice is prevalent. The dominance of p,p'-DDT in soil and air reflected technical DDT formulation usage in Oman. Among newly enlisted POPs, pentachlorobenzene had the maximum detection frequency in air (47%) and soil (41%). Over 90% of sites reflected extensive past use of hexachlorobenzene. Major OCP isomers and metabolites showed net volatilisation from the agricultural soil, thereby indicating concurrent emission and re-emission processes from the soil of Oman. However, the cleansing effect of oceanic air mass is the possible reason for relatively lower atmospheric OCP levels from a previous study. Although DDT displayed maximum cancer risk, the level is below the permissible limit. DDT primarily stemmed from obsolete stock and inadequate management practices. Hence, we suggest there is a need for DDT regulation in Oman.

11.
Environ Technol ; : 1-20, 2023 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-37248830

RESUMO

In the current investigation, we have reported on the preparation of Na-Mordenite (MOR) modified by tryptophan (MOR-NH2) nanocomposite was synthesized and characterized using FT-IR, XRD, SEM, XPS, and BET that represented that the MOR-NH2 has high surface area 288 m2/g and pore volume 0.38 cm3/g. This composite represented high efficiency in removal of food dye Azorubine (E122) was 1043 mg/g. Study all the factors that affected on the adsorption such as pH, dose, salinity, E122 dye concentration as well as study the adsorption isotherm models that represented that was fitted to Langmuir. Moreover, study the effect of time according to it the adsorption process was fitted to Pseudo-second-order, and the effect of temperature that approved that the reaction was endothermic, spontaneous, and chemisorption process. The MOR-NH2 nanocomposite was tested and proven to effectively inhibit the growth of Escherichia coli ATCC® 25922™ and Staphylococcus aureus ATCC® 25923™ at low concentrations. To the best of our knowledge, this work is the first to report the usage of MOR-NH2 adsorbents for the removal of E122 dye in wastewater samples. The mechanism of interaction between MOR-NH2 and E122 dye was determining as it could be through Hydrogen bonding, pore filling, or through π-π interaction. This research offers a promising solution for purifying water sources that are contaminated with a variety of chemicals, microorganisms, and other contaminants.

12.
Med Sci Monit ; 29: e940098, 2023 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-37183802

RESUMO

BACKGROUND The present study aimed to compare the clinical performance and gingival sulcus width changes in partially edentulous patients using cotton and polymer gingival retraction cords. MATERIAL AND METHODS Fifty partially edentulous patients were divided into 2 groups (Gp C and Gp P) and were subjected to single crown/fixed partial denture treatment. Clinical parameters, including plaque index scores, placement time, and hemorrhage control scores, were assessed. Gingival sulcus width changes before and after retraction were evaluated using individual type 4 dental stone dies observed under an optical microscope. Statistical analysis was performed using dependent/independent t tests. RESULTS The mean placement time, hemorrhage control time, and hemorrhagic scores were lower in Gp P than in Gp C, indicating better clinical performance of polymer-based retraction cord. Both groups showed an increase in sulcus width after retraction, but Gp P had a significantly higher sulcus width (690.03±45.37) compared to Gp C (471.38±28.13). The mean difference in sulcus width between baseline and after retraction was also significantly higher in Gp P (525.84 micrometers) than in Gp C (309.11 micrometers). CONCLUSIONS The present study shows that polymer-based cords produce more sulcus width and have better clinical performance compared to cotton-based gingival retraction cords. These results suggest that the use of polymer-based retraction cords can improve the quality of dental impressions in partially edentulous patients.


Assuntos
Gengiva , Polímeros , Humanos , Coroas , Hemorragia
13.
ACS Omega ; 8(17): 15276-15287, 2023 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-37151541

RESUMO

In this work, silica nanoparticles were modified by 5-chloro-8-quinolinol as a new nanocomposite for the efficient elimination and preconcentration of Al3+ ions from several water sources. The fabricated composite was characterized utilizing XRD, SEM, FT-IR, TEM, CHN elemental analyzer, and N2 adsorption/desorption analyzer. The XRD demonstrated the existence of a wide peak at 2θ = 30°. Also, all the peaks of silica were severely reduced, which confirms the success of loading the 5-chloro-8-quinolinol on the surface of the silica. The SEM and TEM images demonstrated that the composite resembled cotton, and this confirms that 5-chloro-8-quinolinol was successfully loaded on the silica surface. The specific surface area, the average pore size, and the total pore volume of the synthesized composite are 80.53 m2/g, 3.26 nm, and 0.185 cc/g, respectively. In addition, the greatest uptake capacity of the synthesized composite toward aluminum ions is 95.06 mg/g. The results indicated that the adsorption of aluminum ions onto the silica/5-chloro-8-quinolinol composite follows the Langmuir isotherm and pseudo-second-order model. Moreover, the adsorption of aluminum ions by the silica/5-chloro-8-quinolinol composite is spontaneous, chemical, and thermodynamically favorable. The values of % recovery were more than 97%, whereas the values of % RSD were less than 3.5%. Hence, this confirms the effectiveness of the proposed method in the determination of aluminum ions in real water samples.

14.
Heart Lung ; 61: 46-50, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37148814

RESUMO

BACKGROUND: The high-flow nasal cannula (HFNC) has received much attention in various clinical settings and has been approved recently for application in pediatric care. OBJECTIVES: To determine whether HFNC use improves cardiopulmonary outcomes in pediatric patients with the cardiac disease more effectively than alternative oxygen therapies. METHODS: Systematic review was performed using PubMed, Scopus, and Web of Science databases. Randomized controlled trials comparing HFNC with alternative oxygen therapies and observational studies that solely reported on the use of HFNC in the pediatric population were included between 2012 and 2022. RESULTS: Nine studies with approximately 656 patients were reported in this review. HFNC significantly increased systemic oxygen saturation across all literature investigating this parameter. Other notable outcomes in HFNC patients included normalizing heart rate, partial blood pressure, and PaO2/FiO2 ratio. However, some studies reported a complication rate concurrent with traditional oxygen therapies, and a suggested HFNC failure rate of 50% was observed. CONCLUSIONS: Compared with traditional oxygen therapies, HFNC can reduce anatomical dead space and normalize systemic oxygen saturation, PaO2/FiO2 ratio, heart rate, and partial blood pressure. We advocate using HFNC therapy in children with cardiac diseases as the currently available evidence supports HFNC use over other oxygenation treatments in the pediatric population.


Assuntos
Ventilação não Invasiva , Insuficiência Respiratória , Humanos , Criança , Cânula , Oxigênio , Oxigenoterapia , Gasometria , Pulmão , Insuficiência Respiratória/etiologia
15.
J Pediatr Urol ; 19(4): 433.e1-433.e8, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37029012

RESUMO

INTRODUCTION: Lean methodologies have been used successfully in both industry and healthcare to reduce waste. The operating room (OR) and central supplies department (CSD) are areas associated with high hospital costs. The aim of this study was to employ Lean methodologies to support the rationalisation of surgical trays in paediatric inguinoscrotal surgery in order to reduce instrument wastage, processing times and overall costs in a European setting. METHODS: This was a prospective, pilot observation and implementation study using Lean methodology including DMAIC (Define, Measure, Analyse, Improve and Control) cycles. Relevant tray set-up included trays for boys ≥12 months age undergoing open elective inguinoscrotal surgery. A comparative analysis of two phases, pre and post-standardization was then carried out with respect to operating times, instrument set-up times, tray weights, and costs. Instruments that were used <40% of the time were eliminated from the surgical tray. RESULTS: Rationalization of the inguinoscrotal tray led to a 34.7% reduction in tray size, with a concomitant time-reduction of >2 min per case. The average overall instrument utilisation rate increased from 56% to 80% across users. Cost savings were projected at €5380.40 per annum based on current changes. There were no differences in operative time, or adverse outcomes. DISCUSSION: At the hospital level, the reduction in variation, and rationalisation of this single surgical tray could lead to both operational (Tray assembly process; Operating rooms; Ergonomic functionality) as well as economic (Sterilisation; Instrument repair; Purchases) financial and ergonomic improvements for the healthcare system. The reduction in time taken to count and sterilise instruments can lead to a potential manpower saving involving a redistribution of activities to other areas which may require them. CONCLUSION: Surgical tray rationalisation is emerging Lean concept with overlap across a number of specialities, and represents a technique by which to manage costs, and improve supply chain efficiency without any adverse effect in patient healthcare outcomes.


Assuntos
Racionalização , Instrumentos Cirúrgicos , Criança , Humanos , Estudos Prospectivos , Irlanda , Salas Cirúrgicas
16.
Surgeon ; 21(5): 308-313, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36935272

RESUMO

BACKGROUND: There is underrepresentation of women at surgical conferences. We examine the representation of women in Irish urology by looking at gender balance within the Irish Society of Urology (ISU) conference. AIMS: ISU programmes over thirteen years from 2008 to 2020 were assessed and female representation in session chairs, guest speakers, poster and oral presentations identified. Gender distributions of authors for each year was examined. To investigate changes in female representation temporally, the period of this study (2008-2020) was subdivided and compared: 2008-2013 and 2014-2020. RESULTS: 76 sessions were presided over by 138 chairs, of which 6 (4.3%) were female. Eight conferences had zero female chairs. 62 guest lectures were given, 6 (9.6%) by women. Of total 340 poster and 434 oral presentations, women delivered 24.9% (0-47.5%) of posters and 31.6% (10.3-59.4%) of oral presentations. We found no significant difference in the percentage of female poster presentations between the time periods 2008-2013 (m = 18.2, sd = 13.7) and 2014-2020 (m = 34.3, sd = 17.8), t(11) = -1.4, p > 0.05. However, we found a significant difference in the percentage of female oral presentations between the periods 2008-2013 (m = 18.7, sd = 14.2) and 2014-2020 (m = 40.6, sd = 14.5), t(11) = -2.8, p < 0.05. CONCLUSIONS: Our study is the second to examine female representation in Irish urology. Session chairs and guest speakers were grossly overrepresented by males as were oral and poster presentations. Despite lacking female influence overall, in more recent years there was an increased representation of women. Societies should strive to increase female representation, as this perpetuates a positive feedback loop, encouraging future female trainees to pursue urological surgery.


Assuntos
Especialidades Cirúrgicas , Urologia , Feminino , Humanos , Masculino
17.
Int J Biol Macromol ; 238: 124028, 2023 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-36924871

RESUMO

Fluorescent inks have been emerged as a desirable encoding technique to enhance anticounterfeiting printing of commercial goods. However, significant drawbacks with fluorescent inks, such as poor durability, low efficiency, and high cost. Herein, we describe the preparation of a self-healing authentication ink based on carboxymethyl cellulose (CMC) hydrogel immobilized with nitrogen-doped carbon dots (NCD) nanoparticles (NPs) for cutting-edge anticounterfeiting applications. Security inks that self-heal are very durable. Under ambient conditions, the prepared NCD@CMC hydrogel could self-heal with a high healing efficiency. It might stick to diverse surfaces such as plastic, glass and paper sheets. The self-healing composite ink demonstrated outstanding photostability under UV light. Straightforward and environmentally friendly method was applied on the agricultural waste of rice straw toward the production of NCD using hydrothermal carbonization in an aqueous medium, and in the presence of NH4OH as an inexpensive passivating agent. The quantum yield (QY) for NCD reached 24.09 %. Various concentrations of NCD NPs were employed to produce self-healable nanocomposite inks with a variety of emission properties. Stamping homogeneous films onto paper surfaces produced a transparent layer. The CIE Lab and emission spectra of prints independently verified the capability of NCD nanocomposite inks to vary their color to blue under UV illumination. To measure the particle diameter of the prepared NCD, their morphological characteristics were examined by transmission electron microscopy (TEM) to indicate diameters of 10-25 nm. Utilizing various analytical techniques, the morphology and chemical composition of the fluorescent prints were examined. We examined the mechanical qualities of the stamped papers as well as the rheological characteristics of the ink hydrogel. Due to their colorless appearance, the excitation band of the printed films was peaked at 364 nm, while their emission was peaked at 465 nm. The current smart ink holds high potential for numerous applications like smart packaging and authentication, and shows great promise as a practical and mass production approach for easily creating anticounterfeiting stamps.


Assuntos
Carboximetilcelulose Sódica , Hidrogéis , Carboximetilcelulose Sódica/química , Carbono/química , Corantes , Raios Ultravioleta
18.
Environ Sci Pollut Res Int ; 30(22): 62676-62688, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36947383

RESUMO

Simple and green strategy was described for the development of multifunctional polyester nanofibers (PNFs). Solution blow spinning (SBS) technology was applied to in situ immobilize nanocomposites of polyaniline (PANi) and silver nanoparticles (AgNPs) into plasma-treated polyester nanoscaled fibers prepared. The polyester nanofibers were prepared from recycled polyethylene terephthalate waste, which was exposed plasma-curing and a REDOX reaction in the presence of AgNO3, aniline, and CH3COONH4. Plasma-catalyzed oxidative polymerization of aniline to polyaniline together with a reductive process of Ag+ to silver nanoparticles led to their enduring insoluble dispersion into the surface of polyester nanofibers. By taking the advantage of the PANi oxidation, AgNPs were precipitated from an aqueous medium of AgNPs. The morphological properties were investigated by various analytical techniques. The polyester fiber diameter was determined in the range of 450-650 nm. In addition, transmission electron microscopy (TEM) and scanning electron microscopy (SEM) were utilized to examine AgNPs, demonstrating diameters of 4-20 nm. The plasma-uncured AgNPs/PANi immobilized nanofibrous film displayed weak absorption bands at 399 nm and 403 nm upon increasing the concentration of AgNPs. On the other hand, the plasma-cured AgNPs/PANi immobilized nanofibers displayed strong absorption bands at 526 nm and 568 nm upon increasing the concentration of AgNPs. The AgNP-induced antimicrobial performance and the PANi-induced electrically conductivity were explored. The prepared PNFs showed high UV protection.


Assuntos
Nanopartículas Metálicas , Nanofibras , Prata/farmacologia , Polietilenotereftalatos , Compostos de Anilina , Oxirredução
19.
Med Sci Monit ; 29: e939225, 2023 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-36772790

RESUMO

BACKGROUND The purpose of the study was to evaluate the influence of dental implant placement at different bone levels upon the resultant postoperative peri-implant bone loss. MATERIAL AND METHODS Forty-two partially edentulous patients seeking implant-supported single-crown restorations were screened followed by segregation into 2 groups (GP), GP E (equicrestal) and GP S (subcrestal) (n=21 each). Sixty endosseous implants (30 each) (Adin Tourage-S, Israel), size 3.5/8 and 4/10 mm for mandibles, were placed using a 2-stage surgical procedure. At 4 to 6 months, straight abutments were attached followed by restoration (Vita Zahnfabrik, Germany). Crestal bone levels (mesial/distal) of implant fixtures were assessed at 5 time intervals (after surgery, and at 3, 6, 9, and 12 months) using digital radiography. Means and standard deviations were calculated, following which the differences were statistically analyzed using ANOVA at P value of <0.05. RESULTS The mean annual bone loss for GP S (1.96 mm) was higher than GP E (1.10 mm). At all studied time intervals, the bone loss for implants in GP S was higher than in GP E (P<0.05). Between time intervals, lowest bone loss was observed on the distal side in GP E (0.11 mm/6-9 month) and the highest bone loss was observed on the distal side of GP S (0.6 mm/9-12 month). Differences in the means between the 2 groups on mesial and distal sides were statistically significant at all time intervals (P<0.05). CONCLUSIONS Subcrestal implant placement was associated with more bone loss than when implants are placed at the crestal level.


Assuntos
Perda do Osso Alveolar , Doenças Ósseas Metabólicas , Implantes Dentários , Humanos , Próteses e Implantes , Mandíbula/cirurgia , Biometria , Coroas
20.
RSC Adv ; 13(9): 5656-5666, 2023 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-36798746

RESUMO

Nanomaterials are the most effective class of substances for use as adsorbents in wastewater treatment. Hence, the current study involves the facile and low-cost synthesis of MgMn2O4/Mn2O3 and MgMn2O4/Mn2O3/Mg6MnO8 as novel nanostructures from mixed solutions of Mg(ii) and Mn(ii) ions using the Pechini sol-gel method. After that, the remaining powder was calcined at 500, 700, and 900 °C for 3 h; the products were designated as G500, G700, and G900, respectively. The G500 sample consists of MgMn2O4 and Mn2O3, while the G700 and G900 samples consist of MgMn2O4, Mg6MnO8, and Mn2O3. The synthesized nanostructures were characterized using several tools, such as X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), and N2 adsorption/desorption analysis. The average crystallite size of the G500, G700, and G900 samples is 210.53, 95.27, and 83.43 nm, respectively. The SEM images showed that the G500 sample consists of square and rectangular bars with an average diameter of 3.18 µm. Also, the G700 and G900 samples consist of hexagonal, polyhedral, and irregular shapes with an average diameter of 1.12 and 0.54 µm, respectively. The synthesized nanostructures were further utilized as adsorbents for the efficient removal of tartrazine dye from aqueous media. The experimental data showed a good fit with the Langmuir isotherm and pseudo-first-order model. The maximum adsorption capacities of the G500, G700, and G900 adsorbents toward tartrazine dye are 328.95, 359.71, and 395.26 mg g-1, respectively.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA