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1.
J Environ Sci (China) ; 150: 159-176, 2025 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-39306393

RESUMO

Conversion and capture of carbon pollutants based on carbon dioxide to valuable green oil-field chemicals are target all over the world for controlling the global warming. The present article used new room temperature amphiphilic imidazolium ionic liquids with superior surface activity in the aqueous solutions to convert carbon dioxide gas to superior amphiphilic calcium carbonate nanoparticles. In this respect, tetra-cationic ionic liquids 2-(4-dodecyldimethylamino) phenyl)-1,3-bis (3-dodecyldimethylammnonio) propyl) bromide-1-H-imidazol-3-ium acetate and 2-(4-hexyldimethylamino) phenyl)-1,3-bis(3-hexcyldimethylammnonio) propyl) bromide-1 H-imidazol-3-ium acetate were prepared. Their chemical structures, thermal as well as their carbon dioxide absorption/ desorption characteristics were evaluated. They were used as solvent and capping agent to synthesize calcium carbonate nanoparticles with controlled crystalline lattice, sizes, thermal properties and spherical surface morphologies. The prepared calcium carbonate nanoparticles were used as additives for the commercial water based drilling mud to improve their filter lose and rheology. The data confirm that the lower concentrations of 2-(4-dodecyldimethylamino) phenyl)-1,3-bis (3-dodecyldimethylammnonio) propyl) bromide-1-H-imidazol-3-ium acetate achieved lower seawater filter lose and improved viscosities.


Assuntos
Carbonato de Cálcio , Dióxido de Carbono , Imidazóis , Líquidos Iônicos , Nanopartículas , Líquidos Iônicos/química , Carbonato de Cálcio/química , Dióxido de Carbono/química , Nanopartículas/química , Imidazóis/química
2.
Data Brief ; 57: 110927, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39351133

RESUMO

Wireless capsule endoscopy (WCE) is capable of non-invasively visualizing the small intestine, the most complicated segment of the gastrointestinal tract, to detect different types of abnormalities. However, its main drawback is reviewing the vast number of captured images (more than 50,000 frames). The recorded images are only sometimes clear, and different contaminating agents, such as turbid materials and air bubbles, degrade the visualization quality of the WCE images. This condition could cause serious problems such as reducing mucosal view visualization, prolonging recorded video reviewing time, and increasing the risks of missing pathology. On the other hand, accurately quantifying the amount of turbid fluids and bubbles can indicate potential motility malfunction. To assist in developing computer vision-based techniques, we have constructed the first multicentre publicly available clear and contaminated annotated dataset by precisely segmenting 17,593 capsule endoscopy images from three different databases. In contrast to the existing datasets, our dataset has been annotated at the pixel level, discriminating the clear and contaminated regions and subsequently differentiating bubbles and turbid fluids from normal tissue. To create the dataset, we first selected all of the images (2906 frames) in the reduced mucosal view class covering different levels of contamination and randomly selected 12,237 images from the normal class of the copyright-free CC BY 4.0 licensed small bowel capsule endoscopy (SBCE) images from the Kvasir capsule endoscopy database. To mitigate the possible available bias in the mentioned dataset and to increase the sample size, the number of 2077 and 373 images have been stochastically chosen from the SEE-AI project and CECleanliness datasets respectively for the subsequent annotation. Randomly selected images have been annotated with the aid of ImageJ and ITK-SNAP software under the supervision of an expert SBCE reader with extensive experience in gastroenterology and endoscopy. For each image, two binary and tri-colour ground truth (GT) masks have been created in which each pixel has been indexed into two classes (clear and contaminated) and three classes (bubble, turbid fluids, and normal), respectively. To the best of the author's knowledge, there is no implemented clear and contaminated region segmentation on the capsule endoscopy reading software. Curated multicentre dataset can be utilized to implement applicable segmentation algorithms for identification of clear and contaminated regions and discrimination bubbles, as well as turbid fluids from normal tissue in the small intestine. Since the annotated images belong to three different sources, they provide a diverse representation of the clear and contaminated patterns in the WCE images. This diversity is valuable for training the models that are more robust to variations in data characteristics and can generalize well across different subjects and settings. The inclusion of images from three different centres allows for robust cross-validation opportunities, where computer vision-based models can be trained on one centre's annotated images and evaluated on others.

3.
Cent Eur J Public Health ; 32(3): 160-165, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39352090

RESUMO

OBJECTIVES: Occupational allergic respiratory diseases frequently occur in individuals working in the agricultural and food production sectors, textile manufacturing, and industries involving exposure to isocyanates. The study aimed to describe trends surrounding the prevalence of occupational asthma (OA), occupational rhinitis (OR), and occupational hypersensitivity pneumonitis (OHP) in Eastern Slovakia between 1990-2021. METHODS: All cases of OA, OR, and OHP registered in a database at the Louis Pasteur University Hospital in Kosice, Slovakia, between 1990 and 2021, were divided into categories based on economic sector (agricultural, food production sectors, textile manufacturing, healthcare, industrial manufacturing, and tertiary sector) and causal agent. Changes in disease prevalence, causal agents, and economic sector association over time were analysed. RESULTS: There were 287 occupational respiratory cases (179 OA, 65 OR, and 43 OHP cases). The annual prevalence of OA declined significantly over the study period (p < 0.05). Overall, there was a significant decrease in cases from the agricultural (p < 0.001) and an increase in the industrial manufacturing (p < 0.01). The number of cases due to farming agents fell markedly over the study period, while metalworking fluids (MWFs) were found to be the most common causes of allergic respiratory diseases since 2018. CONCLUSIONS: This study found a decrease in the number of OA cases, as well as changes in economic sectors and causal agents associated with OA and OHP, specifically, in the agricultural sector, with MWFs from the industrial manufacturing sector now being the most common aetiological agent.


Assuntos
Doenças Profissionais , Humanos , Eslováquia/epidemiologia , Doenças Profissionais/epidemiologia , Adulto , Masculino , Feminino , Prevalência , Pessoa de Meia-Idade , Agricultura , Exposição Ocupacional/efeitos adversos , Indústria Manufatureira , Asma Ocupacional/epidemiologia , Doenças Respiratórias/epidemiologia
4.
Acta Bioeng Biomech ; 26(1): 99-107, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-39219075

RESUMO

Purpose: The aim of this study was to measure blood and blood mimicking fluids viscosity at different shear rates (on the interval of 0.1-5000 1/s and 0.1-10000 1/s) while taking into consideration the measuring device's capability and blood's characteristics. We also provided the measurement results of the most accurate measuring program. Methods: We measured blood samples from five donors, and four different blood mimicking fluid compositions. The measurements were done on an Anton Paar Physica MCR301 rotational rheometer with two measuring programs varying in the shear rate intervals, the number of measuring points and the measuring point durations. Results: The results confirmed the significant shear thinning and thixotropic effects of blood. Blood mimicking fluids also had these characteristics. The measured blood viscosity values are in agreement with those of the literature. Conclusions: It can be concluded that the step test program was able to give more stable results as the measured torque was over the nominal limit of 0.05 ìNm over 0.1 1/s and over the selected torque limit of 0.5 ìNm over 31.6 1/s. Blood mimicking fluid measurement results were different from that of the literature due to different measuring conditions. The sample consisting of water, glycerol and starch mimicked well blood's behaviour and viscosity values at 37 degrees Celsius.


Assuntos
Viscosidade Sanguínea , Humanos , Resistência ao Cisalhamento , Estresse Mecânico , Viscosidade
5.
Zoo Biol ; 2024 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-39229935

RESUMO

While translocations of white rhinoceroses have become an important conservation tool, dehydration during long-distance transports has been identified as a welfare concern. Intravenous (iv) fluid administration might therefore be useful to mitigate dehydration; however, special requirements need to be met to make iv fluid administration suitable for large, wild rhinoceroses during transport. Requirements include a portable and robust system that is capable of delivering high flow rates, is easy to set up, and remains patent and operating for long periods of time while allowing the animals to freely stand or lay down in the transport crates. Due to the lack of suitable fluid administration systems, we developed a custom-made system consisting of 8 L drip bags, a three-part, 4.4-m-long, large bore and partially coiled administration set, and a robust, battery-operated infusion pump, which allowed us to successfully administer iv fluids at a maintenance rate of 1-2 mL/kg/h to eight rhinoceroses for 24 h during a mock transport. While iv fluid administration in transported rhinoceroses is time intensive and the large amount of drip bags required during lengthy transports might pose a limitation, the developed system may be useful for the long-distance transport of small groups of rhinoceroses. Furthermore, this system would be of value for injured or sick rhinoceroses, which require parenteral fluid therapy when commercially available infusion pumps cannot provide the large fluid volumes needed.

6.
Anal Bioanal Chem ; 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39259273

RESUMO

In recent years, synthetic cannabinoids (SCs) have become a major public health issue. For this reason, there is a need for innovative analytical methods that allow its monitoring in biological matrices. In this work, we propose a novel methodology to screen eight SCs (AM-694, cumyl-5F-PINACA, MAM-2201, 5F-UR-144, JWH-018, JWH-122, UR-144 and APINACA) in oral fluids. A bar adsorptive microextraction method followed by microliquid desorption combined with high-performance liquid chromatography with diode array detection (BAµE-µLD/HPLC-DAD) was developed to monitor the target SCs. The main factors affecting the BAµE technology were fully optimized for oral fluid analysis. Under optimized experimental conditions, the proposed methodology showed good linear dynamic ranges from 20.0 to 2000.0 µg L-1 (r2 > 0.99, relative residuals < 15%), limits of detection between 2.0 and 5.0 µg L-1 and suitable average recovery yields (87.9-100.5%) for the eight studied SCs. The intra- and interday accuracies (bias ≤ ± 14.7%) and precisions (RSD ≤ 14.9%) were also evaluated at three spiking levels. The validated methodology was then assayed to oral fluid samples collected from several volunteers. The proposed analytical approach showed remarkable performance and could be an effective alternative for routine monitoring of the target compounds in oral fluid.

7.
J Cytol ; 41(3): 176-180, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39239314

RESUMO

Background: Most modern haematology analysers have a dedicated body fluid mode for cell counts of body fluids. Many analysers also count the number of high fluorescence cells (HF cells). HF cells have a large nuclear size and emit high fluorescence when stained with fluorescent dyes. Due to their large nuclear size, Malignant cells are counted as HF cells. Aims and Objectives: We aim to determine the diagnostic utility of HF cells in predicting the presence of malignant cells in serous effusions. Materials and Methods: HF cell counts were done on 209 serous fluid samples using the body fluid mode of Mindray BC-6800 plus haematology analyser. Papanicilaou-stained smears of all samples were examined for the presence of malignant cells by a panel of cytopathologists. ROC curve analysis was done to determine the sensitivity and specificity of HF cells in malignant effusions. Results: Out of 209 samples, malignant cells were found by microscopy in 97 cases (46.4%). The absolute number and percentage of HF cells were significantly higher (P < 0.001) in malignant effusions (HF# = 24.9 cells/ul, HF% = 10.4%) when compared to non-malignant samples (HF# = 4.95 cells/ul, HF% = 5.76%). ROC curve analysis determined an optimal cut-off of ≥30 HF cells/ul (sensitivity = 73.91, specificity = 55.66%) for the prediction of malignant cells. Conclusion: HF cells in serous effusions can be a helpful tool to aid the pathologist, but it is not an ideal screening test due to its low sensitivity (67.74%) and negative likelihood ratio (0.5) at a cut-off of ≥30 HF cells/ul. However, due to high specificity of 83.18% at a cut-off of ≥72 HF cells/ul, a meticulous search for malignant cells should be done on microscopy.

8.
Front Vet Sci ; 11: 1245569, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39229597

RESUMO

African swine fever (ASF) is one of the deadliest swine diseases, causing significant economic losses, threatening food security, and limiting pig production in affected countries. In the absence of an effective ASF vaccine, prevention and control of ASF depend mainly on effective biosecurity measures. In this study, the efficacy of SAFER®, a powdered disinfectant containing clay, an acid complex, and the active ingredient thyme essential oil, was tested against the ASF virus. The results showed that ASFV isolate (VNUA/HY/ASF1/Vietnam/2019) was inactivated by 3.5 and 5 Log10HAD50/ml after 20 and 120 min of treatment with SAFER®, respectively. When body fluids contaminated with ASFV, such as blood, saliva, urine, and feces, were treated with SAFER® for 20 min, the ASFV titer was reduced by 1.6, 2.2, 2.0, and 2.2 Log10HAD50/ml, respectively.

9.
Foods ; 13(17)2024 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-39272475

RESUMO

This study aimed to assess the antioxidant and anti-inflammatory properties, and bioaccessibility of Moringa oleifera ethanolic extracts using pressurized liquid extraction with varying ethanol concentrations (0%, 30%, 50%, 70%, and 100%) in water-ethanol mixtures. Quercetin derivatives and neochlorogenic acid were identified as major compounds via high-performance liquid chromatography with diode array detection. The 70% ethanol extract displayed the highest antioxidant activity and phenolic content, highlighting a strong correlation between phenolics and antioxidant potential. Extracts prepared with 50% and 70% ethanol (30 µg/mL) significantly inhibited TNF-α, IL-1ß, and IL-6 cytokine secretion, with the 70% ethanol extract demonstrating robust anti-inflammatory effects. During in vitro digestion (oral, gastric, and intestinal phases), minimal changes were noted in most phenolic compounds' post-oral phase, but reductions occurred after the gastric phase. Substantial decreases in major compounds and antioxidant activity were observed in post-gastric and intestinal phases. Overall, ethanolic extracts of Moringa oleifera, particularly those with 70% ethanol, exhibit promising antioxidant and anti-inflammatory properties, suggesting potential for developing therapeutic agents against oxidative stress and inflammation-related disorders. However, it is essential to protect these compounds to prevent their degradation during digestion.

10.
J Clin Med ; 13(17)2024 Sep 08.
Artigo em Inglês | MEDLINE | ID: mdl-39274532

RESUMO

Purpose: To investigate the influence of intraretinal fluid (IRF) on change in retinal nerve fiber layer (RNFL) and retinal ganglion cell layer (RGCL) and thickness in patients with naive neovascular AMD under anti-VEGF treatment. Design: post hoc analysis. Methods: 97 eyes of 83 patients on continuous therapy with intravitreal anti-vascular endothelial growth factors (anti-VEGF) and a follow-up of 24 months were included. RGCL and RNFL thickness in the perifoveal (-O), parafoveal (PF), and nasal areas and number of injections (IVI) were recorded before the first IVI as well as 1 and 2 years after initiating treatment and compared longitudinally and between groups with and without IRF. Results: The group with IRF at baseline had a higher RNFL thickness at baseline and showed a significant reduction in RNFL-PF between baseline and first and second follow-ups (p < 0.001) but not between first and second follow-ups. The group without IRF showed no significant reduction in RNFL over time. The presence of IRF was not associated with a reduction in RNFL-O or RNFL-nasal. RGCL thickness decreased significantly in both groups with and without IRF after 2 years. Number of IVIs showed no significant correlation to RNFL or RGCL after stratification for the presence of IRF. Conclusions: The presence of IRF has a significant influence on RNFL thickness at baseline as well as on its changes over time during anti-VEGF therapy. The preoperative presence of IRF should be considered when comparing changes in RNFL thickness after IVI.

11.
Anim Reprod ; 21(3): e20240065, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39286362

RESUMO

The oviduct and uterus provide an optimal environment for early embryo development, where effective communication between the embryo and the maternal reproductive tract is crucial for establishing and maintaining pregnancy. Oviductal and uterine-derived EVs play pivotal roles in this maternal-embryonic communication and in facilitating early embryo development. However, despite the ability of in vitro culture methods to produce viable embryos, the lack of exchange between the embryo and the mother often results in lower-quality embryos than those derived in vivo. Therefore, there is a pressing need to increase our understanding of the physiological mechanisms underlying embryo interaction with the oviduct and endometrium through EVs and to develop models capable of mimicking the in vivo environment. This review aims to provide up-to-date insights into the communication between the mother and pre-implantation bovine embryo, exploring their applications and perspectives in the field.

12.
Forensic Sci Int ; 364: 112219, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39270472

RESUMO

Vaginal fluid analysis plays a crucial role in sexual assault investigations. However, vaginal fluid found at crime scenes is usually subject to a certain duration of exposure. This study thus aimed to assess the influence of different durations of exposure to indoor environment on the vaginal microbiota. The 16S rDNA high-throughput sequencing was used on vaginal fluid samples exposed for short-term (30 days) and long-term (240 days), respectively. Despite potential contamination from environmental microorganisms, particularly following long-term exposure, the results indicated that the vaginal microbiota after exposure was still dominated by Lactobacillus. Both in short-term and long-term exposure involving vaginal fluid, there were clusters with time-dependent characteristics, wherein the relative abundances of associated microbial genera showed a trend of increasing or decreasing over time. In addition, each bodily fluid presented with a unique array of dominant bacterial genera, enabling the differentiation of exposed vaginal fluid samples from other bodily fluids (semen, skin, saliva, feces) with a remarkable 98.75 % accuracy rate. Furthermore, the mean absolute error achieved by the long-term deposition time prediction model was 13.54 days. The mean absolute error for the short-term deposition time prediction model was notably lower, reaching just 2.05 days. In summary, this study investigates the variations in microbial communities within vaginal fluid subjected to different indoor exposure durations and explores their potential in body fluid identification and estimating the time since deposition, thereby contributing valuable supporting evidence in forensic investigations.

13.
Forensic Sci Int ; 364: 112227, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39278154

RESUMO

Hyperspectral imaging (HSI) has become a crucial innovation in forensic science, particularly for analysing bodily fluids. This advanced technology captures both spectral and spatial data across a wide spectrum of wavelengths, offering comprehensive insights into the composition and distribution of bodily fluids found at crime scenes. In this review, we delve into the forensic applications of HSI, emphasizing its role in detecting, identifying, and distinguishing various bodily fluids such as blood, saliva, urine, vaginal fluid, semen, and menstrual blood. We examine the benefits of HSI compared to traditional methods, noting its non-destructive approach, high sensitivity, and capability to differentiate fluids even in complex mixtures. Additionally, we discuss recent advancements in HSI technology and their potential to enhance forensic investigations. This review highlights the importance of HSI as a valuable tool in forensic science, opening new pathways for improving the accuracy and efficiency of crime scene analyses.

14.
Polymers (Basel) ; 16(18)2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39339014

RESUMO

The compatibility of seal materials with the working fluid is crucial for the flawless, energy-saving, environmentally sustainable, and safe operation of any technical system. This is especially true for hydraulic systems operating under high operating pressure. The problem of materials compatibility comes into play when either a new type of seal material or a new type of fluid comes into use. The paper discusses the research findings regarding material compatibility testing of new high-tech ionic hydraulic fluids with commonly used seal materials. Due to the completely different chemical composition of these new fluids compared to the classical mineral-based oil, for these fluids, there are no standardized testing procedures. In these cases, we can only lean on the Standards that apply to classical fluids, which can lead to incorrect results. In the forefront of the paper is the discrepancy between the results obtained by the standardized test, and the test under real operating conditions. FKM, an excellent material for seals, proved to be the most suitable in the case of using ionic hydraulic fluid, according to a standardized test. However, it failed in the comparison test under real operating conditions, as the cylinder leaked. NBR seals proved to be a better solution.

15.
Molecules ; 29(18)2024 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-39339429

RESUMO

Redox metabolism is an integral part of the glutathione system, encompassing reduced and oxidized glutathione, hydrogen peroxide, and associated enzymes. This core process orchestrates a network of thiol antioxidants like thioredoxins and peroxiredoxins, alongside critical thiol-containing proteins such as mercaptoalbumin. Modifications to thiol-containing proteins, including oxidation and glutathionylation, regulate cellular signaling influencing gene activities in inflammation and carcinogenesis. Analyzing thiol antioxidants, especially glutathione, in biological fluids offers insights into pathological conditions. This review discusses the analytical methods for biothiol determination, mainly in blood plasma. The study includes all key methodological aspects of spectroscopy, chromatography, electrochemistry, and mass spectrometry, highlighting their principles, benefits, limitations, and recent advancements that were not included in previously published reviews. Sample preparation and factors affecting thiol antioxidant measurements are discussed. The review reveals that the choice of analytical procedures should be based on the specific requirements of the research. Spectrophotometric methods are simple and cost-effective but may need more specificity. Chromatographic techniques have excellent separation capabilities but require longer analysis times. Electrochemical methods enable real-time monitoring but have disadvantages such as interference. Mass spectrometry-based approaches have high sensitivity and selectivity but require sophisticated instrumentation. Combining multiple techniques can provide comprehensive information on thiol antioxidant levels in biological fluids, enabling clearer insights into their roles in health and disease. This review covers the time span from 2010 to mid-2024, and the data were obtained from the SciFinder® (ACS), Google Scholar (Google), PubMed®, and ScienceDirect (Scopus) databases through a combination search approach using keywords.


Assuntos
Antioxidantes , Compostos de Sulfidrila , Humanos , Antioxidantes/análise , Antioxidantes/metabolismo , Antioxidantes/química , Compostos de Sulfidrila/análise , Compostos de Sulfidrila/sangue , Líquidos Corporais/química , Líquidos Corporais/metabolismo , Espectrometria de Massas/métodos , Oxirredução , Animais , Glutationa/análise , Glutationa/sangue , Técnicas Eletroquímicas/métodos
16.
Int J Mol Sci ; 25(18)2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39337326

RESUMO

Helicobacter pylori is one of the most common bacterial pathogens worldwide and the main etiological agent of numerous gastric diseases. The frequency of multidrug resistance of H. pylori is growing and the leading factor related to this phenomenon is its ability to form biofilm. Therefore, the establishment of a proper model to study this structure is of critical need. In response to this, the aim of this original article is to validate conditions of the optimal biofilm development of H. pylori in monoculture and co-culture with a gastric cell line in media simulating human fluids. Using a set of culture-based and microscopic techniques, we proved that simulated transcellular fluid and simulated gastric fluid, when applied in appropriate concentrations, stimulate autoaggregation and biofilm formation of H. pylori. Additionally, using a co-culture system on semi-permeable membranes in media imitating the stomach environment, we were able to obtain a monolayer of a gastric cell line with H. pylori biofilm on its surface. We believe that the current model for H. pylori biofilm formation in monoculture and co-culture with gastric cells in media containing host-mimicking fluids will constitute a platform for the intensification of research on H. pylori biofilms in in vitro conditions that simulate the human body.


Assuntos
Biofilmes , Técnicas de Cocultura , Helicobacter pylori , Biofilmes/crescimento & desenvolvimento , Biofilmes/efeitos dos fármacos , Helicobacter pylori/fisiologia , Humanos , Técnicas de Cocultura/métodos , Estômago/microbiologia , Infecções por Helicobacter/microbiologia , Linhagem Celular
17.
Crit Care ; 28(1): 305, 2024 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-39285430

RESUMO

BACKGROUND: To detect preload responsiveness in patients ventilated with a tidal volume (Vt) at 6 mL/kg of predicted body weight (PBW), the Vt-challenge consists in increasing Vt from 6 to 8 mL/kg PBW and measuring the increase in pulse pressure variation (PPV). However, this requires an arterial catheter. The perfusion index (PI), which reflects the amplitude of the photoplethysmographic signal, may reflect stroke volume and its respiratory variation (pleth variability index, PVI) may estimate PPV. We assessed whether Vt-challenge-induced changes in PI or PVI could be as reliable as changes in PPV for detecting preload responsiveness defined by a PLR-induced increase in cardiac index (CI) ≥ 10%. METHODS: In critically ill patients ventilated with Vt = 6 mL/kg PBW and no spontaneous breathing, haemodynamic (PICCO2 system) and photoplethysmographic (Masimo-SET technique, sensor placed on the finger or the forehead) data were recorded during a Vt-challenge and a PLR test. RESULTS: Among 63 screened patients, 21 (33%) were excluded because of an unstable PI signal and/or atrial fibrillation and 42 were included. During the Vt-challenge in the 16 preload responders, CI decreased by 4.8 ± 2.8% (percent change), PPV increased by 4.4 ± 1.9% (absolute change), PIfinger decreased by 14.5 ± 10.7% (percent change), PVIfinger increased by 1.9 ± 2.6% (absolute change), PIforehead decreased by 18.7 ± 10.9 (percent change) and PVIforehead increased by 1.0 ± 2.5 (absolute change). All these changes were larger than in preload non-responders. The area under the ROC curve (AUROC) for detecting preload responsiveness was 0.97 ± 0.02 for the Vt-challenge-induced changes in CI (percent change), 0.95 ± 0.04 for the Vt-challenge-induced changes in PPV (absolute change), 0.98 ± 0.02 for Vt-challenge-induced changes in PIforehead (percent change) and 0.85 ± 0.05 for Vt-challenge-induced changes in PIfinger (percent change) (p = 0.04 vs. PIforehead). The AUROC for the Vt-challenge-induced changes in PVIforehead and PVIfinger was significantly larger than 0.50, but smaller than the AUROC for the Vt-challenge-induced changes in PPV. CONCLUSIONS: In patients under mechanical ventilation with no spontaneous breathing and/or atrial fibrillation, changes in PI detected during Vt-challenge reliably detected preload responsiveness. The reliability was better when PI was measured on the forehead than on the fingertip. Changes in PVI during the Vt-challenge also detected preload responsiveness, but with lower accuracy.


Assuntos
Índice de Perfusão , Fotopletismografia , Volume de Ventilação Pulmonar , Humanos , Fotopletismografia/métodos , Volume de Ventilação Pulmonar/fisiologia , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Índice de Perfusão/métodos , Pressão Sanguínea/fisiologia , Volume Sistólico/fisiologia , Hemodinâmica/fisiologia , Respiração Artificial/métodos
18.
Br J Anaesth ; 2024 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-39341776

RESUMO

Fluid therapy is an integral component of perioperative management. In light of emerging evidence in this area, the Perioperative Quality Initiative (POQI) convened an international multiprofessional expert meeting to generate evidence-based consensus recommendations for fluid management in patients undergoing surgery. This article provides a summary of the recommendations for perioperative fluid management of surgical patients from the preoperative period until hospital discharge and for all types of elective and emergency surgery, apart from burn injuries and head and neck surgery. Where evidence was lacking, recommendations for future research were generated. Specific recommendations are made for fluid management in elective major noncardiac surgery, cardiopulmonary bypass, thoracic surgery, neurosurgery, minor noncardiac surgery under general anaesthesia, and critical illness. There are ongoing gaps in knowledge resulting in variation in practice and some disagreement with our consensus recommendations. Perioperative fluid management should be individualised, taking into account the type of surgery and important patient factors, including intravascular volume status and acute and chronic comorbidities. Recommendations are made for further research in perioperative fluid management to address important gaps.

19.
Molecules ; 29(17)2024 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-39275054

RESUMO

The rheology control of water-based drilling fluids at ultra-high temperatures has been one of the major challenges in deep or ultra-deep resource exploration. In this paper, the effects of 1-ethyl-3-methylimidazolium bis(trifluoromethanesulfonimide) (ILA), 1-ethyl-3-methylimidazolium tetrafluoroborate (ILB) and N-methyl, butylpyrrolidinium bis(trifluoromethanesulfonimide) (ILC) on the rheological properties and filtration loss of polymer-based slurries at ultra-high temperatures (200 °C and 240 °C) are investigated by the American Petroleum Institute (API) standards. The results show that ionic liquids with different structures could improve the high-temperature rheological properties of polymer-based drilling fluids. The rheological parameter value (YP/PV) of the polymer-based slurry formulated with ILC is slightly higher than that with ILA at the same concentration, while the YP/PV value of the polymer-based slurry with ILA is slightly higher than that with ILB, which is consistent with the TGA thermal stability of ILA, ILB, and ILC; the thermal stability of ILC with pyrrolidine cations is higher than that of ILA with imidazole cations, and the thermal stability of ILA with bis(trifluorosulfonyl)amide anions is higher than that of ILB with tetrafluoroborate anions. Cation interlayer exchange between organic cation and sodium montmorillonite can improve the rheological properties of water-based drilling fluids. And meantime, the S=O bond in bis(trifluorosulfonyl)amide ions and the hydroxyl group of sodium montmorillonite may form hydrogen bonds, which also may increase the rheological properties of water-based drilling fluids. ILA, ILB, and ILC cannot reduce the filtration loss of polymer-based drilling fluids at ultra-high temperatures.

20.
Prog Biophys Mol Biol ; 192: 19-36, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39159788

RESUMO

In the bloodstream or other physiological fluids, "circulating cells and sub-cellular bio-particles" include many microscopic biological elements such as circulating tumor cells (CTCs), cell-free DNA (cfDNA), exosomes, microRNAs, platelets, immune cells, and proteins are the most well-known and investigated. These structures are crucial biomarkers in healthcare and medical research for the early detection of cancer and other disorders, enabling treatment to commence before the onset of clinical symptoms and enhancing the efficacy of treatments. As the size of these biomarkers to be detected decreases and their numbers in body fluids diminishes, the detection materials, ranging from visual inspection to advanced microscopy techniques, begin to become smaller, more sensitive, faster, and more effective, thanks to developing nanotechnology. This review first defines the circulating cells and subcellular bio-particles with their biological, physical, and mechanical properties and second focuses on their diagnostic importance, including their most recent applications as biomarkers, the biosensors that are utilized to detect them, the present obstacles that must be surmounted, and prospective developments in the domain. As technology advances and biomolecular pathways are deepens, diagnostic tests will become more sensitive, specific, and thorough. Finally, integrating recent advances in the diagnostic use of circulating cells and bioparticles into clinical practice is promising for precision medicine and patient outcomes.


Assuntos
Células Neoplásicas Circulantes , Humanos , Células Neoplásicas Circulantes/patologia , Células Neoplásicas Circulantes/metabolismo , Animais , Biomarcadores/metabolismo , Exossomos/metabolismo , Micropartículas Derivadas de Células/metabolismo , Técnicas Biossensoriais/métodos
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