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1.
Small ; 18(4): e2102666, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34859587

RESUMEN

Rapidly growing flexible and wearable electronics highly demand the development of flexible energy storage devices. Yet, these devices are susceptible to extreme, repeated mechanical deformations under working circumstances. Herein, the design and fabrication of a smart, flexible Li-ion battery with shape memory function, which has the ability to restore its shape against severe mechanical deformations, bending, twisting, rolling or elongation, is reported. The shape memory function is induced by the integration of a shape-adjustable solid polymer electrolyte. This Li-ion battery delivers a specific discharge capacity of ≈140 mAh g-1 at 0.2 C charge/discharge rate with ≈92% capacity retention after 100 cycles and ≈99.85% Coulombic efficiency, at 20 °C. Besides recovery from mechanical deformations, it is visually demonstrated that the shape of this smart battery can be programmed to adjust itself in response to an internal/external heat stimulus for task-specific and advanced applications. Considering the vast range of available shape memory polymers with tunable chemistry, physical, and mechanical characteristics, this study offers a promising approach for engineering smart batteries responsive to unfavorable internal or external stimulus, with potential to have a broad impact on other energy storage technologies in different sizes and shapes.


Asunto(s)
Suministros de Energía Eléctrica , Litio , Electrólitos , Iones , Polímeros
2.
Angew Chem Int Ed Engl ; 57(35): 11208-11212, 2018 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-29992680

RESUMEN

Mechano-activated chemistry is a powerful tool for remodeling of synthetic polymeric materials, however, few reactions are currently available. Here we show that using piezochemical reduction of a CuII -based pre-catalyst, a step-growth polymerization occurs via the copper catalyzed azide-alkyne cycloaddition (CuAAC) reaction to form a linear polytriazole. Furthermore, we show that a linear polymer can be crosslinked mechanochemically using the same chemistry to form a solid organogel. We envision that this chemistry can be used to harness mechanical energy for constructive purposes in polymeric materials.

3.
J Chem Phys ; 146(20): 203332, 2017 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-28571331

RESUMEN

We measure the center-of-mass diffusion of poly(methyl methacrylate) (PMMA)-grafted nanoparticles (NPs) in unentangled to slightly entangled PMMA melts using Rutherford backscattering spectrometry. These grafted NPs diffuse ∼100 times slower than predicted by the Stokes-Einstein relation assuming a viscosity equal to bulk PMMA and a hydrodynamic NP size equal to the NP core diameter, 2Rcore = 4.3 nm. This slow NP diffusion is consistent with an increased effective NP size, 2Reff ≈ 20 nm, nominally independent of the range of grafting density and matrix molecular weights explored in this study. Comparing these experimental results to a modified Daoud-Cotton scaling estimate for the brush thickness as well as dynamic mean field simulations of polymer-grafted NPs in athermal polymer melts, we find that 2Reff is in quantitative agreement with the size of the NP core plus the extended grafted chains. Our results suggest that grafted polymer chains of moderate molecular weight and grafting density may alter the NP diffusion mechanism in polymer melts, primarily by increasing the NP effective size.

4.
J Chem Phys ; 144(15): 151104, 2016 Apr 21.
Artículo en Inglés | MEDLINE | ID: mdl-27389202

RESUMEN

We report measurements of the ionic conductivity, shear viscosity, and structural dynamics in a homologous series of quaternary ammonium ionic liquids (ILs) and a prototypical imidazolium-based IL over a wide range of temperatures down to the glass transition. We find that the ionic conductivity of these materials generally decreases, while the shear viscosity correspondingly increases, with increasing volume fraction of aliphatic side groups. Upon crossing an aliphatic volume fraction of ∼0.40, we observe a sharp, order-of-magnitude decrease in ionic conductivity and enhancement of viscosity, which coincides with the presence of long-lived, nanometer-sized alkyl aggregates. These strong changes in dynamics are not mirrored in the ionicity of these ILs, which decreases nearly linearly with aliphatic volume fraction. Our results demonstrate that nanophase segregation in neat ILs strongly reduces ionic conductivity primarily due to an aggregation-induced suppression of dynamics.

5.
J Chem Phys ; 142(8): 084501, 2015 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-25725739

RESUMEN

Charge transport and structural dynamics in a homologous pair of ammonium and phosphonium based room temperature ionic liquids (ILs) have been characterized over a wide temperature range using broadband dielectric spectroscopy and quasi-elastic light scattering spectroscopy. We have found that the ionic conductivity of the phosphonium based IL is significantly enhanced relative to the ammonium homolog, and this increase is primarily a result of a lower glass transition temperature and higher ion mobility. Additionally, these ILs exhibit pronounced secondary relaxations which are strongly influenced by the atomic identity of the cation charge center. While the secondary relaxation in the phosphonium IL has the expected Arrhenius temperature dependence characteristic of local beta relaxations, the corresponding relaxation process in the ammonium IL was found to exhibit a mildly non-Arrhenius temperature dependence in the measured temperature range-indicative of molecular cooperativity. These differences in both local and long-range molecular dynamics are a direct reflection of the subtly different inter-ionic interactions and mesoscale structures found in these homologous ILs.

6.
J Chem Phys ; 140(10): 104510, 2014 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-24628185

RESUMEN

The slow, Debye-like relaxation in hydrogen-bonded liquids has largely remained a dielectric phenomenon and has thus far eluded observation by other experimental techniques. Here we report the first observation of a slow, Debye-like relaxation by both depolarized dynamic light scattering (DLS) and dielectric spectroscopy in a model hydrogen-bonded liquid, 2-ethyl-4-methylimidazole (2E4MIm). The relaxation times obtained by these two techniques are in good agreement and can be well explained by the Debye model of rotational diffusion. On the one hand, 2E4MIm is analogous to the widely studied monohydroxy alcohols in which transient chain-like supramolecular structure can be formed by hydrogen bonding. On the other hand, the hydrogen-bonded backbone of 2E4MIm is much more optically polarizable, making it possible to apply light scattering to study the dynamics of the supramolecular structure. These findings provide the missing evidence of the slow, Debye-like relaxation in DLS and open the venue for the application of dynamic light scattering to the study of supramolecular structures in hydrogen-bonded liquids.

7.
PLoS One ; 18(1): e0281019, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36701335

RESUMEN

Trivalent chromium (Cr) may function to potentiate the action of insulin, but the effects of chromium intakes on metabolic parameters are unclear. Cr is listed as a potentially beneficial element for rodents based on studies that show feeding low quantities affect glucose metabolism. Cr is recommended at 1 mg per kg in rodent diets. This study examined the effects of different levels of dietary Cr on body weight, body composition, energy intake, food efficiency and metabolic parameters of lipid and glucose metabolism in male and female rats when fed from peripuberty to young adult age in the background of a moderately high-fat, high-sucrose diet. Sprague-Dawley CD rats (n = 10 males and 10 females/group) at 35 days of age were assigned by weight to the low (LCr, 0.33 ± 0.06 mg/kg), normal (NCr, 1.20 ± 0.11 mg/kg) or high (HCr, 9.15 ± 0.65 mg/kg) Cr diets. Diets were fed ad libitum for 12 weeks (83 days). At baseline, body weights and composition were similar (p≥0.05) among diet groups. Compared to the NCr group, the LCr group weighed more (p<0.01) and consumed more energy (food) from Day 56 onwards, but food efficiency was unaffected. Following an oral glucose challenge (Day 77), dietary chromium levels did not affect plasma glucose, but fasting plasma insulin and insulin at 30 and 60 min after dosing were higher in the LCr group compared to the NCr group. At the end of the study, whole-body fat, accrued body fat from baseline and fasting serum triglycerides were higher in the LCr group compared to the NCr group. Effects were similar in both sexes and not observed in the HCr group. These data show that low dietary Cr affects metabolic parameters common in chronic diseases underscoring the need for clinical trials to define the nutritional and/or pharmacological effects of Cr.


Asunto(s)
Cromo , Insulina , Ratas , Masculino , Femenino , Animales , Triglicéridos , Cromo/farmacología , Sacarosa , Glucemia/metabolismo , Ratas Sprague-Dawley , Dieta , Ingestión de Energía , Dieta Alta en Grasa/efectos adversos , Tejido Adiposo/metabolismo , Insulina Regular Humana , Peso Corporal
8.
Nat Chem ; 15(1): 119-128, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36280766

RESUMEN

Interactions between the microbiota and their colonized environments mediate critical pathways from biogeochemical cycles to homeostasis in human health. Here we report a soil-inspired chemical system that consists of nanostructured minerals, starch granules and liquid metals. Fabricated via a bottom-up synthesis, the soil-inspired chemical system can enable chemical redistribution and modulation of microbial communities. We characterize the composite, confirming its structural similarity to the soil, with three-dimensional X-ray fluorescence and ptychographic tomography and electron microscopy imaging. We also demonstrate that post-synthetic modifications formed by laser irradiation led to chemical heterogeneities from the atomic to the macroscopic level. The soil-inspired material possesses chemical, optical and mechanical responsiveness to yield write-erase functions in electrical performance. The composite can also enhance microbial culture/biofilm growth and biofuel production in vitro. Finally, we show that the soil-inspired system enriches gut bacteria diversity, rectifies tetracycline-induced gut microbiome dysbiosis and ameliorates dextran sulfate sodium-induced rodent colitis symptoms within in vivo rodent models.


Asunto(s)
Colitis , Microbioma Gastrointestinal , Humanos , Animales , Suelo/química , Colitis/inducido químicamente , Colitis/metabolismo , Homeostasis , Modelos Animales de Enfermedad
9.
Br J Nutr ; 108(2): 257-66, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22152646

RESUMEN

The aim of the present study was to elucidate possible cholesterol-lowering mechanism(s) of high-dose supplemental Se in the form of selenite, a known hypocholesterolaemic agent. Male Syrian hamsters (four groups, ten per group) were fed semi-purified diets for 4 weeks containing 0.1 % cholesterol and 15 % saturated fat with selenite corresponding to varying levels of Se: (1) Se 0.15 parts per million (ppm), control diet; (2) Se 0.85 ppm; (3) Se 1.7 ppm; (4) Se 3.4 ppm. Lipids were measured in the bile, faeces, liver and plasma. The mRNA expression of several known regulators of cholesterol homeostasis (ATP-binding cassette transporters g5 (Abcg5) and g8 (Abcg8), 7-hydroxylase, 3-hydroxy-3-methylglutaryl-coenzyme A reductase, LDL receptor (LdLr) and Nieman-Pick C1-like 1 protein (Npc1l1)) were measured in the liver and/or jejunum. Oxysterols including 24-(S)-hydroxycholesterol, 25-hydroxycholesterol and 27-hydroxycholesterol (27-OHC) were measured in the liver. Significantly lower total plasma cholesterol concentrations were observed in hamsters consuming the low (0.85 ppm) and high (3.4 ppm) Se doses. The two highest doses of Se resulted in decreased plasma LDL-cholesterol concentrations and increased mRNA levels of hepatic Abcg8, Ldlr and jejunal Ldlr. Higher hepatic 27-OHC and TAG concentrations and lower levels of jejunal Npc1l1 mRNA expression were noted in the 1.7 and 3.4 ppm Se-treated hamsters. Overall, Se-induced tissue changes in mRNA expression including increased hepatic Abcg8 and Ldlr, increased jejunal Ldlr and decreased jejunal Npc1l1, provide further elucidation regarding the hypocholesterolaemic mechanisms of action of Se in the form of selenite.


Asunto(s)
Transportadoras de Casetes de Unión a ATP/metabolismo , Suplementos Dietéticos , Regulación de la Expresión Génica , Hipercolesterolemia/prevención & control , Proteínas de Transporte de Membrana/metabolismo , Receptores de LDL/metabolismo , Selenito de Sodio/uso terapéutico , Transportadoras de Casetes de Unión a ATP/genética , Animales , Anticolesterolemiantes/administración & dosificación , Anticolesterolemiantes/uso terapéutico , Colesterol/análisis , Colesterol/sangre , Colesterol/metabolismo , Cricetinae , Dieta Alta en Grasa/efectos adversos , Hidroxicolesteroles/metabolismo , Hipercolesterolemia/sangre , Yeyuno/metabolismo , Hígado/enzimología , Hígado/metabolismo , Masculino , Proteínas de Transporte de Membrana/genética , Mesocricetus , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , ARN Mensajero/metabolismo , Distribución Aleatoria , Receptores de LDL/genética , Selenito de Sodio/administración & dosificación
10.
J Chem Phys ; 136(12): 124512, 2012 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-22462879

RESUMEN

Dynamics of water, especially in the temperature range of the "no man's land", remain a mystery. We present detailed study of dynamics in aqueous LiCl solution that is often considered as a model for bulk water. We employ broadband dielectric and light scattering spectroscopy in a broad frequency and temperature range. Our analysis reveals no sign of the fragile-to-strong crossover (FSC) neither in structural relaxation nor in translational motions. Our experimental results combined with a large selection of literature data lead to the clear conclusion-there is no FSC in dynamics of aqueous solutions at T ∼ 200-230 K. Instead, our analysis reveals appearance of the so-called excess wing at the high frequency tail of the structural relaxation peak. We discuss the localized nature of the relaxation process that contributes to the excess wing.

11.
BMJ Open ; 12(4): e052780, 2022 04 05.
Artículo en Inglés | MEDLINE | ID: mdl-35383060

RESUMEN

OBJECTIVES: The purpose of this study was to identify and understand the issues that are relevant to patients with hand conditions. The data were used to develop a patient-reported outcome measure (PROM) for adults with hand conditions (HAND-Q) and refine it with input from patients and clinician experts. DESIGN: Semistructured qualitative interviews were used to understand what matters to patients. Cognitive debriefing was used to refine preliminary HAND-Q scales. SETTING: Hand clinics in tertiary healthcare centres in Canada, Australia and USA. PARTICIPANTS: Eligible participants were English-speaking adults who had experienced hand surgery in the preceding 12 months and were at least 4 weeks post-hand surgery A total of 62 in-depth interviews (females, n=34; mean age=65 years) were conducted to develop an item pool and draft the HAND-Q scales. The preliminary scales were refined through cognitive debriefing interviews with 20 participants and feedback from 25 clinician experts. All interviews were audiorecorded, transcribed verbatim and coded using a line-by-line approach. RESULTS: Qualitative data were organised into two top-level domains of health-related quality of life and satisfaction with treatment outcomes. The scales were refined iteratively, and the field-test version included 319 unique items and 20 independently functioning scales. CONCLUSIONS: The HAND-Q is a comprehensive PROM developed using extensive patient and clinician expert input, following established guidelines for PROM development and validation. In the next phase, the psychometric properties of the HAND-Q will be established in an international field test, following which the HAND-Q will be available for use in clinical research and practice .


Asunto(s)
Medición de Resultados Informados por el Paciente , Calidad de Vida , Adulto , Anciano , Femenino , Humanos , Psicometría , Investigación Cualitativa , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Resultado del Tratamiento
12.
Plast Reconstr Surg Glob Open ; 10(1): e3998, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-35186611

RESUMEN

The perspective of the patient in measuring the outcome of their hand treatment is of key importance. We developed a hand-specific patient-reported outcome measure to provide a means to measure outcomes and experiences of care from the patient perspective, that is, HAND-Q. METHODS: Data were collected from people with a broad range of hand conditions in hand clinics in six countries between April 2018 and January 2021. Rasch measurement theory analysis was used to perform item reduction and to examine reliability and validity of each HAND-Q scale. RESULTS: A sample of 1277 patients was recruited. Participants ranged in age from 16 to 89 years, 54% were women, and a broad range of congenital and acquired hand conditions were represented. Rasch measurement theory analysis led to the refinement of 14 independently functioning scales that measure hand appearance, health-related quality of life, experience of care, and treatment outcome. Each scale evidenced reliability and validity. Examination of differential item functioning by age, gender, language, and type of hand condition (ie, nontraumatic versus traumatic) confirmed that a common scoring algorithm for each scale could be implemented. CONCLUSIONS: The HAND-Q was developed following robust psychometric methods to provide a comprehensive modular independently functioning set of scales. HAND-Q scales can be used to assess and compare evidence-based outcomes in patients with any type of hand condition.

13.
J Chem Phys ; 135(11): 114509, 2011 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-21950873

RESUMEN

Light scattering and dielectric spectroscopy measurements were performed on the room temperature ionic liquid (RTIL) [C4mim][NTf2] in a broad temperature and frequency range. Ionic conductivity was used to estimate self-diffusion of ions, while light scattering was used to study structural relaxation. We demonstrate that the ionic diffusion decouples from the structural relaxation process as the temperature of the sample decreases toward T(g). The strength of the decoupling appears to be significantly lower than that expected for a supercooled liquid of similar fragility. The structural relaxation process in the RTIL follows well the high-temperature mode coupling theory (MCT) scenario. Using the MCT analysis we estimated the dynamic crossover temperature in [C4mim][NTf2] to be T(c) ~ 225 ± 5 K. However, our analysis reveals no sign of the dynamic crossover in the ionic diffusion process.

14.
ChemSusChem ; 14(19): 4181-4189, 2021 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-34038620

RESUMEN

The energy efficiency, mechanical durability, and environmental compatibility of all moving machine components rely heavily on advanced lubricants for smooth and safe operation. Herein an alternative family of high-quality liquid (HQL) lubricants was derived by the catalytic conversion of pre- and post-consumer polyolefin waste. The plastic-derived lubricants performed comparably to synthetic base oils such as polyalphaolefins (PAOs), both with a wear scar volume (WSV) of 7.5×10-5  mm-3 . HQLs also performed superior to petroleum-based lubricants such as Group III mineral oil with a WSV of 1.7×10-4  mm-3 , showcasing a 44 % reduction in wear. Furthermore, a synergistic reduction in friction and wear was observed when combining the upcycled plastic lubricant with synthetic oils. Life cycle and techno-economic analyses also showed this process to be energetically efficient and economically feasible. This novel technology offers a cost-effective opportunity to reduce the harmful environmental impact of plastic waste on our planet and to save energy through reduction of friction and wear-related degradations in transportation applications akin to synthetic oils.

15.
BMJ Open ; 10(2): e031804, 2020 02 17.
Artículo en Inglés | MEDLINE | ID: mdl-32071171

RESUMEN

OBJECTIVES: To assess the health burden of breast hypertrophy and the comparative effectiveness of breast reduction surgery in improving health-related quality of life. DESIGN: Prospective cohort study. SETTING: A major public tertiary care hospital in Australia. PARTICIPANTS: Women with symptomatic breast hypertrophy who underwent breast reduction surgery were followed for 12 months. A comparison control cohort comprised women with breast hypertrophy who did not undergo surgery. INTERVENTIONS: Bilateral breast reduction surgery for women in the surgical cohort. MAIN OUTCOME MEASURES: The primary outcome measure was health-related quality of life measured preoperatively and at 3, 6 and 12 months postoperatively using the Short Form-36 (SF-36) questionnaire. Secondary outcome measures included post-surgical complications. RESULTS: 209 patients in the surgical cohort completed questionnaires before and after surgery. 124 patients in the control hypertrophy cohort completed baseline and 12-month follow-up questionnaires. At baseline, both groups had significantly lower scores compared with population norms across all scales (p<0.001). In the surgical cohort significant improvements were seen across all eight SF-36 scales (p<0.001) following surgery. Within 3 months of surgery scores were equivalent to those of the normal population and this improvement was sustained at 12 months. SF-36 physical and mental component scores both significantly improved following surgery, with a mean change of 10.2 and 9.2 points, respectively (p<0.001). In contrast, SF-36 scores for breast hypertrophy controls remained at baseline across 12 months. The improvement in quality of life was independent of breast resection weight and body mass index. CONCLUSION: Breast reduction significantly improved quality of life in women with breast hypertrophy. This increase was most pronounced within 3 months of surgery and sustained at 12-month follow-up. This improvement in quality of life is comparable to other widely accepted surgical procedures. Furthermore, women benefit from surgery regardless of factors including body mass index and resection weight.


Asunto(s)
Mama/patología , Mama/cirugía , Mamoplastia/métodos , Calidad de Vida , Adolescente , Adulto , Anciano , Australia , Índice de Masa Corporal , Estudios de Cohortes , Femenino , Estudios de Seguimiento , Humanos , Hipertrofia/cirugía , Estudios Longitudinales , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , Estudios Prospectivos , Encuestas y Cuestionarios , Resultado del Tratamiento , Adulto Joven
16.
J Trace Elem Med Biol ; 62: 126643, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32950860

RESUMEN

BACKGROUND: Complementary feeding of breastfed infants with foods high in bioavailable zinc (Zn) can help meet physiological requirements for Zn. Some infant cereals contain high concentrations of phytic acid (PA) and calcium (Ca) that may reduce absorbable Zn. OBJECTIVES: This study measured PA, Zn and Ca concentrations in selected infant cereals sold in Canada and investigated the effects of dietary PA and Ca at concentrations present in infant cereals on Zn bioavailability in rats. METHODS AND RESULTS: Male Sprague-Dawley rats (36-day old) were fed a control diet containing normal Zn (29.1 mg/kg) and Ca (4.95 g/kg) or six test diets (n = 12/diet group). Test diets were low in Zn (8.91-9.74 mg/kg) and contained low (2.16-2.17 g/kg), normal (5.00-5.11 g/kg) or high (14.6-14.9 g/kg) Ca without or with added PA (8 g/kg). After 2 weeks, rats were killed and Zn status of the rats was assessed. PA, Zn and Ca concentrations in infant cereals (n = 20) differed widely. PA concentrations ranged from undetectable to 16.0 g/kg. Zn and Ca concentrations ranged from 7.0-29.1 mg/kg and 0.8-13.4 g/kg, respectively. The [PA]/[Zn] and [PA × Ca]/[Zn] molar ratios in infants cereals with detectable PA (16 of 20 cereals) ranged from 22-75 and 0.9-14.9 mol/kg, respectively, predicting low Zn bioavailability. Body weight, body composition (lean and fat mass), right femur weight and length measurements and Zn concentrations in serum and femur indicated that diets higher in Ca had a more pronounced negative effect on Zn status of rats fed a PA-supplemented diet. Addition of PA to the diet had a greater negative effect on Zn status when Ca concentration in the diet was higher. CONCLUSION: These results show that, in rats, higher concentrations of dietary Ca and PA interact to potentiate a decrease in bioavailable Zn and may suggest lower Zn bioavailability in infant cereals with higher PA and Ca concentrations.


Asunto(s)
Calcio/análisis , Ácido Fítico/análisis , Zinc/metabolismo , Animales , Disponibilidad Biológica , Calcio/farmacología , Suplementos Dietéticos , Grano Comestible/química , Masculino , Ácido Fítico/farmacología , Ratas , Ratas Sprague-Dawley
17.
J Hand Surg Glob Online ; 2(6): 325-330, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35415526

RESUMEN

Purpose: The purpose of this randomized prospective cohort study was to assess the acceptability of administering patient-reported outcome measures (PROMs) in the waiting room of hand clinics. Methods: Participants were randomly assigned to receive the Patient-Rated Wrist and Hand Evaluation (PRWHE), Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, or Michigan Hand Questionnaire (MHQ). Acceptability was measured in terms of data quality, participation, and retention rates. Data quality was determined by the number of incomplete questionnaires, unanswered questions, and unscorable questionnaires. Most frequently unanswered questions were identified. The participant-reported time taken to complete the questionnaires was collected. Results: A total of 491 participants enrolled in this study. A participation rate of 85% with a retention rate of 94% indicated that patients found the administration of PROMs in the waiting room of the clinic to be acceptable. The proportion of missing data for each questionnaire was 4.2% for PRWHE, 3.9% for DASH and 6.3% for MHQ. Whether a questionnaire could be used to generate a score was determined by the scoring rules of each instrument. The proportion of questionnaires that were not completed sufficiently for a score to be generated was 0% for PRWHE, 9% for DASH, and 4% for MHQ. No association was found between whether a questionnaire could generate a score and participants' sex, age, or the nature of the condition. Over 80% of participants reported taking 10 minutes or less to complete the questionnaire. Conclusions: This study shows that hand clinic patients will complete PROMs while waiting for the clinical review. The PRWHE and MHQ groups demonstrated good usability, because less than 5% were unable to produce a score. The usability of the DASH group was lower, because 9% were unable to be scored. This indicates that PRWHE and MHQ are more suitable than DASH to application in a hand clinic setting. Type of study/level of evidence: Therapeutic III.

18.
Sci Adv ; 6(7): eaay2760, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-32110728

RESUMEN

Bacterial response to transient physical stress is critical to their homeostasis and survival in the dynamic natural environment. Because of the lack of biophysical tools capable of delivering precise and localized physical perturbations to a bacterial community, the underlying mechanism of microbial signal transduction has remained unexplored. Here, we developed multiscale and structured silicon (Si) materials as nongenetic optical transducers capable of modulating the activities of both single bacterial cells and biofilms at high spatiotemporal resolution. Upon optical stimulation, we capture a previously unidentified form of rapid, photothermal gradient-dependent, intercellular calcium signaling within the biofilm. We also found an unexpected coupling between calcium dynamics and biofilm mechanics, which could be of importance for biofilm resistance. Our results suggest that functional integration of Si materials and bacteria, and associated control of signal transduction, may lead to hybrid living matter toward future synthetic biology and adaptable materials.


Asunto(s)
Bacterias/metabolismo , Transducción de Señal , Silicio/química , Bacterias/ultraestructura , Biopelículas , Señalización del Calcio , Nanocables/ultraestructura
19.
Plast Reconstr Surg ; 144(5): 1034-1044, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31688747

RESUMEN

BACKGROUND: This study aimed to assess breast-related satisfaction and well-being in women with breast hypertrophy before and after breast reduction surgery, and to compare these scores with Australian general population norms, using the BREAST-Q Reduction module. METHODS: A prospective cohort study was conducted between March of 2010 and February of 2016. Participants self-completed the BREAST-Q preoperatively and 12 months postoperatively. Normative BREAST-Q data were generated from women aged 18 years and older for comparison. Statistical analysis was performed and values of p < 0.05 were considered significant. RESULTS: The BREAST-Q was completed by 132 participants preoperatively and 12 months postoperatively. Statistically significant improvements were found following surgery in Satisfaction with Breasts, Psychosocial Well-being, Sexual Well-being, and Physical Well-being. In comparison with normative data, patients with breast hypertrophy had significantly lower scores preoperatively, with scores significantly increasing postoperatively to levels representative of the general population. Satisfaction with outcome was not significantly different between patients who were eligible by traditional insurance requirements (Schnur sliding scale/500-g minimum rule) and those who were not. The presence of surgical complications did not affect change in BREAST-Q scores or postoperative satisfaction with outcome. Differences were observed in mean BREAST-Q scores when comparing generated Australian norms to published U.S. norms. CONCLUSIONS: Breast reduction surgery significantly improves the satisfaction and quality of life in women with breast hypertrophy to a level that is at least equivalent to that of the normative population. Surgery is of benefit to all women, including those who do not meet traditional insurance requirements. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.


Asunto(s)
Ginecomastia/cirugía , Mamoplastia/métodos , Satisfacción del Paciente/estadística & datos numéricos , Calidad de Vida , Encuestas y Cuestionarios , Centros Médicos Académicos , Adulto , Australia , Estudios de Cohortes , Femenino , Estudios de Seguimiento , Humanos , Modelos Logísticos , Mamoplastia/psicología , Persona de Mediana Edad , Análisis Multivariante , Estudios Prospectivos , Valores de Referencia , Resultado del Tratamiento
20.
PLoS One ; 14(1): e0210760, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30629707

RESUMEN

Calcium (Ca) intakes may affect cardiovascular disease risk by altering body composition (body weight and fat) and serum lipid profile, but results have been inconsistent and the underlying mechanisms are not well understood. The effects of dietary Ca on body composition and lipid metabolism were examined in rats. Male Sprague-Dawley rats were fed high-fat, high-energy diets containing (g/kg) low (0.75Ca, 0.86 ± 0.05; 2Ca, 2.26 ± 0.02), normal (5Ca, 5.55 ± 0.08) or high (10Ca, 11.03 ± 0.17; 20Ca, 21.79 ± 0.15) Ca for 10 weeks. Rats fed the lowest Ca diet (0.75Ca) had lower (p < 0.05) body weight and fat mass compared to other groups. Rats fed the high Ca diets had lower serum total and LDL cholesterol compared to rats fed normal or low Ca. Liver total cholesterol was lower in rats fed high compared to low Ca. In general, liver mRNA expression of genes involved in cholesterol uptake from the circulation (Ldlr), cholesterol synthesis (Hmgcr and Hmgcs1), fatty acid oxidation (Cpt2) and cholesterol esterification (Acat2) were higher in rats fed higher Ca. Apparent digestibility of total trans, saturated, monounsaturated and polyunsaturated fatty acids was lower in rats fed the high compared to the low Ca diets, with the largest effects seen on trans and saturated fatty acids. Fecal excretion of cholesterol and total bile acids was highest in rats fed the highest Ca diet (20Ca). The results suggest little effect of dietary Ca on body composition unless Ca intakes are very low. Decreased bile acid reabsorption and reduced absorption of neutral sterols and saturated and trans fatty acids may contribute to the better serum lipid profile in rats fed higher Ca.


Asunto(s)
Composición Corporal , Calcio de la Dieta/administración & dosificación , Metabolismo de los Lípidos , Animales , Ácidos y Sales Biliares/metabolismo , Glucemia/metabolismo , Composición Corporal/genética , Ingestión de Alimentos , Ácidos Grasos/metabolismo , Expresión Génica , Insulina/sangre , Metabolismo de los Lípidos/genética , Lípidos/sangre , Lipogénesis/genética , Hígado/anatomía & histología , Hígado/metabolismo , Masculino , Minerales/sangre , Minerales/orina , Tamaño de los Órganos , Hormona Paratiroidea/sangre , ARN Mensajero/genética , ARN Mensajero/metabolismo , Ratas , Ratas Sprague-Dawley , Esteroles/metabolismo
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