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1.
BMC Public Health ; 23(1): 2320, 2023 11 23.
Artículo en Inglés | MEDLINE | ID: mdl-37996799

RESUMEN

BACKGROUND: Neurodevelopmental disorders (NDDs) are a group of conditions that include attention-deficit/hyperactivity disorders, specific learning disorders, autism spectrum disorder, intellectual disability, and other disorders. Raising a child with an NDD can be difficult because it affects the social lives of the parents and their relationships. It also requires the parents to develop another set of skills to deal with their child. These factors increase their risk of depression and anxiety. AIM: To measure the prevalence rates of depression and anxiety among parents of children with different NDDs, compare the rates between mothers and fathers, and measure the relevant associated factors. METHODOLOGY: This study was a prospective, qualitative, cross-sectional, anonymous questionnaire-based study. The participants were 416 parents of children with NDDs in Saudi Arabia. The sample size was determined using the Richard Geiger equation with a 5% margin of error, a 95% confidence level, and a 50% response distribution. The screening was performed using a validated Arabic version of the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7). These are short and understandable screening tools that assist in identifying and grading the severity of depression and anxiety symptoms. The participants were reached by distributing the questionnaire to parents who followed up with Saudi NDD-related associations, clinics, and psychiatric clinics from November 20 to May 8, 2022. The data were collected, reviewed, and then entered into SPSS 21. RESULTS: In total, 416 parents of children with NDDs in Saudi Arabia participated in the study. We demonstrated that 85.1% of parents of children with NDDs had depression and that 85.8% had anxiety. Mothers and fathers had similar rates of depression and anxiety. No significant difference was found between the type of NDD and rates of depression and anxiety in parents. CONCLUSION: Children with NDDs affect their parents' mental health in terms of increased rates of depression and anxiety. This increase is not correlated with a specific etiology. Healthcare professionals who care for children with NDDs should also assess parental mental health and seek an early diagnosis of mental illness to ensure that the appropriate interventions are provided for parents.


Asunto(s)
Trastorno del Espectro Autista , Trastornos del Neurodesarrollo , Femenino , Niño , Humanos , Arabia Saudita/epidemiología , Depresión/psicología , Trastorno del Espectro Autista/epidemiología , Prevalencia , Estudios Transversales , Estudios Prospectivos , Ansiedad/psicología , Padres/psicología , Trastornos del Neurodesarrollo/epidemiología , Trastornos de Ansiedad
2.
J Environ Manage ; 282: 111917, 2021 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-33453625

RESUMEN

This study investigated the engine performance and emission characteristics of biodiesel blends with combined Graphene oxide nanoplatelets (GNPs) and 10% v/v dimethyl carbonate (DMC) as fuel additives as well as analysed the tribological characteristics of those blends. 10% by volume DMC was mixed with 30% palm oil biodiesel blends with diesel. Three different concentrations (40, 80 and 120 ppm) of GNPs were added to these blends via the ultrasonication process to prepare the nanofuels. Sodium dodecyl sulphate (SDS) surfactant was added to improve the stability of these blends. GNPs were characterised using Scanning Electron Microscope (SEM) and Fourier Transform Infrared (FTIR), while the viscosity of nanofuels was investigated by rheometer. UV-spectrometry was used to determine the stability of these nanoplatelets. A ratio of 1:4 GNP: SDS was found to produce maximum stability in biodiesel. Performance and emissions characteristics of these nanofuels have been investigated in a four-stroke compression ignition engine. The maximum reduction in BSFC of 5.05% and the maximum BTE of 22.80% was for B30GNP40DMC10 compared to all other tested blends. A reduction in HC (25%) and CO (4.41%) were observed for B30DMC10, while a reduction in NOx of 3.65% was observed for B30GNP40DMC10. The diesel-biodiesel fuel blends with the addition of GNP exhibited a promising reduction in the average coefficient of friction 15.05%, 8.68% and 3.61% for 120, 80 and 40 ppm concentrations compared to B30. Thus, combined GNP and DMC showed excellent potential for utilisation in diesel engine operation.


Asunto(s)
Biocombustibles , Emisiones de Vehículos , Monóxido de Carbono/análisis , Formiatos , Gasolina , Grafito
3.
Am J Transplant ; 16(4): 1266-75, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26780484

RESUMEN

B cell-activation factor (BAFF) is critical for B cell maturation. Inhibition of BAFF represents an appealing target for desensitization of sensitized end-stage renal disease (ESRD) patients. We conducted a Phase 2a, single-arm, open-label exploratory study investigating the effect of tabalumab (BAFF inhibitor) in patients with ESRD and calculated panel reactive antibodies (cPRAs) >50%. The treatment period duration was 24 weeks. Eighteen patients received tabalumab, at doses of 240-mg subcutaneous (SC) at Week 0 followed by 120-mg SC monthly for 5 additional months. Patients were followed for an additional 52 weeks. Immunopharmacologic effects were characterized through analysis of blood for HLA antibodies, BAFF concentrations, immunoglobulins, T and B cell subsets, as well as pre- and posttreatment tonsil and bone marrow biopsies. Significant reductions in cPRAs were observed at Weeks 16 (p = 0.043) and 36 (p = 0.004); however, absolute reductions were small (<5%). Expected pharmacologic changes in B cell subsets and immunoglobulin reductions were observed. Two tabalumab-related serious adverse events occurred (pneumonia, worsening of peripheral neuropathy), while the most common other adverse events were injection-site pain and hypotension. Three patients received matched deceased donor transplants during follow-up. Treatment with a BAFF inhibitor resulted in statistically significant, but not clinically meaningful reduction in the cPRA from baseline (NCT01200290, Clinicaltrials.gov).


Asunto(s)
Anticuerpos Monoclonales/uso terapéutico , Factor Activador de Células B/antagonistas & inhibidores , Isoanticuerpos/sangre , Fallo Renal Crónico/tratamiento farmacológico , Trasplante de Riñón , Adulto , Anticuerpos Monoclonales/farmacocinética , Anticuerpos Monoclonales Humanizados , Femenino , Estudios de Seguimiento , Tasa de Filtración Glomerular , Humanos , Isoanticuerpos/inmunología , Pruebas de Función Renal , Masculino , Pronóstico , Distribución Tisular
4.
Molecules ; 21(6)2016 Jun 02.
Artículo en Inglés | MEDLINE | ID: mdl-27271577

RESUMEN

Eriobotrya japonica (Thunb.) Lindl. (Loquat) (EJ) has been used as a medicinal plant to treat chronic bronchitis, coughs, phlegm, high fever and gastro-enteric disorders. Since the traditional use of EJ is related to modulating inflammation processes, our earlier studies on EJ leaves were performed on the water extract to investigate specific cytokines' modulation. These earlier studies, however, have shown that EJ leaf water extract (WE) and the water phase (WP) induce cytokines' production in in vitro and in vivo models. Therefore, the aim of this study was to specify the group(s) of compounds in EJ leaves that have this immunomodulatory activity and their mechanism of action. WE was obtained from boiling the leaves followed by butanol extraction, yielding a butanol-water phase (WP). WP was then subjected to methanol:acetone fractionation, yielding upper (MAU) and lower (MAL) phases. For further fractionation, MAU was subjected to column chromatography followed by elution with ethanol:water (EW), methanol:ethanol (ME) and, lastly, acetone:water (AW), respectively, to reveal three sub-fractions; MAU-EW, MAU-ME and MAU-AW. MAU-AW significantly increased IFN-γ production from unstimulated and stimulated mouse spleen cells, as well as CD3+ T cells and natural killer cells. Furthermore, the fold increase of IFN-γ production by MAU-AW was concentration dependent, higher than the parent extract or any of the other sub-fractions, and such an IFN-γ increase was reversed by two JAK-STAT inhibitors. In addition, MALDI-TOF-MS analysis of the extracts and sub-fractions showed compounds with molecular weights of >500 Daltons. The MAU-AW sub-fraction contained more polar compounds, such as flavonol and caffeic glycosides. In conclusion, these polar compounds in the EJ extract are responsible for inducing IFN-γ production. Further chemical elucidation is warranted to lead to a specific IFN-γ inducer and an immunomodulator in polarizing immune cells and balancing immune responses in certain diseases.


Asunto(s)
Eriobotrya/química , Factores Inmunológicos/administración & dosificación , Células Asesinas Naturales/efectos de los fármacos , Extractos Vegetales/administración & dosificación , Animales , Cromatografía , Flavonoides/administración & dosificación , Flavonoides/química , Flavonoides/aislamiento & purificación , Glicósidos/administración & dosificación , Glicósidos/química , Glicósidos/aislamiento & purificación , Factores Inmunológicos/química , Interferón gamma/biosíntesis , Quinasas Janus/biosíntesis , Células Asesinas Naturales/inmunología , Ratones , Extractos Vegetales/química , Hojas de la Planta/química , Factores de Transcripción STAT/biosíntesis , Transducción de Señal/efectos de los fármacos , Bazo/efectos de los fármacos , Bazo/inmunología , Agua/química
5.
J Vasc Surg ; 61(6): 1399-407, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25752694

RESUMEN

OBJECTIVE: Previous studies have reported that endovascular repair (EVAR) of ruptured abdominal aortic aneurysms (RAAAs) has lower postoperative mortality than open repair (OR). However, comparisons involved heterogeneous populations that lacked adjustment for preoperative risk. We hypothesize that for RAAA patients stratified by a validated measure of preoperative mortality risk, EVAR has a lower in-hospital mortality and morbidity than does OR. METHODS: In-hospital mortality and morbidity after EVAR and OR of RAAA were compared in patients from the Vascular Quality Initiative (2003-2013) stratified by the validated Vascular Study Group of New England RAAA risk score into low-risk (score 0-1), medium-risk (score 2-3), and high-risk (score 4-6) groups. RESULTS: Among 514 patients who underwent EVAR and 651 patients who underwent OR of RAAA, EVAR had lower in-hospital mortality (25% vs 33%, P = .001). In risk-stratified patients, EVAR trended toward a lower mortality in the low-risk group (n = 626; EVAR, 10% vs OR, 15%; P = .07), had a significantly lower mortality in the medium-risk group (n = 457; EVAR, 37% vs OR, 48%; P = .02), and no advantage in the high-risk group (n = 82; EVAR, 95% vs OR, 79%; P = .17). Across all risk groups, cardiac complications (EVAR, 29% vs OR, 38%; P = .001), respiratory complications (EVAR, 28% vs OR, 46%; P < .0001), renal insufficiency (EVAR, 24% vs OR, 38%; P < .0001), lower extremity ischemia (EVAR, 2.7% vs OR, 8.1%; P < .0001), and bowel ischemia (EVAR, 3.9% vs OR, 10%; P < .0001) were significantly lower after EVAR than after OR. Across all risk groups, median (interquartile range) intensive care unit length of stay (EVAR, 2 [1-5] days vs OR, 6 [3-13] days; P < .0001) and hospital length of stay (EVAR, 6 [4-12] days vs OR, 13 [8-22] days; P < .0001) were lower after EVAR. CONCLUSIONS: This novel risk-stratified comparison using a national clinical database showed that EVAR of RAAA has a lower mortality and morbidity compared with OR in low-risk and medium-risk patients and that EVAR should be used to treat these patients when anatomically feasible. For RAAA patients at the highest preoperative risk, there is no benefit to using EVAR compared with OR.


Asunto(s)
Aneurisma de la Aorta Abdominal/cirugía , Rotura de la Aorta/cirugía , Implantación de Prótesis Vascular/efectos adversos , Implantación de Prótesis Vascular/mortalidad , Procedimientos Endovasculares/efectos adversos , Procedimientos Endovasculares/mortalidad , Mortalidad Hospitalaria , Complicaciones Posoperatorias/mortalidad , Anciano , Aneurisma de la Aorta Abdominal/diagnóstico , Aneurisma de la Aorta Abdominal/mortalidad , Rotura de la Aorta/diagnóstico , Rotura de la Aorta/mortalidad , Distribución de Chi-Cuadrado , Bases de Datos Factuales , Femenino , Humanos , Tiempo de Internación , Modelos Logísticos , Masculino , Oportunidad Relativa , Complicaciones Posoperatorias/terapia , Estudios Retrospectivos , Medición de Riesgo , Factores de Riesgo , Factores de Tiempo , Resultado del Tratamiento , Estados Unidos/epidemiología
6.
Am J Transplant ; 14(11): 2657-61, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25179306

RESUMEN

Belatacept is a novel immunosuppressive agent that may be used as an alternative to calcineurin inhibitors (CNI) in immunosuppression (IS) regimens. We report two cases of pancreas transplant that were switched from tacrolimus (TAC) to belatacept. Case 1: 38-year-old female with pancreas transplant alone maintained on TAC-based IS regimen whose serum creatinine (SCr) slowly deteriorated from 0.6 mg/dL at baseline to 2.2 mg/dL, 16 months posttransplant. A native kidney biopsy performed showed CNI toxicity. The patient was started on belatacept and TAC was eliminated. Case 2: 49-year-old female with simultaneous pancreas-kidney transplant, maintained on TAC-based regimen where the SCr worsened over an initial 3-month period from a baseline of 1.0 to 3.0 mg/dL. Belatacept was started and TAC was lowered. Due to persistent graft dysfunction and kidney transplant biopsy still showing changes consistent with CNI toxicity, the TAC was then discontinued. At >1 year postbelatacept and off TAC follow-up, kidney function as measured by SCr remains stable at 1.0±0.2 mg/dL in both recipients. Neither patient developed rejection following the switch, and pancreas allograft function remains stable in both recipients.


Asunto(s)
Inmunoconjugados/administración & dosificación , Inmunosupresores/administración & dosificación , Fallo Renal Crónico/fisiopatología , Trasplante de Páncreas/efectos adversos , Tacrolimus/administración & dosificación , Abatacept , Adulto , Progresión de la Enfermedad , Femenino , Humanos , Persona de Mediana Edad
7.
Heliyon ; 10(3): e25419, 2024 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-38333824

RESUMEN

Carbon capture, utilization and storage (CCUS) technologies are utmost need of the modern era. CCUS technologies adoption is compulsory to keep global warming below 1.5 °C. Mineral carbonation (MC) is considered one of the safest and most viable methods to sequester anthropogenic carbon dioxide (CO2). MC is an exothermic reaction and occur naturally in the subsurface because of fluid-rock interactions with serpentinite. In serpentine carbonation, CO2 reacts with magnesium to produce carbonates. This article covers CO2 mitigation technologies especially mineral carbonation, mineral carbonation by natural and industrial materials, mineral carbonation feedstock availability in Pakistan, detailed characterization of serpentine from Skardu serpentinite belt, geo sequestration, oceanic sequestration, CO2 to urea and CO2 to methanol and other chemicals. Advantages, disadvantages, and suitability of these technologies is discussed. These technologies are utmost necessary for Pakistan as recent climate change induced flooding devastated one third of Pakistan affecting millions of families. Hence, Pakistan must store CO2 through various CCUS technologies.

8.
Heliyon ; 10(4): e26396, 2024 Feb 29.
Artículo en Inglés | MEDLINE | ID: mdl-38404828

RESUMEN

Hybrid nanofluids (HNFs) of metallic oxide-based nanoparticles (NPs) have been prepared in different basefluids (BFs) employing the thermal plasma technique. NPs of ZnO-MgO were directly dispersed into pristine coolant, engine oil, distilled water (DW), and coconut oil. Plasma was generated between two identical electrodes applying 8.0 kV at the ambient conditions and proved economically viable in preparing stable HNFs. X-ray Diffractometry (XRD) showed ZnO and MgO NPs possessed hexagonal and cubic crystal structures, respectively. The band gap is calculated through UV-visible spectroscopy. The thermal conductivity (TC) of the HNFs has been measured using a thermal conductivity analyzer based on the transient hot wire method. The band gaps of pristine coolant and its HNFs were obtained to be 3.35 eV and 3.33 eV, respectively. In engine oil and its HNFs, band gaps of 3.16 eV and 3.02 eV have been extracted. There appears to be a slight reduction in band gap for coolant and engine oil-based HNFs. The band gap value of coconut oil-based HNFs was 4.05 eV, which showed a higher value than the pristine coconut oil-based HNFs (3.95 eV). The band gap calculated in the case of DW-based HNFs was 3.79 eV. TC of HNFs with volume concentration of 0.019 % for DW, 0.020 % for coolant, 0.016 % for engine oil, and 0.017 % for coconut oil were tested between 20 and 60 °C. An increase in TC was observed with the rise in temperature of the HNFs. Maximum increment in TC was observed at 60 °C for coolant-based HNFs, which was 19 %, followed by DW (18%), coconut oil (18%), and engine oil (16%), respectively. DW-based HNFs can be used as a coolant and optical filter for optoelectronics devices like photovoltaic cells for better performance. The study underscores precise control of NPs size as pivotal for band gap influence. HNFs hold promise as the next-gen heat transfer fluids (HTFs), revolutionizing thermal conductivity across industries. This research lays a firm foundation for plasma-synthesized HNFs' application in enhanced heat transfer and optoelectronic devices. Coolant-based HNFs excel in thermal conductivity, addressing heat transfer challenges.

9.
Heliyon ; 10(4): e25788, 2024 Feb 29.
Artículo en Inglés | MEDLINE | ID: mdl-38404874

RESUMEN

Due to increasing urbanization and population growth, municipal solid waste management (MSWM) is a significant environmental concern in developing countries. Inadequate waste management systems lead to environmental pollution, health hazards, and economic losses. While considering the challenges and limitations, policymakers and authorities need to opt for such waste management scenarios that are environmentally friendly and resolve energy issues. Ten MSWM scenarios were developed and evaluated using seven different criteria. Four multi-criteria decision-making (MCDM) techniques, namely fuzzy logic, AHP, TOPSIS, and PROMETHEE II, were employed to rank the scenarios and identify the most appropriate option for solid waste management in Lahore. This study highlights that the optimal waste management approach comprises a composition of 54% anaerobic digestion, 37% gasification, and 9% landfill technologies. These percentages collectively represent the most suitable and effective strategies for the city's waste management needs. All the MCDM techniques consistently produce similar results. These scenarios have broader applicability across cities in Central Asia and beyond. The study's findings are aligned to promote sustainable and environmentally friendly MSWM practices. These findings endorse implementing strategies and measures aimed at fostering environmental sustainability and the responsible handling of waste, serving as a valuable reference for various regions.

10.
Heliyon ; 10(8): e28986, 2024 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-38681544

RESUMEN

The performance of a Pelton wheel is influenced by the jet created by the nozzle. Therefore, a Computational Fluid Dynamics (CFD) simulation was proposed. In this study, the significant output parameters (outlet velocity, outlet pressure, and tangential force component) and input parameters (different pressure and spear locations) were examined. In addition, the influencing parameters and their contributing percentages to the performance of the Pelton wheel were calculated using different optimisation techniques such as Taguchi Design of Experiments (DoE), Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS), Grey Relational Analysis (GRA) and Criteria Importance Through Intercriteria Correlation (CRITIC). The effect of input factors on the output response was examined with DoE, and the results show that the inlet pressure had the most significant impact (97.38%, 99.18%, and 97.38%, respectively, for all different spear sites with a 99% confidence level). In terms of preference values, the TOPSIS and GRA results are comparable (best ranks for simulation runs #24 and #25 and least ranks for simulations #2 and #3, respectively). The CRITIC results for the pressure parameter are in good agreement with the Taguchi ANOVA analysis. The last spear location (5 mm after the nozzle outlet), with an inlet pressure of 413685 Pa generated the best result when employing the TOPSIS and GRA techniques. The outlet pressure of the nozzle was found to have a significant impact on the flow pattern of the Pelton Wheel based on the analysis of the CRITIC, Taguchi, and CFD results.

11.
Heliyon ; 10(7): e28980, 2024 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-38633643

RESUMEN

Solid waste management is one of the biggest challenges of the current era. The combustible fractions in the waste stream turn out to be a good energy source if converted into refuse-derived fuel. Researchers worldwide are successfully converting it into fuel. However, certain challenges are associated with its application in gasifiers, boilers, etc. to co-fire it with coal. These include high moisture content, low calorific value, and difficulty to transport and store. The present study proposed torrefaction as a pretreatment of the waste by heating it in the range of 200 °C-300 °C in the absence of oxygen at atmospheric pressure. The combustible fraction from the waste stream consisting of wood, textile, paper, carton, and plastics termed as mixed waste was collected and torrefied at 225 °C, 250 °C, 275 °C, and 300 °C for 15 and 30 min each. It was observed that the mass yield and energy yield decreased to 45% and 62.96% respectively, but the energy yield tended to increase by the ratio of 1.39. Proximate analysis showed that the moisture content and volatile matter decreased for torrefied samples, whereas the ash content and fixed carbon content increased. Similarly, the elemental analysis revealed that the carbon content increased around 23% compared to raw samples with torrefaction contrary to hydrogen and oxygen, which decreased. Moreover, the higher heating value (HHV) of the torrefied samples increased around 1.3 times as compared to the raw sample. This pretreatment can serve as an effective solution to the current challenges and enhance refuse-derived fuel's fuel properties.

12.
Heliyon ; 10(4): e26493, 2024 Feb 29.
Artículo en Inglés | MEDLINE | ID: mdl-38440295

RESUMEN

The present experimental study investigates the thermal and hydraulic performance of Ethylene Glycol (EG)-based ZnO nanofluids (NFs) in circular minichannel test sections, each of 330 mm in length and 1.0-2.0 mm inner diameters. The experiments were conducted under steady-state constant heat flux and laminar flow conditions. The stable ZnO/EG-based NFs were synthesized using a standard two-step method in varying nanoparticles (NPs) loadings (0.012-0.048 wt%). The morphological characteristics, crystal structure, and specific surface area (SSA) showed that the NPs were sized in nm, possessing excellent crystal structure and enhanced surface area. Thermal conductivity (TC) and viscosity (VC) of the NFs were examined in the 20-60 °C temperature range. Both TC and VC possessed an increasing trend with the rise in concentration of the NPs. However, with the temperature rise, TC increased while the VC decreased and vice versa. The highest enhancements in TC and VC were 14.38 % and 15.22 %, respectively, at 40 °C and 0.048 wt% of NPs loading. The highest enrichment recorded in the local and average heat transfer coefficient (HTC) were 14.80 % and 13.48% in a minichannel with 1.0 mm inner diameter, respectively. It was directly proportional to the NPs loading and volume flow rate of the NFs. The friction factor was also directly proportional to the test section's inner cross-sectional area, while the pressure gradient showed an inverse behavior. An inverse relationship was recorded for the volume flow rate of the NFs and vice versa. Maximum friction factor and the pressure drop for all three minichannel test sections were recorded as 34.58 % and 32.16 %, respectively. The well-known Shah correlation predicted the local and average HTC within ±15.0 %, while the friction factor and the pressure gradient were well predicted by the Darcy correlation within the ±10.0 % range.

13.
Ann Vasc Surg ; 27(8): 1146-53, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23972636

RESUMEN

BACKGROUND: Despite advances in the treatment of peripheral arterial disease, a significant number of patients ultimately require major amputations. Traditionally, postoperative management of a below-knee amputation involves soft compressive dressings to allow for complete stump healing before initial prosthesis fitting. This technique is associated with a prolonged period of limited mobility, placing patients at risk for deconditioning or fall with a risk of injury to the stump. In contrast, immediate postoperative prosthesis (IPOP) placement allows patients to begin ambulation and rehabilitation on postoperative day 1, which may be of significant physiologic and psychological benefit. The purpose of this study is to compare the outcomes of patients undergoing IPOP placement to those of a historical control group managed with traditional soft compressive dressing placement. METHODS: Medical records of all consecutive below-knee amputation patients who underwent IPOP (IPOP group; 37 patients, 2007-2010) and all patients who underwent traditional soft compressive dressing placement and were IPOP candidates (non-IPOP group; 35 patients, 2006-2007) were retrospectively reviewed. Patient comorbidities and preoperative ambulation status were compared between the IPOP and the non-IPOP groups. Primary outcomes evaluated included perioperative systemic complications, wound complications, need for surgical revision, and the time until placement of a definitive prosthesis. Data were analyzed using the chi-squared and Student's t-test. RESULTS: Preoperative comorbidities and patient characteristics of the 2 groups were similar, although the IPOP group was younger (61.5 vs. 69.0 years; P=0.01). Immediate perioperative systemic complication rates were not significantly different between the 2 groups (IPOP 29.7% vs. non-IPOP 31.4%; P=0.876). Postoperative wound complication rates were as follows: wound infection (IPOP 18.9% vs. non-IPOP 25.0%; P=0.555), wound dehiscence (IPOP 29.7% vs. non-IPOP 25.0%; P=0.673), and skin breakdown separate from the incision (IPOP 18.9% vs. non-IPOP 3.6%; P=0.062). Patients in the IPOP group trended towards fewer postoperative falls (IPOP 10.8% vs. non-IPOP 21.4%; P=0.240). The need for revision was significantly greater in the non-IPOP group (IPOP 5.4% vs. non-IPOP 27.6%; P=0.013). The time from surgery to placement of the preparatory prosthesis was 51 days in the IPOP group. CONCLUSIONS: Patients undergoing IPOP have similar perioperative systemic and wound complication rates compared to those patients undergoing conventional below-knee amputation, but are less likely to require surgical revision. The use of IPOP allows for early ambulation and rehabilitation, which may be of psychological benefit and may decrease the sequelae of prolonged immobilization. IPOP application should be considered for all appropriate candidates requiring below-knee amputation.


Asunto(s)
Amputación Quirúrgica , Miembros Artificiales , Pierna/irrigación sanguínea , Enfermedad Arterial Periférica/cirugía , Ajuste de Prótesis/instrumentación , Anciano , Amputación Quirúrgica/efectos adversos , Distribución de Chi-Cuadrado , Vendajes de Compresión , Ambulación Precoz , Femenino , Humanos , Masculino , Persona de Mediana Edad , Selección de Paciente , Enfermedad Arterial Periférica/diagnóstico , Complicaciones Posoperatorias/cirugía , Ajuste de Prótesis/efectos adversos , Reoperación , Estudios Retrospectivos , Factores de Riesgo , Dehiscencia de la Herida Operatoria , Factores de Tiempo , Tiempo de Tratamiento , Resultado del Tratamiento , Cicatrización de Heridas
14.
Disabil Rehabil Assist Technol ; 18(2): 127-139, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36149865

RESUMEN

PURPOSE: Converging visual behavioural and attentional allocation studies within neuroscience have shown culture influences the processing of visual information obtained from the visual field. While attending (reviewing) a visual scene, individuals from a collectivist culture attend more to the context (background) compared to those from an individualist culture who view more the focal object. This highlights the effect of cultural conditioning in terms of holistic and analytical processing of visual information. This study aimed to demonstrate these principles in the context of an assistive product, a wheelchair, highlighting the key visual elements of the form; and, how a congruent background (hospital room) or incongruent (athletics track) influenced cultural bias during visual processing and assigned meaning. MATERIAL AND METHODS: A combination of research methods (Semantic Differential Scale and eye-tracking) was used to triangulate the results. A total of 126 adult student participants, (Pakistani/collectivist, n = 57) and the (UK/individualist, n = 69), viewed a visual presentation of a wheelchair with semantically congruent and then an incongruent background and responded via an online questionnaire. A sub-sample completed the survey whilst monitored via eye-tracking. RESULTS: Pakistani respondents used shorter and less frequent fixations on the foreground compared to the responses of their counterparts (UK respondents). The wheel of the wheelchair was highlighted as the prominent form by both groups. CONCLUSION: Results demonstrate a culture-influenced pattern of visual processing even when the product was displayed against a semantically incongruent background. The findings from this study also validate and extend the outcomes of similar studies revealing a more specific, yet consistent, cultural effect on individuals' visual perception. Finally, the efficacy of triangulated research methods in their relationship to exploring the AT product's semantics was discussed.IMPLICATIONS FOR REHABILITATIONThe knowledge of AT products' semantics will be significant to investigate, for their improved social acceptance, particularly when considered from a diverse cultural standpoint.A model of best practice, focussing on semantics manipulation, will provide AT product designers, practitioners, and those involved in their marketing, Internationally, with a suitable process/tool to positively reframe the perception of these devices.Finally, this research will help product and industrial designers to consider cultural cognitive styles in the design of products for the better adoption of products within the global marketplace.


Asunto(s)
Semántica , Silla de Ruedas , Adulto , Humanos , Pakistán , Percepción Visual/fisiología , Estudiantes , Reino Unido
15.
Heliyon ; 9(11): e21796, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38027886

RESUMEN

Mineral technology has attracted significant attention in recent decades. Mineral carbonation technology is being used for permanent sequestration of CO2 (greenhouse gas). Temperature programmed desorption studies showed interaction of CO2 with Mg indicating possibility of using natural feedstocks for mineral carbonation. Soaking is effective to increase yields of heat-activated materials. This review covers the latest developments in mineral carbonation technology. In this review, development in carbonation of natural minerals, effect of soaking on raw and heat-activated dunite, increasing reactivity of minerals, thermal activation, carbonations of waste materials, increasing efficiency of carbonation process and pilot plants on mineral carbonation are discussed. Developments in carbonation processes (single-stage carbonation, two-stage carbonation, acid dissolution, ph swing process) and pre-process and concurrent grinding are elaborated. This review also highlights future research required in mineral carbonation technology.

16.
Heliyon ; 9(11): e22028, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38034731

RESUMEN

This study was based on the experimental performance evaluation of a wood polymer composite (WPC) that was synthesized by incorporating untreated and treated rice husk (RH) fibers into a polypropylene random copolymer matrix. The submicron-scale RH fibers were alkali-treated to modify the surface and introduce new functional groups in the WPC. A compatibilizer (maleic anhydride) and a thermos-mechanical properties modifier (polypropylene grafted with 30 % glass fiber) were used in the WPC. The effects of untreated and treated RH on the WPC panels were studied using FESEM, FTIR, and microscope images. A pin-on-disk setup was used to investigate the bulk tribological properties of PPRC and WPC. The complex relationship between the friction coefficient of different loading of RH fibers in the WPC, as a function of sliding distance, was analyzed along with the temperature and morphology of the surface. It was observed that untreated RH acted as a friction modifier, while treated RH acted as a solid lubricant. Microhardness was calculated using the QCSM module on nanoindentation. It was found that untreated RH led to an increase in microhardness, while treated RH caused a decrease in hardness compared to PPRC.

17.
Heliyon ; 9(10): e21133, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37916073

RESUMEN

Ecosystem degradation and fossil fuel depletion are the two foremost concerns to look for alternative fuels. Rapid population growth is primarily accountable for higher consumption of fossil fuel sources, although engine technology is achieving milestones in terms of fuel efficiency and lower exhaust emissions in order to contribute towards a sustainable environment. The main root cause of global warming is carbon dioxide emissions; therefore, it is imperative to assess the impact of alternative fuels in diesel engines with an aim to minimize carbon emissions. A current study deals with the reduction of carbon emissions and improvement of efficiency through addition of manganese nano-additive to di-ethyl ether and diesel fuel blend in particulate form. Fuel blends were formed by adding various proportions of manganese to high-speed diesel fuel and stirring the mixture while heating it for 10 min. The blends were then tested in diesel engines at two distinct loads and five engine speed ranges. Emission analyzer was used to ascertain the CO2 output of engine. At higher loads for 10 % diethyl ether in diesel, the increase in brake thermal efficiency was 24.19, 28.17 and 26.86 % when the manganese amount in blend was changed as 250 mg, 375 mg and 500 mg respectively. On the other side CO2 emissions increase by 11.57, 30.52 and 20.33 % for manganese concentrations of 250 mg, 375 mg and 500 mg respectively. Analysis performed with Design Expert 13 showed that the desirability was 0.796 for a blend of 375 mg manganese at 1300 rpm and 4500 W load with 33.0611 % BTE, 334.011kg/kWh BSFC, 67.8821Nm torque, and 6.072 % CO2. Therefore, it can be deduced that manganese nanoparticle blends improved engine performance but CO2 emissions also increase which can be responsible for global warming and it should be reduced through catalytic converters.

18.
Heliyon ; 9(11): e22404, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38074886

RESUMEN

The carbon footprint (CFP) is a measure of greenhouse gases (GHGs) emitted throughout the lifecycle of a product or activity, while the energy footprint (EFP) and water footprint (WFP) measure energy and water consumption, respectively. These footprints are essential for managing emissions and consumption and promoting low-carbon consumption. A carbon labeling scheme could help consumers make informed choices. Asia is a major textile producer and consumer, so studying textiles' carbon, energy, and water footprints is essential for managing domestic emissions, energy and water consumption, and international trade negotiations. This paper presents a method and framework for assessing CFP, EFP, and WFP at the product level and calculates the footprints for textile products. The results show that the total CFP of all textile products produced is 42,624.12 MT CO2e, with indirect emissions contributing significantly more than direct emissions. The total EFP is 248.38 PJ, with electricity consumption being the main contributor, while the total WFP is 80.71 billion liters. The spinning stage of production has the highest CFP and EFP, and energy consumption is the main contributor to all footprints. These results can help compare different products and reduce the footprints of the textile sector.

19.
Clin Transplant ; 26(4): E351-8, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22694120

RESUMEN

Kidney dysfunction is a recognized complication after non-renal solid organ transplantation, particularly after intestinal transplant. In our study, we reviewed data on 33 multivisceral transplant (MVT)- and 15 isolated small bowel (ISB)-transplant patients to determine risk factors for kidney dysfunction. Kidney function was estimated by modified diet in renal disease (MDRD) and Schwartz formula for adults and children, respectively. Acute kidney injury (AKI) was defined as an increase in the serum Cr (sCr) greater than twofold. Kidney function declined significantly at one yr after transplantation with 46% of subjects showing an estimated GFR (eGFR) <60 mL/min. Patients with an episode of AKI were more likely to have reduced eGFR than those without AKI (p < 0.025). In linear regression analyses, age, pre-transplant sCr, eGFR at postoperative day (POD) 30, 90, 180, 270, and tacrolimus level at POD 7 showed significant correlation with one yr post-transplant eGFR (p < 0.05). Pediatric patients and patients with MVT had lesser decline in kidney function compared with adults or patients with ISB. In conclusion, risk factors for post-transplant kidney dysfunction in intestinal transplantation included age, pre-transplant sCr, AKI episode, eGFR at POD 30, 90, 180, 270, and tacrolimus level at POD 7.


Asunto(s)
Hepatopatías/complicaciones , Trasplante de Hígado/efectos adversos , Insuficiencia Renal/etiología , Insuficiencia Renal/mortalidad , Adulto , Anciano , Femenino , Estudios de Seguimiento , Tasa de Filtración Glomerular , Humanos , Hepatopatías/terapia , Masculino , Persona de Mediana Edad , Pronóstico , Factores de Riesgo , Tasa de Supervivencia
20.
Materials (Basel) ; 15(15)2022 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-35955332

RESUMEN

Polymer-based nanocomposites are being considered as replacements for conventional materials in medium to high-temperature applications. This article aims to discover the synergistic effects of reinforcements on the developed polymer-based nanocomposite. An epoxy-based polymer composite was manufactured by reinforcing graphene nanoplatelets (GNP) and h-boron nitride (h-BN) nanofillers. The composites were prepared by varying the reinforcements with the step of 0.1 from 0.1 to 0.6%. Ultrasonication was carried out to ensure the homogenous dispersion of reinforcements. Mechanical, thermal, functional, and scanning electron microscopy (SEM) analysis was carried out on the novel manufactured composites. The evaluation revealed that the polymer composite with GNP 0.2 by wt % has shown an increase in load-bearing capacity by 265% and flexural strength by 165% compared with the pristine form, and the polymer composite with GNP and h-BN 0.6 by wt % showed an increase in load-bearing capacity by 219% and flexural strength by 114% when compared with the pristine form. Furthermore, the evaluation showed that the novel prepared nanocomposite reinforced with GNP and h-BN withstands a higher temperature, around 340 °C, which is validated by thermogravimetric analysis (TGA) trials. The numerical simulation model is implemented to gather the synthesised nanocomposite's best composition and mechanical properties. The minor error between the simulation and experimental data endorses the model's validity. To demonstrate the industrial applicability of the presented material, a case study is proposed to predict the temperature range for compressor blades of gas turbine engines containing nanocomposite material as the substrate and graphene/h-BN as reinforcement particles.

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