The Unplanned Postoperative Coronary Angiogram after CABG: Identifying the Patients at Risk.

Objectives Coronary artery bypass grafting (CABG) is the "gold standard" for patients with multiple vessel coronary artery disease (CAD). However, there is no "gold standard" to control bypass patency immediately postoperatively. "Post-completion" control angiogram (CA) is not routinely performed. We retrospectively analyzed the data of all patients undergoing urgent coronary angiogram post-CABG at our center. Methods Between January 2005 and June 2011, a total of 6,025 patients underwent CABG (isolated or combined) for CAD in our hospital. In patients who underwent urgent postoperative CA, high serum cardiac enzymes (>100 CK-MB), severe new ECG changes, or unexpected low left ventricular function were present. Results A total of 106 patients (1.8%) underwent post-CABG urgent coronary angiogram. Overall 30-day mortality in this cohort was 8.5%. The average time between the cardiac operation and the coronary angiogram in these patients was 3.41 ± 5.68 days. The rates for an urgent coronary angiogram were 1.3% (n = 25), 2% (n = 65), and 1.8% (n = 16) for total arterial, combined arterial, and venous and solely venous CABG, respectively. Twenty-four percent of patients underwent CABG bypass revision, while 32% of the patients underwent PTCA, stenting, or both. Younger patients, female patients, smaller patients, and patients receiving a combined arterial and venous revascularization were at a higher risk for an unplanned postoperative CA in the multivariate risk analysis. Conclusion This study shows that the necessity for urgent post-CABG coronary angiogram is low (1.8%). However, more than half of the patients undergoing postoperative coronary angiogram needed reintervention, and, in spite of it, had high mortality. "Completion" control angiogram is not always feasible, patients at higher risk (e.g., female patients) should be identified and post-CABG coronary angiogram performed as soon as possible without undue delay, or a primary hybrid approach with an intraoperative CA should be applied.

Zinc nanoparticles encapsulated in porous biopolymer beads for reduction of water pollutants and antimicrobial activity.

This work focuses on the preparation of composite beads from alginate crosslinked with copper at several loading percent and also loaded with ZnNPs. Th obtained samples were applied as catalysts for the reduction of the organic polluants 4-NP, MB, OG, MO, and CR in simple and binary systems. XRD results and TEM images confirmed the presence of ZnNPs in the polymer matrix. XRF and TGA analysis showed that the percentage of the cross-linking agent significantly influences the content of ZnNPs as well as the thermal stability of the resulting material. The catalytic activity of the composite beads showed that the Cu(4 %)-ALG(ZnNPs) sample was the best catalyst for all pollutants. In the simple system, the recorded rate constants for MB, MO, 4-NP, OG, and CR were 0.0133 s-1, 0.0076 s-1, 0.005 s-1, 0.0042 s-1, 0.0036 s-1, respectively. The catalyst was more selective towards the cationic MB dye for binary systems. For antibacterial and antifungal applications, the different materials containing ZnNPs and their counterparts containing Zn2+ were found to be active across all bacterial strains (Gram positive and Gram negative) as well as fungi, and the Zn2+-containing composites in particular performed better across all bacteria and fungi.

Catalytic reduction of organic pollutants, antibacterial and antifungal activities of AgNPs@CuO nanoparticles-loaded mesoporous silica.

In this work, the mesoporous silica MCM-41 was prepared by a hydrothermal method and then modified using silver and copper. The obtained samples were used as antibacterial/antifungal agents and as catalysts for the reduction of the following dyes: Methylene Blue (MB), Congo Red (CR), Methyl Orange (MO), and Orange G (OG). Several parameters affecting the reduction of dyes were investigated and discussed such as the catalyst nature, the initial concentration of the dye, the dye nature, the selectivity of the catalyst in a binary system as well as the catalyst reuse. The catalysts were characterized using XRD, nitrogen sorption measurements, XRF, FTIR, XPS, SEM/EDS, and TEM. XRD, XPS, and TEM analysis clearly showed that the calcination of copper- and silver-modified silica leads to the formation of well-dispersed CuO and AgNPs having sizes between 5 and 10 nm. As determined by XRF analysis, the content of silver nanoparticles was higher compared to CuO in all samples. It has been shown that the dye reduction is influenced by the size and the content of nanoparticles as well as by their dispersions. The catalytic activity was shown to be the highest for the Ag-Cu-MCM(0.05) catalyst with a rate constant of 0.114, 0.102, 0.093, and 0.056 s-1 for MO, MB, CR, and OG dyes in the single-dye system, respectively. In the binary system containing MB/OG or MB/MO, the catalyst Ag-Cu-MCM(0.05) was more selective toward the MB dye. The reuse of the catalyst for three consecutive cycles showed higher MB conversion in a single system with an increase in reaction time. For antifungal and antibacterial properties, the application of calcined and uncalcined materials toward six different strains showed good results, but uncalcined materials showed the best results due to the synergistic effect between CuO and unreduced species Ag+ which are considered responsible for the antibacterial and antifungal action.

Removal of crystal violet dye using a three-dimensional network of date pits powder/sodium alginate hydrogel beads: Experimental optimization and DFT calculation.

Biodegradable and very low-cost adsorbent beads were prepared from date pits powder (DP) and sodium alginate (SA). DP to SA ratios was varied (1/2, 1/4 and 1/6) and used to eliminate Crystal violet (CV) a cationic dye. Adsorbents were characterized by FTIR, SEM-EDS, UV-vis DR, TGA and the point of zero charge (pHPZC). The optimal composite beads SA@6DP show high adsorption capacities of 83.565 mg/g toward CV than SA@2DP and SA@4DP. The kinetics investigation showed that the adsorption is well described by the pseudo-second-order kinetic (R2 = 0.998). The thermodynamics and isotherms studies exhibit that the adsorption phenomenon for SA@6DP adsorbent is endothermic and significantly fitted with the Redlich-Peterson model. The experimental adsorption tests were optimized by the Box-Behnken design (BBD) which led to conclude the maximal CV removal efficiency achieved by SA@6DP was 99.873 % using [CV] = 50 mg/L, adsorbent mass = 20 mg and 48 h of contact time. The theoretical calculation proved that the CV molecules favor the mode of attack due to their electrophilic character and can accept the SA@6DP adsorbent electrons more easily to form an anti-bonding orbital. SA@6DP hydrogel beads are therefore an exceptional bio-adsorbent that offers excellent adsorption performance.

Catalytic Reduction of Dyes and Antibacterial Activity of AgNPs@Zn@Alginate Composite Aerogel Beads.

This work focuses on the preparation of aerogel composite beads based on Zn(II)-crosslinked alginate and loaded with different percentages of AgNPs using a simple approach. The obtained samples were evaluated in two different applications: the first application consists in their use as catalysts for the reduction of MB, MO, OG and CR dyes in a simple and binary system under the presence of NaBH4. For this, several parameters affecting the catalytic behavior of these catalysts have been investigated and discussed such as the catalyst mass, AgNPs content, dye nature, and the selectivity of the catalyst in a binary system. The second application concerns their antibacterial activities towards two Gram-negative bacteria Escherichia coli (ATCC 25922), and Pseudomonas aeruginosa (ATCC 27853), and a Gram-positive bacteria Staphylococcus aureus (ATCC 25923). The physico-chemical properties of different samples were characterized by XRD, FTIR, SEM/EDS, and TGA analysis. The obtained results confirmed the presence of AgNPs on a highly porous alginate structure. The dispersion of a high percentage of AgNPs leads to the formation of nanoparticles on the outer surface of the alginate which led to their leaching after the catalytic test, while the composite having a low percentage of AgNPs showed good results through all dyes without leaching of AgNPs. For the antibacterial application of the different samples, it was shown that a composite with a higher percentage of AgNPs was the most effective against all bacteria.

Catalytic behavior and antibacterial/antifungal activities of new MNPs/zeolite@alginate composite beads.

In this paper, a new family of composite materials was prepared based on calcium alginate and metal nanoparticle-loaded zeolite omega. Different types of metal nanoparticles (MNPs), namely Cu, Co and Fe, were loaded onto zeolite omega to test the performance of the resulting metal/zeolite@alginate composites towards the catalytic reduction of methylene blue dye. To examine their application field as broadly as possible, these composite beads were also tested as antibacterial and antifungal agents against several types of bacteria. Several techniques such as XRD, XRF, FTIR, XPS, SEM and TGA were used to characterize the samples. The obtained results showed that all the composite bead samples were effective in the reduction of MB dye. The composite Co/Zeolite@ALG with relatively low Co nanoparticle (NP) content was selected as the best performing catalyst due to its reduction of MB dye being completely achieved in 3 min with a rate constant of 1.4 min-1, which was attributed to its highly porous structure. The reuse tests conducted on the best-performing catalyst showed good results which persisted through five successive cycles. For antibacterial and antifungal activities, the Cu/Zeolite@ALG and Fe/Zeolite@ALG composites showed good activity with significant inhibition zones.