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1.
Heliyon ; 10(17): e37255, 2024 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-39296210

RESUMO

Renewable lignocellulosic biomass is a favorable energy resource since its co-pyrolysis with hydrogen-rich plastics can produce high-yield and high-quality biofuel. In contrast to earlier co-pyrolysis research that concentrated on increasing product yield, this study comprehends the synergistic effects of two distinct feedstocks that were not considered earlier. This work focuses on co-pyrolyzing wheat straw (WS) with non-reusable polyethylene terephthalate (PET) for the production of pyrolysis oil. WS and PET were blended in different ratios (100/0, 80/20, 60/40, 40/60, 20/80, and 0/100), and pyrolysis experiments were conducted in a fixed-bed reactor under different temperatures to assess their synergistic effect on oil yield. Synergy rates of up to 7.78 % were achieved on yield for the blends of plastic and biomass at a temperature of 500 °C. In comparison to individual biomass or plastics, co-pyrolyzing PET-biomass blends demonstrated good process interaction and promoted the yields of value-added products. The heating value of the pyrolysis oils was in the range of 16.45-28.64 MJ/kg, which depends on the amount of plastic present in the feedstock. The physical analysis of the oils shows that they can be used for heat production by direct combustion in boilers or furnaces. The correlation between WS and PET was validated with the aid of Fourier transform infrared spectroscopy (FT-IR) and gas chromatography-mass spectrometry (GC-MS) analysis. The GC-MS result demonstrated the presence of different compounds such as O-H compounds, esters, carbonyl group elements, acids, hydrocarbons, aromatics, and nitrogenated compounds in the pyrolysis oil, which differed based on the proportions of PET in the feedstock. The increased hydrocarbon and reduced oxygen percentages in the pyrolysis oil were implicitly caused by enhanced hydrocarbon pool mechanisms, in which the breakdown of PET may be supplied as a hydrogen donor. Overall, waste lignocellulosic biomass and plastics can be used to produce biofuels, which helps reduce the amount of solid waste that ends up in landfills. This study also revealed that future research should be focused on the reaction mechanisms of WS and PET co-pyrolysis in order to examine the synergistic interactions.

2.
Environ Geochem Health ; 46(10): 378, 2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39167275

RESUMO

Significant efforts have been dedicated to creating recyclable and efficient methods for treating waste dyes, including rhodamine B (RhB). Nevertheless, challenges such as complex operational techniques, high costs, energy consumption, and inefficacy in dye removal persist. Here, the synthesis and application of TiO2/Fe3O4/SiO2 for photocatalytic degradation of RhB dye pollutants have been explored. This research was initiated with magnetite (Fe3O4) synthesis using the coprecipitation method, followed by silica (SiO2) extraction from rice husk waste using the sol-gel process, and a hydrothermal method for synthesizing titanium dioxide (TiO2) and TiO2/Fe3O4/SiO2 nanocomposite. The crystalline structure of TiO2/Fe3O4/SiO2 was obtained with Fe3O4 as the core, while TiO2 and SiO2 as the shell. The particle size analysis showed the nanosize of TiO2/Fe3O4/SiO2 (1.04 ± 0.46 nm). TiO2/Fe3O4/SiO2 nanocomposite boasts a high surface area of 48.025 m2/g, 2.2 times higher than unmodified TiO2. This nanocomposite also displayed paramagnetic properties with a saturation magnetization of 9.117 emu/g, facilitating easy separation in photocatalytic applications. The photocatalytic activity of TiO2/Fe3O4/SiO2 exhibited effectively degraded RhB, achieving a degradation rate of 53.58% and an excellent rate constant of 0.7303 min-1. The RhB photodegradation in this study requires a moderate irradiation time (60 min), uses only a tiny amount of photocatalyst (100 mg), and does not need additional chemicals. Moreover, this study has another advantage of utilizing rice husk as a silica source, offering an eco-friendly and sustainable approach.


Assuntos
Nanocompostos , Rodaminas , Dióxido de Silício , Titânio , Poluentes Químicos da Água , Titânio/química , Rodaminas/química , Dióxido de Silício/química , Nanocompostos/química , Poluentes Químicos da Água/química , Catálise , Fotólise , Óxido Ferroso-Férrico/química
3.
Environ Res ; 259: 119527, 2024 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-38977155

RESUMO

The wastewater produced during coffee cherry pulping is known for containing harmful pollutants, particularly organic compounds containing carbon, which pose significant risks to the environment and human health. This research aimed to evaluate the effectiveness of Tamarindus indica L. seed polysaccharides in treating coffee effluent. Varying doses (ranging from 0.05 to 0.30 g) of the isolated polysaccharides were added to samples of the effluent to determine their ability to remove contaminants, especially those of organic carbon origin. Notably, a dosage of 0.10 g demonstrated optimal efficacy, resulting in a 55% decrease in total dissolved solids and an 80% decrease in chemical oxygen demand. Additionally, Fourier-transform infrared and zeta potential analysis of both the polysaccharides and the treated effluent samples revealed the presence of functional groups potentially pivotal for the pollutant removal activity of the isolated polysaccharides. This provides insights into the coagulation mechanism of Tamarindus indica L. seed polysaccharides in eliminating organic carbon-based pollutants. These findings highlight the potential of Tamarindus polysaccharides as a sustainable alternative to chemical agents for removing pollutants, thus promoting environmental sustainability and human well-being.


Assuntos
Polissacarídeos , Sementes , Tamarindus , Águas Residuárias , Tamarindus/química , Polissacarídeos/química , Sementes/química , Águas Residuárias/química , Carbono/química , Poluentes Químicos da Água/análise , Resíduos Industriais/análise , Café/química , Eliminação de Resíduos Líquidos/métodos
4.
Environ Sci Pollut Res Int ; 31(35): 48073-48084, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39017868

RESUMO

Recent advancements in membrane technologies and disinfection methods have enhanced drinking water quality significantly. However, microorganisms, including free-living amoebae (FLA), persist and pose potential threats to humans. FLA are linked to severe neuro-ophthalmic infections and serve as hosts of pathogenic bacteria. This study examined FLA presence in chlorinated and ultrafiltration drinking water and evaluated chlorine's disinfectant. Of 115 water samples, 21 tested positive for Acanthamoeba sp., Allovahlkampfia sp., and Vermamoeba vermiformis, originating from chlorinated sources. FLA trophozoites withstand temperatures up to 37 °C, while the cysts tolerate heat shocks of 60-70 °C. Trophozoites are susceptible to 5 mg L-1 chlorine, but cysts remain viable at concentrations up to 10 mg L-1. FLAs' survival in chlorinated waters is attributed to high cyst tolerance and lower residual chlorine concentrations. These findings highlight the need for ultrafiltration or enhanced chlorination protocols to ensure safer drinking water.


Assuntos
Amoeba , Água Potável , Halogenação , Amoeba/efeitos dos fármacos , Água Potável/química , Cloro/farmacologia , Desinfecção/métodos , Desinfetantes , Purificação da Água/métodos
5.
Sci Rep ; 14(1): 14352, 2024 06 21.
Artigo em Inglês | MEDLINE | ID: mdl-38906968

RESUMO

Ischemic colitis (IC) and sarcopenia are associated with aging and multiple comorbidities. We aimed to investigate the prevalence and predictive role of sarcopenia in patients with IC. We retrospectively analyzed 225 hospitalized patients (median age, 72 years; women, 67.1%; severe IC, 34.2%) who were diagnosed with IC between January 2007 and February 2022. Sarcopenia was defined as the skeletal muscle index at the third lumbar vertebra determined by computed tomography. It was present in 49.3% (n = 111) of the patients and was significantly associated with severe IC compared to those without sarcopenia (48.6% vs. 20.2%, P < 0.001). Sarcopenia was associated with extended hospitalization (median: 8 vs. 6 days, P < 0.001) and fasting periods (4 vs. 3 days, P = 0.004), as well as prolonged antibiotic use (9 vs. 7 days, P = 0.039). Sarcopenia was linked to a higher risk of surgery or mortality (9.0% vs. 0%, P = 0.001) and independently predicted this outcome (odds ratio [OR], 11.17; 95% confidence interval [CI], 1.24‒1467.65, P = 0.027). It was prevalent among hospitalized patients with IC, potentially indicating severe IC and a worse prognosis. This underscores the importance of meticulous monitoring, immediate medical intervention, and timely surgical consideration.


Assuntos
Colite Isquêmica , Hospitalização , Sarcopenia , Humanos , Sarcopenia/epidemiologia , Sarcopenia/complicações , Sarcopenia/diagnóstico , Feminino , Masculino , Idoso , Prevalência , Colite Isquêmica/epidemiologia , Colite Isquêmica/complicações , Estudos Retrospectivos , Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Tomografia Computadorizada por Raios X , Prognóstico , Fatores de Risco
6.
Sci Rep ; 14(1): 4145, 2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-38378854

RESUMO

In this study, gearbox radiated noise was successfully reduced through housing shape optimization. First, dynamic and structural-acoustic coupled analysis models of an agricultural UTV gearbox were developed. Then, the test equipment was configured to match that of the simulation model, and a test was conducted. The analysis and test results showed errors within 0.1 dB for vibration and 0.2 dB(A) for noise, indicating that the models were reliable. The housing design was then optimized using topology optimization based on the developed structural-acoustic coupling analysis model. The sound pressure level around the housing was used as an objective function for topology optimization. The optimal distribution of materials for the housing was also derived to reduce the radiated noise. Lastly, the housing rib was designed based on the optimization result, and an improvement in the radiated noise by approximately 2.43 dB(A) was confirmed in the operation area.

7.
Cancers (Basel) ; 16(4)2024 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-38398229

RESUMO

Real-world data regarding treatment with atezolizumab plus bevacizumab in high-risk patients with advanced HCC are lacking. In this multicenter retrospective cohort study, a total of 215 patients with advanced HCC received atezolizumab plus bevacizumab treatment at four tertiary hospitals. High-risk patients were those with grade Vp4 portal vein thrombus, bile duct invasion, or more than 50% liver infiltration. In total, 98 (45.6%) were the high-risk population, 186 (86.5%) were considered to be Child-Pugh class A, and 128 (59.5%) had previously received neoadjuvant or concomitant radiation treatment. Median overall survival (OS) was 11.25 months (95% CI, 9.50-13.10), and the median progression-free survival (PFS) was 8.00 months (95% CI, 6.82-9.18). In the high-risk population, the median OS was 10 months (95% CI, 8.19-11.82) and the median PFS was 6.50 months (95% CI, 3.93-9.08). In the high-risk population, multivariate analysis indicated that radiation therapy and lower ALBI grade were associated with better OS and PFS. A total of 177 (82.3%) patients experienced adverse events of any grade, the most common being proteinuria (23.7%). Atezolizumab plus bevacizumab treatment showed consistent efficacy and tolerability in both the total and high-risk population. Radiation therapy combined with atezolizumab plus bevacizumab treatment might be helpful to improve PFS and OS in high-risk populations.

8.
Cancers (Basel) ; 16(2)2024 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-38275895

RESUMO

The role of body composition parameters in sorafenib-treated hepatocellular carcinoma (HCC) patients is still not fully elucidated. Here, we aimed to evaluate the impact of computed tomography (CT)-based body composition parameters on the survival of such patients. In this multicenter study, we analyzed the data of 245 sorafenib-treated HCC patients from January 2008 to December 2019. Sarcopenia, visceral obesity, and myosteatosis were defined by using cross-sectional CT images at the third lumbar vertebra level. The effects of these parameters on overall survival (OS) and progression-free survival (PFS) were evaluated. The median age was 67.0 years (interquartile range: 61.0-78.0 year), and 211 patients (86.1%) were male. The median OS and PFS were 7.9 months and 4.8 months, respectively. Vascular invasion (hazard ratio (HR), 1.727; 95% confidence interval (CI), 1.258-2.371; p = 0.001), extrahepatic metastasis (HR, 1.401; 95% CI, 1.028-1.908; p = 0.033), alpha-fetoprotein level > 200 ng/mL (HR, 1.559; 95% CI, 1.105-2.201; p = 0.012), and myosteatosis (HR, 1.814; 95% CI, 1.112-2.960; p = 0.017) were associated with OS. Patient mortality was significantly higher in the group with two or more risk factors than in the group with fewer risk factors. In conclusion, myosteatosis may be a novel prognostic CT-based radiological biomarker in sorafenib-treated HCC patients.

9.
Chemosphere ; 341: 139822, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37598950

RESUMO

The dehydration of ethanol into diethyl ether over a SO4/SiO2 catalyst was investigated. The SO4/SiO2 catalysts were prepared by the sulfation method using 1, 2, and 3 M of sulfuric acid (SS1, SS2, and SS3) via hydrothermal treatment. This study is focused on the synthesis of a SO4/SiO2 catalyst with high total acidity that can be subsequently utilized to convert ethanol into diethyl ether. The total acidity test revealed that the sulfation process increased the total acidity of SiO2. The SS2 catalyst (with 2 M sulfuric acid) displayed the highest total acidity of 7.77 mmol/g, whereas the SiO2 total acidity was only 0.11 mmol/g. Meanwhile, the SS3 catalyst (with 3 M sulfuric acid) has a lower total acidity of 7.09 mmol/g due to the distribution of sulfate groups on the surface having reached its optimum condition. The crystallinity and structure of the SS2 catalyst were not affected by the hydrothermal treatment or the sulfate process on silica. Furthermore, The SS2 catalyst characteristics in the presence of sulfate lead to a flaky surface in the morphology and non-uniform particle size. In addition, the surface area and pore volume of the SS2 catalyst decreased (482.56-172.26 m2/g) and (0.297-0.253 cc/g), respectively, because of the presence of sulfate on the silica surface. The SS2 catalyst's pore shape information explains the formation of non-uniform pore sizes and shapes. Finally, the activity and selectivity of SO4/SiO2 catalysts in the conversion of ethanol to diethyl ether yielded the highest ethanol conversion of 70.01% and diethyl ether product of 9.05% from the SS2 catalyst (the catalyst with the highest total acidity). Variations in temperature reaction conditions (175-225 °C) show an optimum reaction temperature to produce diethyl ether at 200 °C (11.36%).


Assuntos
Éter , Dióxido de Silício , Humanos , Dióxido de Silício/química , Éter/química , Desidratação , Sulfatos , Etanol/química
10.
Sci Rep ; 13(1): 14271, 2023 08 31.
Artigo em Inglês | MEDLINE | ID: mdl-37652984

RESUMO

This prospective, 12-center study investigated the etiology and clinical characteristics of acute viral hepatitis (AVH) during 2020-2021 in South Korea, and the performance of different diagnostic methods for hepatitis E virus (HEV). We enrolled 428 patients with acute hepatitis, of whom 160 (37.4%) were diagnosed with AVH according to predefined serologic criteria. The clinical data and risk factors for AVH were analyzed. For hepatitis E patients, anti-HEV IgM and IgG were tested with two commercial ELISA kits (Abia and Wantai) with HEV-RNA real-time RT-PCR. HAV, HEV, HBV, HCV, Epstein-Barr virus (EBV), cytomegalovirus, and herpes simplex virus accounted for AVH in 78.8% (n = 126), 7.5% (n = 12), 3.1% (n = 5), 1.9% (n = 3), 6.9% (n = 11), 1.2% (n = 2), and 0.6% (n = 1) of 160 patients (median age, 43 years; men, 52.5%; median ALT, 2144 IU/L), respectively. Hospitalization, hemodialysis, and intensive care unit admission were required in 137 (86.7%), 5 (3.2%), and 1 (0.6%) patient, respectively. Two patients developed acute liver failure (1.3%), albeit without mortality or liver transplantation. Ingestion of uncooked clams/oysters and wild boars' blood/bile was reported in 40.5% and 16.7% of patients with HAV and HEV, respectively. The concordance rate between the anti-HEV-IgM results of both ELISA kits was 50%. HEV RNA was detected in only 17% of patients with HEV. The diagnosis of HEV needs clinical consideration due to incomplete HEV diagnostics.


Assuntos
Infecções por Vírus Epstein-Barr , Vírus da Hepatite E , Hepatite E , Humanos , Masculino , Doença Aguda , Anticorpos Anti-Hepatite , Hepatite E/diagnóstico , Hepatite E/epidemiologia , Vírus da Hepatite E/genética , Herpesvirus Humano 4 , Imunoglobulina M , Estudos Prospectivos , República da Coreia/epidemiologia , Feminino , Adulto
11.
Chemosphere ; 337: 139224, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37336442

RESUMO

This work provides a first-time comparative study examining the photocatalytic activity of functionalized TiO2-based composites to eliminate naphthol blue in Batik wastewater. Reduced graphene oxide (RGO) was synthesized by oxidizing solid graphite using the Hummers' method followed by sonication and reduction. N-doped TiO2 (N-TiO2) was synthesized from titanium tetrachloride (TiCl4) and urea (CH4N2O) precursors by the sol-gel method. N-TiO2 modified RGO (RGO/NT) was synthesized using a hydrothermal method from N-TiO2 and RGO. Prepared TiO2-based composites and commercial TiO2, for comparison were characterized using Fourier transform infrared spectrometer (FTIR), X-Ray diffractometer (XRD), scanning electron microscope-energy dispersive X-ray (SEM-EDX), and UV-Vis diffuse reflectance spectrometer (UV-Vis DRS). FTIR characterization indicated Ti-N bonding in N-TiO2 and RGO/NT. XRD patterns showed that commercial TiO2 had a rutile phase, while N-TiO2 and RGO/NT had an anatase phase with crystal sizes of 30.09, 16.28, and 12.02 nm, respectively. SEM results displayed the presence of small and glossy white N-TiO2 dispersed on the surface of RGO. Characterization using UV-Vis DRS showed that the band gap energy values for TiO2, N-TiO2, and RGO/NT were 3.25, 3.12, and 3.08 eV with absorption regions at the wavelengths of 382, 398, and 403 nm, respectively. The highest photocatalytic activity for RGO/NT for degrading naphthol blue was obtained at pH 5, with a photocatalyst mass of 60 mg, and an irradiation of 15 min. Photocatalytic degradation by RGO/NT on Batik wastewater under visible light showed higher effectivity than under UV light.


Assuntos
Óxidos , Águas Residuárias , Óxidos/química , Naftóis , Titânio/química , Luz , Catálise
13.
J Yeungnam Med Sci ; 40(4): 388-393, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37005500

RESUMO

BACKGROUND: Differentiating between bacterial and nonbacterial colitis remains a challenge. We aimed to evaluate the value of serum procalcitonin (PCT) and C-reactive protein (CRP) in differentiating between bacterial and nonbacterial colitis. METHODS: Adult patients with three or more episodes of watery diarrhea and colitis symptoms within 14 days of a hospital visit were eligible for this study. The patients' stool pathogen polymerase chain reaction (PCR) testing results, serum PCT levels, and serum CRP levels were analyzed retrospectively. Patients were divided into bacterial and nonbacterial colitis groups according to their PCR. The laboratory data were compared between the two groups. The area under the receiver operating characteristic curve (AUC) was used to evaluate diagnostic accuracy. RESULTS: In total, 636 patients were included; 186 in the bacterial colitis group and 450 in the nonbacterial colitis group. In the bacterial colitis group, Clostridium perfringens was the commonest pathogen (n=70), followed by Clostridium difficile toxin B (n=60). The AUC for PCT and CRP was 0.557 and 0.567, respectively, indicating poor discrimination. The sensitivity and specificity for diagnosing bacterial colitis were 54.8% and 52.6% for PCT, and 52.2% and 54.2% for CRP, respectively. Combining PCT and CRP measurements did not increase the discrimination performance (AUC, 0.522; 95% confidence interval, 0.474-0.571). CONCLUSION: Neither PCT nor CRP helped discriminate bacterial colitis from nonbacterial colitis.

14.
Clin Mol Hepatol ; 29(2): 496-509, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36880209

RESUMO

BACKGROUND/AIMS: We used next-generation sequencing (NGS) to analyze resistance-associated substitutions (RASs) and retreatment outcomes in patients with chronic hepatitis C virus (HCV) infection who failed direct-acting antiviral agent (DAA) treatment in South Korea. METHODS: Using prospectively collected data from the Korean HCV cohort study, we recruited 36 patients who failed DAA treatment in 10 centers between 2007 and 2020; 29 blood samples were available from 24 patients. RASs were analyzed using NGS. RESULTS: RASs were analyzed for 13 patients with genotype 1b, 10 with genotype 2, and one with genotype 3a. The unsuccessful DAA regimens were daclatasvir+asunaprevir (n=11), sofosbuvir+ribavirin (n=9), ledipasvir/sofosbuvir (n=3), and glecaprevir/pibrentasvir (n=1). In the patients with genotype 1b, NS3, NS5A, and NS5B RASs were detected in eight, seven, and seven of 10 patients at baseline and in four, six, and two of six patients after DAA failure, respectively. Among the 10 patients with genotype 2, the only baseline RAS was NS3 Y56F, which was detected in one patient. NS5A F28C was detected after DAA failure in a patient with genotype 2 infection who was erroneously treated with daclatasvir+asunaprevir. After retreatment, 16 patients had a 100% sustained virological response rate. CONCLUSION: NS3 and NS5A RASs were commonly present at baseline, and there was an increasing trend of NS5A RASs after failed DAA treatment in genotype 1b. However, RASs were rarely present in patients with genotype 2 who were treated with sofosbuvir+ribavirin. Despite baseline or treatment-emergent RASs, retreatment with pan-genotypic DAA was highly successful in Korea, so we encourage active retreatment after unsuccessful DAA treatment.


Assuntos
Hepatite C Crônica , Hepatite C , Humanos , Antivirais/uso terapêutico , Sofosbuvir/uso terapêutico , Hepatite C Crônica/tratamento farmacológico , Hepacivirus/genética , Ribavirina/uso terapêutico , Estudos de Coortes , Farmacorresistência Viral/genética , Hepatite C/tratamento farmacológico , Genótipo , Sequenciamento de Nucleotídeos em Larga Escala , Proteínas não Estruturais Virais/genética , Quimioterapia Combinada
15.
Sci Rep ; 13(1): 50, 2023 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-36593338

RESUMO

In gear design, gear performance metrics such as safety factors for tooth root stress and surface durability, peak-to-peak static transmission error (PPSTE), efficiency, mass, and volume are considered. They are calculated by the geometric parameters of gear macro- and micro-geometry, and manufacturing errors related to gear geometry significantly affect gear performance. However, previous studies have only focused on the micro-geometry errors. In this study, Monte Carlo-type robustness analysis was performed considering the manufacturing errors for tooth thickness, tip diameter, and center distance. Gear performance metrics except PPSTE were calculated based on the international standards and geometric characteristics. PPSTE was evaluated analytically due to lack of standards. When the errors were considered, two gear pairs with the safety factors satisfying the design requirements and similar performance for PPSTE, efficiency, mass, and volume showed different gear performances. There were many samples in gear pair 1 that could not satisfy the design requirements of safety factors, and gear pair 2 had the robustness of PPSTE not only at the specific torque but also with wide torque range when compared to gear pair 1. These results imply that considering the gear macro-geometry errors and robustness of PPSTE is significantly important when designing gears.

16.
Diagnostics (Basel) ; 14(1)2023 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-38201324

RESUMO

BACKGROUND: The European Foundation for the Study of Chronic Liver Failure (EF-CLIF) consortium suggested that the clinical courses after acute decompensation (AD) stratify the long-term prognosis: stable decompensated cirrhosis (SDC), unstable decompensated cirrhosis (UDC), pre acute-on-chronic liver failure (pre ACLF), and ACLF. However, previous studies included patients with a history of previous AD and had limitations associated with identifying the clinical factors related to prognosis after the first AD. METHOD: The prospective Korean Acute-on-Chronic Liver Failure (KACLiF) cohort included cirrhotic patients who were hospitalised with first AD between July 2015 and August 2018. We analysed the factors associated with readmission after the first AD and compared the characteristics and prognosis among each subgroup to evaluate the risk factors for the occurrence of pre ACLF after AD. RESULT: A total of 746 cirrhotic patients who were hospitalised with first AD were enrolled. The subgroups consisted of SDC (n = 565), UDC (n = 29), pre ACLF (n = 28), and ACLF (n = 124). Of note, pre ACLF showed a poorer prognosis than ACLF. The risk factors associated with readmission within 3 months of first AD were non-variceal gastrointestinal (GI) bleeding, hepatic encephalopathy (HE), and high MELD score. Viral aetiology was associated with the occurrence of pre ACLF compared with alcohol aetiology regardless of baseline liver function status. CONCLUSION: Cirrhotic patients with first AD who present as non-variceal GI bleeding and HE can easily relapse. Interestingly, the occurrence of AD with organ failure within 3 months of first AD (pre ACLF) has worse prognosis compared with the occurrence of organ failure at first AD (ACLF). In particular, cirrhotic patients with viral hepatitis with/without alcohol consumption showed poor prognosis compared to other aetiologies. Therefore, patients with ACLF after AD within 3 months should be treated more carefully and definitive treatment through LT should be considered.

17.
PLoS One ; 17(7): e0270716, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35867702

RESUMO

AIMS: Induction of a durable viral response is difficult to achieve in patients with chronic hepatitis B (CHB), even from long-term use of a nucleos(t)ide analogue (NA). This study investigated whether switching to peginterferon (PegIFN) alfa-2a after long-term NA therapy induced a durable viral response. METHODS: Patients with hepatitis B e antigen (HBeAg)-positive CHB who received any NA for at least 72 weeks and had a low level of HBV DNA (≤100 IU/mL) were randomized (1:1) to receive PegIFN alfa-2a (180 µg/week) or NA for 48 weeks. The primary endpoint was change in the hepatitis B surface antigen (HBsAg) titer during antiviral therapy. RESULTS: We randomized 149 CHB patients to the two groups. Compared to baseline, the HBsAg levels in both groups were not lower at week 12, but were lower after 24, 36, and 48 weeks (all p<0.001). The maximal HBsAg decline in the PegIFN alfa-2a group was at week 36 (0.50±0.88 log10 IU/mL), and this decline was smaller in the NA group (0.08±0.46 log10 IU/mL). The percentage of patients with HBeAg seroconversion at week 48 was also greater in the PegIFN alfa-2a group (15/75 [20.0%] vs. 5/74 [6.8%], p = 0.018). Multivariable analysis indicated the PegIFN alfa-2a group had a greater change in HBeAg seroconversion at week 48 (p = 0.027). Patients had relatively good tolerance to PegIFN alfa-2a therapy. CONCLUSIONS: CHB patients who switched to PegIFN alfa-2a for 48 weeks had a significantly lower HBsAg titer and increased HBeAg seroconversion relative to those who remained on NA therapy. TRIAL REGISTRATION: (ClinicalTrials.gov; NCT01769833).


Assuntos
Antígenos E da Hepatite B , Hepatite B Crônica , Antivirais/uso terapêutico , DNA Viral , Antígenos de Superfície da Hepatite B , Hepatite B Crônica/tratamento farmacológico , Humanos , Polietilenoglicóis/uso terapêutico , Proteínas Recombinantes/uso terapêutico , Resultado do Tratamento
18.
Artigo em Inglês | MEDLINE | ID: mdl-35727509

RESUMO

Marine fish biodiversity and conservation linked to human livelihoods along the coast were studied in 2019 using a survey and personal interviews to investigate the effects of environmental and anthropogenic issues on changes in marine fish diversity that affect sustainability. The Zoological Survey of India (ZSI) authenticated 42 finfish, 6 crabs, and 1 shrimp from three groups collected along the coastal zone. The estimated fish species diversity index revealed that alpha and beta biodiversity were more prevalent in the study zone than gamma fish diversity. When the collected fish species were compared to the International Union for Conservation of Nature (IUCN) threatened lists, 51% were found to be least concerned. The variation in the livelihood status, age group, religious, education, houses, training, graft, and gear of fishermen was 93.6% and 4.3%, respectively, according to the principle component analysis. The observation of 51% of the least concerned species in the study zone suggests species declination as a result of overexploitation of natural resources. The study suggests that strict conservation measures be put in place to ensure the sustainability and conservation of fish diversity.

19.
J Clin Med ; 11(9)2022 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-35566588

RESUMO

Background: The platelet-to-white blood cell ratio (PWR) is a hematologic marker of the systemic inflammatory response. Recently, the PWR was revealed to have a role as an independent prognostic factor for mortality in patients with hepatitis B virus (HBV)-related acute-on-chronic failure (ACLF) and HBV-related liver cirrhosis (LC) with acute decompensation (AD). However, the prognostic role of the PWR still needs to be investigated in LC patients with AD. In this study, we analyzed whether the PWR could stratify the risk of adverse outcomes (death or liver transplantation (LT)) in these patients. Methods: A prospective cohort of 1670 patients with AD of liver cirrhosis ((age: 55.2 ± 7.8, male = 1226 (73.4%)) was enrolled and evaluated for 28-day and overall adverse outcomes. Results: During a median follow-up of 8.0 months (range, 1.9−15.5 months), 424 (25.4%) patients had adverse outcomes (death = 377, LT = 47). The most common etiology of LC was alcohol use (69.7%). The adverse outcome rate was higher for patients with a PWR ≤ 12.1 than for those with a PWR > 12.1. A lower PWR level was a prognostic factor for 28-day adverse outcomes (PWR: hazard ratio 1.707, p = 0.034) when adjusted for the etiology of cirrhosis, infection, ACLF, and the MELD score. In the subgroup analysis, the PWR level stratified the risk of 28-day adverse outcomes regardless of the presence of ACLF or the main form of AD but not for those with bacterial infection. Conclusions: A lower PWR level was associated with 28-day adverse outcomes, indicating that the PWR level can be a useful and simple tool for stratifying the risk of 28-day adverse outcomes in LC patients with AD.

20.
Environ Res ; 212(Pt B): 113178, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35367427

RESUMO

In this study, activated carbon from corncobs was successfully synthesized by hydrothermal carbonization and hydrochemical activation at low temperatures, followed by pyrolysis. A developed method of hydrochemical activation of hydrochar that uses only small amounts of chemicals is a promising approach. After activation, the activator residues in the hydrothermal product can constantly act as a chemical activator during pyrolysis to form corncob-activated carbon (AHC-KOH), which had specific surface area of 965.028 m2/g and oxygenated functional groups of 0.3780 mmol/g, 31.67 and 4 times, respectively, of those of the inactivated sample. AHC-KOH was used to study the adsorption characteristics of methylene blue (MB). The MB adsorption efficiency of AHC-KOH was the highest at 489.560 mg/g, which was considerably higher than that of activated carbons produced from other biomasses. The isotherm equilibrium and adsorbent kinetics parameters of MB adsorption on AHC-KOH were also determined using the Langmuir isotherm model (R2 = 0.99) and pseudo-second-order kinetic model (R2 > 0.99). Thus, the results indicate that an inexpensive adsorbent produced from corncobs using the above method is a promising material for wastewater treatment.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Adsorção , Carvão Vegetal/química , Cinética , Azul de Metileno/química , Poluentes Químicos da Água/análise , Purificação da Água/métodos , Zea mays
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