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1.
Eur Radiol ; 33(2): 1286-1296, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-35962816

RESUMEN

OBJECTIVE: To assess the diagnostic accuracy and agreement of CT and MRI in terms of the Bosniak classification version 2019 (BCv2019). MATERIALS AND METHODS: A prospective multi-institutional study enrolled 63 patients with 67 complicated cystic renal masses (CRMs) discovered during ultrasound examination. All patients underwent CT and MRI scans and histopathology. Three radiologists independently assessed CRMs using BCv2019 and assigned Bosniak class to each CRM using CT and MRI. The final analysis included 60 histopathologically confirmed CRMs (41 were malignant and 19 were benign). RESULTS: Discordance between CT and MRI findings was noticed in 50% (30/60) CRMs when data were analyzed in terms of the Bosniak classes. Of these, 16 (53.3%) were malignant. Based on consensus reviewing, there was no difference in the sensitivity, specificity, and accuracy of the BCv2019 with MRI and BCv2019 with CT (87.8%; 95% CI = 73.8-95.9% versus 75.6%; 95% CI = 59.7-87.6%; p = 0.09, 84.2%; 95% CI = 60.4-96.6% versus 78.9%; 95% CI = 54.4-93.9%; p = 0.5, and 86.7%; 95% CI = 64.0-86.6% versus 76.7%; 95% CI = 75.4-94.1%; p = 0.1, respectively). The number and thickness of septa and the presence of enhanced nodules accounted for the majority of variations in Bosniak classes between CT and MRI. The inter-reader agreement (IRA) was substantial for determining the Bosniak class in CT and MRI (k = 0.66; 95% CI = 0.54-0.76, k = 0.62; 95% CI = 0.50-0.73, respectively). The inter-modality agreement of the BCv219 between CT and MRI was moderate (κ = 0.58). CONCLUSION: In terms of BCv2019, CT and MRI are comparable in the classification of CRMs with no significant difference in diagnostic accuracy and reliability. KEY POINTS: • There is no significant difference in the sensitivity, specificity, and accuracy of the BCv2019 with MRI and BCv2019 with CT. • The number of septa and their thickness and the presence of enhanced nodules accounted for the majority of variations in Bosniak classes between CT and MRI. • The inter-reader agreement was substantial for determining the Bosniak class in CT and MRI and the inter-modality agreement of the BCv219 between CT and MRI was moderate.


Asunto(s)
Enfermedades Renales Quísticas , Neoplasias Renales , Humanos , Enfermedades Renales Quísticas/diagnóstico , Reproducibilidad de los Resultados , Tomografía Computarizada por Rayos X , Imagen por Resonancia Magnética , Riñón/patología , Estudios Retrospectivos
2.
J Vasc Surg ; 76(4): 867-874, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35697307

RESUMEN

OBJECTIVE: To report the outcomes of fenestrated-branched endovascular repair (FBEVAR) for thoracoabdominal aortic pathology after total aortic arch replacement with frozen elephant trunk (TAR+FET). METHODS: Interrogation of prospectively maintained databases from four high-volume aortic centers identified consecutive patients treated with distal FBEVAR after prior TAR+FET between August 2013 and September 2020. The primary end point was 30-day/in-hospital mortality. Secondary end points were technical success, early clinical success, midterm survival, and freedom from reintervention. Data are presented as median (interquartile range). RESULTS: A total of 39 patients (21 men; median age, 73 years [67-75 years]) with degenerative (n = 22) and postdissection thoracoabdominal aortic aneurysms (n = 17) (median diameter, 71 mm [61-78 mm]) were identified. Distal FBEVAR was intended in 27 patients (median interval, 9.8 months [6.2-16.6 months]), anticipated in 7, and unexpected in 5. A total of 31 patients had a two- (n = 24) or three-stage (n = 7) distal FBEVAR. Renovisceral target vessel preservation was 99.3% (145 of 146). Early primary and secondary technical success was 92% and 97%, respectively. Thirty-day mortality was 2.6% (n = 1; respiratory failure and spinal cord ischemia [SCI]). Six survivors also developed SCI, which was associated with complete (n = 4) or partial recovery (n = 2) at hospital discharge. No patients required renal replacement therapy or suffered a stroke. Early clinical success was 95%. Median follow-up was 30.5 months (23.7-49.7 months). Eleven patients required 16 late reinterventions. Estimated 3-year survival and freedom from reintervention were 84% ± 6% and 63% ± 10%, respectively. CONCLUSIONS: Distal FBEVAR after prior TAR+FET is associated with high technical success and low early mortality. The risk of SCI is significant although the majority of patients demonstrate full or partial recovery before hospital discharge. Midterm patient survival is favorable, but there remains a high requirement for late reintervention. FBEVAR represents an acceptable alternative to distal open thoracoabdominal aortic aneurysm repair.


Asunto(s)
Aneurisma de la Aorta Torácica , Implantación de Prótesis Vascular , Procedimientos Endovasculares , Isquemia de la Médula Espinal , Anciano , Aneurisma de la Aorta Torácica/diagnóstico por imagen , Aneurisma de la Aorta Torácica/cirugía , Prótesis Vascular , Implantación de Prótesis Vascular/efectos adversos , Procedimientos Endovasculares/efectos adversos , Humanos , Masculino , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/cirugía , Diseño de Prótesis , Estudios Retrospectivos , Factores de Riesgo , Isquemia de la Médula Espinal/etiología , Stents , Factores de Tiempo , Resultado del Tratamiento
3.
Cellulose (Lond) ; 29(4): 2223-2240, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35125686

RESUMEN

ABSTRACT: The COVID-19 pandemic outbreak has resulted in the massive fabrication of disposable surgical masks. As the accumulation of discarded face masks represents a booming threat to the environment, here we propose a solution to reuse and upcycle surgical masks according to one of the cornerstones of the circular economy. Specifically, the non-woven cellulosic layer of the masks is used as an environmentally sustainable and highly porous solid support for the controlled deposition of catalytically active metal-oxide nanoparticles. The native cellulosic fibers from the surgical masks are decorated by titanium dioxide (TiO2), iron oxide (FexOy), and cobalt oxide (CoOx) nanoparticles following a simple and scalable approach. The abundant surface -OH groups of cellulose enable the controlled deposition of metal-oxide nanoparticles that are photocatalytically active or shown enzyme-mimetic activities. Importantly, the hydrophilic highly porous character of the cellulosic non-woven offers higher accessibility of the pollutant to the catalytically active surfaces and high retention in its interior. As a result, good catalytic activities with long-term stability and reusability are achieved. Additionally, developed free-standing hybrids avoid undesired media contamination effects originating from the release of nanoscale particles. The upcycling of discarded cellulosic materials, such as the ones of masks, into high-added-value catalytic materials, results an efficient approach to lessen the waste´s hazards of plastics while enhancing their functionality. Interestingly, this procedure can be extended to the upcycling of other systems (cellulosic or not), opening the path to greener manufacturing approaches of catalytic materials. GRAPHICAL ABSTRACT: A novel approach to upcycle discarded cellulosic surgical masks is proposed, providing a solution to reduce the undesired accumulation of discarded face masks originating from the COVID-19 pandemic. The non-woven cellulosic layer formed by fibers is used as solid support for the controlled deposition of catalytically active titanium dioxide (TiO2), iron oxide (FexOy), and cobalt oxide (CoOx) nanoparticles. Cellulosic porous materials are proven useful for the photocatalytic decomposition of organic dyes, while their peroxidase-like activity opens the door to advanced applications such as electrochemical sensors. The upcycling of cellulose nonwoven fabrics into value-added catalytic materials lessens the waste´s hazards of discarded materials while enhancing their functionality. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10570-022-04441-9.

4.
Langmuir ; 37(29): 8847-8854, 2021 07 27.
Artículo en Inglés | MEDLINE | ID: mdl-34259525

RESUMEN

A new magnetic nanocomposite with a statistical star polymer structure was designed and synthesized. Nanocomposite fabrication is based on the polymerization of aromatic polyamide chains on the surface of functionalized magnetic copper ferrite nanoparticles (CuFe2O4 MNPs). This magnetic nanostructure was characterized by several analysis methods. All the analytical methods used, for instance, Fourier transform infrared spectroscopy, energy-dispersive X-ray spectroscopy, X-ray diffraction, thermogravimetric, vibrating-sample magnetometer, and scanning electron microscopy (SEM), confirmed the formation of polyamide chains. The obtained images from SEM imaging showed a unique nanoflower morphology which was the proper orientation results of synthesized nanoplates. Finally, the magnetic nanostructure showed a good potential for hyperthermia applications, with a maximum specific absorption rate of 7 W/g for 1 mg/mL of the sample under a magnetic field in different frequencies (100, 200, 300, and 400 MHz) and 5 to 20 min time intervals.


Asunto(s)
Cobre , Nanopartículas de Magnetita , Compuestos Férricos , Humanos , Hipertermia , Fenómenos Magnéticos , Nylons , Espectroscopía Infrarroja por Transformada de Fourier
5.
Vasa ; 50(1): 22-29, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33047662

RESUMEN

The treatment of non-thrombotic iliac vein lesions (NIVL) remains debatable with many advocating conservative treatments, whilst others offering venous stenting. The objective of this review was to systematically assess the treatment options for symptomatic iliac vein compression syndrome (IVCS) in patients without evidence of thrombotic disease at the time of diagnosis. An online search of published literature looking for randomised controlled trials and observational studies that evaluated the treatment for symptomatic NIVL was performed. Nine studies were included with a total 953 patients of which 782 patients had NIVL. Patency rates ranged between 94.8%-100% in the first month, 88.2%-94.1% in six months and 73.4%-98% in 12 months, in patients with NIVL post stenting. Longer follow-up of up to 5 years shows promising patency rates of 94% in patients with IVCS. Patients with IVCS are likely to benefit from a combination of endovenous treatment at the time of diagnosis including stent placement to maintain lumen patency and prevent recurrent deep venpus thrombosis and/or postthrombotic syndrome.


Asunto(s)
Angioplastia/métodos , Anticoagulantes/uso terapéutico , Síndrome de May-Thurner/terapia , Stents , Trombosis de la Vena/terapia , Humanos , Vena Ilíaca/diagnóstico por imagen , Síndrome de May-Thurner/diagnóstico por imagen , Estudios Observacionales como Asunto , Ensayos Clínicos Controlados Aleatorios como Asunto , Resultado del Tratamiento , Grado de Desobstrucción Vascular , Trombosis de la Vena/diagnóstico por imagen
6.
BMC Cardiovasc Disord ; 17(1): 283, 2017 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-29179693

RESUMEN

BACKGROUND: The purpose of this study was to assess the functional effects and acceptability of rocker-soled shoes that were designed to relatively "unload" the calf muscles during walking in people with calf claudication due to peripheral arterial disease. METHODS: In this randomised AB/BA crossover trial, participants completed two assessment visits up to two weeks apart. At each visit, participants completed walking tests whilst wearing the unloading shoes or visually-similar control shoes. At the end of the second visit, participants were given either the unloading or control shoes to use in their home environment for 2 weeks, with the instruction to wear them for at least 4 h every day. The primary outcome was 6-min walk distance. We also assessed pain-free walking distance and gait biomechanical variables during usual-pace walking, adverse events, and participants' opinions about the shoes. Data for continuous outcomes are presented as mean difference between conditions with corresponding 95% confidence interval. RESULTS: Thirty-four participants (27 males, mean age 68 years, mean ankle-brachial index 0.54) completed both assessment visits. On average, the 6-min walk distance was 11 m greater when participants wore the control shoes (95% CI -5 to 26), whereas mean pain-free walking distance was 7 m greater in the unloading shoes (95% CI -17 to 32). Neither of these differences were statistically significant (p = 0.18 and p = 0.55, respectively). This was despite the unloading shoes reducing peak ankle plantarflexion moment (mean difference 0.2 Nm/kg, 95% CI 0.0 to 0.3) and peak ankle power generation (mean difference 0.6 W/kg, 95% CI 0.2 to 1.0) during pain-free walking. The survey and interview data was mixed, with no clear differences between the unloading and control shoes. CONCLUSIONS: Shoes with modified soles to relatively unload the calf muscles during walking conferred no substantial acute functional benefit over control shoes. TRIAL REGISTRATION: Clinicaltrials.gov, Trial Registration Number: NCT02505503 , First registered 22 July 2015.


Asunto(s)
Tolerancia al Ejercicio , Ortesis del Pié , Claudicación Intermitente/terapia , Músculo Esquelético/irrigación sanguínea , Enfermedad Arterial Periférica/terapia , Zapatos , Soporte de Peso , Adulto , Anciano , Anciano de 80 o más Años , Índice Tobillo Braquial , Estudios Cruzados , Inglaterra , Diseño de Equipo , Femenino , Marcha , Humanos , Claudicación Intermitente/diagnóstico , Claudicación Intermitente/fisiopatología , Pierna , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Enfermedad Arterial Periférica/diagnóstico , Enfermedad Arterial Periférica/fisiopatología , Recuperación de la Función , Flujo Sanguíneo Regional , Factores de Tiempo , Resultado del Tratamiento , Prueba de Paso , Caminata
7.
Heliyon ; 10(11): e32489, 2024 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-39027225

RESUMEN

[This retracts the article DOI: 10.1016/j.heliyon.2021.e06470.].

8.
RSC Adv ; 14(19): 13016, 2024 Apr 22.
Artículo en Inglés | MEDLINE | ID: mdl-38655489

RESUMEN

Expression of concern for 'Facile route to synthesize Fe3O4@acacia-SO3H nanocomposite as a heterogeneous magnetic system for catalytic applications' by Reza Taheri-Ledari et al., RSC Adv., 2020, 10, 40055-40067, https://doi.org/10.1039/D0RA07986C.

9.
RSC Adv ; 14(14): 9798, 2024 Mar 20.
Artículo en Inglés | MEDLINE | ID: mdl-38528934

RESUMEN

Expression of concern for 'Highly porous copper-supported magnetic nanocatalysts: made of volcanic pumice textured by cellulose and applied for the reduction of nitrobenzene derivatives' by Reza Taheri-Ledari et al., RSC Adv., 2021, 11, 25284-25295, https://doi.org/10.1039/D1RA03538J.

10.
Nanoscale Adv ; 6(11): 2980, 2024 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-38817440

RESUMEN

Expression of concern for 'Acceleration of ammonium phosphate hydrolysis using TiO2 microspheres as a catalyst for hydrogen production' by Ayman H. Zaki et al., Nanoscale Adv., 2020, 2, 2080-2086, https://doi.org/10.1039/D0NA00204F.

12.
RSC Adv ; 13(47): 32973, 2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-38025878

RESUMEN

Expression of Concern for 'Convenient conversion of hazardous nitrobenzene derivatives to aniline analogues by Ag nanoparticles, stabilized on a naturally magnetic pumice/chitosan substrate' by Reza Taheri-Ledari et al., RSC Adv., 2020, 10, 43670-43681, DOI: https://doi.org/10.1039/D0RA08376C.

13.
RSC Adv ; 13(47): 32939, 2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-38025879

RESUMEN

Expression of concern for 'Synthesis and characterization of a new ZIF-67@MgAl2O4 nanocomposite and its adsorption behaviour' by Mehdi Davoodi et al., RSC Adv., 2021, 11, 13245-13255, https://doi.org/10.1039/D1RA01056E.

14.
RSC Adv ; 13(47): 32974, 2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-38025880

RESUMEN

Expression of Concern for 'Statistical optimization of photo-induced biofabrication of silver nanoparticles using the cell extract of Oscillatoria limnetica: insight on characterization and antioxidant potentiality' by Rasha A. Abo-Elmagd et al., RSC Adv., 2020, 10, 44232-44246, DOI: https://doi.org/10.1039/D0RA08206F.

15.
RSC Adv ; 13(47): 32972, 2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-38025881

RESUMEN

Expression of Concern for 'The controlled synthesis and DFT investigation of novel (0D)-(3D) ZnS/SiO2 heterostructures for photocatalytic applications' by Mohamed F. Sanad et al., RSC Adv., 2021, 11, 22352-22364, https://doi.org/10.1039/D1RA02284A.

16.
RSC Adv ; 13(47): 33079, 2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-37954427

RESUMEN

Expression of concern for 'Cobalt metal-organic framework-based ZIF-67 for the trace determination of herbicide molinate by ion mobility spectrometry: investigation of different morphologies' by Mehdi Davoodi et al., RSC Adv., 2021, 11, 2643-2655, DOI: https://doi.org/10.1039/D0RA09298C.

17.
Nanoscale Adv ; 5(24): 7086, 2023 Dec 05.
Artículo en Inglés | MEDLINE | ID: mdl-38059045

RESUMEN

Expression of concern for 'Tin-zinc-oxide nanocomposites (SZO) as promising electron transport layers for efficient and stable perovskite solar cells' by Ahmed E. Shalan et al., Nanoscale Adv., 2019, 1, 2654-2662, DOI: https://doi.org/10.1039/C9NA00182D.

18.
RSC Adv ; 13(47): 32927, 2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-38025877

RESUMEN

Expression of Concern for 'Solid-state dye-sensitized solar cells based on Zn1-xSnxO nanocomposite photoanodes' by Ayat Nasr El-Shazly et al., RSC Adv., 2018,8, 24059-24067, DOI: https://doi.org/10.1039/c8ra02852d.

19.
Nanoscale ; 15(46): 18939, 2023 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-37970868

RESUMEN

Expression of concern for 'Versatile plasmonic-effects at the interface of inverted perovskite solar cells' by Ahmed Esmail Shalan, et al., Nanoscale, 2017, 9, 1229-1236, https://doi.org/10.1039/C6NR06741G.

20.
RSC Adv ; 13(47): 33061, 2023 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-37956268

RESUMEN

Expression of concern for 'Concordantly fabricated heterojunction ZnO-TiO2 nanocomposite electrodes via a co-precipitation method for efficient stable quasi-solid-state dye-sensitized solar cells' by Ahmed Esmail Shalan et al., RSC Adv., 2015, 5, 103095-103104, DOI: 10.1039/C5RA21822E.

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