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Understanding the effects of white matter (WM) axon fibre microstructure on T1 relaxation is important for neuroimaging. Here, we have studied the interrelationship between T1 and axon fibre configurations at 3T and 7T. T1 and S0 (=signal intensity at zero TI) were computed from MP2RAGE images acquired with six inversion recovery times. Multishell diffusion MRI images were analysed for fractional anisotropy (FA); MD; V1; the volume fractions for the first (f1), second (f2) and third (f3) fibre configuration; and fibre density cross-section images for the first (fdc1), second (fdc2) and third (fdc3) fibres. T1 values were plotted as a function of FA, f1, f2, f3, fdc1, fdc2 and fdc3 to examine interrelationships between the longitudinal relaxation and the diffusion MRI microstructural measures. T1 values decreased with increasing FA, f1 and f2 in a nonlinear fashion. At low FA values (from 0.2 to 0.4), a steep shortening of T1 was followed by a shallow shortening by 6%-10% at both fields. The steep shortening was associated with decreasing S0 and MD. T1 also decreased with increasing fdc1 values in a nonlinear fashion. Instead, only a small T1 change as a function of either f3 or fdc3 was observed. In WM areas selected by fdc1 only masks, T1 was shorter than in those with fdc2/fdc3. In WM areas with high single fibre populations, as delineated by f1/fdc1 masks, T1 was shorter than in tissue with high complex fibre configurations, as segmented by f2/fdc2 or f3/fdc3 masks. T1 differences between these WM areas are attributable to combined effects by T1 anisotropy and lowered FA. The current data show strong interrelationships between T1, axon fibre configuration and orientation in healthy WM. It is concluded that diffusion MRI microstructural measures are essential in the effort to interpret quantitative T1 images in terms of tissue state in health and disease.
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Acinetobacter baumannii (A. baumannii) poses a serious public health challenge due to its notorious antimicrobial resistance, particularly carbapenem-resistant A. baumannii (CRAB). In this study, we isolated a virulent phage, named P1068, from medical wastewater capable of lysing CRAB, primarily targeting the K3 capsule type. Basic characterization showed that P1068 infected the A. baumannii ZWAb014 with an optimal MOI of 1, experienced a latent period of ten minutes and maintained stability over a temperature range of 4 °C to 37 °C and pH range of 3-10. Phylogenetic and average nucleotide identity analyses indicate that P1068 can be classified as a novel species within the genus Obolenskvirus of the Caudoviricetes class as per the most recent virus classification released by the International Committee on Taxonomy of Viruses (ICTV). Additionally, according to classical morphological classification, P1068 is identified as a T4-like phage (Myoviridae). Interestingly, we found that the tail fibre protein (TFP) of P1068 shares 74% coverage and 88.99% identity with the TFP of a T7-like phage (Podoviridae), AbKT21phiIII (NC_048142.1). This finding suggests that the TFP gene of phages may undergo horizontal transfer across different genera and morphologies. In vitro antimicrobial assays showed that P1068 exhibited antimicrobial activity against A. baumannii in both biofilm and planktonic states. In mouse models of intraperitoneal infection, P1068 phage protected mice from A. baumannii infection and significantly reduced bacterial loads in various tissues such as the brain, blood, lung, spleen, and liver compared to controls. In conclusion, this study demonstrates that phage P1068 might be a potential candidate for the treatment of carbapenem-resistant and biofilm-forming A. baumannii infections, and expands the understanding of horizontal transfer of phage TFP genes.
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In order to investigate the tensile properties of basalt fibre reinforced recycled aggregate concrete (BFRAC), the axial tensile tests were carried out on BFRAC specimens using the concrete axial tensile testing device. The effects of basalt fibre (BF) content and recycled aggregate replacement rate on the tensile properties of BFRAC were quantitatively investigated, and the tensile damage mechanism of BFRAC was analysed. The following conclusions were drawn: The volume fraction of BF had the most prominent effect on the axial tensile properties of BFRAC. The axial tensile strength and peak tensile strain of BFRAC both showed the change rule of first increasing and then decreasing with the increase of BF volume fraction. The replacement rate of recycled aggregate is negatively correlated with the tensile properties of BFRAC. The larger the replacement rate, the worse the tensile properties of BFRAC. When the replacement rate of recycled aggregate is 30 % and the volume fraction of BF is 0.3 %, the tensile properties of BFRAC are better, as well as its economic and environmental performance. The axial tensile strength and peak tensile strain were 2.08 MPa and 114 × 10-6, respectively. BFRAC exhibits the toughening and crack arresting effect of BF, and the crack development is relatively slow, showing more obvious plastic damage characteristics.
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BACKGROUND: Bowel dysfunction can significantly impair quality of life. Adequate fibre intake is associated with good bowel health but intakes have been reported to be low in Ireland. AIM: This study aimed to gather data on fibre intake and bowel habits in a cohort of adults at a university campus in Dublin, Ireland. METHODS: An online questionnaire was developed by adapting validated tools to assess habitual fibre intake and bowel function. The questionnaire was circulated through mailing lists and advertised via QR codes on campus in February/March 2023. Data was analysed using SPSS, p < 0.05 was considered statistically significant. RESULTS: In total, 275 valid responses were received. Low fibre intakes (< 19 g/day) were found in 50.5% of participants. A significantly higher proportion of males had low fibre intake compared to females (62.2% vs 44.8%, p = 0.039). Nearly a third (30.2%) of respondents experienced mild symptoms of bowel dysfunction, and 13.1% experienced moderate to severe symptoms. An inverse relationship was observed between fibre intake (g/day) and bowel dysfunction (p = 0.033). CONCLUSIONS: In this cohort, low fibre intakes and some degree of bowel dysfunction were prevalent. Public health campaigns to increase fibre intake could prove to be a cost-effective way to improve bowel function and health amongst adults in Ireland.
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This study aimed to prepare soybean dregs dietary fibre (DF) using physically assisted chemical (KHMSO) modification and study its structure, function and vitro simulation experiments. The soluble dietary fibre (SDF) content in KHMSO increased and insoluble dietary fibre (IDF) content decreased. The modified DF surface becomes irregular and rough, and the results of XPS fitting indicated that the DF structure had different peak-splitting groups. The KHMSO-treated group had the lowest digestion rate in gastric fluid and the highest digestibility in intestine fluid. The OD600 of fecal cultures was increased to 0.915, and the increased abundance of microbiota was associated with the metabolism of SCFAs, such as Lachnospiraceae, as well as the higher n-butyric acid in the KHMSO-treated group compared to the other groups and lower than the inulin, suggesting KHMSO might enhance the production of functional foods aimed at promoting intestinal health.
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Animal-derived foods (ADFs) are a very varied group of foods, but many are nutrient rich and contain higher quality protein than provided by plant-derived foods such that a simple replacement of ADF protein is likely to lead to a reduction in overall protein quality. In addition, many ADFs are richer in some nutrients than plant-based foods (e.g. Fe, Ca) and these often have a higher bioavailability. ADFs also provide nutrients that plants cannot supply (e.g. vitamin B12) and some provide beneficial health functionality (e.g. hypotensive) which is not explained by traditional nutrition. However, there remains a good health reason to increase the proportion of plant-derived food in many diets to increase the intake of dietary fibre which is often consumed at very sub-optimal levels. It seems logical that the increased plant-derived foods should replace the ADFs that have the least benefit, the greatest risk to health and the highest environmental impact. Processed meat fits these characteristics and should be an initial target for replacement with plant-based based protein-rich foods that additionally provide the necessary nutrients and have high-quality dietary fibre. Processed meat covers a wide range of products including several traditional foods (e.g. sausages) which will make decisions on food replacement challenging. There is therefore an urgent need for research to better define the relative health risks associated with the range of processed meat-based foods. The aim of this review is to examine the evidence on the benefits and risks of this dietary transition including the absolute necessity to consider initial nutrient status before the replacement of ADFs is considered.
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With the growth of the fashion and textile industries into the twenty-first century, associated pollution has become pervasive. Fibre-based microplastics are the most common types of plastics recovered from aquatic ecosystems encouraging the move towards organic fibre usage. Often marketed as biodegradable and 'environmentally friendly', organic textile fibres are seen as less harmful, but their impacts are understudied. Here, we assess the health effects of reconstituted bamboo-viscose fibres, processed bamboo-elastane fibres (both at 700 fibres/L) and their associated dye (Reactive Black-5, at 1 mg/L) on fish, with an emphasis on disease resistance utilising an established host-parasite system: the freshwater guppy host (Poecilia reticulata) and Gyrodactylus turnbulli (monogenean ectoparasite). Following 3 weeks exposure to the bamboo fibres and associated dye, half the experimental fish were infected with G. turnbulli, after which individual parasite trajectories were monitored for a further 17 days. Overall, exposures to reconstituted bamboo-viscose fibres, processed bamboo-elastane fibres or dye were not associated with any change in host mortality nor any significant changes in parasite infection burdens. When analysing the routine metabolic rate (RMR) of fish, uninfected fish had, on average, significantly impacted RMR when exposed to processed bamboo-elastane (increased RMR) and reconstituted bamboo-viscose (decreased RMR). Hosts exposed to reconstituted bamboo-viscose and the associated dye treatment showed significant changes in RMR pre- and post-infection. This study bolsters the growing and needed assessment of the potential environmental impacts of alternative non-plastic fibres; nevertheless, more research is needed in this field to prevent potential greenwashing.
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INTRODUCTION: Metabolic flexibility (MetF), defined as the ability to switch between fat and glucose oxidation, is increasingly recognised as a critical marker for assessing responses to dietary interventions. Previously, we showed that the consumption of multifibre bread improved insulin sensitivity and reduced low-density lipoprotein cholesterol (LDLc) levels in overweight and obese individuals. As a secondary objective, we aimed to explore whether our intervention could also improve MetF. METHODS: In this study, 39 subjects at cardiometabolic risk participated in a double-blind, randomised, crossover trial lasting 8 weeks, repeated twice. During each phase, participants consumed either 150 g of standard bread daily or bread enriched with a mixture of seven dietary fibres. MetF response was assessed using a mixed-meal tolerance test (MMTT), analysing changes in respiratory quotient (∆RQ) measured using indirect calorimetry. RESULTS: Although there were no significant differences in ∆RQ changes induced by dietary fibre between the two diets, these changes were positively correlated with postprandial triglyceride excursion (∆TG) at baseline. Subgroup analysis of baseline fasting and postprandial plasma metabolites was conducted to characterise MetF responders. These responders exhibited higher baseline fasting LDLc levels and greater post-MMTT ∆TG. CONCLUSION: In conclusion, although dietary fibres did not directly impact MetF in this study, our findings highlight potential determinants of MetF response, warranting further investigation in dedicated future interventions.
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OBJECTIVE: Managing the gap between the dressing and the wound bed can facilitate the healing of exuding wounds. A silicone foam dressing (Biatain Silicone; Coloplast A/S, Denmark) was developed for application to exuding wounds. A sub-analysis of the real-world, prospective, observational VIPES (Observatoire en Ville des Plaies ExSudatives) study was conducted to investigate the use and performance of the silicone foam dressing in a community nursing setting in France. METHOD: The sub-analysis included patients from the VIPES study who received the silicone foam dressing as a primary dressing for an acute or hard-to-heal (chronic) wound. Epidemiological and wound healing outcomes were reported via a smartphone application. RESULTS: Overall, 64 patients were included in the sub-analysis. At baseline, most wounds (n=33/40; 82.5%) were in treatment failure (i.e., were stagnant, non-healing or had poor exudate management). At the last follow-up visit, a median of 22.5 (range: 3-151) days post baseline, 48.4% of wounds had healed and 25.0% were progressing towards healing. From baseline to the last follow-up visit, significant reductions in exudate level (p<0.0001) and exudate pooling (p<0.0001), and significant improvements in wound edges (p≤0.0001) and periwound skin (p<0.01) were observed. A total of 62.3% of patients had re-epithelialising wounds at the last follow-up visit. The majority of nurses (88.3%) and patients (85.0%) reported that the wound had improved and, at most dressing removals (93.5%), nurses reported that the dressing conformed closely to the wound bed. CONCLUSION: Overall, the data suggest that use of the silicone foam dressing in community practice supported the healing of wounds, illustrating the importance of exudate and gap management.
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Siliconas , Cicatrización de Heridas , Humanos , Femenino , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Anciano , Adulto , Anciano de 80 o más Años , Heridas y Lesiones/terapia , Exudados y Transudados , Francia , VendajesRESUMEN
The study analyses the performance of a pilot plant using a rotating hollow fibre (HF) membrane bioreactor system. The experiments evaluated the effect of operational parameters such as rotational speed, aeration strategies, and maintenance cleaning (MC) procedures on the efficiency of the system, in particular transmembrane pressure (TMP) and filtrate quality. The results indicate that the rotating membrane module reduces TMP increase and can operate for 48 days with satisfactory performance, even without aeration. This has the potential to significantly improve efficiency, resulting in significant energy savings. In addition, two MC methods, clean in air and clean in place, were tested and found to be efficient for weekly MC. It was observed that operating without aeration during colder seasons may not be effective. Therefore, adaptive strategies are needed to address seasonal temperature variations.
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Reactores Biológicos , Membranas Artificiales , Presión , Eliminación de Residuos Líquidos/métodos , Eliminación de Residuos Líquidos/instrumentación , Proyectos Piloto , Purificación del Agua/métodos , Purificación del Agua/instrumentaciónRESUMEN
BACKGROUND: To investigate the peripapillary retinal nerve fibre layer (RNFL) thickness changes and analyse factors associated with visual recovery of G11778A Leber hereditary optic neuropathy (LHON) patients. METHODS: Patients diagnosed with G11778A LHON between July 2017 and December 2020 in Tongji hospital were included in this follow-up study. Patients were grouped according to disease duration. Variations in the RNFL thickness in each quadrant at different disease stages were characterised using optical coherence tomography. According to the absence or presence of significant visual acuity improvements, LHON patients of disease duration ≥ 6 months were divided into two groups. A bivariate logistic regression model was constructed to analyse the potential factors associated with spontaneous visual recovery. RESULTS: This study included 56 G11778A LHON patients (112 eyes) and 25 healthy controls (50 eyes), with a mean follow-up of 5.25 ± 1.42 months. All quadrants and mean RNFL thicknesses of LHON patients first increased and then decreased, except for the temporal RNFL. As the disease progressed, RNFL thinning slowed; however, gradual RNFL thinning occurred. Logistic regression revealed that baseline best corrected visual acuity was related to spontaneous visual recovery of LHON patients with disease duration ≥ 6 months. CONCLUSION: The pattern of RNFL involvement could be helpful in the differential diagnosis of LHON and other optic neuropathies. LHON patients with better vision are more likely to experience some degree of spontaneous visual acuity recovery after the subacute phase.
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Fibras Nerviosas , Atrofia Óptica Hereditaria de Leber , Células Ganglionares de la Retina , Tomografía de Coherencia Óptica , Agudeza Visual , Humanos , Atrofia Óptica Hereditaria de Leber/fisiopatología , Atrofia Óptica Hereditaria de Leber/diagnóstico , Masculino , Femenino , Fibras Nerviosas/patología , Células Ganglionares de la Retina/patología , Tomografía de Coherencia Óptica/métodos , Estudios de Seguimiento , Adulto , Agudeza Visual/fisiología , Adulto Joven , Disco Óptico/patología , Disco Óptico/diagnóstico por imagen , Adolescente , Persona de Mediana Edad , Estudios Retrospectivos , Campos Visuales/fisiologíaRESUMEN
Sheep's wool is known to have unique biological, physical and chemical properties. The fibre primarily consists of proteins, but these have amino acid sequence variation, and at the phenotypic level wool fibre varies considerably. This can affect its utility and value. Unravelling the genetic factors that underpin the protein and phenotypic variability is crucial if we are to contemplate improving wool quality. Accordingly, this study investigates the high glycine and tyrosine content keratin-associated protein 19-5 gene (KRTAP19-5) in sheep. PCR-single strand confirmation polymorphism analysis, coupled with DNA sequencing of a region spanning whole coding sequence, revealed six sequence variants containing seven single nucleotide polymorphisms (SNPs). Five of the SNPs were located within the coding region, with four leading to amino acid changes if expressed. In 247 Chinese Tan sheep derived from 10 sire-lines, and renowned for their distinct 'spring-like' crimped wool at up to approximately 35 days after birth, one of the variants was found to be associated with decreased curvature of the fine wool fibres in the fleece. No associations were detected with other fibre traits or with variation in the heterotypic hair fibres of the Tan sheep. While these findings may be useful for developing gene markers to alter mean wool fibre curvature and improve sheep breeding, many other genes and environmental factors are known to contribute to variation in fibre traits.
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Greener materials, particularly in sandwich panels, are in increasing demand in the transportation and building sectors to reduce environmental impacts. This shift is driven by strict environmental legislation and the need to reduce material costs and fuel consumption, necessitating the utilisation of more sustainable components in the transportation and construction sectors, with improved load-bearing capabilities and diminished ecological footprints. Therefore, this study aims to analyse and evaluate the structural performance of polyethylene terephthalate (PET) core and flax or basalt/flax FRP sandwich panels as an alternative to conventional synthetic materials. The novel eco-friendly sandwich panels were manufactured using the co-curing technique. Four-point bending, edgewise compression and core shear tests were performed and insights into how the skin properties affect the strength, stiffness and failure mode of specimens were provided. The stress-strain behaviour, facing modulus and strength, flexural rigidity, core shear strength and failure modes were evaluated. The flexural facing modulus of the flax and flax/basalt sandwich skins were found to be 5.1 GPa and 9.8 GPa, respectively. The flexural rigidity of the eco-friendly sandwich panel was compared with published results and demonstrated a promising structural performance. The environmental benefits and challenges were outlined and critically evaluated focusing on transportation and construction applications.
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The purpose of the research discussed in this article is to explore the possibility of creating hybrid soft ballistic panel (BP) package variants by integrating into their composition layers of graphene-modified para-aramid fabrics in combinations with the different ballistic Kevlar textiles to improve the durability of the first layers of the soft ballistic panel. To address this goal, the liquid-phase exfoliation (LPE) method was used for integrating dispersions into composites to solve a number of topical problems in the stages of the technological sequence development of processing methods and optimizing processing parameters in accordance with the processing specifics of aramid textiles to achieve the desired properties of modified ballistic fabric, including the provision of coating adhesion to the surface to be modified. To test the results, ballistic experiments were performed and the back-face signature (BFS) of bullet impact on a backing material was analysed according to standards. Bullet impacts on the first ballistic protective fabric layers were also studied.
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Optical fibre sensors have the potential to be overly sensitive and responsive, making them useful in various applications to detect the presence of pollutants in the environment, toxic gasses, or pesticides in soil. Deoxyribonucleic acid (DNA) as biopolymer active surfaces for fibre sensors can be designed to detect specific molecules or compounds accurately. In the article, we propose to use an optical fibre taper and DNA complex with surfactant-based sensors to offer a promising approach for gas detection, including ammonia solution, 1,4 thioxane, and trimethyl phosphate imitating hazardous agents. The presented results describe the influence of the adsorption of evaporation of measured agents to the DNA complex layer on a light leakage outside the structure of an optical fibre taper. The DNA layer with additional gas molecules becomes a new cladding of the taper structure, with the possibility to change its properties. The process of adsorption causes a change in the layer's optical properties surrounding a taper-like refractive index and increasing layer diameter, which changes the boundary condition of the structure and interacts with light in a wide spectral range of 600-1200 nm. The research's novelty is implementing a DNA complex active surface as the biodegradable biopolymer alignment for optical devices like in-line fibre sensors and those enabled for hazardous agent detection for substances appearing in the environment as industrial or even warfare toxic agents.
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With the increasing use of fibre-reinforced concrete, e.g., in industrial floor and tunnel construction, the associated fastening technology in this material has increasingly become the focus of scientific attention in recent years. Over 25 years ago, design and assessment guidelines for anchoring systems in reinforced concrete were established, which have since evolved into comprehensive regulatory standards. However, these standards only address plain and rebar-reinforced concrete as anchoring bases, neglecting fibre-reinforced concrete. The design of anchorage systems in fibre-reinforced concrete has not yet been standardised. Recent studies and product certifications accounting for steel fibre reinforcement are now seeing their way to publication, supported by a fair amount of scientific research studies. This paper aims to elucidate the effects of polymer fibre reinforcement in this application through a systematic investigation. Experimental studies were conducted to evaluate the system's load-bearing behaviour failing with concrete breakouts under tensile loading. By incorporating the determined material properties of polymer fibre-reinforced concrete and their mathematical interpretation, alternative model proposals are presented to assess concrete breakout resistance. The addition of polymer fibres significantly improves the load-bearing capacity and ductility of concrete under tensile loads, transforming its quasi-brittle response into a more ductile behaviour. Although the fibres had a minor impact on overall material strength, their influence on the tensile capacity of the anchors reveal a 15-20% increase in load resistance and up to a doubling of the failure displacements.
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The limited recyclability of fibre-reinforced thermoset composites has fostered the development of alternative thermoplastic-based composites and their manufacturing processes. The most common thermoplastic-based composites are often costly due to their availability in the form of prepreg materials and to the high pressure and temperatures required for their manufacturing. Yet, the manufacturing of economic and recyclable composites, made of semi-preg composite materials using traditional composite manufacturing technologies, has only been proved at a laboratory scale through the manufacturing of flat plates. This work reports the manufacturing of a real structural part, a wing spar section with complex geometry, made of commingled polyamide 12 (PA12) fibres and carbon fibres (CFs) semi-preg and by oven vacuum bagging (OVB). The composite layup was studied using finite element analysis, and processing simulation assisted in the determination of the PA12/CF preform for OVB. Processing of two forms of semi-preg materials was first evaluated and optimised. The material selection for part manufacturing was mainly defined by the materials' processability. The spar section was manufactured in two OVB stages and was then mechanically tested. The mechanical test showed a linear strain response of the prototype up to the maximum load and validated the optimised layup configuration of the composite structure.
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Multifunctional structural batteries are of high and emerging interest in a wide variety of high-strength and lightweight applications. Structural batteries typically use pristine carbon fiber as the negative electrode, functionalized carbon fiber as the positive electrode, and a mechanically robust lithium-ion transporting electrolyte. However, electrochemical cycling of carbon fibre-based positive electrodes is still limited to tests in liquid electrolytes, which does not allow for to introduction of multifunctionality in real terms. To overcome these limitations, structural batteries with a structural battery electrolyte (SBE) are developed. This approach offers massless energy storage. The electrodes are manufactured using economically friendly, abundant, cheap, and non-toxic iron-based materials like olivine LiFePO4. Reduced graphene oxide, renowned for its high surface area and electrical conductivity, is incorporated to enhance the ion transport mechanism. Furthermore, a vacuum-infused solid-liquid electrolyte is cured to bolster the mechanical strength of the carbon fibers and provide a medium for lithium-ion migration. Electrophoretic deposition is selected as a green process to manufacture the structural positive electrodes with homogeneous mass loading. A specific capacity of 112 mAh g-1 can be reached at C/20, allowing the smooth transport of Li-ion in the presence of SBE. The modulus of positive electrodes exceeded 80 GPa. Structural battery-positive half-cells are demonstrated across various mass-loadings, enabling them to be tailored for a diverse array of applications in consumer technology, electric vehicles, and aerospace sectors.
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Calotropis procera fibres have been proposed for free-phase diesel removal in case of spillage into groundwater. For this, characterizations were carried out using Fourier transform infrared spectroscopy (FTIR), field emission scanning electron microscopy (FEG-SEM), wettability and contact angle measurements. Sorption oil capacity, kinetic, isothermal and recycling behaviour were evaluated. For initial optimization of the oil sorption capacity, an experimental design (DOE) was applied, with the optimized condition being 60â g L-1 of diesel in water and 0.01â g of fibre. Then, the results clearly indicated that the fibres have a hydrophobic and oleophilic character, quickly reaching more than 71.43â g g-1 of diesel sorption, according to the adjustment (R² > 0.99) of the pseudo-second order and Langmuir models, governed by absorption mechanisms. It should also be noted that at the end of 8 reuse cycles, the fibre presented a total accumulated sorption capacity of about 252.6â g g-1 of diesel. Furthermore, a laboratory-scale experiment was carried out to remove diesel from groundwater in gas station areas, the fibre removed 98.55% to 99.97% of removal efficiencies were achieved of the free phase over time. Therefore, the material demonstrates excellent characteristics for removing diesel spills in groundwater due to its fast, high and stable removal capacity.
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OBJECTIVE: To evaluate the use and performance of a gelling fibre dressing (Biatain Fiber; Coloplast A/S, Denmark) in the management of wounds in community nursing practice. METHOD: A sub-analysis of the prospective, observational, real-world VIPES (Observatoire en Ville des Plaies ExSudatives) study was conducted. Patients with exuding wounds, for which nurses chose to apply the gelling fibre as a primary dressing, were included. Outcomes included assessments of wound condition and patient/nurse opinion. RESULTS: Overall, 149 patients with acute (n=52; 34.9%) or hard-to-heal (chronic) (n=97; 65.1%) wounds were included. At baseline, mean±standard deviation wound age was 351.5±998.2 days, 108 (72.5%) wounds were moderately-to-highly exuding, and 126 (84.6%) showed exudate pooling in the wound bed. At the last follow-up visit, 29 (19.5%) wounds had healed, within a median of 36 days, and 64 (43.0%) were progressing towards healing. From baseline to the last follow-up visit, significant reductions in wound surface area (p<0.05), depth (p<0.01), exudate level (p<0.0001), and in the proportion of wounds with sloughy tissue (p<0.0001) were observed. Most wounds had no (n=86; 58.5% (two missing values)) or low exudate pooling (n=45; 30.6% (two missing values)) at the last visit and proportions of patients with healthy wound edges/periwound skin increased from baseline. At the last visit, wounds were considered improved by nurses in 71.4% (n=105) of cases, and by patients in 66.7% (n=98) of cases (two patients missing). CONCLUSION: Patients who received treatment with the gelling fibre experienced improvements in the condition of a range of complex wounds. This analysis highlights the importance of adequate exudate management, and indicates how the selection of an appropriate wound dressing can encourage healing progression. DECLARATION OF INTEREST: This study was financially supported by Laboratoires Coloplast SAS, Paris, France. Coloplast A/S funded the writing and editing of the article and contributed to its content. Coloplast A/S and Laboratoires Coloplast SAS reviewed the article for scientific accuracy. Nurses received financial compensation for their participation in the study. NA is a full-time employee of Coloplast A/S. APJ was an employee of Coloplast A/S when this article was written. FA was a full-time employee of Laboratoires Coloplast SAS at the time of publication development. RS and CJ are full-time employees of CEN Biotech. AK received an educational grant from Coloplast A/S to provide scientific input to the publication. The authors have no other conflicts of interest to declare.