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1.
Dev Med Child Neurol ; 65(1): 126-135, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35661998

RESUMO

AIM: To improve delivery of acute therapies for acute ischaemic stroke (AIS). METHOD: We identified factors influencing the speed of diagnosis and delivery of acute therapies in a prospective cohort of 21 children with suspected AIS (eight with AIS, 13 stroke mimics) and explored them in a retrospective cohort with confirmed AIS. RESULTS: Approximately half of the prospective and total AIS cohorts presented with acute, sustained hemiparesis, and were diagnosed relatively quickly. AIS was suspected and diagnosed more slowly in the half presenting with symptoms other than sustained hemiparesis. Thirty-one out of 51 patients with AIS (19 females, 32 males, mean age 8 years 6 months, SD 5 years 4 months) had arterial abnormalities identified by computed tomography angiography (CTA) or magnetic resonance angiography (MRA): 11 with large vessel occlusion, six with dissection, five with moyamoya disease, nine with other arteriopathies. Among these patients, those initially imaged with CTA were diagnosed more quickly than those with initial magnetic resonance imaging/angiography, which facilitated thrombectomy and thrombolytic therapy. Twenty out of 51 had AIS without arterial abnormalities on CTA or MRA: eight with lenticulostriate vasculopathy and 12 with other small-vessel AIS. Among these patients, 80% were ineligible for thrombolysis for reasons beyond delay to diagnosis, and all showed good outcomes with supportive treatments alone. INTERPRETATION: Clinical features at presentation influence rapidity with which childhood AIS is suspected and diagnosed. Readily available CTA can direct thrombectomy in patients with large vessel occlusion and thrombolysis in most, but not all, eligible patients. WHAT THIS PAPER ADDS: Children with acute ischaemic stroke (AIS) commonly present with symptoms other than sustained hemiparesis. Stroke is more slowly recognized in these patients, which limits potential therapies. Computed tomography angiography (CTA) accurately identifies AIS with large vessel occlusion, enabling timely endovascular thrombectomy. CTA is sufficient to direct thrombolytic therapy in most eligible children. Most childhood AIS without arterial abnormalities identified by CTA had good outcomes.


Assuntos
Isquemia Encefálica , AVC Isquêmico , Acidente Vascular Cerebral , Masculino , Feminino , Humanos , Criança , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/terapia , Isquemia Encefálica/diagnóstico por imagem , Isquemia Encefálica/terapia , Angiografia por Tomografia Computadorizada , Estudos Retrospectivos , Estudos Prospectivos , Angiografia por Ressonância Magnética , Paresia
2.
Small ; 18(2): e2105076, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34799991

RESUMO

Effects of electronic and atomic structures of V-doped 2D layered SnS2 are studied using X-ray spectroscopy for the development of photocatalytic/photovoltaic applications. Extended X-ray absorption fine structure measurements at V K-edge reveal the presence of VO and VS bonds which form the intercalation of tetrahedral OVS sites in the van der Waals (vdW) gap of SnS2 layers. X-ray absorption near-edge structure (XANES) reveals not only valence state of V dopant in SnS2 is ≈4+ but also the charge transfer (CT) from V to ligands, supported by V Lα,ß resonant inelastic X-ray scattering. These results suggest V doping produces extra interlayer covalent interactions and additional conducting channels, which increase the electronic conductivity and CT. This gives rapid transport of photo-excited electrons and effective carrier separation in layered SnS2 . Additionally, valence-band photoemission spectra and S K-edge XANES indicate that the density of states near/at valence-band maximum is shifted to lower binding energy in V-doped SnS2 compare to pristine SnS2 and exhibits band gap shrinkage. These findings support first-principles density functional theory calculations of the interstitially tetrahedral OVS site intercalated in the vdW gap, highlighting the CT from V to ligands in V-doped SnS2 .

3.
Environ Sci Technol ; 56(2): 1125-1137, 2022 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-34985868

RESUMO

Some infectious diseases, including COVID-19, can undergo airborne transmission. This may happen at close proximity, but as time indoors increases, infections can occur in shared room air despite distancing. We propose two indicators of infection risk for this situation, that is, relative risk parameter (Hr) and risk parameter (H). They combine the key factors that control airborne disease transmission indoors: virus-containing aerosol generation rate, breathing flow rate, masking and its quality, ventilation and aerosol-removal rates, number of occupants, and duration of exposure. COVID-19 outbreaks show a clear trend that is consistent with airborne infection and enable recommendations to minimize transmission risk. Transmission in typical prepandemic indoor spaces is highly sensitive to mitigation efforts. Previous outbreaks of measles, influenza, and tuberculosis were also assessed. Measles outbreaks occur at much lower risk parameter values than COVID-19, while tuberculosis outbreaks are observed at higher risk parameter values. Because both diseases are accepted as airborne, the fact that COVID-19 is less contagious than measles does not rule out airborne transmission. It is important that future outbreak reports include information on masking, ventilation and aerosol-removal rates, number of occupants, and duration of exposure, to investigate airborne transmission.


Assuntos
Poluição do Ar em Ambientes Fechados , COVID-19 , Aerossóis , Surtos de Doenças , Humanos , SARS-CoV-2 , Ventilação
4.
Biomed Microdevices ; 22(1): 6, 2019 12 16.
Artigo em Inglês | MEDLINE | ID: mdl-31844990

RESUMO

Advancements in health care monitoring demand a rapid, accurate and reliable early diagnosis of "Heart Attack" (acute myocardial infarction) with an objective to develop a cost-effective, rapid and label-free point of care diagnostic test kit for the detection of cardiac troponin I (cTnI) on paper-based multi-frequency impedimetric transducers. Paper based sensing platforms were developed by integrating carboxyl group functionalized multi-walled carbon nanotubes (MWCNT) with antibodies of cardiac troponin I (anti-cTnI) biomarker and was characterized using Electrochemical Impedance Spectroscopy (EIS). Various concentrations of cTnI with anti cTnI were studied as a function of impedance change. The suitability of the proposed immunosensor is demonstrated by spiking cTnI in blood serum samples. The limit of detection (LoD) and sensitivity of the proposed sensor was determined to be 0.05 ng/mL and 1.85 mΩ/ng/mL respectively, with a response time of ~1 min. The shelf life of the fabricated sensor was nearly 30 days. The rapid response, very low detection limit, and cost effectiveness offer a portable platform to detect cTnI in blood serum samples. The proposed immunosensor, therefore, offers an affordable healthcare diagnostic platform in resource limited areas.


Assuntos
Imunoensaio/métodos , Miocárdio/metabolismo , Papel , Sistemas Automatizados de Assistência Junto ao Leito , Troponina I/análise , Anticorpos Imobilizados/química , Anticorpos Imobilizados/imunologia , Biomarcadores/análise , Biomarcadores/sangue , Impedância Elétrica , Eletroquímica , Eletrodos , Humanos , Limite de Detecção , Nanotubos de Carbono/química , Troponina I/sangue , Troponina I/metabolismo
5.
J Environ Manage ; 236: 481-489, 2019 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-30771668

RESUMO

Bimetallic nanoparticles are effective for the removal of organic pollutants from environmental water samples through catalytic degradation reactions. Hence, this work reports on the preparation of Fe/Ag bimetallic nanoparticles immobilized on electrospun polyacrylonitrile nanofibers (PAN NFs) pre-functionalized with EDTA and ethylenediamine (EDA) chelating agents. Characterization techniques included attenuated total reflectance coupled to Fourier transform infrared spectrometer (ATR-FTIR), X-ray photoelectron spectroscopy (XPS), X-ray diffraction (XRD), scanning electron microscopy (SEM) and thermogravimetric analysis (TGA). The liquid chromatography coupled to a mass spectrometer (HPLC-MS) was used to investigate the degradation by-products. The impregnation of EDTA-EDA chelating agents imparted changes on the pristine PAN NFs as evidenced by increased nanofiber's average diameter and surface chemistry. The zero valent Fe and Ag NPs were successfully immobilized on PAN NFs and their catalytic activity was tested for the degradation of azo dyes. Results showed efficient decolourization of methyl orange dye molecules from synthetic water samples after four (4) cycles of reuse (e.g. >96% removal efficiency). The hydrogenation of methyl orange was found to be the removal mechanism due to the presence of hydrogenated methyl orange by-products in the treated water samples. Therefore, the fabricated nanocomposites exhibit potential application for the remediation of textile wastewater.


Assuntos
Nanopartículas Metálicas , Nanofibras , Resinas Acrílicas , Compostos Azo , Quelantes , Ácido Edético , Prata
6.
J Nanosci Nanotechnol ; 18(8): 5470-5484, 2018 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-29458600

RESUMO

Nitrogen-doped graphene oxide (NGO) nanosheets were prepared via a facile one-pot modified Hummer's approach at low temperatures using graphite powder and flakes as starting materials in the presence of a nitrogen precursor. It was found that the morphology, structure, composition and surface chemistry of the NGO nanosheets depended on the nature of the graphite precursor used. GO nanosheets doped with nitrogen atoms exhibited a unique structure with few thin layers and wrinkled sheets, high porosity and structural defects. NGO sheets made from graphite powder (NGOp) exhibited excellent thermal stability and remarkably high surface area (up to 240.53 m2 ·g-1) compared to NGO sheets made from graphite flakes (NGOf) which degraded at low temperatures and had an average surface area of 24.70 m2 ·g-1. NGOf sheets had a size range of 850 to 2200 nm while NGOp sheets demonstrated obviously small sizes (460-1600 nm) even when exposed to different pH conditions. The NGO nanosheets exhibited negatively charged surfaces in a wide pH range (1 to 12) and were found to be stable above pH 6. In addition, graphite flakes were found to be more suitable for the production of NGO as they produced high N-doping levels (0.65 to 1.29 at.%) compared to graphite powders (0.30 to 0.35 at.%). This study further demonstrates that by adjusting the amount of N source in the host GO, one can tailor its thermal stability, surface morphology, surface chemistry and surface area.

7.
Dev Med Child Neurol ; 59(12): 1256-1260, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28972277

RESUMO

AIM: To determine the validity of the proposed clinical diagnostic criteria for anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis in paediatric patients. METHOD: The diagnostic criteria for anti-NMDAR encephalitis proposed by Graus et al. (2016) use clinical features and conventional investigations to facilitate early immunotherapy before antibody status is available. The criteria are satisfied if patients develop four out of six symptom groups within 3 months, together with at least one abnormal investigation (electroencephalography/cerebrospinal fluid) and reasonable exclusion of other disorders. We evaluated the validity of the criteria using a retrospective cohort of paediatric patients with encephalitis. Twenty-nine patients with anti-NMDAR encephalitis and 74 comparison children with encephalitis were included. RESULTS: As expected, the percentage of patients with anti-NMDAR encephalitis who fulfilled the clinical criteria increased over time. During the hospital inpatient admission, most patients (26/29, 90%) with anti-NMDAR encephalitis fulfilled the criteria, significantly more than the comparison group (3/74, 4%) (p<0.001). The median time of fulfilling the criteria in patients with anti-NMDAR encephalitis was 2 weeks from first symptom onset (range 1-6). The sensitivity of the criteria was 90% (95% confidence interval 73-98) and the specificity was 96% (95% confidence interval 89-99). INTERPRETATION: The proposed diagnostic criteria for anti-NMDAR encephalitis have good sensitivity and specificity. Incomplete criteria do not exclude the diagnosis. WHAT THIS PAPER ADDS: The proposed clinical diagnostic criteria for anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis by Graus et al. (2016) have high sensitivity and specificity in paediatric patients. The median time of fulfilling the criteria in patients with anti-NMDAR was 2 weeks from first symptom onset.


Assuntos
Encefalite Antirreceptor de N-Metil-D-Aspartato/diagnóstico , Guias de Prática Clínica como Assunto/normas , Adolescente , Encefalite Antirreceptor de N-Metil-D-Aspartato/líquido cefalorraquidiano , Encefalite Antirreceptor de N-Metil-D-Aspartato/fisiopatologia , Criança , Estudos de Coortes , Eletroencefalografia , Humanos , Sensibilidade e Especificidade , Fatores de Tempo
8.
Epilepsia ; 57(1): e7-e11, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26592968

RESUMO

To define the risk factors for postencephalitic epilepsy (PE) and drug-resistant epilepsy (DRE) in childhood following infectious and autoimmune encephalitis, we included 147 acute encephalitis patients with a median follow-up of 7.3 years (range 2-15.8 years). PE was defined as the use of antiepileptic drugs (AEDs) for ≥24 months, and DRE was defined as the persistence of seizures despite ≥2 appropriate AEDs at final follow-up. PE and DRE were diagnosed in 31 (21%) and 15 (10%) of patients, respectively. The features during acute encephalitis predictive of DRE (presented as odds ratio [OR] with confidence intervals [CIs]) were status epilepticus (OR 10.8, CI 3.4-34.3), visual disturbance (6.4, 1.4-29.9), focal seizures (6.2, 1.9-20.6), magnetic resonance imaging (MRI) hippocampal/amygdala involvement (5.0, 1.7-15.4), intensive care admission (4.7, 1.4-15.4), use of >3 AEDs (4.5, 1.2-16.1), MRI gadolinium enhancement (4.1, 1.2-14.2), any seizure (3.9, 1.1-14.4), and electroencephalography (EEG) epileptiform discharges (3.9, 1.3-12.0). On multivariable regression analysis, only status epilepticus remained predictive of DRE in all models. DRE was common in herpes simplex virus (3/9, 33%) and unknown (8/40, 20%) encephalitis, but absent in acute disseminated encephalomyelitis (ADEM) (0/32, 0%), enterovirus (0/18), and anti-N-methyl-d-aspartate receptor-NMDAR encephalitis (0/9). We have identified risk factors for DRE and demonstrated "high-risk," and "low-risk" etiologies.


Assuntos
Epilepsia Resistente a Medicamentos/etiologia , Encefalite/complicações , Encefalite/imunologia , Epilepsia/etiologia , Receptores de N-Metil-D-Aspartato/imunologia , Adolescente , Autoanticorpos/sangue , Criança , Pré-Escolar , Estudos de Coortes , Eletroencefalografia , Epilepsia/sangue , Feminino , Glutamato Descarboxilase/imunologia , Humanos , Masculino , Proteínas de Membrana/imunologia , Proteínas do Tecido Nervoso/imunologia , Canais de Potássio de Abertura Dependente da Tensão da Membrana/imunologia , Curva ROC , Fatores de Risco
9.
Dev Med Child Neurol ; 58(4): 376-84, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26330176

RESUMO

AIM: We performed the first study on the perceived benefit and adverse effects of symptomatic management in children with anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis. METHOD: A retrospective chart review was undertaken at two tertiary paediatric hospitals in Australia and New Zealand. We included 27 children (12 males, 15 females; mean age at admission 7y 1mo) with anti-NMDAR antibodies in serum or cerebrospinal fluid with a typical clinical syndrome. RESULTS: Only two out of 27 patients were white, whereas 16 out of 27 patients were from the Pacific Islands/New Zealand Maori. The mean duration of admission was 69 days (10-224d) and 48% of patients (13/27) needed treatment in an intensive care setting. A mean of eight medications per patient was used for symptomatic management. Symptoms treated were agitation (n=25), seizures (n=24), movement disorders (n=23), sleep disruption (n=17), psychiatric symptoms (n=10), and dysautonomia (n=four). The medications used included five different benzodiazepines (n=25), seven anticonvulsants (n=25), eight sedatives and sleep medications (n=23), five antipsychotics (n=12), and five medications for movement disorders (n=10). Sedative and sleep medications other than benzodiazepines were the most effective, with a mean benefit of 67.4% per medication and a mean adverse effect-benefit ratio of 0.04 per medication. Antipsychotic drugs were used for a short duration (median 9d), and had the poorest mean benefit per medication of 35.4% and an adverse effect-benefit ratio of 2.0 per medication. INTERPRETATION: Long-acting benzodiazepines, anticonvulsants, and clonidine can treat multiple symptoms. Patients with anti-NMDAR encephalitis appear vulnerable to antipsychotic-related adverse effects. Pacific Islanders appear to have a vulnerability to anti-NMDAR encephalitis in our region.


Assuntos
Encefalite Antirreceptor de N-Metil-D-Aspartato/complicações , Encefalite Antirreceptor de N-Metil-D-Aspartato/tratamento farmacológico , Anticonvulsivantes/farmacologia , Antipsicóticos/farmacologia , Benzodiazepinas/farmacologia , Hipnóticos e Sedativos/farmacologia , Adolescente , Anticonvulsivantes/administração & dosagem , Anticonvulsivantes/efeitos adversos , Antipsicóticos/administração & dosagem , Antipsicóticos/efeitos adversos , Austrália , Benzodiazepinas/administração & dosagem , Benzodiazepinas/efeitos adversos , Criança , Pré-Escolar , Feminino , Humanos , Hipnóticos e Sedativos/administração & dosagem , Hipnóticos e Sedativos/efeitos adversos , Lactente , Masculino , Transtornos Mentais/tratamento farmacológico , Transtornos Mentais/etiologia , Transtornos dos Movimentos/tratamento farmacológico , Transtornos dos Movimentos/etiologia , Nova Zelândia , Disautonomias Primárias/tratamento farmacológico , Disautonomias Primárias/etiologia , Agitação Psicomotora/tratamento farmacológico , Agitação Psicomotora/etiologia , Convulsões/tratamento farmacológico , Convulsões/etiologia , Transtornos do Sono-Vigília/tratamento farmacológico , Transtornos do Sono-Vigília/etiologia
10.
Indoor Air ; 25(1): 21-35, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24750235

RESUMO

This study investigates the interaction between the human convective boundary layer (CBL) and uniform airflow with different velocity and from different directions. Human body is resembled by a thermal manikin with complex body shape and surface temperature distribution as the skin temperature of an average person. Particle image velocimetry (PIV) and pseudocolor visualization (PCV) are applied to identify the flow around the manikin's body. The findings show that the direction and magnitude of the surrounding airflows considerably influence the airflow distribution around the human body. Downward flow with velocity of 0.175 m/s does not influence the convective flow in the breathing zone, while flow at 0.30 m/s collides with the CBL at the nose level reducing the peak velocity from 0.185 to 0.10 m/s. Transverse horizontal flow disturbs the CBL at the breathing zone even at 0.175 m/s. A sitting manikin exposed to airflow from below with velocity of 0.30 and 0.425 m/s assisting the CBL reduces the peak velocity in the breathing zone and changes the flow pattern around the body, compared to the assisting flow of 0.175 m/s or quiescent conditions. In this case, the airflow interaction is strongly affected by the presence of the chair.


Assuntos
Movimentos do Ar , Respiração , Fenômenos Fisiológicos da Pele , Ventilação , Poluição do Ar em Ambientes Fechados , Biofísica , Temperatura Corporal , Feminino , Humanos , Manequins , Material Particulado/análise
11.
Indoor Air ; 25(6): 672-82, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25515610

RESUMO

UNLABELLED: The effects of the human convective boundary layer (CBL), room airflow patterns, and their velocities on personal exposure are examined. Two pollutants are studied which simulate particles released from the feet and generated at distances of 2 and 3 m by a human cough. A thermal manikin whose body shape, size, and surface temperatures correspond to those of an average person is used to simulate the CBL. The findings of the study reveal that for accurate predictions of personal exposure, the CBL needs to be considered, as it can transport the pollution around the human body. The best way to control and reduce personal exposure when the pollution originates at the feet is to employ transverse flow from in front and from the side, relative to the exposed occupant. The flow from the above opposing the CBL create the most unfavorable velocity field that can increase personal exposure by 85%, which demonstrates a nonlinear dependence between the supplied flow rate and personal exposure. In the current ventilation design, it is commonly accepted that an increased amount of air supplied to the rooms reduces the exposure. The results of this study suggest that the understanding of air patterns should be prioritized. PRACTICAL IMPLICATIONS: A human convective boundary layer plays an important role in pollution transport around the human body. It interacts with the surrounding airflows which modifies air movement around the human body and personal exposure. Understanding the influence of this interaction on the pollution spread around the human can be used to control and reduce personal exposure and improve HVAC design.


Assuntos
Poluição do Ar em Ambientes Fechados , Ventilação , Movimentos do Ar , Convecção , Tosse , Humanos , Manequins , Respiração
12.
Chemistry ; 19(3): 943-9, 2013 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-23169542

RESUMO

Fluorescent gold clusters (FGCs) with tunable emission from blue to red and quantum yields in the range of 6-17% have been synthesized by simple modification of the conditions used for the synthesis of gold nanoparticles, namely by replacing the stronger reducing agent with a controlled amount of thiol. Various functional FGCs with hydrodynamic diameters of 5-12 nm have been successfully synthesized and used as cell labels. The results of our investigations strongly indicate that FGCs composed of Au(0) are more stable imaging probes than commonly reported red/NIR-emitting FGCs with a composition of Au(0)/Au(I), as this combination rapidly transforms into nonfluorescent large clusters on exposure to light. The FGC-based nanoprobes reported herein exhibit stable fluorescence upon continuous light exposure and can be used as imaging probes with low cytotoxicity.


Assuntos
Fluorescência , Ouro/química , Nanopartículas Metálicas/química , Sondas Moleculares/química , Compostos de Sulfidrila/química , Ouro/farmacocinética , Células HEK293 , Células HeLa , Humanos , Sondas Moleculares/síntese química , Sondas Moleculares/farmacocinética
13.
EBioMedicine ; 91: 104589, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37119734

RESUMO

BACKGROUND: Defining the presence of acute and chronic brain inflammation remains a challenge to clinicians due to the heterogeneity of clinical presentations and aetiologies. However, defining the presence of neuroinflammation, and monitoring the effects of therapy is important given its reversible and potentially damaging nature. We investigated the utility of CSF metabolites in the diagnosis of primary neuroinflammatory disorders such as encephalitis and explored the potential pathogenic role of inflammation in epilepsy. METHODS: Cerebrospinal fluid (CSF) collected from 341 paediatric patients (169 males, median age 5.8 years, range 0.1-17.1) were examined. The patients were separated into a primary inflammatory disorder group (n = 90) and epilepsy group (n = 80), who were compared with three control groups including neurogenetic and structural (n = 76), neurodevelopmental disorders, psychiatric and functional neurological disorders (n = 63), and headache (n = 32). FINDINGS: There were statistically significant increases of CSF neopterin, kynurenine, quinolinic acid and kynurenine/tryptophan ratio (KYN/TRP) in the inflammation group compared to all control groups (all p < 0.0003). As biomarkers, at thresholds with 95% specificity, CSF neopterin had the best sensitivity for defining neuroinflammation (82%, CI 73-89), then quinolinic acid (57%, CI 47-67), KYN/TRP ratio (47%, CI 36-56) and kynurenine (37%, CI 28-48). CSF pleocytosis had sensitivity of 53%, CI 42-64). The area under the receiver operating characteristic curve (ROC AUC) of CSF neopterin (94.4% CI 91.0-97.7%) was superior to that of CSF pleocytosis (84.9% CI 79.5-90.4%) (p = 0.005). CSF kynurenic acid/kynurenine ratio (KYNA/KYN) was statistically decreased in the epilepsy group compared to all control groups (all p ≤ 0.0003), which was evident in most epilepsy subgroups. INTERPRETATION: Here we show that CSF neopterin, kynurenine, quinolinic acid and KYN/TRP are useful diagnostic and monitoring biomarkers of neuroinflammation. These findings provide biological insights into the role of inflammatory metabolism in neurological disorders and provide diagnostic and therapeutic opportunities for improved management of neurological diseases. FUNDING: Financial support for the study was granted by Dale NHMRC Investigator grant APP1193648, University of Sydney, Petre Foundation, Cerebral Palsy Alliance and Department of Biochemistry at the Children's Hospital at Westmead. Prof Guillemin is funded by NHMRC Investigator grant APP 1176660 and Macquarie University.


Assuntos
Doenças do Sistema Nervoso , Triptofano , Masculino , Humanos , Criança , Lactente , Pré-Escolar , Adolescente , Triptofano/metabolismo , Cinurenina , Neopterina/metabolismo , Ácido Quinolínico/líquido cefalorraquidiano , Doenças Neuroinflamatórias , Leucocitose , Inflamação/diagnóstico , Inflamação/metabolismo , Biomarcadores/metabolismo
14.
Ind Psychiatry J ; 30(1): 123-130, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34483536

RESUMO

INTRODUCTION: Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 has engulfed the globe since December 2019. Healthcare workers remain at the forefront of this battle, and like prior pandemics face mental health challenges along with physical risks. We aimed to study the perceived stress and possible posttraumatic stress in the frontline workers exposed to active COVID-19 duties in the state of Andhra Pradesh, India. METHODOLOGY: A special voluntary, anonymous, survey-based Google questionnaire was designed with mandatory consent form and queries to clarify inclusion exclusion criteria. Tools included valid, reliable self-administered scales, namely General Health Questionnaire 12, Perceived Stress Scale and Impact of Events Scales-Revised. A purposive sampling method was adopted, by posting the survey questionnaire on WhatsApp groups of doctors, interns, and nurses working on active COVID-19 duty in Andhra Pradesh. RESULTS: About 69.7% of the frontline workers recorded higher perceived stress and definitive posttraumatic stress disorder (PTSD) was found in 34.8%, with psychological distress recorded in 53%. CONCLUSION: The higher levels of perceived stress discovered in the vast majority with definitive PTSD features in a third of the sample indicates the need for provision of mental health support proactively among frontline workers on active COVID-19 duty.

15.
J Hosp Infect ; 110: 89-96, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33453351

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has caused untold disruption throughout the world. Understanding the mechanisms for transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is key to preventing further spread, but there is confusion over the meaning of 'airborne' whenever transmission is discussed. Scientific ambivalence originates from evidence published many years ago which has generated mythological beliefs that obscure current thinking. This article collates and explores some of the most commonly held dogmas on airborne transmission in order to stimulate revision of the science in the light of current evidence. Six 'myths' are presented, explained and ultimately refuted on the basis of recently published papers and expert opinion from previous work related to similar viruses. There is little doubt that SARS-CoV-2 is transmitted via a range of airborne particle sizes subject to all the usual ventilation parameters and human behaviour. Experts from specialties encompassing aerosol studies, ventilation, engineering, physics, virology and clinical medicine have joined together to produce this review to consolidate the evidence for airborne transmission mechanisms, and offer justification for modern strategies for prevention and control of COVID-19 in health care and the community.


Assuntos
Aerossóis , Microbiologia do Ar , COVID-19/prevenção & controle , COVID-19/transmissão , Controle de Infecções/métodos , Pandemias/prevenção & controle , Ventilação/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2
16.
MethodsX ; 7: 100963, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32637335

RESUMO

Graphene quantum dots (GQDs) possess excellent optical and electrical properties that can be used in a wide variety of application. Synthesis of hybrid nanoparticles with GQDs have been known to improve the properties further. Therefore, in this method, graphene quantum dots -gold (GQD-Au) hybrid nanoparticles were synthesized using GQDs which reduces HAuCl4.3H2O to Au nanoparticles on its surface at room temperature. The GQDs with self-passivated layers were synthesized by microwave assisted hydrothermal method using glucose as a single precursor. The synthesis process does not involve the use of harmful chemicals. The whole synthesis process of GQD and GQD-Au hybrid nanoparticles takes only five minutes. The synthesized GQDs have been extracted using citrate in order to increase the stability of the hybrid nanoparticles for up to four weeks. The size of the synthesized GQD-Au hybrid nanoparticles is in the range of 5-100 nm and were found to be luminescent under UV-A illumination. The merit of the following method over other synthesis techniques include its rapidity, ease of preparation, and no requirement of elaborate synthesis procedures and/or harmful chemicals. The GQD-Au hybrid nanoparticles can be used in several applications such as luminescent coatings for glass and windowpanes for automobiles, etc. The reducing property of GQDs can further be utilized for the reduction of various metal salts (AgNO3) and organic dyes (methylene blue and methyl orange). . It presents a method/protocol-development of the luminescent GQD-Au hybrid particles of size ~ 5-100 nm. . The GQD-Au hybrid particles find potential applications in luminescent coating applications.

18.
Nanomaterials (Basel) ; 9(12)2019 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-31835790

RESUMO

In this work, porous carbon-vanadium oxynitride (C-V2NO) nanostructures were obtained at different nitridation temperature of 700, 800 and 900 °C using a thermal decomposition process. The X-ray diffraction (XRD) pattern of all the nanomaterials showed a C-V2NO single-phase cubic structure. The C-V2NO obtained at 700 °C had a low surface area (91.6 m2 g-1), a moderate degree of graphitization, and a broader pore size distribution. The C-V2NO obtained at 800 °C displayed an interconnected network with higher surface area (121.6 m2 g-1) and a narrower pore size distribution. In contrast, at 900 °C, the C-V2NO displayed a disintegrated network and a decrease in the surface area (113 m2 g-1). All the synthesized C-V2NO yielded mesoporous oxynitride nanostructures which were evaluated in three-electrode configuration using 6 M KOH aqueous electrolyte as a function of temperature. The C-V2NO@800 °C electrode gave the highest electrochemical performance as compared to its counterparts due to its superior properties. These results indicate that the nitridation temperature not only influences the morphology, structure and surface area of the C-V2NO but also their electrochemical performance. Additionally, a symmetric device fabricated from the C-V2NO@800 °C displayed specific energy and power of 38 W h kg-1 and 764 W kg-1, respectively, at 1 A g-1 in a wide operating voltage of 1.8 V. In terms of stability, it achieved 84.7% as capacity retention up to 10,000 cycles which was confirmed through the floating/aging measurement for up to 100 h at 10 A g-1. This symmetric capacitor is promising for practical applications due to the rapid and easy preparation of the carbon-vanadium oxynitride materials.

19.
J Phys Condens Matter ; 31(13): 135501, 2019 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-30609419

RESUMO

The correlation of electronic structure and magnetic behaviors of layered molybdenum disulfide (MoS2) nanosheets, mechanically exfoliated from pristine hexagonal crystal (2H-MoS2) have been studied. Raman spectra show the energy difference (ΔE) between two Raman peaks A 1g and [Formula: see text] was about 20.2 cm-1, indicating the formation of mono-/bi-layered MoS 2 nanosheets as obtained after mechanical exfoliation from pristine 2H-MoS 2 . The absence of the reflection peak (0 0 2) in x-ray diffraction patterns confirms the formation of few-layered and mono-/bi-layered MoS 2 nanosheets with reduced thickness. Mo 3d and S 2p  XPS core level peaks shifted to higher energy with the reduction of the number of layers in exfoliated MoS2. As the number of layers decreased, valence band maximum position increased from 1.11 eV (pristine MoS2) to 1.57 eV (mono-/bi-layered MoS 2 nanosheets), whereas the surface work function (Ф) reduced from 4.85 eV (pristine MoS2) to 4.47 eV (mono-/bi-layered MoS2 nanosheets), as observed from UPS (He-I) measurements. UPS (He-II) spectra, as well as VB-PES spectra of mono-/bi-layered MoS 2 nanosheets, exhibits an enhanced valence band density of states (DOS) of S 3p -derived states near Fermi level (E f). Mo L II-edge and S K-edge x-ray absorption near edge structure spectra of mono-/bi-layered MoS 2 nanosheets show the splitting of different peaks that cause a noticeable change in their band structure. Magnetic M-H hysteresis loops measurement clearly demonstrates the increase of room temperature ferromagnetism from pristine to mono-/bi-layer MoS2, due to the existence of defects ('S'-vacancies or defects at the grain boundaries region) and the increase of DOS.

20.
ACS Omega ; 4(11): 14589-14598, 2019 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-31528813

RESUMO

Silicon-oxide-nanoparticle (SiO2-NP) heteroatoms were decorated/deposited onto multiwall carbon nanotube (MWCNT) surface to tune the properties of MWCNTs for electronic and magnetic applications. To achieve this objective, SiO2-NPs and MWCNTs were prepared and suspended together into toluene and heated at <100 °C for the formation of MWCNTs/SiO2-NP nanocomposites. A change in the microstructure, electronic, electrical, and magnetic behaviors of MWCNT nanocomposites decorated/deposited with silicon content was investigated using different techniques, viz., scanning electron microscopy, X-ray diffraction, Raman spectroscopy, and X-ray photoelectron spectroscopy for structural, compositional, and electronic structure, while current-voltage was used for electrical properties and field-dependent magnetization and electron spin resonance techniques were used for magnetic properties. The results indicated that SiO2-NPs adhered onto MWCNTs, resulting in variation in the material conductivity with the Si-NP content. The coercivity of MWCNT nanocomposites adhered with 1.5 atom % Si-NPs (H C@40 K = 689 Oe) is higher than that of those adhered with 5.75 atom % Si-NPs (H C@40 K = 357 Oe). In general, the results provide information about the possibilities of tuning the electronic, electrical, and magnetic properties of MWCNTs by adherence of SiO2-NPs onto them. This tuning of material properties could be useful for different electronic and magnetic device applications.

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