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1.
J Microsc ; 294(2): 239-250, 2024 May.
Article in English | MEDLINE | ID: mdl-38597232

ABSTRACT

Engineered cementitious composites (ECC) are a class of high-performing fibre-reinforced cementitious materials recognised for their increased ductility and durability compared to conventional cement-based materials, owing to their autogenously controlled tight crack widths, even when subjected to high strains. To reduce ECC's environmental impact, this research examines the use of a low-clinker binder - limestone-calcined clay cement (LC3) - as an alternative to portland cement (PC), along with fly ash to further reduce the clinker proportion and the embodied CO2 of the formulations. In conventional concrete, LC3 hydrates to a denser microstructure resulting from the synergistic reaction between limestone and calcined clay. At the lower water contents typical of ECC and with the presence of fly ash, the influence of the binder composition on the microstructure is difficult to anticipate. To examine the influence of these compositional variables on microstructure, permeability and durability, the sulphate resistance of LC3-based ECC is explored. Specifically, the ECC-LC3 blends are designed with high clinker replacement rate of 75% by mass of binder and contain either conventional fly ash or reclaimed fly ash at 50% by mass of binder. Expansion of ECC-LC3 samples subjected to standard sodium sulphate test conditions was measured up to 12 months and the depth of penetration of sulphates into the ECC-LC3 of varying compositions was quantified using micro-X-Ray Fluorescence (microXRF) imaging and modelling. The expansion results show that the ECC-LC3 formulations performed better than the PC samples and can provide adequate resistance to external sulphate attack, even when reclaimed fly ashes are used in place of the conventional ash. In addition, the shallow penetration of sulphate into these cementitious composites demonstrates the low diffusion coefficients values that were determined using the quantitative data from MicroXRF imaging.

2.
J Microsc ; 295(2): 199-213, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38487931

ABSTRACT

In this article, the optical and structural properties of iPP/TiO2 nanocomposite fibres, considering three distinct extrusion speeds (25, 50 and 78 m/min) in addition to blank isotactic polypropylene samples were determined. Employing computed tomographic scans, localised optical defects in the nanocomposite fibres are unveiled, while refractive indices are examined by analysing transmitted intensity with incident light vibrating parallel and perpendicular to the fibre axis. The internal structure is further characterised through birefringence and density calculations. Mechanical properties, specifically stiffness, are probed by measuring elastic modulus values along the fibre. The investigation extends to the presence of TiO2 nanoparticles in the isotactic polypropylene matrix, inspecting their influence on the uniform morphology along and across the fibre. While the addition of TiO2 nanoparticles has many advantages, including enhanced properties, the study shows adverse effects on the morphological integrity of the fibres, particularly at higher extrusion rates. Micrographs are included to visually illustrate these findings, providing a comprehensive understanding of the complex interaction between extrusion rates, TiO2 nanoparticle incorporation, and the resulting optical and structural properties in iPP fibres.

3.
J Surg Res ; 300: 141-149, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38810527

ABSTRACT

INTRODUCTION: Transversus abdominis release (TAR) is increasingly being performed for reconstruction of complex incisional and recurrent ventral hernias, with complication rates ranging from 17.4% to 33.3% after open TAR (oTAR) or robotic TAR (rTAR). The purpose of this study was to describe the outcomes of patients undergoing TAR with macroporous polypropylene mesh (MPM) and to compare outcomes between oTAR and rTAR. METHODS: A retrospective review of 183 consecutive patients undergoing TAR with MPM performed by a single surgeon at a single institution from 2015 to 2021 was performed. Patients with less than one year of follow-up were excluded. Univariate analysis was performed to compare outcomes between oTAR and rTAR patients. RESULTS: Average patient age was 59.4 y, median body mass index was 33.2 kg/m2, and median hernia width was 12.0 cm. Forty 2 (23%) patients underwent oTAR, 127 (69%) underwent rTAR, and 14 (8%) underwent laparoscopic TAR. Patients experienced 16.4%, 10.4%, 3.8%, and 6.0% rates of overall complications, surgical site occurrences, surgical site infections, and other complications, respectively. At average follow-up of 2.3 y, a 2.7% hernia recurrence rate was observed. In comparison to patients undergoing oTAR, rTAR patients required shorter operative times and length of stay, and were less likely to experience postoperative complications overall, and other complications. Recurrence rates were similar between oTAR and rTAR. CONCLUSIONS: Patients undergoing TAR with MPM experienced complication and recurrence rates in alignment with previously published results. In comparison to oTAR, rTAR was associated with more favorable perioperative outcomes and complication rates, but similar recurrence rates.


Subject(s)
Abdominal Muscles , Hernia, Ventral , Herniorrhaphy , Polypropylenes , Postoperative Complications , Surgical Mesh , Humans , Surgical Mesh/adverse effects , Middle Aged , Retrospective Studies , Male , Female , Aged , Hernia, Ventral/surgery , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Herniorrhaphy/instrumentation , Herniorrhaphy/methods , Herniorrhaphy/adverse effects , Treatment Outcome , Robotic Surgical Procedures/adverse effects , Robotic Surgical Procedures/methods , Recurrence , Adult , Follow-Up Studies , Laparoscopy/adverse effects , Laparoscopy/methods
4.
Environ Sci Technol ; 58(17): 7609-7616, 2024 Apr 30.
Article in English | MEDLINE | ID: mdl-38624261

ABSTRACT

The carbonyl index aims to measure the degradation level and is used in plastic degradation research as a proxy for the general degradation level of collected plastic pieces. According to the choices for carbonyl index calculation, comparison using this index is prevented and must be unveiled by the authors, which does not always happen. In order to study the proper usage of the carbonyl index, regarding the choice of the reference band and the usage of the band intensity or the absorption area, we systematically reviewed the methodologies used for polypropylene as a case study. Based on 95 studies gathered from 2000 to 2024, two main methods were used to determine the carbonyl index: the ratio between the carbonyl band area and the reference band area (33.68%) and the ratio between the highest intensity of the carbonyl band and the reference band (66.31%). The reference band of choice and the type of calculation method produce different carbonyl index values for the same spectra and mean different information, preventing comparison among works with different calculations.


Subject(s)
Polymers , Plastics , Polypropylenes/chemistry
5.
Environ Sci Technol ; 58(15): 6647-6658, 2024 Apr 16.
Article in English | MEDLINE | ID: mdl-38563431

ABSTRACT

The biodegradation of polypropylene (PP), a highly persistent nonhydrolyzable polymer, by Tenebrio molitor has been confirmed using commercial PP microplastics (MPs) (Mn 26.59 and Mw 187.12 kDa). This confirmation was based on the reduction of the PP mass, change in molecular weight (MW), and a positive Δδ13C in the residual PP. A MW-dependent biodegradation mechanism was investigated using five high-purity PP MPs, classified into low (0.83 and 6.20 kDa), medium (50.40 and 108.0 kDa), and high (575.0 kDa) MW categories to access the impact of MW on the depolymerization pattern and associated gene expression of gut bacteria and the larval host. The larvae can depolymerize/biodegrade PP polymers with high MW although the consumption rate and weight losses increased, and survival rates declined with increasing PP MW. This pattern is similar to observations with polystyrene (PS) and polyethylene (PE), i.e., both Mn and Mw decreased after being fed low MW PP, while Mn and/or Mw increased after high MW PP was fed. The gut microbiota exhibited specific bacteria associations, such as Kluyvera sp. and Pediococcus sp. for high MW PP degradation, Acinetobacter sp. for medium MW PP, and Bacillus sp. alongside three other bacteria for low MW PP metabolism. In the host transcriptome, digestive enzymes and plastic degradation-related bacterial enzymes were up-regulated after feeding on PP depending on different MWs. The T. molitor host exhibited both defensive function and degradation capability during the biodegradation of plastics, with high MW PP showing a relatively negative impact on the larvae.


Subject(s)
Microbiota , Tenebrio , Animals , Tenebrio/metabolism , Tenebrio/microbiology , Plastics , Polypropylenes/metabolism , Microplastics , Molecular Weight , Polystyrenes , Larva/metabolism , Bacteria/metabolism , Biodegradation, Environmental
6.
Environ Sci Technol ; 58(12): 5461-5471, 2024 Mar 26.
Article in English | MEDLINE | ID: mdl-38489752

ABSTRACT

Floating microplastics are susceptible to sunlight-driven photodegradation, which can convert plastic carbon to dissolved organic carbon (DOC) and can facilitate microplastic fragmentation by mechanical forces. To understand the photochemical fate of sub-millimeter buoyant plastics, ∼0.6 mm polypropylene microplastics were photodegraded while tracking plastic mass, carbon, and particle size distributions. Plastic mass loss and carbon loss followed linear kinetics. At most time points DOC accumulation accounted for under 50% of the total plastic carbon lost. DOC accumulation followed sigmoidal kinetics, not the exponential kinetics previously reported for shorter irradiations. Thus, we suggest that estimates of plastic lifespan based on exponential DOC accumulation are inaccurate. Instead, linear plastic-C mass and plastic mass loss kinetics should be used, and these methods result in longer estimates of photochemical lifetimes for plastics in surface waters. Scanning electron microscopy revealed that photoirradiation produced two distinct patterns of cracking on the particles. However, size distribution analyses indicated that fragmentation was minimal. Instead, the initial population of microplastics shrank in size during irradiations, indicating photoirradiation in tranquil waters (i.e., without mechanical forcing) dissolved sub-millimeter plastics without fragmentation.


Subject(s)
Microplastics , Water Pollutants, Chemical , Polypropylenes/analysis , Plastics/analysis , Water Pollutants, Chemical/analysis , Sunlight , Carbon , Environmental Monitoring
7.
J Fluoresc ; 2024 May 23.
Article in English | MEDLINE | ID: mdl-38777984

ABSTRACT

Aggregation-induced emission (AIE) is a fascinating phenomenon where specific molecules exhibit enhanced fluorescence upon aggregation. This unique property has revolutionized the design and development of new fluorescent materials for different applications, from biosensors and organic light-emitting diodes (OLEDs) to biomedical imaging and diagnostics. Researchers are creating sensitive and selective sensing platforms, opening new avenues in material science and engineering by harnessing the potential of AIE. To expand the knowledge in this field, this study explored the aggregation-induced emission (AIE) properties of two polymers, namely polyethylene glycol (PEG) and polypropylene glycol (PPG) of low molecular weight (MW) using fluorescence spectroscopy and absorbance (UV). PEG-300 and PPG-725 were the most fluorescent polymers at UV of the ten investigated. Interestingly, AIE did not correlate linearly with molecular weight (MW), and monobutyl ether substitution in PEG with a similar MW substantially altered its AIE. Furthermore, fluorescence precisely quantified low polymer concentrations in water, and non-aqueous solvents suppressed AIE, suggesting potential for AIE manipulation. These findings enhance our understanding of AIE in polymers, fostering the development of novel materials for applications such as biosensors.

8.
Macromol Rapid Commun ; : e2400233, 2024 May 22.
Article in English | MEDLINE | ID: mdl-38777345

ABSTRACT

The memory of crystalline phase in the melt of isotactic polypropylene (iPP) in regiodefective samples of iPP characterized by different concentrations regiodefects, constituted by secondary 2,1 propene units, is studied. The self-nucleation (SN) experiments have demonstrated that the presence of 2,1 regiodefects produces a strong memory of the crystalline phase in the melt that persists up to temperatures much higher than the melting temperature. The extension of the heterogeneous melt (domain II) containing self-nuclei increases with increasing the concentration of regiodefects. The higher the concentration of regiodefects the higher the temperature at which the self-nuclei are dissolved and the homogeneous melt is achieved. This demonstrates that a strong memory of the crystalline phase of iPP in the melt exists not only in copolymers with noncrystallizable bulky comonomeric units rejected from the crystals but even when small defects are largely included in the crystals.

9.
Macromol Rapid Commun ; : e2400376, 2024 Jul 15.
Article in English | MEDLINE | ID: mdl-39008820

ABSTRACT

In this study, a 4-(hydroxymethyl)-2,6,7-trioxa-1-phosphabicyclo[2.2.2]octane 1-oxide (PEPA)-functionalized acrylate monomer, PEPAA, is designed and utilized for the synthesis of macromolecular flame retardants poly(PEPAA-co-AM) with varying PEPAA/AM ratio through copolymerization with acrylamide (AM). The poly(PEPAA-co-AM) is then incorporated into polypropylene (PP) to prepare PP/poly(PEPAA-co-AM) composites. The flame retardant effect of poly(PEPAA-co-AM) on PP is investigated using cone calorimetric test (CCT), and compared with that of PEPAA homopolymer (P-PEPAA), AM homopolymer (PAM), and blends of P-PEPAA/PAM. The results demonstrate that, in comparison with P-PEPAA, PAM, and blends of P-PEPAA/PAM, the incorporation of poly(PEPAA-co-AM) significantly enhances the flame retardancy of PP. Notably, the best flame retardancy is achieved when the ratio of PEPAA/AM copolymerization in poly(PEPAA-co-AM) is 2/8. The morphology and composition of residual chars from combustion are analyzed using SEM-EDS while the residual graphitization degree is examined through Raman spectroscopy. Additionally, TG-FTIR-MS is utilized to investigate the pyrolysis products in gas phase during thermal decomposition of poly(PEPAA-co-AM). Based on these experimental results, a flame retardant mechanism for poly(PEPAA-co-AM) is proposed. The PP/poly(PEPAA-co-AM) composites not only retain the excellent processing properties of pure PP but also exhibit enhanced mechanical properties.

10.
Environ Res ; 248: 118307, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38307187

ABSTRACT

Microplastic pollution is a global issue of great public concern. Africa is flagged to host some of the most polluted water bodies globally, but there is no enough information on the extent of microplastic contamination and the potential risks of microplastic pollution in African aquatic ecosystems. This meta-analysis has integrated data from published articles about microplastic pollution in African aquatic ecosystems. The data on the microplastic distribution and morphological characteristics in water, sediments and biota from African rivers, lakes, oceans and seas were extracted from 75 selected studies. Multivariate statistics were used to critically analyze the effects of sampling and detection methods, ecological risks, spatial distribution and similarity of microplastics in relation to the geographical distance between sampling sites. This study found that sampling methods have significant effect on abundance and morphological characteristics of microplastics and that African aquatic ecosystems are highly contaminated with microplastics compared to global data. The most prevalent colors were white, transparent and black, the most prevalent shapes were fibres and fragments, and the most available polymers were polypropylene (PP), polystyrene (PS) and polyethene terephthalate (PET). Microplastic polymers similarity decreased with an increase in geographical distance between sites. Risk levels of microplastics in African aquatic ecosystems were comparatively high, and more than 40 % of water and sediments showed highest level of ecological risk. This review provides recent information on the prevalence, distribution and risks of microplastics in African aquatic ecosystems.


Subject(s)
Microplastics , Water Pollutants, Chemical , Plastics/analysis , Ecosystem , Environmental Monitoring , Water Pollutants, Chemical/analysis , Africa , Water Pollution/analysis , Water , Geologic Sediments
11.
Surg Endosc ; 38(5): 2871-2878, 2024 May.
Article in English | MEDLINE | ID: mdl-38609587

ABSTRACT

BACKGROUND: The use of mesh is standard of care for large ventral hernias repaired on an elective basis. The most used type of mesh includes synthetic polypropylene mesh; however, there has been an increase in the usage of a new polyester self-gripping mesh, and there are limited data regarding its efficacy for ventral hernia. The purpose of the study is to determine whether there is a difference in surgical site occurrence (SSO), surgical site infection (SSI), surgical site occurrence requiring procedural intervention (SSOPI), and recurrence at 30 days after ventral hernia repair (VHR) using self-gripping (SGM) versus non-self-gripping mesh (NSGM). METHODS: We performed a retrospective study from January 2014 to April 2022 using the Abdominal Core Health Quality Collaborative (ACHQC). We collected data on patients over 18 years of age who underwent elective open VHR using SGM or NSGM and whom had 30-day follow-up. Propensity matching was utilized to control for variables including hernia width, body mass index, age, ASA, and mesh location. Data were analyzed to identify differences in SSO, SSI, SSOPI, and recurrence at 30 days. RESULTS: 9038 patients were identified. After propensity matching, 1766 patients were included in the study population. Patients with SGM had similar demographic and clinical characteristics compared to NSGM. The mean hernia width to mesh width ratio was 8 cm:18 cm with NSGM and 7 cm:15 cm with SGM (p = 0.63). There was no difference in 30-day rates of recurrence, SSI or SSO. The rate of SSOPI was also found to be 5.4% in the nonself-gripping group compared to 3.1% in the self-gripping mesh group (p < .005). There was no difference in patient-reported outcomes at 30 days. CONCLUSIONS: In patients undergoing ventral hernia repair with mesh, self-gripping mesh is a safe type of mesh to use. Use of self-gripping mesh may be associated with lower rates of SSOPI when compared to nonself-gripping mesh.


Subject(s)
Hernia, Ventral , Herniorrhaphy , Recurrence , Surgical Mesh , Humans , Hernia, Ventral/surgery , Retrospective Studies , Male , Female , Herniorrhaphy/methods , Middle Aged , Aged , Treatment Outcome , Surgical Wound Infection/etiology , Surgical Wound Infection/epidemiology , Adult , Postoperative Complications/epidemiology , Postoperative Complications/etiology
12.
Part Fibre Toxicol ; 21(1): 29, 2024 Aug 06.
Article in English | MEDLINE | ID: mdl-39107780

ABSTRACT

BACKGROUND: Microplastics have been detected in the atmosphere as well as in the ocean, and there is concern about their biological effects in the lungs. We conducted a short-term inhalation exposure and intratracheal instillation using rats to evaluate lung disorders related to microplastics. We conducted an inhalation exposure of polypropylene fine powder at a low concentration of 2 mg/m3 and a high concentration of 10 mg/m3 on 8-week-old male Fischer 344 rats for 6 h a day, 5 days a week for 4 weeks. We also conducted an intratracheal instillation of polypropylene at a low dose of 0.2 mg/rat and a high dose of 1.0 mg/rat on 12-week-old male Fischer 344 rats. Rats were dissected from 3 days to 6 months after both exposures, and bronchoalveolar lavage fluid (BALF) and lung tissue were collected to analyze lung inflammation and lung injury. RESULTS: Both exposures to polypropylene induced a persistent influx of inflammatory cells and expression of CINC-1, CINC-2, and MPO in BALF from 1 month after exposure. Genetic analysis showed a significant increase in inflammation-related factors for up to 6 months. The low concentration in the inhalation exposure of polypropylene also induced mild lung inflammation. CONCLUSION: These findings suggest that inhaled polypropylene, which is a microplastic, induces persistent lung inflammation and has the potential for lung disorder. Exposure to 2 mg/m3 induced inflammatory changes and was thought to be the Lowest Observed Adverse Effect Level (LOAEL) for acute effects of polypropylene. However, considering the concentration of microplastics in a real general environment, the risk of environmental hazards to humans may be low.


Subject(s)
Bronchoalveolar Lavage Fluid , Inhalation Exposure , Lung , Microplastics , Pneumonia , Polypropylenes , Rats, Inbred F344 , Animals , Male , Polypropylenes/toxicity , Microplastics/toxicity , Inhalation Exposure/adverse effects , Bronchoalveolar Lavage Fluid/cytology , Bronchoalveolar Lavage Fluid/immunology , Bronchoalveolar Lavage Fluid/chemistry , Lung/drug effects , Lung/immunology , Lung/metabolism , Lung/pathology , Pneumonia/chemically induced , Rats
13.
Int Urogynecol J ; 35(3): 553-559, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38206335

ABSTRACT

INTRODUCTION AND HYPOTHESIS: Polypropylene meshes (PM) used in pelvic organ prolapse surgery are being withdrawn from the market. Although concerns about the usage of PMs in stress incontinence surgery have been raised, it is still one of the best methods of curing stress urinary incontinence. With advancements in stem cell-based therapies, especially mesenchymal stem cells (MSCs), it is believed that coating the synthetic meshes with MSCs may minimize excessive tissue reactions ultimately leading to clinical problems such as pain, erosion or extrusion of the implanted material. In our study we tried to show the possibility of coating the PM with placenta-derived MSCs. METHODS: Mesenchymal stem cells obtained from six placentas were isolated, cultured, and identified. MSCs were then soaked in either fibronectin or collagen prior to co-culturing with strips of PMs. One group is used as a control, and hence was not pretreated before co-culturing. Specimens were fixed and stained with both Gram and hematoxylin and eosin and marked with Vybran Dil and DAPI. All preparations were examined under a light microscope. The IMAGEJ program was utilized to determine the surface area of meshes coated with MSCs. RESULTS: We clearly showed that PMs can be coated successfully with placenta-derived MSCs. The percentage of the coated area is significantly increased when meshes were pretreated with fibronectin or collagen (p<0.0001). CONCLUSIONS: Placenta-derived MSCs can successfully coat PMs. The immunomodulatory properties of MSCs, which may be of great advantage in preventing the side effects of meshes, should be tested by in vivo and hopefully human studies before clinical applications.


Subject(s)
Mesenchymal Stem Cells , Urinary Incontinence, Stress , Humans , Polypropylenes , Pilot Projects , Fibronectins , Surgical Mesh/adverse effects , Collagen , Urinary Incontinence, Stress/surgery
14.
Int Urogynecol J ; 35(4): 741-758, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38358519

ABSTRACT

INTRODUCTION AND HYPOTHESIS: Polypropylene (PP) mesh for the treatment of pelvic organ prolapse (POP) has raised substantial concerns over long-term complications, leading to its ban in multiple countries. In response, emerging materials are being explored as alternatives for prolapse surgery. Preclinical animal models have historically played a pivotal role in validating medical devices, prior to clinical trials. Successful translation of these materials necessitates the identification of suitable animal models that replicate the female human pelvis and its biomechanical properties. Preclinical in vivo testing assesses the safety of surgical mesh and treatment efficacy in preventing POP recurrence. METHODS: The research critically reviews animal models used for preclinical pelvic mesh testing over the last decade and proposes a promising model for future preclinical studies. RESULTS: Rats were the most common mammal used for toxicity and biocompatibility investigations through abdominal implantation. Although non-human primates serve as a gold standard for efficacy testing, ethical considerations limit their use owing to their close biological and cognitive resemblance to humans. Consequently, sheep were the most preferred large animal model owing to their reproductive system similarities and propensity for spontaneous POP following parity. CONCLUSION: The study contributes valuable insights into the selection of appropriate animal models for preclinical pelvic mesh testing, offering guidance that is crucial for enhancing the safety and efficacy of novel surgical interventions in the treatment of POP.


Subject(s)
Disease Models, Animal , Pelvic Organ Prolapse , Surgical Mesh , Animals , Pelvic Organ Prolapse/surgery , Female , Rats , Humans , Sheep , Materials Testing , Models, Animal
15.
J Toxicol Environ Health A ; 87(9): 371-380, 2024 May 02.
Article in English | MEDLINE | ID: mdl-38440899

ABSTRACT

Exposure to microplastics may be associated with damage of immune system. Polypropylene microplastics (PP-MPs) with a wide range of beneficial applications have not been extensively studied with respect to the immune system. The aim of this investigation is to examine the influence of two different sizes of PP-MPs (5.2 and 23.9 µm diameter) on immune system components in ICR mice. PP-MPs were administered orally to female and male mice at 0 (corn oil vehicle), 500, 1000, or 2000 mg/kg/d for single and daily for 4-week repeated toxicity test, respectively. No significant differences were observed in number of thymic CD4+, CD8+, CD4+CD8+ T lymphocytes, splenic helper T cells, cytotoxic T cells, and B cells. The ratio of interferon-γ to interleukin-4 in culture supernatants from activated splenocytes ex vivo (48 hr) was lower in females which were repeatedly administered with PP-MPs compared to vehicle irrespective of PP-MPs size and dose. In contrast, the opposite trend was observed in males. Production of tumor necrosis factor-α was upregulated in females that were repeatedly exposed to PP-MPs. The serum IgG2a/IgG1 ratio was lowered in female receiving large-size PP-MPs. Data suggest that immune disturbances resulting in predominant type-2 helper T cell reactivity may occur in mice, especially in females, when repeatedly exposed to PP-MPs. Further investigations with longer exposure periods are necessary to determine the immunotoxicities attributed to PP-MPs.


Subject(s)
Microplastics , Water Pollutants, Chemical , Mice , Male , Female , Animals , Mice, Inbred ICR , Plastics , Polypropylenes/toxicity , Spleen
16.
BMC Pulm Med ; 24(1): 41, 2024 Jan 19.
Article in English | MEDLINE | ID: mdl-38243231

ABSTRACT

BACKGROUND: The SARS-CoV-2 pandemic resulted in shortages of supplies, which limited the use of extracorporeal membrane oxygenation (ECMO) support. As a contingency strategy, polypropylene (PP) oxygenation membranes were used. This study describes the clinical outcomes in patients on ECMO with PP compared to poly-methylpentene (PMP) oxygenation membranes. METHODS: Retrospective cohort of patients in ECMO support admitted between 2020 and 2021. RESULTS: A total of 152 patients with ECMO support were included, 71.05% were men with an average age of 42 (SD 9.91) years. Veno-venous configuration was performed in 75.6% of cases. The PP oxygenation membranes required more changes 22 (63.1%), than the PMP Sorin® 24 (32,8%) and Euroset® 15 (31,9%) (p.0.022). The main indication for membrane change was low oxygen transfer for PP at 56.2%, Sorin® at 50%, and Euroset® at 14.8%. Renal replacement therapy was the most frequent complication with PP membrane in 22 patients (68.7%) Sorin® 25 patients (34.2%), and Euroset® 15 patients (31.9%) (p 0.001) without statistically significant differences in mortality. CONCLUSION: PP oxygenation membranes was a useful and feasible strategy. It allowed a greater disponibility of ECMO support for critically ill in a situation of great adversity during the SARS-CoV-2 pandemic.


Subject(s)
Extracorporeal Membrane Oxygenation , Polyenes , Male , Humans , Adult , Female , Extracorporeal Membrane Oxygenation/adverse effects , Polypropylenes , Retrospective Studies , Pandemics , SARS-CoV-2
17.
J Artif Organs ; 27(1): 1-6, 2024 Mar.
Article in English | MEDLINE | ID: mdl-36914927

ABSTRACT

Hollow fiber membrane is incorporated into an extracorporeal membrane oxygenator (ECMO), and the function of the membrane determines the ECMO's functions, such as gas transfer rate, biocompatibility, and durability. In Japan, the membrane oxygenator to assist circulation and ventilation is approved for ECMO support. However, in all cases, the maximum use period has been only 6 h, and so-called 'off-label use' is common for ECMO support of severely ill COVID-19 patients. Under these circumstances, the HLS SET Advanced (Getinge Group Japan K.K.) was approved in 2020 for the first time in Japan as a membrane oxygenator with a two-week period of use. Following this membrane oxygenator, it is necessary to establish a domestic ECMO system that is approved for long-term use and suitable for supporting patients. Looking back on the evolution of ECMO so far, Japanese researchers and manufacturers have also contributed to the developments of ECMO globally. Currently, excellent membrane oxygenators and systems have been marketed by Japanese manufacturers and some of them are globally acclaimed, but in fact, most of the ECMO membranes are not made in Japan. Fortunately, Japan has led the world in the fields of membrane separation technology and hollow fiber membrane production. In the wake of this pandemic, from the perspective of medical and economic security, the practical use of purely domestic hollow fiber membranes and membrane oxygenators for long-term ECMO is imperative in anticipation of the next pandemic.


Subject(s)
Extracorporeal Membrane Oxygenation , Oxygenators, Membrane , Humans , Equipment Design , Japan
18.
Ecotoxicol Environ Saf ; 283: 116769, 2024 Jul 29.
Article in English | MEDLINE | ID: mdl-39079403

ABSTRACT

In this work, we propose a new protocol for producing model microplastics from an industrial polymer and compare it to a conventional method, cryomilling. Polypropylene industrial pellets were chosen due to their widespread production and frequent presence in the environment, making them a notable source of microplastics. Both protocols start with aging under Ultra-Violet light of the pellets but differ in the subsequent mechanical stress applied-strong vs. soft-to break down the photodegraded pellets into microplastics. All generated particles were fully characterized in terms of size, shape, oxidation rate, and stability in aqueous media. Microplastics produced via cryomilling exhibited significant size and oxidation heterogeneity and tended to aggregate in water. Although the new protocol involving soft mechanical stress required a longer preparation time, it simulated more accurately the environmental degradation of raw plastic. This method successfully produced oxidized microplastics with a controlled size distribution centered around 50 µm which remained stable in water without stabilizers.

19.
Ecotoxicol Environ Saf ; 280: 116542, 2024 Jul 15.
Article in English | MEDLINE | ID: mdl-38850698

ABSTRACT

The use of disposable face masks (DFMs) increased during the COVID-19 pandemic and has become a threat to the environment due to the release of microplastics (MPs). Although many reports have characterized and explored the release of MPs from DFMs and their effects in aquatic ecosystems, there is a lack of investigation into the effects in terrestrial plants. This report aims to fill this research gap by characterizing whole mask leachates (WMLs) collected at different time points and examining their toxicity on Allium cepa, a terrestrial model plant. Various analytical techniques including FE-SEM, FT-IR, and Raman spectroscopy were used to identify MPs in WMLs. The MPs are composed of polypropylene mostly and the concentration of smaller-sized MPs increased with leachate release time. The WMLs showed a MP concentration-dependent cytogenotoxic effect (72 %, 50 %, and 31 %, on 1, 5, and 11-day WMLs, respectively) on A. cepa root cells due to elevated oxidative stress (19 %, 45 %, and 70 %, on 1, 5, and 11-day WMLs, respectively). Heavy metal content of the WMLs was negligible and, thus, not a significant contributor to toxicity in the plant. Overall, this report highlights the fate of DFMs in the environment and their biological impacts in a model plant.


Subject(s)
Masks , Microplastics , Onions , Onions/drug effects , Microplastics/toxicity , COVID-19 , Oxidative Stress/drug effects , Time Factors , Metals, Heavy/analysis , Metals, Heavy/toxicity , Water Pollutants, Chemical/toxicity , Water Pollutants, Chemical/analysis , Plant Roots
20.
Ecotoxicol Environ Saf ; 280: 116537, 2024 Jul 15.
Article in English | MEDLINE | ID: mdl-38852469

ABSTRACT

Microplastics (MPs), emerging as significant pollutants, have been consistently detected in aquatic environments, with the Yangtze River experiencing a particularly severe level of microplastic pollution, exceeding all other watersheds in China. Polypropylene (PP), the plastic most abundantly found in the middle and lower reaches of the Yangtze River Basin, has less comprehensive research results into its toxic effects. Consequently, the present investigation employed zebrafish as a model organism to delve into the toxicological impacts of polypropylene microplastics (PP-MPs) with a diameter of 5 µm across varying concentrations (300 mg/L and 600 mg/L). Using histopathological, microbiota profiling, and transcriptomic approaches, we systematically evaluated the impact of PP-MPs exposure on the intestine and liver of zebrafish. Histopathological analysis revealed that exposure to PP-MPs resulted in thinner intestinal walls, damaged intestinal mucosa, and hepatic cellular damage. Intestinal microbiota profiling demonstrated that, the richness, uniformity, diversity, and homogeneity of gut microbes significantly increased after the PP-MPs exposure at high concentration. These alterations were accompanied by shifts in the relative abundance of microbiota associated with intestinal pathologies, suggesting a profound impact on the intestinal microbial community structure. Concurrently, hepatic transcriptome analysis and RT-qPCR indicated that the downregulation of pathways and genes associated with cell proliferation regulation and DNA damage repair mechanisms contributed to hepatic cellular damage, ultimately exerting adverse effects on the liver. Correlation analysis between the intestinal microbiota and liver transcriptome profiles further highlighted significant associations between intestinal microbiota and the downregulated hepatic pathways. Collectively, these results provide novel insights into the subacute toxicological mechanisms of PP-MPs in aquatic organisms and highlight the need for further research on the ecological and health risks associated with PP-MPs pollution.


Subject(s)
Gastrointestinal Microbiome , Liver , Microplastics , Polypropylenes , Water Pollutants, Chemical , Zebrafish , Animals , Microplastics/toxicity , Polypropylenes/toxicity , Water Pollutants, Chemical/toxicity , Liver/drug effects , Liver/pathology , Gastrointestinal Microbiome/drug effects , China , Intestines/drug effects , Intestines/pathology , Transcriptome/drug effects , Rivers/chemistry , Intestinal Mucosa/drug effects , Intestinal Mucosa/pathology
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