Photocatalytic degradation of ciprofloxacin from water with waste polystyrene and TiO2 composites.

Ciprofloxacin (CIP) is one of the widely used antibiotics with a broad antimicrobial spectrum in the fluoroquinolone type. Its concentration in water bodies has increased over the years due to its frequent use. Since ciprofloxacin in the aquatic ecosystem adversely affects human health as well as other organisms, it must be removed from wastewater. The aim of this study was to develop Polystyrene (PS) and Titanium dioxide (TiO2) composites that can be used as catalysts in CIP removal by photocatalytic process. Waste PS (obtained from disposable cutlery) was used in the synthesis of these composites. In this study, PS-TiO2 composites with different PS content (C20, C50, C80; the numbers in the names indicate the PS percentage in the composite by weight) were synthesized. This is important in terms of the use of one waste in the removal of another waste. This process was optimized using Box-Behnken design, one of the response surface method. Parameters such as the amount of polymer in the composite, pH and initial CIP concentration were studied and their effects on CIP removal were found. The validity and adequacy of the selected model were evaluated according to the relevant statistical data. These are R2 = 0.9751, adjusted R2 = 0.9565, the model's p-value <0.05 and the lack of fit-value 0.246. Optimum conditions for CIP removal were obtained when the C50 was used, with a pH value of 3 and an initial CIP concentration of 5 mg/L. In the process carried out under these conditions, the CIP removal was found to be 95.01 % at the end of 180 min. This value was predicted as 94.37 % in the model. According to these results, C50 composite synthesized with waste PS can be used effectively for CIP removal.

Investigation of boron adsorption by graphene oxide: equilibrium, kinetic, and thermodynamic studies.

Graphene oxide, which has a great application in industry, is one of the promising carbonous materials. Modified Hummers method was applied to synthesize graphene oxide. Characterization techniques showed that pure graphene oxide was successfully obtained. Its adsorptive properties were investigated by boron adsorption. The results were demonstrated that boron adsorption on graphene oxide was a pH-dependent process and maximum adsorption was achieved at pH 6 (0.98 mg g-1). Langmuir adsorption capacity was calculated as 3.92 mg g-1 with R2 = 0.99. The kinetic data brought to light that pseudosecond-order kinetic model was well described the experimental data (R2 = 0.99), and according to thermodynamic parameters, boron adsorption has spontaneous and endothermic nature (ΔH°=15.47 kJ mol-1).

Hydroxyapatite-chitosan biocomposites synthesized in the simulated body fluid and their drug loading studies.

Hydroxyapatite (HAp) is a bioceramic applied in the biomedical areas, such as matrices for drug release control. Chitosan (CTS), a natural polymer, is another material has been widely investigated for its potential use in the drug delivery systems. In this study, the composites of HAp-CTS are produced in order to investigate their drug loading and release studies. First of all, HAp-CTS composites are produced in the presence of simulated body fluid (SBF). Analysis confirmed the structure of HAp-CTS composites. Secondly, composites are encapsulated with 5-Fluorouracil (5-FU). The weight ratio of CTS is varied to realize its effect on drug loading of 5-Fluorouracil, a cancer drug, for the ratios of 1:1, 1:2 and 1:4 of HAp-CTS. The weight ratio giving the greatest drug load efficiency is selected for the last step of the study. Crosslinking agent, glutaraldehyde, are changed from 0 to 5% on the selected sample, then, drug loading is examined again in various environment owing different pH. Furthermore, drug release studies are conducted. To understand the structure and morphology of the samples, XRD, FTIR, SEM and Uv-Spectrum are applied. It is observed that weight ratio of polymer and crosslinking agent can be manipulated to adjust drug loading. Release kinetics are shown the Fickian diffusion. This new produced material can be applicable for drug delivery.

The Effect of Retraining on Treatment Success, Quality of Life, and Metabolic Parameters in Patients with Type 1 Diabetes Using an Insulin Pump.

OBJECTIVE: To investigate the effect of insulin pump user retraining on treatment success, quality of life, and metabolic parameters of patients with type 1 diabetes using continuous subcutaneous insulin infusion. SUBJECTS AND METHODS: A total of 35 subjects participated in this prospective study. All patients were given insulin pump user retraining. Their knowledge level and application skills, metabolic parameters, quality of life, and satisfaction from treatment were evaluated at baseline and after 6 months. RESULTS: There was significant improvement in patients' knowledge and application skills after insulin pump user retraining (self-assessment of user skills: 69.7 ± 11.5 vs. 76.3 ± 11.3, p < 0.001; knowledge level on technical issues: 3.3 ± 1.1 vs. 4.1 ± 1.8, p = 0.003; glucose monitoring: 27.1 ± 5.8 vs. 29.2 ± 5.6, p = 0.006; management of hyperglycemia: 13.1 ± 3.2 vs. 15.7 ± 3.4, p < 0.001; management of pump and infusion site problems: 8.8 ± 2.6 vs. 10.6 ± 2.6, p = 0.001). Hemoglobin (Hb)A1c levels of patients with poor glycemic control improved after retraining (8.61% ± 0.78 vs. 8.23% ± 0.79, p = 0.02). However, no significant improvement in quality of life and treatment satisfaction parameters were found. CONCLUSION: Management of type 1 diabetes in insulin pump users can be significantly improved by retraining. Even a basic short-term retraining program helps patients to increase their knowledge level and ability to more effectively use the insulin pump. The fact that retraining significantly improves glycemic parameters in patients with poor metabolic control indicates that priority should be given to this group of patients. Further studies with individualized training programs in larger sample sizes with long-term follow-up are needed to establish the importance of retraining and create re-education plans for patients with type 1 diabetes using an insulin pump.

A case report of bilateral choroidal metastases of epithelial carcinoma of pancreas.

A 49-year-old woman with acute loss of vision in her left eye was examined in our clinic. Two months before arriving at out clinic, she was diagnosed with pancreatic endothelial carcinoma. Her visual acuities were 20/20 for the right and 20/200 for the left eye. Fundus examination and fundus fluorescein angiography showed bilateral subretinal solitary mass. Multiple metastases to lung, pleura, liver, spleen, and abdominal lymph nodes were detected during the initial diagnosis. The patient underwent chemotherapy during the period when the visual symptoms were observed. No additional treatment was offered because of the extent of the disease and poor general health. Although pancreatic endothelial carcinoma usually spreads to the abdominal visceral organs and lungs, choroidal metastases are rarely observed.

A case report of bilateral choroidal metastases of epithelial carcinoma of pancreas / Um relato de caso de metástases de coroide bilaterais de carcinoma epitelial de pâncreas

A 49-year-old woman with acute loss of vision in her left eye was examined in our clinic. Two months before arriving at out clinic, she was diagnosed with pancreatic endothelial carcinoma. Her visual acuities were 20/20 for the right and 20/200 for the left eye. Fundus examination and fundus fluorescein angiography showed bilateral subretinal solitary mass. Multiple metastases to lung, pleura, liver, spleen, and abdominal lymph nodes were detected during the initial diagnosis. The patient underwent chemotherapy during the period when the visual symptoms were observed. No additional treatment was offered because of the extent of the disease and poor general health. Although pancreatic endothelial carcinoma usually spreads to the abdominal visceral organs and lungs, choroidal metastases are rarely observed.

Uma mulher de 49 anos de idade, com perda visual aguda de seu olho esquerdo, que teve diagnóstico de carcinoma endotelial de pâncreas há dois meses, foi examinada em nossa clínica. Suas acuidades visuais eram 20/20 no olho direito e 20/200 no olho esquerdo. O exame de fundo de olho e a angiofluoresceinografia mostraram massa solitária sub-retiniana bilateral. Múltiplas metástases do pulmão, pleura, fígado, baço e nódulos linfáticos abdominais foram detectados no diagnóstico inicial. A paciente foi submetida a quimioterapia durante o tempo que os sintomas visuais foram observados. Nenhum tratamento adicional foi oferecido por causa da extensão da doença e problemas de saúde em geral. Embora o carcinoma endotelial de pâncreas normalmente se espalhe para órgãos abdominais e pulmões, este pode ser uma causa rara de metástases de coroide.