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1.
Molecules ; 29(9)2024 May 03.
Article in English | MEDLINE | ID: mdl-38731608

ABSTRACT

In this paper, Cu-BTC derived mesoporous CuS nanomaterial (m-CuS) was synthesized via a two-step process involving carbonization and sulfidation of Cu-BTC for colorimetric glutathione detection. The Cu-BTC was constructed by 1,3,5-benzenetri-carboxylic acid (H3BTC) and Cu2+ ions. The obtained m-CuS showed a large specific surface area (55.751 m2/g), pore volume (0.153 cm3/g), and pore diameter (15.380 nm). In addition, the synthesized m-CuS exhibited high peroxidase-like activity and could catalyze oxidation of the colorless substrate 3,3',5,5'-tetramethylbenzidine to a blue product. Peroxidase-like activity mechanism studies using terephthalic acid as a fluorescent probe proved that m-CuS assists H2O2 decomposition to reactive oxygen species, which are responsible for TMB oxidation. However, the catalytic activity of m-CuS for the oxidation of TMB by H2O2 could be potently inhibited in the presence of glutathione. Based on this phenomenon, the colorimetric detection of glutathione was demonstrated with good selectivity and high sensitivity. The linear range was 1-20 µM and 20-300 µM with a detection limit of 0.1 µM. The m-CuS showing good stability and robust peroxidase catalytic activity was applied for the detection of glutathione in human urine samples.


Subject(s)
Colorimetry , Copper , Glutathione , Hydrogen Peroxide , Nanostructures , Glutathione/analysis , Glutathione/chemistry , Colorimetry/methods , Copper/chemistry , Nanostructures/chemistry , Catalysis , Hydrogen Peroxide/chemistry , Hydrogen Peroxide/analysis , Porosity , Oxidation-Reduction , Phthalic Acids/chemistry , Humans , Benzidines/chemistry , Limit of Detection
2.
Int Immunopharmacol ; 135: 112307, 2024 May 25.
Article in English | MEDLINE | ID: mdl-38796966

ABSTRACT

BACKGROUND: The prevalence and outcomes of coronavirus 2019 (COVID-19) among patients using glucocorticoids and immunosuppressants remain controversial. AIM: The study aims to investigate the impact of immunosuppressants especially glucocorticoids on patients in the Autoimmune Bullous Diseases Cohort of West China Hospital (AIBDWCH) during COVID-19. METHODS: We conducted a cross-sectional survey from December 7, 2022, to February 8, 2023, using questionnaires administered either face-to-face or by phone. COVID-19 cases were classified as confirmed, probable, or suspected according to World Health Organization criteria. Patients were divided into Group A (confirmed and probable cases) and Group B (suspected and other cases). The impact of glucocorticoids and immunosuppressive agents on COVID-19 disease and progression was evaluated with logistic regression models. RESULTS: This study included 111 patients with pemphigus. Overweight patients had a reduced risk of confirmed COVID-19 (odds ratio [OR] 0.35 [95 % CI 0.13-0.97], p = 0.045). Patients treated with a medium dose of prednisone during the pandemic had a lower incidence of COVID-19 compared to those on low doses, though the difference was not statistically significant. No independent effects of age, sex, comorbidities, and therapies were observed. No significant differences were found in COVID-19 symptoms among different therapy groups. CONCLUSIONS: Treatment with immunosuppressants, particularly glucocorticoids at low-to-medium doses, did not elevate COVID-19 risk in pemphigus patients. Consistent outcomes across treatments confirm the safety of these therapies during the pandemic.

3.
J Colloid Interface Sci ; 668: 181-189, 2024 Aug 15.
Article in English | MEDLINE | ID: mdl-38677207

ABSTRACT

Herein, an ion-exchange strategy is utilized to greatly improve the kinetics of hydrogen evolution reaction (HER) and oxygen evolution reaction (OER) by Ru-modified CoNi- 1,3,5-Benzenetricarboxylic acid (BTC)-metal organic framework nanosheets (Ru@CoNi-MOF). Due to the higher Ni active sites and lower electron transfer impedance, Ru@CoNi-MOF catalyst requires the overpotential as low as 47 and 279 mV, at a current density of 10 mA/cm2 toward HER and OER, respectively. Significantly, the mass activity of Ru@CoNi-MOF for HER and OER are 25.9 and 10.6 mA mg-1, nearly 15.2 and 8.8 times higher than that of Ni-MOF. In addition, the electrolyzer of Ru@CoNi-MOF demonstrates exceptional electrolytic performance in both KOH and seawater environment, surpasses the commercial Pt/C||IrO2 couple. Theoretical calculations prove that introducing Ru atoms in - CoNi-MOF modulates the electronic structure of Ni, optimizes adsorption energy for H* and reduces energy barrier of metal organic frameworks (MOFs). This modification significantly improves the kinetic rate of the Ru@CoNi-MOF during water splitting. Certainly, this study highlights the utilization of MOF nanosheets as advanced HER/OER electrocatalysts with immense potential, and will paves a way to develop more efficient MOFs for catalytic applications.

5.
Food Chem ; 445: 138783, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38417194

ABSTRACT

The development of a rapid and convenient detection method for nitrofurantoin (NFT) residual is of great significance for food safety. Herein, a new fluorescent probe (Eu-TDCA-Phen) was developed for the visual and sensitive assay of NFT through the fluorescence quenching effect of inner filter effect (IFE) and photo-induced electron transfer (PET). The probe suspension demonstrates a wide linear range (0-0.16 mM), low detection limit (90 nM), high sensitivity, and rapid response time (2 min) in the "turn-off" process. To quantify the visual detection process, a smartphone-assisted test paper sensing platform was established and was applied for NFT determination in real honey samples, achieving satisfactory recovery rate ranges from 98.04 % to 105.04 %. Furthermore, a logic gate device was integrated with the sensing platform to streamline the visual detection process. The sensing platform offers several merits, including simpleness, quantification, portability and cost-effectiveness, making it highly suitable for real-time and on-site detection of antibiotics in food samples.


Subject(s)
Honey , Nitrofurantoin , Smartphone , Anti-Bacterial Agents , Biological Assay , Fluorescent Dyes , Limit of Detection , Spectrometry, Fluorescence
6.
Inorg Chem ; 63(4): 2282-2288, 2024 Jan 29.
Article in English | MEDLINE | ID: mdl-38232293

ABSTRACT

A highly promising electrocatalyst has been designed and prepared for the hydrogen evolution reaction (HER). This involves incorporating well-dispersed Ir nanoparticles into a cobalt-based metal-organic framework known as Co-BPDC [Co(bpdc)(H2O)2, BPDC: 4,4'-biphenyldicarboxylic acid]. Ir@Co-BPDC demonstrates exceptional HER activity in alkaline media, surpassing both commercial Pt/C and recent noble-metal catalysts. Theoretical results indicate that electron redistribution, induced by interfacial bonds, optimizes the adsorption energy of water and hydrogen, thereby enhancing our understanding of the superior properties of Ir@Co-BPDC for HER.

7.
Food Chem ; 440: 138269, 2024 May 15.
Article in English | MEDLINE | ID: mdl-38157705

ABSTRACT

Pymetrozine (PYM) is an effective pyridine insecticide for controlling aphids, while its residues pose a serious threat to human health. Herein, a europium complex (Eu-DBPA, DBPA represents deprotonated 2,5-dibromoterephthalic acid ligand) probe was prepared for the detection of PYM via fluorescence quenching. The detection process has the advantages of short response time (2 min), wide linear range (0-4 and 4-45 mg/kg) and low detection limit (2.2 µg/kg). Furthermore, a portable detection platform was designed by integrating Eu-DBPA-based paper strip with smartphone and applied for the visual detection of PYM in real cucumber, tomato, cabbage and apple samples, obtaining satisfactory recovery (99.00 %-107.00 %) and low standard deviation (RSD < 3.4 %). In addition, a logic gate device was designed to simplify the detection process. The smartphone-integrated paper-based probe detection platform provides a new strategy for intelligent and online identification of hazards in environmental and biological samples.


Subject(s)
Aphids , Brassicaceae , Humans , Animals , Smartphone , Triazines , Fluorescent Dyes , Limit of Detection , Spectrometry, Fluorescence
8.
Inorg Chem ; 62(39): 16170-16181, 2023 Oct 02.
Article in English | MEDLINE | ID: mdl-37722103

ABSTRACT

In response to the growing concern for environmental pollution, two lanthanide compounds {[Ln(L)(H2O)]·4H2O}n (where Ln = Tb and Gd, H3L = 1-amino-2,4,6-benzene tricarboxylic acid) were synthesized using a -NH2 modified ligand and systematically characterized. Both compounds exhibit remarkable fluorescence response, adsorption of CrO42- ions, and photocatalytic degradation properties, as well as exceptional acid-base and thermal stability. Remarkably, the pH-dependent 1-Tb exhibits exceptional performance as a fluorescent probe for detecting Fe3+ and CrO42-/Cr2O72- ions in aqueous solutions, while also serving as a ratiometric fluorescent probe for the detection of Cr3+, offering rapid response, high sensitivity, selectivity, and recoverability advantages in application. Moreover, 1-Tb exhibits excellent detection capabilities and displays effective adsorption of CrO42- ions, with a maximum adsorption capacity of 230.71 mg/g. On the other hand, 1-Gd exhibits superior performance compared to 1-Tb in the photocatalytic degradation of antibiotics. The degradation mechanism is further elucidated by conducting experiments with DFT theoretical calculations.

9.
Talanta ; 265: 124877, 2023 Dec 01.
Article in English | MEDLINE | ID: mdl-37385188

ABSTRACT

Benzoyl peroxide (BPO) is a commonly used flour whitener, but its excessive usage can have adverse effects on human health, such as nutrient loss, vitamin deficiencies and certain diseases. In this study, a europium metal organic framework (Eu-MOF) fluorescence probe was prepared, which exhibited a strong fluorescence emission at 614 nm upon excitation at 320 nm, with a high quantum yield of 8.11%. The red fluorescence of the probe could be effectively quenched by BPO through the inner filter effect (IFE) and photoinduced electron transfer (PET) mechanism. The detection process offered several advantages, including a wide linear range of 0-0.95 mM, a low detection limit of 66 nM and a fast fluorescence response of 2 min. Furthermore, an intelligent detection platform was designed to enhance the practical application of the detection method. This platform combined the portability and visuality of a traditional test strip with the color recognition capability of a smartphone, allowing for the visualization and quantitative detection of BPO in a convenient and user-friendly manner. The detection platform was successfully applied to the analysis of BPO in real flour samples with satisfactory recoveries (99.79%-103.94%), suggesting a promising strategy for the rapid and on-site detection of BPO in food samples.


Subject(s)
Benzoyl Peroxide , Flour , Humans , Benzoyl Peroxide/analysis , Flour/analysis , Smartphone , Spectrometry, Fluorescence/methods , Fluorescent Dyes , Limit of Detection
10.
Talanta ; 265: 124874, 2023 Dec 01.
Article in English | MEDLINE | ID: mdl-37356193

ABSTRACT

Rapid, sensitive and portable analytical methods for on-site detection of tetracycline (TC) in food samples is of critical importance for food safety and public health. In this study, a dual-emission ratio fluorescent probe (Gd0.9@Eu0.1) was prepared and utilized for the detection of tetracycline (TC) by observing the fluorescence color change from blue to red. The detection process exhibits a wide linear range (0-52.0 µM), good selectivity and low detection limit (14 nM). A paper-based probe and a colorimetric card was constructed for the visual detection of TC. Furthermore, a novel and portable detection platform combining smartphone and test strip was exploited for the quantitative and on-site detection of TC in real pork sample. The developed method was validated through intra- (n = 5) and inter-day (n = 2) measurements, as well as comparison with a traditional HPLC method. These statistical result validate the reliability and accuracy of the developed method. This intelligent detection platform represents a promising approach for the rapid, sensitive and visual detection of TC in food samples.


Subject(s)
Fluorescent Dyes , Heterocyclic Compounds , Reproducibility of Results , Smartphone , Tetracycline , Anti-Bacterial Agents , Limit of Detection , Spectrometry, Fluorescence
11.
Front Immunol ; 14: 1201163, 2023.
Article in English | MEDLINE | ID: mdl-37325615

ABSTRACT

Linear IgA/IgG bullous dermatosis (LAGBD) is a rare autoimmune subepidermal bullous disorder characterized by linear deposition of concurrent IgA and IgG autoantibodies along the basement membrane zone (BMZ). The clinical features of LAGBD can be diverse, including tense blisters, erosions, erythema, crusting and mucosa involvement, while papules or nodules are generally absent. In this study, we present a unique case of LAGBD, which showed prurigo nodularis-like clinical appearance on physical examination, linear deposition of IgG and C3 along the basement membrane zone (BMZ) in direct immunofluorescence (DIF), IgA autoantibodies against the 97-kDa and 120-kDa of BP180 and IgG autoantibodies against the 97-kDa of BP180 by immunoblotting (IB), while BP180 NC16a domain, BP230, and laminin 332 were negative by enzyme-linked immunosorbent assay (ELISA). After administration of minocycline, the skin lesions improved. We performed a literature review of LAGBD cases with heterogeneous autoantibodies and found clinical presentations of most cases resemble bullous pemphigoid (BP) and linear IgA bullous disease (LABD), which is consistent with previous reported findings. We aim to increase our understanding of this disorder and to enhance the importance of applying immunoblot analyses and other serological detection tools in clinic for precise diagnosis as well as accurate treatment strategy of various autoimmune bullous dermatoses.


Subject(s)
Linear IgA Bullous Dermatosis , Prurigo , Skin Diseases, Vesiculobullous , Humans , Prurigo/diagnosis , Prurigo/drug therapy , Linear IgA Bullous Dermatosis/diagnosis , Linear IgA Bullous Dermatosis/drug therapy , Skin Diseases, Vesiculobullous/diagnosis , Skin Diseases, Vesiculobullous/drug therapy , Autoantibodies , Immunoglobulin A , Immunoglobulin G
12.
ACS Omega ; 8(14): 13048-13058, 2023 Apr 11.
Article in English | MEDLINE | ID: mdl-37065062

ABSTRACT

Thermal barrier coating (TBC) systems are widely adopted in gas turbine blades to improve the thermal efficiency of gas turbine engines. However, TBC failure will happen due to the thermal stress between the different layers of the TBC systems. The traditional two-layer theoretical model only considers TGO (thermally grown oxide) and a substrate in the inner cooling hole with the surface uncoated, which results in poor prediction of the deformations of the TBC systems. It should be mentioned that the effect of TBC is very important because the thickness of TBC is much larger than the TGO thickness. In this study, a new three-layer theoretical model was derived, which is composed of the cylindrical TGO and TBC mounted in the substrate with a circular hole, and the stress and strain of TGO near the cooling hole under the condition of the thermal cycles were calculated. The high temperature characteristics of TGO and the substrate including the high temperature strength and growth ratio were from the experiments. The results show that the strain of the developed three-layer model is irrelevant with increasing number of cycles, which indicates that TBC in the cooling hole significantly inhibits the deformation of TGO near the cooling hole. Therefore, aimed at confirming the feasibility of the three-layer theoretical model, the finite element analysis with coating in the cooling hole and on the surface was carried out with a three-layer axisymmetric model, which proves that the 3-layer theoretical model can predict the deformation trend near the cooling hole.

13.
Molecules ; 28(8)2023 Apr 21.
Article in English | MEDLINE | ID: mdl-37110844

ABSTRACT

Blueberry is the source of a variety of bioactive substances, including phenolic compounds, such as anthocyanins, pterostilbene, phenolic acids, etc. Several studies have revealed that polyphenols in blueberry have important bioactivities in maintaining health, such as antioxidant and anti-tumor activities, immune regulation, the prevention of chronic diseases, etc. Therefore, these phenolic compounds in blueberries have been widely used in the field of healthcare, and the extraction, isolation, and purification of phenolic compounds are the prerequisites for their utilization. It is imperative to systematically review the research progress and prospects of phenolic compounds present in blueberries. Herein, the latest progress in the extraction, purification, and analysis of phenolic compounds from blueberries is reviewed, which can in turn provide a foundation for further research and usage of blueberries.


Subject(s)
Blueberry Plants , Anthocyanins/analysis , Phenols/analysis , Polyphenols/analysis , Antioxidants/pharmacology , Antioxidants/analysis , Fruit/chemistry
14.
Mil Med Res ; 10(1): 18, 2023 04 26.
Article in English | MEDLINE | ID: mdl-37098604

ABSTRACT

Heart injury such as myocardial infarction leads to cardiomyocyte loss, fibrotic tissue deposition, and scar formation. These changes reduce cardiac contractility, resulting in heart failure, which causes a huge public health burden. Military personnel, compared with civilians, is exposed to more stress, a risk factor for heart diseases, making cardiovascular health management and treatment innovation an important topic for military medicine. So far, medical intervention can slow down cardiovascular disease progression, but not yet induce heart regeneration. In the past decades, studies have focused on mechanisms underlying the regenerative capability of the heart and applicable approaches to reverse heart injury. Insights have emerged from studies in animal models and early clinical trials. Clinical interventions show the potential to reduce scar formation and enhance cardiomyocyte proliferation that counteracts the pathogenesis of heart disease. In this review, we discuss the signaling events controlling the regeneration of heart tissue and summarize current therapeutic approaches to promote heart regeneration after injury.


Subject(s)
Heart Diseases , Heart Injuries , Myocardial Infarction , Animals , Cicatrix/pathology , Regeneration , Myocytes, Cardiac/pathology , Myocardial Infarction/pathology , Myocardial Infarction/therapy , Heart Injuries/pathology
15.
Chem Commun (Camb) ; 59(32): 4750-4753, 2023 Apr 18.
Article in English | MEDLINE | ID: mdl-36970999

ABSTRACT

Theoretical calculation results unveil that the reconstructed Co(Ni)OOH on FeNiCo-MOF during OER processes is beneficial to improve the OER activity. Experimentally, to achieve 2D trimetallic FeNiCo-MOF nanosheets, a facile room-temperature dispersion approach is employed. Such 2D nanosheets reveal an OER overpotential as low as 239 mV at 10 mA cm-2 and excellent long-term stability in 1M KOH. Undoubtedly, this work highlights the great potential of directly utilizing MOF nanosheets as OER electrocatalysts.

16.
Biomacromolecules ; 24(4): 1648-1661, 2023 04 10.
Article in English | MEDLINE | ID: mdl-36883261

ABSTRACT

The use of polydopamine-based bioinspired nanomaterials has shed new light on advanced drug delivery arising from their efficient surface functionalization. More recently, the polydopamine self-assemblies formed in two different modalities, i.e., nonporous and mesoporous nanoparticles, have begun to attract attention due to their expedient and versatile properties. However, their possibility for use in dermal drug delivery for local therapy, as well as their interaction with the skin, has not yet been demonstrated. Our study aimed to compare and explore the feasibility of the self-assembled nonporous polydopamine nanoparticles (PDA) and mesoporous polydopamine nanoparticles (mPDA) for local skin drug delivery. The formation of the PDA and mPDA structures was confirmed by the UV-vis-NIR absorption spectrum, the Fourier transform infrared spectroscopy, and the nitrogen adsorption/desorption isotherms. Using retinoic acid (RA) as the model drug, their effects on drug loading, release, photostability, skin penetration, and radical scavenging were investigated. Laser scanning confocal microscopy (LSCM) and hematoxylin and eosin (H&E) were introduced to probe their delivery routes and possible interaction with the skin. The results indicated that both PDA and mPDA could reduce the photodegradation of RA, and mPDA showed significantly better radical scavenging activity and drug loading capacity. The ex vivo permeation study revealed that both PDA and mPDA significantly enhanced the delivery of RA into the deep skin layers by comparison with the RA solution, in which follicular and intercellular pathways existed, and alteration in the structure of stratum corneum was observed. In light of drug loading capacity, size controllability, physical stability, as well as radical scavenging activity, mPDA was more preferable due to the improvement of these factors. This work demonstrated the feasibility and promising application of PDA and mPDA nanoparticles for dermal drug delivery, and the comparative concept of these two types of biomaterials can provide implications for their use in other fields.


Subject(s)
Drug Delivery Systems , Nanoparticles , Drug Delivery Systems/methods , Polymers/chemistry , Nanoparticles/chemistry
17.
Food Chem ; 413: 135639, 2023 Jul 01.
Article in English | MEDLINE | ID: mdl-36753784

ABSTRACT

A europium-based metal organic framework (Eu-TFPA-MOF) was used for the fluorescence detection of fipronil in green tea and oolong tea for the first time. The red fluorescence of Eu-TFPA-MOF could be quenched significantly by low concentration (0.24 mM) of fipronil, and the "turn off" process exhibited quick response time (2 min), high sensitivity and selectivity, low detection limits (4.4 nM) and wide linear range (0-0.15 mM). The mechanism of fluorescence quenching was mainly attributed to static quenching process and the competitive absorption of excitation energy. Besides, the spiked and recovery test indicated that Eu-TFPA-MOF could be used in the fluorescence detection of fipronil in real green tea and oolong tea sample and the process had the advantages of simple pretreatment and satisfactory recoveries (98.33-106.17 %). More importantly, a simple, portable and low-cost smartphone-assisted test strip were designed for the visual detection of fipronil in real tea samples. The detection platform will be beneficial for tea quality safety and human heath, and is expected to be applied in other agricultural product safety field.


Subject(s)
Europium , Metal-Organic Frameworks , Humans , Fluorescent Dyes , Spectrometry, Fluorescence , Tea , Limit of Detection
18.
J Mater Chem B ; 11(8): 1782-1797, 2023 02 22.
Article in English | MEDLINE | ID: mdl-36727421

ABSTRACT

Metal-organic frameworks (MOFs) are highly promising as a novel class of drug delivery carriers; however, there are few reports about their application in nanoparticle-based formulations for dermal administration. In this work, we developed a novel kind of nanoparticular system based on zeolitic imidazolate framework-8 (ZIF-8) and polydopamine (PDA) modification for improving the dermal delivery of 5-fluorouracil (5-FU). The structures and properties of the prepared nanoparticles were characterized using a variety of analytical methods. Their ex vivo delivery performance in the skin was investigated using Franz cells, and the underlying mechanisms were studied via confocal laser scanning microscopy (CLSM) and hematoxylin-eosin (HE) experiments which were employed to probe the penetration pathway and the interaction between nanoparticles and the skin. The results revealed that both 5-FU@ZIF-8 and ZIF-8@5-FU@PDA had an enhancement effect on the deposition of 5-FU in the skin, and the surface coating of PDA could further reduce drug permeation across the skin, especially in the case of impaired skin, in comparison with the drug solution. The CLSM study using rhodamine 6G as the fluorescent probe to mimic 5-FU indicated that ZIF-8 and ZIF-8@PDA could deliver their payloads into the skin via two pathways, i.e., intercellular and follicular ones, and the follicular route was shown to be particularly important for ZIF-8@PDA, in which the drug and carrier were co-delivered into the skin as an intact particle. This study provides evidence for using ZIF-8 and PDA modification for skin-specific drug delivery and offers an effective avenue to develop novel nanoplatforms for dermal application to treat skin diseases.


Subject(s)
Zeolites , Zeolites/chemistry , Polymers/chemistry , Drug Delivery Systems , Drug Carriers/chemistry , Fluorouracil
19.
Drug Deliv Transl Res ; 13(2): 386-399, 2023 02.
Article in English | MEDLINE | ID: mdl-35908132

ABSTRACT

Metal-based nanoparticles (MNPs) represent an emerging class of materials that have attracted enormous attention in many fields. By comparison with other biomaterials, MNPs own unique optical properties which make them a potential alternative to conventional therapeutic agents in medical applications. Especially, owing to the easy access to the skin, the use of MNPs based on their optical properties has gained importance for the treatment of a variety of skin diseases. This review provides an insight into the different optical properties of MNPs, including photoprotection, photocatalysis, and photothermal, and highlights their implications in treating skin disorders, with a special emphasis on their use in infection control. Finally, a perspective on the safety concern of MNPs for dermatological use is discussed and analyzed. The information gathered and presented in this review will help the readers have a comprehensive understanding of utilizing the photo-triggered activity of MNPs for the treatment of skin diseases.


Subject(s)
Metal Nanoparticles
20.
Children (Basel) ; 9(12)2022 Nov 23.
Article in English | MEDLINE | ID: mdl-36553244

ABSTRACT

BACKGROUND: The paediatric massive transfusion protocol (MTP) is activated in the paediatric population for both trauma and non-trauma related indications. While it helps to improve the efficiency and efficacy of the delivery of blood products, it can also result in increased wastage. We aimed to evaluate the wastage rates from our paediatric MTP activations from 2013 to 2018. METHOD: As part of an audit, we retrospectively reviewed the records of the paediatric patients who had MTP activations. We collected the following data: reason for MTP activation, weight of patient, number of cycles of MTP required, blood products used, blood products wasted, deviation from our institution's recommended MTP blood product ratio, and reason for wastage. RESULT: We had 26 paediatric MTP activations within the audit period. There was an overall wastage rate of 1.5%, with wastage occurring in 3 out of 26 patients. The reason for all wastage was demise of the patient. Most patients' transfusion ratios deviated from our institution's MTP protocol. CONCLUSION: Our wastage rates are low likely because of clear MTP activation guidelines and a flexible MTP workflow.

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