Construction of flake ball-shaped Bi2WO6 embedded on phenyl functionalized g-C3N4 nanosheet for efficient degradation insight of colorless pollutants and its biological application.

A facile solvent-free solid-state method was adapted to synthesize the spherical-shaped Bi2WO6 engraved on phenyl-doped g-C3N4 nanosheet, i.e., Bi2WO6/Ph-gC3N4 (or BPCN) composites with varying weights of Bi2WO6. Several spectral analyses were used to characterize all the synthesized nanomaterials. The synthesized photocatalyst showed good absorption under visible light as confirmed by UV-visible DRS analysis. Morphological analyses like SEM and TEM determine the successful fabrication of binary heterocomposite. Further, the elements available in the fabricated binary nanocomposite were confirmed by XPS. The photocatalyst was used for the aerobic photocatalytic degradation of a few colorless pollutants like bisphenol A (BPA, 30 mg L-1), a microplastic constituent, and tetracycline (TC, 40 mg L-1), an antibiotic derivative to achieve the impressive results. The less intense PL signal obtained for the 20BPCN heterocomposite reveals the remarkable enhancement in e--h+ pair separation and recombination rate. The quenching study, alkaline terephthalic acid photoluminescence test (TA-PL), and NBT phototransformation study explain the formation of reactive species involved in the decomposition process. An oral cancer cell line (A-254) was tested for the anticancer activity analysis of the 20BPCN photocatalyst. Based on the obtained results, a Z-scheme electron transfer mechanism has been proposed for the photodegradation of model compounds.

Complications and side effects of Wide-Awake Local Anaesthesia No Tourniquet (WALANT) in upper limb surgery: a systematic review and meta-analysis.

PURPOSE: Wide-Awake Local Anaesthesia No Tourniquet (WALANT), a groundbreaking anaesthetic technique resurging in practice, warrants a comprehensive safety analysis for informed adoption. Our study aimed to identify complications/side effects of WALANT upper limb procedures through a systematic review and meta-analysis. METHODS: This PROSPERO-registered study was performed with strict adherence to PRISMA guidelines. Embase, OVIDMedline, Cochrane, Web of Science, and Scopus databases were searched until February 2023. Inclusion criteria involved English articles, reporting complications/side effects in primary WALANT upper limb surgeries. Outcomes included all complications and side effects, data on the anaesthetic mixture, publication year/location, study type, and procedures performed. The meta-analysis employed the Freeman-Tukey Double Arcsine Transformation, computed I2 statistics, and utilized common or random effects models for pooled analysis. RESULTS: 2002 studies were identified; 79 studies met the inclusion criteria representing 15,595 WALANT patients. A total of 301 patients had complications, and the meta-analysis using a random effects model provided a complication rate of 1.7% (95% CI: 0.93-2.7%). The most reported complications were superficial infection (41%, n = 123/300), other/specified (12%, n = 37/300), and recurrent disease (6.7%, n = 20/300). A decade-by-decade analysis revealed no statistically significant difference in complication rates spanning the last three decades (p = 0.42). Adding sodium bicarbonate to the anaesthetic solution significantly reduced postoperative complications (p = 0.025). CONCLUSION: WALANT has a low overall complication rate of 1.7%, with no significant temporal variation and a significant reduction in complications when sodium bicarbonate is added to the anaesthetic solution. Our findings support the safety of WALANT in upper limb procedures. REGISTRATION: PROSPERO: CRD42023404018.

Fabrication of Direct Z-Scheme CoNiWO4/Ph-gC3N4 Heterocomposites: Enhanced Photodegradation of Bisphenol A and Anticancer Activity.

Photocatalysis is realized by the design of a visible-light-active catalyst with robust redox capacity and broad absorption. In this study, a series of novel Z-scheme CoNiWO4/Ph-gC3N4 photocatalysts are synthesized to improve their redox property and photocatalytic activity toward broad visible light absorption. An intimate stable heterojunction is made between cobalt-nickel tungstate (CoNiWO4) and phenyl-doped graphitic carbon nitride (Ph-gC3N4), and its physicochemical properties are studied. The bifunctional properties of all of the synthesized materials were assessed by studying the decomposition of bisphenol A (BPA) and methyl orange (MO) dye as model pollutants, followed by an evaluation of their anticancer activity on human lung cancer cell lines. The photocatalyst with 20 wt % CoNiWO4 heterocomposite showed an enhanced response toward the removal of cancerous cells. The synthesized pristine CoNiWO4 and Ph-gC3N4 exhibit well-matched band structures and, hence, make it easier to create a Z-scheme heterocomposite. This may increase the lifetime of photoinduced charge carriers with a high redox power, thereby improving their photocatalytic and anticancer activity. An extensive analysis of the mechanism demonstrates that hydroxyl radicals (•OH) and superoxide radical anions (•O2-) are responsible for the degradation of organic compounds via Z-scheme charge transfer approach. These findings point toward a new route for creating effective Co-Ni tungstate-based direct Z-scheme photocatalysts for various redox processes, particularly the mineralization of resistant organic molecules.

Novel Type-II Heterojunction Binary Composite (CdS/AgI) with Outstanding Visible Light-Driven Photocatalytic Performances toward Methyl Orange and Tetracycline Hydrochloride.

In this study, an effective type-II heterojunction CdS/AgI binary composite was constructed by an in situ precipitation approach. To validate the successful formation of heterojunction between AgI and CdS photocatalysts, the synthesized binary composites were characterized by various analytical techniques. UV-vis diffuse-reflectance spectroscopy (UV-vis DRS) revealed that heterojunction formation led to a red shift in the absorbance spectra of the CdS/AgI binary composite. The optimized 20AgI/CdS binary composite showed a least intense photoluminescence (PL) peak indicating highly improved charge carrier (e-/h+ pairs) separation efficiency. The photocatalytic efficiency of the synthesized materials was assessed based on the degradation of methyl orange (MO) and tetracycline hydrochloride (TCH) in the presence of visible light. Compared to bare photocatalysts and other binary composites, the 20AgI/CdS binary composite showed the highest photocatalytic degradation performances. Additionally, the trapping studies showed that superoxide radical anion (O2•-) was the most dominant active species involved in photodegradation processes. Based on the results of active species trapping studies, a mechanism was proposed to describe the formation of type-II heterojunctions for CdS/AgI binary composite. Overall, the synthesized binary composite has tremendous promise for environmental remediation due to its straightforward synthesis approach and excellent photocatalytic efficacy.

Clinical and Radiological Outcomes of Scaphocapitate Fusion in Kienböck Disease: A Systematic Review and Meta-Analysis.

Purpose: To report the functional and radiological outcomes of scaphocapitate (SC) arthrodesis in the treatment of Kienböck disease. Methods: This meta-analysis was conducted with adherence to PRISMA guidelines. Google Scholar, PubMed, Cochrane and Virtual Health Library were searched from inception until November 2022. All original studies that investigated the outcomes of scaphocapitate fusion in Kienböck disease were included. Exclusion criteria were arthroscopically performed fusions, concomitant radial shortening, traumatic or other etiologies of lunate avascular necrosis, and studies published in languages other than English. Outcomes of interest were pre- and post-operative wrist range of motion, VAS score, functional scores, radiological outcomes, surgical technique, complication rate and reoperation rate. Results: The total number of included participants was 203 from 11 articles. The results showed no significant differences pre- and post-operatively in terms of wrist flexion, extension and ulnar deviation. However, there was a significant reduction in radial deviation after the surgery (WMD -2.30; 95% CI, -4.26 to -0.33). Moreover, a significant increase was noticed in grip strength in Kg (WMD 13.29; 95% CI, 3.21-23.37) and mmHg post-operatively (WMD 23.75; 95% CI, 17.56-29.94). In addition, the models demonstrated significant decrease in carpal height (WMD -0.01; 95% CI, -0.02 to 0.00), scapholunate angle (WMD -12.11; 95% CI, -20.46 to -3.77) and radioscaphoid angle after the surgery (WMD -12.09; 95% CI, -15.51 to -8.67). The pooled overall rate of complication and reoperation rates were 24% (95% CI, 6%-47%) and 14% (95% CI, 3%-31%), respectively. Conclusions: Scaphocapitate arthrodesis is an effective procedure for treatment of Kienböck disease. This procedure is associated with satisfactory functional outcomes and significant improvement in pain scores and grip strength. Further studies with larger sample sizes and reduced heterogeneity are needed for a better evaluation of the results. Clinical relevance: Scaphocapitate arthrodesis is a recommended surgery for Kienböck disease with satisfactory functional and radiological outcomes. However, patients should be counseled on the possible complications and reoperation rate.

The impact of prior obesity surgery on glucose metabolism after body contouring surgery: A pilot study.

Body contouring surgery enhances physical appearance by means of surgical subcutaneous fat removal (SSFR). However, it remains unclear how SSFR may affect glucose metabolism and its broader effects on the endocrine system, especially in individuals who have undergone obesity (bariatric) surgery. This study aimed to evaluate the impact of SSFR on glucose excursion and insulin resistance in such patients, by examining them over three visits (within 1 week before surgery, 1 week after surgery, and 6 weeks after surgery). The independent impact of SSFR and history of obesity surgery on glucose homeostasis was evaluated in 29 participants, of whom ten patients (34%) had a history of obesity surgery. Indices of glucose metabolism were evaluated using cluster robust-error logistic regression. Results indicated that SSFR led to a gross improvement in insulin resistance at 6 weeks after the surgery in all patient's irrespective of BMI, type 2 diabetes mellitus (T2D) status, or history of obesity surgery (OR 0.22; p = 0.042). However, no effect was observed on glucose excursion except for a transient increase at visit 2 (1 week after surgery) in those without prior obesity surgery. Interestingly, participants with a history of obesity surgery had approximately half the odds being in the upper tertile for HOMA-IR (OR 0.44; p = 0.142) and ten-folds lower odds of having severely abnormal glucose excursion (OR 0.09; p = 0.031), irrespective of their BMI, T2D status, or time post SSFR. In conclusion, this study showed that body contouring surgery through SSFR resulted in (at least) short-term improvement in insulin resistance (independent of the participant's BMI, T2D status, or history of obesity surgery) without affecting glucose excursion under the GTT. On the contrary, obesity surgery may have a long-term effect on glucose excursion, possibly due to sustained improvement of pancreatic ß-cell function.

Enhanced photodegradation of organic contaminants using V-ZnSQDs@TiO2 photocatalyst in an aqueous medium.

Vanadium-doped zinc sulfide quantum dots complexed with TiO2 have been designed using the sol-gel technique and characterized using analytical techniques, such as X-ray diffraction analysis (XRD), UV-Vis diffuse reflectance spectra (DRS), Fourier transforms Infra Red (FTIR), Brunauer-Emmett-Teller analysis (BET), X-ray photoelectron spectroscopy (XPS), scanning electron microscope (SEM), and transmission electron microscopy (TEM). The X-ray diffraction analysis of the composite material showed sharp peaks corresponding to both TiO2 and ZnSQDs. The FTIR analysis exhibits a strong and broad absorption at 807 cm-1 indicating the assimilation of vanadium metal in the ZnSQDs lattice. The DRS spectra showed a bathochromic shift of 25 nm in the synthesized V-ZnSQDs@TiO2 composite compared with the pure sample. The photocatalytic performance of the synthesized composite was tested by studying the degradation of two different chromophoric organic dyes, rhodamine B (RhB), methylene blue (MB) and a drug derivative paracetamol (PCM) in aqueous suspension under UV-light illumination. Among the synthesized materials, the composite (V-ZnSQDs@TiO2) was established to be more active than the pure ZnSQDs, TiO2, and V-ZnSQDs for the degradation of compounds under investigation. The activity of the synthesized catalyst was also tested for the mineralization of all compounds by measuring the depletion in total organic carbon (TOC) at different irradiation times. The results showed that the catalyst degrades the compounds and mineralizes them efficiently. The primary reactive species involved in the photodegradation reaction were determined by quenching studies, terephthalic acid, and NBT probe methods. A probable mechanistic pathway for the decomposition of compounds has been proposed.

Direct Z-Scheme AgBr/ß-MnO2 Photocatalysts for Highly Efficient Photocatalytic and Anticancer Activity.

The preparation of visible light-responsive efficient photocatalysts for removing organic contaminants from water and killing cancer cells has gotten a lot of attention due to the growing global concern. In this study, we have successfully fabricated an efficient AgBr/ß-MnO2 nanocomposite via a facile deposition and precipitation method at room temperature. Techniques such as XRD, SEM-EDS, TEM, DRS, PL, EIS, ESR, and FTIR were used to determine the crystalline, structural, morphological, optical, and other properties. The SEM and TEM analyses reveal that AgBr NPs are decorated on the surface of ß-MnO2, which possesses rods with a sphere-like structure for AgBr/ß-MnO2. The EDX analysis confirms the existence of Mn, O, Ag, and Br elements in the nanocomposites without an extra peak, indicating that the synthesized samples are highly pure. The high photocatalytic performance of AgBr/ß-MnO2 could be attributed to the formation of Ag NPs and the construction of the Z-scheme heterojunction between AgBr and ß-MnO2. This may enhance fast light absorption and efficient photogenerated (e-/h+) pairs, as indicated by EIS and photoluminescence measurements, which in turn achieved high activity for the decomposition of MB (97%, in 12 min), RhB (98.9%, in 9 min), and paracetamol (80%, in 180 min), respectively. The kinetic model study proposed that the first-order model showed a better fit than the zero- and second-order for the photocatalytic decolorization of RhB dye. XRD analysis of 0.2 AgBr/ß-MnO2 before and after recycling confirms the high stability of the catalyst. HPLC results showed that no detectable by-products are produced through the decomposition of paracetamol. Interestingly, 0.2 AgBr/ß-MnO2 nanocomposites showed visible light-induced anticancer activity against A549 cancer cell lines. The mechanistic degradation pathway has been proposed using the involvement of active species like superoxide radicals (-•O2) and photoinduced holes (h+). The proposed work focuses on synthesizing effective photocatalysts in a less hazardous environment with superior biological activity.

One-pot hydrothermal synthesis of a double Z-scheme g-C3N4/AgI/ß-AgVO3 ternary nanocomposite for efficient degradation of organic pollutants and DPC-Cr(VI) complex under visible-light irradiation.

The Z-scheme photocatalytic system provides a promising way to achieve significant photodegradation efficiency. The work embodied here describes the synthesis of highly efficient double Z-scheme g-C3N4/AgI/ß-AgVO3 (g-CNAB) ternary nanocomposite using a one-pot hydrothermal route. The optical properties, phase structure, and morphology of the synthesized samples were investigated using UV-visible diffuse-reflectance spectroscopy (UV-Vis DRS), X-ray diffraction, and scanning electron microscopy, respectively. The transmission electron microscopy investigation revealed that synthesized composite material represents close interfacial interactions. X-ray photoelectron spectroscopy analysis confirms the presence of all the elements in the synthesized ternary nanocomposite materials. The photocatalytic performance of as-prepared photocatalysts has been systematically investigated using the photodegradation of a variety of pollutants, including Rhodamine B, Ciprofloxacin, and 1,5-diphenylcarbazide-Cr(VI) [DPC-Cr(VI)] complex under visible-light irradiation. Among all synthesized materials, such as g-C3N4, AgI, ß-AgVO3, and ternary nanocomposites with varying loading of ß-AgVO3 [g-CNAB(0.5, 1.0, 1.5, 2.0)], the photocatalyst g-CNAB(1.5) nanocomposite achieved a remarkably high photocatalytic efficiency. The quenching impact of several scavengers revealed that reactive species such as superoxide anion radical (O2·-) and hydroxyl radical (·OH) are significant in the degradation of various contaminants. Based on the characterization and application, a plausible photocatalytic mechanism has been sketched out to determine the reaction pathways involved in the degradation of pollutants present in the aqueous medium.

Zoonotic and reverse zoonotic events of SARS-CoV-2 and their impact on global health.

Coronaviruses (CoVs) are enveloped, positive sense, single-stranded RNA viruses. The viruses have adapted to infect a large number of animal species, ranging from bats to camels. At present, seven CoVs infect humans, of which Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) is responsible for causing the Coronavirus Disease 2019 (COVID-19) in humans. Since its emergence in late 2019, SARS-CoV-2 has spread rapidly across the globe. Healthcare systems around the globe have been stretched beyond their limits posing new challenges to emergency healthcare services and critical care. The outbreak continues to jeopardize human health, social life and economy. All known human CoVs have zoonotic origins. Recent detection of SARS-CoV-2 in pet, zoo and certain farm animals has highlighted its potential for reverse zoonosis. This scenario is particularly alarming, since these animals could be potential reservoirs for secondary zoonotic infections. In this article, we highlight interspecies SARS-CoV-2 infections and focus on the reverse zoonotic potential of this virus. We also emphasize the importance of potential secondary zoonotic events and the One-Health and One-World approach to tackle such future pandemics.

Synthesis of Ph-Modified Graphitic Carbon Nitride for Degradation of Different Chromophoric Organic Pollutants in Aqueous Suspension under Visible Light.

Recently, the preparation of visible-light-sensitive catalysts for the decomposition of organics has been of great interest. Herein, we report a single-step facile co-polymerization via the calcination process to produce a phenyl-modified-g-C3N4 semiconducting material. The product was characterized using standard analytical techniques. The UV/vis-DRS study indicates a shift of 23 nm toward higher wavelengths, whereas transmission electron microscopy analysis indicates the presence of phenyl group incorporation. The H1 NMR of Ph-g-C3N4 showed a shift of aromatic proton toward down-field as compared with benzamide protons. The prepared products showed efficient performance for the removal of a dye and a drug derivative in water with light and air. The marked activity might be due to efficient light absorption and photoseparated (e--h+) pair. The work embodied represents the construction of catalysts for the removal of organics in water with light.

Facile Synthesis of a Z-Scheme ZnIn2S4/MoO3 Heterojunction with Enhanced Photocatalytic Activity under Visible Light Irradiation.

Employing a visible-light-driven direct Z-scheme photocatalytic system for the abatement of organic pollutants has become the key scientific approach in the area of photocatalysis. In this study, a highly efficient Z-scheme ZnIn2S4/MoO3 heterojunction was prepared through the hydrothermal method, followed by the impregnation technique that facilitates the formation of an interface between the two phases for efficient photocatalysis. The structural, optical, and surface elemental composition and morphology of the prepared samples were characterized in detail through X-ray diffraction, UV-vis diffuse reflectance spectra, X-ray photoelectron spectroscopy, scanning electron microscopy, and transmission electron microscopy. The results indicate that the composite materials have a strong intimate contact between the two phases, which is beneficial for the effective separation of photoinduced charge carriers. The visible-light-mediated photocatalytic activity of the samples was tested by studying the degradation of methyl orange (MO), rhodamine B (RhB), and paracetamol in aqueous suspension. An optimum loading content of 40 wt % ZnIn2S4/MoO3 exhibits the best degradation efficiency toward the above pollutants compared to bare MoO3 and ZnIn2S4. The improved photocatalytic activity could be ascribed to the efficient light-harvesting property and prolonged charge separation ability of the Z-scheme ZnIn2S4/MoO3 catalyst. Based on reactive species determination results, the Z-scheme charge transfer mechanism of ZnIn2S4/MoO3 was discussed and proposed. This study paves the way toward the development of highly efficient direct Z-scheme structures for a multitude of applications.

High-pressure injection injuries to the hand: A 14-year descriptive study.

BACKGROUND: High-pressure injection (HPI) injury is an unusual type of injury in hand trauma, which could lead to a serious morbidity. We aimed to assess the clinical presentation, management, and outcome with HPI injury of the hand. METHODS: A retrospective study was conducted between 2001 and 2015 for patients with HPI injuries who were admitted to a Level 1 trauma center. We reviewed the medical records, imaging files, and demographic data including gender, age, mechanism of injury, and site of hand injury. The kind of injected materials, time to first treatment procedure, clinical management, and complications were also described. RESULTS: A total of 32 cases of HPI injuries were included in the study. The average age of the patients was 32.7 ± standard deviation 8.3 years, and all the patients were right handed. The most common material involved was grease (53%), followed by paints (25.0%), chemicals (9.4%), and air (6.3%). The most commonly affected part of the hand was the palm (31.3%), followed by index finger (25.0%). The average delay in the presentation was 12 h (range 3-96 h), and the mean hospital stay was 5.8 days. Management included debridement (90.6%) or conservative treatment (9.4%). Complications included chronic pain (9.4%), followed by amputation (3.1%). CONCLUSIONS: HPI injury is not uncommon, usually underestimated, and needs more community awareness, particularly laborers. Delay of treatment could increase the risk of amputation. Therefore, it is important to inform the risk groups about the seriousness of such injuries and to take preventive measures.

TADF and exciplex emission in a xanthone-carbazole derivative and tuning of its electroluminescence with applied voltage.

Materials showing white light emission have found applications in a variety of solid state devices especially in display technology. For white light emission, doping of red (R), green (G) and blue (B) emitters in a host matrix is commonly practised. However, finding RGB emitters of similar stability with homogenous doping is challenging. Furthermore, such devices suffer from color purity in the long run. Small organic light emitters, capable of colour tuning and having a broad emission spectrum are in high demand as they provide colour stability, reproducibility, a simple device geometry and high efficiency. Recently, it has been shown that the efficiency of OLEDs can be enhanced by employing thermally activated delayed fluorescence (TADF) materials. Here, we designed and synthesised a xanthone-carbazole based D-A-D material (Xan-Cbz) for TADF properties. Blue TADF emission, in neat thin films, at 470 nm was observed and further investigated by studying delayed fluorescence and lifetime measurements. In addition, a blend of Xan-Cbz with NPD shows exciplex emission at 525 nm in thin film. OLEDs based on Xan-Cbz were fabricated using several device configurations. OLEDs having the device configuration ITO/PEDOT:PSS/NPD/Xan-Cbz/Bphen/LiF-Al showed a luminance of 1.96 × 104 Cd m-2 (at a current density of 50 mA cm-2) and V ON at ∼6 V. Electroluminescence showed the features of both neat emission (470 nm) of Xan-Cbz and its exciplex (525 nm) with NPD. Further, colour tuning was observed as a function of applied voltage and the ratio of light intensity (I 525/I 470) of neat and exciplex emission was found to decrease with increasing voltage. Greenish-blue emission (CIE coordinates: 0.202, 0.382) from Xan-Cbz OLEDs was obtained. Xan-Cbz showed its neat emission (at 470 nm) in ITO/PEDOT:PSS/CBP/Xan-Cbz/Bphen/LiF-Al and pure exciplex emission (at 525 nm) in ITO/PEDOT:PSS/NPD:Xan-Cbz/Bphen/LiF-Al device configurations. Thus in this article we showed blue TADF emission, exciplex emission and voltage dependent color tuning in OLEDs based on a small organic emitter.

Semiconductor-mediated photocatalysed degradation of two selected priority organic pollutants, benzidine and 1,2-diphenylhydrazine, in aqueous suspension.

The photocatalysed degradation of two selected priority organic pollutants, namely benzidine (1) and 1,2-diphenylhydrazine (DPH, 2) has been investigated in aqueous suspensions of titanium dioxide (TiO2) under a variety of conditions employing a pH-stat technique. The degradation was studied by monitoring the change in substrate concentration of the model compound employing HPLC analysis and the decrease in total organic carbon content, respectively, as a function of irradiation time. The degradation kinetics were studied under different conditions such as reaction pH, substrate and photocatalyst concentration, type of TiO2 photocatalyst and the presence of alternative additives such as H2O2, KBrO3 and (NH4)2S2O8 besides molecular oxygen. The degradation rates and the photonic efficiencies were found to be strongly influenced by the above parameters. Toxicity tests for the irradiated samples of benzidine measuring the luminescence of bacteria Vibrio fischeri after 30 min of incubation were also performed. 4-amino-biphenyl (7) and hydroquinone (13) were identified as intermediate products by GC/MS technique and probable pathways for the formation of the products are proposed.