ABSTRACT
The current work presented a green synthetic route for the fabrication of silver nanoparticles obtained from aqueous solutions of silver nitrate using Cordyline fruticosa L. leaf extract (Col) as a reducing and capping agent for the first time. The bio-synthesized silver nanoparticles (AgCol) were investigated using UV-visible spectroscopy (UV-vis), transmission electron microscopy (TEM), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), and thermal gravimetric analysis (TGA). The obtained data demonstrated that AgCol in spherical shape with an average size of 28.5 nm were highly crystalline and well capped by phytocompounds from the Col extract. Moreover, the bio-synthesized AgCol also exhibited the effective antibacterial activities against six pathogenic bacteria, including Escherichia coli (E. coli), Pseudomonas aeruginosa (P. aeruginosa), Salmonella enterica (S. enterica), Staphylococcus aureus (S. aureus), Bacillus cereus (B. cereus) and Enterococcus faecalis (E. faecalis). The AgCol were applied as an antibacterial finishing agent for viscose fabric using a pad-dry curing technique. The AgCol-treated viscose fabrics exhibited a good synergistic antimicrobial activity against E. coli and S. aureus bacteria. Furthermore, the silk fibroin regenerated from Bombyx mori cocoon waste was utilized as an ecofriendly binder for the immobilization of AgCol on the viscose fabric. Thus, the antimicrobial efficacy of the AgCol and fibroin modified viscose fabric still reached 99.99% against the tested bacteria, even after 30 washing cycles. The colorimetric property, morphology, elemental composition, and distribution of AgCol on the treated fabrics were investigated using several analysis tools, including colorimetry, scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), atomic absorption spectroscopy (AAS), Kjeldahl, and FTIR. Because of the excellent antimicrobial efficiency and laundering durability, as well as the green synthesis method, the AgCol and fibroin modified viscose fabric could be utilized as an antibacterial material in sportswear and medical textile applications.
ABSTRACT
BACKGROUND: The Ho-Chi-Minh-city Heart Institute in Vietnam took part in the Optimize Heart Failure (OHF) Care Program, designed to improve outcomes following heart failure (HF) hospitalization by increasing patient awareness and optimizing HF treatment. METHODS: HF patients hospitalized with left ventricular ejection-fraction (LVEF) <50% were included. Patients received guideline-recommended HF treatment and education. Clinical signs, treatments and outcomes were assessed at admission, discharge, 2 and 6â¯months (M2, M6). Patients' knowledge and practice were assessed at M6 by telephone survey. RESULTS: 257 patients were included. Between admission and M2 and M6, heart rate decreased significantly, and clinical symptoms improved significantly. LVEF increased significantly from admission to M6. 85% to 99% of patients received education. At M6, 45% to 78% of patients acquired knowledge and adhered to practice regarding diet, exercise, weight control, and detection of worsening symptoms. High use of renin-angiotensin-aldosterone-system inhibitors (91%), mineralocorticoid-receptor-antagonists (77%) and diuretics (85%) was noted at discharge. Beta-blocker and ivabradine use was less frequent at discharge but increased significantly at M6 (from 33% to 51% and from 9% to 20%, respectively, pâ¯<â¯0.001). There were no in-hospital deaths. Readmission rates at 30 and 60â¯days after discharge were 8.3% and 12.5%, respectively. Mortality rates at 30â¯days, 60â¯days and 6â¯months were 1.2%, 2.5% and 6.4%, respectively. CONCLUSIONS: The OHF Care Program could be implemented in Vietnam without difficulty and was associated with high usage of guideline-recommended drug therapy. Although education was delivered, patient knowledge and practice could be further improved at M6 after discharge.
