ABSTRACT
BACKGROUND: Postoperative delirium (POD) refers to acute brain dysfunction occurring within 7 days after operation or before discharge. Frailty refers to the state that the body's physiological reserve is insufficient, so that the compensative capacity to endogenous and exogenous stress stimuli decreases. The purpose of this study is to explore the association of preoperative frailty (PF) with POD in elderly patients undergoing hip arthroplasty. METHODS: Totally 228 elderly patients (age ≥ 65 years) who received elective hip arthroplasty in the Ningbo No. 6 Hospital between December 2021 and June 2022 were enrolled. One day before surgery, the frailty phenotype scale was adopted for evaluation of patients' frailty. On the 1st-3rd day after operation, the confusion assessment method was adopted for evaluation of delirium, and the patients were grouped into a POD group and non-POD group. Logistic regression was conducted to analyze the correlation between PF and POD. RESULTS: Among the patients, the incidence of PF was 30.70% (70/228), and the incidence of delirium within 3 days after operation was 25.88% (59/228). According to binary logistic regression analysis, PF, age, hypertension, diabetes mellitus, and preoperative sleep disorder were independent risk factors for POD in elderly patients undergoing hip arthroplasty (all P < .05). CONCLUSION: PF is a crucial risk factor for POD in elderly patients undergoing hip arthroplasty.
Subject(s)
Arthroplasty, Replacement, Hip , Emergence Delirium , Frailty , Emergence Delirium/epidemiology , Preoperative Period , Frailty/epidemiology , Humans , Prospective Studies , Aged , Male , Female , IncidenceABSTRACT
Thermo-sensitive microgels known as PMO-MGs were synthesized via surfactant free emulsion polymerization, with poly(ethylene glycol) methacrylate (OEGMA475) and 2-(2-methoxyethoxy) ethyl methacrylate (MEO2MA) used as the monomers and N, N-methylene-bis-acrylamide used as the crosslinker. PMO-MGs are spherical in shape and have an average diameter of 323 ± 12 nm, as determined via transmission electron microscopy. PMO-MGs/poly (ether sulfone) (PES) composited ultrafiltration membranes were then successfully prepared via the non-solvent-induced phase separation (NIPS) method using a PMO-MG and PES mixed solution as the casting solution. The obtained membranes were systematically characterized via combined X-ray photoelectron spectroscopy, field-emission scanning electron microscopy, Fourier transform infrared spectroscopy and contact angle goniometer techniques. It was found that the presence of PMO-MGs significantly improved the surface hydrophilicity and antifouling performance of the obtained membranes and the PMO-MGs mainly located on the channel surface of the membranes. At 20 °C, the pure water flux increased from 217.6 L·m-2·h-1 for pure PES membrane (M00) to 369.7 L·m-2·h-1 for PMO-MGs/PES composited membrane (M20) fabricated using the casting solution with 20-weight by percentage microgels. The incorporation of PMO-MGs also gave the composited membranes a thermo-sensitive character. When the temperature increased from 20 to 45 °C, the pure water flux of M20 membrane was enhanced from 369.7 to 618.7 L·m-2·h-1.
ABSTRACT
Chromic materials play a decisive and escalating role in information security. However, it is challenging to develop chromic materials for encryption technologies that can hardly be imitated. Inspired by versatile metachrosis in nature, a series of coumarin-based 7-(6-bromohexyloxy)-coumarin microgel colloidal crystals (BrHC MGCC) with multiresponsive chromism are able to be assembled by ionic microgels in poly(vinyl alcohol) (PVA) solution followed by two cycles of freezing-thawing. The ionic microgels can be finely tailored by in situ quaternization with tunable size under varied temperatures and hydration energies of counterions as well as quenched luminescence under UV irradiation, which endows BrHC MGCC with intriguing chromism in the dual-channel coloration of physical structural color and chemical fluorescent color. Three types of BrHC MGCC exhibit various change ranges in structural coloration and similar quenching in fluorescence emission, which can be utilized for the development of the static-dynamic combined anticounterfeiting system with dual coloration. The information conveyed by the BrHC MGCC array presents dynamic variation versus temperature, while the static information can be only integrally read in both sunlight and a 365 nm UV lamp. The fabrication of a microgel colloidal crystal with dual coloration opens a facile and ecofriendly window for multilevel information security, camouflage, and a cumbersome authentication process.
ABSTRACT
Being the main components of physical sunscreens, zinc oxide nanoparticles (ZnO NPs) and titanium dioxide nanoparticles (TiO2 NPs) are often used together in different brands of sunscreen products with different proportions. With the broad use of cosmetics containing these nanoparticles (NPs), concerns regarding their joint skin toxicity are becoming more and more prominent. In this study, the co-exposure of these two NPs in human-derived keratinocytes (HaCaT) and the in vitro reconstructed human epidermis (RHE) model EpiSkin was performed to verify their joint skin effect. The results showed that ZnO NPs significantly inhibited cell proliferation and caused deoxyribonucleic acid (DNA) damage in a dose-dependent manner to HaCaT cells, which could be rescued with co-exposure to TiO2 NPs. Further mechanism studies revealed that TiO2 NPs restricted the cellular uptake of both aggregated ZnO NPs and non-aggregated ZnO NPs and meanwhile decreased the dissociation of Zn2+ from ZnO NPs. The reduced intracellular Zn2+ ultimately made TiO2 NPs perform an antagonistic effect on the cytotoxicity caused by ZnO NPs. Furthermore, these joint skin effects induced by NP mixtures were validated on the epidermal model EpiSkin. Taken together, the results of the current research contribute new insights for understanding the dermal toxicity produced by co-exposure of different NPs and provide a valuable reference for the development of formulas for the secure application of ZnO NPs and TiO2 NPs in sunscreen products.
