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1.
Healthcare (Basel) ; 11(21)2023 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-37957965

RESUMEN

The intrathecal baclofen pump (ITB) is one of the advanced treatment options in the management of spasticity. This retrospective cohort study was conducted to identify the complications of ITB treatment at a tertiary care rehabilitation facility. Various demographic and technical factors were analyzed, which are less often reported in the literature. All patients with ITB who had their refill at the ITB clinic between November 2019 and March 2020 were included. Of 48 patients, 17 patients had 18 (37.5%) ITB-related complications. Catheter-related complications were most common, whereas loss of efficacy (16.7%) and baclofen withdrawal (14.5%) were the most common outcomes of complications. Only catheter occlusion had a significant relationship with the pattern of spastic quadriparesis (p = 0.001). Gender, rehabilitation diagnosis, patients' residence, and facility of ITB placement did not have significant association. Similarly, age, distance from hospital, disease onset, ITB therapy duration, and baclofen dose were not statistically significant in relation to ITB-related complications.

2.
Plants (Basel) ; 12(17)2023 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-37687305

RESUMEN

Water scarcity due to overuse and growing water pollution has led to the need for upgrading of conventional methods of wastewater treatment. The biological synthesis of zinc oxide nanoparticles (ZnO-NPs) and their photocatalytic capacity to degrade contaminants offer a promising and environment-friendly approach to municipal wastewater treatment. This technique is advantageous due to its cost-effectiveness, sustainability, and reduction in toxic residual substances. In this study, microbial-synthesized ZnO-NPs were used for the treatment of municipal wastewater. The objective of this study was to evaluate the potential of treated wastewater for wheat crop cultivation. Zinc oxide nanoparticles were synthesized from a pre-isolated bacterial strain, namely Shewanela sp., and characterized using UV-VIS, X-ray diffraction (XRD), scanning electron microscopy (SEM), and Fourier transform infrared spectroscopy (FTIR) analyses. The results showed that after the treatment of wastewater, the concentration of total dissolve solids (TDS), the chemical oxygen demand (COD), and sulfate and phosphate levels decreased by 76.5%, 57.1%, 81.1%, and 67.4%, respectively. However, the application of treated wastewater increased chlorophyll, carotenoids, and antioxidants by 45%, 40.8%, and 10.5 to 30.6%, respectively. Further, the application of treated wastewater also significantly decreased oxidative stress induced by hydrogen peroxide (H2O2) and malondialdehyde (MDA) by 8.1% and 30.1%, respectively. In conclusion, biosynthesized ZnO-NPs could be an important choice to treat municipal wastewater and to improve wheat productivity.

3.
Gels ; 9(8)2023 Aug 17.
Artículo en Inglés | MEDLINE | ID: mdl-37623121

RESUMEN

Soil fertilizers have the potential to significantly increase crop yields and improve plant health by providing essential nutrients to the soil. The use of fertilizers can also help to improve soil structure and fertility, leading to more resilient and sustainable agricultural systems. However, overuse or improper use of fertilizers can lead to soil degradation, which can reduce soil fertility, decrease crop yields, and damage ecosystems. Thus, several attempts have been made to overcome the issues related to the drawbacks of fertilizers, including the development of an advanced fertilizer delivery system. Biopolymer aerogels show promise as an innovative solution to improve the efficiency and effectiveness of soil-fertilizer delivery systems. Further research and development in this area could lead to the widespread adoption of biopolymer aerogels in agriculture, promoting sustainable farming practices and helping to address global food-security challenges. This review discusses for the first time the potential of biopolymer-based aerogels in soil-fertilizer delivery, going through the types of soil fertilizer and the advert health and environmental effects of overuse or misuse of soil fertilizers. Different types of biopolymer-based aerogels were discussed in terms of their potential in fertilizer delivery and, finally, the review addresses the challenges and future directions of biopolymer aerogels in soil-fertilizer delivery.

4.
PLoS One ; 18(8): e0290316, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37639426

RESUMEN

Wind turbine power curve (WTPC) serves as an important tool for wind turbine condition monitoring and wind power forecasting. Due to complex environmental factors and technical issues of the wind turbines, there are many outliers and inconsistencies present in the recorded data, which cannot be removed through any pre-processing technique. However, the current WTPC models have limited ability to understand such complex relation between wind speed and wind power and have limited non-linear fitting ability, which limit their modelling accuracy. In this paper, the accuracy of the WTPC models is improved in two ways: first is by developing multivariate models and second is by proposing MARS as WTPC modeling technique. MARS is a regression-based flexible modeling technique that automatically models complex the nonlinearities in the data using spline functions. Experimental results show that by incorporating additional inputs the accuracy of the power curve estimation is significantly improved. Also by studying the error distribution it is proved that multivariate models successfully mitigate the adverse effect of hidden outliers, as their distribution has higher peaks and lesser standard deviation, which proves that the errors, are more converged to zero compared to the univariate models. Additionally, MARS with its superior non-linear fitting ability outperforms the compared methods in terms of the error metrics and ranks higher than regression trees and several other popular parametric and non-parametric methods. Finally, an outlier detection method is developed to remove the hidden outliers from the data using the error distribution of the modeled power curves.


Asunto(s)
Benchmarking , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos , Humanos , Registros
5.
Plants (Basel) ; 12(9)2023 May 05.
Artículo en Inglés | MEDLINE | ID: mdl-37176945

RESUMEN

Mango (Mangifera indica L.) is one of the most popular tropical fruits grown in Egypt and several other countries, making it a potential export commodity. Excessive deterioration after harvest requires various treatments to maintain fruit quality. We evaluated the treatments effects of melatonin (MT) as an anti-ethylene agent and tragacanth gum (TRG) as an edible coating individually and together (MT-TRG) before storing mangoes at 12 °C for 32 days under 85-90% relative humidity. Compared with control, all treatments were significantly effective in preserving fruit quality. Fruits treated with MT-TRG showed significantly lower decay values, respiration rates, ethylene production, and weight loss than untreated fruits. MT-TRG treatment significantly enhanced fruit quality, thereby maintaining fruit appearance, flesh color, firmness, total soluble solids and phenolic contents, and pectin methyl esterase, polyphenol oxidase, and peroxidase activities during the storage period. We propose 200 µM MT + 1% TRG as a safe postharvest treatment to reduce the deterioration of mangoes and maintain fruit quality.

6.
Comput Intell Neurosci ; 2023: 4387053, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37163175

RESUMEN

The integration of a decision maker's preferences in evolutionary multi-objective optimization (EMO) has been a common research scope over the last decade. In the published literature, several preference-based evolutionary approaches have been proposed. The reference point-based non-dominated sorting genetic (R-NSGA-II) algorithm represents one of the well-known preference-based evolutionary approaches. This method mainly aims to find a set of the Pareto-optimal solutions in the region of interest (ROI) rather than obtaining the entire Pareto-optimal set. This approach uses Euclidean distance as a metric to calculate the distance between each candidate solution and the reference point. However, this metric may not produce desired solutions because the final minimal Euclidean distance value is unknown. Thus, determining whether the true Pareto-optimal solution is achieved at the end of optimization run becomes difficult. In this study, R-NSGA-II method is modified using the recently proposed simplified Karush-Kuhn-Tucker proximity measure (S-KKTPM) metric instead of the Euclidean distance metric, where S-KKTPM-based distance measure can predict the convergence behavior of a point from the Pareto-optimal front without prior knowledge of the optimum solution. Experimental results show that the algorithm proposed herein is highly competitive compared with several state-of-the-art preference-based EMO methods. Extensive experiments were conducted with 2 to 10 objectives on various standard problems. Results show the effectiveness of our algorithm in obtaining the preferred solutions in the ROI and its ability to control the size of each preferred region separately at the same time.


Asunto(s)
Algoritmos , Evolución Biológica
7.
Plants (Basel) ; 12(2)2023 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-36679005

RESUMEN

In recent years, the global agricultural system has been unfavorably impacted by adverse environmental changes. These changes in the climate, in turn, have altered the abiotic conditions of plants, affecting plant growth, physiology and production. Abiotic stress in plants is one of the main obstacles to global agricultural production and food security. Therefore, there is a need for the development of novel approaches to overcome these problems and achieve sustainability. Nanotechnology has emerged as one such novel approach to improve crop production, through the utilization of nanoscale products, such as nanofertilizer, nanofungicides, nanoherbicides and nanopesticides. Their ability to cross cellular barriers makes nanoparticles suitable for their application in agriculture. Since they are easily soluble, smaller, and effective for uptake by plants, nanoparticles are widely used as a modern agricultural tool. The implementation of nanoparticles has been found to be effective in improving the qualitative and quantitative aspects of crop production under various biotic and abiotic stress conditions. This review discusses various abiotic stresses to which plants are susceptible and highlights the importance of the application of nanoparticles in combating abiotic stress, in addition to the major physiological, biochemical and molecular-induced changes that can help plants tolerate stress conditions. It also addresses the potential environmental and health impacts as a result of the extensive use of nanoparticles.

8.
Plants (Basel) ; 11(23)2022 Dec 05.
Artículo en Inglés | MEDLINE | ID: mdl-36501424

RESUMEN

Anthocyanins are responsible for the coloration of common bean seeds, and their accumulation is positively correlated with the expression level of anthocyanin biosynthetic genes. The MBW (MYB-bHLH-WD40) complex is thought to regulate the expression of these genes, and MYB proteins, which are a key factor in activating anthocyanin pathway genes, have been identified in several plants. This study demonstrated gene structures, chromosomal placements, gene duplications of R2R3-MYBs, miRNAs associated with R2R3-MYBs, and the interaction of these genes with other flavonoid regulatory genes. qRT-PCR was used to investigate the role of specific R2R3-MYBs and flavonoid genes in common bean seed color development. As a result of a comprehensive analysis with the help of in silico tools, we identified 160 R2R3-MYB genes in the common bean genome. We divided these genes into 16 classes on the basis of their intron-exon and motif structures. Except for three, the rest of the common bean R2R3-MYB members were distributed to all chromosomes with different densities, primarily located on chromosomes 3 and 8. We identified a total of 44 duplicated gene pairs dispersed across 11 chromosomes and evolved under purifying selection (Ka/Ks < 1), 19 of which were derived from a whole-genome duplication. Our research uncovered 25 putative repressor PvMYB proteins that contain the EAR motif. Additionally, fifty different cis-regulatory elements regulated by light, stress, and hormone were identified. Within the genome of the common bean, we discovered a total of 36 microRNAs that target a total of 72 R2R3-MYB transcripts. The effect of 16 R2R3-MYB genes and 16 phenylpropanoid pathway genes, selected on the basis of their interaction in the protein-protein interaction map, playing role in the regulation of seed coat color development was evaluated using qRT-PCR in 5 different tissues at different developmental stages. The results revealed that these specific genes have different expression levels during different developmental periods, with higher levels in the pod filling and early pod stages than in the rest of the developmental periods. Furthermore, it was shown that PvTT8 (bHLH), PvTT2 (PvMYB42), PvMYB113, PvTTG1, and PvWD68 genes have effects on the regulation of seed coat color. The findings of this study, which is the first to use whole-genome analysis to identify and characterize the R2R3-MYB genes in common bean, may serve as a reference for future functional research in the legume.

9.
Materials (Basel) ; 15(21)2022 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-36363323

RESUMEN

For the creation of healable cement concrete matrix, microbial self-healing solutions are significantly more creative and potentially successful. The current study investigates whether gram-positive "Bacillus subtilis" (B. subtilis) microorganisms can effectively repair structural and non-structural cracks caused at the nano- and microscale. By creating an effective immobilization strategy in a coherent manner, the primary challenge regarding the viability of such microbes in a concrete mixture atmosphere has been successfully fulfilled. The iron oxide nanoparticles were synthesized. The examined immobilizing medium was the iron oxide nanoparticles, confirmed using different techniques (XRD, SEM, EDX, TGA, and FTIR). By measuring the average compressive strength of the samples (ASTM C109) and evaluating healing, the impact of triggered B. subtilis bacteria immobilized on iron oxide nanoparticles was examined. The compressive strength recovery of cracked samples following a therapeutic interval of 28 days served as a mechanical indicator of the healing process. In order to accurately correlate the recovery performance as a measure of crack healing duration, the pre-cracking load was set at 80% of the ultimate compressive stress, or "f c," and the period of crack healing was maintained at 28 days. According to the findings, B. subtilis bacteria greatly enhanced the compressive strength and speed up the healing process in cracked cement concrete mixture. The iron oxide nanoparticles were proven to be the best immobilizer for keeping B. subtilis germs alive until the formation of fractures. The bacterial activity-driven calcite deposition in the generated nano-/micro-cracks was supported by micrographic and chemical investigations (XRD, FTIR, SEM, and EDX).

10.
Molecules ; 27(18)2022 Sep 13.
Artículo en Inglés | MEDLINE | ID: mdl-36144701

RESUMEN

India is the largest producer in the world of black pepper and it is the center of origin for Piper. The present study gives a comparative account of the chemical composition of the Piper nigrum and its wild putative parent the P. trichostachyon. Microextractions were performed and the quantification of six phenolic compounds (namely epicatechin, gallic acid, catechol, chlorogenic acid, caffeic acid, and catechin), piperine from leaves, petioles, and the fruits of both the species, were accomplished using the RP-UFLC system. The polyphenols (phenolic, flavonoid) and their antioxidant activities were also estimated. Among the six phenolic compounds studied, only three were detected and quantified. The polyphenol content correlating to the antioxidant activities was higher in the P. trichostachyon, whereas the piperine content was 108 times greater in the P. nigrum fruits. The Piper trichostachyon comparatively showed a higher content of polyphenols. The microextractions reduced the solvent consumption, the quantity of the plant material, and the amount of time used for the extraction. The first report on the TPC, TF, and the antioxidant activity of the P. trichostachyon has been described, and it also forms a scientific basis for its use in traditional medicine. The petioles of both species are good sources of phenolic compounds. A quantitative chemical analysis is a useful index in the identification and comparison of the species.


Asunto(s)
Catequina , Piper nigrum , Piper , Alcaloides , Antioxidantes/farmacología , Benzodioxoles , Catecoles , Ácido Clorogénico , Flavonoides , Ácido Gálico , Fenoles , Piper nigrum/química , Piperidinas , Extractos Vegetales/farmacología , Polifenoles/farmacología , Alcamidas Poliinsaturadas , Solventes
11.
Bioinorg Chem Appl ; 2022: 8184217, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35959230

RESUMEN

Nanotechnology is a rapidly evolving discipline as it has a wide variety of applications in several fields. They have been synthesized in a variety of ways. Traditional processes such as chemical and physical synthesis have limits, whether in the form of chemical contamination during synthesis operations or in subsequent applications and usage of more energy. Over the last decade, research has focused on establishing easy, nontoxic, clean, cost-effective, and environmentally friendly techniques for nanoparticle production. To achieve this goal, biological synthesis was created to close this gap. Biosynthesis of nanoparticles is a one-step process, and it is ecofriendly in nature. The metabolic activities of biological agents convert dissolved metal ions into nanometals. For biosynthesis of metal nanoparticles, various biological agents like plants, fungus, and bacteria are utilized. In this review paper, the aim is to provide a summary of contemporary research on the biosynthesis of gold nanoparticles and their applications in various domains have been discussed.

12.
Mar Drugs ; 20(8)2022 Jul 25.
Artículo en Inglés | MEDLINE | ID: mdl-35892945

RESUMEN

Acquired immunodeficiency syndrome (AIDS) is a chronic and potentially fatal ailment caused by the human immunodeficiency virus (HIV) and remains a major health problem worldwide. In recent years, the research focus has shifted to a greater emphasis on complementing treatment regimens involving conventional antiretroviral (ARV) drug therapies with novel lead structures isolated from various marine organisms that have the potential to be utilized as therapeutics for the management of HIV-AIDS. The present review summarizes the recent developments regarding bioactive peptides sourced from various marine organisms. This includes a discussion encompassing the potential of these novel marine bioactive peptides with regard to antiretroviral activities against HIV, preparation, purification, and processing techniques, in addition to insight into the future trends with an emphasis on the potential of exploration and evaluation of novel peptides to be developed into effective antiretroviral drugs.


Asunto(s)
Síndrome de Inmunodeficiencia Adquirida , Fármacos Anti-VIH , Infecciones por VIH , Síndrome de Inmunodeficiencia Adquirida/tratamiento farmacológico , Fármacos Anti-VIH/farmacología , Fármacos Anti-VIH/uso terapéutico , Organismos Acuáticos/química , VIH , Infecciones por VIH/tratamiento farmacológico , Humanos , Péptidos/química , Péptidos/farmacología , Péptidos/uso terapéutico
13.
Sci Rep ; 12(1): 9893, 2022 Jun 14.
Artículo en Inglés | MEDLINE | ID: mdl-35701511

RESUMEN

The linear complementarity approach has been utilized as a systematic and unified numerical process for determining the response of a rigid-plastic structure subjected to impulsive loading. However, the popular Lemke Algorithm for solving linear complementarity problems (LCP) encounters numerical instability issues whilst tracing the response of structures under extreme dynamic loading. This paper presents an efficient LCP approach with an enhanced initiation subroutine for resolving the numerical difficulties of the solver. The numerical response of the impulsively loaded structures is affected by the initial velocity profile, which if not found correctly can undermine the overall response. In the current study, the initial velocity profile is determined by a Linear Programming (LP) subroutine minimizing the energy function. An example of a uniform impulsively loaded simply supported beam is adduced to show the validity and accuracy of the proposed approach. The beam is approximated with bending hinges having infinite resistance to shear. Comparison of the numerical results to the available closed-form solution confirms the excellent performance of the approach. However, a subsequent investigation into a beam having the same support conditions and the applied loading, but with bending and shear deformation, results in numerical instability despite optimizing the initial velocity profile. Thus a more generic description of kinetics and kinematics is proposed that can further enhance the numerical efficiency of the LCP formulation. The ensuing numerical results are compared with the available close form solution to assess the accuracy and efficiency of the developed approach.

14.
Biosensors (Basel) ; 12(6)2022 Jun 13.
Artículo en Inglés | MEDLINE | ID: mdl-35735555

RESUMEN

Breath sensor technology can be used in medical diagnostics. This study aimed to build a device to measure the level of hydrogen sulfide, ammonia, acetone and alcohol in exhaled breath of patients as well as healthy individuals. The purpose was to determine the efficacy of these gases for detection of obstructive lung disease. This study was conducted on a total of 105 subjects, where 60 subjects were patients of obstructive lung disease and 45 subjects were healthy individuals. Patients were screened by means of the Pulmonary Function Test (PFT) by a pulmonologist. The gases present in the exhaled breath of all subjects were measured. The level of ammonia (32.29 ± 20.83 ppb), (68.83 ± 35.25 ppb), hydrogen sulfide (0.50 ± 0.26 ppm), (62.71 ± 22.20 ppb), and acetone (103.49 ± 35.01 ppb), (0.66 ± 0.31 ppm) in exhaled breath were significantly different (p < 0.05) between obstructive lung disease patients and healthy individuals, except alcohol, with a p-value greater than 0.05. Positive correlation was found between ammonia w.r.t Forced Expiratory Volume in 1 s (FEV1) (r = 0.74), Forced Vital Capacity (FVC) (r = 0.61) and Forced Expiratory Flow (FEF) (r = 0.63) and hydrogen sulfide w.r.t FEV1 (r = 0.54), FVC (r = 0.41) and FEF (r = 0.37). Whereas, weak correlation was found for acetone and alcohol w.r.t FEV1, FVC and PEF. Therefore, the level of ammonia and hydrogen sulfide are useful breath markers for detection of obstructive lung disease.


Asunto(s)
Sulfuro de Hidrógeno , Enfermedades Pulmonares Obstructivas , Acetona , Amoníaco , Pruebas Respiratorias , Humanos
15.
Saudi Pharm J ; 29(8): 908-913, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34408549

RESUMEN

The aim of the present study was to assess the influence of metformin on the angiogenic ability of secretomes from dental pulp stem cells. The stem cells were obtained from the dental pulp (DPSCs) (n = 3) using the explant culture method. We treated the DPSCs with different concentrations of metformin and assessed the expression of the angiogenesis-related genes. We also tested the angiogenic effect of the secretomes on the yolk sac membrane of the chick embryos by counting the quaternary blood vessel formations on the yolk sac membrane. We found that metformin treatment enhanced the angiogenic potential of the stem cell secretome in a dose-dependent manner. This was evidenced by the increase in the quaternary blood vessel formations in the yolk sac membrane with lower to higher concentrations of metformin. Pre-treatment with metformin modulates the angiogenic potential of the stem cell-conditioned media in a dose-dependent manner. The augmentation of the angiogenic potential of the DPSCs can aid regeneration, especially in scenarios requiring the regeneration of vacuoles.

17.
J Phys Chem Lett ; 12(2): 919-924, 2021 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-33439648

RESUMEN

The optoelectronic properties of functional π-conjugated organic materials are affected by their ability to self-assemble within thin films of devices. There are limited reports that demonstrate the positive impact of self-assembly on the photovoltaic performance of organic solar cells. Here, we demonstrate that hydrogen-bonded supramolecular arrays of a cyanopyridone-based oligothiophene donor, CP6, show notable improvement in photovoltaic performance upon self-assembly into a nanofibrous network. The honeycomb-like blend network exhibited higher hole mobility, leading to efficient charge generation and transport. The photovoltaic performance of CP6 was superior to that of two structural analogues, CP5 and CP1, and was attributed to the enhanced capability of CP6 to self-assemble into a film morphology favorable for BHJ devices. The BHJ devices comprising CP6 and the conventional fullerene acceptor (PC71BM) exhibited an efficiency of 7.26%, which is greater than that of CP5 (5.19%) and CP1 (3.11%) and is among the best-performing, cyanopyridone-based oligothiophene donors described to date.

18.
Sci Rep ; 11(1): 1677, 2021 01 18.
Artículo en Inglés | MEDLINE | ID: mdl-33462271

RESUMEN

Hydroponic systems are known to provide a platform for uniform growth conditions until the reproductive stage. However, many plant species, including sunflower, show poor growth and survivability under conventional hydroponic systems due to poor nutrient availability, hypoxia and algal contamination. Thus, we tested various hydroponic systems to select a hydroponic system suitable for screening of sunflower germplasm. Sunflower accessions showed better growth and leaf gas exchange in newly-designed over conventional hydroponic systems. Selected hydroponic systems were further engaged in sunflower accession screening under heat and osmotic stress in a two-pan system (210 cm × 60 cm). Heat stress treatment was applied by growing sunflower germplasm at 42 °C and osmotic stress by adding polyethylene glycol 8000 which decreased the osmotic potential to - 0.6 MPa. There was significant variability among the sunflower accessions for their ability to survive under stress. Accessions such as C-2721 (43%), C-291 (46%) and D-14 (43%) had lower cell membrane injury percentage under osmotic stress and high seedling survivability (60‒80%) under heat stress when compared with susceptible accessions. Moreover, resistant accessions exhibited greater cuticular waxes and root length but lower transpiration losses. The newly designed hydroponic platform proved reliable for the selection of resistant sunflower accessions. Selected parental lines were validated by assessing their hybrids under field trials across two seasons under water and temperature stress during the reproductive phase (autumn). Hybrid H3 obtained by crossing drought and heat resistant parents had the highest seed yield and water use efficiency.


Asunto(s)
Helianthus/fisiología , Hidroponía/métodos , Adaptación Fisiológica , Productos Agrícolas/crecimiento & desarrollo , Productos Agrícolas/fisiología , Respuesta al Choque Térmico , Helianthus/crecimiento & desarrollo , Presión Osmótica , Hojas de la Planta/crecimiento & desarrollo , Hojas de la Planta/fisiología , Plantones/crecimiento & desarrollo , Plantones/fisiología
19.
J Prim Care Community Health ; 11: 2150132720981297, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33300408

RESUMEN

INTRODUCTION: The CDC and Illinois Department of Public Health disseminated risk factor criteria for COVID-19 testing early in the pandemic. The objective of this study is to assess the effectiveness of risk stratifying patients for COVID-19 testing and to identify which risk factors and which other clinical variables were associated with SARS-CoV-2 PCR test positivity. METHODS: We conducted an observational cohort study on a sample of symptomatic patients evaluated at an immediate care setting. A risk assessment questionnaire was administered to every patient before clinician evaluation. High-risk patients received SARS-CoV-2 test and low-risk patients were evaluated by a clinician and selectively tested based on clinician judgment. Multivariate analyses tested whether risk factors and additional variables were associated with test positivity. RESULTS: The adjusted odds ratio of testing positive was associated with COVID-19-positive or suspect close contact (aOR 1.56, 95% CI 1.15-2.10), large gathering attendance with a COVID-19-positive individual (aOR 1.92, 95% CI 1.10-3.34), and, with the largest effect size, decreased taste/smell (aOR 2.83, 95% CI 2.01-3.99). Testing positive was associated with ages 45-64 and ≥65 (aOR 1.75, 95% CI 1.25-2.44, and aOR 2.78, 95% CI 1.49-5.16), systolic blood pressures ≤120 (aOR 1.64, 95% CI 1.20-2.24), and, with the largest effect size, temperatures ≥99.0°F (aOR 3.06, 95% CI 2.23-4.20). The rate of positive SARS-CoV-2 test was similar between high-risk and low risk patients (225 [22.2%] vs 50 [19.8%]; P = .41). DISCUSSION: The risk assessment questionnaire was not effective at stratifying patients for testing. Although individual risk factors were associated with SARS-CoV-2 test positivity, the low-risk group had similar positivity rates to the high-risk group. Our observations underscore the need for clinicians to develop clinical experience and share best practices and for systems and payors to support policies, funding, and resources to test all symptomatic patients.


Asunto(s)
Prueba de COVID-19/métodos , COVID-19/diagnóstico , COVID-19/epidemiología , Encuestas y Cuestionarios/estadística & datos numéricos , Encuestas y Cuestionarios/normas , Adolescente , Adulto , Factores de Edad , Anciano , Presión Sanguínea , Temperatura Corporal , Estudios de Cohortes , Comorbilidad , Femenino , Humanos , Illinois/epidemiología , Masculino , Persona de Mediana Edad , Pandemias , Reacción en Cadena de la Polimerasa , Estudios Retrospectivos , Factores de Riesgo , SARS-CoV-2 , Sensibilidad y Especificidad , Adulto Joven
20.
Nanomaterials (Basel) ; 10(10)2020 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-33096675

RESUMEN

Extensive research on functionalized graphene, graphene oxide, and carbon nanotube based cement composites has been carried out to strengthen and overcome the shortcomings of construction materials. However, less literature is available on the pure graphene based cement composite. In this review paper, an in-depth study on a graphene-based cement composite was performed. Various structural forms of graphene and classifications of graphene-based nanomaterial have been presented. The dispersion mechanism and techniques, which are important for effective utilization in the construction industry, are reviewed critically. Micro-scale characterization of carbon-based cement composite using thermogravimetric analysis (TGA), infrared (IR) spectroscopic analysis, x-ray diffractometric (XRD) analysis, and morphological analysis has also been reviewed. As per the authors' knowledge, for the first time, a review of flow, energy harvesting, thermoelectrical, and self-sensing properties of graphene and its derivatives as the bases of cement composite are presented. The self-sensing properties of the composite material are reported by exploring physical applications by reinforcing graphene nanoplatelets (GNPs) into concrete beams.

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