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1.
SA J Radiol ; 28(1): 2841, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38725970

RESUMEN

Vein of Galen aneurysmal malformation (VGAM) is a rare congenital malformation characterised by arteriovenous fistulas between primitive choroidal arteries and the median prosencephalic vein, the embryonic precursor to the vein of Galen. Endovascular techniques have changed the management of these patients with improved prognosis. An eight-month-old with VGAM managed by endovascular embolisation using ethylene vinyl alcohol copolymer (EVOH) developed a chemical abscess - a rare complication. It was managed conservatively and showed promising clinical outcome. Contribution: Chemical abscesses following EVOH embolisation are scarce - with imaging differentials, which include brain abscess and onyx granuloma. Knowledge and successful identification of this entity are essential as its management as prognoses differ. Chemical abscess is managed conservatively and has a good prognosis.

2.
Pediatr Res ; 2024 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-38443526

RESUMEN

BACKGROUND: Variation in practice exists for temperature probe positioning during stabilization of very preterm infants (<32 weeks gestation). We explored the influence of temperature probe sites on thermoregulation. METHODS: An open-label, stratified, balanced, parallel, randomized trial was conducted. Inborn infants were randomly assigned temperature probe to the axilla or to the upper back. The primary outcome was normothermia (local range: 36.8-37.3 °C and World Health Organization (WHO) range: 36.5-37.5 °C) at admission to the neonatal intensive care unit. RESULTS: Between 1 November 2018 and 4 July 2022, 178 infants were randomly assigned to one of the two sites (n = 89 each), 175 included in the final analysis. Normothermia (local range) was achieved for 39/87 infants (44.8%) assigned to the upper back compared to 28/88 infants (31.8%) assigned to the axilla [risk difference:13%; 95% CI -1.3-27.3]. Normothermia (WHO range) was achieved for 78/87 infants (89.7%) assigned to the upper back compared to 70/88 infants (79.6%) assigned to the axilla [risk difference:10.1%; 95% CI -0.5-20.7]. No infant recorded temperatures >38 °C or developed skin injury. CONCLUSIONS: In very preterm infants, upper back site was equally effective as the axilla in maintaining normothermia, with no increase in adverse events. CLINICAL TRIAL REGISTRATION: The study was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000293965). IMPACT: Substantial variation in practice exists for the site of securing a temperature probe during delivery room stabilization of very preterm infants and the influence of temperature probe site on thermoregulation remains unknown. In this study, upper back site was equally effective as the axilla in maintaining normothermia, with no increase in adverse events. Clinicians could adopt upper back site for maintaining normothermia. This study may contribute data to future international participant data prospective meta analysis of randomized controlled trials worldwide on temperature probe positioning in very preterm infants, increasing translation of research findings to optimize thermoregulation and clinical outcomes.

3.
Environ Sci Pollut Res Int ; 30(51): 110104-110118, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37779124

RESUMEN

This study addresses the significant concern of pharmaceutical contaminants, including antipyretic and antibiotic drugs, in municipal and industrial wastewater, impacting both the environment and human health. We investigate incorporating zinc-based metal-organic framework (Zn-MOF) nanofillers into polyamide layers, developing thin-film composite (PA-TFC) nanofiltration membranes via interfacial polymerization to remove paracetamol, ibuprofen, and amoxicillin from simulated wastewater. Characterization confirms Zn-MOF's presence in the PA-TFC membrane, affecting structural topology, pore size, contact angles, and zeta potential. Zn-MOF nanofillers strongly adhere to the polyamide layer, influencing membrane surface chemistry and morphology. The newly developed MOF/PA-TFC nanofiltration membranes demonstrate a remarkable water flux of up to 35 LMH, showcasing superior removal efficiency for the three pharmaceutical contaminants when compared to PA-TFC membranes. Specifically, the rejection rates for paracetamol, ibuprofen, and amoxicillin are notably high at 93%, 98%, and 99%, respectively. Consequently, this study establishes MOF/PA-TFC nanofiltration membranes as a highly efficient solution for removing emerging pharmaceutical contaminants from environmental water, promoting sustainability and safeguarding water resources.


Asunto(s)
Estructuras Metalorgánicas , Humanos , Nylons , Aguas Residuales , Acetaminofén , Ibuprofeno , Membranas Artificiales , Compuestos Orgánicos , Amoxicilina , Preparaciones Farmacéuticas , Agua
4.
Int J Biol Macromol ; 253(Pt 4): 126900, 2023 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-37714236

RESUMEN

In this manuscript we report the first example of an iminosugar that inhibits superoxide dismutase fibrillation associated with the amyotrophic lateral sclerosis (ALS). The present work involves synthesis of novel triazole and tetrazole embedded iminosugars, synthesized in 11-13 high yielding steps starting from readily available tri-O-benzyl-D-glucal and proceeding through a concomitant azidation - thermal intramolecular [3 + 2] cycloaddition reaction as the key step. One of these pre-designed iminosugars was found to inhibit fibrillation of SOD1 and also has shown propensity to break pre-formed fibrils. Docking and MD simulation studies suggest that the most probable interaction of this compound is a hydrogen bonding with Arg69, a loop IV residue of SOD1, which has a crucial role in stabilizing the native conformation of SOD1.


Asunto(s)
Esclerosis Amiotrófica Lateral , Humanos , Superóxido Dismutasa-1/genética , Superóxido Dismutasa/genética , Mutación
5.
Chemosphere ; 337: 139370, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37402426

RESUMEN

In recent years, production of cellulose nanofiber (CNF) from waste materials has achieved great interest owing to their renewable nature, biodegradability, high mechanical properties, economic value, and low density. Because Polyvinyl alcohol (PVA) is a synthetic biopolymer with good water solubility and biocompatibility, the composite material formed of CNF and PVA, is a sustainable way of monetizing to address environmental and economic issues. In this work pure PVA, PVA/CNF0.5, PVA/CNF1.0, PVA/CNF1.5, and PVA/CNF2.0 nanocomposite films were produced using the solvent casting approach with the addition of 0, 0.5, 1.0, 1.5, and 2.0 wt% of CNF concentrations respectively. The strongest water absorption behaviour was found as 25.82% for pure PVA membrane, followed by PVA/CNF0.5 (20.71%), PVA/CNF1.0 (10.26%), PVA/CNF1.5 (9.63%), and PVA/CNF2.0 (4.35%). The water contact angle of 53.1°, 47.8°, 43.4°, 37.7°, and 32.3° was formed between water droplet and the solid-liquid interface of pure PVA, PVA/CNF0.5, PVA/CNF1.0, PVA/CNF1.5, PVA/CNF2.0 composite films respectively. The SEM image clearly shows that a network structure like a tree form at the PVA/CNF0.5 composite film, where the sizes and number of pores are apparent. XRD analysis suggested that unique peaks found at 2θ = 17.5°, 28.1°, 33.4°, and 38° for nanocomposites indicating new crystal plane generated upon cross-linking in presence of malic acid. The maximum loss rate temperature (Td,max) for PVA/CNF0.5, PVA/CNF1.0, PVA/CNF1.5 was determined by TG analysis to be around 273.4 °C. FTIR studies suggested that PVA/CNF0.5 composite film showed the highest peak at 1428 cm-1 as compared to other PVA/CNF composite films representing the presence of higher crystalline band in the composite film matrix. PVA/CNF0.5 composite film was found to have a surface porosity and mean pore size of 27.35% and 0.19 µm respectively, classifying it in the MF membrane category. The maximum tensile strength (TS) of 5.27 MPa was found for PVA/CNF0.5, followed by PVA/CNF1.0, PVA/CNF1.5, pure PVA, and PVA/CNF2.0. The maximum young's modulus (111 MPa) was found for PVA/CNF1.0, followed by PVA/CNF0.5, PVA/CNF2.0, PVA/CNF1.5, and pure PVA, which could be attributed to the cyclization of the molecular structures by cross-linking. PVA/CNF0.5 exhibits greater elongation at break (21.7) than the other polymers, indicating a material's ability to undergo significant deformation before failure. Performance evaluation of the PVA/CNF0.5 composite film showed that 46.3% and 92.8% yield were found in the retentate for 200 mg/L of BSA, and 5 × 107 CFU/mL respectively. However, more than 90% E. coli was retained by PVA/CNF0.5 composite film, therefore absolute rating of this membrane is 0.22 µm. The size of this composite film may be therefore considered in the range of MF.


Asunto(s)
Nanofibras , Poaceae , Alcohol Polivinílico/química , Celulosa/química , Nanofibras/química , Escherichia coli , Agua/química
6.
World J Pediatr ; 19(2): 139-157, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36372868

RESUMEN

BACKGROUND: Globally, are skincare practices and skin injuries in extremely preterm infants comparable? This study describes skin injuries, variation in skincare practices and investigates any association between them. METHODS: A web-based survey was conducted between February 2019 and August 2021. Quantifying skin injuries and describing skincare practices in extremely preterm infants were the main outcomes. The association between skin injuries and skincare practices was established using binary multivariable logistic regression adjusted for regions. RESULTS: Responses from 848 neonatal intensive care units, representing all geographic regions and income status groups were received. Diaper dermatitis (331/840, 39%) and medical adhesive-related skin injuries (319/838, 38%) were the most common injuries. Following a local skincare guideline reduced skin injuries [medical adhesive-related injuries: adjusted odds ratios (aOR) = 0.63, 95% confidence interval (CI) = 0.45-0.88; perineal injuries: aOR = 0.66, 95% CI = 0.45-0.96; local skin infections: OR = 0.41, 95% CI = 0.26-0.65; chemical burns: OR = 0.46, 95% CI = 0.26-0.83; thermal burns: OR = 0.51, 95% CI = 0.27-0.96]. Performing skin assessments at least every four hours reduced skin injuries (abrasion: aOR = 0.48, 95% CI = 0.33-0.67; pressure: aOR = 0.51, 95% CI = 0.34-0.78; diaper dermatitis: aOR = 0.71, 95% CI = 0.51-0.99; perineal: aOR = 0.52, 95% CI = 0.36-0.75). Regional and resource settings-based variations in skin injuries and skincare practices were observed. CONCLUSIONS: Skin injuries were common in extremely preterm infants. Consistency in practice and improved surveillance appears to reduce the occurrence of these injuries. Better evidence regarding optimal practices is needed to reduce skin injuries and minimize practice variations.


Asunto(s)
Dermatitis , Recien Nacido Extremadamente Prematuro , Lactante , Recién Nacido , Humanos , Unidades de Cuidado Intensivo Neonatal , Cuidados de la Piel , Modelos Logísticos
7.
Environ Sci Pollut Res Int ; 30(55): 116522-116537, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35668267

RESUMEN

An increase in population expansion, urban sprawling environment, and climate change has resulted in increased food demand, water scarcity, environmental pollution, and mismanagement of water resources. Groundwater, i.e., one of the most precious and mined natural resources is used to address a variety of environmental demands. Among all, irrigation is one of the leading consumers of groundwater. Various natural heterogeneities and anthropogenic activities have impacted the groundwater quality. As a result, monitoring groundwater quality and determining its suitability are critical for the sustainable long-term management of groundwater resources. In this study, groundwater samples from 35 different sampling stations were collected and tested for various parameters associated with irrigation water quality. Hybrid MCDM (fuzzy-AHP) method was used to determine the groundwater suitability for irrigation purposes. The suitability map obtained using spatial overlay analysis was classified into low, moderate, and high irrigation water suitability zones. Along with suitability analysis, various regression-based machine learning models such as multiple linear regression (MLR), random forest (RF), and artificial neural network (ANN) were used and compared to predict irrigation water suitability. Results depicted that the ANN model with the highest R2 value of 0.990 and RMSE value near to zero (0) has outperformed all other models. The present methodology could be found useful to predict irrigation water suitability in the region where regular sampling and analysis are quite challenging.


Asunto(s)
Agua Subterránea , Contaminantes Químicos del Agua , Abastecimiento de Agua , Monitoreo del Ambiente/métodos , Calidad del Agua , Agua Subterránea/análisis , Recursos Hídricos , India , Contaminantes Químicos del Agua/análisis
8.
Pediatr Res ; 93(6): 1701-1709, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36075989

RESUMEN

BACKGROUND: Are thermoregulation and golden hour practices in extremely preterm (EP) infants comparable across the world? This study aims to describe these practices for EP infants based on the neonatal intensive care unit's (NICUs) geographic region, country's income status and the lowest gestational age (GA) of infants resuscitated. METHODS: The Director of each NICU was requested to complete the e-questionnaire between February 2019 and August 2021. RESULTS: We received 848 responses, from all geographic regions and resource settings. Variations in most thermoregulation and golden hour practices were observed. Using a polyethylene plastic wrap, commencing humidity within 60 min of admission, and having local protocols were the most consistent practices (>75%). The odds for the following practices differed in NICUs resuscitating infants from 22 to 23 weeks GA compared to those resuscitating from 24 to 25 weeks: respiratory support during resuscitation and transport, use of polyethylene plastic wrap and servo-control mode, commencing ambient humidity >80% and presence of local protocols. CONCLUSION: Evidence-based practices on thermoregulation and golden hour stabilisation differed based on the unit's region, country's income status and the lowest GA of infants resuscitated. Future efforts should address reducing variation in practice and aligning practices with international guidelines. IMPACT: A wide variation in thermoregulation and golden hour practices exists depending on the income status, geographic region and lowest gestation age of infants resuscitated. Using a polyethylene plastic wrap, commencing humidity within 60 min of admission and having local protocols were the most consistent practices. This study provides a comprehensive description of thermoregulation and golden hour practices to allow a global comparison in the delivery of best evidence-based practice. The findings of this survey highlight a need for reducing variation in practice and aligning practices with international guidelines for a comparable health care delivery.


Asunto(s)
Hipotermia , Recien Nacido Extremadamente Prematuro , Femenino , Humanos , Recién Nacido , Masculino , Embarazo , Regulación de la Temperatura Corporal , Hipotermia/prevención & control , Unidades de Cuidado Intensivo Neonatal , Polietilenos , Encuestas y Cuestionarios
9.
Prenat Diagn ; 42(11): 1420-1428, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-36045557

RESUMEN

OBJECTIVE: In cases of suspected neonatal airway obstruction, the ex-utero intrapartum treatment (EXIT) procedure is used to secure the airway while a fetus remains on placental circulation. We report indications and outcomes from all EXIT procedures at a tertiary obstetric unit between 1997 and 2020. METHOD: Retrospective cohort study with data collected from maternal and neonatal medical records. RESULTS: Indications for EXIT procedures were micrognathia (n = 7), lymphatic malformations (n = 5), cervical teratomas (n = 4), goiters (n = 2), and intra-oral epulis (n = 1). Infants with a fetal teratoma were delivered earliest due to 75% presenting with preterm premature rupture of membranes or preterm labor. Low birth weight was found in 75% of these neonates; they did not survive 1 year. Intubation at EXIT occurred for 58% (n = 11) of babies, and six neonates required a tracheostomy. In four cases of fetal micrognathia, the inferior facial angle (IFA) was noted to be <5th centile. All but one micrognathia case had polyhydramnios. Of the total cohort, 75% of neonates were alive at 1 year. CONCLUSION: Risks for neonatal demise with EXIT include fetal teratoma, low birth weight, and prematurity. Micrognathia has become an increasingly valid indication for the procedure. The combination of polyhydramnios and IFA <5% correlates well with severe airway obstruction and suggests consideration of EXIT.


Asunto(s)
Obstrucción de las Vías Aéreas , Micrognatismo , Polihidramnios , Teratoma , Obstrucción de las Vías Aéreas/epidemiología , Obstrucción de las Vías Aéreas/etiología , Obstrucción de las Vías Aéreas/cirugía , Procedimientos de Tratamiento Intraparto ex útero , Femenino , Humanos , Recién Nacido , Placenta , Embarazo , Pronóstico , Estudios Retrospectivos , Teratoma/cirugía
10.
Carbohydr Res ; 520: 108645, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35964481

RESUMEN

A glycal based expeditious synthesis of novel nucleoside analogues of (+)-anisomycin is reported. Readily available tri-O-benzyl-D-glucal was converted to a partially protected trihydroxypyrrolidine that is used as a common scaffold for the introduction of various nucleobases at the primary hydroxyl centre. Nucleoside analogues possessing all four DNA bases have been synthesized. Selective acetylation at C3 position was carried out with two of these unnatural nucleosides in order to mimic the structure of (+)-anisomycin. Cytotoxicity studies of some of these nucleosides showed that they display weaker activity on HeLa cells than Ara-C.


Asunto(s)
ADN , Nucleósidos , Anisomicina , ADN/química , Células HeLa , Humanos , Nucleósidos/química
11.
J Paediatr Child Health ; 58(11): 1958-1963, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-35869737

RESUMEN

AIM: The sepsis risk calculator (SRC) has been shown to reduce empirical antibiotic usage in neonates at risk of early-onset sepsis without increasing adverse clinical outcomes. However, its use for categorising and improving identification of at-risk neonates exposed to chorioamnionitis in the local population has not been reported. This study compares the management guided by the SRC to our unit's clinical practice of administering empirical antibiotics to all term neonates (born ≥37 weeks gestation), symptomatic and asymptomatic, who were exposed to chorioamnionitis, and evaluates the performance of the SRC in managing asymptomatic term neonates exposed to chorioamnionitis. METHODS: This single-centre retrospective study identified 178 eligible term neonates exposed to chorioamnionitis over a 17-month study period. Relevant demographic and clinical information on the mother-infant dyad was collected. The SRC was executed retrospectively in the study cohort. Descriptive statistics were used for reporting the findings. RESULTS: The mean gestational age was 39 (standard deviation, SD 1) weeks, and the mean birth weight was 3472 (SD 482) g. Of the 178 neonates, 136 (76%) were asymptomatic and received empirical antibiotic therapy for 2 days (mean). Based on management recommendations from the SRC, empirical antibiotic therapy could have been avoided in 98% of asymptomatic neonates; 88% could have been managed by observation alone, avoiding mother-infant separation. No neonate died or had a positive blood culture result. CONCLUSIONS: The SRC could reduce antibiotic exposure in asymptomatic neonates exposed to chorioamnionitis. It could assist clinicians to categorise risk in neonates exposed to chorioamnionitis.


Asunto(s)
Corioamnionitis , Sepsis Neonatal , Sepsis , Recién Nacido , Embarazo , Lactante , Femenino , Humanos , Corioamnionitis/diagnóstico , Corioamnionitis/tratamiento farmacológico , Corioamnionitis/epidemiología , Antibacterianos/uso terapéutico , Estudios Retrospectivos , Sepsis/diagnóstico , Sepsis/tratamiento farmacológico , Edad Gestacional , Sepsis Neonatal/diagnóstico , Sepsis Neonatal/tratamiento farmacológico , Sepsis Neonatal/epidemiología
12.
Environ Sci Pollut Res Int ; 29(13): 18440-18451, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-35037150

RESUMEN

The negative health effects of cement plant exposure are well-known in industrial settings, but they are less well-known among the general public who live near plants. The broad objective of the review was to provide a detailed systematic analysis of the global situation of the cement industry, including generation, pollution, impact on the natural ecosystem, technological and process improvements, sustainable models, the latest laws, challenges, needs, and ways forward. As an initial evaluation, a list of critical keywords was compiled, and a search of all accessible databases was conducted (i.e., Scopus, Web of Knowledge, Google Scholar). The manuscripts published in the journal between 2011 and 2021 were included. According to the findings, India is the second largest cement producer after China, with an installed capacity of 537 million tonnes and around 7.1 percent of the world's production, up from 337.32 million tonnes in 2019. NOx, SOx, CO, CO2, H2S, VOCs, dioxins, furans, and particulate matter are all common air pollutants from cement manufacturing. Other sources of dust particles include quarrying, blasting, drilling, trucking, cement plants, fuel production, packaging, path cleaning, and slabs. Other methods of reduction play an important part in decreasing industrial emissions, resulting in lower carbon and more sustainable products. The decision-making trial, in conjunction with the DEMATEL evaluation laboratory and the analytical hierarchy process (AHP) technique, will aid in determining the priority of climate alteration and mitigation options. Furthermore, employing sustainable techniques and technology, switching to alternative fuels will save 12% of total CO2 emissions by 2050.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Ecosistema , Ambiente , Industrias , Material Particulado/análisis
13.
J Environ Manage ; 301: 113851, 2022 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-34597952

RESUMEN

In present work, biodegradation of 4-Chlorophenol (4-CP) has been successfully achieved using bacteria i.e. Bacillus subtilis (MF447841.1), which was isolated from the wastewater of a nearby drain of Hyundai Motor Company service centre, Agartala, Tripura (India). Geonomic identification was carried out by 16 S rDNA technique and phylogenetic processes. Both, batch and column mode of experiments were performed to optimize various parameters (initial concentration, contact time, dosages etc.) involved in the significant biodegradation of 4-CP. Based on R2 value (0.9789), the Levenspiel's model was found to be best fit than others. The kinetic parameters; specific growth rate (µ), yield of cell mass (YX/S), and saturation constant (KS), were obtained as 0.6383 (h-1), 0.35 (g/g), and 0.006884 (g/L), respectively. The isolated strain has shown the ability of degrading 4-CP up to 1000 mg/L initial concentration within 40 h. Bacterial strain was immobilized via developing calcium alginate beads along by optimizing weight proportion of calcium chloride and sodium alginate and size of the bead for further experiments. Various process parameters i.e. initial feed concentration, bed height, rate of flow of were optimized during packed bed reactor (PBR) study. Maximum biodegradation efficiency of 4-CP was observed as 45.39% at initial concentration of 500 mg/L within 105 min, using 2 mm size of immobilized beads which were formed using 3.5% w/v of both calcium chloride and sodium alginate within. Thus, Bacillus subtilis (MF447841.1) could be used for biological remediation of 4-CP pollutant present in wastewater. Moreover, because of affordable and eco-friendly nature of water treatment, relatively it has the better scope of commercialization.


Asunto(s)
Bacillus subtilis , Reactores Biológicos , Biodegradación Ambiental , Clorofenoles , Filogenia
14.
Acta Paediatr ; 110(11): 3000-3005, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34358357

RESUMEN

AIM: While infants with early-onset sepsis require antibiotics, there is little evidence to support their routine use in asymptomatic infants exposed to maternal chorioamnionitis. We aimed to ascertain the incidence of culture-proven sepsis in full-term infants exposed to chorioamnionitis and to determine whether asymptomatic infants need routine antibiotic treatment. METHODS: This study was retrospective. Included were all full-term infants admitted to our neonatal intensive care unit between 1 January 2017 and 31 May 2018 who were given intravenous antibiotics for maternal chorioamnionitis. After identifying eligible infants, relevant maternal and infant data were collected from our medical records and the Neonatal Intensive Care Units Database. RESULTS: We selected 167 term infants from 7736 deliveries. The incidence of chorioamnionitis was 21 per 1000 deliveries. The mean gestational age was 39 weeks (range 37-41), and 57% infants were male. Asymptomatic infants (76%) received intravenous antibiotics for an average of 2 days compared to 4 days in the symptomatic group (24%), p < 0.001. No infant died or developed culture-positive sepsis. CONCLUSION: The risk of early-onset sepsis in well-appearing term infants of mothers with chorioamnionitis is low. Further studies are mandatory to determine whether asymptomatic infants of mothers with clinical chorioamnionitis need antibiotic treatment.


Asunto(s)
Corioamnionitis , Sepsis , Antibacterianos/uso terapéutico , Corioamnionitis/epidemiología , Femenino , Humanos , Lactante , Recién Nacido , Unidades de Cuidado Intensivo Neonatal , Masculino , Embarazo , Estudios Retrospectivos , Sepsis/tratamiento farmacológico , Sepsis/epidemiología
15.
J Colloid Interface Sci ; 603: 604-614, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34217948

RESUMEN

HYPOTHESIS: The properties of the oxidized surface for common materials, such as silicon and titanium, are known to be markedly different from the reduced surface. We hypothesize that surface-oxidized aluminum gallium nitride ((oxidized-AlGaN)/GaN) surface charge behavior is different to unoxidized AlGaN (with ultrathin native oxide only), which can be validated via surfactant adsorption. Understanding these differences will explain why (oxidized-AlGaN)/GaN-based sensors are better performing than AlGaN ones, which has been previously demonstrated but not understood. EXPERIMENTS: The surface of an AlGaN/GaN structure was oxidized with hot piranha solution and oxygen plasma. AFM force measurements and imaging were performed to probe the charge properties of the surface in aqueous solutions of varying pH containing only an acid or base, or with an added ionic surfactant: cationic cetyltrimethylammonium bromide (CTAB) or anionic sodium dodecylsulfate (SDS). FINDINGS: The (oxidized-AlGaN)/GaN surface is positively charged at pH 4 and pH 5.5, although pH 5.5 should be close to the isoelectric point of the surface. The surface is negatively charged at pH 10 and pH 12, and sufficiently charged to attract cooperative adsorption of CTAB aggregates at pH 12. At pH 2, the evidence is inconclusive, but the surface is most likely positively charged. Compared to unoxidized AlGaN, the (oxidized-AlGaN)/GaN surface shows a wider range of surface charge magnitude over pH values between 2 and 12. This suggests that the (oxidized-AlGaN)/GaN surface has a higher surface hydroxyl group density than unoxidized AlGaN, which explains the higher sensitivity for pH sensors based on (oxidized-AlGaN)/GaN structures.


Asunto(s)
Galio , Compuestos de Aluminio , Concentración de Iones de Hidrógeno , Dodecil Sulfato de Sodio
16.
ACS Appl Mater Interfaces ; 13(24): 28818-28831, 2021 Jun 23.
Artículo en Inglés | MEDLINE | ID: mdl-34105354

RESUMEN

Metal-organic framework (MOF) materials have received extensive attention for the design of advanced thin-film nanocomposite (TFN) membranes with excellent permselectivity. However, the relationship between the unique physicochemical properties and performance of engineered MOF-based membranes has yet to be extensively investigated. In this work, we investigate the incorporation of porous zinc-based MOFs (Zn-MOFs) into a polyamide active layer for the fabrication of TFN membranes on porous poly(phenylsulfone) (PPSU) support layers through an interfacial polymerization approach. The actual effects of varying the amount of Zn-MOF added as a nanofiller on the physicochemical properties and desalination performance of TFN membranes are studied. The presence and layout of Zn-MOFs on the top layer of the membranes were confirmed by X-ray photoelectron spectroscopy, scanning electron microscopy, and ζ potential analysis. The characterization results revealed that Zn-MOFs strongly bind with polyamide and significantly change the membrane chemistry and morphology. The results indicate that all four studied TFN membranes with incorporated Zn-MOFs enhanced the water permeability while retaining high salt rejection compared to a thin-film composite membrane. Moreover, the highest-performing membrane (50 mg/L Zn-MOF added nanofiller) not only exhibited a water permeability of 2.46 ± 0.12 LMH/bar but also maintained selectivity to reject NaCl (>90%) and Na2SO4 (>95%), similar to benchmark values. Furthermore, the membranes showed outstanding water stability throughout 72 h filtration and chlorine resistance after a 264 h chlorine-soaking test because of the better compatibility between the polyamide and Zn-MOF nanofiller. Therefore, the developed TFN membrane has potential to solve trade-off difficulties between permeability and selectivity. Our findings indicate that porous Zn-MOFs play a significant role in the development of a TFN membrane with high desalination performance and chlorine resistance.

17.
J Paediatr Child Health ; 57(10): 1627-1633, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34145664

RESUMEN

AIM: To investigate skincare practices in the first 2 weeks of life in extremely premature infants across tertiary neonatal intensive care units (NICUs). METHODS: A web-based secure survey invite was emailed to the medical directors of tertiary NICUs. The survey included questions on various aspects of skincare practices in the first 2 weeks of life in extremely premature infants (born before 28 weeks gestation). The person most familiar with local skincare practices was asked to complete the survey and only one response per unit was requested. We performed a descriptive analysis. RESULTS: We received responses from 30 out of 32 NICUs (response rate 93%). Twenty-five NICUs (89%) reported offering resuscitation and intensive care to infants born at ≥23 weeks gestation. All NICUs reported occurrences of skin breakdown, including medical adhesive-related skin injury (30%), abrasion/friction-associated skin injury (46%), perineal skin breakdown (55%), pressure site injury (47%) and diaper dermatitis (60%). A high level of consensus (≥75%) was observed for certain practices, such as the use of polyethylene occlusive plastic wraps at birth and aqueous chlorhexidine solution for sterile procedures, but a low level of consensus (<25%) was observed for many other practices, including the skin risk assessment tool used. CONCLUSIONS: Skin injuries in extremely premature infants are common and skincare practices vary considerably amongst NICUs. Clinical practice improvement projects and further clinical research will help improve consistency amongst NICUs. Further research is needed to assist the development of evidence-based guidelines and benchmarking for skincare practices in these vulnerable infants.


Asunto(s)
Recien Nacido Extremadamente Prematuro , Unidades de Cuidado Intensivo Neonatal , Australia , Humanos , Recién Nacido , Nueva Zelanda , Encuestas y Cuestionarios
18.
J Environ Manage ; 289: 112461, 2021 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-33831758

RESUMEN

The application of compost has been recognized as one of the most promising approaches for preserving soil quality and crop production. The present study exhaustively investigates the impact of Water Hyacinth Compost (WHC), Hydrilla verticillata Compost (HVC) and Vegetable Waste Compost (VWC) on soil nutrient quality and engineering properties [Bulk Density (BD), water retention and specific gravity]. For the study, six different proportions constituting 5, 10, 15, 25, 35 and 45% of the composts by weight of the soil were taken. The soil compost mixtures were evaluated at different periods (0, 15, 30, 45, 60 and 120 days) for various nutrients [Na, Mg, P, K, Ca, Total Organic Carbon (TOC), Total Kjeldahl Nitrogen (TKN)], BD, water retention capacity, change in specific gravity and Cation Exchange Capacity (CEC) values. It was observed that when the percentage of compost was increased to 15-45%, it resulted in enhanced nutrient value of the soil. Also, for WHC, HVC and VWC 60 days was sufficient to improve the soil quality to its maximum extend. Based on the optimized physico-chemical properties generated from the Response Surface Methodology (RSM) model, it was found that compared to WHC and HVC, the VWC performed better results viz., generating low BD (0.87 g/cm3), high water retention capacity (45.63%) and degree of saturation (77.49%) of the soil. While WHC, HVC and VWC can be used to improve soil nutrient content and overall physico-chemical parameters in long terms, VWC could be more efficient and beneficial to degraded soil for restoring soil health.


Asunto(s)
Compostaje , Hydrocharitaceae , Nitrógeno/análisis , Nutrientes , Suelo
19.
J Colloid Interface Sci ; 583: 331-339, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33007589

RESUMEN

HYPOTHESIS: The net surface charge of AlGaN/GaN structures, where AlGaN is in contact with the solution, is controlled by the pH-dependent protonation and deprotonation of the surface hydroxyl groups and possibly the electron-deficient surface electronic states. We hypothesize that atomic force microscopy (AFM) force measurements of ionic surfactant adsorption can reveal how the AlGaN surface properties vary with pH. EXPERIMENTS: AFM force curves and images were used to probe the AlGaN/solution interface in water as a function of pH, and with added cationic surfactant cetyltrimethylammonium bromide (CTAB) or anionic surfactant sodium dodecylsulfate (SDS). FINDINGS: The AlGaN/solution interface is negatively charged at pH 12, has an isoelectric point near pH 5.5, and is positively charged at pH values less than 5.5. Surfactant adsorption data suggests AlGaN surface is somewhat hydrophobic at acidic pH. Compared to gallium nitride (GaN), at pH 2, AlGaN has a lower charge density and hydrophobicity, but at other values of pH, the surface properties of AlGaN and GaN are similar.

20.
J Org Chem ; 86(1): 367-378, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33284627

RESUMEN

Design of Janus-faced or double-headed homoazanucleosides with the possibility to undergo self-organization through base pairing has been conceptualized and accomplished. The synthetic strategy demonstrates the unique ability to introduce two similar or complementary nucleobases on opposite arms of a chiral polyhydroxypyrrolidine while also ensuring that their faces are anti to each other to allow only intermolecular interactions between the nucleobases, an essential requisite for self-assembly. Single-crystal X-ray structures were determined for all three types of homoazanucleosides, one possessing two adenine molecules, the other with two thymine moieties, and the third containing both adenine and thymine. The crystal structures of all three display noncovalent interactions, including Watson-Crick base pairing, Hoogsteen H-bonding, and π-π stacking, resulting in unusual supramolecular patterns. The most striking supramolecular motif among them, which emerged from the crystal structure of the homoazanucleoside containing both adenine and thymine, is a left-handed helix formed through Watson-Crick pairing between nucleobases. The present study thus forms a prelude to the design of Janus-faced building blocks to establish helical pillars as well as lateral branches that together define a three-dimensional (3D) lattice. The ready accessibility of these molecules is expected to spur the next generation of discoveries in the design of functional nanomaterials.

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