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A novel synergistic effect of TiO2 and ZnO incorporation in the PES-based thin-film nanocomposite nanofiltration membranes was developed for the treatment of common effluent treatment plant (CETP) textile wastewater. PES@TiO2 membranes were developed by phase inversion via the immersion precipitation method followed by the addition of zinc oxide nanoparticles prepared by the rapid microwave-assisted hydrothermal process via interfacial polymerization. p-Phenylenediamine was used as a monomer for the IP process that was coated on the PES@TiO2 support layer. Various techniques have been applied to characterize the developed thin-film nanocomposite membranes such as Fourier transform infrared (FTIR) microscopy, field emission scanning electron microscopy (FESEM), X-ray powder diffraction (XRD), and contact angle measurement to examine the presence of vibrational modes, surface morphology, the crystal structure of nanoparticles, and hydrophilicity of the membrane, respectively. Membrane properties include porosity, salt rejection, mean pore radius, pure water flux, and industrial effluent rejection efficiency that were studied. The thin-film nanocomposite membrane T5-PES@TiO2(2%)-ZnO(0.3%) was prepared with a combination of 17 wt% PES, 78 wt% DMF, 3 wt% PVP K30, 2% TiO2, 2.5 wt% PPD, 0.3 wt% ZnO, and 1.0 wt% TMC that exhibited high water permeability, porosity, higher industrial effluent rejection, and salt rejection efficiency compared to the neat PES membrane.
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Nanocompuestos , Óxido de Zinc , Monitoreo del Ambiente , Membranas Artificiales , Nanocompuestos/química , Polímeros/química , Sulfonas , Textiles , Titanio , Aguas Residuales , Agua/químicaRESUMEN
This report is on the observation and analysis of nonlinear magnetoelectric effects (NLME) for in-plane currents perpendicularly to the hexagonal axis in single crystals and liquid phase epitaxy grown thin films of barium hexaferrite. Measurements involved tuning of ferromagnetic resonance (FMR) at 56-58 GHz in the multidomain and single domain states in the ferrite by applying a current. Data on the shift in the resonance frequency with input electric power was utilized to estimate the variations in the magnetic parameter that showed a linear dependence on the input electric power. The NLME tensor coefficients were determined form the estimated changes in the magnetization and uniaxial anisotropy field. The estimated NLME coefficients for in-plane currents are shown to be much higher than for currents flowing along the hexagonal axis. Although the frequency shift of FMR was higher for the single domain resonance, the multi-domain configuration is preferable for device applications since it eliminates the need for a large bias magnetic field. Thus, multidomain resonance with current in the basal plane is favorable for use in electrically tunable miniature, ferrite microwave signal processing devices requiring low operating power.
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BACKGROUND: Drug Resistant Tuberculosis (DR-TB) is an emergent issue in the recent decades. Multidrug resistant (MDR-TB) and Extensive drug resistant (XDR-TB) tuberculosis are the common type of DR-TB. Psychological issues like depression and anxiety are common among the chronic illnesses like tuberculosis. This study aimed at estimating the prevalence of depression and anxiety among these patients. METHODS: Our study is conducted in a tertiary care teaching hospital in North India. This study aimed at identifying the prevalence of depression and anxiety among the drug resistant tuberculosis patients attending DOTS clinic. The depression and anxiety were screened using PHQ-9 and HAM-A inventories. Binomial and multinomial regression analysis were done to identifying the predictors of depression and anxiety. RESULTS: The prevalence rate of depression in MDR-TB and XDR-TB is 68% and 78% respectively. The prevalence of anxiety is 54% in MDR-TB and 66% in XDR-TB respectively in our study. Duration of illness and literacy were the significant predictors of depression and anxiety. CONCLUSION: Patients with DR-TB faces huge psychological burden and this study highlighted the toll of depression and anxiety among them. Adequate screening, identification and treatment for these disorders among DR-TB patients at their earlier treatment stage helps in improving the adherence to treatment and functionality.
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Tuberculosis Extensivamente Resistente a Drogas , Mycobacterium tuberculosis , Tuberculosis Resistente a Múltiples Medicamentos , Antituberculosos/uso terapéutico , Ansiedad/epidemiología , Depresión/epidemiología , Tuberculosis Extensivamente Resistente a Drogas/tratamiento farmacológico , Humanos , India/epidemiología , Prevalencia , Tuberculosis Resistente a Múltiples Medicamentos/tratamiento farmacológico , Tuberculosis Resistente a Múltiples Medicamentos/epidemiologíaRESUMEN
OBJECTIVE: In this article, monomers (tannic acid (TA) and m- phenylenediamine (MPD)) were used in the fabrication of a novel PES based thin-film composite nanofiltration (TFC-NF) membrane for the treatment of a common effluent treatment plant (CETP) of textile industrial wastewater. MEMBRANE SYNTHESIS: PES support sheets and TFC layers were fabricated via non-solvent induced phase inversion and in-situ interfacial polymerization (IP) process. The ultra-thin active layer was synthesized via the IP process with monomers such as tannic acid (TA) and m- phenylenediamine (MPD). T and M series membranes correspond to (PES/x wt% TA, x = 2, 4, 6) as T1, T2, T3 -TA and (PES/x wt% MPD, x = 2, 4, 6) as M1, M2, M3-MPD respectively. M0 corresponds to PES which is the virgin membrane. RESULTS: The chemical structure, surface morphology, surface roughness and surface properties were explored using fourier transform infrared (FTIR) spectroscopy, field emission scanning electron microscopy (FESEM), atomic force microscopy (AFM) and contact angle, respectively. The filtration performance of the thin-film composite nanofiltration (TFC-NF) membranes was investigated by various properties like pure water flux, salt rejection, porosity, mean pore radius and antifouling analysis. CONCLUSION: T1-TA membrane showed better water permeability, high salt rejection and better industrial effluent rejection with 94.4% of TDS that are suitable for industrial reuse and agricultural irrigation. Moreover, for T1-TA membrane, the water flux, porosity, mean pore radius, salt rejection, surface roughness and contact angle of 43.5lm- 2 h - 1, 47.1%, 16.7nm, 72.7%, 11.7nm and 41.48°was achieved respectively that was found to be higher than that of all the other fabricated membranes. Further, the rejection efficiency rate of textile effluent characteristics such as pH, turbidity, TDS, alkalinity, total hardness, BOD and COD were also achieved with maximum deduction in the T1-TA TFC-NF membrane compared to the M0-Virgin PES membrane. From the results, it can be confirmed that the T1-TA membrane significantly reduced the alkalinity, total hardness, BOD and COD rejections of 78%, 77.3%, 58.5% and 67.5% respectively, present in the effluent. Water flux recovery ratio (FRR) was improved from 74.6% for M0-Virgin PES membrane to 94.8% for T1-TA membrane. The modified TFC-NF membranes especially T1-TA, had better anti-fouling property and excellent hydrophilicity than the unmodified M0-Virgin PES membrane. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40201-021-00624-x.
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This report is on the observation and theory of electric field E induced non-linear magnetoelectric (NLME) effects in single crystal platelets of ferrimagnetic M-type strontium aluminum hexagonal ferrite. Using microwave measurement techniques, it was found that a DC electric field along the hexagonal c-axis results in significant changes in the saturation magnetization and uniaxial magneto-crystalline anisotropy field and these changes are proportional to the square of the applied static electric field. The NLME effects were present with or without an external bias magnetic field. The E-induced variation in magnetic order parameters is attributed to weakening of magnetic exchange and spin-orbit interactions since conduction electrons in the ferrite are effectively excluded from both interactions while being in transit from one Fe ion to another. We present a phenomenological theory which considers magneto-bielectric effects characterized by a quadratic term in electric field E in the free energy density. The coefficients for the NLME coupling terms have been calculated from experimental data and they do show variations with the Al substitution level and the largest rates of change of the saturation magnetization and anisotropy constant change with the applied power were observed for x = 0.4. It was also clear from the study that strength of the NLME effect does not depend on the amount Al substitution, but critically depends on the electrical conductivity of the sample with the highest NLME coefficients estimated for the sample with the highest conductivity. Results of this work are of importance for a new family of electric field tunable, miniature, high frequency ferrite devices.
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The adipokine, leptin exerts inhibitory effect on both spontaneous and oxytocin-induced contractions in myometrium. However, the mechanisms involved in leptin-induced effect are not clear. In the present study, we studied the altered characteristics of uterine contractions in the presence of leptin and the possible mechanisms of its effect in late pregnant (18.5 day) mouse uterus. We conducted functional, biochemical and molecular biology studies to demonstrate the mechanism of leptin-induced response. Leptin exerted an inhibitory response (Emax 40.5 ± 3.99%) on basal uterine contractions. The extent of inhibition was less than that obtained with known uterine relaxants, salbutamol (Emax103 ± 8.66%) and BRL-37344 (Emax 84.79 ± 8.12%). Leptin-induced uterine response was inhibited by leptin receptor antagonist SHLA and JAK-STAT pathway inhibitor, AG-490. The relaxant response was also subdued by NO-cGMP-PK-G pathway blockers L-NAME, 1400W, ODQ and KT-5823. Further, leptin enhanced the levels of NO and cGMP in uterine tissues. Also, SHLA, AG-490 and a combination of 1400 W and L-NAME prevented leptin-induced increase in NO. Similar effect was observed on cGMP levels in presence of leptin and SHLA. However, leptin did not influence CaCl2-induced response in potassium-depolarized tissues. We also detected leptin receptor protein in late pregnant mouse uterus located in endometrial luminal epithelium and myometrial layers. Real-time PCR studies revealed significantly higher expression of short forms of the receptor (ObRa and ObRc) in comparison to the long form (ObRb). In conclusion, the results of the present study suggest that leptin inhibits mouse uterine contraction by stimulating short forms of the leptin receptors and activating NO pathway in a JAK-STAT-dependent manner.
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GMP Cíclico/metabolismo , Leptina/farmacología , Óxido Nítrico/metabolismo , Receptores de Leptina/metabolismo , Contracción Uterina/efectos de los fármacos , Útero/efectos de los fármacos , Albuterol/farmacología , Animales , Relación Dosis-Respuesta a Droga , Etanolaminas/farmacología , Femenino , Regulación de la Expresión Génica/efectos de los fármacos , Sistema de Señalización de MAP Quinasas/efectos de los fármacos , Masculino , Ratones , Embarazo , Isoformas de Proteínas/agonistas , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , Receptores de Leptina/agonistas , Receptores de Leptina/genética , Útero/metabolismo , Útero/fisiologíaRESUMEN
The title naphthalene derivative, C24H20O2, features 4-methy-oxy-substituted benzene rings in the 1 and 4 positions of the naphthalene ring system. There are two crystallographically independent mol-ecules (A and B) in asymmetric unit. The independent mol-ecules have very similar conformations in which the naphthalene ring systems are only slightly bent, exhibiting dihedral angles between the constituent benzene rings of 3.76â (15) and 3.39â (15)° for A and B, respectively. The pendent 4-methyoxybenzene rings are splayed out of the plane through the naphthalene ring system to which they are connected [range of dihedral angles = 59.63â (13) to 67.09â (13)°]. In the crystal, the mol-ecular packing is consolidated by inter-molecular C-Hâ¯π inter-actions, leading to supra-molecular chains along the b axis. The chains assemble without directional inter-actions between them.
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The aim of the present study was to reveal the effect of hyperlipidemia on ß2- and ß3-adrenergic signaling in late pregnant rat uterus. Hyperlipidemia was induced in female Wistar rats by feeding a high-fat high-cholesterol diet for 8 weeks before and after mating upto the 21st day of gestation. The effect of hyperlipidemia on ß-adrenergic signaling was studied with the help of tension experiments, real-time PCR and cAMP ELISA in 21-day pregnant rat uterus. In tension experiments, hyperlipidemia neither altered the spontaneous contractility nor the oxytocin-induced contractions. However, it decreased the -logEC50 values of ß2-adrenoceptor agonist, salbutamol and ß3-adrenoceptor agonist, BRL37344. It also decreased the efficacy of adenylyl cyclase activator, forskolin. Further, there was a significant decrease in salbutamol and BRL37344-stimulated cAMP content in uterine tissues. However, there was no alteration in mRNA expressions of ß2-adrenoceptor (Adrb2), ß3-adrenoceptor (Adrb3) and Gs protein (Gnas) though there was a significant increase in the mRNA expression of Gi protein (Gnai). In conclusion, reduced cAMP content after beta-adrenergic receptor stimulation, which correlates with an increase in Gnai mRNA, may explain the mechanism of the impairment of uterine ß-adrenergic signaling in hyperlipidemic pregnant rats. The clinical implication of the present study may relate to reduced myometrial relaxant response to ß-adrenergic agonists in high fat-induced uterine dysfunction.
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AMP Cíclico/metabolismo , Hiperlipidemias/fisiopatología , Receptores Adrenérgicos beta 2/metabolismo , Receptores Adrenérgicos beta 3/metabolismo , Útero/patología , Agonistas Adrenérgicos beta/farmacología , Animales , Femenino , Embarazo , Ratas , Ratas Wistar , Receptores Adrenérgicos beta 2/química , Receptores Adrenérgicos beta 2/genética , Receptores Adrenérgicos beta 3/química , Receptores Adrenérgicos beta 3/genética , Transducción de Señal , Útero/efectos de los fármacos , Útero/metabolismoRESUMEN
A paper-based device (PBD) for the detection of chlorpyrifos pesticide at field application was fabricated based on the principles of enzyme inhibition and image processing. Rhizopus niveus lipase, p-nitrophenol palmitate and Whatman No.1 paper were used as an enzyme, substrate and support matrix, respectively. The performance of functionalized PBD was tested for lateral flow assay reaction in pure water (negative control), artificial pesticide water (positive control) and selected fruits and vegetables wash water (test). The digital image of the PBD after the test was captured using an android smartphone and analyzed in MATLAB software. Different colour space models such as, grey, RGB, HSV and YCbCr were studied and the Cb coordinate was chosen for its higher linearity (R2â¯=â¯0.988) with pesticide concentration. Experimental variations such as paper length, relative concentration ratio of the substrate and enzyme were investigated to minimize the product cost and analysis time. The developed PBD showed a significant response over wide range of sample solution's pH and operational temperature. Further, a long-term storage stability was measured for developed PBD. The LOD and LOQ were found to be 0.065â¯mgL-1 and 0.198â¯mgL-1. The results obtained from newly developed image processing method showed 92.8% accuracy with microtiter plate assay. Higher MRL was determined in the wash water of cauliflower, grapes, coriander leaves, brinjal and bitter guard. Overall, the developed paper biosensor was precise, cost effective and most suitable for field applications.
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Cloropirifos/análisis , Contaminación de Alimentos/análisis , Procesamiento de Imagen Asistido por Computador , Residuos de Plaguicidas/análisis , Brassica , Coriandrum , Frutas , Lipasa/química , Palmitatos/química , Papel , Hojas de la Planta , Teléfono Inteligente , Solanum melongena , Vitis , Agua/análisisRESUMEN
Fractures form the main pathways for flow in the subsurface within low-permeability rock. For this reason, accurately predicting flow and transport in fractured systems is vital for improving the performance of subsurface applications. Fracture sizes in these systems can range from millimeters to kilometers. Although modeling flow and transport using the discrete fracture network (DFN) approach is known to be more accurate due to incorporation of the detailed fracture network structure over continuum-based methods, capturing the flow and transport in such a wide range of scales is still computationally intractable. Furthermore, if one has to quantify uncertainty, hundreds of realizations of these DFN models have to be run. To reduce the computational burden, we solve flow and transport on a graph representation of a DFN. We study the accuracy of the graph approach by comparing breakthrough times and tracer particle statistical data between the graph-based and the high-fidelity DFN approaches, for fracture networks with varying number of fractures and degree of heterogeneity. Due to our recent developments in capabilities to perform DFN high-fidelity simulations on fracture networks with large number of fractures, we are in a unique position to perform such a comparison. We show that the graph approach shows a consistent bias with up to an order of magnitude slower breakthrough when compared to the DFN approach. We show that this is due to graph algorithm's underprediction of the pressure gradients across intersections on a given fracture, leading to slower tracer particle speeds between intersections and longer travel times. We present a bias correction methodology to the graph algorithm that reduces the discrepancy between the DFN and graph predictions. We show that with this bias correction, the graph algorithm predictions significantly improve and the results are very accurate. The good accuracy and the low computational cost, with O(10^{4}) times lower times than the DFN, makes the graph algorithm an ideal technique to incorporate in uncertainty quantification methods.
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The current surge of interest in multiferroic materials demands specialized measurement techniques to support multiferroics research. In this review article we detail well-established measurement techniques of the magneto-electric coupling coefficient in multiferroic materials, together with newly proposed ones. This work is intended to serve as a reference document for anyone willing to develop experimental measurement techniques of multiferroic materials.
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BACKGROUND: In neonatal hypoxic ischemic encephalopathy (HIE), hypo- and hyperglycemia have been associated with poor outcomes. However, glucose variability has not been reported in this population. OBJECTIVE: To examine the association between serum glucose variability within the first 24 hours and two-year neurodevelopmental outcomes in neonates cooled for HIE. STUDY DESIGN: In this retrospective cohort study, glucose, clinical and demographic data were documented from 23 term newborns treated with whole body therapeutic hypothermia. Severe neurodevelopmental outcomes from planned two-year assessments were defined as the presence of any one of the following: Gross Motor Function Classification System levels 3 to 5, Bayley III Motor Standard Score <70, Bayley III Language Score <70 and Bayley III Cognitive Standard Score <70. RESULTS: The neurodevelopmental outcomes from 8 of 23 patients were considered severe, and this group demonstrated a significant increase of mean absolute glucose (MAG) change (-0.28 to -0.03, 95% CI, pâ=â0.032). There were no significant differences between outcome groups with regards to number of patients with hyperglycemic means, one or multiple hypo- or hyperglycemic measurement(s). There were also no differences between both groups with mean glucose, although mean glucose standard deviation was approaching significance. CONCLUSIONS: Poor neurodevelopmental outcomes in whole body cooled HIE neonates are significantly associated with MAG changes. This information may be relevant for prognostication and potential management strategies.
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Cuidados Críticos , Hiperglucemia/fisiopatología , Hipoglucemia/fisiopatología , Hipotermia Inducida/métodos , Hipoxia-Isquemia Encefálica/fisiopatología , Trastornos del Neurodesarrollo/fisiopatología , Biomarcadores/sangre , Canadá/epidemiología , Hemoglobina Glucada/metabolismo , Índice Glucémico , Humanos , Hiperglucemia/complicaciones , Hiperglucemia/mortalidad , Hipoglucemia/complicaciones , Hipoglucemia/mortalidad , Hipoxia-Isquemia Encefálica/sangre , Hipoxia-Isquemia Encefálica/complicaciones , Hipoxia-Isquemia Encefálica/terapia , Recién Nacido , Monitoreo Fisiológico , Trastornos del Neurodesarrollo/sangre , Trastornos del Neurodesarrollo/etiología , Trastornos del Neurodesarrollo/prevención & control , Estudios RetrospectivosRESUMEN
Forensic identification of juvenile skulls is a problem area. Although the skull suture patterns have been suggested for use in individualizing human remains by comparing antemortem and postmortem radiographs, the age at which such patterns stabilize and can be useful for identification had been indicated as 7 years. Subsequent researchers have also concurred that antemortem and postmortem radiographs taken after the 7th year would be sufficient to meet the Daubert standard criteria for identifying skulls using radiographs. The suggestions regarding the lower age limit for stabilization of suture patterns have not been verified so far. In this research, the patterns of the sutures in the ectocranial and endocranial surfaces of the lambdoid region in 22 juvenile skulls (age range 1-10 years) and 100 adult skulls (age range 17-70 years) were studied for the relative incidence of different types of suture patterns. The radiographic recordings of the suture patterns in the juvenile skulls were also compared with the patterns seen in the ectocranial and endocranial surfaces. The findings of this study support the proposition that the suture patterns are plastic during the juvenile stage and that they undergo significant remodeling during growth into adulthood. Indicating the possibility of growth related alterations in the sutural morphology, the onset of adulthood is suggested as the age for stabilization of suture patterns in the context of prescribing standards for such criteria as those relating to Daubert.
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Determinación de la Edad por el Esqueleto/métodos , Suturas Craneales/diagnóstico por imagen , Suturas Craneales/crecimiento & desarrollo , Adolescente , Adulto , Anciano , Niño , Preescolar , Femenino , Antropología Forense , Humanos , Lactante , Masculino , Persona de Mediana Edad , Adulto JovenAsunto(s)
Linfocitos B/inmunología , Inmunidad Innata , Ácidos Siálicos , Linfocitos T/inmunología , Acetilación , Animales , Antígenos CD/química , Antígenos CD/inmunología , Linfocitos B/química , Infecciones Bacterianas/inmunología , Infecciones Bacterianas/microbiología , Conformación de Carbohidratos , Gangliósidos/química , Gangliósidos/inmunología , Humanos , Modelos Moleculares , Neuraminidasa/metabolismo , Ácidos Siálicos/química , Ácidos Siálicos/metabolismo , Linfocitos T/químicaRESUMEN
GD3 (CD60a) and its 9-O-acetylated variant (CD60b) are intracellular regulators of apoptosis in T lymphocytes. Surface expressed 9-O-acetyl- and 7-O-acetyl-GD3 (CD60b and CD60c) may have a functional impact on activated T and B cells. In order to investigate the balance between surface and intracellular expression and synthesis and degradation of these glycosphingolipids in human lymphocytes of various differentiation stages, we analyzed (i) expression of GD3 molecules on native T and B cells and thymocytes by flow cytometry and (ii) activity and regulation of possible key enzymes for CD60a,b,c synthesis and degradation at the transcriptional level. Both, surface and cytoplasmic expression of CD60a and CD60c was highest in tonsillar T cells. In thymocytes, CD60c outweighs the other CD60 variants and was mainly found in the cytoplasm. All lymphocyte preparations contained sialate O-acetyltransferase activity producing 7-O-acetyl-GD3. Sialidase activity was highest in peripheral blood lymphocytes followed by thymocytes and tonsillar T and B cells. Transcription of GD3 synthase (ST8SiaI), the key enzyme for GD3 synthesis, was highest in tonsillar T cells, whereas transcriptional levels of sialidase NEU3 and O-acetylesterase H-Lse were lowest in activated T cells. This balance between enzymes of sialic acid metabolism may explain the strong overall staining intensity for all GD3 forms in T cells. Both CASD1, presumably encoding a sialic acid-specific O-acetyltransferase, and H-Lse showed highest transcription in peripheral B lymphocytes corresponding to the low expression of CD60b and c in these cells. Our data point to regulatory functions of these anabolic and catabolic key enzymes for the expression of GD3 and its O-acetylated variants in lymphocytes at a given differentiation stage.
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Linfocitos B/metabolismo , Gangliósidos/metabolismo , Regulación Enzimológica de la Expresión Génica/inmunología , Linfocitos T/metabolismo , Acetilación , Acetilesterasa/genética , Acetilesterasa/metabolismo , Acetiltransferasas/genética , Acetiltransferasas/metabolismo , Apoptosis/genética , Apoptosis/inmunología , Linfocitos B/citología , Linfocitos B/inmunología , Diferenciación Celular/inmunología , Citosol/metabolismo , Citometría de Flujo , Gangliósidos/genética , Humanos , Proteínas de la Membrana/genética , Proteínas de la Membrana/metabolismo , Neuraminidasa/genética , Neuraminidasa/metabolismo , Tonsila Palatina/citología , Tonsila Palatina/inmunología , Sialiltransferasas/genética , Sialiltransferasas/metabolismo , Linfocitos T/citología , Linfocitos T/inmunología , Timo/citología , Timo/inmunología , Transcripción GenéticaRESUMEN
We report the metalorganic chemical vapor deposition of crystalline BiFeO3 films on platinized silicon substrates using n-butylferrocene, triphenylbismuth and oxygen. Based on thermogravimetric analysis data, the suitability of these two precursors for depositing BiFeO3 is discussed. The deposited films were characterized for structure and morphology using X-ray diffraction and scanning electron microscopy. Composition analysis using X-ray photoelectron spectroscopy revealed that the films were stoichiometric BiFeO3. Electrostatic force microscopy indicated that the film had polarizable domains that showed no deterioration in polarization over time long after electric poling. The film showed a saturation magnetization of 10 +/- 1 emu/cm3 at room temperature.
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PURPOSE: To evaluate the efficacy of cyclodialysis-enhanced Mitomycin c (MMC) trabeculectomy in post-keratoplasty glaucoma. DESIGN: Prospective, non-comparative, interventional case series. METHODS: A total of 45 eyes of 45 consecutive patients with refractory glaucoma after penetrating glaucoma underwent a cyclodialysis-augmented trabeculectomy with MMC. The visual acuity, intraocular pressure (IOP), corneal clarity, and graft failure were evaluated over a minimum follow-up of 2 years. RESULTS: The mean age of the patients was 55.4+/-9.4 years. The cyclodialysis-augmented MMC trabeculectomy procedure resulted in a mean reduction of IOP from 38.9+/-3.9 mmHg (95% confidence interval (CI) 35.9-42.2) at baseline to 11.3+/-2.8 mmHg (95% CI 9.5-12.9), at final follow up (P=0.002). Blebs were avascular, diffuse, and extended posteriorly. Postoperative UBMs revealed the presence of a cyclodialysis with a small associated suprachoroidal effusion and a subconjunctival filtering bleb in all cases. CONCLUSIONS: Cyclodialysis-augmented MMC trabeculectomy provides a safe and effective method of lowering IOP in intractable glaucoma following penetrating keratoplasty, without compromising the corneal graft survival and clarity.
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Glaucoma/cirugía , Queratoplastia Penetrante/efectos adversos , Mitomicina/administración & dosificación , Trabeculectomía/métodos , Córnea/patología , Femenino , Glaucoma/fisiopatología , Supervivencia de Injerto , Humanos , Presión Intraocular , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Agudeza VisualRESUMEN
The sialic acids of the platypus, birds, and reptiles were investigated with regard to the occurrence of N-glycolylneuraminic (Neu5Gc) acid. They were released from tissues, eggs, or salivary mucin samples by acid hydrolysis, and purified and analyzed by thin-layer chromatography, high-performance liquid chromatography, and mass spectrometry. In muscle and liver of the platypus only N-acetylneuraminic (Neu5Ac) acid was found. The nine bird species studied also did not express N-glycolylneuraminic acid with the exception of an egg, but not tissues, from the budgerigar and traces in poultry. Among nine reptiles, including one turtle, N-glycolylneuraminic acid was only found in the egg and an adult basilisk, but not in a freshly hatched animal. BLAST analysis of the genomes of the platypus, the chicken, and zebra finch against the CMP-N-acetylneuraminic acid hydroxylase did not reveal the existence of a similar protein structure. Apparently monotremes (platypus) and sauropsids (birds and reptiles) cannot synthesize Neu5Gc. The few animals where Neu5Gc was found, especially in eggs, may have acquired this from the diet or by an alternative pathway. Since Neu5Gc is antigenic to man, the observation that this monosaccharide does not or at least only rarely occur in birds and reptiles, may be of nutritional and clinical significance.
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Aves/metabolismo , Ácidos Neuramínicos/metabolismo , Ornitorrinco/metabolismo , Reptiles/metabolismo , Animales , Cromatografía Líquida de Alta Presión , Cromatografía Liquida , Espectrometría de Masas , Estructura Molecular , Ácidos Neuramínicos/química , FilogeniaRESUMEN
Partially deuterated 1,4-distyrylbenzene () is included into the pseudohexagonal nanochannels of perhydrotriphenylene (PHTP). The overall and intramolecular mobility of is investigated over a wide temperature range by (13)C, (2)H NMR as well as fluorescence spectroscopy. Simulations of the (2)H NMR spectral shapes reveal an overall wobble motion of in the channels with an amplitude of about 4 degrees at T = 220 K and 10 degrees at T = 410 K. Above T = 320 K the wobble motion is superimposed by localized 180 degrees flips of the terminal phenyl rings with a frequency of 10(6) Hz at T = 340 K. The activation energies of both types of motions are around 40 kJ mol(-1) which imply a strong sterical hindrance by the surrounding PHTP channels. The experimental vibrational structure of the fluorescence excitation spectra of is analyzed in terms of small amplitude ring torsional motions, which provide information about the spatial constraints on by the surrounding PHTP host matrix. Combining the results from NMR and fluorescence spectroscopy as well as of time-dependent density functional calculations yields the complete potential surfaces of the phenyl ring torsions. These results, which suggest that intramolecular mobility of is only reduced but not completely suppressed by the matrix, are corroborated by MD simulations. Unrealistically high potential barriers for phenyl ring flips are obtained from MD simulations using rigid PHTP matrices which demonstrate the importance of large amplitude motions of the PHTP host lattice for the mobility of the guest molecules.