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1.
Environ Sci Pollut Res Int ; 31(38): 50839-50856, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39103585

RESUMO

Massive consumption of fossil fuels and alarming environmental degradation are motivating researchers to learn about alternative fuels. Straight vegetable oils are an alternative to fossil fuels to meet the standards. Microalgae is also a viable carbon-neutral alternative to depleting conventional fuel sources, a solution to the industrial requirement of organic consumables and an option for a green and sustainable economy for biofuels. In the present study, lipid was extracted from Karanja seeds and Dunaliella salina biomass. These were used to prepare different binary and ternary fuel blends with conventional reference diesel fuel with different proportions along with used cooking oil with their concentrations ranging from 10 to 20% (v/v). The influence of these blends on performance and emissions characteristics in CI engines has delved at varying engine loads from 0 to 100%. The binary blend with Dunaliella salina oil has increased the performance characteristics while decreasing all the major emission parameters compared to reference diesel fuel and shows a significant improvement among binary blends. Ternary blends with Dunaliella salina oil, on the other hand, have improved performance while lowering emission parameters when compared to reference diesel fuel and demonstrate a substantial improvement across ternary blends. For predicting the performance and emission characteristics of binary and ternary blends, an artificial neural network-based model was developed. The optimum blends, OB6 (90% RDF, 10% DO) and OB8 (80% RDF, 10% DO, 10% UCO), improved BSFC by 10.71%, BTE by 14.23%, and reduced BSEC by 12.45% at full load. Emissions were generally reduced, with CO2 decreasing by up to 39.39%. The simulation results demonstrated that the created 4-7-7 model was capable of accurately predicting the performance and emission characteristics of various alternative fuel blends and indicating a stronger correlation between the predicted and observed values, having a high correlation coefficient of 0.9974. Binary and ternary blends with straight vegetable oils improved CI engine performance and pollutants compared to reference diesel fuel, indicating they have the potential to replace conventional fuels for sustainable development.


Assuntos
Óleos de Plantas , Emissões de Veículos , Emissões de Veículos/análise , Óleos de Plantas/química , Gasolina , Jatropha/química , Culinária , Microalgas , Biocombustíveis , Clorofíceas
3.
ChemSusChem ; : e202401260, 2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39167441

RESUMO

Visible light-active photocatalysts play a crucial role in gas-phase photocatalytic CO2 reduction, offering significant potential for sustainable energy conversion. Herein, we present the synthesis of spindle-shaped Iron (Fe)-based metal-organic framework (MOF) MIL-88A, coupled with distinct α-Bi2O3 nanospheres. The α-Bi2O3/MIL88A heterostructure is formed by interacting opposite surface charges, enhancing visible-light absorption and efficient interfacial charge-carrier separation. Such low-cost photocatalysts have a 1.75 eV band gap and demonstrate enhanced efficacy in converting CO2 to CO, CH4, and H2 in water without using any sacrificial agents or noble metals compared to pristine MIL88A. In addition, in situ Electron Spin Resonance (ESR) analyses revealed that these unique catalysts combination promoted enhanced interfacial charge dynamics, creating efficient trapping sites for photogenerated carriers. Further, in-situ Diffuse Reflectance Infrared Fourier Transfer Spectroscopy (DRIFTS) investigation elucidates the plausible reaction mechanism and provides an effective methodology for catalyst screening for CO2 photoreduction. This study offers an effective approach for synthesizing the earth-abundant heterostructure from metal oxide and low-cost MOFs, enhancing photocatalytic activity for sustainable carbon dioxide conversion into invaluable chemicals.

5.
Chemosphere ; 355: 141866, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38565375

RESUMO

Biochar-based materials for air treatment have gained significant attention for removing health-detrimental volatile organic compounds (VOCs) and particulate matter (PM) in indoor air settings. However, high turnaround time, multiple pretreatment processes involved, and high pore size and low surface area (>10 µm, <100 m2 g-1) of lignocellulosic feedstocks demand alternative biochar feedstock material. Considering this, we designed a simple first-of-its-kind indoor air scrubbing material using diatoms-enriched microalgae biochar. In the present study, the microalgae were cultivated on waste anaerobic digestate (biogas slurry) and were pyrolyzed at three different temperatures: 300 °C (BC300), 500 °C (BC500), and 700 °C (BC700). The BC500 and BC700 showed the highest removal efficiencies (99 %) for total volatile organic carbons (TVOCs) and formaldehyde (HCHO) at concentrations of 1.22 mg m-3 HCHO and 8.57 mg m-3 TVOC compared to 50% efficiency obtained with commercially available surgical, cloth, and N95 masks. The biochar obtained showed a high Brunauer-Emmett-Teller (BET) surface area of 238 m2 g-1 (BC500) and 480 m2 g-1 (BC700) and an average pore size of 9-11 nm due to the mesoporous characteristic of diatom frustules. The comparatively poor performance of BC300 was due to lower surface area (150 m2 g-1) arising from incomplete organic removal, as evidenced by FESEM-EDX and FTIR. The high removal efficiencies in BC500 and BC700 were also attributed to the presence of reactive functional groups such as -OH and R-NH2. Concurrently, the average particulate matter (PM10, PM2.5, and PM1) removal efficiency for BC500 and BC 700 ranged between 66 and 82.69 %. The PM removal performance of BC500 and BC700 was lower (15-20%) than commercially available masks. Overall, the present study highlights the importance of diatoms (reactive Si) present inside the pores of microalgal biochar for enhanced removal of PM, TVOCs, and HCHO at temperatures above 500 °C. This complete approach signifies a step towards establishing a self-sustainable and circular process characterized by minimal waste generation for indoor air treatment.


Assuntos
Poluentes Atmosféricos , Poluição do Ar em Ambientes Fechados , Carvão Vegetal , Microalgas , Compostos Orgânicos Voláteis , Material Particulado/análise , Compostos Orgânicos Voláteis/análise , Poluição do Ar em Ambientes Fechados/análise , Formaldeído , Poluentes Atmosféricos/análise , Monitoramento Ambiental
6.
Indian J Otolaryngol Head Neck Surg ; 76(1): 1430-1433, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38440668

RESUMO

Fibromatosis is a rare locally aggressive benign tumour which arises from the musculoaponeurotic structures throughout the body. In the oral and maxillofacial region, It has been described under a variety of synonyms, including 'extra articular desmoids', 'desmoids tumours', 'grade-1 fibrosarcomas','non metastasizing fibrosarcoma'and 'aggressive fibromatosis'. The pecularity of this entity in paranasal sinuses is that it is rare in this location and are locally aggressive with higher rates of recurrence in a relatively restricted area.The purpose of this study is to present a rare case report and reviewing the literature of this entity.

7.
J Hazard Mater ; 467: 133747, 2024 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-38350323

RESUMO

Rania-Khan Chandpur site, (Kanpur Dehat, Uttar Pradesh, India), one of the highly Chromium (Cr) contaminated sites in India due to Chromite Ore Processing Residue (COPR), has been investigated at the field-scale. We found that the area around the COPR dumps was hazardously contaminated with the Cr where its concentrations in the surface water and groundwater were > 40 mgL-1, its maximum contents in the COPRs and in the soils of the adjoining lands were 9.6 wt% and 3.83 wt%, respectively. By exploring the vegetation and microbial distribution across the site, we advocate the appropriateness of Cynodon dactylon, Chrysopogon zizanioides, Cyperus sp., and Typha angustifolia as the most suitable phytoremediation agent because their association with Cr remediating bacterial species (Pseudomonas sp., Clostridium sp. and Bacillus sp.) was strong. Using this remarkable information for the bioremediation projects, this site can be re-vegetated and bioaugmented to remediate Cr in soils, waterlogged ditches, surface water, and in groundwater systems.


Assuntos
Cromo , Microbiota , Índia , Solo , Água
8.
Sci Total Environ ; 920: 171020, 2024 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-38369133

RESUMO

The increasing prevalence of paraben compounds in the environment has given rise to concerns regarding their detrimental impacts on both ecosystems and human health. Over the past few decades, photocatalytic reactions have drawn significant attention as a method to accelerate the otherwise slow degradation of these pollutants. The current study aims to evaluate the current efficacy of the photocatalytic method for degrading parabens in aqueous solutions. An extensive literature review and bibliometric analysis were conducted to identify key research trends and influential areas in the field of photocatalytic paraben degradation. Studies were screened based on the predetermined inclusion and exclusion criteria, which led to 13 studies that were identified as being appropriate for the meta-analysis using the random effects model. Furthermore, experimental parameters such as pH, paraben initial concentration, catalyst dosage, light intensity, and contact time have been reported to have key impacts on the performance of the photocatalytic degradation process. A comprehensive quantitative assessment of these parameters was carried out in this work. Overall, photocatalytic techniques could eliminate parabens with an average degradation efficiency of >80 %. The findings of the Egger's test and the Begg's test were statistically not significant suggesting potential publication bias was not observed. This review provides a holistic understanding of the photocatalytic degradation of parabens and is anticipated to encourage more widespread adoption of photocatalytic procedures as a suitable method for the elimination of parabens from aqueous solutions, opening new avenues for future research in this direction.


Assuntos
Poluentes Ambientais , Recuperação e Remediação Ambiental , Humanos , Parabenos/metabolismo , Ecossistema , Luz
10.
Indian J Otolaryngol Head Neck Surg ; 75(4): 3657-3662, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37974706

RESUMO

Orbital defects represent difficulties in head and neck reconstruction owing to 3-dimensional complexity of the socket with aim to restore form and function. Recommended methods of reconstruction include mucosal and skin grafts free microvascular myofascial or fasciocutaneous flaps. However, most frequently, reconstruction of orbital defects calls for measures somewhere in between. The temporoparietal fascia flap (TPFF) fits well as it provides thin, pliable coverage of defects with dependable blood supply, tolerance for a large degree of rotation and minimal donor site morbidity. We hereby present our experience and results of 10 cases using TPPF and temporalis muscle post orbital exentration defects.Ten patients (7 male and 3 females) age ranging from 25 to 64 years underwent reconstruction of orbital exenteration defects using TPPF and temporalis muscle from June 2019 to June 2020 in our department. The primary disease was squamous cell carcinoma (SCC) of orbital structures (anterior compartment) in all 10 patients. All cases were clinically N0 and M0.All patients had successful transfer of TPFF grafts and temporalis muscle transfer without flap compromise. TPPF was used in all 10 patients while Temporalis muscle flap was used to fill orbital socket in our 9 patients. Temporoparietal fascial flap showed viable option for subtle orbital and malar contour defect. All patients had intact dura with residual orbital cavity after resection reconstructed with TPPF and temporalis muscle without any additional flap usage. No frontal paralysis or orbital fistula was seen but local recurrence occurred in one patient in follow up and managed with RT. The TPFF is one of the most reliable and versatile regional flaps in the head and neck for orbital reconstruction.

11.
Environ Sci Pollut Res Int ; 30(48): 105030-105055, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37725301

RESUMO

Globally, industrialisation and urbanisation have led to the generation of hazardous waste (HW). Sustainable hazardous waste management (HWM) is the need of the hour for a safe, clean, and eco-friendly environment and public health. The prominent waste management strategies should be aligned with circular economic models considering the economy, environment, and efficiency. This review critically discusses HW generation and sustainable management with the strategies of prevention, reduction, recycling, waste-to-energy, advanced treatment technology, and proper disposal. In this regard, the major HW policies, legislations, and international conventions related to HWM are summarised. The global generation and composition of hazardous industrial, household, and e-waste are analysed, along with their environmental and health impacts. The paper critically discusses recently adapted management strategies, waste-to-energy conversion techniques, treatment technologies, and their suitability, advantages, and limitations. A roadmap for future research focused on the components of the circular economy model is proposed, and the waste management challenges are discussed. This review stems to give a holistic and broader picture of global waste generation (from many sources), its effects on public health and the environment, and the need for a sustainable HWM approach towards the circular economy. The in-depth analysis presented in this work will help build cost-effective and eco-sustainable HWM projects.


Assuntos
Gerenciamento de Resíduos , Gerenciamento de Resíduos/métodos , Resíduos Perigosos , Saúde Pública , Políticas , Gestão da Segurança , Reciclagem , Resíduos Sólidos
12.
Indian J Tuberc ; 70(3): 361-365, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37562913

RESUMO

INTRODUCTION: Widespread use of Fluoroquinolones (FQs) has led to the development of its resistance in clinical isolates of Mycobacterium tuberculosis. However, in Mycobacterium tuberculosis, phenotypic resistance to FQs has been shown to be heterogeneous, ranging from low-level resistance to high-level resistance. This stratification in resistance has important implications for the inclusion of moxifloxacin (Mfx) in the treatment regimen. The World Health Organization recommends the use of GenoType MTBDRsl assay as the initial test for detecting resistance conferring mutations (both high and low) to FQs in patients with confirmed MDR-RR TB. The present study was conducted to explore the relationship of MTBDRsl Version 2.0 detected mutations in gyrA gene and genotypic DST of Mfx at WHO defined Clinical Breakpoint (CB). MATERIALS AND METHODS: A total of 200 sputum samples from Confirmed MDR/RR TB patients were included in this study. All of these samples had mutations conferring resistance to FQ confirmed by GenoType MTBDRsl assay. These samples were further subjected to Phenotypic DST against moxifloxacin using the Bactec MGIT-960 system. RESULTS: All of the 200 representative FQ resistant isolates had mutations in gyrA gene only with no detectable mutation in gyrB gene. 109 (54.5%) of the isolates had mutations associated with high-level increase in MIC while 91 (45.5%) isolates had mutations associated with low-level increase in MIC. Phenotypic DST of these 200 isolates against Mfx at CB (1.0µg/ml) revealed that of the 109 isolates with mutations associated with high-level increase in MIC and expected to be resistant at CB, only 34 (31.2%) were resistant and the remaining 75 (68.8%) were sensitive. CONCLUSION: Moxifloxacin is an important drug in the regimen for treating Drug-resistant TB and the decision to exclude this drug from the regimen should not be taken merely on the basis of mutational patterns. It should rather be taken after considering the combined results of mutational analysis and phenotypic DST.


Assuntos
Mycobacterium tuberculosis , Tuberculose Resistente a Múltiplos Medicamentos , Tuberculose , Humanos , Moxifloxacina/uso terapêutico , Antituberculosos/farmacologia , Antituberculosos/uso terapêutico , Tuberculose/tratamento farmacológico , Fluoroquinolonas/farmacologia , Fluoroquinolonas/uso terapêutico , Mutação , Genótipo , Testes de Sensibilidade Microbiana , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico , Tuberculose Resistente a Múltiplos Medicamentos/microbiologia , Farmacorresistência Bacteriana Múltipla/genética
13.
J Cancer Res Ther ; 19(3): 835-838, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37470623

RESUMO

Leiomyosarcomas (LMSs) of the head and neck are an extremely rare entity. Of all smooth muscle tumors, 4%-10% occur in the head and neck and only 0.06% in the oral cavity. Because of its infrequency, it has been associated with both delayed diagnosis and misdiagnosis. Here, we report the clinicopathological findings of a case of primary LMS of the soft palate in a 42-year-old male patient with an emphasis on the judicious use of ancillary diagnostic modalities to arrive at a definitive diagnosis. Intraorally, LMSs present as painless, lobulated, fixed masses of the submucosal tissues in middle-aged or older individuals. The treatment modalities and lymph nodal dissection criteria are dissimilar to more common oral carcinomas. Hence, definitive diagnosis is necessary.


Assuntos
Carcinoma , Leiomiossarcoma , Neoplasias Bucais , Masculino , Pessoa de Meia-Idade , Humanos , Adulto , Leiomiossarcoma/diagnóstico , Leiomiossarcoma/patologia , Neoplasias Bucais/diagnóstico , Neoplasias Bucais/patologia , Palato Mole/patologia
14.
ACS Sustain Chem Eng ; 11(22): 8337-8349, 2023 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-37292450

RESUMO

Sugarcane bagasse (SCB) is a significant agricultural residue generated by sugar mills based on sugarcane crop. Valorizing carbohydrate-rich SCB provides an opportunity to improve the profitability of sugar mills with simultaneous production of value-added chemicals, such as 2,3-butanediol (BDO). BDO is a prospective platform chemical with multitude of applications and huge derivative potential. This work presents the techno-economic and profitability analysis for fermentative production of BDO utilizing 96 MT of SCB per day. The study considers plant operation in five scenarios representing the biorefinery annexed to a sugar mill, centralized and decentralized units, and conversion of only xylose or total carbohydrates of SCB. Based on the analysis, the net unit production cost of BDO in the different scenarios ranged from 1.13 to 2.28 US$/kg, while the minimum selling price varied from 1.86 to 3.99 US$/kg. Use of the hemicellulose fraction alone was shown to result in an economically viable plant; however, this was dependent on the condition that the plant would be annexed to a sugar mill which could supply utilities and the feedstock free of cost. A standalone facility where the feedstock and utilities were procured was predicted to be economically feasible with a net present value of about 72 million US$, when both hemicellulose and cellulose fractions of SCB were utilized for BDO production. Sensitivity analysis was also conducted to highlight some key parameters affecting plant economics.

15.
Environ Res ; 231(Pt 2): 116165, 2023 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-37196691

RESUMO

In this study, the deployment of post Reverse Osmosis (RO)-carbon as a adsorbent for dye removal from water has been investigated. The post RO-carbon was thermally activated (RO900), and the material thus obtained exhibited high surface area viz. 753 m2/g. In the batch system, the efficient Methylene Blue (MB) and Methyl Orange (MO) removal was obtained by using 0.08 g and 0.13 g/50 mL adsorbent dosage respectively. Moreover, 420 min was the optimized equilibration time for both the dyes. The maximum adsorption capacities of RO900 for MB and MO dyes were 223.29 and 158.14 mg/g, respectively. The comparatively higher MB adsorption was attributed to the electrostatic attraction between adsorbent and MB. The thermodynamic findings revealed the process as spontaneous, endothermic, and accompanied by entropy increment. Additionally, simulated effluent was treated, and >99% dye removal efficiency was achieved. To mimic an industrial perspective, MB adsorption onto RO900 was also carried out in continuous mode. The initial dye concentration and effluent flow rate were among the process parameters that were optimized using the continuous mode of operation. Further, the experimental data of continuous mode was fitted with Clark, Yan, and Yoon-Nelson models. Py-GC/MS investigation revealed that dye-loaded adsorbents could be pyrolyzed to produce valuable chemicals. The cost and low toxicity associated benefits of discarded RO-carbon over other adsorbents reveal the significance of the present study.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Carbono , Corantes , Adsorção , Cinética , Termodinâmica , Azul de Metileno , Osmose , Concentração de Íons de Hidrogênio
16.
Curr Drug Res Rev ; 2023 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-36892028

RESUMO

Odevixibat is synthesized through chemical modification of Benzothiazepine's structure. It is a tiny chemical that inhibits the ileal bile acid transporter and is used to treat a variety of cholestatic illnesses, including progressive familial intrahepatic cholestasis (PFIC). For cholestatic pruritus and liver disease development, bile acid transporter inhibition is a unique treatment strategy. Odevixibat reduces enteric bile acid reuptake. Oral odevixibat was also studied in children with cholestatic liver disease. Odevixibat received its first approval in the European Union (EU) in July 2021 for the treatment of PFIC in patients aged 6 months, followed by approval in the USA in August 2021 for the treatment of pruritus in PFIC patients aged 3 months. Bile acids in the distal ileum can be reabsorbed by the ileal sodium/bile acid cotransporter, a transport glycoprotein. Odevixibat is a sodium/bile acid co-transporter reversible inhibitor. An average 3 mg once-daily dose of odevixibat for a week resulted in a 56% reduction in the area under the curve of bile acid. A daily dose of 1.5 mg resulted in a 43% decrease in the area under the curve for bile acid. Odevixibat is also being evaluated in many countries for the treatment of other cholestatic illnesses, including Alagille syndrome and biliary atresia. This article reviews the updated information on odevixibat with respect to its clinical pharmacology, mechanism of action, pharmacokinetics, pharmacodynamics, metabolism, drug-drug interactions, pre-clinical studies, and clinical trials.

17.
ChemSusChem ; 16(14): e202300142, 2023 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-36972065

RESUMO

Polyethylene terephthalate (PET) is a non-degradable single-use plastic and a major component of plastic waste in landfills. Chemical recycling is one of the most widely adopted methods to transform post-consumer PET into PET's building block chemicals. Non-catalytic depolymerization of PET is very slow and requires high temperatures and/or pressures. Recent advancements in the field of material science and catalysis have delivered several innovative strategies to promote PET depolymerization under mild reaction conditions. Particularly, heterogeneous catalysts assisted depolymerization of post-consumer PET to monomers and other value-added chemicals is the most industrially compatible method. This review includes current progresses on the heterogeneously catalyzed chemical recycling of PET. It describes four key pathways for PET depolymerization including, glycolysis, pyrolysis, alcoholysis, and reductive depolymerization. The catalyst function, active sites and structure-activity correlations are briefly outlined in each section. An outlook for future development is also presented.

18.
J Environ Manage ; 329: 117109, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-36571954

RESUMO

Waste separation at a household level could facilitate sustainable waste management. However, despite several efforts by the government, the adoption of household waste separation practices is still at a nascent stage. Therefore, we aim to study the factors affecting household waste separation intention (WSI). Drawing on Dual Factor Theory (DFT), two distinct sets of factors (enablers and barriers) were used to explain the WSI at the household level. This study also extended the Self Determination Theory (SDT) and Status Quo Bias (SQB) theory to broadly identify the factors and develop a conceptual model. The main study analyzed data from 494 respondents using a structural equation modeling approach. The result reveals that environmental concern, anticipated guilt, awareness of consequences, and health consciousness have a significant positive effect on WSI. In contrast, perceived inconvenience, information, and infrastructure barriers significantly negatively affect WSI. Additionally, gender and income partially moderated the studied relationships. The results offer key insights and implications for marketers and public policymakers.


Assuntos
Eliminação de Resíduos , Gerenciamento de Resíduos , Inquéritos e Questionários , Intenção , Modelos Teóricos , Renda , Eliminação de Resíduos/métodos , Resíduos Sólidos
19.
Indian J Surg Oncol ; 14(4): 939-942, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38187829

RESUMO

The utility of pedicled latissimus dorsi kiss flap for the reconstruction of chest wall defect is still an underutilized option. But the peculiar design and structure of the kiss flap with two semicircular flaps of equal diameter with same vascular trunk makes it amenable to cover large chest wall defects especially at places where plastic surgery facility is unavailable. We have used this flap to reconstruct large chest wall defect of size 20×18 cm in our patient operated for recurrent chest wall dermatofibrosarcoma protuberans. In the follow-up, both recipient kiss latissimus dorsi flap and donor site flap healed well without edema or extravasation.

20.
Indian J Tuberc ; 69(4): 496-502, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36460381

RESUMO

BACKGROUND: Non-communicable diseases (NCD) like hypertension, diabetes, cardiovascular and cerebrovascular diseases are the most common comorbidities among COVID-19 patients. The clinical presentation and mortality pattern of COVID-19 are different for patients with comorbidities and without comorbidities. OBJECTIVE: To determine the clinical presentation of COVID-19 and risk factors for COVID-19 mortality among diabetic patients in a tertiary care hospital in South India. METHODS: A record-based cross-sectional study was conducted by reviewing the case records of COVID-19 patients admitted for treatment from June 2020 to September 2020 in a tertiary care centre in South India. Potential risk factors for COVID-19 mortality were analysed using univariate binomial logistic regression, generalized linear models (GLM) with the Poisson distribution. Survival curves were made using the Kaplan-Meier method. RESULTS: Out of 200 COVID-19 patients with diabetes with a mean (SD) age of 56.1 (11.8) years, 61% were men. The median survival time was slightly lesser in male COVID-19 patients (15 days) as compared to female patients (16 days). The risk of mortality among COVID-19 patients with diabetes is increased for patients who presented with breathlessness (aRR = 4.5 (95% CI: 2.3-8.8)), had positive history of smoking (aRR = 1.9 (95% CI: 1.1-3.8)), who had CKD (aRR = 1.8 (95% CI: 1.1-2.8)) and who had cardiac illness (aRR = 1.6 (95% CI: 0.9-2.7)). CONCLUSION: Diabetes patients with COVID-19 need to be given additional care and monitoring especially if they present with breathlessness, positive history of smoking, cardiac illness and, CKD. Public health campaigns and health education activities to control smoking is needed to reduce the COVID-19 mortality in diabetes patients.


Assuntos
COVID-19 , Diabetes Mellitus , Insuficiência Renal Crônica , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Centros de Atenção Terciária , COVID-19/epidemiologia , Estudos Transversais , Fatores de Risco , Diabetes Mellitus/epidemiologia , Índia/epidemiologia , Dispneia
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