Topical antibiotics in the prevention of port-site infection after elective day care laparoscopic cholecystectomy.

BACKGROUND: Wound-related infections and complications are rare after day care laparoscopic cholecystectomy (LC). They can have a significant adverse impact on the postoperative course after an uneventful elective LC. The use of topical antibiotics over the port site may prevent such complications. MATERIALS AND METHODS: This trial was conducted from January 2018 to June 2019. Two hundred and fifty patients who met the inclusion and exclusion criteria were included in the study. They were randomized into the topical antibiotic group (Group A, n = 125) and control group (Group B, n = 125). All patients underwent four-port LC. Mupirocin 2% topical antibiotic ointment was applied to all four-port sites in Group A, whereas no topical antibiotic was used in Group B. One dose of prophylactic systemic antibiotics was given to all patients in both groups. RESULTS: The mean age was 43.22 ± 12.7 years in Group A and 43.44 ± 12.5 years in Group B. The comorbidities and the other variables were comparable between the two groups. The port-site infection (PSI) was observed in one patient in Group A and three patients in Group B, which was statistically nonsignificant (P = 0.622). The mean time of detection of infection was 4.75 ± 1.7 days. All the infections were superficial surgical site infections. Microbiological swabs culture of the infected wounds yielded no growth of bacteria. CONCLUSION: The PSI after LC is very less. The use of topical antibiotics to prevent PSIs after LC could not be established.

1T and 2H heterophase MoS2for enhanced sensitivity of GaN transistor-based mercury ions sensor.

We report significantly enhanced sensitivity of AlGaN/GaN-based high electron mobility transistor (HEMT) sensor by the targeted synthesis of IT and 2H coexisting phase MoS2and applying the gate bias voltage. The HEMT structures on Si (111) substrates were used for the detection of Hg2+ions. The optimum sensitive regime in terms ofVGSandVDSof the sensor was investigated by keeping the drain source voltageVDSconstant at 2 V and by only varying the gate bias voltageVGSfrom 0 to 3 V. The strongest sensing response obtained from the device was around 0.547 mA ppb-1atVGS = 3 V, which is 63.7% higher in comparison to the response achieved at 0 V which shows a sensing response of around 0.334 mA ppb-1. The current response depicts that the fabricated device is very sensitive and selective towards Hg2+ions. Moreover, the detection limit of our sensor at 3 V was calculated around 6.21 ppt, which attributes to the strong field created between the gate electrode and the HEMT channel due to the presence of 1T metallic phase in synthesized MoS2, indicating that the lower detection limits are achievable in adequate strong fields.

Anti-Counterfeiting White Light Printed Image Multiplexing by Fast Nanosecond Laser Processing.

Passive plasmonic metasurfaces enable image multiplexing by displaying different images when altering the conditions of observation. Under white light, three-image multiplexing with polarization-selective switching has been recently demonstrated using femtosecond-laser-processed random plasmonic metasurfaces. Here, the implementation of image multiplexing is extended, thanks to a color-search algorithm, to various observation modes compatible with naked-eye observation under incoherent white light and to four-image multiplexing under polarized light. The laser-processed random plasmonic metasurfaces enabling image multiplexing exhibit self-organized patterns that can diffract light or induce dichroism through hybridization between the localized surface plasmon resonance of metallic nanoparticles and a lattice resonance. Improved spatial resolution makes the image quality compatible with commercial use in secured documents as well as the processing time and cost thanks to the use of a nanosecond laser. This high-speed and flexible laser process, based on energy-efficient nanoparticle reshaping and self-organization, produces centimeter-scale customized tamper-proof images at low cost, which can serve as overt security features.

Microflow synthesis and enhanced photocatalytic dye degradation performance of antibacterial Bi2O3 nanoparticles.

Microreactors can play a crucial role in synthesis and rapid testing of various nanocatalyst to be used in addressing the issue of environmental contamination. We have reported the rapid fabrication of polydimethylsiloxane (PDMS) and poly(methyl methacrylate) (PMMA)-based microreactor for the flow synthesis and enhanced inline photocatalysis of bismuth oxide (Bi2O3) nanoparticles. A T-shaped microreactor with uniform circular cross-sectional channel having inner diameter of 450 µm was utilized for synthesizing Bi2O3 nanoparticles with narrow size distribution. Further, photocatalytic dye degradation efficiency for methyl orange (MO) was recorded by coating these Bi2O3 nanoparticles within the inner walls of PMMA-based serpentine microreactors under visible light. The enhanced dye degradation efficiency of as high as 96% within just 15 min of irradiation is reported. A comparative analysis has also been done for both conventional as well as the in-channel photocatalysis highlighting the advantages of microreactor based photocatalysis over the conventional method. Bi2O3 nanoparticles also showed excellent stability even after three cycles indicating reusability of coated microreactors in photocatalysis. The small concentration of as synthesized Bi2O3 nanoparticles also demonstrated high efficacy for the inhibition of Escherichia coli bacterial pathogens.

Comparative evaluation of effect of chlorhexidine, Azadirachta indica (neem), and Aloe barbadensis miller (Aloe vera) on resin-dentin bond stabilization using shear bond testing: An in vitro study.

INTRODUCTION: Cavity disinfectants help to remove the microbial remnants; hence, its use prior to any restoration is valuable, and a search for alternative to chlorhexidine (CHX) is required which may be more efficacious and can overcome the drawbacks of CHX. OBJECTIVE: The aim of this study was to evaluate the effect of application of three different cavity disinfectants in a clinically relevant time period on the immediate and delayed shear bond strengths (SBSs) of an etch-and-rinse adhesive system to dentin. MATERIALS AND METHODS: For SBS testing, flat coronal dentin surfaces were prepared in two hundred extracted human molars. Specimens were randomly assigned to four groups according to the disinfectant used: Group I: Control (no disinfectant), Group II: 2% CHX solution, Group III: Aloe barbadensis miller (Aloe vera) solution, and Group IV: Azadirachta indica (neem) solution. Specimens were bonded using Prime and Bond NT adhesive which was employed according to the manufacturer's instructions. Resin composite cylinder buildups were done in all the samples. The modes of failure were noted after visual examination using a binocular stereomicroscope. Samples were also analyzed under scanning electron microscope for observation of resin-dentin interface. SBS results were analyzed using one-way ANOVA followed by Tukey's post hoc test. RESULTS: The results showed that CHX, Aloe vera, and neem had improved bond strengths as compared to the control group for both immediate and delayed SBSs. CONCLUSION: From the results of the study, the authors concluded that Aloe vera and neem can be used as alternative cavity disinfectants to CHX.