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1.
Molecules ; 29(13)2024 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-38999183

RESUMO

The growing requirements regarding the safety of using polymers and their composites are related to the emergence of more effective, sustainable, and hazardous-limited fire retardants (FRs). Significant amounts of FRs are usually required to effectively affect a polymer's burning behavior, while the knowledge of their recycling potential is still insufficient. At the same time, concerns are related not only to the reduced effectiveness of flame retardancy but also, above all, to the potential deterioration of mechanical properties caused by the degradation of temperature-affected additives under processing conditions. This study describes the impact of the four-time reprocessing of bio-based polyamide 11 (PA11) modified with an intumescent flame-retardant (IFR) system composed of ammonium polyphosphate (APP), melamine cyanurate (MC), and pentaerythritol (PER) and its composites containing additional short basalt fibers (BFs). Composites manufactured via twin-screw extrusion were subjected to four reprocessing cycles using injection molding. A comprehensive analysis of their structural, mechanical, and fire behavior changes in each cycle was conducted. The obtained results confirmed the safety of using the proposed fire-retarded polyamide and its composites while reprocessing under the recommended process parameters without the risk of significant changes in the structure. The partial increase in flammability of reprocessed PA-based materials caused mainly by polymer degradation has been described.

2.
Entropy (Basel) ; 25(1)2023 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-36673261

RESUMO

Automatic translation between the national language and sign language is a complex process similar to translation between two different foreign languages. A very important aspect is the precision of not only manual gestures but also facial expressions, which are extremely important in the overall context of a sentence. In this article, we present the problem of including facial expressions in the automation of Polish-to-Polish Sign Language (PJM) translation-this is part of an ongoing project related to a comprehensive solution allowing for the animation of manual gestures, body movements and facial expressions. Our approach explores the possibility of using action unit (AU) recognition in the automatic annotation of recordings, which in the subsequent steps will be used to train machine learning models. This paper aims to evaluate entropy in real-life translation recordings and analyze the data associated with the detected action units. Our approach has been subjected to evaluation by experts related to Polish Sign Language, and the results obtained allow for the development of further work related to automatic translation into Polish Sign Language.

3.
Bioorg Chem ; 123: 105781, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35395447

RESUMO

In this study, we present the concept of co-immobilization of xylose dehydrogenase and alcohol dehydrogenase from Saccharomyces cerevisiae on an XN45 nanofiltration membrane for application in the process of xylose bioconversion to xylonic acid with simultaneous cofactor regeneration and membrane separation of reaction products. During the research, the effectiveness of the co-immobilization of enzymes was confirmed, and changes in the properties of the membrane after the processes were determined. Using the obtained biocatalytic system it was possible to obtain 99% xylonic acid production efficiency under optimal conditions, which were 5 mM xylose, 5 mM formaldehyde, ratio of NAD+:NADH 1:1, and 60 min of reaction. Additionally, the co-immobilization of enzymes made it possible to improve stability of the co-immobilized enzymes and to carry out xylose conversion in six consecutive cycles and after 7 days of storage at 4 °C with over 90% efficiency. The presented data confirm the effectiveness of the co-immobilization, improvement of the stability and reusability of the biocatalysts, and show that the obtained enzymatic system is promising for use in xylose bioconversion and simultaneous regeneration of nicotinamide cofactor.


Assuntos
Álcool Desidrogenase , Xilose , Aldeído Redutase , Biocatálise , Regeneração
4.
Int J Mol Sci ; 23(1)2021 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-35008696

RESUMO

Enzymatic conversion of pharmaceutically active ingredients (API), using immobilized enzymes should be considered as a promising industrial tool due to improved reusability and stability of the biocatalysts at harsh process conditions. Therefore, in this study horseradish peroxidase was immobilized into sodium alginate capsules and then trapped into poly(vinyl chloride) electrospun fibers to provide additional enzyme stabilization and protection against the negative effect of harsh process conditions. Due to encapsulation immobilization, 100% of immobilization yield was achieved leading to loading of 25 µg of enzyme in 1 mg of the support. Immobilized in such a way, enzyme showed over 80% activity retention. Further, only slight changes in kinetic parameters of free (Km = 1.54 mM) and immobilized horseradish peroxidase (Km = 1.83 mM) were noticed, indicating retention of high catalytic properties and high substrate affinity by encapsulated biocatalyst. Encapsulated horseradish peroxidase was tested in biodegradation of two frequently occurring in wastewater API, sulfamethoxazole (antibiotic) and carbamazepine (anticonvulsant). Over 80% of both pharmaceutics was removed by immobilized enzyme after 24 h of the process from the solution at a concentration of 1 mg/L, under optimal conditions, which were found to be pH 7, temperature 25 °C and 2 mM of H2O2. However, even from 10 mg/L solutions, it was possible to remove over 40% of both pharmaceuticals. Finally, the reusability and storage stability study of immobilized horseradish peroxidase showed retention of over 60% of initial activity after 20 days of storage at 4 °C and after 10 repeated catalytic cycles, indicating great practical application potential. By contrast, the free enzyme showed less than 20% of its initial activity after 20 days of storage and exhibited no recycling potential.


Assuntos
Carbamazepina/isolamento & purificação , Peroxidase do Rábano Silvestre/metabolismo , Cloreto de Polivinila/química , Sulfametoxazol/isolamento & purificação , Poluentes Químicos da Água/isolamento & purificação , Biocatálise , Biodegradação Ambiental , Carbamazepina/química , Ativação Enzimática , Estabilidade Enzimática , Enzimas Imobilizadas/metabolismo , Cinética , Sulfametoxazol/química
5.
J Wound Care ; 28(2): 82-88, 2019 02 02.
Artigo em Inglês | MEDLINE | ID: mdl-30767643

RESUMO

OBJECTIVE: There is a lack of literature on the characteristics and properties of fibre dressings available on the market. This study analysed the structure and absorption properties of different fibrous dressings used in wound treatment. METHOD: This in vitro experiment was performed using scanning electron microscopy (SEM) and absorption test. Dressings were compared before and after the gelling process which was then compared with the results of the absorption test. RESULTS: A total of five samples were analysed. The SEM analysis demonstrated that there are differences in the gelling processes for each. In some cases, a formation of dead spaces was noticed. Despite a similar structure and mode of action, the dressings have different properties. Results were correlated with absorption measurements. There was a considerable difference in absorption capacity of individual dressings, which may further affect the capacity of the dressing to manage exudate. CONCLUSION: Absorption of excess exudate and maintaining moisture balance in the wound environment are among the most important conditions of successful healing. Various fibrous dressings have different properties and clinicians should use this information to select the most appropriate dressing for the type of wound.


Assuntos
Curativos Hidrocoloides , Úlcera Cutânea/terapia , Cicatrização , Desenho de Equipamento , Humanos , Microscopia Eletrônica de Varredura , Propriedades de Superfície
6.
J Environ Manage ; 204(Pt 1): 300-310, 2017 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-28898751

RESUMO

A chitin/lignin material with defined physicochemical and morphological properties was used as an effective adsorbent of environmentally toxic metals from model systems. Particularly significant is its use in the neutralization of real industrial wastes. The ions Ni2+, Cu2+, Zn2+ and Pb2+ were adsorbed on the functional sorbent, confirming the high sorption capacity of the newly obtained product, primarily due to the presence on its surface of numerous active functional groups from the component biopolymers. The kinetics of the process of ion adsorption from model solution were investigated, and the experimental data were found to fit significantly better to a type 1 pseudo-second-order kinetic model, as confirmed by the high correlation coefficient of 0.999 for adsorption of both nickel(II) copper(II) zinc(II) and lead(II) ions. The experimental data obtained on the basis of adsorption isotherms corresponded to the Langmuir model. The sorption capacity of the chitin/lignin material was measured at 70.41 mg(Ni2+)/g, 75.70 mg(Cu2+)/g, 82.41 mg(Zn2+)/g and 91.74 mg(Pb2+)/g. Analysis of thermodynamic parameters confirmed the endothermic nature of the process. It was also shown that nitric acid is a very effective desorbing (regenerating) agent, enabling the chitin/lignin material to be reused as an effective sorbent of metal ions. The sorption abilities of the chitin/lignin system with respect to particular metal ions can be ordered in the sequence Ni2+

Assuntos
Cobre/análise , Íons/química , Lignina/química , Metais/análise , Níquel/análise , Águas Residuárias/química , Zinco/análise , Adsorção , Quitina/química , Cobre/química , Resíduos Industriais , Cinética , Metais/química , Níquel/química , Termodinâmica , Zinco/química
7.
Int J Mol Sci ; 17(10)2016 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-27690001

RESUMO

In this study, Hippospongia communis marine demosponge skeleton was used as an adsorbent for sodium copper chlorophyllin (SCC). Obtained results indicate the high sorption capacity of this biomaterial with respect to SCC. Batch experiments were performed under different conditions and kinetic and isotherms properties were investigated. Acidic pH and the addition of sodium chloride increased SCC adsorption. The experimental data were well described by a pseudo-second order kinetic model. Equilibrium adsorption isotherms were determined and the experimental data were analyzed using both Langmuir and Freundlich isotherms. The effectiveness of the process was confirmed by 13C Cross Polarization Magic Angle Spinning Nuclear Magnetic Resonance (13C CP/MAS NMR), Fourier transform infrared spectroscopy (FTIR), energy-dispersive X-ray spectroscopy (EDS) and thermogravimetric analysis (TG). This novel SCC-sponge-based functional hybrid material was found to exhibit antimicrobial activity against the gram-positive bacterium Staphylococcus aureus.

8.
Materials (Basel) ; 17(6)2024 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-38541580

RESUMO

This paper presents the results of research on the microstructure, mechanical, and tribological properties of Cu/0.5 wt.% MWCNT (multi-walled carbon nanotube) sintered composite materials produced by powder metallurgy. The purpose of this research was to investigate the impact of carbon nanotube modifications on the uniformity of their dispersion and the effectiveness of their bonding with the matrix. The MWCNTs were modified by chemical oxidation. Additionally, a modification of the ingredient mixing method utilizing ultrasonic frequencies was employed. The tests were carried out using scanning electron microscopy (SEM), transmission electron microscopy (TEM), Vickers hardness tests, static compression tests, and wear tests using the pin-on-disc method. Furthermore, mechanical properties and strain distribution analyses of the micro-specimens were conducted using the Micro-Fatigue System (MFS). The implemented modifications had a positive effect on the dispersion of MWCNTs in the copper matrix and on the mechanical and tribological properties of the sinters.

9.
Polymers (Basel) ; 16(9)2024 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-38732701

RESUMO

The use of biodegradable polymers as matrices in composites gives a wide range of applications, especially in niche areas. The assessment of the effect of the filler content on the change of mechanical properties makes it possible to optimize the composition for specific needs. Biochar was used as a filler in the studied composites with two different biodegradable blends as a matrix. Poly(1,4-butylene adipate-co-1,4-butylene terephthalate)/polylactide/biochar (PBAT/PLA/BC) and polylactide/poly[(R)-3-hydroxybutyrate-co-4-hydroxybutyrate]/biochar (PLA/P(3HB-co-4HB)/BC) composites with 0, 10, 15, 20 and 30 wt% of biochar underwent mechanical tests. The test results revealed a change in the properties of the composites related to the filler content. The results of the tensile test showed that increasing the biochar content increased the tensile modulus values by up to 100% for composites with 30 wt% of biochar, compared to unfilled matrices, and decreased the elongation associated with the breaking of PBAT/PLA and PLA/P(3HB-co-4HB) matrix composites. The elongation values at break of PBAT/PLA and PLA/(3HB-co-4HB) composites with 30 wt% biochar were reduced by 50% and 65%, respectively, compared to the unfilled matrices. PLA/P(3HB-co-4HB) matrix composites, in contrast to PBAT/PLA/BC, showed a decrease in tensile strength with the increases in filler content from 35.6 MPa for unfilled matrix to 27.1 MPa for PLA/P(3HB-co-4HB)/BC30 composites. An increase in filler content increased the brittleness of the composites regardless of the matrix used, as determined under the Charpy impact-test. This phenomenon was observed for all tested PLA/P(3HB-co-4HB) composites, for which the impact strength decreased from 4.47 kJ/m2 for the matrix to 1.61 kJ/m2 for the composite containing 30 wt% biochar. PBAT/PLA-based composites with 10 wt% of biochar showed slightly lower impact strength compared to the unfilled matrix, but composites with 30 wt% biochar showed 30% lower impact strength than PBAT/PLA. The complex viscosity value increased with increased filler content. For all composites tested on both polyester matrices, the viscosity decreased with increasing angular frequency.

10.
Waste Manag ; 180: 23-35, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38503031

RESUMO

Beer is among the most popular beverages in the world, with the production distributed uniformly between the biggest continents, so the utilization of brewing by-products is essential on a global scale. Among their potential recipients, the plastics industry offers extensive range of potential products. Herein, the presented study investigated the application of currently underutilized solid brewing by-products (brewers' spent grain, spent hops, spent yeast) as fillers for highly-filled poly(ε-caprolactone)-based composites, providing the first direct connection between spent hops or spent yeast and the polymer composites. Comprehensive by-product characterization revealed differences in chemical composition. The elemental C:O ratio, protein content, and Trolox equivalent antioxidant capacity varied from 1.40 to 1.89, 12.9 to 32.4 wt%, and 2.41 to 10.24 mg/g, respectively, which was mirrored in the composites' structure and performance. Morphological analysis pointed to the composition-driven hydrophilicity gap limiting interfacial adhesion for high shares of brewers' spent grain and spent hops, due to high hydrophilicity induced by carbohydrate content. Phytochemicals and other components of applied by-products stimulated composites' oxidative resistance, shifting oxidation onset temperature from 261 °C for matrix over 360 °C for high spent yeast shares. Simultaneously, spent yeast also provided compatibilizing effects for poly(ε-caprolactone)-based composites, reducing complex viscosity compared to other fillers and indicating its highest affinity to poly(ε-caprolactone)due to the lowest hydrophilicity gap. The presented results indicate that the proper selection of brewing by-products and adjustment of their shares creates an exciting possibility of engineering composites' structure and performance, which can be transferred to other polymers differing with hydrophilicity.


Assuntos
Humulus , Saccharomyces cerevisiae , Cerveja , Polímeros , Carboidratos/análise , Grão Comestível/química
11.
Polymers (Basel) ; 16(5)2024 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-38475340

RESUMO

Inadequate fire resistance of polymers raises questions about their advanced applications. Flexible polyurethane (PU) foams have myriad applications but inherently suffer from very high flammability. Because of the dependency of the ultimate properties (mechanical and damping performance) of PU foams on their cellular structure, reinforcement of PU with additives brings about further concerns. Though they are highly flammable and known for their environmental consequences, rubber wastes are desired from a circularity standpoint, which can also improve the mechanical properties of PU foams. In this work, melamine cyanurate (MC), melamine polyphosphate (MPP), and ammonium polyphosphate (APP) are used as well-known flame retardants (FRs) to develop highly fire-retardant ground tire rubber (GTR) particles for flexible PU foams. Analysis of the burning behavior of the resulting PU/GTR composites revealed that the armed GTR particles endowed PU with reduced flammability expressed by over 30% increase in limiting oxygen index, 50% drop in peak heat release rate, as well as reduced smoke generation. The Flame Retardancy Index (FRI) was used to classify and label PU/GTR composites such that the amount of GTR was found to be more important than that of FR type. The wide range of FRI (0.94-7.56), taking Poor to Good performance labels, was indicative of the sensitivity of flame retardancy to the hybridization of FR with GTR components, a feature of practicality. The results are promising for fire protection requirements in buildings; however, the flammability reduction was achieved at the expense of mechanical and thermal insulation performance.

12.
Adv Clin Exp Med ; 33(3): 299-308, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37386857

RESUMO

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has caused high morbidity and mortality and has been a source of substantial challenges for healthcare systems globally. Despite a full recovery, a significant proportion of patients demonstrate a broad spectrum of cardiovascular, pulmonary and neurological symptoms that are believed to be caused by long-term tissue damage and pathological inflammation, which play a vital role in disease development. Microvascular dysfunction also causes significant health problems. This review aimed to critically appraise the current data on the long-term cardiovascular sequelae of coronavirus disease 2019 (COVID-19), with a primary focus on cardiovascular symptoms such as chest pain, fatigue, palpitations, and breathlessness, and more significant disease entities including myocarditis, pericarditis and postural tachycardia syndrome. Potential risk factors identified in recent studies that contribute towards the development of long COVID are also included alongside a summary of recent advances in diagnostics and putative treatment options.


Assuntos
COVID-19 , Sistema Cardiovascular , Humanos , SARS-CoV-2 , Síndrome de COVID-19 Pós-Aguda , Arritmias Cardíacas
13.
Environ Sci Pollut Res Int ; 31(12): 17591-17616, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36701051

RESUMO

Rapid economic growth implicated the developing multiple industry sectors, including the automotive branch, increasing waste generation since recycling and utilization methods have not been established simultaneously. A very severe threat is the generation of enormous amounts of post-consumer tires considered burdensome waste, e.g., due to the substantial emissions of volatile organic compounds (VOCs). Therefore, it is essential to develop novel, environmentally friendly methods for their utilization, which would hinder their environmental impacts. One of the most promising approaches is shredding, resulting in the generation of ground tire rubber (GTR), which can be introduced into polymeric materials as filler. The presented work is related to the thermomechanical treatment of GTR in a twin-screw extruder with zinc borate, whose incorporation is aimed to enhance shear forces within the extruder barrel. Modified GTR was introduced into flexible polyurethane (PU) foams, and the impact of modification parameters on the cellular structure, static and dynamic mechanical performance, thermal stability, as well as thermal insulation, and acoustic properties was investigated. Emissions of VOCs from applied fillers and prepared composites were monitored and evaluated. Depending on the treatment parameters, beneficial changes in foams' cellular structure were noted, which enhanced their thermal insulation performance, mechanical strength, and thermal stability. It was proven that the proposed method of GTR thermomechanical treatment assisted by zinc borate particles might benefit the performance of flexible PU foamed composites and hinder VOC emissions, which could broaden the application range of GTR and provide novel ways for its efficient utilization.


Assuntos
Boratos , Borracha , Poliuretanos , Zinco
14.
Scand J Pain ; 24(1)2024 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-37819201

RESUMO

OBJECTIVES: Opioids are important for postoperative analgesia but their use can be associated with numerous side effects. Transcutaneous electrical nerve stimulation (TENS) has been used for acute pain treatment and has dose-dependent analgesic effects, and therefore presents an alternative to intravenous (iv) opioids for postoperative pain relief. The aim of this meta-analysis was to compare high-frequency, high-intensity (HFHI or intense) TENS to iv opioids with regard to postoperative pain intensity, recovery time in the Post Anesthesia Care Unit (PACU) and opioid consumption after elective gynecological surgery. METHODS: We searched Medline, Embase, Web of Science, Cochrane, Amed and Cinahl for RCTs and quasi-experimental studies (2010-2022), and WHO and ClinicalTrials.gov for ongoing/unpublished studies. Meta-analysis and subsequent Trial Sequential Analysis (TSA) was performed for all stated outcomes. Quality of evidence was assessed according to GRADE. RESULTS: Only three RCTs met the inclusion criteria (362 participants). The surgical procedures involved surgical abortion, gynecologic laparoscopy and hysteroscopy. The applied TENS frequency was 80 Hz and intensity 40-60 mA. There was no difference in pain intensity according to Visual Analogue Scale (VAS) at discharge from PACU between the TENS and opioid group (MD VAS -0.15, 95 % CI -0.38 to 0.09) (moderate level of evidence). Time in PACU was significantly shorter in the TENS group (MD -15.2, 95 % -22.75 to -7.67), and this finding was manifested by TSA (high-level of evidence). Opioid consumption in PACU was lower in the TENS group (MD Morphine equivalents per patient mg -3.42, 95 % -4.67 to -2.17) (high-level of evidence). CONCLUSIONS: There was no detectable difference in postoperative pain relief between HFHI TENS and iv opioids after gynecological surgery. Moreover, HFHI TENS decreases recovery time and opioid consumption in PACU. HFHI TENS may be considered an opioid-sparing alternative for postoperative pain relief after gynecological surgery. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42021231048.


Assuntos
Analgésicos Opioides , Estimulação Elétrica Nervosa Transcutânea , Gravidez , Feminino , Humanos , Analgésicos Opioides/uso terapêutico , Estimulação Elétrica Nervosa Transcutânea/métodos , Procedimentos Cirúrgicos em Ginecologia , Morfina/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico
15.
Adv Clin Exp Med ; 2024 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-38470003

RESUMO

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with a complex multifactorial etiology that develops as a result of autoimmune processes, leading to widespread inflammation and malfunction of multiple tissues and organs, and, as a consequence, triggers arterial hypertension, conduction disorders, valvular heart disease, pulmonary hypertension (PH), and venous thromboembolism events (VTE), contributing to increased mortality. Moreover, autoimmune abnormalities can accelerate atherogenesis and lead to many SLE manifestations, including coronary artery disease (CAD) and cerebrovascular events. The current review aimed to systematize existing data from the latest works and summarize published guidelines and recommendations. In particular, the prevalence of cardiovascular disorders in SLE patients, advances in diagnostics (including imaging methods and biomarker laboratory testing), the possible future direction of therapy, and the latest European Alliance of Associations for Rheumatology (EULAR) guidelines for optimal management of cardiovascular risk in SLE were overviewed.

16.
J Cardiovasc Pharmacol Ther ; 29: 10742484231202864, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38196286

RESUMO

Objective: Platelets are strongly associated with cardiovascular events due to their role in thrombotic processes. Reticulated platelets have higher prothrombotic potential. The aim of the study was to evaluate the effectiveness of immature platelet fraction (IPF) in predicting long-term clinical outcomes in patients with acute coronary syndrome (ACS). Methods: This prospective, observational study enrolled patients with ACS treated with dual antiplatelet therapy comprising acetylsalicylic acid and clopidogrel or ticagrelor. The primary outcome was a composite endpoint defined as major adverse cardiovascular events (MACE): all-cause death, myocardial infarction (MI), ischemic stroke, or unplanned revascularization. IPF was determined using flow cytometry in the first 24 h of hospitalization. MACE were evaluated by 2 physicians based on electronic databases and source documentation including discharge letters received from patients upon telephone contact. Results: Overall, there were 140 ACS patients (mean age 65.1 ± 11.7, 37 females [26.4%]) included in this study. Of them, 22.9% had diabetes mellitus, 69.3% hyperlipidemia, 25% had a history of MI. The median IPF values were 2.85 [1.8-4.2] %. Clinical follow-up (median time: 57 months [interquartile range 55-59 months]) was available for 130 patients (92.9%). MACE occurred in 27 patients (20.8%). There were higher rates of MACE at higher IPF tertiles (3rd vs 1st tertile: HR = 5.341 95% CI: 1.546-18.454, P = .008). Cox regression analyses showed that IPF level was independently associated with MACE. Time-dependent receiver-operating characteristic curve analysis revealed area under the curve of 0.656 for 5-year outcome with an IPF cutoff point of 3.45% being 63.0% sensitive and 65.0% specific for MACE. Conclusions: The study showed IPF may be an independent predictor of long-term mortality and MACE (ClinicalTrials.gov number, NCT06177587).


Assuntos
Síndrome Coronariana Aguda , Infarto do Miocárdio , Feminino , Humanos , Prognóstico , Síndrome Coronariana Aguda/diagnóstico , Síndrome Coronariana Aguda/tratamento farmacológico , Inibidores da Agregação Plaquetária/efeitos adversos , Seguimentos , Estudos Prospectivos , Infarto do Miocárdio/diagnóstico
17.
Pol Arch Intern Med ; 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38752413

RESUMO

INTRODUCTION: Tricuspid regurgitation (TR) is a common acquired valvular heart disease. Recently new transcatheter treatment options for severe TR have emerged that could change the management of this condition, which warrants better characterization of this specific patient group. OBJECTIVES: The aim of the study was to describe the clinical and echocardiographic characteristics of patients with severe TR and to evaluate their short- and mid-term prognosis. PATIENTS AND METHODS: This retrospective, observational single-center study enrolled consecutive patients with severe TR hospitalized between January 2016 and September 2021 in the 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland. The severity of heart failure (HF) was evaluated using New York Heart Association (NYHA) classification. Echocardiographic assessment was performed by experienced sonographer. EuroSCORE II and TRI-SCORE were computed for each patient. 12- and 24-month clinical outcomes were reported. RESULTS: There were 172 patients [93 female (54.1%)] included. The mean age was 76.4 (± 10.5) years. The most common comorbidities included: atrial fibrillation (84.9%), hypertension (68.0%), chronic kidney disease (54.1%), coronary artery disease (45.3%), diabetes mellitus (30.9%). The median EuroSCORE II and TRI-SCORE values were 4.68% and 14.0%, respectively. The median follow-up was 24 months. The overall mortality was 29.7% at 1 year and 47.3% at 2 years. TR grade, TAPSE <17 mm, TAPSE/SPAP <0.26 and right atrial area were significant factors associated with mortality. CONCLUSIONS: Patients presenting with severe TR are characterized by a large comorbidity burden and poor prognosis, despite intensive heart failure management.

18.
Eur Heart J Digit Health ; 5(3): 270-277, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38774371

RESUMO

Aims: Out-of-hospital cardiac arrest (OHCA) is a major health concern worldwide. Although one-third of all patients achieve a return of spontaneous circulation and may undergo a difficult period in the intensive care unit, only 1 in 10 survive. This study aims to improve our previously developed machine learning model for early prognostication of survival in OHCA. Methods and results: We studied all cases registered in the Swedish Cardiopulmonary Resuscitation Registry during 2010 and 2020 (n = 55 615). We compared the predictive performance of extreme gradient boosting (XGB), light gradient boosting machine (LightGBM), logistic regression, CatBoost, random forest, and TabNet. For each framework, we developed models that optimized (i) a weighted F1 score to penalize models that yielded more false negatives and (ii) a precision-recall area under the curve (PR AUC). LightGBM assigned higher importance values to a larger set of variables, while XGB made predictions using fewer predictors. The area under the curve receiver operating characteristic (AUC ROC) scores for LightGBM were 0.958 (optimized for weighted F1) and 0.961 (optimized for a PR AUC), while for XGB, the scores were 0.958 and 0.960, respectively. The calibration plots showed a subtle underestimation of survival for LightGBM, contrasting with a mild overestimation for XGB models. In the crucial range of 0-10% likelihood of survival, the XGB model, optimized with the PR AUC, emerged as a clinically safe model. Conclusion: We improved our previous prediction model by creating a parsimonious model with an AUC ROC at 0.96, with excellent calibration and no apparent risk of underestimating survival in the critical probability range (0-10%). The model is available at www.gocares.se.

19.
Materials (Basel) ; 16(20)2023 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-37895795

RESUMO

Despite their popularity and multiplicity of applications, wood-polymer composites (WPCs) still have to overcome particular issues related to their processing and properties. The main aspect is the compatibility with plant-based materials which affects the overall performance of the material. It can be enhanced by strengthening the interfacial adhesion resulting from physical and/or chemical interactions between the matrix and filler, which requires introducing a compatibilizer or a proper modification of one or both phases. Herein, the impact of cellulose filler modifications with varying contents (1-10 wt%) of hexamethylene diisocyanate (HDI) on the compatibility of Mater-Bi/poly(ε-caprolactone) (PCL)-based biocomposites was evaluated. An analysis of surface wettability revealed that the filler modification reduced the hydrophilicity gap between phases, suggesting compatibility enhancement. It was later confirmed via microscopic observation (scanning electron microscopy (SEM) and atomic force microscopy (AFM)), which pointed to the finer dispersion of modified particles and enhanced quality of the interface. The rheological analysis confirmed increased system homogeneity by the reduction in complex viscosity. In contrast, thermogravimetric analysis (TGA) indicated the efficient modification of filler and the presence of the chemical interactions at the interface by the shift of thermal decomposition onset and the changes in the degradation course.

20.
Materials (Basel) ; 16(14)2023 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-37512235

RESUMO

The aim of this research was to analyze the effect of inorganic additives on the tribological properties of the high-density polyethylene (HDPE) matrix composite surface. Titanium (Ti) and hexagonal boron nitride (hBN) were added in different mass fractions. The samples were produced by pressing a pre-prepared mixture of granules. The composite samples with the following mass fractions of additives were fabricated: 5% hBN, 10% hBN, 28% Ti-2% hBN, 23% Ti-7% hBN, and 20% Ti-10% hBN. An even distribution of individual additives' concentrations was confirmed. Observations of morphology, surface topography, hardness, and tribological measurements were conducted using reciprocating motion tests with the "pin-on-flat" and rotational tests with the "pin-on-disc" configuration. Subsequently, microscopic observations and measurements of the wear track profile were carried out. Additionally, geometry parameters of the contacting elastic body were calculated for various counter-samples. It was found that the Shore D hardness of samples containing Ti and hBN increased with the Ti content, while the coefficient of friction (COF) value decreased. The addition of hBN alone did not significantly affect the hardness, regardless of the ratio, while the COF increased with the increasing hBN content. The COF value doubled with the addition of 10% hBN (COF = 0.22), whereas the addition of 90% Ti-10% hBN resulted in a decrease in the COF value, to COF = 0.83. The highest hardness value was obtained for the sample containing 28% Ti-2% hBN (66.5), while the lowest was for the sample containing 10% hBN (63.2). The wear track analysis, including its height and width caused by deformation, was detected using a focal differentiation microscope and scanning electron microscopy. Additionally, EDS maps were generated to determine the wear characteristics of the composite.

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