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1.
Nanotechnology ; 35(50)2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39284325

RESUMO

In this research, the visible light active performance of Bi2ZnB2O7(BBZO) was significantly enhanced through the formation of a composite with few layer MoS2. The resultant MoS2@BBZO catalyst was employed in both photocatalysis and photodetector applications. Comprehensive structural and morphological analyses of the MoS2@BBZO catalyst were conducted using x-ray diffraction, Raman spectroscopy, field-emission scanning electron microscopy (FE-SEM), and transmission electron microscopy. The estimated band gaps of BBZO and the composite were found to be 2.8 eV and 1.74 eV, respectively. Rhodamine B degradation studies demonstrated that the catalyst achieved 75% degradation within 30 min. Additionally, the photodetector application was investigated, revealing rapid photo-switching capabilities and an increased photocurrent.

2.
Heart ; 110(14): 933-939, 2024 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-38212100

RESUMO

It is estimated that by 2050, 17% of the world's population will be greater than 85 years old, which, combined with cardiovascular disease (CVD) being the leading cause of death and disability, sets an unprecedented burden on our health and care systems. This perfect storm will be accompanied by a rise in the prevalence of CVD due to increased survival of patients with pre-existing CVD and the incidence of CVD that is associated with the process of ageing. In this review, we will focus on the diagnosis and management of common CVD conditions in old age, namely: heart failure (HF), coronary artery disease (CAD), atrial fibrillation (AF) and valvular heart disease (VHD). Despite limited evidence, clinical guidelines are increasingly considering the complexity of management of these conditions in the older person, which often coexist, for example, AF and HF or CAD and VHD. Furthermore, they, in turn, need specific consideration in the context of comorbidities, polypharmacy, frailty and impaired cognition found in this age group. Hence, the emerging role of the geriatric cardiologist is therefore vital in performing comprehensive geriatric assessment, attending multidisciplinary team meetings and ultimately considering the patient and the sum of their diseases in their totality. There have been recent advances in CVD management but how we apply these to deliver integrated care to the elderly population is key. This review article aims to bring together emerging studies and guidelines on assessment and management of CVD in the elderly, summarising latest definitions, diagnostics, therapeutics and future challenges.


Assuntos
Doenças Cardiovasculares , Humanos , Idoso , Doenças Cardiovasculares/terapia , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/diagnóstico , Avaliação Geriátrica/métodos , Geriatria , Idoso de 80 Anos ou mais , Cardiologia/tendências , Comorbidade , Envelhecimento
3.
Br J Hosp Med (Lond) ; 85(8): 1-14, 2024 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-39212557

RESUMO

Patients who discharge themselves against medical advice comprise 1%-2% of hospital admissions. Discharge against medical advice (DAMA) is defined as when a hospitalised patient chooses to leave the hospital before the treating medical team recommends discharge. The act of DAMA impacts on both the patient, the staff and their ongoing care. Specifically, this means that the patient's medical problems maybe inadequately assessed or treated. Patients who decide to DAMA tend to be young males, from a lower socioeconomic background and with a history of mental health or substance misuse disorder. DAMA has an associated increased risk of morbidity and mortality. In this review of studies across Western healthcare settings, specifically adult medical inpatients, we will review the evidence and seek to address the causes, consequences and possible corrective measures in this common scenario.


Assuntos
Alta do Paciente , Humanos , Recusa do Paciente ao Tratamento , Masculino , Adulto
4.
Drug Alcohol Depend ; 260: 111351, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38838477

RESUMO

BACKGROUND: Most people who smoke cigarettes report they want to quit in the future, but only 20 % are ready to quit within the next 30 days. This 3-arm pilot randomized controlled trial examined the feasibility and initial efficacy of a novel smartphone-based intervention that aimed to induce smoking cessation attempts among adults not initially ready to quit. METHODS: Participants randomized into the two intervention groups (Group 1: Phoenix App Only; Group 2: Phoenix App + Nicotine Replacement Therapy) received daily smoking cessation messages via smartphone application that were tailored to their current readiness to quit, while the attention control group (i.e., Factoid) received messages not related to smoking cessation. All participants completed a weekly survey for 26 weeks and used the app to set quit dates when/if desired. RESULTS: Participants (N=152) were female (67.8 %), White (75.7 %), 50.0 years old (SD=12.5), and smoked 20.4 cigarettes per day (SD=10.5). Results indicated that the Phoenix interventions were feasible (e.g., participants viewed ~185 messages over 26 weeks; 74.8 % of weekly surveys were completed; 85.5 % completed the 26-week follow-up assessment). Phoenix participants set more quit dates, set quit dates sooner, were abstinent for more days, and used smoking cessation medications on more days than those assigned to the Factoid group. CONCLUSIONS: This low-burden, smartphone-based smoking cessation induction intervention may increase smoking cessation attempts, and may reduce barriers that are encountered with traditional in-person or call-based interventions. TRIAL REGISTRATION: Clinicaltrials.gov number: NCT03405129; https://clinicaltrials.gov/ct2/show/NCT03405129.


Assuntos
Smartphone , Abandono do Hábito de Fumar , Humanos , Feminino , Abandono do Hábito de Fumar/métodos , Masculino , Projetos Piloto , Pessoa de Meia-Idade , Adulto , Aplicativos Móveis , Dispositivos para o Abandono do Uso de Tabaco
5.
Sci Rep ; 14(1): 18177, 2024 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-39107342

RESUMO

Ferroelectric BaBi4Ti4O15 was prepared using solid-state calcination at 950 °C for four hours. X-ray diffraction, Raman spectroscopy, and X-ray photoelectron spectroscopy were utilized to understand its microstructure and other structural aspects. Particle size was around < 1.5 µm. This oxide is able to demonstrate piezocatalysis and tribocatalysis as reflected in its dye degradation performance. This oxide showed piezocatalytic activity around 40% in 2 h and tribocatalytic activity around 90% in 12 h. The rate constant for the piezocatalytic reaction is 0.003 min-1 and for tribocatalytic reaction is 0.169 h-1. The rotation speed also affected the tribocatalytic activity of the oxide. Oxide showed 25%, 90%, and 94% tribocatalytic activity at 300, 500, and 700 rpm respectively. This material has demonstrated notable performance of catalysis under different types of mechanical energy sources and under different mechanisms.

6.
Materials (Basel) ; 16(16)2023 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-37630001

RESUMO

Ferroelectric materials are known to possess multicatalytic abilities that are nowadays utilized for removing organic pollutants from water via piezocatalysis, photocatalysis, piezo-photocatalysis, and pyrocatalysis processes. The Ba0.85Ca0.15Ti0.9Zr0.1O3 (BCZTO) ceramic is one such ferroelectric composition that has been extensively studied for electrical and electronic applications. Furthermore, the BCZTO ceramic has also shown remarkable multicatalytic performance in water-cleaning applications. The present review explores the potentiality of BCZTO for water-cleaning and bacterial-killing applications. It also highlights the fundamentals of ferroelectric ceramics, the importance of electric poling, and the principles underlying piezocatalysis, photocatalysis, and pyrocatalysis processes in addition to the multicatalytic capability of ferroelectric BCZTO ceramic.

7.
Sci Rep ; 13(1): 19744, 2023 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-37957159

RESUMO

The fabrication of a Poly (vinylidene fluoride) membrane (PVDF) and ceramic-assisted bismuth vanadate-polyvinylidene fluoride (BiVO4-PVDF) composite membrane was achieved through the utilization of the electrospinning technique. The composition and structure of the fabricated membranes were characterized by X-ray powder diffraction, Raman analysis, scanning electron microscopy, Thermo gravimetric analyzer, Fourier transform infrared spectroscopy, and UV-Vis spectroscopy techniques. The prepared polymeric membranes were then utilized for catalytic investigation and to explore, how structure affects catalytic activity using 5 mg/L, 10 mL methylene blue (MB) dye solution. Ultrasonication, visible light irradiation, and the combination were used to study piezocatalysis, photocatalysis, and piezo-photocatalysis, moreover, degradation intermediates were also explored using scavengers. Electrospun BiVO4-PVDF (BV-PVDF) composite has been found to have better piezocatalytic and photocatalytic properties than PVDF. The experimental findings reveal that the composite of BiVO4-PVDF demonstrates the highest efficiency in dye degradation, achieving a maximum degradation rate of 61% within a processing time of 180 min. The rate of degradation was calculated to be 0.0047 min-1, indicating a promising potential for the composite in the field of dye degradation.

8.
Materials (Basel) ; 15(22)2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36431702

RESUMO

Ferroelectric materials with a spontaneous polarization are proven to be potential multicatalysts in water remediation applications. The composition of 0.5Ba(Zr0.2Ti0.8)O3-0.5(Ba0.7Sr0.3)TiO3 (BST-BZT) was examined for photocatalysis, piezocatalysis, and piezo-photocatalysis processes by degrading an azo dye named methylene blue (MB). Generally, dis-aligned dipoles restrict the catalytic activities due to which the BST-BZT powder sample was poled by the corona poling technique. Coupled piezocatalysis and photocatalysis process, i.e., the piezo-photocatalysis process has shown maximum dye degradation. There was a significant improvement in degradation efficiency by using a poled BST-BZT sample compared to the unpoled sample in all processes, thus the results suggest an extensive scope of poled ferroelectric ceramic powder in the catalysis field.

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