BACKGROUND With an increase in the elderly population,the frequency of hospitalizations in recent years has also risen at a rapid pace.This,in turn,has resulted in poor outcomes and costly treatments.Hospitalization r...BACKGROUND With an increase in the elderly population,the frequency of hospitalizations in recent years has also risen at a rapid pace.This,in turn,has resulted in poor outcomes and costly treatments.Hospitalization rates increase in elderly patients due to a decline in glomerular filtration rate(GFR).AIM To investigate the connection between GFR and comorbidity and reasons for hospitalization in elderly patients.METHODS We analyzed patients aged 75 years and over who were admitted to the internal medicine clinic of a tertiary hospital in Eskisehir.At admission,we calculated GFR values using the Modification of Diet in Renal Disease study formula and classified them into six categories:G1,G2,G3a,G3b,G4,and G5.We analyzed associations with hospitalization diagnoses and comorbidity factors.RESULTS The average age of the patients was 80.8 years(±4.5 years).GFR was 57.287±29.5 mL/kg/1.73 m2 in women and 61.3±31.5 mL/kg/1.73 m2 in men(P=0.106).Most patients were admitted to the hospital at G2 stage(32.8%).The main reasons for hospitalization were anemia(34.4%and 28.6%)and malnutrition(20.9%and 20.8%)in women and men,respectively(P=0.078).The most frequent comor-bidity leading to hospitalization was arterial hypertension(n=168,28%),fo-llowed by diabetes(n=166,27.7%)(P=0.001).CONCLUSION When evaluating geriatric patients,low GFR alone does not provide sufficient information.Patients’comorbid factors should also be taken into account.There is no association between low GFR during hospitalization and hospitalization-Hamarat H.Aging and GFR related diagnoses.Knowing the GFR value before hospitalization will be more informative in such studies.展开更多
Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligen...Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.展开更多
Let C be a set of modules. We argue that there is an ordinal d such that if a module has a filtration by modules in g, then it has a filtration of length k by direct sums of modules in C. As an application we give ano...Let C be a set of modules. We argue that there is an ordinal d such that if a module has a filtration by modules in g, then it has a filtration of length k by direct sums of modules in C. As an application we give another way to prove a result of Saorfn and Stovicek and of Stovicek.展开更多
Glaucoma filtration surgery(GFS)stands as the most effective intervention for reducing intraocular pressure,a critical component in glaucoma management.Despite its pivotal role,the scarring of the filtration bleb rema...Glaucoma filtration surgery(GFS)stands as the most effective intervention for reducing intraocular pressure,a critical component in glaucoma management.Despite its pivotal role,the scarring of the filtration bleb remains the primary impediment to successful GFS outcomes.Perioperative utilization of antimitotics,while frontline in combating fibrosis and modulating the wound healing process,carries the risk of vision-threatening complications.Given the complexity of the wound healing cascade and the potential insufficiency of targeting a single molecule,there is an imperative to expand therapeutic modalities through combination therapies.This review offers a comprehensive elucidation of the fibrogenesis post-GFS,a synthesis unprecedented in the available literature,and aims to inform the broadening of therapeutic strategies for GFS.展开更多
In this study,synthetic wastewater containing 110μg/L arsenate(As(V)),0-20 mg/L fulvic acid(FA),and 0-12.3 mg/L phosphate was treated with 3 mg/L Fe3+.The mechanisms of FA and phosphate effects on As(V)removal by fer...In this study,synthetic wastewater containing 110μg/L arsenate(As(V)),0-20 mg/L fulvic acid(FA),and 0-12.3 mg/L phosphate was treated with 3 mg/L Fe3+.The mechanisms of FA and phosphate effects on As(V)removal by ferric chloride were determined using 0.22-10μm pore-size filtration,Zetasizer analysis,and in situ flow through cell ATR-FTIR.The results showed that up to 20mg/L FA had almost no effect on the solubility of ferric hydroxide precipitates and adsorption of As(V)by the precipitates.When FA concentration increased from 0 to 20 mg/L,the adsorption of FA led to higher negative zeta potential of the precipitates and the strong electrostatic repulsion between the precipitates decreased the particle size of ferric hydroxide flocs fromlarger than 10μmto smaller than 1μm.In the presence of 5-20 mg/L FA,46%-63%As(V)was adsorbed onto the flocs with particle size in the range of 0.45-1μm.On the other hand,phosphate did not affect the size of ferric hydroxide flocs and significantly increased the dissolved As(V)concentration because it competed with As(V)for adsorption sites on ferric hydroxide precipitates.The addition of 5mg/L cationic organic flocculant significantly reduced the effect of FA on As(V)removal,but did not reduce the effect of phosphate on As(V)removal.The findings of this study will help develop effective arsenic treatment techniques and predict the mobility of arsenic in the environment.展开更多
The mass discarding face masks has caused severe environmental problems during and after the COVID-19 pandemic.To reduce waste and minimize environmental impact,we present a new face mask featuring selfcharging extend...The mass discarding face masks has caused severe environmental problems during and after the COVID-19 pandemic.To reduce waste and minimize environmental impact,we present a new face mask featuring selfcharging extended service time and fully biodegradable materials.To extend the effective service time,we need to supplement the lost electric charge of the electret layer of face masks,for which task we propose to use the piezoelectric effect and generate electricity from breathing motions.However,existing piezoelectric materials are either toxic,impermeable,rigid,costly,or non-degradable.We synthesize a fully biodegradable piezoelectric membrane composed of polyvinyl alcohol(PVA)and glycine(GLY)via the electrospinning process.Parameters are accurately controlled to ensure that glycine crystallizes into a highly piezoelectricβphase during electrospinning and enables piezoelectric responses of the filter membrane.Tested with the standard 0.3μm particles,face masks made of the PVA-GLY membrane show an outstanding filtration efficiency of 97%,which remains stable over at least 10 h of high-concentration continuous filtration.Furthermore,we demonstrated the biodegradability of PVA-GLY masks,which can degrade completely within a few weeks,compared to commonly used surgical masks requiring over thirty years to be decomposed.展开更多
Objective Size distribution is an important biophysical property of extracellular vesicles(EVs).EVs include small EVs(s-EVs)and large EVs(l-EVs)by size.Differential ultracentrifugation(dUC)is widely used to separate E...Objective Size distribution is an important biophysical property of extracellular vesicles(EVs).EVs include small EVs(s-EVs)and large EVs(l-EVs)by size.Differential ultracentrifugation(dUC)is widely used to separate EVs from biofluids,but it can precipitate large impurity particles.Dynamic light scattering(DLS)is a simple and fast method for analyzing the size distribution of EVs.However,this approach is nonideal for heterogeneous and polydisperse samples since a small quantity of large impurity particles can markedly disturb the DLS results.Here,we developed a simple method to improve the reliability of DLS measurements.Methods Plasma was obtained from 13 volunteers.The plasma was first processed by dUC to obtain crude l-EVs.The crude l-EVs were filtered with syringe filters(pore size of 1μm and membrane material of hydrophilic polyvinylidene fluoride(PVDF))to remove large impurity particles from l-EVs.The size distributions of the crude l-EVs and filtered l-EVs were measured via DLS.Results After the samples were filtered,the coefficients of variation of the hydrodynamic radius and Peak 1 intensity of the filtered l-EVs decreased from 20.39%(12.76–28.96%)and 20.44%(14.58–28.32%)to 3.05%(1.79–4.72%)and 3.43%(1.76–5.88%),respectively,compared with those of the crude l-EVs.Conclusion These findings suggest that filtration can effectively separate circulating l-EVs in plasma to remove large impurity particles and make samples suitable for characterization by DLS.Our findings provide a simple method to improve precision via DLS to measure the size distribution of EVs.展开更多
Alternative methods for biodiesel purification that focus on ease of operation,cost reduction,and elimination of contaminated residues or that are easier to treat have received more attention.The dry wash route was us...Alternative methods for biodiesel purification that focus on ease of operation,cost reduction,and elimination of contaminated residues or that are easier to treat have received more attention.The dry wash route was used as an alternative to the wet route in biodiesel production.Filter membranes were developed based on cellulose nanofibers as the matrix and sugarcane bagasse fibers or soy hulls,as reinforcement to the matrix,before and after two chemical treatments(carboxymethylation and regeneration with sulfuric acid).The filters were characterized by permeability capacity,morphology,wettability,porosity,SEM and mechanical properties.The filtered biodiesel was also completely characterized.One of the major impacts of dry purification of biodiesel was the glycerin content after filtration.The filters CNFBR 20-28,CNFSR 5-28,CNFSR 5-35,and CNFBC 5-28 produced purified biodiesel with glycerin content below 0.02%(200 mg/L).Another relevant fact is related to the best results for acidity index,combined alkalinity,and glycerin content,obtained by the regenerated filter CNFBR 20-28,which presented a considerable permeate flow rate value above 4145 L h^(-1) m^(-2),which can be related to compacted lamellar layers observed by SEM.The produced filters were applied to biodiesel purification using a low-pressure filtration system and a simple vacuum pump,which resulted in an appreciable reduction in cost.The produced filter with sugarcane bagasse fiber carboxymethylated at 28 mesh of granulometry was efficient for biodiesel purification,including the efficient removal of free glycerin,in agreement with the standards defined by the national controlling agencies.展开更多
Magnesium(Mg),as one of the most abundant elements in earth's crust,is the lightest structural metal with extensive applications across various industries.However,the performance of Mg-based products is highly dep...Magnesium(Mg),as one of the most abundant elements in earth's crust,is the lightest structural metal with extensive applications across various industries.However,the performance of Mg-based products is highly dependent on their impurity levels,and the lack of high-purity Mg,along with efficient purification method,has posed significant challenge to its widespread industrial adoption.This study investigates the impurity behavior in Mg ingots during the vacuum gasification purification process.Through the analysis of binary phase diagrams,iron(Fe)-based foam material was selected for the filtration and purification of Mg vapor in a vacuum tube furnace.A novel approach combining vacuum gasification,vapor purification,and directional condensation is proposed.The effect of filter pore sizes and filtration temperatures on the efficacy of impurity removal was evaluated.Experimental results demonstrate that Fe-based foam with a pore size of 60 ppi,at a filtration temperature of 773 K,effectively removes impurities such as calcium(Ca),potassium(K),sodium(Na),manganese(Mn),silicon(Si),aluminum(Al),and various oxides,sulfides,and chlorides from the vapor phase.Consequently,high-purity Mg with a purity level exceeding 5N3 was obtained in the condensation zone.展开更多
Iron deficiency(ID)is a prevalent complication of chronic kidney disease(CKD),often managed reactively when associated with anaemia.This scoping review evaluates the evidence supporting intravenous(IV)iron therapy in ...Iron deficiency(ID)is a prevalent complication of chronic kidney disease(CKD),often managed reactively when associated with anaemia.This scoping review evaluates the evidence supporting intravenous(IV)iron therapy in non-anaemic individuals with CKD and ID,focusing on safety,efficacy,and emerging therapeutic implications.Current diagnostic markers,including serum ferritin,transferrin saturation,and reticulocyte haemoglobin content,are reviewed alongside their limitations in the context of inflammation and variability.The pathophysiology of ID in CKD is explored,highlighting the roles of hepcidin,hypoxia-inducible factor pathways,and uraemic toxins.Comparative studies reveal that IV iron offers a more rapid correction of iron stores,improved com-pliance,and fewer gastrointestinal side effects compared to oral iron.Evidence from trials such as“iron and heart”and“iron and muscle”suggests potential benefits of IV iron on functional capacity and fatigue,though findings were sta-tistically non-significant.Insights from heart failure trials support the safety and efficacy of IV iron in improving quality of life and reducing hospitalizations,with newer formulations like ferric derisomaltose demonstrating favourable safety profiles.This review underscores the need for standardized screening protocols for ID in CKD,even in the absence of anaemia,to facilitate earlier intervention.Future research should prioritise robust outcome measures,larger sample sizes,and person-specific treatment strategies to optimise dosing and administration frequency.Tailored approaches to IV iron therapy have the potential to significantly improve functional outcomes,quality of life,and long-term health in people with CKD.展开更多
As the global exploration and development of oil and gas resources advances into deep formations,the harsh conditions of high temperature and high salinity present significant challenges for drilling fluids.In order t...As the global exploration and development of oil and gas resources advances into deep formations,the harsh conditions of high temperature and high salinity present significant challenges for drilling fluids.In order to address the technical difficulties associated with the failure of filtrate loss reducers under high-temperature and high-salinity conditions.In this study,a hydrophobic zwitterionic filtrate loss reducer(PDA)was synthesized based on N,N-dimethylacrylamide(DMAA),2-acrylamido-2-methylpropane sulfonic acid(AMPS),diallyl dimethyl ammonium chloride(DMDAAC),styrene(ST)and a specialty vinyl monomer(A1).When the concentration of PDA was 3%,the FLAPI of PDA-WBDF was 9.8 mL and the FLHTHP(180℃,3.5 MPa)was 37.8 mL after aging at 240℃for 16 h.In the saturated NaCl environment,the FLAPI of PDA-SWBDF was 4.0 mL and the FLHTHP(180℃,3.5 MPa)was 32.0 mL after aging at 220℃ for 16 h.Under high-temperature and high-salinity conditions,the combined effect of anti-polyelectrolyte and hydrophobic association allowed PDA to adsorb on the bentonite surface tightly.The sulfonic acid groups of PDA increased the negative electronegativity and the hydration film thickness on bentonite surface,which enhanced the colloidal stability,maintained the flattened lamellar structure of bentonite and formed an appropriate particle size distribution,resulting in the formation of dense mud cakes and reducing the filtration loss effectively.展开更多
BACKGROUND Kidney is the vital organ that plays a great role in maintaining an optimal internal environment.The normal kidney function can be altered by physical injury or disease.Currently,chronic kidney disease(CKD)...BACKGROUND Kidney is the vital organ that plays a great role in maintaining an optimal internal environment.The normal kidney function can be altered by physical injury or disease.Currently,chronic kidney disease(CKD)is an increasing major health problem worldwide.In 2017,it was ranked as the 12th leading cause of death and is expected to rise to the 5th ranked cause of death by 2040.Therefore,early detection,increasing patients'awareness and treatment of CKD are required to hold the problem.However,despite its higher prevalence of hospitalized morbidity and mortality,little is known about the magnitude and associated factor of CKD in the Ethiopian context.Hence this study aimed to determine the magnitude of CKD and associated factors at Wolkite University Specialized Hospital(WKUSTH),South West Ethiopia.AIM To determine the magnitude,and associated factors of CKD in WKUSTH,Ethiopia.METHODS Institutional based cross-sectional study with secondary data was conducted from November 15,2021 to February 28,2022 at WKUSTH.Three hundred forty five(345)participants were selected by a convenient sampling technique.Creatinine and urea were measured using cobas311 fully automated chemistry analyzer and estimated glomerular filtration rate(eGFR)was calculated using CKD epidemiology collaboration formula.Sociodemographic and clinical data were collected by using a pretested questionnaire.Data were coded and entered into EpiData 3.1 version and exported to STATA version 14 for analysis.Bivariate analysis was used to screen candidate variables for multivariate analysis.In the multivariate analysis a P value<0.05 were considered statistically significant.RESULTS The magnitude of CKD by impaired eGFR were 54(15.7%)(95%CI:0.116-0.194).In multivariable analysis,older age[adjusted odds ratio(AOR)=5.91,95%CI:2.41-14.47)],hypertension(AOR=10.41,95%CI:4.55-23.81),diabetes mellitus(AOR=5.90,95%CI:2.14-16.23),high body mass index(AOR=3.0,95%CI:1.30-7.27),and anemia(AOR=2.94,95%CI:1.26-6.88)were independently associated with CKD.CONCLUSION The magnitude of CKD among adult patients admitted to WKUSTH was high.Hence,researchers need to do a population-based study and longitudinal study on the magnitude of CKD,associated factors.Estimation of GFR for all hospitalized patients might help to early detection of CKD and prevent complications.展开更多
The increasing severity of air pollution necessitates more effective and sustained air filtration technology.Concurrently,the desire for more environmentally friendly,sustainable materials with better filtering perfor...The increasing severity of air pollution necessitates more effective and sustained air filtration technology.Concurrently,the desire for more environmentally friendly,sustainable materials with better filtering performance and less environmental impact drives the move away from conventional synthetic membranes.This review presents lignocellulosic biocomposite(LigBioComp)membranes as an alternative to traditional synthetic membranes.It focuses on their materials,fabrication,and functionalization techniques while exploring challenges and proposing methods for resourceful utilization.Renowned for their abundance and renewable nature,lignocellulosic materials consist of cellulose,hemicellulose,and lignin.Various applications can benefit from their antibacterial properties,large surface area,and remarkable mechanical strength.LigBioComp membranes are fabricated through casting,electrospinning,and freeze-drying,with advancements in fabrication techniques enhancing their performance and applicability.It is suggested to use solvent-free or low-solvent techniques such as Layer-by-Layer assembly to minimize environmental impact.Freeze-drying and electrospinning with green solvents can be used for achieving specific membrane properties,though energy consumption should be considered.Apply dry-wet spinning and solvent casting processes selectively.Functional groups,including carboxyl,hydroxyl,or amino groups,can significantly improve the membrane’s capacity to capture particulate matter.Chemical etching or the precise deposition of nanoparticles can further optimize pore size and distribution.The choice of chemicals and methods is critical in functionalization,with silane coupling agents,polyethyleneimine,and polydopamine.Future research should prioritize refining fabrication methods,advancing functionalization strategies,and conducting performance and recyclability assessments on hybrid and composite materials.This will enhance integrated systems and contribute to the development of smart filters.展开更多
Purpose:To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma.Methods:Ten cases of choroidal detachment that occurred after glaucoma surgery were collected fro...Purpose:To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma.Methods:Ten cases of choroidal detachment that occurred after glaucoma surgery were collected from March 2023 to February 2024 in the hospital.Their clinical characteristics and treatment effects were observed and their causes were analyzed.Results:After the operations,the eyes with choroidal detachment after glaucoma surgery had 2 cases of true microphthalmos,6 cases of advanced glaucoma,and 2 cases of glaucoma secondary to vitreoretinal surgery.The postoperative manifestations were persistent shallow anterior chamber,the formation of anterior chamber,and then suddenly became shallow or disappeared.Meanwhile,the intraocular pressure was lower than 6 mmHg.Ultrasound and funduscopic examination showed that the choroid and retina were partially elevated,and the choroidal detachment recovered after treatment.Conclusion:Choroidal detachment is one of the common postoperative complications in glaucoma,especially in some special types of refractory glaucoma.Adequate perioperative management before surgery,cautious and delicate operation during surgery,and close observation and treatment after surgery can obviously decrease the occurrence and damage.展开更多
Waterborne pathogens pose a lifelong threat, necessitating advanced disinfection systemswith state-of-the-art materials. Laser-Induced Graphene (LIG), a 3-dimensional form ofgraphene, is a widely known electrode mater...Waterborne pathogens pose a lifelong threat, necessitating advanced disinfection systemswith state-of-the-art materials. Laser-Induced Graphene (LIG), a 3-dimensional form ofgraphene, is a widely known electrode material for its electrically-induced antimicrobialproperties. However, LIG surfaces exhibit antimicrobial properties exclusively in the presenceof electricity. In this work, copper-doped LIG (Cu-LIG) composite electrodes and filterswere developed with enhanced antimicrobial properties in single-step laser scribing. Thework emphasizes the optimization of copper doping with LIG for both electrical and nonelectrical-based disinfection. The copper doping was optimized to a minimal concentration(∼1%) just to enhance the electrochemical properties of LIG. Furthermore, the excess additionof copper was helpful towards non-electricity-based treatment without significantleaching. The prepared surfaces were tested in both electrodes and filter configuration andshowed excellent antibacterial and antiviral activity against mixed bacterial culture and amodel enteric virus, MS2 bacteriophage. On the application of 2.5 V with Cu-LIG electrodes,6-log removal of bacteria and virus was achieved. Furthermore, the membrane-based electroconductivefilters were tested in a flow-through configuration and demonstrated 6-logremoval at 2.5 V with a flux of ∼ 500 (L·m^(2))/h with both bacteria and viruses at minimumenergy expense. Additionally, reactive oxygen species scavenging and hydrogen peroxidegeneration experiments have confirmed the role of electrical effects and indirect oxidationon the inactivation mechanism. The prepared Cu-LIG composite surfaces showed potentialfor environmental remediation applications.展开更多
Pure magnesia filter and periclase-spinel filter were prepared using porous MgO powder and Al2O3 micro-powder as raw materials.The filtration efficiency and purification mechanism of the two sets of filters on molten ...Pure magnesia filter and periclase-spinel filter were prepared using porous MgO powder and Al2O3 micro-powder as raw materials.The filtration efficiency and purification mechanism of the two sets of filters on molten steel were investigated through steel casting tests.The results show that on the basis of surviving the thermal shock of molten steel,both filters can significantly reduce the number of non-metallic inclusions and total oxygen content of steel,thereby improving the cleanliness of the molten steel.After the thermal shock of molten steel,cracks were found in the microstructure of pure magnesia filter.Via the diffusion of non-metallic inclusions from steel into MgO grains of the filter to form solid solution,the inclusions were adsorbed to the internal and external surfaces of the pure magnesia filter.The number of inclusions was reduced by 62.5%,and the total oxygen content decreased from 0.892 to 0.265 wt.%after filtration,achieving a filtration efficiency of 70.3%.Compared with the pure magnesia filter,no cracks were found in the microstructure of the periclase-spinel filter.The mass transfer rate was accelerated due to the diffusion of inclusions from steel into MgO and MgAl2O4 grains of the filter,as well as the higher high-temperature liquid content and smaller pore structure of the filter.More non-metallic inclusions were able to enter the interior of the filter,which made the periclase-spinel filter more capable of adsorbing inclusions from steel and reducing total oxygen content.The periclase-spinel filter reduced the number of inclusions in steel by 84.4%and decreased the total oxygen content of the steel from 0.892 to 0.119 wt.%,with a filtration efficiency of 86.7%,demonstrating excellent comprehensive performance.展开更多
Rationale: Endotoxin contamination in conventionally purified water poses serious risks to hemodialysis patients, leading to complications such as inflammation and sepsis. Addressing these risks is essential for enhan...Rationale: Endotoxin contamination in conventionally purified water poses serious risks to hemodialysis patients, leading to complications such as inflammation and sepsis. Addressing these risks is essential for enhancing patient safety and meeting global dialysis water quality standards. Advanced filtration technologies, such as titanium dioxide (TiO₂)-based nanoparticle filters, offer a promising approach to improve water purification processes in renal care. Objectives: This study aimed to develop and evaluate the effectiveness of a TiO₂-based nanoparticle microporous filtration system for hemodialysis water purification. The objectives included analyzing the system’s performance in reducing chemical contaminants (calcium, magnesium, aluminum, and lead) and microbiological contaminants (total viable count [TVC] and endotoxin units [EU]) across multiple renal centers. Methods: Water samples from three renal centers (RC1, RC2, and RC3) were analyzed pre- and post-filtration. TiO₂ nanoparticles were synthesized using the sol-gel method and characterized via Fourier Transform Infrared (FTIR) spectroscopy and Scanning Electron Microscopy with Energy Dispersive X-ray analysis (SEM/EDX). The microporous filter, fabricated with TiO₂ nanoparticles, silicon dioxide, and polyethylene glycol (PEG), was tested for its ability to remove contaminants. Analytical techniques included spectroscopy for chemical analysis and microbiological assays for contaminant quantification. Results: Post-treatment analysis revealed significant reductions in chemical contaminants, with removal efficiencies averaging 78% for calcium, 80% for magnesium, 81% for aluminum, and 76.6% for lead across all centers. Microbiological contamination was also substantially reduced, with 78–80% removal of TVC and 76–84.6% reduction in EU levels. FTIR analysis confirmed the presence of hydroxyl groups critical for adsorption, while SEM/EDX characterization revealed a crystalline structure with a particle size of 1.45 nm, pore size of 4.11 μm, filter height of 2.56 mm, and bulk density of 0.58 g/cm³. Conclusion: The TiO₂-based nanoparticle filtration system demonstrated high efficacy in removing chemical and microbiological contaminants, significantly improving water quality for hemodialysis. These results highlight its potential as a practical solution for renal centers, especially in resource-constrained settings. Further studies are needed to evaluate its long-term performance and feasibility for widespread adoption. Recommendation: Renal centers should consider adopting TiO2-based nanoparticle filters to address persistent water quality challenges. Pilot implementations across diverse settings can provide insights into operational feasibility. Additional research should explore scalability, maintenance requirements, and cost-effectiveness to optimize integration into healthcare systems. Significance Statement: This study introduces a practical and innovative solution to improve hemodialysis water purification. By effectively reducing both chemical and microbiological contaminants, the TiO2-based filtration system has the potential to enhance patient safety and outcomes, particularly in settings where maintaining high water quality standards remains challenging.展开更多
BACKGROUND Injury to the glomerular filtration barrier causes diabetic kidney disease(DKD),and glomerular endothelial-mesenchymal transition damages the filtration barrier of glomerular endothelial cells.Shenfushu gra...BACKGROUND Injury to the glomerular filtration barrier causes diabetic kidney disease(DKD),and glomerular endothelial-mesenchymal transition damages the filtration barrier of glomerular endothelial cells.Shenfushu granules(SFSGs)can treat chronic renal failure;however,their role and mechanism in DKD remain unclear.AIM To investigate the role of SFSGs in delaying DKD progression and their underlying mechanism in a streptozotocin-induced DKD mouse model.METHODS The microalbumin content in the urine and the blood glucose,creatinine,and blood urea nitrogen levels in the serum were measured.The expression and distribution ofα-smooth muscle actin(α-SMA),heparan sulfate(HS)and cluster of differentiation(CD)31 were observed through immunofluorescence or immunohistochemistry.Western blotting was conducted to measure the expression of CD31,α-SMA,PIK3R1,protein kinase B(AKT),phospho-PIK3R1,phospho-AKT,and heparanase-1.Network pharmacology was conducted to screen and identify the core components and targets of SFSGs.Molecular docking and dynamic simulations were performed to evaluate the binding ability of the core components of SFSGs to their core targets.RESULTS Compared with those in the model group,the 24-hour microalbuminuria(188.2±20.1 and 140.4±24.7 vs 323.2±44.4),serum creatinine(79.4±2.6 and 68.7±6.0 vs 110.2±4.8),blood urea nitrogen(14.4±1.1 and 13.1±0.5 vs 19.5±1.1),and renal index(20.3±1.0 and 19.6±0.8 vs 25.3±1.7)were significantly lower in the SFSGs(2.08 and 4.16 g/kg/day extract)-treated DKD mice.SFSGs inhibited the down regulation of CD31 and the upregulation ofα-SMA in the glomerular endothelial cells of DKD mice.Additionally,SFSGs suppressed the decrease in glycocalyx thickness and the expression of its component HS.Network pharmacology revealed that PIK3R1 was the core target of SFSGs.SFSGs markedly downregulate the expression of phospho-PIK3R1,phospho-AKT,and heparanase-1.However,the PIK3R1 agonist abolished the regulatory effect of SFSGs on the expression of CD31,α-SMA,and heparanase-1.CONCLUSION Collectively,these results suggest that SFSGs can significantly delay DKD progression and inhibit injury to the glycocalyx and the endothelial-mesenchymal transition of glomerular endothelial cells.This mechanism is related to PIK3R1/AKT/heparanase-1 signaling pathway regulation.展开更多
For cone beam computed tomography(CBCT),there has long been a desire to modulate the intensity and distribution of the X-rays to accommodate the patient’s anatomy as the gantry rotates from one projection to another....For cone beam computed tomography(CBCT),there has long been a desire to modulate the intensity and distribution of the X-rays to accommodate the patient’s anatomy as the gantry rotates from one projection to another.This would reduce both image artifacts and radiation dose.However,the current beam modulation setups,such as dynamic bowtie filters,may be too complex for practical use in clinical applications.This study aimed to investigate a simplified dynamic beam filtration strategy for CBCT imaging to reduce image artifacts and radiation dose.In this study,the beam filtration was designed to vary dynamically as the CBCT gantry rotates around the object.Specifically,two distinct components were integrated:the sheet filter part and the bowtie filter part.The dynamic beam filtration setup has two working schemes,one is a combination of dynamic sheet filter and dynamic bowtie filter,denoted as dynamic filterdynamic bowtie(DFDB);the other is a combination of dynamic sheet filter and static bowtie filter,denoted as dynamic filter-static bowtie(DFSB).Numerical imaging experiments were performed for three human body parts:the shoulder,chest,and knee.In addition,the Monte Carlo simulation platform MC-GPU was used to generate the dose distribution maps.Results showed that the proposed DFDB and DFSB beam filtration schemes can significantly reduce the image artifacts and thus improve the CBCT image quality.Depending on the scanned object,the total radiation dose could be reduced by 30%.The proposed simple dynamic beam filtration strategy,especially the DFSB approach,could be beneficial in the future to improve the CBCT image quality with reduced image artifacts and radiation dose.展开更多
In this paper,we study the self-similar solutions of the degenerate diffusion equation ut-div(|▽u^(m)|^(p-2)▽u^(m))=0 of polytropic filtration diffusion in R^(N)×(0,±∞)or(R^(N)/{0})×(0,±∞)with ...In this paper,we study the self-similar solutions of the degenerate diffusion equation ut-div(|▽u^(m)|^(p-2)▽u^(m))=0 of polytropic filtration diffusion in R^(N)×(0,±∞)or(R^(N)/{0})×(0,±∞)with N≥1,m>0,p>1,such that m(p-1)>1.We give a clear classification of the self-similar solutions of the form u(x,t)=(βt)^(-α/β)((βt)^(-1/β)|x|)withα∈R andβ=α[m(p-1)-1]+p,regular or singular at the origin point.The existence and uniqueness of some solutions are established by the phase plane analysis method,and the asymptotic properties of the solutions near the origin and the infinity are also described.This paper extends the classical results of self-similar solutions for degeneratep-Laplace heat equation by Bidaut-Véron[Proc Royal Soc Edinburgh,2009,139:1-43]to the doubly nonlinear degenerate diffusion equations.展开更多
文摘BACKGROUND With an increase in the elderly population,the frequency of hospitalizations in recent years has also risen at a rapid pace.This,in turn,has resulted in poor outcomes and costly treatments.Hospitalization rates increase in elderly patients due to a decline in glomerular filtration rate(GFR).AIM To investigate the connection between GFR and comorbidity and reasons for hospitalization in elderly patients.METHODS We analyzed patients aged 75 years and over who were admitted to the internal medicine clinic of a tertiary hospital in Eskisehir.At admission,we calculated GFR values using the Modification of Diet in Renal Disease study formula and classified them into six categories:G1,G2,G3a,G3b,G4,and G5.We analyzed associations with hospitalization diagnoses and comorbidity factors.RESULTS The average age of the patients was 80.8 years(±4.5 years).GFR was 57.287±29.5 mL/kg/1.73 m2 in women and 61.3±31.5 mL/kg/1.73 m2 in men(P=0.106).Most patients were admitted to the hospital at G2 stage(32.8%).The main reasons for hospitalization were anemia(34.4%and 28.6%)and malnutrition(20.9%and 20.8%)in women and men,respectively(P=0.078).The most frequent comor-bidity leading to hospitalization was arterial hypertension(n=168,28%),fo-llowed by diabetes(n=166,27.7%)(P=0.001).CONCLUSION When evaluating geriatric patients,low GFR alone does not provide sufficient information.Patients’comorbid factors should also be taken into account.There is no association between low GFR during hospitalization and hospitalization-Hamarat H.Aging and GFR related diagnoses.Knowing the GFR value before hospitalization will be more informative in such studies.
文摘Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.
文摘Let C be a set of modules. We argue that there is an ordinal d such that if a module has a filtration by modules in g, then it has a filtration of length k by direct sums of modules in C. As an application we give another way to prove a result of Saorfn and Stovicek and of Stovicek.
基金Supported by Hospital Level Project of the Eye Hospital of China Academy of Chinese Medical Sciences(No.GSP5-40)Internal Project of the Eye Hospital of China Academy of Chinese Medical Sciences(No.1011632).
文摘Glaucoma filtration surgery(GFS)stands as the most effective intervention for reducing intraocular pressure,a critical component in glaucoma management.Despite its pivotal role,the scarring of the filtration bleb remains the primary impediment to successful GFS outcomes.Perioperative utilization of antimitotics,while frontline in combating fibrosis and modulating the wound healing process,carries the risk of vision-threatening complications.Given the complexity of the wound healing cascade and the potential insufficiency of targeting a single molecule,there is an imperative to expand therapeutic modalities through combination therapies.This review offers a comprehensive elucidation of the fibrogenesis post-GFS,a synthesis unprecedented in the available literature,and aims to inform the broadening of therapeutic strategies for GFS.
基金financially supported by the New Jersey Department of Environmental ProtectionUS EPA。
文摘In this study,synthetic wastewater containing 110μg/L arsenate(As(V)),0-20 mg/L fulvic acid(FA),and 0-12.3 mg/L phosphate was treated with 3 mg/L Fe3+.The mechanisms of FA and phosphate effects on As(V)removal by ferric chloride were determined using 0.22-10μm pore-size filtration,Zetasizer analysis,and in situ flow through cell ATR-FTIR.The results showed that up to 20mg/L FA had almost no effect on the solubility of ferric hydroxide precipitates and adsorption of As(V)by the precipitates.When FA concentration increased from 0 to 20 mg/L,the adsorption of FA led to higher negative zeta potential of the precipitates and the strong electrostatic repulsion between the precipitates decreased the particle size of ferric hydroxide flocs fromlarger than 10μmto smaller than 1μm.In the presence of 5-20 mg/L FA,46%-63%As(V)was adsorbed onto the flocs with particle size in the range of 0.45-1μm.On the other hand,phosphate did not affect the size of ferric hydroxide flocs and significantly increased the dissolved As(V)concentration because it competed with As(V)for adsorption sites on ferric hydroxide precipitates.The addition of 5mg/L cationic organic flocculant significantly reduced the effect of FA on As(V)removal,but did not reduce the effect of phosphate on As(V)removal.The findings of this study will help develop effective arsenic treatment techniques and predict the mobility of arsenic in the environment.
基金supported by General Research Grants (GRF Project No. 11212021 and No. 11210822) from the Research Grants Council of the Hong Kong Special Administrative Regionthe Innovation and Technology Fund (Project No. ITS/065/20GHP/096/19SZ) from Innovation and Technology Commission of Hong Kong Special Administrative Region
文摘The mass discarding face masks has caused severe environmental problems during and after the COVID-19 pandemic.To reduce waste and minimize environmental impact,we present a new face mask featuring selfcharging extended service time and fully biodegradable materials.To extend the effective service time,we need to supplement the lost electric charge of the electret layer of face masks,for which task we propose to use the piezoelectric effect and generate electricity from breathing motions.However,existing piezoelectric materials are either toxic,impermeable,rigid,costly,or non-degradable.We synthesize a fully biodegradable piezoelectric membrane composed of polyvinyl alcohol(PVA)and glycine(GLY)via the electrospinning process.Parameters are accurately controlled to ensure that glycine crystallizes into a highly piezoelectricβphase during electrospinning and enables piezoelectric responses of the filter membrane.Tested with the standard 0.3μm particles,face masks made of the PVA-GLY membrane show an outstanding filtration efficiency of 97%,which remains stable over at least 10 h of high-concentration continuous filtration.Furthermore,we demonstrated the biodegradability of PVA-GLY masks,which can degrade completely within a few weeks,compared to commonly used surgical masks requiring over thirty years to be decomposed.
基金National Natural Science Foundation of China(No.82495171,92268202,82270485)National Key R&D Program of China(No.2021YFA0805100)+5 种基金Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences(No.2023-PT320-03)Guangdong Basic and Applied Basic Research Foundation,China(No.2024A1515030041)The Science and Technology Planning Project of Guangdong Province,(No.2023B1212060018)Sun Yat-sen University Basic Research Funds(No.24qnpy354)Clinical Research 5010 Program(No.2014002)Program of National Key Clinical Specialties.
文摘Objective Size distribution is an important biophysical property of extracellular vesicles(EVs).EVs include small EVs(s-EVs)and large EVs(l-EVs)by size.Differential ultracentrifugation(dUC)is widely used to separate EVs from biofluids,but it can precipitate large impurity particles.Dynamic light scattering(DLS)is a simple and fast method for analyzing the size distribution of EVs.However,this approach is nonideal for heterogeneous and polydisperse samples since a small quantity of large impurity particles can markedly disturb the DLS results.Here,we developed a simple method to improve the reliability of DLS measurements.Methods Plasma was obtained from 13 volunteers.The plasma was first processed by dUC to obtain crude l-EVs.The crude l-EVs were filtered with syringe filters(pore size of 1μm and membrane material of hydrophilic polyvinylidene fluoride(PVDF))to remove large impurity particles from l-EVs.The size distributions of the crude l-EVs and filtered l-EVs were measured via DLS.Results After the samples were filtered,the coefficients of variation of the hydrodynamic radius and Peak 1 intensity of the filtered l-EVs decreased from 20.39%(12.76–28.96%)and 20.44%(14.58–28.32%)to 3.05%(1.79–4.72%)and 3.43%(1.76–5.88%),respectively,compared with those of the crude l-EVs.Conclusion These findings suggest that filtration can effectively separate circulating l-EVs in plasma to remove large impurity particles and make samples suitable for characterization by DLS.Our findings provide a simple method to improve precision via DLS to measure the size distribution of EVs.
基金supported by the Minas Gerais State’s Foundation for Research Support(FAPEMIG,Brazil,Process CEX-APQ-01651-17,RED-00224-23,and PPM-00645-17).
文摘Alternative methods for biodiesel purification that focus on ease of operation,cost reduction,and elimination of contaminated residues or that are easier to treat have received more attention.The dry wash route was used as an alternative to the wet route in biodiesel production.Filter membranes were developed based on cellulose nanofibers as the matrix and sugarcane bagasse fibers or soy hulls,as reinforcement to the matrix,before and after two chemical treatments(carboxymethylation and regeneration with sulfuric acid).The filters were characterized by permeability capacity,morphology,wettability,porosity,SEM and mechanical properties.The filtered biodiesel was also completely characterized.One of the major impacts of dry purification of biodiesel was the glycerin content after filtration.The filters CNFBR 20-28,CNFSR 5-28,CNFSR 5-35,and CNFBC 5-28 produced purified biodiesel with glycerin content below 0.02%(200 mg/L).Another relevant fact is related to the best results for acidity index,combined alkalinity,and glycerin content,obtained by the regenerated filter CNFBR 20-28,which presented a considerable permeate flow rate value above 4145 L h^(-1) m^(-2),which can be related to compacted lamellar layers observed by SEM.The produced filters were applied to biodiesel purification using a low-pressure filtration system and a simple vacuum pump,which resulted in an appreciable reduction in cost.The produced filter with sugarcane bagasse fiber carboxymethylated at 28 mesh of granulometry was efficient for biodiesel purification,including the efficient removal of free glycerin,in agreement with the standards defined by the national controlling agencies.
基金supported by the Yunnan Province Nonferrous Metal Vacuum Metallurgy Top Team[No.202305AS350012]。
文摘Magnesium(Mg),as one of the most abundant elements in earth's crust,is the lightest structural metal with extensive applications across various industries.However,the performance of Mg-based products is highly dependent on their impurity levels,and the lack of high-purity Mg,along with efficient purification method,has posed significant challenge to its widespread industrial adoption.This study investigates the impurity behavior in Mg ingots during the vacuum gasification purification process.Through the analysis of binary phase diagrams,iron(Fe)-based foam material was selected for the filtration and purification of Mg vapor in a vacuum tube furnace.A novel approach combining vacuum gasification,vapor purification,and directional condensation is proposed.The effect of filter pore sizes and filtration temperatures on the efficacy of impurity removal was evaluated.Experimental results demonstrate that Fe-based foam with a pore size of 60 ppi,at a filtration temperature of 773 K,effectively removes impurities such as calcium(Ca),potassium(K),sodium(Na),manganese(Mn),silicon(Si),aluminum(Al),and various oxides,sulfides,and chlorides from the vapor phase.Consequently,high-purity Mg with a purity level exceeding 5N3 was obtained in the condensation zone.
文摘Iron deficiency(ID)is a prevalent complication of chronic kidney disease(CKD),often managed reactively when associated with anaemia.This scoping review evaluates the evidence supporting intravenous(IV)iron therapy in non-anaemic individuals with CKD and ID,focusing on safety,efficacy,and emerging therapeutic implications.Current diagnostic markers,including serum ferritin,transferrin saturation,and reticulocyte haemoglobin content,are reviewed alongside their limitations in the context of inflammation and variability.The pathophysiology of ID in CKD is explored,highlighting the roles of hepcidin,hypoxia-inducible factor pathways,and uraemic toxins.Comparative studies reveal that IV iron offers a more rapid correction of iron stores,improved com-pliance,and fewer gastrointestinal side effects compared to oral iron.Evidence from trials such as“iron and heart”and“iron and muscle”suggests potential benefits of IV iron on functional capacity and fatigue,though findings were sta-tistically non-significant.Insights from heart failure trials support the safety and efficacy of IV iron in improving quality of life and reducing hospitalizations,with newer formulations like ferric derisomaltose demonstrating favourable safety profiles.This review underscores the need for standardized screening protocols for ID in CKD,even in the absence of anaemia,to facilitate earlier intervention.Future research should prioritise robust outcome measures,larger sample sizes,and person-specific treatment strategies to optimise dosing and administration frequency.Tailored approaches to IV iron therapy have the potential to significantly improve functional outcomes,quality of life,and long-term health in people with CKD.
基金supported by State Key Laboratory of Deep Oil and Gas(No.SKLDOG2024-ZYRC-03)supported by the Excellent Young Scientists Fund of the National Natural Science Foundation of China(No.52322401)the National Natural Science Foundation of China(52288101).
文摘As the global exploration and development of oil and gas resources advances into deep formations,the harsh conditions of high temperature and high salinity present significant challenges for drilling fluids.In order to address the technical difficulties associated with the failure of filtrate loss reducers under high-temperature and high-salinity conditions.In this study,a hydrophobic zwitterionic filtrate loss reducer(PDA)was synthesized based on N,N-dimethylacrylamide(DMAA),2-acrylamido-2-methylpropane sulfonic acid(AMPS),diallyl dimethyl ammonium chloride(DMDAAC),styrene(ST)and a specialty vinyl monomer(A1).When the concentration of PDA was 3%,the FLAPI of PDA-WBDF was 9.8 mL and the FLHTHP(180℃,3.5 MPa)was 37.8 mL after aging at 240℃for 16 h.In the saturated NaCl environment,the FLAPI of PDA-SWBDF was 4.0 mL and the FLHTHP(180℃,3.5 MPa)was 32.0 mL after aging at 220℃ for 16 h.Under high-temperature and high-salinity conditions,the combined effect of anti-polyelectrolyte and hydrophobic association allowed PDA to adsorb on the bentonite surface tightly.The sulfonic acid groups of PDA increased the negative electronegativity and the hydration film thickness on bentonite surface,which enhanced the colloidal stability,maintained the flattened lamellar structure of bentonite and formed an appropriate particle size distribution,resulting in the formation of dense mud cakes and reducing the filtration loss effectively.
文摘BACKGROUND Kidney is the vital organ that plays a great role in maintaining an optimal internal environment.The normal kidney function can be altered by physical injury or disease.Currently,chronic kidney disease(CKD)is an increasing major health problem worldwide.In 2017,it was ranked as the 12th leading cause of death and is expected to rise to the 5th ranked cause of death by 2040.Therefore,early detection,increasing patients'awareness and treatment of CKD are required to hold the problem.However,despite its higher prevalence of hospitalized morbidity and mortality,little is known about the magnitude and associated factor of CKD in the Ethiopian context.Hence this study aimed to determine the magnitude of CKD and associated factors at Wolkite University Specialized Hospital(WKUSTH),South West Ethiopia.AIM To determine the magnitude,and associated factors of CKD in WKUSTH,Ethiopia.METHODS Institutional based cross-sectional study with secondary data was conducted from November 15,2021 to February 28,2022 at WKUSTH.Three hundred forty five(345)participants were selected by a convenient sampling technique.Creatinine and urea were measured using cobas311 fully automated chemistry analyzer and estimated glomerular filtration rate(eGFR)was calculated using CKD epidemiology collaboration formula.Sociodemographic and clinical data were collected by using a pretested questionnaire.Data were coded and entered into EpiData 3.1 version and exported to STATA version 14 for analysis.Bivariate analysis was used to screen candidate variables for multivariate analysis.In the multivariate analysis a P value<0.05 were considered statistically significant.RESULTS The magnitude of CKD by impaired eGFR were 54(15.7%)(95%CI:0.116-0.194).In multivariable analysis,older age[adjusted odds ratio(AOR)=5.91,95%CI:2.41-14.47)],hypertension(AOR=10.41,95%CI:4.55-23.81),diabetes mellitus(AOR=5.90,95%CI:2.14-16.23),high body mass index(AOR=3.0,95%CI:1.30-7.27),and anemia(AOR=2.94,95%CI:1.26-6.88)were independently associated with CKD.CONCLUSION The magnitude of CKD among adult patients admitted to WKUSTH was high.Hence,researchers need to do a population-based study and longitudinal study on the magnitude of CKD,associated factors.Estimation of GFR for all hospitalized patients might help to early detection of CKD and prevent complications.
基金funded by the Universiti Teknologi Malaysia(UTM)through research Grant Number:06E05.
文摘The increasing severity of air pollution necessitates more effective and sustained air filtration technology.Concurrently,the desire for more environmentally friendly,sustainable materials with better filtering performance and less environmental impact drives the move away from conventional synthetic membranes.This review presents lignocellulosic biocomposite(LigBioComp)membranes as an alternative to traditional synthetic membranes.It focuses on their materials,fabrication,and functionalization techniques while exploring challenges and proposing methods for resourceful utilization.Renowned for their abundance and renewable nature,lignocellulosic materials consist of cellulose,hemicellulose,and lignin.Various applications can benefit from their antibacterial properties,large surface area,and remarkable mechanical strength.LigBioComp membranes are fabricated through casting,electrospinning,and freeze-drying,with advancements in fabrication techniques enhancing their performance and applicability.It is suggested to use solvent-free or low-solvent techniques such as Layer-by-Layer assembly to minimize environmental impact.Freeze-drying and electrospinning with green solvents can be used for achieving specific membrane properties,though energy consumption should be considered.Apply dry-wet spinning and solvent casting processes selectively.Functional groups,including carboxyl,hydroxyl,or amino groups,can significantly improve the membrane’s capacity to capture particulate matter.Chemical etching or the precise deposition of nanoparticles can further optimize pore size and distribution.The choice of chemicals and methods is critical in functionalization,with silane coupling agents,polyethyleneimine,and polydopamine.Future research should prioritize refining fabrication methods,advancing functionalization strategies,and conducting performance and recyclability assessments on hybrid and composite materials.This will enhance integrated systems and contribute to the development of smart filters.
基金Key Research and Development Program of Hubei Province(Project No.:2021BCA125)。
文摘Purpose:To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma.Methods:Ten cases of choroidal detachment that occurred after glaucoma surgery were collected from March 2023 to February 2024 in the hospital.Their clinical characteristics and treatment effects were observed and their causes were analyzed.Results:After the operations,the eyes with choroidal detachment after glaucoma surgery had 2 cases of true microphthalmos,6 cases of advanced glaucoma,and 2 cases of glaucoma secondary to vitreoretinal surgery.The postoperative manifestations were persistent shallow anterior chamber,the formation of anterior chamber,and then suddenly became shallow or disappeared.Meanwhile,the intraocular pressure was lower than 6 mmHg.Ultrasound and funduscopic examination showed that the choroid and retina were partially elevated,and the choroidal detachment recovered after treatment.Conclusion:Choroidal detachment is one of the common postoperative complications in glaucoma,especially in some special types of refractory glaucoma.Adequate perioperative management before surgery,cautious and delicate operation during surgery,and close observation and treatment after surgery can obviously decrease the occurrence and damage.
基金supported by the DST(DST-WTIDST/TMD/EWO/WTI/DM/2021/283,DST-SYST,and DSTinspire faculty award)and Science and Engineering Research Board(SERB+1 种基金No.CRG/2019/005280)the Indian Institute of Technology Bombay(IITB)for their funding support for this work.ND and AMN acknowledge the Ministry of Education,India,for their doctoral fellowship support.We thank Prof.Suparna Mukherjee at IIT Bombay for kindly providing us with the host E.coli C3000(No.ATCC 15597).
文摘Waterborne pathogens pose a lifelong threat, necessitating advanced disinfection systemswith state-of-the-art materials. Laser-Induced Graphene (LIG), a 3-dimensional form ofgraphene, is a widely known electrode material for its electrically-induced antimicrobialproperties. However, LIG surfaces exhibit antimicrobial properties exclusively in the presenceof electricity. In this work, copper-doped LIG (Cu-LIG) composite electrodes and filterswere developed with enhanced antimicrobial properties in single-step laser scribing. Thework emphasizes the optimization of copper doping with LIG for both electrical and nonelectrical-based disinfection. The copper doping was optimized to a minimal concentration(∼1%) just to enhance the electrochemical properties of LIG. Furthermore, the excess additionof copper was helpful towards non-electricity-based treatment without significantleaching. The prepared surfaces were tested in both electrodes and filter configuration andshowed excellent antibacterial and antiviral activity against mixed bacterial culture and amodel enteric virus, MS2 bacteriophage. On the application of 2.5 V with Cu-LIG electrodes,6-log removal of bacteria and virus was achieved. Furthermore, the membrane-based electroconductivefilters were tested in a flow-through configuration and demonstrated 6-logremoval at 2.5 V with a flux of ∼ 500 (L·m^(2))/h with both bacteria and viruses at minimumenergy expense. Additionally, reactive oxygen species scavenging and hydrogen peroxidegeneration experiments have confirmed the role of electrical effects and indirect oxidationon the inactivation mechanism. The prepared Cu-LIG composite surfaces showed potentialfor environmental remediation applications.
基金supported by the Key Project of the National Natural Science Foundation of China(Grant No.U21A2058 and U1860205)the Natural Science Funds of Hubei Province for Distinguished Young Scholars(Grant No.2020CFA088).
文摘Pure magnesia filter and periclase-spinel filter were prepared using porous MgO powder and Al2O3 micro-powder as raw materials.The filtration efficiency and purification mechanism of the two sets of filters on molten steel were investigated through steel casting tests.The results show that on the basis of surviving the thermal shock of molten steel,both filters can significantly reduce the number of non-metallic inclusions and total oxygen content of steel,thereby improving the cleanliness of the molten steel.After the thermal shock of molten steel,cracks were found in the microstructure of pure magnesia filter.Via the diffusion of non-metallic inclusions from steel into MgO grains of the filter to form solid solution,the inclusions were adsorbed to the internal and external surfaces of the pure magnesia filter.The number of inclusions was reduced by 62.5%,and the total oxygen content decreased from 0.892 to 0.265 wt.%after filtration,achieving a filtration efficiency of 70.3%.Compared with the pure magnesia filter,no cracks were found in the microstructure of the periclase-spinel filter.The mass transfer rate was accelerated due to the diffusion of inclusions from steel into MgO and MgAl2O4 grains of the filter,as well as the higher high-temperature liquid content and smaller pore structure of the filter.More non-metallic inclusions were able to enter the interior of the filter,which made the periclase-spinel filter more capable of adsorbing inclusions from steel and reducing total oxygen content.The periclase-spinel filter reduced the number of inclusions in steel by 84.4%and decreased the total oxygen content of the steel from 0.892 to 0.119 wt.%,with a filtration efficiency of 86.7%,demonstrating excellent comprehensive performance.
文摘Rationale: Endotoxin contamination in conventionally purified water poses serious risks to hemodialysis patients, leading to complications such as inflammation and sepsis. Addressing these risks is essential for enhancing patient safety and meeting global dialysis water quality standards. Advanced filtration technologies, such as titanium dioxide (TiO₂)-based nanoparticle filters, offer a promising approach to improve water purification processes in renal care. Objectives: This study aimed to develop and evaluate the effectiveness of a TiO₂-based nanoparticle microporous filtration system for hemodialysis water purification. The objectives included analyzing the system’s performance in reducing chemical contaminants (calcium, magnesium, aluminum, and lead) and microbiological contaminants (total viable count [TVC] and endotoxin units [EU]) across multiple renal centers. Methods: Water samples from three renal centers (RC1, RC2, and RC3) were analyzed pre- and post-filtration. TiO₂ nanoparticles were synthesized using the sol-gel method and characterized via Fourier Transform Infrared (FTIR) spectroscopy and Scanning Electron Microscopy with Energy Dispersive X-ray analysis (SEM/EDX). The microporous filter, fabricated with TiO₂ nanoparticles, silicon dioxide, and polyethylene glycol (PEG), was tested for its ability to remove contaminants. Analytical techniques included spectroscopy for chemical analysis and microbiological assays for contaminant quantification. Results: Post-treatment analysis revealed significant reductions in chemical contaminants, with removal efficiencies averaging 78% for calcium, 80% for magnesium, 81% for aluminum, and 76.6% for lead across all centers. Microbiological contamination was also substantially reduced, with 78–80% removal of TVC and 76–84.6% reduction in EU levels. FTIR analysis confirmed the presence of hydroxyl groups critical for adsorption, while SEM/EDX characterization revealed a crystalline structure with a particle size of 1.45 nm, pore size of 4.11 μm, filter height of 2.56 mm, and bulk density of 0.58 g/cm³. Conclusion: The TiO₂-based nanoparticle filtration system demonstrated high efficacy in removing chemical and microbiological contaminants, significantly improving water quality for hemodialysis. These results highlight its potential as a practical solution for renal centers, especially in resource-constrained settings. Further studies are needed to evaluate its long-term performance and feasibility for widespread adoption. Recommendation: Renal centers should consider adopting TiO2-based nanoparticle filters to address persistent water quality challenges. Pilot implementations across diverse settings can provide insights into operational feasibility. Additional research should explore scalability, maintenance requirements, and cost-effectiveness to optimize integration into healthcare systems. Significance Statement: This study introduces a practical and innovative solution to improve hemodialysis water purification. By effectively reducing both chemical and microbiological contaminants, the TiO2-based filtration system has the potential to enhance patient safety and outcomes, particularly in settings where maintaining high water quality standards remains challenging.
基金Supported by the Changsha Science and Technology Major Project,No.kh2205035the Hunan Traditional Chinese Medicine Science and Technology Project,No.2021061the Natural Science Foundation of Hunan Province,No.2025JJ80080。
文摘BACKGROUND Injury to the glomerular filtration barrier causes diabetic kidney disease(DKD),and glomerular endothelial-mesenchymal transition damages the filtration barrier of glomerular endothelial cells.Shenfushu granules(SFSGs)can treat chronic renal failure;however,their role and mechanism in DKD remain unclear.AIM To investigate the role of SFSGs in delaying DKD progression and their underlying mechanism in a streptozotocin-induced DKD mouse model.METHODS The microalbumin content in the urine and the blood glucose,creatinine,and blood urea nitrogen levels in the serum were measured.The expression and distribution ofα-smooth muscle actin(α-SMA),heparan sulfate(HS)and cluster of differentiation(CD)31 were observed through immunofluorescence or immunohistochemistry.Western blotting was conducted to measure the expression of CD31,α-SMA,PIK3R1,protein kinase B(AKT),phospho-PIK3R1,phospho-AKT,and heparanase-1.Network pharmacology was conducted to screen and identify the core components and targets of SFSGs.Molecular docking and dynamic simulations were performed to evaluate the binding ability of the core components of SFSGs to their core targets.RESULTS Compared with those in the model group,the 24-hour microalbuminuria(188.2±20.1 and 140.4±24.7 vs 323.2±44.4),serum creatinine(79.4±2.6 and 68.7±6.0 vs 110.2±4.8),blood urea nitrogen(14.4±1.1 and 13.1±0.5 vs 19.5±1.1),and renal index(20.3±1.0 and 19.6±0.8 vs 25.3±1.7)were significantly lower in the SFSGs(2.08 and 4.16 g/kg/day extract)-treated DKD mice.SFSGs inhibited the down regulation of CD31 and the upregulation ofα-SMA in the glomerular endothelial cells of DKD mice.Additionally,SFSGs suppressed the decrease in glycocalyx thickness and the expression of its component HS.Network pharmacology revealed that PIK3R1 was the core target of SFSGs.SFSGs markedly downregulate the expression of phospho-PIK3R1,phospho-AKT,and heparanase-1.However,the PIK3R1 agonist abolished the regulatory effect of SFSGs on the expression of CD31,α-SMA,and heparanase-1.CONCLUSION Collectively,these results suggest that SFSGs can significantly delay DKD progression and inhibit injury to the glycocalyx and the endothelial-mesenchymal transition of glomerular endothelial cells.This mechanism is related to PIK3R1/AKT/heparanase-1 signaling pathway regulation.
文摘For cone beam computed tomography(CBCT),there has long been a desire to modulate the intensity and distribution of the X-rays to accommodate the patient’s anatomy as the gantry rotates from one projection to another.This would reduce both image artifacts and radiation dose.However,the current beam modulation setups,such as dynamic bowtie filters,may be too complex for practical use in clinical applications.This study aimed to investigate a simplified dynamic beam filtration strategy for CBCT imaging to reduce image artifacts and radiation dose.In this study,the beam filtration was designed to vary dynamically as the CBCT gantry rotates around the object.Specifically,two distinct components were integrated:the sheet filter part and the bowtie filter part.The dynamic beam filtration setup has two working schemes,one is a combination of dynamic sheet filter and dynamic bowtie filter,denoted as dynamic filterdynamic bowtie(DFDB);the other is a combination of dynamic sheet filter and static bowtie filter,denoted as dynamic filter-static bowtie(DFSB).Numerical imaging experiments were performed for three human body parts:the shoulder,chest,and knee.In addition,the Monte Carlo simulation platform MC-GPU was used to generate the dose distribution maps.Results showed that the proposed DFDB and DFSB beam filtration schemes can significantly reduce the image artifacts and thus improve the CBCT image quality.Depending on the scanned object,the total radiation dose could be reduced by 30%.The proposed simple dynamic beam filtration strategy,especially the DFSB approach,could be beneficial in the future to improve the CBCT image quality with reduced image artifacts and radiation dose.
基金supported by the NSFC(12271178,12171166)the Guangzhou Basic and Applied Basic Research Foundation(2024A04J2022)the TCL Young Scholar(2024-2027).
文摘In this paper,we study the self-similar solutions of the degenerate diffusion equation ut-div(|▽u^(m)|^(p-2)▽u^(m))=0 of polytropic filtration diffusion in R^(N)×(0,±∞)or(R^(N)/{0})×(0,±∞)with N≥1,m>0,p>1,such that m(p-1)>1.We give a clear classification of the self-similar solutions of the form u(x,t)=(βt)^(-α/β)((βt)^(-1/β)|x|)withα∈R andβ=α[m(p-1)-1]+p,regular or singular at the origin point.The existence and uniqueness of some solutions are established by the phase plane analysis method,and the asymptotic properties of the solutions near the origin and the infinity are also described.This paper extends the classical results of self-similar solutions for degeneratep-Laplace heat equation by Bidaut-Véron[Proc Royal Soc Edinburgh,2009,139:1-43]to the doubly nonlinear degenerate diffusion equations.
