22 research outputs found

    Polyelectrolyte/surfactant films spread from neutral aggregates

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    We describe a new methodology to prepare loaded polyelectrolyte/surfactant films at the air/water interface by exploiting Marangoni spreading resulting from the dynamic dissociation of hydrophobic neutral aggregates dispensed from an aqueous dispersion. The system studied is mixtures of poly(sodium styrene sulfonate) with dodecyl trimethylammonium bromide. Our approach results in the interfacial confinement of more than one third of the macromolecules in the system even though they are not even surface-active without the surfactant. The interfacial stoichiometry of the films was resolved during measurements of surface pressure isotherms in situ for the first time using a new implementation of neutron reflectometry. The interfacial coverage is determined by the minimum surface area reached when the films are compressed beyond a single complete surface layer. The films exhibit linear ripples on a length scale of hundreds of micrometers during the squeezing out of material, after which they behave as perfectly insoluble membranes with consistent stoichiometric charge binding. We discuss our findings in terms of scope for the preparation of loaded membranes for encapsulation applications and in deposition-based technologies.</p

    An international assessment of the adoption of enhanced recovery after surgery (ERAS¼) principles across colorectal units in 2019–2020

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    Aim: The Enhanced Recovery After Surgery (ERAS¼) Society guidelines aim to standardize perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units. Method: An online survey was circulated amongst European Society of Coloproctology members in 2019–2020. For each ERAS principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 (‘rarely’) to 4 (‘always’). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted. Results: Of hospitals approached, 58% responded to the survey (195/335), with 296 individual responses (multiple responses were received from some hospitals). The majority were European (163/195, 83.6%). Overall, respondents indicated they ‘most often’ or ‘always’ adhered to most individual ERAS principles (18/25, 72%). Variability in the uptake of principles was reported, with universal uptake of some principles (e.g., prophylactic antibiotics; early mobilization) and inconsistency from ‘rarely’ to ‘always’ in others (e.g., no nasogastric intubation; no preoperative fasting and carbohydrate drinks). In alignment with 2018 ERAS guideline updates, adherence to principles for prehabilitation, managing anaemia and postoperative nutrition appears to have increased since 2017. Conclusions: Uptake of ERAS principles varied across hospitals, and not all 25 principles were equally adhered to. Whilst some principles exhibited a high level of acceptance, others had a wide variability in uptake indicative of controversy or barriers to uptake. Further research into specific principles is required to improve ERAS implementation
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