Modified Chitosan Hydrogels and Nano Hydrogels for Congo Red Removal from Aqueous System

In the present work, sulfonamide chitosan derivatives were prepared via the reaction of chitosan (Cs) with diphenyl ether – 4, 4`- disulfonylchloride (DPE) in absence and/or presence of glutaraldehyde (G) to form the hydrogel (DPE-I) and (DPE-II) respectively. The nanogels (DPE-III) and (DPE-IV) were prepared via ionotropic gelation method in presence of sodium tri polyphosphate (TPP) under the same reaction conditions. The hydrogels (DPE-I, DPE-II, DPE-III, and DPE- IV) were characterized by different tools as: Elemental analysis, Fourier Transform Infra-Red spectrometer (FT-IR), Proton Nuclear Magnetic Resonance (1HNMR), Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM). The adsorption efficiency of the prepared hydrogels for removal of congo red dye (CR) from aqueous solution under different parameters such as (time, pH, and concentration) was evaluated. The adsorption capacity of CR by the prepared hydrogels increased with time, adsorbent dosage and the initial concentration of CR. The optimum adsorption capacity for CR dye by the prepared hydrogels was at pH 7. Hydrogels (DPE-III and DPE-IV) showed the highest efficiency for adsorption of (CR) dye

New modified chitosan composites and nanocomposites for different applications

The present work focuses on the preparation of chitosan composite and chitosan nanocomposite derivatives for different applications. Chitosan was modified with bentonite or nano-bentonite to give chitosan composite and nanocomposite derivatives hydrogels I and II respectively, however chemical modification of chitosan with isonicotinic aldehyde via Schiff base formation in presence of bentonite or nanobentonite yielded chitosan composite and nanocomposite derivative hydrogels In and IIn respectively. The prepared hydrogels were characterized by Fourier-transform infrared spectroscopy (FT-IR), X-ray diffraction (X-Ray), Thermogravimetric analysis (TGA), Differential Scanning Calorimetry (DSC), Scanning electron microscopy (SEM), and swelling behavior. Adsorption studies for removal of heavy metal ions from aqueous media and the biological activity for the new hydrogels were studied. Results of evaluation of the prepared chitosan derivatives hydrogel for metal ions uptake showed that the maximum adsorption capacity amounted to 68 and 22 mg/l and the highest efficiency for adsorption of cobalt and mercuric ions from aqueous solution by hydrogel IIn at 10 h (93.2%) and (97.8%) respectively, whereas the adsorption capacity of hydrogel IIn increased with the increase of the initial concentration of heavy metals ions ranging from 0.4 to 1 g/l. However, modified chitosan derivative hydrogels In and IIn showed remarkable MIC and MBC towards Gram-positive (B. subtilis) (19.5, 38) μg/ml compared to the standard antibiotic Ciprofloxacin (19, 38) μg/ml respectively

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Clinical characteristics of the BREATHE cohort–a real-life study on patients with asthma and COPD

Background: The BREATHE study is a cross-sectional study of real-life patients with asthma and/or COPD in Denmark and Sweden aiming to increase the knowledge across severities and combinations of obstructive airway disease. Design: Patients with suspicion of asthma and/or COPD and healthy controls were invited to participate in the study and had a standard evaluation performed consisting of questionnaires, physical examination, FeNO and lung function, mannitol provocation test, allergy test, and collection of sputum and blood samples. A subgroup of patients and healthy controls had a bronchoscopy performed with a collection of airway samples. Results: The study population consisted of 1403 patients with obstructive airway disease (859 with asthma, 271 with COPD, 126 with concurrent asthma and COPD, 147 with other), and 89 healthy controls (smokers and non-smokers). Of patients with asthma, 54% had moderate-to-severe disease and 46% had mild disease. In patients with COPD, 82% had groups A and B, whereas 18% had groups C and D classified disease. Patients with asthma more frequently had childhood asthma, atopic dermatitis, and allergic rhinitis, compared to patients with COPD, asthma + COPD and Other, whereas FeNO levels were higher in patients with asthma and asthma + COPD compared to COPD and Other (18 ppb and 16 ppb vs 12.5 ppb and 14 ppb, p < 0.001). Patients with asthma, asthma + COPD and Other had higher sputum eosinophilia (1.5%, 1.5%, 1.2% vs 0.75%, respectively, p < 0.001) but lower sputum neutrophilia (39.3, 43.5%, 40.8% vs 66.8%, p < 0.001) compared to patients with COPD. Conclusions: The BREATHE study provides a unique database and biobank with clinical information and samples from 1403 real-life patients with asthma, COPD, and overlap representing different severities of the diseases. This research platform is highly relevant for disease phenotype- and biomarker studies aiming to describe a broad spectrum of obstructive airway diseases

Structural investigations of N-methylformamide-water mixtures at various concentrations

Structural investigations of N-methylformamide-water mixtures (NMF-water) are performed at room temperature and atmospheric pressure for two water molar fractions x w = 0.66 and x w = 0.75 . This paper extends our recent study on the equimolar system. H-bond networks are preferentially formed between NMF and water molecules. Among a large variety of DFT optimized models, X-ray scattering data shows that the local order of each mixture is better described by a tetramer where one NMF molecule is connected to three water molecules. No self-association is observed in the considered systems. The effect of hydration is compared to the temperature and pressure effects in some hydrogen-bonded liquids