Effect of s-triazine ring substitution on the synthesis of organic resorcinol-formaldehyde xerogels

Resorcinol (R) and formaldehyde (F) gel synthesis has been well-studied along with alternative reagents. We present the synthesis of formaldehyde-based xerogels using chemically similar s-triazine precursors, with comparison to traditional analogues. The substitution ranges from tri-hydroxyl to tri-amine, with an intermediate species, allowing changing chemistry to be investigated. Each molecule (X) offers different acid/base properties, known to influence gel formation, as well as differences in crosslinking potential. Varying X/F ratios were selected to recreate the stoichiometry used in RF systems, where one represented higher F to match the increased reaction sites of the additives. X/C ratios were selected to probe different catalyst (C) ratios, while working within the range likely to produce viable gels. Results obtained show little impact for ammeline as an additive due to its similarity to resorcinol (activation sites and pKa); while melamine and cyanuric acid show differing behavior depending on the level of addition. Low concentrations show melamine to have the most impact due to increased activation and competition for formaldehyde; while at high concentrations, cyanuric acid is shown to have the greatest impact as it creates a more acidic environment, which diminishes textural character, possibly attributable to larger clusters and/or weaker cross-linking of the system

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population