A Systemic Review of Iron Deficiency Anemia in Adults and the Clinical Management of Diagnosis and Treatment

Iron deficiency is the most frequent cause of anaemia worldwide. It impairs quality of life, increases asthenia and can lead to clinical worsening of patients. In addition, iron deficiency has a complex mechanism whose pathologic pathway is recently becoming better understood. The discovery of hepcidin has allowed a better clarification of iron metabolism regulation. Furthermore, the ratio of concentration of soluble transferrin receptor to the log of the ferritin level, has been developed as a tool to detect iron deficiency in most situations. Therefore, the problem of this research lies in exploring the cause of iron deficiency that always be sought because the underlying condition can be serious. This review will summarize the current knowledge regarding diagnostic algorithms for iron deficiency anemia. The majority of aetiologies occur in the digestive tract, and justify morphological examination of the gut. First line investigations are upper gastrointestinal endoscopy and colonoscopy, and when negative, the small bowel should be explored; newer tools such as video capsule endoscopy have also been developed. The treatment of iron deficiency is aetiological if possible and iron supplementation whether in oral or in parenteral form

Thermal characterization of date palm/epoxy composites with fillers from different parts of the tree

Thermal expansion and viscoelastic properties of the date palm fibre (DPF)/epoxy composites were influenced by the type of filler from different parts of the date palm tree. The variation in properties is mainly due to the difference in fibre composition between the DPF from leaf stalk, leaf sheath, fruit bunch stalk, and tree trunk. Among the investigated composites, composite reinforced with the tree trunk fibre displayed higher thermal stability as visible from the lower weight loss, higher onset and inflection temperatures and maximum residue % from the thermogravimetric analysis (TGA). Lower coefficient of linear thermal expansion (CLTE) obtained from thermomechanical analysis (TMA) further provided supportive evidence for dimensional stability at elevated temperature. Based on the dynamic mechanical analysis (DMA) results, the DPF/epoxy composites with fruit bunch stalk fillers displayed a better property by showing higher storage modulus and lesser tan delta values. Hence, composite from the tree trunk and fruit bunch stalk fibres of date palm is recommended for applications requiring superior thermal resistance

Addition of Graphite Filler to Enhance Electrical, Morphological, Thermal, and Mechanical Properties in Poly (Ethylene Terephthalate): Experimental Characterization and Material Modeling

Poly(ethylene terephthalate)/graphite (PET/G) micro-composites were fabricated by the melt compounding method using a minilab extruder. The carbon fillers were found to act as nucleating agents for the PET matrix and hence accelerated crystallization and increased the degree of crystallinity. TGA showed that carbon fillers improved the resistance to thermal and thermo-oxidative degradation under both air and nitrogen atmospheres. However, a poor agreement was observed at higher loadings of the filler where the composites displayed reduced reinforcement efficiency. The results demonstrate that the addition of graphite at loading >14.5 wt.% made electrically conductive composites. It was calculated that the electric conductivities of PET/graphite micro-composites were enhanced, above the percolation threshold values by two orders of magnitudes compared to the PET matrix. The minimum value of conductivity required to avoid electrostatic charge application of an insulating polymer was achieved, just above the threshold values. The addition of graphite also improved thermal stability of PET, accelerated its crystallization process and increased the degree of crystallinity. Microscopic results exhibit no indication of aggregations at 2 wt.% graphite, whereas more agglomeration and rolling up could be seen as the graphite content was increased in the PET matrix (in particular, above the percolation threshold value). Furthermore, based on the mechanical experimental characterization of the PET/graphite micro-composites, a large deformation-based mathematical model is proposed for material behavior predictions. The model fits well the experimental data and predicts other mechanical data that are not included in the parameter identification

The Association Between Hypertension and Insomnia Among Saudi Population: A Cross-Sectional Study

Objective To assess the relationship between hypertension and insomnia among the Saudi population. Methods The study will employ a cross-sectional design to investigate the association between hypertension and insomnia among the Saudi population. This design allows for the collection of data at a single point in time, offering insights into the relationship between the variables. Results The study included 581 participants. The most frequent age among them was 18-28 (n= 266, 45.8 Per Cent), followed by 29-39 (n= 129, 22.2 Per Cent). The most frequent gender among study participants was female (n= 320, 55.1 Per Cent), followed by male (n= 261, 44.9 Per Cent). Study participants' most frequent body mass index was normal 18.5-24.9 kg/m2 (n= 231, 39.8 Per Cent) followed by overweight 25-29.9 kg/m2 (n= 200, 34.4 Per Cent). Marital status among study participants, with most of them being single (n=283, 48.7 Per Cent) followed by married (n= 238, 41 Per Cent). The number of hours of sleep during the day among study participants with most of them had 6-8 hours. Participants were asked if they had difficulty sleeping. There most of the participants were nothing (n= 201, 34.6 Per Cent). On the other hand, 154 participants had middle (26.5 Per Cent). They asked if they had difficulty staying asleep. There most of the participants were nothing (n= 227, 39.1 Per Cent). On the other hand, 152 participants had middle (26.2 Per Cent). Participants were asked if they had trouble waking up early. There most of the participants were nothing (n= 189, 32.5 Per Cent). Followed by middle (n=148, 25.5 Per Cent). Conclusion The results of the study showed that most of the study participants were of normal weight according to their body mass index. Most of them are single. Most participants sleep approximately 6-8 hours a day. The largest percentage of participants work in the government or private sector. Most of them had good social contact

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Influence of Carbon Micro- and Nano-Fillers on the Viscoelastic Properties of Polyethylene Terephthalate

In this research study, three carbon fillers of varying dimensionality in the form of graphite (3D), graphite nano-platelets (2D), and multiwall carbon nanotubes (1D) were incorporated into a matrix of poly (ethylene terephthalate), forming carbon-reinforced polymer composites. Melt compounding was followed by compression moulding and then a quenching process for some of the samples to inhibit crystallization. The samples were analysed using dynamic mechanical thermal analysis (DMTA) and scanning electron microscopy (SEM), considering the dimensionality and loading of the carbon fillers. The dynamic mechanical analysis revealed a similar decline of storage moduli for all composites during the glassy to rubbery transition. However, storage moduli values at room temperature increased with higher loading of nano-fillers but only to a certain level; followed by a reduction attributed to the formation of agglomerates of nanotubes and/or rolled up of nano-platelets, as observed by SEM. Much greater reinforcement was observed for the carbon nanotubes compared to the graphite and or the graphite nano-platelets. The quenched PET samples showed significant changes in their dynamic mechanical properties due to both filler addition and to cold crystallization during the DMTA heating cycle. The magnitude of changes due to filler dimensionality was found to follow the order: 1D > 2D > 3D, this carbon filler with lower dimensionality have a more significant effect on the viscoelastic properties of polymer composite materials

Addition of Graphite Filler to Enhance Electrical, Morphological, Thermal, and Mechanical Properties in Poly (Ethylene Terephthalate): Experimental Characterization and Material Modeling

Poly(ethylene terephthalate)/graphite (PET/G) micro-composites were fabricated by the melt compounding method using a minilab extruder. The carbon fillers were found to act as nucleating agents for the PET matrix and hence accelerated crystallization and increased the degree of crystallinity. TGA showed that carbon fillers improved the resistance to thermal and thermo-oxidative degradation under both air and nitrogen atmospheres. However, a poor agreement was observed at higher loadings of the filler where the composites displayed reduced reinforcement efficiency. The results demonstrate that the addition of graphite at loading >14.5 wt.% made electrically conductive composites. It was calculated that the electric conductivities of PET/graphite micro-composites were enhanced, above the percolation threshold values by two orders of magnitudes compared to the PET matrix. The minimum value of conductivity required to avoid electrostatic charge application of an insulating polymer was achieved, just above the threshold values. The addition of graphite also improved thermal stability of PET, accelerated its crystallization process and increased the degree of crystallinity. Microscopic results exhibit no indication of aggregations at 2 wt.% graphite, whereas more agglomeration and rolling up could be seen as the graphite content was increased in the PET matrix (in particular, above the percolation threshold value). Furthermore, based on the mechanical experimental characterization of the PET/graphite micro-composites, a large deformation-based mathematical model is proposed for material behavior predictions. The model fits well the experimental data and predicts other mechanical data that are not included in the parameter identification

Improving pitting corrosion resistance of the commercial titanium through graphene oxide-titanium oxide composite

Titanium oxide has been commonly used for wide range of applications due to excellent corrosion resistance. This study presents the impact of graphene oxide (GO) addition to titanium oxide as coating materials during titanium anodization process on the corrosion behaviour. The GO was prepared by electrochemical exfoliation using low voltage mode in a sodium sulphate electrolyte, which is easier and more environmentally friendly compared to the chemical approach. Raman and scanning electron microscope were used to examine the success of the exfoliation process. The surface morphologies and potentiodynamic polarization results indicate that the addition of GO significantly inhibit the pitting corrosion and stabilize passivation current densities over wide ranges of anodic potentials. The untreated titanium, however, noticeably displayed fluctuation of anodic current densities, confirming the presence of pitting corrosion. The results obtained by electrochemical impedance spectroscopy (EIS) also confirm that the addition of GO enhanced corrosion protection even at higher frequency ranges. The cyclic polarization scan results show a positive shift in the re-passivation potential Erep after the addition of GO. This work emphasizes that the addition of GO during anodization of titanium not only protect its surface from pitting corrosion but also provide a strong passive layer

Development of Hybrid Composite Utilizing Micro-Cellulose Fibers Extracted from Date Palm Rachis in the Najran Region

Environmental effects can be reduced by using renewable resources in various applications. The date palm fibers (DPF) used in this study were extracted from waste date ranches of the Najran region by retting and manual peeling processes. The biocomposites were developed by reinforcing the silane-treated DPF (SDPF) at different wt.% in eugenol phthalonitrile (EPN) and difunctional benzoxazine (BA-a) copolymer. The impact strength, tensile, flexural, and dynamic mechanical properties and thermogravimetric analysis were evaluated to understand the mechanical, thermomechanical, and thermal properties. Results confirmed that 30 wt.% SDPF-reinforced poly (EPN/BA-a) composites produced the highest mechanical and thermomechanical properties, and were considered optimized SDPF reinforcement. Furthermore, hybrid composites with 30 wt.% SDPF and 15 wt.% silane-treated glass fibers (SGF) reinforcement having different lamination sequences were also studied. The lamination sequences showed a significant impact on the mechanical and thermomechanical properties, as properties were further enhanced by adding a core layer of SGF in hybrid composites. However, the thermal properties of SDPF/SGF laminates were higher than SDPF biocomposites, but the SGF lamination sequence did not produce any impact. According to the limiting oxygen and heat resistance indexes, the developed SDPF/SGF laminates are self-extinguishing materials and can be used in temperature-tolerant applications up to 230 °C

Biosynthesis of bonelike apatite 2D nanoplate structures using fenugreek seed extract

An innovative, biomimetic, green synthesis approach was exploited for the synthesis of humane and environmental friendly nanomaterials for biomedical applications. Ultrafine bonelike apatite (BAp) 2D plate-like structures were prepared using fenugreek seed extract during the biosynthesis wet-chemical precipitation route. The chemical analysis, morphology and structure of the prepared 2D nanoplates were characterized by inductively coupled plasma atomic emission spectroscopy (ICP-OES), electron microscopy (SEM and TEM), X-ray diffraction (XRD) and Fourier transform infrared (FTIR) spectroscopy. A 2D plate-like nanostructure of BAp with an average width (length) of 12.67 ± 2 nm and thickness of 3.8 ± 1.2 nm was obtained. BAp 2D crystals were tuned by interaction with the fenugreek organic molecules during the fabrication process. In addition to Ca and P ions, bone mineral sources such as K, Mg, Na, SO and CO ions were incorporated into BAp nanoplates using fenugreek seed extract. The overall organic molecule concentration in the reaction process increased the effectiveness of hydroxyl groups as nucleation sites for BAp crystals. Accordingly, the size of the biosynthesized BAp plate-like structure was reduced to its lowest value. Biosynthesis BAp 2D plate-like nanocrystals showed good viability and higher growth of MC3T3 osteoblast-like structures than that of the control sample. BAp 2D nanoplates prepared by a facile, ecofriendly and cost-effective approach could be considered a favorable osteoconductive inorganic biomaterial for bone regeneration applications