Optimizing cholecystectomy time in moderate acute biliary pancreatitis: A randomized clinical trial study

Background: In mild to moderate gallstone pancreatitis, cholecystectomy is the most appropriate treatment for prevention of further biliary attacks. However, the timing of cholecystectomy is not precisely determined. The present study was conducted to compare outcomes of very early (within 48 h) versus delayed (more than 1 week) laparoscopic cholecystectomy in patients with acute biliary pancreatitis (ABP). Methods: This randomized clinical trial study was conducted in Shahid Beheshti Hospital of Kashan University of Medical Sciences from September 2016 to Mar 2019. Two hundred and eight cases with mild to moderate ABP were randomly assigned to 2 groups, with 104 patients in group 1 (operation within 48 h) and 104 in group 2 (operation after one week). Age, sex, biochemical parameters, clinical manifestation at the time of admission, operation time, recurrent biliary problems, relapse, peri-operative complications, conversion rate, and hospital length of stay in the two groups were recorded and compared. In addition, Ranson's score and Revised Atlanta criteria, the American Society of Anaesthesiologists Physical Status ASA-PS, Charlson Co-Morbidity Index (CCI), complexity of surgery and Clavien-Dindo score were also determined. Results: There were no differences in demographics, peri-operative complications 4 (4) vs. 4 (4), P = 1), conversion rate (10.6 vs. 11.5; P = 0.825) and procedure time (83 vs. 81 minutes, P = 0.110) between the two groups. There were no deaths in either group; however, the length of hospital stay was shorter in the early group compared to the delayed one, (3.66 ± 1.12 vs. 10.35 ± 1.76, P < 0.001). Conclusion: Cholecystectomy within 48 h decreases significantly the length of hospital stay, without any difference in conversion rate, procedure time, or complication rate. © 2020 The Author(s) Biological sciences; Health sciences; Surgery; Internal medicine; Acute biliary pancreatitis; Laparoscopic cholecystectomy; Mild to moderate acute biliary pancreatitis. © 2020 The Author(s

Well-Posedness of a Fourth Order of Accuracy Difference Scheme for Bitsadze–Samarskii-Type Problem

In the present study, a fourth order of accuracy difference scheme for the approximate solution of the Bitsadze–Samarskii type nonlocal boundary value problem with the integral condition is investigated. Theorem on well-posedness of the difference scheme in the difference analogue of Hölder spaces with a weight is established. In applications, coercive stability estimates for the solutions of difference schemes of nonlocal boundary value problems for elliptic problems are obtained. © 2017 Taylor & Francis

Well-Posedness of a Fourth Order of Accuracy Difference Scheme for Bitsadze–Samarskii-Type Problem

In the present study, a fourth order of accuracy difference scheme for the approximate solution of the Bitsadze–Samarskii type nonlocal boundary value problem with the integral condition is investigated. Theorem on well-posedness of the difference scheme in the difference analogue of Hölder spaces with a weight is established. In applications, coercive stability estimates for the solutions of difference schemes of nonlocal boundary value problems for elliptic problems are obtained. © 2017 Taylor & Francis

Systematic Evaluation and Meta-Analysis of Risk, Toxicity Potential, and Carcinogenic and Non-Carcinogenic Risks of Potentially Toxic Elements in Arak City

The industrial areas are located near residential centers in the city of Arak and potentially toxic elements (PTEs) pollution is a serious threat to human health and living organisms in this area. Meanwhile, soil contamination by PTEs is one of the challenges in this region and various studies have been conducted in this area. Meta-analysis studies provide a comprehensive evaluation of the results of a subject. In the present study, soil contamination data for PTEs in the 11 years (2009 to 2020) were studied through the studies conducted in Arak. In this study, the risk, potential toxicity, and carcinogenic and non-carcinogenic risks of PETs were assessed using indices and mathematical relationships. Based on the results of pollution indices, the soil of Arak city in terms of PETs including Zn, Cd, Cr, Ni, As, Pb, Cu, and Hg were categorized into the polluted and highly polluted classes. The soil of the region in terms of PETs has significant ecological risk and acute toxicity. Cadmium, arsenic, and mercury showed the ecological risk of 49.3%, 23.2%, and 18.3% respectively, and nickel, chromium, and arsenic were responsible for 34.7%, 23.03%, and 22.07% of the toxicity potential of PETs in the soil. Arsenic, nickel, and chromium have the highest carcinogenic risk for children in both the ingestion and inhalation pathways, and chromium, arsenic, and nickel have the highest carcinogenic risk from the inhalation pathway for adults. According to the results, the most considerable PETs in the study area including As, Cd, and Pb, and the most important source of their emission in Arak are anthropogenic resources and industries

Durable functional limitation in patients with coronavirus disease-2019 admitted to intensive care and the effect of intermediate-dose vs standard-dose anticoagulation on functional outcomes

Introduction: Patients affected with severe forms of coronavirus disease 2019 (COVID-19) suffer from a wide range of sequelae, from limited airway diseases to multiple organ failure. These sequelae may create exercise limitation, impair the daily activity and thus impact the mental health and the social life. However, the extent of functional limitations and depressive symptoms are understudied especially in patients with COVID-19 after intensive care unit (ICU) hospitalization.Methods: The Intermediate versus Standard-dose Prophylactic anticoagulation In cRitically-ill pATIents with COVID-19: An opeN label randomized controlled trial (INSPIRATION) was a clinical trial that randomized ICU patients with COVID-19 to intermediate-dose vs standard-dose anticoagulation. In the current study, we assessed the interval change in 30-day and 90-day functional limitations based on the post-COVID-19 functional status scale (PCFS) and depressive symptoms based on the Patient Health Questionnaire-2 (PHQ-2) in the trial participants. We also assessed the effect of intermediate-dose vs standard-dose prophylactic anticoagulation on the functional outcomes and depressive symptoms.Results: Of 600 randomized patients in INSPIRATION, 375 (age: 62 years; 42% women) participated in the functional status study. 195 patients died during the 90-day follow up (191 by day 30). Among survivors, between day 30 and day 90, the proportion of patients with moderate-to-severe functional limitation (PCSF grade 3-or-4) decreased from 20.0% to 4.8% (P = 3 decreased from 25.5% to 16.6% (P = 0.05). The proportion of patients with no functional limitations (PCFS grade 0) increased (4.2% to 15.4%, P= 3 (17.9% vs 15.3%; OR, 1.14, [95% CI, 0.79-1.65]; P = 0.14), with similar results when accounting for study center.Conclusion: In patients with COVID-19 admitted to the ICU, functional limitations and depressive symptoms were common at 30-day follow-up and had some improvement by 90-day follow-up among survivors. Intermediate-dose compared to standard-dose prophylactic anticoagulation did not improve functional outcomes

Active packaging films based on polyolefins modified by organic and inorganic nanoparticles

Nowadays, the use of polymer films for flexible packaging has gained a widespread importance because of their easy processing, good final properties, light weight and low relative cost. In order to fulfill the needs of increasingly demanding consumers respect to the quality of packaged products, additional capabilities must be incorporated into packaging. In this sense, academic and industrial efforts have focused on new technologies that provide a complementary functionality to the packaging performance. These emerging developments involve active and intelligent packaging, which can attract to consumers, improve product quality and/or balance any detrimental effect. In this context, the use of nanoparticle (NP) modified polyolefins, either in bulk (nanocomposites) or on the surface, allows the inclusion of specific functionalities. These new capabilities enable obtaining active packaging according to the requirements of the product. The aim of this chapter is to analyze the aforementioned approaches for the development of active films by incorporating antibacterial, antifungal and/or repellent functionalities. Currently, several sustainable developments of this type of active films are based on commodity thermoplastics such as poly(ethylene) and poly(propylene). These materials, modified by the incorporation of organic and inorganic NPs, are promising candidates since their final properties can be tailored for packaging application.Fil: Alonso, Yanela Natalin. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Planta Piloto de Ingeniería Química. Universidad Nacional del Sur. Planta Piloto de Ingeniería Química; Argentina. Universidad Nacional del Sur. Departamento de Ingeniería Química; ArgentinaFil: Grafia, Ana Luisa. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Planta Piloto de Ingeniería Química. Universidad Nacional del Sur. Planta Piloto de Ingeniería Química; Argentina. Universidad Nacional del Sur. Departamento de Ingeniería Química; ArgentinaFil: Castillo, Luciana Andrea. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Planta Piloto de Ingeniería Química. Universidad Nacional del Sur. Planta Piloto de Ingeniería Química; Argentina. Universidad Nacional del Sur. Departamento de Ingeniería Química; ArgentinaFil: Barbosa, Silvia Elena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Planta Piloto de Ingeniería Química. Universidad Nacional del Sur. Planta Piloto de Ingeniería Química; Argentina. Universidad Nacional del Sur. Departamento de Ingeniería Química; Argentin

Nanotechnology and Plant Extracts as a Future Control Strategy for Meat and Milk Products

Plant extracts, well known for their antibacterial and antioxidant activity, have potential to be widely used preservatives in the food industry as natural alternatives to numerous synthetic additives which have adverse impacts on health and the environment. Most plant compounds and extracts are generally recognized as safe (GRAS). The use of preservatives is of great importance for perishable foods such as meat and milk, which, along with their products, are commonly consumed food items globally. However, the bioavailability of plant compounds could be diminished by their interaction with food components, processing, and storage. Nanoencapsulation of plant extracts, especially essential oils, is an effective method for their application in food model systems. This technique increases the bioactivity of plant compounds by increasing their physical stability and reducing their size, without negative effects on organoleptic properties. Furthermore, a recent study showed that plant extracts act as good bioreductants for biosynthesis of nanoparticles. This so-called green synthesis method using plant extracts is a rapid, relatively inexpensive, safe, and efficient method for synthesis of nanoparticles including silver, gold, iron, lead, copper, cobalt, palladium, platinum, zinc, zinc oxide, titanium oxide, magnetite, and nickel. Some of these nanoparticles have antimicrobial potential which is why they are of great interest to the food industry. In this chapter, the nanoencapsulation of plant extracts and plant extract-mediated synthesis of nanoparticles and their potential application in order to improve the safety and quality and prolong the shelf life of meat and milk products are reviewed and discussed