369 research outputs found

    Preparation and optimization of TiO2 photoanodes fabricated by pulsed laser deposition for photoelectrochemical water splitting

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    Quasi-1D TiO2 nanostructures prepared by pulsed laser deposition (PLD) are tested as photoanodes for photoelectrochemical water splitting application and compared with TiO2 nanotube arrays prepared by anodic oxidation. PLD TiO2 films with controlled structure and morphology ranging from compact to vertically oriented or hierarchical porous nanostructures are deposited by ablating a TiO2 target with nanosecond UV laser pulses in the presence of an O2 background atmosphere at different pressures. Thermal treatments at different temperatures are used to transform the so-obtained amorphous systems into nanocrystalline structures (mainly anatase). The effect of film density and thickness is also considered by depositing different amounts of material per unit surface. The morphology and the phase composition of the samples are characterized by SEM and Raman spectroscopy, while the photoelectrochemical water splitting performances are investigated by monitoring the photocurrent generated under illumination in a three-electrode cell. Voltammetric scans and electrochemical impedance spectroscopy analysis were also used to correlate the morphology of PLD samples with their electrochemical properties and their working mechanism in the absence and presence of a light radiation. A clear correlation between structural/morphological properties and photoelectrochemical behavior is found and ideal values of the synthesis parameters are identified, which allow the identification of the optimal quasi-1D nanoporous morphology for water splitting applications. The use of sacrificial organic reagents as hole scavengers was also considered to improve the photoelectrochemical performance of the samples

    Iatrogenic nerve injury in primary and revision reverse total shoulder arthroplasty

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    INTRODUCTION Iatrogenic nerve injury in orthopedic surgery can impair functional outcomes. During the last years, a steady increase in the number of performed reverse total shoulder arthroplasties has been reported and complications associated with this procedure are continuously described. Neurological complications, however, remain underreported. The aims of this study were to calculate the incidence of iatrogenic nerve injury after primary and revision reverse total shoulder arthroplasty in a large patient cohort, as well as identify associated patient-and surgery-related risk factors. MATERIALS AND METHODS A retrospective review of our institution's internal Reverse Total Shoulder Arthroplasty (RTSA) database from September 2005 to December 2019 was undertaken and 34 patients with iatrogenic nerve injuries were identified, resulting in a neurological complication rate of 2.6%. Group comparisons between patients with nerve injuries (n = 34) and the remaining cohort without nerve injuries (n = 1275) were performed to identify patient- and surgery-related risk factors. RESULTS Of the 34 cases with iatrogenic nerve injury, damage to terminal nerve branches occurred in 21 patients, whereas a brachial plexus lesion was diagnosed in the other 13. Nerve revision surgery was necessary in four patients. At final follow-up 13 patients (45%) had residual motor deficits and 17 (59%) had residual sensory deficits. Higher numbers of previous surgeries of the affected shoulder correlated with subsequent nerve injury (p = 0.035). Operative time was significantly longer in patients, who developed a neurologic deficit, showing a correlation between duration of surgery and occurrence of nerve injury (p = 0.013). Patients with neurologic complications were significantly younger than patients without nerve damage (median 68 vs. 72 years, p = 0.017). CONCLUSIONS In specialists' hands reverse total shoulder arthroplasty is a rather safe procedure regarding the risk of neurologic injury. However, multiple previous surgeries of the affected shoulder increase the risk of neurological complications. Cases with post-operative neurologic compromise are rare and usually recover well, with few patients suffering long-term functional deficits from iatrogenic nerve injury. LEVEL OF EVIDENCE Level III, retrospective cohort study

    Non-steady 3D dendrite tip growth under diffusive and weakly convective conditions

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    Three dimensional α-Al dendrite tip growth under varying solute gradients in an Al-Cu-Si alloy melt has been studied using real time synchrotron X-ray imaging and mathematical modelling. X-radiographic image sequences with high temporal and spatial resolution were processed and analysed to retrieve three-dimensional spatial details of the evolving dendrite and the solute concentration field, providing vastly improved estimates for the latter, in particular for the melt regions adjacent to the dendrite tips. Computational results obtained from an extended Horvay-Cahn dendrite tip model, capable of taking into account the effects of sample confinement, showed good agreement with the experimental data, and can be taken to verify the robustness of the 3D data extraction protocol.European Commission - Seventh Framework Programme (FP7)Engineering and Physical Sciences Research Council (EPSRC) UKNorwegian Research Council, SYNKNOYT programm

    Maternal characteristics during pregnancy and risk factors for positive HIV RNA at delivery: a single-cohort observational study (Brescia, Northern Italy)

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    <p>Abstract</p> <p>Background</p> <p>Detectable HIV RNA in mothers at delivery is an important risk factor for HIV transmission to newborns. Our hypothesis was that, in migrant women, the risk of detectable HIV RNA at delivery is greater owing to late HIV diagnosis. Therefore, we examined pregnant women by regional provenance and measured variables that could be associated with detectable HIV RNA at delivery.</p> <p>Methods</p> <p>A observational retrospective study was conducted from January 1999 to May 2008. Univariate and multivariable regression analyses (generalized linear models) were used, with detectable HIV RNA at delivery as dependent variable.</p> <p>Results</p> <p>The overall population comprised 154 women (46.8% migrants). Presentation was later in migrant women than Italians, as assessed by CD4-T-cell count at first contact (mean 417/mm<sup>3 </sup>versus 545/mm<sup>3</sup>, respectively; p = 0.003). Likewise, HIV diagnosis was made before pregnancy and HAART was already prescribed at the time of pregnancy in more Italians (91% and 75%, respectively) than migrants (61% and 42.8%, respectively). A subgroup of women with available HIV RNA close to term (i.e., ≤30 days before labour) was studied for risk factors of detectable HIV RNA (≥50 copies/ml) at delivery. Among 93 women, 25 (26.9%) had detectable HIV RNA. A trend toward an association between non-Italian nationality and detectable HIV RNA at delivery was demonstrated by univariate analysis (relative risk, RR = 1.86; p = 0.099). However, by multivariable regression analysis, the following factors appeared to be more important: lack of stable (i.e., ≥14 days) antiretroviral therapy at the time of HIV RNA testing (RR = 4.3; p < 0.0001), and higher CD4+ T-cell count at pregnancy (per 50/mm<sup>3</sup>, RR = 0.94; p = 0.038).</p> <p>Conclusions</p> <p>These results reinforce the importance of extensive screening for HIV infection, earlier initiation of antiretroviral therapy and stricter monitoring of pregnant women to reduce the risk of detectable HIV RNA at delivery. Public health interventions should be particularly targeted to migrant women who are frequently unaware of their HIV status at the time of pregnancy.</p
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