Effect of Nanosilica and Titania on Thermal Stability of Polypropylene/Oil Palm Empty Fruit Fibre Composite

Degradation of polypropylene (PP) composites at elevated temperature for prolonged period has shortened the lifetime of PP composites. Thus, variety of fillers has been incorporated into PP matrix to improve thermal degradation stability. The effects of titania and nanosilica in PP reinforced with oil palm empty fruit bunch fibres (EFB) were investigated in this study. Mechanical properties of the samples were determined before and after thermal ageing. Morphology of the composite with varies fillers composition were analyzed using scanning electron microscope. The introduction of nanosilica into PP/EFB composite filled with titania has increased both the melting and glass transition temperature of PP. Chain splitting in molecular chains reduced with the incorporation of nanosilica and titania into PP and PP/FEB composites. The TGA study has showed that the addition of nanosilica has further enhanced the thermal stability effect of titania in PP/EFB composite. However, both the Izod impact strength and tensile strength of the composite reduced greatly after 20 days of thermal ageing

Macrocyclic gelators

The field of low molecular weight supramolecular gels, also known as physical gels, has grown rapidly over the last decade. In these gels, small molecules (gelators) self-assemble through non-covalent interactions, usually into a network of fibres, to trap solvent. Many physical gels are responsive to stimuli and often these types of gels can be reversibly converted from gel to sol. These properties make them ideal candidates for investigation into a range of potential applications, including biomedical, smart materials, sensors and catalysts. This review provides an overview of macrocyclic compounds, particularly the calixarenes, that can form supramolecular gels

The urban women travelling issue in the twenty-first century

Mobility generally refers to the ability or capacity to move. The subject of women's mobility has been well documented and investigated by researchers since the 1970s. Early studies were initially inspired by the issue of gender-based violence encountered by women. At the same time, there is increasing research on women transportation mobility due to the increasing percentage of women working and travelling outside the house. However, there is an absence of studies that adopted a systematic review of studies related to women's mobility. The increase of women working in the 21st century has led to an increase in the percentage of women travelling, thus engendering issues such as safety, security, mobility and accessibility. This paper attempted to identify studies related to women's mobility in the 21st century from the year 2001 until the year of 2020 by using a systematic literature review, guided by Preferred Reporting Materials for Systematic Reviews and Meta Analyses, also known as the PRISMA Statement, to further understand the scenario of urban women travelling in the global context. This paper reviews previous studies conducted in the 21st century, revealing slight variations of focus among the authors on the urban women travelling issue.Abstrak. Mobilitas umumnya mengacu pada kemampuan atau kapasitas untuk bergerak. Subjek 'Mobilitas Wanita' telah didokumentasikan dan diteliti dengan baik oleh para peneliti sejak tahun 1970-an. Studi terdahulu awalnya terinspirasi dari isu-isu kekerasan berbasis gender yang dihadapi perempuan. Sementara itu, penelitian tentang mobilitas transportasi perempuan semakin meningkat karena meningkatnya persentase perempuan yang bekerja dan pindah ke luar rumah. Namun, belum ada penelitian yang mengadopsi tinjauan sistematis pada artikel terkait studi terkait mobilitas perempuan. Meningkatnya jumlah perempuan yang bekerja di abad ke-21 juga meningkatkan persentase perempuan yang bepergian sehingga menggambarkan banyak masalah antara lain keselamatan, keamanan, mobilitas dan aksesibilitas. Oleh karena itu, tulisan ini mencoba mengidentifikasi kajian-kajian yang berkaitan dengan mobilitas perempuan abad ke-21 dari tahun 2001 hingga tahun 2020 dengan menggunakan Systematic Literature Review yang berpedoman pada Preferred Reporting Materials for Systematic Reviews dan Meta Analysis atau yang lebih dikenal dengan PRISMA Statement untuk memahami lebih jauh skenario perjalanan wanita perkotaan dalam perspektif global. Makalah ini mengulas penelitian sebelumnya yang dilakukan pada abad ke-21 yang telah ditafsirkan dan diuraikan dengan sedikit variasi fokus di antara penulis tentang isu perjalanan wanita perkotaan. Kata kunci. mobilitas wanita, tinjauan literatur sistematis, perjalanan, abad ke-21

Upper-rim acidic peptidocalixarenes as crystal growth modifiers

Calix[4]arenes functionalised at the upper rim with acidic amino acid residues are found to have a significant impact on the crystal growth of model mineral systems, calcium carbonate and barium sulphate. The aspartic acid derivative is found to be most efficacious, matching or exceeding the impact of commercial phosphonate-based scale inhibitors. In some cases, the modified morphologies are found to be similar to those induced by proteins isolated from biomineralised systems

UNDERSTANDING FACTORS OF USING PUBLIC TRANSPORTATION AMONG WOMEN IN KUALA LUMPUR

In recent decades, the percentage of women working outside their homes has ascended in many developing countries depicts the needs on the understanding of how women travel daily. Many claims, public transportation facilities, and infrastructure related to it do not consider the needs of women travelers but fit men's standards. As a result, many face difficulties became dependent on men for traveling or facing safety-related issues that deter them to use public transportation independently. Thus, this study is to identify factors of public transportation usage among women users in Kuala Lumpur. The study has able to identify three main attributes in public transportation usage factors that influence women users. Using the Structural Equation Modelling (SEM) researchers have found that situational attributes have a larger influence on public transportation frequency, in the use of public transportation and surrounding condition of the public transportation in the mode choice decisions of their travel preferences.

The role of head-up cardiopulmonary resuscitation in sudden cardiac arrest: a systematic review and meta-analysis

BACKGROUND: Head-up cardiopulmonary resuscitation (HU-CPR) is an experimental treatment for sudden cardiac arrest (SCA), where cardiopulmonary resuscitation (CPR) is performed in a ramped position. We evaluated whether HU-CPR improved survival and surrogate outcomes as compared to standard CPR (S-CPR). METHODS: Studies reporting on HU-CPR in SCA were searched for in PubMed, Embase and Cochrane Library from inception to May 1st 2021. Outcomes included neurologically-intact survival, 24-hour-survival, intracranial pressure (ICP), cerebral perfusion pressure (CerPP) and brain blood flow (BBF). Risk of bias was assessed using the GRADE assessment tool and Newcastle Ottawa Scale. Fixed- and random-effects models were used to estimate the pooled effects of HU-CPR at 30 degrees. RESULTS: Thirteen articles met the criteria for inclusion (11 animal-only studies, one before-and-after human-only study, one study that utilized human- and animal-cadavers). Among animal studies, the most common implementation of HU-CPR was a 30-degree upward tilt of the head and thorax (n=7), while four studies investigated controlled sequential elevation (CSE). Two animal studies reported improved cerebral performance category (CPC) scores at 24-hour. The pooled effect on 24-hour survival was not statistically significant (P=0.37). The lone human study reported doubled return of spontaneous circulation (ROSC) (17.9% versus 34.2%, P<0.0001). The pooled effect on ROSC in three porcine studies was OR =3.63 (95% CI: 0.72–18.39). Pooled effects for surrogate physiological outcomes of intracranial cranial pressure (MD −14.08, 95% CI: −23.21 to −4.95, P=0.003), CerPP (MD 14.39, 95% CI: 3.07–25.72, P=0.01) and BBF (MD 0.14, 95% CI: 0.02–0.27, P=0.03), showed statistically significant benefit. DISCUSSION: Overall, HU-CPR improved neurologically-intact survival at 24-hour, ROSC and physiological surrogate outcomes in animal models. Despite promising preclinical data, and one human observational study, clinical equipoise remains surrounding the role of HU-CPR in SCA, necessitating clarification with future randomized human trials

A common variant near TGFBR3 is associated with primary open angle glaucoma

Primary open angle glaucoma (POAG), a major cause of blindness worldwide, is a complex disease with a significant genetic contribution. We performed Exome Array (Illumina) analysis on 3504 POAG cases and 9746 controls with replication of the most significant findings in 9173 POAG cases and 26 780 controls across 18 collections of Asian, African and European descent. Apart from confirming strong evidence of association at CDKN2B-AS1 (rs2157719 [G], odds ratio [OR] = 0.71, P = 2.81 × 10−33), we observed one SNP showing significant association to POAG (CDC7–TGFBR3 rs1192415, ORG-allele = 1.13, Pmeta = 1.60 × 10−8). This particular SNP has previously been shown to be strongly associated with optic disc area and vertical cup-to-disc ratio, which are regarded as glaucoma-related quantitative traits. Our study now extends this by directly implicating it in POAG disease pathogenesis

Atrasentan and renal events in patients with type 2 diabetes and chronic kidney disease (SONAR): a double-blind, randomised, placebo-controlled trial

Background: Short-term treatment for people with type 2 diabetes using a low dose of the selective endothelin A receptor antagonist atrasentan reduces albuminuria without causing significant sodium retention. We report the long-term effects of treatment with atrasentan on major renal outcomes. Methods: We did this double-blind, randomised, placebo-controlled trial at 689 sites in 41 countries. We enrolled adults aged 18–85 years with type 2 diabetes, estimated glomerular filtration rate (eGFR)25–75 mL/min per 1·73 m 2 of body surface area, and a urine albumin-to-creatinine ratio (UACR)of 300–5000 mg/g who had received maximum labelled or tolerated renin–angiotensin system inhibition for at least 4 weeks. Participants were given atrasentan 0·75 mg orally daily during an enrichment period before random group assignment. Those with a UACR decrease of at least 30% with no substantial fluid retention during the enrichment period (responders)were included in the double-blind treatment period. Responders were randomly assigned to receive either atrasentan 0·75 mg orally daily or placebo. All patients and investigators were masked to treatment assignment. The primary endpoint was a composite of doubling of serum creatinine (sustained for ≥30 days)or end-stage kidney disease (eGFR <15 mL/min per 1·73 m 2 sustained for ≥90 days, chronic dialysis for ≥90 days, kidney transplantation, or death from kidney failure)in the intention-to-treat population of all responders. Safety was assessed in all patients who received at least one dose of their assigned study treatment. The study is registered with ClinicalTrials.gov, number NCT01858532. Findings: Between May 17, 2013, and July 13, 2017, 11 087 patients were screened; 5117 entered the enrichment period, and 4711 completed the enrichment period. Of these, 2648 patients were responders and were randomly assigned to the atrasentan group (n=1325)or placebo group (n=1323). Median follow-up was 2·2 years (IQR 1·4–2·9). 79 (6·0%)of 1325 patients in the atrasentan group and 105 (7·9%)of 1323 in the placebo group had a primary composite renal endpoint event (hazard ratio [HR]0·65 [95% CI 0·49–0·88]; p=0·0047). Fluid retention and anaemia adverse events, which have been previously attributed to endothelin receptor antagonists, were more frequent in the atrasentan group than in the placebo group. Hospital admission for heart failure occurred in 47 (3·5%)of 1325 patients in the atrasentan group and 34 (2·6%)of 1323 patients in the placebo group (HR 1·33 [95% CI 0·85–2·07]; p=0·208). 58 (4·4%)patients in the atrasentan group and 52 (3·9%)in the placebo group died (HR 1·09 [95% CI 0·75–1·59]; p=0·65). Interpretation: Atrasentan reduced the risk of renal events in patients with diabetes and chronic kidney disease who were selected to optimise efficacy and safety. These data support a potential role for selective endothelin receptor antagonists in protecting renal function in patients with type 2 diabetes at high risk of developing end-stage kidney disease. Funding: AbbVie

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 &lt; 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

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Abstract Primary open angle glaucoma (POAG), a major cause of blindness worldwide, is a complex disease with a significant genetic contribution. We performed Exome Array ), we observed one SNP showing significant association to POAG (CDC7-TGFBR3 rs1192415, OR G-allele = 1.13, P meta = 1.60 × 10 −8 ). This particular SNP has previously been shown to be strongly associated with optic disc area and vertical cup-to-disc ratio, which are regarded as glaucoma-related quantitative traits. Our study now extends this by directly implicating it in POAG disease pathogenesis