Uterine devascularization

Uterine devascularization is a valuable alternative to hysterectomy or internal iliac arteries ligation in case of otherwise intractable obstetrical haemorrhage. Has a higher success rate as compared to that of internal iliac arteries ligation. Can be dealt with, vaginally or through abdomen, in this case may be employed curatively or preventively

Analysis of metals and phosphorus in biodiesel B100 from different feedstock using a Flow Blurring® multinebulizer in inductively coupled plasma-optical emission spectrometry

A simple and fast method for determining the content of Na, K, Ca, Mg, P, and 20 heavy metals in biodiesel samples with inductively coupled plasma optical emission spectrometry (ICP OES) using a two-nozzle Flow Blurring® multinebulizer prototype and on-line internal standard calibration, are proposed. The biodiesel samples were produced from different feedstock such as sunflower, corn, soybean and grape seed oils, via a base catalyst transesterification. The analysis was carried out without any sample pretreatment. The standards and samples were introduced through one of the multinebulizer nozzles, while the aqueous solution containing yttrium as an internal standard was introduced through the second nozzle. Thus, the spectral interferences were compensated and the formation of carbon deposits on the ICP torch was prevented. The determination coefficients (R2) were greater than 0.99 for the studied analytes, in the range 0.21–14.75 mg kg−1. Short-term and long-term precisions were estimated as relative standard deviation. These were acceptable, their values being lower than 10%. The LOQ for major components such as Ca, K, Mg, Na, and P, were within a range between 4.9 ng g−1 for Mg (279.553 nm) and 531.1 ng g−1 for Na (588.995 nm), and for the other 20 minor components they were within a range between 1.1 ng g−1 for Ba (455.403 nm) and 2913.9 ng g−1 for Pb (220.353 nm). Recovery values ranged between 95% and 106%.The authors gratefully acknowledge Universidad Nacional del Sur (UNS) and Instituto de Química del Sur – Universidad Nacional del Sur – Consejo Nacional de Investigaciones Científicas y Técnicas (INQUISUR-UNS-CONICET) from Argentina for the financial support. FDAO acknowledges Universidad de Alicante (UA) for his short visit fellowship. Ministerio de Asuntos Exteriores y de Cooperación (MAEC) and Dirección de Relaciones Culturales y Científicas (AECID) from Spain for the financial support. The authors wish to thank the Spanish Government (CTQ2011-23968) for the financial support

On-line carbon dots synthesis using flow injection analysis. Application to aluminium determination in water samples

An on-line synthesis of CDots is proposed for the first time, using the flow injection analysis (FIA) technique, which was coupled, in a single system, to the analytical determination of aluminium in water samples. The nanoparticles were obtained from the carbonization of glucose and iron(III) in an acidic medium, and their photoluminescence increased in the presence of aluminium ions. Under optimal experimental conditions, the proposed method has shown an acceptable linearity range –between 0.04 and 3.0 mg L−1 (R2 = 0.9999) – and a detection limit of 0.007 mg L−1. The analysis of drinking water and groundwater samples showed good accuracy (recoveries ranged between 91 – 113%) and RSD% < 13. The on-line system exhibited a high sample throughput (36 h−1), since no incubation time was required.Financial support from Universidad Nacional del Sur (PGI 24/Q099 and 24/Q123, CONICET 11220200102603CO, CONICET 11220200103198CO and the ANPCyT PICT-2019-04458 (2021-2023) is gratefully acknowledged. This research was part of the Ph.D. thesis of Damian Uriarte, which was supported by a doctoral grant funded by Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET). M. Garrido and C.E. Domini wish to thank CONICET

Working length transfer in the endodontic clinical practice: A comparative study

8The present paper evaluated the accuracy of two different methods for transferring working length (WL) between manual endodontic instruments and nickel–titanium (NiTi) shaping files. Thirty root canals of extracted permanent teeth were used. Root canals were divided according to canal length (CL) and canal curvature (CC). The reference cusp and the root end were flattened to provide reproducible and accurate measurements. During shaping, the WL measurements were obtained with manual k-files (KF) and transferred to WaveOne (W1) NiTi reciprocating files using the traditional method with the endodontic ruler (method I) and an alternative clinical procedure based on the comparison of the instruments side by side from tip to shank (method II). For each file and each tested method, two measures were taken by two examiners using Rhino (ver. 4.0, McNeel, Seattle, WA, USA) software for a total of 360 (30 × 3 × 2 × 2) measures. Analysis of variance was performed by taking the difference in length (Delta WL, DWL) between files used for the same canal. The difference between methods I and II for WL transfer was found to be statistically significant (df = 1; F = 71.52; p < 0.001). The DWL absolute values obtained with method II were found to be closer to 0 mm (i.e., same length as corresponding KF) than those obtained with method I. Both CL (df = 2; F = 1.27; p = 0.300) and CC (df = 1; F = 2.22; p = 0.149) did not significantly influence WL measurements. With respect to WL transfer, method II seemed to better preserve the correct WL transfer between instruments during the clinical endodontic procedures.openopenMario Alovisi; Mario Dioguardi; Massimo Carossa; Giuseppe Troiano; Maria Chiara Domini; Davide Salvatore Paolino; Giorgio Chiandussi; Elio BeruttiAlovisi, Mario; Dioguardi, Mario; Carossa, Massimo; Troiano, Giuseppe; Chiara Domini, Maria; Paolino, DAVIDE SALVATORE; Chiandussi, Giorgio; Berutti, Eli

Reversed-phase dispersive liquid–liquid microextraction for elemental analysis of gasoline by inductively coupled plasma optical emission spectrometry

In this work a green and fast sample preparation method based on reversed-phase dispersive liquid–liquid microextraction (RP-DLLME) was developed for the separation and preconcentration of several elements (i.e., Ag, As, Ba, Cd, Cr, Cu, Hg, Mn, Mo, Ni, Pb, S, Se, Sn and V) in gasoline samples before determination by Inductively Coupled Plasma Optical Emission Spectrometry (ICP-OES). The extraction procedure was carried out in a reverse mode, since a small volume of the aqueous phase (i.e., 8 M HCl) is used to extract a relatively high volume of the organic phase (i.e., gasoline sample). Unlike conventional DLLME, in RP-DLLME the analytes were extracted from the organic phase into the aqueous phase. The experimental conditions for the microextraction procedure were: 5 g of sample, 8 M HCl as the extractant phase, mechanical agitation by vortex as the dispersion system, 115 μL of extractant volume, and 2 min extraction and 5 min centrifugation time. Under optimized extraction conditions the enrichment factor ranged between 3 and 53, and the limits of detection ranged between 0.02 and 50 μg kg−1. The proposed analytical method was validated and successfully used to analyze three gasoline samples. All gasoline samples were spiked at 100 μg kg−1 for all analytes, except sulfur (in this case at 1000 μg kg−1), obtaining recovery and RSD values within the range of 88–109% and 2–9%, respectively.The authors would like to thank the Regional Government of Valencia (Spain) (PROMETEO/2018/087) for the financial support, Agilent Technologies Inc. for the loan of the ICP-OES spectrometer, and Ingeniatrics for the OneNeb® provided. Financial support from Universidad Nacional del Sur is gratefully acknowledged. A. S. Lorenzetti, E. Vidal and C. E. Domini wish to thank Consejo Nacional de Investigaciones Científicas y Técnicas for the financial support received. The authors extend their appreciation to the Ministry of Science, Innovation and Universities for granting the Spanish Network of Excellence in Sample Preparation (RED2018-102522-T). This article is based upon work from the Sample Preparation Study Group and Network, supported by the Division of Analytical Chemistry of the European Chemical Society

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Capacitando para el cambio. Cuidar el agua, cuidar la vida (UNNE + Salud 2023)

This paper provides a general description of the activities carried out during the extension project "Training for  Change. Caring for water, caring for life", with the aim of  sensitizing and training the target community on the  importance of preserving and protecting natural  resources, especially water. To promote sustainable water, use practices to ensure its availability and quality  for the benefit of life and the environment. Additionally,  the development of this project contributed to the  comprehensive training of future professionals, who play  a crucial role in the scientific and technological  advancement of society. En el presente trabajo se hace una descripción general de las actividades llevadas a cabo durante la realización del proyecto de  extensión denominado “Capacitando para el cambio. Cuidar el agua, cuidar la vida”. El objetivo principal fue lograr la concientización y capacitación de la comunidad destinataria sobre la importancia de preservar y proteger los recursos naturales, en particular el  agua, buscando promover prácticas sostenibles de su uso para garantizar su disponibilidad y calidad en beneficio de la vida y el  medio ambiente. Adicionalmente, el desarrollo de este proyecto contribuyó con la formación integral de los futuros profesionales, protagonistas en el desarrollo científico y tecnológico de la sociedad.

Surgical site infection after gastrointestinal surgery in children: An international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda. (Globalsurg Collaborative