Comparison of long-term radial artery occlusion following trans-radial coronary intervention using 6-french versus 7-french sheaths

Background: The aim of this study was to explore the impact of 6-Fr and 7-Fr sheaths on the incidenceof long-term radial artery occlusion (RAO) after trans-radial coronary intervention (TRI).Methods: From September 2013 to January 2016, patients with ischemic heart disease includingacute myocardial infarction and true bifurcation lesions were randomly assigned to 6-Fr group and7-Fr group immediately after coronary angiography in a 1:1 ratio. The radial artery diameters wereobserved by ultrasound examination one day prior to TRI as well as at 30 days and 1 year after TRI.The primary endpoint was the incidence of RAO at 1-year after TRI. The secondary endpoints were theincidence of local vascular complications during hospitalization and changes of radial artery diameterswithin 1-year after TRI between the two groups. Additionally, multivariate logistic regression analysiswas used to explore potential factors related to the incidence of long-term RAO after TRI.Results: A total of 214 patients were enrolled and randomly assigned to 6-Fr group (n = 105) or7-Fr group (n = 109). There was no significant difference in the incidence of RAO at 1-year after TRI(8.57% vs. 12.84%, p = 0.313). Moreover, no significant difference was observed in the incidence of localvascular complications during hospitalization (20% vs. 24.77%, p = 0.403). After 1-year follow-up,no significant difference was found in radial artery diameters (2.63 ± 0.31 mm vs. 2.64 ± 0.27 mm,p = 0.802). Multivariate logistic analysis revealed that repeated TRI was an independent risk factor oflong-term RAO 1 year after TRI (OR = 10.316, 95% CI 2.928–36.351, p = 0.001).Conclusions: Compared to 6-Fr sheath, 7-Fr sheath did not increase short-term or long-term incidenceof RAO after TRI

Liquid-phase Hydrogenation of Phenol to Cyclohexanone over Supported Palladium Catalysts

The ZSM-5, g-Al2O3, SiO2 and MgO supported Pd-catalysts were prepared for the phenol hydrogenation to cyclohexanone in liquid-phase. The natures of these catalysts were characterized by XRD, N2 adsorption-desorption analysis, H2-TPR, CO2-TPD and NH3-TPD. The catalytic performance of the supported Pd-catalyst for phenol hydrogenation to cyclohexanone is closely related to nature of the support and the size of Pd nanoparticles. The Pd/MgO catalyst which possesses higher basicity shows higher cyclohexanone selectivity, but lower phenol conversion owing to the lower specific surface area. The Pd/SiO2 catalyst prepared by precipitation gives higher cyclohexanone selectivity and phenol conversion, due to the moderate amount of Lewis acidic sites, and the smaller size and higher dispersion of Pd nanoparticles on the surface. Under the reaction temperature of 135 oC and H2 pressure of 1 MPa, after reacting for 3.5 h, the phenol conversion of 71.62% and the cyclohexanone selectivity of 90.77% can be obtained over 0.5 wt% Pd/SiO2 catalyst. Copyright © 2016 BCREC GROUP. All rights reservedReceived: 7th March 2016; Revised: 13rd May 2016; Accepted: 7th June 2016How to Cite: Fan, L., Zhang, L., Shen, Y., Liu, D., Wahab, N., Hasan, M.M. (2016). Liquid-phase Hydrogenation of Phenol to Cyclohexanone over Supported Palladium Catalysts. Bulletin of Chemical Reaction Engineering & Catalysis, 11 (3): 354-362 (doi: 10.9767/bcrec.11.3.575.354-362)Permalink/DOI: http://doi.org/10.9767/bcrec.11.3.575.354-36

Enhanced Visible-Light-Driven Photocatalytic Activity of ZnAl Layered Double Hydroxide by Incorporation of Co2+

Co-doped ZnAl layered double hydroxides (LDH) were papered by coprecipitation. The prepared samples were characterized by multiple techniques including X-ray Diffraction (XRD), Brunauer−Emmett−Teller (BET) surface area, Scanning Electronic Microscopy (SEM), Transmission Electron Microscopy (TEM), X-ray Photoelectron Spectroscopy (XPS) and UV−Vis Diffuse-Reflectance Spectroscopy (UV−Vis DRS). The incorporation of Co2+ into the ZnAl LDH sheets as CrO6 octahedron forms a new  energy level which contributes for the excitation of electrons under visible light. The doped Co2+ at a reasonable content also serves as photo-generated charges separator and improves the visible light photocatalytic activity of ZnAl LDH. A degradation mechanism based on the hydroxyl radical as the active species was proposed. Copyright © 2018 BCREC Group. All rights reserved Received: 3rd February 2018; Revised: 8th July 2018; Accepted: 13rd July 2018 How to Cite: Li, D., Fan, L., Qi, M., Shen, Y., Liu, D., Li, S. (2018). Enhanced Visible-Light-Driven Photocatalytic Activity of ZnAl Layered Double Hydroxide by Incorporation of Co2+. Bulletin of Chemical Reaction Engineering & Catalysis, 13 (3): 502-511 (doi:10.9767/bcrec.13.3.2168.502-511) Permalink/DOI: https://doi.org/10.9767/bcrec.13.3.2168.502-51

Baseline whole-lung CT features deriving from deep learning and radiomics: prediction of benign and malignant pulmonary ground-glass nodules

ObjectiveTo develop and validate the model for predicting benign and malignant ground-glass nodules (GGNs) based on the whole-lung baseline CT features deriving from deep learning and radiomics.MethodsThis retrospective study included 385 GGNs from 3 hospitals, confirmed by pathology. We used 239 GGNs from Hospital 1 as the training and internal validation set; 115 and 31 GGNs from Hospital 2 and Hospital 3 as the external test sets 1 and 2, respectively. An additional 32 stable GGNs from Hospital 3 with more than five years of follow-up were used as the external test set 3. We evaluated clinical and morphological features of GGNs at baseline chest CT and extracted the whole-lung radiomics features simultaneously. Besides, baseline whole-lung CT image features are further assisted and extracted using the convolutional neural network. We used the back-propagation neural network to construct five prediction models based on different collocations of the features used for training. The area under the receiver operator characteristic curve (AUC) was used to compare the prediction performance among the five models. The Delong test was used to compare the differences in AUC between models pairwise.ResultsThe model integrated clinical-morphological features, whole-lung radiomic features, and whole-lung image features (CMRI) performed best among the five models, and achieved the highest AUC in the internal validation set, external test set 1, and external test set 2, which were 0.886 (95% CI: 0.841-0.921), 0.830 (95%CI: 0.749-0.893) and 0.879 (95%CI: 0.712-0.968), respectively. In the above three sets, the differences in AUC between the CMRI model and other models were significant (all P < 0.05). Moreover, the accuracy of the CMRI model in the external test set 3 was 96.88%.ConclusionThe baseline whole-lung CT features were feasible to predict the benign and malignant of GGNs, which is helpful for more refined management of GGNs

Ultra-low-dose spectral-detector computed tomography for the accurate quantification of pulmonary nodules: an anthropomorphic chest phantom study

PURPOSETo assess the quantification accuracy of pulmonary nodules using virtual monoenergetic images (VMIs) derived from spectral-detector computed tomography (CT) under an ultra-low-dose scan protocol.METHODSA chest phantom consisting of 12 pulmonary nodules was scanned using spectral-detector CT at 100 kVp/10 mAs, 100 kVp/20 mAs, 120 kVp/10 mAs, and 120 kVp/30 mAs. Each scanning protocol was repeated three times. Each CT scan was reconstructed utilizing filtered back projection, hybrid iterative reconstruction, iterative model reconstruction (IMR), and VMIs of 40–100 keV. The signal-to-noise ratio and air noise of images, absolute differences, and absolute percentage measurement errors (APEs) of the diameter, density, and volume of the four scan protocols and ten reconstruction images were compared.RESULTSWith each fixed reconstruction image, the four scanning protocols exhibited no significant differences in APEs for diameter and density (all P > 0.05). Of the four scan protocols and ten reconstruction images, APEs for nodule volume had no significant differences (all P > 0.05). At 100 kVp/10 mAs, APEs for density using IMR were the lowest (APE-mean: 6.69), but no significant difference was detected between VMIs at 50 keV (APE-mean: 11.69) and IMR (P = 0.666). In the subgroup analysis, at 100 kVp/10 mAs, there were no significant differences between VMIs at 50 keV and IMR in diameter and density (all P > 0.05). The radiation dose at 100 kVp/10 mAs was reduced by 77.8% compared with that at 120 kVp/30 mAs.CONCLUSIONCompared with IMR, reconstruction at 100 kVp/10 mAs and 50 keV provides a more accurate quantification of pulmonary nodules, and the radiation dose is reduced by 77.8% compared with that at 120 kVp/30 mAs, demonstrating great potential for ultra-low-dose spectral-detector CT

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat