Laser Induced Breakdown Spectroscopy For Detection Of Heavy Metals In Cancerous And Healthy Colon Tissues

Cancer mortalities are common due to the lack of diagnostic at the early stages in many countries. Recent studies discovered that the heavy metals in the human colon could cause the colon cancer. The conventional cancer detection techniques suffer from the insensitiveness, imprecision, slowness, cumbersomeness of sample preparation, and some time show conflicting results. Hence an accurate, reliable, and rapid detection technique is essential for the early diagnostic and prevention of heavy metals accumulation induced colon cancers. In this work, calibration-free laser-induced breakdown spectrometer (LIBS) was applied on several cancerous and normal colon tissues collected from the colon cancer infested patients aged 40 — 60 years. The results showed the presence of carcinogenic heavy metals including lead (Pb), chromium (Cr), and mercury (Hg) in the malignant colon tissues, while the healthy tissues were devoid of these elements. The accuracy of the LIBS results was validated by comparing the results obtained using a standard inductively coupled plasma atomic emission spectroscopy (ICP-OES). This study demonstrated that LIBS technique is very effective for rapid, precise early detection of the heavy metals accumulation in malignant colon tissues

Analysis of quartet and doublet states of no molecule excited by glow discharge

In this work, we report the fluorescence emission spectra of NO molecules excited using a low power glow discharge under different experimental conditions such as different gas pressure, buffer gases, NO concentration, discharge voltage and time evolution of Ar/NO density ratio as well. This glow discharge electronic excitation populated different high lying energy states like quartet and doublet states of NO in its proximity such as the A $^{2}$$\Sigma$ ($\nu$ = 2), b $^{4}$$\Sigma$ - ($\nu$ = 3), B $^{2}$II ($\nu$ = 4) and X $^{2}$II ($\nu$ = 33 - 32) states. Due to intersystem crossing, emission lines originating from these levels to lower lying states were recorded and spectral line assignments were performed. Observed systems included b b $^{4}$$\Sigma$-- a $^{4}$II , B $^{2}$II - a $^{4}$II , a $^{4}$II - X $^{2}$II, A $^{2}$II -X $^{2}$II and X $^{2}$II -X $^{2}$II. This investigation could assist in understanding the interesting features of NO molecule such as collision processes, population dynamics and energy transfer within molecules

Visible light guided manipulation of liquid wettability on photoresponsive surfaces

Photoresponsive titania surfaces are of great interest due to their unique wettability change upon ultraviolet light illumination. However, their applications are often limited either by the inability to respond to visible light or the need for special treatment to recover the original wettability. Sensitizing TiO2 surfaces with visible light-absorbing materials has been utilized in photovoltaic applications. Here we demonstrate that a dye-sensitized TiO2 surface can selectively change the wettability towards contacting liquids upon visible light illumination due to a photo-induced voltage across the liquid and the underlying surface. The photo-induced wettability change of our surfaces enables external manipulation of liquid droplet motion upon illumination. We show demulsification of surfactant-stabilized brine-in-oil emulsions via coalescence of brine droplets on our dye-sensitized TiO2 surface upon visible light illumination. We anticipate that our surfaces will have a wide range of applications including microfluidic devices with customizable wettability, solar-driven oil–water clean-up and demulsification technologies

Geochemical Signature of Mesozoic Volcanic and Granitic Rocks in Madina Regency Area, North Sumatra, Indonesia, and Its Tectonic Implication

Http://dx.doi.org/10.17014/ijog.vol4no2.20094Five samples consisting of two Permian-Triassic basalts, two Triassic-Jurassic granitic rocks, and a Miocene andesite were collected from the Madina Regency area in North Sumatra that is regionally situated on the West Sumatra Block. Previous authors have proposed three different scenarios for the geological setting of West Sumatra Permian Plutonic-Volcanic Belt, namely an island-arc, subduction related continental margin arc, and continental break-up. Petrographic analysis of the Mesozoic basaltic samples indicates that they are island-arcs in origin; however their trace element spider diagram patterns (Rock/MORB ratio) also show the character of back-arc marginal basin, besides the island-arc. Furthermore, their REE spider diagram patterns (Rock/ Chondrite ratio) clearly reveal that they were actually generated in a back-arc marginal basin tectonic setting. Meanwhile, the two Mesozoic granitic rocks and the Miocene andesite reflect the character of an active continental margin. Their spider diagram patterns show a significant enrichment on incompat- ible elements, usually derived from fluids of the subducted slab beneath the subduction zone. The high enrichment on Th makes their plots on Ta/Yb versus Th/Yb diagram are shifted to outside the active continental margin field. Although the volcanic-plutonic products represent different ages, their La/Ce ratio leads to a probability that they have been derived from the same magma sources. This study offers another different scenario for the geological setting of West Sumatra Permian Plutonic-Volcanic Belt, where the magmatic activities started in a back-arc marginal basin tectonic setting during the Permian-Triassic time and changed to an active continental margin during Triassic to Miocene. The data are collected through petrographic and chemical analyses for major, trace, and REE includ- ing literature studies

Probing the light harvesting and charge rectification of bismuth nanoparticles behind the promoted photoreactivity onto Bi/BiOCl catalyst by (in-situ) electron microscopy

State-of-the-art electron microscopy has enabled us to investigate microstructural details down to sub-subångström and milli-electron-volt resolution level. The enhanced photoreactivity over bismuth hybridized BiOCl catalyst (Bi/BiOCl) has been reported recently, however, the mechanistic understandings of this improved photoreactivity especially the optical behavior of bismuth nanoparticles (Bi NPs) are still obscured and in debate. The optical absorption features of Bi NPs and the charge transfer characteristic between bismuth and BiOCl have been considered as the major physicochemical origin for the promoted photoreactivity. Based on the advanced (in-situ) electron microscopy of monochromated electron energy loss spectroscopy in scanning transmission electron microscopy imaging mode (Mono-STEM-EELS) along with related theoretical investigations, in this work, we for the first time distinguished and explained the optical absorption originated from the localized surface plasmon resonances (LSPR) effect and direct band gap transition in an individual bismuth nanoparticle as well as transportation of photogenerated carriers at the interface of Bi/BiOCl. These findings could provide better understandings about the origin of the improved photoreactivity of various bismuth-hybridized photocatalysts

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

LASER INDUCED BREAKDOWN SPECTROSCOPY FOR DETECTION OF HEAVY METALS IN CANCEROUS AND HEALTHY COLON TISSUES

Cancer mortalities are common due to the lack of diagnostic at the early stages in many countries. Recent studies discovered that the heavy metals in the human colon could cause the colon cancer. The conventional cancer detection techniques suffer from the insensitiveness, imprecision, slowness, cumbersomeness of sample preparation, and some time show conflicting results. Hence an accurate, reliable, and rapid detection technique is essential for the early diagnostic and prevention of heavy metals accumulation induced colon cancers. In this work, calibration-free laser-induced breakdown spectrometer (LIBS) was applied on several cancerous and normal colon tissues collected from the colon cancer infested patients aged 40 — 60 years. The results showed the presence of carcinogenic heavy metals including lead (Pb), chromium (Cr), and mercury (Hg) in the malignant colon tissues, while the healthy tissues were devoid of these elements. The accuracy of the LIBS results was validated by comparing the results obtained using a standard inductively coupled plasma atomic emission spectroscopy (ICP-OES). This study demonstrated that LIBS technique is very effective for rapid, precise early detection of the heavy metals accumulation in malignant colon tissues