6 research outputs found

    Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial

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    Growth and DC Conductivity Studies in MnSeO4.2H2O Single Crystal

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    Visible-light photo-activity of alkali metal doped ZnO

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    In order to utilize visible light more efficiently in the field of photocatalysis, Li, Na and K-doped ZnO nanoparticles were prepared using a sol–gel method. The obtained samples were characterized by BET surface area measurements, X-ray diffraction, scanning electron microscopy and UV–vis analysis. The photocatalytic activity of the photocatalysts was evaluated for the degradation of p-nitrophenol (p-NP) under visible light irradiation. It has been observed that these photocatalysts could be a promising photocatalyst for degradation of organic molecules as compared to transition metal doped ZnO under visible light. Li-doped ZnO is the most active photocatalyst and shows high photocatalytic activity for the degradation of p-nitrophenol (p-NP). The enhanced photocatalytic activity of Li-doped ZnO is mainly due to the electron trapping by lithium metal ions, small particle size, large surface area, and high surface roughness of the photocatalysts

    Engineered nanomaterials for water treatment and remediation: Costs, benefits, and applicability

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    The application of nanotechnology in drinking water treatment and pollution cleanup is promising, as demonstrated by a number of field-based (pilot and full scale) and bench scale studies. A number of reviews exist for these nanotechnology-based applications; but to better illustrate its importance and guide its development, a direct comparison between traditional treatment technologies and emerging approaches using nanotechnology is needed. In this review, the performances of traditional technologies and nanotechnology for water treatment and environmental remediation were compared with the goal of providing an up-to-date reference on the state of treatment techniques for researchers, industry, and policy makers. Pollutants were categorized into broad classes, and the most cost-effective techniques (traditional and nanotechnology-based) in each category reported in the literature were compared. Where information was available, cost and environmental implications of both technologies were also compared. Case studies were also provided where traditional technologies were directly compared with nanotechnology-based technologies for the similar pollutants. Although nanotechnology-based methods are generally believed to be more expensive, we found instances where they offer cheaper and more effective alternatives to conventional techniques. In addition, nano-based techniques may become extremely important in meeting increasingly stringent water quality standards, especially for removal of emerging pollutants and low levels of contaminants. We also discuss challenges facing environmental application of nanotechnology and offer potential solutions

    Accelerated surgery versus standard care in hip fracture (HIP ATTACK) : an international, randomised, controlled trial

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    Background: Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hip fracture. The HIP ATTACK trial assessed whether accelerated surgery could reduce mortality and major complications. Methods: HIP ATTACK was an international, randomised, controlled trial done at 69 hospitals in 17 countries. Patients with a hip fracture that required surgery and were aged 45 years or older were eligible. Research personnel randomly assigned patients (1:1) through a central computerised randomisation system using randomly varying block sizes to either accelerated surgery (goal of surgery within 6 h of diagnosis) or standard care. The coprimary outcomes were mortality and a composite of major complications (ie, mortality and non-fatal myocardial infarction, stroke, venous thromboembolism, sepsis, pneumonia, life-threatening bleeding, and major bleeding) at 90 days after randomisation. Patients, health-care providers, and study staff were aware of treatment assignment, but outcome adjudicators were masked to treatment allocation. Patients were analysed according to the intention-to-treat principle. This study is registered at ClinicalTrials.gov (NCT02027896). Findings: Between March 14, 2014, and May 24, 2019, 27 701 patients were screened, of whom 7780 were eligible. 2970 of these were enrolled and randomly assigned to receive accelerated surgery (n=1487) or standard care (n=1483). The median time from hip fracture diagnosis to surgery was 6 h (IQR 4\u20139) in the accelerated-surgery group and 24 h (10\u201342) in the standard-care group (p<0\ub70001). 140 (9%) patients assigned to accelerated surgery and 154 (10%) assigned to standard care died, with a hazard ratio (HR) of 0\ub791 (95% CI 0\ub772 to 1\ub714) and absolute risk reduction (ARR) of 1% ( 121 to 3; p=0\ub740). Major complications occurred in 321 (22%) patients assigned to accelerated surgery and 331 (22%) assigned to standard care, with an HR of 0\ub797 (0\ub783 to 1\ub713) and an ARR of 1% ( 122 to 4; p=0\ub771). Interpretation: Among patients with a hip fracture, accelerated surgery did not significantly lower the risk of mortality or a composite of major complications compared with standard care. Funding: Canadian Institutes of Health Research
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