3 research outputs found

    Using a sulfur-bearing silane to improve rubber formulations for potential use in industrial rubber articles

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    This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Adhesion Science and Technology on 13/08/2012, available online: http://dx.doi.org/10.1080/01694243.The availability of the coupling agent bis (3-triethoxysilylpropyl)-tetrasulfide (TESPT) has provided an opportunity for enhancing the reinforcing capabilities of precipitated amorphous white silica in rubber. Styrene-butadiene rubber, synthetic polyisoprene rubber (IR), acrylonitrile-butadiene rubber, and natural rubber (NR) containing the same loading of a precipitated silica filler were prepared. The silica surface was pretreated with TESPT, which is a sulfur-bearing bifunctional organosilane to chemically bond silica to the rubber. The rubber compounds were subsequently cured by reacting the tetrasulfane groups of TESPT with double bonds in the rubber chains and the cure was optimized by adding sulfenamide accelerator and zinc oxide. The IR and NR needed more accelerators for curing. Surprisingly, there was no obvious correlation between the internal double bond content and the accelerator requirement for the optimum cure of the rubbers. Using the TESPT pretreated silanized silica was a very efficient method for cross-linking and reinforcing the rubbers. It reduced the use of the chemical curatives significantly while maintaining excellent mechanical properties of the cured rubbers. Moreover, it improved health and safety at work-place, reduced cost, and minimized damage to the environment because less chemical curatives were used. Therefore, TESPT was classified as "green silane" for use in rubber formulations

    Evaluation of prognostic risk models for postoperative pulmonary complications in adult patients undergoing major abdominal surgery: a systematic review and international external validation cohort study

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    Background Stratifying risk of postoperative pulmonary complications after major abdominal surgery allows clinicians to modify risk through targeted interventions and enhanced monitoring. In this study, we aimed to identify and validate prognostic models against a new consensus definition of postoperative pulmonary complications. Methods We did a systematic review and international external validation cohort study. The systematic review was done in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched MEDLINE and Embase on March 1, 2020, for articles published in English that reported on risk prediction models for postoperative pulmonary complications following abdominal surgery. External validation of existing models was done within a prospective international cohort study of adult patients (≥18 years) undergoing major abdominal surgery. Data were collected between Jan 1, 2019, and April 30, 2019, in the UK, Ireland, and Australia. Discriminative ability and prognostic accuracy summary statistics were compared between models for the 30-day postoperative pulmonary complication rate as defined by the Standardised Endpoints in Perioperative Medicine Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC). Model performance was compared using the area under the receiver operating characteristic curve (AUROCC). Findings In total, we identified 2903 records from our literature search; of which, 2514 (86·6%) unique records were screened, 121 (4·8%) of 2514 full texts were assessed for eligibility, and 29 unique prognostic models were identified. Nine (31·0%) of 29 models had score development reported only, 19 (65·5%) had undergone internal validation, and only four (13·8%) had been externally validated. Data to validate six eligible models were collected in the international external validation cohort study. Data from 11 591 patients were available, with an overall postoperative pulmonary complication rate of 7·8% (n=903). None of the six models showed good discrimination (defined as AUROCC ≥0·70) for identifying postoperative pulmonary complications, with the Assess Respiratory Risk in Surgical Patients in Catalonia score showing the best discrimination (AUROCC 0·700 [95% CI 0·683–0·717]). Interpretation In the pre-COVID-19 pandemic data, variability in the risk of pulmonary complications (StEP-COMPAC definition) following major abdominal surgery was poorly described by existing prognostication tools. To improve surgical safety during the COVID-19 pandemic recovery and beyond, novel risk stratification tools are required. Funding British Journal of Surgery Society
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