547 research outputs found

    Evaluation of mechanical and physicochemical properties of protection coatings obtained by sol-gel method

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    Thin coatings, obtained by the sol-gel method, could find potential applications in medical, chemical and food industry. To achieve this, coatings need to have proper physicochemical, mechanical and protective properties. Titanium dioxide (TiO₂) and silicon dioxide (SiO₂) coatings have been applied onto the surface of a stainless steel (316L) by the solgel method using two techniques: dip-coating and painting. To determine the physicochemical composition of triple SiO₂ and TiO₂ coatings, samples were examined by Raman spectroscopy. Surface images obtained with the use of a scanning electron microscopy allow us to determine the surface morphology and continuity of the coatings. The surface morphology was examined before and after tensile tests. The static tensile tests and fatigue strength tests were conducted on a hydraulic testing machine MTS 810 with a measuring range of up to 100 kN. A preliminary research has confirmed that the coatings obtained by the sol-gel method have physicochemical, mechanical and protective properties that make it possible to use them as protective coatings.Тонкі покриви на основі SiO₂ та TiO₂, отримані золь-гель методом, застосовують у медицині, хімічній та харчовій промисловості. Для досягнення необхідних їх фізико-хімічних, механічних і захисних властивостей використано оптимальні режими золь-гель методу, щоб одержати покриви на основі диоксидів титану та кремнію на поверхні нержавної сталі типу 316L. Для оцінки властивостей покривів вжито методи раманівської спектроскопії, а поверхню досліджено за допомогою сканівного електронного мікроскопа. Морфологію поверхні вивчали до та після випробувань на розтяг на гідравлічній машині MTS 810 з навантаженнями до 100 kN. Встановлено, що покриви володіють необхідними фізико-хімічними та механічними властивостями, щоб їх застосовувати як захисні.Тонкие покрытия на основе SiO₂ и TiO₂, полученные золь-гель методом, применяют в медицине, химической и пищевой промышленности. Для достижения необходимых их физико-химических, механических и защитных свойств применены оптимальные режимы золь-гель метода для формирования покрытий на основе диоксидов титана и кремния на поверхности нержавеющей стали типа 316L. Для оценки свойств покрытий использованы методы рамановской спектроскопии, а поверхность исследована с помощью сканирующего электронного микроскопа. Морфологию поверхности изучали до и после испытаний на растяжение на гидравлической машине MTS 810 с нагрузками до 100 kN. Выявлено, что покрытия владеют необходимыми физико-химическими и механическими свойствами, чтобы их применять в качестве защитных

    One-dimensional quasi-relativistic particle in the box

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    Two-term Weyl-type asymptotic law for the eigenvalues of one-dimensional quasi-relativistic Hamiltonian (-h^2 c^2 d^2/dx^2 + m^2 c^4)^(1/2) + V_well(x) (the Klein-Gordon square-root operator with electrostatic potential) with the infinite square well potential V_well(x) is given: the n-th eigenvalue is equal to (n pi/2 - pi/8) h c/a + O(1/n), where 2a is the width of the potential well. Simplicity of eigenvalues is proved. Some L^2 and L^infinity properties of eigenfunctions are also studied. Eigenvalues represent energies of a `massive particle in the box' quasi-relativistic model.Comment: 40 pages, 4 figures; minor correction

    63P Ocena skuteczności paliatywnej brachyterapii HDR w leczeniu raka przełyku

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    Celem pracy jest ocena skuteczności paliatywnej brachyterapii w leczeniu zaawansowanego raka przełyku. Poddano analizie wpływ wcześniejszej teleradioterapii na efekt paliacji oraz dokonano oceny przydatności powtórnej brachyterapii w leczeniu nawrotu dysfagii.Materiał i metodyW latach 1991–1997 w Instytucie Onkologii w Gliwicach leczono brachyterapią HDR 35 chorych na zaawansowanego raka przełyku. 23 chorych tej grupy było uprzednio leczonych z zastosowaniem zewnętrznych źródeł promieniowania, dla 12 brachyterapia była jedyną metodą leczenia. U 9 chorych tej grupy zastosowano ponownie brachyterapię w leczeniu nawrotu dysfagii. Skuteczność paliatywnej brachyterapii oceniono na podstawie analizy pięciu czynników:•subiektywnego odczucia poprawy•stopnia dysfagii po leczeniu•bólu przy przełykaniu•wzrostu wagi•regresji radiologicznej zmianyW celu analizy wpływu teleradioterapii na skuteczność paliatywnej brachyterapii chorzy zostali podzieleni na dwie grupy A i B. Do grupy A zaliczono chorych leczonych uprzednio teleradioterapią, do grupy B zaliczono chorych leczonych wyłącznie brzchyterapią.WynikiSubiektywną poprawę po leczeniu zgłaszało 28 (80%) chorych. U 31 chorych nastąpiło zmniejszenie dysfagii. Spośród 14(40%) chorych cierpiących z powodu bólu u 6 (42%) chorych stwierdzono zmniejszenie nasilenia tego objawu. Ból nie był częstym objawem w badanej grupie. 21 (60%) chorych nie odczuwało bólu zarówno przed jak i po leczeniu. U 14 (40%) chorych stwierdzono wzrost wagi po leczeniu, a u 20 (57%) chorych waga utrzymywała się na stałym poziomie. W skopii przełyku z kontrastem stwierdzono regresję zmiany u 29 (83%) chorych. Czas trwania regresji objawów wahał się od kilkunastu dni do półtora roku; średnio wynosił 2,5 miesiąca. Ciężkie powikłania po leczeniu zaobserwowano u 6 (17%) chorych. W grupach A i B stwierdzono porównywalny efekt paliatywny, ciężkie powikłania zaobserwowano jednak tylko u chorych zaliczonych do grupy A.Spośród 9 chorych leczonych z powodu nawrotu dysfagii powtórna brachyterapia przyniosła efekt u 5 (56%) chorych. powikłania po powtórnej brachyterapii zaobserwowano u 3chorych; wszyscy byli uprzednio leczeni teradioterapią.WnioskiBrachyterapia HDR jest skuteczną metodą paliatywnego leczenia raka przełyku i wydaje się być wystarczająca jako jedyna metoda paliacji przy tym rozpoznaniu. W badanej grupie powtórne zastosowanie brachyterapii okazało się skuteczna metodą w przypadku nawrotu dysfagii u chorych nie poddanych wcześniej teleradioterapii

    Cardiovascular complications after radiotherapy

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    Over the past decades, effective cancer therapies have resulted in a significant improvement in thesurvival rates for a number of cancers and an increase in the number of cancer survivors. Radiationtherapy is widely used in the treatment of cancer, and it can induce various cardiotoxicities that differconsiderably from chemotherapy-induced cardiotoxicity. They occur primarily as late radiation-inducedcomplications, several years from the end of anticancer treatment and present as coronary artery disease,heart failure, pericardial disease, valvular heart disease and arrhythmias. Patients who recoveredfrom cancer disease suffer from cardiac complications of anticancer treatment, it affects the quality oftheir lives and life expectancy, especially if the diagnosis is delayed. These patients may present distinctsymptoms of cardiac injury, resulting from radiation-induced neurotoxicity and altered pain perception,which makes diagnosis difficult. This review highlights the need for a screening programme for patientswho have undergone radiation therapy and which will subsequently have a potentially profound impacton morbidity and mortality

    Major Depressive Disorder (MDD) and Antidepressant Medication Are Overrepresented in High-Dose Statin Treatment

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    Objective: To examine the dose-dependent relationship of different types of statins with the occurrence of major depressive disorder (MDD) and prescription of antidepressant medication. Methods: This cross-sectional study used medical claims data for the general Austrian population (n = 7,481,168) to identify all statin-treated patients. We analyzed all patients with MDD undergoing statin treatment and calculated the average defined daily dose for six different types of statins. In a sub-analysis conducted independently of inpatient care, we investigated all patients on antidepressant medication (statin-treated patients: n = 98,913; non-statin-treated patients: n = 789,683). Multivariate logistic regression analyses were conducted to calculate the risk of diagnosed MDD and prescription of antidepressant medication in patients treated with different types of statins and dosages compared to non-statin-treated patients. Results: In this study, there was an overrepresentation of MDD in statin-treated patients when compared to non-statin-treated patients (OR: 1.22, 95% CI: 1.20–1.25). However, there was a dose dependent relationship between statins and diagnosis of MDD. Compared to controls, the ORs of MDD were lower for low-dose statin-treated patients (simvastatin>0– 0– 0– 40– 60–80 mg:OR: 5.27, 95% CI: 4.21–6.60; atorvastatin>40– 60– 20– < =40 mg:OR: 2.09, 95% CI: 1.31–3.34). The results were confirmed in a sex-specific analysis and in a cohort of patients taking antidepressants, prescribed independently of inpatient care. Conclusions: This study shows that it is important to carefully re-investigate the relationship between statins and MDD. High-dose statin treatment was related to an overrepresentation, low-dose statin treatment to an underrepresentation of MDD

    Associations between fruit and vegetable intake, leisure-time physical activity, sitting time and self-rated health among older adults : cross-sectional data from the WELL study

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    BackgroundLifestyle behaviours, such as healthy diet, physical activity and sedentary behaviour, are key elements of healthy ageing and important modifiable risk factors in the prevention of chronic diseases. Little is known about the relationship between these behaviours in older adults. The purpose of this study was to explore the relationship between fruit and vegetable (F&amp;V) intake, leisure-time physical activity (LTPA) and sitting time (ST), and their association with self-rated health in older adults.MethodsThis cross-sectional study comprised 3,644 older adults (48% men) aged 55-65 years, who participated in the Wellbeing, Eating and Exercise for a Long Life (&quot;WELL&quot;) study. Respondents completed a postal survey about their health and their eating and physical activity behaviours in 2010 (38% response rate). Spearman\u27s coefficient (rho) was used to evaluate the relationship between F&amp;V intake, LTPA and ST. Their individual and shared associations with self-rated health were examined using ordinal logistic regression models, stratified by sex and adjusted for confounders (BMI, smoking, long-term illness and socio-demographic characteristics).ResultsThe correlations between F&amp;V intake, LTPA and ST were low. F&amp;V intake and LTPA were positively associated with self-rated health. Each additional serving of F&amp;V or MET-hour of LTPA were associated with approximately 10% higher likelihood of reporting health as good or better among women and men. The association between ST and self-rated health was not significant in the multivariate analysis. A significant interaction was found (ST*F&amp;V intake). The effect of F&amp;V intake on self-rated health increased with increasing ST in women, whereas the effect decreased with increasing ST in men.ConclusionThis study contributes to the scarce literature related to lifestyle behaviours and their association with health indicators among older adults. The findings suggest that a modest increase in F&amp;V intake, or LTPA could have a marked effect on the health of older adults. Further research is needed to fully understand the correlates and determinants of lifestyle behaviours, particularly sitting time, in this age group

    How are "teaching the teachers" courses in evidence based medicine evaluated? A systematic review

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    Background Teaching of evidence-based medicine (EBM) has become widespread in medical education. Teaching the teachers (TTT) courses address the increased teaching demand and the need to improve effectiveness of EBM teaching. We conducted a systematic review of assessment tools for EBM TTT courses. To summarise and appraise existing assessment methods for teaching the teachers courses in EBM by a systematic review. Methods We searched PubMed, BioMed, EmBase, Cochrane and Eric databases without language restrictions and included articles that assessed its participants. Study selection and data extraction were conducted independently by two reviewers. Results Of 1230 potentially relevant studies, five papers met the selection criteria. There were no specific assessment tools for evaluating effectiveness of EBM TTT courses. Some of the material available might be useful in initiating the development of such an assessment tool. Conclusion There is a need for the development of educationally sound assessment tools for teaching the teachers courses in EBM, without which it would be impossible to ascertain if such courses have the desired effect
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