Effectiveness of Bedside Lung Ultrasound for Clinical Follow-Up of Primary Spontaneous Pneumothorax Patients Treated With Tube Thoracostomy

Primary spontaneous pneumothorax (PSP) is a common cause of presentation to emergency departments and subsequent hospitalization. Patients with large PSP are treated with tube thoracostomy (TT) and followed up with x-rays. In this study, we investigated the efficiency of bedside ultrasound and compared it with x-ray imaging for the clinical follow-up of PSP patients treated with TT

Comparison of end-tidal carbon dioxide and point-of-care echocardiography for fluid response at the bedside

Purpose: In this study, we aimed to compare cardiac output, echocardiographic pulmonary velocity-time integral, and end-tidal carbon dioxide values before and after the passive leg raising maneuver in healthy volunteers. Methods: The Ethical Commission approved the study. A total of 36 volunteers were included after signed informed consent in our study. After 12 h of fasting, vital signs, cardiac output, pulmonary velocity-time integral, and end-tidal carbon dioxide were measured when the participants were lying supine. Then, participants' legs were elevated to 45 degrees passively, and all measurements were repeated. Pulmonary velocity-time integral was obtained in parasternal short-axis view with the aid of pulse Doppler. Pulmonary root measurements were recorded. Echocardiographic stroke volume and cardiac output were calculated. The differences between values of cardiac output, pulmonary velocity-time integral, and end-tidal carbon dioxide before and after passive leg raising were statistically compared. The level of significance was accepted as p < 0.05. Results: Significant differences were found between pre- and post-passive leg raising values of these three measurements. The effect of passive leg raising on pulmonary velocity-time integral measurements was greater. The change in end-tidal carbon dioxide was not correlated with either cardiac output or pulmonary velocity-time integral alteration. Conclusion: Our results showed that measurement of pulmonary velocity-time integral changes after passive leg raising is a more useful bedside method to predict fluid responsiveness than measurement of end-tidal carbon dioxide and cardiac output alteration

A Case Report of Prilocaine-Induced Methemoglobinemia after Liposuction Procedure

Prilocaine-induced methemoglobinemia is a rarely seen condition. In this paper, a case is presented with methemoglobinemia developed secondary to prilocaine use in a liposuction procedure, and the importance of this rarely seen condition is emphasized. A 20-year-old female patient presented with complaints of prostration, lassitude, shivering, shortness of breath, and cyanosis. It was learned that the patient underwent nearly 1000 mg prilocaine infiltration 8 hours priorly during a liposuction procedure. At admission, her blood pressure (130/80 mmHg), pulse rate (140 bpm), body temperature (36°C), and respiratory rate (40/min) were recorded. The patient had marked acrocyanosis. The arterial blood gas methemoglobin level was measured as 40%. The patient received oxygen therapy with a mask and was administered vitamin C in normal saline (500 mg tid), N-acetylcysteine (300 mg tid), and 50 mg 10% methylene blue in the intensive care unit of the internal medicine department. Methemoglobin level dropped down to 2% after her treatment with methylene blue and she was clinically cured and discharged 2 days later. Emergency service physicians should remember to consider methemoglobinemia when making a differential diagnosis between dyspnea and cyanosis developing after prilocaine infiltration performed for liposuctions in the adult age group

Self-Powered Photoelectrochemical Photodetectors Based on a CsPbBr₃/S‑<i>g</i>‑C₃N₄ Heterojunction-Sensitized 3D ZnO Nanostructured Thin Film

The production of photodetectors that can provide their own power needs and can be adapted to different application conditions is very important for next-generation optoelectronic devices. Three-dimensional (3D) ZnO in nanoflower (NF) morphology was synthesized to be sensitized with all-inorganic perovskite for the application of self-powered photodetector (PD) devices. Consequently, we report high-performance and air-/solvent-stable ZnO/CsPbBr3/S-g-C3N4-based PD devices in three different forms: as a solid-state form and photoelectrochemical (PEC)-type PDs in both liquid electrolyte systems and a quasi-solid-state (QSS) form. The solid-state configuration of the PD device generated a photocurrent density of 150 μA at 367 nm, while the detectivity and responsivity values were calculated as 3.4 × 1015 Jones and 0.25 AW–1, respectively. The device was confirmed to be air-stable upon stability tests for 90 days, retaining more than 65% of its initial current density. The self-power ability of ZnO/CsPbBr3/S-g-C3N4 PEC-type PDs was proven for both liquid electrolyte systems and QSS forms. Open cell voltage and sensitivity as high as 250 mV and 3.96 × 107%, respectively, were obtained for QSS ZnO/CsPbBr3/S-g-C3N4 PEC-type PDs. This study proved that the ZnO/CsPbBr3/S-g-C3N4-based PEC PD devices with high performance in the range of 367 to 460 nm can be adapted to meet different application requirements in a wide range from liquid electrolyte systems to solid- and QSS-type electrolyte systems

Flexible metal/semiconductor/metal type photodetectors based on manganese doped ZnO nanorods

High-performance flexible photodetectors are one of the most interesting research areas due to their great possibilities for a variety of applications such as portable and wearable optoelectronics. This study verifies the performance of flexible metal/semiconductor/metal-type photodetector based on pristine and manganese doped ZnO nanorods (ZnO-NRs) prepared in two different concentrations of zinc precursors and manganese dopant at low temperatures. The photodetectors having ZnO-NRs with high aspect ratios were investigated by various material characterization techniques such as electron paramagnetic resonance and photoluminescence spectroscopy to confirm the relationship between defect concentrations and photodetector performance parameters. It has been calculated that the detectivity (D*) and responsivity (R) of the ZnO nanorod-based photodetectors increased 20 and 18 folds, respectively by increasing the concentration of zinc precursor. Besides the D* and R values of the photodetectors, prepared by the 16.5 mM zinc precursor, increased 18 and 4.5-fold, respectively, after manganese doping. We confirmed that even a very low concentration of zinc precursor could produce a photodetector with high performance in photo-response characteristics, flexibility, and stability against 10,000 cycles of convex/concave bending

Highly efficient 3D-ZnO nanosheet photoelectrodes for solar-driven water splitting: Chalcogenide nanoparticle sensitization and mathematical modeling

Three-dimensional (3D) zinc oxide nanosheets (ZnO-NS), assembled on the FTO coated glass substrates after chemical treatment, have been achieved via a simple yet effective chemical bath deposition technique. The exploration of chalcogenide nanoparticle sensitization on ZnO-NS thin-film photoanodes led us to a spectacular enhancement in the photoelectrochemical conversion efficiency for solar-driven water splitting process as compared to the bare 3D-ZnO-NS. The maximum incident photon-to-charge carrier efficiency of bare 3D-ZnO-NS has been enhanced by approximately four folds as a result of cadmium sulfide (CdS) and cadmium selenide (CdSe) sensitization and the efficiency value have reached to 51% at 550 nm. Besides, the maximum charge injection and charge separation efficiencies of the ZnO eCdSe electrodes have been calculated as 93% and 64%, respectively. Numerical examination of the optical absorption and electrical field distribution has been performed via the finite-difference time-domain (FDTD) method in order to investigate the basis of the enhancement in the photoelectrochemical efficiencies of the 3D-ZnO-NS photoelectrodes. FDTD numerical simulation proved that the accumulation of rectangular 2D-nanosheets of ZnO in 3D-microspherical forms enhanced the light absorption significantly. Moreover, FDTD results also verified that the optical absorption of the ZnO electrodes has been extended from ultraviolet to visible region via CdS and CdSe nanoparticle deposition. (c) 2020 Elsevier B.V. All rights reserved

Self-powered quasi-solid-state photoelectrochemical photodetectors based on MXene paper modified by ZnO nanostructured architecture

In this work, we report a self-powered quasi-solid-state photodetector (PD) device prepared from flexible two-dimensional (2D) nanocomposites of a zinc oxide nanowire (ZnO-NW) in various weight percents (5, 10, 30, 50%) and Ti3C2Tx (MXene) paper, constructed with manganese (Mn)-doped zinc oxide nanorods (ZnO NRs) using an ionic gel electrolyte and carbon paper. All PD performance tests revealed that 5% ZnO-MXene-based devices were superior to the other samples. The maximum detectivity of 1.44 × 1013 Jones at 367 nm (0.1 mW cm-2) and zero bias was calculated for the 5% ZnO-MXene-based device. Additionally, a very high on/off ratio of nearly 106, which is approximately 35-fold higher than that of the 50% ZnO-MXene-based PDs, was achieved for 5% ZnO-MXene PD at a zero bias under 367 nm (2.52 mW cm-2) illumination. The rise time for this device was 9.25 ms. Furthermore, the PD device exhibited excellent stability by enduring 1000 s of light on/off cycles. As a result, a simple, compact, and cost-effective self-powered ZnO-NW:MXene-based PD configuration showed fast photoresponse and excellent detecting performance