Fabrication and Functionalization of Nano-Micro Polymer Tubes by using ATRP/Self-assembly Tech nique and Immobilitzation of Gold pparticles onto Self-assembly modified Surfaces

One of the Goals of this work was to seal tubes with polymers by using ATRP anf self-assembly technique. PEM tubes were fabricated using self-assembly of polyelectrolytes. Gold particles were immobilized on the tubes and films

The Impact of Teaching Lexical Bundles on Improving Iranian EFL Students’ Writing Skill

AbstractThe present study aims to examine how significant the use of lexical bundles prevalent in the field of applied linguistics can be in students’ writing materials. Forty lexical bundles which were judged to be the most frequent, most relevant and functionally important to the discipline of applied linguistics were chosen and taught to twenty MA students of TEFL. They were asked to write a piece of writing on a given topic prior to and after the instruction. The bundles were intended to help them develop their ideas into organized paragraphs. The data included students’ writings, as well as their elicited views, collected through a questionnaire, regarding the helpfulness of the bundles in writing skill. The findings indicated that the bundles were of significant help to the students’ writing ability and that students attribute great importance to lexical bundles. The findings indicate that every course in writing should give significance to the teaching of lexical bundles

Improved Gas Separation of PEBAX-CSWCNTs Mixed Matrix Membranes

In the present study, mixed matrix membranes (MMMs) were prepared using PEBAX® 3000 as polymer matrix and single-wall carbon nanotubes (SWCNTs) functionalized with carboxyl groups as nanofillers. The effects of the nanofillers on separation of CO2/N2 and CO2/CH4 were investigated. The pristine PEBAX membrane indicated gas selectivity values of 23 and 13 for CO2/N2 and CO2/CH4, respectively. However selectivity of the modified membrane for gas pairs of CO2/N2 and CO2/CH4 improved to the values of 106.4 and 31.3, respectively. In other words, selectivity of modified membranes compared to those of unmodified ones enhanced greatly. The dramatic increase in gas selectivity of the mixed matrix membranes can be attributed to the polar groups of caboxyl-functionalized single-wall carbon nanotubes (CSWCNTs). While CO2 permeability of MMMs increaesd, permeability of nonpolar gases (N2 and CH4) decreased. FTIR spectra depicted that there were inter/intramolecular forces between ether and amide groups of the polymer chains. For PEBAX membrane filled with 10 wt% CSWCNTs, the peaks of C-O-C، N-H, and H-N-C=O functional groups shifted to lower values due to the formation of hydrogen bonds between polar carboxyl groups of CSWCNTs and amide/ether groups of PEBAX copolymer. Relative crystallinity values of the membranes with various CSWCNTs content were calculated using ΔHf data obtained from DSC measurements. Results demonstared that the rise in content of CSWCNTs brought about the decrement in crystallinity values of polyamide segments. The morphology of the membrane containing 10 wt% CSWCNTs was also investigated emplying AFM images, and a suitable compatability and adhere between PEBAX and CSWCNTs was last confirmed

Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19: The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial.

Importance: Evidence regarding corticosteroid use for severe coronavirus disease 2019 (COVID-19) is limited. Objective: To determine whether hydrocortisone improves outcome for patients with severe COVID-19. Design, Setting, and Participants: An ongoing adaptive platform trial testing multiple interventions within multiple therapeutic domains, for example, antiviral agents, corticosteroids, or immunoglobulin. Between March 9 and June 17, 2020, 614 adult patients with suspected or confirmed COVID-19 were enrolled and randomized within at least 1 domain following admission to an intensive care unit (ICU) for respiratory or cardiovascular organ support at 121 sites in 8 countries. Of these, 403 were randomized to open-label interventions within the corticosteroid domain. The domain was halted after results from another trial were released. Follow-up ended August 12, 2020. Interventions: The corticosteroid domain randomized participants to a fixed 7-day course of intravenous hydrocortisone (50 mg or 100 mg every 6 hours) (n = 143), a shock-dependent course (50 mg every 6 hours when shock was clinically evident) (n = 152), or no hydrocortisone (n = 108). Main Outcomes and Measures: The primary end point was organ support-free days (days alive and free of ICU-based respiratory or cardiovascular support) within 21 days, where patients who died were assigned -1 day. The primary analysis was a bayesian cumulative logistic model that included all patients enrolled with severe COVID-19, adjusting for age, sex, site, region, time, assignment to interventions within other domains, and domain and intervention eligibility. Superiority was defined as the posterior probability of an odds ratio greater than 1 (threshold for trial conclusion of superiority >99%). Results: After excluding 19 participants who withdrew consent, there were 384 patients (mean age, 60 years; 29% female) randomized to the fixed-dose (n = 137), shock-dependent (n = 146), and no (n = 101) hydrocortisone groups; 379 (99%) completed the study and were included in the analysis. The mean age for the 3 groups ranged between 59.5 and 60.4 years; most patients were male (range, 70.6%-71.5%); mean body mass index ranged between 29.7 and 30.9; and patients receiving mechanical ventilation ranged between 50.0% and 63.5%. For the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively, the median organ support-free days were 0 (IQR, -1 to 15), 0 (IQR, -1 to 13), and 0 (-1 to 11) days (composed of 30%, 26%, and 33% mortality rates and 11.5, 9.5, and 6 median organ support-free days among survivors). The median adjusted odds ratio and bayesian probability of superiority were 1.43 (95% credible interval, 0.91-2.27) and 93% for fixed-dose hydrocortisone, respectively, and were 1.22 (95% credible interval, 0.76-1.94) and 80% for shock-dependent hydrocortisone compared with no hydrocortisone. Serious adverse events were reported in 4 (3%), 5 (3%), and 1 (1%) patients in the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively. Conclusions and Relevance: Among patients with severe COVID-19, treatment with a 7-day fixed-dose course of hydrocortisone or shock-dependent dosing of hydrocortisone, compared with no hydrocortisone, resulted in 93% and 80% probabilities of superiority with regard to the odds of improvement in organ support-free days within 21 days. However, the trial was stopped early and no treatment strategy met prespecified criteria for statistical superiority, precluding definitive conclusions. Trial Registration: ClinicalTrials.gov Identifier: NCT02735707

Fabrication and Functionalization of Nano-Micro Polymer Tubes by using ATRP/Self-assembly Tech nique and Immobilitzation of Gold pparticles onto Self-assembly modified Surfaces

One of the Goals of this work was to seal tubes with polymers by using ATRP anf self-assembly technique. PEM tubes were fabricated using self-assembly of polyelectrolytes. Gold particles were immobilized on the tubes and films

Self-care in Patient with Major Thalassemia: A Grounded Theory

Introduction: Self-care is the core concept of health care and may be considered as one’s stabilization, and restoration as well as the improvement of his/her health and well-being. Looking at the process of Self-care from patients’ perspective who suffer from thalassemia may assist the nurses and health care providers to facilitate the health process. Thus this study was conducted to discover the process of self-care in patients with major thalassemia. Methods: This qualitative study was conducted with grounded theory approach. 21 patients with major thalassemia from a Medical Research Center, supervised by Kerman Medical University, were selected through purposeful and theoretical sampling. Data were collected by unstructured interviews which lasted 30-60 minutes. These data were analyzed using the method of Corbin and Strauss. Results: The main theme of "struggling to improve life quality" that included the sub-themes of "focus on needs of illness, "activating resources" and "restoring a new identity with thalassemia" were extracted from the data. This theme implies that participants endeavor to strengthen their self- efficacy via thalassemia. "Looking for strengthening self-efficacy in light of thalassemia" was the core theme in this study. Conclusion: Facilitating the process of self-care in patients with major thalassemia requires that they be helped so that their self-efficacy, influenced by real life conditions, might be strengthened in light of thalassemia. Increasing public awareness and social support may affect the recognition of individual, family and society