Day and night surgery: is there any influence in the patient postoperative period of urgent colorectal intervention?

Background Medical activity performed outside regular work hours may increase risk for patients and professionals. There is few data with respect to urgent colorectal surgery. The aim of this work was to evaluate the impact of daytime versus nighttime surgery on postoperative period of patients with acute colorectal disease. Methods A retrospective study was conducted in a sample of patients with acute colorectal disease who underwent urgent surgery at the General Surgery Unit of Braga Hospital, between January 2005 and March 2013. Patients were stratified by operative time of day into a daytime group (surgery between 8:00 and 20:59) and the nighttime group (21:00–7:59) and compared for clinical and surgical parameters. A questionnaire was distributed to surgeons, covering aspects related to the practice of urgent colorectal surgery and fatigue. Results A total of 330 patients were included, with 214 (64.8 %) in the daytime group and 116 (35.2 %) in the nighttime group. Colorectal cancer was the most frequent pathology. Waiting time (p?<?0.001) and total length of hospital stay (p?=?0.008) were significantly longer in the daytime group. There were no significant differences with respect to early or late complications. However, 100 % of surgeons reported that they are less proficient during nighttime. Conclusions Among patients with acute colorectal disease subjected to urgent surgery, there was no significant association between nighttime surgery and the presence of postoperative medical and surgical morbidities. Patients who were subjected to daytime surgery had longer length of stay at the hospital

Transforming America's Community Colleges: A Federal Policy Proposal to Expand Opportunity and Promote Economic Prosperity

Community colleges are the bedrock of American higher education, and young and old alike use their facilities to gain specific technical skills and explore the world of the liberal arts. This May 2009 policy brief from the Brookings Institution's Blueprint for American Prosperity series offers a few policy suggestions on how the federal government might reinvest in community colleges across the nation. The twelve-page brief was authored by Sara Goldrick-Rab, Douglas N. Harris, Christopher Mazzeo, and Gregory Kienzi. The brief offers a number of concrete suggestions for the federal government, including the recommendation that they should establish national postsecondary goals and also devote a significant portion of existing funding to improve and evaluate teaching practices in these institutions

Flue Gas Recirculation During Poultry Litter Combustion in a Fixed Bed Lab-Scale Batch Reactor

This study focuses on the combustion behaviour of poultry litter which was experimentally studied in a fixed bed lab-scale reactor. The combustion experiments not only provided useful insights pertaining to the thermal decomposition of poultry litter over time, release of main gaseous compounds and nitrogen (N) species, but also the release of elements found initially in the ash composition. The main gaseous species were released during the devolatilisation phase, whereas Ammonia (NH3) was found to be the most abundant compound of N-gaseous species (45%) followed by nitrogen oxide (NO) with a fraction of ~10%. Alkali metals showed moderate release rates, whilst Chlorine (Cl) was observed to have the highest one (90%) of the ash forming elements, depicting the high volatility of the specific compound

Myeloperoxidase Alters Lung Cancer Cell Function to Benefit Their Survival

Myeloperoxidase (MPO) is a neutrophil-derived enzyme that has been recently associated with tumour development. However, the mechanisms by which this enzyme exerts its functions remain unclear. In this study, we investigated whether myeloperoxidase can alter the function of A549 human lung cancer cells. We observed that MPO promoted the proliferation of cancer cells and inhibited their apoptosis. Additionally, it increased the phosphorylation of AKT and ERK. MPO was rapidly bound to and internalized by A549 cells, retaining its enzymatic activity. Furthermore, MPO partially translocated into the nucleus and was detected in the chromatin-enriched fraction. Effects of MPO on cancer cell function could be reduced when MPO uptake was blocked with heparin or upon inhibition of the enzymatic activity with the MPO inhibitor 4-aminobenzoic acid hydrazide (4-ABAH). Lastly, we have shown that tumour-bearing mice treated with 4-ABAH had reduced tumour burden when compared to control mice. Our results highlight the role of MPO as a neutrophil-derived enzyme that can alter the function of lung cancer cells

John Schikowski Collection 1917-1923

The collection contains signed letters sent to John Schikowski from poet Franz Richard Behrens, conductor Fritz Busch, author Hans von Hülsen, author Hermann Kienzl, and composer Emil Nikolaus von Reznicek. Several of the letters are in regards to a Festschrift for Arno Holz.Editor, 1867-1934.The original German-language inventory is available in the folderProcessed for digitizatio

Designing biochar properties through the blending of biomass feedstock with metals: Impact on oxyanions adsorption behavior

Metal-blending of biomass prior to pyrolysis is investigated in this work as a tool to modify biochar physico-chemical properties and its behavior as adsorbent. Six different compounds were used for metal-blending: AlCl3, Cu(OH)2, FeSO4, KCl, MgCl2 and Mg(OH)2. Pyrolysis experiments were performed at 400 and 700 °C and the characterization of biochar properties included: elemental composition, thermal stability, surface area and pore size distribution, Zeta potential, redox potential, chemical structure (with nuclear magnetic resonance) and adsorption behavior of arsenate, phosphate and nitrate. Metalblending strongly affected biochars’ surface charge and redox potential. Moreover, it increased biochars’ microporosity (per mass of organic carbon). For most biochars, mesoporosity was also increased. The adsorption behavior was enhanced for all metal-blended biochars, although with significant differences across species: Mg(OH)2-blended biochar produced at 400 °C showed the highest phosphate adsorption capacity (Langmuir Qmax approx. 250 mg g−1), while AlCl3-blended biochar produced also at 400 °C showed the highest arsenate adsorption (Langmuir Qmax approx. 14 mg g−1). Significant differences were present, even for the same biochar, with respect to the investigated oxyanions. This indicates that biochar properties need to be optimized for each application, but also that this optimization can be achieved with tools such as metal-blending. These results constitute a significant contribution towards the production of designer biochars

Force-tuned avidity of spike variant-ACE2 interactions viewed on the single-molecule level

Recent waves of COVID-19 correlate with the emergence of the Delta and the Omicron variant. We report that the Spike trimer acts as a highly dynamic molecular caliper, thereby forming up to three tight bonds through its RBDs with ACE2 expressed on the cell surface. The Spike of both Delta and Omicron (B.1.1.529) Variant enhance and markedly prolong viral attachment to the host cell receptor ACE2, as opposed to the early Wuhan-1 isolate. Delta Spike shows rapid binding of all three Spike RBDs to three different ACE2 molecules with considerably increased bond lifetime when compared to the reference strain, thereby significantly amplifying avidity. Intriguingly, Omicron (B.1.1.529) Spike displays less multivalent bindings to ACE2 molecules, yet with a ten time longer bond lifetime than Delta. Delta and Omicron (B.1.1.529) Spike variants enhance and prolong viral attachment to the host, which likely not only increases the rate of viral uptake, but also enhances the resistance of the variants against host-cell detachment by shear forces such as airflow, mucus or blood flow. We uncover distinct binding mechanisms and strategies at single-molecule resolution, employed by circulating SARS-CoV-2 variants to enhance infectivity and viral transmission