Exploiting the synergistic catalytic effects of CoPi nanostructures on Zr-doped highly ordered TiO2 nanotubes for efficient solar water oxidation

Photoelectrochemical (PEC) catalysis offers promising strategies for sustainable development. This study demonstrated the synergistic catalytic behavior of ZrO2 and a cobalt phosphate on anodized TiO2 nanotubes (TNTs), which significantly enhanced the PEC performance for visible-light-driven water splitting reactions. The sequential addition of ZrO2/CoPi-decorated TNTs was performed via electrodeposition and photoassisted electrodeposition. The substitution of Zr4+ by Ti4 can lead to the creation of oxygen vacancies, enabling electron trapping, reducing charge recombination, and thereby enhancing the charge transfer efficiency. Further, in the case of TNTs/ZrO2/CoPi photoanode, the CoPi WOC functioned as a hole-transfer relay to promote the water-splitting reaction. Specifically, incorporating ZrO2/CoPi rushes the surface reaction kinetics of TNTs and considerably improves charge transfer efficiency (ηCT = 90%), photocurrent density (0.86 mA/cm2 at 1.23 VRHE) and durability were obtained. Further, the mechanistic examination by impedance measurements showed the enhanced charge transfer, and surface conductivity for prepared materials. The proposed method can be widely used to develop electrodes made of other materials to produce solar fuels

Serum Apelin and Obesity-Related Complications in Egyptian Children

BACKGROUND: The rapidly increasing prevalence of childhood obesity became a major burden on health worldwide, giving an alarm to clinicians and researchers. Adipocytes act as an active endocrine organ by releasing plenty of bioactive mediators (adipokines) that play a major role in regulating metabolic processes. Apelin is a recently identified adipokine that is expressed in adipocytes.AIM: The current work aimed to uncover the relation between serum apelin and childhood obesity and its related complications as hypertension and hyperglycemiaMETHOD: A group of 50 obese and 31 non-obese; sex- and age-matched children were enrolled in our study with a mean age of (9.5 ± 2.1) and (8.7 ± 1.3) respectively. Anthropometric measurements, blood pressure, were assessed in all studied participants, we also determined the lipid profile, serum insulin, fasting blood glucose (FBG) level, HOMA-IR and serum apelin.RESULTS: Obese children had higher levels of HbA1c, FBG, serum insulin, HOMA-IR, total cholesterol, triglycerides, low-density lipoprotein (LDL) and diastolic blood pressure (DBP Z-score); compared to controls (all P < 0.05). Apelin was significantly higher in obese children versus controls and correlated positively with BMI Z-Score (P = 0.008), DBP Z-Score (P = 0.02), cholesterol, TG (both P = 0.02), serum insulin (P = 0.003), FBG and HOMA-IR (both P = 0.001). Linear regression analysis showed that FBG was the most effective factor in predicting the level of serum apelin (P = 0.04).CONCLUSION: This work supports the hypothesis that apelin may have a crucial role in the pathogenesis of health hazards related to obesity in children including insulin resistance, hypertension and a higher risk of occurrence of metabolic syndrome

Efficacy and Safety of Artemether in the Treatment of Chronic Fascioliasis in Egypt: Exploratory Phase-2 Trials

Fasciola hepatica and F. gigantica are two liver flukes that parasitize herbivorous large size mammals (e.g., sheep and cattle), as well as humans. A single drug is available to treat infections with Fasciola flukes, namely, triclabendazole. Recently, laboratory studies and clinical trials in sheep and humans suffering from acute fascioliasis have shown that artesunate and artemether (drugs that are widely used against malaria) also show activity against fascioliasis. Hence, we were motivated to assess the efficacy and safety of oral artemether in patients with chronic Fasciola infections. The study was carried out in Egypt and artemether administered according to two different malaria treatment regimens. Cure rates observed with 6×80 mg and 3×200 mg artemether were 35% and 6%, respectively. In addition, high efficacy was observed when triclabendazole, the current drug of choice against human fascioliasis, was administered to patients remaining Fasciola positive following artemether treatment. Concluding, monotherapy with artemether does not represent an alternative to triclabendazole against fascioliasis, but its role in combination chemotherapy regimen remains to be investigated

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Risk assessment mapping of landscape development based on ecological service and goods in Malaysia lowland tropical rainforest

Amongst the impacts of converting forest to agricultural activities are soil erosion and degradation of ecology service values and goods (ESVG). The soil erosion can be seen as on-site impacts, such as the problems of decreasing soil fertility and also its off-site impact such as the problems of sedimentation of the nearby rivers, whilst the degradation of ESVG are more holistic in nature. These impacts can be devastating in environmental, biological, and socio-economic manners. This paper reports the study undertaken on the impacts of agricultural development in 0.8 million ha of forest dominated landscape in Pasoh Forest Region (PFR), Malaysia, within period of 8 years from 1995 to 2003. Three folds of impacts on agricultural development examined and analysed, are: (i) relationship of total soil loss and changes in land use pattern, (ii) mapping trends of ESVG for PFR in 1995 and 2003, and (iii) risk assessment of ESVG based on simulation of converting 339,630 ha of primary forest into mass-scale oil palm plantation. Results of this study indicated that although only minor changes of about 1464 ha (about 0.2% of PFR) of primary forest was converted to agricultural activities, it have significantly increased the total soil loss from 59 to 69 million ton/ha/yr. The mean rate of soil is loss for PFR is 0.8 mil ton/ha/yr and if translated into ESVG term, the soil loss costs about US$4.8mil/yr. However, majority of the soil loss within all land use classes are within range of very low-low risk categories (<10 ton/ha/yr). ESVG for PFR were costing US$ 179 millions in 1995, declined to US$114 millions in 2003 due to 0.2$ 963 and US$ 575 millions, respectively. However, this difference is only marginal when full attributes of ESVG are considered

Adsorption Kinetics of Toxic Heavy Metal Ions from Aqueous Solutions onto Grafted Jute Fibers with Acrylic Acid by Gamma Irradiation

Jute fibers were used as an adsorbent substrate for Hg2+ and Pb2+ metal ions as toxic pollutants from their aqueous solutions after graft copolymerization with polyacrylic acid under the effect of gamma irradiation. The treated jute fibers were characterized by using of Fourier-Transform Infrared Spectroscopy. The effects of solution pH, contact time, temperature, and the dissolved metal ions’ concentration on the adsorption efficiency were investigated. The adsorption kinetics and the used adsorption isotherm were also investigated. From the results, it was concluded that the adsorption process conformed the second-order kinetic reaction and followed the Langmuir adsorption isotherm model, and the higher adsorption capacities were at pH 5 and 6 for Pb2+ and Hg2+ metal ions respectively

The Protective Effect of Anethole against Renal Ischemia/Reperfusion: The Role of the TLR2,4/MYD88/NFκB Pathway

Background: Anethole is the principle essential oil component of anise and fennel. Renal ischemia/reperfusion (RIR) is one of the utmost imperative reasons for acute kidney injury and often associated with high mortality rate. The aim of this study is to investigate the protective effect of anethole on RIR status, exploring the involved mechanisms. Methods: RIR was accomplished by bilateral renal pedicle clamping for 45 min, after which the clamps were removed to achieve the reperfusion phase. Rats were randomized into five groups; Sham, Sham + anethole, RIR, and finally RIR + anethole (125 mg/kg or 250 mg/kg) groups. Animals were given anethole (in specified groups in doses) for 14 days before RIR. Results: RIR-experienced animals developed renal injury evidenced by diminished renal function and histopathological alteration. RIR induced severe oxidative, inflammatory, and apoptotic status within renal tissue. Pre-RIR management with anethole enhanced renal morphology and improved renal function. Anethole amplified GSH content and SOD, CAT, and GPx activities and lowered MDA. Anethole reduced gene and protein expression levels of HMGB1, TLR2, TLR4, MYD88, and NFκB. Anethole distinctly dropped TNF-α, IFN-γ, and MCP-1 levels, increased IL-10, and diminished caspase 3 and 9, reflecting its anti-inflammatory and anti-apoptotic actions. Conclusion: Anethole displayed anti-inflammatory, anti-oxidant, and anti-apoptotic actions against RIR-induced injury. Anethole exhibited renal protective actions, which could be through inhibiting the HMGB1/TLR2, 4/MYD88/NFκB pathway. These results could suggest anethole as a protective agent against RIR

Hysteresis Current Control of Switched Reluctance Motor in Aircraft Applications

The switched reluctance motor (SRM) drives have been widely used in aircraft applications due to the motor advantages like high speed operation, simple construction, no windings on rotor. But high torque ripples and acoustic noise are main disadvantages. The current hysteresis chopping control is one of the important control methods for SRM drives. These disadvantages can be limited using the hysteresis or chopping current control. This control strategy makes the torque of SRM maintained within a set of hysteresis bands by applying suitable source voltage. This paper introduces two hysteresis control modes; hard chopping and soft chopping mode. The SRM drive system is modeled in Simulink model using MATLAB/SIMULINK software package