28 research outputs found
Reactive Extrusion of Polyethylene Terephthalate Waste and Investigation of Its Thermal and Mechanical Properties after Treatment
This study investigates treating polyethylene terephthalate (PET) waste water bottles with different mass of ethylene glycol (EG) using reactive extrusion technique at a temperature of 260°C. The study puts emphases on evaluating the thermal, mechanical, and chemical characteristics of the treated polyethylene terephthalate. The properties of the treated PET from the extruder were analyzed using FT-IR, TGA, DSC, and nanoindentation. The melt flow indexes (MFI) of both treated and untreated PET were also measured and compared. Thermal properties such as melting temperature (Tm) for treating PET showed an inversely proportional behavior with the EG concentrations. The FT-IR analysis was used to investigate the formation of new linkages like hydrogen bonds between PET and EG due to the hydroxyl and carbonyl groups. Nanoindentation results revealed that both the mechanical characteristics, elastic modulus and hardness, decrease with increasing EG concentration. On the other hand, the melt flow index of treated PET exhibited an increase with increasing EG concentration in the PET matrix
Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis
BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
An Investigation of Market Orientation (MO) and Tourism Small and Medium-Sized Enterprises’ (SMEs) Performance in Developing Countries: A Review of the Literature
Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world.
Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231.
Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001).
Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication
Financial Stability: The Significance and Distinctiveness of Islamic Banking in Malaysia
The ALICE experiment at the CERN LHC
ALICE (A Large Ion Collider Experiment) is a general-purpose, heavy-ion detector at the CERN LHC which focuses on QCD, the strong-interaction sector of the Standard Model. It is designed to address the physics of strongly interacting matter and the quark-gluon plasma at extreme values of energy density and temperature in nucleus-nucleus collisions. Besides running with Pb ions, the physics programme includes collisions with lighter ions, lower energy running and dedicated proton-nucleus runs. ALICE will also take data with proton beams at the top LHC energy to collect reference data for the heavy-ion programme and to address several QCD topics for which ALICE is complementary to the other LHC detectors. The ALICE detector has been built by a collaboration including currently over 1000 physicists and engineers from 105 Institutes in 30 countries. Its overall dimensions are 161626 m3 with a total weight of approximately 10 000 t. The experiment consists of 18 different detector systems each with its own specific technology choice and design constraints, driven both by the physics requirements and the experimental conditions expected at LHC. The most stringent design constraint is to cope with the extreme particle multiplicity anticipated in central Pb-Pb collisions. The different subsystems were optimized to provide high-momentum resolution as well as excellent Particle Identification (PID) over a broad range in momentum, up to the highest multiplicities predicted for LHC. This will allow for comprehensive studies of hadrons, electrons, muons, and photons produced in the collision of heavy nuclei. Most detector systems are scheduled to be installed and ready for data taking by mid-2008 when the LHC is scheduled to start operation, with the exception of parts of the Photon Spectrometer (PHOS), Transition Radiation Detector (TRD) and Electro Magnetic Calorimeter (EMCal). These detectors will be completed for the high-luminosity ion run expected in 2010. This paper describes in detail the detector components as installed for the first data taking in the summer of 2008
Inverse Emulsion Polymerization for the Synthesis of High Molecular Weight Polyacrylamide and Its Application as Sand Stabilizer
Polyacrylamides constitute a class of polymers that can entirely dissolve or swell in water to form a solution or hydrogel, respectively. Free radical polymerization of acrylamide monomer, using both solution and inverse emulsion polymerization, was applied to produce polyacrylamide with various molecular weights. This investigation was focused on the production of polymers with varying molecular weight, depending on monomer to initiator ratio. Experimental conditions were designed to produce high molecular weight polymers that can be used in stabilization of sand dunes in the arid regions. Synthesized polyacrylamide samples were characterized using Gel Permeation Chromatography and solution viscosity in order to determine the molecular weights and molecular weights distribution. The rheological behavior was also investigated in different polymer concentrations and at various temperatures using Brookfield Rheometer. Lab-scale wind tunnel was used to determine the stability of the sand before and after treatment with the polymer. Compressive stress-strain test was also used to establish the mechanical behavior of the polymer-sand composite under controlled compressive load up to failure. The results showed that the use of high molecular weight polymer gave excellent mechanical and thermal stability
Two-Dimensional Ti<sub>3</sub>C<sub>2</sub>T<sub><i>x</i></sub> MXene Nanosheets for Efficient Copper Removal from Water
The performance of
two-dimensional (2D) Ti<sub>3</sub>C<sub>2</sub>T<sub><i>x</i></sub> MXene nanosheets in the adsorption
and copper removal from aqueous media was investigated. Delaminated
(DL)-Ti<sub>3</sub>C<sub>2</sub>T<sub><i>x</i></sub> exhibited
excellent Cu removal ability, because of their large specific surface
area, hydrophilicity, and unique surface functional properties. Scanning
electron microscopy coupled with energy-dispersive spectroscopy (SEM–EDS),
transmission electron microscopy (TEM), Brunauer–Emmett–Teller
(BET), X-ray photoelectron spectroscopy (XPS), and X-ray diffraction
(XRD) analyses were performed to analyze the structural changes in
Ti<sub>3</sub>C<sub>2</sub>T<sub><i>x</i></sub> MXene and
its interaction with Cu ions. Oxygenated moieties in the layered structure
of MXene facilitated reductive adsorption of Cu<sup>2+</sup> forming
Cu<sub>2</sub>O and CuO species. DL-Ti<sub>3</sub>C<sub>2</sub>T<sub><i>x</i></sub> exhibited a higher and faster Cu uptake,
compared to multilayer (ML)-Ti<sub>3</sub>C<sub>2</sub>T<sub><i>x</i></sub>. The maximum experimental adsorption capacity (<i>Q</i><sub>exp,max</sub>) was 78.45 mg g<sup>–1</sup>,
and 80% of the total content of metal ions was adsorbed within 1 min.
A pseudo-second-order kinetic model and the Freundlich adsorption
isotherm accurately describe the equilibrium time and maximum Cu uptake
onto the adsorbent material, respectively. Thermodynamic analysis
revealed that the adsorption process was endothermic. The adsorption
capacity (<i>Q</i><sub>e</sub>) of DL-Ti<sub>3</sub>C<sub>2</sub>T<sub><i>x</i></sub> was 2.7 times higher than that
of a commercially available activated carbon. The present results
illustrate the promising potential of 2D MXene nanosheets for the
removal of toxic metals from water