26 research outputs found

    Physicochemical characterization of natural hydroxyapatite/ cellulose composite

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    The natural hydroxyapatite (HAp, activated at different temperatures)/ cellulose composites have been prepared by usingsonication method to improve the physical properties of the cellulose fibre. The molecular level interaction and the physicalproperties of the hydroxyapatite/cellulose composite are examined using FTIR, X-ray diffraction, SEM, and thermalanalysis. The absorption bands at around 660 cm1 confirm the O–P–O bending vibration in the HAp/cellulose composites.There is a difference in the d-spacing of the HAp /cellulose composite, indicating that the HAp is reactive towards cellulose.SEM indicates that HAp could penetrate the cellulose network structure to form particles that is helpful to improve themechanical properties of the cellulose. The porosities of HAp/cellulose composites decrease, and their compressive strengthincrease as compared to those of cellulose. Thermogravimetric analysis confirms the highest thermal stability of theprepared composites

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    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

    Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

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    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

    Abstracts from the 3rd International Genomic Medicine Conference (3rd IGMC 2015)

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    Impact of some inorganic anions on the corrosion of nickel in a solution containing Na2SO4 and NaClO4

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    Abstract Potentiodynamic study was carried out on nickel in Na2SO4 solution in the presence of ClO4 –, WO4 2–, MoO4 2–, NO2 – and NO3 – ions. The anodic excursion spans of the metal nickel in a solution of Na2SO4 are marked by the appearance of clearly defined anodic peak, passive region, and transpassive shoulder. According to the data, the anodic peak current density (IPAI) rise from 1.82 to 8.12 mA cm–2 as the concentration of the Na2SO4 solution rises from 0.2 to 1.0 M. It is clear that as scan rate increases, the IPAI rises reaching to 11.8 mA cm–2. The apparent activation energy of nickel corrosion in Na2SO4 is 33.25 kJ mol–1. ClO4 – anion addition speeds up nickel’s active dissolution, as well tends to break down the passive layer, and causes pitting penetration. It was found that, the pitting potential (Epit) of nickel in solutions containing the two anions ClO4 – and SO4 2– shifts to the positive direction by addition of WO4 2–, MoO4 2–, NO2 – anions and shifts to the negative direction by addition NO3 - anion. Epit increased by 0.67, 0.37 and 0.15 V in the presence of WO4 2–, MoO4 2– and NO2 –, respectively. WO4 2– > MoO4 2– > NO2 – was the order in which the inhibitors were most effective

    Impact of Co3O4 nanoparticles on epoxy's mechanical and corrosion-resistance properties for carbon steel in seawater

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    Abstract Co3O4 nanoparticles (Co3O4-NPs) are synthesized using the facile solvothermal method. FT-IR and XRD spectroscopic analyses verify the creation of cobalt oxide nanoparticles with an average size of 13.20 nm. Furthermore, Zeta potential assessments were carried out to identify the electrical charge of the surface of the produced Co3O4-NPs, which was found to be -20.5 mV.  In addition, the average pore size of Co3O4-NPs is 19.8 nm, and their BET surface area is 92.4 m/g. The study also concerned the effect of Co3O4-NPs on epoxy's improvement of mechanical and corrosion protection for carbon steel in salt solution. By including Co3O4-NPs in an epoxy (EP) coating, corrosion is effectively prevented by non-permeable protective coatings that effectively reduce the transfer of corrosion ions and oxygen

    Exploring Adsorption Process of Lead (II) and Chromium (VI) Ions from Aqueous Solutions on Acid Activated Carbon Prepared from <i>Juniperus procera</i> Leaves

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    The adsorption potential of acid activated carbon prepared from leaves of Juniperus procera to remove Pb(II) and Cr(VI) toxic ions from aqueous solutions was investigated. The effects of solution pH, adsorbent mass, contact time, initial ion concentration and temperature on the biosorption process were studied, and the optimum conditions were determined. Moreover, Langmuir, Freundlich, Temkin and Dubinin&#8211;Radushkevich adsorption isotherm models were applied to analyze adsorption data. Thermodynamic parameters for the adsorption processes were calculated. Adsorption was found to be a spontaneous and endothermic process. In addition, kinetic studies revealed a pseudo-first order kinetics biosorption process. The obtained results suggest that acid activated Juniperus procera leaves powder can be used as a cheap, efficient and environmentally friendly adsorbent material with high removal efficiency up to 98% for Pb(II) and 96% for Cr(VI) at 0.80 and 1.00 g/100 mL, respectively. The duration of the process was 100 min and 120 min for Pb(II) and Cr(VI) ions, respectively. The morphology of the of prepared activated carbon was investigated by scanning electron microscope (SEM)

    Physicochemical characterization of natural hydroxyapatite/ cellulose composite

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    45-50The natural hydroxyapatite (HAp, activated at different temperatures)/ cellulose composites have been prepared by using sonication method to improve the physical properties of the cellulose fibre. The molecular level interaction and the physical properties of the hydroxyapatite/cellulose composite are examined using FTIR, X-ray diffraction, SEM, and thermal analysis. The absorption bands at around 660 cm -1 confirm the O–P–O bending vibration in the HAp/cellulose composites. There is a difference in the d-spacing of the HAp /cellulose composite, indicating that the HAp is reactive towards cellulose. SEM indicates that HAp could penetrate the cellulose network structure to form particles that is helpful to improve the mechanical properties of the cellulose. The porosities of HAp/cellulose composites decrease, and their compressive strength increase as compared to those of cellulose. Thermogravimetric analysis confirms the highest thermal stability of the prepared composites
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