Future scope and directions of nanotechnology in creating next-generation supercapacitors

The primary global research scheme of the 21st century is nanotechnology. Looking forward to the future, nanotechnologies’ generalized diffusion will seem to turn them into supplies, generating more space for privileged and superior values of applications such as information technology, nanoenergy, nanobiotechnologies, and nanomaterials.1-5 In general, nanotechnology is the understanding and controlling of the matters of dimensions of approximately 1-100 nm, in which a unique phenomenon facilitates novel applications.2 The application domains covered by nanotechnology are discussed in detail in this chapter

Comparison the effect of Sleep Positioning on Cardiorespiratory Rate in Noninvasive Ventilated Premature Infants

Background: Results of several studies suggest that prone position is beneficial in improving the preterm infants’ cardio-respiratory status. Previous studies showed opposite results, and also there is not any available clear study about the effect of this position on cardio-respiratory rates of Nasal Continuous Positive Airway Pressure (N-CPAP) treating premature infants. Objectives: This study aimed at comparing supine and prone positions on cardio-respiratory rates of premature infants with respiratory distress syndrome (RDS) who were treated using N-CPAP. Patients and Methods: This was a cross over study which was performed in 2010 on 44 hospitalized 29-34 weeks gestation premature infants who were receiving N-CPAP in Neonatal Intensive Care Unit of Al-Zahra Hospital of Tabriz University of Medical Sciences. Infants were randomly assigned into two groups, and the first group was placed in prone at first and then in supine, and the position of second group was at first supine and then prone. Infants’ Heart Rate (HR) and Respiratory Rate (RR) were assessed three times in each position for 30 minutes. The data was recorded in a data-collection form, and demographic data was analyzed using t test, Chi square and Fisher exact test. Also, repeated measurement ANOVA and Tukey post-hoc tests were used. Results: There was a significant difference in HR and RR of premature infants who were similar in gestational age and clinical condition and placed in two positions. Premature infants’ HR and RR became lower at prone position than supine in both groups. So it can be concluded that prone position could decrease infants HR and RR, but supine position might increase them (P < 0.05). Conclusion: Our findings support prone positioning for premature infants. Therefore, it is advisable to NICU staff that if there is no obstacle for changing the infant’s position, prone position in infants with respiratory complications during receiving N-CPAP in NICU can be useful. Regarding the fact that prone position is a risk factor for sudden infant death syndrome , prone position should be only used when the newborn is being supervised carefully

Challenges of the preceptors working with new nurses: A phenomenological research study

© 2016. Introduction: Preceptors play an important role in the transition of new nurses to the practice setting, however, preceptorship experience has been perceived as stressful by preceptors. This study aimed to explore the lived experiences of nurse preceptors working with new nurses. Method: This qualitative study used the hermeneutic phenomenological design to explore the experiences of six nurse preceptors working with new nurses in a tertiary pediatric teaching hospital in Northwest of Iran, who were recruited by purposive sampling. Data were collected using in-depth semi-structured individual interviews between July 2014 and March 2015, and analyzed using the Diekelmann's seven-stage method. Results: Data analysis revealed three themes: 1) preceptorship as a challenging and stressful role; 2) lack of support; and 3) lack of appreciation. Preceptorship as 'a challenging and stressful role' was the constitutive pattern that unified the themes. Conclusion: The preceptorship of new nurses is challenging and stressful. Preceptors endure several roles concurrently, thus, their workload should be balanced appropriately in order not to compromise with one another and evade burnout. The preceptors need to be well supported and their contribution be appropriately recognized. Setting clear objectives and realistic expectations, and having clear policies and guidelines in place should help develop a preceptorship program that is more likely to bring about positive outcomes for both preceptors and new nurses

A study on Inhibitory Effects of Titanium Dioxide Nanoparticles and its Photocatalytic Type on Staphylococcus aureus, Escherichia coli and Aspergillus flavus

Backgrounds and Objectives: Photocatalyst titanium dioxide nanoparticles can oxidize organic and inorganic compounds of microorganisms in aqueous solutions after exposure to UV light. In the present study, the inhibitory effect of titanium dioxide and its photocatalyst type on Aspergillus flavus, Escherichia coli and Staphylococcus aureus is investigated. Materials and Methods: Toxicogenic strains of Staphylococcus aureus, Escherichia coli and Aspergillus flavus were cultured in their selective media and two groups of samples both included three different concentrations of nanoparticles (0.1, 0.5 and 1 g l-1) and two control samples without any nanoparticles were considered. The first category of samples was placed on the shaker for 20 min, and the second category was irradiated by a UV lamp while shaking for 20, 40 and 60 min on a rotary shaker. Thereafter, they were cultured by using pour plate method in agar and after incubation the colonies were counted. Results and Conclusion: Based on obtained results the photocatalyst titanium dioxide had an inhibitory effect at concentration of 1 g l-1 at the highest timeframe (60 min). In addition, the test variables i.e. the type of bacteria, concentration of nanoparticles and time had a significant effect on the growth inhibition of microorganisms. Regarding the economic aspects of contamination control and its importance in dairy products, application of photocatalystic nanoparticles of titanium dioxide is recommended.

Organizational Activities in Nursing Research Transfer from Viewpoint of Nurse Educators in Iranian Universities of Medical Sciences

Background: Transferring research-based knowledge into practice would help to maximize the quality of health care. However, the role of knowledge producers and the organizational roles related to knowledge transfer have been largely ignored. Objectives: This study was accomplished with the aim of describing the organizational activities needed to transfer the findings of nursing research from the viewpoint of nurse educators in Iranian Universities of Medical Sciences. Patients and Methods: This descriptive study was carried out with participating 279 nurse educators of medical sciences universities. Data were collected using Knowledge Translation Self-Assessment Tool for Research Institutes (SATORI). Results: Nursing faculty members evaluated the organizational activities of transferring the knowledge of nursing research at the “medium” level and for the domains of “the question of research” and “promoting the use of evidence” at a “weak” level and in the domains of “knowledge production” and “knowledge transfer” at a “medium” level. Conclusions: Organizational activities related to the knowledge transfer of nursing research are demonstrably low (medium at best). It is recommended that in each faculty and with the participation of all faculty members, the research transferring procedure should be assessed and all necessary changes needed to improve the research transferring procedure should be implemented

A Multi-Armed Bandit to Smartly Select a Training Set from Big Medical Data

With the availability of big medical image data, the selection of an adequate training set is becoming more important to address the heterogeneity of different datasets. Simply including all the data does not only incur high processing costs but can even harm the prediction. We formulate the smart and efficient selection of a training dataset from big medical image data as a multi-armed bandit problem, solved by Thompson sampling. Our method assumes that image features are not available at the time of the selection of the samples, and therefore relies only on meta information associated with the images. Our strategy simultaneously exploits data sources with high chances of yielding useful samples and explores new data regions. For our evaluation, we focus on the application of estimating the age from a brain MRI. Our results on 7,250 subjects from 10 datasets show that our approach leads to higher accuracy while only requiring a fraction of the training data.Comment: MICCAI 2017 Proceeding

One Anastomosis/Mini-Gastric Bypass (OAGB/MGB) as Revisional Surgery Following Primary Restrictive Bariatric Procedures: a Systematic Review and Meta-Analysis

One anastomosis gastric bypass (OAGB/MGB) has gained popularity in the past decade. International databases were searched for articles published by September 10, 2020, on OAGB/MGB as a revisional procedure after restrictive procedures. Twenty-six studies examining a total of 1771 patients were included. The mean initial BMI was 45.70 kg/m2, which decreased to 31.52, 31.40, and 30.54 kg/m2 at 1, 3, and 5-year follow-ups, respectively. Remission of type-2 diabetes mellitus (T2DM) following OAGB/MGB at 1-, 3-, and 5-year follow-up was 65.16 ± 24.43, 65.37 ± 36.07, and 78.10 ± 14.19%, respectively. Remission/improvement rate from gastroesophageal reflux disease (GERD). Also, 7.4% of the patients developed de novo GERD following OAGB/MGB. Leakage was the most common major complication. OAGB/MGB appears to be feasible and effective as a revisional procedure after failed restrictive bariatric procedures

Diagnostic Utility of Multidetector Ct Scan in Penetrating Diaphragmatic Injuries: a Systematic Review and Meta-analys

Penetrating diaphragmatic injuries pose diagnostic and management challenges. Computed tomography (CT) scans are valuable for stable patients, but concern exists for missed injuries and complications in nonoperatively managed cases. The objective of this study was to explore the diagnostic utility of multidetector CT scan (MDCT) in identifying diaphragmatic injuries resulting from penetrating trauma. A systematic review and meta-analysis were conducted, following established guidelines, by searching PubMed, Scopus, Web of Science, and Embase databases up to July 6, 2023. Eligible studies reporting MDCT\u27s diagnostic accuracy in detecting penetrating diaphragmatic injuries were included. Relevant data elements were extracted and analyzed using STATA software. The study included 9 articles comprising 294 patients with confirmed penetrating diaphragmatic injuries through surgical procedures. MDCT\u27s diagnostic performance revealed a pooled sensitivity of 74% (95% CI: 56%-87%) and a pooled specificity of 92% (95% CI: 79%-97%) (Fig. two), with significant heterogeneity in both sensitivity and specificity across the studies. The Fagan plot demonstrated that higher pre-test probabilities correlated with higher positive post-test probabilities for penetrating diaphragmatic injury diagnosis using MDCT, but even with negative results, there remained a small chance of having the injury, especially in cases with higher pre-test probabilities. This study highlights MDCT\u27s effectiveness in detecting diaphragmatic injury from penetrating trauma, with moderate to high diagnostic accuracy. However, larger sample sizes, multicenter collaborations, and prospective designs are needed to address observed heterogeneity, enhancing understanding and consistency in MDCT\u27s diagnostic capabilities in this context