250 research outputs found

    Cochrane and non-Cochrane systematic reviews in leading orthodontic journals: a quality paradigm?

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    The aims of this study were to assess and compare the methodological quality of Cochrane and non-Cochrane systematic reviews (SRs) published in leading orthodontic journals and the Cochrane Database of Systematic Reviews (CDSR) using AMSTAR and to compare the prevalence of meta-analysis in both review types. A literature search was undertaken to identify SRs that consisted of hand-searching five major orthodontic journals [American Journal of Orthodontics and Dentofacial Orthopedics, Angle Orthodontist, European Journal of Orthodontics, Journal of Orthodontics and Orthodontics and Craniofacial Research (February 2002 to July 2011)] and the Cochrane Database of Systematic Reviews from January 2000 to July 2011. Methodological quality of the included reviews was gauged using the AMSTAR tool involving 11 key methodological criteria with a score of 0 or 1 given for each criterion. A cumulative grade was given for the paper overall (0-11); an overall score of 4 or less represented poor methodological quality, 5-8 was considered fair and 9 or greater was deemed to be good. In total, 109 SRs were identified in the five major journals and on the CDSR. Of these, 26 (23.9%) were in the CDSR. The mean overall AMSTAR score was 6.2 with 21.1% of reviews satisfying 9 or more of the 11 criteria; a similar prevalence of poor reviews (22%) was also noted. Multiple linear regression indicated that reviews published in the CDSR (P < 0.01); and involving meta-analysis (β = 0.50, 95% confidence interval 0.72, 2.07, P < 0.001) showed greater concordance with AMSTA

    Validation of the optical Aktiia bracelet in different body positions for the persistent monitoring of blood pressure.

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    The diagnosis of hypertension and the adjustment of antihypertensive drugs are evolving from isolated measurements performed at the physician offices to the full phenotyping of patients in real-life conditions. Indeed, the strongest predictor of cardiovascular risk comes from night measurements. The aim of this study was to demonstrate that a wearable device (the Aktiia Bracelet) can accurately estimate BP in the most common body positions of daily life and thus become a candidate solution for the BP phenotyping of patients. We recruited 91 patients with BP ranging from low to hypertensive levels and compared BP values from the Aktiia Bracelet against auscultatory reference values for 4 weeks according to an extended ISO 81060-2 protocol. After initializing on day one, the observed means and standard deviations of differences for systolic BP were of 0.46 ± 7.75 mmHg in the sitting position, - 2.44 ± 10.15 mmHg in the lying, - 3.02 ± 6.10 mmHg in the sitting with the device on the lap, and - 0.62 ± 12.51 mmHg in the standing position. Differences for diastolic BP readings were respectively of 0.39 ± 6.86 mmHg, - 1.93 ± 7.65 mmHg, - 4.22 ± 6.56 mmHg and - 4.85 ± 9.11 mmHg. This study demonstrates that a wearable device can accurately estimate BP in the most common body positions compared to auscultation, although precision varies across positions. While wearable persistent BP monitors have the potential to facilitate the identification of individual BP phenotypes at scale, their prognostic value for cardiovascular events and its association with target organ damage will need cross-sectional and longitudinal studies. Deploying this technology at a community level may be also useful to drive public health interventions against the epidemy of hypertension

    Validation of the optical Aktiia bracelet in different body positions for the persistent monitoring of blood pressure.

    Get PDF
    The diagnosis of hypertension and the adjustment of antihypertensive drugs are evolving from isolated measurements performed at the physician offices to the full phenotyping of patients in real-life conditions. Indeed, the strongest predictor of cardiovascular risk comes from night measurements. The aim of this study was to demonstrate that a wearable device (the Aktiia Bracelet) can accurately estimate BP in the most common body positions of daily life and thus become a candidate solution for the BP phenotyping of patients. We recruited 91 patients with BP ranging from low to hypertensive levels and compared BP values from the Aktiia Bracelet against auscultatory reference values for 4 weeks according to an extended ISO 81060-2 protocol. After initializing on day one, the observed means and standard deviations of differences for systolic BP were of 0.46 ± 7.75 mmHg in the sitting position, - 2.44 ± 10.15 mmHg in the lying, - 3.02 ± 6.10 mmHg in the sitting with the device on the lap, and - 0.62 ± 12.51 mmHg in the standing position. Differences for diastolic BP readings were respectively of 0.39 ± 6.86 mmHg, - 1.93 ± 7.65 mmHg, - 4.22 ± 6.56 mmHg and - 4.85 ± 9.11 mmHg. This study demonstrates that a wearable device can accurately estimate BP in the most common body positions compared to auscultation, although precision varies across positions. While wearable persistent BP monitors have the potential to facilitate the identification of individual BP phenotypes at scale, their prognostic value for cardiovascular events and its association with target organ damage will need cross-sectional and longitudinal studies. Deploying this technology at a community level may be also useful to drive public health interventions against the epidemy of hypertension

    Diagnosis of Fanconi Anaemia (FA) in dizygotic twins

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    In this study we report on a case of FA in dizygotic twins with characteristic congenital abnormalities and the same deletions of the FANCA gene

    Solar light responsive bismuth doped titania with Ti\u3csup\u3e3+\u3c/sup\u3e for efficient photocatalytic degradation of flumequine: Synergistic role of peroxymonosulfate

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    © 2019 Elsevier B.V. The present study is focused on the synthesis of a novel solar light responsive bismuth doped titania (Bi-TiO2) through a facile so-gel technique by applying various wt% of Bi. The as-synthesized Bi-TiO2 showed superior photocatalytic performance than un-doped TiO2 towards degradation of flumequine (FLU) under solar light irradiation. The as-synthesized material was thoroughly characterized to examine its structure, morphology and chemical states. The EPR analysis revealed the existence of Ti3+ ion and oxygen vacancy, which is created due to Bi-doping. The as-synthesized Bi-TiO2 with 5 wt% Bi (TBi5) showed excellent photocatalytic performance as compared to their counterparts. The photocatalytic activity of TBi5 was further improved when added with peroxymonosulfate (HSO5−) and increased with increasing [HSO5−]0. The mechanistic investigation and radical scavenging studies revealed that [rad]OH and SO4[rad]− are involved in the degradation of FLU by the as-synthesized material. The bimolecular rate constants of [rad]OH and SO4[rad]− were calculated to be 9.1 × 109 M−1s−1 and 8.5 × 109 M−1s−1, respectively. The photocatalytic performance of the as-synthesized TBi5 coupled with HSO5− under solar light irradiation towards degradation of FLU in Milli-Q water (MW), tape water (TW) and synthetic wastewater (SWW) was 92, 82 and 70% with kapp values of 0.093, 0.085 and 0.066 min−1, respectively. Furthermore, the degradation pathways of FLU were predicted on the basis of its degradation products (DPs). The high mineralization of FLU as well as the evaluation of non-toxic DPs suggests that solar light/TBi5/HSO5− is a promising advanced oxidation process for the future wastewater treatment applications

    Efficient removal of norfloxacin using nano zerovalent cerium composite biochar-catalyzed peroxydisulfate

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    Norfloxacin (NOR), an important antibiotic used for the treatment of different infections which is reportedly causing huge quantity of water pollution and severe environmental issues. In this study, biochar prepared from Phoenix dactylifera roots biomass (PB) and composited with mesoporous nano-zerovalent cerium (nZVCe) was used for treatment of NOR solutions. The various characterization and treatment studies showed successful formation of the nZVCe and PB composite. The nZVCe was found to improve physiological characteristics and catalytic efficiency of PB. The nZVCe/PB composite caused 52% removal of NOR as compared to 23% by the individual PB. The use of peroxydisulfate (PDS) with PB and nZVCe/PB showed further improvement in the removal of NOR and caused 58 and 84% removal efficiencies of NOR by PB/PDS and nZVCe/PB/PDS, respectively. The use of PDS with PB and nZVCe/PB was found to yield ●OH and SO4 ●– which improved degradation of NOR, however, addition of ●OH and SO4 ●– scavengers impeded NOR degradation. The PB was found to have several oxygen functional groups which decomposed PDS into ●OH and SO4 ●–. The nZVCe/PB showed high recovery, reusability, and stability and caused high removal of NOR even at fifth cycle of treatment both in the absence and presence of PDS. The treatment of NOR by nZVCe/PB-catalyzed PDS showed encouraging results under different pH, and varying concentrations of PDS, nZVCe/PB, and NOR as well as in real water samples which suggest potential practical applications of NOR contaminated water. Degradation of NOR resulted into several products and the resulting final product proved to be non-toxic

    Deep eutectic solvent-mediated synthesis of ceria nanoparticles with the enhanced yield for photocatalytic degradation of flumequine under UV-C

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    © 2019 Elsevier Ltd This study investigated the use of a deep eutectic solvent (DES) for promoting the yield and stability of ceria nanoparticles used for the degradation of flumequine (FLU) under UV-C irradiation. The characterization by Fourier transform infrared spectroscopy, X-ray diffraction spectroscopy, Raman spectroscopy, scanning electron microscopy, energy-dispersive X-ray spectroscopy, high resolution transmission electron microscopy, thermogravimetric analysis, and BET surface area analysis revealed the synthesis of highly stable, highly crystalline, and mesoporous ceria nanoparticles using DES which led to the high removal, i.e., 50 % and 94 % of FLU using DES-Ceria and UV-C/DES-Ceria, respectively. Removal of FLU by the UV-C mediated ceria nanoparticles was due to [rad]OH and thus factors that influenced the reactivity and yield of [rad]OH retarded the removal efficiency of FLU. The pH of aqueous solution affected the removal of FLU by the photocatalysts and removal of FLU was inhibited at highly alkaline and acidic pH. The degradation pathways of FLU were established from the pattern of its degradation and nature of the degradation products. Acute and chronic toxicities of FLU as well as its products were measured. The photocatalyst synthesized in DES was found to be environmentally benign and showed significant potential in the remediation of FLU

    Synthesis of nitrogen-doped Ceria nanoparticles in deep eutectic solvent for the degradation of sulfamethaxazole under solar irradiation and additional antibacterial activities

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    © 2020 Elsevier B.V. In this study, highly crystalline, mesoporous, small sized, stable, and efficient nitrogen-doped (N-doped) Ceria nanoparticles were synthesized using deep eutectic solvent (DES) and used for the photocatalytic degradation of sulfamethaxazole (SMX), a widely used human medication and emerging water contaminant. The N-doped Ceria resulted in 96% removal of SMX versus 59% by Ceria under solar irradiation at 150 min time using [SMX]0 = 10 mg/L and [Ceria]0 = [N-doped Ceria]0 = 0.5 g/L. The solar irradiation of the photocatalysts produced [rad]OH which was proved with electron spin resonance (ESR) spectroscopy and radical scavenger studies and the resulting [rad]OH caused the degradation of SMX. The [rad]OH showed high second-order rate constant with SMX, e.g., 4.9 × 109 M−1 s−1. The photocatalytic degradation of SMX was influenced by pH, concentrations of SMX and photocatalysts, inorganic anions, and natural organic matter. The kinetics of the photocatalytic degradation of SMX was found to be pseudo-first-order. The SMX degradation resulted into several products which were identified by UPLC-MS/MS and the resulting products were used to establish degradation pathways of SMX. The synthesized Ceria and N-doped Ceria also showed good antimicrobial activities towards Staphylococcus aureus and Escherichia coli. The treatment of SMX showed high reusability of N-doped Ceria, low leaching of cerium ions into reaction solution, and high decline in toxicity of SMX which suggests high potential of the synthesized nanoparticles towards SMX degradation

    Synergistic effects of activated carbon and nano-zerovalent copper on the performance of hydroxyapatite-alginate beads for the removal of As\u3csup\u3e3+\u3c/sup\u3e from aqueous solution

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    © 2019 Elsevier Ltd In this study, activated carbon (AC) and nano-zerovalent copper (nZVCu) functionalized hydroxyapatite (HA) and alginate beads were synthesized and used for the removal of As3+ from aqueous solution. The characterization by X-ray diffraction, scanning electron microscopy, X-ray energy dispersive spectroscopy, X-ray photoelectron spectroscopy, transmission electron microscopy, high resolution transmission electron microscopy, BET surface area analysis, thermogravimetric analysis, and Fourier transform infrared spectroscopy revealed successful formation of the AC/nZVCu/HA-alginate, nZVCu/HA-alginate, AC/HA-alginate, and HA-alginate beads. The scanning electron microscopy and surface analysis revealed the prepared beads to be highly mesoporous which led to the maximum adsorption of As3+, i.e., 13.97, 29.33, 30.96, and 39.06 mg/g by HA-alginate, AC/HA-alginate, nZVCu/HA-alginate, and AC/nZVCu/HA-alginate beads, respectively. The thermogravimteric analysis showed the nZVCu/HA-alginate beads to be highly stable while the AC composite beads as the least stable to heat treatment. The HA-alginate beads achieved 39% removal of As3+, however, removal efficiency was promoted to 95% by coupling AC and nZVCu with HA-alginate beads at a reaction time of 120 min. The removal of As3+ by the prepared AC & nZVCu coupled HA-alginate beads was promoted with increasing [As3+]0 and [AC/nZVCu/HA-alginate]0. The pH of aqueous solution significantly influenced the removal of As3+ by AC/nZVCu/HA-alginate beads and maximum removal was achieved at pH 5.8. Freundlich adsorption isotherm and pseudo-second-order kinetic models were found to best fit the removal of As3+ by the synthesized beads. The high performance of AC/nZVCu/HA-alginate beads in the removal of As3+ even after seven cyclic treatment as well as least leaching of Cu ions into aqueous solution suggest enhanced reusability and stability of HA-alginate beads by coupling with AC and nZVCu. The results suggest that the synthesized beads have good potential for the removal of As3+ from aqueous solutions
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