Application of botryosphaeran as a carbon black adherent on a glassy carbon electrode for the electrochemical determination of cyclobenzaprine

The present work describes the performance of a new voltammetric sensor based on the modification of glassy carbon electrodes (GCE) with carbon black (CB) and botryosphaeran (BOT) (CB-BOT/GCE) for the electroanalytical determination of cyclobenzaprine. BOT is a fungal exocellular (1→3)(1→6)-β-ᴅ-glucan, which was used to improve the adherence of CB onto the surface of GCE. The electrochemical characterisation was performed by electrochemical impedance spectroscopy which showed an improvement in the transfer of electrons on the surface of the sensor developed in relation to the unmodified (bare) GCE. The voltammetric behaviour of cyclobenzaprine was studied using bare GCE, BOT/GCE, CB/GCE, and CB-BOT/GCE. All electrodes presented an oxidation peak (+ 1.0 V) for cyclobenzaprine, while the cyclobenzaprine peak intensity on CB-BOT/GCE was found to be 480% higher than the bare GCE. Through employing square-wave voltammetry, the analytical curve was found to be linear over the concentration range of 2.0 to 20.6 μmol L−1 (in 0.1 mol L−1 NaCl solution) with a detection limit (based on 3-sigma) of 0.63 μmol L−1. The developed electrochemical sensor exhibited excellent sensitivity and selectivity and was successfully applied for the voltammetric determination of cyclobenzaprine in pharmaceutical, biological, and environmental samples for the first time using the CB-BOT/GCE electrochemical sensing platform

The effect of functional electrical stimulation cycling on late functional improvement in patients with chronic incomplete spinal cord injury

Study design: Prospective single-arm study. Objectives: To investigate the effect of functional electrical stimulation (FES) cycling on late functional recovery, spasticity, gait parameters and oxygen consumption during walking in patients with chronic incomplete spinal cord injury (SCI). Setting: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. Methods: Ten patients with chronic (duration of more than 2 years) incomplete SCI who could ambulate at least 10m independently or with the assistance of a cane or walker, but no hip-knee-ankle-foot orthosis. The subjects underwent 1-h FES cycling sessions three times a week for 16 weeks. Outcome measures including the total motor score, the Functional Independence Measure (FIM) score, the Modified Ashworth Scale for knee spasticity, temporal spatial gait parameters and oxygen consumption rate during walking were assessed at baseline, 3 and 6 months after the baseline. Results: There were statistically significant improvements in total motor scores, the FIM scores and spasticity level at the 6-month follow-up (P0.05). Oxygen consumption rate of the patients showed significant reduction at only 6 months compared with baseline (P<0.01). Conclusion: The results suggest that FES cycling may provide some functional improvements in the late period of SCI

Utilização de vestimentas de proteção radiológica para redução de dose absorvida: uma revisão integrativa da literatura

OBJETIVO: Avaliar a relação entre o uso de vestimenta de proteção radiológica e a diminuição da dose absorvida de radiação ionizante, reforçando a eficácia do seu uso tanto para pacientes quanto para indivíduos ocupacionalmente expostos. MATERIAIS E MÉTODOS: O estudo foi desenvolvido utilizando-se o método de revisão integrativa de literatura, e teve como materiais: 21 artigos, 2 livros, 1 tese, 1 trabalho de conclusão de curso, 1 programa de computador, 4 pesquisas em base de dados (Instituto Brasileiro de Geografia e Estatística e Departamento de Informática do Sistema Único de Saúde) e 2 diretrizes de proteção radiológica. RESULTADOS: A utilização da vestimenta de proteção radiológica, teoricamente, reduz 86% a 99% a dose absorvida. Na prática, a redução nos pacientes pode ser de 88% na radiologia convencional e chegar a 95% no exame tomográfico. Nos indivíduos ocupacionalmente expostos, a redução durante um cateterismo cardíaco é em torno de 90% e durante uma cirurgia ortopédica é de 75%. CONCLUSÃO: Conforme demonstrado em várias pesquisas, o uso de vestimenta de proteção radiológica é eficaz e de baixo custo e reduz a dose desnecessária nos pacientes e nos indivíduos ocupacionalmente expostos. Logo, sua utilização é necessária para a implementação de um efetivo programa de proteção radiológica em um serviço de radiodiagnóstico