33 research outputs found

    Covalently Functionalized Sawdust for the Remediation of Phosphate from Agricultural Wastewater

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    Phosphate remediation from wastewater is rapidly becoming an ever more attractive process due to a combination of both the economic pressure of increasing phosphate scarcity and the environmental damage caused by untreated agricultural runoff. Ideally, remediated phosphate will be recoverable and would be able to be reused as fertilizer. Many different resins have been investigated, but due to the scale of the challenge, any feasible solution will involve the use of very inexpensive waste products as the solid support. Sawdust, functionalized with iron-binding ligands, is such a potential resin. Sawdust alone binds 0.3 g/kg of phosphate which is insufficient. Iron has a strong affinity for phosphate, making the formation of iron-phosphate bonds a promising avenue for the development of recyclable resins. Previously prepared iron-chitosan complexes bound 8.2 g/kg. However, as the price of chitosan has rapidly increased, alternatives are required. In this current study, the covalent modification of the sawdust using either carboxymethylcellulose-supported ligands, or direct functionalization of the sawdust can increase this to 40 g/kg using ethylene diamine as the iron-binding ligand. Binding decreases over repeated cycles of phosphate exposure and elution, but can be fully restored through regeneration using iron salts. The simple green synthesis of this material, and the iron-binding capability of the investigated ligands is discussed. These sawdust-based resins show promise as potential candidates for industrial-scale phosphate recovery efforts in the future

    Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

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    Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

    Identification of genetic variants associated with Huntington's disease progression: a genome-wide association study

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    Background Huntington's disease is caused by a CAG repeat expansion in the huntingtin gene, HTT. Age at onset has been used as a quantitative phenotype in genetic analysis looking for Huntington's disease modifiers, but is hard to define and not always available. Therefore, we aimed to generate a novel measure of disease progression and to identify genetic markers associated with this progression measure. Methods We generated a progression score on the basis of principal component analysis of prospectively acquired longitudinal changes in motor, cognitive, and imaging measures in the 218 indivduals in the TRACK-HD cohort of Huntington's disease gene mutation carriers (data collected 2008–11). We generated a parallel progression score using data from 1773 previously genotyped participants from the European Huntington's Disease Network REGISTRY study of Huntington's disease mutation carriers (data collected 2003–13). We did a genome-wide association analyses in terms of progression for 216 TRACK-HD participants and 1773 REGISTRY participants, then a meta-analysis of these results was undertaken. Findings Longitudinal motor, cognitive, and imaging scores were correlated with each other in TRACK-HD participants, justifying use of a single, cross-domain measure of disease progression in both studies. The TRACK-HD and REGISTRY progression measures were correlated with each other (r=0·674), and with age at onset (TRACK-HD, r=0·315; REGISTRY, r=0·234). The meta-analysis of progression in TRACK-HD and REGISTRY gave a genome-wide significant signal (p=1·12 × 10−10) on chromosome 5 spanning three genes: MSH3, DHFR, and MTRNR2L2. The genes in this locus were associated with progression in TRACK-HD (MSH3 p=2·94 × 10−8 DHFR p=8·37 × 10−7 MTRNR2L2 p=2·15 × 10−9) and to a lesser extent in REGISTRY (MSH3 p=9·36 × 10−4 DHFR p=8·45 × 10−4 MTRNR2L2 p=1·20 × 10−3). The lead single nucleotide polymorphism (SNP) in TRACK-HD (rs557874766) was genome-wide significant in the meta-analysis (p=1·58 × 10−8), and encodes an aminoacid change (Pro67Ala) in MSH3. In TRACK-HD, each copy of the minor allele at this SNP was associated with a 0·4 units per year (95% CI 0·16–0·66) reduction in the rate of change of the Unified Huntington's Disease Rating Scale (UHDRS) Total Motor Score, and a reduction of 0·12 units per year (95% CI 0·06–0·18) in the rate of change of UHDRS Total Functional Capacity score. These associations remained significant after adjusting for age of onset. Interpretation The multidomain progression measure in TRACK-HD was associated with a functional variant that was genome-wide significant in our meta-analysis. The association in only 216 participants implies that the progression measure is a sensitive reflection of disease burden, that the effect size at this locus is large, or both. Knockout of Msh3 reduces somatic expansion in Huntington's disease mouse models, suggesting this mechanism as an area for future therapeutic investigation

    A Hartman&#8211;Nagumo inequality for the vector ordinary <inline-formula><graphic file="1029-242X-2002-785482-i1.gif"/></inline-formula>-Laplacian and applications to nonlinear boundary value problems

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    <p/> <p>A generalization of the well-known Hartman&#8211;Nagumo inequality to the case of the vector ordinary <inline-formula><graphic file="1029-242X-2002-785482-i2.gif"/></inline-formula>-Laplacian and classical degree theory provide existence results for some associated nonlinear boundary value problems.</p

    Le dessin satirique dans la presse britannique contemporaine

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    SATIRICAL CARTOONS IN THE CONTEMPORARY BRITISH PRESS The polarization of the British national press (the quality press — the « broadsheets » — as opposed to the popular « tabloid » press) has involved a strong increase in the number of pages. These changes have reduced the importance and specificity of the editorial cartoon. The decline of a culture of deference, observed in the caricatures of the prime minister and the royal family, nevertheless allows this pictorial genre to be developed.LE DESSIN SATIRIQUE DANS LA PRESSE BRITANNIQUE CONTEMPORAINE La polarisation de la presse nationale britannique (presse de qualité « broadsheets » contre presse populaire « tabloids ») a entrainé un fort accroissement du nombre de pages. Ces changements ont réduit l'importance et la spécificité du dessin éditorial. Le déclin d'une culture de la déférence, observé pour les caricatures du Premier ministre et de la famille royale, permet toutefois à ce genre pictural de se développer.EL DIBUJO SATÍRICO EN LA PRENSA BRITÁNICA CONTEMPORÁNEA La polarización de la prensa nacionál británica (prensa de calidad « broadsheets » contra la prensa popular « tabloids ») ha ocasionado un fuerte crecimiento del numero de paginas. Estos cambios han reducido la importancia y la especificidad del dibujo editorial. El ocaso de una cultura de la deferencia, observado en las caricaturas del Jefe del Gobierno y de la familia real, favorece no obstante el desarrollo de este género pictural.Seymour-Ure Colin, Baillon Jean-François. Le dessin satirique dans la presse britannique contemporaine. In: Mots, n°48, septembre 1996. Caricatures politiques, sous la direction de Christian Delporte, Vincent Milliot et Erik Neveu. pp. 55-73

    Urinary proteome analysis identifies infants but not older children requiring pyeloplasty.

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    International audienceOne out of every five children suffering from ureteropelvic junction obstruction (UPJO) requires pyeloplasty. This prevalence indicates an urgent necessity to identify high-grade UPJO as early as possible to avoid renal damage. A novel non-invasive proteomic urine test has recently been introduced that is able to detect these patients at an early stage. In the study reported here, we tested this approach to assess its use in our centre and to expand its application to older children. Twenty-seven children (median age 0.4 years, range 0.1-8.8 years) with hydronephrosis who had been scheduled a nuclear diuretic renal scan (DR) to identify urodynamically relevant UPJO were included in our prospective study. Patients with prior surgery of the urinary tract were excluded. The urinary proteome pattern was analysed using capillary electrophoresis coupled to mass spectrometry. Of the 27 children, 11 had a relevant UPJO diagnosed by the DR. In 19 children <1 year of age, urinary proteome analysis predicted obstruction with a sensitivity of 83% (5/6) and a specificity of 92% (12/13). However, in older patients, the sensitivity decreased to 20% (1/5) and specificity to 66% (2/3). Based on our results, the proteome pattern established by Decramer and co-workers predicts the need for surgery in infants but not in older children with UPJO
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