9 research outputs found

    Photochemically reduced polyoxometalate assisted generation of silver and gold nanoparticles in composite films: a single step route

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    A simple method to embed noble metal (Ag, Au) nanoparticles in organic–inorganic nanocomposite films by single step method is described. This is accomplished by the assistance of Keggin ions present in the composite film. The photochemically reduced composite film has served both as a reducing agent and host for the metal nanoparticles in a single process. The embedded metal nanoparticles in composites film have been characterized by UV–Visible, TEM, EDAX, XPS techniques. Particles of less than 20 nm were readily embedded using the described approach, and monodisperse nanoparticles were obtained under optimized conditions. The fluorescence experiments showed that embedded Ag and Au nanoparticles are responsible for fluorescence emissions. The described method is facile and simple, and provides a simple potential route to fabricate self-standing noble metal embedded composite films

    Coarse-grained deltas approaching shallow-water canyon heads:A case study from the Lower Pleistocene Messina Strait, Southern Italy

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    Predictors for anastomotic leak, postoperative complications, and mortality after right colectomy for cancer: Results from an international snapshot audit

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    Background: A right hemicolectomy is among the most commonly performed operations for colon cancer, but modern high-quality, multination data addressing the morbidity and mortality rates are lacking. Objective: This study reports the morbidity and mortality rates for right-sided colon cancer and identifies predictors for unfavorable short-term outcome after right hemicolectomy. Design: This was a snapshot observational prospective study. Setting: The study was conducted as a multicenter international study. Patients: The 2015 European Society of Coloproctology snapshot study was a prospective multicenter international series that included all patients undergoing elective or emergency right hemicolectomy or ileocecal resection over a 2-month period in early 2015. This is a subanalysis of the colon cancer cohort of patients. Main Outcome Measures: Predictors for anastomotic leak and 30-day postoperative morbidity and mortality were assessed using multivariable mixed-effect logistic regression models after variables selection with the Lasso method. Results: Of the 2515 included patients, an anastomosis was performed in 97.2% (n = 2444), handsewn in 38.5% (n = 940) and stapled in 61.5% (n = 1504) cases. The overall anastomotic leak rate was 7.4% (180/2444), 30-day morbidity was 38.0% (n = 956), and mortality was 2.6% (n = 66). Patients with anastomotic leak had a significantly increased mortality rate (10.6% vs 1.6% no-leak patients; p 65 0.001). At multivariable analysis the following variables were associated with anastomotic leak: longer duration of surgery (OR = 1.007 per min; p = 0.0037), open approach (OR = 1.9; p = 0.0037), and stapled anastomosis (OR = 1.5; p = 0.041). Limitations: This is an observational study, and therefore selection bias could be present. For this reason, a multivariable logistic regression model was performed, trying to correct possible confounding factors. Conclusions: Anastomotic leak after oncologic right hemicolectomy is a frequent complication, and it is associated with increased mortality. The key contributing surgical factors for anastomotic leak were anastomotic technique, surgical approach, and duration of surgery
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