10 research outputs found

    Photoelectrochemical properties of sol–gel obtained titanium oxide

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    The photoelectrochemical properties of a sol–gel prepared titanium oxide coating applied onto a Ti substrate were investigated. The oxide coating was formed from an inorganic sol thermally treated in air at 350 °C. The coating consisted of agglomerates of narrow size distribution around 100 nm. The photoelectrochemical characteristics were evaluated by investigating the changes in the open circuit potential, current transients and impedance characteristics of a Ti/TiO2 electrode upon illumination by UV light in H2SO4 solution and in the oxidation of benzyl alcohol. The electrode was found to be active for photoelectrochemical reactions in the investigated solutions

    Peri-operative red blood cell transfusion in neonates and infants: NEonate and Children audiT of Anaesthesia pRactice IN Europe: A prospective European multicentre observational study

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    BACKGROUND: Little is known about current clinical practice concerning peri-operative red blood cell transfusion in neonates and small infants. Guidelines suggest transfusions based on haemoglobin thresholds ranging from 8.5 to 12 g dl-1, distinguishing between children from birth to day 7 (week 1), from day 8 to day 14 (week 2) or from day 15 (≥week 3) onwards. OBJECTIVE: To observe peri-operative red blood cell transfusion practice according to guidelines in relation to patient outcome. DESIGN: A multicentre observational study. SETTING: The NEonate-Children sTudy of Anaesthesia pRactice IN Europe (NECTARINE) trial recruited patients up to 60 weeks' postmenstrual age undergoing anaesthesia for surgical or diagnostic procedures from 165 centres in 31 European countries between March 2016 and January 2017. PATIENTS: The data included 5609 patients undergoing 6542 procedures. Inclusion criteria was a peri-operative red blood cell transfusion. MAIN OUTCOME MEASURES: The primary endpoint was the haemoglobin level triggering a transfusion for neonates in week 1, week 2 and week 3. Secondary endpoints were transfusion volumes, 'delta haemoglobin' (preprocedure - transfusion-triggering) and 30-day and 90-day morbidity and mortality. RESULTS: Peri-operative red blood cell transfusions were recorded during 447 procedures (6.9%). The median haemoglobin levels triggering a transfusion were 9.6 [IQR 8.7 to 10.9] g dl-1 for neonates in week 1, 9.6 [7.7 to 10.4] g dl-1 in week 2 and 8.0 [7.3 to 9.0] g dl-1 in week 3. The median transfusion volume was 17.1 [11.1 to 26.4] ml kg-1 with a median delta haemoglobin of 1.8 [0.0 to 3.6] g dl-1. Thirty-day morbidity was 47.8% with an overall mortality of 11.3%. CONCLUSIONS: Results indicate lower transfusion-triggering haemoglobin thresholds in clinical practice than suggested by current guidelines. The high morbidity and mortality of this NECTARINE sub-cohort calls for investigative action and evidence-based guidelines addressing peri-operative red blood cell transfusions strategies. TRIAL REGISTRATION: ClinicalTrials.gov, identifier: NCT02350348

    Electrophoretic deposition and thermal treatment of boehmite coatings on titanium

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    An aqueous boehmite sol was prepared by the peptization of Al(OH)3. The electrophoretic deposition of boehmite coatings on titanium from the aqueous sol was performed at a constant voltage (from 1.0 to 10 V) and for a constant deposition time (from 10 to 30 min). Increasing the applied voltage and deposition time increased the mass of the boehmite coating. It was shown that boehmite coatings of maximum thickness, low porosity and good adhesion can be formed at lower deposition voltages and longer deposition times. The boehmite powder, obtained by drying the prepared aqueous sol, and the boehmite coatings were thermally treated at 1000 °C and 1300 °C with a holding period of 1 h at the maximum temperature. X-Ray diffraction analysis of the thermally treated samples confirmed the existence of g-Al2O3 and a-Al2O3 phases, respectively, while scanning electron microscopy revealed the graininess of the structure of the a-Al2O3 coatings treated at 1300 °C, indicating a significantly lower sintering temperature of the boehmite coating obtained by electrophoretic deposition

    The effect of Zn-Ni sublayers on the corrosion behaviour and thermal stability of epoxy coatings electrodeposited on steel

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    The electrochemical and transport properties, as well as the thermal stability of epoxy coatings electrodeposited on steel and steel modified by ZnNi alloys were investigated during exposure to 3 % NaCl. The Zn-Ni alloys were electrodeposited on steel using direct and pulse current. From the time dependence of the pore resistance of the epoxy coating (impedance measurements), the diffusion coefficient of water through the epoxy coating (gravimetric liquid sorption measurements) and the thermal stability of the epoxy coating (thermogravimetric analysis), it was shown that ZnNi sublayers significantly improve the corrosion stability of a protective system based on an epoxy coating. The values of the pore resistance were almost unchanged over a long period of immersion time for epoxy coatings on steel modified by ZnNi alloys, inidicating the great stability of these protective systems

    Cerium Oxide as Conversion Coating for the Corrosion Protection of Aluminum

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    CeO2 coatings were formed on the aluminum after Al surface preparation, by dripping the ceria sol, previously prepared by forced hydrolysis of Ce(NO3)(4). The anticorrosive properties of ceria coatings were investigated by the electrochemical impedance spectroscopy (EIS) during the exposure to 0.03% NaCl. The morphology of the coatings was examined by the scanning electron microscopy (SEM). EIS data indicated considerably larger corrosion resistance of CeO2-coated aluminum than for bare Al. The corrosion processes on Al below CeO2 coating are subjected to more pronounced diffusion limitations in comparison to the processes below passive aluminum oxide film, as the consequence of the formation of highly compact protective coating. The results show that the deposition of ceria coatings is an effective way to improve corrosion resistance for aluminum.International Conference ModTech Proceedings, 16th International Conference on Modern Technologies, Quality and Innovation, May 24-26, 2012, Sinaia, Romani

    Electrophoretic Deposition of Biocomposite Lignin/Hydroxyapatite Coatings on Titanium

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    In this work, electrophoretic deposition (EPD) was applied to obtain novel hydroxyapatite (HAP)/lignin (Lig) biocomposite coatings on titanium substrate. Nanosized hydroxyapatite powder, prepared by using the modified chemical precipitation method, was used for the fabrication of HAP/Lig composite coatings. EPD was performed at different values of constant voltage and constant deposition time. It was confirmed that control over deposited mass can be achieved by applied voltage and time. The uniform and compact coatings were successfully deposited at applied voltage of 60 V in various deposition times lower than 1 minute. The effect of lignin as natural non-toxic polymer on microstructure, morphology and thermal behavior of biocomposite HAP/Lig coatings was characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM) and thermogravimetric analysis (TGA). The electrophoretically deposited HAP/Lig coating has been successfully sintered at lower sintering temperature of 900 degrees C, producing non-fractured coating and indicating that lignin may exhibit adhesive role, strengthening the bonding between HAP particles and substrate surface

    Comparative in vivo evaluation of novel formulations based on alginate and silver nanoparticles for wound treatments

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    In the present study, possibilities for using novel nanocomposites based on alginate and silver nanoparticles for wound treatment were investigated in a second-degree thermal burn model in Wistar rats. Silver nanoparticles (AgNPs) were electrochemically synthesized in alginate solutions that were further utilized to obtain the Ag/alginate solution and microfibers for subsequent in vivo studies. Daily applications of the Ag/alginate colloid solution, containing AgNPs, alginate and ascorbic acid (G3), wet Ag/alginate microfibers containing AgNPs (G5) and dry Ag/alginate microfibers containing AgNPs (G6) were compared to treatments with a commercial cream containing silver sulfadiazine (G2) and a commercial Ca-alginate wound dressing containing silver ions (G4), as well as to the untreated controls (G1). Results of the in vivo study have shown faster healing in treated wounds, which completely healed on day 19 (G4, G5 and G6) and 21 (G2 and G3) after the thermal injury, while the period for complete reepitelization of untreated wounds (G1) was 25 days. The macroscopic analysis has shown that scabs fell off between day 10 and 12 after the thermal injury induction in treated groups, whereas between day 15 and 16 in the control group. These macroscopic findings were supported by the results of histopathological analyses, which have shown enhanced granulation and reepithelization, reduced inflammation and improved organization of the extracellular matrix in treated groups without adverse effects. Among the treated groups, dressings based on Ca-alginate (G4-G6) induced enhanced healing as compared to the other two groups (G2, G3), which could be attributed to additional stimuli of released Ca2+. The obtained results indicated potentials of novel nanocomposites based on alginate and AgNPs for therapeutic applications in wound treatments

    Morbidity and mortality after anaesthesia in early life: results of the European prospective multicentre observational study, neonate and children audit of anaesthesia practice in Europe (NECTARINE)

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    Background: Neonates and infants requiring anaesthesia are at risk of physiological instability and complications, but triggers for peri-anaesthetic interventions and associations with subsequent outcome are unknown. Methods: This prospective, observational study recruited patients up to 60 weeks' postmenstrual age undergoing anaesthesia for surgical or diagnostic procedures from 165 centres in 31 European countries between March 2016 and January 2017. The primary aim was to identify thresholds of pre-determined physiological variables that triggered a medical intervention. The secondary aims were to evaluate morbidities, mortality at 30 and 90 days, or both, and associations with critical events. Results: Infants (n=5609) born at mean (standard deviation [sd]) 36.2 (4.4) weeks postmenstrual age (35.7% preterm) underwent 6542 procedures within 63 (48) days of birth. Critical event(s) requiring intervention occurred in 35.2% of cases, mainly hypotension (>30% decrease in blood pressure) or reduced oxygenation (SpO2 <85%). Postmenstrual age influenced the incidence and thresholds for intervention. Risk of critical events was increased by prior neonatal medical conditions, congenital anomalies, or both (relative risk [RR]=1.16; 95% confidence interval [CI], 1.04-1.28) and in those requiring preoperative intensive support (RR=1.27; 95% CI, 1.15-1.41). Additional complications occurred in 16.3% of patients by 30 days, and overall 90-day mortality was 3.2% (95% CI, 2.7-3.7%). Co-occurrence of intraoperative hypotension, hypoxaemia, and anaemia was associated with increased risk of morbidity (RR=3.56; 95% CI, 1.64-7.71) and mortality (RR=19.80; 95% CI, 5.87-66.7). Conclusions: Variability in physiological thresholds that triggered an intervention, and the impact of poor tissue oxygenation on patient's outcome, highlight the need for more standardised perioperative management guidelines for neonates and infants

    Neonates undergoing pyloric stenosis repair are at increased risk of difficult airway management: secondary analysis of the NEonate and Children audiT of Anaesthesia pRactice IN Europe.

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    Difficult tracheal intubation in neonates and infants. NEonate and Children audiT of Anaesthesia pRactice IN Europe (NECTARINE): a prospective European multicentre observational study

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    International audienceBackground: Neonates and infants are susceptible to hypoxaemia in the perioperative period. The aim of this study was to analyse interventions related to anaesthesia tracheal intubations in this European cohort and identify their clinical consequences.Methods: We performed a secondary analysis of tracheal intubations of the European multicentre observational trial (NEonate and Children audiT of Anaesthesia pRactice IN Europe [NECTARINE]) in neonates and small infants with difficult tracheal intubation. The primary endpoint was the incidence of difficult intubation and the related complications. The secondary endpoints were the risk factors for severe hypoxaemia attributed to difficult airway management, and 30 and 90 day outcomes.Results: Tracheal intubation was planned in 4683 procedures. Difficult tracheal intubation, defined as two failed attempts of direct laryngoscopy, occurred in 266 children (271 procedures) with an incidence (95% confidence interval [CI]) of 5.8% (95% CI, 5.1-6.5). Bradycardia occurred in 8% of the cases with difficult intubation, whereas a significant decrease in oxygen saturation (SpO2<90% for 60 s) was reported in 40%. No associated risk factors could be identified among co-morbidities, surgical, or anaesthesia management. Using propensity scoring to adjust for confounders, difficult anaesthesia tracheal intubation did not lead to an increase in 30 and 90 day morbidity or mortality.Conclusions: The results of the present study demonstrate a high incidence of difficult tracheal intubation in children less than 60 weeks post-conceptual age commonly resulting in severe hypoxaemia. Reassuringly, the morbidity and mortality at 30 and 90 days was not increased by the occurrence of a difficult intubation event
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