Optical Properties of Bismuth Borate Glasses Doped with Zinc and Calcium Oxides

Some bismuth-borate oxide glass' samples were prepared by the fast quenching method, where B2O3 was replaced with equal concentrations of ZnO and CaO. X-ray diffraction (XRD) was used to examine the internal structure and Fourier transform infrared (FTIR) to identify building units and bonds throughout the studied structural matrices. XRD showed that all samples have short range order structural nature, while FTIR demonstrated some of Zn2+ acted as glass network formers and all Bi3+ acted as glass. UV-visible measurements and calculations showed a decreasing in the energy band gap from 3.83 eV to 1.73 eV with decreasing B2O3 content. Also with decreasing B2O3 content, both real refractive index and metallization factor decreased from 3.1 to 1.9 and from 0.56 to 0.71, respectively. For the studied glass' samples, density and molar volume showed inverted behaviors, where the density decreased while the molar volume increases with decreasing B2O3

Role of Sulfur as a Reducing Agent for the Transition Metals Incorporated into Lithium Silicate Glass

Li2O·0.25Fe2O3·0.25NiO·1.5SiO2 glass was prepared with and without 5 wt % sulfur (S) while melting the mixture of the starting materials at 1350 °C for 1 h in air. A part of the as-prepared glass was heat treated for 1 h near its crystallization temperature (Tc) as determined from differential thermal analysis. Each glass was also investigated by means of Mössbauer spectroscopy, X-ray diffraction, FTIR, and DC conductivity. The Mössbauer spectra showed ionic Fe2+ and Fe3+ species in the glass as well as in the precipitated phase obtained after heat treatment. XRD patterns demonstrated the glassy phase formation in the as-quenched samples irrespective of the presence of sulfur. The heat treated samples showed different precipitated phases containing iron particles of nanometer size. The electric conductivity measurements showed that sulfur-doped samples had high values of (σ) probably because of small polaron hopping between Fe2+ and Fe3+

Prognostic Exploration of U-F-Au-Mo-W Younger Granites for Geochemical Pathfinders, Genetic Affiliations, and Tectonic Setting in El-Erediya-El-Missikat Province, Eastern Desert, Egypt

Younger granite bodies form two arches, the western and the eastern (WA, EA), which extend from the south northwards from the Meatique, ophiolitic group-island arc rocks, to the large older granite outcrop to the north. This paper concerns the feasibility of exploration in the El-Erediya-Ria El-Garah-El-Gidami-El-Missikat Y Gr regions. Fieldwork and remote sensing, together with geochemical, petrochemical, and mineralogical studies, are used to show the controlling factors, routes, and the origins of the deposits. Remote sensing is used to delineate the different rock units. Normal and strike–slip NW, NNE faults, veins, fractured ENE shear zones, and alteration zones of magmatic-hydrothermal fluids are discussed. Granites are considered using petrochemical diagrams as resources. These rocks are categorized as syeno-and alkali feldspar granites. Geochemical binary relationships recognized the granites are highly fractionated calc-alkaline-altered Monzo-, syeno-, and alkali feldspar granites formed in the active continental margin. The observed positive Ga vs. Cu, Zn, and Ni correlations are used for epithermal-magmatic-hydrothermal polymetallic veins and mineralized greisen zones. Negative Cu vs. Mo correlation patterns show probable Mo-porphyry deposits in the deeper zones at the contact point between porphyritic perthite and perthite granitic El-Erediya mass. The Zr/Sr between 1.65 to 2.93 plus fluorites in El-Missikat and up to 5.48 plus fluorites in El-Erediya show both U-poor at El-Missikat and U-rich deposits at El-Erediya. The recorded U, Th, Cu, and Pb vertical zoning sequence of deposition differentiates U aureole and deposit zones. The estimated lateral zoning sequences of deposition of these elements define the centers of U deposits. Pathfinders for the deposit of the examined area include the positive Fe2 O3 vs. Mg O and Fe2 O3 vs. Ca O correlations, and also negative Rb/Sr vs. K/Na and Rb vs. Sr ones, can be applied to future prospecting for similar U-F-Au-W-Mo deposits in the Eastern Desert of Egypt. © 2022 by the authors. Licensee MDPI, Basel, Switzerland

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

Mechanical Properties Study of Borosilicate Glass Loaded with Vanadium and Cobalt by Nanoindentation Technique

The nanoindentation test was used to investigate the mechanical properties of borosilicate glass with a composition (mol%) of 40 Na2B4O7-40 SiO2-(20-x) V2O5-x Co2O3, with x = 0, 1, 3, and 5 mol% for samples A, B, C, and D, respectively. Samples were prepared using the melt quenching technique at 1100 °C. A load–displacement curve was plotted and used to extract select mechanical properties of the glass samples. The creep deformation behavior of the glass composition was studied. The maximum creep rate was observed for the sample that contained the highest vanadium oxide content, and the creep rate decreased with a decrease in the vanadium oxide content in the glass samples. The hardness and reduced modulus of elasticity were obtained. The Maxwell–Voigt model was applied to investigate the relaxation kinetics and deformation of the bulk glass