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Within situ anchoring Zn-doped ZIF-67 upon carboxymethylated microbe cellulose for successful indigo carmine catch.
BACKGROUND Homograft tissue is an important reconstructive material used in the surgical correction of a variety of congenital heart defects. The aim of this study is to evaluate the long-term outcome of pulmonary artery (PA) branch patches used in the reconstruction of the thoracic aorta in children. METHODS Retrospective review of 124 consecutive pediatric patients undergoing corrective surgery for their congenital heart defects between 2001 and 2016. Survival, reoperation, and reintervention data were collected, as well as imaging data to assess for presence of recoarctation, dilation, or aneurysm formation in the area of patch reconstruction. RESULTS Overall 15-year survival was 83.9% and 15-year freedom from reintervention in the area of patch reconstruction was 89.2%. Rates of mortality (0%), cardiac transplantation (0%), and reoperation (0.8%) attributable to the area of patch reconstruction were low. The frequency of catheter-based intervention in the area of patch reconstruction was 9.7%; such interventions were successful in all but one patient, who ultimately underwent successful surgical aortoplasty. CONCLUSIONS Homograft patches harvested from PA branches are an effective reconstructive material used for reconstruction of the aorta in small children. Long-term results show no risk of aneurysm formation and low rates of stenosis formation. © 2020 Wiley Periodicals, Inc.Peritoneal dialysis (PD) is currently underutilized in the United States (US), even within resource-rich neighborhoods. We analyzed data from US Renal Data Service to determine PD utilization within the US, New York State (NYS), selected boroughs within New York City (NYC), and Boston, Massachusetts. We then compared the odds of selecting PD with hemodialysis (HD) and analyzed how diabetes mellitus status, age >65 years, gender, and race influenced PD utilization between 2010 and 2016. We then compared a high-volume PD center (HVC) with a low-volume PD center (LVC). The odds of starting PD vs HD were as follows Brooklyn 0.30 (0.25-0.36; 65 significantly ( less then 0.0001) influenced PD modality selection in Brooklyn and Boston. Differences between HVC and LVC in terms of modality transition, peritonitis rate, or providerpatient ratio were not statistically significant. Factors that influence PD utilization in urban neighborhoods are discussed and remediation measures are proposed. © 2020 Wiley Periodicals, Inc.OBJECTIVES To determine whether baseline C-reactive protein (CRP) levels can predict mortality after transcatheter aortic valve implantation (TAVI), we performed a meta-analysis of currently available studies. read more METHODS All studies investigating the prognostic impact of baseline (preprocedural) CRP levels on all-cause mortality after TAVI were identified by means of searching PubMed and Google Scholar through May 2019. For each study, (preferentially, adjusted rather than unadjusted) odds/hazard ratios (ORs/HRs) with corresponding 95% confidence intervals of mortality per standard-deviation (SD) (or unit) increase in CRP levels or those for high vs low CRP levels. RESULTS Our search identified 14 eligible studies including a total of 3449 patients undergoing TAVI and reporting early (in-hospital to 3-month) and midterm (1-year to 3-year) all-cause mortality after TAVI. Pooled analyses demonstrated associations of high-baseline CRP levels with a marginal, but statistically nonsignificant increase in early mortality (pooled OR/HR per SD increase in CRP levels, 2.72; P = .09 and pooled OR/HR for high vs low CRP levels, 3.32; P = .07) and a statistically significant increase in midterm mortality after TAVI (pooled OR/HR per SD increase in CRP levels, 1.45; P  less then  .0001 and pooled OR/HR for high vs low CRP levels, 1.78; P  less then  .00001). Excluding HRs for high-sensitivity CRP, combining ORs/HRs of 1-year mortality, pooling HRs of ≥2-year mortality, and combining adjusted HRs did not alter the primary results. CONCLUSION High-baseline CRP levels may predict increased midterm, but not early, mortality after TAVI. © 2020 Wiley Periodicals, Inc.Ibuprofen is the most commonly used non-steroidal anti-inflammatory drug (NSAID) and is the only NSAID approved for use in infants less than three months of age (1). It is available over-the-counter for the treatment of fever, inflammation and pain, and is often prescribed to treat inflammatory conditions. Over the past decade, there has been a reported shift towards Ibuprofen consumption as an over-the-counter drug, with 70% of ibuprofen being purchased without prescription in 2015, as well as an overall increase in consumption (1). This article is protected by copyright. All rights reserved.Alkali metal naphthalenide or anthracenide reacted with scandium(III) anilides [Sc(X)N(tBu)Xy2(THF)] (X = N(tBu)Xy (1); X = Cl (2)) to give scandium complexes [M(THF)n][ScN(tBu)Xy2(RA)] (M = Li - K; n = 1 - 6; RA = C10H82- (3-Naph-K) and C14H102- (3-Anth-M); Xy = C6H3-3,5-Me2) containing a reduced arene ligand. Single crystal X-ray diffraction revealed the scandium(III) center bonded to the naphthalene dianion in a σ2π-coordination mode, while the anthracene dianion is symmetrically attached to the scandium(III) center in a σ2-fashion. All compounds have been characterized by multinuclear, including 45Sc NMR spectroscopy. Quantum chemical calculations of these intensely colored arene complexes confirm scandium to be in the oxidation state +3. The intense absorptions observed in the UV-vis spectra are due to ligand to metal charge transfer. While nitriles underwent C-C coupling reaction with the reduced arene ligand, the reaction with one equiv. of [NEt3H][BPh4] led to the mono-protonation of the reduced arene ligand. © 2020 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.Familial adenomatous polyposis (FAP) is an autosomal dominant syndrome caused by a germline mutation of the adenomatous polyposis coli (APC) gene. Several extracolonic lesions, especially gastric lesions including fundic gland polyp (FGP), adenoma roughly corresponding to low-grade dysplasia, and adenocarcinoma, have been frequently associated with FAP. This article is protected by copyright. All rights reserved.INTRODUCTION Major risk factors for type 2 diabetes are lifestyle choices such as lack of physical activity (PA) and poor diet. Many individuals either do not take part or struggle to complete interventions supporting lifestyle changes. Demographic and theory-based sociocognitive factors associated with PREVIEW intervention attrition after successful weight loss were examined. METHODS Participants (1,856) who started the weight maintenance phase after completion of low-energy diet were retrospectively divided into three clusters depending on the point they left the trial. Discriminant analysis examined which demographic and theory-based sociocognitive variables were associated with cluster membership. RESULTS Most of the participants were women and well-educated. Two discriminant functions were calculated (χ2 (24) = 247.0, p ≥ .05, d = 0.78). The demographic variables, such as age and ethnicity, and the social cognitive variable outcome expectancies on the other side were associated with cluster membership. Older age, Caucasian ethnicity, and fewer expected disadvantages of PA were associated with high success. DISCUSSION The discriminant model gave insight into some factors associated with early attrition. For practitioners planning interventions it underlines the necessity to take extra attention to younger participants and to those being afraid that being physically active causes unpleasant ramifications. © 2020 The Authors. Public Health Nursing published by Wiley Periodicals, Inc.A Ti-Co@γ-Al2 O3 composite catalyst was prepared using impregnation and sol-gel methods to degrade biochemical tail water from the coal chemical industry, and its preparation conditions (active component doping ratio, load times, and calcination temperature) were optimized through single-factor experiments. The surface properties of the Ti-Co@γ-Al2 O3 composite catalyst and the crystal structure characteristics of the catalytically active components were characterized via scanning electron microscopy-energy dispersive spectrometry, X-ray diffraction, and X-ray fluorescence. The effects of reaction time, initial pH, ozone aeration, and catalyst dosage on degradation performance were investigated through an experiment on the catalytic ozonation degradation of biochemical tail water. Results showed that the optimal conditions were as follows reaction time of 30 min, pH of 8.2, ozone aeration of 30 mg/min, and catalyst dosage of 20 g/L. The total phenol and total organic carbon removal rates for biochemical tail water were 66.1% and 57.6%, respectively, in the catalytic system. The mechanism of degradation of organic pollutants by catalytic ozonation was investigated by adding tert-butanol to the catalytic ozone oxidation system. The degradation of chemical oxygen demand in biochemical tail water was caused primarily by the synergy between the Ti-Co@γ-Al2 O3 catalyst and ozone. This article is protected by copyright. All rights reserved.AIM To explore how working-age adults experience patient participation in hospital haemodialysis. BACKGROUND End-stage kidney disease is a progressive, chronic condition imposing patients with high treatment burdens and low health-related quality of life. Patients face multiple medical decisions related to living with kidney failure. Given their frequent interaction with health services, patient participation may be of special value. DESIGN Qualitative design with a narrative approach. METHODS In 2018, eleven patients aged 35-64 years undergoing hospital haemodialysis participated in individual interviews. All interviews were analysed using a narrative approach. Reporting followed the Consolidated criteria for Reporting Qualitative Research guidelines. FINDINGS The patients' narratives of participation comprised three themes following their healthcare trajectory Informed, but not involved in treatment choices; Duality of care and control; and Frail trust reflecting collaborative deficiencies. The patients recof treatment modality as well as decisions related to the current treatment. Information must include potential consequences of the different treatment modalities. Health services need to strengthen collaboration in order to secure treatment continuity and patient involvement. This article is protected by copyright. All rights reserved.A straightforward multicomponent Knoevenagel-aza-Michael-Cyclocondensation reaction involving readily available hydroxamic acid-derived from naturally occurring α-amino acids allows a diversity-oriented synthesis of novel isoxazolidin-5-ones possessing an N -protected α-amino acid pendant with good to high diastereoselectivities thanks to a match effect with a chiral organocatalyst. These diversely substituted heterocycles, easily isolated as a single diastereoisomer, proved to be versatile platforms for the formation of an array of α/β-dipeptide fragments. © 2020 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.Hemodialysis patients are vulnerable to infectious diseases and frequent receipt of antimicrobial agents. The aim of this study was to describe the prevalence and characteristics of infections and antimicrobials use among hemodialysis outpatients. We utilized the dialysis event surveillance protocol developed by the National Healthcare Safety Network to conduct a prospective multicenter study in Anhui, China. A total of 41 dialysis centers involving 7393 outpatients were included. Fistula was the most common type of vascular access (85.3%), followed by tunneled central line (12.7%), and non-tunneled central line (1.2%). There were 118 dialysis events with an overall pooled events rate of 1.60 per 100 patient-months. Intravenous antimicrobial start, positive blood culture, and pus, redness, or increased swelling at the vascular access site were detected at rates of 0.91, 0.23, and 0.46 per 100 patient-months, respectively. The prevalence of dialysis events was commonly higher in patients with a central line, and lower in patients with a fistula.
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