The nasoalveolar molding technique versus DynaCleft nasal elevator application in infants with unilateral cleft lip and palate.

BACKGROUND: The introduction of presurgical nasoalveolar molding represented a significant departure from traditional molding methods. Developed by Grayson and colleagues in 1993, this technique combines an intraoral molding device with a nasal molding stent. This study aimed to compare the Grayson nasoalveolar molding appliance versus DynaCleft appliance as two methods of presurgical nasoalveolar molding. METHODS: A single-blinded, randomized, parallel-arm clinical trial was conducted. Sixteen infants with complete unilateral cleft lip and palate were enrolled and divided into two groups of eight. Group 1 was treated with a modified Grayson nasoalveolar molding appliance that included a nasal stent, while group 2 was treated with DynaCleft elastic adhesive tape and an external nasal elevator. Standardized digital photographs of each infant were taken at baseline and post-treatment using a professional camera. Nine extraoral anthropometric measurements were obtained from each image using image measurement software. RESULTS: The modified Grayson nasoalveolar appliance demonstrated a more significant improvement compared to DynaCleft in terms of alar length projection (on both sides), columella angle, and nasal tip projection. Symmetry ratios also showed enhancement, with significant improvements observed in nasal width, nasal basal width, and alar length projection (p< 0.05). CONCLUSION: Both the modified Grayson nasoalveolar appliance and DynaCleft appear to be effective presurgical infant orthopedics treatment options, demonstrating improvements in nasolabial aesthetics. The modified Grayson appliance, equipped with a nasal stent, improved nasal symmetry more effectively than DynaCleft, resulting in a straighter columella and a more medially positioned nasal tip.

Immediate Implants in Posterior Extraction Sites: A Case Series Applying the Dual-Zone Therapeutic Concept With a Three-Year Follow-Up.

The study aims to present 11 immediately placed implants in posterior extraction sockets applying the dual-zone therapeutic concept. Five patients with non-restorable molars or premolars were treated with single or multiple immediate implants after atraumatic tooth extraction using a piezotome. The dual-zone therapeutic concept included grafting the jumping gap adjacent to the implant up to the gingival margin with a bovine xenograft. A screw-retained customized healing abutment was used to allow healing, and the implant loading was delayed for four to six months. All the patients were followed up for three years. Surgical complications, implant or prosthesis loss, and peri-implant marginal tissue health were assessed annually. No surgical complications or implant loss were observed during the follow-up visits. Peri-implant marginal tissue health showed excellent results with minimal marginal bone loss. Bone gain was evident in some cases. Using the dual-zone therapeutic concept with immediate implant placement in posterior extraction sockets showed promising results over three years.

Ionic liquid electrolyte selection for high voltage supercapacitors in high-temperature applications.

Systematic analyses of electrolyte physicochemical properties are important to screen ionic liquids (ILs) and understand the electrochemical performance of supercapacitor electrolytes. This study harmonizes the evaluation of electrochemical performance and transport properties of eight shortlisted ILs from 22 commercially available hydrophobic ILs toward achieving a ≥ 5 V supercapacitor capable of high-temperature operation (up to 353.15 K). The eight ILs are N-Propyl-N-methylpyrrolidinium bis(trifluoromethanesulfonyl)imide ([Pyr 1, 3] [TFSI], N-Pentyl-N-methylpyrrolidinium bis(trifluoromethanesulfonyl)imide ([Pyr 1, 5] [TFSI]), N-Propyl-N-methylpyrrolidinium bis(fluorosulfonyl)imide ([Pyr 1, 3] [FSI]), 1-Methyl-1-(2-methoxyethyl)pyrrolidinium Bis(trifluoromethanesulfonyl)imide ([Pyr 1, 102] [TFSI]), 1-Methyl-1-propylpiperidinium bis(trifluoromethanesulfonyl)imide ([Pip 1, 3] [TFSI]), 1-Methyl-1-propylpiperidinium bis(fluorosulfonyl)imide ([Pip 1, 3] [FSI]), N-Trimethyl-N-propylammonium bis(trifluoromethanesulfonyl)imide ([N 111, 3] [TFSI]), N-Trimethyl-N-hexylammonium bis(trifluoromethanesulfonyl)imide ([N 111, 6] [TFSI]). The density, viscosity, and ionic conductivity of the eight ILs were measured between 278.15 and 373.15 K to confirm the effects of temperature and ion structure before electrochemical characterization. The [FSI]-based ILs ([Pip 1, 3] [FSI] and [Pyr 1, 3] [FSI]) showed lower densities and viscosities compared to other ILs among the eight based on [TFSI]. Consequently, the highest conductivity was obtained for [Pyr 1, 3] [FSI]. Cyclic voltammetry and impedance spectroscopy was performed on supercapacitors assembled with the eight ILs as electrolytes between 298.15-353.15 K. Conclusion from the two-electrode supercapacitors using multi-walled carbon nanotubes showed the 6 most-applicable ILs towards the targeted ≥ 5 V SC at high temperature are [Pip 1, 3] [TFSI] (5.4 V), [Pip 1, 3] [FSI] (5 V), [N 111, 3] [TFSI] (5.1 V), [N 111, 6] [TFSI] (5.2 V), [Pyr 1, 102] [TFSI] (5.2 V), and [Pyr 1, 5] [TFSI] (5.2 V).

A novel hybrid optimization enabled robust CNN algorithm for an IoT network intrusion detection approach.

Due to the huge number of connected Internet of Things (IoT) devices within a network, denial of service and flooding attacks on networks are on the rise. IoT devices are disrupted and denied service because of these attacks. In this study, we proposed a novel hybrid meta-heuristic adaptive particle swarm optimization-whale optimizer algorithm (APSO-WOA) for optimization of the hyperparameters of a convolutional neural network (APSO-WOA-CNN). The APSO-WOA optimization algorithm's fitness value is defined as the validation set's cross-entropy loss function during CNN model training. In this study, we compare our optimization algorithm with other optimization algorithms, such as the APSO algorithm, for optimization of the hyperparameters of CNN. In model training, the APSO-WOA-CNN algorithm achieved the best performance compared to the FNN algorithm, which used manual parameter settings. We evaluated the APSO-WOA-CNN algorithm against APSO-CNN, SVM, and FNN. The simulation results suggest that APSO-WOA-CNf[N is effective and can reliably detect multi-type IoT network attacks. The results show that the APSO-WOA-CNN algorithm improves accuracy by 1.25%, average precision by 1%, the kappa coefficient by 11%, Hamming loss by 1.2%, and the Jaccard similarity coefficient by 2%, as compared to the APSO-CNN algorithm, and the APSO-CNN algorithm achieves the best performance, as compared to other algorithms.

Temperature-Dependent Electrochemical Stability Window of Bis(trifluoromethanesulfonyl)imide and Bis(fluorosulfonyl)imide Anion Based Ionic Liquids.

The electrochemical stability of 22 commercially available hydrophobic ionic liquids was measured at different temperatures (288.15, 298.15, 313.15, 333.15 and 358.15 K), to systematically investigate ionic liquids towards electrolytes for supercapacitors in harsh weather conditions. Bis(trifluoromethanesulfonyl)imide and bis(fluorosulfonyl)imide anions in combination with 1-Butyl-1-methylpyrrolidinium, 1-Ethyl-3-methylimidazolium, N-Ethyl-N, N-dimethyl-N(2methoxyethyl)ammonium, 1-Methyl-1-(2-methoxyethyl)pyrrolidinium, N-Pentyl-N-methylpyrrolidinium, N, N-Diethyl-N-methyl-N-propylammonium, N, N-Dimethyl-N-ethyl-N-benzyl ammonium, N, N-Dimethyl-N-Ethyl-N-phenylethylammonium, N-Butyl-N-methylpiperidinium, 1-Methyl-1-propylpiperidinium, N-Tributyl-N-methylammonium, N-Trimethyl-N-butylammonium, N-Trimethyl-N-butylammonium, N-Trimethyl-N-propylammonium, N-Propyl-N-methylpyrrolidinium cations were selected for the study. Linear regression with a numerical model was used in combination with voltammetry experiments to deduce the temperature sensitivity of both anodic and cathodic potential limits (defining the electrochemical stability window), in addition to extrapolating results to 283.15 and 363.15 K. We evaluated the influence of the cations, anions, and the presence of functional groups on the observed electrochemical stability window which ranged from 4.1 to 6.1 V.

Effect of Ramadan intermittent fasting on inflammatory markers, disease severity, depression, and quality of life in patients with inflammatory bowel diseases: A prospective cohort study.

BACKGROUND: Intermittent fasting (IF) during the month of Ramadan is part of the religious rituals of Muslims. The effect of intermittent fasting on disease activity in inflammatory bowel diseases (IBD) is still unknown. This is the first study to assess the effect of IF during Ramadan on inflammatory markers in patients diagnosed with IBD. The effects on clinical disease activity, quality of life, and levels of depression were also assessed. METHODS: Patients diagnosed with ulcerative colitis (UC) or Crohn's disease (CD) who intended to observe Ramadan fasting were recruited. The following were assessed immediately before and at the end of Ramadan: Serum CRP and stool calprotectin, partial Mayo score, Harvey Bradshaw index (HBI), Simple IBD questionnaire (SIBDQ), and Hamilton depression scale questionnaire. RESULTS: 80 patients diagnosed with IBD were recruited (60 UC, 20 CD). Serum CRP and stool calprotectin did not show a significant change before vs after fasting (median CRP 0.53 vs 0.50, P value = 0.27, Calprotectin 163 vs 218 respectively, P value = 0.62). The partial Mayo score showed a significant rise after fasting (median 1 before vs 1 after fasting, mean: 1.79 vs 2.33 respectively, P value = 0.02). Harvey-Bradshaw index did not show a significant change after fasting (median 4 vs 5, P value = 0.4). Multiple linear regression revealed that older age and a higher baseline calprotectin were associated with a higher change in Mayo score after fasting (P value = 0.02 and P value = 0.01, respectively). No significant change was detected in SIBDQ or Hamilton depression scale scores. CONCLUSIONS: In patients diagnosed with UC, IF during Ramadan was associated with worsening of clinical parameters, the effect was more pronounced in older patients and those with higher baseline calprotectin levels. However, IF during Ramadan was not associated with an adverse effect on objective inflammatory markers (CRP and calprotectin).

Perspectives and Management Strategies for Acute Colonic Intramural Hematoma.

Acute intramural hematoma of the colon is a rarely encountered clinical condition with diverse precipitating factors. Different acute and chronic complications emerge following hematoma formation, mandating high clinical suspicion for early diagnosis and optimum management. CECT represents the cornerstone for the proper demonstration of colonic hematomas and possible detection of complications as well as the underlying etiology. There are multiple strategies for management of intramural hematoma and treatment should be tailored according to the etiology and the clinical condition of the patient, reserving surgical intervention for unstable or complicated cases. Endoscopic management of colonic hematomas offers a promising minimally invasive modality with potential safety and efficacy.

High energy storage quasi-solid-state supercapacitor enabled by metal chalcogenide nanowires and iron-based nitrogen-doped graphene nanostructures.

Transition metal selenides (TMS) have excellent research prospects and significant attention in supercapacitors (SCs) owing to their high electrical conductivity, superior electrochemical activity and excellent structural stability. However, the commercial utilization of TMS remains challenge due to their elaborate synthesis. Present study designed a hierarchical cobalt selenide (CoSe2) nanowire array on Ni-foam to serve as a positive electrode for asymmetric SCs (ASCs). The nanowires-like morphology of CoSe2 was highly advantageous for SCs, as it offered enhanced electrical conductivity, plenty of surface sites, and short ion diffusion. The as-obtained, CoSe2 nanowire electrode demonstrated outstanding electrochemical features, with an areal capacity of 1.08 mAh cm-2 at 3 mA cm-2, high-rate performance (69.5 % at 50 mA cm-2), as well as outstanding stability after 10,000 cycles. The iron titanium nitride@nitrogen-doped graphene (Fe-TiN@NG) was prepared as a negative electrode to construct the ASCs cell. The obtained ASCs cell illustrated an energy density of 91.8 W h kg-1 at a power density of 281.4 W kg-1 and capacity retention of 94.6% over 10,000 cycles. The overall results provide a more efficient strategy to develop redox-ambitious active materials with a high capacity for advanced energy-storage systems.

One-pot fabrication of BiPO4/Bi2S3 hybrid structures for visible-light driven reduction of hazardous Cr(VI).

For the first time, a novel BiPO4/Bi2S3 heterostructures with different morphologies have been fabricated through a facile and rapid one pot precipitation route followed by anion-exchange strategy for the photoreduction of toxic Cr(VI) to harmless Cr (III). The hybrid structures systematically investigated using XRD, FE-SEM, EDS, TEM, HRTEM, XPS, FT-IR, UV-vis DRS, and PL. Changing the solvent type has a significant role for controllable morphologies of BiPO4/Bi2S3 hybrid as well as the catalytic activity. The BiPO4/Bi2S3 hybrid synthesized in diethylene glycol (DEG) performed the highest reduction efficiency of Cr(VI) within 20 min, compared with pure hexagonal phase of BiPO4 under visible light. The rate constant for BiPO4/Bi2S3 synthesized in DEG found to be 20.3 times larger than that for pure BiPO4. In addition, the presence of tartaric acid as hole scavenger could enhance the Cr(VI) reduction efficiency to 97.9%. No significant decrease in the catalytic efficiency after recycling up to four cycles. This promising study could present a significant approach towards Cr(VI) photoreduction from water through the novel BiPO4/Bi2S3 photocatalyst.

Decontamination of ubiquitous harmful microbial lineages in water using an innovative Zn2Ti0.8Fe0.2O4 nanostructure: dielectric and terahertz properties.

Many ubiquitous dangerous microbial lines could originate in different sources of polluted water and be distributed to tap water, which could cause multiple types of illnesses to humans and livestock. Despite enormous attempts to guarantee safety of potable water, these species are still regarded to be threated prevalent health issues and concerns. However, these species need a powerful disinfectant to be removed from contaminated water for receiving clean and healthy water. This study was therefore conducted to produce magnificent magnetic iron titanate zinc nano-particles (Zn2Ti0.8Fe0.2O4 MNPs) as a sophisticated approach for drinking water (DW) and wastewater purification. The identification of crystalline phase, dielectric and terahertz spectroscopy of iron zinc titanate nanostructure prepared via acidic sol-gel process and calcined at 800 °C. Results show that the formation of cubic structure for Zn2TiO4 phase, and the dielectric constant (ε') decreased with the higher frequency, tan (δ) has higher values at lower frequency and the conductivity increases relatively with frequency that attributes to the high resistive grain boundaries. Absorption coefficient, refractive index and dielectric properties of iron zinc titanate nano-particles was estimated via time domain-terahertz spectrometer and adjusted via the applied electric field. In particular, the Gram-negative bacteria were more prone than other microbes tested to the Magnetic Nano-Particles (MNPs). Results also was ascertained that the minimum inhibitory concentration (MIC) was 25 ppm at 30 min for E. coli and Salmonella enterica, 45 min for Listeria monocyteogens, Staphylococcus aureus, and Candida albicans and 60 min for Aspergillus niger with a noticeable bactericidal impact. Results exhibit that the MNPs explored are non-toxic and protected for individuals and the environment. MNPs can, therefore, be proposed as an expedient and impressive nano-scale applicant for inactivation during the drinking water and wastewater conservation of the prevailing dangerous microbes.

Green sol-gel synthesis of novel nanoporous copper aluminosilicate for the eradication of pathogenic microbes in drinking water and wastewater treatment.

We used a green sol-gel synthesis method to fabricate a novel nanoporous copper aluminosilicate (CAS) material. Nanoporous CAS was characterized using X-ray powder diffraction (XRD), field emission transmission and scanning electron microscopies (FE-TEM/FE-SEM), Fourier transform infrared (FTIR) spectroscopy, and optical analyses. The CAS was also evaluated for use as a promising disinfectant for the inactivation of waterborne pathogens. The antimicrobial action and minimum inhibitory concentration (MIC) of this CAS disinfectant were determined against eight microorganisms (Escherichia coli, Salmonella enterica, Pseudomonas aeruginosa, Listeria monocytogenes, Staphylococcus aureus, Enterococcus faecalis, Candida albicans, and Aspergillus niger). An antimicrobial susceptibility testing of CAS was measured. Results of disc diffusion method pointed out that the diameters of the zone using well diffusion were wider than disc diffusion methods, and the findings also showed that the MIC of the CAS disinfectant against E. coli, S. enterica, and P. aeruginosa was 100 mg/L within 20 min of contact time. Meanwhile, the MIC of the CAS disinfectant was 100 mg/L within 40 min of contact time for the other strains. The efficacy of antimicrobial action (100%) reached within 20 to 40 min against all tested microbes. Herein, the antimicrobial susceptibility testing of CAS disinfectant showed no toxicity for human and bacterial cells. It can be concluded that nanoporous CAS is a promising, economically, and worthy weapon for water disinfection.

Facile fabrication of a novel BiPO4 phase junction with enhanced photocatalytic performance towards aniline blue degradation.

A novel BiPO4 photocatalyst has been fabricated via a facile precipitation route using dimethyl sulfoxide (DMSO) as a solvent. The physical and chemical properties of the BiPO4 photocatalyst material were analyzed using XRD, Rietveld refinements XRD, FE-SEM, TEM, HR-TEM, EDS, XPS, FT-IR, Raman spectra, UV-Vis (DRS), and PL. The results confirm that hexagonal phase BiPO4 (HBIP) nanorods were successfully synthesized. FE-SEM images reveal that the addition of surfactant "CTAB" during preparation can control the surface morphology of BiPO4. The Rietveld refinement technique revealed the formation of a monazite monoclinic (nMBIP) and monoclinic (mMBIP) phase junction resulting from the calcination of HBIP at 500 °C. The photocatalytic behavior of the as-synthesized hexagonal and monoclinic BiPO4 nanostructures towards aniline blue (AB) degradation under UV light was systematically investigated. Among all catalysts, the phase junction (nMBIP-mMBIP) structure demonstrated the highest photocatalytic activity. The degradation rate of AB over the (nMBIP-mMBIP) phase junction structure was 3.4 times higher than that by HBIP. These results suggested that the surface-phase junction provides a synergistic effect for the electron-hole transfer process.

Survival of E. coli O157:H7, Salmonella Typhimurium, HAdV2 and MNV-1 in river water under dark conditions and varying storage temperatures.

The ability of Escherichia coli O157:H7, Salmonella enterica serovar Typhimurium, Human adenovirus serotype 2 (HAdV2) and Murine Norovirus 1 (MNV-1) to survive in river water at -20, 4, room temperature (~24 °C) and 37 °C, were evaluated under dark conditions. The tested surface water was obtained from the main Nile River in the Dokki area, Giza and sterilized by autoclaving. The pathogens were inoculated separately in the autoclaved river water. Each microcosm was sampled and the test microorganisms counted after zero (immediately following inoculation), 1, 7, 15, 30, 60, 90 and 120 days. Physicochemical parameters including pH, turbidity, electrical conductivity, dissolved oxygen, total dissolved solids, total alkalinity, biological oxygen demand, chemical oxygen demand, nitrates and nitrites, and sulphate, were also measured. For HAdV2, the highest decay rates were observed at 37 °C and room temperature compared to 4 and -20 °C. A similar trend was found for the MNV-1, although unlike the HAdV2, the decay rate was higher at -20 than at 4 °C. Also, 4 °C was the best temperature for the survival of MNV-1 (T90 = 76.9 days), E. coli O157:H7 (T90 = 103 days) and Salmonella Typhimurium (T90 = 105 days). The least survival of the pathogens, except MNV-1, was recorded at 37 °C. These results indicate that under dark conditions and low temperatures, enteric pathogens could be stable for extended periods. No significant statistical correlation was observed between the experimental temperatures and the infectivity of the viral particles. This study provided useful information about the stability of these pathogens in the Nile River water and could serve as an early warning when considering the water of the river for agricultural irrigation or household use in areas with limited or no access to potable water.

Sacrospinous colpopexy using Masson luethy needle holder.

OBJECTIVE: Sacrospinous colpopexy (SSC) is a well-known surgical technique to correct apical support defect, however its approach is still challenging. The current study describes an alternative and economic approach for suture placement in the sacrospinous ligament during SSC using Masson luethy needle holder. STUDY DESIGN: A prospective study was conducted in a tertiary care center. The study recruited women with uterovaginal prolapse or post hysterectomy vaginal vault prolapse scheduled for SSC as a constructive surgery for vaginal superior segment defect. Eligible women were assigned to have SSC using Masson luethy needle holder (Group I) for suture placement in the sacrospinous ligament. The control group (Group II) consisted of a group of patients who had SSC using Deschamps ligature carrier. RESULTS: By the end of the study, 104 women underwent SSC. (Group I) included 55 women while (Group II) included 49 women. The mean SSC operative time was significantly shorter in (Group I) [109±33min versus 206±67min in (Group II), p<0001], with a mean difference of 10.5min [95% CI, 74-136]. This difference in SSC operative time was due to faster suture placement in (Group I) [47±14min versus 153±46min in (Group II), p<0001]. The mean SSC related operative blood loss was significantly less in (Group I) [582±349ml versus 985±463ml in (Group II), p<0001]. The perioperative complications, recurrence and cure rates were similar in both groups. CONCLUSION: Using Masson luethy needle holder reduced the difficulty associated with suture placement during SSC and allowed the completion of the procedure within a significantly shorter time.

Evaluation of serum mesothelin in malignant and benign ovarian masses.

PURPOSE: To evaluate the diagnostic accuracy of serum mesothelin levels in patients with ovarian masses in comparison to serum cancer antigen (CA) 125 levels. METHODS: This diagnostic accuracy study was conducted in a gynecological oncology unit at Ain Shams University Maternity hospital. Based on radiological and clinical findings, a total of 110 patients were consecutively recruited. Preoperative serum mesothelin levels were assessed using enzyme-linked immunosorbent assay (ELISA) technique, while CA125 levels were determined using electrochemiluminescence immunoassay. All patients underwent exploratory laparotomy. Preoperative serum levels of both markers were correlated to histopathological reports obtained from each patient. RESULTS: A total of 96 patients were finally analyzed. Of the included 96 patients, 58 (60.4 %) had a benign ovarian lesion, while 38 (39.6 %) had a malignant lesion. The median serum CA125 levels were significantly higher in patients with malignant ovarian lesions than in patients with benign ovarian lesions [335.5 mIU/mL (range 60-1,127 mIU/mL) versus 33.65 mIU/mL (range 10.36-174 mIU/mL), P < 0.001]. The median serum mesothelin level was significantly higher in patients with malignant ovarian lesions than in patients with benign ovarian lesions [104.1 nmol/L (range 6.5-215.4 nmol/L) versus 12.65 nmol/L (range 6.5-102 nmol/L), P < 0.001]. The diagnostic sensitivity and specificity for mesothelin and CA125 were 97.4 and 98.3 % and 97.4 and 56.9 %, respectively. The combination of mesothelin with CA125 did not add predictive value to mesothelin compared with mesothelin alone [same sensitivity (97.4 %) and same specificity (98.3 %)]. Serum mesothelin levels rather than serum CA125 levels were a significant predictor of early-stage ovarian malignancy [Area under the curve = 0.732, 95 % confidence interval (0.543-0.921), P = 0.031]. CONCLUSION: In ovarian cancer, mesothelin seemed to have the same sensitivity, but a higher specificity than CA125. Combination of mesothelin and CA125 had no advantage over mesothelin alone. Mesothelin rather than CA125 was a significant predictor of early-stage ovarian cancer (stage I/II).