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1.
RSC Adv ; 14(13): 9365-9390, 2024 Mar 14.
Article in English | MEDLINE | ID: mdl-38510487

ABSTRACT

The growing apprehension surrounding heavy metal pollution in both environmental and industrial contexts has spurred extensive research into adsorption materials aimed at efficient remediation. Among these materials, Metal-Organic Frameworks (MOFs) have risen as versatile and promising contenders due to their adjustable properties, expansive surface areas, and sustainable characteristics, compared to traditional options like activated carbon and zeolites. This exhaustive review delves into the synthesis techniques, structural diversity, and adsorption capabilities of MOFs for the effective removal of heavy metals. The article explores the evolution of MOF design and fabrication methods, highlighting pivotal parameters influencing their adsorption performance, such as pore size, surface area, and the presence of functional groups. In this perspective review, a thorough analysis of various MOFs is presented, emphasizing the crucial role of ligands and metal nodes in adapting MOF properties for heavy metal removal. Moreover, the review delves into recent advancements in MOF-based composites and hybrid materials, shedding light on their heightened adsorption capacities, recyclability, and potential for regeneration. Challenges for optimization, regeneration efficiency and minimizing costs for large-scale applications are discussed.

2.
Sci Adv ; 10(11): eadk3250, 2024 Mar 15.
Article in English | MEDLINE | ID: mdl-38489368

ABSTRACT

Natural wood has served as a foundational material for buildings, furniture, and architectural structures for millennia, typically shaped through subtractive manufacturing techniques. However, this process often generates substantial wood waste, leading to material inefficiency and increased production costs. A potential opportunity arises if complex wood structures can be created through additive processes. Here, we demonstrate an additive-free, water-based ink made of lignin and cellulose, the primary building blocks of natural wood, that can be used to three-dimensional (3D) print architecturally designed wood structures via direct ink writing. The resulting printed structures, after heat treatment, closely resemble the visual, textural, olfactory, and macro-anisotropic properties, including mechanical properties, of natural wood. Our results pave the way for 3D-printed wooden construction with a sustainable pathway to upcycle/recycle natural wood.

3.
Heliyon ; 9(6): e17255, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37389049

ABSTRACT

In this study, we have successfully prepared tetragonal lanthanum vanadate LaVO4 nanoparticles by a facile co-precipitation method at room temperature. The obtained materials were characterized using different structural and micro-structural techniques such as the characterization by X-ray diffraction (XRD), UV-Vis diffuse reflectance spectrum (DRS), transmission electron microscopy (TEM), and Raman spectrometry. The obtained structure is crystallized in single tetragonal phase with pin-like nanostructure. A main optical transition with bandgap energy of 3.26 eV is evidenced, and the average lifetime of charges carriers was found to be 1 ns Furthermore, the photoluminescence occurs in the visible light range. The photocatalytic activity was evaluated by the photocatalytic degradation of methylene blue (MB) with initial concentration of 10 mg L-1. The result indicates that LaVO4 particles showed a best photocatalytic activity of 98.2% degradation for methylene blue solution after irradiation of 90 min under visible light. Furthermore, the photocatalytic mechanism and reusability were studied.

4.
RSC Adv ; 13(26): 17476-17494, 2023 Jun 09.
Article in English | MEDLINE | ID: mdl-37304811

ABSTRACT

This review paper provides a comprehensive overview of the recent trends in bismuth tungstate (Bi2WO6) research, covering its structural, electrical, photoluminescent, and photocatalytic properties. The structural characteristics of bismuth tungstate are explored in detail, including its different allotropic crystal structures with respect to its isotypic materials. The electrical properties of bismuth tungstate, such as its conductivity and electron mobility, are also discussed, along with its photoluminescent properties. The photocatalytic activity of bismuth tungstate is a particular focus, with recent advances in doping and co-doping strategies with metals, rare earth and other elements summarized. The limitations and challenges of using bismuth tungstate as a photocatalyst are also examined, such as its low quantum efficiency and susceptibility to photodegradation. Finally, recommendations for future research directions are provided, including the need for further studies on the underlying mechanisms of photocatalytic activity, the development of more efficient and stable bismuth tungstate-based photocatalysts, and the exploration of new applications in fields such as water treatment and energy conversion.

5.
Arch Razi Inst ; 78(1): 389-396, 2023 02.
Article in English | MEDLINE | ID: mdl-37312733

ABSTRACT

Small ruminants theileriosis are widespread in Iraq andacute infections usually with hight mortality. However, the survived animals suffer from low production of meat and milk. Coinfection with more than Theileria sp. And/or Anaplasmosis could have an impact on the disease severity. The main finding was identifying T. lestoquardi, T. ovis , T. annulata, blood samples of infected sheep with a history of chronic theileriosis (n=48) and with acute clinical theileriosis sign (n=24) were being collected from fields located in Babylon province (middle of Iraq) after chlinical examination and Polymerase chain reaction and real time PCR were performed for detection. Theileria. lestoquardi was the highest of these species within the acute and chronic cases. As well as, the load of this species in acute cases was significantly higher (P<0.01) to that in chronic. However, the load of T. ovis and T. annualta were similar in acute and chronic cases. Importantly, all these cases were coinfected with Anaplasma phagocytophylum. This could be due to the infection of leukocytes meanwhile weakening of the animal's immune system. Also, these parasites transmitted by the same tick-vector. The impact of this finding could help in disease prevention and diagnosis.


Subject(s)
Anaplasmosis , Cattle Diseases , Sheep Diseases , Theileria , Theileriasis , Sheep , Animals , Cattle , Theileriasis/epidemiology , Real-Time Polymerase Chain Reaction/veterinary , Anaplasma , Sheep Diseases/epidemiology
6.
RSC Adv ; 12(49): 31801-31817, 2022 Nov 03.
Article in English | MEDLINE | ID: mdl-36380941

ABSTRACT

Metal organic frameworks (MOFs) are attracting significant attention for applications including adsorption, chemical sensing, gas separation, photocatalysis, electrocatalysis and catalysis. In particular, zeolitic imidazolate framework 8 (ZIF-8), which is composed of zinc ions and imidazolate ligands, have been applied in different areas of catalysis due to its outstanding structural and textural properties. It possesses a highly porous structure and chemical and thermal stability under varying reaction conditions. When used alone in the reaction medium, the ZIF-8 particles tend to agglomerate, which inhibits their removal efficiency and selectivity. This results in their mediocre reusability and separation from aqueous conditions. Thus, to overcome these drawbacks, several well-designed ZIF-8 structures have emerged by forming composites and heterostructures and doping. This review focuses on the recent advances on the use of ZIF-8 structures (doping, composites, heterostructures, etc.) in the removal and photodegradation of persistent organic pollutants. We focus on the adsorption and photocatalysis of three main organic pollutants (methylene blue, rhodamine B, and malachite green). Finally, the key challenges, prospects and future directions are outlined to give insights into game-changing breakthroughs in this area.

7.
Sci Adv ; 8(46): eadd3555, 2022 Nov 16.
Article in English | MEDLINE | ID: mdl-36399576

ABSTRACT

The refining process of petroleum crude oil generates asphaltenes, which poses complicated problems during the production of cleaner fuels. Following refining, asphaltenes are typically combusted for reuse as fuel or discarded into tailing ponds and landfills, leading to economic and environmental disruption. Here, we show that low-value asphaltenes can be converted into a high-value carbon allotrope, asphaltene-derived flash graphene (AFG), via the flash joule heating (FJH) process. After successful conversion, we develop nanocomposites by dispersing AFG into a polymer effectively, which have superior mechanical, thermal, and corrosion-resistant properties compared to the bare polymer. In addition, the life cycle and technoeconomic analysis show that the FJH process leads to reduced environmental impact compared to the traditional processing of asphaltene and lower production cost compared to other FJH precursors. Thus, our work suggests an alternative pathway to the existing asphaltene processing that directs toward a higher value stream while sequestering downstream emissions from the processing.

8.
Chemosphere ; 308(Pt 3): 136483, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36152836

ABSTRACT

In the past decade, extensive research has been devoted to synthesis of ZIF-8 materials for catalytic applications. As physico-chemical properties are synthesis-dependent, this review explores different synthesis strategies based the solvent and solvent-free synthesis of zeolitic imidazole framework. Accordingly, the effect of several parameters on the ZIF-8 synthesis were discussed including solvent, deprotonating agents, precursors ratio is delivered. Additionally, the advantages and disadvantages of each synthesis have been discussed and assessed. ZIF-8 textural and structural properties justify its wide use as a stable high surface area MOF in aqueous catalytic reactions. This review includes the applicatios of ZIF-8 materials in photocatalytic hydrogen evolution reaction (HER). The efficiency of the reviewed materials was fairly assessed. Finally, Limitations, drawbacks and future challenges were fully debated to ensure the industrial viability of the ZIFs.


Subject(s)
Metal-Organic Frameworks , Zeolites , Hydrogen , Imidazoles/chemistry , Metal-Organic Frameworks/chemistry , Zeolites/chemistry
9.
Adv Mater ; 34(28): e2108855, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35246886

ABSTRACT

Additive manufacturing (AM) has gained significant attention due to its ability to drive technological development as a sustainable, flexible, and customizable manufacturing scheme. Among the various AM techniques, direct ink writing (DIW) has emerged as the most versatile 3D printing technique for the broadest range of materials. DIW allows printing of practically any material, as long as the precursor ink can be engineered to demonstrate appropriate rheological behavior. This technique acts as a unique pathway to introduce design freedom, multifunctionality, and stability simultaneously into its printed structures. Here, a comprehensive review of DIW of complex 3D structures from various materials, including polymers, ceramics, glass, cement, graphene, metals, and their combinations through multimaterial printing is presented. The review begins with an overview of the fundamentals of ink rheology, followed by an in-depth discussion of the various methods to tailor the ink for DIW of different classes of materials. Then, the diverse applications of DIW ranging from electronics to food to biomedical industries are discussed. Finally, the current challenges and limitations of this technique are highlighted, followed by its prospects as a guideline toward possible futuristic innovations.

10.
Adv Mater ; 33(51): e2104467, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34651334

ABSTRACT

Despite decades of research, metallic corrosion remains a long-standing challenge in many engineering applications. Specifically, designing a material that can resist corrosion both in abiotic as well as biotic environments remains elusive. Here a lightweight sulfur-selenium (S-Se) alloy is designed with high stiffness and ductility that can serve as an excellent corrosion-resistant coating with protection efficiency of ≈99.9% for steel in a wide range of diverse environments. S-Se coated mild steel shows a corrosion rate that is 6-7 orders of magnitude lower than bare metal in abiotic (simulated seawater and sodium sulfate solution) and biotic (sulfate-reducing bacterial medium) environments. The coating is strongly adhesive, mechanically robust, and demonstrates excellent damage/deformation recovery properties, which provide the added advantage of significantly reducing the probability of a defect being generated and sustained in the coating, thus improving its longevity. The high corrosion resistance of the alloy is attributed in diverse environments to its semicrystalline, nonporous, antimicrobial, and viscoelastic nature with superior mechanical performance, enabling it to successfully block a variety of diffusing species.

11.
Adv Mater ; 33(44): e2101589, 2021 Nov.
Article in English | MEDLINE | ID: mdl-34561916

ABSTRACT

Hexagonal boron nitride (h-BN) has emerged as a strong candidate for two-dimensional (2D) material owing to its exciting optoelectrical properties combined with mechanical robustness, thermal stability, and chemical inertness. Super-thin h-BN layers have gained significant attention from the scientific community for many applications, including nanoelectronics, photonics, biomedical, anti-corrosion, and catalysis, among others. This review provides a systematic elaboration of the structural, electrical, mechanical, optical, and thermal properties of h-BN followed by a comprehensive account of state-of-the-art synthesis strategies for 2D h-BN, including chemical exfoliation, chemical, and physical vapor deposition, and other methods that have been successfully developed in recent years. It further elaborates a wide variety of processing routes developed for doping, substitution, functionalization, and combination with other materials to form heterostructures. Based on the extraordinary properties and thermal-mechanical-chemical stability of 2D h-BN, various potential applications of these structures are described.

12.
Beilstein J Nanotechnol ; 12: 137-138, 2021.
Article in English | MEDLINE | ID: mdl-33564608

ABSTRACT

[This corrects the article DOI: 10.3762/bjnano.11.77.].

13.
ACS Nano ; 15(2): 2520-2531, 2021 Feb 23.
Article in English | MEDLINE | ID: mdl-33492930

ABSTRACT

Two-dimensional materials such as graphene and molybdenum disulfide are often subject to out-of-plane deformation, but its influence on electronic and nanomechanical properties remains poorly understood. These physical distortions modulate important properties which can be studied by atomic force microscopy and Raman spectroscopic mapping. Herein, we have identified and investigated different geometries of line defects in graphene and molybdenum disulfide such as standing collapsed wrinkles, folded wrinkles, and grain boundaries that exhibit distinct strain and doping. In addition, we apply nanomechanical atomic force microscopy to determine the influence of these defects on local stiffness. For wrinkles of similar height, the stiffness of graphene was found to be higher than that of molybdenum disulfide by 10-15% due to stronger in-plane covalent bonding. Interestingly, deflated graphene nanobubbles exhibited entirely different characteristics from wrinkles and exhibit the lowest stiffness of all graphene defects. Density functional theory reveals alteration of the bandstructures of graphene and MoS2 due to the wrinkled structure; such modulation is higher in MoS2 compared to graphene. Using this approach, we can ascertain that wrinkles are subject to significant strain but minimal doping, while edges show significant doping and minimal strain. Furthermore, defects in graphene predominantly show compressive strain and increased carrier density. Defects in molybdenum disulfide predominantly show tensile strain and reduced carrier density, with increasing tensile strain minimizing doping across all defects in both materials. The present work provides critical fundamental insights into the electronic and nanomechanical influence of intrinsic structural defects at the nanoscale, which will be valuable in straintronic device engineering.

14.
Eur J Neurol ; 27(12): 2668-2669, 2020 12.
Article in English | MEDLINE | ID: mdl-32926584

ABSTRACT

BACKGROUND: Coronavirus disease 2019 (COVID-19) typically presents with respiratory illness ranging in severity. Neurological complications of the disease remain largely unknown. Herein, we discuss the case of a woman diagnosed with COVID-19 meningitis following two positive cerebrospinal fluid (CSF) RT-PCR assays, and highlight the importance of recognizing the neurological manifestations of the disease. CASE REPORT: The patient was a 49-year-old woman with a history of hypertension who presented with non-specific symptoms (fever, headache, malaise, nausea/vomiting). Chest computed tomography (CT) revealed a lack of pulmonary involvement and oropharyngeal/nasopharyngeal RT-PCR was negative for COVID-19. A lumbar puncture was performed on the third day of admission and the CSF analysis elucidated a viral pattern, but the CSF bacterial culture and RT-PCR assay for herpes simplex virus were both negative. Surprisingly, the CSF RT-PCR for COVID-19 was positive. The diagnosis of COVID-19 meningitis was made and the patient was treated solely with Kaletra® , with a second CSF analysis confirming our unique finding 1 week later. The patient's clinical characteristics improved progressively, and she was discharged in excellent general condition after 21 days. CONCLUSION: In contrast to what was originally believed, the SARS-CoV-2 can cause meningitis in isolation, perhaps by crossing the blood-brain barrier. Hence, it seems essential that physicians maintain a high index of suspicion for neurological involvement among COVID-19 patients, with early CSF analysis and brain imaging sometimes being indicated.


Subject(s)
COVID-19/cerebrospinal fluid , COVID-19/complications , Meningitis, Viral/cerebrospinal fluid , Meningitis, Viral/etiology , Blood-Brain Barrier , Female , Humans , Middle Aged , Polymerase Chain Reaction , Tomography, X-Ray Computed , Treatment Outcome
15.
Beilstein J Nanotechnol ; 11: 922-937, 2020.
Article in English | MEDLINE | ID: mdl-32596096

ABSTRACT

Atomic force microscopy (AFM) techniques have provided and continue to provide increasingly important insights into surface morphology, mechanics, and other critical material characteristics at the nanoscale. One attractive implementation involves extracting meaningful material properties, which demands physically accurate models specifically designed for AFM experimentation and simulation. The AFM community has pursued the precise quantification and extraction of rate-dependent material properties, in particular, for a significant period of time, attempting to describe the standard viscoelastic response of materials. AFM static force spectroscopy (SFS) is one approach commonly used in pursuit of this goal. It is capable of acquiring rich temporal insight into the behavior of a sample. During AFM-SFS experiments the cantilever base approaches samples with a nearly constant velocity, which is manipulated to investigate different timescales of the mechanical response. This manuscript seeks to build upon our previous work and presents an approach to extracting useful linear viscoelastic information from AFM-SFS experiments. In addition, the basis for selecting and restricting the model parameters for fitting is discussed from the perspective of applying this technique on a practical level. This work begins with a guided discussion that develops a fit function from fundamental laws, continues with conditioning a raw SFS experimental dataset, and concludes with the fit and prediction of viscoelastic response parameters such as storage modulus, loss modulus, loss angle, and compliance. These steps constitute a complete guide to leveraging AFM-SFS data to estimate key material parameters, with a series of detailed insights into both the methodology and supporting analytical choices.

16.
Appl Radiat Isot ; 161: 109145, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32321696

ABSTRACT

The stopping power of targets against incident charged particles and their range through matter are commonly considered as two important parameters in radiation and health physics studies. The exact calculation of these parameters is very crucial in many applications of radiation. The main objective of this study is the development of a new code for stopping power and range calculation of incident electron and positron projectiles. In this case, the interactions with matter are mainly due to the collision process and the Bremsstrahlung radiation emission. For collision stopping power, the Moller and Bhabha relations were considered for electron and positron, respectively. Some sophisticated correlations based on the Fano model have been selected for density correction term. For the radiative stopping power, a multifunction analytical model was developed based on an extensive literature review. All the equations were consolidated and programmed via the development of a new computational code using the C# programming language. Some simple and compound generic materials were considered for the verification process. Graphite, Silicon and Copper were selected as simple materials; whilst compound materials include air, water and the A-150- Tissue-Equivalent Plastic (A150TEP). The results of the stopping power and the range of incident particles were compared with well-known ICRU reports as well as Monte Carlo simulation. The results are consistent and in agreement with reference data. The maximum relative error of the collision stopping power was about 5% in comparison with ICRU reports for both electron and positron. However, for the positron projectile at low energies, some minor discrepancies were observed between the calculated collision stopping power and the MCNPX data. For the radiative stopping power, some deviations were observed in the low energy region and the model borders. The maximum relative error in the total stopping power was about 5-6% in comparison with ICRU reports and 15-20% in comparison with the MCNPX.

17.
Eur Rev Med Pharmacol Sci ; 24(1): 345-351, 2020 01.
Article in English | MEDLINE | ID: mdl-31957848

ABSTRACT

OBJECTIVE: This study aimed at assessing asthma control test (ACT score), quality of life (QOL), and pulmonary functions in asthmatic children, and to see the correlations between ACT score, QOL, and pulmonary functions. PATIENTS AND METHODS: This cross-sectional study was conducted at the departments of pediatrics and physiology, College of Medicine, King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia. A total of 109 (53 asthmatics and 56 controls) children (aged 6 to 13 years) of both genders were studied. All subjects underwent clinical evaluation, 36-Item Short Form Survey (SF-36) for QOL, Spirometry, and cognitive assessment through mini mental state examination (MMSE). RESULTS: QOL showed significantly lower scores in asthmatic compared to non-asthmatic children. The higher social functioning [SF] (p=0.0012) and less role limitation due to physical health [RLPH] (non-asthmatic patients had had higher physical functioning [PF] (p=0.0001), less energy/fatigue [EF] (p=0.0008=0.0068). On the opposite side, no significant difference was found regarding role limitations due to emotional problems [RLEP] (p=0.0644) and Emotional well-being [EW] (p=0.0758) between the two groups. A significant positive correlation was seen between QOL items and ACT score in PF (r=.535, p<0.01), less RLPH (r=.593, p<0.01), less FE (r=.379, p<0.01), higher EW (r=.310, p<0.05), and higher SF (r=.495, p<0.01). No significant correlation was found between body mass index (BMI) and lung functions in children with asthma. Interestingly, a positive correlation was found in asthmatic children between BMI and MMSE scores (r=.298, p=0.030). CONCLUSIONS: Our study concluded that QOL in asthmatic patients was significantly lower than healthy subjects in terms of patient's physical functioning and social life. However, the emotional aspects of QOL were not significantly affected in asthmatic children.


Subject(s)
Adiposity , Asthma/diagnosis , Respiratory Function Tests , Adolescent , Asthma/physiopathology , Child , Cross-Sectional Studies , Female , Humans , Male , Quality of Life
18.
Int J Organ Transplant Med ; 10(2): 84-90, 2019.
Article in English | MEDLINE | ID: mdl-31285805

ABSTRACT

BACKGROUND: Dysregulated expression of co-stimulatory molecules is one of the immune escape mechanisms employed in hematologic malignancies like acute myeloid leukemia (AML). OBJECTIVES: To evaluate the expression of the CD28 and CTLA-4 molecules in 62 adults with de novo AML and its correlation with the development of acute graft vs host disease (GVHD) after hematopoietic stem-cell transplantation. METHODS: The relative expression of CD28 and CTLA-4 was measured by quantitative SYBR Green real-time PCR method in a group of patients and controls as well as different risk groups (high, intermediate and favorite risk), M3 vs non-M3 and GVHD vs non-GVHD patients. RESULTS: The mRNA expression of CD28 (7.9-fold) and CTLA-4 (5.7-fold) was significantly increased in AML patients compared with healthy controls (p=0.006 and 0.02, respectively). Although the mean expression of both CD28 and CTLA-4 was increased in high-risk group compared with low-risk and intermediate-risk groups, the difference was not statistically significant. Also, the mean expression of the CTLA-4, but not CD28, was significantly higher in M3 patients compared with non-M3 ones (p<0.001). The expression of CD28 was upregulated in GVHD patients, while the expression of CTLA-4 was slightly lower in GVHD patients compared with non-GVHD patients, though the difference was not statistically significant. There was no significant correlation between the expression of CD28 and CTLA-4 and laboratory parameters like white blood cells and platelets counts, and hemoglobin and lactate dehydrogenase level in AML patients. CONCLUSIONS: CD28 and CTLA-4 molecules are aberrantly expressed in peripheral blood leukocytes of AML patients and might contribute to the development of aGVHD after hematopoietic stem cell transplantation.

19.
Acta Virol ; 63(2): 186-194, 2019.
Article in English | MEDLINE | ID: mdl-31230447

ABSTRACT

Little is known about the role of genetic variation in the genes for cytokines and susceptibility to viral infection especially torque teno virus (TTV) following allogeneic hematopoietic stem cell transplantation. In this study, the association between interleukin-12, interleukin-17, interleukin-10 (IL-12,-17,-10) and tumor necrosis factor-α (TNF-α) polymorphisms was evaluated in patients with TTV infection who underwent allogeneic hematopoietic stem cell transplantation from South of Iran. The single nucleotide polymorphisms in the cytokine genes including IL-12 (-1188A/C), IL-17 (-197G/A), IL-10 (-1082G/A, -819C/T and -592C/A) and TNF-α (-308 G/A) were analyzed by PCR-RFLP methods. While our results did not show any association between IL-17, IL-12 and IL-10 (-819C/T and -1082G/A) polymorphisms and TTV infection status, heterozygote genotype of IL-10 (-592C/A) had direct correlation with TTV infection and A allele of TNF-α (-308G/A) showed a protective effect against TTV infection (P = 0.05 and P = 0.025, respectively). Within the group of patients who experienced acute graft-versus-host disease, the AA genotype and the A allele of IL-17 (-197 G/A) were significantly higher in non-infected patients compared to infected ones (P = 0.024 and P = 0.057, respectively). It was also observed that among infected patients, the GG genotype of IL-17 and AA genotype of TNF-α were significantly increased in hematopoietic stem cell transplanted patients with low grade (grade I+II) acute graft-versus-host disease compared to high grade (grade III and IV) disease (P = 0.056 and P = 0.056, respectively). Taken together, genetic variation of IL-10 (-592C/A) and TNF-α (-308G/A) genes might be associated with susceptibility to TTV infection post hematopoietic stem cell transplantation. Keywords: TNF-α; interleukins; torque teno virus (TTV); hematopoietic stem cell transplantation (HSCT); graft versus host disease (GvHD).


Subject(s)
Cytokines , DNA Virus Infections , Hematopoietic Stem Cell Transplantation , Torque teno virus , Cytokines/genetics , DNA Virus Infections/genetics , Humans , Interleukin-10/genetics , Interleukin-12/genetics , Interleukin-17/genetics , Iran , Tumor Necrosis Factor-alpha/genetics
20.
Rev Gastroenterol Mex (Engl Ed) ; 83(4): 375-384, 2018.
Article in English, Spanish | MEDLINE | ID: mdl-29709494

ABSTRACT

INTRODUCTION AND AIMS: Pyloric sphincter abnormalities may be detected in gastroparesis. Botulinum toxin A (BoNT/A) injection into the pylorus has been used to treat gastroparesis with varying results. The aim of the present article was to assess whether pyloric sphincter characteristics using the endoscopic functional lumen imaging probe (EndoFLIP®) with impedance planimetry in patients with gastroparesis correlated with symptoms, gastric emptying, and therapeutic response to pyloric sphincter BoNT/A injection. METHODS: EndoFLIP® study was performed on patients undergoing gastroparesis treatment with BoNT/A. The gastroparesis cardinal symptom index (GCSI) was applied prior to treatment and at post-treatment weeks 2, 4, 8, and 12. RESULTS: Forty-four patients were enrolled (30 with idiopathic gastroparesis, 14 with diabetic gastroparesis). Smaller pyloric diameter, cross-sectional area (CSA), and distensibility correlated with worse vomiting and retching severity at baseline. Greater gastric retention tended to correlate with decreased CSA and pyloric distensibility. BoNT/A treatment resulted in a significant decrease in the GCSI score at 2 and 4 weeks after treatment, but not at post-treatment weeks 8 or 12. Nausea, early satiety, postprandial fullness, and upper abdominal pain improved up to 12 weeks, whereas loss of appetite, stomach fullness, and stomach visibly larger improved only up to 4 weeks. Retching and vomiting failed to improve. Greater pyloric compliance at baseline correlated with greater improvement in early satiety and náusea at 8 weeks and greater pyloric distensibility correlated with improvement in upper abdominal pain. CONCLUSIONS: EndoFLIP® characteristics of the pylorus provided important pathophysiologic information in patients with gastroparesis, in relation to symptoms, gastric emptying, and predicting the response to treatment directed at the pylorus.


Subject(s)
Endoscopy, Gastrointestinal/instrumentation , Endoscopy, Gastrointestinal/methods , Esophageal Sphincter, Upper/diagnostic imaging , Gastroparesis/diagnostic imaging , Adult , Aged , Botulinum Toxins, Type A/therapeutic use , Female , Gastric Emptying , Gastroparesis/drug therapy , Humans , Male , Middle Aged , Pylorus , Treatment Outcome
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