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1.
Materials (Basel) ; 17(13)2024 Jul 05.
Article in English | MEDLINE | ID: mdl-38998419

ABSTRACT

In the current work, the performance properties of natural-fibre-based thermal insulation materials were examined. For this purpose, three different compositions of natural fibres were prepared: pure sheep wool (SW), wool and industrial hemp (SW/HF) fibres, and pure industrial hemp (HF) fibres. Low-melt bicomponent polylactide (PLA) fibres were used as a binding material. For specimens prepared from natural fibres, the dependence of the thermal conductivity, the tensile strength along and across the direction of product formation, and the short-term water absorption on the density of the specimens and the flammability parameters were determined. In addition, to reduce the water absorption and flammability, the specimens were coated with hydrophobic agents and flame retardants. The obtained research results were also statistically processed. The analysis of the results showed that the thermal conductivity of natural-fibre-based thermal insulation materials varied within the range of 0.0333 ÷ 0.0438 W/(m·K), the tensile strength varied from 2.5 to 130 kPa, the short-term water absorption varied from 0.5 to 8.5 kg/m2, and the water vapour diffusion resistance factor varied from 2.537 to 2.667. It was additionally determined that all the studied products were flammable. The water absorption and flammability values were significantly reduced by the use of hydrophobic agents and flame retardants.

2.
Materials (Basel) ; 17(12)2024 Jun 08.
Article in English | MEDLINE | ID: mdl-38930179

ABSTRACT

Loose-fill thermal composite insulation produced from surface-modified wood scobs has been explored as a potential fire-resistant material for building envelopes. This work involves fire resistance behavior comparisons between four coating systems consisting of liquid glass, liquid glass-tung oil, liquid glass-expandable graphite, and liquid glass-tung oil-expandable graphite. The techniques of thermogravimetric and differential thermogravimetric analyses, gross heat combustion via a calorimetric bomb, cone calorimetry, SEM imaging of char residues, and energy dispersive spectrometry for elemental analysis, as well as propensity to undergo continuous smoldering, were implemented. The coating technique resulted in greater thermal stability at a higher temperature range (500-650 °C) of the resulting loose-fill thermal composite insulation, reduced flame-damaged area heights after the exposure of samples at 45° for 15 s and 30 s, with a maximum of 49% decreased gross heat combustion, reduced heat release and total smoke release rates, improved char residue layer formation during combustion and changed smoldering behavior due to the formation of homogeneous and dense carbon layers. The results showed that the highest positive impact was obtained using the liquid glass and liquid glass-expandable graphite system because of the ability of the liquid glass to cover the wood scob particle surface and form a stable and strong expanding carbon layer.

3.
J Clin Med ; 13(3)2024 Feb 03.
Article in English | MEDLINE | ID: mdl-38337585

ABSTRACT

Background: Accurate assessment of thyroid cartilage invasion in squamous cell carcinoma (SCC) of the larynx remains a challenge in clinical practice. The aim of this study was to assess the diagnostic performance of contrast-enhanced ultrasound (CEUS), contrast-enhanced computed tomography (CECT), and magnetic resonance imaging (MRI) in the detection of non-ossified thyroid cartilage invasion in patients with SCC. Methods: CEUS, CECT, and MRI scans of 27 male patients with histologically proven SCC were evaluated and compared. A total of 31 cases were assessed via CEUS and CECT. The MR images of five patients and six cases were excluded (one patient had two suspected sites), leaving twenty-five cases for analysis via MRI. Results: CEUS showed the highest accuracy and specificity compared with CECT and MRI (87.1% vs. 64.5% and 76.0% as well as 84.0% vs. 64.0% and 72.7%, respectively). The sensitivity and negative predictive value of CEUS and MRI were the same (100%). CEUS yielded four false-positive findings. However, there were no statistically significant differences among the imaging modalities (p > 0.05). Conclusions: CEUS showed better diagnostic performance than CECT and MRI. Therefore, CEUS has the potential to accurately assess non-ossified thyroid cartilage invasion and guide appropriate treatment decisions, hopefully leading to improved patient outcomes.

4.
Polymers (Basel) ; 16(2)2024 Jan 10.
Article in English | MEDLINE | ID: mdl-38257004

ABSTRACT

Water-blown biopolyurethane (bioPUR) foams are flammable and emit toxic gases during combustion. Herein, a novel approach suggested by the current study is to use different amounts of lignin waste (LigW), which increases the thermal stability and delays the flame spread and sodium silicate (LG), which has foaming ability at high temperatures and acts as a protective layer during a fire. However, there have been no studies carried out to investigate the synergy between these two materials. Therefore, two different ratios, namely 1/1 and 1/2 of LigW/LG, were used to prepare bioPUR foam composites. The obtained bioPUR foam composites with a 1/2 ratio of LigW/LG exhibited inhibition of flame propagation during the ignitability test by 7 s, increased thermal stability at higher temperatures by 40 °C, reduced total smoke production by 17%, reduced carbon monoxide release by 22%, and increased compressive strength by a maximum of 123% and 36% and tensile strength by a maximum of 49% and 30% at 100 °C and 200 °C, respectively, compared to bioPUR foam composites with unmodified LigW. Additionally, thanks to the sufficient compatibility between the polymeric matrix and LigW/LG particles, bioPUR foam composites were characterised by unchanged or even improved physical and mechanical properties, as well as increased glass transition temperature by 16% compared to bioPUR foam composites with unmodified LigW particles, making them suitable for application as a thermal insulating layer in building envelopes.

5.
Materials (Basel) ; 16(14)2023 Jul 14.
Article in English | MEDLINE | ID: mdl-37512277

ABSTRACT

In the current study, high-strength boards for the construction industry were developed from renewable natural resources, fibrous hemp shives, and corn starch. During the research, the influence of the composition of the mixture, the processing of raw materials, and technological parameters on the operational properties of the board were evaluated. The influence of the binding material and the water content on the properties of the molded boards was evaluated. It was established that the rational amount of starch is 15% of the mass of the shives, and the amount of water is 10%. It has been established that with the proper selection of the forming parameters of the board, it is possible to avoid internal disintegration of the structure due to the water vapor pressure, increase the bending strength, and ensure uniform sintering of the board throughout the entire volume. It was found that additional processing of hemp shives can increase bending strength by more than 40%. Furthermore, during the processing of shives by chemical means, soluble substances are washed out, which reduces the density and thermal conductivity of the shives. Selection of a rational level of compression allowed us to increase the bending strength of the boards by 40%. The assessment of all factors made it possible to obtain boards with a bending strength of 40 MPa. The additives used made it possible to reduce the water absorption of the boards up to 16 times and obtain non-flammable boards. The thermal conductivity of the resulting boards varied from 0.07 to 0.095 W/(m·K). The analysis of macrostructure and microstructure allowed us to evaluate the process of the formation of bonds between hemp shives.

6.
Materials (Basel) ; 16(9)2023 Apr 24.
Article in English | MEDLINE | ID: mdl-37176206

ABSTRACT

The current study presents the results of monitoring the behavior of loose-fill thermal insulating material for buildings made of wood scobs (WS), which were coated with one, two, and three component-based coatings from liquid glass (LG), tung oil (TO), and expandable graphite (EG). The thermal conductivity of samples in the dry state and under normal laboratory conditions, short-term water absorption by partial immersion, surface wettability, and water vapor permeability were evaluated, and regression equations describing the variations in numerical values of specified properties under different amounts of each coating component were presented. It was shown that LG and TO act as hydrophobic layers that, in conjunction, reduce water absorption by a maximum of 274%, have a contact angle equal to 86°, and lower thermal conductivity by 55% in the dry state due to the specifics of the layer formed on the surface of WS. The addition of EG to LG coating resulted in insignificantly changed water absorption and thermal conductivity values, indicating the potential of this material to be used to improve the fire resistance of wood-based composites in the future. The results showed that the three-component layer of LG/TO/EG reduces water absorption by a maximum of 72%, increases thermal conductivity in the dry state by a minimum of 0.4%, and increases the contact angle to 81° at 100 wt.% LG. The changes in water vapor permeability of all compositions were determined to be insignificant.

7.
Clin Case Rep ; 11(4): e7227, 2023 Apr.
Article in English | MEDLINE | ID: mdl-37077724

ABSTRACT

The infiltrative growth pattern of desmoid tumors and their proximity to important anatomical structures make them difficult to manage. Mutilating surgery should be avoided, while surveillance or radiotherapy remain valid options.

8.
Materials (Basel) ; 16(5)2023 Feb 28.
Article in English | MEDLINE | ID: mdl-36903099

ABSTRACT

Textile waste is formed in various stages, from the preparation of raw materials to the utilisation of textile products. One of the sources of textile waste is the production of woollen yarns. During the production of woollen yarns, waste is generated during the mixing, carding, roving, and spinning processes. This waste is disposed of in landfills or cogeneration plants. However, there are many examples of textile waste being recycled and new products being produced. This work deals with acoustic boards made from waste from the production of woollen yarns. This waste was generated in various yarn production processes up to the spinning stage. Due to the parameters, this waste was not suitable for further use in the production of yarns. During the work, the composition of waste from the production of woollen yarns was examined-namely, the amount of fibrous and nonfibrous materials, the composition of impurities, and the parameters of the fibres themselves. It was determined that about 74% of the waste is suitable for the production of acoustic boards. Four series of boards with different densities and different thicknesses were made with waste from the production of woollen yarns. The boards were made in a nonwoven line using carding technology to obtain semi-finished products from the individual layers of combed fibres and thermal treatment of the prepared semi-finished product. The sound absorption coefficients in the sound frequency range between 125 and 2000 Hz were determined for the manufactured boards, and the sound reduction coefficients were calculated. It was found that the acoustic characteristics of soft boards made from woollen yarn waste are very similar to those of classic boards or sound insulation products made from renewable resources. At a board density of 40 kg/m3, the value of the sound absorption coefficient varied from 0.4 to 0.9, and the noise reduction coefficient reached 0.65.

9.
Polymers (Basel) ; 15(4)2023 Feb 06.
Article in English | MEDLINE | ID: mdl-36850102

ABSTRACT

In the current study, biopolyurethane foam was modified with 2.5-10 wt.% lignin waste (LigW) and liquid glass (LG)-modified LigW particles at different LigW/LG ratios-1:1 and 1:2-and their impact on performance characteristics-i.e., rheology, foaming times, apparent density, thermal conductivity before and after aging, dimensional stability at ambient and elevated conditions, compressive and tensile strengths, short-term water absorption by partial immersion, and water vapor permeability-was determined and evaluated. Structural analysis was implemented and structural parameters were taken into consideration as well. During the study, it was determined that 2.5-10 wt.% particles at the LigW/LG ratio of 1:2 showed a superior impact on the physical and mechanical properties of bioPUR foams. The apparent density only insignificantly increased and was in a density range suitable for commercially available polyurethanes. For particles at 10 wt.% and LigW/LG ratio of 1:1, the thermal conductivity value improved by 3.2%, the compressive strength increased by 153%, while the tensile strength improved by 23.5%, indicating sufficient interfacial adhesion between the filler and polymer matrix. Moreover, the short-term water absorption by partial immersion remained almost unchanged, while the water vapour diffusion resistance factor improved from 43 to 48. Additionally, the incorporation of LigW/LG 1:1 and LigW/LG 1:2 particles made it possible to obtain dimensionally and structurally stable closed-cell bioPUR foams for possible application as thermal insulation in building envelopes.

10.
Materials (Basel) ; 15(21)2022 Oct 27.
Article in English | MEDLINE | ID: mdl-36363139

ABSTRACT

In this paper, we undertake a detailed analysis of the active and passive deformation of expanded polystyrene (EPS), which is used as a thermal insulating layer in building partitions, under short-term compressive loading. The values of residual strain in 10-40 kg/m3 density EPS after monotonically increasing loading under active deformations of 20%, 30%, 40%, 50%, and 60% with the following complete removal are determined. These values are a physical sign of the elastic-plastic state of EPS. It has been shown that the final destruction of cells takes place in EPS when the active strain reaches 50%. Empirical equations are proposed to estimate the residual strain of EPS based on density with determination coefficients varying from 0.744 to 0.986 at a confidence level of 90%. Moreover, graphical interpretations with regression equations for residual strain dependence on density and compressive strength, as well as density and active strain, were proposed with determination coefficients equal to 0.779 and 0.717, respectively.

11.
Medicina (Kaunas) ; 58(8)2022 Aug 12.
Article in English | MEDLINE | ID: mdl-36013556

ABSTRACT

Background and Objectives: To determine the prevalence of burnout syndrome among otorhinolaryngologists in Lithuania and investigate associations with sociodemographic and professional factors during the COVID-19 pandemic. Materials and Methods: Burnout was measured using the validated Lithuanian version of the Maslach Burnout Inventory. Demographic characteristics and professional characteristics were collected utilizing an anonymous questionnaire. Results: Eighty otorhinolaryngologists (ORL group) and 30 information technology professionals (the control group) were enrolled in this study. A high level of professional burnout in at least one of the subscales was observed in 82.5% of the ORL group subjects. Depersonalization and burnout syndrome were more frequently detected with increasing age in the ORL group (r = 0.2, p < 0.04). Greater satisfaction with salary and working environment resulted in a lower burnout incidence (r = 0.31, p = 0.001). Conclusions: During the COVID-19 pandemic, the incidence of burnout syndrome has been high among Lithuanian otorhinolaryngologists. Demographic and professional characteristics are significantly related to burnout syndrome among Lithuanian otorhinolaryngologists.


Subject(s)
Burnout, Professional , COVID-19 , Burnout, Professional/epidemiology , COVID-19/epidemiology , Humans , Pandemics , Surveys and Questionnaires , Workplace
12.
Medicina (Kaunas) ; 57(3)2021 Mar 18.
Article in English | MEDLINE | ID: mdl-33803540

ABSTRACT

Background and objectives: The aim of our study was to analyze the concentrations of inflammatory markers in the nasal tissue of patients with chronic rhinosinusitis with nasal polyps (CRSwNPs) and controls of different age groups, as well as to find associations between age, inflammation development, and NPs. Materials and methods: Patients were divided into two groups-patients with CRSwNPs and control subjects who had nasal surgery for another reason beside CRS. Our analysis was performed across three different age groups (18-30 years, 31-50 years, and 51 years and more). Tissue biopsies from the sinus cavity for all study participants were taken and frozen at -80 °C, until use. The concentrations of IL-1ß, IL-2, IL-4, IL-5, IL-6, IL-7, IL-10, IL-13, IL-21, and IL-22, were quantified using a magnetic bead-based multiplex assay. Results: In the group aged 18-30 years, the levels of inflammatory markers IL-1, IL-2, IL-5, and IL-22 were significantly higher in patients with CRSwNPs than the control subjects. Among patients aged 31-50 years, significantly higher concentrations of IL-2, IL-4, IL-5, and IL-22 were recorded in patients with CRSwNPs, as compared to the control subjects. In the oldest group (aged 51 years and more), patients with CRSwNPs had significantly higher concentrations of IL-2, IL-4, and IL-22, as compared to the control group. In the CRSwNP group, only the concentration of IL-21 was significantly higher among patients aged 31-50 years, as compared with those aged 51 years and older (p = 0.013). Conclusions: IL-2 and IL-22 levels were significantly higher in patients with CRSwNP than the control, across all age groups. Only the concentration of IL-21 was higher among patients with CRSwNP in the middle age group, as compared to the oldest group. IL-2, IL-4, and IL-22 levels correlated with the severity of CRSwNPs. Elevated concentrations of IL-2, IL-4, and IL-22 were determined in patients' groups with higher sinonasal outcome test (SNOT-22) scores, pointing to more severe clinical symptoms.


Subject(s)
Nasal Polyps , Paranasal Sinuses , Rhinitis , Sinusitis , Adolescent , Adult , Chronic Disease , Humans , Middle Aged , Nasal Polyps/complications , Severity of Illness Index , Young Adult
13.
Int Forum Allergy Rhinol ; 11(8): 1235-1248, 2021 08.
Article in English | MEDLINE | ID: mdl-33583151

ABSTRACT

BACKGROUND: Odontogenic sinusitis (ODS) is distinct from non-odontogenic rhinosinusitis, and often requires multidisciplinary collaboration between otolaryngologists and dental providers to make the diagnosis. The purpose of this study was to develop international multidisciplinary consensus on diagnosing ODS. METHODS: A modified Delphi method was used to assess for expert consensus on diagnosing bacterial ODS. A multidisciplinary panel of 17 authors with ODS expertise from 8 countries (8 otolaryngologists, 9 dental specialists) was assembled. Each author completed 2 of 3 surveys (2 specialty-specific, and 1 for all authors). Thirty-seven clinical statements were created, focusing on 4 important diagnostic components: suspecting ODS; confirming sinusitis in ODS; confirming different dental pathologies causing ODS; and multidisciplinary collaborative aspects of diagnosing ODS. Target audiences were all otolaryngologists and dental providers. RESULTS: Of the 37 clinical statements, 36 reached consensus or strong consensus, and 1 reached no consensus. Strong consensus was reached that certain clinical and microbiologic features should arouse suspicion for ODS, and that multidisciplinary collaboration between otolaryngologists and dental providers is generally required to diagnose ODS. To diagnose ODS, otolaryngologists should confirm sinusitis mainly based on nasal endoscopic findings of middle meatal purulence, edema, or polyps, and dental providers should confirm dental pathology based on clinical examination and dental imaging. CONCLUSION: Based on multidisciplinary international consensus, diagnosing ODS generally requires otolaryngologists to confirm sinusitis, and dental providers to confirm maxillary odontogenic pathology. Importantly, both dental providers and otolaryngologists should suspect ODS based on certain clinical features, and refer patients to appropriate providers for disease confirmation.


Subject(s)
Maxillary Sinusitis , Sinusitis , Consensus , Endoscopy , Humans , Otolaryngologists , Sinusitis/diagnosis
14.
Eur Arch Otorhinolaryngol ; 278(4): 1053-1058, 2021 Apr.
Article in English | MEDLINE | ID: mdl-32886183

ABSTRACT

PURPOSE: To evaluate validity and reliability of Lithuanian version of Nasal Obstruction Symptom Evaluation Scale (L-NOSE), designed for the assessment of nasal obstruction. METHODS: Cross-cultural adaptation of L-NOSE was accomplished according to generally accepted methodology. L- NOSE was tested for its reliability, validity, and responsiveness in the group of 50 septoplasty patients and 100 healthy volunteers' controls. RESULTS: L- NOSE showed good internal consistency (Cronbach's alpha coefficient 0.796 for test, 0.791 for retest, 0.792 for post-operative group, and 0.817 for control group) scores and high test-retest reliability (r = 0.94, p < 0.01) scores. In patients' group, positive moderate correlations between L-NOSE scores and Sino-nasal Outcome Test-22 logically similar domain scores were found, thus indicating good convergent construct validity. L-NOSE scores for control subjects were generally lower than for patients with nasal obstruction (p < 0.001), thereby indicating good discriminant validity of questionnaire. The exploratory factor analysis confirmed one-factor structure of questionnaire. The component matrix of L-NOSE ranged from 0.667 to 0.781 (KMO = 0.754, p < 0.0001). The mean L-NOSE score improved from 58.4 ± 18.2 points to 11.1 ± 9.5 points after septoplasty (p < 0.0001), indicating good responsiveness of questionnaire. CONCLUSION: The L-NOSE questionnaire is a valid instrument with satisfactory reliability, validity, and responsiveness.


Subject(s)
Cross-Cultural Comparison , Nasal Obstruction , Humans , Nasal Obstruction/diagnosis , Nasal Obstruction/surgery , Psychometrics , Quality of Life , Reproducibility of Results , Surveys and Questionnaires , Symptom Assessment
15.
J Immunotoxicol ; 17(1): 202-206, 2020 11 16.
Article in English | MEDLINE | ID: mdl-33307887

ABSTRACT

There are two clinical subtypes of chronic rhinosinusitis (CRS): chronic rhinosinusitis with nasal polyps (CRSwNP) and chronic rhinosinusitis without nasal polyps (CRSsNP). The aim of the study here was to determine the levels of invasive inflammatory markers in nasal mucosa samples taken from CRSwNP patients during the surgery and to identify markers that could serve as targets for potential clinical and therapeutic interventions. The study was carried out in 59 patients with proven CRSwNP and a control group consisting of 52 healthy individuals. Concentrations of the inflammatory markers of interest were determined using a LuminexR Assay multiplex kit. The data obtained indicated that levels of inflammatory cytokines interleukin (IL)-2, -4, -5, -7, -12, -17 and -22 were all significantly higher in the nasal polyps (NP) than those in the mucosa of control participants. No differences were seen between the study groups for IL -6, -10, -13, -21 and interferon (IFN)-γ. OR (Odds Ratio) analyses confirmed that elevations in mucosal levels of IL-2, -4, -5, -7, -12, -17, and -22 were likely immune markers of CRSwNP. In conclusion, the present study demonstrated that IL-2, -4, -12 and -22 may be important in the etiopathogenesis of CRSwNP; as markers, each show moderate sensitivity, but high specificity in the Lithuanian population. IL-17 had good sensitivity, but low specificity in the CRSwNP patients.


Subject(s)
Biomarkers/metabolism , Inflammation Mediators/metabolism , Nasal Mucosa/metabolism , Rhinitis/diagnosis , Sinusitis/diagnosis , Adult , Chronic Disease , Female , Humans , Lithuania/epidemiology , Male , Middle Aged , Nasal Polyps , Rhinitis/epidemiology , Sensitivity and Specificity , Sinusitis/epidemiology
16.
Materials (Basel) ; 13(23)2020 Nov 25.
Article in English | MEDLINE | ID: mdl-33255683

ABSTRACT

Currently, the recycling potential of wood waste (WW) is still limited, and in a resource efficiency approach, recycling WW in insulation materials, such as polyurethane (PUR), appears as an appropriate solution. It is known that the quality of WW is the main aspect which influences the stability of the final products. Therefore, the current study analyses different WW-based fillers as possible modifiers for polyurethane biocomposite foams for the application as loose-fill materials in building envelopes. During the study of WW-based fillers, it was determined that the most promising filler is wood scobs (WS) with a thermal conductivity of 0.0496 W/m·K, short-term water absorption by partial immersion-12.5 kg/m2, water vapour resistance-0.34 m2·h·Pa/mg and water vapour diffusion resistance factor-2.4. In order to evaluate the WS performance as a filler in PUR biocomposite foams, different ratios of PUR binder and WS filler (PURb/WS) were selected. It was found that a 0.40 PURb/WS ratio is insufficient for the appropriate wetting of WS filler while a 0.70 PURb/WS ratio produced PUR biocomposite foams with the most suitable performance: thermal conductivity reduced from 0.0523 to 0.0476 W/m·K, water absorption-from 5.6 to 1.3 kg/m2, while the compressive strength increased from 142 to 272 kPa and the tensile strength increased from 44 to 272 kPa.

17.
Clin Otolaryngol ; 45(6): 857-861, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32638550

ABSTRACT

OBJECTIVES: The objective of this study was to perform translation, cross-cultural adaptation and validation of the Lithuanian version of specific nasolacrimal duct obstruction symptom scoring (NLDO-SS) questionnaire and to evaluate short- and long-term results of endoscopic endonasal dacryocystorhinostomy (EN-DCRS) procedure. DESIGN, SETTING, PARTICIPANTS: Permission for questionnaire translation, cross-cultural adaptation and validation was obtained from the authors of the original questionnaire. Translation, validation and cross-cultural adaptation were carried out according to generally accepted methodology. Validation study of the Lithuanian version of NLDO-SS (L-NLDO-SS) was performed, and short- and long-term results of EN-DCRS procedure were evaluated according to symptoms. In total, 44 patients were evaluated 2 weeks before the surgical intervention, a day before the surgery and 41 patients 2 months after the surgery, and again 10 months later. MAIN OUTCOME MEASURES: We analysed the internal consistency and test-retest reliability of the L-NLDO-SS questionnaire. Cronbach's alpha was used to represent and evaluate internal consistency for ordinal responses. Validity was assessed by comparing scores between a control group of volunteers without NLDO and the NLDO group using Mann-Whitney test. To test the limiting score on which the sensitivity and specificity curves cross in identifying patients with NLDO, receiver operating characteristic (ROC) curve analysis was used. The pre- and post-operative scores were compared using the paired t-test. RESULTS: The results showed an acceptable internal consistency of L-NLDO-SS questionnaire, with Cronbach's alpha-.73 in the initial test group and .71 in the retest group. Pearson's correlation coefficient was .94 (P < .001), revealing good correlation between the initial scores and the retest scores. Our sample of healthy individuals had a mean L-NLDO-SS score of 11.42 (±12.69) points, and patients being scheduled for EN-DCRS had a mean L-NLDO-SS score of 27.45 (±9.81) points. Post-operatively mean L-NLDO-SS scores improved from 27.45 (±9.81) points to 4.45 (±6.29) points in the short term and to 5.83 (±4.17) in the long term, demonstrating the statistically significant responsiveness of the instrument over both timescales. CONCLUSIONS: Lithuanian version of NLDO-SS questionnaire is a valid instrument for assessing patients with NLDO in the Lithuanian population. It demonstrated good internal consistency, reproducibility, validity and responsiveness.


Subject(s)
Dacryocystorhinostomy , Lacrimal Duct Obstruction/diagnosis , Adult , Cross-Cultural Comparison , Humans , Lithuania , Pilot Projects , Quality of Life , Reproducibility of Results , Surveys and Questionnaires , Translations
18.
Am J Rhinol Allergy ; 34(6): 767-774, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32475127

ABSTRACT

BACKGROUND: The treatment of chronic odontogenic and nonodontogenic rhinosinusitis is different. It requires the elimination of odontogenic cause and optimal sinus surgical treatment. To date, there are no clear indications when sinus surgical treatment is necessary. OBJECTIVE: Our aim was to define clear indication(s) for sinus surgical treatment in patients with chronic odontogenic rhinosinusitis after elimination of odontogenic cause. METHODS: A group of 96 patients with chronic odontogenic rhinosinusitis caused by apical periodontitis completed a Sino-Nasal Outcome Test 22 (SNOT-22) questionnaire with incorporated additional symptom "malodor" before treatment. Moreover, they were distributed according to computed tomography (CT) radiological criteria such as degree of periapical pathology, anatomical ratio between maxillary lateral teeth and sinus floor, sinus mucosal thickening, and ostiomeatal complex condition. The elimination of odontogenic cause was performed by extracting causative tooth. Questionnaire was filled again 2 weeks, 3 months, and 6 months after treatment. All data were analyzed to search the clear indications for sinus surgical treatment. RESULTS: Of 96 patients, 74 (77.1%) patients had full resolution of symptoms after dental cause was eliminated. For other 22 (22.9%) patients, symptoms persisted and sinus surgical treatment was indicated. In recovered group, mean SNOT-22 score was different between all periods of measuring, while within nonrecovered group, small differences were seen only when compared to before treatment. No statistically significant correlation between radiological criteria and rhinosinusitis healing after tooth extraction was found (P > .05). Statistically significant correlation was found between the disappearance of malodor/SNOT-22 score reduction after elimination of dental cause and healing success (P < .005). CONCLUSIONS: Our study revealed that extraction of causative tooth is an effective treatment of chronic odontogenic rhinosinusitis caused by apical periodontitis. CT criteria are not valuable indicator for sinus surgery, but persistence of malodor after 2 weeks is the strongest indication for this type of treatment.


Subject(s)
Paranasal Sinuses , Rhinitis , Sinus Floor Augmentation , Sinusitis , Chronic Disease , Endoscopy , Humans , Rhinitis/surgery , Sinusitis/surgery
19.
Polymers (Basel) ; 12(3)2020 Mar 19.
Article in English | MEDLINE | ID: mdl-32204494

ABSTRACT

Currently, there is great demand to implement circular economy principles and motivate producers of building materials to integrate into a closed loop supply chain system and improve sustainability of their end-product. Therefore, it is of great interest to replace conventional raw materials with inorganic or organic waste-based and filler-type additives to promote sustainability and the close loop chain. This article investigates the possibility of bottom waste incineration ash (WA) particles to be used as a flame retardant replacement to increase fire safety and thermal stability under higher temperatures. From 10 wt.% to 50 wt.% WA particles do not significantly deteriorate performance characteristics, such as compressive strength, thermal conductivity, and water absorption after 28 days of immersion, and at 32 °C WA particles improve the thermal stability of resultant PU foams. Furthermore, 50 wt.% WA particles reduce average heat release by 69% and CO2 and CO yields during fire by 76% and 77%, respectively. Unfortunately, WA particles do not act as a smoke suppressant and do not reduce smoke release rate.

20.
Polymers (Basel) ; 11(2)2019 Feb 14.
Article in English | MEDLINE | ID: mdl-30960320

ABSTRACT

Rigid polyurethane foams (RPUFs) were successfully modified with different weight ratios (0.5 wt%, 1.5 wt% and 5 wt%) of APIB-POSS and AEAPIB-POSS. The resulting foams were evaluated by their processing parameters, morphology (Scanning Electron Microscopy analysis, SEM), mechanical properties (compressive test, three-point bending test and impact strength), viscoelastic behavior (Dynamic Mechanical Analysis, DMA), thermal properties (Thermogravimetric Analysis, TGA, and thermal conductivity) and application properties (contact angle, water absorption and dimensional analysis). The results showed that the morphology of modified foams is significantly affected by the type of the filler and filler content, which resulted in inhomogeneous, irregular, large cell shapes and further affected the physical and mechanical properties of resulting materials. RPUFs modified with APIB-POSS represent better mechanical and thermal properties compared to the RPUFs modified with AEAPIB-POSS. The results showed that the best results were obtained for RPUFs modified with 0.5 wt% of APIB-POSS. For example, in comparison with unfilled foam, compositions modified with 0.5 wt% of APIB-POSS provide greater compression strength, better flexural strength and lower water absorption.

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