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1.
Food Res Int ; 188: 114434, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38823828

ABSTRACT

In this work, dispersions were prepared with commercial pea protein isolate (PPI) and subjected to different (i) high pressure homogenization (HPH) intensities (0 - 200 MPa) (room temperature, pH 7) or (ii) environmental conditions (60 °C, pH 7 or pH 12) to generate dispersions with distinct protein molecular and microstructural characteristics, impacting protein solubility. Besides, protein digestion was analyzed following the static INFOGEST in vitro digestion protocol. Generally, increasing pressure of the homogenization treatment was linked with decreasing particle sizes and enhanced protein digestion. More specifically, the dispersion that did not undergo HPH (0 MPa) as well as the dispersion treated at 60 °C, pH 7, had highly similar microstructures, consisting of large irregular particles (10 - 500 µm) with shell-like structures, and exhibited low solubility (around 15 % and 28 %, respectively), which resulted in limited proteolysis (35 % and 42 %, respectively). In contrast, the dispersion subjected to HPH at 100 MPa and the dispersion treated at 60 °C, pH 12 also had similar microstructures with small and homogeneous particles (<1 µm), and exhibited relatively good solubility (54 % and 31 %, respectively), which led to enhanced protein digestion levels (87 % and 74 %, respectively). This study highlights the potential of food processing on macronutrient (micro)structure and further gastrointestinal stability and functionality.


Subject(s)
Digestion , Food Handling , Particle Size , Pea Proteins , Pressure , Solubility , Pea Proteins/chemistry , Hydrogen-Ion Concentration , Food Handling/methods , Proteolysis , Pisum sativum/chemistry , Temperature
2.
J Acoust Soc Am ; 155(6): 3615-3626, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38833283

ABSTRACT

The current work investigated the effects of mass-loading the eardrum on wideband absorbance in humans. A non-invasive approach to mass-loading the eardrum was utilized in which water was placed on the eardrum via ear canal access. The mass-loaded absorbance was compared to absorbance measured for two alternative middle ear states: normal and stiffened. To stiffen the ear, subjects pressurized the middle ear through either exsufflation or insufflation concurrent with Eustachian tube opening. Mass-loading the eardrum was hypothesized to reduce high-frequency absorbance, whereas pressurizing the middle ear was hypothesized to reduce low- to mid-frequency absorbance. Discriminant linear analysis classification was performed to evaluate the utility of absorbance in differentiating between conditions. Water on the eardrum reduced absorbance over the 0.7- to 6-kHz frequency range and increased absorbance at frequencies below approximately 0.5 kHz; these changes approximated the pattern of changes reported in both hearing thresholds and stapes motion upon mass-loading the eardrum. Pressurizing the middle ear reduced the absorbance over the 0.125- to 4-kHz frequency range. Several classification models based on the absorbance in two- or three-frequency bands had accuracy exceeding 88%.


Subject(s)
Ear, Middle , Pressure , Tympanic Membrane , Humans , Male , Female , Tympanic Membrane/physiology , Tympanic Membrane/anatomy & histology , Ear, Middle/physiology , Ear, Middle/anatomy & histology , Adult , Young Adult , Elasticity , Acoustic Stimulation , Eustachian Tube/physiology , Eustachian Tube/anatomy & histology , Stapes/physiology , Water , Discriminant Analysis
4.
Opt Lett ; 49(9): 2341-2344, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38691714

ABSTRACT

In the fields of biomedicine and microfluidics, the non-contact capture, manipulation, and spin of micro-particles hold great importance. In this study, we propose a programmable non-contact manipulation technique that utilizes photoacoustic effect to spin and transport living shrimp eggs. By directing a modulated pulsed laser toward a liquid-covered stainless-steel membrane, we can excite patterned Lamb waves within the membrane. These Lamb waves occur at the interface between the membrane and the liquid, enabling the manipulation of nearby particles. Experimental results demonstrate the successful capture, spin, and transport of shrimp eggs in diameter of 220 µm over a distance of about 5 mm. Calculations indicate that the acoustic radiation force and torque generated by our photoacoustic manipulation system are more than 299.5 nN and 41.0 nN·mm, respectively. The system surpasses traditional optical tweezers in terms of force and traditional acoustic tweezers in terms of flexibility. Consequently, this non-contact manipulation system significantly expands the possibilities for applications in various fields, including embryo screening, cell manipulation, and microfluidics.


Subject(s)
Ovum , Photoacoustic Techniques , Animals , Photoacoustic Techniques/methods , Pressure , Optical Tweezers , Penaeidae
5.
Med Eng Phys ; 127: 104168, 2024 May.
Article in English | MEDLINE | ID: mdl-38692764

ABSTRACT

Skin color observation provides a simple and non-invasive method to estimate the health status of patients. Capillary Refill Time (CRT) is widely used as an indicator of pathophysiological conditions, especially in emergency patients. While the measurement of CRT is easy to perform, its evaluation is highly subjective. This study proposes a method to aid quantified CRT measurement using an RGB camera. The procedure consists in applying finger compression to the forearm, and the CRT is calculated based on the skin color change after the pressure release. We estimate compression applied by a finger from its fingernail color change during compression. Our study shows a step towards camera-based quantitative CRT for untrained individuals.


Subject(s)
Capillaries , Fingers , Fingers/blood supply , Fingers/physiology , Humans , Capillaries/physiology , Capillaries/diagnostic imaging , Time Factors , Pressure , Male , Adult , Mechanical Phenomena , Female
6.
PLoS One ; 19(5): e0300241, 2024.
Article in English | MEDLINE | ID: mdl-38696384

ABSTRACT

OBJECTIVE: Technical ex-vivo comparison of commercial nebulizer nozzles used for Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC). METHODS: The performance of four different commercial nebulizer nozzles (Nebulizer; HurriChemTM; MCR-4 TOPOL®; QuattroJet) was analysed concerning: i) technical design and principle of operation, ii) operational pressure as function of the liquid flow rate, iii) droplet size distribution via laser diffraction spectrometry, iv) spray cone angle, spray cone form as well as horizontal drug deposition by image-metric analyses and v) chemical resistance via exposing to a cytostatic solution and chemical composition by means of spark optical emission spectral analysis. RESULTS: The Nebulizer shows quasi an identical technical design and thus also a similar performance (e.g., mass median droplet size of 29 µm) as the original PIPAC nozzles (MIP/ CapnoPen). All other nozzles show more or less a performance deviation to the original PIPAC nozzles. The HurriChemTM has a similar design and principle of operation as the Nebulizer, but provides a finer aerosol (22 µm). The principle of operation of MCR-4 TOPOL® and QuattroJet differ significantly from that of the original PIPAC nozzle technology. The MCR-4 TOPOL® offers a hollow spray cone with significantly larger droplets (50 µm) than the original PIPAC nozzles. The QuattroJet generates an aerosol (22 µm) similar to that of the HurriChemTM but with improved spatial drug distribution. CONCLUSION: The availability of new PIPAC nozzles is encouraging but can also have a negative impact if their performance and efficacy is unknown. It is recommended that PIPAC nozzles that deviate from the current standard should be subject to bioequivalence testing and implementation in accordance with the IDEAL-D framework prior to routine clinical use.


Subject(s)
Aerosols , Nebulizers and Vaporizers , Humans , Antineoplastic Agents/administration & dosage , Pressure , Particle Size , Equipment Design
7.
Scand Cardiovasc J ; 58(1): 2347295, 2024 Dec.
Article in English | MEDLINE | ID: mdl-38706409

ABSTRACT

Objectives. This study investigated the influence of higher pressure protection with a small diameter balloon of side branch (SB) on bifurcation lesions. Background. Of the different coronary stent implantation techniques, the modified jailed balloon technique has become a viable option for bifurcation lesions. However, there was no detailed study on the relationship between the balloon inflation pressure of the main vessel (MV) and SB. Methods. In this study, we collected information of patients who underwent percutaneous coronary intervention (PCI) for bifurcated lesions between March 2019 and December 2022. They were divided into two groups according to the operation way: active jailed balloon technique (A-JBT) group and jailed wire technique (JWT) group. Results. A total of 216 patients were enrolled. The A-JBT group had a larger SB stenosis diameter (1.53 ± 0.69 vs. 0.95 ± 0.52, p < .001), the lower degree of stenosis (44.34 ± 18.30 vs. 63.69 ± 17.34, p < .001) compared to the JWT group. However, the JWT group had a higher incidence of SB occlusion (18.0% vs. 1.9%, p < .001) compared to the A-JBT group. Nevertheless, the success rate for both groups was 100%. Conclusions. This novel high inflation pressure and small diameter balloon approach we propose has significant advantages. There is a lower rate of SB occlusion and SB dissection, which is more cost-effective and provides better clinical outcomes for the patient. This method should be considered in the future for treating bifurcation lesions.


Subject(s)
Angioplasty, Balloon, Coronary , Cardiac Catheters , Coronary Artery Disease , Humans , Male , Female , Aged , Middle Aged , Treatment Outcome , Coronary Artery Disease/therapy , Coronary Artery Disease/diagnostic imaging , Angioplasty, Balloon, Coronary/instrumentation , Angioplasty, Balloon, Coronary/adverse effects , Retrospective Studies , Stents , Coronary Stenosis/diagnostic imaging , Coronary Stenosis/therapy , Coronary Stenosis/surgery , Risk Factors , Pressure , Time Factors , Percutaneous Coronary Intervention/adverse effects , Percutaneous Coronary Intervention/instrumentation
8.
Water Res ; 257: 121666, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38703543

ABSTRACT

Urban water distribution networks (WDNs) have wide range and intricate topology, which include leakage, pipe burst and other abnormal states during production and operation. With the continuous development of the Internet of Things (IoT) technology in recent years, the means of monitoring the WDNs by using wireless sensor network technology has gradually received attention and extensive research. Most of the existing researches select the deployment location of sensors according to the hydraulic state of the WDNs, but the connectivity and topology between the nodes of the WDNs are not fully considered and analyzed. In this study, a new method that can integrate the topological features and hydraulic model information of the WDN is proposed to solve the problem of optimal sensor placement. First, the method preprocesses the covariance matrix of the pressure sensitivity matrix of the water distribution network by a diffusion kernel-based data prefiltering method and obtains the new network topology weights and its Laplacian matrix under the constraints of the network topology through a data-based graphical Laplacian learning method. Then, the sensor placement problem is transformed into a matrix minimum eigenvalue constraint problem by the Graph Laplace Regularization (GLR)-based method, and finally the selection of sensor nodes is accomplished by the method based on Gershgorin Disc Alignment (GDA). The proposed strategy is tested on a passive Hanoi network, an active Net 3 network, and a larger network, PA2, and is compared with some existing methods. The results show that the proposed solution achieves good performance in three different leak localization methods.


Subject(s)
Water Supply , Models, Theoretical , Pressure , Algorithms , Wireless Technology
9.
Anal Chem ; 96(21): 8740-8746, 2024 May 28.
Article in English | MEDLINE | ID: mdl-38722256

ABSTRACT

Pressure and temperature, as common physical parameters, are important for monitoring human health. In contrast, single-mode monitoring is prone to causing experimental errors. Herein, we innovatively designed a dual-mode flexible sensing platform based on a platinum/zinc-meso-tetrakis(4-carboxyphenyl)porphyrin (Pt/Zn-TCPP) nanozyme for the quantitative monitoring of carcinoembryonic antigen (CEA) in biological fluids with pressure and temperature readouts. The Pt/Zn-TCPP nanozyme with catalytic and photothermal efficiencies was synthesized by means of integrating photosensitizers into porous materials. The flexible sensing system after the antigen-antibody reaction recognized the pressure using a flexible skin-like pressure sensor with a digital multimeter readout, whereas the temperature was acquired via the photoheat conversion system of the Pt/Zn-TCPP nanozyme under 808 nm near-infrared (NIR) irradiation using a portable NIR imaging camera on a smartphone. Meanwhile, the dual-mode flexible sensing system was carried out on a homemade three-dimensional (3D)-printed device. Results revealed that the developed dual-mode immunosensing platform could exhibit good pressure and temperature responses within the dynamic range of 0.5-100 ng mL-1 CEA with the detection limits of 0.24 and 0.13 ng mL-1, respectively. In addition, the pressure and temperature were sensed simultaneously without crosstalk interference. Importantly, the dual-mode flexible immunosensing system can effectively avoid false alarms during the measurement, thus providing great potential for simple and low-cost development for point-of-care testing.


Subject(s)
Carcinoembryonic Antigen , Platinum , Pressure , Temperature , Zinc , Platinum/chemistry , Immunoassay/methods , Zinc/chemistry , Carcinoembryonic Antigen/analysis , Humans , Porphyrins/chemistry , Nanostructures/chemistry , Limit of Detection
10.
Anal Chem ; 96(21): 8782-8790, 2024 May 28.
Article in English | MEDLINE | ID: mdl-38728110

ABSTRACT

Sensitive and on-site discrimination of live and dead foodborne pathogenic strains remains a significant challenge due to the lack of appropriate assay and signal probes. In this work, a versatile platinum nanoparticle-decorated phage nanozyme (P2@PtNPs) that integrated recognition, bacteriolysis, and catalysis was designed to establish the bioluminescence/pressure dual-mode bioassay for on-site determination of the vitality of foodborne pathogenic strains. Benefiting from the bacterial strain-level specificity of phage, the target Salmonella typhimurium (S.T) was specially captured to form sandwich complexes with P2@PtNPs on another phage-modified glass microbead (GM@P1). As the other part of the P2@PtNPs nanozyme, the introduced PtNPs could not only catalyze the decomposition of hydrogen peroxide to generate a significant oxygen pressure signal but also produce hydroxyl radicals around the target bacteria to enhance the bacteriolysis of phage and adenosine triphosphate release. It significantly improved the bioluminescence signal. The two signals corresponded to the total and live target bacteria counts, so the dead target could be easily calculated from the difference between the total and live target bacteria counts. Meanwhile, the vitality of S.T was realized according to the ratio of live and total S.T. Under optimal conditions, the application range of this proposed bioassay for bacterial vitality was 102-107 CFU/mL, with a limit of detections for total and live S.T of 30 CFU/mL and 40 CFU/mL, respectively. This work provides an innovative and versatile nanozyme signal probe for the on-site determination of bacterial vitality for food safety.


Subject(s)
Bacteriophages , Luminescent Measurements , Metal Nanoparticles , Platinum , Salmonella typhimurium , Platinum/chemistry , Metal Nanoparticles/chemistry , Salmonella typhimurium/isolation & purification , Salmonella typhimurium/virology , Salmonella typhimurium/chemistry , Catalysis , Bacteriophages/chemistry , Food Microbiology , Biological Assay/methods , Biosensing Techniques/methods , Pressure , Hydrogen Peroxide/chemistry
11.
World J Urol ; 42(1): 331, 2024 May 17.
Article in English | MEDLINE | ID: mdl-38758400

ABSTRACT

PURPOSE: To investigate fluid absorption and its influencing factors during flexible ureteroscopy with intelligent control of renal pelvic pressure (RPP). METHODS: A total of 80 patients with upper urinary tract calculi underwent flexible ureteroscopy with intelligent control of RPP by pressure-measuring ureteral access sheath and were randomly divided into four groups. The RPP of Groups A, B, and C were set at - 5, 0 and 5 mmHg, respectively. Conventional flexible ureteroscopy with uncontrolled pressure served as control Group D. The perfusion flow rate was set at 100 ml/min in the four groups, with 20 patients in each group. The fluid absorption was measured by 1% ethanol every 10 min. Operation time, stone-free rate, and complications were recorded. RESULT: Seventy-three patients were finally included in the RCT. The general and preoperative data of the patients were comparable between the groups. The fluid absorption of Groups A, B, and C was significantly less than that of Group D (P < 0.01). Fluid absorption and operation time were positively correlated, and the correlation coefficients R were 0.864, 0.896, 0.918, and 0.947, respectively (P < 0.01). The fluid absorption of patients with vomiting, fever and ureteral injury was greater than that of patients without complications in the four groups (P < 0.01). In different groups, fluid absorption was greater in patients with ureteral injury Post-Ureteroscopic Lesion Scale (PULS) 1-3 than in noninjured patients (P < 0.01). CONCLUSION: Flexible ureteroscopy with intelligent control of RPP effectively reduces the absorption of perfusion fluid. Operation time and ureteral injury are also key factors affecting perfusion fluid absorption. REGISTRATION NUMBER AND DATE: NCT05201599; August 11, 2021.


Subject(s)
Kidney Calculi , Kidney Pelvis , Pressure , Ureteroscopes , Ureteroscopy , Humans , Ureteroscopy/methods , Female , Kidney Pelvis/surgery , Male , Middle Aged , Adult , Kidney Calculi/surgery , Aged
12.
Article in English | MEDLINE | ID: mdl-38758669

ABSTRACT

BACKGROUND: Socks are mainly used to give the foot more comfort while wearing shoes. Stitch density of the knitted fabric used in socks can significantly affect the sock properties because it is one of the most important fabric structural factors influencing the mechanical properties. Continuous plantar pressures can cause serious damage, particularly under the metatarsal heads, and it is deduced that using socks redistributes and reduces peak plantar pressures. If peak pressure under the metatarsal heads is predicted, then it will be possible to produce socks with the best mechanical properties to reduce the pressure in these critical areas. METHODS: Plain knitted socks with three different stitch lengths (high, medium, and low) were produced. Static plantar pressure measurements by the Gaitview system were accomplished on ten women and then compared with the barefoot situation. Also, the peak plantar pressure of three types of socks under the metatarsal heads are theoretically predicted using the Hertz contact theory. RESULTS: Experimental results indicate that all socks redistribute the plantar pressure from high to low plantar pressure regions compared with barefoot. In particular, socks with high stitch length have the best performance. By increasing the stitch length, we can significantly reduce the peak plantar pressure of the socks. Correspondingly, the Hertz contact theory resulted in a trend of mean peak pressure reductions in the forefoot region similar to the socks with different stitch densities. CONCLUSIONS: The theoretical results show that by using the Hertz contact theory, static plantar pressure in the forefoot region can be well predicted at a mean error of approximately 9% compared with the other experimental findings.


Subject(s)
Foot , Pressure , Humans , Female , Foot/physiology , Adult , Biomechanical Phenomena , Clothing , Shoes , Weight-Bearing/physiology , Young Adult
13.
PLoS One ; 19(5): e0301204, 2024.
Article in English | MEDLINE | ID: mdl-38728281

ABSTRACT

Tidal bore impact can be strong and destructive, placing estuarine infrastructures under great threat. However, there is a lack of research focusing on accurately estimating the impact pressure exerted by tidal bores. Herein new experiments were conducted to investigate the pressure of tidal bore fronts in a glass flume. Through analysis of instantaneous pressure of three forms of tidal bore, it was observed that the pressure fluctuation of weak and strong breaking bore fronts is characterized by impact pressure. The vertical distribution and maximum impact pressure of tidal bore were studied.The maximum impact pressure of breaking bore fronts appeared around 0.46 times height of it. The relationship between relative impact pressure and height of the tidal bore fronts was found to closely follow a normal probability density function. Through nonlinear regression analysis, an empirical equation was derived to calculate impact pressure, which was validated using observation data from the Qiantang River in China. This equation can be utilized to predict the impact pressure of tidal bore fronts and provide valuable support for estuarine engineering design.


Subject(s)
Pressure , China , Tidal Waves , Rivers , Estuaries , Models, Theoretical
14.
Sci Rep ; 14(1): 11084, 2024 05 15.
Article in English | MEDLINE | ID: mdl-38744916

ABSTRACT

In order to solve the difficult portability problem of traditional non-invasive sleeping posture recognition algorithms arising from the production cost and computational cost, this paper proposes a sleeping posture recognition model focusing on human body structural feature extraction and integration of feature space and algorithms based on a specific air-spring mattress structure, called SPR-DE (SPR-DE is the Sleep Posture Recognition-Data Ensemble acronym form). The model combines SMR (SMR stands for Principle of Spearman Maximal Relevance) with horizontal and vertical division based on the barometric pressure signals in the human body's backbone region to reconstruct the raw pressure data into strongly correlated non-image features of the sleep postures in different parts and directions and construct the feature set. Finally, the recognit-ion of the two sleep postures is accomplished using the AdaBoost-SVM integrated classifier. SPR-DE is compared with the base and integrated classifiers to verify its performance. The experimental results show that the amount of significant features helps the algorithm to classify different sleeping patterns more accurately, and the f1 score of the SPR-DE model determined by the comparison experiments is 0.998, and the accuracy can reach 99.9%. Compared with other models, the accuracy is improved by 2.9% ~ 7.7%, and the f1-score is improved by 0.029 ~ 0.076. Therefore, it is concluded that the SMR feature extraction strategy in the SPR-DE model and the AdaBoost-SVM can achieve high accuracy and strong robustness in the task of sleep posture recognition in a small area, low-density air-pressure mattress, taking into account the comfort of the mattress structural design and the sleep posture recognition, integrated with the mattress adaptive adjustment system.


Subject(s)
Algorithms , Beds , Posture , Sleep , Humans , Posture/physiology , Sleep/physiology , Pressure , Male , Adult
15.
PLoS One ; 19(5): e0303325, 2024.
Article in English | MEDLINE | ID: mdl-38748668

ABSTRACT

Since the 19th century, underwater explosions have posed a significant threat to service members. While there have been attempts to establish injury criteria for the most vulnerable organs, namely the lungs, existing criteria are highly variable due to insufficient human data and the corresponding inability to understand the underlying injury mechanisms. This study presents an experimental characterization of isolated human lung dynamics during simulated exposure to underwater shock waves. We found that the large acoustic impedance at the surface of the lung severely attenuated transmission of the shock wave into the lungs. However, the shock wave initiated large bulk pressure-volume cycles that are distinct from the response of the solid organs under similar loading. These pressure-volume cycles are due to compression of the contained gas, which we modeled with the Rayleigh-Plesset equation. The extent of these lung dynamics was dependent on physical confinement, which in real underwater blast conditions is influenced by factors such as rib cage properties and donned equipment. Findings demonstrate a potential causal mechanism for implosion injuries, which has significant implications for the understanding of primary blast lung injury due to underwater blast exposures.


Subject(s)
Blast Injuries , Lung , Humans , Lung/physiology , Blast Injuries/etiology , Explosions , Lung Injury/etiology , Male , Pressure , High-Energy Shock Waves/adverse effects
16.
Crit Rev Biomed Eng ; 52(4): 17-28, 2024.
Article in English | MEDLINE | ID: mdl-38780103

ABSTRACT

In this study, we examine the behavior of articular cartilage equilibrated in a salt (NaCl) solution during non-Newtonian fluid flow that follows an Ostwald-de Waele model. A linearly elastic and isotropic rectangular strip of cartilage is considered for analysis. A continuum theory of mixtures has been employed to develop a coupled system of partial differential equations for the solid displacement and the fluid pressure by considering the important factor of the ion concentration by assuming the cartilage as a deformable porous media. The coupled system of partial differential equations is solved using the numerical method named method of lines. In most cases, shear-thinning fluid is compared to the shear-thickening fluid to magnify the difference. Graphical results show that shear-thickening fluids bring more solid deformation and shows less fluid pressure in comparison to the shear-thinning fluids.


Subject(s)
Cartilage, Articular , Pressure , Cartilage, Articular/physiology , Models, Biological , Humans , Ions , Animals , Rheology/methods , Elasticity , Sodium Chloride/chemistry , Viscosity , Porosity
17.
PLoS One ; 19(5): e0301581, 2024.
Article in English | MEDLINE | ID: mdl-38768168

ABSTRACT

Research is ongoing to find solutions to the problem of Consolidation and seepage in saturated clay in enclosure space. Firstly, the boundary of non-zero-constant values is established, considering the seepage boundary of the clay is affected by pumping water or lowering boundary pressure on the site. Secondly, the differential equation is established to reflect the spatial and temporal variations of excess pore water pressure dissipation in the clay in enclosure space, and the solution is derived using variable separation methods. Finally, based on results of the solution derived, contour maps of the water pressure are drawn corresponding with the different inhomogeneous boundary conditions.


Subject(s)
Clay , Clay/chemistry , Water/chemistry , Pressure , Models, Theoretical , Aluminum Silicates/chemistry , Solutions
18.
Acta Ortop Mex ; 38(2): 101-104, 2024.
Article in Spanish | MEDLINE | ID: mdl-38782475

ABSTRACT

INTRODUCTION: it is estimated that 302 million people worldwide are affected by osteoarthritis, corresponding to 60% osteoarthritis (OA) of the knee, which responsible 80% of disability in older adults, hence the importance of the association of the sign with the early inflammatory process in OA. OBJECTIVE: to determine the association of digital pressure sign in patients with and without osteoarthritis of the knee. MATERIAL AND METHODS: this was an observational, comparative cross-sectional study, carried out in patients with and without a diagnosis of knee OA, to whom the digital pressure sign was determined. The sample was calculated with the formula for two proportions, obtaining a total of 40 participants per group, obtained by non-probabilistic sampling for convenience. The statistical analysis included frequencies, percentages, 2 and OR. The bioethics regulations in force were respected. RESULTS: the study included 80 participants, with a median age of 48.9 years (RQI 46-53.7), 73.1% were predominantly female sex (38), and a statistically significant association was found between patients with OA and the presence of digital pressure sign, 2 4.62 and p value = 0.41, OR of 2.65. CONCLUSIONS: the presence of digital pressure sign increases the probability of having OA 2.65 times more.


INTRODUCCIÓN: se estima que 302 millones de personas en el mundo son afectadas por osteoartritis, correspondiendo 60% a osteoartritis (OA) de rodilla, causante de 80% de discapacidad en adultos mayores, de ahí la importancia de la asociación del signo de digito-presión con el proceso inflamatorio temprano en OA. OBJETIVO: determinar la asociación del signo de digito-presión en pacientes con y sin osteoartritis de rodilla. MATERIAL Y MÉTODOS: estudio observacional, transversal comparativo, realizado en pacientes con y sin diagnóstico de OA de rodilla, a quienes se les determinó el signo de digito-presión; la muestra se calculó con la fórmula para dos proporciones que determinó un total de 40 participantes por grupo, obtenidos por muestreo no probabilístico por conveniencia; el análisis estadístico incluyó frecuencias, porcentajes, 2 y OR. Se respetó la reglamentación de bioética vigente. RESULTADOS: el estudio incluyó a 80 participantes, con una mediana de edad de 48.9 años (RIQ 46-53.7), predominó el sexo femenino en 73.1% (38). Se encontró asociación estadísticamente significativa entre pacientes con OA y la presencia del signo de digito-presión, 2 4.62 y p = 0.41, OR de 2.65. CONCLUSIONES: la presencia del signo de digito-presión aumenta 2.65 veces más la probabilidad de tener OA.


Subject(s)
Osteoarthritis, Knee , Pressure , Humans , Female , Cross-Sectional Studies , Male , Osteoarthritis, Knee/pathology , Middle Aged , Fingers , Aged
19.
World J Urol ; 42(1): 347, 2024 May 24.
Article in English | MEDLINE | ID: mdl-38789638

ABSTRACT

OBJECTIVE: To analyze postoperative ileus rates and postoperative complications between the different pneumoperitoneum settings. The secondary objective was to evaluate narcotic use and intraoperative blood loss between the different pneumoperitoneum settings. METHODS: A prospective, randomized, double blinded study was conducted at pneumoperitoneum pressures of either 12 mmHg or 15 mmHg for patients undergoing robotic assisted radical prostatectomy with bilateral pelvic lymph node dissection by a single high volume surgeon. RESULTS: The risk of ileus in the 12 mmHg group was 1.9% (2/105) compared to 3.2% (3/93) in the 15 mmHg group (OR 0.58, 95%CI 0.1-3.6). There was no difference in the risk of any complication with a complication rate of 4.8% (5/105) in the 12 mmHg arm compared to 4.3% (4/93) in the 15 mmHg arm (OR 1.1, 95% CI 0.3 - 4.3). CONCLUSION: Pneumoperitoneum pressure setting of 12 mmHg has no significant difference to 15 mmHg in the rate of postoperative complications, narcotic use, and intraoperative bleeding. Additional research is warranted to understand the optimal.


Subject(s)
Pneumoperitoneum, Artificial , Postoperative Complications , Pressure , Prostatectomy , Robotic Surgical Procedures , Humans , Prostatectomy/methods , Prostatectomy/adverse effects , Male , Robotic Surgical Procedures/adverse effects , Robotic Surgical Procedures/methods , Double-Blind Method , Pneumoperitoneum, Artificial/methods , Pneumoperitoneum, Artificial/adverse effects , Prospective Studies , Middle Aged , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Aged , Ileus/etiology , Ileus/epidemiology , Lymph Node Excision/methods , Lymph Node Excision/adverse effects , Prostatic Neoplasms/surgery , Blood Loss, Surgical
20.
Ultrason Sonochem ; 106: 106899, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38733852

ABSTRACT

Chitosan nanoparticles (NPs) possess great potential in biomedical fields. Orifice-induced hydrodynamic cavitation (HC) has been used for the enhancement of fabrication of size-controllable genipin-crosslinked chitosan (chitosan-genipin) NPs based on the emulsion cross-linking (ECLK). Experiments have been performed using various plate geometries, chitosan molecular weight and under different operational parameters such as inlet pressure (1-3.5 bar), outlet pressure (0-1.5 bar) and cross-linking temperature (40-70 °C). Orifice plate geometry was a crucial factor affecting the properties of NPs, and the optimized geometry of orifice plate was with single hole of 3.0 mm diameter. The size of NPs with polydispersity index of 0.359 was 312.6 nm at an optimized inlet pressure of 3.0 bar, and the maximum production yield reached 84.82 %. Chitosan with too high or too low initial molecular weight (e.g., chitosan oligosaccharide) was not applicable for producing ultra-fine and narrow-distributed NPs. There existed a non-linear monotonically-increasing relationship between cavitation number (Cv) and chitosan NP size. Scanning electron microscopy (SEM) test indicated that the prepared NPs were discrete with spherical shape. The study demonstrated the superiority of HC in reducing particle size and size distribution of NPs, and the energy efficiency of orifice type HC-processed ECLK was two orders of magnitude than that of ultrasonic horn or high shear homogenization-processed ECLK. In vitro drug-release studies showed that the fabricated NPs had great potential as a drug delivery system. The observations of this study can offer strong support for HC to enhance the fabrication of size-controllable chitosan-genipin NPs.


Subject(s)
Chitosan , Hydrodynamics , Iridoids , Nanoparticles , Particle Size , Chitosan/chemistry , Nanoparticles/chemistry , Iridoids/chemistry , Pressure , Temperature , Molecular Weight
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