Exploring the design and performance of a tellurium optical sensor utilizing a plasticizer-free polymer inclusion membrane.

A highly responsive, discerning, and uncomplicated technique has been devised for immobilizing reagents onto a plasticizer-free optical sensor membrane, employing polymer inclusion membranes (PIMs). This procedural strategy relies on a physical immobilization approach, specifically encapsulation, resulting in the creation of an optical sensing membrane. The responsive PIM is composed of poly(vinyl chloride) (PVC) as the fundamental polymer, Aliquat 336 as an extractant, and 4-(4 -chlorobenzylideneimino)-3-methyl-5-mercapto-1,2,4-triazole (CBIMMT) as the reagent. The optimized sensor demonstrates a linear range of 6.00-156 ng/mL for Te(IV), along with detection and quantification limits of 1.75 and 5.60 ng/mL, respectively. The sensor response time is 3.0 min, confirming its reproducibility. Effective regeneration of the sensor is achieved using a 0.2 mol/L HCl solution. The sensor membrane's selectivity is evaluated against various interfering ions, underscoring minimal interference. The sensor membrane efficacy is demonstrated through successful applications in quantifying Te(IV) levels, including natural water, chalcogenides, milk, vegetables, and soil samples.

Potentially toxic metals in irrigation water, soil, and vegetables and their health risks using Monte Carlo models.

Food safety has become a serious global concern because of the accumulation of potentially toxic metals (PTMs) in crops cultivated on contaminated agricultural soils. Amongst these toxic elements, arsenic (As), cadmium (Cd), chromium (Cr), and lead (Pb) receive worldwide attention because of their ability to cause deleterious health effects. Thus, an assessment of these toxic metals in the soils, irrigation waters, and the most widely consumed vegetables in Nigeria; Spinach (Amaranthushybridus), and Cabbage (Brassica oleracea) was evaluated using inductively coupled plasma-optical emission spectroscopy (ICP-OES). The mean concentration (measured in mg kg-1) of the PTMs in the soils was in the sequence Cr (81.77) > Pb(19.91) > As(13.23) > Cd(3.25), exceeding the WHO recommended values in all cases. This contamination was corroborated by the pollution evaluation indices. The concentrations (measured in mg l-1) of the PTMs in the irrigation water followed a similar pattern i.e. Cr(1.87) > Pb(1.65) > As(0.85) > Cd(0.20). All the PTMs being studied, were found in the vegetables with Cr (5.37 and 5.88) having the highest concentration, followed by Pb (3.57 and 4.33), and As (1.09 and 1.67), while Cd (0.48 and 1.04) had the lowest concentration (all measured in mg kg-1) for cabbage and spinach, respectively. The concentration of the toxic metals was higher in spinach than in cabbage, which may be due to the redistribution of the greater proportion of the metals above the ground tissue, caused by the bioavailability of metals in the aqueous phase. Expectedly, the hazard index (HI),and carcinogenic risk values of spinach were higher than that of cabbage. This implies that spinach poses potentially higher health risks. Similarly, the Monte Carlo simulation results reveal that the 5th percentile, 95th percentile, and 50th percentile of the cumulative probability of cancer risks due to the consumption of these vegetables exceeds the acceptable range of 1.00E-6 and 1.00E-4. Thus, the probable risk of a cancerous effect is high, and necessary remedial actions are recommended.

A modified selective optical sensor for selenium determination based on incorporating xylenol orange in a poly(vinyl chloride) membrane.

A novel optical sensor has been developed to measure selenium ions. The sensor membrane was created by mixing xylenol orange (XO) and sodium tetraphenylborate (NaTPB) with a plasticized poly(vinyl chloride) membrane that contained o-nitrophenyl octyl ether (o-NPOE) as a plasticizer. XO was previously established for use in a colorimeter to measure selenium in water and other media. At pH 6.6, the color of the detecting membrane changed from orange to pink when in contact with Se4+ ions. Various variables affecting the uptake efficiency were evaluated and optimized. Under optimum conditions (i.e., 30% PVC, 60% o-NPOE, and 5.0% of both XO and NaTPB for 5.0 min as the response time), the proposed sensor displayed a linear range 10-175 ng mL-1 with the detection and quantification limits of 3.0 and 10 ng mL-1, respectively. Also, the precision (RSD%) was better than 2.2% for six replicate determinations of 100 ng mL-1 Se4+ in various membranes. For the detection of Se4+, the selectivity of the sensor membrane was investigated for a number of possible interfering inorganic cations, but no appreciable interference was found. With the use of a 0.3 M HCl solution, the sensor was successfully restored, and the response that may have been reversible and reproducible exhibited an RSD% of less than 2.0%. The sensor has been successfully used to analyze Se4+ ions in environmental and biological materials.

Behavioural economic interventions to reduce health care appointment non-attendance: a systematic review and meta-analysis.

BACKGROUND: Appointment non-attendance - often referred to as "missed appointments", "patient no-show", or "did not attend (DNA)" - causes volatility in health systems around the world. Of the different approaches that can be adopted to reduce patient non-attendance, behavioural economics-oriented mechanisms (i.e., psychological, cognitive, emotional, and social factors that may impact individual decisions) are reasoned to be better suited in such contexts - where the need is to persuade, nudge, and/ or incentivize patients to honour their scheduled appointment. The aim of this systematic literature review is to identify and summarize the published evidence on the use and effectiveness of behavioural economic interventions to reduce no-shows for health care appointments. METHODS: We systematically searched four databases (PubMed/Medline, Embase, Scopus, and Web of Science) for published and grey literature on behavioural economic strategies to reduce no-shows for health care appointments. Eligible studies met four criteria for inclusion; they were (1) available in English, Spanish, or French, (2) assessed behavioural economics interventions, (3) objectively measured a behavioural outcome (as opposed to attitudes or preferences), and (4) used a randomized and controlled or quasi-experimental study design. RESULTS: Our initial search of the five databases identified 1,225 articles. After screening studies for inclusion criteria and assessing risk of bias, 61 studies were included in our final analysis. Data was extracted using a predefined 19-item extraction matrix. All studies assessed ambulatory or outpatient care services, although a variety of hospital departments or appointment types. The most common behaviour change intervention assessed was the use of reminders (n = 56). Results were mixed regarding the most effective methods of delivering reminders. There is significant evidence supporting the effectiveness of reminders (either by SMS, telephone, or mail) across various settings. However, there is a lack of evidence regarding alternative interventions and efforts to address other heuristics, leaving a majority of behavioural economic approaches unused and unassessed. CONCLUSION: The studies in our review reflect a lack of diversity in intervention approaches but point to the effectiveness of reminder systems in reducing no-show rates across a variety of medical departments. We recommend future studies to test alternative behavioural economic interventions that have not been used, tested, and/or published before.

A national nudge study of differently framed messages to increase COVID-19 vaccine uptake in Saudi Arabia: A randomized controlled trial.

Background: During the COVID-19 pandemic, Saudi Arabia witnessed hesitancy from a proportion of the population toward taking the vaccine; thus, it was necessary to nudge them to uptake it. This study was conducted to assess the impact of using different types of messages to nudge the public to increase the proportion of vaccinated individuals. Methods: This study is a multi-arm randomized controlled trial aiming to assess the efficacy of using differently framed messages that appear as pop-notifications in Sehatty application. Of those who preregistered to receive a COVID-19 vaccine but didn't take it according to the Saudi national vaccine registry (n = 1,291,686), 12,000 individuals were randomly recruited and randomly assigned to one of five intervention groups (commitment, loss aversion, salience, social norms, and ego) or a control group. To ensure the exposure occurred in the intervention groups, we included only those who received the notification, which was confirmed by checking the information technology system. We used the Chi-square test to compare each intervention group against the control group separately. Also, we used the same test to investigate whether sex and age influenced the percentage of booked appointments in the intervention groups. Results: Social norms, ego, salience and loss aversion groups had higher percentages of booked appointments when compared to the control group (21.0%, p = 0.001; 19.1%, p = 0.011; 19.0%, p = 0.013; 18.4%, p = 0.034, respectively). Moreover, when combining the intervention groups, the percentage was higher than the control group (p < 0.001). The percentages of booked appointments made by Young adults (18-35 years old) were higher than that of adults over 35 years old in the social norms (22.6%, p = 0.016) and ego groups (21.0%, p = 0.010). At the same time, sex didn't affect the percentages of booked appointments in any group. Conclusion: Using different framings of messages to nudge the public to take vaccines can help increase the percentage of immunized individuals in a community. Nudges can boost the public health of a population during an unusual spread of vaccine-preventable diseases. Findings might also inspire governmental responses to other public health situations.

Construction of an optical sensor for copper determination in environmental, food, and biological samples based on the covalently immobilized 2-(2-benzothiazolylazo)-3-hydroxyphenol in agarose.

An optical chemical sensor has been developed for the quantitative spectrophotometric analysis of copper. The optode is dependent on covalent immobilization of 2-(2-benzothiazolylazo)-3-hydroxyphenol (BTAHP) in a transparent agarose membrane. The absorbance variation of immobilized BTAHP on agarose as a film upon the addition of 5 × 10-3 M aqueous solutions of Mn2+, Zn2+, Hg2+, Cd2+, Pb2+, Co2+, Ni2+, Fe2+, La3+, Fe3+, Cr3+, Zr4+, Se4+, Th4+, and UO22+ revealed substantially higher changes in the Cu2+ ion content compared to other ions investigated here. The effects of various experimental parameters, such as the solution pH, the reaction time, and the concentration of reagents, on the quality of Cu2+ sensing were examined. Under ideal experimental circumstances, a linear response was achieved for Cu2+ concentrations ranging from 1.0 × 10-9 to 7.5 × 10-6 M with an R2 value of 0.9988. The detection (3σ) and quantification (10σ) limits of the procedure for Cu2+ analyses were 3.0 × 10-10 and 9.8 × 10-10 M, respectively. No observable interference was recorded in the detection of Cu2+ due to other inorganic cations. With no indication of BTAHP leaching, the membrane demonstrated good durability and quick response times. The optode was effectively used to determine the presence of Cu2+ in environmental water, food, and biological samples.

Ultrasensitive and highly selective detection of nickel ion by two novel optical sensors.

Novel optical sensors for nickel determination by incorporation of 5-(2`-bromo-phenylazo)-6-hydroxypyrimidine-2,4-dione (I), 5-(2`,4`-dimethylphenylazo)-6-hydroxypyrimidine-2,4-dione (II), dibutylphthalate (DBP) and sodium tetra-phenylborate (Na-TPB) to the plasticized polyvinyl chloride matrices were prepared. The introduction of DBP in the membrane substantially increased the ability of both ionophores I and II to function as chromo ionophores. The advantages of the reported sensors include great stability, reproducibility, and relatively long lifespan, as well as excellent selectivity for Ni2+ ion detection across a wide range of alkali, alkaline earth, transition, and heavy metal ions.Under optimized membrane compositions and experimental parameters, the response of both sensors was linear throughout a concentration range of 3.5 × 10-8 to 8.1 × 10-5 and 2.0 × 10-8 to 5.1 × 10-5 M for I and II, respectively. Sensor detection and quantification limits based on the definition that the concentration of the sample leads to a signal equal to the blank signal plus three and ten times its standard deviation were determined to be 1.15 × 10-8 and 3.45 × 10-8 M when utilizing I, whereas they were 0.61 × 10-8 and 1.95 × 10-8 M when utilizing II, respectively. The reaction time of optodes is defined as the period required achieving 95% of based sensors and found to be 8.0 and 5.0 min using I and II, respectively. Ni2+ ion concentrations in water, food, and environmental samples were effectively determined using the proposed optical sensors. Representative diagram for preparation of the sensing Ni2+ sensor.

New Natural Eugenol Derivatives as Antiproliferative Agents: Synthesis, Biological Evaluation, and Computational Studies.

Semisynthetic modifications of natural products have bestowed us with many anticancer drugs. In the present work, a natural product, eugenol, has been modified synthetically to generate new anticancer agents. The final compounds were structurally confirmed by NMR, IR, and mass techniques. From the cytotoxicity results, compound 17 bearing morpholine was found to be the most active cytotoxic agent with IC50 1.71 (MCF-7), 1.84 (SKOV3), and 1.1 µM (PC-3) and a thymidylate synthase (TS) inhibitor with an IC50 of 0.81 µM. Further cellular studies showed that compound 17 could induce apoptosis and arrest the cell cycle at the S phase in PC-3 carcinoma. The docking study strongly favors compound 17 to be a TS inhibitor as it displayed a similar interaction to 5-fluorouracil. The in silico pharmacokinetics and DFT computational studies support the results obtained from docking and biological evaluation and displayed favorable pharmacokinetic profile for a drug to be orally available. Compound 17 was found to be a promising TS inhibitor which could suppress DNA synthesis and consequently DNA damage in prostate cancer cells.

Retraction: Pulmonary Embolism in COVID-19 Patients: A Retrospective Case-Control Study.

[This retracts the article DOI: 10.7759/cureus.18887.].

Prevalence of Sleep Disorders Among Patients With Type 2 Diabetes Mellitus in Makkah City: A Cross-Sectional Study.

BACKGROUND: Due to rising rates of morbidity and mortality associated with type 2 diabetes mellitus (T2DM), Saudi Arabia is ranked second in the Middle East and seventh overall among nations with the greatest incidence of diabetes mellitus (DM). Significant sleep abnormalities have been linked to difficulties in managing blood sugar levels, suggesting a link between sleep disorders and diabetes. This study aimed to find out how common sleep disturbances were among patients with T2DM in Makkah, Saudi Arabia. METHODS: This descriptive cross-sectional study was conducted between June and August 2022 in Makkah City, Saudi Arabia. Patients with T2DM who visited primary healthcare facilities in Makkah during the study's duration were included in the study. To evaluate sleep quality, the Pittsburgh Sleep Quality Index in Arabic was employed. Patients who met the inclusion criteria were given an interview questionnaire to fill out. RESULTS: In total, 355 patients with T2DM were enrolled in this study. The patients' median age was 49.24 years. Other than DM, a majority of them (58.9%) had chronic illnesses, with hypertension (64.5%) and cardiovascular disease (65.5%) as the most prevalent comorbidities. Only 22% of the patients had controlled diabetes. Of the individuals who had sleep disorders, 63.7% stated having poor sleep quality. CONCLUSION: Sleep problems are a common occurrence in patients with T2DM. Additionally, compared to people with other chronic disorders, people with endocrine diseases had poorer sleep quality. Hence, the duration of diabetes has an impact on sleep quality.

Pulmonary Embolism in COVID-19 Patients: A Retrospective Case-Control Study.

BACKGROUND: Coagulopathy is a well-recognized complication in patients with coronavirus disease 2019 (COVID-19). Pulmonary embolism (PE) has substantial morbidity and mortality if the diagnosis is missed or the management is delayed. Computed tomography pulmonary angiography (CT-PA) is the imaging modality of choice for PE. Therefore, this study aimed to investigate the positive rate of CT-PA for PE among patients with COVID-19. METHODS: We conducted a retrospective study examining the diagnostic yield of CT-PA in patients with confirmed COVID-19 and compared it with that in patients without COVID-19. The study included all adult patients with confirmed COVID-19 who presented from June 2020 to June 2021. RESULTS: The study included 316 patients, including 158 patients with COVID-19, who underwent CT-PA for ruling out PE. Overall, 76 patients were found to have PE on the CT-PA scan, yielding a positive rate of 24.1%, with a significant difference between patients with COVID-19 (8.2%) and those without COVID-19 (39.9%). Further, 138 (87.3%) patients with COVID-19 had elevated D-dimer levels compared with 34 (21.5%) patients without COVID-19. A multivariable regression analysis model revealed that the smoking status (odds ratio [OR] = 1.94; 95% confidence interval [CI]: 1.4-3.8) and obesity (OR = 4.1; 95% CI: 1.5-8.9) were independent predictors of PE among patients with COVID-19. However, the elevated D-dimer level was not significantly associated with PE among patients with COVID-19 (OR = 0.7; 95% CI: 0.4-1.8). CONCLUSION: The study found that the positive rate of CT-PA for PE was lower among patients with PE indicating probable overutilization of investigation in these patients. Additionally, patients with COVID-19 had a higher proportion of elevated D-dimer levels that may be a contributor to the increased investigation for PE. Lastly, patients with COVID-19 who were current smokers had a higher tendency of having PE.

Is grandparents' social class associated with adult grandchildren's oral health? Analysis of two British cohorts.

OBJECTIVES: No studies have taken a multigenerational approach to the study of oral health inequalities. This study investigated whether grandparents' social class was associated with adult grandchildren's oral health. METHODS: Data from the 1958 National Child and Development Study (NCDS) and the 1970 British Cohort Study (BCS) were analysed. Cohort members' occupational social class and persistent trouble with mouth, teeth or gums in the past 12 months were reported at ages 33 years in the NCDS and 26 years in the BCS. Information on grandparents' and parents' social class was reported by the cohort members' mothers during childhood. The association between grandparents' social class and cohort members' report of persistent trouble with mouth, teeth or gums was tested in marginal structural models (MSMs). RESULTS: Data from 9853 NCDS and 6487 BCS participants were analysed. Grandparents' social class was not associated with cohort members' report of persistent trouble with teeth, gums or mouth in the NCDS sample (odds ratios of 1.25 [95% Confidence Interval: 0.95-1.65] for social class IV/V and 1.12 [95% CI: 0.76-1.64] for social class IIINM-M relative to social class I/II) or the BCS sample (odds ratios of 0.98 [95% CI: 0.68-1.43] for social class IV/V and 0.88 [95% CI: 0.67-1.16] for social class IIINM-M relative to social class I/II). CONCLUSION: This study provided no support for an independent association between grandparents' social class and adult grandchildren's oral health.

Carbon Nanotubes in Biomedical Applications: Factors, Mechanisms, and Remedies of Toxicity.

Carbon nanotubes (CNTs) represent one of the most studied allotropes of carbon. The unique physicochemical properties of CNTs make them among prime candidates for numerous applications in biomedical fields including drug delivery, gene therapy, biosensors, and tissue engineering applications. However, toxicity of CNTs has been a major concern for their use in biomedical applications. In this review, we present an overview of carbon nanotubes in biomedical applications; we particularly focus on various factors and mechanisms affecting their toxicity. We have discussed various parameters including the size, length, agglomeration, and impurities of CNTs that may cause oxidative stress, which is often the main mechanism of CNTs' toxicity. Other toxic pathways are also examined, and possible ways to overcome these challenges have been discussed.