Impact of end stage renal disease on the clinical outcomes of diabetics admitted for heart failure: Analysis of national inpatient sample.

Introduction: Patients with diabetes and heart failure (HF) can have varying outcomes depending on whether they also have End Stage Renal Disease (ESRD). This study aimed to compare the outcomes of patients with diabetes and HF with and without ESRD. Methods: Data from the National Inpatient Sample (NIS) 2016-2018 was analyzed to find hospitalizations for patients with HF as the main diagnosis and diabetes as a secondary diagnosis, with and without ESRD. Multivariable logistic and linear regression analysis was used to adjust for confounding factors. Results: In the total cohort of 12215 patients with a principal diagnosis of heart failure and secondary diagnosis of type 2 diabetes, the in-hospital mortality rate was 2.5%. Patients with ESRD had higher odds of in-hospital mortality (1.37x) compared to those without ESRD. The mean difference in length of stay was higher for patients with ESRD (0.49 days) and in total hospital charges (13360 US$). Patients with ESRD had higher odds of developing acute pulmonary edema, cardiac arrest, and requiring endotracheal intubation. However, they had lower odds of developing cardiogenic shock or requiring an intra-aortic balloon pump insertion. Conclusion: The results suggest that ESRD leads to higher in-patient mortality, length of stay, and total hospital charges for patients with diabetes admitted for HF. The lower incidence of cardiogenic shock and intra-aortic balloon pump insertion in patients with ESRD may be due to timely dialysis.

The co-adsorption of thymohydroquinone dimethyl ether (THQ) and coumarin present in the aqueous extract of Ayapana triplinervis on mild steel and its protection in hydrochloric acid up to 323 K: computational and physicochemical studies.

This study evaluates the corrosion inhibition property of the aqueous and alcoholic leaf extracts of the medicinal plant Ayapana triplinervis. The major components in the extracts are thymohydroquinone dimethyl ether (THQ) and coumarin. It is clear from the weight-loss studies that the water extract of the leaves (AYW) is superior to the alcoholic extract (AYA) in terms of offering corrosion inhibition. The 96% efficiency of 4% (v/v) AYW in 0.5 N HCl at room temperature changes to 84.62% at 323 K. The mixed-type inhibition behaviour of AYW shows slight dominance in the anodic direction. Studies suggest the multilayer adsorption of phytochemicals on the metal surface and that the adsorption follows the Temkin model. Theoretical studies using DFT and BIOVIA Materials Studio investigations establish THQ as a good inhibitor with high adsorption characteristics. Even though the concentration of coumarin in the extract is low, its presence in the extract facilitates the adsorption of THQ on the metal surface, which is evident from the MD simulation study. The changes in the surface topography and elemental composition of the metal specimen in the inhibited and uninhibited solution are monitored by SEM and EDX spectral studies. XPS data support the presence of both THQ and coumarin on the metal surface and the existence of co-ordinate bonding between the metal's d orbital and the O atoms of THQ. Theoretical and experimental studies support the mixed mode of adsorption of THQ as physisorption followed by chemisorption.

Fuel, thermal and surface properties of microwave-pyrolyzed biochars depend on feedstock type and pyrolysis temperature.

We evaluated the fuel, thermal and surface properties of twelve biochars produced from three lignocellulosic (canola straw, sawdust, wheat straw) and one non-lignocellulosic feedstock (manure pellet) pyrolyzed at three temperatures using a microwave. Regardless of feedstock type, increasing pyrolysis temperature progressively reduced the abundance of -OH functional group and yield, but increased pH and thermal stability of biochar. Gross calorific values (GCV), carbon stability, and degree of aromaticity of biochars derived from lignocellulosic feedstocks increased with increasing temperature due to decreased elemental oxygen content. However, high ash content in the non-lignocellulosic feedstock retarded its thermal degradation, producing biochars with low GCV. The specific surface area of biochars was low, with the highest value of 43 m2 g-1 achieved for sawdust biochar produced at 500 °C. We conclude that the fuel, thermal, and surface properties of the biochars were dependent on the feedstock type and pyrolysis temperature.

A Simple Red Emitting "Turn-On" Optical Relay Detector for Al3+ and CN-. Application in the Real Sample and RAW264.7 Cell Imaging.

A quantitative and qualitative fluorogenic molecular probe (R) has been designed and synthesized using Rhodamine-B hydrazide and 3,5-dibromo salicylaldehyde. The probe R has been applied for detection of ionic species and probe R turned out to be a prominent distinguisher among divalent and trivalent cations Al3+, Cr3+ and Fe3+ via the fluorometric response in acetonitrile medium. Colorimetric changes were observed for trivalent cations and Cu2+. Among all trivalent cations, Al3+ is possessing relay recognition for CN- even in the presence of other interfering anions with optimum precision. The association constant and the detection limit for R-Al3+ are 4.5 × 106 M-1 and 17.9 nM respectively. On the other hand, R + Al3++CN- exhibits an association constant and detection limit of 5.77 × 105 M-1 and 4.6 nM respectively. The stoichiometry of Al3+ binding with R is found to be 1:1. Quantum efficiency of probe R, R + Al3+ and R + Al3++CN- are found to be 0.2, 0.88 and 0.04 respectively. The receptor showed excellent real-time applicability for commercially available antiperspirant and apple seeds extract. The efficiency of the receptor further extended for fluorescent imaging of Al3+ and CN- in RAW264.7 cells.