Evaluation of in vitro corrosion behavior and biocompatibility of poly[xylitol-(1,12-dodecanedioate)](PXDD)-HA coated porous iron for bone scaffolds applications.

The present study evaluates the corrosion behavior of poly[xylitol-(1,12-dodecanedioate)](PXDD)-HA coated porous iron (PXDD140/HA-Fe) and its cell-material interaction aimed for temporary bone scaffold applications. The physicochemical analyses show that the addition of 20 wt.% HA into the PXDD polymers leads to a higher crystallinity and lower surface roughness. The corrosion assessments of the PXDD140/HA-Fe evaluated by electrochemical methods and surface chemistry analysis indicate that HA decelerates Fe corrosion due to a lower hydrolysis rate following lower PXDD content and being more crystalline. The cell viability and cell death mode evaluations of the PXDD140/HA-Fe exhibit favorable biocompatibility as compared to bare Fe and PXDD-Fe scaffolds owing to HA's bioactive properties. Thus, the PXDD140/HA-Fe scaffolds possess the potential to be used as a biodegradable bone implant.

The Yield of Active Tuberculosis Disease and Latent Tuberculosis Infection in Tuberculosis Household Contacts Investigated Using Chest X-ray in Yogyakarta Province, Indonesia.

In Indonesia, the implementation of tuberculosis (TB) contact investigation is limited, with low detection rates. We report the yield of and risk factors for TB disease and infection for household contacts (HHCs) investigated using chest X-ray (CXR) screening. We identified HHCs aged five years and above of bacteriologically confirmed index cases from 2018 to 2022 in Yogyakarta City and Kulon Progo. All HHCs were offered screening for TB symptoms; TB infection testing with either tuberculin skin testing or interferon gamma release assay; and referral for CXR. Sputum from those with symptoms or CXR suggestive of TB was tested with Xpert MTB/RIF. Risk factors for active TB disease and latent TB infection (LTBI) were identified by logistic regression models. We screened 2857 HHCs for TB between June 2020 and December 2022, with 68 (2.4%) diagnosed with active TB. Of 2621 HHCs eligible for LTBI investigation, 1083 (45.7%) were diagnosed with LTBI. The factors associated with active TB were age, being underweight, diabetes mellitus, urban living, and sleeping in the same house as an index case. Factors associated with LTBI were increasing age and male gender. Conclusions: Screening for HHC including CXR and TST/IGRA yielded a moderate prevalence of TB disease and infection.

Effect of Combining Dhikr and Prayer Therapy on Pain and Vital Signs in Appendectomy Patients: A Quasi-Experimental Study.

Purpose: Dhikr and prayer reduce pain and improve a patient's vital signs. However, the interactions among these require further clarification in patients undergoing appendectomy. This study aimed to assess the effects of the combination of dhikr and prayer on pain, pulse rate, respiratory rate, and oxygen saturation. Study design: Quasi-experimental design. Method: Pain, pulse, respiratory rate, and oxygen saturation were measured via clinical examination immediately after leaving the recovery room at 1 and 2 hr after surgery in both the experimental and control groups. In total, 88 eligible participants were allocated to two groups: participants who received both dhikr and prayer (n = 44), and those who received routine care without analgesic therapy (n = 44). The chi-square test, independent t test, and general equation model were employed. Results: Respondents showed a significant interaction between group and time to decrease in pain, pulse, respiratory rate, and improved oxygen saturation, except for pain within 1 hr. The differences in all outcome scores between the groups after 1 and 2 hr were statistically significant, except for oxygen saturation after 1 hr. Conclusion: The combination of dhikr and prayer effectively decreased pain and improved vital signs. This helped nurses implement this procedure by promoting an essential culture of spiritual care for appendectomy patients.

Exploring the role of Mn2+ in the structure, magnetic properties, and radar absorption performance of MnxFe3-xO4-DEA/MWCNT nanocomposites.

Iron oxide/carbon-based nanocomposites are known as an ideal combination of magnetic-conductive materials that were recently developed in radar absorption application; one example is the Fe3O4/multiwalled carbon nanotubes (MWCNTs). In this study, we try to boost their radar absorption ability by Mn-ion doping. Mn is an appropriate Fe substitute that is predicted to alter the magnetic properties and enhance the conductivity, which are crucial to developing their radar absorption properties. Diethylamine (DEA) is also used as a capping agent to improve the size and shape of the nanocomposite. In this study, a MnxFe3-xO4-DEA/MWCNT nanocomposite is successfully prepared by the coprecipitation method using a variation of x = 0, 0.25, 0.5, 0.75, and 1. We found that the sample's magnetic saturation (Ms) decreases, while the reflection loss (RL) increases with increasing the molar fraction of Mn. The enhancement of the radar wave absorption in the sample is dominated by dielectric losses due to the increase of electrical conductivity and interfacial polarization with the addition of Mn in the nanocomposites. We believe that our finding could shed light on the role of doping elements to develop the radar absorption properties, and further pave the way for the real implementation of iron oxides/graphene-based nanocomposite as radar-absorbing materials (RAMs).

Spectrum of TB Disease and Treatment Outcomes in a Mobile Community Based Active Case Finding Program in Yogyakarta Province, Indonesia.

The World Health Organization recommends using chest X-ray (CXR) in active case finding (ACF) to improve case detection. This study aimed to describe the spectrum and outcomes of TB disease diagnosed through a mobile community based ACF program in Yogyakarta. This prospective cohort study included people attending a TB ACF program in Yogyakarta between 1 January 2021 to 30 June 2022. Participants ≥10 years old underwent CXR, symptom screening, and Xpert MTB/RIF testing of sputum. Subclinical TB was defined as asymptomatic active TB, whether bacteriologically confirmed or not. Treatment outcome data were obtained from the national program TB database. 47,735 people attended the ACF program; the yield of TB disease was 0.86% (393/45,938). There were 217 symptomatic cases, of whom 72 (33.2%) were bacteriologically confirmed, and 176 asymptomatic cases, with 52 (29.5%) bacteriologically confirmed. Treatment success was 70.7% with high loss to follow up (9%) and not evaluated (17.1%). Multivariate analysis demonstrated weak evidence for lower unsuccessful outcomes in symptomatic versus subclinical TB (aOR 0.6, 95% CI 0.36-0.998). TB ACF programs utilizing CXR may diagnose a high proportion of subclinical TB. Linkage to care in ACF program is important to increase successful treatment outcomes.

The prevalence and risk factors for tuberculosis among healthcare workers in Yogyakarta, Indonesia.

Healthcare workers (HCWs) are at risk of contracting TB, particularly when in high tuberculosis (TB) burden settings. Routine surveillance data and evidence are limited on the burden of TB amongst HCWs in Indonesia. We aimed to measure the prevalence of TB infection (TBI) and disease among HCWs in four healthcare facilities in Yogyakarta province in Indonesia, and explore risk factors for TBI. A cross-sectional TB screening study targeted all HCWs from four pre-selected facilities (1 hospital, 3 primary care) in Yogyakarta, Indonesia. Voluntary screening included symptom assessment, Chest X-ray (CXR), Xpert MTB/RIF (if indicated) and tuberculin skin test (TST). Analyses were descriptive and included multivariable logistic regression. Of 792 HCWs, 681 consented (86%) to the screening; 59% (n = 401) were female, 62% were medical staff (n = 421), 77% worked in the one participating hospital (n = 524), and the median time working in the health sector was 13 years (IQR: 6-25 years). Nearly half had provided services for people with TB (46%, n = 316) and 9% reported ever having TB (n = 60). Among participants with presumptive TB (15%, n = 99/662), none were diagnosed microbiologically or clinically with active TB disease. TBI was detected in 25% (95% CI: 22-30; n = 112/441) of eligible HCWs with a TST result. A significant association was found between TB infection and being male (adjusted Odds Ratio (aOR) 2.02 (95%CI: 1.29-3.17)), currently working in the participating hospital compared to primary care (aOR 3.15 (95%CI: 1.75-5.66)), and older age (1.05 OR increase per year of life between 19-73 years (95%CI: 1.02-1.06)). This study supports prioritisation of HCWs as a high-risk group for TB infection and disease, and the need for comprehensive prevention and control programs in Indonesia. Further, it identifies characteristics of HCWs in Yogyakarta at higher risk of TBI, who could be prioritised in screening programs if universal coverage of prevention and control measures cannot be achieved.

Fabrication of Mn1-x Zn x Fe2O4 ferrofluids from natural sand for magnetic sensors and radar absorbing materials.

Mn1-x Zn x Fe2O4 ferrofluids were produced from natural sand for magnetic sensors and radar absorbing materials. The X-ray diffraction data showed that the Zn partially substituted the Mn and Fe ions to construct a spinel structure. The increasing Zn composition decreased the lattice parameters of the structure. The transmission electron microscopy images showed that the filler Mn1-x Zn x Fe2O4 nanoparticles tended to agglomerate in three dimensions. Lognormal and mass fractal models were used to fit the small-angle X-ray scattering data of the ferrofluids demonstrated that the ferrofluids formed chain-like structures with a fractal dimension of 1.12-1.67 that was constructed from primary particles with sizes of 3.6-4.1 nm. The filler, surfactant, and carrier liquid of the ferrofluids were confirmed by the functional groups of the metal oxides, tetramethylammonium hydroxide, and H2O, respectively. The secondary particles contributed to the saturation magnetization of the Mn1-x Zn x Fe2O4 ferrofluids. The Mn1-x Zn x Fe2O4 ferrofluids demonstrated excellent performance as magnetic sensors with high stability, especially compared with MnFe2O4 ferrofluids. Furthermore, the ferrofluids exhibited excellent radar absorbing materials. The Mn1-x Zn x Fe2O4 ferrofluids prepared in this work may serve as a future platform for advancing magnetic sensors and radar absorbing materials.

Excellent antimicrobial performance of co-doped magnetite double-layered ferrofluids fabricated from natural sand.

The preparation of Co-doped magnetite ferrofluids from natural sand was developed using a double-layer technique. The Co-doped magnetite nanoparticles formed a spinel phase with lattice parameters in the range of 8.355-8.422 Å and tended to agglomerate with the particle sizes of 7-12 nm. The presence of the first and second layers from oleic acid and DMSO was detected by the infrared spectrum as well as the olive oil used as a carrier liquid. The saturation magnetization of the superparamagnetic samples decreased from 24.4 to 4.8 emu/g with decreasing Co2+ composition. The particle size and electrostatic forces between the magnetic particles and the microbes played an essential role in inhibiting microbial growth. Interestingly, the increasing Co2+ composition enhanced the superior performance of the ferrofluids against E. coli, S. aureus, B. subtilis, and C. albicans. With additional extensive investigation, we believe that the prepared Co-doped magnetite double-layered ferrofluids from natural sand with superior antimicrobial performance can be new significant antimicrobial agents.

Synthesis of magnetite/silica nanocomposites from natural sand to create a drug delivery vehicle.

In this study, we report the synthesis of the magnetite/silica nanocomposites and their structural and functional groups, magnetic properties, morphology, antimicrobial activity, and drug delivery performance. The X-ray diffraction characterization showed that magnetite formed a spinel phase and that silica formed an amorphous phase. The particle sizes of magnetite increased from 8.2 to 13.2 nm with increasing silica content, and the particles were observed to be superparamagnetic. The nanocomposites tended to agglomerate based on the scanning electron microscopy images. The antimicrobial activity of the magnetite/silica nanocomposites revealed that the increasing silica content increased the inhibition zones by 74%, 77%, and 143% in case of Gram-positive bacteria (B. subtilis), Gram-negative bacteria (E. coli), and fungus (C. albicans), respectively. Furthermore, doxorubicin was used as the model compound in the drug loading and release study, and drug loading was directly proportional to the silica content. Thus, the increasing silica content increased the drug loading owing to the increasing number of OH- bonds in silica, resulting in strong bonds with doxorubicin. Based on this study, the magnetite/silica nanocomposites could be applied as drug delivery vehicles.

Suppression of discrete cladding mode resonances in fibre slanted Bragg gratings for gain equalisation.

In a slanted Bragg grating, coupling between the fundamental guided mode and the counterpropagative cladding modes result in discrete resonances in the transmission spectrum. These resonances are a drawback when Slanted Bragg Gratings are used for gain flattening of fibres amplifiers. A new method based on a chemical etching of the cladding is proposed leading to an overlap of the resonances and a reduction of the amplitude of the modulation. This method can be applied for any value of photo induced modulation amplitude in the SBG.