Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 21
Filtrar
1.
RSC Adv ; 14(29): 21180-21189, 2024 Jun 27.
Artigo em Inglês | MEDLINE | ID: mdl-38966808

RESUMO

The synthesis and characterization of spinel cobalt-based metal oxides (MCo2O4) with varying 3d-transition metal ions (Ni, Fe, Cu, and Zn) were explored using a hydrothermal process (140 °C for two hours) to be used as alternative counter electrodes for Pt-free dye-sensitized solar cells (DSSCs). Scanning electron microscopy (SEM) and atomic force microscopy (AFM) revealed distinct morphologies for each metal oxide, such as NiCo2O4 nanosheets, Cu Co2O4 nanoleaves, Fe Co2O4 diamond-like, and Zn Co2O4 hexagonal-like structures. The X-ray diffraction analysis confirmed the cubic spinel structure for the prepared MCo2O4 films. The functional groups of MCo2O4 materials were recognized in metal oxides throughout Fourier transform infrared (FTIR) analysis. The local structure analysis using X-ray absorption fine structure (XAFS) at Fe and Co K-edge identified octahedral (Oh) Co3+ and tetrahedral (Td) Co2+ coordination, with Zn2+ and Cu2+ favoring Td sites, while Ni3+ and Fe3+ preferred Oh active sites. Further investigations utilizing the Fourier transformation (FT) analysis showed comparable coordination numbers and interatomic distances ranked as Co-Cu > Co-Fe > Zn-Co > Co-Ni. Furthermore, the utilization of MCo2O4 thin films as counter electrodes in DSSC fabrication showed promising results. Notably, solar cells based on CuCo2O4 and ZnCo2O4 counter electrodes showed 1.9% and 1.13% power conversion efficiency, respectively. These findings indicate the potential of employing these binary metal oxides for efficient and cost-effective photovoltaic device production.

2.
ACS Omega ; 8(38): 34328-34353, 2023 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-37779941

RESUMO

Singlet molecular oxygen (1O2) has been reported in wide arrays of applications ranging from optoelectronic to photooxygenation reactions and therapy in biomedical proposals. It is also considered a major determinant of photodynamic therapy (PDT) efficacy. Since the direct excitation from the triplet ground state (3O2) of oxygen to the singlet excited state 1O2 is spin forbidden; therefore, a rational design and development of heterogeneous sensitizers is remarkably important for the efficient production of 1O2. For this purpose, quantum dots (QDs) have emerged as versatile candidates either by acting individually as sensitizers for 1O2 generation or by working in conjunction with other inorganic materials or organic sensitizers by providing them a vast platform. Thus, conjoining the photophysical properties of QDs with other materials, e.g., coupling/combining with other inorganic materials, doping with the transition metal ions or lanthanide ions, and conjugation with a molecular sensitizer provide the opportunity to achieve high-efficiency quantum yields of 1O2 which is not possible with either component separately. Hence, the current review has been focused on the recent advances made in the semiconductor QDs, perovskite QDs, and transition metal dichalcogenide QD-sensitized 1O2 generation in the context of ongoing and previously published research work (over the past eight years, from 2015 to 2023).

3.
RSC Adv ; 13(41): 28602-28612, 2023 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-37795048

RESUMO

The intricate problems concerning energy require innovative solutions. Herein, we propose a smart composite nano system that can be used in a sustainable and dichotomous manner to resolve energy crises. The current study describes a new way to synthesize a pure spinel cobalt oxide (Co3O4) and boron (B), nitrogen (N), and sulfur (S) tri-doped Co3O4-reduced graphite oxide (rGO) nanocomposite (CBNS). A hydrothermal method has been used for the synthesis of these nanomaterials. The synthesized nanocomposite was characterized by UV-visible spectroscopy, X-ray diffraction (XRD), Raman spectroscopy, scanning electron microscopy (SEM), X-ray absorption spectroscopy (XAS), and transmission electron microscopy (TEM). The XRD results showed the formation of Co3O4 and B, N, S doped nanocomposite with high purity and crystallinity. XAS analysis elucidates the formation of spinel Co3O4 with tetrahedral and octahedral arrangement of cobalt ions. The peaks at 2.50 Å and 3.07 Å are due to the Co-Co bonding. The electrocatalytic oxygen reduction (ORR) was successfully implemented using these nanocomposites. The electrochemical study exhibits the better activity of the B, N, and S tri-doped Co3O4-rGO nanocomposite due to the mutual effect of B, N and S. The synthesized catalyst has maximum current density of 9.97 mA cm-2 with onset potential (Eonset) of 0.98 V in alkaline medium.

4.
Inorg Chem ; 62(6): 2738-2750, 2023 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-36714953

RESUMO

Rare earth(III) ß-diketonates are highly remarkable luminophores in the visible spectral region among the rare earth compounds, owing to the efficient contribution from the 4f-4f intraconfigurational transitions. To get detailed structural insight into the RE3+ sites (RE = Eu, Gd, and Sm), X-ray absorption near-edge spectroscopy (XANES) can be very potent in probing the local chemical environment around the RE3+ ion. In this work, a PyFitIt machine learning approach was employed as a new strategy to simulate the Eu, Gd, and Sm L3-edge XANES and thereby determine the local atomic structure of the luminescence RE3+ ß-diketonate complexes, [Eu(tta)3(H2O)2], [C4mim][Eu(dbm)4], [Gd(tta)3(H2O)2], and [Sm(dbm)3(phen)] (tta, 3-thenoyltrifluoroacetonate; dbm, dibenzoylmethane; phen, phenanthroline; and C4mim, 1-butyl-3-methylimidazolium bromide). Continuous Cauchy wavelet transform validated the PyFitIt calculated XANES by visualizing very efficiently the coordination geometries, composed of O and O/N backscatterers around the RE3+ (RE = Eu and Gd) and Sm3+ ions, respectively, as a pinkish-red color map in the two-dimensional images of the corresponding complexes. Extended X-ray absorption fine structure fit in Artemis also corroborated the three-dimensional structures generated by PyFitIt XANES simulation for all the compounds. Though, relatively slightly higher bond distance values for the Sm3+ complex are due to the higher atomic radius of the Sm3+ ion when compared to the Eu3+ and Gd3+ complexes. Meanwhile, higher Debye-Waller factor (σ2) values for the [C4mim][Eu(dbm)4] when compared to the [Eu(tta)3(H2O)2] indicated the structure disorder, owing to the distortion in the local geometry. It is noteworthy that the optical properties, described mainly by the Ωλ (λ = 2 and 4) 4f-4f intensity parameters, are very sensitive to the local coordination environment around the Eu3+ ion. Thus, a close agreement between the experimental and theoretically calculated Ωλ parameter values confirmed that the PyFitIt calculated square antiprismatic structures are precisely similar to the real structures of the Eu3+ complexes.

5.
J Synchrotron Radiat ; 29(Pt 4): 1107-1113, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-35787578

RESUMO

XAFS/XRF is a general-purpose absorption spectroscopy beamline at the Synchrotron-light for Experimental Science and Applications in the Middle East (SESAME), Jordan. Herein, its optical layout is presented along with its powerful capabilities in collecting absorption and fluorescence spectra within a wide energy range (4.7-30 keV). The beamline is equipped with a conventional fixed-exit double-crystal monochromator that allows the collection of an X-ray absorption spectrum within a few minutes in step-by-step mode. An on-the-fly scanning mode will be implemented shortly where the acquisition time will be reduced to less than a minute per scan. The full automation of the beamline allows performing successive measurements under different conditions. The different experimental setups and special features available to users are reported. Examples of XRF and XAFS measurements are presented, showing the performance of the beamline under different standard conditions.


Assuntos
Eletrônica , Síncrotrons , Oriente Médio , Raios X
6.
RSC Adv ; 12(24): 15564-15574, 2022 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-35685173

RESUMO

The goal of this work was to synthesize new cerium oxide-based nano-additives to minimise emissions from spark ignition (SI) engines fueled with gasoline blends, such as carbon monoxide (CO), unburned hydrocarbons (HC) and oxides of nitrogen (NO x ). To investigate the effect of transition metal dopants on their respective catalytic oxidation activity, nano-sized CeO2 catalysts co-doped with Mn, Fe, Cu and Ag ions were successfully produced by a simple hydrothermal technique. The synthesis of nano-catalysts with cubic fluorite geometry was confirmed by XRD data. The addition of transition metal ions to the CeO2 lattice increased the concentration of structural defects like oxygen vacancies and Ce3+ ions, which are advantageous for the catalytic oxidation reaction, as also supported by XAFS and RAMAN analysis. Further, nano-gasoline fuel emission parameters are measured and compared to straight gasoline fuel. The results demonstrated that harmful exhaust pollutants such as CO, HC and NO x were significantly reduced. The high surface area, better redox characteristics and presence of additional oxygen vacancy sites or Ce3+ ions have been linked to the improved catalytic performance of the synthesized catalyst.

7.
Chemosphere ; 278: 130421, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33839394

RESUMO

Graphene oxide (GO) is a promising and strategic carbon-based nanomaterial for innovative and disruptive technologies. It is therefore essential to address its environmental health and safety aspects. In this work, we evaluated the chemical degradation of graphene oxide by sodium hypochlorite (NaClO, bleach water) and its consequences over toxicity, on the nematode Caenorhabditis elegans. The morphological, chemical, and structural properties of GO and its degraded product, termed NaClO-GO, were characterized, exploring an integrated approach. After the chemical degradation of GO at room temperature, its flake size was reduced from 156 to 29 nm, while NaClO-GO showed changes in UV-vis absorption, and an increase in the amount of oxygenated surface groups, which dramatically improved its colloidal stability in moderately hard reconstituted water (EPA medium). Acute and chronic exposure endpoints (survival, growth, fertility, and reproduction) were monitored to evaluate material toxicities. NaClO-GO presented lower toxicity at all endpoints. For example, an increase of over 100% in nematode survival was verified for the degraded material when compared to GO at 10 mg L-1. Additionally, enhanced dark-field hyperspectral microscopy confirmed the oral uptake of both materials by C. elegans. Finally, this work represents a new contribution toward a better understanding of the links between the transformation of graphene-based materials and nanotoxicity effects (mitigation), which is mandatory for the safety improvements that are required to maximize nanotechnological benefits to society.


Assuntos
Grafite , Nanoestruturas , Animais , Caenorhabditis elegans , Grafite/toxicidade , Nanoestruturas/toxicidade , Óxidos/toxicidade , Hipoclorito de Sódio/toxicidade
8.
Ecotoxicol Environ Saf ; 209: 111776, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33341698

RESUMO

This work reports an integrated nanosafety study including the synthesis and characterization of the graphene oxide-silver nanoparticle hybrid material (GO-AgNPs) and its nano-ecotoxicity evaluation in the zebrafish embryo model. The influences of natural organic matter (NOM) and a chorion embryo membrane were considered in this study, looking towards more environmentally realistic scenarios and standardized nanotoxicity testing. The nanohybrid was successfully synthesized using the NaBH4 aqueous method, and AgNPs (~ 5.8 nm) were evenly distributed over the GO surface. GO-AgNPs showed a dose-response acute toxicity: the LC50 was 1.5 mg L-1 for chorionated embryos. The removal of chorion, however, increased this toxic effect by 50%. Furthermore, the presence of NOM mitigated mortality, and LC50 for GO-AgNPs changed respectively from 2.3 to 1.2 mg L-1 for chorionated and de-chorionated embryos. Raman spectroscopy confirmed the ingestion of GO by embryos; but without displaying acute toxicity up to 100 mg L-1, indicating that the silver drove toxicity down. Additionally, it was observed that silver nanoparticle dissolution has a minimal effect on these observed toxicity results. Finally, understanding the influence of chorion membranes and NOM is a critical step towards the standardization of testing for zebrafish embryo toxicity in safety assessments and regulatory issues.


Assuntos
Embrião não Mamífero/efeitos dos fármacos , Grafite/química , Nanopartículas Metálicas/toxicidade , Prata/toxicidade , Poluentes Químicos da Água/toxicidade , Peixe-Zebra/embriologia , Animais , Nanopartículas Metálicas/química , Óxidos , Prata/química , Compostos de Prata , Poluentes Químicos da Água/química
9.
Nanomaterials (Basel) ; 10(10)2020 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-33003330

RESUMO

In this work, we evaluated the effect of protein corona formation on graphene oxide (GO) mixture toxicity testing (i.e., co-exposure) using the Daphnia magna model and assessing acute toxicity determined as immobilisation. Cadmium (Cd2+) and bovine serum albumin (BSA) were selected as co-pollutant and protein model system, respectively. Albumin corona formation on GO dramatically increased its colloidal stability (ca. 60%) and Cd2+ adsorption capacity (ca. 4.5 times) in reconstituted water (Daphnia medium). The acute toxicity values (48 h-EC50) observed were 0.18 mg L-1 for Cd2+-only and 0.29 and 0.61 mg L-1 following co-exposure of Cd2+ with GO and BSA@GO materials, respectively, at a fixed non-toxic concentration of 1.0 mg L-1. After coronation of GO with BSA, a reduction in cadmium toxicity of 110 % and 238% was achieved when compared to bare GO and Cd2+-only, respectively. Integration of datasets associated with graphene-based materials, heavy metals and mixture toxicity is essential to enable re-use of the data and facilitate nanoinformatics approaches for design of safer nanomaterials for water quality monitoring and remediation technologies. Hence, all data from this work were annotated and integrated into the NanoCommons Knowledge Base, connecting the experimental data to nanoinformatics platforms under the FAIR data principles and making them interoperable with similar datasets.

10.
Phys Rev Lett ; 124(9): 091101, 2020 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-32202874

RESUMO

We report the observation of radar echoes from the ionization trails of high-energy particle cascades. Data were taken at the SLAC National Accelerator Laboratory, where the full electron beam (∼10^{9} e^{-} at ∼10 GeV/e^{-}) was directed into a plastic target to simulate an ultrahigh-energy neutrino interaction. The target was interrogated with radio waves, and coherent radio reflections from the cascades were detected with properties consistent with theoretical expectations. This is the first definitive observation of radar echoes from high-energy particle cascades, which may lead to a viable neutrino detection technology for energies ≳10^{16} eV.

11.
ACS Appl Nano Mater, v. 3, n. 10, 10399-10410, set. 2020
Artigo em Inglês | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP | ID: bud-3377

RESUMO

The biocompatibility, bionanointeraction, uptake efficiency, and entry pathway of luminescent nanomaterials are the key factors to understand development of an efficient bionanoprobe. The foremost objective of this work is to explore the potential of 3-mercaptopropionic acid (3-MPA) capped ZnSe:xMn2+ (x = 5, 10, and 15 mol %) quantum dots (QDs) for the development of bionanoprobe used in future biological and clinical applications. For this purpose, highly intense orange-emitting activator Mn2+ ion doped ZnSe QDs were synthesized via a high-temperature organometallic method and rendered water-soluble by a ligand exchange approach. The morphological and physicochemical characterizations displayed the ultrasmall zinc-blend cubic crystal structure of QDs with an elliptical shape nanocrystals and average diameter of 4 nm. The luminescent nanomaterials exhibited orange emission centered at 584 nm under excitation at 385 nm. The biocompatibility, time-dependent cellular uptake, and the uptake mechanism of QDs were studied in RAW 264.7 macrophages, accomplished by various cytotoxicity assays, CytoViva hyperspectral enhanced dark-field and dual-mode fluorescence (DMF) microscopy, and transmission electron microscopy (TEM) images. The cytotoxicity study did not confirm any noticeable deleterious effect of QDs within incubation for 6 h. The fluorescence images of cells incubated with QDs showed efficient emission, which is a manifestation that QDs are photochemically stable in the intracellular environment. The cellular uptake findings demonstrated that the QDs were predominantly internalized via clathrin- and caveolae-mediated pathways. After the uptake, QDs aggregates appeared inside the vesicles in the cytoplasm, and their number and size gradually increased as a function of time. Nevertheless, the fluorescent QDs presented remarkable colloidal stability in various media, biocompatibility within the designated time, efficient time-dependent uptake, and distinct entry pathway in RAW macrophages, suggesting promising candidates to explore for the development of future bionanoprobes.

12.
Ecotoxicol Environ Saf ; 165: 136-143, 2018 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-30195205

RESUMO

The increasing production and use of nanomaterials is causing serious concerns about their safety to human and environmental health. However, the applications of titanium dioxide nanoparticles (TiO2NP) and multiwalled carbon nanotubes (MWCNT) hybrids has grown considerably, due to their enhanced photocatalytic efficiency. To our knowledge, there are no reports available to the scientific community about their toxicity. In this work, we perform a toxicity assessment of TiO2NP and TiO2-MWCNT nanohybrid materials using Zebrafish embryos standardized 96 h early life stage assay, under different exposure conditions (with and without UV light exposure). After exposure the parameters assessed were acute toxicity, hatching rate, growth, yolk sac size, and sarcomere length. In addition, µ-probe X-ray fluorescence spectroscopy (µ-XRF) was employed to observe if nanoparticles were uptaken by zebrafish embryos and consequently accumulated in their organisms. Neither TiO2NP nor TiO2-MWCNT nanohybrids presented acute toxicity to the zebrafish embryos. Moreover, TiO2NP presents sublethal effects for total length (with and without UV light exposure) on the embryos. This work contributes to the understanding of the potential adverse effects of the emerging nanohybrid materials towards safe innovation approaches in nanotechnology.


Assuntos
Embrião não Mamífero/efeitos dos fármacos , Nanopartículas/toxicidade , Nanotubos de Carbono/toxicidade , Titânio/toxicidade , Peixe-Zebra/crescimento & desenvolvimento , Animais , Humanos , Nanotecnologia , Processos Fotoquímicos , Sarcômeros/efeitos dos fármacos , Espectrometria por Raios X , Raios Ultravioleta , Peixe-Zebra/embriologia
13.
Inorg Chem ; 53(24): 12902-10, 2014 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-25475194

RESUMO

The design of bifunctional magnetic luminescent nanomaterials containing Fe3O4 functionalized with rare earth ion complexes of calixarene and ß-diketonate ligands is reported. Their preparation is accessible through a facile one-pot method. These novel Fe3O4@calix-Eu(TTA) (TTA = thenoyltrifluoroacetonate) and Fe3O4@calix-Tb(ACAC) (ACAC = acetylacetonate) magnetic luminescent nanomaterials show interesting superparamagnetic and photonic properties. The magnetic properties (M-H and ZFC/FC measurements) at temperatures of 5 and 300 K were explored to investigate the extent of coating and the crystallinity effect on the saturation magnetization values and blocking temperatures. Even though magnetite is a strong luminescence quencher, the coating of the Fe3O4 nanoparticles with synthetically functionalized rare earth complexes has overcome this difficulty. The intramolecular energy transfer from the T1 excited triplet states of TTA and ACAC ligands to the emitting levels of Eu(3+) and Tb(3+) in the nanomaterials and emission efficiencies are presented and discussed, as well as the structural conclusions from the values of the 4f-4f intensity parameters in the case of the Eu(3+) ion. These novel nanomaterials may act as the emitting layer for the red and green light for magnetic light-converting molecular devices (MLCMDs).

15.
Virol J ; 8: 440, 2011 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-21923956

RESUMO

Avian Adeno viruses and Chicken Anemia Viruses cause serious economic losses to the poultry industry of Pakistan each year. Timely and efficient diagnosis of the viruses is needed in order to practice prevention and control strategies. In the first part of this study, we investigated broilers, breeder and Layer stocks for morbidity and mortality rates due to AAV and CAV infections and any co-infections by examining signs and symptoms typical of their infestation or post mortem examination. In the second part of the study, we developed a duplex PCR assay for the detection of AAV and CAV which is capable to simultaneously detect both the viral types prevalent in Pakistan with high sensitivity and 100% specificity.


Assuntos
Infecções por Adenoviridae/diagnóstico , Aviadenovirus/genética , Vírus da Anemia da Galinha/genética , Galinhas/virologia , Infecções por Circoviridae/diagnóstico , DNA Viral/análise , Reação em Cadeia da Polimerase Multiplex/métodos , Doenças das Aves Domésticas/diagnóstico , Infecções por Adenoviridae/epidemiologia , Infecções por Adenoviridae/veterinária , Infecções por Adenoviridae/virologia , Animais , Medula Óssea/química , Infecções por Circoviridae/epidemiologia , Infecções por Circoviridae/veterinária , Infecções por Circoviridae/virologia , Coinfecção , Paquistão , Doenças das Aves Domésticas/epidemiologia , Doenças das Aves Domésticas/virologia , Prevalência , Sensibilidade e Especificidade , Timo/química
16.
Virol J ; 8: 296, 2011 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-21663685

RESUMO

Hepatitis C is an infectious disease, caused by blood borne pathogen; the Hepatitis C Virus. In this study we analyzed blood samples collected from various risk groups for the prevalence of anti-HCV and active HCV infection with the help of Immunochromtographic tests and nested PCR. The prevalence of active HCV infection among the high risk groups was 15.57% (26/167). The prevalence of HCV in individual risk groups was 15%, 28%, 8%, 14.28% and 14.28% in the case of thalassemics, dialysis, major surgery group, dental surgery group and injection drug users respectively. Our analysis reveals the fact that health care facilities in the Khyber Pakhtunkhwa province of Pakistan are contributing a great deal towards the spread of HCV infection.


Assuntos
Infecção Hospitalar/epidemiologia , Hepacivirus/isolamento & purificação , Hepatite C/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Infecção Hospitalar/virologia , Feminino , Hepacivirus/genética , Hepacivirus/imunologia , Hepatite C/virologia , Anticorpos Anti-Hepatite C/sangue , Humanos , Imunoensaio/métodos , Masculino , Pessoa de Meia-Idade , Paquistão/epidemiologia , Reação em Cadeia da Polimerase/métodos , Prevalência , RNA Viral/sangue , Adulto Jovem
17.
Virol J ; 8: 154, 2011 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-21457531

RESUMO

Hepatitis C is a fatal liver disease caused by the hepatitis C virus. In this study, blood donors, from various districts of the KPK province and the federally administered tribal area (FATA) of Pakistan were tested for anti-HCV antibodies and HCV RNA by ICT (Immuno-chromatographic test), ELISA and RT-PCR. Out of the 7148 blood donors, 224 (3.13%) were positive for anti-HCV antibodies by ICT, 135 (1.89%) by ELISA while 118 (1.65%) blood donors had active HCV infection as detected by RT-PCR. We suggest that ELISA should be used for anti-HCV screening in public sector hospitals and health care units.


Assuntos
Doadores de Sangue/estatística & dados numéricos , Hepacivirus/isolamento & purificação , Anticorpos Anti-Hepatite C/sangue , Hepatite C/epidemiologia , Hepatite C/virologia , Programas de Rastreamento/métodos , Hepacivirus/genética , Hepacivirus/imunologia , Hepatite C/sangue , Hepatite C/diagnóstico , Anticorpos Anti-Hepatite C/imunologia , Humanos , Paquistão/epidemiologia , Prevalência
19.
Bone Marrow Transplant ; 34(2): 169-74, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15235578

RESUMO

Although pediatric stem cell transplantation is associated with elevated risks for quality-of-life (QOL) deficits, morbidity, and late effects, little is known about how supportive care needs are addressed across different pediatric centers. This study examined practice patterns among centers enrolled in the Pediatric Blood and Marrow Transplant Consortium. In all, 65 centers (response rate=82.2%) were surveyed regarding QOL screening, psychosocial intervention services, and long-term follow-up care. Approximately 80% of centers provided routine screening for psychological difficulties and pain. A smaller number screened for fatigue (69.2%), cognitive deficits (52.3%), sleep difficulties (60.0%) or spiritual concerns (38.5%). Screening was conducted predominantly via interview; little use was made of standardized measures. Community-based centers screened some deficits more frequently than did academic ones (all P's

Assuntos
Instalações de Saúde/normas , Transplante de Células-Tronco Hematopoéticas/psicologia , Apoio Social , Adolescente , Adulto , Criança , Coleta de Dados , Atenção à Saúde/normas , Atenção à Saúde/estatística & dados numéricos , Seguimentos , Instalações de Saúde/estatística & dados numéricos , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Transplante de Células-Tronco Hematopoéticas/estatística & dados numéricos , Humanos , Programas de Rastreamento/estatística & dados numéricos , Transtornos Mentais/diagnóstico , Transtornos Mentais/etiologia , Transtornos Mentais/terapia , Dor/diagnóstico , Dor/etiologia , Manejo da Dor , Pediatria/normas , Qualidade de Vida/psicologia
20.
Bone Marrow Transplant ; 33(9): 955-62, 2004 May.
Artigo em Inglês | MEDLINE | ID: mdl-15034542

RESUMO

Stem cell transplantation has assumed a prominent place in the treatment of multiple myeloma, but relative to patients with other malignancies there is surprisingly little information about the adjustment difficulties and quality-of-life changes that these patients experience. This study examined psychosocial and functional deficits among myeloma patients assessed at a uniform period during their initial diagnostic evaluation, prior to beginning protocols at a transplant center. Validated self-report measures and clinician rating scales were used to assess 213 patients. Outcomes evaluated included emotional distress (Hospital Anxiety and Depression Scale, Brief Symptom Inventory), depression (Hamilton Depression Rating Scale), physical functioning, pain, and energy (SF-12). A significant proportion of patients experienced compromised psychosocial and physical functioning. Roughly one-third reported clinically elevated levels of distress, anxiety, and depression. In all, 59% scored below age-adjusted norms for daily physical functioning, 58% reported at least moderate levels of pain, and over 80% noted at least moderate fatigue. Clinical and demographic correlates of these outcomes were examined. These findings are among the first to characterize quality-of-life outcomes among myeloma patients in the transplant setting, and indicate that many patients experience considerable supportive care needs even prior to beginning aggressive regimens. Results highlight the importance of early screening.


Assuntos
Mieloma Múltiplo/psicologia , Mieloma Múltiplo/terapia , Transplante de Células-Tronco/métodos , Transplante Autólogo/métodos , Adaptação Psicológica , Adulto , Idoso , Idoso de 80 Anos ou mais , Depressão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Transplante de Células-Tronco/psicologia , Estresse Psicológico , Transplante Autólogo/psicologia , Resultado do Tratamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...