Impact of a Short Educational Session on Early Diagnosis and Management of Acute Kidney Injury for Different Specialties.

AIM AND OBJECTIVE: This questionnaire study aimed to evaluate the impact of a short educational session on the early diagnosis and management of acute kidney injury (AKI) among doctors specializing in fields other than nephrology, assessed through pre- and post-test scores. This educational study included resident doctors from various specialties for assessment. MATERIALS AND METHODS: The study enrolled different specialty resident doctors' departments and assessed them through questionnaires and assessment scores. The pre-test questionnaires were first distributed and collected after 20 minutes. This was followed by a 30-minute short educational lecture on AKI by the nephrology faculty about its early diagnosis and management as per the Kidney Disease Improving Global Outcomes guidelines. Immediately post continuing medical education, the same questionnaires were distributed along with feedback forms and collected after 10 minutes. RESULTS: A total of 110 residents participated in the study. All participants showed significant improvement in the post-lecture questionnaires compared to pre-lecture scores. For medicine and allied branch residents, the pre- and post-lecture scores were significantly higher than those of the surgical and allied branch residents. The lowest score was observed in residents of orthopedics. The improvement scores of all departments also showed significant differences. The highest improvement was seen in the department of gynecology, followed by residents of the critical care unit and the department of anesthesia. The residents of those departments with high pre- and post-test scores had lower improvement scores. CONCLUSION: The study found a significant knowledge gap in different sister specialties in diagnosing and managing AKI. Short educational sessions showed significant improvement in AKI understanding by addressing the knowledge gaps.

TiO2 supported cobalt oxide for olefin epoxidation reaction - characterization, catalytic activities and mechanism - using a DFT model.

Metal oxide catalysts are known to trigger C-H bond activation selectively, indicating their suitability for olefin epoxidation. Nano-structured Co3O4 supported on TiO2 was prepared for selective epoxidation of a number of olefins under optimized reaction conditions. An appropriate synthetic procedure yielded a catalytic material (Co-Ti (NP)HT) with desired crystal size and interface conditions. Incorporation of Co into the Ti matrix resulted in an enhancement in the specific surface of Ti-Co nanoparticles (77.93 m2 g-1). XPS measurements evaluated the surface cobalt atom concentration (5.77%) in Ti-Co(NP)HT, indicating more dispersion of cobalt oxide species. Catalytic application of the material, using various olefins (under optimized reaction conditions) shows higher conversion (>85%) in a 6-h time interval. The substrate : oxidant (H2O2) concentration in an optimized molar ratio of 1 : 2 shows high olefin conversion for the formation of olefin oxide. The reactivity of olefins was found to be in the order: cyclohexene > methylstyrene > styrene > chlorostyrene > p-nitrostyrene. A DFT model compared the HOMO-LUMO energies of styrene and its substituted forms. The reusability of Ti-Co (NP)HT tested up to four continuous cycles of batch operations indicates a negligible loss (0.25-0.30%) of catalytic activity.

Practical utility of liver segmentation methods in clinical surgeries and interventions.

Clinical imaging (e.g., magnetic resonance imaging and computed tomography) is a crucial adjunct for clinicians, aiding in the diagnosis of diseases and planning of appropriate interventions. This is especially true in malignant conditions such as hepatocellular carcinoma (HCC), where image segmentation (such as accurate delineation of liver and tumor) is the preliminary step taken by the clinicians to optimize diagnosis, staging, and treatment planning and intervention (e.g., transplantation, surgical resection, radiotherapy, PVE, embolization, etc). Thus, segmentation methods could potentially impact the diagnosis and treatment outcomes. This paper comprehensively reviews the literature (during the year 2012-2021) for relevant segmentation methods and proposes a broad categorization based on their clinical utility (i.e., surgical and radiological interventions) in HCC. The categorization is based on the parameters such as precision, accuracy, and automation.