EDX Findings Research Articles

Most Carpal Tunnel Releases Address Moderate or Severe Median Neuropathy.

The role of surgery in normal or very mild median neuropathy can be questioned given that surgery in the absence of pathophysiology may offer only nonspecific effects that can be achieved without surgery, which raises ethical concerns. It's also important to avoid misdiagnosis: given that mild median neuropathy is prevalent and generally well-accommodated, notable symptoms from mild median neuropathy can signal unhelpful thoughts and feelings of distress that are a more pressing health priority. We identified 38 studies that categorized electrodiagnostic (EDX) measured median neuropathy severity among people being evaluated for carpal tunnel syndrome. We converted the different EDX grades used into one general grading classification. The Kruskal-Wallis test was used to compare the ratio of moderate/severe to mild/normal EDX findings between tests ordered by a surgeon or a nonoperative clinician. The median (interquartile range) ratio of moderate/severe to mild/normal EDX findings of median neuropathy at the carpal tunnel was 1.2 (0.91 to 1.8) among tests ordered by nonoperative clinicians and 3.3 (1.5 to 5.3) among tests ordered by surgeons (P = .0023). Only 4.1% of the patients who had EDX testing ordered by a surgeon had no measurable neuropathy. There were zero patients with normal EDX findings in 10 of the 17 (59%) studies in surgeon practices and in 10 of the 21 (48%) in the practices of nonoperative clinicians. The observation that in case series documenting EDX severities of median neuropathy, surgeons are mostly treating and operating on moderate to severe pathophysiology, emphasizes that while mild median neuropathy is highly prevalent it is uncommonly considered for surgery. Level II, Prognostic study.

Structural and Electrochemical Properties of Binary ZnO:Al Nanocomposites as Anode for Lithium-ion Batteries

In conventional lithium-ion batteries (LIBs), carbon compounds are commonly utilised as the anode owing to their great performance, low cost, and abundance. However, due to the limited storage capability of pure carbon materials that restrict further improvement of LIBs, zinc oxide (ZnO) has been one of the promising anode materials to be used as an alternative to strengthen the electrochemical performance of LIBs due to its high theoretical capacity of 987 mAh g-1. This study aims to synthesise ZnO:Al nanowires using the hot-tube thermal evaporation method. Three types of samples are made using this method by varying the concentration of 0 wt% (S1), 3wt% (S2), and 6 wt% (S3) of aluminium (Al) during the Al deposition process. The EDX findings indicated that the sample has a high proportion of zinc (Zn) and oxygen (O), with the S3 sample having the highest Al concentration after being deposited. The most substantial diffraction peak for XRD of all samples was found at (101), exhibiting a single crystalline hexagonal structure with optimum growth direction on the c-axis. For EIS analysis, the S3 sample has the lowest bulk resistance and maximum ionic conductivity. In conclusion, the ZnO sample with 3 wt% of Al as a dopant was selected as the optimum result to synthesise a homogenous surface of ZnO:Al with good crystallinity by using a hot-tube thermal evaporation process and giving the best conductivity in electrochemical performance.

Electrodiagnostic Confirmation of Lumbar Radiculopathy and Its Association With Lumbar Central Canal Stenosis and Neuroforaminal Stenosis.

Lumbar spinal stenosis (LSS) and lumbar neuroforaminal stenosis (LNS) are common diagnoses that plague patients with low back pain. Electrodiagnostic testing (EDX) can be used as an adjunct to investigate lower extremity radicular nerve pain and/or neurogenic claudication. However, there are only limited studies discussing the association of these diagnostic tools with radiculopathy. We investigate the association between EDX-confirmed radiculopathy and the degree of LSS and LNS found on MRI. A retrospective cohort study of patients presenting to an outpatient pain medicine clinic who had a documented EDX and lumbar MRI. We used a Pearson chi-square test to compare the severity of radiographic LSS/LNS with EDX data. The data were fit to a multivariable logistic regression model. There were not any statistically significant correlations when comparing EDX evidence of radiculopathy and LSS (p = 0.50), LSS severity (p = 0.54), LNS (p = 0.69), or LNS severity (p = 0.11). We found no significant associations between LSS/LNS severity and EDX findings. The presence and degree of severity of LSS/LNS on MRI were not reliable predictors of EDX findings.

Factors correlating with positive electrodiagnostic findings for neurogenic thoracic outlet syndrome

IntroductionDiagnosis of neurogenic thoracic outlet syndrome (nTOS) remains a challenge. The role of electrodiagnostic studies (EDX) in the workup of nTOS remains controversial. The aim of this study was to report EDX findings in a cohort of patients undergoing surgery for nTOS and also analyse patient related and intraoperative factors associated with positive EDX findings supportive of a diagnosis of NTOS. MethodsBaseline characteristics of patients including age, sex, duration of symptoms, type of nTOS, and pattern of brachial plexus involvement were gathered and analysed. All patients received a preoperative EDX evaluation and were divided into two groups based on positive or negative EDX results for comparison. ResultsA total of 30 consecutive patients were included in this study comprising 11 (36.7%) male and 19 (63.3%) female patients, with a mean age of 44.6 ± 17.6 years. When classified by type of nTOS, 22 (73.3%) patients had type 1 nTOS with muscle weakness and atrophy, followed by 7 (23.4%) patients with type 3, and one (3.3%) patient with type 2 nTOS. In terms of the pattern of nTOS, 26 (86.7%) patients had lower plexus pattern of involvement (C8-T1), followed by 17 (56.7%) with upper-middle plexus pattern (C6-C7), and 13 (43.3%) with upper plexus pattern (C5-dorsal scapular nerve (DSN)). When comparing the characteristics of patients with positive and negative EDX findings suggestive of nTOS, only older age and type 1 nTOS (P<0.05) were significantly associated with positive EDX findings. ConclusionsEDX assessment, at this point in time, may not be the best modality for diagnosis of nTOS. Interindividual variation in findings reported by different clinicians performing the EDX remains a significant limiting factor. Older patients and those with more severe nTOS (type 1) are more likely to have positive results with EDX.

Adsorption characteristics and applications of andesite in removing some pollutants from wastewater

Andesite was employed to effectively extract mercury(II) in an aqueous solution. After evaluating its characteristics, andesite was characterized by applying modern techniques such as BET and TGA methods. The study employed SEM and TEM measurements to analyze the variation in the surface shape and crystallinity of the metal due to adsorption. Using the EDX process, the chemical composition, weight, and atomic percentage of each element of andesite were determined. FTIR techniques were also used to confirm the TEM–EDX findings. Zeta potential was estimated. Cycles of regeneration and desorption have been examined. 99.03% was the highest uptake percentage. Adsorbent quantity (0.0025–0.05) g/L, contact time (5–60) min, pH (2–10), temperature (25–60) °C, and dose (0.0027, 0.0044, 0.0125, 0.0155, and 0.0399) mg/L all affect the amount of removal that increases with the increase in contact time, pH, dose, and temperature but drops as the metal ion concentration rises. The ideal values for contact time, pH, metal ion concentration, dose, and temperature were found to be, respectively, 30 min, 0.0155 mg/l, 0.02 g/l, and 40 °C. The calculation of thermodynamic parameters, including ΔH, ΔG, and ΔS, was imperative in establishing that the mechanism of heavy metal adsorption on andesite was endothermic, exhibiting a physical nature that escalated with temperature rise. The Freundlich adsorption equation's linear form is matched by the adsorption of mercury(II) on andesite; constant n was 1.85, 1.06, 1.1, and 1.1, whereas the Langmuir constant qm was found to be 1.85, 2.41, 3.54, and 2.28 mg/g at 25–60 °C. Furthermore, adsorption follows a pseudo-second-order rate constant of (3.08, 3.24, 3.24, and 13) g/mg/min under identical temperature conditions, as opposed to a first-order rate constant of 4, 3, 2.6, and 2. Hg2+, NH4+, Cl−, Br−, NO3−, SO42−, Na+, K+, H2S, and CH3SH were all extracted from wastewater by this application.

Comparison of Magnetic Resonance Imaging with Electrodiagnosis in the Evaluation of Clinical Suspicion of Lumbosacral Radiculopathy.

(1) Background: The diagnosis of lumbosacral radiculopathy involves anamnesis, an assessment of sensitivity and strength, diagnostic imaging-usually magnetic resonance imaging (MRI)-and electrodiagnostic testing (EDX), typically electromyography (EMG), and electroneurography (ENG). MRI evaluates the structures supporting the spinal cord, while EDX evaluates root functionality. The present study aimed to analyze the concordance of MRI and EDX findings in patients with clinically suspected radiculopathy. Additionally, we investigated the comparison between these two reference tests and various clinical variables and questionnaires. (2) Methods: We designed a prospective epidemiological study of consecutive cases with an observational, descriptive, cross-sectional, and double-blind nature following the STROBE guidelines, encompassing 142 patients with clinical suspicion of lumbosacral radiculopathy. (3) Results: Of the sample, 58.5% tested positive for radiculopathy using EDX as the reference test, while 45.8% tested positive using MRI. The comparison between MRI and EDX in the diagnosis of radiculopathy in patients with clinical suspicion was not significant; the overall agreement was 40.8%. Only the years with symptoms were comparatively significant between the positive and negative radiculopathy groups as determined by EDX. (4) Conclusion: The comparison between lumbar radiculopathy diagnoses in patients with clinically suspected pathology using MRI and EDX as diagnostic modalities did not yield statistically significant findings. MRI and EDX are complementary tests assessing different aspects in patients with suspected radiculopathy; degeneration of the structures supporting the spinal cord does not necessarily imply root dysfunction.

Diagnostic efficiency of conventional ultrasound, shear wave elastography, and superb microvascular imaging in evaluating ulnar neuropathy at the elbow.

The current diagnosis of ulnar neuropathy at the elbow (UNE) relies mainly on the clinical presentation and nerve electrodiagnostic (EDX) testing, which can be uncomfortable and yield false negatives. The aim of this study was to investigate the diagnostic value of conventional ultrasound, shear wave elastography (SWE), and superb microvascular imaging (SMI) in diagnosing UNE. We enrolled 40 patients (48 elbows) with UNE and 48 healthy volunteers (48 elbows). The patients were categorized as having mild, moderate or severe UNE based on the findings of EDX testing. The cross-sectional area (CSA) was measured using conventional ultrasound. Ulnar nerve (UN) shear wave velocity (SWV) and SMI were performed in a longitudinal plane. Based on the EDX findings, UNE severity was graded as mild in 4, moderate in 10, and severe in 34. The patient group showed increased ulnar nerve CSA and stiffness at the site of maximal enlargement (CSA mean at the site of max enlargement [CSAmax] and SWV mean at the site of max enlargement [SWVmax]), ulnar nerve CSA ratio, and stiffness ratio (elbow-to-upper arm), compared with the control group (p < .001). Furthermore, the severe UNE group showed higher ulnar nerve CSAmax and SWVmax compared with the mild and moderate UNE groups (p < .001). The cutoff values for diagnosis of UNE were 9.5 mm2 for CSAmax, 3.06 m/s for SWVmax, 2.00 for CSA ratio, 1.36 for stiffness ratio, and grade 1 for SMI. Our findings suggest that SWE and SMI are valuable diagnostic tools for the diagnosis and assessment of severity of UNE.

Sex Is a Better Predictor Than Preoperative Electrodiagnostic Findings for Outcomes After Common Peroneal Nerve Decompression for Compressive Neuropathy: A Retrospective Review

Background: There is increasing interest in the evaluation and management of compressive neuropathy of the common peroneal nerve (CPN). Purpose: We sought to determine demographic and electrodiagnostic predictors for resolution of symptoms after CPN decompression for compressive neuropathy. We hypothesized that severity of neuropathy (as measured by compound motor amplitudes and active or chronic denervation on electromyography) would be associated with symptom resolution after CPN decompression. Methods: We performed a retrospective review of patients who underwent CPN decompression and had preoperative electrodiagnostic (EDX) studies at a single institution from January 1, 2015, to April 30, 2023. We performed independent samples t-test and logistic regression to evaluate demographic and EDX study factors associated with symptom resolution. Results: Of the 44 patients identified, 33 reported resolution of preoperative symptoms, with no differences based on EDX findings. The likelihood of symptom resolution was significantly higher in men than women (OR = 10.62; 95% CI = 1.218, 92.677). Patient demographics were otherwise not predictive of symptom resolution. Conclusion: Three-quarters of our patients reported symptom resolution after CPN decompression for compressive neuropathy. While EDX studies were not predictive of outcomes, our findings suggest that sex-based factors may be contributing to outcomes. This deserves further investigation, as outcomes after surgery may be driven by preoperative characteristics such as surgeon counseling, patient expectations, or other biologic factors.

The utility of electrodiagnostic testing in unprovoked rhabdomyolysis in the era of next-generation sequencing.

Rhabdomyolysis is an etiologically heterogeneous, acute necrosis of myofibers characterized by transient marked creatine kinase (CK) elevation associated with myalgia, muscle edema, and/or weakness. The study aimed to determine the role of electrodiagnostic (EDX) testing relative to genetic testing and muscle biopsy in patients with unprovoked rhabdomyolysis in identifying an underlying myopathy. EDX database was reviewed to identify unprovoked rhabdomyolysis patients who underwent EDX testing between January 2012 and January 2022. Each patient's clinical profile, EDX findings, muscle pathology, laboratory, and genetic testing results were analyzed. Of 66 patients identified, 32 had myopathic electromyography (EMG). Muscle biopsy and genetic testing were performed in 41 and 37 patients, respectively. A definitive diagnosis was achieved in 15 patients (11 myopathic EMG and 4 nonmyopathic EMG; p = .04) based on abnormal muscle biopsy (4/11 patients) or genetic testing (12/12 patients, encompassing 5 patients with normal muscle biopsy and 3 patients with nonmyopathic EMG). These included seven metabolic and eight nonmetabolic myopathies (five muscular dystrophies and three ryanodine receptor 1 [RYR1]-myopathies). Patients were more likely to have baseline weakness (p < .01), elevated baseline CK (p < .01), and nonmetabolic myopathies (p = .03) when myopathic EMG was identified. Myopathic EMG occurred in approximately half of patients with unprovoked rhabdomyolysis, more likely in patients with weakness and elevated CK at baseline. Although patients with myopathic EMG were more likely to have nonmetabolic myopathies, nonmyopathic EMG did not exclude myopathy, and genetic testing was primarily helpful to identify an underlying myopathy. Genetic testing should likely be first-tier diagnostic testing following unprovoked rhabdomyolysis.

Correlation between electrodiagnostic severity and Boston carpal tunnel questionnaire in surgically treated carpal tunnel syndrome patients.

The objectives of this study were to (1) investigate whether electrodiagnostic (EDX) findings reflect the preoperative symptom severity and functional impairment in patients with carpal tunnel syndrome (CTS) and (2) evaluate the relationship between EDX findings and the clinical outcomes reported according to the self-administered patient questionnaires. Patients diagnosed with idiopathic CTS who underwent carpal tunnel release between May 2016 and July 2018 were included. Carpal tunnel syndrome was clinically diagnosed and confirmed based on the EDX findings. The association between EDX findings, such as motor latency, motor amplitude, sensory latency, sensory amplitude, and severity (mild, moderate, and severe), and the Boston symptom and function scores were analyzed. The change in the Boston symptom and function scores from the preoperative baseline values (visit 1) to those recorded 1 year postoperatively (visit 5) was assessed. The effect of disease severity based on the EDX findings on the change in Boston symptom and function scores by visit was also investigated. The EDX severity, motor latency, motor amplitude, sensory latency, and sensory amplitude were not correlated with the Boston symptom and function scores preoperatively and postoperatively. Electrodiagnostic severity did not affect the improvement in the Boston symptom and function scores recorded at each visit. We found no association between the EDX severity and perioperative Boston questionnaire scores, and the degree of improvement in patient symptoms and function did not differ according to the CTS severity based on the EDX findings. Level IV, Prognostic study.

Gunshot-related nerve injuries of the upper extremities: clinical, electromyographic, and ultrasound features in 22 patients.

Gunshot wounds of the upper extremities may cause permanent neurovascular injuries, leading to significant morbidity, chronic pain, functional loss, and disability. While there are many reports on the incidence and intraoperative findings in gunshot-related nerve injuries (GSNI) sustained during wars, there is a paucity of details pertaining to GSNI of the upper extremities in civilians. The goal of this paper is to provide the clinical, electrodiagnostic (EDX), and ultrasound (US) findings in 22 patients with GSNI of the upper extremities. This is a retrospective study of patients referred for EDX studies to evaluate the presence of nerve injury after sustaining GSWs to the upper extremities. All patients underwent EDX studies, and 16 patients had US evaluations. Numerous metrics were documented including presenting symptoms, neurological abnormalities, EDX findings, and US features. The forearm was the most frequent location of injury (8 [36%] patients). The ulnar nerve was the most common injured nerve (10 [45%] patients), followed by the brachial plexus (7 [32%] patients). All patients complained of muscle weakness; the most frequently affected muscles were the first dorsal interosseous (FDI) (14 [64%] patients) and abductor pollicis brevis (APB) (11 [50%] patients). Muscle atrophy was noted in 19 (86%) patients, 15 of whom had atrophy of the FDI. Axonotmesis was the type of nerve injury in all patients based on EDX studies. Of the 16 patients who underwent US studies, a neuroma in continuity was noted in 4 (25%) patients and neurotmesis in 1 (6.2%) patient. Eleven (69%) patients had enlarged and/or hypoechoic nerves. Axonotmesis of the ulnar nerve was the most common finding among patients sustaining gunshot injuries to the upper extremities. EDX and US studies provide valuable insight into the underlying pathophysiology and guidance for management of patients with GSNI of the upper extremities.

Diagnosis of Ulnar Neuropathy at the Elbow Using Ultrasound — A Comparison to Electrophysiologic Studies

Given the relatively high false negative rate of electrodiagnostic studies (EDX) in patients with clinically diagnosed ulnar neuropathy at the elbow (UNE), we sought to determine whether an alternative objective test could more effectively detect UNE. Additionally, we proposed to determine the relationship between the cross-sectional area (CSA) of the ulnar nerve on ultrasound(US), EDX, and clinical symptoms. This was a retrospective study of patients presenting with symptomatic UNE. The performance characteristics of EDX versus ultrasound were calculated using the clinical diagnosis of UNE as the reference standard. Standard EDX studies and US of the ulnar nerve were analyzed. Maximal CSA of the ulnar nerve and EDX severity were analyzed for patients with each combination of US-positive/negative and EDX-positive/negative findings. Analysis was performed on 89 patients and 115 nerves with signs and symptoms of cubital tunnel syndrome. In total, 56 (49%) nerves were diagnosed as mild UNE, 32 (28%) nerves were diagnosed as moderate UNE, 17 (15%) nerves were diagnosed as severe UNE, and 10 (8%) nerves were negative for UNE by EDX. Maximal-maximal CSA was highly correlated with disease severity as determined by nerve conduction studies/electromyography. Compared with EDX+/US+, patients with EDX-/US+ showed higher rates of ulnar sensory loss and elbow tenderness with similar rates of positive Tinel and intrinsic muscle atrophy. In this sample of patients with clinically diagnosed UNE, 91.3% of the patients demonstrated positive EDX studies, whereas 94.8% had a positive US. Ultrasound is an alternative to EDX that could be incorporated clinically in the diagnosis and management of UNE. Ultrasound was able to consistently detect clinically positive cubital tunnel syndrome demonstrating its utility as a confirmatory or supplemental test to the clinical assessment if one is required. Ultrasound additionally may be able to better identify patients with early stages of UNE with negative EDX findings. Diagnostic IV.

Visible-light-driven TiO2@Fe2O3/Chitosan nanocomposite with promoted photodegradation of meropenem and imipenem antibiotics by peroxymonosulfate

ABSTRACT This study assessed wastewater treatment by visible-light/Peroxymonosulfate process using its linking with TiO2@Fe3O4 nanoparticles coated on chitosan. Meropenem and Imipenem photodegradation was evaluated as a model-resistant contaminant by TiO2@Fe2O3/chitosan nanocomposite. The synthesised TiO2@Fe2O3/chitosan was characterised using various techniques. Fe2O3 and TiO2 nanoparticles on the chitosan surface were affirmed via XRD, EDX, and FTIR findings. The FESEM and TEM results verified the deposition of TiO2@Fe2O3 on the chitosan surface. Under optimum circumstances (pH = 4, catalyst dosage = 0.5 g/L, antibiotics concentration = 25 mg/L reaction time = 30 min, and PMS = 2 mM), maximum degradation efficiency was obtained at about 95.64 and 93.9% for Meropenem and Imipenem, respectively. Also, the experiments demonstrated that TiO2@Fe2O3/chitosan had a better performance than photolysis and adsorption by catalyst without visible light irradiation in degrading antibiotics. The scavenger tests confirmed that , , , and h+ are present simultaneously during the pollutant photodegradation process. After five recovery cycles, the system eliminated over 80 percent of antibiotics. It suggested that the catalyst’s capacity to be reused may be cost-effective.

Sensitive and Selective Detection of Chloroform by Current-Voltage Using ZnO Nanorods Modified Electrode

The development of in situ chloroform detection is crucial due to the high risk of carcinogenic effects associated with chloroform exposure. In this study, an electrochemical-based chloroform sensor was fabricated using undoped ZnO nanorods on indium tin oxide (ZnONRs/ITO) electrode to detect chloroform in aqueous-phase samples. Based on the results, the FESEM imaging showed that the ZnONRs exhibited an evenly distributed circular structure with a diameter of 62-90 nm, while the EDX and XRD findings confirmed the presence of Zn and O elements deposited on the electrode surface. Furthermore, the phosphate buffer solution (PBS) solution significantly affected the performance of the modified electrode with an optimal concentration and pH of 0.1 M and pH 7. The results also highlighted the vital function of the modified ZnONRs/ITO electrode as an efficient electron mediator and its catalytic potential to induce chloroform oxidation. Most importantly, the modified ZnONRs/ITO electrode was able to detect the presence of chloroform in real seawater samples, where the repeatability and reproducibility tests achieved a Relative Standard Deviation (RSD) of 1.41% and 2.61%, respectively, indicating the exceptional performance of the modified electrode. Moreover, the modified ZnONRs/ITO electrode recorded a low limit of detection and high sensitivity of 1.50 µM and 2.11 µA/cm2·mM, respectively, within a 0.010-10 mM linear dynamic range. In conclusion, the current-voltage (I-V) method proved the reliable, satisfactory, and effective fabrication of the modified ZnONRs/ITO electrode for chloroform sensing in aqueous-phase samples, including in real seawater samples.

Etiological study of superficial radial nerve neuropathy: series of 34 patients.

Superficial radial nerve (SRN) neuropathy is a rare focal neuropathy leading to pain and paresthesia of the dorsolateral aspect of the hand. Reported causes include trauma, extrinsic compression, or it may be idiopathic. We describe the clinical and electrodiagnostic (EDX) features of 34 patients with SRN neuropathy of varied etiology. This is a retrospective study of patients with upper limb neuropathy referred for EDX studies who were found to have SRN neuropathy based on clinical and EDX findings. Twelve patients also had ultrasound (US) evaluations. Decreased pinprick sensation was noted in the distribution of the SRN in 31 (91%) patients, and a positive Tinel's sign was observed in 9 (26%). Sensory nerve action potentials (SNAPs) were not recordable in 11 (32%) patients. Of the patients who had a recordable SNAP, the latency was delayed, and the amplitude was decreased in all cases. Of the 12 patients who underwent US studies, 6 (50%) had an increased cross-sectional area of the SRN at or immediately proximal to the site of injury/compression. A cyst was located adjacent to the SRN in 2 patients. The most common cause of SRN neuropathy was trauma in 19 (56%) patients, of which 15 were iatrogenic. A compressive etiology was identified in 6 patients (18%). No specific etiology was detected in 10 patients (29%). This study is aimed at raising the awareness among surgeons about the clinical features and varied causes of SRN neuropathy; such knowledge may potentially lessen iatrogenic causes of injury.

Fabrication of Magnetic Fe3O4/Polypyrrole/Carbon Black Nanocomposite for Effective Uptake of Congo Red and Methylene Blue Dye: Adsorption Investigation and Mechanism

In most wastewater systems, the existence of more than one dye is a reality. Herein, mesoporous iron oxide/polypyrrole/carbon black (Fe3O4/PPy/C) nanocomposite with high saturation magnetization (45.2 emu/g) has been prepared by encapsulating very fine Fe3O4 nanoparticles (4–7 nm) in PPy/C for the first time. The superior adsorption performance of the developed Fe3O4/PPy/C nanocomposite for the removal of basic dye (methylene blue, MB) and acidic dye (Congo red, CR) has been studied in single and binary systems. XRD, FESEM, EDX, HRTEM, FT-IR, VSM, BET, and zeta potential analyses were used for adsorbent characterization. XRD, EDX, and FT-IR findings confirmed the successful inclusion of Fe3O4 into the polymer matrix. The XDR and HRTEM results revealed a significant reduction in the size of the grown Fe3O4 with the addition of PPy/C, which acts as a particle growth inhibitor, and thus the nanocomposite has a greater surface area reached 341.01 m2/g relative to 210.66 m2/g and 277.59 m2/g for pure Fe3O4 and PPy/C, respectively. The Langmuir isotherm matched the experimental data quite well, with R2 and adsorption capacity of 0.994 and 500 mg/g for CR and 0.995 and 90.9 mg/g for MB, respectively. The effectiveness of Fe3O4/PPy/C nanocomposite to remove both CR and MB from binary solution reached 96.9% for CR and 95.9% for MB. In kinetic investigations, the sorption of both dyes obeyed the pseudo-second order model, where R2 equals 0.999 and 0.998 for CR and MB, respectively. Desorption tests revealed the easy separation and good efficiency of the nanocomposite after four cycles. Finally, the sorption mechanism was discussed in detail based on FTIR analysis. Therefore, the developed nanocomposite is a bi-functional, recyclable, and efficient adsorbent for environmental applications.

A hybrid biocomposite of Thamnidium elegans/olive pomace/chitosan for efficient bioremoval of toxic copper

Immobilized biomaterials have recently attracted researchers' attention in the field of environmental biotechnology due to their effective biosorption performances. In this respect, a novel hybrid biocomposite based on Thamnidium elegans cells, olive pomace, and chitosan (TE-OP@C) was produced and tested for the first time to remove a target pollutant. It was successfully employed to eliminate toxic Cu(II) ions. Uptake efficiency of the biocomposite was significantly greater than that of T. elegans and T. elegans-olive pomace, despite the much lesser amount of biocomposite used. Freundlich model best fitted the equilibrium data, and the pseudo-second-order kinetic model followed Cu(II) uptake. The maximum removal efficiencies in batch and continuous systems were determined to be 96 % and 98 %, respectively. After eight cycles, the biosorption and recovery efficiencies of TE-OP@C were higher than 90 %. Biocomposite was able to remove approximately 90 % and 88 % of Cu(II) from real wastewater in batch and continuous systems, respectively. FTIR analysis, zeta potential measurements, EDX, and SEM findings confirmed the Cu(II) uptake. XRD and BET analysis were also performed for biocomposite characterization. Breakthrough and exhausted points were determined as 80 and 150 min, respectively. The findings potentially lead to a new perspective on the treatment of copper contamination.

Clinical presentation, electrodiagnostic findings and outcomes of acute flaccid myelitis: A brief review and case series.

Acute flaccid myelitis (AFM) is an acute condition occurring mostly in children. Although affected patients can show a broad spectrum of symptoms, it is mainly characterized by the progressive onset of focal limb weakness, presenting over a period of hours to a week, with or without pain, and spinal cord gray matter involvement on magnetic resonance imaging (MRI). There is compelling evidence to support the role of viruses, in particular enteroviruses. Studies describing electrodiagnostic (EDX) abnormalities and long-term outcomes in AFM are limited. In this report, the clinical presentation, EDX and MRI findings, and long-term outcomes in three children with AFM who presented with progressive and asymmetric weakness of the limbs are described. MRI showed a long segment cervicothoracic lesion with vertical expansion in all three cases. Patients do recover in time, but many continue to have permanent muscle weakness in the worst affected part(s), and complete recovery is rare. Follow-up of these three cases at 18 months demonstrated a partial recovery in the motor system.

Antibacterial Activity of Polyaniline Coated in the Patterned Film Depending on the Surface Morphology and Acidic Dopant.

We have fabricated poly(ε-caprolactone) (PCL) films with flat and honeycomb-patterned (HCP) structures to coat polyaniline (PANI) on the film surface. In addition, the effect of chemical modification of PANI by sulfuric acid (H2SO4) was also studied for antibacterial activity. The flat and HCP PCL films were obtained by simple evaporation of the solvent and via the breath figure (BF) method, respectively. The morphology and chemical composition of PANI coated on the film surface were evaluated by scanning electron microscopy (SEM) and X-ray spectroscopy (EDX). Fourier transform infrared spectroscopy (FT-IR) and thermogravimetric analyses (TGA) were obtained to identify the PANI coating. The wettability and conductivity of the films were also measured. Applicational aspects were evaluated by assessing antibacterial and antibiofilm activity against Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus). The EDX, TGA, and FT-IR findings indicated chemical modification of PCL film by PANI and H2SO4. The conductivity of the films was increased by the coating of PANI to the patterned surface and additionally increased by the chemically modified PANI. The antibacterial activity was 69.79%, 78.27%, and 88% against E. coli, and 32.73%, 62.65%, and 87.97% against S. aureus, for flat PANI, HCP PANI, and H2SO4-treated HCP films, respectively. Likewise, the PANI coated flat, HCP, and H2SO4-treated HCP films inhibited E. coli biofilm formation by around 41.62%, 63%, and 83.88% and S. aureus biofilm formation by 17.81%, 69.83%, and 96.57%, respectively. The antibacterial activity of the HCP film was higher than that of flat PANI films, probably due to the higher coating of PANI on the HCP surface. Moreover, sulfonation of the HCP film with H2SO4 might have improved the wettability, thereby enhancing the antibacterial and antibiofilm properties. Our results showed that topographical changes, as well as doping, offer simple and cost-effective ways to modify the structural and functional properties of films.

Brachioradial Pruritus: Clinical, Electromyographic, and Cervical MRI Features in Nine Patients.

BackgroundBrachioradial pruritus (BRP) is a neuropathic dysesthesia manifesting as pruritus over the dorsolateral forearm. While the etiology is unknown, intensive sun exposure and cervical spine disease have been proposed. This study describes the clinical, electrodiagnostic (EDX), and cervical MRI findings in nine patients diagnosed with BRP.Materials and methodsAll patients underwent EDX and cervical MRIs. Numerous metrics were documented including presenting symptoms, neurological examination, EDX findings, and cervical MRI features.ResultsAll nine patients experienced pruritus of the arms/forearms, typical of BRP, which was unilateral in eight (89%) cases. Decreased pinprick sensation was noted in the arms/forearms (five [56%] patients) or of the thumbs, index, and/or middle fingers (four [44%] patients). Four (44%) patients had either decreased or absent biceps and brachioradialis deep tendon reflexes (DTRs), while one (11%) patient had decreased triceps and brachioradialis DTRs. The EDX revealed abnormalities in eight (89%) patients. Increased polyphasic units, decreased motor units, and/or denervation changes were recorded by needle electromyography (EMG) in eight (89%) patients: the biceps in seven (88%) and both the brachioradialis and triceps in four (50%) patients. The EMG abnormalities indicated chronic radiculopathy involving C6 in six patients and C5 and C6 in one patient. All nine patients had cervical spine disease, encompassing disc protrusions, spondylosis, spinal stenosis, and/or foraminal stenosis.ConclusionsBRP in this series of patients was accompanied by chronic cervical radiculopathy involving predominantly C6 and C5. EDX and cervical spine MR imaging should be considered essential investigations in the evaluation of patients with BRP.