Lower Swelling Research Articles

Prediction of Lower Leg Swelling in Driving Posture

This study focused on lower leg swelling as a typical physical load in prolonged sitting postures such as driving. We obtained prediction equations for lower leg swelling (ratio of the inverse of the measured impedance to the initial impedance and lower leg swelling assessment value, BI [%]) from thigh pressure distribution, participants’ physical characteristics, and sitting time. A total of 22 participants (11 males and 11 females) were recruited. The impedance in the lower leg and thigh pressure distribution were measured over 90 min in a sitting posture at three tilt angles (8°, 0°, and −8° from the horizontal plane). Multiple regression analysis was performed to construct prediction equations for lower leg swelling in the males, the females, and all the participants. Bioelectrical impedance was selected as the dependent variable, with height, body fat percentage, thigh pressure distribution, and sitting time as the independent variables. The validity of all constructed prediction equations for the males, the females, and all the participants was confirmed by an adjusted R2. These findings can be used to develop a device to prevent lower leg swelling (the main problem resulting from a prolonged sitting posture) and can be applied to automobile seats, aircraft seats, and office chairs.

Male Patient having a Spigelian Hernia, Prince Osman Digna Referral Hospital, Port Sudan City, Red Sea State, Sudan; 2024: A Case Report

Background: Spigelian hernia is a rare type of abdominal hernias; it occurs through a defect in Spigelian aponeurosis of transverse abdominis (Spiegel's fascia). Methods: A 65 years old male, presented to our refer clinic at Prince Osman Digna Referral Hospital; Port Sudan City; Red Sea State; Sudan, on July 2024, complaining of lower abdominal swelling for 2 months without features of obstruction or strangulation; following heavy lifting, obvious during standing and walking, disappear when lying down; and was not associated with gastrointestinal track disturbances. Patient had history of recurrent repaired right inguinal hernia, para-umbilical hernia, and transurethral resection prostatectomy for Benign Prostatic Hyperplasia. No family history of similar conditions. Result: Abdominal examination showed: positive visible cough impulse revealed reducible mass at the left lower abdomen, oval in shape about 15*15cm, without features of peritonism. CT abdomen showed: left lower lateral abdominal wall hernia defect lateral to the rectus abdominis muscle measuring (3*3.7 cm) with hernia sac lie between the external and internal oblique muscles containing bowel loops. Patient diagnosed as Spigelian hernia and planned for mesh hernioplasty. Intra-operative findings revealed: the hernia sac passed through the internal oblique and transverse abdominis muscles, it contained sigmoid colon which released smoothly, sac excised, external oblique aponeurosis sutured by nylon 2, prolene mesh fix onlay, no intraoperative complications. Post-operative course was smooth. Conclusion and recommendations: Spigelian hernia has to be suspected among patients having repeated abdominal hernias. Early diagnosis using CT Abdomen and urgent surgical intervention for such cases were highly recommended.

De Novo Design of Aminopropyl Quaternary Ammonium-Functionalized Covalent Organic Frameworks for Enhanced Polybenzimidazole Anion Exchange Membranes.

Quaternary ammonium functionalized covalent organic frameworks (COFs) have great potential to enhance hydroxide transport owing to crystalline ordered 1D nanochannels, however, suffer from limited quaternary ammonium functional monomers and poor membrane-forming ability. In this work, a novel aminopropyl quaternary ammonium-functionalized COF (DCOF) is designed and synthesized via a bottom-up strategy. The self-supporting DCOF membrane exhibits high crystallinity with a dense and orderly arrangement of quaternary ammonium groups (IEC, 2.07mmolg-1), achieving a high hydroxide conductivity of 172.5 mScm-1 and an extremely low water swelling of 5.3% at 80°C. The exfoliated DCOF colloidal suspension is further incorporated into quaternary ammonium di-cation grafted polybenzimidazoles (DPBI) matrix. Molecular simulations reveal strong electrostatic and van der Waals interfacial interactions between DCOF and DPBI, which enable a high doping content of 20wt.% and interconnected ionic channels through the surface and nanochannels of the DCOF. The DCOF/DPBI-20% membrane exhibits a tensile strength of 29.7MPa, a hydroxide conductivity of 135.3 mScm-1, and a low swelling ratio of 37.2% at 80°C. A H2/O2 single cell assembled with the membrane reaches a peak power density of 323mWcm- 2, surpassing most recently reported COF-based membranes.

Preparation and Rheological Evaluation of Thiol–Maleimide/Thiol–Thiol Double Self-Crosslinking Hyaluronic Acid-Based Hydrogels as Dermal Fillers for Aesthetic Medicine

This study presents the development of thiol–maleimide/thiol–thiol double self-crosslinking hyaluronic acid-based (dscHA) hydrogels for use as dermal fillers. Hyaluronic acid with varying degrees of maleimide substitution (10%, 20%, and 30%) was synthesized and characterized, and dscHA hydrogels were fabricated using two molecular weights of four-arm polyethylene glycol (PEG10K/20K)–thiol as crosslinkers. The six resulting dscHA hydrogels demonstrated solid-like behavior with distinct physical and rheological properties. SEM analysis revealed a decrease in porosity with higher crosslinker MW and maleimide substitution. The swelling ratios of the six hydrogels reached equilibrium at approximately 1 h and ranged from 20% to 35%, indicating relatively low swelling. Degradation rates decreased with increasing maleimide substitution, while crosslinker MW had little effect. Higher maleimide substitution also required greater injection force. Elastic modulus (G′) in the linear viscoelastic region increased with maleimide substitution and crosslinker MW, indicating enhanced firmness. All hydrogels displayed similar creep-recovery behavior, showing instantaneous deformation under constant stress. Alternate-step strain tests indicated that all six dscHA hydrogels could maintain elasticity, allowing them to integrate with the surrounding tissue via viscous deformation caused by the stress exerted by changes in facial expression. Ultimately, the connection between the clinical performance of the obtained dscHA hydrogels used as dermal filler and their physicochemical and rheological properties was discussed to aid clinicians in the selection of the most appropriate hydrogel for facial rejuvenation. While these findings are promising, further studies are required to assess irritation, toxicity, and in vivo degradation before clinical use. Overall, it was concluded that all six dscHA hydrogels show promise as dermal fillers for various facial regions.

Vascular rescue–minimally invasive management of a post-spinal surgery fistulized ilio-iliac pseudoaneurysm: a case report

BackgroundAortoiliac injury after intervertebral disc surgery is an uncommon but potentially fatal complication. This case study emphasizes how crucial it is to identify this uncommon complication, which can manifest itself in a variety of ways, including leg oedema, heart failure, and deep vein thrombosis. This case is unique in that it presents with an uncommon post-spinal surgery complication of fistulized pseudoaneurysm of the common iliac artery and vein. This combination calls for an immediate diagnosis and careful care.Case presentationA 36-year-old female patient presented with progressively worsening orthopnea, accompanied by chest pain and palpitations. Her medical history revealed gradually increasing right lower limb swelling since three months, following a discectomy procedure for the management of lower back pain associated with a herniated lumbar disc at the L5-S1 level. Doppler ultrasonography demonstrated an arterialized flow within the right common iliac vein. Subsequent computed tomography angiography identified a pseudoaneurysm of the right common iliac artery, which had formed a fistulous connection to the right common iliac vein. This uncommon complication was likely attributable to prior disc surgery. The patient received endovascular intervention, which was executed in two primary stages: first, embolization of the right internal iliac artery was performed, followed by the exclusion of the arteriovenous fistula through the deployment of a covered stent graft within the right common iliac artery. The intervention successfully resolved both the pseudoaneurysm and the arteriovenous fistula.ConclusionsThis case report underscores the importance of considering vascular complications in patients presenting with unusual symptoms following intervertebral disc surgery, even after a significant time lapse. While both open surgical and endovascular approaches can yield good results in treating such complications, the endovascular method, as demonstrated in this case, is associated with minimal morbidity. This approach offers a less invasive alternative that can effectively manage complex vascular injuries resulting from disc surgery. Clinicians should be aware of this rare but serious complication to ensure timely diagnosis and appropriate management, potentially improving patient outcomes in similar cases.

High-Strength Silicon Anodes with High Tap Density via Compression Carbonization for Liquid and All-Solid-State Lithium-Ion Batteries.

Despite the advantages of nanostructure design with a balance of capacity and cycle life, the low tap density (<1 g cm-3) and high swelling properties make nanostructured silicon far from practical in applications. Here, we design a free-standing silicon graphite composite integrated anode through facile one-pot sintering with pitch under pressure. The thermomechanical effect during compression carbonization enables the integrated electrode to achieve a high tap density of 1.51 g cm-3, >2 times that of typical free-standing electrodes. In situ expansion measurements demonstrate that the longitudinal expansion of integrated electrodes is <20% of that of conventional electrodes. A rational conductive framework enables integrated electrodes to exhibit remarkable cycling stability in both liquid lithium-ion batteries (77.6% capacity retention after 500 cycles) and all-solid-state lithium-ion batteries (98.5% capacity retention after 1000 cycles). In particular, integrated electrodes remain stable even with a high areal capacity of 12.6 mAh cm-2.

Semiflexible spiro-branched membrane with adjustable sub-nanoscale channels and high positive charge for acid recovery

Acid recovery from industrial wastewater based on membrane separation is an essential technology to improve the economic efficiency and environmental friendliness. However, the low recovery efficiency and trade-off between acid permeability and selectivity of membrane materials have hindered the widespread application of this technology. In this study, we developed a spiro-branched membrane with semiflexible three-dimensional (3D) network structure by utilizing rigid contorted units as branching nodes. The semiflexible 3D network structure led to inefficient chain packing and the creation of numerous sub-nanoscale microporous ion channels, with sizes that can be finely adjusted. Furthermore, this 3D network structure allows the membrane to maintain low swelling and excellent stability while being enriched with positively charged groups. Ultimately, the optimally tuned membrane separator demonstrated an outstanding H+ dialysis coefficient (up to 108.6 × 10−3 m h−1), good selectivity (42.2) and high stability, surpassing both commercial membranes and those reported recently.

Adaptable Hydrogel with Strong Adhesion of Wet Tissue for Long-Term Protection of Periodontitis Wound.

Periodontitis is a severe gum infection characterized by inflammation of the tissues surrounding the teeth. The disease is challenging to manage due to its exposure to a wet and dynamic oral environment, where conventional hydrogels often suffer from weak adhesion, short residence time, and vulnerability to bacterial invasion. In this study, an innovative hydrogel system based on in situ light curing is proposed. The hydrogel precursor, comprising sodium alginate and a calcium ion network, is designed and adhere to the irregular and smooth surfaces of periodontal tissue before curing. Upon light irradiation, a second network polymerizes rapidly, establishing multiple interactions with the tissue, which enhances adhesion strength. Benefited from this engineering strategy, the hydrogelexhibits a low swelling rate, effectively mitigating adhesion loss in the moist oral environment. Additionally, the hydrogel demonstrates excellent long-lasting wet adhesion, maintaining its presence in periodontal tissue over 120 hours. It also serves as an effective physical barrier against bacterial invasion, achieving a blocking efficiency of 99.9%. This novel design concept offers a promising approach for developing advanced medical dressings for periodontitis, providing sustained therapeutic benefits.

Timolol Maleate Microspheres: An Ingenious Carrier for Sustained Release Antihypertensive Formulation

Background: Timolol maleate is classified as a BCS Class I drug and functions as a non-selective β-adrenergic receptor blocker. Its ability to lower heart rate and cardiac output has led to its widespread use in the treatment of hypertension. Objective: Timolol maleate has a short half-life and is rapidly cleared from the body, which limits its therapeutic effectiveness, requiring frequent dosing and potentially affecting patient adherence. To overcome these challenges, sustained-release microspheres of Timolol maleate were developed using the ion gelation method. Method: The ion gelation technique was employed to create the microspheres due to its various advantages, including ease of use, scalability and gentle processing conditions. Results: All batches exhibited a comparatively lower swelling index in 0.1M HCl (pH 1.2) than in SIF (pH 6.8). It was observed that increasing the concentration of sodium alginate resulted in higher drug content. The microspheres were sized between 400 and 900 μm and demonstrated excellent flow characteristics. An optimized batch achieved an entrapment efficiency of 88.83% and released 92.15% of the drug over 7 hrs. Furthermore, stability studies conducted according to ICH Q1A(R2) for 3 months at 5±3°C and 25±2°C/60±5% RH indicated no significant changes in evaluation parameters. Conclusion: The optimized Timolol maleate-loaded microspheres effectively provided sustained drug release through the membrane over 7 hrs. This study contributes to the development of improved drug delivery systems for better hypertension management, addressing the unmet needs in patient compliance. Keywords: Timolol Maleate, Microspheres, Ion gelation method, Sodium alginate, Calcium chloride, Sustained release, Hypertension

Interfacially Assembled Anion Exchange Membranes for Water Electrolysis.

High-performance and durable anion exchange membranes (AEMs) are critical for realizing economical green hydrogen production through alkaline water electrolysis (AWE) or AEM water electrosysis (AEMWE). However, existing AEMs require sophisticated fabrication protocols and exhibit unsatisfactory electrochemical performance and long-term durability. Here we report an AEM fabricated via a one-pot, in situ interfacial Menshutkin reaction, which assembles a highly cross-linked polymer containing high-density quaternary ammoniums and nanovoids inside a reinforcing porous support. This structure endows the membrane with high anion-conducting ability, water uptake (but low swelling), and mechanical and thermochemical robustness. Consequently, the assembled membrane achieves excellent AWE (0.97 A cm-2 at 1.8 V) and AEMWE (5.23 A cm-2 at 1.8 V) performance at 5 wt % KOH and 80 °C, significantly exceeding that of commercial and previously developed membranes, and excellent long-term durability. Our approach provides an effective method for fabricating AEMs for various energy and environmental applications.

Confirming non-endemicity of podoconiosis in Guatemala and in Idukki District in Kerala (India): a comparison of two approaches potentially suitable for other neglected tropical diseases

BackgroundPodoconiosis is an underreported lymphoedema whose distribution is uncertain at global level and within endemic countries. Previous work has identified countries with historical evidence of podoconiosis, but which do not currently report cases. Podoconiosis may persist in these countries or have been eliminated due to socioeconomic development. Here we describe two different approaches used to clarify podoconiosis endemicity status in Guatemala and in Idukki District (Kerala State, India).MethodsTwo different epidemiological approaches were used by different research teams, determined by the available resources and contextual factors in the two settings. In Guatemala, where lymphoedema cases are routinely recorded in the health information system, 102 municipalities with suspected cases, historical evidence of podoconiosis, high poverty rates, or environmental suitability for the disease were visited. Active case searches were conducted from July 2016 to October 2018, and suspected cases were clinically examined to confirm or rule out podoconiosis. In Idukki, where lymphoedema cases were not routinely recorded, a population-based prevalence survey for lymphoedema was conducted from September to December 2022, covering 13,664 individuals aged 15 years and older.ResultsBoth approaches were effective at clarifying podoconiosis endemicity. In Guatemala, 20 cases with lower limb swelling were investigated. Podoconiosis was ruled out in all cases, and filarial lymphoedema was suspected in three. In Idukki District, 105 cases of lower limb swelling were identified. None was confirmed to have podoconiosis, with post-surgical lymphoedema and hypertension being the most common diagnoses. Active filarial infection was identified in two cases in Idukki District.ConclusionsThese investigations provide evidence that podoconiosis is currently non-endemic in Guatemala and in Idukki District in India. They also demonstrate that population-based surveys and targeted case searches both provide effective ways to explore disease endemicity in areas where this is uncertain. The most appropriate approach depends on a combination of contextual and research-based factors, including evidence for endemicity, resources available, and geographical, population, and health system factors.

Clinical Outcomes and Safety Profile of a Dextranomer-Hyaluronic Acid Hybrid Filler: A Case Series Analysis.

The demand for aesthetic treatments targeting the middle and lower face is on the rise, especially because of changes in appearance associated with aging. This study aimed to assess the use of a hybrid filler for sculpting and contouring of the chin, jaw, and malar region. A retrospective analysis was performed on patients who underwent jaw and chin contouring and cheek augmentation using a hybrid filler (hyaluronic acid and dextranomer). The evaluation focused on the naturalness of appearance, enhancement in volume, and the durability of the results, employing a 5-point scale. Both patient satisfaction and physician evaluations were measured using the Likert scale and the Global Aesthetic Improvement Scale (GAIS), respectively. Follow-up with patients extended up to 6 months after treatment, during which any treatment-related adverse events (AEs) were meticulously recorded and analyzed. Nineteen patients participated in the study, receiving an average injection volume of 2.4 ± 0.9 mL to attain the desired outcomes. The evaluation of natural appearance, volumizing effects, and durability at the analyzed time point consistently scored above 4. All 19 patients' aesthetic improvement was evaluated as "very much improved" and "much improved", at the GAIS score. All patients report improvement in their appearance, with 89.5% rating it as "very much improved" or "much improved" on the Likert scale. Only expected AEs such as mild pain and lower swelling were registered. The hybrid filler proved effective and safe for facial contouring, with significant patient satisfaction and minimal adverse effects.

Alkaline stable cross-linked anion exchange membrane based on steric hindrance effect and microphase-separated structure for water electrolyzer

This study focuses on the development of cross-linked anion exchange membranes (AEMs) based on polystyrene-b-poly(ethylene-co-butylene)-b-polystyrene (SEBS), known for its ether free backbone and excellent chemical stability. The cross-linked SEBS (X-SEBS-BC) membranes were synthesized using an eco-friendly method with SnCl4 under mild conditions. A cross-linking agent, 1,4-diazbicyclo[2.2.2]octane (DABCO), was employed to enhance ion conducting channels and improve alkaline stability by preventing degradation. The resulting membranes exhibited low swelling, high conductivity, and significant chemical stability in alkaline environments. This is achieved through the rigid cage-like structure of DABCO, which hinders syn-periplanar conformational changes and protects against the degradation of SN2 and ylide reactions. Their well-defined microphase-separated morphology, observed through TEM, supports effective ion transport. Notably, the X-SEBS-BC-0.81 membrane showed excellent alkaline stability, with minimal degradation in 3 M KOH over 30 days at 30 °C and 3.3% degradation in 1 M KOH over 600 hours at 50 °C. In water electrolysis tests, this membrane demonstrated superior performance (0.95 Acm−2 at 2.0 V), surpassing the commercial FAA-3-50 membrane by 82%. These findings highlight the potential of X-SEBS BC membranes for advanced AEM applications, particularly in water electrolysis..

Potential of kaolin as filler in Nafion composite membranes for PEM fuel cells

Nafion is one of the polymer materials used as a polymer exchange membrane (PEM) in fuel cells due to its high proton conductivity, chemical stability, and fuel cell performance. However, Nafion membranes still have notable disadvantages, such as decreased proton conductivity at high temperatures and low humidity. One of the methods applied to overcome these limitations is to add inorganic compounds to the Nafion matrix. In this study, kaolin, a hygroscopic clay, was incorporated into Nafion for the first time to enhance proton conductivity of the membrane. Kaolin-doped composite membranes (5 %, 10 %, and 15 % kaolin by weight) were produced through the solution casting method and analyzed using various characterization techniques. The synthesized membranes exhibited significantly higher water uptake, lower swelling, higher proton conductivity, and better mechanical properties compared to recast Nafion. Among all composite membranes, Nafion-Kaolin-15 demonstrated a proton conductivity of 0.330 S/cm, which is a remarkable enhancement of 1.43 times compared to recast Nafion. These findings revealed the potential of kaolin-doped Nafion membranes for future applications in PEMFCs.

Atypical Presentation of Multiple Myeloma: From Heart Failure to Multiple Myeloma

Multiple myeloma (MM) is a hematological malignancy commonly associated with bone pain, hypercalcemia, and renal failure. However, its presentation can occasionally mimic other medical conditions, which may delay diagnosis. This case report describes a patient who was initially diagnosed and treated for heart failure but was later found to have MM, highlighting the importance of considering MM in the differential diagnosis of heart failure. A 56-year-old lady presented with recurrent episodes of shortness of breath, orthopnea, paroxysmal nocturnal dypsnea and bilateral lower limb swelling which she had been treated for decompensated heart failure with optimal therapy. She denied any family history of cardiovascular disease personal history of underlying medical condition and was a nonsmoker. This patient was diagnosed with multiple myeloma and probability of concomitant cardiac amyloidosis and commenced on bortezomib, thalidomide and dexamethasone (VTD) regime and standard optimal therapy of heart failure but her condition deteriorated. After a few days of starting chemotherapy, patient demised despite all the resuscitative effort. Multiple myeloma is common hematological malignancy with its distinct clinical features of “CRAB”, however, more attention and alertness should also be exercised by clinicians as to be able to diagnose it early.

Demographic characteristics, clinical manifestations, and treatment outcomes of May-Thurner Syndrome: a five-year retrospective analysis using computed tomography venography in a Chinese population

Objective This study aimed to analyze the demographic characteristics, symptoms, and treatment outcomes of patients diagnosed with May-Thurner syndrome (MTS) using computed tomography venography (CTV). Methods Medical records of patients diagnosed with MTS through CTV at Hebei General Hospital of China between April 1, 2017, and May 31, 2022, were reviewed. The data collected included: (1) gender, age, body mass index (BMI), and smoking and drinking habits; (2) time of onset and symptoms of MTS, as well as other accompanying symptoms; (3) additional diagnoses, length of hospital stay (days), treatment methods, treatment success, and the occurrence of post-treatment bleeding or recurrence. Descriptive statistics were used, with mean ± standard deviation and median values reported. The t-test/u-test and Chi-square test (including the exact probability method) were used to compare means and rates, respectively, with a significance level set at α = 0.05. Results Out of 402 patients (233 males, 169 females), 118 (29.4%) were diagnosed with MTS, with 47 (21.1%) males and 71 (39.7%) females. The incidence of MTS was significantly higher in females than males (χ2 proportion = 16.545, χ2 composition = 9.763, p < 0.05). The average ages of male and female MTS patients were 56.4 and 59.9 years, respectively, with mean BMIs of 27.05 and 27.09 kg/m2. Among male patients, 27.7% (13) were smokers, and 17.0% (8) consumed alcohol. Inferior vena cava (IVC) thrombosis was notable in 59.3% of MTS patients, with a significantly higher proportion in females (70.4%) than in males (42.6%) (χ2 = 9.102, p < 0.05). Lower limb swelling without pain was reported by 70.3% of patients, with 53.4% (44.7% male, 59.2% female) experiencing swelling on the left side only, which was significantly more common than swelling on the right side only or both sides (χ2 = 44.554, p < 0.05). Additionally, 12.7% of patients reported both swelling and pain, with left-side symptoms being more prevalent than right-side or both sides. The average ages at symptom onset were 51.3 ± 17.1 years in males and 57.1 ± 13.2 years in females. All treatments for MTS were successful without bleeding or recurrence. The most common treatment method was balloon dilation combined with stent placement (57.6%). Conclusion CTV is highly effective in detecting and facilitating the successful treatment of MTS. It should be fully utilized to promote early diagnosis and treatment of MTS. Female MTS patients need more medical resources for diagnosis and treatment.

Enhanced physical properties and water resistance of films using modified starch blend with poly(vinyl alcohol)

Research into sustainable biopolymer films is increasingly focused on finding viable alternatives to petroleum-based plastics. This study aims to address these challenges by examining the performance of a series of films prepared using polyvinyl alcohol (PVA) with varying degrees of saponification (DS) and polymerization (DP), combined with two modified starch: hydroxypropyl starch (HPS) and sodium octenylsuccinate starch (OctS). The findings demonstrate that increased PVA saponification and polymerization levels greatly improved the physical properties of the PVA/Starch blends because of the interactions and intermolecular entanglement between the PVA and starch chains. By altering the PVA and starch formulations, the blend films' tensile qualities and water resistance were greatly improved; at a 7:3 ratio, the highest tensile strength (TS) is ∼17.4 MPa, and elongation at break (EAB) is ∼476.8 %. The tensile properties and water resistance of the blend films were significantly enhanced by varying the PVA and starch formulations, achieving the highest tensile strength (17.4 MPa) and elongation at break (476.8 %) at a 7:3 ratio. Moreover, the PVA/OctS-7 blend exhibited superior water durability, and high transparency, with the lowest swelling (∼108.6 %) and certain wet strength, as well as varied solubility behaviors in different pH solutions, rendering it appropriate for use in packaging applications. As a result, PVA/Starch blend films' functional qualities can be significantly improved, making them appear as viable substitutes for petrochemical plastic packaging.

Leveraging Spruce Bark Particle Morphology for Enhanced Internal Bonding in Particleboard Production.

The continuous rise in global demand for wood products has led to an increase in prices and a surge in research into alternative resources. As a byproduct of the timber industry, bark has emerged as a promising supplement in particleboard (PB) production. However, its anatomical structure, the presence of extractives, and its inferior mechanical properties complicate the production process, which have not yet been fully overcome at a commercial scale. This study proposes a paradigm shift, advocating for separate and specialized bark constituent processing in a wet state. Three bark-based raw materials-namely, outer bark particles, bark fiber clumps, and bark fibers-were investigated under varying wood content scenarios. PBs with a target density of 0.7 g/cm3 and a thickness of 16 mm were produced using mixtures of these bark-based materials and wood particles in different ratios bonded with a urea-formaldehyde adhesive. The results demonstrated that these bark constituents exhibit distinct properties that can be optimized through tailored processing techniques. Compared to bark fibers, outer bark particles displayed about 40% lower water absorption and thickness swelling. However, bark fibers improved the internal bond by about 50% due to their favorable morphology compared to outer bark. These findings highlight the potential of bark as a valuable resource for particleboard production and pave the way for its efficient utilization through specialized processing strategies.

Preoperative hyperamylasemia relates to renal dysfunction and hyperamylasemia in cardiac surgery: an observational study.

The role of preoperative hyperamylasemia in the perioperative enzyme levels in patients undergoing cardiac surgery is unclear. The primary outcome of this observational clinical study was to determine whether patients with preoperative hyperamylasemia undergoing on-pump cardiac surgery document an increase in serum amylase levels perioperatively compared with patients with normal serum amylase levels preoperatively. This prospective study evaluated serum total, pancreatic, and salivary amylase levels, estimated glomerular filtration rate (eGFR), and serum creatinine before the operation at postoperative days (POD) 1, 2, 3, and 7. We also followed up on any perioperative symptoms, including abdominal pain and lower ear or jaw swelling. We preoperatively had 157 patients with normal amylase levels (Normal group) and 45 with hyperamylasemia (Hyperamylasemia group). The Hyperamylasemia group demonstrated continuously lower eGFR and higher creatinine values at the preoperative time, postoperative days 1, 2, 3, and 7, compared with the Normal group. The Hyperamylasemia group showed higher serum total, pancreatic, and salivary amylase levels at preoperative (total 70 [55-90] [Normal] vs. 142 [107 to 162] [Hyperamylasemia] IU/L, median [25-75th percentile], P < 0.001) and postoperative periods compared with the Normal group. The relationship between renal dysfunction and serum amylase levels in all patients was significant in the preoperative, but not postoperative, periods. We noted no patients demonstrating clinical symptoms. Preoperative hyperamylasemia in patients undergoing on-pump cardiac surgery was associated with renal dysfunction without needing hemodialysis. However, whether the relation affects postoperative serum amylase levels is inconclusive.

Anti-Obesity Effects of a Collagen with Low Digestibility and High Swelling Capacity: A Human Randomized Control Trial.

Collagen is a protein formed by very long amino acid chains. When conveniently treated, it can incorporate water into the net, thus increasing its volume and mass. The present work aimed to evaluate the potential anti-obesity effects of bovine collagen that has been technologically treated to increase its water retention capacity in an acid pH medium, with the objective of inducing satiation. Collagen's digestibility was tested with a pepsin digestion test. Its swelling capacity was tested in an acid pH medium simulating gastric conditions. Postprandial levels of ghrelin in response to collagen supplementation were tested in rats. In a randomized control trial, 64 subjects with overweight/obesity were allocated in two groups: supplemented daily with two protein bars enriched with collagen (20 g per day) for 12 weeks, or control group. Anthropometric and biochemical measurements were assessed in all the participants. This collagen showed a low digestibility (<60%) and high swelling capacity (>1900%) in vitro. In humans with overweight and obesity, this collagen significantly reduced body weight, body mass index (BMI), systolic blood pressure (SBP), and fatty liver index (FLI) and increased fat-free mass when compared with the control group. A significant reduction in the sarcopenic index; total, troncular, and visceral fat (measured by DEXA); and serum leptin levels were observed in the collagen group at the end of the intervention, with no differences with respect to controls. Collagen reduced the sensation of hunger and increased fullness and satisfaction. In male Wistar rats, collagen decreased postprandial blood ghrelin levels. Collagen supplementation (20 g per day for 12 weeks) reduced body weight, BMI, waist circumference, fat mass, FLI, and SBP in humans with overweight and obesity, which might be related to the increased sensation of fullness and satisfaction reported by the volunteers after the intake.