Reflux Time Research Articles

Comparison of daytime and nighttime supine gastroesophageal reflux by pH monitoring of individuals with clinical suspicion of gastroesophageal reflux disease.

This study aims to compare pHmetric characteristics of diurnal and nocturnal supine reflux. We studied 500 consecutive individuals with clinical suspicion of gastroesophageal reflux disease (GERD) who underwent esophageal high-resolution manometry and prolonged ambulatory pH monitoring. Patients were classified with supine GERD pattern when the percentage of acid reflux time in the supine position was equal to or greater than 2.2%. Data on acid reflux in the supine position during daytime and nighttime recumbency were: (i) acid exposure time, (ii) number of reflux episodes, (iii) longest reflux episode, (iv) interval between the last meal and the supine position, (v) interval between the supine position and the first acid reflux episode, and (vi) reported symptoms. Of the 500 evaluated patients, 238 (48%) had GERD. Among these, supine pattern was observed in 134 (56%) patients, bipositional in 53 (23%), and orthostatic in 51 (21%). In patients with daytime recumbency, 112 (51% of 217) were pathological refluxers, with a mean DeMeester score of 45 ± 26. Total acid exposure time (P = 0.8) and reported Symptom Index (P = 0.2) did not differ depending on the period, whether diurnal or nocturnal. All other pHmetric parameters were lower during daytime recumbency. In conclusion, diurnal supine reflux has similar acid exposure time and temporal correlation between symptoms and reflux episodes as nocturnal supine reflux. Other pHmetric parameters are lower for diurnal supine reflux.

Mercaptopropionic acid-capped CdZnTe Quantum dots as Fluorescence Probe for Sensitive Detection of Cr(III) ions.

Although Cr(III) ions are essential for the human body, excessive amounts can lead to skin inflammation, allergic reactions, and genotoxicity. A highly sensitive fluorescence probe was developed using mercaptopropionic acid (MPA) capped CdZnTe quantum dots (QDs) synthesized via an aqueous solution heating method for precise detection of Cr(III) ions. The synthesized MPA-CdZnTe QDs had a size of 2.38 ± 0.13nm and exhibited a zinc-blende structure, with MPA molecules effectively capping the surface through Cd-S bonds. Investigation into the effects of reflux times and solution pH on the absorption and fluorescence spectra of MPA-CdZnTe QDs revealed the occurrence of Ostwald ripening during prolonged reflux processes. The quantum yield (QY) of the synthesized CdZnTe QDs could reach 89%, and the QY was higher under acidic conditions than alkaline. Leveraging the quenching effect of Cr(III) ions on MPA-CdZnTe QDs, a robust method for the quantitative detection of trace amounts of Cr(III) ions was established. Linear quenching behavior was observed within the concentration range of 3.33 × 10- 6 to 5.00 × 10- 4 mol L- 1 for Cr(III) ions, with the fluorescence quenching rate described by a linear regression equation: 1-F/F0 = 0.218 + 829.5268CCr(III). The limit of detection was determined to be 2.63 × 10- 6 mol L- 1. The mechanism of the fluorescence behavior of MPA capped CdZnTe QDs towards Cr(III) ions was photo-induced electron transfer.

Machine learning-based classification of varicocoele grading: A promising approach for diagnosis and treatment optimization.

Varicocoele is a correctable cause of male infertility. Although physical examination is still being used in diagnosis and grading, it gives conflicting results when compared to ultrasonography-based varicocoele grading. We aimed to develop a multi-class machine learning model for the grading of varicocoeles based on ultrasonographic measurements. Between January and May 2024, we enrolled unilateral varicocoele patients at an infertility clinic, assessing their varicocoele stages using the Dubin and Amelar system. We measured vascular diameter and reflux time at the testicular apex and the subinguinal region ultrasonography in both the supine and standing positions. Using these measurements, we developed four multi-class machine learning models, evaluating their performance metrics and determining which patient position and projection were most influential in varicocoele grading. We included 248 patients with unilateral varicocoele in the study, their average age was 26.61±4.95 years old. Of these, 212 had left-sided and 36 had right-sided varicocoeles. According to the Dubin and Amelar system, there were 66 grade I, 96 grade II, and 86 grade III varicocoeles. Among the models we created, the random forest (RF) model performed best, with an overall accuracy of 0.81±0.06, an F1 score of 0.79±0.02, a sensitivity of 0.69±0.02, and a specificity of 0.8±0.03. Vascular diameter measurement at the testicular apex in the supine position had the most impact on grading across all models. In support vector machine and multi-layer perceptron models, reflux time measurements from the subinguinal projection in the standing position contributed the most, while in RF and k-nearest neighbors models, measurements from the subinguinal projection in the supine position were the most influential. Machine learning methods have demonstrated superior accuracy in predicting disease compared to traditional statistical regressions and nomograms. These advancements hold promise for clinically automated prediction of varicocoele grades in patients. Tailored varicocoele grading for individuals has the potential to enhance treatment effectiveness and overall quality of life.

Dimerization of perfluoropropyl vinyl ether during the pyrolysis of hexafluoropropylene oxide dimer

Dimerization of perfluoropropyl vinyl ether (PPVE) generally reduces its yield and selectivity during the pyrolysis of hexafluoropropylene oxide dimer ((HFPO)2). However, the mechanism of PPVE dimerization is not well understood. In this paper, the PPVE dimer was obtained during the pyrolysis of (HFPO)2. Subsequently, the chemical structure of PPVE dimer was further determined by gas chromatography-mass spectrometry (GC–MS) and nuclear magnetic resonance (NMR). The results showed that the concentration of PPVE dimer rises in proportion to the extended reflux time of PPVE in the reaction system. Based on the experimental phenomenon, a possible generation mechanism of PPVE dimer was then proposed, and the possibility of the generation pathway was further verified in combination with density functional theory (DFT). In addition, to effectively reduce the production of PPVE dimer, crown ethers and quaternary ammonium salts were added to the reaction system as phase transfer catalysts. Among them, the phase transfer catalyst (15-crown-5) was more effective and reduced the PPVE dimer content from 1.34 % to 0.31 %. This work provides an idea to inhibit the dimerization of PPVE and increase the yield and selectivity of PPVE.

A recirculating device of cooling water powered by solar energy for the laboratory

Aimed at energy conservation and water saving for the lab, we have designed and constructed one kind of lab-scale small recirculating device of cooling water utilizing a water recirculator coupled to a solar energy system via a self-made multifunctional voltage regulator, which is equipped with an active heat radiator and powered by a solar energy system. It can provide cooling water for 1–3 sets of ordinary refluxing setups in series without additional consumption of water and electricity. The temperature difference between the water in the bucket and the environment is less than 4 °C for eight common solvents in single refluxing set-up or three combined refluxing setups with different solvents in series. In the performance assessment experiments for the refluxing of eight common solvents with different boiling point, the largest solvent loss is less than 6% if the condenser is open to the air in the refluxing time of 8 h, but none obvious solvent loss are found if the condensers were equipped with an oil bubbler. Control experiments indicates that the preparation of bromoethane/ethyl acetate/propyl hexanoate using our water recirculator can achieve almost unanimous yields in relative to those reactions using tap water as cooling water.

Determination of the levels of selected essential and toxic metals in soil collected from the flower farm in Roshara Roses PLC (Bishoftu) of Ethiopia and assessment of associated human health risks

The overuse of pesticides and fertilizers to grow high-quality roses unintentionally introduces heavy metals into the soil which is detrimental to the human health. Thus, the aim of the current study is to examine the concentrations of the essential (Ca, Mg, Zn, Fe, Cu, Fe, Mn and Ni) and toxic metals (Cd and Pb) in the soil samples from the flower farm using Flame atomic absorption spectrometry (FAAS) and to assess the risk that heavy metals pose to human health. To obtain an optimum condition for the wet digestion of soil samples, the volume ratio of reagents, reflux time and temperature were optimized. The concentrations of Ca, Fe, Mn, Mg, Zn, Cr, Ni, Cu were found to be 3468, 4926, 450, 255, 74, 70,48.5 and 25 and 2150, 4862,472, 241, 71, 58, 37 and 12.5 mg/kg for the soil samples collected from the flower farm and road side, respectively. Cadmium and lead were not detected in the studied soil samples. Statistical analysis of variance (ANOVA) showed the concentrations of Ca and Cu in the two soil samples are significantly different. Correlation analysis showed there was strong positive association for Fe with Zn, Cr and Ni, Mg with Ca, Cu, Ni and Cr, Zn with Cr and Cu and Ni with (Cu, Zn and Cr). Values of hazard quotient (HQ) and hazard index (HI) for the heavy metals under the study in the all exposure pathways are below 1.0 indicating that none of them could be harmful to human health.

RESEARCH ON THE FORMULATION OF NANOPARTICLES CONTAINING MANGIFERIN USING SELF-ASSEMBLY METHOD

Background: The use of natural-origin active compounds in disease treatment is currently a prevailing trend. Mangiferin, a major component found in mangoes, is present in relatively high proportions. However, mangiferin's disadvantages include low solubility and poor permeability. There are numerous methods available to improve solubility and permeability, among which selfassembly is noteworthy. Self-assembly involves the combination of certain molecules or macromolecules to form three-dimensional networks or other structures with new characteristics, phospholipids and chitosan are often used as raw materials for the self-assembly process to create nanoparticles. This method offers advantages such as high efficiency, simple implementation, short execution time, high retention efficiency, and increased permeability through biological membranes. Objectives: To develop a formulation and process for producing nano mangiferin using the selfassembly method with phosphatidylcholine and chitosan. Materials and methods: The solubility of mangiferin in high-proof ethanol was investigated, followed by an assessment of the influence of formulation factors and processes on the characteristics of nano-sized mangiferin particles. Results: The average solubility of mangiferin in 96% ethanol was approximately 0.5529±0.0003 mg/mL. The mole ratio of mangiferin to Lipoid S100 was 1:1, and the mass ratio of Lipoid S100 to chitosan was 20:1. A stirring speed of 1.000 revolutions per minute, reflux temperature of 70°C, reflux time of 2 hours. homogenization speed of 1,000 revolutions per minute, and homogenization time of 15 minutes produced the smallest nanoparticles (103.44±0.46 nm), with a low polydispersity index (0.281±0.009≤ 0.3) and zeta potential (31.95±0.08 mV ≥ +30 mV), encapsulation efficiency of 82.42±0.53%; loading capacity of 32.97±0.95%. Conclusions: A successful formulation of nanosized mangiferin particles was achieved using the self-assembly method, resulting in particles that meet the criteria of small size, uniformity, and durability. Moreover, nearly 100% mangiferin release was achieved after 60 minutes, indicating the promising potential for developing highly bioavailable oral formulations.

Non-Acid GERC: Pathogenesis, Diagnosis and Management

Total Recent investigations have highlighted the pivotal influence of non-acid reflux in the etiology of chronic cough associated with gastroesophageal reflux disease (GERC). Differentiation between acid and non- acid GERC is effectively achieved through esophageal pH monitoring, with non-acid reflux drawing attention for its linkage to non-standard symptoms and the intricacies involved in its management. The combination of multi-channel intraluminal impedance with pH monitoring (MII-PH) and its related metrics, including acid exposure time (AET), symptom association probability (SAP), and symptom index (SI), as well as the quantity, pH, nature of reflux, its spread, and acid clearance time, alongside innovative measures such as mean nocturnal baseline impedance (MNBI) and post- reflux induced peristaltic wave index (PSWPI), is pivotal in precisely delineating reflux patterns and identifying the temporal connection between non-acid reflux occurrences and episodes of coughing. The prevailing reliance on proton pump inhibitors (PPIs) for treatment has encountered constraints in effectively managing non-acid GERC, underscoring the necessity for personalized treatment modalities that confront the unique pathophysiology of non-acid GERC to ameliorate patient outcomes. As research continues to deepen our understanding and enhance treatment methods for this multifaceted condition, the pursuit of effective treatment strategies becomes crucial. Our review aims to delineate the spectrum of therapeutic options, advancements in diagnostics, and an improved grasp of the pathogenesis of non-acid GERD. The focus of this review is to further the advancement of patient care management and to inspire continued research in this intriguing domain of gastroenterology.

New methods for resolution of hydroxychloroquine by forming diastereomeric salt and adding chiral mobile phase agent on RP-HPLC.

Hydroxychloroquine (HCQ), 2-([4-([7-Chloro-4-quinolyl]amino)pentyl]ethylamino)ethanol, exhibited significant biological activity, while its side effects cannot be overlooked. The RP-HPLC enantio-separation was investigated for cost-effective and convenient optical purity analysis of HCQ. The thermodynamic resolution of Rac-HCQ, driven by enthalpy and entropy, was achieved on the C18 column using Carboxymethyl-β-cyclodextrin (CM-β-CD) as the chiral mobile phase agent (CMPA). The effects of CCM-β-CD, pH, and triethylamine (TEA) V% on the enantio-separation process were explored. Under the optimum conditions at 24°C, the retention times for the two enantiomers were and , resulting in . The resolution via diastereomeric salt formation of Rac-HCQ was developed to obtain the active pharmaceutical ingredient of single enantiomer S-HCQ. Di-p-Anisoyl-L-Tartaric Acid (L-DATA) was proved effective as the resolution agent for Rac-HCQ. Surprisingly, it was found that refluxing time was a key fact affecting the resolution efficiency, which meant the kinetic dominate during the process of the resolution. Four factors-solvent volume, refluxing time, filtration temperature, and molar ratio-were optimized using the single-factor method and the response surface method. Two cubic models were established, and the reliability was subsequently verified. Under the optimal conditions, the less soluble salt of 2L-DATA:S-HCQ was obtained with a yield of 96.9% and optical purity of 63.0%. The optical purity of this less soluble salt increases to 99.0% with a yield of 74.2% after three rounds recrystallization.

Efficient green synthesis of n-amyl acetate in liquid phase over metal-organic framework catalysts

This investigation describes, for the first time, the efficient and selective liquid-phase green synthesis of n-amyl acetate over UiO-66 and NH2-UiO-66 metal-organic framework catalysts. By employing UiO-66 and NH2-UiO-66 solid acid catalysts, n-amyl acetate can be produced without the corrosive impact and separation problems associated with homogeneous catalysis by mineral acids. Thermal, structural, textural, and morphological properties of the catalysts were evaluated by TG-DTA, XRD, FTIR, Raman spectroscopy, BET-surface area, SEM and HRTEM. Their surface acidities were characterized by the dehydration of isopropanol and the chemical adsorption of suitable probs. The effects of reflux time, acid: alcohol molar ratio, and catalyst load were extensively studied. Under the optimized conditions, UiO-66, and NH2-UiO-66 catalysts, respectively offered 85 and 67 % conversions, and 100 % selectivity into n-amyl acetate. Activity of catalysts was well correlated with the total number of acidic sites, SBET and the kinetic rate constants of the esterification reaction. Analysis of the pre-adsorption studies of the reactants on the catalyst surface demonstrated that the Langmuir-Hinshelwood mechanism was followed in this reaction. The UiO-66 catalyst was regenerated numerous times with nearly the same activity and 100 % selectivity.

Endovenous Microwave Ablation Versus Laser Ablation for Small Saphenous Vein Varicosis.

Laser and radiofrequency ablation are two thermal ablation methods currently widely used to treat lower limb venous insufficiency. However, very few studies have been conducted on the use of microwaves, a form of thermal ablation, for the treatment of small saphenous vein (SSV) insufficiency. This study aimed to examine the efficacy and safety of endovenous microwave ablation (EMA) for the treatment of SSV insufficiency. The clinical data of 126 patients (126 lower limbs) with SSV insufficiency (SSV trunk reflux time ≥ 500ms on lower limb color Doppler ultrasound) treated at the Surgery Department of The Sixth People's Hospital of Zhuji from January 2020 to June 2022 were analyzed retrospectively; 64 patients underwent EMA and 62 underwent endovenous laser ablation (EVLA). The perioperative marker data [duration of surgery, duration of hospitalization, length of thermal ablation, duration of thermal ablation, number of incisions, and numerical pain rating scale (NPRS)], complication data [skin ecchymosis, skin burns, surgical site infection, paresthesia, deep vein thrombosis (DVT), and heat-induced thrombosis (EHIT)], venous clinical severity score (VCSS), chronic venous disease quality of life questionnaire (CIVIQ-20) before and 1, 3, 12months after surgery, and SSV trunk occlusion rate at 12months after surgery were compared between the two groups. No significant differences in the surgery or hospitalization durations were observed between the two groups. There were no significant differences in the length of the SSV that required thermal ablation between the two groups; however, the thermal ablation time was shorter in the EMA group than that in the EVLA group (6.14 ± 1.47min vs 7.05 ± 1.16min, P < 0.001). There were no statistical differences in the number of incisions, volume of tumescent solution used, or quantity of sclerosing foam used. The NPRS scores of the EMA group at 24h and 72h after surgery were significantly greater than those of the EVLA group (4.03 ± 0.98 vs 3.52 ± 1.28, P = 0.013; 3.78 ± 1.06 vs 3.15 ± 1.03, P = 0.001). Moreover, the two groups showed no significant difference in the NPRS score at 1month (1.14 ± 0.84 vs 1.07 ± 0.75, P = 0.623). The EMA and EVLA group patients experienced similar postoperative complications. The VCSS and CIVIQ-20 score significantly improved at 1, 3, and 12months after surgery. The VCSS and CIVIQ-20 scores were compared between the two groups at 12months after surgery, and there were no significant differences (1.44 ± 0.63 vs 1.56 ± 0.56, P = 0.261; 24.24 ± 4.96 vs 25.19 ± 5.36, P = 0.304). There was no significant difference in the incidence of SSV trunk occlusion at 12months after surgery between the two groups (95.31% vs 96.77%, OR 1.475; 95%CI 0.238-9.146, P = 1.000). EMA and EVLA are equally effective treatment methods for SSV insufficiency. EMA is associated with higher NPRS scores in the early postoperative period.

Rationally constructing metastable ZrO2 supported Ni catalysts for highly efficient and stable dry reforming of methane

The metastable Ni/ZrO2 catalysts were rationally constructed via reflux treatment and employed for dry reforming of methane. Reflux could suppress the transformation and improve the stability of the metastable ZrO2, as well as enrich its pore structure. Meanwhile, acidity-basicity, Zr3+ and oxygen vacancies were also promoted. Additionally, Ni dispersion was remarkably improved with increasing reflux time due to the abundant pores and enhanced metal-support interaction. These results illustrated the evaluation that prolonging reflux time could significantly proliferate the performance of Ni/ZrO2. Besides, reflux could strengthen the anti-carbon ability but the widened gap between CH4 dissociation and CO2 activation would cause more carbon deposition. The catalyst with reflux for 240 h showed the robust stability for 9000 min (CH4 conversion: 80 %; CO2 conversion: 88 %) at 750 °C. Furthermore, the mechanisms were discussed to unravel the origin of the accelerated performance by reflux and provide some references for designing efficient Ni-based catalyst.

Effect of Refluxing Time and Kinetics of Synthetic Organic Chemicals Removal in Aqueous Solutions by Carbons Produced from Nipa Palm Fronds

The refluxing time is a significant consideration in synthetic study, because it could reflect the kinetics of the reaction process. Synthetic Organic Chemicals (SOCs) are man-made carbon-based compounds that are not likely to evaporate into the atmosphere and hence they could get into aquatic water bodies through terrestrial runoff or discharge from factories. Therefore, this paper investigated the effect of refluxing time and kinetics of Synthetic Organic Chemicals (SOCs) removal in aqueous solutions by carbonized and surface-modified carbons made from Nipa Palm (&amp;lt;i&amp;gt;Nypa Fruticans &amp;lt;/i&amp;gt;Wurmb) fronds using chemical oxygen demand (COD) as the measurement parameter. The data showed a rapid reduction of the COD of the SOCs contaminated solutions from 30.19 to 93.46% for PCC, 27.44 to 65.58% for AAC, 41.84 to 98.22% for BAC and 56.71 to 95.16% for CAC between 10 to 60 mins. Optimum reduction was achieved within 20 min of heating the solutions at 150°C. The rapid COD reduction observed for n-propanol indicates that COD is a rapid, inexpensive means of determining organics in water. Kinetic assessment of the results showed that, pseudo-first order kinetic equation did not provide a very good description of COD reduction of the SOCs in aqueous solution by the Nipa palm derived carbons. However, Nipa palm had been adjudged as a beneficial, eco-friendly and locally available source for the development of activated carbon for elimination of organic pollutants in domestic and industrial wastewaters.

The Clinical Investigation on Varicocele and Sperm Quality in the Tibet an Plateau of China: A Prospectively Planned Retrospective Cohort Study.

Varicoceles are a common cause of male infertility, affecting up to 35% of men undergoing fertility evaluations. This study aims to investigate the potential influence of altitude and residence time on the occurrence of varicoceles, as well as on sperm quality and sterility in plateau areas. A total of 168 patients with varicocele were enrolled in the study, and the study population was divided into groups based on their direct exposure to different high altitudes due to their living locations. The internal diameter in Quiet breath (Dr), internal diameter in Valsalva maneuver (Dv), reflux peak value, and reflux time are gradually increased accompanied with altitude elevation and residence time extension. The number of cases above 4,500 m also increased with the severity of varicocele, and the altitude of clinical types was higher than that of subclinical types of varicocele. Especially above 4,500 m, the Dv, Dr, reflux peak value, and reflux time all increased with the severity of varicocele. The severity of varicocele was positively correlated with the residence time in plateau area. Patients with residence time of more than 1 year had higher values of Dr, Dv, differentiation time, reflux peak value, and reflux time than those with residence time of less than 1 year. Compared to 3,650 m, patients with varicocele in 4,500 m also have worse semen quality. Both altitude and residence time are strongly positively related to the severity and incidence rate of varicocele in plateau areas.

Noninvasive measurement of ambulatory venous pressure via column interruption duration in chronic venous disease

BackgroundColumn interruption duration (CID) is a noninvasive surrogate for venous refill time (VFT), a parameter used in ambulatory venous pressure measurement. CID is more accurate than invasive VFT measurement because it avoids errors involved with indirect access of the deep system through the dorsal foot vein. The aim of this retrospective single center study is to analyze the clinical usefulness of CID in assessment of chronic venous disease (CVD). MethodsA total of 1551 limbs (777 patients) were referred with CVD symptoms over a 5-year period (2018-2023); CID, air plethysmography, and duplex reflux data were analyzed. Of these limbs, 679 had supine venous pressure data as well. The pathology was categorized as obstruction if supine peripheral venous pressure was >11 mm Hg and as reflux if duplex reflux time in superficial or deep veins was >1 second. CID was measured via Doppler monitoring of flow in the great saphenous vein (GSV) and one of the paired posterior tibial (PT) veins near the ankle in the erect posture. The calf is emptied by rapid inflation cuff. CID is the time interval in seconds when cephalad venous flow in great saphenous vein and posterior tibial veins reappear after calf ejection. A CID <20 seconds in either vein is abnormal similar to the threshold used in VFT measurement. ResultsThirty-two percent of the limbs had obstruction, 17% had reflux, and 37% had a combination; 14% had neither. Higher clinical-etiology-anatomy-pathophysiology (CEAP) clinical classes (C4-6) were prevalent in 44% of pure reflux, significantly less (P < .0001) than in pure obstruction (73%) or obstruction plus reflux subsets (72%), partly reflecting distribution of pathology. There is a progressive increase in supine venous pressure and abnormal CID (P < .0001 and P < .0001, respectively) in successive CEAP clinical class. No such correlation between CEAP and any of the reflux severity grading methods (reflux segment score, Venous Filling Index, and Kistner axial grading) was observed. Abnormal CID (55%) was more prevalent in higher CEAP classes (>4) (P < .0001) than in lesser clinical classes (0-2) or limbs with neither obstruction nor reflux (P < .01). ConclusionsObstruction seems to be a more dominant pathology in clinical progression among CEAP clinical classes than reflux. CID is abnormal in both obstructive and refluxive pathologies and may represent a common end pathway for similar clinical manifestations (eg, ulcer). These data suggest a useful role for CID measurement in clinical assessment of limbs with CVD.

Investigation of the Relationship Between Laparoscopic Sleeve Gastrectomy and Gastroesophageal Reflux Disease Using 24-hour Multichannel Intraluminal Impedance With pH Testing According to Current Consensus.

Laparoscopic sleeve gastrectomy (LSG) is a popular weight loss procedure with potential effects on gastroesophageal reflux disease (GERD). However, research on the association between LSG and GERD using objective evaluation criteria, such as multichannel intraluminal impedance combined with pH testing (MII-pH), is limited. This study aimed to investigate the impact of LSG on GERD using MII-pH and current consensus guidelines. It was conducted as a prospective clinical study on 33 patients who underwent LSG between January 2022 and August 2022. MII-pH and high-resolution manometry were performed preoperatively and 3 to 6 months postoperatively. GERD diagnosis was based on MII-pH results using the Lyon and Update Porto consensus guidelines. Postoperative MII-pH analysis revealed a significant increase in acid reflux time, acid exposure time, reflux index, esophageal clearance, total reflux time, and longest reflux period. Weak acid reflux episodes decreased, while Demeester score and alkaline reflux showed nonsignificant increases. Pathologic reflux significantly increased postoperatively based on MII-pH diagnosis. High-resolution manometry showed a significant increase in unsuccessful motility. Although the Demeester score calculation consists of 6 metrics, including acid exposure time, the acid exposure time is more specific in detecting pathologic reflux. Pathologic GERD increases significantly with LSG in the early period. Therefore, preoperative and postoperative endoscopy and MII-pH can provide valuable information regarding the need for closer follow-up after LSG.

DEEP EUTECTIC SOLVENT (RELINE) AS CATALYTIC SYSTEM IN SYNTHESIS OF SCHIFF BASES DERIVED FROM GLUCOSE AND DIFFERENT AMINES

In this work, seven new Schiff bases were obtained in two ways. In method (A), an equimolecular aqueous solution of glucose and an alcoholic solution of amine were refluxed for three hours, and in method (B), a deep eutectic solvent (Reline), prepared from one mole of choline chloride and two moles of urea,was used as catalyst. The reaction yield percentage in the traditional method (A) was found to be 60-79%, and in the catalytic method (Method B) using a deep eutectic solvent (Reline) yield percentage was 88-95%. The deep eutectic solvent catalytic system (Reline) is an environmentally friendly solution with the triple benefit of increased percentage yield, elimination of solvent, and faster reaction time by reducing reflux time by up to three times (i.e., just one hour).

Optimization of Ethanol Extraction Technology for Yujin Powder Using Response Surface Methodology with a Box-Behnken Design Based on Analytic Hierarchy Process-Criteria Importance through Intercriteria Correlation Weight Analysis and Its Safety Evaluation.

Here, we aimed to optimize the ethanol extraction technology for Yujin powder (YJP) and evaluate its safety. The ultrasonic-assisted ethanol reflux extraction method refluxing was used to extract YJP. The parameters were optimized through a combination of single-factor and response surface methodology (RSM). The comprehensive Y value score calculated using the content of 13 active ingredients in YJP ethanolic extracts (YEEs) and the yield of the dry extract were used as measuring criteria. RSM with a Box-Behnken design using three factors and three levels was adopted to optimize the ethanol extraction technology for YJP. Finally, acute and subchronic toxicity tests were performed to evaluate its safety. The results revealed the best technological parameters: a liquid-material ratio of 24:1, an ethanol concentration of 69%, assistance of ultrasound (40 °C, 50 kHZ, 30 min), reflux time of 53 min, and reflux temperature of 50 °C. In acute toxicity tests, the maximum administration dosage in mice was 28.21 g/kg, which is higher than 10 times the clinical dosage. Adverse effects in the acute and subchronic toxicity tests were not observed. All clinical indexes were normal. In conclusion, the RSM based on AHP-CRITIC weight analysis could be used to optimize the ethanol extraction technology for YJP and YEEs prepared under the above conditions and ensure high safety.

Preparation of HfSiO4 via Non-Hydrolytic Sol-Gel method at low temperatures

Hafnon (HfSiO4) can be applied in electronics, dielectric films, refractory materials, and many other critical application areas. To explore an efficient preparation process of HfSiO4, a novel non-hydrolytic sol-gel (NHSG) method was used to synthesize high-purity HfSiO4 in this study. X-ray diffraction (XRD), field emission scanning electron microscopy (SEM), energy-dispersive spectrometer (EDS), thermogravimetric differential scanning calorimetry (TG-DSC), Fourier transform infrared spectroscopy (FT-IR), and infrared thermal imaging (ITI) were used to investigate the synthesis temperature and mechanism of HfSiO4 and the effects of process parameters on its synthesis efficiency. The results show that the prepared sols undergo a highly reactive non-hydrolytic polycondensation reaction at room temperature. High temperature reflux or long time aging step is not necessary to form the strong Hf-O-Si bonds. Furthermore, with the introduction of the mineralizer agent LiF, the synthesis temperature of HfSiO4 can be drastically reduced, and the HfSiO4 with high purity can be synthesized at low temperatures. A moderate molar ratio of silicon to hafnium (Si:Hf) and molar concentration of the solution contribute to improve the synthesis efficiency of HfSiO4, and the purity of HfSiO4 products can reach up to 98.12 %.

Synthesis of Cardanil Methyl Ether via Etherification Reaction Cardanol Isolated from Cashew Nut Shells (Anacardium occidentale L.) with Variations of Molar Methyl Iodide

The synthesis of the Cardanyl methyl ether is carried out through an etherization reaction between Cardanyl seed skin extract (CNSL) isolated from the methyl iodide. Cardanol is isolated with the addition of acetone, Ca(OH)2, NH4OH 25%, n-hexane: ethyl acetate (98:2), washing with NaOH 2.5%, HCl 5%, aquadest, and Na2SO4 anhydrate. The yield of the obtained cardanol is 74.39 g (74.39% of the initial weight of the CNSL) and has the following characteristics: acid count 1.2863 mgKOH/g, iodine count 215.6535 g I2/100 g, viscosity 38.7 cP, density 0.8266 g/mL, pH = 6.14. The FT-IR methyl ether Cardanyl spectrum shows an absorption band at 1162.9-1259.8 cm-1 shows a C-O stretching group at a wave number of 1043.6-1148.0 cm-1 showing the formation of an asymmetric and symmetrical C- O-C stretching band of the ether compound, the Spectra of the FT - IR methyl ether Cardanyl shows an absorptive band at 1162-1259-125,8 cm-1, showing a C-O stretching Group, at the wave number of 1043.6-1148.0 cm-1 indicating the formation, as a result, of an Asymmetric and Symmetric Stretching Group of the ethereal Compound. The Cardanyl methyl ether was synthesized by adding K2CO3, the solvent acetone and the iodide-methyl, with a reflux time of 8 hours. As for the parameters carried out in this study, the molar variation of the Cardanyl is the Methyl Iodide (1:1.5, 1:3, and 1:4.5) and yields 3.555 g; 12.084 g; 11.472 g of Cardanyl ether. Methyl ether Cardanyl was obtained in analysis with FT-IR and GC-MS spectroscopic photometers. The results of the analysis of Cardanyl methyl ethers with GC -MS were 63.28%, and the results of analysis of the Cardanyl ether with a variation of the molar ratio Cardanyl: Methyl iodide (1:1.5; 1:3; 1:4.5) with GC-MS obtaining 3.05%, 30.29%, and 26.58%. These results show the maximum percentage of methyl ethers Cardanyl at the reaction conditions of the variation molar ratios Cardanyl iodides (1:3), K2CO3 17.3 g, 50 mL of acetone, and 8 hours of reflux time.