Separation Time Research Articles

Multi-institutional Validation of the Interarytenoid Assessment Protocol for Pediatric Laryngeal Cleft.

Current assessment techniques for determining whether a patient has normal interarytenoid anatomy, a deep interarytenoid notch, or a minor laryngeal cleft are highly variable. However, differentiating between these three entities is important, given it may distinguish whether a patient should be considered for surgical intervention. The Interarytenoid Assessment Protocol (IAAP) was developed to provide standardization of interarytenoid anatomy evaluations. We aimed to assess the reliability of the IAAP for assessment of interaytenoid mucosal height (IAMH) through a multi-institutional validation study. Reliability of the IAAP was assessed by 10 pediatric otolaryngologists all from different academic centers. 30 de-identified endoscopic videos of interarytenoid assessments were rated at two separate time points, 2 months apart. Intra-class correlation (ICC) coefficients with two-way models were used to evaluate inter- and intra-rater reliability. Thirty endoscopic videos were collected for patients with a median (IQR) age of 4.9 years (59 months; range: 1 month to 20 years). On the first video assessment, inter-rater reliability was 0.74 (95% CI 0.63-0.84), and on the second video assessment, inter-rater reliability was 0.75 (95% CI 0.63-0.85) indicating strong inter-rater reliability. Overall intra-rater test-retest reliability was 0.75 (95% CI 0.69-0.79) indicating strong agreement. In almost half, 14 (46.6%) raters chose IAAP classification levels within 1 level of each other. Multi-institutional validation of the IAAP demonstrates strong inter- and intra-rater reliability for assessment of IAMH when evaluated through pictorial analysis. Standardization of anatomical evaluations may improve our ability to perform more reliable outcomes studies of pediatric pharyngeal dysphagia in the future. NA Laryngoscope, 2024.

Optimisation of the sampling method for skin microbiome studies in healthy children: a pilot cohort study

IntroductionRecent interest in the diverse ecosystem of bacteria, fungi and viruses that make up the skin microbiome has led to numerous studies investigating the skin microbiome in healthy skin and in dermatological conditions. However, skin microbiome analysis is challenging due to relatively low numbers of skin microorganisms compared to mucosal sites, such as the respiratory or gastrointestinal tracts. Microbiome results are heavily influenced by sampling methods. Previous sampling methods include that of cotton swabs, tape stripping, patch sampling and punch biopsies. It is essential to have a standardised sampling method for microbiome studies to have comparable results between studies. Two non-invasive methods of sampling the skin microbiome; a skin scraping versus a flocked swab were chosen as methodologies likely to be efficient, effective, and easy to access for future skin microbiome studies in children. Here we compare the two sampling methods to describe the composition of the skin microbiome in healthy children.MethodSamples were collected from six healthy children aged three to nine years from the skin overlying the cubital fossa, cheek and axilla using (i) flocked swabs and (ii) skin scrapings with a glass slide. Samples were collected from the left and right sides of the body at two separate time points, one week apart. Quantitative PCR of the gene encoding 16S ribosomal ribonucleic acid (rRNA) was performed to compare the bacterial load collected by each sampling method. Full-length 16S rRNA gene amplicon sequencing was performed to compare the relationship of sampling method and time with the diversity and ecology of bacteria between different body sites.ResultsFrom six children, 78 flocked swabs and 78 skin scraping samples were collected, along with details of their overall health and skin care practices. qPCR results indicated higher total bacterial load from flocked swabs compared with skin scrapings. Flocked swabs and skin scraping methods had very similar bacterial compositional profiles. The skin microbiome was diverse between individuals and remained relatively stable within individuals over time.DiscussionOverall, results were similar between sample types, however bacterial DNA yield was higher for flocked swab samples (compared to skin scraping methods) and with a simpler protocol is the preferred sampling method for future studies.

Abstract 4116981: Sex- and Racial/Ethnic Mortality Trends Across Separate Time Periods Following Hospitalization for Acute Myocardial Infarction

Intro: Mortality for patients hospitalized with acute myocardial infarction (AMI) has improved over time, but sex- and racial/ethnic disparities remain. Whether disparities have changed over specific time periods following hospitalization is poorly understood. Aim: To assess mortality trends across separate time periods following incident AMI hospitalization by sex and race. Methods: Using Medicare fee-for-service data covering all patients with incident AMI hospitalizations from 2008 to 2018, we examined unadjusted mortality rates by sex and race/ethnicity for the following time periods: acute (in-hospital), post-acute (0-30 days after hospital discharge), short term (31 days to 1 year after discharge), and long term (1-3 years after discharge). Each period was considered separately (i.e., patients who died during one period were not counted in later periods). Results: We identified 768,084 patients hospitalized with incident AMI (mean age 81 years, 48% male, 87% White) between 2008-2018. Figures 1 and 2 show annual mortality rates and trends. From 2008-2018, men and women had similar in-hospital and post-acute mortality, but women had persistently higher short- and long-term mortality compared to men. In 2008, Black patients had higher mortality rates compared to White patients for every period studied. In-hospital mortality rates were similar by 2018 but remained higher for Black patients for every other time period. Conclusions: For incident AMI patients, mortality rates have improved across subgroups through 3 years after discharge. However, women have had persistently higher mortality rates 1-3 years following hospitalization compared to men, while Black patients have had persistently higher mortality rates 30 days – 3 years following hospitalization compared to White patients. These results suggest that opportunities to reduce sex- and race-based AMI disparities might be particularly effective in longitudinal outpatient care following hospital discharge.

Implementasi dan Pengaruh Time Division Multiplexing (TDM) terhadap Kualitas Transmisi Sinyal

Time Division Multiplexing (TDM) is a multiplexing technique that enables the transmission of multiple signals over a single communication channel by allocating separate time slots for each signal stream. This study aims to analyze the working principles of TDM, examples of its implementation, as well as the benefits and drawbacks of TDM in communication networks. The findings show that TDM can enhance data transmission efficiency through flexible bandwidth allocation, minimizing signal interference and thereby improving signal quality. Due to these advantages, TDM is widely used in fiber optic communication systems, such as telephone and internet networks. Additionally, all data processing is conducted within integrated circuits utilizing Plastic Optical Fiber (POF), allowing TDM to be implemented at a low cost.

Probing the polarized emission from SMC X-1: The brightest X-ray pulsar observed by IXPE

Recent observations of X-ray pulsars (XRPs) performed by the Imaging X-ray Polarimetry Explorer (IXPE) have made it possible to investigate the intricate details of these objects in a new way, thanks to the added value of X-ray polarimetry. Here we present the results of the IXPE observations of SMC X-1, a member of the small group of XRPs displaying super-orbital variability. SMC X-1 was observed by IXPE three separate times during the high state of its super-orbital period. The observed luminosity in the 2–8 keV energy band of L ∼ 2 × 1038 erg s−1 makes SMC X-1 the brightest XRP ever observed by IXPE. We detect significant polarization in all three observations, with values of the phase-averaged polarization degree (PD) and polarization angle (PA) of 3.2 ± 0.8% and 97° ±8° for Observation 1, 3.0 ± 0.9% and 90° ±8° for Observation 2, and 5.5 ± 1.1% and 80° ±6° for Observation 3, for the spectro-polarimetric analysis. The observed PD shows an increase over time with decreasing luminosity, while the PA decreases in decrements of ∼10°. The phase-resolved spectro-polarimetric analysis reveals significant detection of polarization in three out of seven phase bins, with the PD ranging between ∼2% and ∼10%, and a corresponding range in the PA from ∼70° to ∼100°. The pulse-phase resolved PD displays an apparent anti-correlation with the flux. Using the rotating vector model, we obtain constraints on the pulsar’s geometrical properties for the individual observations. The position angle of the pulsar displays an evolution over time supporting the idea that we observe changes related to different super-orbital phases. Scattering in the wind of the precessing accretion disk may be responsible for the behavior of the polarimetric properties observed during the high-state of SMC X-1’s super-orbital period.

A longitudinal study of enjoyment and group-level emotion regulation in online collaborative English language learning

This study investigates the dynamic connection between two emotional constructs, enjoyment and group-level emotion regulation (co- and socially-shared regulation), during one 21-week semester of online collaborative English language learning. The study involved 268 Chinese undergraduate English-major students who completed a series of English writing tasks in 88 online groups of three or four members. During their online collaboration, participants were invited to complete the enjoyment scale and the emotion regulation scale at three separate times at seven-week intervals. When analyzing the data, a latent growth curve (LGC) modeling approach was employed to examine the intercepts and slopes of participants’ scaled responses to questions regarding enjoyment, co-regulation, and socially-shared regulation and to analyze the covariance between them. The findings reveal that participants’ levels of enjoyment and group-level emotion regulation were generally high at the initial stage of their online collaboration and continued to increase toward the end of the semester. Furthermore, an increase in the level of their enjoyment was significantly and positively associated with an increase in the levels of both their co- and socially-shared regulation, with the relationship with socially-shared regulation during online collaborative learning being stronger. These findings will enable language teachers to develop strategies for supporting language learners’ emotion regulation in online contexts.

A critical discussion of elasto-visco-plastic self-consistent (EVPSC) models

Two recently proposed elasto-visco-plastic self-consistent (EVPSC) models, based on solving for stress or stress increment, are discussed, and their results are compared with the ones of the visco-plastic self-consistent (VPSC) approach. The advantages and shortcomings of the models are demonstrated, with emphasis on how the grain responses are affected by the time increment and inclusion-medium interaction strength used. Experimental data obtained for an FCC stainless steel is used as the benchmark system for performing the simulations and assessing the reliability of the results. Predictions of stress-strain response of the aggregate, standard deviations in intergranular stress and strain rate, along with the evolution of internal lattice strain are presented and compared, with special focus on their dependence on the incremental approach chosen. We find that the chosen time increment may significantly affect predicted grain responses. To avoid such effect a method based on using two separate time increments is proposed, one for approximating the stress rate and another for actual integration of stress, strain, and state variables. The proposed method successfully eliminates the dependence of results on the time increment used, thus allowing more reliable computations while preserving the computational efficiency of the elasto-visco-plastic model.

Screening and evaluation of phase change absorbents by molecular polarity index: Experimental and quantum chemical calculation studies

Phase change absorbents have recently received increasing attention due to their potential to reduce the energy penalty of CO2 capture. However, its complex composition makes the prediction of phase separation performance difficult. Phase separation behavior and phase separation rate have been investigated for the amine-aqueous 5.0 M amine blends by experimental and quantum chemical calculations (including MPI, hydrogen bonds and Gibbs free energy). The different phase behaviors upon CO2 absorption were discussed and well explained by the polarity change of components and the reaction products. A defined MPI value of tertiary amines was recommended to predict the immiscible type (MPI > 10.55 Kcal/mol), phase separation type (9.00 Kcal/mol < MPI < 10.08 Kcal/mol), and miscible type (MPI < 6.74 Kcal/mol). The electron density at the critical point of hydrogen bonds and interaction region indicators were employed to visually evaluate the influence of intramolecular and intermolecular hydrogen bonds on phase separation behaviors. The results show that the presence of excessive hydrogen bonds decreased the phase separation capacity. Furthermore, the relationship between the MPI, the Gibbs free energy of the proton transfer process and the phase separation time were explored. The increase of MPI caused by the tertiary amines can enhance the stability of the final product, delay the appearance of the phase separation peak and reach a maximum phase separation time of 230 min. Therefore, this study is significant for the screening and evaluation of efficient phase change absorbents with good potential for industrial applications in CO2 capture.

Reduction of Preoperative Anxiety Using Virtual Reality vs Midazolam: A Randomized Controlled Trial

More than 50% of pediatric patients experience significant stress and anxiety prior to surgery.1 High anxiety can result in increased postoperative pain, analgesic consumption, and delayed recovery.2 To reduce this preoperative anxiety, multiple therapeutic modalities have been developed, including the use of distraction, such as playing video games, watching movies, and listening to music. In severe cases of anxiety, anxiolytic and sedative medications like midazolam are used. However, given the acknowledged drawbacks of medications, including the risk of paradoxical reactions to the drug, alternatives to medication for reducing preoperative anxiety in patients may be useful. We aim to compare the use of virtual reality (VR) to midazolam in reducing preoperative anxiety in surgical patients and assess differences in induction compliance, emergence delirium, pain scores, and opioid use in VR vs. midazolam-treated patients. Methods This study was approved by the Phoenix Children’s Hospital Institutional Review Board. First-time surgical patients (N = 36) between the ages of 5 and 11 years undergoing tonsillectomy or tonsillectomy/adenoidectomy procedures were randomly assigned to either receive midazolam (0.5 mg/kg up to 25 mg) or play an interactive underwater-themed game using VR. The Modified Yale Preoperative Anxiety Scale (mYPAS) was administered by a single child life specialist preoperatively, and only patients who reached a threshold of &gt;40 on mYPAS scoring were enrolled (scale range: 23 - 100). Additional anxiety measurement was tested using the adult and child State-Trait Anxiety Inventory (STAI). Midazolam or VR was administered prior to transport to the OR, and mYPAS was scored again at the time of separation from the family. The Induction Compliance Checklist (ICC) was utilized for assessment at the time of anesthesia induction. The VR-treated patients continued use of the VR headset through mask induction. A standardized anesthesia induction protocol was used for all patients. The Pediatric Anesthesia Emergence Delirium (PAED) scale was administered at emergence, postoperatively. Postoperative nurses scored pain and administered IV pain medication as needed. Group means and standard deviations were reported and compared with two-sided t tests. Results Interim results show the mYPAS anxiety scores dropped 20.1 ± 11.7 points following midazolam treatment (p&lt;0.001) and dropped 28.3 ± 7.3 points following VR treatment (p &lt; 0.001). There was a significant difference in mYPAS scores between groups following treatment (midazolam = 32.0 ± 4.9; VR = 25.4 ± 4.7; p = 0.04). There were no significant differences between midazolam- and VR-treated groups in the Induction Compliance Checklist, PAED scale, peak postoperative pain scores, and medication use for pain control postoperatively. This study is currently ongoing. Conclusion VR appears to reduce preoperative anxiety similarly to midazolam in anxious first-time surgical pediatric patients. Limitations include patient population. Further studies should be conducted for greater generalizability.

Macroscopic State-Level Analysis of Pavement Roughness Using Time–Space Econometric Modeling Methods

This paper used pavement condition data collected by the Federal Highway Administration (FHWA) between 2001 and 2006 aggregated by U.S. states to identify macroscopic factors affecting pavement roughness in time and space. To account for prior pavement conditions and preservation expenditure over time, time autocorrelation parameters were introduced in a spatial modeling scheme that accounted for spatial autocorrelation and heterogeneity. The proposed framework accommodates data aggregation in network-level pavement deterioration models. Because pavement roughness across different roadway classes is anticipated to be affected by different explanatory parameters, separate time–space models are estimated for nine roadway classes (rural interstate roads, rural collectors, urban minor arterials, urban principal arterials, and other freeways). The best model specifications revealed that different time–space models were appropriate for pavement performance modeling across the different roadway classes. Factors that were found to affect state-level pavement roughness in time and space included preservation expenditure, predominant soil type, and predominant climatic conditions. The results have the potential to assist governmental agencies in planning effectively for pavement preservation programs at a macroscopic level.

Proposal automatic water purging system for machinery in high humidity environments controlled by an ECU

This paper presents an advanced automatic water discharge system tailored for diesel-powered machinery, particularly for vehicles operating in diverse climates, including humid coastal regions. The system is designed to protect fuel circuits in tanks and diesel engines of boats, offering either automatic or semi-automatic protection against oxidation and corrosion. This enhancement extends the lifespan of diesel components and pipelines while simultaneously reducing maintenance costs and intervention times. Additionally, the system improves fuel purity, resulting in increased engine power and efficiency. The proposed solution was experimentally validated using an Arduino board coupled with a water-sensitive detector in diesel fuel, suitable for installation in diesel filters or tanks. Experimental findings demonstrated a remarkably swift separation time of 150 microseconds for diesel and water at a pressure of 1 bar, achieving an impressive efficiency of 99.84%. The system's rapid and effective separation capability highlights its practical value, particularly in scenarios where efficient water removal is critical to sustaining engine performance and longevity.

Development of a Novel and Rapid LC-MS/MS Method for Measuring Phosphatidylethanol in Whole Blood

Abstract Alcohol consumption can lead to serious health repercussions, including motor impairments and organ failure. Testing for short-term alcohol use is routinely conducted using blood ethanol tests in clinical laboratories. However, there is an emergent need to identify heavy alcohol users, especially crucial for patients undergoing organ transplant evaluations. With the advent of various biomarkers to detect heavy alcohol use, phosphatidyl ethanol (PEth), a group of abnormal phospholipids formed in cell membranes due to alcohol consumption, has gained prominence. PEth has been analyzed in whole blood with liquid chromatography-tandem mass spectrometry (LC-MS/MS) as two isomers: 18:1 (fatty acid:double bond) and 18:2 (fatty acid:double bond). We have developed an LC-MS/MS method that can detect these isomers in 4.5 minutes at concentrations of 10-500 ng/mL with excellent linearity and precision. In contrast to most LC-MS/MS methods where phospholipids are removed to minimize ion suppression, this method requires retaining phospholipids because the analyte, PEth, is a type of phospholipid. This was achieved through a ‘reverse extraction’ approach using phospholipid removal cartridges. Subsequently, the extracted samples were separated in an Agilent Protoshell 120 HPLC column on a Vanquish UHPLC instrument using 1 mM ammonium formate with 0.2% formic acid in water as Solution A and 50/50 isopropanol/acetonitrile as Solution B. The separation is performed starting at 80% Solution B (rest is Solution A) followed by a gradient elution where Solution B was increased to 95% over 2.3 minutes. Ions were analyzed using a ThermoFisher TSQ Endura MS/MS instrument in the negative mode. Additionally, commercially available whole blood was found to contain detectable levels of PEth in random lots, rendering them unsuitable for use as blank blood in the preparation of calibrators and quality controls. Instead, synthetic was used for this purpose. Ion suppression was observed, and various strategies were attempted to minimize it, including adjusting additives in the mobile phase, extending LC separation times, among others. More details on the impact of these adjustments and their effectiveness in improving the method’s performance will be presented.

Preparation of highly active MgO by carbonate hydrogenation and its application in separation of cobalt and nickel

AbstractAs a significant industrial material, MgO is mainly obtained by the pyrolysis of magnesite (magnesium carbonate) under air conditions, producing large amounts of CO2 and contributing to global warming. In this work, the MgO was prepared using the hydrogenation reduction method. The reaction conditions led to CO2 emissions of &lt;1% and an overall temperature decrease of ~80°C. The highly active MgO prepared by hydrogenation reduction led to a precipitation rate of Co and Ni &gt;99% with a short separation time. Electron paramagnetic resonance, CO2 temperature programmed desorption, and diffuse reflectance infrared spectroscopy analyses showed that the MgO prepared by hydrogenation contained oxygen vacancies, which improved the alkalinity of the MgO and promoted the precipitation of Ni2+ and Co2+ by adsorption of hydroxyl oxygen to induce water dissociation, thereby enhancing their separation efficiency.

Preparation of the sandwiched PS-SiO2-PVAc-SiO2 electrospinning fiber membrane with super-hydrophobic and self-cleaning and its performance in oil-water emulsion separation

Oil-water emulsion separation could improve the efficiency of oil resources and reduce environmental pollution. The efficiency of oil-water separation was directly affected by the surface hydrophobicity of the membrane and its reliability and reusability. Therefore, the construction of a reliable and reusable super-hydrophobic surface was very important. In this research, the EFM with sandwich structure of PS-SiO2-PVAc-SiO2 was easily fabricated by a three times liquid phase induction process and heat treatment. The PS-SiO2-PVAc-SiO2 EFM was first formed by a triple liquid phase induction process, then the EFM was heat-treated, the PVAc, which is a heat-sensitive material, resulting in SiO2 nanoparticles being welded onto PS fibers. The rolling contact angle experiment at an inclination of 8° proved that the PS-SiO2-PVAc-SiO2 EFM has super-hydrophobic properties. Meanwhile, the PS-SiO2-PVAc-SiO2 EFM showed excellent stability and reliability of super-hydrophobic properties after the EFM was washed or taped. In addition, the PS-SiO2-PVAc-SiO2 EFM had self-cleaning function and fine oil-water separation property. The oil-water separation efficiency was over 99.50 % and the flow rate was 68 L/m2h. After 5 times of oil-water separation, the flux and separation efficiency did not decrease significantly, which proved that the PS-SiO2-PVAc-SiO2 EFM could be reusable.

Information accumulation on the item versus source test of source monitoring: Insights from diffusion modeling.

Source monitoring involves attributing previous experiences (e.g., studied words as items) to their origins (e.g., screen positions as sources). The present study aimed toward a better understanding of temporal aspects of item and source processing. Participants made source decisions for recognized items either in succession (i.e., the standard format) or in separate test blocks providing independent measures of item and source decision speed. Comparable speeds of item and source decision across the test formats would suggest a full separation between item and source processing, whereas different speeds would imply their (partial) temporal overlap. To test these alternatives, we used the drift rate parameter of the diffusion model (Ratcliff, Psychological Review, 85, 59-108, 1978). We examined whether the drift rates, together with the other parameters, assessed separately for the item and source decision varied as a function of the test format. Threshold separation and nondecision time differed between the test formats, but item and source decision speeds represented by drift rates did not change significantly. Thus, despite facilitation on the source decision when the item decision was immediately followed by a test for source memory than when item and source were tested in separate blocks, findings did not suggest that source information already begins accumulating in the item test in the standard format. We discuss the temporal sequence of item and source processing in light of different assumptions about the contribution of familiarity and recollection.

Gender inequality in intergenerational contact after parental separation in the digital era

AbstractObjectiveThe goal of this brief report is to analyze parent‐adult child contact frequency in intact and non‐intact families by focusing on parent and child gender and the type of contact.BackgroundParental separation increases gender differences in parent–child relationships, with separated fathers having less frequent contact with their adult children compared to separated mothers. We investigate whether the father–mother gap in post‐separation contact varies according to parent–child gender mismatch and the type of contact, that is, face‐to‐face, phone, or digital (e.g., via video calls).MethodWe use data on Italian families from the Family and Social Subjects survey to examine parent–child contact frequency among 6770 adult children aged 30–55 (11,041 parent–child dyads). We estimate random and fixed effects models on the probability of having frequent contact with biological parents in intact and non‐intact families (parental separation before age 18).ResultsFathers' reduced contact frequency compared to mothers is particularly evident with daughters, more pronounced in face‐to‐face and phone contact than in digital contact, and greater among younger daughters at the time of separation. Gender differences in phone and digital contact are larger for fathers who have also less frequent face‐to‐face contact compared to mothers.ConclusionWe interpret these findings by focusing on the centrality of mother–daughter ties and the loyalty that children have with the same‐gender parent. We also suggest that different types of contact reinforce gender differences between parents and may lead to a polarization of older parents with “strong” and “weak” family ties.

Changes in Chlamydia trachomatis risk before and after union formation and separation among women of reproductive age.

Not having an established relationship is associated with an elevated risk of Chlamydia trachomatis (CT) infection, but this might reflect selection into and out of unions. Although union formation and union separation are common events in reproductive age, little is known about changes in CT risk before and after these transitions. We linked Finnish Population Register data to the National Register of Infectious Diseases and used fixed-effects linear probability models that account for all time-invariant confounders to examine changes in women's 6-month CT risk 3 years before and 3 years after entry into first cohabitation (n = 293554), non-marital separation (n = 201647) or marital separation (n = 92232) during 2005-14. From 3 years to 1 year before first union formation, the 6-month risk of CT increased slightly, peaking at 1.27% immediately prior to union formation (95% confidence interval 1.22-1.31). It declined sharply following union formation, being only 0.40% (0.34-0.46) 6-12 months after union formation with little changes thereafter. Among women separating from non-marital unions, the risk increased from 0.50% (0.42-0.57) to 1.45% (1.40-1.49) around the time of separation and decreased following separation. The pattern of findings was relatively similar for marital separation, although the observed risks and changes were smaller in magnitude. Our results based on longitudinal data and individual fixed-effects models indicate that the period immediately after separation may be causally associated with an elevated risk of CT. This suggests that recently separated women should be identified as a high-risk group for CT.

A new consecutive high-performance counter-current chromatography approach based on co-current and overlap mode for isolating active compounds from olive leaves

Conventional consecutive separation methods based on overlapping injection modes produce interactions between samples as the separation time increases. This will lead to a reduction in the purity of the target due to the gradual saturation of the stationary phase distribution. To enhance the purity of the sample preparation and separation efficiency, we devised a consecutive separation method under high-performance counter-current chromatography (HPCCC) utilizing co-current elution and overlapping injection. The method was used for the separation and preparation of olive leaves for their main bioactive polyphenolic constituents. Six HPCCC separations were conducted in reversed-phase mode using a two-phase solvent system consisting of petroleum ether/ethyl acetate/water (1:40:40, v/v). Finally, 302.7 mg of luteolin-4’-O-β-D-glucoside and oleuropein were isolated from 720 mg of crude sample with purities of 93.3 % and 96.2 %, respectively. The optimization strategy outlined in this study can be used to enhance the extraction of bioactive components from olive leaves.

Breast Milk Application as a Natural Method for Umbilical Cord Care: A Community-Label 3-Arm Pilot Clinical Trial

Abstract Objective To compare the effects of human breast milk with those of chlorhexidine and the dry method on umbilical cord separation in Ethiopia. Methods This open-label 3-arm nonrandomized pilot clinical trial was conducted among 45 neonates (15 in each arm) with more than 630 home visits. After a standard cord cut, human breast milk, chlorhexidine, or nothing was applied once per day for 7 days. The primary outcome was the duration of cord separation, while the secondary outcomes were umbilical cord infection, neonatal fever, jaundice, feeding and breathing difficulty, and persistent crying. Results There were statistically significant differences in the time-to-cord separation between the human breast milk group and the chlorhexidine (P &lt; 0.001) and dry alone (P = 0.038) groups. Compared to those of chlorhexidine, the rates of cord separation among human breast milk and the dry-alone group were 16.02, with 95% confidence intervals (3.81, 37.43; P &lt; 0.001) and 3.15 (0.99, 10.00; P = 0.052), respectively. One (6.7%) cord site infection was observed in the dry-alone groups only. Conclusion This community-label study indicated that human breast milk application significantly shortened the length of umbilical cord separation time compared to chlorhexidine and dry methods. A large-scale randomized controlled trial is needed to confirm these results. Registration PACTR202310902873290; https://pactr.samrc.ac.za

Ternary Boron Carbon Nitride nanosheets with improved and controllable linear and nonlinear optical response for efficient photocatalytic performance

This work reports the systematic variation of linear and nonlinear optical (NLO) properties of ternary boron carbon nitride (BCN) nanosheets with varying carbon concentrations. These nanosheets are synthesized by the thermal substitutional method to modulate the band-gap of BCN nanosheets by varying the hBN and graphene domain ratios which is confirmed through UV-Vis absorption spectroscopy. The third-order optical nonlinearity of nanosheets was explored through the Z-scan technique. With increases in both carbon content and laser power, samples' NLO properties have shifted from saturable absorption to reverse saturable absorption. The enhanced nonlinearity with carbon concentration in BCN samples was responsible for higher photoinduced charge separation time. In UV-Vis driven photoreduction of organic pollutants, BCN nanosheets with a decreased bandgap and an increased charge separation time show higher catalytic efficiency. Therefore, based on the combined effect of many processes, the results revealed that the BCN nanosheets displayed greater potential for photoinduced reduction.