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Background/Objectives: Immunoglobulin A (IgA) vasculitis (IgAV), classically known as Henoch–Schönlein purpura (HSP), is a type of nonthrombocytopenic small-vessel vasculitis. HSP is the most frequent kind of systemic vasculitis in children, characterized by purpura, arthritis or arthralgia, gastrointestinal pain, and kidney dysfunction. The aim of our research was to investigate and observe the clinical characteristics of children diagnosed with HSP and to explore the correlation between infectious diseases and HSP. Furthermore, this retrospective study considered other factors, such as demographic characteristics (sex, area/environment, and age), and their effect on the pediatric population diagnosed with HSP. Methods: To answer this question, we conducted a five-year hospital-based retrospective study that included 144 hospitalized children who were diagnosed with HSP during hospitalization. Measurements of immunological panels (IgA, IgM, IgG, and IgE), C3, C4, C-reactive protein, fibrinogen, and hematite sedimentation rate (VSH) determined using blood samples revealed that there is a strong correlation between the elements of the immunological panel and the HSP manifestations. Results: Additionally, elevated IgG and normal IgA serum levels in pediatric HSP patients are strongly associated with infectious diseases. Conclusions: Notably, patients with infectious diseases exhibited high IgG and normal IgA serum levels post-treatment and a higher risk of relapses. [ABSTRACT FROM AUTHOR]

Background: Patellofemoral pain syndrome is a condition with an increasing incidence in recent years, being known as the most common cause of knee pain in adults and adolescents. Undiagnosed and untreated, this condition can worsen over time. The aggravation leads to an increase in the intensity of the pain and the risk of injury, along with an increase in stress on the other joints of the lower limb. The objective of this study was to evaluate the contribution of shockwave therapy to a functional rehabilitation programme for patients with patellofemoral pain syndrome. Materials and Methods: The study was carried out on a group of 64 subjects (32 males and 32 females), aged between 20 and 39 years. The subjects were divided into two groups: 32 subjects who followed a program of functional rehabilitation based on low- and medium-frequency electrotherapy, ultrasound and laser therapy, along with a physical therapy program lasting approximately 3 weeks, and 32 subjects who followed a functional rehabilitation program based on shockwave therapy and specific physical therapy exercises lasting approximately 3 weeks. Results: Following the protocols applied to the two groups, the pain reported by the patients decreased, while the functional parameters of the knee improved, better results being obtained in the group that performed shock wave therapy together with specific physical therapy programs (Cohen Index 5916, p < 0.001). Conclusions: This study indicates that radial shockwave therapy combined with physiotherapy may provide additional benefits for patellofemoral syndrome, including greater pain reduction and improved joint mobility, compared to traditional treatments. However, further research is needed to confirm these findings and their broader clinical applicability. [ABSTRACT FROM AUTHOR]

This study explored controlled substance (CS) diversion surveillance practices within hospital pharmacies across the United States. A survey with questions based on published CS diversion risk points was conducted in May 2024. A total of 66 participants from 31 states responded, with 54.5% from single facilities and the remaining from health systems. Most respondents were pharmacy directors, managers, or those in dedicated drug diversion roles. Over 70% have dedicated surveillance teams and use drug diversion software. Results highlight variation in practices, with larger institutions generally showing better compliance. Compliance in procurement and receiving was high for access measures; however, auditing of processes was lower. The lowest procurement compliance was in monitoring periodic automatic replacement (PAR) levels and validating orders with wholesalers. Storage practices showed high compliance in deploying cameras, but low compliance in monitoring them. Dispensing practices had high compliance for restricting CS in automated dispensing cabinets, but low incidence of witness verification during stocking. Waste and disposal practices were well-followed, but training on detecting potential signs of medication tampering was less common. The survey highlights that while strategies to prevent CS diversion exist, their implementation varies. Enhancing monitoring, auditing, and training is essential to strengthen diversion prevention efforts in hospital pharmacies. [ABSTRACT FROM AUTHOR]

Drug dispensing in retail pharmacies typically involves several manual tasks that often lead to inefficiencies and errors. This is the first published quality improvement study in Latin America, specifically in Brazil, investigating the operational impacts of implementing a robotic dispensing system in a retail pharmacy. Through observational techniques, we measured the time required for the following pharmacy workflows before and after implementing the robotic dispensing system: customer service, receiving stock, stocking inventory, separation, invoicing, and packaging of online orders for delivery. Time savings were observed across all workflows within the pharmacy, notably in receiving stock and online order separation, which experienced 70% and 75% reductions in total time, respectively. Furthermore, customer service, stocking, invoicing, and packaging of online orders, also saw total time reductions from 36% to 53% after implementation of the robotic dispensing system. This study demonstrates an improvement in the pharmacy's operational efficiency post-implementation of the robotic dispensing system. These findings highlight the potential for such automated systems to streamline pharmacy operations, improve staff time efficiency, and enhance service delivery. [ABSTRACT FROM AUTHOR]

Background: Osteoarthritis is one of the most frequent joint disorders in the world. The specialists in the field strongly support the role of physical exercise as a key component in the holistic management of arthrosis. The aim of the current study was to identify and assess the functional deficit of these patients and to identify means to alleviate it through pre-surgery physiotherapy programs. Methods: The study was conducted on two samples of patients: a witness sample, encompassing 126 subjects without pathologies at the level of their lower limbs, and a study sample, formed of 116 subjects diagnosed with severe gonarthrosis with total knee arthroplasty indication. The assessment protocol was accomplished with the GPS 400 stabilometric platform. Results: The barycenter differences within the support polygon, recorded for the two samples within sagittal deviation, emphasize that the barycenter shifting mainly towards the healthy lower limb will demand, from the individual, more intense rebalancing postural reactions that will place the center-of-gravity projection in the sagittal plane, closer to the central area of the support polygon. Conclusions: In the case of gonarthrosis and other joint disorders, the use of functional testing to assess body weight distribution and center-of-gravity imbalances represents a promising direction in the research on and management of these disorders, providing essential information for functional diagnosing and thus enabling the elaboration and monitoring of individualized functional rehabilitation plans. [ABSTRACT FROM AUTHOR]

In the context of a circular economy that recommends the most efficient use of wastes, algae wastes have a huge potential for valorization. In this study, algae wastes obtained after the alkaline extraction of active compounds from two types of marine algae (green algae—Ulva sp. and red algae—Callithamnion sp.) were used as biosorbents to remove metal ions from aqueous effluents. The efficiency of these biosorbents was tested for Zn(II), Cu(II), and Co(II) ions, considered technologically valuable metal ions. The batch monocomponent experiments performed under optimal conditions (pH = 5.0; 4.0 g biosorbent/L; 22 ± 1 °C) showed that more than 75% of the metal ions were removed when their initial concentration was less than 1.25 mmol/L. The experimental data were well described by the pseudo-second-order kinetic model and Langmuir isotherm model. The high values obtained for the maximum biosorption capacity (qmax: Cu(II) (0.52 mmol/g) > Zn(II) (0.41 mmol/g) > Co(II) (0.39 mmol/g) for G-AWB, and qmax: Cu(II) (1.78 mmol/g) > Zn(II) (1.72 mmol/g) > Co(II) (1.66 mmol/g) for R-AWB) show the potential use of these biosorbents to remove such technologically valuable metal ions from industrial wastewater. This possibility was tested using industrial wastewater samples obtained from the metal coating industry. The quantitative removal (>91%) of Zn(II), Cu(II), and Co(II) ions was obtained when their initial concentration was adjusted to 50 mg/L. In addition, the rapid and efficient desorption of these metal ions from loaded biosorbents by simple treatment with small volumes of HNO3 (10−1 mol/L) further emphasizes the possibility of their recovery and reuse in the technological circuit. The results included in this study indicate that algae wastes have the potential to be used in industrial effluent decontamination processes and open new perspectives for the implementation of circular economy principles. [ABSTRACT FROM AUTHOR]

The main objective of this study was to develop a high-entropy alloy (HEA) derived from the CoxCrFeNiTi HEA system (x = 0.5, 1) for protective coatings using the magnetron sputtering method. In order to produce the high-entropy alloy targets required for the magnetron sputtering process, mechanically alloyed metallic powders were consolidated via spark plasma sintering (SPS). The microstructural analysis results of the HEA mixture presented morphology changes after 30 h of alloying, with the particles presenting uniform polygonal shapes and dimensions. Subsequently, 316L stainless steel (SS) specimens were coated via magnetron sputtering, comparing their composition with that of the sputtering targets used for deposition to establish stoichiometry. Microstructural analyses of the SPSed HEAs revealed no defects and indicated a uniform elemental distribution across the surface. Furthermore, the CoCrFeNiTi equiatomic alloy exhibited a nearly stoichiometric composition, both in the coating and the sputtering target. The XRD analysis results indicated that amorphous coatings were obtained for both Co0.5CrFeNiTi and the CoCrFeNiTi HEA, and nanoindentation tests indicated that the CoCrFeNiTi HEA coating presented a hardness of 596 ± 22 HV, compared to the 570 ± 19 HV measured for Co0.5CrFeNiTi, suggesting an improved wear resistance. [ABSTRACT FROM AUTHOR]

Simple Summary: Canine degenerative myelopathy (CDM) is a disease that affects the spinal cord and develops spontaneously in adult dogs. It is caused by a genetic mutation and is inherited, to some extent, by the puppies whose parents are either carriers or affected by the mutation. This survey aimed to determine the presence of the CDM-associated mutation in dogs from different breeding kennels in Romania. The current study included a first screening of the Romanian Bucovina Shepherd, Romanian Mioritic Shepherd, and Caucasian Shepherd breeds. Oral swab samples (n = 230) collected from 26 different dog breeds were tested by PCR-RFLP. The mutation was identified in 26 dogs, of which 16 were carriers, being heterozygous for the risk allele, and 10 were homozygous for the risk allele. The mutation was identified in the Wire Fox Terrier, Romanian Mioritic Shepherd, German Shepherd, Rottweiler, Belgian Shepherd, and Czechoslovakian Wolfdog breeds. Genetic testing of dogs for the mutation is an important tool used for the confirmation of affected individuals and preventing the mutation from spreading within the canine population. Canine degenerative myelopathy (CDM) is a spontaneous neurodegenerative disease. Genetically, CDM is an autosomal recessive disease with incomplete penetrance, most commonly caused by a genetic mutation in exon 2 of gene SOD1 (c.118G > A). This study aimed to determine the mutant allele frequency associated with CDM in various dog breeds from Romania. Dogs (n = 230) from 26 breeds were included in the study. Genotyping using the PCR-RFLP technique was performed on DNA extracted from oral swabs. The results revealed that 204 dogs were homozygous for the wild-type allele (G/G), 16 were heterozygous (A/G), and 10 were homozygous for the mutant allele (A/A). The mutant allele was identified in Wire Fox Terrier, Romanian Mioritic Shepherd, German Shepherd, Rottweiler, Belgian Shepherd, and Czechoslovakian Wolfdog breeds. The mutant allele frequency (A) within the tested population was 0.0783. The results for Belgian Shepherd, German Shepherd, and Romanian Mioritic Shepherd were in Hardy–Weinberg equilibrium, but a departure was observed for Rottweiler. The current study included a first screening of the Romanian Bucovina Shepherd, Romanian Mioritic Shepherd, and Caucasian Shepherd breeds. Genetic testing for the mutation associated with CDM is important in order to avoid the risk of the emergence of dogs homozygous for the SOD1:c118G > A allele. [ABSTRACT FROM AUTHOR]

This study analyzed the metabolic potential of some functional groups of bacteria in aquatic urban systems and evaluated the abundance of communities of total heterotrophic bacteria in the water in relation to the monitored physico-chemical factors. The results obtained showed seasonal differences, especially in spring. The high values of the abundance of heterotrophs in winter are related to human activity at the sampling stations. Screening for four types of extracellular hydrolytic enzyme with potential for degradation of organic matter (amylases, lipases, proteases and cellulases) led to the conclusion that lipolytic bacteria were dominant in the studied ecosystems, while proteolytic bacteria were observed in low numbers, but were present in urbanized areas. The presence of cellulolytic bacteria is correlated with the development of macrophytic vegetation. The aim of the present study was oriented towards the evaluation of the anthropogenic input in several lakes surrounding Bucharest in the Nord-Eastern region. These urban ecosystems are generated as a requirement of city development. The microbiological and general enzymatic approaches generated some novel results concerning the pollution degree of aquatic urban ecosystems and could be considered as a platform for further investigation. [ABSTRACT FROM AUTHOR]

Commercially pure titanium and titanium alloys have been extensively used in materials to reconstruct the facial skeleton in different forms and sizes. There is yet to be a consensus on removing (or not) the plates and screws after osteosynthesis. Our study tries to investigate the adjacent tissues of the titanium plates used in jaw surgery using inductively coupled plasma optical emission spectrometry. Twenty samples of soft tissue surrounding the titanium plates were retrieved 1 year after placement (fracture sites or orthognathic surgery) and were investigated using inductively coupled plasma optical emission spectrometry. The study found 1.06 ppm titanium in the adjacent soft tissues. Even if there are no clinical signs of the presence of titanium in the soft tissues, our findings suggest that a plate removal is a feasible option for patients to avoid local complications due to titanium migration. [ABSTRACT FROM AUTHOR]

The study was carried out with the aim to demonstrate the applicability of a combined chemical–electrochemical process for the dismantling of waste printed circuit boards (WPCBs) created from different types of electronic equipment. The concept implies a simple and less polluting process that allows the chemical dismantling of WPCBs with the simultaneous recovery of copper from the leaching solution and the regeneration of the leaching agent. In order to assess the performance of the dismantling process, various tests were performed on different types of WPCBs using the 0.3 M FeCl3 in 0.5 M HCl leaching system. The experimental results show that, through the leaching process, the electronic components (EC) together with other fractions can be efficiently dismounted from the surface of WPCBs, with the parallel electrowinning of copper from the copper rich leaching solution. In addition, the process was scaled up for the dismantling of 100 kg/h WPCBs and modeled and simulated using process flow modelling software ChemCAD in order to assess the impact of all steps and equipment on the technical and environmental performance of the overall process. According to the results, the dismantling of 1 kg of WPCBs requires a total energy of 0.48 kWh, and the process can be performed with an overall low environmental impact based on the obtained general environmental indexes (GEIs) values. [ABSTRACT FROM AUTHOR]

This paper presents a novel approach for the recovery of lead from waste cathode-ray tube (CRT) glass by applying a combined chemical-electrochemical process which allows the simultaneous recovery of Pb from waste CRT glass and electrochemical regeneration of the leaching agent. The optimal operating conditions were identified based on the influence of leaching agent concentration, recirculation flow rate and current density on the main technical performance indicators. The experimental results demonstrate that the process is the most efficient at 0.6 M acetic acid concentration, flow rate of 45 mL/min and current density of 4 mA/cm2. The mass balance data corresponding to the recycling of 10 kg/h waste CRT glass in the identified optimal operating conditions was used for the environmental assessment of the process. The General Effect Indices (GEIs), obtained through the Biwer Heinzle method for the input and output streams of the process, indicate that the developed recovery process not only achieve a complete recovery of lead but it is eco-friendly as well. [ABSTRACT FROM AUTHOR]

In this study, alginate extracted from marine algae biomass was used for the functionalization of iron oxide particles obtained in situ. This procedure ensured a complete recovery of the alginate from the aqueous solution obtained after extraction and allowed the preparation of a new biosorbent. The obtained iron oxide microparticles functionalized with alginate (Alg-Fe3O4-MPs) were analyzed (FTIR spectrometry, energy dispersive X-ray spectroscopy and scanning electron microscopy), and their biosorptive performance was tested for the removal of Cu(II), Co(II) and Zn(II) ions. The optimal conditions were established as pH = 5.4, adsorbent dosage of 2 g/L, contact time of minimum 60 min and room temperature (23 ± 1 °C). The retention of metal ions was quantitative (99% for Cu(II), 89% for Co(II) and 95% for Zn(II)) when the concentration of metal ions was less than 0.80 mmol M(II)/L. The Langmuir model was found to be the best fitted model for the equilibrium data, while biosorption kinetics followed the pseudo-second order model. Biosorption processes were spontaneous (ΔG0 < 0), endothermic (ΔH0 > 0), and accompanied by an increase in entropy (ΔS0 > 0). The high maximum biosorption capacity of Alg-Fe3O4-MPs and its good regeneration highlight the potential of this biosorbent for applications in decontamination processes. [ABSTRACT FROM AUTHOR]

Pathogenic microbes are the main cause of various undesired infections in living organisms, including humans. Most of these infections are favored in hospital environments where humans are being treated with antibiotics and where some microbes succeed in developing resistance to such drugs. As a consequence, our society is currently researching for alternative, yet more efficient antimicrobial solutions. Certain natural and synthetic polymers are versatile materials that have already proved themselves to be highly suitable for the development of the next-generation of antimicrobial systems that can efficiently prevent and kill microbes in various environments. Here, we discuss the latest developments of polymeric structures, exhibiting (reinforced) antimicrobial attributes that can be assembled on surfaces and coatings either from synthetic polymers displaying antiadhesive and/or antimicrobial properties or from blends and nanocomposites based on such polymers. [ABSTRACT FROM AUTHOR]

Halophilic and halotolerant microorganisms represent promising sources of salt-tolerant enzymes that could be used in various biotechnological processes where high salt concentrations would otherwise inhibit enzymatic transformations. Considering the current need for more efficient biocatalysts, the present study aimed to explore the microbial diversity of five under- or uninvestigated salty lakes in Romania for novel sources of hydrolytic enzymes. Bacteria, archaea and fungi were obtained by culture-based approaches and screened for the production of six hydrolases (protease, lipase, amylase, cellulase, xylanase and pectinase) using agar plate-based assays. Moreover, the phylogeny of bacterial and archaeal isolates was studied through molecular methods. From a total of 244 microbial isolates, 182 (74.6%) were represented by bacteria, 22 (9%) by archaea, and 40 (16.4%) by fungi. While most bacteria synthesized protease and lipase, the most frequent hydrolase produced by fungi was pectinase. The archaeal isolates had limited hydrolytic activity, being able to produce only amylase and cellulase. Among the taxonomically identified isolates, the best hydrolytic activities were observed in halotolerant bacteria belonging to the genus Bacillus and in extremely halophilic archaea of the genera Haloterrigena and Halostagnicola. Therefore, the present study highlights that the investigated lakes harbor various promising species of microorganisms able to produce industrially valuable enzymes. [ABSTRACT FROM AUTHOR]

Biosorption is a viable alternative that can be used to remove heavy metal ions from aqueous effluents, as long as the biosorbent used is cost-effective and efficient. To highlight this aspect in this study, alginate extracted from marine red algae biomass (Callithamnion corymbosum sp.) was used as biosorbent for the removal of Cu(II), Co(II) and Zn(II) ions from aqueous media. Biosorption studies were performed in a batch system, and the biosorptive performances of the alginate were examined as function of initial solution pH, biosorbent dosage, contact time, initial metal ions concentration and temperature. The optimal experimental conditions were found: initial solution pH of 4.4, a biosorbent dose of 2.0 g/L and a temperature of 22 °C, when over 88% of Cu(II), 76% of Co(II) and 81% of Zn(II) are removed by biosorption. The modeling of the obtained experimental data show that the Langmuir isotherm model and pseudo-second kinetic model well describe the biosorption processes of studied metal ions. The maximum biosorption capacity (qmax, mg/g) increases in the order: Cu(II) (64.52 mg/g) > Zn(II) (37.04 mg/g) > Co(II) (18.79 mg/g), while the minimum time required to reach the equilibrium is 60 min. Moreover, the regeneration efficiency of alginate is higher than 97% when a 10−1 N HNO3 solution is used as desorption agent for the recovery of Cu(II), Co(II) and Zn(II) ions. All these characteristics demonstrate that the alginate extracted from marine algae has promising applications in the decontamination of industrial effluent containing metal ions. [ABSTRACT FROM AUTHOR]

In recent years, studies on the more efficient use of natural materials in adsorption processes have increased significantly. Thus, obtaining new adsorbents from marine algae biomass with higher adsorptive performance will ensure a better use of these renewable resources. In this study, the adsorption of Cu(II) ions from aqueous solution was done using three types of adsorbent materials obtained from marine red algae biomass (Callithamnion corymbosum sp.), namely: alginate (Alg), algae waste biomass resulted after alginate extraction (AWB) and iron nanoparticles functionalized with alginate (Fe-NPs-Alg), compared to raw marine red algae biomass (RAB). FTIR spectra and SEM images recorded for each type of adsorbent indicate a porous structure and the presence of various superficial functional groups who may be involved in the retention of Cu(II) ions. The biosorption experiments were performed in a batch system, at different initial Cu(II) ion concentrations and contact times, maintaining a constant initial solution pH (4.4), adsorbent dose (2.0 g/L), and temperature (25 ± 1 °C). The obtained results indicate that the retention of Cu(II) ions requires a maximum of 60 min to reach equilibrium, and the maximum adsorption capacity increases in order: RAB (47.62 mg/g) < Fe-NPs-Alg (52.63 mg/g) < AWB (83.33 mg/g) < Alg (166.66 mg/g). The quantitative removal of Cu(II) ions from aqueous effluents can be done in two successive adsorption stages, using AWB (in the first stage) and Fe-NPs-Alg (in the second stage), when the treated solution has a Cu(II) ions concentration below the maximum permissible limit. The quantitative recovery of retained Cu(II) ions (over 97%) can be done by treating these exhausted adsorbent materials with 0.1 N HNO3 solution. Therefore, the extraction of alginate from marine red algae biomass could be a viable solution to obtain efficient adsorbent materials for Cu(II) ions removal from aqueous media, and allow for a better valorisation of marine red algae biomass. [ABSTRACT FROM AUTHOR]

The removal of Co(II) ions from aqueous media was done using three types of biochars obtained from algae waste biomass, mustard waste biomass, and soy waste biomass. The biochar samples were obtained by pyrolysis of waste biomass resulted from biofules production, at relative low temperature (600–650 °C), and this procedure can be considered a suitable alternative to reduce the volume of such waste. FTIR spectra recorded for each type of biochar reveal the presence of several functional groups that can be used as binding sites for Co(II) retention. The batch biosorption experiments were performed as a function of initial Co(II) ions concentration and contact time, at constant solution pH (5.0), sorbent dose (8.0 g/L), and room temperature (25 ± 1 °C). The sorption experiments showed that the Co(II) ions retention reaches the equilibrium in maximum 60 min, and the maximum sorption capacity follows the order: Mustard biochar (MBC—24.21 mg/g) < soy biochar (SBC—19.61 mg/g) < algae biochar (ABC—11.90 mg/g). The modeling of experimental data proves that the retention of Co(II) ions from aqueous solution occurs through electrostatic interactions, and that the sorption process takes place until a monolayer coverage is formed on the outer surface of the biochar. This information is very useful in the design of a suitable desorption system. The desorption results showed that by treating the biochar samples loaded with Co(II) ions with 0.1 mol/L HNO3 solution, over 92% of Co(II) ions are desorbed and can be recovered, and the biochar samples can be used in at least three sorption/desorption cycles. All the experimental observations sustain the potential use of biochar obtained from different types of waste biomass as a promising alternative sorbent for the removal of Co(II) ions from aqueous media. [ABSTRACT FROM AUTHOR]