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Kerr Brogan, Charles J M Diaper, Alan P Rotchford
BACKGROUND/AIMS: To report refractive outcomes from an National Health Service (NHS) cataract surgery service and assess if results meet suggested benchmark standard. METHODS: Details of all patients undergoing cataract surgery in the Southern General and New Victoria hospitals in Glasgow, UK, between November 2006 and December 2016 were prospectively entered into an electronic database. Patients were reviewed 4 weeks postoperatively in the eye clinic and underwent refraction at their local optometrist prior to this appointment...
June 15, 2018: British Journal of Ophthalmology
Thuy-My N Truong, Taryn N McGilvery, Tove M Goldson, Samuel N Forjuoh
A previously healthy 3-month-old girl was admitted to the hospital after 1 day of fever, decreased oral intake, irritability, lethargy, and decreased activity. Examination disclosed a bulging anterior fontanelle, tachycardia (heart rate of 160 beats/minute), and urate crystals in her diaper. Lumbar puncture revealed meningitis. She was treated with broad-spectrum antibiotics and fluids. A urine culture was negative, but blood and cerebrospinal fluid cultures came back positive for Salmonella species, nontyphoid...
July 2018: Proceedings of the Baylor University Medical Center
Heng Wang, Liangpo Liu, Heqing Shen
OBJECTIVE: Monitoring infants' exposure to 10 phthalates by measuring their urinary metabolites using a modified high performance liquid chromatography tandemelectrospray ionization mass spectrometry( HPLC-ESI-MS/MS) method. METHODS: A total of 50 infants at 0-6 month-old were recruited and their urine samples were collected by commercial available gel diapers. After the urine expression, phthalates were hydrolyzed by β-glucuronidase, cleaned up by HLB cartridge, then these metabolites were measured by HPLC-ESI-MS/MS equipped with a Hypersil Gold Phenyl column...
July 2017: Wei Sheng Yan Jiu, Journal of Hygiene Research
Veronica Sanchez, Michelle Maladen-Percy, Jennifer Gustin, Amy Tally, Roger Gibb, Julie Ogle, Dianna C Kenneally, Andrew N Carr
BACKGROUND: Extremely low-birth-weight (ELBW) infants face significant diapering challenges compared with their full-term peers, due to immature musculature, nervous system, and skin development. Advances in medical care has increased an ELBW infant's rate of survival, which creates a growing need for diapers to better serve these infants. Aim of research. The objective of this study was to identify and confirm the requirements for optimal diaper performance from the neonatal intensive care unit nurses' perspective, as well as to assess in-hospital performance to determine if new features improved key developmental care parameters...
June 1, 2018: Clinical Pediatrics
David C Dorman, Melanie L Foster, Brooke Olesnevich, Brad Bolon, Aude Castel, Marina Sokolsky-Papkov, Christopher L Mariani
Superabsorbent sodium polyacrylate polymeric hydrogels that retain large amounts of liquids are used in disposable diapers, sanitary napkins, and other applications. These polymers are generally considered "nontoxic" with acute oral median lethal doses (LD50 ) >5 g/kg. Despite this favorable toxicity profile, we identified a novel toxic syndrome in dogs and rats following the ingestion of a commercial dog pad composed primarily of a polyacrylic acid hydrogel. Inappropriate mentation, cerebellar ataxia, vomiting, and intention tremors were observed within 24 h after the ingestion of up to 15...
June 1, 2018: Journal of Veterinary Diagnostic Investigation
Jens Nagengast, Simon Hahn, Nicola Taccardi, Matthias Kehrer, Julian Kadar, Dimitris Collias, Peter Dziezok, Peter Wasserscheid, Jakob Albert
A novel reaction system for the highly selective, hydrobromic acid catalysed conversion of lactide into acrylic acid under mild conditions is reported. The applied liquid reaction system consists of a temperature-stable bromide-containing ionic liquid and 2-bromopropionic acid as source of dry HBr, with no volatile organic solvent being used. This allows for the in situ removal of the formed acrylic acid leading to an unmatched acrylic acid selectivity of over 72% at full lactide conversion. Accounting for leftover reaction intermediates on the way to acrylic acid that could be recycled in an elaborate continuous process, the proposed reaction system shows potential for acrylic acid yields well above 85% in liquid phase...
June 6, 2018: ChemSusChem
X P Shang, J Yang, X Z Wang, Z Z Han, Y B Wen, X P Lou, Q W Wang, J G Wen
Objective: To investigate the relationship between the incidence of daytime urinary incontinence(DUI)and the usage of diapers. Methods: The stratified sampling method was used to investigate the relationship between the incidence of DUI and the usage of diapers on children from 3 to 10 years old from 30 kindergarten and primary schools in Henan Province, China. The survey was carried out in the way of anonymous questionnaire. Results: A total of 8 560 qualified questionnaires(96.2%) were collected and used for statistical analysis...
May 15, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Danit Schwartz, Yana Katsman Magen, Ayelet Levy, Amit Gefen
Sustained pressure, shear forces, and friction, as well as elevated humidity/moisture, are decisive physical factors in the development of pressure injuries (PIs). To date, further research is needed in order to understand the influence of humidity and moisture on the coefficient of friction (COF) of skin against different types of medical textiles. The aim of this work was to investigate the effects of moisture caused by sweat, urine, or saline on the resulting COF of skin against different textiles used in the medical setting in the context of PI prevention...
May 24, 2018: International Wound Journal
Media Esser, Sharon Dore, Felicia Fitzgerald, Kelli Kelley, Joanne Kuller, Sue Ludwig, Debianne Peterman
Developmental care measures are integrated in the NICU, but these measures are largely overlooked when it comes to standard care activities such as diapering. This general review of developmental care in the NICU discusses how caregivers can apply appropriate, individualized developmental care measures to diapering regimens. Numerous opportunities to expand developmental care measures into diapering care are identified; these opportunities can protect and promote sleep for hospitalized infants, enhance the diapering environment, minimize stress that infants may experience with diapering, improve infant skin health outcomes through use of evidence-based skin care practices, and foster family involvement during diapering care in the NICU...
May 1, 2018: Neonatal Network: NN
Jianyu Zhou, Tao Dong
In this study, we developed a novel wearable and low-cost device for qualitative screening of glucose (GLU), leukocytes (LEU), and nitrite (NIT) and for semi-quantitative analysis of blood (BLD) and proteins (PRO) in the urine samples. The device can be attached to a diaper, and the results can be read by an app. The main functions of the device can be divided into sample collection, valve closing, and pad saturation; the recorded times for valve closing and pad saturation at four corners and pad saturation at the central parts are pseudo-medians (Hodges-Lehmann estimator) of 3...
May 16, 2018: Analyst
Jennifer E Melvin, Robert W Hickey
A 5-year-old female with Charcot-Marie-Tooth neuropathy and a history of constipation presented to the emergency department with a new blistering buttocks rash, which was initially concerning for nonaccidental burn. Upon further investigation, it was found that Ex-Lax had been given to the patient for constipation. This had resulted in a bowel movement, which led to an irritant dermatitis. The patient was eventually diagnosed with senna-induced erosive diaper dermatitis. This case report highlights the importance of a thorough history and physical examination to prevent an unnecessary child abuse work-up...
May 9, 2018: Pediatric Emergency Care
Kumi Yokoyama, Yuki Uehara, Takashi Sasaki, Keiichi Hiramatsu
Objective: Japanese welfare facilities for the elderly are called as special nursing home (SNH), providing conventional-type with group care or unit-type with individual care. We investigated the risk factors of fecal colonization with extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) of elderly who required care at SNH in Japan. Methods: The feces discharged on diaper were obtained from the total of 100 residents with fecal incontinence in 9 SNHs located in Tokyo, Japan...
May 2018: Journal of General and Family Medicine
Hemali B Gunt, Stanley B Levy, Celeste A Lutrario
INTRODUCTION: Diaper dermatitis is a common condition that develops in the diaper area due to factors such as elevated moisture, increased skin surface pH, and exposure to irritants from urine and feces. These factors suggest interventions to prevent or treat diaper dermatitis such as exposing the skin to air, frequent diaper changes, and thorough cleansing of the diaper area. Barrier creams and powders also have a role in preventing and treating diaper dermatitis. We developed a cream-to-powder product with a formula based on corn starch and other natural ingredients for use in the diaper area...
May 1, 2018: Journal of Drugs in Dermatology: JDD
H E Reses, J W Gargano, J L Liang, A Cronquist, K Smith, S A Collier, S L Roy, J Vanden Eng, A Bogard, B Lee, M C Hlavsa, E S Rosenberg, K E Fullerton, M J Beach, J S Yoder
Giardia duodenalis is the most common intestinal parasite of humans in the USA, but the risk factors for sporadic (non-outbreak) giardiasis are not well described. The Centers for Disease Control and Prevention and the Colorado and Minnesota public health departments conducted a case-control study to assess risk factors for sporadic giardiasis in the USA. Cases (N = 199) were patients with non-outbreak-associated laboratory-confirmed Giardia infection in Colorado and Minnesota, and controls (N = 381) were matched by age and site...
May 9, 2018: Epidemiology and Infection
Stéphanie Dupont, Eduardo R C Schiffer, Marion J White, John R A Diaper, Marc-Joseph Licker, Philippe C Masouyé
Background: The increase in intra-abdominal pressure (IAP) during closed abdominal hyperthermic intraperitoneal chemotherapy (HIPEC) leads to major haemodynamic changes and potential organ dysfunction. We investigated these effects on hepatic blood flow (HBF) and liver function in patients undergoing HIPEC following cytoreductive surgery and fluid management guided by dynamic preload indices. Methods: In this prospective observational clinical study including 15 consecutive patients, we evaluated HBF by transesophageal echocardiography and liver function by determination of the indocyanine green plasma disappearance rate (ICG-PDR)...
2018: Gastroenterology Research and Practice
Laura Quinn, Melody Ailsworth, Elizabeth Matthews, Ann Kellams, Debbie-Ann Shirley
INTRODUCTION: Serratia marcescens is an opportunistic pathogen and common cause of infectious outbreaks in pediatric units, leading to both significant morbidity and mortality in immunocompromised hosts. Environmental and some clinical strains may produce a characteristic red pigment, prodigiosin. Colonization can hence turn breast milk and fecally-soiled diapers pink, which can lead otherwise unaffected patients to present to their physicians and also interrupt breastfeeding. No clear guidance exists regarding the outpatient management of breastfeeding mothers and infants colonized with S...
June 2018: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Anneng Yang, Yuanzhe Li, Chenxiao Yang, Ying Fu, Naixiang Wang, Li Li, Feng Yan
Flexible fabric biosensors can find promising applications in wearable electronics. However, high-performance fabric biosensors have been rarely reported due to many special requirements in device fabrication. Here, the preparation of organic electrochemical transistors (OECTs) on Nylon fibers is reported. By introducing metal/conductive polymer multilayer electrodes on the fibers, the OECTs show very stable performance during bending tests. The devices with functionalized gates are successfully used as various biosensors with high sensitivity and selectivity...
June 2018: Advanced Materials
Jérôme Rime, Hervé Tissot, Nicolas Favez, Michael Watson, Werner Stadlmayr
The quality of family relations, observed during mother-father-infant triadic interactions, has been shown to be an important contributor to child social and affective development, beyond the quality of dyadic mother-child, father-child, and marital relationships. Triadic interactions have been well described in families with 3 month olds and older children using the Lausanne Trilogue Play (LTP). Little is known about the development of mother-father-baby interactions in the very 1st weeks postpartum, mostly because no specific observational setting or particular instrument had been designed to cover this age yet...
2018: Frontiers in Psychology
Elif Yıldız, Hasan Çabuk
An analytical method is presented for the determination of paraben preservatives in semisolid cream samples by matrix solid-phase dispersion combined with supramolecular solvent-based microextraction. Due to the oily and sticky nature of the sample matrix, parabens were first extracted from the samples by matrix solid-phase dispersion using silica as sorbent material with a clean-up performed with tetrahydrofuran in the elution step. The eluate (500 μL), 1-decanol (120 μL), and water (4.4 mL) were then mixed in a polyethylene pipette to form supramolecular solvent...
April 20, 2018: Journal of Separation Science
Abathodharanan Narayanan, Ravishankar Kartik, Elanchezhian Sangeetha, Raghavachari Dhamodharan
A new superabsorbent with maximum water absorption capacity of ∼1250 g/g is prepared by hydrothermal synthesis from sustainable and biodegradable resources such as chitosan, citric acid and urea (denoted as 'CHCAUR'). CHCAUR is characterized extensively by various analytical techniques such as PXRD, SSNMR, FTIR, and TGA. Pure and saline water absorption study showed that CHCAUR could be a better adsorbent compared to the super absorbent polymer (SAP) used in commercial diaper material. The mechanism of water absorption is shown to arise out of a combination of electrostatic attraction of water to the ionic crosslinks and the presence of macropores as well as undulated surface due to the formation of nanofibrous bundles...
July 1, 2018: Carbohydrate Polymers
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