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        Preoperative Mechanical Bowel Evacuation Reduces Intraoperative Bleeding and Operation Time in Spinal Surgery

        Majid Rezvani,Reza Abbasi,Homayoon Tabesh,Leila Dehghani,Shahaboddin Dolatkhah,Maryam Nasri,Mohsen Kolahdouzan,Rokhsareh Meamar 대한척추외과학회 2018 Asian Spine Journal Vol.12 No.3

        Study Design: Randomized clinical trial. Purpose: In this study, we evaluated the effect of mechanical evacuation of the bowels prior to operation on intraoperative bleeding. Overview of Literature: Bleeding is the most significant complication in patients undergoing spinal surgery. Methods: We randomly divided 108 individuals planned to undergo spinal surgery into two age-, sex-, and co-morbidity (especially preoperative hemoglobin [Hb])-matched groups of 54. The treatment group was administered polyethylene glycol (PEG) before the operation, whereas the control group was not. The exact amount (mL) of bleeding during operation, operative time, and approximate amount of blood transfused were recorded. The volume of bleeding and Hb level were also recorded 24 and 48 hours postoperatively. Results: T -tests revealed that intraoperative bleeding, the volume of transfusion, and operative time were significantly lower in the treatment group than in the control group. Statistically significant correlations of intraoperative bleeding with age, body mass index (BMI), preoperative Hb levels, operative time, the volume of transfusion, hospitalization time, and 24- and 48-hour postoperative bleeding were observed (p =0.001, all). Repeated measures analysis of covariance after adjusting the covariate variables revealed that the volume of bleeding showed a near-significant trend in the treatment group compared with that in the control group (p =0.056). Diabetic females had the highest bleeding amount between the groups (p =0.03). Bleeding was higher in patients with higher BMI (p =0.02) and was related to operative time (p =0.001) in both the groups. Conclusions: Preoperative gastrointestinal tract evacuation by PEG administration can decrease intraoperative bleeding in spinal surgeries; however, more research is imperative regarding PEG administration in surgical procedures for this purpose.

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        A new ternary mixed-matrix membrane (PEBAX/PEG/MgO) to enhance CO2/CH4 and CO2/N2 separation efficiency

        Azizi Navid,Jahanmahin Omid,Homayoon Reza,Khajouei Mohammad 한국화학공학회 2023 Korean Journal of Chemical Engineering Vol.40 No.6

        Mixed-matrix membranes (MMMs) composed of suitable CO2-philic polymers and fillers can be attractive candidates for CO2/CH4 and CO2/N2 separation due to their high CO2 permeability, good thermochemical stability, low fabrication cost, and fast production process. In this research, a novel ternary MMM was fabricated via the blending of poly (amide 12-b-ethylene oxide) (PEBAX-1074) with polyethylene glycol (PEG-200) and magnesium oxide (MgO) nanoparticles mixture. The effects of various loadings of the fillers on CO2, N2, and CH4 permeability values through the membranes were studied. Permeation of CO2, N2, and CH4 gases through the resultant membranes at pressures of 2, 4, 6, 8, and 10 bar and temperatures of 25, 35, 45, and 55 °C revealed the superiority of the MMMs for CO2/CH4 and CO2/N2 separation in comparison with the pristine membranes. Particularly, at 25 °C and 2 bar, the CO2 permeability, as well as ideal CO2/CH4 and CO2/N2 selectivity of the optimized MMM containing 40 wt% of PEG-200 and 8 wt% of MgO nanoparticles, rose to 210.1 Barrer, 24.9 and 60.9, corresponding to enhancement of around 225%, 23% and 24% of the CO2 permeability and selectivity compared to the neat membrane, respectively. Thus, the fabricated MMM has a satisfying potential to separate CO2 from N2.

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