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        A review and recent developments on strategies to improve the photocatalytic elimination of organic dye pollutants by BiOX (X=Cl, Br, I, F) nanostructures

        Sonal Singh,Rishabh Sharma,Manika Khanuja 한국화학공학회 2018 Korean Journal of Chemical Engineering Vol.35 No.10

        The main environmental problems associated with water body pollution are typically those caused by the discharge of untreated effluents released by various industries. Wastewater from the textile dye industry is itself a large contributor and contains a huge number of complex components, a wide spectrum of organic pollutants with high concentration of biochemical oxygen demand (BOD)/chemical oxygen demand (COD) and other toxic elements. One of several potential techniques to degrade such reactive dyes before being discharged to water bodies is photocatalysis, and bismuth-based photocatalysts are rapidly gaining popularity in this direction. Bismuth oxyhalides, BiOX (X=Cl, Br, I, F), as a group of ternary compound semiconductors (V-VI-VII), have been explored extensively for their photocatalytic activity due to their unique crystal lattice with special layered structure in pure as well as modified form. With suitable band gap and band edge positions, which are a required condition for efficient water breakup and high photon absorption, BiOCl scores over other oxyhalides. Photocatalytic activity depends on many factors such as synthesis method, morphology, size, illumination type, dye choice among others. This paper gives a critical review on bismuth oxyhalides as a family on various aspects of modifications such as doping (with unique and interesting metals as well), morphology and synthesis parameters, polymer and carbon assisted composites in order to further enhance the photocatalytic efficiency in UV/visible region of solar spectrum.

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        Lupus and Perioperative Complications in Elective Primary Total Hip or Knee Arthroplasty

        Keith T Aziz,Matthew J Best,Richard L Skolasky,Karthik E Ponnusamy,Robert S Sterling,Harpal S Khanuja 대한정형외과학회 2020 Clinics in Orthopedic Surgery Vol.12 No.1

        Background: The number of patients with systemic lupus erythematosus (herein, lupus) undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA) is increasing. There is disagreement about the effect of lupus on perioperative complication rates. We hypothesized that lupus would be associated with higher complication rates in patients who undergo elective primary THA or TKA. Methods: Records of more than 6.2 million patients from the National Inpatient Sample who underwent elective primary THA or TKA from 2000 to 2009 were reviewed. Patients with lupus (n = 38,644) were compared with those without lupus (n = 6,173,826). Major complications were death, pulmonary embolism, myocardial infarction, stroke, pneumonia, and acute renal failure. Minor complications were wound infection, seroma, deep vein thrombosis, hip dislocation, wound dehiscence, and hematoma. Patient age, sex, duration of hospital stay, and number of Elixhauser comorbidities were assessed for both groups. Multivariate logistic regression models using comorbidities, age, and sex as covariates were used to assess the association of lupus with major and minor perioperative complications. The alpha level was set to 0.001. Results: Among patients who underwent THA, those with lupus were younger (mean age, 56 vs. 65 years), were more likely to be women (87% vs. 56%), had longer hospital stays (mean, 4.0 vs. 3.8 days), and had more comorbidities (mean, 2.5 vs. 1.4) than those without lupus (all p < 0.001). In patients with THA, lupus was independently associated with major complications (odds ratio [OR], 1.4; 95% confidence interval [CI], 1.1 to 1.7) and minor complications (OR, 1.2; 95% CI, 1.0 to 1.5). Similarly, among patients who underwent TKA, those with lupus were younger (mean, 62 vs. 67 years), were more likely to be women (93% vs. 64%), had longer hospital stays (mean, 3.8 vs. 3.7 days), and had more comorbidities (mean, 2.8 vs. 1.7) than those without lupus (all p < 0.001). However, in TKA patients, lupus was not associated with greater odds of major complications (OR, 1.2; 95% CI, 0.9 to 1.4) or minor complications (OR, 1.1; 95% CI, 0.9 to 1.3). Conclusions: Lupus is an independent risk factor for major and minor perioperative complications in elective primary THA but not TKA.

      • KCI등재

        The Association of Delirium with Perioperative Complications in Primary Elective Total Hip Arthroplasty

        Keith T Aziz,Matthew J Best,Zan Naseer,Richard L Skolasky,Karthik E Ponnusamy,Robert S Sterling,Harpal S Khanuja 대한정형외과학회 2018 Clinics in Orthopedic Surgery Vol.10 No.3

        Background: Our goal was to determine whether postoperative delirium is associated with inpatient complication rates after primary elective total hip arthroplasty (THA). Methods: Using the National Inpatient Sample, we analyzed records of patients who underwent primary elective THA from 2000 through 2009 to identify patients with delirium (n = 13,551) and without delirium (n = 1,992,971) and to assess major perioperative complications (acute renal failure, death, myocardial infarction, pneumonia, pulmonary embolism, and stroke) and minor perioperative complications (deep vein thrombosis, dislocation, general procedural complication, hematoma, seroma, and wound infection). Patient age, sex, length of hospital stay, and number of comorbidities were assessed. We used multivariate logistic regression to determine the association of delirium with complication rates (significance, p < 0.01). Results: Patients with delirium were older (mean, 75 ± 0.2 vs. 65 ± 0.1 years), were more likely to be male (56% vs. 52%), had longer hospital stays (mean, 5.7 ± 0.07 vs. 3.8 ± 0.02 days), and had more comorbidities (mean, 2.8 ± 0.03 vs. 1.4 ± 0.01) (all p < 0.001) versus patients without delirium. Patients with delirium were more likely to have major (11% vs. 3%) and minor (17% vs. 7%) perioperative complications versus patients without delirium (both p < 0.001). When controlling for age, sex, and number of comorbidities, delirium was independently associated with major and minor complications (odds ratio, 2.0; 95% confidence interval, 1.7 to 2.3). Conclusions: Delirium is an independent risk factor for major and minor perioperative complications after primary elective THA.

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