Feasibility and Clinical Efficacy of Focal Pulsed Field Ablation in Patients With Non-Pulmonary Vein Triggered Atrial Arrhythmia From the Superior Caval Vein.

Introduction: In patients with atrial arrhythmias originating from the superior vena cava (SVC), the use of radiofrequency energy to isolate the SVC is associated with a significant risk of injury both to the phrenic nerve and the sinus node. Pulsed field ablation (PFA) may overcome the disadvantages of thermal energy and improve both ablation efficacy and safety.

Objective: We report the feasibility, safety, and clinical efficacy of focal monopolar PFA in patients with the origin of their atrial arrhythmia in the SVC.

Focal Pulsed Field Ablation for Premature Ventricular Contractions: A Multicenter Experience.

Background: Pulsed field ablation (PFA) is a novel technology for catheter-based atrial arrhythmia treatment. Evidence of its application for ventricular arrhythmia ablation is still limited. In this study, we describe the feasibility and efficacy of focal PFA for premature ventricular contraction (PVC) ablation.

Effect of Accelerated Weathering on the Thermal, Tensile, and Morphological Characteristics of Polypropylene/Date Nanofiller Composites.

The aging of polypropylene (PP) composites reinforced with date palm nanofiber (DNF) was investigated in this study in order to predict their long-term performance. To produce composites, date palm nanofibers in the range of 1-5 wt% loading were dry-melt-blended with polypropylene. These biocomposites were then subjected to UV exposure (Xenon arch source) for accelerated weathering for 250 and 500 h according to a standard method.

Evaluation of the Effect of Recycled Polypropylene as Fine Aggregate Replacement on the Strength Performance and Chloride Penetration of Mortars.

Nowadays, the re-use and recycling of industrial wastes to reduce the environmental impact and landfill problems are the main concerns of researchers. Plastics are one of the main waste materials worldwide, with considerable impacts on health and environmental conditions. Recycling plastic wastes in the concrete industry is one of the adopted ways to reduce such impact and increase the economic recyclability of plastics.

ABC-Type Triblock Copolyacrylamides via Copper-Mediated Reversible Deactivation Radical Polymerization.

The aqueous Cu(0)-mediated reversible deactivation radical polymerization (RDRP) of triblock copolymers with two block sequences at 0.0 °C is reported herein. Well-defined triblock copolymers initiated from PHEAA or PDMA, containing (A) 2-hydroxyethyl acrylamide (HEAA), (B) N-isopropylacrylamide (NIPAM) and (C) N, N-dimethylacrylamide (DMA), were synthesized.

Non-operative management of primary omental torsion, a case report and literature review.

Primary omental torsion is a rare cause of acute abdomen especially in obese patients with inconsistent history, examination, and laboratory findings. The liberal use of computed tomography in casualties has increased its preoperative diagnosis. Despite the controversy, the non-operative approach should be attempted as a first line of management while the laparoscopic resection should be only considered after failure of non-operative management.

Facile Synthesis of Hydrophilic Homo-Polyacrylamides via Cu(0)-Mediated Reversible Deactivation Radical Polymerization.

In this work, copper-mediated reversible deactivation radical polymerization (RDRP) of homo-polyacrylamides was conducted in aqueous solutions at 0.0 °C. Various degrees of polymerization (DP = 20, 40, 60, and 80) of well-defined water-soluble homopolymers were targeted.

Acquired right-sided diaphragmatic hernia in a patient with retroperitoneal hydatidosis: a case report and review of the literature.

Background: Diaphragmatic hernia is primarily congenital in origin and has potentially devastating pulmonary complications. Acquired diaphragmatic hernia as a complication of hydatid disease remains a rare clinical entity. Retroperitoneal hydatidosis, in particular is an exceptionally rare cause behind a similar presentation.

Effects of Nanoclay on Mechanical and Dynamic Mechanical Properties of Bamboo/Kenaf Reinforced Epoxy Hybrid Composites.

Current work aims to study the mechanical and dynamical mechanical properties of non-woven bamboo (B)/woven kenaf (K)/epoxy (E) hybrid composites filled with nanoclay. The nanoclay-filled BK/E hybrid composites were prepared by dispersing 1 wt.% nanoclay (organically-modified montmorillonite (MMT; OMMT), montmorillonite (MMT), and halloysite nanotube (HNT)) with high shear speed homogenizer followed by hand lay-up fabrication technique.

Mean glycosylated hemoglobin in children with type 1 diabetes at King Fahad Medical City, Riyadh, Saudi Arabia.

Background: Type 1 diabetes is the third most common chronic disease among teenagers. In Saudi Arabia, there is a gap of knowledge regarding hemoglobin A1C (HbA1c) concentration levels, and adherence to regular follow-up visits by patients. The aim of this study was to determine the mean glycosylated hemoglobin (HbA1c) levels in diabetic children who have been diagnosed with type 1 diabetes and were being followed up at a tertiary care center in Saudi Arabia.

Characterization of Microcrystalline Cellulose Isolated from Conocarpus Fiber.

Conocarpus fiber is an abundantly available and sustainable cellulosic biomass. With its richness in cellulose content, it is potentially used for manufacturing microcrystalline cellulose (MCC), a cellulose derivative product with versatile industrial applications. In this work, different samples of bleached fiber (CPBLH), alkali-treated fiber (CPAKL), and acid-treated fiber (CPMCC) were produced from Conocarpus through integrated chemical process of bleaching, alkaline cooking, and acid hydrolysis, respectively.

Doped SnO Nanomaterials for E-Nose Based Electrochemical Sensing of Biomarkers of Lung Cancer.

Lung cancer detection includes detection of a pattern formed by multiple volatile organic compounds. An individual material has limited selectivity and hence requires tailoring to improve the selectivity and sensing properties. An electronic nose (e-nose) is a concept/device that can help in achieving selectivity and specificity for multiple volatile organic compounds at the same time by using an array of sensors.

Comparison of the Short and Long-Term Outcomes of Endovascular Repair and Open Surgical Repair in the Treatment of Unruptured Abdominal Aortic Aneurysms: Meta-Analysis and Systematic Review.

Background Although the initial results of endovascular repair (EVAR) were promising, a comparison of its long-term efficacy against open surgical repair (OSR) remains largely elusive, and late-onset adverse events have not been systematically evaluated. Since OSR and EVAR are currently the only treatment options available in the management of abdominal aortic aneurysms (AAAs), the main question arising in clinical practice is whether EVAR or OSR confers more favourable short and long-term outcomes for patients presenting with unruptured AAAs. Aims The present meta-analysis aims to draw a head-to-head comparison between EVAR and OSR and facilitate the formulation of an evidence-based approach to the clinical management of unruptured AAAs.

Properties and characteristics of nanocrystalline cellulose isolated from olive fiber.

Olive fiber is a sustainable material as well as alternative biomass for extraction of nanocrystalline cellulose (NCC), which has been widely applied in various industries. In the present study, ONC-I, ONC-II, and ONC-III were extracted from olive stem fiber at different hydrolysis reaction times of 30 min, 45 min, and 60 min, respectively. The nanoparticle size was found gradually reducing from ONC-I (11.

Thermo-oxidative stability and flammability properties of bamboo/kenaf/nanoclay/epoxy hybrid nanocomposites.

In this study, three types of nanoclay [halloysite nanotube (HNT), montmorillonite (MMT) and organically modified MMT (OMMT)] were incorporated into bamboo/kenaf (B/K) reinforced epoxy hybrid composites to compare their thermo-oxidative (TOD) stability and flammability properties. B/K (50 : 50) hybrid nanocomposites were fabricated by adding 1% loading (by weight) nanoclay through a hand lay-up technique. Wide angle X-ray scattering (WAXS) and field emission scanning electron microscopy (FESEM) were used to study the morphology of the nanoclay-epoxy mixture.

The Analysis of Teaching of Medical Schools (AToMS) survey: an analysis of 47,258 timetabled teaching events in 25 UK medical schools relating to timing, duration, teaching formats, teaching content, and problem-based learning.

Background: What subjects UK medical schools teach, what ways they teach subjects, and how much they teach those subjects is unclear. Whether teaching differences matter is a separate, important question. This study provides a detailed picture of timetabled undergraduate teaching activity at 25 UK medical schools, particularly in relation to problem-based learning (PBL).

Characterization of Date Palm Fiber-Reinforced Different Polypropylene Matrices.

In this study, the effect of different polypropylene (PP) matrices (homopolymer (HPP), impact copolymer (ICP), and recycled polypropylene (rPP)) on the mechanical, morphological, and thermal properties of date palm fiber (DPF)-reinforced PP composites was investigated. The DPFs were treated with an alkali solution, and composites were fabricated with different DPF loadings (5, 10, and 15 wt %) and lengths (less than 2 mm and 8-12 mm). It was found that the tensile properties of the DPF/ICP and DPF/rPP composites were similar to those of the DPF/HPP composites.

Computed tomography-derived left atrial volume index, sex, and age to predict the presence and the extent of left atrial low-voltage zones in patients with atrial fibrillation: The ZAQ score.

Background: Pulmonary vein isolation is the cornerstone of catheter ablation in patients with atrial fibrillation (AF). However, with advanced left atrial (LA) structural changes, additional targeted catheter ablation of low-voltage zones (LVZs) has produced favorable results. Therefore, with the advent of single-shot techniques, it would be helpful to predict the presence of LVZs before an ablation procedure.

Meso/macroscopically multifunctional surface interfaces, ridges, and vortex-modified anode/cathode cuticles as force-driven modulation of high-energy density of LIB electric vehicles.

Modulation of lithium-ion battery (LIB) anodes/cathodes with three-dimensional (3D) topographical hierarchy ridges, surface interfaces, and vortices promotes the power tendency of LIBs in terms of high-energy density and power density. Large-scale meso-geodesics offer a diverse range of spatial LIB models along the geodetically shaped downward/upward curvature, leading to open-ended movement gate options, and diffusible space orientations. Along with the primary 3D super-scalable hierarchy, the formation of structural features of building block egress/ingress, curvature cargo-like sphere vehicles, irregularly located serrated cuticles with abundant V-undulated rigidness, feathery tube pipe conifers, and a band of dagger-shaped needle sticks on anode/cathode electrode surfaces provides high performance LIB modules.

Reduced graphene/nanostructured cobalt oxide nanocomposite for enhanced electrochemical performance of supercapacitor applications.

We demonstrate the preparation of nanostructures cobalt oxide/reduced graphene oxide (CoO/rGO) nanocomposites by a simple one-step cost-effective hydrothermal technique for possible electrode materials in supercapacitor application. The X-ray diffraction patterns were employed to confirm the nanocomposite crystal system of CoO/rGO by demonstrating the existence of normal cubic spinel structure of CoO in the matrix of CoO/rGO nanocomposite. FTIR and FT-Raman studies manifested the structural behaviour and quality of prepared CoO/rGO nanocomposite.

Evaluation of Mechanical, Physical, and Morphological Properties of Epoxy Composites Reinforced with Different Date Palm Fillers.

The present study deals with the fabrication of epoxy composites reinforced with 50 wt% of date palm leaf sheath (G), palm tree trunk (L), fruit bunch stalk (AA), and leaf stalk (A) as filler by the hand lay-up technique. The developed composites were characterized and compared in terms of mechanical, physical and morphological properties. Mechanical tests revealed that the addition of AA improves tensile (20.

Characterization of natural fiber obtained from different parts of date palm tree (Phoenix dactylifera L.).

The current study is motivated by the strict environmental regulations regarding the utilization and consumption of ecofriendly materials. In this context, the aim of this study has been to prepare and characterize different date palm tree (Phoenix dactylifera L.) fibers processed through the conventional water retting method.