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Beyond single-use: a systematic review of environmental, economic, and clinical impacts of endoscopic surgical instrumentation.
Int J Surg
December 2024
Department of Surgery, Maastricht University Medical Center, Maastricht.
Background: The evolution of endoscopic surgery has introduced a multitude of instruments, available in both disposable and reusable variants, influencing practices across various surgical specialties. Instrument selection is complex, considering individual preferences and institutional factors such as costs, instrument performance, and factors related to cleaning and sterilization. Notably, environmental sustainability has gained prominence due to the threat of climate change.
View Article and Find Full Text PDFPhotothermal Self-Healing Black g-CN Nanosheet-Based Coatings: A Novel Approach for Enhanced Anticorrosion and Antibiofouling Protection.
Small
January 2025
School of Material Science and Engineering, Jiangsu University of Science and Technology, Zhenjiang, Jiangsu, 212003, P. R. China.
Multifunctional coatings have great application value in the protection of Marine equipment, ships and ship facilities, but they still suffer from the disadvantages of high preparation cost and complicated synthesis methods. Herein, employing a simple method to synthesize black carbon nitride (BCN), as the filler in polydimethylsiloxane (PDMS) to construct BCN/PDMS composite coating with a multifunctional anti-corrosion/antifouling coating capable of photothermal self-healing property. Experimental results exhibit that the BCN/PDMS coating can still possesses excellent corrosion resistance after 28 d of immersion in the simulated seawater, and the impedance modulus still manages to reach 6.
View Article and Find Full Text PDFIntractable conflicts over end-of-life decisions: A descriptive and ethical analysis of French case-law.
Anaesth Crit Care Pain Med
December 2024
Centre de Recherche des Cordeliers, Sorbonne Université, Université Paris Cité, Inserm, Laboratoire ETREs, Paris, France; Unité Fonctionnelle d'Ethique Médicale, Hôpital Necker-Enfants malades, AP-HP, Paris, France.
Context: In European and Anglo-Saxon countries, life-sustaining treatment (LST) limitation decisions precede more than 80% of ICU deaths. However, there is now increasing evidence of disagreement and conflict between clinical teams and family members over LST limitation decisions. In some cases, these conflicts are brought to the courts.
View Article and Find Full Text PDFExperiences of violence while in insecure migration status: a qualitative evidence synthesis.
Global Health
November 2024
University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Background: The global movement of people in the context of strict immigration laws and policies places significant numbers of people in insecure migration status worldwide. Insecure status leaves people without recourse to legal, governmental or social protection from violence and abuse. This review synthesized qualitative studies that reported how migrants associated physical and physically enforced sexual violence they experienced with their insecure migration status.
View Article and Find Full Text PDFDirected acyclic graph helps to understand the causality of malnutrition in under-5 children born small for gestational age.
J Clin Epidemiol
November 2024
Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India.
Objectives: Small-for-gestational age (SGA) is a causal factor for malnutrition (undernutrition). The available evidence on this causal relationship is based on observational studies and suffers from confounding and collider biases. This study aimed to construct a theoretical causal model to estimate the effect of SGA on malnutrition in children aged less than 5 years.
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