No abstract

No abstract

A multi‐component, fluorescent hydrogel of chitosan and gelatin using maleic acid as a cross‐linking agent was fabricated with improved mechanical and thermal properties. The FTIR spectroscopy and SEM studies confirmed the formation of a cross‐linked and porous hydrogel. The XPS studies confirmed the presence of rich functionalities over the surface of hydrogel. The hybrid hydrogel possessed strong blue emission band centered at 438 nm when excited with an absorption band centered at 384 nm. The fluorescent hydrogel was tested for selective detection of different heavy metal ions including Cr (VI) in the aqueous solution. The strong complexation among the functional groups of hydrogel and metal ions led to the quenching of hydrogel's fluorescence. The fluorescence of hydrogel was quenched significantly in the presence of Cr (VI) ions in comparison to the other heavy metal ions. The fluorescence‐quenching efficiency displayed a linear response to the Cr (VI) concentration in the range of 1–14 nM with a lower detection limit of 0.12 nM. Embraced with good sensitivity and selectivity for Cr (VI) ions, the solid hydrogel with stable fluorescent properties holds a great potential in chemical sensing applications.

No abstract

Context:There is a need for identifying risk factors aggravating development of acute renal failure after attaining trauma and defining new parameters for better assessment and management. Aim of the study was to determine the incidence of acute renal failure among trauma patients, and its correlation with various laboratory and clinical parameters recorded at the time of admission and in-hospital mortality.Subjects and Methods:The retrospective cohort study included admitted 208 trauma patients over a period of one year. 135 trauma patients at the serum creatinine level >2.0 mg/dL were enrolled in under the group of acute renal failure. 73 patients who had normal creatinine level made the control group. They were further assessed with clinical details and laboratory investigations.Results:Incidence of acute renal failure was 3.1%. There were 118 (87.4%) males and average length of stay was 9 (1, 83) days. Severity of injury (ISS, GCS) was relatively more among the renal failure group. Renal failure was transient in 35 (25.9%) patients. They had higher incidence of bone fracture (54.0%) (P= 0.04). Statistically significant association was observed between patients with head trauma and mortality 72 (59.0%) (P= 0.001). Prevalence of septic 24 (59.7%) and hemorrhagic 9 (7.4%) shock affected the renal failure group.Conclusion:Trauma patients at the urea level >50 mg/dL, ISS >24 on the first day of admission had 23 times and 7 times the risk of developing renal failure. Similarly, patients with hepatic dysfunction and pulmonary dysfunction were 12 times and 6 times. Patients who developed cardiovascular dysfunction, hematological dysfunction and post-trauma renal failure during the hospital stay had risk for mortality 29, 7 and 8 times, respectively. The final prognostic score obtained was: 14*hepatic dysfunction + 11*cISS + 18*cUrea + 12*cGlucose + 10*pulmonary dysfunction. Optimal score cut-off for prediction of renal failure was found to be ≥25 with specificity, sensitivity and positive likelihood ratio to be 84.9%, 78.4% and 3.9, respectively.