Project description:RationaleForeign body (FB) ingestion is a relatively common clinical situation in the emergency department. However, multiple sharply pointed foreign bodies located in different organs are rare conditions and no definite treatment guidelines has been established.Patient concernsA 31-year-old amateur magician visited the outpatient clinic with a chief complaint of epigastric discomfort. He might have accidentally swallowed some needles while practicing a magic trick 2 days before.DiagnosisImaging tests revealed 1 needle was stuck in the left liver lobe through the stomach wall, 1 was in the third portion of the duodenum, 3 were in the ascending colon, and 2 were in the transverse colon.InterventionsA needle in the duodenum and 5 in the colon were removed by endoscopy. The needle stuck in the liver from the stomach was not visible inside the stomach and was successfully removed by laparoscopy a few days later.OutcomesThe patient was able to tolerate an oral diet and was discharged on postoperative day 4 without any complications.LessonsDeveloping a treatment plan in cases of multiple sharp FB may be difficult. A multidisciplinary team of endoscopists and surgeons is needed to determine the best possible treatment plan. This experience illustrates the importance of the planning of the sequence and method of removal of multiple foreign bodies from the gastrointestinal tract.
Project description:As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission by fomites is one of the main concerns of coronavirus disease 2019, the World Health Organization advised on the use of protective gloves for handling contaminated surfaces and fomites. The shortage in the supply of personal protective equipment (PPE) due to the surging demand in conjuncture with the disposal of an unprecedented quantity of contaminated PPE into the landfill led to an interest for alternative platforms for the management of PPE. In this study, we evaluated the potential of reusing gloves after repeated disinfection cycles using six readily available and common sterilization methods: UV, ethanol, heat, steam, bleach, and quaternary ammonium compounds (quats) for the inactivation of SARS-CoV-2. For this, two commercially available medical-grade gloves, i.e. nitrile and vinyl (polyvinyl chloride) gloves were tested. Both types of gloves showed deterioration in mechanical and thermal performance with the use of quats as sterilization treatment while no remarkable change in properties was observed up to 20 cycles of disinfection for the other sterilization methods. The exceptions were that the vinyl and nitrile gloves did not tolerate steam/dry heat and UV treatment over 10 cycles due to likely dehydrochlorination and thermal degradation, respectively. Subsequent rounds of sterilization caused no significant change in the glass transition temperature (Tg) of either medical gloves; however, quats caused a slight reduction in Tg due to its plasticizing effect. Overall, the physical sterilization treatments including steam, dry heat, and UV allowed the gloves to retain their thermomechanical performance up to ten cycles of sterilization.
Project description:To prevent transmission of the pathogenic chytrid fungi Batrachochytrium dendrobatidis (Bd) and Batrachochytrium salamandrivorans (Bsal), hygiene protocols prescribe the single use of disposable gloves for handling amphibians. We discovered that rinse water from nitrile gloves instantly kills 99% of Bd and Bsal zoospores. Transmission experiments using midwife toads (Alytes obstetricans) and Bd, and Alpine newts (Ichthyosaura alpestris) and Bsal, show that the use of the same pair of gloves for 2 subsequent individuals does not result in significant transmission of any chytrid fungus. In contrast, handling infected amphibians bare-handed caused transmission of Bsal in 4 out of 10 replicates, but did not result in transmission of Bd. Based on the manufacturer's information, high resolution mass spectrometry (HRMS) and colorimetric tests, calcium lactate and calcium nitrate were identified as compounds with antifungal activity against both Bd and Bsal. These findings corroborate the importance of wearing gloves as an important sanitary measure in amphibian disease prevention. If the highly recommended single use of gloves is not possible, handling multiple post-metamorphic amphibians with the same pair of nitrile gloves should still be preferred above bare-handed manipulation.
Project description:The use of single-use nitrile gloves has been on a sharp incline since the Coronavirus pandemic first started in late 2019. This led to a significant increase in the generation of this clinical waste that requires various recycling solutions to reduce its environmental impact from disposal or incineration. This paper explores its application in structural concrete by adding shredded nitrile gloves at 0.1%, 0.2%, and 0.3% of the volume of concrete. The compressive strength, modulus of elasticity, ultrasonic pulse velocity, and SEM-EDS analysis were undertaken to ascertain the effect of different concentrations of shredded nitrile gloves on the mechanical properties, quality of concrete, and its bond performance with the cement matrix. The results demonstrate that the inclusion of up to 0.2% of shredded nitrile gloves can provide ~22% improvement in the compressive strength of blended concrete composites at 28-days of curing. In comparison, the inclusion of 0.3% of shredded nitrile gloves shows improvements of ~20% in compressive strength at 28-days. The SEM-EDS analysis shows a very good bond formation between the nitrile rubber and the cement matrix with no gap identified in the interfacial transition zone (ITZ).
Project description:BackgroundThe selection of disposable nitrile exam gloves is complicated by (i) the availability of several types or formulations, (ii) product variability, and (iii) an inability of common quality control tests to detect small holes in the fingers. Differences in polymer formulation (e.g. filler and plasticizer/oil content) and tensile properties are expected to account for much of the observed variability in performance.ObjectivesThis study evaluated the tensile properties and integrity (leak failure rates) of two glove choices assumed to contain different amounts of plasticizers/oils. The primary aims were to determine if the tensile properties and integrity differed and if associations existed among these factors. Additional physical and chemical properties were evaluated.MethodsSix clean room and five low-modulus products were evaluated using the American Society for Testing and Materials Method D412 and a modified water-leak test to detect holes capable of passing a virus or chemical agent.ResultsSignificant differences in the leak failure rates and tensile properties existed between the two glove types (P ≤ 0.05). The clean room gloves were about three times more likely to have leak failures (chi-square; P = 0.001). No correlation was observed between leak failures and tensile properties. Solvent extract, an indication of added plasticizer/oil, was not associated with leak failures. However, gloves with a maximum modulus <4 MPa or area density (AD) <11 g cm(-2) were about four times less likely to leak.ConclusionsOn average, the low-modulus gloves were a better choice for protection against aqueous chemical or biological penetration. The observed variability between glove products indicated that glove selection cannot rely solely on glove type or manufacturer labeling. Measures of modulus and AD may aid in the selection process, in contrast with common measures of tensile strength and elongation at break.
Project description:The global spread of severe acute respiratory syndrome coronavirus 2 has led to a widespread surge in the use of disposable medical face masks (DFMs) and waste nitrile gloves (WNGs). To address the immense disruption in waste management systems, the catalytic pyrolysis of DFMs and WNGs was undertaken to yield multiwalled carbon nanotubes. Two MgO-supported bimetallic catalysts, Fe-Co and Fe-Ni, were synthesized for catalytic pyrolysis. The MgO-supported Fe and Co catalysts showed a good yield of N-doped CNTs (N-CNTs) above 33 wt %, while the percentage of WNGs did not exceed 20 wt %. The pyrolysis process resulted in the formation of Fe-Co microspinels, which were subsequently encapsulated within N-CNTs, ultimately yielding FeCo-NCNTs. The synthesized FeCo-NCNTs were approximately 25 nm in diameter and were extended over several micrometers in length. Subsequent evaluations included testing several acid-washed FeCo-NCNTs as catalysts for the oxygen reduction reaction. The FeCo-NCNTs exhibited remarkable catalytic performance, with a half-wave potential at 0.831 V (vs RHE) and exceptional resistance to methanol poisoning. These remarkable findings have the potential to contribute to the sustainable recycling of waste generated during the COVID-19 pandemic and to the utilization of waste-derived materials.