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Ravi SP, Praveen P, Sreelakshmi KV, Balakrishnan A, Subramanian KRV, Shantikumar V, Lee YS, Sivakumar N. Electrochemical Performance of Electrophoretically Deposited Nanostructured LiMnPO4-Sucrose Derived Carbon Composite Electrodes for Lithium Ion Batteries. JOURNAL OF NANOSCIENCE AND NANOTECHNOLOGY 2015; 15:747-751. [PMID: 26328437 DOI: 10.1166/jnn.2015.9174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The present study reports an approach by which thin films of sucrose added olivine type LiMnPO4-Ccomposite and pristine LiMnPO4 is made by a technique of electrophoretic co-deposition in which pristine and composite samples were synthesized by a sol-gel route. These thin films with enhanced surface area is used to fabricate cathodes for rechargeable Li ion batteries. XRD confirms phase pure single crystalline orthorhombic structure. Transmission Electron Microscopy (TEM) images shows the carbon coating over LiMnPO4 and the particle size restricted in the nano regime. The presence of sp2 hybridized carbon on LiMnPO4 particles is confirmed by X-ray Photon spectroscopy (XPS). To explore the electrochemical behavior, cyclic voltammetry (CV) and cycling studies were performed. The specific capacity for LiMnPO4-C is found to be increased by 43% in comparison to the pristine LiMnPO4. It also exhibited 86% retention in capacity compared to the pristine LiMnPO4 (52%). The result indicates that a proper carbon coating can significantly improve the electronic conductivity and hence the specific capacity.
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Soumya MS, Binitha G, Praveen P, Subramanian KRV, Lee YS, Nair VS, Sivakumar N. Electrochemical Performance of PbO2 and PbO2-CNT Composite Electrodes for Energy Storage Devices. JOURNAL OF NANOSCIENCE AND NANOTECHNOLOGY 2015; 15:703-708. [PMID: 26328430 DOI: 10.1166/jnn.2015.9172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
In this work we report the electrochemical performance comparison of two new hybrid supercapacitors one based on graphene as negative electrode and lead dioxide thin film as positive electrode and the other with graphene as negative electrode and lead dioxide-carbon nanotube composite as positive electrode in 0.1 M KOH electrolyte. In the present work, PbO2 was synthesized using sol-gel method which is one of the promising materials for hybrid supercapacitors. The XRD confirmed the single phase of the PbO2 and the grain size is 39 nm which has been determined using Scherrer's formula. Thin films of PbO2, PbO2-CNT composite and graphene were coated on the titanium substrate by electrophoretic deposition. Further material characterisation has been carried out using SEM, TEM, XPS and electrochemical characterisation using CV, charge/discharge and electrochemical impedance spectroscopy (EIS) for obtaining energy density and power density, cyclic stability and internal resistance respectively. The present results revealed that PbO2-CNT composite/graphene asymmetric hybrid supercapacitor exhibits large specific capacitance and energy density over PbO2/graphene based system. The PbO2-CNT composite/graphene asymmetric hybrid supercapacitor exhibited maximum power density and energy density of 1200 W/Kg and 65 Wh/Kg respectively at a current density of 2 A/g. The PbO2-CNT composite/graphene asymmetric hybrid system exhibited excellent cycling stability with the capacitance retained 85% of its maximum value up to 3000 cycles.
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Dunphy L, Brown R, Parmar S, Martin T, Praveen P. Histopathology reporting of oral mucosal malignancies, nodal excisions and neck dissection specimens associated with head and neck carcinomas. Br J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.bjoms.2014.07.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Dunphy L, Brown R, Parmar S, Martin T, Praveen P. P16 Immuno-expression in oral squamous cell carcinomas. Br J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.bjoms.2014.07.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Nandra B, Martin T, Praveen P, Parmar S. The Maximum length of free bone grafts for Mandibular reconstruction - Are bone grafts greater then 6.0 cm more susceptible to infection and exposure? J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.joms.2014.06.345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Mugundan S, Rajamannan B, Viruthagiri G, Shanmugam N, Gobi R, Praveen P. Synthesis and characterization of undoped and cobalt-doped TiO2 nanoparticles via sol–gel technique. APPLIED NANOSCIENCE 2014. [DOI: 10.1007/s13204-014-0337-y] [Citation(s) in RCA: 138] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Rajamannan B, Mugundan S, Viruthagiri G, Shanmugam N, Gobi R, Praveen P. Preparation, structural and morphological studies of Ni doped titania nanoparticles. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2014; 128:218-224. [PMID: 24667428 DOI: 10.1016/j.saa.2014.02.116] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Revised: 02/04/2014] [Accepted: 02/19/2014] [Indexed: 06/03/2023]
Abstract
TiO2 nanoparticles doped with different weight percentages (4%, 8%, 12% and 16%) of nickel contents were prepared by a modified sol-gel method using Titanium tetra iso propoxide and nickel nitrate as precursors and 2-propanol as a solvent. X-ray diffraction studies show that the as prepared and annealed products show anatase structure with average particle sizes running between of 8 and 16 nm. FTIR results demonstrate the presence of strong chemical bonding at the interface of TiO2 nanoparticles. The optical properties of bare and doped samples were carried out using UV-DRS and photoluminescence measurements. The surface morphology and the element constitution of the nickel doped TiO2 nanoparticles were studied by scanning electron microscope attached with energy dispersive X-ray spectrometer arrangement. The non linear optical properties of the products were confirmed by Kurtz second harmonic generation (SHG) test and the output power generated by the nanoparticle was compared with that of potassium di hydrogen phosphate (KDP).
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Rajamannan B, Mugundan S, Viruthagiri G, Praveen P, Shanmugam N. Linear and nonlinear optical studies of bare and copper doped TiO2 nanoparticles via sol gel technique. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2014; 118:651-656. [PMID: 24096060 DOI: 10.1016/j.saa.2013.09.045] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Revised: 08/31/2013] [Accepted: 09/07/2013] [Indexed: 06/02/2023]
Abstract
In general, the nanoparticles of TiO2 may exist in the phases of anatase, rutile and brookite. In the present work, we used titanium terta iso propoxide and 2-propanol as a common starting material to prepare the precursors of bare and copper doped nanosized TiO2. Then the synthesized products were calcinated at 500°C and after calcination the pure TiO2 nanoparticles in anatase phase were harvested. The crystallite sizes of bare and copper doped TiO2 nanoparticles were calculated from X-ray diffraction analysis. The existence of functional groups of the samples was identified by Fourier transform infrared spectroscopy. The optical properties of bare and doped samples were carried out using UV-DRS and photoluminescence measurements. The surface morphology and the element constitution of the copper doped TiO2 nanoparticles were studied by scanning electron microscope fitted with energy dispersive X-ray spectrometer arrangement. The nonlinear optical properties of the products were confirmed by Kurtz second harmonic generation (SHG) test and the output power generated by the nanoparticle was compared with that of potassium di hydrogen phosphate (KDP).
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Praveen P, Viruthagiri G, Mugundan S, Shanmugam N. Structural, optical and morphological analyses of pristine titanium di-oxide nanoparticles--synthesized via sol-gel route. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2014; 117:622-9. [PMID: 24113014 DOI: 10.1016/j.saa.2013.09.037] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2013] [Revised: 08/31/2013] [Accepted: 09/07/2013] [Indexed: 05/27/2023]
Abstract
Pure titanium di-oxide nanoparticles (TiO2) were synthesized by sol-gel technique at room temperature with appropriate reactants. The synthesis of anatase phase TiO2 nanoparticles was achieved by tetraisopropyl orthotitanate and 2-propanol as common starting materials and the product was annealed at 450 °C for 4 h. The synthesized product was characterized by X-ray diffraction analysis (XRD), Fourier transform infrared spectroscopy (FTIR), UV-VIS-Diffuse reflectance spectroscopy (DRS), Photoluminescence (PL) spectroscopy and Scanning electron microscopy (SEM) with Energy dispersive X-ray (EDX) analysis. XRD pattern confirmed the crystalline nature and tetragonal structure of synthesized composition. Average grain size was determined from X-ray line broadening, using the Debye-Scherrer relation. The functional groups present in the sample were identified by FTIR spectroscopy. Diffuse reflectance measurement indicated an absorption band edge on UV-region. The allowed direct and indirect band gap energies, as well as the crystallite size of pure TiO2 nanoparticles are calculated from DRS analysis. The microstructure and elemental identification were done by SEM with EDX analysis.
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Praveen P, Viruthagiri G, Mugundan S, Shanmugam N. Sol-gel synthesis and characterization of pure and manganese doped TiO2 nanoparticles--a new NLO active material. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2013; 120:548-557. [PMID: 24374482 DOI: 10.1016/j.saa.2013.12.006] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2013] [Revised: 11/30/2013] [Accepted: 12/04/2013] [Indexed: 06/03/2023]
Abstract
Pure and Manganese (4%, 8%, 12% and 16%) doped titanium di-oxide (Mn-TiO2) nanoparticles were synthesized by sol-gel technique. The preparation of pure and Mn doped TiO2 nanoparticles were achieved by tetra-isopropyl orthotitanate and 2-propanol as common starting materials and the products were annealed at 450°C and 750°C to get anatase and rutile phases, respectively. The prepared materials were characterized by X-ray diffraction analysis (XRD), Fourier transform infra-red spectroscopy (FT-IR), UV-VIS-Diffuse reflectance spectroscopy (DRS), Photoluminescence (PL) spectroscopy, Scanning electron microscopy (SEM) with Energy dispersive X-ray analysis (EDX) and Kurtz powder second harmonic generation (SHG) test. XRD patterns confirmed the crystalline nature and tetragonal structure of synthesized materials. The functional groups present in the samples were identified by FTIR study. The allowed direct and indirect band gap energies, as well as the crystallite sizes of obtained nanoparticles were calculated from DRS analysis. Microstructures and elemental identification were done by SEM with EDX analysis. The existence of SHG signals was observed using Nd: YAG laser with fundamental wavelength of 1064 nm. The products were found to be transparent in the entire visible region with cut-off wavelengths within the UV region confirms its suitability for device fabrications.
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Praveen P, Jyothsna U, Nair P, Ravi S, Balakrishnan A, Subramanian KRV, Nair AS, Nair VS, Sivakumar N. Thin film rechargeable electrodes based on conductive blends of nanostructured olivine LiFePO4 and sucrose derived nanocarbons for lithium ion batteries. JOURNAL OF NANOSCIENCE AND NANOTECHNOLOGY 2013; 13:5607-5612. [PMID: 23882803 DOI: 10.1166/jnn.2013.7454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The present study provides the first reports of a novel approach of electrophoretic co-deposition technique by which titanium foils are coated with LiFePO4-carbon nanocomposites synthesized by sol gel route and processed into high-surface area cathodes for lithium ion batteries. The study elucidates how sucrose additions as carbon source can affect the surface morphology and the redox reaction behaviors underlying these cathodes and thereby enhance the battery performance. The phase and morphological analysis were done using XRD and XPS where the LiFePO4 formed was confirmed to be a high purity orthorhombic system. From the analysis of the relevant electrochemical parameters using cyclic voltammetry and electrochemical impedance spectroscopy, a 20% increment and 90% decrement in capacity and impedance values were observed respectively. The composite electrodes also exhibited a specific capacity of 130 mA h/g. It has been shown that cathodes based on such composite systems can allow significant room for improvement in the cycling performance at the electrode/electrolyte interface.
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Sudhir R, Praveen P, Anantharaj A, Venkataraghavan K. Assessment of the effect of probiotic curd consumption on salivary pH and streptococcus mutans counts. Niger Med J 2013; 53:135-9. [PMID: 23293413 PMCID: PMC3531032 DOI: 10.4103/0300-1652.104382] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Antimicrobial methods of controlling dental caries that include probiotic agents can play a valuable role in establishing caries control in children at moderate to high risk for developing dental caries. Several studies have demonstrated the beneficial effects of use of various Probiotic products including curd. The objective of this study was to compare the effect of short-term consumption of probiotic curd containing Lactobacillus acidophilus and normal curd on salivary Streptococcus Mutans counts, as well as salivary pH. MATERIALS AND METHODS Forty, caries-free, 10-12 years old children were selected and randomly allocated to two groups. Test Group consisted of 20 children who consumed 200ml of probiotic curd daily for 30 days. Control Group consisted of 20 children who were given 200ml of regular curd for 30 days. Salivary pH and salivary Streptococcus Mutans counts were recorded at baseline and after 30 days and statistically compared using the Student's t-test. RESULTS Consumption of probiotic curd resulted in a statistically significant reduction in S. Mutans colony counts (P<0.001) as compared to regular curd. However, there was a slight reduction in pH (P>0.05) in both the groups. CONCLUSION Short-term consumption of probiotic curds can reduce oral S. Mutans counts. However, this caused a slight reduction in salivary pH.
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Madhavan AA, Mohandas A, Licciulli A, Sanosh KP, Praveen P, Jayakumar R, Nair SV, Nair AS, Balakrishnan A. Electrospun continuous nanofibers based on a TiO2–ZnO–graphene composite. RSC Adv 2013. [DOI: 10.1039/c3ra44574g] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Venkataraghavan K, Anantharaj A, Praveen P, Rani SP, Krishnan BM. Accidental ingestion of foreign object: Systematic review, recommendations and report of a case. Saudi Dent J 2011; 23:177-81. [PMID: 23960513 PMCID: PMC3723260 DOI: 10.1016/j.sdentj.2010.10.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2010] [Revised: 10/12/2010] [Accepted: 10/29/2010] [Indexed: 10/18/2022] Open
Abstract
One of the serious complications during a routine endodontic procedure is accidental ingestion/aspiration of the endodontic instruments, which can happen when proper isolation is not done. There are at present no clear guidelines whether foreign body ingestion in the gastrointestinal tract should be managed conservatively, endoscopically or surgically. A 5 year old boy reported to the Department of Pediatric and Preventive Dentistry, D.A. Pandu Memorial R.V. Dental College, Bangalore, India, with a complaint of pain and swelling in the lower right back teeth region. Endodontic therapy was planned for the affected tooth. During the course of treatment the child accidentally swallowed a 21 mm 15 size K file. Endoscopy was performed immediately but the instrument could not be retrieved. The instrument passed out uneventfully along with the stools 48 h after ingestion. Careful evaluation of the patient immediately after the accident helps in managing the patient effectively along with following the recommended guidelines.
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Neena IE, Ananthraj A, Praveen P, Karthik V, Rani P. Comparison of digital radiography and apex locator with the conventional method in root length determination of primary teeth. J Indian Soc Pedod Prev Dent 2011; 29:300-4. [PMID: 22016313 DOI: 10.4103/0970-4388.86371] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIM The purpose of this study was to compare the Working length in primary teeth endodontics using intra oral digital radiovisiography and apex locator with conventional method for accuracy. MATERIALS AND METHODS This in vivo study was conducted on 30 primary teeth which were indicated for pulpectomy in the patients of the age group of 5-11 years All experimental teeth had adequate remaining tooth structure for rubber dam isolation and radiographicaly visible canals. Endodontic treatment was required due to irreversible pulpitis or pulp necrosis. A standardized intraoral periapical radiograph of the tooth was taken using conventional method by paralleling technique. The distance between the source and the tooth, tooth and the films were standardized using X-ray positioning device. During the pulpectomy procedure, the working length was determined by digital radiograph and apex locator. The measurements were then compared with the conventional method of root canal measurement technique for accuracy. RESULT From the results obtained we can conclude that Working length determined in primary molars using digital radiography and Apex locator did not show any significant difference in the mean working length measurements when compared with the conventional radiographic method. CONCLUSIONS Apex locator is comparable to conventional radiograph in determining the working length without radiation in the primary teeth. Intraoral digital radiography is the safest method in determining the working length with significant reduction in radiation exposure.Hence, both the techniques can be safely used as alternatives to conventional radiographic methods in determining working length in primary teeth.
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Al-Hadad I, Kotecha S, Praveen P, Parmar S. Malignant suspicion. Br Dent J 2010; 208:197. [PMID: 20228736 DOI: 10.1038/sj.bdj.2010.212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Walker R, Praveen P, Parmar S, Martin T, Anand R, Simms M. 60 Speech and swallowing outcomes in head and neck cancer patients with jejunal free flap reconstruction of the hypopharynx. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60061-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Walker R, Praveen P, Parmar S, Martin T, Anand R, Simms M. 58 The jejunal free flap in reconstruction of hypopharyngeal defects – the Birmingham experience. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60059-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Krishnan OP, Praveen P, Evans M, Dover S. Trends in craniofacial surgery at Birmingham—the story of a decade. Br J Oral Maxillofac Surg 2009. [DOI: 10.1016/j.bjoms.2009.06.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Praveen P, Shah D, Farid R, Parmar S. O.455 Postoperative use of intremaxillary flxation devices. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71579-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Sharp I, Kotecha S, Praveen P. O.412 Single unit experience of maxillary distraction. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71536-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Praveen P, Parmar S, Fiaz F. O.435 CT face in the primary survey of polytrauma. J Craniomaxillofac Surg 2008. [DOI: 10.1016/s1010-5182(08)71559-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Pawlak Z, Rauckyte T, Zak S, Praveen P. Study of arsenic content in mine groundwater commonly used for human consumption in Utah. ENVIRONMENTAL TECHNOLOGY 2008; 29:217-224. [PMID: 18613620 DOI: 10.1080/09593330802028956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Of the various sources of arsenic released in to the environment, the presence of arsenic in water probably poses the greatest threat to human health. Arsenic is released in to the environment through water by dissolution of minerals and ores. Natural release is slow, but in some areas the concentration of arsenic in groundwater (commonly referred to as Acid Mine Drainage (or AMD)) is accelerated by mining activity. In fact the presence of arsenic may last a long time even after the mining activity has ceased. Hence it is imperative to study the quality of water (especially for those areas in the vicinity of mines) used for different purposes to identify an appropriate remediation technique for effective pollution control. In this paper, contents of arsenic and other metals in the water were quantified from three different sources: (1) groundwater from the mining tunnel (Judge tunnel), (2) drinking water, and (3) water used in the hydrant-flushed distribution system (Park City) in Utah (USA). The results showed the content of arsenic from the mining tunnel, after chlorination, and in tap water were below 10 microgl(-1). However, significant amounts of arsenic, lead, zinc, iron, manganese and antimony have been found in water samples taken from the distribution systems. In the consideration of the further use of mine groundwater for drinking purposes and the distribution system, Park City should regularly be maintained by a flushing program in the distribution system.
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Talbot JC, Elener C, Praveen P, Shaw DL. Secondary prevention of osteoporosis: Calcium, Vitamin D and bisphosphonate prescribing following distal radial fracture. Injury 2007; 38:1236-40. [PMID: 17572417 DOI: 10.1016/j.injury.2007.03.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2006] [Revised: 10/26/2006] [Accepted: 03/05/2007] [Indexed: 02/02/2023]
Abstract
Over 200,000 osteoporotic fractures occur in the UK annually. Patients with fragility fractures are at highest risk of further fracture, though preventative treatment has been shown to reduce subsequent fracture incidence. We reviewed the pre- and post-fracture medication (via the PCTs and in-patient discharge letters) of all patients over 55 years who suffered a distal radial fracture between April 2003 and November 2004. Complete data was available for 175 patients (170 female): 95 were in-patients, 80 out-patients. Following distal radial fracture, calcium and Vitamin D was prescribed for 39 patients (22%), bisphosphonates to 16 patients (9%) and only 15 patients (8.5%) were referred for DEXA scanning. Higher rates of prescribing were seen in hospital, with over half of all in-patients started on fracture prevention treatment; however, less than a half of these patients continued to receive this medication in primary care. We believe, the results demonstrate a lack of health promotion opportunities to prevent future fracture, which is a common finding across healthcare systems nationally. Although there is clear focus and impetus for developing falls prevention services nationwide, this enthusiasm has not been translated across to bone health, despite the potential savings in terms of morbidity, mortality and healthcare costs. Important deficiencies in local services have been identified, particularly with respect to communication between secondary and primary care. This study has added weight to secure funding for a fracture liaison nurse in our institution; we suggest others follow suit and employ similarly dedicated personnel to ensure assessment and treatment for the prevention of further fractures.
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