Introduction: Stenoses in the path of arteriovenous fistulas (AVF) for hemodialysis are a very prevalent problem and there is long experience in their treatment by percutaneous angioplasty (PTA). These procedures, however, involve non-negligible equipment requirements, exposure to radiation and intravenous contrast that are not beneficial for the patient and make their performance more complex. This study reviews our initial experience with Doppler ultrasound-guided angioplasty. Methods: Prospective cohort of patients with native AVF dysfunction due to significant venous stenosis treated by Doppler echo-guided PTA. AVF puncture, lesion catheterization, balloon localization and inflation, and outcome verification were performed under ultrasound guidance. Only one fistulography was performed before and another one after dilatation. As a control, the cases performed during the same period by the usual angiographic method were also collected. Results: Between February 2015 and September 2018, 51 PTAs were performed on native AVF, of which 27 were echogenic (mean age, 65.3 years; 63% male). The technical success rate was 96%. In 26% of cases, PTA was repeated due to residual stenosis after angiographic imaging. There were 7.3% periprocedural complications. 92% of the AVFs were punctured at 24 hours. Primary patency at 1 month, 6 months and 1 year was 100%, 64.8% and 43.6%, and assisted patency was 100%, 87.2% and 74.8%. There were no significant differences in immediate or late results with respect to angiographically guided AVF angioplasty. Conclusions: AVF-PTA can be performed safely and effectively guided by Doppler ultrasound, which simplifies the logistics required for its performance, although we still need to improve the capacity for early verification of the result with this imaging technique.
The purpose of this article is to determine the equitability of airport and university allocations throughout Ethiopian regional states based on the number of airports and institutions per 1 million people. According to the sample, the majority of respondents believed that university allocation in Ethiopia is equitable. In contrast, the majority of respondents who were asked about airports stated that there is an uneven distribution of airports across Ethiopia’s regional states. Hence, both interviewees and focus group discussants stated that there is a lack of equitable distribution of universities and airports across Ethiopia’s regional states. This paper contributes a lesson on how to create a comprehensive set of determining factors for equitable infrastructure allocation. It also provides a methodological improvement for assessing infrastructure equity and other broader implications across Ethiopian regional states.
In order to strengthen the study of soil-landscape relationships in mountain areas, a digital soil mapping approach based on fuzzy set theory was applied. Initially, soil properties were estimated with the regression kriging (RK) method, combining soil data and auxiliary information derived from a digital elevation model (DEM) and satellite images. Subsequently, the grouping of soil properties in raster format was performed with the fuzzy c-means (FCM) algorithm, whose final product resulted in a fuzzy soil class variation model at a semi-detailed scale. The validation of the model showed an overall reliability of 88% and a Kappa index of 84%, which shows the usefulness of fuzzy clustering in the evaluation of soil-landscape relationships and in the correlation with soil taxonomic categories.
Due to its physicochemical properties, nanoparticles titanium dioxide (nTiO2) is being put into mass production and widespread applications, which inevitably results in their increasing exposure to the water body. After it entering the water body, the chemical properties of nTiO2 can be influenced by ion compositions, ion strength and pH, which affects their ecological risk. Excess of ammonium (NH4+) fertilizer has contaminated soil and water environments. In this paper, the Zeta potentials and hydrodynamic radius of nTiO2 were studied in NH4+ solution compared to those in Na+ solution. In addition, the sedimentation rate of nTiO2 was also investigated. The experiment results show that high pH inhibits the sedimentation of nTiO2. Moreover, NH4+ increases the stability of nTiO2 more than Na+ at the same IS, which was attributed the more negative Zeta potentials and the smaller hydraulic radius. Our results provide a theoretical basis for evaluating the ecological risk of nTiO2 in aqueous solution containing NH4+.
Ce4+-doped nanometer ZnO powder was synthesized by so-l gel method. The microstructures and properties of the samples were characterized through XRD, UV-Vis and FTIR. The results indicated that the Ce4+ was successfully incorporated into ZnO, and the diameter of the nanometer was about 10.7nm. It induced the redshifting in the UV-Vis spectra. The photocatalytic activity of the samples was investigated using methylene blue (MB) as the model reaction under irradiation with ultraviolet light. The results showed that the doping of Ce4+ could increase the photocatalytic activities of ZnO nanopowders and that the best molar ratio of Ce4+ was n(Ce)/n(Zn) = 0.05, that the surfactant was sodium dodecyl sulfate, and that the nanometer ZnO was calcinated at 550 ℃ for 3 hours. Meanwhile, it inspected the effect of photocatalytic efficiency through the pH of MB, the amount of catalyst, and illumination time. The experimental results revealed that the initial mass concentration of MB was 10 mg/L, that the pH value was 7-8, that the dosage of Ce4+/ZnO photo-catalyst was 5 g/L, that the UV-irradiation time was 2 h, and that the removal rate of MB reached above 85%. Under the optimized conditions, the degradation rate of real dye wastewater was up to 87.67% and the removal efficiency of COD was 63.5%.
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