AIM: To characterize the efficacy of rifaximin in the management of hepatic encephalopathy (HE) as several randomized controlled studies have shown contradictory results on its effectiveness in comparison to other ora...AIM: To characterize the efficacy of rifaximin in the management of hepatic encephalopathy (HE) as several randomized controlled studies have shown contradictory results on its effectiveness in comparison to other oral agents. METHODS: We performed a systematic review and random effects meta-analysis of all eligible trials identifi ed through electronic and manual searches. Twelve randomized controlled trials met the inclusion criteria with a total of 565 patients. RESULTS: The clinical effectiveness of rifaximin was equivalent to disaccharides or other oral antibiotics[odds ratio (OR) 0.96; 95% CI: 0.94-4.08] but with a better safety profi le (OR 0.27; 95% CI: 0.12-0.59). At the completion of treatment protocols, patients receiving rifaximin showed lower serum ammonia levels [weighted mean difference (WMD) = -10.65; 95% CI: -23.4-2.1; P = 0.10], better mental status (WMD = -0.24; 95% CI: -0.57-0.08; P = 0.15) and less asterixis (WMD -0.1; 95% CI -0.26-0.07; P = 0.25) without reaching statistical signifi cance. On the other hand, other psychometric outcomes such as electroencephalographic response and grades of portosystemic encephalopathy were superior in patients treated with rifaximin in comparison to the control group (WMD = 0.21, 95% CI: -0.33-0.09, P = 0.0004; and WMD = -2.33, 95% CI: -2.68-1.98, P = 0.00001, respectively). Subgroup and sensitivity analysis did not show any signifi cant difference in the above fi ndings. CONCLUSION: Rifaximin appears to be at least as effective as other conventional oral agents for the treatment of HE with a better safety profi le.展开更多
The life of electronic equipment is becoming increasingly shorter and its replacement always generates a quantity of waste increase, giving rise to a problem of environmental character and still needed new options of ...The life of electronic equipment is becoming increasingly shorter and its replacement always generates a quantity of waste increase, giving rise to a problem of environmental character and still needed new options of solid waste management that will contribute to global sustainable development. Parts of these waste are TCI （the card＇s printed circuit） which containing dangerous elements and turns them into a polluting material from the soil, water and air, being harmful to human health if there is to proper and responsible way, so the recycling of TCI to obtain precious metals is an example of industrial materials that can be recycled. Despite this, large quantities of these are not recycled and some others are not considered. The objective of this work is to present a systematic and ecological methodology for the recovery of valuable materials contained in parts of used in computers, circuit boards using a leaching process. The method determines a set of variables to evaluate the kinetics of the reaction and the leaching of metals that form the substrate of metal and to establish the parameters that affect the rate of leaching of metals through a sensitivity analysis, to identify design alternatives. It determines the quantity and percentages that constitutes the motherboard, processor, video cards, accelerator graphics, network and memory cards RAM, among others and its content of metals such as Cu, Fe, Ag, Au and Pt.展开更多
文摘AIM: To characterize the efficacy of rifaximin in the management of hepatic encephalopathy (HE) as several randomized controlled studies have shown contradictory results on its effectiveness in comparison to other oral agents. METHODS: We performed a systematic review and random effects meta-analysis of all eligible trials identifi ed through electronic and manual searches. Twelve randomized controlled trials met the inclusion criteria with a total of 565 patients. RESULTS: The clinical effectiveness of rifaximin was equivalent to disaccharides or other oral antibiotics[odds ratio (OR) 0.96; 95% CI: 0.94-4.08] but with a better safety profi le (OR 0.27; 95% CI: 0.12-0.59). At the completion of treatment protocols, patients receiving rifaximin showed lower serum ammonia levels [weighted mean difference (WMD) = -10.65; 95% CI: -23.4-2.1; P = 0.10], better mental status (WMD = -0.24; 95% CI: -0.57-0.08; P = 0.15) and less asterixis (WMD -0.1; 95% CI -0.26-0.07; P = 0.25) without reaching statistical signifi cance. On the other hand, other psychometric outcomes such as electroencephalographic response and grades of portosystemic encephalopathy were superior in patients treated with rifaximin in comparison to the control group (WMD = 0.21, 95% CI: -0.33-0.09, P = 0.0004; and WMD = -2.33, 95% CI: -2.68-1.98, P = 0.00001, respectively). Subgroup and sensitivity analysis did not show any signifi cant difference in the above fi ndings. CONCLUSION: Rifaximin appears to be at least as effective as other conventional oral agents for the treatment of HE with a better safety profi le.
文摘The life of electronic equipment is becoming increasingly shorter and its replacement always generates a quantity of waste increase, giving rise to a problem of environmental character and still needed new options of solid waste management that will contribute to global sustainable development. Parts of these waste are TCI （the card＇s printed circuit） which containing dangerous elements and turns them into a polluting material from the soil, water and air, being harmful to human health if there is to proper and responsible way, so the recycling of TCI to obtain precious metals is an example of industrial materials that can be recycled. Despite this, large quantities of these are not recycled and some others are not considered. The objective of this work is to present a systematic and ecological methodology for the recovery of valuable materials contained in parts of used in computers, circuit boards using a leaching process. The method determines a set of variables to evaluate the kinetics of the reaction and the leaching of metals that form the substrate of metal and to establish the parameters that affect the rate of leaching of metals through a sensitivity analysis, to identify design alternatives. It determines the quantity and percentages that constitutes the motherboard, processor, video cards, accelerator graphics, network and memory cards RAM, among others and its content of metals such as Cu, Fe, Ag, Au and Pt.
