Design and Characterization of Gold Nanorod Hyaluronic Acid Hydrogel Nanocomposites for NIR Photothermally Assisted Drug Delivery
Alessandro Molinelli, Leonardo Bianchi, Elisa Lacroce
et al.
The combination of gold nanoparticles (AuNPs) with hydrogels has drawn significant interest in the design of smart materials as advanced platforms for biomedical applications. These systems endow light-responsiveness enabled by the AuNPs localized surface plasmon resonance (LSPR) phenomenon. In this study, we propose a nanocomposite hydrogel in which gold nanorods (AuNRs) are included in an agarose–carbomer–hyaluronic acid (AC-HA)-based hydrogel matrix to study the correlation between light irradiation, local temperature increase, and drug release for potential light-assisted drug delivery applications. The gel is obtained through a facile microwave-assisted polycondensation reaction, and its properties are investigated as a function of both the hyaluronic acid molecular weight and ratio. Afterwards, AuNRs are incorporated in the AC-HA formulation, before the sol–gel transition, to impart light-responsiveness and optical properties to the otherwise inert polymeric matrix. Particular attention is given to the evaluation of AuNRs/AC-HA light-induced heat generation and drug delivery performances under near-infrared (NIR) laser irradiation in vitro. Spatiotemporal thermal profiles and high-resolution thermal maps are registered using fiber Bragg grating (FBG) sensor arrays, enabling accurate probing of maximum internal temperature variations within the composite matrix. Lastly, using a high-steric-hindrance protein (BSA) as a drug mimetic, we demonstrate that moderate localized heating under short-time repeated NIR exposure enhances the release from the nanocomposite hydrogel.
Periodontal diseases and cardiovascular diseases, diabetes, and respiratory diseases: Summary of the consensus report by the European Federation of Periodontology and WONCA Europe
David Herrera, Mariano Sanz, L. Shapira
et al.
Abstract Background Periodontitis is a chronic inflammatory non-communicable disease (NCD) characterised by the destruction of the tooth-supporting apparatus (periodontium), including alveolar bone, the presence of periodontal pockets, and bleeding on probing. Objectives To outline, for family doctors, the implications of the association between periodontal and systemic diseases; to explore the role of family doctors in managing periodontitis as an ubiquitous non-communicable disease (NCD). Methods The consensus reports of previous focused collaborative workshops between WONCA Europe and the European Federation of Periodontology (using previously undertaken systematic reviews), and a specifically commissioned systematic review formed the technical papers to underpin discussions. Working groups prepared proposals independently, and the proposals were subsequently discussed and approved at plenary meetings. Results Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease, obstructive sleep apnoea, and COVID-19 complications. Treatment of periodontitis has been associated with improvements in systemic health outcomes. The article also presents evidence gaps. Oral health care professionals (OHPs) and family doctors should collaborate in managing these conditions, including implementing strategies for early case detection of periodontitis in primary medical care centres and of systemic NCDs in oral/dental care settings. There is a need to raise awareness of periodontal diseases, their consequences, and the associated risk factors amongst family doctors. Conclusion Closer collaboration between OHPs and family doctors is important in the early case detection and management of NCDs like cardiovascular diseases, diabetes mellitus, and respiratory diseases. Strategies for early case detection/prevention of NCDs, including periodontitis, should be developed for family doctors, other health professionals (OHPs), and healthcare funders. Evidence-based information on the reported associations between periodontitis and other NCDs should be made available to family doctors, OHPs, healthcare funders, patients, and the general population. KEY MESSAGES Periodontitis is independently associated with cardiovascular diseases, diabetes, chronic obstructive pulmonary disease, obstructive sleep apnoea, and COVID-19. Periodontal treatment for optimal outcomes improves diabetes outcomes and surrogate measures of cardiovascular risk. Closer collaboration between oral health care professionals and family doctors is important in the early case detection and management of non-communicable diseases. Information on the reported associations should be made available to family doctors, oral health professionals, healthcare funders, patients, and the general population.
Advances in Hydrogel-Based Delivery of RNA Drugs for Antitumor Therapy
Hui Xu, Yang Fei, Xueya Wang
et al.
Tumors are a major disease that seriously threatens human health, with their incidence and mortality rates increasing year by year. However, traditional therapies such as surgery, chemotherapy, and radiotherapy have significant limitations, including significant side effects and propensity for drug resistance. In recent years, with the rapid development of medical technology, RNA therapy has shown great potential as an emerging treatment method in anti-tumor therapy, bringing new hope for tumor treatment. RNA therapy mainly includes small interfering RNA, antisense oligonucleotides, and aptamers. Hydrogels, as a polymer material with three-dimensional network structure, have good biocompatibility and can effectively improve the efficiency of RNA delivery. This review specifically focuses on the application of hydrogels as RNA carriers in anti-tumor therapy, along with the classification, delivery advantages, and challenges. However, despite existing deficiencies in safety and targeting, hydrogel-mediated RNA delivery for tumor treatment still shows unique advantages and broad application prospects. In the future, research and cutting-edge innovations are expected to facilitate precision oncology solutions, offering superior treatment options and catalyzing the evolution of cancer management strategies.
<i>Origanum vulgare</i> ssp. <i>hirtum</i>: From Plant to 3D-Printed Gummies with Antioxidant and Anti-Inflammatory Properties
Brayan J. Anaya, Lina Raudone, Isabel Ureña-Vacas
et al.
This study investigates the phytochemical profile, antioxidant and anti-inflammatory properties, and 3D-printing application of <i>Origanum vulgare</i> L. ssp. <i>hirtum</i> extract. The extract revealed a diverse range of phenolic compounds, with rosmarinic acid as the predominant compound (47.76%). The extract showed moderate to high lipoxygenase inhibition (IC<sub>50</sub> = 32.0 µg/mL), suggesting its potential as an anti-inflammatory agent. It also exhibited strong antioxidant activity, with hydrogen peroxide scavenging (SC<sub>50</sub> = 99.2 µg/mL) and hydroxyl radical scavenging (IC<sub>50</sub> = 64.12 µg/mL) capabilities. In cellular studies, high concentrations (50 µg/mL and 100 µg/mL) significantly decreased intracellular ROS production in Caco-2 cells (reductions exceeding 53% and 64%, respectively). Moreover, the extract suppressed NO production in LPS-stimulated J774A.1 macrophages in a concentration-dependent manner. The study also explores the incorporation of the extract into 3D-printed gummies. The gels exhibited a shear-thinning behavior, which was essential for successful extrusion-based 3D printing. The incorporation of <i>Origanum</i> extract significantly influenced the mechanical strength and compaction properties of the 3D-printed gummies before breaking (1.6-fold increase) allowing for a better mouth feeling. PXRD and FTIR analyses confirmed the amorphous nature of the 3D-printed gummies and the interaction between active ingredients and excipients utilized for printing. These findings demonstrated the potential for semisolid extrusion 3D printing at room temperature to transform a culinary herb (<i>Origanum vulgare</i> spp. <i>hirtum</i>) into a healthcare product with antioxidant and anti-inflammatory properties.
Polymer–Silicate Composite Gel Systems for Enhanced Chloride Resistance of Cement-Based Materials
Tianhang Zhang, Yonggui Dai, Shuai Ren
et al.
To address the issues of insufficient protection and poor durability in concrete during service, this study developed a novel polymer–silicate composite gel system by combining silane with fluorocarbon resin emulsion and applied it to mortar specimens. The chloride ion resistance enhancement of mortar provided by the novel gel system was evaluated using the RCM method and natural chloride ion penetration tests, with SEM images employed to analyze its anti-permeation mechanism. Results indicate that the chloride ion migration coefficient of the novel composite gel system is 4.91 × 10<sup>−12</sup> m<sup>2</sup>/s, representing a 63.97% reduction compared to the single fluorocarbon gel system. Within the 0–5 mm depth range, free chloride ion contents at 14, 28, and 56 days decreased by 55.35%, 50.10%, and 43.64%, respectively, demonstrating excellent resistance to chloride penetration. Acid and alkali resistance tests demonstrated that the system retained the inherent corrosion resistance of the fluorocarbon component. Carbonation tests demonstrated that the system exhibited a slight decrease in carbonation resistance compared with the pure fluorocarbon gel system, while still maintaining a satisfactory performance level. Overall, the polymer-silicate composite gel system significantly enhanced the mortar’s resistance to chloride ion penetration.
Preparation and Properties of a Novel Multi-Functional Viscous Friction Reducer Suspension for Fracturing in Unconventional Reservoirs
Shenglong Shi, Jinsheng Sun, Shanbo Mu
et al.
Aiming at the problem that conventional friction reducers used in fracturing cannot simultaneously possess properties such as temperature resistance, salt resistance, shear resistance, rapid dissolution, and low damage. Under the design concept of “medium-low molecular weight, salt-resistant functional monomer, supramolecular physical crosslinking aggregation, and enhanced chain mechanical strength”, acrylamide, sulfonic acid salt-resistant monomer 2-acrylamide-2-methylpropanesulfonic acid, hydrophobic association monomer, and rigid skeleton functional monomer acryloyl morpholine were introduced into the friction reducer molecular chain by free radical polymerization, and combined with the compound suspension technology to develop a new type of multi-functional viscous friction reducer suspension (SAMD), the comprehensive performance of SAMD was investigated. The results indicated that the critical micelle concentration of SAMD was 0.33 wt%, SAMD could be dissolved in 80,000 mg/L brine within 3.0 min, and the viscosity loss of 0.5 wt% SAMD solution was 24.1% after 10 min of dissolution in 80,000 mg/L brine compared with that in deionized water, the drag reduction rate of 0.1 wt% SAMD solution could exceed 70% at 120 °C and still maintained good drag reduction performance in brine with a salinity of 100,000 mg/L. After three cycles of 170 s<sup>−1</sup> and 1022 s<sup>−1</sup> variable shear, the SAMD solution restored viscosity quickly and exhibited good shear resistance. The Tan <i>δ</i> (a parameter characterizing the viscoelasticity of the system) of 1.0 wt% SAMD solution was 0.52, which showed a good sand-carrying capacity, and the proppant settling velocity in it could be as low as 0.147 mm/s at 120 °C, achieving the function of high drag reduction at low concentrations and strong sand transportation at high concentrations. The viscosity of 1.4 wt% SAMD was 95.5 mPa s after shearing for 120 min at 140 °C and at 170 s<sup>−1</sup>. After breaking a gel, the SAMD solution system had a core permeability harm rate of less than 15%, while the SAMD solution also possessed the performance of enhancing oil recovery. Compared with common friction reducers, SAMD simultaneously possessed the properties of temperature resistance, salt resistance, shear resistance, rapid dissolution, low damage, and enhanced oil recovery. Therefore, the use of this multi-effect friction reducer is suitable for the development of unconventional oil reservoirs with a temperature lower than 140 °C and a salinity of less than 100,000 mg/L.
Challenges and enablers to implementation of the Additional Roles Reimbursement Scheme in primary care: a qualitative study
B. Jones, Z. Anchors, Sarah Voss
et al.
Background The Additional Roles Reimbursement Scheme (ARRS) was set up to recruit 26 000 additional staff into general practice by 2024, with the aim of increasing patient access to appointments. Despite the potential benefits of integrating ARRS practitioners into primary care, their implementation has not always been straightforward. Aim To explore the challenges and enablers to implementation of the ARRS including its impact on primary and secondary care systems. Design and setting Qualitative interview study with ARRS healthcare professionals and key professional stakeholders involved in staff education or scheme implementation across three integrated care systems in England. Method Participants (n = 37) were interviewed using semi-structured individual or paired interviews. Interviews were audio-recorded and transcribed. Data were analysed using framework analysis until data saturation occurred. Results Using framework analysis, 10 categories were identified. Three were categorised as successes: staff valued but their impact unclear; multiple and certain roles maximise impact; and training hub support. Seven were categorised as challenges: scheme inflexibility; creating a sustainable workforce with career progression; managing scope and expectations; navigating supervision and roadmap progression; infrastructure and integration challenges; ARRS roles impact on wider systems; and tensions and perspectives of existing staff. Conclusion Most ARRS staff felt valued, but the scheme broadened expertise available in primary care rather than reducing GP burden, which was originally anticipated. Some PCNs, especially those in areas of high deprivation, found it difficult to meet the population’s needs as a result of the scheme’s inflexibility, potentially leading to greater health inequalities in primary care. Recommendations are proposed to optimise the effective implementation of the primary care workforce model. Further research is required to explore administrative role solutions, further understand the impact of health inequalities, and investigate the wellbeing of ARRS staff.
Exploring the Impact of the Synthesis Variables Involved in the Polyurethane Aerogels-like Materials Design
Esther Pinilla-Peñalver, Darío Cantero, Amaya Romero
et al.
This research presents a novel approach to synthesising polyurethane (PUR)-based aerogels at the pilot scale, optimizing synthesis variables such as the gelation solvent, solids content, chain extender/isocyanate ratio, and dispersion mode. The solids content (2–11 wt.%) is the parameter with the most influence on the density of the aerogels, with a clear decrease in this property as the solids content decreases. On the other hand, it was demonstrated that minimizing the excess of ethylenediamine (used as chain extender) in relation to the isocyanate is a valuable consideration to improve the thermal conductivity of the aerogel. Related to the chain extender/isocyanate ratio, a compromise situation where the initial isocyanate reacts almost completely is crucial. Fourier-transform infrared spectroscopy was used to conduct such monitoring during the reaction. Once the conditions were optimised, the aerogel showing improved properties was synthesised using ethyl acetate as the gelling solvent, a 3.7 wt.% solids content, an ethylenediamine/isocyanate ratio of 0.20, and sonication as the dispersion mode, attaining a thermal conductivity of 0.030 W m<sup>−1</sup> K<sup>−1</sup> and a density of 0.046 g cm<sup>−3</sup>. Therefore, the synthesized aerogel emerges as a promising candidate for use in the construction and automotive industries.
Self-Assembly of a Novel Pentapeptide into Hydrogelated Dendritic Architecture: Synthesis, Properties, Molecular Docking and Prospective Applications
Stefania-Claudia Jitaru, Andra-Cristina Enache, Corneliu Cojocaru
et al.
Currently, ultrashort oligopeptides consisting of fewer than eight amino acids represent a cutting-edge frontier in materials science, particularly in the realm of hydrogel formation. By employing solid-phase synthesis with the Fmoc/tBu approach, a novel pentapeptide, FEYNF-NH<sub>2</sub>, was designed, inspired by a previously studied sequence chosen from hen egg-white lysozyme (FESNF-NH<sub>2</sub>). Qualitative peptide analysis was based on reverse-phase high performance liquid chromatography (RP-HPLC), while further purification was accomplished using solid-phase extraction (SPE). Exact molecular ion confirmation was achieved by matrix-assisted laser desorption–ionization mass spectrometry (MALDI-ToF MS) using two different matrices (HCCA and DHB). Additionally, the molecular ion of interest was subjected to tandem mass spectrometry (MS/MS) employing collision-induced dissociation (CID) to confirm the synthesized peptide structure. A combination of research techniques, including Fourier-transform infrared spectroscopy (FTIR), fluorescence analysis, transmission electron microscopy, polarized light microscopy, and Congo red staining assay, were carefully employed to glean valuable insights into the self-assembly phenomena and gelation process of the modified FEYNF-NH<sub>2</sub> peptide. Furthermore, molecular docking simulations were conducted to deepen our understanding of the mechanisms underlying the pentapeptide’s supramolecular assembly formation and intermolecular interactions. Our study provides potential insights into amyloid research and proposes a novel peptide for advancements in materials science. In this regard, in silico studies were performed to explore the FEYNF peptide’s ability to form polyplexes.
Studying the Role of Potato Powder on the Physicochemical Properties and Dough Characteristics of Wheat Flour
Liping Yang, Houfang Zhang, Biao Huang
et al.
Potato flour (PF) is rich in health-promoting compounds that can improve the nutritional benefits of food products after blending with wheat flour. However, the incorporation of PF may influence the processing characteristics of mixed powders and the quality properties of products. In this study, the physicochemical properties, processing characteristics, and structures of mixed powders and their corresponding doughs with different PF content (0%, 10%, 20%, 30%, 40%, 60%, 80%, and 100%) were investigated. The addition of PF dramatically increased the fiber content from 0.09 to 1.10 g·kg<sup>−1</sup> but diluted the protein in wheat flour. The peak and final viscosity of mixed powders decreased (from 5111.00 to 1806.33 cP and 5195.33 to 2135.33 cP, respectively) with an increase in PF fraction. The incorporation of PF significantly increased gelatinization temperature. The rapidly digestible starch decreased from 30.48% to 19.67%, and resistant starch increased from 16.93% to 41.84% when the PF content increased from 0% to 100%. The water absorption, stability time, and development time decreased with an increase in PF levels. The G′ and G″ of the dough decreased as the addition amount of PF increased, while tan δ presented a complex change tendency. Due to the decrease in protein content in the mixed powders, the addition of PF in wheat flour notably decreased the Hm values of doughs and total carbon dioxide volume produced during fermentation. Additionally, the SH and S–S contents decreased with an increase in PF fraction. Scanning electron microscopy results showed that when the PF content reached up to 80%, a poor and discontinuous gluten framework was formed in the dough. Results showed that PF affected the processing characteristics and gluten structures of wheat dough and was related to the interaction or competition for water molecules between protein and starch, as well as potato starch and wheat starch. Thus, the results of the present study can provide insights into the optimal level of addition of PF during the development of potato-based food products.
Vaginal Sheets with <i>Thymbra capitata</i> Essential Oil for the Treatment of Bacterial Vaginosis: Design, Characterization and <i>In Vitro</i> Evaluation of Efficacy and Safety
Mariana Tomás, Lúcia G. V. Sousa, Ana Sofia Oliveira
et al.
We aimed to incorporate <i>Thymbra capitata</i> essential oil (TCEO), a potent antimicrobial natural product against bacterial vaginosis (BV)-related bacteria, in a suitable drug delivery system. We used vaginal sheets as dosage form to promote immediate relief of the typical abundant vaginal discharge with unpleasant odour. Excipients were selected to promote the healthy vaginal environment reestablishment and bioadhesion of formulations, while the TCEO acts directly on BV pathogens. We characterized vaginal sheets with TCEO in regard to technological characterization, predictable in vivo performance, in vitro efficacy and safety. Vaginal sheet D.O (acid lactic buffer, gelatine, glycerine, chitosan coated with TCEO 1% <i>w/w</i>) presented a higher buffer capacity and ability to absorb vaginal fluid simulant (VFS) among all vaginal sheets with EO, showing one of the most promising bioadhesive profiles, an excellent flexibility and structure that allow it to be easily rolled for application. Vaginal sheet D.O with 0.32 µL/mL TCEO was able to significantly reduce the bacterial load of all in vitro tested <i>Gardnerella</i> species. Although vaginal sheet D.O presented toxicity at some concentrations, this product was developed for a short time period of treatment, so this toxicity can probably be limited or even reversed when the treatment ends.
Facile Enhancement of Electrochemical Performance of Solid-State Supercapacitor via Atmospheric Plasma Treatment on PVA-Based Gel-Polymer Electrolyte
Dong-Hyun Kim, Suk Jekal, Chan-Gyo Kim
et al.
A facile oxygen (O<sub>2</sub>) atmospheric plasma treatment is applied to a polyvinyl alcohol (PVA) matrix to enhance its wettability and hydrophilicity. The optimal plasma treatment conditions are determined by varying the applied plasma power and plasma treatment time. A PVA matrix treated with a plasma power of 120 W for 5 s shows the most hydrophilicity owing to successful formation of carbonyl (–CO, >C=O) functional groups without any structural degradation. The plasma-treated PVA matrix is used as the gel-polymer electrolyte of a solid-state supercapacitor (SSC) by immersing solid matrix into various liquid electrolytes, such as sodium sulfate (Na<sub>2</sub>SO<sub>4</sub>), sulfuric acid (H<sub>2</sub>SO<sub>4</sub>), and potassium hydroxide (KOH). Compared with the pristine PVA-based device, PVA-120W5/Na<sub>2</sub>SO<sub>4</sub>-, PVA-120W5/H<sub>2</sub>SO<sub>4</sub>-, and PVA-120W5/KOH-based SSCs show 2.03, 2.05, and 2.14 times higher specific capacitances, respectively. The plasma-treated PVA matrix shows increased specific capacitance owing to the increased wettability, which in turn increases the ion transportation and reduces the electrical resistance. This study successfully demonstrates that the electrochemical performance of a SSC can be readily enhanced through plasma treatment for a short time (≤5 s).
Antimicrobial Efficacy Assessment and Rheological Investigation of Two Different Hand Sanitizers Compared with the Standard Reference WHO Formulation 1
Sabrina Sommatis, Maria Chiara Capillo, Cristina Maccario
et al.
(1) Background: recently, the use of alcohol-based hand sanitizers (ABHSs) has become very frequent, and an evaluation of the stability and effectiveness of their formulations is a critical topic which should be carefully considered. (2) Methods: starting from the characterization of the hand sanitizers object of the study, our interest was focused on their rheological behavior in order to confirm their intrinsic features, but also the stability of each formulation in different conditions of shear and temperature; the second aspect concerns the antimicrobial assessment through a panel of in vitro and in vivo experimental trials. (3) Results: rheological investigation confirmed good stability for the two hand sanitizers in gel formula with respect to the reference in liquid formula; the antimicrobial activity evaluation showed good efficacy of each formulation both in vitro and in vivo. (4) Conclusions: altogether, our overview presents a valid quality control assessment to ensure the stability and efficacy of an alcohol-based hand sanitizer.
Controlling the LCST-Phase Transition in Azobenzene-Functionalized Poly (<i>N</i>-Isopropylacrlyamide) Hydrogels by Light
Ruchira Colaco, Clement Appiah, Anne Staubitz
Poly(<i>N</i>-isopropylacrylamide) PNIPAAm hydrogels were modified with a new azobenzene-containing co-monomer. In this work, light responsiveness as an additional functionality, is conceptualized to induce two phase transitions in the same material, which can be controlled by light. For a hydrogel with merely 2.5 mol% of this co-monomer, the lower critical solution transition temperature (LCST) was lowered by 12 °C (to 20 °C) compared to PNIPAAm (LCST at 32 °C), as analyzed by differential scanning calorimetry (DSC). The untreated unimodal endotherm split into a bimodal peak upon irradiation with UV-light, giving a second onset due to the switched (<i>Z</i>) isomer-rich regions, LCST*<b><sub>H2.5%</sub></b><sub>-<b>(<i>Z</i>)</b></sub> = 26 °C. On irradiation with 450 nm, leading to the reverse (<i>Z</i>) to (<i>E</i>) isomerization, the endotherm was also reversible. Thus, a photo-switchable hydrogel whose LCST and structure are tunable with the hydrophobicity-hydrophilicity of the (<i>E</i>) and (<i>Z</i>) isomeric state of azobenzene was obtained. The influence of the increase in the mol% of azoacrylate on the LCST was evaluated via DSC, in combination with NMR studies, UV-vis spectroscopy and control experiments with linear polymers. The large light-driven modulation of the LCST adds bistability in thermoresponsive hydrogels, which may open diverse applications in the field of soft robotics actuators.
Agarose Gel Characterization for the Fabrication of Brain Tissue Phantoms for Infrared Multispectral Vision Systems
Efraín Albor-Ramírez, Miguel Reyes-Alberto, Luis M. Vidal-Flores
et al.
Synthetic phantoms that recreate the characteristics of biological tissues are valuable tools for systematically studying and comprehending physiologies, pathologies, and biological processes related to tissues. The reproduction of mechanical and optical properties allows for the development and evaluation of novel systems and applications in areas such as imaging, optics, ultrasound, or dosimetry, among others. This paper proposes a methodology for manufacturing agarose-based phantoms that mimics the optical properties of healthy brain tissue within the wavelength infrared range of 800 to 820 nm. The fabrication of such phantoms enables the possibility of testing and experimentation in controlled and safe environments toward the design of new near-infrared multispectral imaging systems in neurosurgery. The results of an experimental optical characterization study indicate the validity and reliability of the proposed method for fabricating brain tissue phantoms in a cost-effective and straightforward fashion.
General practitioners' attitude towards cooperation with other health professionals in managing patients with multimorbidity and polypharmacy: A cross-sectional study
H. Carrier, Anna Zaytseva, A. Bocquier
et al.
Abstract Background Cooperation between general practitioners (GPs) and other healthcare professionals appears to help reduce the risk of polypharmacy-related adverse events in patients with multimorbidity. Objectives To investigate GPs profiles according to their opinions and attitudes about interprofessional cooperation and to study the association between these profiles and GPs’ characteristics. Methods Between May and July 2016, we conducted a cross-sectional survey of a panel of French GPs about their management of patients with multimorbidity and polypharmacy, focussing on their opinions on the roles of healthcare professionals and interprofessional cooperation. We used agglomerative hierarchical cluster analysis to identify GPs profiles, then multivariable logistic regression models to study their associations with the characteristics of these doctors. Results 1183 GPs responded to the questionnaire. We identified four profiles of GPs according to their declared attitudes towards cooperation: GPs in the ‘very favourable’ profile (14%) were willing to cooperate with various health professionals, including the delegation of some prescribing tasks to pharmacists; GPs in the ‘moderately favourable’ profile (47%) had favourable views on the roles of health professionals, with the exception for this specific delegation of the task; GPs from the ‘selectively favourable’ profile (27%) tended to work only with doctors; GPs from the ‘non-cooperative’ profile (12%) did not seem to be interested in cooperation. Some profiles were associated with GPs’ ages or participation in continuing medical education. Conclusion Our study highlights disparities between GPs regarding cooperation with other professionals caring for their patients and suggests ways to improve cooperation.
Self-Healing and Super-Elastomeric PolyMEA-co-SMA Nanocomposites Crosslinked by Clay Platelets
Beata Strachota, Adam Strachota, Katarzyna Byś
et al.
Novel solvent-free ultra-extensible, tough, and self-healing nanocomposite elastomers were synthesized. The self-assembled materials were based on the copolymer matrix poly(methoxyethyl acrylate-co-sodium methacrylate) physically crosslinked by clay nano-platelets (‘poly[MEA-co-SMA]/clay’). Depending on the content of SMA, the super-elastomers were predominantly hydrophobic, water-swelling, or fully water-soluble, and hence repeatedly processible. The SMA co-monomer introduces a tremendous increase in tensile strength, an increase in toughness, while ultra-extensibility is preserved. By tuning the contents of nano-clay and SMA co-monomer, a very wide range of product properties was achieved, including extreme ultra-extensibility, or high stiffness combined with more moderate super-extensibility, or very different values of tensile strength. There was very attractive, great improvement in autonomous self-healing ability induced by SMA, combined with tremendously enhanced self-recovery of internal mechanical damage: even complete self-recovery could be achieved. The ionic SMA repeat units were found to assemble to multiplets, which are phase-separated in the hydrophobic polyMEA matrix. The dynamics of SMA-units-hopping between these aggregates was of key importance for the mechanical, visco-elastic, tensile, and self-healing properties. The studied super-elastomers are attractive as advanced self-healing materials in engineering, soft robotics, and in medical or implant applications.
Hydrogel Beads of Amidoximated Starch and Chitosan as Efficient Sorbents for Inorganic and Organic Compounds
Diana Felicia Loghin, Melinda Maria Bazarghideanu, Silvia Vasiliu
et al.
The synthesis of hydrogel beads involving natural polymers is, nowadays, a leading research area. Among natural polymers, starch and chitosan represent two biomolecules with proof of efficiency and low economic impact in various utilization fields. Therefore, herein, the features of hydrogel beads obtained from chitosan and three sorts of starch (potato, wheat and rise starches), grafted with acrylonitrile and then amidoximated, were deeply investigated for their use as sorbents for heavy metal ions and dyes. The hydrogel beads were prepared by ionotropic gelation/covalent cross-linking of chitosan and functionalized starches. The chemical structure of the hydrogel beads was analyzed by FT-IR spectroscopy; their morphology was revealed by optical and scanning electron microscopies, while the influence of the starch functionalization strategies on the crystallinity changes was evaluated by X-ray diffraction. Molecular dynamics simulations were used to reveal the influence of the grafting reactions and grafted structure on the starch conformation in solution and their interactions with chitosan. The sorption capacity of the hydrogel beads was tested in batch experiments, as a function of the beads’ features (synthesis protocol, starch sort) and simulated polluted water, which included heavy metal ions (Cu<sup>2+</sup>, Co<sup>2+</sup>, Ni<sup>2+</sup> and Zn<sup>2+</sup>) and small organic molecules (Direct Blue 15 and Congo red).
Comparative Study of Physicochemical Properties of Alginate Composite Hydrogels Prepared by the Physical Blending and Electrostatic Assembly Methods
Yanshi Wen, Xiuqiong Chen, Huiqiong Yan
et al.
Alginate hydrogel commonly suffers from defects, such as weak mechanical properties, the shortage of long-term stability in physiological medium and the lack of mammalian cell adhesivity due to its strong hydrophilicity in biomedical application. For this reason, the homogeneous alginate hydrogels (Alg Gel) were successfully prepared by the D-glucono-δ-lactone/hydroxyapatite (HAP/GDL) cross-linking system, and then, the physical blending and alternating electrostatic assembly technology were proposed to fabricate alginate composite hydrogels (Alg-GT, Alg-CS-GT and ALG/GT-CS). The feasibility of the design methods was verified through the comparative analysis of their physicochemical properties and biological activity. In particular, the effects of physical blending and alternating electrostatic assembly technology on the pore structure, mechanical properties, swelling, degradation, cell adhesion and proliferation of composite hydrogels were also investigated. Experimental results showed that the formation of polyelectrolyte complexes by electrostatic assembly between biological macromolecules and the covalent cross-linking of EDC/NHS to GT improved the vulnerability of ion cross-linking, enhanced the mechanical properties and swelling stability of the composite hydrogels, and regulated their pore structure and in vitro biodegradability properties. Furthermore, MC3T3-E1 cells could exhibit good cell adhesion, cell viability and cell proliferation on the alginate composite hydrogels. Among them, Alg-CS-GT showed the best cell proliferation ability and differentiation effect due to its good cell adhesion. In view of the excellent physicochemical properties and biological activity of Alg-CS-GT, it exhibited great potential in biomedical application for tissue engineering.
Preparing the public for COVID-19 vaccines: How can general practitioners build vaccine confidence and optimise uptake for themselves and their patients?
M. Danchin, Ruby Biezen, J. Manski-Nankervis
et al.
BACKGROUND The availability of a COVID-19 vaccine is being heralded as the solution to control the current COVID-19 pandemic, reduce the number of infections and deaths and facilitate resumption of our previous way of life. OBJECTIVE The aim of this article is to provide a framework for primary care of what will be needed to optimise COVID-19 vaccine confidence and uptake in Australia once the vaccine prioritisation schedule and key target groups are known. DISCUSSION While a number of vaccines are currently under development, with at least seven undergoing phase III trials (28 August 2020), it is hoped that an effective COVID-19 vaccine will become available to the public in 2021. Ensuring public confidence in vaccine safety and effectiveness will be crucial to facilitate uptake. General practitioners are at the forefront of public health, and one of the most trusted sources for patients. In this article, the authors discuss the expedited vaccine development process for COVID-19 vaccines; the likely vaccine prioritisation schedule and anticipated key target groups; the behavioural and social drivers of vaccination acceptance, including the work required to facilitate this; and the implications for general practice.