Direct Oral Anticoagulant Use in Atypical Thrombosis-Related Conditions.

OBJECTIVE: To review the published literature for evidence of the efficacy and safety of direct oral anticoagulants (DOACs) when used in the management of atypical thrombosis-related conditions. DATA SOURCES: A comprehensive MEDLINE database search (1948 to July 2017) and EMBASE search (1980 to July 2017) were conducted using the search terms direct oral anticoagulant in combination with acute coronary syndrome (ACS), antiphospholipid antibody syndrome (APLAS), and cancer-associated thrombosis (CAT). STUDY SELECTION AND DATA EXTRACTION: The literature search was limited to studies that were conducted in humans and published in English. Clinical trials, observational studies, and case series were selected. DATA SYNTHESIS: A total of 20 published studies were selected from the literature. Only 1 randomized controlled study showed a significant reduction in cardiovascular outcomes on DOAC use in ACS patients but at the expense of increased bleeding. For the use of DOACs in APLAS, the evidence from case series seems to suggest low incidence of thromboembolic events or recurrent thrombosis in low-risk patients. Finally, in cancer patients, DOACs were comparable to warfarin in preventing CAT in 8 studies of different designs. Major bleeding with DOACs was not significantly lower than in patients who received an enoxaparin/warfarin regimen. CONCLUSIONS: Until more evidence from the ongoing clinical trials is available, DOACs may not be favorable add-on therapy in ACS patients receiving standard antiplatelet therapy but may be alternative to warfarin in preventing or treating thrombosis in low-risk APLAS patients as well as in cases of CAT in which patients have to be managed with warfarin.

Superhydrophobic and highly luminescent polyfluorene/silica hybrid coatings deposited onto glass and cellulose-based substrates.

Neat poly(9,9-dioctyl-9H-fluorene) (PFO) and composites of PFO and a modified organonanosilica P(7) at weight ratios 90/10, 70/30, and 50/50 have been employed to prepare fluorescent and superhydrophobic coatings by spraying onto three different substrates: glass, Whatman paper, and a filtration membrane of mixed cellulose esters. The water repellency of the coatings and their photophysical properties are therein studied. It is found that, irrespective of the substrate and the composite composition, all coatings remain fluorescent. In some of the coatings prepared, confined morphologies are created, which fluoresce with a wavelength distribution resembling that of an ordered planar ß-phase. Among the coatings prepared in this work, those with a ratio PFO/P(7) of 50/50 are the ones with the strongest chain confinement and the highest surface roughness, being highly emissive at the ß-phase wavelengths and also superhydrophobic. Depending on the substrate these materials are also tough and flexible (cellulose based substrates) or display a remarkable light transmittance (glass). A final merit of these multifunctional materials is the simplicity of the preparation procedure, adequate for large surfaces and industrial applications.

Multipurpose ultra and superhydrophobic surfaces based on oligodimethylsiloxane-modified nanosilica.

Nonfluorinated hydrophobic surfaces are of interest for reduced cost, toxicity, and environmental problems. Searching for such surfaces together with versatile processing, A200 silica nanoparticles are modified with an oligodimethylsiloxane and used by themselves or with a polymer matrix. The goal of the surface modification is controlled aggregate size and stable suspensions. Characterization is done by NMR, microanalysis, nitrogen adsorption, and dynamic light scattering. The feasibility of the concept is then demonstrated. The silica aggregates are sprayed in a scalable process to form ultrahydrophobic and imperceptible coatings with surface topographies of controlled nanoscale roughness onto different supports, including nanofibrillated cellulose. To improve adhesion and wear properties, the organosilica was mixed with polymers. The resulting composite coatings are characterized by FE-SEM, AFM, and contact angle measurements. Depending on the nature of the polymer, different functionalities can be developed. Poly(methyl methacrylate) leads to almost superhydrophobic and highly transparent coatings. Composites based on commercial acrylic car paint show "pearl-bouncing" droplet behavior. A light-emitting polyfluorene is synthesized to prepare luminescent and water repellent coatings on different supports. The interactions between polymers and the organosilica influence coating roughness and are critical for wetting behavior. In summary, the feasibility of a facile, rapid, and fluorine-free hydrophobization concept was successfully demonstrated in multipurpose antiwetting applications.

Effect of microstructure on the thermo-oxidation of solid isotactic polypropylene-based polyolefins.

In the present work we aim to clarify the role of the microstructure and the crystalline distribution from the thermo-oxidation of solid isotactic PP (iPP) and ethylene-propylene (EP) copolymers. The effects of the content and quality of the isotacticity interruptions, together with the associated average isotactic length, on the induction time (ti) as well as on the activation energy (Eact) of the thermo-oxidation are analysed. Both parameters have been found to change markedly at an average isotactic length (n1) of 30 propylene units. While ti reaches a minimum when n1 is approximately 30 units, Eact increases quasi-exponentially as the number of units decreases from 30. This variation can be explained in terms of changes induced in the crystalline interphase, i.e. local molecular dynamics, which are closely linked to the initiation of the thermo-oxidation of isotactic PP-based polyolefins.