A 3D printable dynamic nanocellulose/nanochitin self-healing hydrogel and soft strain sensor.

Presented here is the synthesis of a 3D printable nano-polysaccharide self-healing hydrogel for flexible strain sensors. Consisting of three distinct yet complementary dynamic bonds, the crosslinked network comprises imine, hydrogen, and catecholato-metal coordination bonds. Self-healing of the hydrogel is demonstrated by macroscopic observation, rheological recovery, and compression measurements. The hydrogel was produced via imine formation of carboxyl methyl chitosan, oxidized cellulose nanofibers, and chitin nanofibers followed by two subsequent crosslinking stages: immersion in tannic acid (TA) solution to create hydrogen bonds, followed by soaking in FeIII solution to form catecholato-metal coordination bonds between TA and FeIII. The metal coordination bonds were critical to imparting conductivity to the hydrogel, a requirement for flexible strain sensors. The hydrogel exhibits excellent shear-thinning and dynamic properties with high autonomous self-healing (up to 89%) and self-recovery (up to 100%) at room temperature without external stimuli. Furthermore, it shows good printability, biocompatibility, and strain sensing ability.

Dynamic nanocellulose hydrogels: Recent advancements and future outlook.

Nanocellulose is of great interest in material science nowadays mainly because of its hydrophilic, renewable, biodegradable, and biocompatible nature, as well as its excellent mechanical strength and tailorable surface ready for modification. Currently, nanocellulose is attracting attention to overcome the current challenges of dynamic hydrogels: robustness, autonomous self-healing, and self-recovery (SELF) properties simultaneously occurring in one system. In this regard, this review aims to explore current advances in design and fabrication of dynamic nanocellulose hydrogels and elucidate how incorporating nanocellulose with dynamic motifs simultaneously improves both SELF and robustness of hydrogels. Finally, current challenges and prospects of dynamic nanocellulose hydrogels are discussed.

Dynamic Nanohybrid-Polysaccharide Hydrogels for Soft Wearable Strain Sensing.

Electroconductive hydrogels with stimuli-free self-healing and self-recovery (SELF) properties and high mechanical strength for wearable strain sensors is an area of intensive research activity at the moment. Most electroconductive hydrogels, however, consist of static bonds for mechanical strength and dynamic bonds for SELF performance, presenting a challenge to improve both properties into one single hydrogel. An alternative strategy to successfully incorporate both properties into one system is via the use of stiff or rigid, yet dynamic nano-materials. In this work, a nano-hybrid modifier derived from nano-chitin coated with ferric ions and tannic acid (TA/Fe@ChNFs) is blended into a starch/polyvinyl alcohol/polyacrylic acid (St/PVA/PAA) hydrogel. It is hypothesized that the TA/Fe@ChNFs nanohybrid imparts both mechanical strength and stimuli-free SELF properties to the hydrogel via dynamic catecholato-metal coordination bonds. Additionally, the catechol groups of TA provide mussel-inspired adhesion properties to the hydrogel. Due to its electroconductivity, toughness, stimuli-free SELF properties, and self-adhesiveness, a prototype soft wearable strain sensor is created using this hydrogel and subsequently tested.

Rational Design of Mussel-Inspired Hydrogels with Dynamic Catecholato-Metal Coordination Bonds.

Nature has often been the main source of inspiration for designing smart functional materials. As an example, mussels can attach to almost any wet surfaces, for example, wood, rocks, metal, etc., due to the presence of catechols containing amino acid 3,4-dihydroxyphenyl-l-alanine (DOPA). Fabrication of mussel-inspired hydrogels using dynamic catecholato-metal coordination bonds has recently been in the limelight because of the hydrogels' ease of gelation, interesting self-healing, self-recovery, adhesiveness, and pH-responsiveness, as well as shear-thinning and mechanical properties. Mussel inspired hydrogels take advantage of catechols, for example, DOPA in the blue mussel, to undergo catecholatometal gelation through coordination chemistry. This review explores the latest developments in the fabrication of such hydrogels using catecholato-metal coordination bonds, and discusses their potential applications in sensors, flexible electronics, tissue engineering, and wound dressing. Moreover, current challenges and prospects of such hydrogels are discussed. The main focus of this paper is on providing a deeper understanding of this growing field in terms of chemistry, physics, and associated properties.

Dynamic plant-derived polysaccharide-based hydrogels.

Plant-derived polysaccharides are widely used to fabricate hydrogels because of their ease of gelation and functionalization, plus exceptional biological properties. As an example, nanocellulose is a suitable candidate to fabricate hydrogels for tissue engineering applications due to its enhanced mechanical and biological properties. However, hydrogels are prone to permanent failure whilst under load without the ability to reform their networks once damaged. Recently, considerable efforts are being made to fabricate dynamic hydrogels via installation of reversible crosslinks within their networks. In this paper, we review the developments in the design of dynamic hydrogels from plant-derived polysaccharides, and discuss their applications in tissue engineering, sensors, bioelectronics devices, etc. The main goal of the paper is to elucidate how the network design of hydrogels can influence their dynamic properties: self-healing and self-recovery. Complementary to this, current challenges and prospects of dynamic plant-derived hydrogels are discussed.

Dynamic Hydrogels and Polymers as Inks for Three-Dimensional Printing.

Developing rationally designed dynamic hydrogels and polymers as inks for 3D printing is in the limelight today. They would enable us to precisely fabricate complex structures in high resolutions and modular platforms with smart functions (e.g., self-healing and self-recovery), as well as tunable mechanical, chemical, and biological properties. In this paper, we explore recent developments in dynamic hydrogels and polymers as inks for 3D printing and discuss their properties and applications in tissue engineering, biomedicine, soft robotics, and sensors. The main scope of the paper is to give a deeper understanding of the field in terms of chemistry, physics, and associated properties. Moreover, the challenges and prospects of hydrogel/polymer inks will be discussed. We envisage that 3D printed dynamic hydrogels and polymers will provide unprecedented opportunities in designing and fabricating smarter structures.

[Search of prostatic tissue in 46,XX congenital adrenal hyperplasia]. / Pesquisa de tecido prostático em pacientes 46,XX portadoras da forma clássica de hiperplasia congênita das suprarrenais.

OBJECTIVES: To describe the presence of prostatic tissue in 46,XX patients with the classical form of congenital adrenal hyperplasia (CAH); to evaluate the sensitivity and specificity of prostatic specific antigen (PSA) measured in congenital adrenal hyperplasia patients with regard to the detection of prostatic tissue in pelvic MRI. METHODS: We studied 52 children and adolescents, 32 with the classical form of congenital adrenal hyperplasia, 10 boys and 10 girls without CAH. Pelvic MRI was performed in all patients to detect prostatic tissue. Prostate specific antigen, testosterone and dihydrotestosterone were measured in all patients. We used Receiver Operating Characteristic Curve for PSA discrimination capacity. RESULTS: Five girls with congenital adrenal hyperplasia showed image of prostatic tissue on pelvic MRI. Prostate specific antigen showed sensitivity and specificity of 100% and 88.9%, respectively, taking 0.1 ng/mL as the cutoff level. CONCLUSIONS: The incidence of prostatic tissue in 46,XX patients with the classical form of congenital adrenal hyperplasia was 15.6%. PSA demonstrated to be a good marker of prostatic tissue in these patients and should be used to screen patients to be submitted to image studies.

Pesquisa de tecido prostático em pacientes 46, XX portadoras da forma clássica de hiperplasia congênita das suprarrenais / Search of prostatic tissue in 46, XX congenital adrenal hyperplasia

OBJETIVOS: Verificar a ocorrência de tecido prostático em pacientes portadoras da forma clássica de hiperplasia congênita das suprarrenais, com cariótipo 46,XX e analisar a sensibilidade e a especificidade do antígeno prostático específico (PSA) das pacientes com hiperplasia congênita das suprarrenais em relação à detecção de tecido prostático na ressonância magnética (RNM) de região pélvica. MÉTODOS: Foram estudadas 52 crianças e adolescentes, sendo 32 meninas portadoras da forma clássica de hiperplasia congênita das suprarrenais, 10 meninas e 10 meninos sem hiperplasia congênita das suprarrenais. A RNM da região pélvica e a coleta de PSA, diidrotestosterona e testosterona foram realizadas em todos os pacientes. Para analisar a capacidade de discriminação do antígeno prostático-específico, foi utilizada a curva ROC (receiver operating characteristic curve). RESULTADOS: Cinco das 32 pacientes portadoras de hiperplasia congênita das suprarrenais apresentaram tecido prostático na RNM de região pélvica. Para concentração de antígeno prostático-específico de 0,1 ng/mL, obteve-se sensibilidade de 100 por cento e especificidade de 88,9 por cento para a detecção de tecido prostático. CONCLUSÕES: A ocorrência de tecido prostático nas pacientes portadoras de hiperplasia congênita das suprarrenais estudadas foi de 15,6 por cento. O antígeno prostático-específico mostrou ser valioso marcador de tecido prostático nestas pacientes.

OBJECTIVES: To describe the presence of prostatic tissue in 46,XX patients with the classical form of congenital adrenal hyperplasia (CAH); to evaluate the sensitivity and specificity of prostatic specific antigen (PSA) measured in congenital adrenal hyperplasia patients with regard to the detection of prostatic tissue in pelvic MRI. METHODS: We studied 52 children and adolescents, 32 with the classical form of congenital adrenal hyperplasia, 10 boys and 10 girls without CAH. Pelvic MRI was performed in all patients to detect prostatic tissue. Prostate specific antigen, testosterone and dihydrotestosterone were measured in all patients. We used Receiver Operating Characteristic Curve for PSA discrimination capacity. RESULTS: Five girls with congenital adrenal hyperplasia showed image of prostatic tissue on pelvic MRI. Prostate specific antigen showed sensitivity and specificity of 100 percent and 88.9 percent, respectively, taking 0.1 ng/mL as the cutoff level. CONCLUSIONS: The incidence of prostatic tissue in 46,XX patients with the classical form of congenital adrenal hyperplasia was 15.6 percent. PSA demonstrated to be a good marker of prostatic tissue in these patients and should be used to screen patients to be submitted to image studies.

Detecção das alterações precoces na liberação insulínica nos pacientes portadores de 2 ou mais fatores de risco para Diabetes Mellitus

A prevalência do Diabetes em nosso meio é de aproximadamente 12,1%, e está associada a um acompanhamento dispendioso dos portadores, bem como a não menos dispendiosa manutenção de suas complicações, incluindo o ônus pessoal do prejuízo na qualidade de vida. Considerando a estimativa de que o Diabetes exista como condição subclínica por 10-12 anos antes do diagnóstico, esforços são feitos para reconhecer essas pessoas com métodos diagnósticos mais precoces. Neste sentido, a gradativa diminuição dos valores de inclusão para diagnóstico vem ocorrendo na tentativa de prevenir ou retardar complicações do Diabetes

Detecção das alterações precoces na liberação insulínica nos pacientes portadores de 2 ou mais fatores de risco para Diabetes Mellitus / Detection of early changes in insulin release in patients with two or more risk factors for Diabetes Mellitus

A prevalência do Diabetes em nosso meio é de aproximadamente 12,1%, e está associada a um acompanhamento dispendioso dos portadores, bem como a não menos dispendiosa manutenção de suas complicações, incluindo o ônus pessoal do prejuízo na qualidade de vida. Considerando a estimativa de que o Diabetes exista como condição subclínica por 10-12 anos antes do diagnóstico, esforços são feitos para reconhecer essas pessoas com métodos diagnósticos mais precoces. Neste sentido, a gradativa diminuição dos valores de inclusão para diagnóstico vem ocorrendo na tentativa de prevenir ou retardar complicações do Diabetes