Effects of PVA and yerba mate extract on extruded films of carboxymethyl cassava starch/PVA blends for antioxidant and mechanically resistant food packaging.

Global concerns over environmental damage caused by non-biodegradable single-use packaging have sparked interest in developing biomaterials. The food packaging industry is a major contributor to non-degradable plastic waste. This study investigates the impact of incorporating different concentrations of polyvinyl alcohol (PVA) and yerba mate extract as a natural antioxidant into carboxymethyl cassava starch films to possibly use as active degradable packaging to enhance food shelf life. Films with starch and PVA blends (SP) at different ratios (SP radios of 100:0, 90:10, 80:20 and 70:30) with and without yerba mate extract (Y) were successfully produced through extrusion and thermoforming. The incorporation of up to 20 wt% PVA improved starch extrusion processing and enhanced film transparency. PVA played a crucial role in improving the hydrophobicity, tensile strength and flexibility of the starch films but led to a slight deceleration in their degradation in compost. In contrast, yerba mate extract contributed to better compost degradation of the blend films. Additionally, it provided antioxidant activity, particularly in hydrophilic and lipophilic food simulants, suggesting its potential to extend the shelf life of food products. Starch-PVA blend films with yerba mate extract emerged as a promising alternative for mechanically resistant and active food packaging.

Flexible Force Sensor Based on a PVA/AgNWs Nanocomposite and Cellulose Acetate.

Nanocomposites are materials of special interest for the development of flexible electronic, optical, and mechanical devices in applications such as transparent conductive electrodes and flexible electronic sensors. These materials take advantage of the electrical, chemical, and mechanical properties of a polymeric matrix, especially in force sensors, as well as the properties of a conductive filler such as silver nanowires (AgNWs). In this work, the fabrication of a force sensor using AgNWs synthesized via the polyol chemical technique is presented. The nanowires were deposited via drop-casting in polyvinyl alcohol (PVA) to form the active (electrode) and resistive (nanocomposite) sensor films, with both films separated by a cellulose acetate substrate. The dimensions of the resulting sensor are 35 mm × 40 mm × 0.1 mm. The sensor shows an applied force ranging from 0 to 3.92 N, with a sensitivity of 0.039 N. The sensor stand-off resistance, exceeding 50 MΩ, indicates a good ability to detect changes in applied force without an external force. Additionally, studies revealed a response time of 10 ms, stabilization of 9 s, and a degree of hysteresis of 1.9%. The voltage response of the sensor under flexion at an angle of 85° was measured, demonstrating its functionality over a prolonged period. The fabricated sensor can be used in applications that require measuring pressure on irregular surfaces or systems with limited space, such as for estimating movement in robot joints.

Effect of bicarbonate and polyvinyl alcohol on in vitro capacitation and fertilization ability of cryopreserved equine spermatozoa.

BACKGROUND: Factors contributing to the limited success of in vitro fertilization in horses remain to be studied. In this work, we elucidated the effect of different essential capacitation media components, bicarbonate, and bovine serum albumin or polyvinyl-alcohol, and the incubation microenvironment on sperm parameters associated with capacitation, acrosome reaction, and their ability to activate oocytes via heterologous intracytoplasmic spermatozoa injection in equine cryopreserved spermatozoa. METHODS: Frozen-thawed spermatozoa underwent incubation at different time intervals in either Tyrode's albumin lactate pyruvate medium (non-capacitating; NC) or Tyrode's albumin lactate pyruvate supplemented with bicarbonate, bicarbonate and polyvinyl-alcohol, bicarbonate and bovine serum albumin, polyvinyl-alcohol and bovine serum albumin alone. Protein kinase A-phosphorylated substrates and tyrosine phosphorylation levels, sperm motility, and acrosome reaction percentages were evaluated. After determining the best condition media (capacitating; CAP), heterologous intracytoplasmic spermatozoa injection on pig oocytes was performed and the phospholipase C zeta sperm localization pattern was evaluated. RESULTS: Incubation of frozen-thawed equine spermatozoa with bicarbonate and polyvinyl-alcohol in atmospheric air for 45 min induced an increase in protein kinase A-phosphorylated substrates and tyrosine phosphorylation levels compared to NC condition. Sperm incubation in bicarbonate and polyvinyl-alcohol medium showed an increase in total motility and progressive motility with respect to NC (p ≤ 0.05). Interestingly, three parameters associated with sperm hyperactivation were modulated under bicarbonate and polyvinyl-alcohol conditions. The kinematic parameters curvilinear velocity and amplitude of lateral head displacement significantly increased, while straightness significantly diminished (curvilinear velocity: bicarbonate and polyvinyl-alcohol = 120.9 ± 2.9 vs. NC = 76.91 ± 6.9 µm/s) (amplitude of lateral head displacement: bicarbonate and polyvinyl-alcohol = 1.15 ± 0.02 vs. NC = 0.77 ± 0.03 µm) (straightness: bicarbonate and polyvinyl-alcohol = 0.76 ± 0.01 vs. NC = 0.87 ± 0.02) (p ≤ 0.05). Moreover, the spontaneous acrosome reaction significantly increased in spermatozoa incubated in this condition. Finally, bicarbonate and polyvinyl-alcohol medium was established as CAP medium. Although no differences were found in phospholipase C zeta localization pattern in spermatozoa incubated under CAP, equine spermatozoa pre-incubated in CAP condition for 45 min showed higher fertilization rates when injected into matured pig oocytes (NC: 47.6% vs. CAP 76.5%; p ≤ 0.05). CONCLUSION: These findings underscore the importance of bicarbonate and polyvinyl-alcohol in supporting critical events associated with in vitro sperm capacitation in the horse, resulting in higher oocyte activation percentages following heterologous intracytoplasmic spermatozoa injection. This protocol could have an impact on reproductive efficiency in the equine breeding industry.

In Vitro Modulation of Spontaneous Activity in Embryonic Cardiomyocytes Cultured on Poly(vinyl alcohol)/Bioglass Type 58S Electrospun Scaffolds.

Because of the physiological and cardiac changes associated with cardiovascular disease, tissue engineering can potentially restore the biological functions of cardiac tissue through the fabrication of scaffolds. In the present study, hybrid nanofiber scaffolds of poly (vinyl alcohol) (PVA) and bioglass type 58S (58SiO2-33CaO-9P2O5, Bg) were fabricated, and their effect on the spontaneous activity of chick embryonic cardiomyocytes in vitro was determined. PVA/Bg nanofibers were produced by electrospinning and stabilized by chemical crosslinking with glutaraldehyde. The electrospun scaffolds were analyzed to determine their chemical structure, morphology, and thermal transitions. The crosslinked scaffolds were more stable to degradation in water. A Bg concentration of 25% in the hybrid scaffolds improved thermal stability and decreased degradation in water after PVA crosslinking. Cardiomyocytes showed increased adhesion and contractility in cells seeded on hybrid scaffolds with higher Bg concentrations. In addition, the effect of Ca2+ ions released from the bioglass on the contraction patterns of cultured cardiomyocytes was investigated. The results suggest that the scaffolds with 25% Bg led to a uniform beating frequency that resulted in synchronous contraction patterns.

Starch-PVA based films with Clitoria ternatea flower extract: Characterization, phenolic compounds release and compostability.

The kinetic release of phenolic compounds from biodegradable films with Clitoria ternatea flower extract (ECT) in different food-simulant fluids and compostability were evaluated for the first time. This work aimed to incorporate ECT in starch-PVA-based film formulations, and the antioxidant capacity, total phenolic compounds, opacity, color, mechanical properties, compostability, and polyphenol release in different fluid simulants were determined. The results obtained showed that antioxidant activity and the total phenolic compounds were ECT dose dependent. Due to its antioxidant properties, ECT interfered with the film's composting process, reaching an average weight loss of 70 %. Additionally, the addition of ECT interfered with the mechanical properties, reducing the tensile strength, probably due to the plasticizer effect. The type of simulating fluid influenced the release of polyphenols from the films, and the presence of water favored the release because it hydrated and swelled the starch-PVA matrix, facilitating diffusion. The classic zero- and first-order models were the most effective in describing the release kinetics of polyphenols from the films. The results of this study demonstrate that the antioxidant potential and the release of polyphenols from starch-PVA-based films in different simulated fluids allow their application in active packaging, making them a sustainable alternative for food preservation.

Assessing the efficacy and safety of hemangioblastoma embolization: A comprehensive systematic review and meta-analysis.

BACKGROUND: Hemangioblastomas (HBs) are highly vascular tumors linked to substantial morbidity and mortality. Recently, interventional neuroradiology has evolved rapidly, spurring interest in preoperative embolization as a possible HB treatment. PURPOSE: This study evaluates the effectiveness and safety of preoperative embolization in managing HB. METHODS: Adhering to PRISMA guidelines, this meta-analysis considered randomized and nonrandomized studies meeting specific criteria, encompassing intracranial HB and preoperative embolization. Primary outcomes were preoperative embolization efficacy and safety. Complications were classified as major (cerebellar ischemia, ischemic strokes, intratumoral hemorrhage, subarachnoid hemorrhage) and minor (transient nystagmus, slight facial nerve palsy, nausea, transient dysarthria, hemiparesis, hemisensory impairment, thrombotic complications, extravasation). RESULTS: Thirteen studies involving 166 patients with preoperative embolization before HB resection were included. Two studies using the Glasgow Outcome Scale (GOS) showed 5 patients with good recovery, 6 with moderate disability, and 3 with severe disability. Major complications occurred in 1% (95% CI: 0% to 3%), and minor complications occurred in 1% (95% CI: 0% to 4%). Intraoperative blood loss during resection was estimated at 464.29 ml (95% CI: 350.63 ml to 614.80 ml). CONCLUSION: Preoperative embolization holds promise in reducing intraoperative bleeding risk in neurosurgical intracranial HB treatment, primarily due to its low complication rates. Nonetheless, additional research and larger-scale studies are essential to establish its long-term efficacy and safety. These findings highlight preoperative embolization as a valuable tool for HB management, potentially enhancing future patient outcomes.

Gamma radiation effect on the chemical, mechanical and thermal properties of PCL/MCM-48-PVA nanocomposite films.

In this work, poly (vinyl alcohol) (PVA) was employed to produce a Mesoporous Composition of Matter-48 Modified (MCM-48-M or MCM-48-PVA). After surface modification, MCM-48-M was used to produce nanocomposite (NC) films with polycaprolactone (PCL) as a matrix at room temperature. PCL and MCM-48 nanoparticles (NPs) were chosen due to their great biocompatibility and low toxicity. However, MCM-48-M is more compatible with PCL than MCM-48. NC films were sterilized by gamma radiation with a dose of 25 kGy and characterized by experimental techniques to investigate their chemical, mechanical (tensile) and thermal properties. Scanning electron microscopy (SEM) and transmission electronic microscopy (TEM) results indicated that MCM-48-M exhibited a random distribution in the PCL matrix. The PCL chemical structure was preserved in NC films as described by Fourier transform infrared (FT-IR) spectroscopy as well as the tensile and thermal properties of NC films. FT-IR and thermogravimetric analysis (TGA) results showed surface modification. X-ray diffraction (XRD) and differential scanning calorimetry (DSC) showed that crystalline symmetries were preserved and the crystallinity of NC films had small variations in all samples before and after irradiation, respectively. But, our results did not indicate major changes showing that this method is successful for the sterilization of PCL/MCM-48-PVA NC films.

Poly(vinyl alcohol)/Silk Fibroin/Ag-NPs Composite Nanofibers as a Substrate for MG-63 Cells' Growth.

Nanofiber scaffolds of polyvinyl alcohol, silk fibroin from Bombyx mori cocoons, and silver nanoparticles were developed as a substrate for MG-63 growth. The fiber morphology, mechanical properties, thermal degradation, chemical composition, and water contact angle were investigated. In vitro tests were performed by the cell viability MTS test of MG-63 cells on electrospun PVA scaffolds, mineralization was analyzed by alizarin red, and the alkaline phosphatase (ALP) assay was evaluated. At higher PVA concentrations, Young's modulus (E) increased. The addition of fibroin and silver nanoparticles improved the thermal stability of PVA scaffolds. FTIR spectra indicated characteristic absorption peaks related to the chemical structures of PVA, fibroin, and Ag-NPs, demonstrating good interactions between them. The contact angle of the PVA scaffolds decreased with the incorporation of fibroin and showed hydrophilic characteristics. In all concentrations, MG-63 cells on PVA/fibroin/Ag-NPs scaffolds had higher cell viability than PVA pristine. On day ten of culture, PVA18/SF/Ag-NPs showed the highest mineralization, observed by the alizarin red test. PVA10/SF/Ag-NPs presented the highest alkaline phosphatase activity after an incubation time of 37 h. The achievements indicate the potential of the nanofibers of PVA18/SF/Ag-NPs as a possible substitute for bone tissue engineering (BTE).

Composition Effects on the Morphology of PVA/Chitosan Electrospun Nanofibers.

Since the SARS-CoV-2 pandemic, the interest in applying nanofibers t air filtration and personal protective equipment has grown significantly. Due to their morphological and structural properties, nanofibers have potential applications for air filtration in masks and air filters. However, most nanofiber membrane materials used for these purposes are generally non-degradable materials, which can contribute to the disposal of plastic waste into the environment. Hence, this work aims to produce polyvinyl alcohol (PVA) and chitosan (CS) biodegradable nanofibers with controlled morphology and structure via electrospinning. An experimental design was used to investigate the effects of the PVA|CS ratio and concentration on the properties of the electrospinning compositions and electrospun nanofiber mat. The electrospinning parameters were constant for all experiments: Voltage of 20 kV, a feed rate of 0.5 mL·h−1, and a distance of 10 cm between the needle and a drum collector. CS proved to be an efficient adjuvant to the PVA's electrospinning, obtaining a wide range of nanofiber diameters. Furthermore, 6.0% PVA and 1% CS were the best compositions after optimization with the response surface methodology, with a mean fiber diameter of 204 nm. The addition of biocide agents using the optimized condition was also investigated, using surfactants, citric acid, and pure and encapsulated essential oils of Lippia sidoides. Pure oil improved the material without enlarging the nanofiber sizes compared to the other additives. The nanofiber membranes produced have the potential to be used in air filtration or wound-dressing applications where biocidal activity is needed.

Preparation of Poly(vinyl Alcohol) Microparticles for Freeze Protection of Sensitive Fruit Crops.

Poly(vinyl alcohol) (PVA) displays ice recrystallization inhibition (IRI) properties as many antifreeze proteins found in cold tolerant organisms. The molecular architecture and composition (molecular weight and distribution of pendant OH and acetate groups) have been studied to improve the antifreezing properties of PVA, suggesting that the molecular architecture of PVA plays an important role in IRI activity. The present work deals with the preparation of PVA microparticles using an alkaline treatment. The effect of PVA molecular weight on the morphology and antifreezeing properties of PVA microparticles was investigated. The antifreezeing property of PVA microparticles on the susceptibility of flower bud tissues to freeze damage was also evaluated. The alkaline treatment of an aqueous PVA solution produced stable polymer chain aggregates with spherical shapes. The average size of the PVA microparticles increased significantly with the increasing molecular weight of the PVA macromolecule precursor. The PVA microparticles inhibited the growth of ice crystals and blocked ice growth at concentrations as low as 0.01 % w/v. The effect of impeding ice crystal growth by preventing the joining of adjacent ice crystals is attributed to the larger size of the PVA particles adsorbed on the ice surface compared to the aggregated PVA macromolecules in saline solution. The thermal hysteresis activity of PVA macromolecules and microparticles was not detected by differential scanning calorimetry analysis. The PVA microparticles reduced the incidence of freeze injuries in flower bud tissues by 55% and their application, considering the low toxicity of PVA, has a high potential for freeze protection in fruit crops.

Mechanical Properties of Hybrid PVA-Natural Curaua Fiber Composites.

This work presents the experimental study of hybrid cement-based composites with polyvinyl alcohol fiber (PVA) and alkali-treated, short, natural curaua fiber. The objective of this research is to develop composites reinforced with PVA and curaua fiber to present strain-hardening behavior with average crack width control. To achieve this objective, three groups of composites were investigated. The first group had only PVA fiber in volumes of 0.5, 1, and 2%. The composite with 2% PVA fiber was the only one with strain-hardening and crack width control. The second group had 0.5% PVA fiber and volume fractions of 2, 2.5, and 3% curaua fiber, and presented only deflection-hardening behavior. The third group had 1% PVA and volumes of 1, 1.5, and 2% curaua fiber, and presented strain-hardening behavior. Based on the results, the hybrid combination of 1% PVA and 1.5% curaua was the optimal mixture as it presented strain-hardening behavior and crack width control, with a lower volume of synthetic PVA fiber. Additionally, compressive strength and mix workability were calculated for the investigated composites for comparison.

Properties of the PVA-VAVTD KOH Blend as a Gel Polymer Electrolyte for Zinc Batteries.

Rechargeable zinc-air batteries are promising for energy storage and portable electronic applications because of their good safety, high energy density, material abundance, low cost, and environmental friendliness. A series of alkaline gel polymer electrolytes formed from polyvinyl alcohol (PVA) and different amounts of terpolymer composed of butyl acrylate, vinyl acetate, and vinyl neodecanoate (VAVTD) was synthesized applying a solution casting technique. The thin films were doped with KOH 12M, providing a higher amount of water and free ions inside the electrolyte matrix. The inclusion of VAVTD together with the PVA polymer improved several of the electrical properties of the PVA-based gel polymer electrolytes (GPEs). X-ray diffraction (XRD), thermogravimetric analysis (TGA), and attenuated total reflectance- Fourier-transform infrared spectroscopy (ATR-FTIR) tests, confirming that PVA chains rearrange depending on the VAVTD content and improving the amorphous region. The most conducting electrolyte film was the test specimen 1:4 (PVA-VAVTD) soaked in KOH solution, reaching a conductivity of 0.019 S/cm at room temperature. The temperature dependence of the conductivity agrees with the Arrhenius equation and activation energy of ~0.077 eV resulted, depending on the electrolyte composition. In addition, the cyclic voltammetry study showed a current intensity increase at higher VAVTD content, reaching values of 310 mA. Finally, these gel polymer electrolytes were tested in Zn-air batteries, obtaining capacities of 165 mAh and 195 mAh for PVA-T4 and PVA-T5 sunk in KOH, respectively, at a discharge current of -5 mA.

Electrospun Mats Based on PVA/NaDDBS/CNx Nanocomposite for Electrochemical Sensing.

This study presents a nanocomposite developed with PVA, multiwall carbon nanotubes (CNTs) doped with nitrogen, and NaDDBS, which change the electrical properties of the polymer and its viscosity to be used in electrospinning process for obtaining mats of nano/macro fibers. The proposed nanocomposite was characterized using Fourier transform-infrared and Raman spectroscopy techniques, confirming the presence of the CNxs immersed in the polymer. High-resolution transmission electron microscopy was used to obtain the micrographs that showed the characteristic interplanar distances of the multiwall CNT in the polymeric matrix, with values of 3.63 Å. Finally, the CNx mats were exposed to various aqueous solutions in a potentiostat to demonstrate the effectiveness of the nanofibers for electrochemical analysis. The CNx-induced changes in the electrical properties of the polymer were identified using cyclic voltammograms, while the electrochemical analysis revealed supercapacitor behavior.

Safety and bioactive potential of nanoparticles containing Cantaloupe melon (Cucumis melo L.) carotenoids in an experimental model of chronic inflammation.

The safety and bioactive potential of crude carotenoid extract from Cantaloupe melon nanoencapsulated in porcine gelatin (EPG) were evaluated in a chronic inflammatory experimental model. Animals were fed a high glycemic index and high glycemic load (HGLI) diet for 17 weeks and treated for ten days with 1) HGLI diet, 2) standard diet, 3) HGLI diet + crude carotenoid extract (CE) (12.5 mg/kg), and 4) HGLI diet + EPG (50 mg/kg). General toxicity signals were investigated, considering body weight, food intake, hematological, biochemical parameters, relative weight, morphology, and histopathology of organs. The biochemical parameters indicated the low toxicity of EPG. Acute hepatitis was observed in animals' livers, but CE and EPG groups presented improved tissue appearance. Chronic enteritis was observed in animals, with villi and intestinal glands preservation in the EPG group. The results suggest the safety and the bioactive effect of EPG, possibly related to its anti-inflammatory potential.

3D printing of PVA capsular devices for modified drug delivery: design and in vitro dissolution studies.

The fabrication through FDM 3D printing of hollow systems intended for oral drug delivery constitutes an attractive technology to change personalized medications in the compounding pharmacy. In this sense, this work studied the design and 3D printing of one compartment capsular devices filled of drugs that could require a delayed release mechanism. The optimization of printing parameters such as material flow rate and printing speed by means of simple gcode modifications, resulted critical to allow the production of PVA capsular devices in a single manufacturing process. In addition, the disintegration and dissolution studies of the obtained capsular device confirmed the existence of a delayed drug release compared to commercial hard-gelatin capsules. Furthermore, the use of sinkers in the dissolution tests resulted in similar dissolution profiles regardless the rotation speed. Finally, Gompertz and Weibull equations were the kinetic models that best fitted the experimental data corresponding to immediate release with lag time type profiles. Overall, this work provides insights to understand the effect of the printing parameters on the production of PVA capsular devices and suggests a simple design and single manufacturing process that can be adopted in the future compounding pharmacy.

PVA/anionic collagen membranes as drug carriers of ciprofloxacin hydrochloride with sustained antibacterial activity and potential use in the treatment of ulcerative keratitis.

Devices such as contact lenses and collagen shields have been used to improve the antibiotic bioavailability of eye drops formulations in the treatment of ulcerative keratitis. Nevertheless, these devices are not sustained drug delivery systems, and a combination with eye drops is necessary. In animal patients, it requires constant supervision by trained personnel to avoid device loss, which increases the cost of treatment. In this study, PVA/anionic collagen membranes containing ciprofloxacin or tobramycin were prepared using two different methodologies, and the release, physical and antimicrobial properties were evaluated. The membrane containing ciprofloxacin was selected as a sustained drug delivery system with antibacterial activity against Staphylococcus aureus and Escherichia coli during 48 h. Despite to be opaque, due to its heterogeneous morphology, this membrane had the adequate mechanical strength, water content, hydrophilicity, water vapor permeability, and surface pH to interact with cornea without causing discomfort. In the surface of this membrane it was observed dispersed collagen fibrils which could serve as a substrate for corneal proteinases, contributing to the reduction in stromal damage and enhancing the epithelium regeneration. These results encourage the idea these membranes are new cost-effective and safe alternatives to treat corneal ulcers in animal patients.

O uso de checklist como estratégia para redução de pneumonia associada à ventilação mecânica em uma unidade de terapia intensiva adulto / Using a checklist as a strategy for the reduction of mechanical ventilator-associated pneumonia in an adult intensive care unit / El uso de una lista de verificación como estrategia para reducir la Neumonía Asociada a la Ventilación Mecánica en una unidad de cuidados intensivos para adultos

Objetivo: Avaliar a efetividade do instrumento fast-checklist, desenvolvido por uma equipe interdisciplinar como estratégia de redução de tempo de ventilação mecânica (VM) e pneumonia associada à ventilação mecânica (PAV) em uma unidade de terapia intensiva adulto. Métodos: Estudo quantitativo, longitudinal, observacional, realizado entre os meses de janeiro de 2018 e junho de 2019 em uma unidade de terapia intensiva adulto no Paraná. Os dados foram analisados pelo teste t-student. Resultados: Foram avaliados 759 internamentos, destes, 283 utilizaram VM. Os dados mostraram que antes do fast-checklist havia uma média de 3,22 casos de PAV, e após a instituição do instrumento, o valor reduziu significativamente para 0,33 (p=0,001); condição igualmente observado para os dias de VM. A média de VM era de 157 dias e passou para 133 (p=0,037) e a densidade de PAV era de 21,62 e passou para 2,82 (p=0,003). Através da análise do teste de t, dá para inferir uma redução dos casos de PAV de 4,9% ao mês. Conclusão: O uso de instrumentos como o checklist para redução de PAV, acompanhado da mudança de cultura e participação ativa de equipes interdisciplinares, são de extrema relevância na redução deste tipo de infecção e infecções relacionadas à assistência à saúde.(AU)

Objectives: To evaluate the effectiveness of using the Fast-Check List instrument developed by an interdisciplinary team as a strategy to reduce the time of mechanical ventilation (MV) and Mechanical Ventilator-associated Pneureamonia (VAP) in an Intensive Care Unit ­ Adult. Methods: Quantitative, longitudinal, observational study, carried out between the months of January 2018 and June 2019 in one adult Intensive Care Unit in Paraná. The data were analyzed by the T test. Results: 759 hospitalizations between January 2018 and June 2019 were evaluated, of these 283 used mechanical ventilation (VM). The data showed that before the Fast-CheckList there was an average of 3.22 VAP and after the institution of the instrument, the value significantly decreased to 0.33 (p = 0.001). Condition also observed for MV days. The mean MV was 157 days, and went to 133 (p = 0.037) and the VAP Density (DIPAV) was 21.62 and went to 2.82 (p = 0.003). Through the analysis of the t test, it is possible to infer a 4.9% month-on-month reduction in VAP cases. Conclusion: The use of instruments such as the checklist to reduce pneumonia associated with mechanical ventilation, accompanied by a change in culture and the active participation of interdisciplinary teams are extremely important in reducing this type of infection and infections related to healthcare.(AU)

Objetivos: Evaluar la efectividad del instrumento fast-checklist desarrollado por un equipo interdisciplinario como estrategia para reducir el tiempo de ventilación mecánica (VM) y la neumonía asociada con ventilación mecánica (PAV) en una Unidad de Cuidados Intensivos Adulta. Métodos: Estudio cuantitativo, longitudinal, observacional, realizado entre enero de 2018 y junio de 2019 en una unidad de cuidados intensivos para adultos en Paraná (Brasil). Los datos se analizaron mediante la prueba t student. Resultados: Se evaluaron 759 hospitalizaciones, de estas 283 utilizaron VM. Los datos mostraron que antes de la fast-checklist había un promedio de 3,22 casos de PAV y que después del uso del instrumento el valor disminuyó significativamente a 0,33 (p = 0,001). Esta condición también se observó para días de VM. El promedio de VM era de 157 días y pasó para 133 (p = 0,037) y la densidad de PAV que era de 21,62 pasó para 2,82 (p = 0,003). Por medio del análisis de la prueba t, es posible inferir una reducción de los casos de PAV de un 4,9% mes a mes. Conclusión: El uso de instrumentos como la lista de verificación para reducir la neumonía asociada con la ventilación mecánica, acompañado de un cambio en la cultura y la participación activa de equipos interdisciplinarios, son muy importantes para reducir este tipo de infección e infecciones relacionadas con la atención médica.(AU)

Interaction of fibroblasts and induced pluripotent stem cells with poly(vinyl alcohol)-based hydrogel substrates.

Induced pluripotent stem cells (iPSCs) provide a promising means of creating custom-tailored cell lines for cellular therapies. Their application in regenerative medicine, however, depends on the possibility that the maintenance and differentiation of cells and organs occur under defined conditions. One major component of stem cell culture systems is the substrate, where the cells must attach and proliferate. The present study aimed to investigate the putative cytotoxic effects of poly(vinyl alcohol) (PVA)-based matrices on the in vitro culture of mouse fetal fibroblasts. In addition, the PVA-based hydrogels were used to determine the capacity of bovine induced pluripotent stem cells (biPSCs) to adhere and proliferate on synthetic substrates. Our results show that both cell types interacted with the substrate and presented proliferation during culture. The biPSCs formed new colonies when cell suspensions were placed onto the hydrogel surface for culture. These results may represent a new characterized xeno-free clinical grade culture system to be widely applied in cell-based therapies.

Evaluación de veinte años de Lignum-vitae (Guaiacum sanctum, Zygophyllaceae) en el Parque Nacional Palo Verde de Costa Rica

Introducción: El guayacán real (Guaiacum sanctum; Zygophyllaceae) de Mesoamérica y las Antillas está amenazado en gran parte de su área de distribución. Evaluamos si una población de G. sanctum en el Parque Nacional Palo Verde en Costa Rica es viable a largo plazo. Métodos Usando dos estudios demográficos, uno en 1997 y otro en 2017, estimamos las tasas de supervivencia y fecundidad para cada clase de edad, la tasa de crecimiento poblacional (lambda), y las elasticidades para cada tasa vital, y usamos un modelo determinístico denso-independiente para proyectar la trayectoria a largo plazo de la población. Resultados: Las tasas vitales estimadas durante los últimos 20 años sugieren que esta población está disminuyendo rápidamente, con un lambda estimado de 0.62. Aunque algunas clases de edad aumentaron en abundancias, los renovales son raros y los individuos reclutados en 1997 aún no alcanzaron la madurez reproductiva. Nuestros resultados sugieren que la abundancia actual de G. sanctum dentro del Parque Nacional podría no ser un buen indicador del estado de conservación a largo plazo, y por nuestro análisis de viabilidad poblacional, estimamos que la población estudiada disminuiría a menos del 1 % de su actual abundancia en los próximos 200 años. Conclusiones: El deterioro ecosistémico a escala de paisaje esta afectando la región del Parque Nacional Palo Verde, como la pérdida de dispersores de semillas y la supresión de alteraciones, podría compensar la protección pasiva de G. sanctum dentro de los límites del Parque Nacional. Confiar en la estricta protección dada por la locación de la población dentro del parque podría no ser suficiente para conservar esta población de G. sanctum. Recomendamos incorporar, dentro de un programa de investigación, una protección experimental más proactiva y/o medidas de restauración, posiblemente incluyendo tratamientos de alteraciones.

Introduction: The Lignum-vitae (Guaiacum sanctum; Zygophyllaceae) of Mesoamerica and the Greater Antilles, is threatened over much of its range. We evaluated whether a G. sanctum population in the Palo Verde National Park of Costa Rica is viable in the long term. Methods: Using two demographic studies, one in 1997 and the other in 2017, we estimated survival and fecundity rates for each tree age class, population growth rate (lambda), and vital rates elasticity, and we used a density-independent deterministic population model to project the long-term trend of that population. Results: The estimated vital rates during the last 20 years suggested that this population is rapidly decreasing. Although some age classes increased in abundance, seedlings are rare and the plants that recruited in 1997 have not yet reached reproductive maturity. Our results suggest that the current abundance of G. sanctum within the national park may not be a good indicator of its long-term conservation status, and from our population viability analysis, we estimated that the population we studied would decrease to less than 1 % of its current size within the next 200 years. Conclusions: Landscape-scale ecosystem deterioration affecting the greater PVNP region, such as loss of seed dispersers and suppression of disturbances, may offset the passive protection of G. sanctum within park boundaries. Relying on the overall strict protection afforded by the location of the population within the Palo Verde National Park may not be sufficient to conserve this population of G. sanctum. We recommend that more proactive experimental protection and/or restoration measures, possibly including disturbance treatments, be implemented within a research program.

Corn starch-based coating enriched with natamycin as an active compound to control mold contamination on semi-hard cheese during ripening.

The effectiveness of natamycin supported in corn starch-based films to control environmental molds (mainly Penicillium spp) activity that could colonize the surface of semi-hard cheese during ripening, was evaluated. The starch amount was maximized, and this was achieved by adding polyvinyl alcohol (PVA) and also polyurethane (PU) to the formulation. The PU acted as plasticizer and also provided functional groups that interacted with the natamycin and affected its diffusion. When 5 % PU was added, the natamycin migration of the coating doped with 1% natamycin was reduced by half. The natamycin distribution on both sides of the film was also evaluated, concluding that, in line with the reduced migration, when polyurethane is included, the formulation presents high hydrophobicity and natamycin is left with a preferential distribution towards the air face (exterior). For microbiological tests, microorganisms were isolated from cheese factories. Natamycin solutions showed inhibitory effect against environmental molds including Penicillium spp. Accordingly, films loaded with 0.1 % natamycin showed a significant inhibitory effect against Penicillium spp. The polymer combination in this work was optimized to obtain an active coating with good physicochemical properties and enriched with natamycin that has proven to be available for acting against molds and preferentially on the surface exposed to potential mold attack during ripening.