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1.
Int J Mol Sci ; 25(11)2024 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-38891788

RESUMO

In the process of tissue engineering, several types of stresses can influence the outcome of tissue regeneration. This outcome can be understood by designing hydrogels that mimic this process and studying how such hydrogel scaffolds and cells behave under a set of stresses. Here, a hydrogel formulation is proposed to create biomimetic scaffolds suitable for fibroblast cell culture. Subsequently, we examine the impact of external stresses on fibroblast cells cultured on both solid and porous hydrogels. These stresses included mechanical tension and altered-gravity conditions experienced during the 83rd parabolic flight campaign conducted by the European Space Agency. This study shows distinct cellular responses characterized by cell aggregation and redistribution in regions of intensified stress concentration. This paper presents a new biomimetic hydrogel that fulfills tissue-engineering requirements in terms of biocompatibility and mechanical stability. Moreover, it contributes to our comprehension of cellular biomechanics under diverse gravitational conditions, shedding light on the dynamic cellular adaptations versus varying stress environments.


Assuntos
Fibroblastos , Hidrogéis , Engenharia Tecidual , Fibroblastos/efeitos dos fármacos , Fibroblastos/metabolismo , Fibroblastos/citologia , Hidrogéis/química , Engenharia Tecidual/métodos , Técnicas de Cultura de Células/métodos , Estresse Mecânico , Biomimética/métodos , Animais , Alicerces Teciduais/química , Materiais Biomiméticos/química , Materiais Biomiméticos/farmacologia , Humanos , Camundongos
2.
J Perianesth Nurs ; 2024 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-38819361

RESUMO

PURPOSE: Preoperative evaluation of elective surgery patients traditionally focuses on somatic and organizational aspects of the situation. Patient feelings of readiness, called preoperative readiness (PR), impacts postoperative outcomes, and yet is rarely evaluated. The Preoperative Assessment Tool (PART) is a validated and reliable 15-item questionnaire available in Filipino and English. A reliable tool is essential for evaluating PR within the Swiss health context to offer optimized and comprehensive perioperative care. The aim of this study was to both translate into French and adapt culturally the Preoperative Assessment Tool for Switzerland's francophone population, and to explore patient PR in the preoperative consultation within a Swiss tertiary hospital. DESIGN: A mixed design with methodologic phases and descriptive study. METHODS: A mixed design in two phases with a methodologic phase with (1) translation and (2) cultural adaptation for Romandie of the PART, following Wild's 10 steps methodology (n = 11) and (3) a cross-sectional exploratory descriptive study with pilot testing of the translated version in a general elective preoperative consultation in a tertiary hospital in Romandie (N = 88). FINDINGS: Translation and cultural adaptations are well accepted and understood by the participants (n = 9/11), modifications are accepted by the authors and deemed adequate by the participants (n = 11/11). Time of completion is short (m = 69.06 seconds) and adapted to clinical context. The translated version has a Cronbach (α = 0.85) comparable to the original validated scale (α = 0.86). CONCLUSIONS: The translation and cultural adaptation for Switzerland of the PART was achieved, and PR was explored. Further psychometric testing of the PART-FrenCH must be conducted to assess fully the tool before its use in a clinical setting. Including PR in preoperative evaluations could enhance patient-centered approaches and lead to improvement in the quality of care.

3.
Nanoscale ; 16(23): 11211-11222, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38775497

RESUMO

Graphyne- and graphdiyne-like model systems have attracted much attention from many structural, theoretical, and synthetic scientists because of their promising electronic, optical, and mechanical properties, which are crucially affected by the presence, abundance and distribution of triple bonds within the nanostructures. In this work, we performed the two-step bottom-up on-surface synthesis of graphyne- and graphdiyne-based molecular wires on the Au(111). We characterized their structural and chemical properties both in situ (UHV conditions) through STM and XPS and ex situ (in air) through Raman spectroscopy. By comparing the results with the well-known growth of poly(p-phenylene) wires (namely the narrowest armchair graphene nanoribbon), we were able to show how to discriminate different numbers of triple bonds within a molecule or a nanowire also containing phenyl rings. Even if the number of triple bonds can be effectively determined from the main features of STM images and confirmed by fitting the C1s peak in XPS spectra, we obtained the most relevant results from ex situ Raman spectroscopy, despite the sub-monolayer amount of molecular wires. The detailed analysis of Raman spectra, combined with density functional theory (DFT) simulations, allowed us to identify the main features related to the presence of isolated (graphyne-like systems) or at least two conjugated triple bonds (graphdiyne-like systems). Moreover, other spectral features can be exploited to understand if the chemical structure of graphyne- and graphdiyne-based nanostructures suffered unwanted reactions. As in the case of sub-monolayer graphene nanoribbons obtained by on-surface synthesis, we demonstrate that Raman spectroscopy can be used for a fast, highly sensitive and non-destructive determination of the properties, the quality and the stability of the graphyine- and graphdiyne-based nanostructures obtained by this highly promising approach.

4.
Chest ; 165(4): 959-966, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38599752

RESUMO

Technical and clinical developments have raised challenging questions about the concept and practice of brain death, culminating in recent calls for revision of the Uniform Determination of Death Act (UDDA), which established a whole brain standard for neurologic death. Proposed changes range from abandoning the concept of brain death altogether to suggesting that current clinical practice simply should be codified as the legal standard for determining death by neurologic criteria (even while acknowledging that significant functions of the whole brain might persist). We propose a middle ground, clarifying why whole brain death is a conceptually sound standard for declaring death, and offering procedural suggestions for increasing certainty that this standard has been met. Our approach recognizes that whole brain death is a functional, not merely anatomic, determination, and incorporates an understanding of the difficulties inherent in making empirical judgments in medicine. We conclude that whole brain death is the most defensible standard for determining neurologic death-philosophically, biologically, and socially-and ought to be maintained.


Assuntos
Morte Encefálica , Encéfalo , Humanos , Morte Encefálica/diagnóstico
6.
J Phys Chem A ; 128(14): 2703-2716, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38507898

RESUMO

We explored the optoelectronic and vibrational properties of a new class of halogen-terminated carbon atomic wires in the form of polyynes using UV-vis, infrared absorption, Raman spectroscopy, X-ray single-crystal diffraction, and DFT calculations. These polyynes terminate on one side with a cyanophenyl group and on the other side, with a halogen atom X (X = Cl, Br, I). We focus on the effect of different halogen terminations and increasing lengths (i.e., 4, 6, and 8 sp-carbon atoms) on the π-electron conjugation and the electronic structure of these systems. The variation in the sp-carbon chain length is more effective in tuning these features than changing the halogen end group, which instead leads to a variety of solid-state architectures. Shifts between the vibrational frequencies of samples in crystalline powders and in solution reflect intermolecular interactions. In particular, the presence of head-to-tail dimers in the crystals is responsible for the modulation of the charge density associated with the π-electron system, and this phenomenon is particularly important when strong I··· N halogen bonds occur.

7.
J Community Health Nurs ; 41(1): 57-72, 2024 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-37943282

RESUMO

PURPOSE: To assess the knowledge, attitude, and behaviors related to dietary salt intake and develop a home-based intervention that helps lower salt intake among Filipino college students. DESIGN: Two-phase program development study utilizing descriptive and quasi-experimental design. METHODS: Phase 1 determined the knowledge, attitude, and behaviors alongside the frequency of dietary salt intake of a consecutive sample (n = 118). Phase 2 involved the development and pilot-testing of a home-based intervention wherein a random sample (n = 35) selected from Phase 1 joined for pilot-testing. The study was conducted from October - November 2021 and utilized valid and reliable measures to test the knowledge, attitude, and behavior of the participants. FINDINGS: Initial assessment showed knowledge regarding health risks of high salt intake and positive attitude toward health-promoting behaviors. Post-intervention showed improvement in attitude (p = 0.0004) and behavior (p = 0.001) related to dietary salt intake alongside health literacy (p = 0.036). There was no significant change in knowledge (p = 0.054). CONCLUSION: The home-based intervention involving the use of health education materials is successful in improving dietary salt intake patterns. CLINICAL EVIDENCE: Community health nurses may utilize home-based interventions to help develop health-promoting behaviors among young adults.


Assuntos
Educação em Saúde , Cloreto de Sódio na Dieta , Adulto Jovem , Humanos , Estudantes , Estado Nutricional , Comportamento Alimentar
8.
Neurobiol Stress ; 28: 100598, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38115888

RESUMO

Adverse early life experiences during postnatal development can evoke long-lasting neurobiological changes in stress systems, thereby affecting subsequent behaviors including propensity to develop alcohol use disorder. Here, we exposed genetically selected male and female Marchigian Sardinian alcohol-preferring (msP) and Wistar rats to mild, repeated social deprivation from postnatal day 14 (PND14) to PND21 and investigated the effect of the early social isolation (ESI) on the glucocorticoid receptor (GR) system and on the propensity to drink and seek alcohol in adulthood. We found that ESI resulted in higher levels of GR gene and protein expression in the prefrontal cortex (PFC) in male but not female msP rats. In female Wistars, ESI resulted in significant downregulation of Nr3c1 mRNA levels and lower GR protein levels. In male and female msP rats, plasma corticosterone levels on PND35 were similar and unaffected by ESI. Wistar females exhibited higher levels of corticosterone compared with males, independently from ESI. In alcohol self-administration experiments we found that the pharmacological stressor yohimbine (0.0, 0.312, 0.625, and 1.25 mg/kg) increased alcohol self-administration in both rat lines, regardless of ESI. After extinction, 0.625 mg/kg yohimbine significantly reinstated alcohol seeking in female rats only. ESI enhanced reinstatement in female msP rats. Overall, the present results indicate that repeated social deprivation during the third week of postnatal life affects GR expression in a strain- and sex-dependent manner: such effect may contribute, at least partially, to the heightened sensitivity of female msP rats to the effects of yohimbine-induced alcohol seeking.

9.
Energy Fuels ; 37(23): 17836-17862, 2023 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-38094910

RESUMO

Electrochemical energy storage technology has emerged as one of the most viable solutions to tackle the challenge of fossil-fuel-based technology and associated global pollution. Supercapacitors are widely used for high-power applications, and there is tremendous ongoing effort to make them useful for high-energy storage applications. While electrode materials of supercapacitors play a central role in charge storage performance, insights into the contribution from different charge storage mechanisms are crucial from both fundamental and applied aspects. In this context, apart from the electric double layer and fast redox reaction at/near the surface, another pronounced contribution from the electrode is quantum capacitance (CQ). Here, the origin of CQ, how it contributes to the total capacitance, the possible strategies to improve it, and the state-of-art CQ of electrode materials, including carbon, two-dimensional materials, and their composites, are discussed. Although most of the studies on quantifying CQ are theoretical, some case studies on experimental measurements using standard electrochemical techniques are summarized. With an overview and critical analysis of theoretical studies on quantum capacitance of electrode materials, this review critically examines the supercapacitor design strategies, including choosing the right materials and electrolytes. These insights are also relevant to other types of clean energy storage technologies, including metal-ion capacitors and batteries.

10.
Cureus ; 15(9): e44837, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37809186

RESUMO

BACKGROUND: Lifetime cumulative doses of conventional doxorubicin (>450 mg/m2) are associated with dose-dependent cardiotoxicity. In sarcoma and breast cancer, conventional doxorubicin is often utilized in the adjuvant setting, whereas pegylated liposomal doxorubicin (PLD) is typically reserved for recurrent and metastatic disease. PLD is believed to be associated with reduced cardiotoxicity compared to conventional doxorubicin. Limited data exists evaluating the cardiotoxicity associated with PLD treatment after conventional doxorubicin, especially when doxorubicin lifetime doses approach the established cumulative total lifetime dose of 450-550 mg/m2. This study aims to further qualify the cardiac safety of PLD use in patients who have had prior exposure to conventional doxorubicin. METHODS: This was a single-center, observational, retrospective cohort study conducted in patients ≥18 years with sarcoma or breast cancer who were exposed to conventional doxorubicin from an earlier line of treatment before PLD between January 2010 to May 2022. Patients were evaluated for the presence of cardiac toxicity at any point in their treatment course. Cardiac toxicity was defined as ≥ 10% decrease in left ventricle ejection fraction (LVEF) or a new diagnosis of heart failure within six months after PLD cessation. The time interval between the last conventional doxorubicin exposure and PLD initiation and the time interval between PLD initiation and LVEF monitoring were also analyzed. RESULTS: 494 patients were screened, and 50 met inclusion criteria: eight with sarcoma and 42 with breast cancer. The median lifetime cumulative conventional doxorubicin dose in patients with sarcoma was 450 mg/m2 with a maximum dose of 825 mg/m2 and 240 mg/m2 with a maximum dose of 300 mg/m2 in breast cancer patients. The median lifetime cumulative PLD dose was 105 mg/m2 (range: 35-150 mg/m2) in the sarcoma group and 105 mg/m2 (range: 35-510 mg/m2) in the breast cancer group. A decrease of ≥ 10% in LVEF was not observed in the sarcoma group. Patients with breast cancer had available LVEF data on PLD, and three of these patients experienced ≥ 10% in LVEF drop, with one of these patients diagnosed with heart failure. The average cumulative dose of PLD administered in patients with > 10% decrease in LVEF was 177 mg/m2 and had an average of 3.5 cycles. Five sarcoma patients initiated PLD treatment within two years after conventional doxorubicin exposure, while most breast patients initiated PLD treatment at least 10 years following conventional doxorubicin exposure. The average time from PLD initiation to first and second available LVEF monitoring was one and five months in the sarcoma group and three and eight months in the breast cancer group, respectively. CONCLUSION: PLD administration in patients with prior exposure to conventional doxorubicin appears to be safe, with limited cardiotoxicity in patients with sarcoma and breast cancer. Future research is needed to determine if and how often routine cardiac monitoring is needed for patients on PLD without existing cardiac risk.

11.
Heliyon ; 9(9): e19491, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37662775

RESUMO

The production of biodiesel generates glycerol as a by-product that needs valorization. Glycerol, when converted to polyglycerol, is a potential polyol for bio-based thermoplastic polyurethane (TPU) production. In this study, a novel polyglycerol polyester polyol (PPP) was developed from refined glycerol and coconut oil-based polyester polyol. Glycerol was first converted to glycerol acetate and then polymerized with coconut oil-based polyester polyol (CPP) as secondary polyol and phthalic anhydride. The resulting PPP polymerized at 220 °C and OH:COOH molar ratio of 2.5 exhibited an OH number of <100 mg KOH·g sample-1, an acid number of <10 mg KOH·g sample-1, and a molecular weight (MW) of 3697 g mol-1 meeting the polyol requirement properties for TPU (Handlin et al., 2001; Parcheta et al., 2020) [1-2]. Fourier-transform infrared (FTIR) spectroscopic characterization determined that higher reaction temperatures increase the polymerization rate and decrease the OH and acid numbers. Further, higher OH:COOH molar ratios decrease the polymerization rate and acid number, and increase the OH number. Gel permeation chromatography determined the molecular weight of PPP and suggested two distinct molecular structures which differ only in the number of moles of CPP in the structure. A differential scanning calorimetric (DSC) experiment on a sample of PPP-based polyurethane revealed that it was able to melt and remelt after 3 heating cycles which demonstrates its thermoplastic ability. The novel PPP derived from the glycerol by-product of biodiesel industries can potentially replace petroleum-derived polyols for TPU production.

12.
J Am Chem Soc ; 145(33): 18382-18390, 2023 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-37525883

RESUMO

One-dimensional (1D) linear nanostructures comprising sp-hybridized carbon atoms, as derivatives of the prototypical allotrope known as carbyne, are predicted to possess outstanding mechanical, thermal, and electronic properties. Despite recent advances in their synthesis, their chemical and physical properties are still poorly understood. Here, we investigate the photophysics of a prototypical polyyne (i.e., 1D chain with alternating single and triple carbon bonds) as the simplest model of finite carbon wire and as a prototype of sp-carbon-based chains. We perform transient absorption experiments with high temporal resolution (<30 fs) on monodispersed hydrogen-capped hexayne H─(C≡C)6─H synthesized by laser ablation in liquid. With the support of computational studies based on ground state density functional theory (DFT) and excited state time-dependent (TD)-DFT calculations, we provide a comprehensive description of the excited state relaxation processes at early times following photoexcitation. We show that the internal conversion from a bright high-energy singlet excited state to a low-lying singlet dark state is ultrafast and takes place with a 200 fs time constant, followed by thermalization on the picosecond time scale and decay of the low-energy singlet state with hundreds of picoseconds time constant. We also show that the time scale of these processes does not depend on the end groups capping the sp-carbon chain. The understanding of the primary photoinduced events in polyynes is of key importance both for fundamental knowledge and for potential optoelectronic and light-harvesting applications of low-dimensional nanostructured carbon-based materials.

13.
J Thromb Thrombolysis ; 56(3): 439-446, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37421494

RESUMO

BACKGROUND: Direct oral anticoagulant (DOAC) use in cancer-associated venous thromboembolism (CA-VTE) has increased due to updates in recent guidelines and literature. However, select guidelines caution against DOAC use in patients with gastrointestinal (GI) malignancies due to reported increased bleeding events. The objective of this study was to compare the safety and effectiveness of DOACs versus low-molecular-weight heparins (LMWHs) for CA-VTE treatment in patients with GI malignancies. PATIENTS AND METHODS: This multicenter, retrospective cohort study included patients with primary GI malignancies who received therapeutic anticoagulation with a DOAC or LMWH for CA-VTE between January 1, 2018, and December 31, 2019. The primary outcome was the incidence rate of bleeding events (major, clinically relevant non-major, or minor bleeding events) within a 12-month period following the initiation of therapeutic anticoagulation. The secondary endpoint was the incidence rate of recurrent VTE events within a 12-month period following the start of therapeutic anticoagulation. RESULTS: After screening, 141 patients met inclusion criteria. The incidence rate of all bleeding events significantly differed between DOAC (4.98 events/100 person-months) and LWMH (10.2 events/100 person-months) recipients. The corresponding incidence rate ratio (IRR) with the DOAC group serving as the reference was 2.05 (p = 0.01), with the majority of bleeds in both groups presenting as minor bleeds. No difference was found between the incidence rate of recurrent VTE within a 12-month period of starting therapeutic anticoagulation between groups (IRR 3.08, p = 0.06). CONCLUSION: Our results suggest that DOACs do not pose an additional bleeding risk compared to LMWH in patients with certain GI malignancies. Careful selection of DOAC therapy with respect to bleeding risk is still warranted.


Assuntos
Neoplasias Gastrointestinais , Neoplasias , Tromboembolia Venosa , Humanos , Heparina de Baixo Peso Molecular/efeitos adversos , Tromboembolia Venosa/prevenção & controle , Anticoagulantes/efeitos adversos , Estudos Retrospectivos , Administração Oral , Neoplasias Gastrointestinais/complicações , Neoplasias Gastrointestinais/tratamento farmacológico , Neoplasias/complicações , Hemorragia/tratamento farmacológico
14.
Nanoscale ; 15(16): 7493-7501, 2023 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-37017209

RESUMO

Van der Waals heterostructures of transition metal dichalcogenides (TMDs) are promising systems for engineering functional layered 2D materials with tailored properties. In this work, we study the growth of WS2/MoS2 and MoS2/WS2 heterobilayers by pulsed laser deposition (PLD) under ultra-high vacuum conditions. Using Au(111) as growth substrate, we investigated the heterobilayer morphology and structure at the nanoscale by in situ scanning tunneling microscopy. Our experiments show that the heterostructure growth can be controlled with high coverage and thickness sensitivity by tuning the number of laser pulses in the PLD process. Raman spectroscopy complemented our investigation, revealing the effect of the interaction with the metallic substrate on the TMD vibrational properties and a strong interlayer coupling between the MoS2 and WS2 layers. The transfer of the heterobilayers on a silica substrate via a wet etching process shows the possibility to decouple them from the native metallic substrate and confirms that the interlayer coupling is not substrate-dependent. This work highlights the potential of the PLD technique as a method to grow TMD heterostructures, opening to new perspectives in the synthesis of complex 2D layered materials.

15.
J Addict Nurs ; 34(1): 55-63, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36857549

RESUMO

OBJECTIVES: The aim of this study was to determine the influence of predisposing, reinforcing, and enabling factors of nicotine dependence among young adults in a rural community. STUDY DESIGN: A quantitative, predictive-correlational cross-sectional study was done among 190 young adults in a rural community utilizing compact segmental sampling. METHODS: Data were collected from August to October 2018 utilizing a validated robotfoto, adapted determinants of smoking questionnaire, and Fagerström test to assess nicotine dependence. Stepwise multiple linear regression was used in predicting the relationship between the predictors and nicotine dependence. RESULTS: Reinforcing and enabling factors influenced nicotine dependency. The influence of other relatives (ß = .179, p = .023) and radio advertisements (ß = -.224, p = .008) as well as availability (access) to cigarettes (ß = .228, p = .003) were significant predictors of nicotine dependency in the rural community. CONCLUSION: Identified predictors can help form policies that can help address the availability of cigarettes and advertisements (radio) that can influence nicotine dependence among young adults in a rural community. Furthermore, the influence of other relatives (extended family) can be a factor that can increase the development of nicotine dependence.


Assuntos
Tabagismo , Humanos , Adulto Jovem , Estudos Transversais , Nicotina , População Rural , Causalidade
16.
Sci Rep ; 12(1): 22107, 2022 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-36543823

RESUMO

A hydrogel film, poly-3,4-ethylenedioxythiophene (PEDOT):polystyrenesulfonate (PSS), containing an ionic liquid, is used as an air-cathode for a metal-air battery and its performance is investigated. This work presents the development of the air-cathode and the characterization of its physical, chemical and mechanical properties. Moreover, in view of wearable batteries, these air-cathodes are implemented within a flexible aluminium-air battery. It contains an aluminium anode, an electrolyte made of cellulose paper imbibed with an aqueous sodium chloride solution and the PEDOT:PSS air-cathode. Characterisation tests showed that the ionic liquid did not change the air-cathode chemically, while the electric conductivity increased considerably. The anode has an acceptable purity and was found to be resistant against self-corrosion. Discharge tests showed operating voltages up to 0.65 V, whereas two batteries in series could deliver up to 1.3 V at a current density of 0.9 mA cm-2 for almost a day, sufficient for monitoring and medical devices. Several discharge tests with current densities from 0.25 up to 2.5 mA cm-2 have presented operating lifetimes from 10 h up until over a day. At a current density of 2.8 mA cm-2, the operating voltage and lifetime dropped considerably, explained by approaching the limiting current density of about 3 mA cm-2, as evidenced by linear sweep voltammetry. The batteries showed high specific energies up to about 3140 Wh kg-1. Mechanical tests revealed a sufficient stretchability of the air-cathode, even after battery discharge, implying an acceptable degree of wearability. Together with the reusability of the air-cathode, the battery is a promising route towards a low-cost viable way for wearable power supply for monitoring medical devices with long lifetimes and high specific energies. Optimization of the air-cathode could even lead to higher power applications.

19.
Nat Commun ; 13(1): 5801, 2022 10 03.
Artigo em Inglês | MEDLINE | ID: mdl-36192386

RESUMO

The determination of durability and vaccine-associated protection is essential for booster doses strategies, however data on the stability of SARS-CoV-2 immunity are scarce. Here we assess anti-SARS-CoV-2 immunogenicity decay and incident cases six months after the 2nd dose of Sinovac-CoronaVac inactivated vaccine (D210) in 828 autoimmune rheumatic diseases patients compared with 207 age/sex-balanced control individuals. The primary outcome is the presence of anti-S1/S2 SARS-CoV-2 IgG at 6 months compared to 6 weeks after 2nd vaccine dose for decay evaluation. Secondary outcomes are presence of neutralizing antibodies, percent inhibition by neutralizing, geometric mean titers and cumulative incident cases at 6 months after 2nd dose. Anti-S1/S2 IgG positivity and titers reduce to 23.8% and 38% in patients (p < 0.001) during the six-month follow up and 20% and 51% in controls (p < 0.001), respectively. Neutralizing antibodies positivity and percent inhibition declines 41% and 54% in patients (p < 0.001) and 39.7% and 47% in controls (p < 0.001). Multivariate logistic regression analysis show males (OR = 0.56;95% CI0.40-0.79), prednisone (OR = 0.56; 95% CI0.41-0.76), anti-TNF (OR = 0.66;95% CI0.45-0.96), abatacept (OR = 0.29; 95% CI0.15-0.56) and rituximab (OR = 0.32;95% CI0.11-0.90) associate with a substantial reduction in IgG response at day 210 in patients. Although cellular immunity was not assessed, a decrease of COVID-19 cases (from 27.5 to 8.1/100 person-years; p < 0.001) is observed despite the concomitant emergence and spread of the Delta variant. Altogether we show a reduction in immunity 6-months of Sinovac-CoronaVac 2nd dose, particularly in males and those under immunosuppressives therapies, without a concomitant rise in COVID-19 cases. (CoronavRheum clinicaltrials.gov:NCT04754698).


Assuntos
COVID-19 , Doenças Reumáticas , Vacinas Virais , Abatacepte , Anticorpos Neutralizantes , Anticorpos Antivirais , COVID-19/epidemiologia , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Humanos , Imunoglobulina G , Incidência , Masculino , Prednisona , Doenças Reumáticas/tratamento farmacológico , Doenças Reumáticas/epidemiologia , Rituximab/uso terapêutico , SARS-CoV-2 , Inibidores do Fator de Necrose Tumoral , Vacinas de Produtos Inativados
20.
Annu Int Conf IEEE Eng Med Biol Soc ; 2022: 3915-3918, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-36086473

RESUMO

Scaffolds have been used to stimulate cell migration, cell adhesion, and cell proliferation as extracellular matrix analogues. This study proposes a novel method for creating hybrid alginate-gelatine aerogel-based scaffold, which could be suitable for cell adhesion. To this end, alginate-gelatine at 4% was first used to make stable hydrogels, which were then frozen at -70°C and dried under a vacuum to produced aerogels. Aerogels are materials known for their extremely low density, which, by definition, should be lower than 0.5 g/cm3, In this study, a bulk density of 0.16 g/cm3 was reached, confirming that the created material fits within the definition of an aerogel. In addition, the material presented a sponge-like structure, high absorption properties, and high-porosity, with an average pore size of 193µm. These properties fit within the requirements for fibroblast cell infiltrate and survival, demonstrating that the proposed alginate-gelatine aerogels are suitable candidates for various applications such as tissue engineering and regenerative medicine.


Assuntos
Gelatina , Engenharia Tecidual , Alginatos/química , Gelatina/química , Hidrogéis , Engenharia Tecidual/métodos , Alicerces Teciduais/química
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