Barriers to HIV and Hepatitis C care for people who inject drugs in Colombia.

People who inject drugs (PWIDs) are a key population targeted in global efforts to increase HIV and Hepatitis C virus (HCV) diagnosis, linkage to care, and treatment retention. Colombia has experienced a significant increase in the incidence of HIV and HCV attributed to the alarming rise in injection drug use. The primary aim of this study was to identify factors influencing access to HIV and HCV care among PWIDs. Survey domains consisted of (1) sociodemographic characteristics; (2) history of HIV-HCV testing and infection status; (3) the 13-item questionnaire developed by Awad and colleagues to explore barriers to HIV and HCV testing, (4) the Barriers to Medical Care questionnaire; and (5) the Risk Assessment Battery. A total of 171 subjects completed the survey. A high proportion of participants reported past year testing for HIV (87%) and HCV (72.8%). However, most respondents elicited numerous barriers to obtaining information, referrals, and insurance coverage for accessing HIV and/or HCV care. Further studies are needed to identify scalable public health measures to overcome these barriers.

Development of mechanical properties in dental resin composite: Effect of filler size and filler aggregation state.

The aim of this work was to study the effect of filler size and filler aggregation state on the mechanical properties of dental resin composites evaluated at filler loadings between 20 wt% and up to 76.5 wt%. Non-aggregated silica nanoparticles (SiNPMPS) (80 nm), doughnut-shaped silica nanoclusters obtained by spray drying (SDSiNPMPS) (3.5 µm) and amorphous barium-alumina borosilicate microparticles (BaAlBoSiMPS) (1.0 µm), functionalized by 3-methacryloxypropyl trimethoxysilane (MPS), were the fillers incorporated into resin matrix dental composites composed of triethylene glycoldimethacrylate (TEGDMA), urethane dimethylacrylate (UDMA), bisphenol A polyethylene glycol diether dimethacrylate (Bis EMA), and bisphenol A glycidyl methacrylate (BisGMA) (0.3:0.7:1:1 weight ratio, respectively). The mechanical properties developed in the resin composites were correlated with the formation of percolated-like particle networks, as observed by scanning electron microscopy (SEM), and volume fraction percolation thresholds (ϕc) calculated from a percolation model. Resin composites with non-aggregated SiNPMPS showed an apparent percolation threshold ϕc = 0.15 (i.e. 27 wt%); above this filler concentration and up to a volume fraction of particles (ϕP) of 0.24 (i.e. 40 wt%) there was an increase in the flexural modulus and the compressive strength of the resin composite. However, a further increase in filler concentration diminished all its mechanical properties due to a decrease in the particle-matrix adhesion strength, demonstrated by the increase in surface roughness and fracture steps as observed by SEM images. On the other hand, a resin composite filled with doughnut-shaped silica nanoclusters (SDSiNPMPS) showed an apparent percolation threshold ϕc = 0.41 (i.e. 60 wt%); increasing filler loading over this concentration generated an improvement in its mechanical properties, except the flexural strength also due to a decrease in the particle-matrix adhesion strength. The resin composites obtained with amorphous individual BaAlBoSiMPS microparticles (1.0 µm) and BaAlBoSiMPS microparticle aggregates (ca. 40.0 µm) showed an apparent percolation threshold ϕc = 0.41 (i.e. 64 wt%) that promoted an improvement in all their mechanical properties. SEM image of BaAlBoSiMPS resin composite at high filler loading (≥ 60 wt%) showed a decrease in fracture steps and no presence of voids, indicating a better adhesion between amorphous BaAlBoSiMPS particles and the polymeric matrix, which explains the improvement of mechanical properties. Resin composites filled exclusively with silica doughnut-shape nanoclusters or amorphous BaAlBoSiMPS microparticles could develop mechanical properties similar to or even better than those obtained by mixing nanofillers with spherical nanoclusters, which are commonly used in commercial resin composites.

Formation of functionalized nanoclusters by solvent evaporation and their effect on the physicochemical properties of dental composite resins.

OBJECTIVE: The aim of this work was to study the effect of silica nanoclusters (SiNC), obtained by a solvent evaporation method and functionalized by 3-methacryloxypropyltrimethoxysilane (MPS) and MPS+octyltrimethoxysilane (OTMS) (50/50wt/wt), on the rheological, mechanical and sorption properties of urethane dimethylacrylate (UDMA)/triethylenglycol dimethacrylate (TEGDMA) (80/20wt/wt) resins blend. METHODS: Silica nanoparticles (SiNP) were silanized with MPS or MPS+OTMS (50/50wt/wt) and incorporated in an UDMA-isopropanol mix to produce functionalized silica nanoclusters after evaporating the isopropanol. The effect of functionalized SiNC on resins rheological properties was determined by large and small deformation tests. Mechanical, thermal, sorption and solubility properties were evaluated for composite materials. RESULTS: The UDMA/TEGDMA (80/20wt/wt) resins blend with added SiNC (ca. 350nm) and functionalized with MPS showed a Newtonian flow behavior associated to their spheroidal shape, whereas the resins blend with nanoclusters silanized with MPS+OTMS (50/50wt/wt) (ca. 400nm) showed a shear-thinning behavior due to nanoclusters irregular shape. Composite materials prepared with bare silica nanoclusters showed lower compressive strength than functionalized silica nanoclusters. MPS functionalized nanoclusters showed better mechanical properties but higher water sorption than functionalized nanoclusters with both silane coupling agents, MPS and OTMS. SIGNIFICANCE: The solvent evaporation method applied to functionalized nanoparticles showed to be an alternative way to the sinterization method for producing nanoclusters, which improved some dental composite mechanical properties and reduced water sorption. The shape of functionalized silica nanoclusters showed to have influence on the rheological properties of SiNC resin suspensions and the mechanical and sorption properties of light cured composites.