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BACKGROUND: Hepatitis C virus (HCV) is a globally prevalent pathogen and a leading cause of death and morbidity. Traditional therapy with pegylated interferon-
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Antivirais/farmacologia , Hepacivirus/efeitos dos fármacos , Perileno/análogos & derivados , Replicação Viral/efeitos dos fármacos , Antracenos , Linhagem Celular Tumoral , Regulação para Baixo , Heme Oxigenase-1/metabolismo , Hepacivirus/fisiologia , Humanos , Perileno/farmacologia , Proteínas não Estruturais Virais/metabolismoRESUMO
OBJECTIVE: Thyroid surgery is generally a safe surgery but its complications are still common. We wish to identify preoperative factors that predict postoperative complications. METHODS: A nationwide survey was conducted by senior surgeons from 16 medical centers and 5 regional hospitals in Taiwan to thyroid operations performed over 3 years. 3846 cases were retrospectively examined to identify factors influencing complications: indication for surgery, preoperative evaluation, such as ultrasonography, chest X-ray, computed tomography and magnetic resonance imaging, isotope scanning, fine-needle aspiration cytology (FNAC) and thyroid function test, and patient characteristics. RESULTS: Eighty-four percent of patients were female. Seven percent of the patients had immediate postoperative hypocalcemia (mild and severe) and 2.3%, hoarseness (recurrent laryngeal nerve (RLN) injury, temporary/permanent). Logistic regression analysis identified an association between hypocalcemia and RLN injury with age, hospital category, surgical procedure types (total thyroidectomy, unilateral, bilateral subtotal or total resection). A lower incidence of hypocalcemia was related to preoperative neck ultrasound and FNAC analysis (the odds ratio (OR) = 0.5 and 0.65, [95% confidence interval (CI) 0.331-0.768 and 0.459-0.911], P = 0.0014 and 0.0127, respectively), while RLN injury was not associated with any preoperative evaluation. The ORs of hypocalcemia and RLN injury for patients older than 50 years were 0.55 and 2.15, [0.393-0.763 and 1.356-3.4], P < 0.001 and 0.0012, respectively. CONCLUSIONS: The success of thyroid surgery depends on careful preoperative planning, including a preoperative neck ultrasound to determine the proximity of the nodule to the recurrent laryngeal nerve course, and the consideration of the type of anesthesia, adjuvant devices for intra-op monitoring of the RLN, and surgical modalities. Our results suggest that preoperative evaluation implementations are positively associated with strategy of surgery and postoperative hypocalcemia prevention.
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Thermo-sensitive poly(N-isopropylacrylamide-co-acrylic acid) (P(NIPAAm-co-AAc)) latex particles were prepared with and without sodium dodecyl sulfate (SDS) surfactant via an emulsion polymerization method. The P(NIPAAm-co-AAc) latex particle sizes were approximately 1.1 microm without SDS addition and the particle sizes were in the nanometer range (59 nm) with SDS at its critical micelle concentration (CMC) of 8 mM. We propose a scheme to demonstrate how the SDS concentration affects the synthesized latex particle size. The lower critical solution temperature (LCST) was hardly influenced by the SDS level but increased with the AAc concentration. The PNIPAAm-co-AAc latex particles were employed as thermo-sensitive drug carriers and 4-acetamidophenol was loaded to study the drug release rates from the nano-gels. The effective drug diffusion coefficients within the nano-gels varied as a function of particle size, AAc content, and temperature. The smaller or AAc-rich hydrogel particles provided sustainable drug release property and have potential use in biomedical applications.
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Acrilamidas/química , Química Farmacêutica/métodos , Sistemas de Liberação de Medicamentos , Látex/química , Nanotecnologia/métodos , Polímeros/química , Desenho de Fármacos , Géis , Hidrogéis/química , Concentração de Íons de Hidrogênio , Modelos Estatísticos , Nanopartículas/química , Tamanho da Partícula , Espectroscopia de Infravermelho com Transformada de Fourier , Tensoativos , Temperatura , Fatores de TempoRESUMO
This study reports on the time-resolved polymer propagation of thermal-sensitive latex nanoparticles containing Fe3O4 cores. The latex shells are made with poly(N-isopropylacrylamide-co-acrylic acid) (Fe3O4/P(NIPAAm-co-AAc)) at different reaction times. The Fe3O4 particles are first modified using AAc monomers. The AAc-modified Fe3O4 cores are then copolymerized with NIPAAm to form the latex shell. The Fe3O4 cores in the latex nanoparticles are confirmed using X-ray photoelectron spectroscopy (XPS), X-ray diffraction spectroscopy (XRD), and thermo gravimetric analyzer (TGA). As the reaction time is increased from 0.5 h to 2 h, the particle size enlarges from 100 to 250 nm and the Fe3O4 content decreases from 46.4% to 2.6%. The thermal responses are more pronounced in the 2 h sample with the phase transition temperature (lower critical solution temperature, LCST) about 35 degrees C. The nanoparticles show a gradient concentration distribution of AAc as the particles propagate. A higher AAc concentration is observed near'the Fe3O4 core and the AAc content deceases as the degree of polymerization increases in the latex particles. This declining AAc concentration is beneficial for profound thermal responses in the synthesized nanoparticle.
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Biocompatibility is a critical factor in the design and development of candidate materials for biomedical use. This paper reports on the in vitro biocompatibility of magnetic stimuli-sensitive nanohydrogel particles composed of magnetite cores in poly(N-isopropylacrylamide-co-acrylic acid) shells referred to Fe(3)O(4)/P(NIPAAm-co-AAc). The AAc concentration and polymerization time were varied to fabricate magnetic nanoparticles with various AAc levels (1.80-2.37%) and particle sizes (74-213 nm). The P(NIPAAm-co-AAc) shell exhibited thermo-sensitive properties and the Fe(3)O(4) core constituted 2.25-4.10% of the particles by weight. After a 2-day incubation of L929 cells with extract media that had been conditioned with various test samples, the cellular responses were monitored in terms of cell viability and growth. The Live/Dead assays showed that high levels of cellular viability (97.3-98.1%) were observed in all groups, indicating that none of the nanoparticles were cytotoxic. However, the 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymetho-xyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) assays demonstrated that the activity of mitochondrial dehydrogenase varied significantly in cultures exposed to different magnetic nanohydrogel particles. The murine fibroblasts exposed to the NIP-(AAc5.1-Fe)-2 sample, which contained the highest AAc content and largest particle sizes, were the least metabolically active. In contrast, the activity levels in the cultures treated with the low AAc content and small size particles (NIP-(AAc2.6-Fe)-1) were not significantly different from those in the control group. Our findings suggest that smaller magnetic stimuli-sensitive nanohydrogel particles with a lower AAc content may have little inhibitory impact on cell proliferation. Overall, the in vitro biocompatibilities of the nanoparticles depend on the chemical composition and size of the Fe(3)O(4)/P(NIPAAm-co-AAc) particles.
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Acrilamidas/farmacologia , Materiais Biocompatíveis/farmacologia , Compostos Férricos/farmacologia , Hidrogéis/farmacologia , Nanopartículas/química , Polímeros/farmacologia , Temperatura , Acrilamidas/química , Animais , Materiais Biocompatíveis/síntese química , Materiais Biocompatíveis/química , Proliferação de Células/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Relação Dose-Resposta a Droga , Compostos Férricos/química , Hidrogéis/química , Campos Magnéticos , Camundongos , Tamanho da Partícula , Polímeros/química , Relação Estrutura-Atividade , Propriedades de SuperfícieRESUMO
Micron-sized zeolite particles were incorporated into a polyurethane (PU) matrix to prepare ethylbenzene-selective membranes. The resulting composite membranes were used in the pervaporation (PV) of ethylbenzene/styrene (EB/ST) mixtures. The sorption, diffusion, and PV permeation behaviors as a result of zeolite addition were elucidated. Zeolite is less chemically compatible with organic solvents than PU and the PU-zeolite composites, which exhibited suppressed solvent solubilities compared with pristine PU. However, these membranes favor EB transport by diffusion selectivity. The diffusivity and permeation flux increases in parallel with the enlarged radius of the free-volume hole size (R(4) increasing from 3.46 to 3.64 Å using positron annihilation lifetime spectroscopy analysis) by increasing the zeolite content from 0 to 23%. The enlarged free volume at a zeolite loading of 23% promoted pure solvent diffusivities by 10% higher than that of the unfilled film. During the PV operation on the EB/ST mixture, a significant diffusion-coupling was observed, and the permeant diffusion coefficients from the binary mixture exceeded the pure solvent diffusivity. The permeation flux was greatly improved (up to 0.72 kg/m(2)·h) by zeolite addition without any detrimental effect on the separation efficiency.
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BACKGROUND: C-phycocyanin (C-PC), a biliprotein found in blue green algae, such as Spirulina platensis, is often used as a dietary nutritional supplement due to its various therapeutic values. In addition, the antiinflammatory activity of C-PC partly through inhibition of proinflammatory cytokine formation, inducible nitric oxide synthase (iNOS) and cyclooxygeanase-2 (COX-2) expression has been demonstrated in many in vitro and in vivo studies. However, whether C-PC also has antihyperalgesic activity in inflammatory nociception has not been investigated. METHODS: Using a carrageenan-induced thermal hyperalgesia model, we evaluated the effect of C-PC on nociception by measuring paw withdrawal latency. To clarify the mechanisms involved, the expression of iNOS and COX-2 and the formation of nitrate and tumor necrosis factor-alpha (TNF-alpha) in the rat paw were determined. RESULTS: Pre- or posttreatment with C-PC (30 or 50 mg/kg, IP) significantly attenuated carrageenan-induced inflammatory nociception and the induction of iNOS and COX-2 at the late phase, (4 h) accompanied by an inhibition of the formation of TNF-alpha, prostaglandin E(2), nitrate and myeloperoxidase activity. CONCLUSIONS: Based on these results, it is suggested that the inhibition of NO and prostaglandin E(2) over-production through suppressing iNOS and COX-2 induction and attenuation of TNF-alpha formation and neutrophil infiltration into inflammatory sites by C-PC may contribute, at least in part, to its antihyperalgesic activity.