Piloting VAKE (Values and Knowledge Education) in the Education for Practice of Nurses.

Imagine the following situation: You are a nurse for elderly people, going to the homes of your patients. A female patient tells you on our first visit after hospital discharge following a hip fracture surgery that she does not want to be at home, because she is not well enough to be alone and she needs therapy with oxygen in permanent basis until she recovers from a respiratory temporary infection situa¬tion. This kind of situations is the starting point for an educational sequence that ad-dresses both values (here: life, human dignity, respect, loneliness) and knowledge (different medical treatments, legal rules, etc.). The example shows how intensely interrelated the values and the facts are. Based on this example we introduce the constructivist didactical tool VaKE (Values and Knowledge Education) that permits to combine both issues, and present a pilot study using this method in the education of nurses.Tempus/LLAF; VAKEinfo:eu-repo/semantics/publishedVersio

Hyaluronan receptors as mediators and modulators of the tumor microenvironmen

The tumor microenvironment (TME) is a dynamic and complex matter shaped by heterogenous cancer and cancer-associated cells present at the tumor site. Hyaluronan (HA) is a major TME component that plays pro-tumorigenic and carcinogenic functions. These functions are mediated by different hyaladherins expressed by cancer and tumor-associated cells triggering downstream signaling pathways that determine cell fate and contribute to TME progression towards a carcinogenic state. Here, we review the interaction of HA with several cell-surface hyaladherins â CD44, RHAMM, TLR2 and 4, LYVE-1, HARE and layilin. We discuss the signaling pathways activated by these interactions and the respective response of different cell populations within the TME, and the modulation of the TME. Potential cancer therapies via targeting these interactions are also briefly discussed.The authors thank the Portuguese FCT and FSE (Grants no: SFRH/BD/114847/2016, PTDC/NAN-MAT/28468/2017, PTDC/CTM-REF/0022/2020) for providing financial support to this project

Modulating intermolecular interactions and rheological properties in silk fibroin using ultrasound frequencies

info:eu-repo/semantics/draf

Vescalagin and castalagin present bactericidal activity toward methicillin-resistant bacteria

"Published online 17 February 2021"Polyphenols have been extensively exploited in the biomedical field because of their wide range of bioactive properties and historical use as traditional medicines. They typically present antioxidant, antimicrobial, antiamyloidogenic, and/or antitumor activities. In particular, cork water extracts and their components, have been previously reported to present antioxidant and antiamyloidogenic properties. On the basis of this knowledge, we tested cork water extract (CWE), cork water enriched extract (CWE-E), vescalagin/castalagin (two of the main polyphenols present in CWE and CWE-E) for their antibacterial activity against four bacterial strains, namely, methicillin-resistant Staphylococcus epidermidis (MRSE), Staphylococcus aureus (SA), methicillin-resistant Staphylococcus aureus (MRSA), and Pseudomonas aeruginosa (PA). Vescalagin and castalagin presented bactericidal activity against all the tested bacterial strains, in particular toward the methicillin-resistant ones, i.e., MRSA and MRSE, as well as the ability to inhibit the formation of biofilms and to disrupt preformed ones. Moreover, vescalagin/castalagin seem to modulate the normal assembly of the peptidoglycans at the bacteria surface, promoting the disruption of their cell wall, leading to bacterial cell death. We also demonstrate that vescalagin/castalagin can be loaded into alginate hydrogels to generate antibacterial biomaterials that are not toxic to eukaryotic cells.We acknowledge the financial support from the EC (FORECAST 668983 and MEPHOS 872648). A.R.A. acknowledges the “Programa Operacional Regional do Norte”, “Fundo Social Europeu”, and Norte2020 TERM&SC, for her PhD grant (NORTE-08-5369-FSE-000044)

The role of organic solvent on the preparation of chitosan scaffolds by supercritical assisted phase inversion

The aim of this study was to evaluate the possibility of preparing chitosan porous matrixes using supercritical fluid technology. Supercritical immersion precipitation technique was used to prepare scaffolds of a natural biocompatible polymer, chitosan for tissue engineering purposes. The physicochemical and biological properties of chitosan make it an excellent material for the preparation of drug delivery systems and for the development of new biomedical applications in many fields from skin to bone or cartilage. Supercritical assisted phase inversion experiments were carried out and the effect of different organic solvents on the morphology of the scaffolds was assessed. Chitosan scaffold morphology, porosity and pore size were evaluated by SEM and micro-CT. A thermodynamic analysis of the process was carried out and insights on the solubility parameter and Flory–Huggins interaction parameters are given. The preparation of a highly porous and interconnected structure of a natural material, chitosan, using a clean and environmentally friendly technology constitutes a new processing technology for the preparation of scaffolds for tissue engineering using these materials.Ana Rita C. Duarte is grateful for financial support from Fundacao para a Ciencia e Tecnologia (FCT) through the grant SFRH/BPD/34994/2007. The support through the FCT project PTDC/QUI/68804/2006 is also acknowledged

Dexamethasone-loaded scaffolds prepared by supercritical assisted phase inversion

The aim of this study was to evaluate the possibility of preparing dexamethasone-loaded starch-based porous matrices in a one-step process. Supercritical phase inversion technique was used to prepare composite scaffolds of dexamethasone and a polymeric blend of starch and poly(L-lactic acid) (SPLA) for tissue engineering purposes. Dexamethasone is used in osteogenic media to direct the differentiation of stem cells towards the osteogenic lineage. Samples with different drug concentrations (5–15 wt.% polymer) were prepared at 200 bar and 55 C. The presence of dexamethasone did not affect the porosity or interconnectivity of the polymeric matrices. Water uptake and degradation studies were also performed on SPLA scaffolds. We conclude that SPLA matrices prepared by supercritical phase inversion have a swelling degree of nearly 90% and the material presents a weight loss of 25% after 21 days in solution. Furthermore, in vitro drug release studies were carried out and the results show that a sustained release of dexamethasone was achieved over 21 days. The fitting of the power law to the experimental data demonstrated that drug release is governed by an anomalous transport, i.e., both the drug diffusion and the swelling of the matrix influence the release of dexamethasone out of the scaffold. The kinetic constant was also determined. This study reports the feasibility of using supercritical fluid technology to process in one step a porous matrix loaded with a pharmaceutical agent for tissue engineering purposes.Ana Rita C. Duarte is grateful for financial support from Fundatyao para a Ciencia a Tecnologia through the Grant SFRH/BPD/34994/2007

Preparation of starch-based scaffolds for tissue engineering by supercritical immersion precipitation

The aim of this study was to evaluate the possibility of preparing starch-based porous matrixes using supercritical fluid technology. Supercritical immersion precipitation technique was used to prepare scaffolds of a polymeric blend of starch and poly(l-lactic acid) for tissue engineering purposes.Immersion precipitation experiments were carried out at different operational conditions and highly porous and interconnected scaffolds were obtained. Two organic solvents, dichloromethane and chloroform were tested, and from the results obtained chloroform was the more favourable for the process. The effect of polymer solution concentration (5 up to 20 wt%), temperature (35 up to 55 ◦C) and pressure (100 up to 200 bar) in the SPLA (50:50 wt%) membrane morphology, porosity and interconnectivity was evaluated. All the conditions tested were in the region of total miscibility between the organic solvent and carbon dioxide. Additionally, a blend with a different starch-poly(l-lactic acid) ratio (30:70 wt%) was tested. Bicontinuous structures were formed indicating that the L–L demixing process that governs the phase inversion is the spinodal decomposition.Ana Rita C. Duarte is grateful for financial support from Fundacao para a Ciencia a Tecnologia through the grant SFRH/BPD/34994/2007

Polymer processing using supercritical fluid based technologies for drug delivery and tissue engineering applications

From the use of botanical plants in early human civilizations through synthetic chemistry and biotechnology, drug research has always passionate scientists creating exciting challenges to a large number of researchers from different fields, thus, promoting a collaborative effort between polymer scientists, pharmacologists, engineers, chemists and medical researchers. Worldwide, there is an increasing concern on health care that creates a major opportunity for development of new pharmaceutical formulations. Ageing populations worried about the quality of life in the older years are actively seeking for new, more effective and patient compliant drug delivery devices. This has been the driving force for the continuous growth of the research made on delivery devices, which has become a powerful technique in health care. It has been recognized for long that simple pills or injections may not be the suitable methods of administration of a certain active compound. These medications present several problems and/or limitations, like poor drug bioavailability and systemic toxicity, derived essentially from pharmacokinetic and other carrier limitations and low solubility of the drugs in water. Therefore and to overcome these drawbacks, clinicians recommend frequent drug dosing, at high concentrations, in order to overcome poor drug bioavailability but causing a potential risk of systemic toxicity. Polymer science has open new strategies for drug delivery systems. This Chapter overviews of possible strategies involving polymer modification and processing for controlled drug delivery and drug delivery in tissue engineering.European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement number REGPOT-CT2012-316331-POLARIS and from the project “Novel smart and biomimetic materials for innovative regenerative medicine approaches” RL1 -ABMR-NORTE-01-0124-FEDER-000016 cofinanced by North Portugal Regional Operational Programme (ON.2 –O Novo Norte), under the National Strategic Reference Framework (NSRF), through the European Regional Development Fund (ERDF)

Preparation of chitosan scaffolds for tissue engineering using supercritical fluid technology

The aim of this study was to evaluate the possibility of preparing chitosan porous matrixes using supercritical fluid technology. Supercritical immersion precipitation technique was used to prepare scaffolds of a natural biocompatible polymer, chitosan, for tissue engineering purposes. The physicochemical and biological properties of chitosan make it an excellent material for the preparation of drug delivery systems and for the development of new biomedical applications in many fields from skin to bone or cartilage. Immersion precipitation experiments were carried out at different operational conditions in order to optimize the processing method. The effect of different organic solvents on the morphology of the scaffolds was assessed. Additionally, different parameters that influence the process were tested and the effect of the processing variables such as polymer concentration, temperature and pressure in the chitosan scaffold morphology, porosity and interconnectivity was evaluated by micro computed tomography. The preparation of a highly porous and interconnected structure of a natural material, chitosan, using a clean and environmentally friendly technology constitutes a new processing technology for the preparation of scaffolds for tissue engineering using these materials