Synthesis and Application of the Doxaz-MARCKS Prodrug

Chemotherapeutic prodrugs have demonstrated success in killing cancer cells; however they also pose harm to healthy cells. The objective of this project was to synthesize an improved prodrug that is selectively activated only in the cancer microenvironment, thus minimally affecting healthy tissue. A photolabile linker was hypothesized to achieve said objective. The Yin group discovered that the MARCKS-ED peptide can localize to the exosome via curvature sensing and electrostatic interactions. In addition, the Koch group determined that Doxazolidine (Doxaz) is more cytotoxic than its clinical drug precursor. Also, no cancer cell lines have shown resistance to this anthracycline. Based on these studies, we decided to synthesize a prodrug containing a photolabile linker, MARCKS-ED peptide, and the Doxaz anthracycline. We hypothesized that a specific sequence of synthesis and purification steps would generate the prodrug. I carried out steps and characterized the products using NMR, HPLC and ESI-MS+. The results confirmed that the desired product was produced. Preliminary in-vitro experiments also showed that the prodrug was endocytosed by cells. It was then predicted that application of UV light will activate the prodrug and cause cell death

Corporate governance in modern Russia: axiological resources and their development

The paper offers a way to optimize corporate governance basing on the axiological resources that serve as guidelines for social and professional activitie

Prevalence and factors associated with the use of alternative (folk) medicine practitioners in 8 countries of the former Soviet Union.

BACKGROUND: Research suggests that since the collapse of the Soviet Union there has been a sharp growth in the use of complementary and alternative medicine (CAM) in some former Soviet countries. However, as yet, comparatively little is known about the use of CAM in the countries throughout this region. Against this background, the aim of the current study was to determine the prevalence of using alternative (folk) medicine practitioners in eight countries of the former Soviet Union (fSU) and to examine factors associated with their use. METHODS: Data were obtained from the Living Conditions, Lifestyles and Health (LLH) survey undertaken in eight former Soviet countries (Armenia, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine) in 2001. In this nationally representative cross-sectional survey, 18428 respondents were asked about how they treated 10 symptoms, with options including the use of alternative (folk) medicine practitioners. Multivariate logistic regression analysis was used to determine the factors associated with the treatment of differing symptoms by such practitioners in these countries. RESULTS: The prevalence of using an alternative (folk) medicine practitioner for symptom treatment varied widely between countries, ranging from 3.5% in Armenia to 25.0% in Kyrgyzstan. For nearly every symptom, respondents living in rural locations were more likely to use an alternative (folk) medicine practitioner than urban residents. Greater wealth was also associated with using these practitioners, while distrust of doctors played a role in the treatment of some symptoms. CONCLUSIONS: The widespread use of alternative (folk) medicine practitioners in some fSU countries and the growth of this form of health care provision in the post-Soviet period in conditions of variable licensing and regulation, highlights the urgent need for more research on this phenomenon and its potential effects on population health in the countries in this region

Heavy metals air pollution study in mines environments. Case study Bregalnica river basin, Republic of Macedonia

Application of several moss species and attic dust for monitoring of anthropogenic impact on heavy metals air pollution in Bregalnica River Basin, Republic of Macedonia, was studied. Moss samples were reviewed for their potential to reflect heavy metals air pollution. The attention was focused on their quantification ability, underlying the metal accumulation within moss plant tissue and attic dust “historical archiving”. Potential “hot spots” were selected in areas of copper mine (Bučim mine) and lead and zinc mines (Zletovo mine and Sasa mine) as main metal pollution sources in the Eastern part of the Republic of Macedonia. Continuously, dust distribution from ore and flotation tailings occurs. This results with air-introduction and deposition of higher contents of certain metals. Several moss species (Hypnum cupressiforme, Homalothecium lutescens and Scleropodium purum) were used as plant sampling media. Determination of chemical elements was conducted by using both instrumental techniques: atomic emission spectrometry with inductively coupled plasma (ICP-AES) and mass spectrometry with inductively coupled plasma (ICP-MS). Combination of multivariate techniques (PCA, FA and CA) was applied for data processing and identification of elements association with lithogenic or anthropogenic origin. Spatial distribution maps were constructed for determination and localizing of narrower areas with higher contents of certain anthropogenic elements. In this way influences of selected human activities in local (small scale) air pollution can be determined. Summarized data reveal real quantification of the elements distribution not only in order determination of hazardously elements distribution, but also present complete characterization for elements deposition in mines environs

Survival of drug resistant tuberculosis patients in Lithuania: retrospective national cohort study

The research leading to these results has received funding from the European Community's Seventh Framework Programme (FP7/2007-2013) under grant agreement FP7-223681.

Bioavailability of metals occurring in polluted soil and its accumulation in plant food

Bioavailability of metals occurring in soil is the basic source of its accumulation in plant food. The impact of soil pollution (due to urban and mining areas) on the food chain presents a challenge for many investigations. Bioavailability of metals in a potentially polluted soil and their possible transfer and bioaccumulation in several vegetable species and herbs was examined. Three extraction methods were implemented for determination of bioavailable metals in the soil. Microwave digestion was applied for total digestion of the plant tissues, while on the soil samples open wet digestion with a mixture of acids was applied. Atomic emission spectrometry with inductively coupled plasma was used for determination of total elements contents. Significant enrichments in agricultural soil for As, Pb and Zn (in urban area), Cd, Cu and Ni (in a copper mine area), compared with the respective values from European standards were detected. On the basis of three different extraction methods, higher availability was assumed for both lithogenic and anthropogenic elements. Translocation factors higher than 1 were obtained for As, Cd, Cu, Ni, Pb and Zn. Higher root to shoot translocation of these metals indicated that plants species have vital characteristics to be used for phytoextraction of these metals. The obtained data also suggested that S. oleracea and R. acetosa were singled out to have a phytostabilization potential for Cd, Cu, Ni and Pb, while U. dioica only for Cu. Rumex acetosa has a potential for phytoextraction of Cd in urban and copper polluted areas

The role of global public health strategy in non-profit organisational change at country level: lessons from the joining of Save the Children and Merlin in Myanmar.

INTRODUCTION: The paper presents a case study that critically assesses the role of global strategy 'Public Health on the Frontline 2014-2015' ('the Strategy') in supporting Merlin and Save the Children's organisational change and future programme of the combined organisation in Myanmar. MATERIALS AND METHODS: Research was undertaken in 2014 in Myanmar. Twenty-six individual and three group interviews were conducted with stakeholders, and 10 meetings relevant to the country organisational transition process were observed. A conceptual framework was developed to assess the role of the global strategy in supporting the country change process. RESULTS: Several positive aspects of the global strategy were found, as well as critical shortcomings in its support to the organisational change process at country level. The strategy was useful in signalling Save the Children's intention to scale up humanitarian health provision. However, it had only limited influence on the early change process and outcomes in Myanmar. CONCLUSIONS: Results highlight several aspects that would enhance the role of a global strategy at country level. Lessons can be applied by organisations undertaking a similar process. Copyright © 2016 John Wiley & Sons, Ltd

Understanding and measuring quality of care: dealing with complexity.

Existing definitions and measurement approaches of quality of health care often fail to address the complexities involved in understanding quality of care. It is perceptions of quality, rather than clinical indicators of quality, that drive service utilization and are essential to increasing demand. Here we reflect on the nature of quality, how perceptions of quality influence health systems and what such perceptions indicate about measurement of quality within health systems. We discuss six specific challenges related to the conceptualization and measurement of the quality of care: perceived quality as a driver of service utilization; quality as a concept shaped over time through experience; responsiveness as a key attribute of quality; the role of management and other so-called upstream factors; quality as a social construct co-produced by families, individuals, networks and providers; and the implications of our observations for measurement. Within the communities and societies where care is provided, quality of care cannot be understood outside social norms, relationships, trust and values. We need to improve not only technical quality but also acceptability, responsiveness and levels of patient-provider trust. Measurement approaches need to be reconsidered. An improved understanding of all the attributes of quality in health systems and their interrelationships could support the expansion of access to essential health interventions