Adhesive Materials for Biomedical Applications

Recently, polymeric bioadhesives have become known as promising alternatives to sutures, staples, and wires. Traditional wound closure techniques are time-consuming to apply and cause additional tissue damage. In instances of large-scale hemorrhage or minimally invasive laparoscopic surgery, sutures are impractical to apply. Alternatively, newly developed bioadhesives are polymers that can be dripped or sprayed over superficial or internal injuries, solidifying in situ to form a seal that apposes tissue or arrests bleeding over large areas. This review will outline the main categories of polymers that have been investigated for these applications. The chemistry, mechanisms of adhesion, and advantages and limitations of each category will be described. In addition, needs for next-generation adhesives in tissue engineering will be discussed. For the repair of certain load-bearing areas of the body, such as cartilage and the intervertebral disc, scaffold adhesion is necessary for anchoring the scaffold in place and providing adequate transmission of forces. Researchers continue developing new formulations that exhibit improved biocompatibility, strength, elasticity, and degradability. These advances promise to improve clinical outcomes by enhancing bleeding control and wound healing. In the long term, bioadhesives will play an important role in making orthopedic and musculoskeletal tissue engineering clinically feasible

La ética de Husserl

Fil: Vernengo, Roberto J. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Filosofía del Derecho. Buenos Aires, Argentin

Derechos humanos y derechos subjetivos

Fil: Vernengo, Roberto J. Universidad de Buenos Aires. Facultad de Derecho. Cátedra Teoría General y Filosofía del Derecho. Buenos Aires, ArgentinaFil: Vernengo, Roberto J. CONICET. Buenos Aires, Argentin

Moral y derechos: sus relaciones lógicas

This article examines the logical and linguistic structures of moral discourse and legal discourse from an analytical point of view, in their prescriptive codes, in order to determine the relationship that exists between the two discourses. Although efforts have been made throughout the course of history to secure a sphere of autonomy in the moral subject, and to avoid the external regulatory interference of the arm of the state or the spiritual power of a church, it has not been achieved. The connections between law and morality are demanded from different approaches, although the relations that ground the two discourses are vague and problematic. Vernengo rejects a relationship of subordination of law to morality. Morality, rather than ground the immediate logic of law, establishes a set of reasons, not the only ones because there are other axiological ingredients, justifying the positive laws and duties that concern subjective rights and duties. This involves lowering the relationship between law and morality to a contingent empirical confirmation.El artículo analiza desde un punto de vista analítico las estructuras lógicas y lingüísticas del discurso moral y del discurso jurídico, en cuanto a sus códigos prescriptivos, con el fin de determinar la relación que existe entre ambos discursos. Aunque se han hecho esfuerzos a la largo de la historia por garantizar una esfera de autonomía en el sujeto moral, y por evitar la injerencia reguladora externa del brazo del Estado o el poder espiritual de alguna iglesia, no se ha conseguido. Desde planteamientos diferentes se exigen conexiones entre derecho y moral, si bien las relaciones de fundamentación que se postulan entre ambos discursos son vagas y problemáticas. Vernengo rechaza una relación de subalternación del derecho con respecto a la moral. La moral más que fundamento lógico inmediato del derecho, establece un conjunto de razones, no las únicas pues existen otros ingredientes axiológicos, que justifican en los derechos positivos que instituyan deberes y derechos subjetivos. Esto implica rebajar la relación entre derecho y moral a una contingente constatación empírica

IL-10 Producing B Cells Dampen Protective T Cell Response and Allow Chlamydia muridarum Infection of the Male Genital Tract

A significant proportion of individuals develop chronic, persistent and recurrent genital tract infections with Chlamydia trachomatis, which has been attributed to the numerous strategies that the bacterium uses to subvert host immune responses. Animal chlamydia models have demonstrated that protective immune response is mediated by CD4+ Th1 cytokine responses. Herein, we demonstrate that early after infecting the male genital tract, C. muridarum triggers the production of IL-10 by splenic and lymph node cells. In addition, C. muridarum triggers IL-6 and TNFα secretion. Data obtained from in vitro and in vivo experiments revealed B cells as the major IL-10 contributors. Indeed, purified B cells produced high amounts of IL-10 and also exhibited enhanced expression of inhibitory molecules such as CD39, PD-L1 and PD1 after C. muridarum stimulation. In vitro experiments performed with sorted cell subsets revealed that Marginal Zone B cells were the main IL-10 producers. In vitro and in vivo studies using TLR-deficient mice indicated that TLR4 signaling pathway was essential for IL-10 production. In addition, in vivo treatments to neutralize IL-10 or deplete B cells indicated that IL-10 and B cells played a significant role in delaying bacterial clearance ability. Moreover, the latter was confirmed by adoptive cell transfer experiments in which the absence of IL-10-producing B cells conferred the host a greater capability to induce Th1 responses and clear the infection. Interestingly, NOD mice, which were the least efficient in clearing the infection, presented much more Marginal Zone B counts and also enhanced TLR4 expression on Marginal Zone B cells when compared to B6 and BALB/c mice. Besides, treatment with antibodies that selectively deplete Marginal Zone B cells rendered mice more capable of inducing enhanced IFNγ responses and clearing the infection. Our findings suggest that B cells play a detrimental role in C. muridarum infection and that activation by innate receptors like TLR4 and IL-10 production by these cells could be used by Chlamydia spp. as a strategy to modulate the immune response establishing chronic infections in susceptible hosts

Ex vivo intervertebral disc cultures: degeneration-induction methods and their implications for clinical translation

Because low back pain is frequently a result of intervertebral disc degeneration (IVDD), strategies to regenerate or repair the IVD are currently being investigated. Often, ex vivo disc cultures of non-human IVD organs or tissue explants are used that usually do not exhibit natural IVDD. Therefore, degenerative changes mimicking those reported in human IVDD need to be induced. To support researchers in selecting ex vivo disc cultures, a systematic search was performed for them and their potential use for studying human IVDD reviewed. Five degeneration induction categories (proinflammatory cytokines, injury/damage, degenerative loading, enzyme, and other) were identified in 129 studies across 7 species. Methods to induce degeneration are diverse and can induce mild to severe degenerative changes that progress over time, as described for human IVDD. The induced degenerative changes are model-specific and there is no "one-fits-all" IVDD induction method. Nevertheless, specific aspects of human IVDD can be well mimicked. Currently, spontaneously degenerated disc cultures from large animals capture human IVDD in most aspects. Combinatorial approaches of several induction methods using discs derived from large animals are promising to recapitulate pathological changes on several levels, such as cellular behaviour, extracellular matrix composition, and biomechanical function, and therefore better mimic human IVDD. Future disc culture setups might increase in complexity, and mimic human IVDD even better. As ex vivo disc cultures have the potential to reduce and even replace animal trials, especially during preclinical development, advancement of such models is highly relevant for more efficient and cost-effective clinical translation from bench-to-bedside

Ex vivo intervertebral disc cultures: degeneration-induction methods and their implications for clinical translation

Because low back pain is frequently a result of intervertebral disc degeneration (IVDD), strategies to regenerate or repair the IVD are currently being investigated. Often, ex vivo disc cultures of non-human IVD organs or tissue explants are used that usually do not exhibit natural IVDD. Therefore, degenerative changes mimicking those reported in human IVDD need to be induced. To support researchers in selecting ex vivo disc cultures, a systematic search was performed for them and their potential use for studying human IVDD reviewed. Five degeneration induction categories (proinflammatory cytokines, injury/damage, degenerative loading, enzyme, and other) were identified in 129 studies across 7 species. Methods to induce degeneration are diverse and can induce mild to severe degenerative changes that progress over time, as described for human IVDD. The induced degenerative changes are model-specific and there is no “one-fits-all” IVDD induction method. Nevertheless, specific aspects of human IVDD can be well mimicked. Currently, spontaneously degenerated disc cultures from large animals capture human IVDD in most aspects. Combinatorial approaches of several induction methods using discs derived from large animals are promising to recapitulate pathological changes on several levels, such as cellular behaviour, extracellular matrix composition, and biomechanical function, and therefore better mimic human IVDD. Future disc culture setups might increase in complexity, and mimic human IVDD even better. As ex vivo disc cultures have the potential to reduce and even replace animal trials, especially during preclinical development, advancement of such models is highly relevant for more efficient and cost-effective clinical translation from bench-to-bedside

Regional and experiential differences in surgeon preference for the treatment of cervical facet injuries: a case study survey with the AO Spine Cervical Classification Validation Group

Purpose: The management of cervical facet dislocation injuries remains controversial. The main purpose of this investigation was to identify whether a surgeon’s geographic location or years in practice influences their preferred management of traumatic cervical facet dislocation injuries. Methods: A survey was sent to 272 AO Spine members across all geographic regions and with a variety of practice experience. The survey included clinical case scenarios of cervical facet dislocation injuries and asked responders to select preferences among various diagnostic and management options. Results: A total of 189 complete responses were received. Over 50% of responding surgeons in each region elected to initiate management of cervical facet dislocation injuries with an MRI, with 6 case exceptions. Overall, there was considerable agreement between American and European responders regarding management of these injuries, with only 3 cases exhibiting a significant difference. Additionally, results also exhibited considerable management agreement between those with ≤ 10 and > 10 years of practice experience, with only 2 case exceptions noted. Conclusion: More than half of responders, regardless of geographical location or practice experience, identified MRI as a screening imaging modality when managing cervical facet dislocation injuries, regardless of the status of the spinal cord and prior to any additional intervention. Additionally, a majority of surgeons would elect an anterior approach for the surgical management of these injuries. The study found overall agreement in management preferences of cervical facet dislocation injuries around the globe