Pullulan hydrogels as drug release platforms in biomedicine

It is increasingly urgent to develop new therapeutic systems to combat the spreading and evolution of various pathologies globally. Nonspecific therapies and/or insufficient medication biodistribution might hinder the patient's recovery. In this sense, a targeted and controlled delivery of various biomolecules allows overcoming the limitations of conventional delivery systems, taking the user one step closer to the successful treatment of a disease. Hydrogels have been highlighted for their drug delivery abilities, particularly for their tunable properties, like hydration capacity, biodegradability, release kinetics, etc., that can be adjusted to the desired needs. Additionally, they can be produced from either natural and/or synthetic polymers, with natural-origin sources providing exceptional features like biodegradation and acceptable integration in biological systems. One of those polymers is pullulan, a biodegradable, biocompatible and hemocompatible material, with multiple uses in biomedicine. Investigations into pullulan-based hydrogels have progressively increased over the last few decades. This review addresses the uses of pullulan in biomedical engineering, emphasizing its exceptional properties for drug delivery and its processing into hydrogel systems, either in its original or derivative forms.Authors acknowledge the Portuguese Foundation for Science and Technology (FCT), FEDER funds by means of Portugal 2020 Competitive Factors Operational Program (POCI) and the Portuguese Government (OE) for funding the project PEPTEX with reference PTDC/CTM-TEX/28074/2017 (POCI-01-0145-FEDER-028074) and 2C2T Strategic project UIDP/00264/2020. M.O.T. and H.P.F. also acknowledge FCT for funding PhD scholarship with reference 2021.06906.BD and auxiliary researcher contract via 2021.02720. CEEIND, respectively

Atmospheric plasma immobilization of antimicrobial Zeolite loaded silver nanoparticles on medical textiles

1. Introduction Nosocomial infections, in particular problematic chronic wounds, are a ubiquitous general concern. This apprehension was acuted by the prevalence of multidrug resistant bacteria and emergence of Pandemics. Therefore, the development of novel and highly effective antimicrobial wound dressing comprising marginal or absent cytotoxicity to the patient is crucial. Plasma plays a key role in improving the functionalization of surfaces, in particular of textiles [1]. Thus, in this work we used atmospheric double dielectric discharge (DBD) plasma activated woven polyester (PES) functionalized with silver nanoparticles (AgNPs), enzymes as antimicrobial agents, immobilized using mordenite (MOR) zeolites and polysaccharide-based matrixes to mitigate cytotoxicity. 2. Methodology and results MOR was used with the objective of improving the concentration, stability, and immobilization efficiency of AgNPs and enzymes in the functionalized fabric. Therefore, a solution combining the AgNPs, and/or antimicrobial enzymes was prepared. Afterwards, this solution was mixed with a polysaccharide matrix, consisting of alginate or chitosan. Woven PES surface was activated using DBD and was impregnated with the prepared formulation. The antimicrobial activity of the functionalized fabrics was characterized using bacteria commonly associated to nosocomial infections as well as a virus that is a potential surrogate of severe acute respiratory coronavirus 2 (SARS-COV-2). The antimicrobial tests performed comprised the evaluation of antimicrobial efficacy when in contact with the composites during 1 to 2 hours, by adapting the following standards: AATCC TM100-100 and ISO18184. The microorganisms used were S. aureus, E. coli, and bacteriophage MS2. The formulated composites containing alginate as matrix displayed a high antibacterial activity (higher than 99.999 %) which was stable for over than 15 days of storage. However, it did not exhibit any antiviral activity. The alginate composites also did not hinder the activity of protease, which may have an important antifouling activity. Whereas, the composites containing chitosan exhibited a highly effective antimicrobial activity against the bacteria and the virus (higher than 99.9999 %) when zeolite was present in the formulation

Distinct antimicrobial analysis to evaluate multi-component wound dressing performance

Wound infection hinders adequate healing, being particularly grievous and prevalent in burn wounds and chronic wounds. Wound infection extends inflammation, preventing epithelialization and angiogenesis. Therefore, infection prolongs healing time, steeply increases treatment costs and degrades patients wellbeing. One successful strategy to control wound infection is to apply an active wound dressing, able to eliminate or significantly reduce the microbial population present at the infection site. Silver nanoparticles (AgNPs) are a multipurpose antimicrobial agent with a wide scope of applications which include wound dressings. Nevertheless, several studies denote AgNPs dose-dependent cytotoxicity, and their capability to bypass the blood-brain barrier and induce a neurotoxic effect. Hence, we propose to adopt two different strategies to attempt the simultaneously immobilize and increase the load of AgNPs within the wound dressing fabric. Thus, the envisaged objective is to prevent potential systemic cytotoxicity /through immobilization and to improve its antimicrobial capability due to the higher concentration of AgNPs. Two different approaches were used: i. AgNPs were suspended in an alginate (ALG) solution, ii. AgNPs were embedded in Mordenite (MOR) zeolite, followed by the addition of an ALG solution. Both suspensions were incorporated into polyester fabric assisted by its surface activation by dielectric barrier discharge (DBD) plasma treatment. The bactericidal and virucidal effectiveness of each composite was tested against bacteria species known to induce nosocomial infections and a bacteriophage that is a potential surrogate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Two distinct antimicrobial analyses were used to provide insights on the antimicrobial effectiveness of the obtained composites and to indirectly assess the release of AgNPs

Multicomponent wound dressing

This works describes the antimicrobial (antibacterial and antiviral) performance of a multicomponent fabric for wound dressing. The fabric comprises a scaffold of plasma activated polyester (PES), enveloped in a matrix of chitosan (CH) containing silver nanoparticles (AgNPs) and the zeolite mordenite (MOR). The antimicrobial efficacy of the cumulative addition of each of these components was evaluated.The authors would like to acknowledge the project PLASMAMED - PTDC/CTM-TEX/28295/2017 financed by FCT, FEDER and POCI in the frame of the Portugal 2020 program, the project UID/CTM/00264/2019 of 2C2T under the COMPETE and FCT/MCTES (PIDDAC) co-fnanced by FEDER through the PT2020 program

Distinct antimicrobial analysis to evaluate multi-component wound dressing performance

Wound infection hinders adequate healing, being particularly grievous and prevalent in burn wounds and chronic wounds. Wound infection extends inflammation, preventing epithelialization and angiogenesis. Therefore, infection prolongs healing time, steeply increases treatment costs and degrades patients wellbeing. One successful strategy to control wound infection is to apply an active wound dressing, able to eliminate or significantly reduce the microbial population present at the infection site. Silver nanoparticles (AgNPs) are a multipurpose antimicrobial agent with a wide scope of applications which include wound dressings. Nevertheless, several studies denote AgNPs dose-dependent cytotoxicity, and their capability to bypass the blood-brain barrier and induce a neurotoxic effect. Hence, we propose to adopt two different strategies to attempt the simultaneously immobilize and increase the load of AgNPs within the wound dressing fabric. Thus, the envisaged objective is to prevent potential systemic cytotoxicity /through immobilization and to improve its antimicrobial capability due to the higher concentration of AgNPs. Two different approaches were used: i. AgNPs were suspended in an alginate (ALG) solution, ii. AgNPs were embedded in Mordenite (MOR) zeolite, followed by the addition of an ALG solution. Both suspensions were incorporated into polyester fabric assisted by its surface activation by dielectric barrier discharge (DBD) plasma treatment. The bactericidal and virucidal effectiveness of each composite was tested against bacteria species known to induce nosocomial infections and a bacteriophage that is a potential surrogate of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Two distinct antimicrobial analyses were used to provide insights on the antimicrobial effectiveness of the obtained composites and to indirectly assess the release of AgNPs

Physical properties of an antibacterial and antiviral woven cotton functionalized with a multi-nanocomposite

[Excerpt] Introduction Wound infection is a critical factor that seriously hinders adequate healing preventing epithelialization and angiogenesis. This is particularly grievous and prevalent in burn and chronic wounds.This research was funded by FEDER funds through the Operational Competitiveness Program–COMPETE under the Project POCI-01-0247-FEDER-039733, and by National Funds through Fundação para a Ciência e Tecnologia (FCT), under the project UID/CTM/00264/2020. Liliana Melro, Rui D. V. Fernandes, and Ana Isabel Ribeiro acknowledge FCT, MCTES, FSE, and UE PhD grants 2020.04919.BD, SFRH/BD/145269/2019, SFRH/BD/137668/2018

Transmural remission improves clinical outcomes up to 5 years in Crohn's disease

© 2022 The Authors. United European Gastroenterology Journal published by Wiley Periodicals LLC on behalf of United European Gastroenterology. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.Introduction: Evidence supporting transmural remission (TR) as a long-term treatment target in Crohn's disease (CD) is still unavailable. Less stringent but more reachable targets such as isolated endoscopic (IER) or radiologic remission (IRR) may also be acceptable options in the long-term. Methods: Multicenter retrospective study including 404 CD patients evaluated by magnetic resonance enterography and colonoscopy. Five-year rates of hospitalization, surgery, use of steroids, and treatment escalation were compared between patients with TR, IER, IRR, and no remission (NR). Results: 20.8% of CD patients presented TR, 23.3% IER, 13.6% IRR and 42.3% NR. TR was associated with lower risk of hospitalization (odds-ratio [OR] 0.244 [0.111-0.538], p < 0.001), surgery (OR 0.132 [0.030-0.585], p = 0.008), steroid use (OR 0.283 [0.159-0.505], p < 0.001), and treatment escalation (OR 0.088 [0.044-0.176], p < 0.001) compared to no NR. IRR resulted in lower risk of hospitalization (OR 0.333 [0.143-0.777], p = 0.011) and treatment escalation (OR 0.260 [0.125-0.540], p < 0.001), while IER reduced the risk of steroid use (OR 0.442 [0.262-0.745], p = 0.002) and treatment escalation (OR 0.490 [0.259-0.925], p = 0.028) compared to NR. Conclusions: TR improved clinical outcomes over 5 years of follow-up in CD patients. Distinct but significant benefits were seen with IER and IRR. This suggests that both endoscopic and radiologic remission should be part of the treatment targets of CD.info:eu-repo/semantics/publishedVersio

Transmural remission improves clinical outcomes up to 5 years in Crohn's disease

IntroductionEvidence supporting transmural remission (TR) as a long-term treatment target in Crohn's disease (CD) is still unavailable. Less stringent but more reachable targets such as isolated endoscopic (IER) or radiologic remission (IRR) may also be acceptable options in the long-term. MethodsMulticenter retrospective study including 404 CD patients evaluated by magnetic resonance enterography and colonoscopy. Five-year rates of hospitalization, surgery, use of steroids, and treatment escalation were compared between patients with TR, IER, IRR, and no remission (NR). Results20.8% of CD patients presented TR, 23.3% IER, 13.6% IRR and 42.3% NR. TR was associated with lower risk of hospitalization (odds-ratio [OR] 0.244 [0.111-0.538], p < 0.001), surgery (OR 0.132 [0.030-0.585], p = 0.008), steroid use (OR 0.283 [0.159-0.505], p < 0.001), and treatment escalation (OR 0.088 [0.044-0.176], p < 0.001) compared to no NR. IRR resulted in lower risk of hospitalization (OR 0.333 [0.143-0.777], p = 0.011) and treatment escalation (OR 0.260 [0.125-0.540], p < 0.001), while IER reduced the risk of steroid use (OR 0.442 [0.262-0.745], p = 0.002) and treatment escalation (OR 0.490 [0.259-0.925], p = 0.028) compared to NR. ConclusionsTR improved clinical outcomes over 5 years of follow-up in CD patients. Distinct but significant benefits were seen with IER and IRR. This suggests that both endoscopic and radiologic remission should be part of the treatment targets of CD.info:eu-repo/semantics/publishedVersio

Trajetórias da Educomunicação nas Políticas Públicas e a Formação de seus Profissionais

Esta obra é composta com os trabalhos apresentados no primeiro subtema, TRAJETÓRIA – Educação para a Comunicação como Política pública, nas perspectivas da Educomunicação e da Mídia-Educação, do II Congresso Internacional de Comunicação e Educação. Os artigos pretendem propiciar trocas de informações e produzir reflexões com os leitores sobre os caminhos percorridos, e ainda a percorrer, tendo como meta a expansão e a legitimação das práticas educomunicativas e/ou mídia-educativas como política pública para o atendimento à formação de crianças, adolescentes, jovens e adultos, no Brasil e no mundo