In vivo biocompatibility and safety asessment of a dextrin-based hydrogel for biomedical applications

[Excerpt] Hydrogels are three dimensional, crosslinked networks of hydrophilic polymers swollen with a large amount of water or biological fluids. They can be combined with granules of ceramic-based synthetic bone substitutes (SBSs) aiming to stabilize them into bone defects and to obtain injectable formulations. Our research group has been characterizing a fully resorbable and injectable dextrin-based hydrogel (HG) which was intended to perform as a multifunctional platform, enabling the combination with stem cells and other bioactive agents, during clinical procedures [1-3]. In a subcutaneous assay, the HG was able to incorporate and stabilize ceramic granules (250-500 um) in the implant site, demonstrating its potential as an injectable carrier and stabilizer of SBSs [3]. [...]Isabel Pereira was supported by the grant SFRH/BD/ 90066/2012 from FCT. We thank FEDER and NORTE 2020 through the project nº 003262 titled iBONE therapies: advanced solutions for bone regeneration and NORTE-01-0145-FEDER-000012. We also thank the funding from FCT (UID/BIO/044469/2013 and UID/BIM/04293/2013) and from FEDER through COMPETE 2020 (POCI-01-0145-FEDER-006684).info:eu-repo/semantics/publishedVersio

Sustainable value methodology to compare the performance of conversion technologies for the production of electricity and heat, energy vectors and biofuels from waste biomass

ABSTRACT: The Sustainable Value methodology was used to compare and rank eight combinations of waste biomass types and conversion technologies on a common assessment basis to produce energy, energy vectors and advanced biofuels. The studied combinations included agricultural and agro-industrial residues, slurries and effluents, pulp and paper mill sludge, piggery effluents and organic fractions of municipal solid waste, to produce biodiesel by (trans)esterification, biogas by anaerobic digestion, ethanol by fermentation, hydrogen by dark fermentation, electricity and heat by combustion, biogas and synthesis gas by gasification, and bio-oils by pyrolysis or hydrothermal liquefaction. The numerator “Functional Performance” of the Sustainable Value indicator was estimated according to 14 criteria of process technology, material and energy inputs and outputs, and acceptance by the stakeholders. The performance of the technologies was classified based on the values of relative importance (φ) and level of satisfaction (S) attributed to each criterion. The gasification of residues from the olive-oil industry reached the highest “Functional Performance”, followed by anaerobic digestion of chestnut processing residues and pig-rearing effluents. The Sustainable Value denominator “Costs” depended mainly on the degree of maturity of the technologies, which penalised pyrolysis, hydrothermal liquefaction and dark fermentation. The final ranking of the Sustainable Value indicator was gasification> combustion> anaerobic digestion> (trans)esterification> pyrolysis and fermentation to ethanol> hydrothermal liquefaction> dark fermentation, respectively for the most adequate waste biomass types under study. Thermochemical conversions were mainly impacted by process and input criteria, while output and social acceptance criteria were more decisive for the biochemical conversions.info:eu-repo/semantics/publishedVersio

IMPACT: The Journal of the Center for Interdisciplinary Teaching and Learning. Volume 11, Issue 2, Summer 2022

The essays in this issue explore interdisciplinarity in the classroom and/or education. Our first contributor argues that making the economics curriculum more interdisciplinary corrects some common American misconceptions about Africa and encourages students to develop a richer understanding of both economics and Africa, while also teaching students that Africa need not be relegated merely to economic development courses and instead shows how Africa, particularly the Swahili Coast, was both inventive and innovative. In our second contribution, three authors writing together explore the power of storytelling in interdisciplinary learning communities, or cohorts of first-semester students enrolled in general-education classes that connect through a common theme. The authors detail how they developed their learning community around storytelling, while also arguing that interdisciplinary learning communities grounded in storytelling are high-impact practices that help students connect to their school community, classes, and to each other and to see their learning as relevant in their lives. Using two classification schemes (Biglan’s disciplinary classification scheme and Holland’s hexagon of occupational interests and personality characteristics) that are relevant for understanding collaborations between disciplines in multidisciplinary and/or interdisciplinary education to analyze disciplinary collaborations in education, our third contributor measured the correlation between the two classification systems to determine the relationship between them. Based on the study, the author argues the two classification schemes and their relationships provide helpful frameworks for understanding disciplinary similarities and differences, while also providing important insights about how members of collaborating disciplines may complement or differ with one another

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AIM: The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. METHODS: This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. RESULTS: Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90-1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69-1.27, P = 0.672). Longer delays were not associated with poorer outcomes. CONCLUSION: One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.Peer reviewe

Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants

Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m2. In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, they had a much larger gain in height than they did in BMI. The unhealthiest changes—gaining too little height, too much weight for their height compared with children in other countries, or both—occurred in many countries in sub-Saharan Africa, New Zealand, and the USA for boys and girls; in Malaysia and some Pacific island nations for boys; and in Mexico for girls. Interpretation The height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks

Robust estimation of bacterial cell count from optical density

Optical density (OD) is widely used to estimate the density of cells in liquid culture, but cannot be compared between instruments without a standardized calibration protocol and is challenging to relate to actual cell count. We address this with an interlaboratory study comparing three simple, low-cost, and highly accessible OD calibration protocols across 244 laboratories, applied to eight strains of constitutive GFP-expressing E. coli. Based on our results, we recommend calibrating OD to estimated cell count using serial dilution of silica microspheres, which produces highly precise calibration (95.5% of residuals &lt;1.2-fold), is easily assessed for quality control, also assesses instrument effective linear range, and can be combined with fluorescence calibration to obtain units of Molecules of Equivalent Fluorescein (MEFL) per cell, allowing direct comparison and data fusion with flow cytometry measurements: in our study, fluorescence per cell measurements showed only a 1.07-fold mean difference between plate reader and flow cytometry data

Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions