549 research outputs found

    Advances in molecularly imprinted polymers as drug delivery systems

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    Despite the tremendous efforts made in the past decades, severe side/toxic effects and poor bioavailability still represent the main challenges that hinder the clinical translation of drug molecules. This has turned the attention of investigators towards drug delivery vehicles that provide a localized and controlled drug delivery. Molecularly imprinted polymers (MIPs) as novel and versatile drug delivery vehicles have been widely studied in recent years due to the advantages of selective recognition, enhanced drug loading, sustained release, and robustness in harsh conditions. This review highlights the design and development of strategies undertaken for MIPs used as drug delivery vehicles involving different drug delivery mechanisms, such as rate-programmed, stimuli-responsive and active targeting, published during the course of the past five years

    Molecular Insight into the Self-Assembly Process of Cellulose I beta Microfibril

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    The self-assembly process of β-D-glucose oligomers on the surface of cellulose Iβ microfibril involves crystallization, and this process is analyzed herein, in terms of the length and flexibility of the oligomer chain, by means of molecular dynamics (MD) simulations. The characterization of this process involves the structural relaxation of the oligomer, the recognition of the cellulose I microfibril, and the formation of several hydrogen bonds (HBs). This process is monitored on the basis of the changes in non-bonded energies and the interaction with hydrophilic and hydrophobic crystal faces. The oligomer length is considered a parameter for capturing insight into the energy landscape and its stability in the bound form with the cellulose I microfibril. We notice that the oligomer–microfibril complexes are more stable by increasing the number of hydrogen bond interactions, which is consistent with a gain in electrostatic energy. Our studies highlight the interaction with hydrophilic crystal planes on the microfibril and the acceptor role of the flexible oligomers in HB formation. In addition, we study by MD simulation the interaction between a protofibril and the cellulose I microfibril in solution. In this case, the main interaction consists of the formation of hydrogen bonds between hydrophilic faces, and those HBs involve donor groups in the protofibril

    Indeterminate Thyroid Nodules: From Cytology to Molecular Testing

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    Thyroid cancer is the most common malignancy of the endocrine system. Fine-needle aspiration (FNA) biopsy of thyroid nodules has become the gold standard procedure, in terms of cost and efficacy, for guiding clinicians towards appropriate patients’ management. One challenge for cytopathologists is to accurately classify cytological specimens as benign or malignant based on cytomorphological features. In fact, with a frequency ranging from 10% to 30%, nodules are diagnosed as indeterminate. In recent years, the mutational landscape of thyroid tumors has been extensively described, and two molecular profiles have been identified: RAS-like (NRAS, HRAS, and KRAS mutations; EIF1AX mutations; BRAF K601E mutation; and PPARG and THADA fusions) and BRAFV600E-like (including BRAFV600E mutation and RET and BRAF fusions). The purpose of this review is to discuss the latest molecular findings in the context of indeterminate thyroid nodules, highlighting the role of molecular tests in patients’ management

    Multitemporal analysis as a non-invasive technology indicates a rapid change in land use in the Amazon: The case of the ITT oil block

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    Producción CientíficaThe Amazon Region of Ecuador (ARE) hosts a great variety of biodiversity and ecosystems. These hotspots are internationally recognized for presenting unique fauna and flora found nowhere else in the world. Within the ARE, there is the Yasuní National Park (YNP), a recognized Biosphere Reserve located in the sub-basins of various rivers. The study area is the “ITT Oil Block” (Ishpingo, Tambococha, and Tiputini), situated in the Province of Orellana and superimposed on the YNP. The block has an area of 179,449.53 ha. The main objective of the current study was to analyze the multi-temporality of land-use change in the ITT Oil Block of the ARE. In the methodological process, the PCI Geomatic and ARCGIS programs were used for the processing and classification of satellite images (Landsat 7 and 8). The changes in land use in the ITT Oil Block over the three periods (2001, 2014, and 2017) indicated that forest cover decreased by 24.23% in soils, while infrastructure and cultivation increased throughout the time period by 0.27% and 0.23%, respectively. The most significant land-use change rate in the ITT Oil Block in the period 2001–2017 are the categories of bare soil with 9.01% (10,640.82 ha) and cultivation with 7.27% (591.29 ha)

    Public Security and Politics: An Analysis of Data in the City of Buenos Aires

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    The sustained increase in demands of citizens for greater security, along with the emergence of new information technologies, has given a predominant place to crime statistics. However, data collection is a complex task, and not a scarce one for discussion. The tools used to measure violence and crime levels are in constant debate, as are the sources of information available. In this paper, we aim to make a diagnosis and an evaluation of the online and public access information systems on public security in the Autonomous City of Buenos Aires between 2011 and 2016

    Management of Posterior Reversible Syndrome in Preeclamptic Women

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    Posterior reversible encephalopathy syndrome (PRES) is a neurological syndrome associated with a number of conditions including preeclampsia. It is characterized by seizures, alteration of consciousness, visual disturbances, and symmetric white matter abnormalities, typically in the posterior parietooccipital regions of the cerebral hemispheres, at computed tomography (CT) and magnetic resonance (MRI). We report three new cases of PRES in preeclamptic patients and describe the management of these patients. We present a brief review of other cases in the literature, with particular attention to the anesthetic management

    'He just gave up': an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours

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    This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation and behaviours in the form of self-harm and self-neglect. Care homes are a significant place of care until death, yet a discourse of silence means that self-harm and suicide is under-reported or not attended to with specialist expertise. The layperson’s concept of an older person ‘giving up’ on life is hardly discussed in the literature. This co-produced qualitative study used an inductive approach to explore this phenomenon through focus groups with 33 care staff across four care homes in South-East England. Findings paint a complex picture, highlighting tensions in providing the right support and creating spaces to respond to such challenging situations. ‘Giving up’ requires skilled detailed assessment to respond to risks alongside improved training and support for paid carers, to achieve a more holistic strategy which capitalises on significant relationships within a wider context
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