A bio-based and non-toxic polyurethane film derived from Luffa cylindrica cellulose and L-Lysine diisocyanate ethyl ester

This study aims to explore the step-growth polymerization (SGP) between the most abundant biomass-cellulose (LCC) extracted from Luffa cylindrica (LC) and L-Lysine diisocyanate ethyl ester (L-LDI) to be achieved an unprecedented polyurethane network (PUR). The resulting bio-based and non-toxic PUR film is obtained by direct solution casting after SGP. The efficiency of the SGP is examined in detail Fourier transform infrared (FT-IR) and proton nuclear magnetic resonance (H-1 NMR) spectroscopies, water contact angle (WCA) measurements, thermogravimetric and differential scanning calorimetry analyses (TGA and DSC) by comparing precursors and final film. Moreover, the biodegradation behavior of PUR achieved is evaluated in vitro both hydrolytic and enzymatic media. Based on the conducted analyses, PUR film shows higher hydrophobicity and degradation temperatures compared to raw LC and LCC. Moreover, it is determined that the PUR film more degradable than its precursors in both hydrolytic and enzymatic media. Consequently, the approach developed here is broadly adaptable to other functional isocyanate monomers and will be useful to scientists working on bioplastic applications

Preparation of a sustainable bio-copolymer based on Luffa cylindrica cellulose and poly(ɛ-caprolactone) for bioplastic applications

In this research, a bio-based graft copolymer (LCC-g-PCL) based on the cellulose of Luffa cylindrica (LCC) main chain possessing poly(ɛ-caprolactone) (PCL) pendant groups is synthesized through a grafting from approach via ring-opening polymerization (ROP). For this purpose, LCC, extracted from luffa sponges by combined method, is utilized for ROP of ɛ-caprolactone (ɛ-CL) as a macro-initiator in the presence of stannous octoate as a catalyst. Fourier transform infrared (FT-IR), proton and carbon nuclear magnetic resonance (1H NMR and 13C NMR) spectroscopies are utilized to structurally indicate the success of ROP, while the achieved graft copolymer is analyzed in detail by comparing with LCC and neat PCL in terms of wettability, thermal and degradation behaviors by conducting water contact angle (WCA) measurements, thermogravimetric and differential scanning calorimetry analyses (TGA and DSC) and in vitro both hydrolytic and enzymatic biodegradation tests, respectively. The results of conducted tests show that the incorporation of PCL groups on LCC provide the increasing hydrophobicity. In addition, the degradation behavior of the LCC-g-PCL copolymer is found to be more pronounced under enzymatic medium rather than hydrolytic conditions. It is anticipated from the results that LCC-g-PCL can be a potential eco-friendly material particularly in bioplastic industry

Effect of bladder dysfunction on development of depression and anxiety in Parkinson's disease

Objectives: Parkinson's disease (PD) often presents with movement disorder. However, besides motor complaints, there are many complaints such as anxiety, depression, urinary complaints and constipation. The aim of this study was to investigate whether neurogenic lower urinary dysfunction (NLUD), which is frequently seen in PD, has an effect on the development of anxiety and depression in these patients. Materials and methods: The study included 32 males (66.6%) and 16 females (33.3%); in total 48 subjects were registered. For the diagnosis and severity of PD, the UK Parkinson's Disease Society Brain Bank Criteria, Unified Parkinson's Disease Rating Scale (UPDRS) and the Hoehn-Yahr scale were used. Urological evaluation was performed using history, physical examination, laboratory tests and standard forms such as IPSS and OAB-V8. Results: There was no difference between the genders in terms of duration, severity and NLUD (p > 0.05). The incidence of anxiety and depression in PD patients was 62.8% and 72.1%, respectively. The prevalence of NLUD was 67.4% and depression and anxiety was found to increase (1.06 and 1.28 times, respectively) in relation to NLUD. In particular, there was a relationship between storage lower urinary tract symptoms and anxiety and depression development (p < 0.05). Conclusions: As expected, it was found that the incidence of NLUD, anxiety and depression was increased in PD. In addition, NLUD was found to be a risk factor for the development of anxiety and depression. Therefore, it is concluded that NLUD, which can potentially cause important complications, as well as motor complaints, should be closely monitored and treated in PD patients

Gonadoblastoma with Dysgerminoma in a Phenotypically Turner-Like Girl with 45,X/46,XY Karyotype.

Individuals with 45,X/46,XY karyotype are at increased risk for germ cell tumor development. We report a case with a diagnosis of 45,X/46,XY gonadal dysgenesis who presented with short stature, physical stigmata of Turner syndrome. Her pubertal development was at Tanner stage 3. At follow-up, bilateral prophylactic gonadectomy was performed when considering the risk factors. Pathological assessment was consistent with gonadoblastoma in the left gonad, and dysgerminoma and gonadoblastoma in neighboring areas in the right gonad. The karyotype analysis of the right and left gonadal tissues reveled 45,X[97,3]/46,XY[2,7] and 45,X[92,7]/46,XY[4,5]/47,XYY [2,8] mosaic, respectively. The clinical management of such patient should be individualized according to the present risk factors. Additionally, signs of estrogenization like advanced breast development always suggest the possible presence of germ cell tumor

The Effect of Corticosteroid Therapy on Choroidal Thickness in Patients With Covid-19 Infection: A Prospective, Comparative, and Observational Study

Background: Coronavirus disease 2019 (Covid-19) has many different ocular manifestations. This study evaluates the effects of the disease and the steroid used in this disease on ocular structures. Purpose: To evaluate the effects of Covid-19 and the steroids used in the treatment of severe infection on ocular structures and choroidal thickness. Methods: This prospective study included 76 eyes of 76 patients who were hospitalized due to Covid-19 and 30 eyes of 30 healthy volunteering controls. Group I included 35 eyes who were hospitalized due to moderate-to-severe involvement that received steroid treatment, group II included 41 eyes with moderate involvement that did not require steroid treatment, and group III included 30 eyes with age- and gender-matched control subjects. Ophthalmological examination and imaging results of the patients obtained in the third week and third month after the diagnosis were compared between the groups. Results: Mean age of all participants was 40.2 ± 6.1 years. In the third week after the diagnosis of Covid-19, choroidal thickness in all regions (subfoveal, nasal, and temporal) was significantly greater in group I than in group II (for all, p<0.001). Moreover, choroidal thicknesses were significantly higher in group I and group II than in the control group (for all, p<0.001). In the third month, all the groups had similar choroidal thickness values (for subfoveal, nasal, and temporal; p=0.058, p=0.111, p=0.079, respectively). Conclusion: Our findings showed that Covid-19 infection causes choroidal thickening by affecting the choroidal layer and that steroid treatment further increases this thickness in the acute period. In addition, the reversal of this thickening to the normal level within a period of three months indicates that the effect of the disease on the choroid is reversible