bluuebunny/crossref_metadata_2025 huggingface dataset:
Myoinositols Prevent Gestational Diabetes Mellitus and Related Complications: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Authors: Greff Dorina , Váncsa Szilárd , Váradi Alex , Szinte Julia , Park Sunjune , Hegyi Péter , Nyirády Péter , Ács Nándor , Horváth Eszter Mária , Várbíró Szabolcs
Published: October 2023

Although gestational diabetes mellitus (GDM) has several short- and long-term adverse effects on the mother and the offspring, no medicine is generally prescribed to prevent GDM. The present systematic review and meta-analysis aimed to investigate the effect of inositol supplementation in preventing GDM and related outcomes. Systematic search was performed in CENTRAL, MEDLINE, and Embase until 13 September 2023. Eligible randomized controlled trials (RCTs) compared the efficacy of inositols to placebo in pregnant women at high risk for GDM. Our primary outcome was the incidence of GDM, whereas secondary outcomes were oral glucose tolerance test (OGTT) and maternal and fetal complications. (PROSPERO registration number: CRD42021284939). Eight eligible RCTs were identified, including the data of 1795 patients. The incidence of GDM was halved by inositols compared to placebo (RR = 0.42, CI: 0.26–0.67). Fasting, 1-h, and 2-h OGTT glucose levels were significantly decreased by inositols. The stereoisomer myoinositol also reduced the risk of insulin need (RR = 0.29, CI: 0.13–0.68), preeclampsia or gestational hypertension (RR = 0.38, CI: 0.2–0.71), preterm birth (RR = 0.44, CI: 0.22–0.88), and neonatal hypoglycemia (RR = 0.12, CI: 0.03–0.55). Myoinositol decrease the incidence of GDM in pregnancies high-risk for GDM. Moreover, myoinositol supplementation reduces the risk of insulin need, preeclampsia or gestational hypertension, preterm birth, and neonatal hypoglycemia. Based on the present study 2–4 g myoinositol canbe suggested from the first trimester to prevent GDM and related outcomes.
Dissecting the Association between Gut Microbiota and Brain Structure Change Rate: A Two-Sample Bidirectional Mendelian Randomization Study
Authors: Huang Huimei , Cheng Shiqiang , Yang Xuena , Liu Li , Cheng Bolun , Meng Peilin , Pan Chuyu , Wen Yan , Jia Yumeng , Liu Huan , Zhang Feng
Published: October 2023

The connection between the gut microbiota and brain structure changes is still unclear. We conducted a Mendelian randomization (MR) study to examine the bidirectional causality between the gut microbiota (211 taxa, including 131 genera, 35 families, 20 orders, 16 classes and 9 phyla; N = 18,340 individuals) and age-independent/dependent longitudinal changes in brain structure across the lifespan (N = 15,640 individuals aged 4~99 years). We identified causal associations between the gut microbiota and age-independent/dependent longitudinal changes in brain structure, such as family Peptostreptococcaceae with age-independent longitudinal changes of cortical gray matter (GM) volume and genus Faecalibacterium with age-independent average cortical thickness and cortical GM volume. Taking age-independent longitudinal changes in brain structure across the lifespan as exposures, there were causal relationships between the surface area and genus Lachnospiraceae. Our findings may serve as fundamentals for further research on the genetic mechanisms and biological treatment of complex traits and diseases associated with the gut microbiota and the brain structure change rate.
Exogenous Ketone Supplementation and Ketogenic Diets for Exercise: Considering the Effect on Skeletal Muscle Metabolism
Authors: Khouri Hannah , Ussher John R. , Aguer Céline
Published: October 2023

In recent years, ketogenic diets and ketone supplements have increased in popularity, particularly as a mechanism to improve exercise performance by modifying energetics. Since the skeletal muscle is a major metabolic and locomotory organ, it is important to take it into consideration when considering the effect of a dietary intervention, and the impact of physical activity on the body. The goal of this review is to summarize what is currently known and what still needs to be investigated concerning the relationship between ketone body metabolism and exercise, specifically in the skeletal muscle. Overall, it is clear that increased exposure to ketone bodies in combination with exercise can modify skeletal muscle metabolism, but whether this effect is beneficial or detrimental remains unclear and needs to be further interrogated before ketogenic diets or exogenous ketone supplementation can be recommended.
The Different Ways Multi-Strain Probiotics with Different Ratios of Bifidobacterium and Lactobacillus Relieve Constipation Induced by Loperamide in Mice
Authors: Zhang Chenyue , Wang Linlin , Liu Xiaoming , Wang Gang , Guo Xinmei , Liu Xuecong , Zhao Jianxin , Chen Wei
Published: October 2023

Constipation is currently one of the most common gastrointestinal disorders, and its causes are diverse. Multi-strain probiotics are often considered a more effective treatment than single-strain probiotics. In this study, a constipation model was constructed using loperamide hydrochloride to evaluate the ability of a multi-strain probiotic combination of four different ratios of Bifidobacterium and Lactobacillus to regulate intestinal flora, relieve constipation, and explore the initial mechanism in mice. After four weeks of probiotic intervention, BM1, BM2, and PB2 effectively relieved constipation; however, the pathways involved were different. The Bifidobacteria-dominated formulations BM1 and BM2 mainly changed the composition and structure of the intestinal flora and significantly decreased the relative abundance of Tyzzerella, Enterorhabdus, Faecalibaculum, Gordonibacter, and Mucispirillum in stool; increased the relative abundance of Parabacteroides and the content of short-chain fatty acids (SCFAs) in stool; restored motilin (MTL) and vasoactive intestinal peptide (VIP) levels; and downregulated interleukin 6 (IL-6) and IL-8 levels in serum. This repaired the inflammatory response caused by constipation. Finally, it promoted peristalsis of the gastrointestinal tract, increasing stool water content, and relieving constipation. While Lactobacillus-dominated formula PB2 mainly restored the levels of serum neurotransmitters (MTL, SP (substance P), VIP and PYY (Peptide YY)) and inflammatory factors (IL-1, IL-6 and IL-8), it significantly decreased the relative abundance of Tyzzerella, Enterorhabdus, Faecalibaculum, Gordonibacter and Mucispirillum in stool; it then increased acetic acid content, thereby reducing the level of inflammation and changing stool properties and gastrointestinal motility.
Effects of Omega-3 Polyunsaturated Fatty Acids Intake on Vasomotor Symptoms, Sleep Quality and Depression in Postmenopausal Women: A Systematic Review
Authors: Iqbal Ayesha , Wu Suet-Kei , Zailani Halliru , Chiu Wei-Che , Liu Wen-Chun , Su Kuan-Pin , Lee Shin-Da
Published: October 2023

The menopausal transition is often accompanied with distressing manifestations, such as vasomotor symptoms, sleep disruptions, and depressive syndrome. Omega-3 polyunsaturated fatty acids (n-3 PUFAs) have emerged as a potential intervention to alleviate these symptoms. This review aimed to comprehensively assess the impact of n-3 PUFAs supplementation on vasomotor symptoms, sleep quality, and depression among postmenopausal women. We conducted a systematic literature search of randomized controlled trials across the Cochrane Library, Web of Science, PubMed, CINAHL, EMBASE, and SCOPUS databases from inception to August 2023. Among the initial pool of 163 identified studies, nine studies met the inclusion criteria and were incorporated into this systematic review. Notably, four studies detected potential benefits of n-3 PUFAs in improving hot flashes and night sweats. On the contrary, sleep quality outcomes displayed heterogeneity across the studies. Incorporating diverse scales, such as the Hamilton Depression Rating Scale-21, the Patient Health Questionnaire depression scale, and Generalized Anxiety Disorder-7 for depression outcomes, we found inconclusive evidence of n-3 PUFA’s impact on depression. Overall, the combined analysis of these studies did not provide substantial evidence to support the efficacy of n-3 PUFAs in improving vasomotor symptoms, sleep quality, and depression. Further well-designed randomized clinical trials with larger participant groups are crucial to validate and generalize these results. Review Registration: PROSPERO registration no: CRD42023421922.
Efficacy of Time-Restricted Eating and Behavioral Economic Intervention in Reducing Fasting Plasma Glucose, HbA1c, and Cardiometabolic Risk Factors in Patients with Impaired Fasting Glucose: A Randomized Controlled Trial
Authors: Suthutvoravut Unyaporn , Anothaisintawee Thunyarat , Boonmanunt Suparee , Pramyothin Sarunporn , Siriyothin Sukanya , Attia John , McKay Gareth J. , Reutrakul Sirimon , Thakkinstian Ammarin
Published: October 2023

This randomized controlled trial is aimed at assessing the efficacy of combining time-restricted eating (TRE) with behavioral economic (BE) interventions and comparing it to TRE alone and to the usual care for reducing fasting plasma glucose (FPG), hemoglobin A1c (HbA1c), and other cardiometabolic risk factors among patients with impaired fasting glucose (IFG). Seventy-two IFG patients aged 18–65 years were randomly allocated for TRE with BE interventions (26 patients), TRE alone (24 patients), or usual care (22 patients). Mean FPG, HbA1c, and other cardiometabolic risk factors among the three groups were compared using a mixed-effect linear regression analysis. Mean body weight, FPG, HbA1c, fasting insulin, and lipid profiles did not significantly differ among the three groups. When considering only patients who were able to comply with the TRE protocol, the TRE group showed significantly lower mean FPG, HbA1c, and fasting insulin levels compared to the usual care group. Our results did not show significant differences in body weight, blood sugar, fasting insulin, or lipid profiles between TRE plus BE interventions, TRE alone, and usual care groups. However, TRE might be an effective intervention in lowering blood sugar levels for IFG patients who were able to adhere to the TRE protocol.
Marine n−3 Fatty Acids and Prevention of Cardiovascular Disease: A Novel Analysis of the VITAL Trial Using Win Ratio and Hierarchical Composite Outcomes
Authors: Ogata Soshiro , Manson JoAnn E. , Kang Jae H. , Buring Julie E. , Lee I-Min , Nishimura Kunihiro , Sakata Yasuhiko , Danik Jacqueline Suk , D’Agostino Denise , Mora Samia , Albert Christine M. , Cook Nancy R.
Published: October 2023

This study aimed to investigate whether n−3 fatty acid supplementation reduced cardiovascular disease (CVD) events in a novel analysis using hierarchical composite CVD outcomes based on win ratio in the VITamin D and OmegA-3 TriaL (VITAL). This was a secondary analysis of our VITAL randomized trial, which assessed the effects of marine n−3 fatty acids (1 g/day) and vitamin D3 on incident CVD and cancer among healthy older adults (n = 25,871). The primary analysis estimated win ratios of a composite of major CVD outcomes prioritized as fatal coronary heart disease, other fatal CVD including stroke, non-fatal myocardial infarction (MI), and non-fatal stroke, comparing n−3 fatty acids to placebo. The primary result was a nonsignificant benefit of this supplementation for the prioritized primary CVD outcome (reciprocal win ratio [95% confidence interval]: 0.90 [0.78–1.04]), similar to the 0.92 (0.80–1.06) hazard ratio in our original time-to-first event analysis without outcome prioritization. Its benefits came from reducing MI (0.71 [0.57–0.88]) but not stroke (1.01 [0.80 to 1.28]) components. For the primary CVD outcome, participants with low fish consumption at baseline benefited (0.79 [0.65–0.96]) more than those with high consumption (1.05 [0.85–1.30]). These results are consistent with, but slightly stronger than, those without outcome prioritization.
Functional Role of Taurine in Aging and Cardiovascular Health: An Updated Overview
Authors: Santulli Gaetano , Kansakar Urna , Varzideh Fahimeh , Mone Pasquale , Jankauskas Stanislovas S. , Lombardi Angela
Published: October 2023

Taurine, a naturally occurring sulfur-containing amino acid, has attracted significant attention in recent years due to its potential health benefits. Found in various foods and often used in energy drinks and supplements, taurine has been studied extensively to understand its impact on human physiology. Determining its exact functional roles represents a complex and multifaceted topic. We provide an overview of the scientific literature and present an analysis of the effects of taurine on various aspects of human health, focusing on aging and cardiovascular pathophysiology, but also including athletic performance, metabolic regulation, and neurological function. Additionally, our report summarizes the current recommendations for taurine intake and addresses potential safety concerns. Evidence from both human and animal studies indicates that taurine may have beneficial cardiovascular effects, including blood pressure regulation, improved cardiac fitness, and enhanced vascular health. Its mechanisms of action and antioxidant properties make it also an intriguing candidate for potential anti-aging strategies.
Barriers in the Management of Obesity in Mexican Children and Adolescents through the COVID-19 Lockdown—Lessons Learned and Perspectives for the Future
Authors: Arellano-Alvarez Paulina , Muñoz-Guerrero Brenda , Ruiz-Barranco Alejandra , Garibay-Nieto Nayely , Hernandez-Lopez Ana María , Aguilar-Cuarto Karina , Pedraza-Escudero Karen , Fuentes-Corona Zendy , Villanueva-Ortega Erendira
Published: October 2023

The COVID-19 lockdown caused health system issues, including the need for long-term care for patients with conditions like childhood obesity. We wanted to know how the lockdown had changed our patients’ health and which variables had greater influence in preventing and managing overweight and obesity in kids and teens during and after the lockdown. Methods: Our study comprised two phases. The initial descriptive cross-sectional phase included surveys of children who are overweight or obese and their parents/guardians from the Pediatric Obesity Clinic at the Child Welfare Unit (UBI, acronym in Spanish) in the Hospital General de México “Dr. Eduardo Liceaga” (n = 129). The participants were studied to explore changes in lifestyle, physical activity, sleep patterns, eating behaviors, food consumption, anxiety, and depression. In the second phase, the biochemical, body composition, and anthropometric parameters of 29 pre-COVID-19 patients were compared before and after the lockdown. Results: The survey showed more moderate anxiety and depression, alterations in sleep, physical inactivity, and an increase in the consumption of animal products, fruits, cereals, tubers, sugary drinks, and ultra-processed food. In the study’s comparative phase, we observed a substantial increase in BMI z-score (p = 0.01), waist circumference (p < 0.001), fat mass (p < 0.001), percentage of adiposity (p = 0.002), and basal glucose (p = 0.047) and a drop in lean mass (p = 0.008). Conclusions: The pandemic led to a loss of routines and socioeconomic changes that made it difficult to address weight and obesity in young people. The results show that managing obesity in our patients involves considering both lifestyle and the social environment. This encourages us to consider a comprehensive and personalized approach.
Impact of a Teaching Kitchen Curriculum for Health Professional Trainees in Nutrition Knowledge, Confidence, and Skills to Advance Obesity Prevention and Management in Clinical Practice
Authors: Thang Christine K. , Guerrero Alma D. , Garell Cambria L. , Leader Janet K. , Lee Erica , Ziehl Kevin , Carpenter Catherine L. , Boyce Shanika , Slusser Wendelin
Published: October 2023

Nutrition knowledge, confidence, and skills are thought to be important elements in the role of healthcare professionals in obesity prevention and management. The Upstream Obesity Solutions curriculum goes upstream with a multidisciplinary approach to supplement nutrition education among health professional trainees. Educational strategies of didactics, teaching kitchens, and service-based learning were employed for medical, dental, and nursing students and resident physicians. Pre/post participation surveys assessed knowledge, attitude, and practices; lifestyle habits; and culinary skills among 75 trainees in this cross-sectional descriptive study. There was variability in statistically significant improvement in knowledge, attitudes, and practices about obesity management and nutrition education, lifestyle habits, and culinary skills among learner groups.
Supplementation of Medium-Chain Triglycerides Combined with Docosahexaenoic Acid Inhibits Amyloid Beta Protein Deposition by Improving Brain Glucose Metabolism in APP/PS1 Mice
Authors: Wang Zehao , Zhang Dalong , Cheng Cheng , Lin Zhenzhen , Zhou Dezheng , Sun Yue , Li Wen , Yan Jing , Luo Suhui , Qian Zhiyong , Li Zhenshu , Huang Guowei
Published: October 2023

The deterioration of brain glucose metabolism predates the clinical onset of Alzheimer’s disease (AD). Medium-chain triglycerides (MCTs) and docosahexaenoic acid (DHA) positively improve brain glucose metabolism and decrease the expression of AD-related proteins. However, the effects of the combined intervention are unclear. The present study explored the effects of the supplementation of MCTs combined with DHA in improving brain glucose metabolism and decreasing AD-related protein expression levels in APP/PS1 mice. The mice were assigned into four dietary treatment groups: the control group, MCTs group, DHA group, and MCTs + DHA group. The corresponding diet of the respective groups was fed to mice from the age of 3 to 11 months. The results showed that the supplementation of MCTs combined with DHA could increase serum octanoic acid (C8:0), decanoic acid (C10:0), DHA, and β-hydroxybutyrate (β-HB) levels; improve glucose metabolism; and reduce nerve cell apoptosis in the brain. Moreover, it also aided with decreasing the expression levels of amyloid beta protein (Aβ), amyloid precursor protein (APP), β-site APP cleaving enzyme-1 (BACE1), and presenilin-1 (PS1) in the brain. Furthermore, the supplementation of MCTs + DHA was significantly more beneficial than that of MCTs or DHA alone. In conclusion, the supplementation of MCTs combined with DHA could improve energy metabolism in the brain of APP/PS1 mice, thus decreasing nerve cell apoptosis and inhibiting the expression of Aβ.
Cancer Metabolism as a Therapeutic Target and Review of Interventions
Authors: Halma Matthew , Tuszynski Jack , Marik Paul
Published: October 2023

Cancer is amenable to low-cost treatments, given that it has a significant metabolic component, which can be affected through diet and lifestyle change at minimal cost. The Warburg hypothesis states that cancer cells have an altered cell metabolism towards anaerobic glycolysis. Given this metabolic reprogramming in cancer cells, it is possible to target cancers metabolically by depriving them of glucose. In addition to dietary and lifestyle modifications which work on tumors metabolically, there are a panoply of nutritional supplements and repurposed drugs associated with cancer prevention and better treatment outcomes. These interventions and their evidentiary basis are covered in the latter half of this review to guide future cancer treatment.
Effects of Synbiotic Supplementation on Metabolic Syndrome Traits and Gut Microbial Profile among Overweight and Obese Hong Kong Chinese Individuals: A Randomized Trial
Authors: Lauw Susana , Kei Nelson , Chan Po Lam , Yau Tsz Kwan , Ma Ka Lee , Szeto Carol Ying Ying , Lin Janice Su-Chuen , Wong Sunny Hei , Cheung Peter Chi Keung , Kwan Hoi Shan
Published: October 2023

In view of the limited evidence showing anti-obesity effects of synbiotics via modulation of the gut microbiota in humans, a randomized clinical trial was performed. Assessment of the metabolic syndrome traits and profiling of the fecal gut microbiota using 16S rRNA gene sequencing in overweight and obese Hong Kong Chinese individuals before and after dietary intervention with an 8-week increased consumption of fruits and vegetables and/or synbiotic supplementation was conducted. The selected synbiotic contained two probiotics (Lactobacillus acidophilus NCFM and Bifidobacterium lactis HN019) and a prebiotic (polydextrose). Fifty-five overweight or obese individuals were randomized and divided into a synbiotic group (SG; n = 19), a dietary intervention group (DG; n = 18), and a group receiving combined interventions (DSG; n = 18). DSG showed the greatest weight loss effects and number of significant differences in clinical parameters compared to its baseline values—notably, decreases in fasting glucose, insulin, HOMA-IR, and triglycerides and an increase in HDL-cholesterol. DSG lowered Megamonas abundance, which was positively associated with BMI, body fat mass, and trunk fat mass. The results suggested that increasing dietary fiber consumption from fruits and vegetables combined with synbiotic supplementation is more effective than either approach alone in tackling obesity.
Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia’s Eastern Health Cluster
Authors: Alsalem Nasreen , Rashid Fatima Abu , Aljarudi Saleh , Al Bazroun Mohammed I. , Almatrouk Roqayah Mirza , Alharbi Fatimah M. , Al Mansour Lames , Abuzaid Nahid Baker
Published: October 2023

(1) Background: Missed nursing care, an omission error characterized by delayed or omitted nursing interventions, poses significant risks to patients’ safety and quality of car.; (2) Methods: This is a quantitative cross-sectional study on 151 nurses who work in NICUs in three main networks in the Eastern Health Province, Saudi Arabia: Dammam (n = 84), Qatif (n = 53), and Jubail (n = 14). The study uses a self-reported questionnaire (MISSCARE) and applies the 5-point Likert Scale. Statistical analysis data were analyzed using SPSS version 23.0. (3) Results: The primary reasons for missed care were shortage of nursing staff and unbalanced patient assignments. Missed nursing care negatively affects job satisfaction and was positively correlated with nurses’ intentions to quit their jobs. Inadequate equipment, supplies, and breakdowns in communication between nurses and other healthcare professionals were also significant factors contributing to missed care. (4) Conclusions: Missed nursing care is associated with overwork, nursing shortages, and lower job satisfaction, impacting the quality of care provided in the NICU. Improving working conditions, nurse staffing, and patient assignment planning should be prioritized to address this issue effectively.
Drug Distribution and Penetration of Foam-Based Intraperitoneal Chemotherapy (FBIC)
Authors: Khosrawipour Carolina , Nicpoń Jakub , Kiełbowicz Zdzisław , Prządka Przemysław , Liszka Bartłomiej , Khosrawipour Veria , Al-Jundi Said , Li Shiri , Lau Hien , Kulas Joanna , Kuropka Piotr , Diakun Agata , Kielan Wojciech , Chabowski Mariusz , Mikolajczyk-Martinez Agata
Published: October 2023

For decades, intraperitoneal chemotherapy (IPC) was used as a liquid solution for the treatment of peritoneal metastasis. Due to its advantageous physical properties, foam-based intraperitoneal chemotherapy (FBIC) was recently proposed as a treatment for peritoneal metastasis. For the first time, this study intends to examine the feasibility, expansion, drug distribution, and penetration of FBIC in vivo. Three swine received contrast-enhanced FBIC doxorubicin delivered using a bicarbonate carrier system. During the procedure, intraoperative blood analyses and periumbilical diameter, as well as foam distribution, penetration, and expansion of the FBIC were analyzed. The swine received an abdominal CT scan to evaluate the contrast distribution. Furthermore, a hematoxylin-eosin (HE) staining of peritoneal samples was performed, and fluorescence microscopy was conducted. FBIC was performed without complications. The periumbilical diameter peaked after 5 min and then decreased. Blood analyses showed changes in blood parameters, with a reduction in the pH levels of serum calcium and potassium. CT scan detected contrast-enhanced FBIC throughout the abdominal cavity. Fluorescence microscopy confirmed that all areas were exposed to doxorubicin and no pathologies were detected in the HE histology. Our preliminary results are quite encouraging and indicate that FBIC is a feasible approach. However, in order to discuss possible clinical applications, further studies are required to investigate the pharmacologic, pharmacodynamic, and physical properties of FBIC.
Osteolytic Bone Loss and Skeletal Deformities in a Mouse Model for Early-Onset Paget’s Disease of Bone with PFN1 Mutation Are Treatable by Alendronate
Authors: Ling Zhu , Aini Hailati , Kajikawa Shuhei , Shirakawa Jumpei , Tsuji Kunikazu , Asou Yoshinori , Koga Hideyuki , Sekiya Ichiro , Nifuji Akira , Noda Masaki , Ezura Yoichi
Published: October 2023

A novel osteolytic disorder due to PFN1 mutation was discovered recently as early-onset Paget’s disease of bone (PDB). Bone loss and pain in adult PDB patients have been treated using bisphosphonates. However, therapeutic strategies for this specific disorder have not been established. Here, we evaluated the efficiency of alendronate (ALN) on a mutant mouse line, recapitulating this disorder. Five-week-old conditional osteoclast-specific Pfn1-deficient mice (Pfn1-cKOOCL) and control littermates (33 females and 22 males) were injected with ALN (0.1 mg/kg) or vehicle twice weekly until 8 weeks of age. After euthanizing, bone histomorphometric parameters and skeletal deformities were analyzed using 3D μCT images and histological sections. Three weeks of ALN administration significantly improved bone mass at the distal femur, L3 vertebra, and nose in Pfn1-cKOOCL mice. Histologically increased osteoclasts with expanded distribution in the distal femur were normalized in these mice. Geometric bone shape analysis revealed a partial recovery from the distal femur deformity. A therapeutic dose of ALN from 5 to 8 weeks of age significantly improved systemic bone loss in Pfn1-cKOOCL mice and femoral bone deformity. Our study suggests that preventive treatment of bony deformity in early-onset PDB is feasible.
An Examination of the Complex Pharmacological Properties of the Non-Selective Opioid Modulator Buprenorphine
Authors: Pande Leana J. , Arnet Rhudjerry E. , Piper Brian J.
Published: October 2023

The goal of this review is to provide a recent examination of the pharmacodynamics as well as pharmacokinetics, misuse potential, toxicology, and prenatal consequences of buprenorphine. Buprenorphine is currently a Schedule III opioid in the US used for opioid-use disorder (OUD) and as an analgesic. Buprenorphine has high affinity for the mu-opioid receptor (MOR), delta (DOR), and kappa (KOR) and intermediate affinity for the nociceptin (NOR). Buprenorphine’s active metabolite, norbuprenorphine, crosses the blood–brain barrier, is a potent metabolite that attenuates the analgesic effects of buprenorphine due to binding to NOR, and is responsible for the respiratory depressant effects. The area under the concentration curves are very similar for buprenorphine and norbuprenorphine, which indicates that it is important to consider this metabolite. Crowding sourcing has identified a buprenorphine street value (USD 3.95/mg), indicating some non-medical use. There have also been eleven-thousand reports involving buprenorphine and minors (age < 19) at US poison control centers. Prenatal exposure to clinically relevant dosages in rats produces reductions in myelin and increases in depression-like behavior. In conclusion, the pharmacology of this OUD pharmacotherapy including the consequences of prenatal buprenorphine exposure in humans and experimental animals should continue to be carefully evaluated.
Development of a Dosage form for a Photoswitchable Local Anesthetic Ethercaine
Authors: Noev Alexey , Morozova Natalia , Suvorov Nikita , Vasil’ev Yuriy , Pankratov Andrei , Grin Mikhail
Published: October 2023

The toxicity of local anesthetics is a serious problem, given their widespread use. One of the main causes of the side effects of local anesthetics is their non-selectivity of action in the body. A possible way to increase the selectivity of the action of drugs is to use the photopharmacology approach. Previously, we described the light-controlled local anesthetic ethercaine, the biological effect of which can be controlled using light, thereby increasing its selectivity of action. An important limitation of ethercaine was its low solubility in water, limiting the potential of this compound. In this work, we developed a dosage form of ethercaine, which allowed us to increase its solubility from 0.6% to 2% or more. The resulting 1% solution of ethercaine hydrochloride in 4% Kolliphor ELP had high biological activity on the surface anesthesia model, while demonstrating low acute toxicity in mice with intravenous administration (4–5 times less than that of lidocaine).
Characterization and Antifungal Activity of Lemongrass Essential Oil-Loaded Nanoemulsion Stabilized by Carboxylated Cellulose Nanofibrils and Surfactant
Authors: Liu Lingling , Fisher Kaleb D. , Friest Mason A. , Gerard Gina
Published: October 2023

Nanocellulose is an emerging green, biodegradable and biocompatible nanomaterial with negligible toxicities. In this study, a carboxylated nanocellulose (i.e., 2,2,6,6-tetramethylpiperidin-1-oxyl (TEMPO)-oxidized cellulose nanofibril (TEMPO-CNF)) was prepared from corn stover and characterized by X-ray diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR) and differential scanning calorimetry (DSC)/thermogravimetric analysis (TGA). Corn stover-derived TEMPO-CNF was explored as an emulsion co-stabilizer together with Tween 80 for lemongrass essential oil-loaded emulsions. Droplet size, phase behavior and thermodynamic stability of oil-in-water emulsions stabilized by Tween 80 and TEMPO-CNF were investigated. The optimal nanoemulsion stabilized by this binary stabilizer could achieve a mean particle size of 19 nm, and it did not form any phase separation against centrifugal forces, freeze–thaw cycles and at least 30 days of room temperature storage. The nanoencapsulated essential oil had better inhibition activity against the mycelial growth of Aspergillus flavus than pure essential oil. Results from this study demonstrate the potential of using agricultural byproduct-derived nanomaterial as nanoemulsion stabilizers for essential oils with good emulsion thermodynamic stability as well as enhanced antifungal activities.
RF Welding of Dielectric Lossless Foam Particles by the Application of a Dielectric Heatable Coating with High Recycling Potential
Authors: Schneider Kevin , Kleffel Tobias , Drummer Dietmar
Published: October 2023

Due to its chemical structure and the resulting dielectric properties, the processing of the commonly used particle foam material, expanded polypropylene (ePP), is limited. Processing within the radio-frequency welding process is therefore only possible with the use of processing aids. In this paper, a new approach for the use of a solid and dielectric heatable coating for the production of three-dimensional welded components out of ePP is presented. For this purpose, three different types of water-soluble polymer polyvinyl alcohol (PVA) were analyzed as potential coating materials. The thermal and dielectric properties of the coating were further adjusted by a modification with glycerol. The maximum amount of glycerol tested was 25% by volume. It influences both the temperature development in the radio-frequency (RF) welding process as well as the adhesive bond between the ePP foam particles. It is shown that the 120 °C approach in the RF welding process resulted in a cohesive bond between the coating layers. In this way, bonded plates can be produced. In mechanical tests with compression of 20%, the manufactured plates show sufficient load capacity. Furthermore, it can be shown that a separation of PVA and ePP by type, and thereby a separation of the foam particles, is possible with the use of hot water. This might open a new way for recycling of particle foams.
Study of the Degradation of a TPS/PCL/Fique Biocomposite Material in Soil, Compost, and Water
Authors: Mosquera Rodríguez Fabián Steven , Quintero Vélez Alejandro , Córdoba Urrutia Estivinson , Ramírez-Malule Howard , Mina Hernandez Jose Herminsul
Published: October 2023

The degradability of the biocomposite produced from a binary mixture of thermoplastic banana starch (TPS) and polycaprolactone (PCL) reinforced with fique fibers (Fs) was evaluated in three different environments (soil, compost, water). An experimental design with two factors (soil and compost) and three levels (5, 10, and 20 cm) was used, with additional tests for a third aqueous environment (water from the lake of the Universidad del Valle) at a depth of 20 cm. The biocomposite was prepared from the implementation of a twin-screw extrusion process of the binary mixture TPS/PCL and fique fibers (54, 36, and 10% composition, respectively), followed by hot compression molding, and after that, generating ASTM D638 type V specimens using a stainless-steel die. The specimens were dried and buried according to the experimental design, for a total experimental time of 90 days, and removing samples every 30 days. After 90 days, all samples showed signs of degradation, where the best results were obtained in the compost at a depth of 20 cm (34 ± 4% mass loss and a decrease in tensile strength of 77.3%, which indicates that the material lost mechanical properties). TPS was the fastest disappearing component and promoted the degradation of the composite material as it disappeared. Finally, the aqueous media presented the lowest degradation results, losing only 20% of its initial mass after 90 days of the experiment, being the least effective environment in which the biocomposite can end up.
Breaking the Barrier: Strategies for Mitigating Shuttle Effect in Lithium–Sulfur Batteries Using Advanced Separators
Authors: Zhu Yingbao , Chen Zhou , Chen Hui , Fu Xuguang , Awuye Desire Emefa , Yin Xichen , Zhao Yixuan
Published: October 2023

Lithium–sulfur (Li-S) batteries are considered one of the most promising energy storage systems due to their high theoretical capacity, high theoretical capacity density, and low cost. However, challenges such as poor conductivity of sulfur (S) elements in active materials, the “shuttle effect” caused by lithium polysulfide, and the growth of lithium dendrites impede the commercial development of Li-S batteries. As a crucial component of the battery, the separator plays a vital role in mitigating the shuttle effect caused by polysulfide. Traditional polypropylene, polyethylene, and polyimide separators are constrained by their inherent limitations, rendering them unsuitable for direct application in lithium–sulfur batteries. Therefore, there is an urgent need for the development of novel separators. This review summarizes the applications of different separator preparation methods and separator modification methods in lithium–sulfur batteries and analyzes their electrochemical performance.
Drug Loaded 3D-Printed Poly(ε-Caprolactone) Scaffolds for Local Antibacterial or Anti-Inflammatory Treatment in Bone Regeneration
Authors: Stepanova Mariia , Averianov Ilia , Gofman Iosif , Shevchenko Natalia , Rubinstein Artem , Egorova Tatiana , Trulioff Andrey , Nashchekina Yulia , Kudryavtsev Igor , Demyanova Elena , Korzhikova-Vlakh Evgenia , Korzhikov-Vlakh Viktor
Published: October 2023

Annual bone grafting surgeries due to bone fractures, resections of affected bones, skeletal anomalies, osteoporosis, etc. exceed two million worldwide. In this regard, the creation of new materials for bone tissue repair is one of the urgent tasks of modern medicine. Additive manufacturing, or 3D printing, offers great opportunities for the development of materials with diverse properties and designs. In this study, the one-pot technique for the production of 3D scaffolds based on poly(ε-caprolactone) (PCL) loaded with an antibiotic or anti-inflammatory drug was proposed. In contrast to previously described methods to prepare drug-containing scaffolds, drug-loaded PCL scaffolds were prepared by direct 3D printing from a polymer/drug blend. An investigation of the mechanical properties of 3D-printed scaffolds containing 0.5–5 wt% ciprofloxacin (CIP) or dexamethasone (DEX) showed almost no effect of the drug (compression modulus ~70–90 MPa) compared to unfilled PCL (74 MPa). At the same time, introducing the drug and increasing its content in the PCL matrix contributed to a 1.8–6.8-fold decrease in the specific surface area of the scaffold, depending on composition. The release of CIP and DEX in phosphate buffer solution and in the same buffer containing lipase revealed a faster release in enzyme-containing medium within 45 days. Furthermore, drug release was more intensive from scaffolds with a low drug load. Analysis of the release profiles using a number of mathematical dissolution models led to the conclusion that diffusion dominates over other probable factors. In vitro biological evaluation of the scaffolds containing DEX showed moderate toxicity against osteoblast-like and leukemia monocytic cells. Being 3D-printed together with PCL both drugs retain their biological activity. PCL/CIP and PCL/DEX scaffolds demonstrated antibacterial properties against Pseudomonas aeruginosa (a total inhibition after 48 h) and anti-inflammatory activity in experiments on TNFα-activated monocyte cells (a 4-time reduction in CD-54 expression relative to control), respectively.
Advancing Quantification of Water-Extractable Arabinoxylan in Beer: A High-Throughput Approach
Authors: Steiner Julia , Kupetz Michael , Becker Thomas
Published: October 2023

Water-extractable arabinoxylan (WEAX) may cause major problems during clarification processes in a brewery owing to its ability to form gel networks. However, high WEAX contents can also enhance the nutritional quality of the final product as they play an important role in the human diet. Therefore, precise quantification of WEAX is required. Current methods are very time- and resource-consuming as well as limited in the number of samples and in some cases provide low accuracy. Thus, a reproducible high-throughput method for the quantification of WEAX optimized for beer was developed, reaching recovery rates (RRs) of almost 100%. The assay is based on Douglas’s colorimetric method. Hydrolysis was conducted using glacial acetic acid to induce the formation of red color complexes resulting from the interaction between pentose degradation products and phloroglucinol. The method was successfully transferred to a multi-mode microplate reader to minimize the loss of color intensity over time and to obtain a high throughput. By using 96-well plates, up to 40% of the previous analysis time could be saved, and a larger number of samples could be analyzed in one batch. The collected data determined xylose as an optimal calibration standard due to high accuracy and reproducibility. The respective AX control standards showed RR within the range of 95–105% without exception. To validate and show the ruggedness of the modified method, WEAX concentration in seven commercial German beers (e.g., lager, pilsner, wheat beer, non-alcoholic beer) was quantified. Interfering hexose sugars that lead to measurement errors when analyzing samples with high amounts of fermentable sugars (e.g., non-alcoholic beer produced by limited fermentation) were eliminated by Saccharomyces diastaticus fermentation. Further investigations were carried out by means of LC-MS in order to obtain additional information about the reddish product in the hydrolyzed samples. In this context, C16H12O6 could be identified as one of numerous condensation products, contributing to the coloring. The collected data showed the impact of diverse factors on the measured AX concentration and helped optimize the experimental procedure for a high sample throughput with precise and highly reproducible results. The proposed quantification method should be primarily used in completely fermented finished beer to emphasize the time aspect. Wort samples and non-alcoholic beer produced by limited fermentation can be also analyzed, but only after fermentation with S. diastaticus.
Cellulose-Reinforced Polylactic Acid Composites for Three-Dimensional Printing Using Polyethylene Glycol as an Additive: A Comprehensive Review
Authors: Benini Kelly Cristina Coelho de Carvalho , Bomfim Anne Shayene Campos de , Voorwald Herman Jacobus Cornelis
Published: October 2023

Growing concerns about environmental issues and global warming have garnered increased attention in recent decades. Consequently, the use of materials sourced from renewable and biodegradable origins, produced sustainably, has piqued the interest of scientific researchers. Biodegradable and naturally derived polymers, such as cellulose and polylactic acid (PLA), have consistently been the focus of scientific investigation. The objective is to develop novel materials that could potentially replace conventional petroleum-based polymers, offering specific properties tailored for diverse applications while upholding principles of sustainability and technology as well as economic viability. Against this backdrop, the aim of this review is to provide a comprehensive overview of recent advancements in research concerning the use of polylactic acid (PLA) and the incorporation of cellulose as a reinforcing agent within this polymeric matrix, alongside the application of 3D printing technology. Additionally, a pivotal additive in the combination of PLA and cellulose, polyethylene glycol (PEG), is explored. A systematic review of the existing literature related to the combination of these materials (PLA, cellulose, and PEG) and 3D printing was conducted using the Web of Science and Scopus databases. The outcomes of this search are presented through a comparative analysis of diverse studies, encompassing aspects such as the scale and cellulose amount added into the PLA matrix, modifications applied to cellulose surfaces, the incorporation of additives or compatibilizing agents, variations in molecular weight and in the quantity of PEG introduced into the PLA/cellulose (nano)composites, and the resulting impact of these variables on the properties of these materials.
Three-Dimensional Printing of Shape Memory Liquid Crystalline Thermoplastic Elastomeric Composites Using Fused Filament Fabrication
Authors: Prathumrat Peerawat , Nikzad Mostafa , Jahromi Fareed Tamaddoni , Hajizadeh Elnaz , Sbarski Igor
Published: October 2023

Liquid crystalline elastomers (LCEs) are stimuli-responsive materials utilised in shape memory applications. The processability of these materials via advanced manufacturing is being paid increasing attention to advance their volume production on an industrial scale. Fused filament fabrication (FFF) is an extrusion-based additive manufacturing (AM) technique that offers the potential to address this. The critical challenge, however, is the rheological characteristics of LCEs that need to be tuned to achieve a facile processability through the extrusion-based method. In this work, new filaments of liquid crystalline thermoplastic elastomer (LCTPE) and its composites with lignin were made by the ternary system of LCE, thermoplastic polyurethane (TPU), and lignin. The results showed that TPU improves the melt flow index of the LCTPE system to approximately 10.01 g/10 min, while adding lignin further enhances the value of this index for the composites up to 21.82 g/10 min. The microstructural analysis indicated that the effective distribution of lignin and reduced domain size of the LCEs in the ternary blend contribute to the enhanced flowability of this filament through 3D printing. Samples of 3D-printed LCTPE and LCTPE/lignin composites maintained their shape memory characteristics via thermomechanical activation. Full shape recovery of the new LCTPE matrix and its composites with lignin was achieved in 39 s and 32 s at 130 °C, followed by 28 s and 24 s at 160 °C, respectively. The successful fabrication of LCTPE and LCTPE/lignin composite samples through 3D printing demonstrates a potential procedure for processing these shape memory materials using the FFF technique, and lignin offers a sustainable and cost-effective material solution that enhances the properties of this composite material.
Improvement in Phase Compatibility and Mechanical Properties of Poly(L-lactide)-b-poly(ethylene glycol)-b-poly(L-lactide)/thermoplastic Starch Blends with Citric Acid
Authors: Srihanam Prasong , Srisuwan Yaowalak , Phromsopha Theeraphol , Manphae Apirada , Baimark Yodthong
Published: October 2023

Flexible poly(L-lactide)-b-poly(ethylene glycol)-b-poly(L-lactide) block copolymer (PLLA-PEG-PLLA) bioplastic has been blended with low-cost thermoplastic starch (TPS) to prepare fully biodegradable bioplastics. However, the mechanical properties of PLLA-PEG-PLLA matrix decrease after the addition of TPS. In this work, citric acid (CA) was used as a compatibilizer to improve the phase compatibility and mechanical properties of PLLA-PEG-PLLA/TPS blends. TPS was first modified with CA (1.5 %wt, 3 %wt, and 4.5%wt) before melt blending with PLLA-PEG-PLLA. The PLLA-PEG-PLLA/modified TPS ratio was constant at 60/40 by weight. CA modification of TPS suppressed the crystallinity and enhanced the thermal stability of the PLLA-PEG-PLLA matrix, as determined through differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA), respectively. The compatibility between the dispersed TPS and PLLA-PEG-PLLA phases was improved through modification of TPS with CA, as revealed by the smaller size of the co-continuous TPS phase from scanning electron microscopy (SEM) analysis. Increasing the hydrophilicity of the blends containing modified TPS confirmed the improvement in phase compatibility of the components. From the tensile test, the ultimate tensile strength, elongation at break, and Young’s modulus of the blends increased with the CA content. In conclusion, CA showed a promising behavior in improving the phase compatibility and mechanical properties of PLLA-PEG-PLLA/TPS blends. These PLLA-PEG-PLLA/modified TPS blends have potential to be used as flexible bioplastic products.
Study on Thermal Stability and Fatigue Properties of SBS/CNT-Modified Asphalt Sealant
Authors: Gong Yafeng , Wu Shuzheng , Bi Haipeng , Tian Lihua
Published: October 2023

Carbon nanotubes (CNTs) and styrene–butadiene–styrene (SBS) are used as reinforcing modifiers in asphalt sealants due to their excellent properties, which can effectively improve the internal structure of the sealant and enhance its mechanical properties. Based on this background, two SBS/CNT-modified asphalt sealants were identified and selected by the orthogonal experimental method and compared with two commercially available sealants. The softening point, flow value, multi-temperature frequency scan test, and multiple stress creep recovery test were used to study the high-temperature rheological properties and aging resistance of four types of sealants. The overall evaluation shows that the proportion of the sealant compound’s preparation material is 1% by weight of CNT doping, 5% by weight of SBS doping, and 5% by weight of furfural-extracted-oil doping. The results show that the addition of SBS and CNTs more significantly improves the fatigue resistance of the sealants. With the CAM model, C1.0S5F5 reflects a better relaxation property, which better avoids secondary cracking after the construction of the sealant. With the Burgers model, C1.0S5F5 shows excellent deformation resistance under heavy traffic conditions. In summary, conventional performance indicators, such as the softening point and flow value of SBS/CNT-modified asphalt sealants, can meet the specification requirements and show good high-temperature stability and anti-aging properties compared to commercially available sealants.