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Background: It is unclear whether persistent inhaled steroid exposure in chronic obstructive pulmonary disease (COPD) patients before coronavirus disease 2019 (COVID-19) is associated with hospitalization risk. Objective: Our objective was to examine the association between persistent steroid exposure and COVID-19–related hospitalization risk in COPD patients. Study Design and Methods: This retrospective cohort study used electronic health records from the Kaiser Permanente Northern California health care system (February 2, 2020, to September 30, 2020) for patients aged ≥40 years with COPD and a positive polymerase chain reaction test result for COVID-19. Primary exposure was persistent oral and/or inhaled steroid exposure defined as ≥6 months of prescriptions filled in the year before the COVID-19 diagnosis. Multivariable logistic regression was performed for the primary outcome of COVID-19–related hospitalization or death/hospice referral. Steroid exposure in the month before a COVID-19 diagnosis was a covariate. Results: Of >4.3 million adults, 697 had COVID-19 and COPD, of whom 270 (38.7%) had COVID-19–related hospitalizations. Overall, 538 (77.2%) were neither exposed to steroids in the month before COVID-19 diagnosis nor persistently exposed; 53 (7.6%) were exposed in the month before but not persistently; 23 (3.3%) were exposed persistently but not in the month before; and 83 (11.9%) were exposed both persistently and in the month before. Adjusting for all confounders including steroid use in the month before, the odds ratio for hospitalization was 0.77 (95% confidence interval 0.41–1.46) for patients persistently exposed to steroids before a COVID-19 diagnosis. Interpretation: No association was observed between persistent steroid exposure and the risk of COVID-19–related hospitalization in COPD patients.

[EN] For producing second-generation ethanol (cellulosic ethanol) and other value-added bioproducts, magnetic graphene oxide (GO-MNP) was synthesized in this work and used as the immobilization support for an industrial cellulase-and xylanase-containing preparation. GO-MNP characterization by TEM, SEM and ATR-FTIR spectroscopy showed that the magnetic nanoparticles are homogeneously distributed onto the GO sheets surface. The enzymatic preparation was immobilized by means of carbodiimide cross-linking chemistry using 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide and N-hydroxysuccinimide (NHS). The supported final biocatalyst (GO-MNP-Enz) showed high activity for the hydrolysis of pretreated sugarcane bagasse (PSB) and presented relative endoglucanase, xylanase, beta-glucosidase, and beta-xylosidase activities of 70%, 66%, 88%, and 70%, respectively, after 10 cycles of hydrolysis of their respective substrates. The biocatalyst also maintained approximately 50% and 80% of its efficiency for cellulose and xylan hydrolysis, respectively, being the TOF (g.g(-1).h(-1)) the highest observed when compared with previous results reported in literature. These findings suggest that GO-MNP-Enz may be a prospective candidate for industrial applications such as second-generation ethanol production. (C) 2020 Elsevier Ltd. All rights reserved., Sao Paulo State Research Support Foundation (FAPESP) contract number 2018/06241e3 funding this work. Coordination of Improvement of Higher Education Personnel (CAPES) funding the doctoral scholarship of Fernando Roberto Paz-Cedeno in Brazil and in the Universitat Politecnica de Valencia (UPV), Institute of Chemical Technology (ITQ), Valencia, Spain. Authors acknowledge financial support from PGC2018-097277-B-100 (MCIU/AEI/FEDER,UE) project and Severo Ochoa Program (SEV-2016-0683).

Background Atypical haemolytic uraemic syndrome (aHUS) is a rare, potentially life-threatening condition caused by dysregulation of the complement pathway. Eculizumab is currently the only approved treatment for this disorder. Objective Our objective was to investigate the impact of early administration of eculizumab on inpatient resource use and hospitalisation costs in 222 patients with aHUS. Methods We conducted a retrospective analysis of the Premier Perspective® Hospital Database, including patients with a diagnosis of aHUS and evidence of eculizumab use for aHUS. Early initiation was defined as having received eculizumab within 7 days of admission, with late initiation defined as starting eculizumab on day 8 or later. This date represents the average time required to obtain a specific diagnostic test to discriminate aHUS from a similar haemolytic syndrome that requires a different treatment. Outcome measures were time from first eculizumab initiation to discharge, discharge status or death, days spent in the intensive care unit (ICU), readmission indicators, dialysis indicators, and total hospital costs. Time from first eculizumab initiation to discharge was analysed using a generalised linear model with a log link and an assumed underlying negative binomial distribution. Logistic regression models were used to test the statistical significance of early versus late initiation as a predictor of the occurrence of readmissions, dialysis, and death. Total hospital costs were analysed using a generalised linear model with a log link and an assumed underlying gamma distribution. Results Before modelling, total length of stay and ICU duration were significantly longer for late initiators than for early initiators, and significantly more late initiators were readmitted within 90 days. Late initiation was associated with significantly higher hospital costs than early initiation. After multivariable analysis, late initiators were 3.2 times more likely to require dialysis. However, there was no significant association between early initiation and time to discharge, readmission, or death for any definition or early initiation after multivariable analysis. Estimated total hospital costs (year 2017 values) were $US103,557 in late initiators and $US85,776 in early initiators (p = 0.0024). Conclusion Initiation of eculizumab within 7 days of hospitalisation is associated with lower dialysis rates, less time in ICU, less plasmapheresis, and lower hospitalisation costs compared with late initiation. Electronic supplementary material The online version of this article (10.1007/s40273-019-00862-w) contains supplementary material, which is available to authorized users.

We present the structural modification of a commercially available glass ionomer cement by inserting the imidazolium salt 1-n-hexadecyl-3-methylimidazolium chloride (C(16)MImCl), composing a new biomaterial with antifungal biofilm activity. Test specimens were prepared using a commercial glass ionomer cement to which 10 ppm of cetylpyridinium chloride (reference ionic antifungal agent) or C(16)MImCl were added. The feasibility and hypoallergenicity of the new biomaterial were assessed by microhardness plastic deformation and chorioallantoic membrane assays. Colony counting and scanning electron microscopy were used to evaluate the modified specimens’ antibiofilm activity against three multidrug-resistant Candida species. The modified glass ionomer cement presented a strong antibiofilm activity against Candida spp., without losing its original micromechanical and hypoallergenic properties, rendering it a promising candidate for further application in dentistry.

Conducting polymer hydrogels (CPHs) are an attractive class of materials that synergize the electrical properties of organic semiconductors with the physical properties of hydrogels. Of particular interest is the implementation of CPHs as electrode materials for electrochemical energy storage by taking advantage of redox-tunable conjugated backbones and the large electroactive surface area. Herein, the use of 2D electrolytes as an effective post-polymerization additive to enhance the pseudocapacitive performance of CPHs, is demonstrated. By using the self-doped conjugated polyelectrolyte CPE-K hydrogel as a model system, improvements in cycling stability, specific capacitance and working voltage window upon addition of the 2D electrolytes, are shown. Furthermore, positively charged 2D electrolytes to be more effective than their negatively charged counterparts are revealed. Rheology measurements and SEM imaging indicate that the 2D electrolytes serve as non-covalent cross-linkers that help in forming a mechanically more robust and highly percolated conducting network. These results provide a new and simple to execute post-polymerization strategy to optimize the electrochemical performance of CPH-based pseudocapacitors. National Research Foundation (NRF) This work was supported by the National University of Singapore start up grant R143-000-A97-133 and the Medium-Sized Centre (MSC) grant from the National Research Foundation (NRF) of Singapore, Prime Minister's Office. G.Q. acknowledges funding from the President's Graduate Fellowship (PGF) under the National University of Singapore.

The surface properties of nanofillers and surface/interfacial interactions between fillers and matrix play crucial roles in the control of the properties of composites, especially considering hybrid materials used in biomedical, electronic and energy applications. In the present work, we investigate the surface properties of mono-filler and bi-filler composites of poly (lactic acid) (PLA) with graphene nanoplatelets (GNP) and multi-walled carbon nanotubes (MWCNTs) prepared by melt extrusion method. Zeta potential, contact angle (surface energy), Raman spectroscopy, and atomic force microscopy were used to evaluate the interaction between PLA matrix, GNP and MWCNTs particles, and also to characterize filler-polymer composite properties at the surfaces of the film. The effect of filler loading in the GNP/PLA and GNP/MWCNT/PLA composite films surface properties was investigated using surface Zeta potential by streaming and Contact angle measurements. The results suggest that the surface characteristics of the composite film may be synergistically tuned by incorporation of GNPs and MWCNTs with controlling the filler contents and filler combinations.

Among the biopolymers from animal sources, keratin is one the most abundant, with a major contribution from side stream products from cattle, ovine and poultry industry, offering many opportunities to produce cost-effective and sustainable advanced materials. Although many reviews have discussed the application of keratin in polymer-based biomaterials, little attention has been paid to its potential in association with other polymer matrices. Thus, herein, we present an extensive literature review summarizing keratin’s compatibility with other synthetic, biosynthetic and natural polymers, and its effect on the materials’ final properties in a myriad of applications. First, we revise the historical context of keratin use, describe its structure, chemical toolset and methods of extraction, overview and differentiate keratins obtained from different sources, highlight the main areas where keratin associations have been applied, and describe the possibilities offered by its chemical toolset. Finally, we contextualize keratin’s potential for addressing current issues in materials sciences, focusing on the effect of keratin when associated to other polymers’ matrices from biomedical to engineering applications, and beyond.

A class of compounds sharing the properties of 2D materials and electrolytes, namely 2D electrolytes is described theoretically and demonstrated experimentally. 2D electrolytes dissociate in different solvents, such as water, and become electrically charged. The chemical and physical properties of these compounds can be controlled by external factors, such as pH, temperature, electric permittivity of the medium, and ionic concentration. 2D electrolytes, in analogy with polyelectrolytes, present reversible morphological transitions from 2D to 1D, as a function of pH, due to the interplay of the elastic and Coulomb energies. Since these materials show stimuli-responsive behavior to the environmental conditions, 2D electrolytes can be considered as a novel class of smart materials that expand the functionalities of 2D materials and are promising for applications that require stimuli-responsive demeanor, such as drug delivery, artificial muscles, and energy storage.

This work describes the preparation of bio-based thermoplastic poly(ether-urethane)s (TPU) via a prepolymer method and investigates the effect of varying the interphase hydrogen-bonding (H-bonding) on physicochemical, thermal and mechanical properties. This was achieved by varying the glycol type and molar ratio of [NCO]/[OH] groups used during the prepolymer chain extending step. The TPUs’ chemical structure was analyzed by Fourier Transform Infrared Spectroscopy (FTIR-ATR) spectroscopy, the H-bonding fraction and crystallinity were examined by FTIR, Different Scanning Calorimetry (DSC), X-ray diffraction (XRD) and Polarized light optical microscopy (POM), and their processability was surveyed using the melt-flow index and Matrix-Assisted Laser Desorption/Ionization-Time of Flight Mass Spectrometry (MALDI-TOF-MS). Moreover, a coupled- Thermogravimetric analysis (TGA)-FTIR method provided useful information about thermal degradation and low molecular mass volatile products formed during the TPUs’ thermal decomposition. Altogether, this study intends to provide engineers with new insights to obtain environmentally friendly TPU-based polymeric components (from prime materials to process methods), by associating the application of bio-based reactants to the TPU synthesis and understanding the conditions for these bio-TPUs been applied in low-waste processes such as additive manufacturing.

Herein we describe a successful protocol for graphite exfoliation using a biphasic liquid system (water/dichloromethane, DCM) containing ionic liquids (ILs; 1,3-dibenzylimidazolium benzoate- and 1-naphthoate). The use of (surface active) IL and sonication led to stable DCM/water (O/W) emulsion, which enhanced graphene formation, suppressed its re-aggregation and decreased shear/cavitation damage. The O/W emulsion stabilization by the ILs was studied by dynamic light scattering (DLS), whereas their interaction with the graphene sheets were described by Density Functional Theory (DFT) calculations. Moreover, a comprehensive investigation on cavitation-based exfoliation in the O/W systems was performed to assess the importance of operational parameters, including, the type of ultrasound processor, ultrasound power and insonation, and the influence of the exfoliation medium.

The study reported herein describes for the first time a method for producing defect-free graphene directly from its mineral ore. This was achieved by treating graphite ore in an ionic liquid containing biphasic solvent system, applying pressurized intense cavitation ultrasound. Without any graphite ore pre-treatment, large few layer thick graphene sheets, as well as micrometric layered crumpled graphene structures, were produced. This opens new opportunities for the development of graphene-based technologies.

UNLABELLED Although the use of catheters in critically ill patients is mostly inevitable, this invasive procedure comes together with several health risks. Within this context, the contamination with Candida tropicalis is a primary concern as this highly prevalent pathogenic yeast can develop an extensive polymeric matrix that hinders the drugs' penetration and its effective treatment. This study addresses the potential for the 1-n-hexadecyl-3-methylimidazolium methanesulfonate (C16 MImMeS) and chloride (C16 MImCl) salts for eliminating the viable cells of biofilms of Candida tropicalis, compared to the performance of chlorhexidine (CHX) and fluconazole (FLZ). The minimum concentration required of C16 MImMeS, C16 MImCl, CHX and FLZ for elimination of the biofilm's viable cells (MBEC) was evaluated through microtitre plate biofilm exposure with different concentrations of these substances. These concentrations were determined at 80% of effective activity against the biofilm's viable cells by using the MTT reduction assay. C16 MImMeS and C16 MImCl were able to eliminate the viable cells at much lower concentrations (15·6 and 0·45 μg ml(-1) respectively) than CHX (1250 μg ml(-1) ) and FLZ (resistance of the viable cells). This demonstrates the high potential of these substances for nosocomial infections control. SIGNIFICANCE AND IMPACT OF THE STUDY The 1-n-hexadecyl-3-methylimidazolium methanesulfonate (C16 MImMeS) and chloride (C16 MImCl) salts are extremely effective in eliminating the viable cells of Candida tropicalis biofilms, which allows the use of much lower concentrations than with the antimicrobial of choice (chlorhexidine) in hospital practices. These findings indicate these imidazolium salts as high-potential candidates for asepsis of medical environments and materials, including implants.

This work presents a detailed investigation about the influence of a complementary set of imidazolium ionic liquids (IL: [C4MIm][BF4]-[C10MIm][BF4]-[C7O3MIm][BF4]-[C4MIm][NTf2]-[C10MIm][NTf2]-[C7O3MIm][NTf2]) in the preparation of hydrolytic sol-gel silica wet gels and xerogels, providing insights into their hierarchical structures, morphologies of primary particles and aggregation domains. The reported IL decreased dramatically the gelation time (up to ~500 times), evolving the systems to transparent or opalescent wet gels with distinct consistencies, or silica powders. Characterization of the obtained silica xerogels was performed by transmission and scanning electron microscopy, atomic force microscopy, X-ray diffraction, small-angle X-ray scattering and thermogravimetric analysis. In general, the IL allowed controlling the silica particle size, color, compactness, structures and morphology. The xerogels showed homogenous and ordered structures (spherical or triangular) of different sizes and with distinct microporosities, depending on the IL applied. These results highlight the key role of IL in the sol-gel silica synthesis with controlled properties, which can be further tuned for specific applications by changing small process parameters. Graphical Abstract: [Figure not available: see fulltext.]

Carboxylic-functionalized task-specific imidazolium ionic liquids (carboxylic-ILs) presented selective high reactivities with epoxy-functionalized compounds, even in highly complex epoxy–silica nanocomposite systems. The carboxylic-ILs induced the in situ covalent bonding with epoxy based materials and tuning of the nanocomposites’ filler–matrix interphase when applied either via hydrolytic or non-hydrolytic sol–gel processes. Structural modifications in the carboxylic-ILs allowed fine morphology control and promoted the formation of well dispersed silica nanodomains. This approach resulted in nanocomposites with improved mechanical properties, without a negative effect on the glass transition temperature, for both rubbery and glassy epoxy–silica nanocomposite systems with a very small IL content (∼0.2 wt%). The best properties were achieved with the application of IL 1-carboxypropyl-3-methylimidazolium chloride, which produced a toughness increase of more than 7 times for the rubbery and almost twice for the glassy epoxy systems, when compared to their IL-free equivalents. These easy and quick procedures to produce imidazolium functionalized materials have the potential to open up a broad range of new conductive, responsive, smart and tunable reinforced materials.

This work describes a straightforward procedure for the preparation of graphene by opening multi-walled carbon nanotubes (CNT), using ionic liquids (IL) as lubricating and stabilizing agents. The sequential application of vacuum and sonication allows the successful opening and unrolling of the CNT, and the final nanocarbon morphology is IL-dependent. This enabled the preparation of epoxy-based nanocomposites with morphologically distinct carbon nanofillers. The CNT–IL mixtures and nanocomposites obtained were characterized by transmission electron microscopy (TEM), scanning electron microscopy (SEM), atomic force microscopy (AFM) and Raman spectroscopy.

In this research, the oleate-functionalized magnesium and aluminum layered double hydroxide (LDH; Mg:Al = 3:1) o-LDH was applied as nanofiller in the melt blending of polypropylene (PP) nanocomposites, in order to understand its role in this process. o-LDH was prepared using the memory effect of the calcined carbonated LDH. Blending of PP and low o-LDH filler contents of 0.45 and 0.90 wt.% afforded the nanocomposites PP0.45 and PP0.90, respectively, which were characterized by transmission electron microscopy, X-ray diffraction, small angle X-ray scattering, thermo-gravimetric analysis, differential scanning calorimetry and dynamic mechanical analysis. The oleate LDH surface functionalization enhanced the system compatibility as a relative regular dispersion of o-LDH tactoids was observed within the matrix, together with partial PP intercalation. This o-LDH incorporation increased the PP relative crystallinity, induced crystalline orientation and decreased the glass transition temperature. Furthermore, the nanocomposites showed improved initial resistance to decomposition and stiffness. These results showed that the o-LDH acted as both nucleating agent and plasticizer, and that the presented approach can be used for the development of PP nanocomposites with distinguished properties.

This article describes the preparation of silica xerogels by the sol–gel technique, using tetraethoxysilane as precursor and hydrofluoric acid as catalyst, in the presence of imidazolium ionic liquids (ILs). The applied ILs 1–3 contained the 1-monoethylene glycol monomethyl ether-3-methylimidazolium cation in combination with the methanesulfonate (1), tetrafluoroborate (2) and hexafluorophosphate (3) anions, respectively. Characterization of these materials was performed by photography, scanning electron microscopy, atomic force microscopy, X-ray diffraction, thermogravimetric analysis and nitrogen adsorption-desorption isotherms. The IL anion was identified as a powerful morphology controller. The methanesulfonate anion of IL 1 induced the formation of a compact lamellar monolith with an interlamellar distance of 1.5 nm and a flat surface. A free flowing powder of aggregated spherical particles was obtained in the presence of tetrafluoroborate IL 2, and the hexafluorophosphate anion of IL 3 induced the formation of porcelain like aggregates with honeycomb shapes.

This article describes the preparation of xerogel silica’s by the sol–gel technique in the presence of the ionic liquids (ILs) 1-triethylene glycol monomethyl ether-3-methylimidazolium methanesulfonate 1 and 1-monoethylene glycol monomethyl ether-3-methylimidazolium methanesulfonate 2, using tetraethoxysilane as precursor. The addition of water to these ILs resulted in the formation of protonic acid. As a consequence, the ILs functioned as morphology controller and acid pre-catalyst at the same time. Characterization of these materials was performed by photography, scanning electron microscopy, thermogravimetric analysis and powder X-ray diffraction. Compact lamellar monoliths with interlamellar distances of approximately 1.5 nm and flat surfaces were obtained with both ILs.

Cyclic voltammetry measurements using a platinum electrode were performed to study the effect of water when added to the imidazolium room-temperature ionic liquids (RTILs) 1 [C7O3MIm][Mes] and 2 [C3O1MIm][Mes]. The addition of a very small amount of water to RTIL 1 resulted in diminished cathodic current values. An even more pronounced effect was observed with RTIL 2 and all charge transfer processes were extremely reduced. This inhibition of the charge transfer processes suggests the formation of new species, due to a reaction between water and the RTILs, that adsorbs on the electrode surface.

AIMS Evaluate the in vitro effect of imidazolium salts (IMS) on the conidia germination and mycelial growth of Fusarium graminearum and their in vivo efficacy for suppressing the symptoms of the disease and infection of kernels in wheat plants. METHODS AND RESULTS The minimum inhibitory concentrations (MIC) of three IMS (C16 MImCl, C16 MImMeS and C16 MImNTf2 ) were determined for four F. graminearum isolates using serial broth dilution method. The MICs found for all IMS were either 3·12 or 6·25 μg ml(-1) across the isolates, with the former as the most frequent. In the mycelial growth assay on potato dextrose agar media, only the C16 MImCl among the IMS reduced 50% of mycelial growth of one isolate at an estimated concentration of 0·32 mg ml(-1) . The time-kill curves showed a strong fungicidal effect starting 1 h after incubation at a concentration of 12·5 μg ml(-1) , representing a fourfold increase in the most frequent MIC. The C16 MImCl sprayed onto the spikes of potted wheat plants during the flowering stage reduced disease intensity at levels comparable to the commercial fungicide when applied preventatively (1 h prior to fungal inoculation), rather than curatively, and at the higher dosage (2 mg ml(-1) ) rather than lower dosage (0·5 mg ml(-1) ). CONCLUSIONS C16 MImCl proved to be a potent inhibitor of F. graminearum growth and provided good levels of control of the disease at levels comparable to a commercial fungicide, in wheat plants treated prior to fungal infection during flowering stages. SIGNIFICANCE AND IMPACT OF THE STUDY This study suggests the potential of using IMS as alternative to the hazardous standard fungicides in the management of Fusarium head blight of wheat.

Aims To investigate the antidermatophytic action of a complementary set imidazolium salts (IMS), determining structure-activity relationships and characterizing the IMS toxicological profiles. Methods and Results The susceptibility evaluation of 45 dermatophytic clinical isolates, treated in vitro with eleven different IMS (ionic compounds) and commercial antifungals (nonionic compounds), was performed by broth microdilution, following the standard norm of CLSI M38-A2. All dermatophytes were inhibited by IMS, where the lowest minimum inhibitory concentration (MIC) values were observed for salts with n-hexadecyl segment in the cation side chain, containing either the chloride or methanesulfonate anion. 1-n-Hexadecyl-3-methylimidazolium chloride (C16MImCl) and 1-n-hexadecyl-3-methylimidazolium methanesulfonate (C16MImMeS) acted as fungicides, even in extremely low concentrations, wherein C16MImMeS exerted this effect on 100% of the tested dermatophytes. Some of these IMS provoked evident alterations on the fungi cell morphology, causing a total cell damage of ≥70%. Importantly, none of the screened IMS were cytotoxic, mutagenic or genotoxic to human leucocyte cells. Conclusions This report demonstrates for the first time the strong antifungal potential of IMS against multidrug-resistant dermatophytes, without presenting toxicity to human leucocyte cells at MIC. Significance and Impact of the Study The expressive antifungal activity of IMS, combined with the in vitro nontoxicity, makes them promising compounds for the safe and effective treatment of dermatophytoses, mainly when this skin mycosis is unresponsive to conventional drugs.

Introduction: Apixaban, a novel oral direct factor Xa inhibitor has clearly demonstrated clinical benefit in stroke or systemic embolism (SE) reduction without impacting the risk of major bleeding or intracranial hemorrhage in patients with atrial fibrillation (AF). Here we present the patient characteristics of the Latin American cohort (patients from Argentina, Brazil, Chile, Colombia, Mexico, Peru and Puerto Rico) relative to the overall clinical trial population. Methods: Patients with AF who also had at least one risk factor for stroke were randomized to receive apixaban (at a dose of 5 mg twice daily) or warfarin (target international normalized ratio, 2.0 to 3.0) in a double blind clinical trial. The study recruited from 39 countries from December 2006 through April 2010. Of the 36 countries seven were from the Latin America region: Argentina, Brazil, Chile, Colombia, Mexico, Peru, and Puerto Rico. Patient characteristics from the Latin American (LA) cohort, is presented relative to the patient characteristics of the overall trial population. Results: There were 18,201 patients in the study, of which 3,468 were from Latin America which comprised approximately 19% of the trial population. The median age was similar between the LA cohort and the total study population, 71 (IQR 64-77) and 70 (IQR 63-76) respectively. The majority of patients were male, 60.2 and 64.7% for the LA and total study populations respectively. At enrollment, 14% of the LA cohort had a previous stroke, transient ischemic attack, or systemic embolism and 19% in the overall trial population. Mean CHADS2 score at enrollment for the LA cohort was 2.1±1.1, which is the same as the overall population. When region subgroup analysis was performed, there was no statistically significant (p> 01.0) interactions between treatment effects and geographic region. Conclusions: Baseline demographic and disease characteristics data from the LA cohort are relatively similar to that of the clinical trial population for the LA cohort. Results, in terms of safety and efficacy, given the total population trial, are expected to be consistent since interaction between treatment effects and geography was not significant.

Herein, we present the intrinsic property of well-known polyesters [poly(alkene succinates)], as Candida albicans and Candida tropicalis biofilm inhibitors with potential to substantially reduce the incidence of device-associated infections in, e.g., indwelling catheters and sutures. These new biopolymer applications, either for manufacturing or coating medical devices, present innovative features such as: simple and cheap preparation, easy scaling-up, good mechanical and thermal resistance properties, and antibiofilm ability without any specific surface functionalization or antimicrobial agent encapsulation. Furthermore, the polyesters are shown to be highly biocompatible, promote human mesenchymal stem cell (hMSC) attachment and proliferation, inducing morphological changes, which are dependent on the polymer structural characteristics, making them promising candidates for materials in specialized medical devices and in the tissue engineering field.

The ether-functionalized imidazolium ionic liquids (IL) applied in the silica sol-gel process demonstrated a defined coordination potential. These IL display the capacity to control the system organization from the reactions' first moments through a dynamic system-assembling ability, being the sum of ionic and physical interactions, i.e. Coulomb forces, H-bonding and London forces. The initial hydrolysis steps of tetraethyl orthosilicate (TEOS) in the presence of these IL were followed by Fourier transform infrared spectroscopy (FTIR) and dynamic light scattering (DLS), both in time-resolved experiments, in an attempt to correlate the structuring and the bonding dynamics of these systems.

Compósitos de poliestireno com 1, 3 e 5% em massa de argila aniônica funcionalizada com cinamato foram preparados no estado fundido em extrusora de rosca dupla co-rotacional seguido de moldagem por injeção, a fim de se obter materiais com propriedades diferenciadas e absorvedores de radiação UV, utilizando processos comumente disponíveis industrialmente. A caracterização dos compósitos realizou-se através das técnicas de DRX, MET, TG, DSC, UV-Vis, SAXS e ensaios mecânicos diversos (tração, impacto, flexão e dureza). O aumento da distância interlamelar da argila após o processamento indicou a intercalação do poliestireno. Um baixo grau de dispersão de argila foi alcançado e os compósitos de poliestireno se constituíram de fases intercaladas e microtactóides. Em geral, os compósitos apresentaram propriedades mecânicas (tração, flexão, impacto Izod e dureza) similares ao poliestireno puro. Entretanto, os mesmos são capazes de absorver a radiação UV, o que aumentou proporcionalmente ao teor de argila, e, desta forma, apresentam potencial para utilização como filtros de radiações nocivas. Polystyrene composites with 1, 3 and 5% in weight of cinnamate-functionalized anionic clay were prepared following a melt state intercalation route using twin-screw co-rotational extrusion followed by injection molding in order to obtain materials with distinct and UV absorbing properties using commonly available processes. The composites were characterized by XRD, MET, TG, DSC, UV-Vis, SAXS and mechanical testing (tensile, impact, flexural and hardness). The interlamellar distance of the clay galleries increased after melt blending as a result of polystyrene intercalation. A moderate degree of clay dispersion was achieved and the polystyrene composites comprised intercalated phases and clay microtactoids. The composites showed mechanical properties generally similar to neat polystyrene. Nevertheless, the polystryrene composites were able absorbing UV light, which increased with increasing clay-content, and showed potential use as filter against this harmful radiation.

Chronic infection with hepatitis C virus (HCV) is a major and growing public health concern worldwide, including in Latin America. With more efficacious therapies becoming available, decision-makers will require accurate estimates of disease prevalence to assess the potential impact of new treatments. However, few estimates of the epidemiologic burden, either overall or by country, are available for Latin America; and the potential impact of currently-available treatments on the epidemiologic burden of HCV in Latin America has not been assessed. To address this, we systematically reviewed twenty-five articles presenting population-based estimates of HCV prevalence from general population or blood donor samples, and supplemen- ted those with publically-available data, to estimate the total number of persons infected with HCV in Latin America at 7.8 million (2010). Of these, over 4.6 million would be expected to have genotype 1 chronic HCV, based on published data on the risk of progression to chronic disease and the HCV genotype distribution of Latin America. Finally, we calculated that between 1.6 and 2.3 million persons with genotype 1 chronic HCV would potentially benefit from current treatments, based on published estimates of genotype-specific treatment responsiveness. In conclusion, these estimates demonstrate the substantial present epidemiologic burden of HCV, and quantify the impending societal and clinical burden from untreated HCV in Latin America.

We report the observation of two-neutrino double-beta decay in ^(136)Xe with T_(1/2)=2.11±0.04(stat)±0.21(syst)×10^(21) yr. This second-order process, predicted by the standard model, has been observed for several nuclei but not for ^(136)Xe. The observed decay rate provides new input to matrix element calculations and to the search for the more interesting neutrinoless double-beta decay, the most sensitive probe for the existence of Majorana particles and the measurement of the neutrino mass scale.

A magnetically driven piston pump for xenon gas recirculation is presented. The pump is designed to satisfy extreme purity and containment requirements, as is appropriate for the recirculation of isotopically enriched xenon through the purification system and large liquid xenon TPC of EXO-200. The pump, using sprung polymer gaskets, is capable of pumping more than 16 standard liters per minute (SLPM) of xenon gas with 750 torr differential pressure., 6 pages, 5 figures

Correction for ‘Tailored high performance shape memory epoxy–silica nanocomposites. Structure design’ by S. Ponyrko, et al., Polym. Chem., 2016, 7, 560–572.

The aim of this study was to assess whether clinical work constitutes a risk factor for Helicobacter pylori infection among employees in hospitals. The prevalence of H. pylori infection was analysed in 249 individuals employed in a university teaching hospital according to three categories of hospital workers: (A) personnel from gastrointestinal endoscopy units (N=92); (B) personnel from other hospital units with direct patient contact (N=105); and (C) staff from laboratories and other units with no direct patient contact (N=52). Stool samples from each subject were examined with a validated enzyme-linked immunosorbent assay for the presence of H. pylori antigens. A questionnaire inquiring about sociodemographic and occupational characteristics was completed by each participant. The prevalence of H. pylori infection was 37.0% in group A, 35.2% in group B and 19.2% in group C (P

Disposal of dredged material taken from the New York/New Jersey (NY/NJ) Harbor is problematic because of the presence of inorganic and organic contaminants that under revised testing criteria render it unsuitable for return to the ocean or for beneficial reuse. Decontamination of the dredged material followed by beneficial reuse is one attractive component of the overall comprehensive dredged material management plan being developed by the US Army Corps of Engineers New York District. A demonstration program to validate decontamination processes and to bring them into full-scale use in the NY/NJ Harbor is now in progress. Tests of selected technologies have been completed at the bench scale and pilot-scale (2--15 m{sup 3}) levels. Procedures for demonstration testing on scales from 750 m{sup 3} to 75,000 m{sup 3} are being developed with the goal of producing a useable decontamination system by the end of 1999. The overall project goals and present status of the project are reviewed here.

Imidazolium ionic liquids (ILs) have the capacity to exert multiple functions as additives for the formation of epoxy-silica nanocomposites, via the simultaneous sol–gel process and epoxy network build-up. This study addresses the effect of ILs on the reinforcement of tensile properties in rubbery epoxy-silica nanocomposites, allowing property tailoring. The use of ILs together with the coupling agent 3-glycidyloxypropyltrimethoxysilane (GTMS) created a synergic action between physical and chemical interfacial bonding, enabling an increase in toughness without a considerable loss of stiffness. The best tensile property balance was obtained with IL 1-triethylene glycol monomethyl ether-3-methylimidazolium methanesulfonate and GTMS. The rubbery nanocomposite produced was remarkably both stiffer and tougher than the unmodified epoxy-silica system, displaying ca. 6 times higher modulus and tensile strength as well as more than 10 times higher energy to break.

Tagging events with the coincident detection of a barium ion would greatly reduce the background for a neutrino-less double beta decay search in xenon. This paper describes progress towards realizing this goal. It outlines a source that can produce large quantities of Ba++ in gas, shows that this can be extracted to vacuum, and demonstrates a mechanism by which the Ba++ can be efficiently converted to Ba+ as required for laser identification.

We describe a source capable of producing single barium ions through nuclear recoils in radioactive decay. The source is fabricated by electroplating 148Gd onto a silicon {\alpha}-particle detector and vapor depositing a layer of BaF2 over it. 144Sm recoils from the alpha decay of 148Gd are used to dislodge Ba+ ions from the BaF2 layer and emit them in the surrounding environment. The simultaneous detection of an {\alpha} particle in the substrate detector allows for tagging of the nuclear decay and of the Ba+ emission. The source is simple, durable, and can be manipulated and used in different environments. We discuss the fabrication process, which can be easily adapted to emit most other chemical species, and the performance of the source.

Shipping activities in the Port of New York-New Jersey are currently threatened by restrictions on dredging of navigational channels and private berthing areas becaused of concerns about the environmental effects caused by ocean disposal of the dredged material. Current proposals for solutions to the problem include ocean disposal of uncontaminated material, use of confined disposal facilities (both upland facilities and containment islands), subaqueous barrow pits, and processing and treatment for contaminated materials. A project to produce a complete “treatment train” for processing and decontaminating dredged material is described. The work is divided into several phases: treatability studies of commercial and nonproprietary technologies at volumes of 19 liters (bench scale) and up to 19 m3 (pilot scale); specification of a treatment train; and implementation of a large-scale facility that can process 76,000–382,000 m3 of dredged material per year. The goal is to achieve operational status for the facility by the end of 1999.