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The misuse of opioids has become a major public health crisis worldwide. Synthetic opioids, in particular, pose a significant danger due to their potency and potential for addiction. In this study, we aimed to evaluate the reliability of ligand-based models for predicting the structure of new synthetic opioids. We used the Molecular Operating Environment (MOE) software to create ligand-based models for three opioid receptors: mu, delta, and kappa. We trained the models on a dataset of known opioids, and then used them to predict the structure of new opioids based on their chemical properties. Our results showed that the ligand-based models were reliable in predicting the structure of new synthetic opioids. In fact, some of the structures predicted by the models were later identified on the street as new synthetic opioids. This demonstrates the potential of in silico modelling to aid in the identification and prediction of new synthetic opioids. In conclusion, our study highlights the utility of ligand-based models in predicting the structure of new synthetic opioids. By leveraging in silico modelling tools, we can potentially identify and predict new synthetic opioids before they emerge on the street, providing a critical tool in the fight against the opioid epidemic.

In 2019, we published three innovative quantitative structure-activity relationship models (QSAR) for predicting the affinity of mu-opioid receptor (µOR) ligands. The three different models were then combined to produce a consensus model used to explore the chemical landscape of 3000 virtual fentanyl-like structures, also generated by us by a theoretical scaffold-hopping approach to explore potential novel active substances and predict their activity. Interestingly, five years have passed, and some of the virtual predicted compounds have been identified/reported to e.g. the EU Early Warning System or the United Nations Office on Drugs and Crime, thus confirming our warning hypothesis that new emerging drugs from our screen would find way to the market.

Nanoparticles with bactericidal properties offer significant advantages, and their integration with other nanomaterials can further enhance these benefits. This study investigates the synergistic effects of Ag-doped ZnO/AgO (ZnAg) nanocomposites combined with TiO2 nanocrystals (NCs) as antibacterial agents while assessing their in vitro and in vivo nanotoxicity. Three distinct compositions (25Ti/75ZnAg, 50Ti/50ZnAg, and 75Ti/25ZnAg) were evaluated for their combined effects. Characterization through X-ray diffraction (XRD) and scanning electron microscopy (SEM) confirmed the successful synthesis of nanocomposites with well-dispersed NCs in the desired ratios. Morphological analysis revealed spherical TiO2 NCs, rod- and plate-shaped Ag-doped ZnO, and spherical AgO particles. The 50Ti/50ZnAg nanocomposite exhibited superior photocatalytic activity in degrading methylene blue (MB) compared to pure ZnAg and TiO2. In nanotoxicology assessments, except Ag-doped ZnO, the nanocomposites demonstrated good biocompatibility with human peripheral blood mononuclear cells (PBMCs) at concentrations below 100 µg/mL. In Drosophila melanogaster assays, no toxic effects were observed at lower concentrations. Additionally, the nanocomposites effectively inhibited bacterial growth, particularly against antibiotic-resistant strains such as MRSA and KPC, by generating reactive oxygen species (ROS) and disrupting bacterial biofilm formation. Ti/ZnAg nanocomposites exhibited enhanced photocatalytic properties, biocompatibility, and antimicrobial activity, particularly against antibiotic-resistant strains.

This study introduces a straightforward synthesis method for producing a hybrid material composed of halloysite and kojic acid, which catalyzes carbon dioxide (CO2) conversion processes. Kojic acid, derived from malted rice fermentation, exhibits inherent chelating properties that facilitate the introduction of copper ions onto the material’s surface. Copper ions, an economically viable alternative to noble metals, catalyze CO2 conversion reactions effectively. The hybrid catalyst was evaluated for two distinct CO2 conversion pathways: photocatalytic methane production under simulated sunlight and CO2 fixation into cyclic carbonates via epoxide reactions. The hybrid material demonstrates remarkable catalytic activity under mild conditions, achieving high conversion efficiencies at 45 °C for methane production and 70 °C for carbonate fixation at atmospheric pressure. Conversion of 31 % and 89 % were achieved for the photocatalytic CO2 reduction and the carbonate fixation, respectively. FT-IR spectra confirmed the functionalization of the material. Additionally, its organic/inorganic hybrid nature is complemented by excellent thermal stability, as studied by TGA. It enables repeated utilization, maintaining a 25 % catalytic activity for methane production and 70 % for carbonate fixation after the fourth reuse. This research highlights the potential of using naturally derived materials for sustainable CO2 mitigation.

The novelty of this work consists of synthesizing and exploiting a heterogeneous catalyst containing ammonium chloride as part of the polymeric sponge sites for CO2 capture. To this aim, the polymerization of 2-acryloyl(oxyethyl)trimethylammonium chloride was performed in cryo-condition, in the presence of a crosslinking agent, obtaining a lightweight macroporous freestanding material. Its efficiency in converting aromatic and aliphatic epoxides to the corresponding carbonates was successfully proved by using proton Nuclear Magnetic Resonance (1H NMR). Remarkably, the conversion of styrene oxide (SO) to styrene carbonate (SC) reached a yield of 99 % after 24 h of reaction. The calculated yield versus the aliphatic cyclohexene oxide is 71 %. Similar results were obtained by substituting the resin counter anion with Br−, although the conversion kinetic was slower than the chloride. It is worth noticing that reactions took place in the mixture without adding the tetrabutylammonium bromide (TBAB), typically used as a co-catalyst to convert epoxides into carbonates. The recyclability of the as-prepared catalyst was evaluated for four reaction cycles, evidencing stable properties without significant depletion of CO2 capture efficiency. Most importantly, the post-cleaning of the catalytic sponge is not required to be reused. Finally, the green chemistry metrics applied to the process demonstrated that our approach significantly mitigates risks and reduces environmental impact, thus elevating the overall cleanliness of our proof of concept.

First Aid in Accidents is a program designed to provide emergency care and treatment to accident victims before they are taken to a hospital, health facility, or clinic where they can receive further medical care from a doctor or paramedic. If an accident or injury is not handled properly, it can develop into an emergency, resulting in serious injury and even death. First aid training and knowledge is very important for dealing with accidents because it teaches basic methods for saving victims from accidents and disasters that occur. This is so that with adequate preparation, such as basic life support training, reaction actions will be faster and more accurate, minimizing the number of victims and damage. The study's goal is to ascertain how "an overview of The degree of student understanding of first aid for emergencies at Budi Murni 2 Catholic Private High School Medan 2023 Purposive sampling was used in this study's descriptive design, with a total of 60 respondents. A questionnaire sheet is the tool that is being used, random sampling. The findings indicate that 96.7% of pupils have first aid knowledge for accidents, knowledge based on fainting was 80%, knowledge based on bleeding are 88.3%, based on broken bones 85%, and knowledge based on splint dressing is 58.3%. It is anticipated that students would become more knowledgeable about and capable of using first aid in accidents.

Glucagon-like peptide-1 (GLP-1) is involved in a range of central and peripheral pathways related to appetitive behavior. Hence, this study explored the effects of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) on substance and behavioral addictions, including alcohol, caffeine, nicotine, cannabis, psychostimulants, compulsive shopping, and sex drive/libido. Data were collected from various social platforms. Keywords related to GLP-1 RAs and substance/behavioral addiction were used to extract relevant comments. The study employed a mixed-methods approach to analyze online discussions posted from December 2019 to June 2023 and collected using a specialized web application. Reddit entries were the focus here due to limited data from other platforms, such as TikTok and YouTube. A total of 5859 threads and related comments were extracted from six subreddits, which included threads about GLP-1 RAs drugs and associated brand names. To obtain relevant posts, keywords related to potential substance use and compulsive behavior were selected. Further analysis involved two main steps: (1) manually coding posts based on users’ references to the potential impact of GLP-1 RAs on substance use and non-substance habits, excluding irrelevant or unclear comments; (2) performing a thematic analysis on the dataset of keywords, using AI-assisted techniques followed by the manual revision of the generated themes. Second, a thematic analysis was performed on the keyword-related dataset, using AI-assisted techniques followed by the manual revision of the generated themes. In total, 29.75% of alcohol-related; 22.22% of caffeine-related; and 23.08% of nicotine-related comments clearly stated a cessation of the intake of these substances following the start of GLP-1 RAs prescription. Conversely, mixed results were found for cannabis intake, and only limited, anecdotal data were made available for cocaine, entactogens, and dissociative drugs’ misuse. Regarding behavioral addictions, 21.35% of comments reported a compulsive shopping interruption, whilst the sexual drive/libido elements reportedly increased in several users. The current mixed-methods approach appeared to be a useful tool in gaining insight into complex topics such as the effects of GLP-1 RAs on substance and non-substance addiction-related disorders; some GLP-1 RA-related mental health benefits could also be inferred from here. Overall, it appeared that GLP-1 RAs may show the potential to target both substance craving and maladaptive/addictive behaviors, although further empirical research is needed.

Semaglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, has gained considerable attention as a therapeutic agent for type 2 diabetes mellitus and obesity. Despite its clinical success, the precise mechanisms underlying its pharmacological effects remain incompletely understood. In this study, we employed ligand-based drug design strategies to investigate potential off-target interactions of semaglutide. Through a comprehensive in silico screening of semaglutide’s structural properties against a diverse panel of proteins, we have identified calmodulin (CaM) as a putative novel target of semaglutide. Molecular docking simulations revealed a strong interaction between semaglutide and CaM, characterized by favourable binding energies and a stable binding pose. Further molecular dynamics simulations confirmed the stability of the semaglutide–CaM complex, emphasizing the potential for a physiologically relevant interaction. In conclusion, our ligand-based drug design approach has uncovered calmodulin as a potential novel target of semaglutide. This discovery sheds light on the complex pharmacological profile of semaglutide and offers a promising direction for further research into the development of innovative therapeutic strategies for metabolic disorders. The CaM, and especially so the CaMKII, system is central in the experience of both drug- and natural-related reward. It is here hypothesized that, due to semaglutide binding, the reward pathway-based calmodulin system may be activated, and/or differently regulated. This may result in the positive semaglutide action on appetitive behaviour. Further studies are required to confirm these findings.

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: The designer benzodiazepine (DBZD) market continues to expand whilst evading regulatory controls. The widespread adoption of social media by pro-drug use communities encourages positive discussions around DBZD use/misuse, driving demand. This research addresses the evolution of three popular DBZDs, etizolam (E), flubromazepam (F), and pyrazolam (P), available on the drug market for over a decade, comparing the quantitative chemical analyses of tablet samples, purchased from the internet prior to the implementation of the Psychoactive Substances Act UK 2016, with the thematic netnographic analyses of social media content. Method: Drug samples were purchased from the internet in early 2016. The characterisation of all drug batches were performed using UHPLC-MS and supported with 1H NMR. In addition, netnographic studies across the platforms X (formerly Twitter) and Reddit, between 2016–2023, were conducted. The latter was supported by both manual and artificial intelligence (AI)-driven thematic analyses, using numerous.ai and ChatGPT, of social media threads and discussions. Results: UHPLC-MS confirmed the expected drug in every sample, showing remarkable inter/intra batch variability across all batches (E = 13.8 ± 0.6 to 24.7 ± 0.9 mg; F = 4.0 ± 0.2 to 23.5 ± 0.8 mg; P = 5.2 ± 0.2 to 11.5 ± 0.4 mg). 1H NMR could not confirm etizolam as a lone compound in any etizolam batch. Thematic analyses showed etizolam dominated social media discussions (59% of all posts), with 24.2% of posts involving sale/purchase and 17.8% detailing new administration trends/poly-drug use scenarios. Artificial intelligence confirmed three of the top five trends identified manually. Conclusions: Purity variability identified across all tested samples emphasises the increased potential health risks associated with DBZD consumption. We propose the global DBZD market is exacerbated by surface web social media discussions, recorded across X and Reddit. Despite the appearance of newer analogues, these three DBZDs remain prevalent and popularised. Reporting themes on harm/effects and new developments in poly-drug use trends, demand for DBZDs continues to grow, despite their potent nature and potential risk to life. It is proposed that greater controls and constant live monitoring of social media user content is warranted to drive active regulation strategies and targeted, effective, harm reduction strategies.

Students exposed to conflict have increased risks of perpetrating school violence. For young people who experience war in Philippine's Mindanao, overcoming violence can be particularly challenging as perpetrating this behaviour has, over time, become embedded in their postcolonial culture. These students are most affected by conflict and vulnerable to competing political entities; therefore, in this study, they are identified as the subalterned. Data from a phenomenological research that focus on the lived experiences of the subalterned students and schools' impact on their identity formation were used to investigate ways to counter the production of a violent culture. In-depth interviews and focus group discussions with art-based activity are used to gather the experiences of current students from six schools and former students in three conflict-affected regions of the country. Using postcolonial theory, this study highlights that student empowerment through identity formation and elements that were previously used to propagate violence and extremism can be effectively harnessed to foster a nonviolent culture in schools. The study concludes by showing that the identified factors that aided participants to overcome violent tendencies must incorporate an active notion of advocating a decolonial peacebuilding program in schools that considers the subaltern's identities and culture.

The emergence of glucagon-like peptide-1 receptor agonists (GLP-1 RAs; semaglutide and others) now promises effective, non-invasive treatment of obesity for individuals with and without diabetes. Social media platforms’ users started promoting semaglutide/Ozempic as a weight-loss treatment, and the associated increase in demand has contributed to an ongoing worldwide shortage of the drug associated with levels of non-prescribed semaglutide intake. Furthermore, recent reports emphasized some GLP-1 RA-associated risks of triggering depression and suicidal thoughts. Consistent with the above, we aimed to assess the possible impact of GLP-1 RAs on mental health as being perceived and discussed in popular open platforms with the help of a mixed-methods approach. Reddit posts yielded 12,136 comments, YouTube videos 14,515, and TikTok videos 17,059, respectively. Out of these posts/entries, most represented matches related to sleep-related issues, including insomnia (n = 620 matches); anxiety (n = 353); depression (n = 204); and mental health issues in general (n = 165). After the initiation of GLP-1 RAs, losing weight was associated with either a marked improvement or, in some cases, a deterioration, in mood; increase/decrease in anxiety/insomnia; and better control of a range of addictive behaviors. The challenges of accessing these medications were a hot topic as well. To the best of our knowledge, this is the first study documenting if and how GLP-1 RAs are perceived as affecting mood, mental health, and behaviors. Establishing a clear cause-and-effect link between metabolic diseases, depression and medications is difficult because of their possible reciprocal relationship, shared underlying mechanisms and individual differences. Further research is needed to better understand the safety profile of these molecules and their putative impact on behavioral and non-behavioral addictions.