Aspirin hypersensitivity diagnostic index (AHDI): In vitro test for diagnosing of N-ERD based on urinary 15-oxo-ETE and LTE4 excretion.

BACKGROUND: 15-oxo-eicosatetraenoic acid (15-oxo-ETE), is a product of arachidonic acid (AA) metabolism in the 15-lipoxygenase-1 (15-LOX-1) pathway. 15-oxo-ETE was overproduced in the nasal polyps of patients with nonsteroidal anti-inflammatory drug-exacerbated respiratory disease (N-ERD). In this study we investigated the systemic biosynthesis of 15-oxo-ETE and leukotriene E4 (LTE4) and assessed their diagnostic value to identify patients with N-ERD. METHODS: The study included 64 patients with N-ERD, 59 asthmatics who tolerated aspirin well (ATA), and 51 healthy controls. A thorough clinical characteristics of asthmatics included computed tomography of paranasal sinuses. Plasma and urinary 15-oxo-ETE levels, and urinary LTE4 excretion were measured using high-performance liquid chromatography and tandem mass spectrometry. Repeatability and precision of the measurements were tested. RESULTS: Plasma 15-oxo-ETE levels were the highest in N-ERD (p < .001). A receiver operator characteristic (ROC) revealed that 15-oxo-ETE had certain sensitivity (64.06% in plasma, or 88.24% in urine) for N-ERD discrimination, while the specificity was rather limited. Modeling of variables allowed to construct the Aspirin Hypersensitivity Diagnostic Index (AHDI) based on urinary LTE4-to-15-oxo-ETE excretion corrected for sex and the Lund-Mackay score of chronic rhinosinusitis. AHDI outperformed single measurements in discrimination of N-ERD among asthmatics with an area under ROC curve of 0.889, sensitivity of 81.97%, specificity of 87.23%, and accuracy of 86.87%. CONCLUSIONS: We confirmed 15-oxo-ETE as a second to cysteinyl leukotrienes biomarker of N-ERD. An index based on these eicosanoids corrected for sex and Lund-Mackay score has a similar diagnostic value as gold standard oral aspirin challenge in the studied group of patients with asthma.

Hydrogel Dressing Biomaterial Enriched with Vitamin C: Synthesis and Characterization.

Materials engineering has become an important tool in the field of hydrogel dressings used to treat difficult-to-heal wounds. Hydrogels filled with bioactive substances used as a targeted healing system are worthy of attention. Vitamin C has healing and supporting effects in the treatment of many skin problems. The aim of the research was to produce a hydrogel biomaterial enriched with ascorbic acid for use as a dressing for difficult-to-heal wounds. A total of four different dressings were developed, each with different modifications in each layer. The dressing with vitamin C in the third layer was shown to release vitamin C ions more slowly than the dressing with vitamin C in the first layer. The studies conducted have shown that the dressings containing vitamin C have, among other things, a higher compressive strength, are characterised by a lower relative shortening after the application of force and shorten without damage at a lower force than in the case of a dressing without vitamin C. The dressings designed have a very good stability in the temperature range of 18 °C to 60 °C. It was found that the higher the vitamin C content in the dressing, the greater the increase in the specific heat value of the transformations. Therefore, hydrogel dressings containing vitamin C may be candidates for local delivery of vitamin C to the skin and protection of the wound area.

The Potential of Sheep or Camel Milk Constituents to Contribute to Novel Dressings for Diabetic Wounds.

Impaired wound healing is a complication of diabetes, which constitutes a serious problem in clinical practice. Currently, there is a high demand on the market for local treatment options for difficult-to-heal wounds caused by diabetes. The development of dressings that accelerate wound healing has recently been the subject of much research. Sheep and camel milk is gaining importance due to the content of many bioactive substances with health-promoting effects, such as insulin, LF, proline, or CLA. Sheep and camel milk proteins are a promising source of insulin, antidiabetic, and antihypertensive peptides. Numerous studies show that local administration of insulin has a significant impact on the healing of diabetic wounds. Sheep and camel milk, due to the highest LF content among ruminants, reduces autoimmune inflammatory processes and protects against bacterial and viral infections in the wound environment. Sheep's milk has the highest content of proline and CLA, and their addition to a hydrogel dressing can help in the development of an effective dressing material. The production of hydrogel dressings containing sheep and camel milk, which are naturally rich in the bioactive substances presented in this review, may be a promising step in the market of specialized dressings for difficult-to-heal diabetic wounds.

Novel Polyurethane-Based Systems Modified with Starch and Phase Change Materials for Bone Tissue Regeneration.

Novel polyurethane-based materials have been synthesized by a two-step process using poly(ε-caprolactone) diol (PCL) and 1,3-propanediol/starch (PDO/ST) systems as chain extenders/cross-linkers and 1,6-hexamethylane diisocyante (HDI) as a potential material for bone tissue replacement or bone cements. A poly(ethylene glycol)/starch (PEG/ST) system has been applied as a form-stable phase change material (PCM) to decrease the maximum setting temperature, while hydroxyapatite (HAp) has been used as a bioactive nanofiller. FTIR and SEM-EDX analyses were performed to investigate the structure, surface morphology, and thermal properties of the obtained polyurethanes. FTIR spectroscopy confirmed the chemical structure of the synthesized polyurethanes. SEM-EDX analysis confirmed the incorporation of starch/hydroxyapatite into the polyurethane matrix. Modification with PCMs based on PEG or PEG/starch systems allowed for a decrease in the maximum setting temperature of PUs from 6 to 7.6 °C, depending on the type of PCM used. Thus, the obtained polyurethanes show a good energy storage effect and a good application potential for the synthesis of multifunctional bioactive materials for future use as bone cements.

Aging Process of Biocomposites with the PLA Matrix Modified with Different Types of Cellulose.

In the modern world, many products are disposable or have a very short lifespan, while at the same time, those products are made from materials that will remain in the environment in the form of waste for hundreds or even thousands of years. It is a serious problem; non-biodegradable polymer wastes are part of environmental pollution and generate microplastics, which accumulate in the organisms of living beings. One of the proposed solutions is biodegradable polymers and their composites. In our work, three types of polylactide-based composites with plant-derived fillers: microcellulose powder, short flax fibers, and wood flour at 2 wt.% were prepared. Poly(lactic acid) (PLA)-based biocomposite properties were characterized in terms of mechanical and surface properties together with microscopic analysis and Fourier-transform infrared spectroscopy (FTIR), before and after a UV (ultraviolet)-light-aging process to determine the effects of each cellulose-based additive on the UV-induced degradation process. This research shows that the addition of a cellulose additive can improve the properties of the material in terms of the UV-aging process, but the form of the chosen cellulose form plays a crucial role in this case. The testing of physicochemical properties demonstrated that not only can mechanical properties be improved, but also the time of degradation under UV light exposure can be controlled by the proper selection of the reinforcing phase and the parameters of the extrusion and injection molding process. The obtained results turned out to be very interesting, not only in terms of the cost reduction of the biocomposites themselves, as mainly the waste from the wood industry was used as a low-cost filler, but also that the additive delays the aging process occurring during UV light exposure. Even a small, 2 wt.% addition of some of the tested forms of cellulose delayed surface degradation, which is one of the most important factors affecting the biodegradation process.

Edible chitosan-alginate based coatings enriched with turmeric and oregano additives: Formulation, antimicrobial and non-cytotoxic properties.

In our study we developed the edible chitosan and alginate coatings with turmeric or oregano additives. The objective of the research was to evaluate the dose-dependent cytotoxicity of films. In cell line studies on HepG2 and BJ cells, they were shown to be non-cytotoxic materials (IC50% was not reached). For HepG2 increase in cell proliferation was observed for 3, 4, and 7 mg/mL of OS3 (124,79±9,21; 162,4±10,46; 165,37±18,44) after 72 h. In BJ cells, no significant decrease in proliferation was noted after 24- and 48-hour exposure to OS0 and OS1 (1-7 mg/ml). The addition of oregano (1% v/v) resulted in films with higher elongation at break and 40% higher tensile strength compared to the base (OS0) film. Use of additives significantly increased the thermal stability of the complexes (by an average of 10 °C). Coatings were tested on tofu and had proven potent antimicrobial properties.

Acute pulmonary embolism with coexisting right heart thrombi in transit-surgical treatment of 20 consecutive patients.

OBJECTIVES: The presence of right heart thrombi in transit (RHTiT) in the setting of acute pulmonary embolism (PE) is associated with high mortality. The optimal management in such cases is inconclusive. We present the results of surgical treatment of 20 consecutive patients diagnosed with high- or intermediate-high-risk PE with coexisting RHTiT. METHODS: A retrospective analysis was performed of all consecutive patients undergoing surgical treatment in the Medicover Hospital between 2013 and 2021 for acute PE with coexisting thrombi in-transit in right heart cavities. The diagnosis was based on echocardiography, computed tomography pulmonary angiography and laboratory tests. Eligibility criteria for surgical treatment were acute PE with RHTiT, right ventricular overload on imaging studies and significantly elevated levels of cardiac troponin and NTproBNP. All patients were operated on with extracorporeal circulation using deep hypothermia and total circulatory arrest. The primary end point was hospital all-cause mortality; secondary end points were perioperative complications and long-term mortality. RESULTS: The analysis included 20 patients. There was no in-hospital death. Nearly one-third of patients required temporal hemofiltration for postoperative renal failure, but this did not involve the need for dialysis at discharge. No neurological complications occurred in any patient. The mean follow-up was 46 months (range 13-98). There was 1 death in the long-term follow-up, not related to PE. CONCLUSIONS: Surgical treatment of patients with acute PE and coexisting RHTiT can provide favourable results.

Biocomposites with Epoxy Resin Matrix Modified with Ingredients of Natural Origin.

This study aims to present various forms of cellulose, whose shape depends on the source of origin, and to demonstrate the differences in the influence on the properties of materials produced with its participation. For this purpose, composites with various plant additives have been designed and obtained. Some of them have undergone chemical and pyrolytic modifications. The results of the mechanical, physicochemical and microscopic tests showed differences in cellulose structure, even in the case of very similar sources, and its diversified influence on the characteristics of the obtained materials. The research shows the effect of the use of natural additives and their modified versions on the mechanical properties of the composite based on epoxy resin. It turns out that cellulose modifiers are not only fillers that reduce the price of the final product but can also increase some mechanical properties, e.g., compressive strength, which is an additional advantage and a reason for wider use. The potential of natural resources is not yet fully understood. Relatively recently, people have started to be interested in cellulose on a nanometric scale, as it turns out that it can exist in several different forms with interesting properties.

Influence of UV Ageing on Properties of Printed PLA Containing Graphene Nanopowder.

The present paper analyses the properties of printed polylactic acid (PLA) samples with admixtures of graphene nanopowder (GNP) at wt. 1%, 2% and 4%. The pure polylactide and admixed polylactide printed samples were examined to determine their chemical-physical properties, stiffness, and strength parameters. The tests of tensile, dynamic mechanical analysis (DMA), difference thermogravimetric (TG), and differential scanning calorimetry (DSC) were executed before and after UV (ultraviolet) treatment. The first part of the paper shows the process of manufacturing granulates and filaments mixed with graphene. The second part of the paper concerns the results of the tests made on printed samples. The analysed samples were printed using a Prusa i3 MK3 printer. It transpired that the content of graphene at 1% improved the mechanical parameters of the printed composite by organising its structure. Increasing the amount of graphene caused the values of the measured parameters to drop. This research indicates how important it is to determine the optimal values of nanoadditives in biopolymers.

Preparation, Characterization, and Bioactivity Evaluation of Polyoxymethylene Copolymer/Nanohydroxyapatite-g-Poly(ε-caprolactone) Composites.

In this work, nanohydroxyapatite (HAp) was functionalized with poly(ε-caprolactone) (PCL), using 1,6-hexamethylene diisocyanate (HDI) as a coupling agent, and then incorporated into the polyoxymethylene copolymer (POM) matrix using the extrusion technique. The obtained POM/HAp-g-PCL composites were investigated using FTIR, DSC, TOPEM DSC, and TG methods. Mechanical properties were studied using destructive and non-destructive ultrasonic methods, wettability, and POM crystallization kinetics in the presence of HAp-g-PCL. Moreover, preliminary bioactivity evaluation of the POM/HAp-g-PCL composites was performed using the Kokubo method. It was found that the introduction of HAp-g-PCL to the POM matrix has a limited effect on the phase transitions of POM as well as on its degree of crystallinity. Importantly, HAp grafted with PCL caused a significant increase in the thermal stability of the POM, from 292 °C for pristine POM to 333 °C for POM modified with 2.5% HAp-g-PCL. If unmodified HAp was used, a distinct decrease in the thermal stability of the POM was observed. Crystallization kinetic studies confirmed that HAp-g-PCL, in small amounts, can act as a nucleating agent for the POM crystallization process. Moreover, incorporation of HAp-g-PCL, although slightly decreasing the mechanical properties of POM composites, improved the crucial parameter in biomedical applications, namely the in vitro bioactivity.

Newly crosslinked chitosan- and chitosan-pectin-based hydrogels with high antioxidant and potential anticancer activity.

Monoaldehydes, due to natural origin and therapeutic activity, have attracted great attention for their ability to crosslink chitosan hydrogels for biomedical applications. However, most studies have focused on single-component hydrogels. In this work, chitosan-based hydrogels, crosslinked for the first time with 2,3,4-trihydroxybenzaldehyde (THBA), were modified with pectin (PC), bioactive glass (BG), and rosmarinic acid (RA). All of these were not only involved in the crosslinking, but also modulated properties or imparted completely new ones. THBA functioned as a crosslinker, resulting in improved mechanical properties, high swelling capacity and delayed degradation and also imparted high antioxidant activity and antiproliferative effect on cancer cells without cytotoxicity for normal cells. Hydrogels containing PC showed enhanced mechanical strength, while the combination with BG gave improved stability in PBS. All hydrogels modified with BG exhibited the ability to mineralise in SBF. The addition of RA enhanced antioxidant and anticancer activities and promoting the mineralisation process.

Mechanical Properties of Polylactide Admixed with Carbon Nanotubes or Graphene Nanopowder.

The aim of this work was to verify the material properties of polylactic acid (PLA) with an addition of carbon nanotubes (CNTs) or graphene nanopowder (GNP). The pure polylactide and admixed polylactide samples were subjected to chemical-physical tests to determine their stiffness and strength parameters. The tensile and impact tests were performed on samples without UV (ultraviolet) treatment and after UV treatment, in a physiological saline solution. The investigations were composed of two stages. The first one was related to the examination of the properties of pure polylactide, denoted as the following: 3001D, 4032D, and 4043D. The second stage was based on an analysis of the properties of PLA 4032D with an admixture of GNP or CNTs, at 0.1 wt.% and 0.5 wt.%. By comparing the strength and the stiffness of pure samples with samples with the considered admixtures, an essential increase was not observed. However, it is stated that the presence of GNP and CNTs in the samples positively influenced the resistance of the materials to the ageing process.

Effects of Process Parameters on Structure and Properties of Melt-Blown Poly(Lactic Acid) Nonwovens for Skin Regeneration.

Skin regeneration requires a three-dimensional (3D) scaffold for cell adhesion, growth and proliferation. A type of the scaffold offering a 3D structure is a nonwoven material produced via a melt-blown technique. Process parameters of this technique can be adapted to improve the cellular response. Polylactic acid (PLA) was used to produce a nonwoven scaffold by a melt-blown technique. The key process parameters, i.e., the head and air temperature, were changed in the range from 180-270 °C to obtain eight different materials (MB1-MB8). The relationships between the process parameters, morphology, porosity, thermal properties and the cellular response were explored in this study. The mean fiber diameters ranged from 3 to 120 µm. The average material roughness values were between 47 and 160 µm, whereas the pore diameters ranged from 5 to 400 µm. The calorimetry thermograms revealed a correlation between the temperature parameters and crystallization. The response of keratinocytes and macrophages exhibited a higher cell viability on thicker fibers. The cell-scaffold interaction was observed via SEM after 7 days. This result proved that the features of melt-blown nonwoven scaffolds depended on the processing parameters, such as head temperature and air temperature. Thanks to examinations, the most suitable scaffolds for skin tissue regeneration were selected.

Fly Ash as an Eco-Friendly Filler for Rigid Polyurethane Foams Modification.

There is currently a growing demand for more effective thermal insulation materials with the best performance properties. This research paper presents the investigation results on the influence of two types of filler on the structure and properties of rigid polyurethane foam composites. Fly ash as a product of coal combustion in power plants and microspheres of 5, 10, 15, and 20 wt.%, were used as rigid polyurethane foams modifiers. The results of thermal analysis, mechanical properties testing, and cellular structure investigation performed for polyurethane composites show that the addition of fly ash, up to 10 wt.%, significantly improved the majority of the tested parameters. The use of up to 20 wt.% of microspheres improves the mechanical and thermal properties and thermal stability of rigid polyurethane foams.

Influence of ZnO, SiO2 and TiO2 on the aging process of PLA fibers produced by electrospinning method.

The aim of this work was to study the effect of ceramics particles addition (SiO2, ZnO, TiO2) on the ultraviolet (UV) aging of poly(lactic acid) nonwovens fabricated using electrospinning method. The resistance to aging is a key factor for outdoor and medical applications (UV light sterilization). Nonwovens were placed in special chamber with UV light. Changes of physicochemical properties were recorded using differential scanning calorimetry and attenuated total reflection Fourier-transform infrared spectroscopy. The fibers' morphology was studied by using scanning electron microscopy. Obtained results clearly showed that only PLA fibers with ZnO particles gained an increase in UV resistance. The paper presents a description of structural changes taking place under the influence of UV aging processes and describes the mechanisms of this process and the effect of ceramic addition on the lifetime of such materials.

Fluidized bed combustion fly ash as filler in composite polyurethane materials.

Fly ash (FA) is a waste material having great potential as modifier of mechanical and thermal properties in polyurethane (PUR) technology. There are very few reporting the use of fluidized bed combustion (FBC) FA in the production of PUR foams. In this work, authors have used the as received FBC FA as an additive to PUR rigid foams. The composite materials containing 5, 10, 15, and 20 wt% of FA were obtained by hand mixing and casting method. Microscopic observations of both unmodified and composite foams showed a well formed, cellular structure of the rigid foam. The cell structure was uniform; most of the cells were closed, which was an important parameter influencing thermal insulation properties of PUR materials. FA was uniformly distributed within PUR matrix and placed between cells. When the content of FA in composite foams increased, cells' dimensions decreased, which suggested that FA particles acted as nucleation sites during the foam formation process. The absorption bands presented in IR spectrum of PUR foam confirmed the presence of urethane bonds in the unmodified foam material. The IR spectrum of as-received FA reconfirmed the crystalline phases recognized by XRD analysis, which were anhydrite, quartz, lime, calcite and aluminosilicate. No additional bands were observed which suggested that no chemical bonding between PUR matrix and FA particles occurred in the composite foam. The incorporation of FA into the PUR matrix, up to 10 wt%, improved the mechanical performance of the composite materials, when compared to unmodified PUR foam. Such a tendency suggested the occurrence of interfacial interactions between polymer matrix and FA particles, as well as the uniform distribution of the filler within PUR material. For all the materials analyzed, the addition of FA to PUR foam reduced both carbon content and the gross calorific value. The addition of FA improved the thermal stability of the PUR foam material (barrier effect of the FA prevented the release of gases from the foam structure).

Outcome of Medically Versus Surgically Treated Patients With Chronic Thromboembolic Pulmonary Hypertension.

Chronic thromboembolic pulmonary hypertension (CTEPH) is an ominous disease leading to progressive right heart failure. Selected patients can be treated by pulmonary endarterectomy (PEA). We assessed long-term clinical outcome of patients with CTEPH who underwent PEA and patients who remained on medical treatment alone. A total of 112 consecutive patients with CTEPH referred between 1998 and 2008 to one center were followed for a mean of 35 (range 0-128) months after diagnosis. All the patients had advanced pulmonary hypertension at baseline. The operated group had higher World Health Organization functional class compared to the nonoperated group. No other differences in hemodynamic, echocardiographic, or biochemical parameters were observed at baseline. Despite the perioperative mortality rate of 9.1%, patients who underwent PEA had significantly lower long-term mortality compared to nonoperated patients (12.7% vs 34.8%; P = .003), and PEA survivors showed sustained clinical improvement. All efforts should be undertaken to perform PEA in all patients with operable CTEPH.