Thermally-Activated Shape Memory Behavior of Biodegradable Blends Based on Plasticized PLA and Thermoplastic Starch.

Biodegradable blends based on plasticized poly(lactic acid) PLA and thermoplastic starch (TPS) have been obtained. The influence of the PLA plasticizer as a compatibility agent has been studied by using two different plasticizers such as neat oligomeric lactic acid (OLA) and functionalized with maleic acid (mOLA). In particular, the morphological, thermal, and mechanical properties have been studied as well as the shape memory ability of the melt-processed materials. Therefore, the influence of the interaction between different plasticizers and the PLA matrix as well as the compatibility between the two polymeric phases on the thermally-activated shape memory properties have been studied. It is very interesting to use the same additive able to act as both plasticizer and compatibilizer, decreasing the glass transition temperature of PLA to a temperature close to the physiological one, obtaining a material suitable for potential biomedical applications. In particular, we obtain that OLA-plasticized blend (oPLA/TPS) show very good thermally-activated capability at 45 °C and 50% deformation, while the blend obtained by using maleic OLA (moPLA/TPS) did not show shape memory behavior at 45 °C and 50% deformation. This fact is due to their morphological changes and the loss of two well-distinguished phases, one acting as fixed phase and the other one acting as switching phase to typically obtain shape memory response. Therefore, the thermally-activated shape memory results show that it is very important to make a balance between plasticizer and compatibilizer, considering the need of two well-established phases to obtain shape memory response.

A Review on Reinforcements and Additives in Starch-Based Composites for Food Packaging.

The research of starch as a matrix material for manufacturing biodegradable films has been gaining popularity in recent years, indicating its potential and possible limitations. To compete with conventional petroleum-based plastics, an enhancement of their low resistance to water and limited mechanical properties is essential. This review aims to discuss the various types of nanofillers and additives that have been used in plasticized starch films including nanoclays (montmorillonite, halloysite, kaolinite, etc.), poly-saccharide nanofillers (cellulose, starch, chitin, and chitosan nanomaterials), metal oxides (titanium dioxide, zinc oxide, zirconium oxide, etc.), and essential oils (carvacrol, eugenol, cinnamic acid). These reinforcements are frequently used to enhance several physical characteristics including mechanical properties, thermal stability, moisture resistance, oxygen barrier capabilities, and biodegradation rate, providing antimicrobial and antioxidant properties. This paper will provide an overview of the development of starch-based nanocomposite films and coatings applied in food packaging systems through the application of reinforcements and additives.

COL1A1 novel splice variant in osteogenesis imperfecta and splicing variants review: A case report.

Background: Osteogenesis imperfecta (OI) is a rare heterogeneous genetic disorder commonly autosomal dominant with variants in the COL1A1 and COL1A2 genes. It is characterized by bone fragility and deformity, recurrent fractures, blue sclera, dentinogenesis imperfecta, short stature, and progressive deafness. Case presentation: We present a novel splicing mutation in the COL1A1 gene (c.2398-1G > C) in a 6-year-old Ecuadorian girl with fractures after light pressure and blue sclera. We identified the pathogenic variant, performed a literature review of splice variants, and recognized their location in the COL1A1 functional domains. Conclusion: We describe the first clinical description of a patient with OI type 1 caused by a splice variant in intron 34 of COL1A1 gene and identify that most of them are localized in the triple-helical region domain. We suggest that the splice variant in signal peptide, von Willebrand factor type C, and nonhelical regions maintain their functionality or that individuals affected with severe cases die early in development and are not reported.

Prevalence of Fabry Disease in Patients With Cryptogenic Strokes: A Systematic Review.

Fabry disease (FD) is an X-linked disorder involving multiple organs. Stroke is a serious and frequent complication of FD. Cryptogenic stroke is a common presentation of FD, especially in the young population. The etiology of cryptogenic stroke is highly variable and difficult to assess, frequently leaving patients without a primary diagnosis. We conducted a systematic review to investigate the pooled prevalence of FD among patients with cryptogenic stroke, or patients with FD in whom a stroke was the presenting condition. English-language studies involving humans published in the last 20 years were included in this systematic review. FD was more common in male patients and tended to present at an earlier age. The frequency of hemorrhagic and ischemic strokes in this population was similar to that in the general population. There was a high rate of stroke recurrence in the study sample, even among patients undergoing enzyme replacement therapy. We conclude that screening for FD in patients with cryptogenic stroke is low yield and not cost-effective. However, it may be worthwhile to screen for FD among patients with recurrent strokes.

Understanding Parinaud's Syndrome.

Parinaud's syndrome involves dysfunction of the structures of the dorsal midbrain. We investigated the pathophysiology related to the signs and symptoms to better understand the symptoms of Parinaud's syndrome: diplopia, blurred vision, visual field defects, ptosis, squint, and ataxia, and Parinaud's main signs of upward gaze paralysis, upper eyelid retraction, convergence retraction nystagmus (CRN), and pseudo-Argyll Robertson pupils. In upward gaze palsy, three structures are disrupted: the rostral interstitial nucleus of the medial longitudinal fasciculus (riMLF), interstitial nucleus of Cajal (iNC), and the posterior commissure. In CRN, there is a continuous discharge of the medial rectus muscle because of the lack of inhibition of supranuclear fibers. In Collier's sign, the posterior commissure and the iNC are mainly involved. In the vicinity of the iNC, there are two essential groups of cells, the M-group cells and central caudal nuclear (CCN) group cells, which are important for vertical gaze, and eyelid control. Overstimulation of the M group of cells and increased firing rate of the CCN group causing eyelid retraction. External compression of the posterior commissure, and pretectal area causes pseudo-Argyll Robertson pupils. Pseudo-Argyll Robertson pupils constrict to accommodation and have a slight response to light (miosis) as opposed to Argyll Robertson pupils were there is no response to a light stimulus. In Parinaud's syndrome patients conserve a slight response to light because an additional pathway to a pupillary light response that involves attention to a conscious bright/dark stimulus. Diplopia is mainly due to involvement of the trochlear nerve (IVth cranial nerve. Blurry vision is related to accommodation problems, while the visual field defects are a consequence of chronic papilledema that causes optic neuropathy. Ptosis in Parinaud's syndrome is caused by damage to the oculomotor nerve, mainly the levator palpebrae portion. We did not find a reasonable explanation for squint. Finally, ataxia is caused by compression of the superior cerebellar peduncle.

Understanding Seizures and Prognosis of the Extreme Delta Brush Pattern in Anti-N-Methyl-D-Aspartate (NMDA) Receptor Encephalitis: A Systematic Review.

Anti-N-methyl-d-aspartate (NMDA) receptor encephalitis (ANMDARE) is an autoimmune disorder with neurological and psychiatric features. The disease presents with a viral prodrome, followed by psychiatric manifestations. In the next phase, movement disorders or/and seizures occur. Finally, in the last phase, there is a decrease in the level of consciousness. Central hypoventilation and autonomic dysfunction can occur. Recently a unique EEG (electroencephalogram) pattern has been associated with anti-NMDA receptor encephalitis, the extreme delta brush (EDB). Although the association of the EDB with ANMDARE is known by the medical community, its significance is mainly unknown. A systematic review on NMDARE is also scarce. We decided to conduct a systematic review on this topic to consolidate the knowledge and establish the importance of the EDB as a prognostic factor. To conduct this systematic review, we used only studies conducted in humans, written in English, and published in the last 20 years. We used PubMed as a database and searched the following search terms: ("NMDA encephalitis"[Title/Abstract] AND "Epilepsy"[Title/Abstract]) OR (NMDA encephalitis"[Title/Abstract] AND "seizures" [Title/Abstract]) OR ("NMDA encephalitis"[Title/Abstract] AND "extreme delta brush"[Title/Abstract]). The protocol used for this systematic review was the Meta-analyses Of Observational Studies in Epidemiology (MOOSE) protocol, and to analyze the bias of the studies, we used the ROBINS-1 tool. Eight studies were collected from our search strategy. Our data pulling showed that seizures were present in 178/249 (71.48%) patients. Status Epilepticus was reported in 29/96 (30.20%), and the EBD was seen in 30.89% (55/178) patients with seizures. The range of EDB was 5.9%-33% among the studies. Because the sample size was small, the statistical power was decreased. We had a low overall risk of bias. The wide range in the results could be related to the timing of the EEG recording. EDB was associated overall with increased length of hospital stay, increased ICU admission, and incidence of status epilepticus. The etiology of the EDB remains mainly unknown. However, it has been postulated that in NMDAR encephalitis, there is a disruption of the rhythmic neuronal activity. When antibodies block/target the NMDAR, the rhythmic neuronal activity is disrupted, leading to the unique EDB pattern. Another theory suggests that delta activity is caused because of focal abnormalities in the brain, and the superimposition of the beta waves is related to the alterations of the NMDA receptors.

A bibliometric analysis of COVID-19 research in Latin America and the Caribbean / Un análisis bibliométrico de la investigación sobre COVID-19 en Latinoamérica y el Caribe

Abstract Introduction: Latin America and the Caribbean (LAC) is one of the regions most affected by the COVID-19 pandemic. Yet, there is scarce literature addressing the research strategies developed in LAC to face COVID-19. Objective: To quantify and assess the production of scientific publications about COVID-19 in 32 countries of LAC between January 1 and July 31, 2020. Materials and methods: Bibliometric study. Scientific papers on COVID-19 conducted in LAC or reporting data pertaining to LAC and published between January 1 to July 31, 2020, were searched in the Scopus, PubMed, and LILACS databases. A subgroup analysis including only original research articles was performed to determine the contribution of LAC countries to research on COVID-19, and standardization measures (# of articles per million people) were applied to compare the country-specific production of this type of articles. Results: A total of 1 291 publications were retrieved. Overall, most of them were non-original research articles (81.72%), and the countries with the highest scientific production were Brazil (43.91%) and Mexico (9.14%). However, after applying the standardization measures, Chile was the country with the highest production of original articles (0.58 per million inhabitants). Regarding original studies (n=236), cross-sectional design was the most common (25.84%). Diagnosis and treatment of the disease was the main research focus (n=354; 27.42%). However, in the subgroup analysis (n=236), epidemiology and surveillance were the most prevalent research focus (n=57; 24.15%). Conclusions: During the study period, non-original research articles were predominant in the scientific production of the LAC region, and interventional studies were scarce among original articles, while the cross-sectional design predominated. Further research with a better quality of evidence should be performed in these countries to contribute to the making of health policies aimed at easing the burden of COVID-19 in the region and preparing for future pandemics.

Resumen Introducción. Latinoamérica y el Caribe (LAC) es una de las regiones más afectadas por la pandemia por COVID-19. Sin embargo, hay poca literatura sobre las estrategias de investigación desarrolladas en la región para confrontar esta enfermedad. Objetivo. Cuantificar y evaluar la producción de publicaciones científicas sobre COVID-19 en 32 países de LAC entre el 1 de enero y el 31 de julio del 2020. Materiales y métodos. Estudio bibliométrico. Se realizó una búsqueda de artículos científicos sobre COVID-19 realizados en LAC o con datos de LAC, y publicados entre enero 1 y julio 31 de 2020 en Scopus, PubMed y LILACS. Se realizó un análisis de subgrupos en el que se incluyeron solo artículos de investigación original para determinar la contribución de los países de la región a la investigación sobre COVID-19; además, se utilizaron medidas de estandarización (# artículos por millón de habitantes) para comparar la producción de este tipo de artículos por país. Resultados. Se identificaron 1 291 artículos. La mayoría no eran investigaciones originales (81.72%), y los países con más producción fueron Brasil (43.91%) y México (9.14%). Sin embargo, luego de aplicar las medidas de estandarización, Chile fue el país con mayor producción de artículos originales (0.58 por millón de habitantes). Respecto a los artículos originales (n = 236), el tipo de diseño de estudio más común fue el transversal (25.84%). El diagnóstico y tratamiento de COVID-19 fue el tema más investigado en todas las publicaciones (n = 354, 27.42%), pero en el análisis de subgrupo (n=236), el enfoque de investigación más frecuente fue epidemiologia y vigilancia (n = 57, 24.15%). Conclusiones. En el periodo de estudio, los artículos no originales predominaron en la producción científica de LAC, y, entre las investigaciones originales, los estudios intervencionales escasearon, mientras que los transversales predominaron. Se requiere realizar más investigación con una mejor calidad de evidencia en los países de la región para contribuir en la formulación de políticas de salud dirigidas a aliviar la carga de la COVID-19 y para prepararse para futuras pandemias.

Scaling Laws in the Dynamics of Collapse of Single Bubbles and 2D Foams.

Avalanches of rupturing bubbles play an important role in the dynamics of collapse of macroscopic liquid foams. We hypothesized that the occurrence of cascades of rupturing bubbles in foams depends, at least in part, on the power released during the rupture of a bubble. In this paper, we present results on the dynamics of single bubble bursting obtained by analyzing the pressure wave (sound) emitted by the bubble when collapsing. We found that the released energy varies linearly with bubble size, the frequency of the emitted sound follows a power law with exponent 3/2 (compatible with the Helmholtz resonator model) and the duration of a rupturing event seems to be independent of bubble size. To correlate the dynamics of individual bubbles with the dynamics of foams, we studied the occurrence of avalanches on bubble rafts and found that the phenomenon appears to be a self-organized criticality (SOC) process. The distribution functions for the size of the avalanches are a power law with exponents between 2 and 3, depending on the surfactant concentration. The distribution of times between ruptures also follows a power law with exponents close to 1, independently of the surfactant concentration.

Polyphosphate Poly(amine) Nanoparticles: Self-Assembly, Thermodynamics, and Stability Studies.

The interaction of polyamine poly(allylamine hydrochloride) with Na3PO4, Na4P2O7, Na5P3O10, Na6P6O18, and (NaPO3)26 salts and the formation of polyamine phosphate nanoparticles (PANs) are studied here. Dynamic light scattering, isothermal titration calorimetry (ITC), electrophoretical mobility measurements, atomic force microscopy, and transmission electron microscopy are used to explore the formation, stability, and pH sensitivity of PANs. An optimal concentration for PAN formation is found for each phosphate salt in terms of the most stable size and lowest polydispersity index of the nanoparticles. The minimal concentration of phosphate ions for PAN formation decreases with the increasing number of phosphate groups per phosphate salt. ITC measurements show that all polyphosphates display a characteristic endothermic peak, which is not present when monophosphates are used for PAN formation. pH stability of PANs depends on the type of phosphate salt. PANs formed with small phosphates show a small window of stability with pH from 8 to 9, while those formed with long phosphates are stable in more acidic pH environments. Our findings open multiple possibilities for fine-tuning the pH sensitivity of PANs by varying phosphate salts for potential applications in drug delivery.

Interfacial Dynamics and Its Relations with ?Negative? Surface Viscosities Measured at Water?Air Interfaces Covered with a Cationic Surfactant.

We studied the dynamics of a cationic surfactant monolayer, Gemini 12-2-12, at the air?water interface for surfactant aqueous solutions at concentrations below the critical micelle concentration. We present surface rheology experiments performed in a Langmuir trough by the oscillatory barrier technique. From these, we found negative surface viscosities at certain frequencies. We demonstrate that this unphysical result is a consequence of an unconsidered surfactant dynamics within the interfacial region. By surface pressure relaxation experiments, after a sudden modification of the interfacial area and by dynamic surface tension and surface potential measurements, several relaxation phenomena and relaxation times were identified. We found that surfactant adsorption and desorption processes are asymmetric: the characteristic times and the number of processes involved in the mechanisms of adsorption and desorption are different. This asymmetry invalidates the usual data analysis procedure that leads to the negative viscosities. Similar mechanisms could be at the origin of the negative viscosities reported in other systems, a possibility that remains to be explored.

How the Type of Cosurfactant Impacts Strongly on the Size and Interfacial Composition in Gemini 12-2-12 RMs Explored by DLS, SLS, and FTIR Techniques.

The limited amount of information about reverse micelles (RMs) made with gemini surfactants, the effect of the n-alcohols in their interface, and the water-entrapped structure in the polar core motivated us to perform this work. Thus, in the present contribution, we use dynamic light scattering (DLS), static light scattering (SLS), and FT-IR techniques to obtain information on RMs structure created, with the gemini dimethylene-1,2-bis(dodecyldimethylammonium) bromide (G12-2-12) surfactant and compare the results with its monomer: dodecyltrimethylammonium bromide (DTAB). In this way, the size of the aggregates formed in different nonpolar organic solvents, the effect of the chain length of n-alcohols used as cosurfactants, and the water-entrapped structure were explored. The data show that the structure of the cosurfactant needed to stabilize the RMs plays a fundamental role, affecting the size and behavior of the aggregates. In contrast to what happens with the RMs formed with the monomer DTAB, water entrapped inside G12-2-12 RMs displays different interaction with the interface depending on the hydrocarbon chain length of the n-alcohol used as cosurfactant. Thus, n-pentanol and n-octanol molecules are located in different regions in the RMs interfaces formed with the gemini surfactant. n-Octanol locates at the RMs interface among the surfactant hydrocarbon tails increasing the water-surfactant polar headgroup interaction. On the other hand, n-pentanol locates at the RMs interface near the polar core, limiting the interaction of water with the micellar inner interface and favoring the water-water interaction in the polar core.