Novel 3D printed polysaccharide-based materials with prebiotic activity for potential treatment of diaper rash.

Diaper rash, mainly occurring as erythema and itching in the diaper area, causes considerable distress to infants and toddlers. Increasing evidence suggests that an unequal distribution of microorganisms on the skin contributes to the development of diaper dermatitis. Probiotic bacteria, like Staphylococcus epidermidis, are crucial for maintaining a healthy balance in the skin's microbiome, among others, through their fermentative metabolites, such as short-chain fatty acids. Using a defined prebiotic as a carbon source (e.g., as part of the diaper formulation) can selectively trigger the fermentation of probiotic bacteria. A proper material choice can reduce diaper rash incidence by diminishing the skin exposure to wetness and faeces. Using 3D printing, we fabricated carbon-rich materials for the top sheet layer of baby diapers that enhance the probiotic activity of S. epidermidis. The developed materials' printability, chemical composition, swelling ability, and degradation rate were analysed. In addition, microbiological tests evaluated their potential as a source of in situ short-chain fatty acid production. Finally, biocompatibility testing with skin cells evaluated their safety for potential use as part of diapers. The results demonstrate a cost-effective approach for producing novel materials that can tailor the ecological balance of the skin microflora and help treat diaper rash.

The overlap of cognitive impairment in depression and schizophrenia: a comparative study.

BACKGROUND: Schizophrenia (SCH) is primarily a cognitive dysfunction. Its specific cognitive impairment profile was identified and suggestions have been made to include it in present diagnostic instruments as a special differential diagnostic criterion. However, studies indicate a substantial overlap of cognitive deficits between SCH patients and those with depression (DEP). In order to elucidate the structure of cognitive functioning in both entities, principal cognitive domains of SCH and DEP patients were assessed in the acute phase of disease. SUBJECTS AND METHODS: 44 SCH and 30 DEP patients, matched according to age, gender, education, IQ score, and duration of hospitalization were included. Neurocognitive assessments were performed in the first week of hospitalization using Digit Span test (working memory, attention), Trail Making Test (psychomotor speed, sustained attention, shifting), Rey's Complex Figure Test and Verbal Learning Test (perceptual organization, visual and verbal learning and memory). Results were evaluated according to demographically matched test norms. For statistics Student's t tests were used. RESULTS: In both study groups deficits in maintenance and shifting of attention during psychomotor tasks were found, while automatic processes (working memory, sustained attention) were preserved. In both groups memory and learning processes were impaired, in DEP however, deficits in attention shifting during cognitive tasks and delayed recall of visual material were more intense. CONCLUSIONS: In the acute phase of schizophrenia and depression similar cognitive impairment profiles can be found. Further studies are needed to assess longitudinal dynamics and possible later development of specific patterns of cognitive functioning in these patients.