LARP4B promotes hepatocellular carcinoma progression and impairs sorafenib efficacy by activating SPINK1-mediated EGFR pathway.

La-related proteins (LARPs) regulate gene expression by binding to RNAs and exhibit critical effects on disease progression, including tumors. However, the role of LARP4B and its underlying mechanisms in the progression of hepatocellular carcinoma (HCC) remain largely unclear. In this study, we found that LARP4B expression is upregulated and correlates with poor prognosis in patients with HCC. Gain- and loss-of-function assays showed that LARP4B promotes stemness, proliferation, metastasis, and angiogenesis in vitro and in vivo. Furthermore, LARP4B inhibition enhances the antitumor effects of sorafenib and blocks the metastasis-enhancing effects of low sorafenib concentrations in HCC. Mechanistically, LARP4B expression is upregulated by METTL3-mediated N6-methyladenosine (m6A)-IGF2BP3-dependent modification in HCC. RNA- and RNA immunoprecipitation (RIP)- sequencing uncovered that LARP4B upregulates SPINK1 by binding to SPINK1 mRNA via the La motif and maintaining mRNA stability. LARP4B activates the SPINK1-mediated EGFR signaling pathway, which supports stemness, progression and sorafenib resistance in HCC. Additionally, a positive feedback loop with the LARP4B/SPINK1/p-AKT/C/EBP-ß axis is responsible for the sorafenib-therapeutic benefit of LARP4B depletion. Overall, this study demonstrated that LARP4B facilitates HCC progression, and LARP4B inhibition provides benefits to sorafenib treatment in HCC, suggesting that LARP4B might be a potential therapeutic target for HCC.

LncRNA CARMN facilitates odontogenic differentiation of dental pulp cells by impairing EZH2.

OBJECTIVE: This study aimed to reveal the potential role of CARMN in odontogenic differentiation of dental pulp cells (DPCs). METHODS: Laser capture microdissection was used to detect Carmn in DPCs and odontoblasts in P0 mice. After manipulating CARMN expression in odontogenic differentiation induced hDPCs, the state of odontogenic differentiation was evaluated by ALP staining, ARS, and related marker expression in qRT-PCR and western blotting. The subcutaneous transplantation of HA/ß-TCP loaded with hDPCs was performed to verify CARMN's role in promoting odontogenic differentiation in vivo. RNAplex and RIP were employed to reveal potential mechanism of CARMN in hDPCs. RESULTS: CARMN expressed more abundantly in odontoblasts than DPCs in P0 mice. CARMN expression boosted during in vitro odontogenic differentiation of hDPCs. CARMN overexpression enhanced odontogenic differentiation of hDPCs in vitro, while inhibition impaired the process. CARMN overexpression in HA/ß-TCP composites promoted more mineralized nodule formation in vivo. CARMN knockdown led to soared EZH2, while CARMN overexpression brought about EZH2 inhibition. CARMN functioned via direct interaction with EZH2. CONCLUSIONS: The results uncovered CARMN as a modulator during the odontogenic differentiation of DPCs. CARMN promoted odontogenic differentiation of DPCs by impairing EZH2.

Reaction between 1,3,5-Triisopropylbenzene and Elemental Sulfur Extending the Scope of Reagents in Inverse Vulcanization.

Inverse vulcanization utilizes an organic compound as reagent for crosslinking elemental sulfur to result in corresponding polymeric material with a high sulfur content. This work, employing 1,3,5-triisopropylbenzene (TIPB) as the reagent, demonstrates the first attempt on extending the scope of crosslinking agents of inverse vulcanization to saturate compounds. Under nuclear magnetic spectroscopic analysis, the reactions between TIPB and elemental sulfur take places through ring-opening reaction of S8 resulting in sulfur radicals at sulfur chain ends, radicals transferring to isopropyl groups of TIPB, and radical coupling reactions between carbon radicals and sulfur radicals. The obtained products are similar to the sulfur polymers from conventional inverse vulcanization processes and show self-healing property.

Does Religious Participation Predict Future Expectations About Health? Using a Life Course Framework to Test Multiple Mechanisms.

Though an impressive array of health outcomes has been studied, research within the field of religion and health has not yet considered how religious involvement may affect future expectations about health. This is a significant shortcoming because the teachings of many religions direct adherent's focus to the distant future, and future self-ratings of health are a known predictor of subjective life expectancy and eventual mortality risk. Recognizing the need for a life course approach to conceptualizing patterns of religious involvement, we assess how stability or change in religious attendance from childhood to adulthood structures individual expectations of future health. Drawing on data from the 2017 Values and Beliefs of the American Public Study (Baylor Religion Survey Wave 5), we find that stable high (weekly) attendance between childhood and adulthood is associated with higher future health expectations. Parametric mediation analyses conducted in the counterfactual framework suggest that this association is explained by the tendency of frequent stable attenders to have (a) higher levels of beliefs in the sense of divine control and (b) a lower likelihood of engaging in harmful health behaviors (smoking).

Marital Strain and Support and Subjective Well-Being in Later Life: Ascribing a Role to Childhood Adversity.

Objectives: We integrate the life course perspective with the stress-process model to offer a framework for how childhood conditions moderate the relationship between marital support/strain and subjective well-being in older adulthood for men and women. Methods: Drawing on longitudinal data from the National Social Life, Health, and Aging Project (NSHAP), we use a series of lagged dependent-variable models and stratify the sample by gender. Results: Our results suggest that the benefits associated with greater marital support are stronger for those that did not live with both parents in childhood for men. Women raised in families that experienced financial hardship reported lower subjective well-being in the context of marital strain. Conclusion: Adverse experiences in childhood can be scarring or foster resilience related to well-being in the context of strained or supportive marriages.

Gastrointestinal Microbiota Changes in Patients With Gastric Precancerous Lesions.

Background: Gastric microbiota may be involved in gastric cancer. The relationship between gastrointestinal microbes and the risk of gastric cancer is unclear. This study aimed to explore the gastric and intestinal bacteria associated with gastritis and gastric precancerous lesions. We conducted a case-control study by performing 16S rRNA gene analysis of gastric biopsies, juices, and stool samples from 148 cases with gastritis or gastric precancerous lesions from Anhui and neighboring provinces, China. And we validated our findings in public datasets. Results: Analysis of microbial sequences revealed decreased bacterial alpha diversity in gastric bacteria during the progression of gastritis. Helicobacter pylori was the main contributor to the decreased microbial composition and diversity in the gastric mucosa and had little influence on the microbiota of gastric juice and feces. The gastric mucosal genera Gemella, Veillonella, Streptococcus, Actinobacillus, and Hemophilus had the higher degree of centrality across the progression of gastric precancerous lesions. And Acinetobacter may contribute to the occurrence of intraepithelial neoplasia. In addition, the microbial model of H. pylori-positive gastric biopsies and feces showed value in the prediction of gastric precancerous lesions. Conclusions: This study identified associations between gastric precancerous lesions and gastric microbiota, as well as the changes in intestinal microbiota, and explored their values in the prediction of gastric precancerous lesions.

Development and Validation of Nomograms to Predict Operative Link for Gastritis Assessment Any-Stage and Stages III-IV in the Chinese High-Risk Gastric Cancer Population.

Purpose: It is very essential to diagnose gastric atrophy in the area with high prevalence of gastric cancer. Operative link for gastritis assessment (OLGA) was developed to detect the severity of gastric atrophy. The aim of this study was to develop and validate nomograms for predicting OLGA any-stage and stages III-IV in the Chinese high-risk gastric cancer population. Methods: We retrospectively analyzed 7,945 participants obtained by a multicenter cross-sectional study. We randomly selected 55% individuals (4,370 participants, training cohort) to analyze and generate the prediction models and validated the models on the remaining individuals (3,575 participants, validation cohort). A multivariate logistic regression model was used to select variables in the training cohort. The corresponding nomograms were developed to predict OLGA any-stage and stages III-IV, respectively. The area under the receiver operating characteristic curves and the GiViTI calibration belts were used to estimate the discrimination and calibration of the prediction models. Results: There were 1,226 (28.05%) participants in the training sample and 970 (27.13%) in the validation sample who were diagnosed with gastric atrophy. The nomogram predicting OLGA any-stage had an area under the curve (AUC) of 0.610 for the training sample and 0.615 for the validation sample, with favorable calibrations in the overall population. Similarly, the nomogram predicting OLGA stages III-IV had an AUC of 0.702 and 0.714 for the training and validation samples, respectively, with favorable calibrations in the overall population. Conclusions: The prediction model can early identify the occurrence of gastric atrophy and the severity stage of gastric atrophy to some extent.

Global and regional overview of the inclusion of paediatric surgery in the national health plans of 124 countries: an ecological study.

OBJECTIVE: This study evaluates the priority given to surgical care for children within national health policies, strategies and plans (NHPSPs). PARTICIPANTS AND SETTING: We reviewed the NHPSPs available in the WHO's Country Planning Cycle Database. Countries with NHPSPs in languages different from English, Spanish, French or Chinese were excluded. A total of 124 countries met the inclusion criteria. PRIMARY AND SECONDARY OUTCOME MEASURES: We searched for child-specific and surgery-specific terms in the NHPSPs' missions, goals and strategies using three analytic approaches: (1) count of the total number of mentions, (2) count of the number of policies with no mentions and (3) count of the number of policies with five or more mentions. Outcomes were compared across WHO regional and World Bank income-level classifications. RESULTS: We found that the most frequently mentioned terms were 'child*', 'infant*' and 'immuniz*'. The most frequently mentioned surgery term was 'surg*'. Overall, 45% of NHPSPs discussed surgery and 7% discussed children's surgery. The majority (93%) of countries did not mention selected essential and cost-effective children's procedures. When stratified by WHO region and World Bank income level, the West Pacific region led the inclusion of 'pediatric surgery' in national health plans, with 17% of its countries mentioning this term. Likewise, low-income countries led the inclusion of surg* and 'pediatric surgery', with 63% and 11% of countries mentioning these terms, respectively. In both stratifications, paediatric surgery only equated to less than 1% of the total terms. CONCLUSION: The low prevalence of children's surgical search terms in NHPSPs indicates that the influence of surgical care for this population remains low in the majority of countries. Increased awareness of children's surgical needs in national health plans might constitute a critical step to scale up surgical system in these countries.

CST1 Promoted Gastric Cancer Migration and Invasion Through Activating Wnt Pathway.

INTRODUCTION: Gastric cancer is one of the main reasons of cancer-induced death, exploring the molecular mechanisms of gastric cancer progression is critical for gastric cancer therapy. Here, we studied the role of cysteine protease inhibitor CST1 in gastric cancer progression. METHODS: Matrigel-coated or -uncoated transwell assay was used to determine the effect of CST1 on gastric cancer invasion and migration, luciferase reporter system was used to determine the effect of CST1 on Wnt pathway activity. RESULTS: CST1 had high expression levels in gastric cancer tissues and cells, patients who had high CST1 expression had poor outcome. Overexpression of CST1 increased gastric cancer migration and invasion, while knockdown of CST1 suppressed gastric cancer migration invasion. Mechanism analysis showed CST1 promoted WNT signaling pathway activity, promoted the nuclear translocation of ß-catenin and the expression of Wnt signaling targets. Inhibition of Wnt pathway in CST1 overexpression cells inhibited migration and invasion, suggesting CST1 promoted gastric cancer cell migration and invasion through activating the Wnt pathway. CONCLUSION: In summary, we found CST1 promoted gastric cancer migration and invasion through activating Wnt signaling, providing a novel target for gastric cancer therapy.

Effect on thermal stability of microstructure and morphology of thermally-modified electrospun fibers of polybenzoxazines (PBz) blended with sulfur copolymers (SDIB).

Simple modification by thermal treatment is the commonly used approach to enhance the performance of electrospun fibers. This was investigated in the thermal treatment of polybenzoxazine (PBz) fibers blended with sulfur copolymers (SDIB) to determine the effect of varying treatment conditions on the microstructure and morphology of PBz fibers with the effect of incorporating sulfur functional groups on resulting properties. Mechanical properties of PBz are greatly improved by thermally-induced ring-opening polymerization (ROP) of the oxazine ring. Blending with sulfur copolymers (SDIB) could have beneficial effects on endowed features on fibers but could also affect the resulting properties of SDIB-blended PBz fibers during crosslinking reactions. Fiber mats were fabricated by electrospinning of PBz (10 wt%) blended with SDIB (10 wt%). Physical modification with varying conditions of sequential thermal treatment were evaluated and compared to the conditions applied on pristine PBz fibers. Changes in morphology and microstructure of fibers after modification were analyzed through scanning electron microscopy (SEM) while elemental compositions were identified after varying the conditions of thermal treatment. Adjustment of treatment conditions using two-step temperature sequential thermal treatment with higher temperatures of 160 °C and 240 °C showed significant changes in microstructure and morphology of fibers. Lower temperatures of 120 °C and 160 °C exhibited microstructure and morphology of fibers which affected the fiber diameter and fiber networks. Cross-sectional SEM images also confirmed the adversed effect of high-temperature treatment conditions on fibrous structures while low-temperature treatment retained the fibrous structures with more compact and stiff fiber networks. SDIB-blended PBz fibers were also evaluated by TGA and DSC to correlate the changes in structure and morphology with the thermal stability and integrity of blended SDIB/PBz fibers as compared to pristine PBz with the effect of change in treatment conditions. Fiber strength indicated slower weight loss for blended fibers and higher onset temperature of degradation which resulted in more thermally stable fibers.

Marital Quality and Well-Being Among Older Adults: A Typology of Supportive, Aversive, Indifferent, and Ambivalent Marriages.

A large body of work has linked marital quality to the health and well-being of older adults, but there is a lack of agreement on how to best measure dimensions of marital quality. Drawing on a stress-process life course perspective, we construct a typology of marriage type that captures the synergistic relationship between positive and negative marital qualities and health. Using data from Wave 1 (2005/2006) and Wave 2 (2010/2011) of the NSHAP survey from the United States, we examine the association between supportive, aversive, ambivalent, and indifferent marriages for older adults that remained married over the study period on multiple indicators of well-being (depression, happiness, and self-rated health; N = 769 males and 461 females). Results suggest that older adults in aversive marriages reported lower happiness (men and women) and physical health (men). There was less evidence that those in ambivalent and indifferent marriages reported worse well-being.

[Effect of oral Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 on vaginal Group B Streptococcus colonization and vaginal microbiome in late pregnancy].

OBJECTIVE: To explore the effects of intervention with oral probiotic Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 on vaginal Group B Streptococcus (GBS) colonization, pregnancy outcome and vaginal microbiome in GBS-positive women in the third trimester of pregnancy. METHODS: This study were conducted among 155 women in the third trimester of pregnancy with positive results of GBS culture in the Outpatient Department of Zhujiang Hospital from March to November, 2019. After excluding 32 patients who received lactobacillus intervention for less than 2 weeks or underwent postpartum GBS retesting, the women were divided into oral probiotics intervention group (60 cases) and non-intervention group (63 cases). According to the results of GBS retesting, the 60 women in the intervention group were divided into GBS-negative group (18 cases) and persistent GBS-positive group (42 cases). At the end of the intervention, the rates of negative GBS culture result were calculated and the pregnancy outcomes were compared. From 5 women randomly selected from the intervention group, samples of vaginal secretions were collected before and after the intervention for amplicon sequencing and bioinformatics analysis. RESULTS: At the end of the intervention, the GBS-negative rate in the intervention group was 30% (18/60), as compared with 23% (3/13) in the non-intervention group. Probiotic intervention significantly reduced the incidence of premature rupture of membranes (P < 0.05) and reduced the use of antibiotics during pregnancy (P < 0.05). OTU analysis of the vaginal secretions suggested probiotic intervention decreased the total sequence number and GBS sequence number, increased the species composition, and significantly decreased GBS abundance (P < 0.05). Probiotics intervention also significantly decreased the species abundance of Enterococcus, Staphylococcus and Streptococcus in the vaginal flora (P < 0.05). CONCLUSIONS: Intervention with oral probiotics can reduce vaginal GBS colonization in late pregnancy and improve the pregnancy outcome. Lactobacillus is capable of reducing the abundance of GBS and other pathogenic bacteria to improve the microbiome of vaginal flora.

Micro/Nanoscale Structured Superhydrophilic and Underwater Superoleophobic Hybrid-Coated Mesh for High-Efficiency Oil/Water Separation.

A novel micro/nanoscale rough structured superhydrophilic hybrid-coated mesh that shows underwater superoleophobic behavior is fabricated by spray casting or dipping nanoparticle-polymer suspensions on stainless steel mesh substrates. Water droplets can spread over the mesh completely; meanwhile, oil droplets can roll off the mesh at low tilt angles without any penetration. Besides overcoming the oil-fouling problem of many superhydrophilic coatings, this superhydrophilic and underwater superoleophobic mesh can be used to separate oil and water. The simple method used here to prepare the organic-inorganic hybrid coatings successfully produced controllable micro-nano binary roughness and also achieved a rough topography of micro-nano binary structure by controlling the content of inorganic particles. The mechanism of oil-water separation by the superhydrophilic and superoleophobic membrane is rationalized by considering capillary mechanics. Tetraethyl orathosilicate (TEOS) as a base was used to prepare the nano-SiO2 solution as a nano-dopant through a sol-gel process, while polyvinyl alcohol (PVA) was used as the film binder and glutaraldehyde as the cross-linking agent; the mixture was dip-coated on the surface of 300-mesh stainless steel mesh to form superhydrophilic and underwater superoleophobic film. Properties of nano-SiO2 represented by infrared spectroscopy and surface topography of the film observed under scanning electron microscope (SEM) indicated that the film surface had a coarse micro-nano binary structure; the effect of nano-SiO2 doping amount on the film's surface topography and the effect of such surface topography on hydrophilicity of the film were studied; contact angle of water on such surface was tested as 0° by the surface contact angle tester and spread quickly; the underwater contact angle to oil was 158°, showing superhydrophilic and underwater superoleophobic properties. The effect of the dosing amount of cross-linking agent to the waterproof swelling property and the permeate flux of the film were studied; the oil-water separation effect of the film to oil-water suspension and oil-water emulsion was studied too, and in both cases the separation efficiency reached 99%, which finally reduced the oil content to be lower than 50 mg/L. The effect of filtration times to permeate flux was studied, and it was found that the more hydrophilic the film was, the stronger the stain resistance would be, and the permeate flux would gradually decrease along with the increase of filtration times.

Analysis of Risk Factors of Gastric Low-Grade Intraepithelial Neoplasia in Asymptomatic Subjects Undergoing Physical Examination.

Secondary prevention is an important strategy in gastric cancer. Low-grade intraepithelial neoplasia (LGIN) is the last stage of precancerous lesion, and its timely diagnosis can greatly improve the detection rate of early gastric cancer. We performed a prospective study to analyze the risk factors of gastric LGIN in asymptomatic subjects undergoing physical examination. A total of 3437 subjects were included in this study, and 2259 asymptomatic subjects were investigated from March 2015 to April 2018. Risk factors were evaluated, and the endoscopic features of LGIN and prognosis were described. The overall incidence of LGIN was 19.73% (678/3437), while the incidence of LGIN in the asymptomatic and symptomatic groups was 19.65% (444/2259) and 19.86% (234/1178), respectively (P = 0.884). The rate of Helicobacter pylori infection in this physical examination population was 39.13% (35.8% asymptomatic group, 45.5% symptomatic group; P ≤ 0.001). Risk factors including age, H. pylori infection, history of antibiotic misuse, and spicy and high-fat diet (all P < 0.05) were further verified by multivariate analysis as independent risk factors. History of antibiotic misuse and H. pylori infection showed significant associations with LGIN (odds ratio (OR) = 6.767, 95% confidence interval (CI) 3.873-11.825 and OR = 3.803, 95% CI 3.009-4.808, respectively). The most common endoscopic classification of LGIN was erosive gastritis (50.78%), and the major endoscopic appearance was Paris IIa (flat with slight elevation located mostly in the antrum). During the mean follow-up period of 15.02 months, 49.4% of LGIN regressed, 0.61% of LGIN progressed, and 50% of LGIN remained unchanged. History of antibiotic misuse and H. pylori infection were predominant risk factors of LGIN in asymptomatic subjects, and those individuals should consider early screening for gastric cancer.

Electrochemical activation of polymer chains mediated with radical transfer reactions.

This work demonstrates a general and effective approach to activate inert polymer chains for further reactions through electrochemically driven radical generation and radical transfer reactions. The generated radical-containing polymer chains show capacity for further polymer reactions and preparation of polymer hybrids.

Effect of a direct sulfonation reaction on the functional properties of thermally-crosslinked electrospun polybenzoxazine (PBz) nanofibers.

Electrospun nanofibers of polybenzoxazines (PBzs) were fabricated using an electrospinning process and crosslinked by a sequential thermal treatment. Functionalization by the direct sulfonation process followed after the post-electrospinning modification treatment. The first stage of experiment determined the effects of varying the concentration of sulfuric acid as the sulfonating agent in the sulfonation reaction under ordinary conditions. The second stage examined the mechanism and kinetics of the sulfonation reaction using only concentrated H2SO4 at different reaction time periods of 3 h, 6 h, and 24 h. The mechanism of the sulfonation reaction with PBz nanofibers was proposed with only one sulfonic acid (-SO3H) group attached to each of the repeating units since only first type substitution in the aromatic structure occurs under this condition. The kinetics of the reaction exhibited a logarithmic correlation where the rate of change in the ion exchange capacity (IEC) with the reaction time increased rapidly and then reached a plateau at the reaction time between 18 h and 24 h. Effective sulfonation was confirmed by electron spectroscopy with a characteristic peak associated with the C-S bond owing to the sulfonate group introduced onto the surface of the nanofibers. ATR-FTIR spectroscopy also confirmed these results for varying reaction times. The SEM images showed that sulfonation has no drastic effects on the morphology and microstructure of the nanofibers but a rougher surface was evident due to the wetted fibers with sulfonate groups attached to the surface. EDX spectra exhibited sulfur peaks where the concentration of sulfonate groups present in the nanofibers is directly proportional to the reaction time. From surface wettability studies, it was found that the nanofibers retained the hydrophobicity after sulfonation but the inherent surface property of PBz nanofibers was observed by changing the pH level of water to basic, which switches its surface properties to hydrophilic. The thermal stability of the sulfonated nanofibers showed almost the same behavior compared to non-sulfonated nanofibers except for the 24 h sulfonation case, which has slightly lower onset temperature of degradation.

Endothelial progenitor cell transplantation alleviated ischemic brain injury via inhibiting C3/C3aR pathway in mice.

Endothelial progenitor cell transplantation is a potential therapeutic approach in brain ischemia. However, whether the therapeutic effect of endothelial progenitor cells is via affecting complement activation is unknown. We established a mouse focal ischemia model (n = 111) and transplanted endothelial progenitor cells into the peri-infarct region immediately after brain ischemia. Neurological outcomes and brain infarct/atrophy volume were examined after ischemia. Expression of C3, C3aR and pro-inflammatory factors were further examined to explore the role of endothelial progenitor cells in ischemic brain. We found that endothelial progenitor cells improved neurological outcomes and reduced brain infarct/atrophy volume after 1 to 14 days of ischemia compared to the control (p < 0.05). C3 and C3aR expression in the brain was up-regulated at 1 day up to 14 days (p < 0.05). Endothelial progenitor cells reduced astrocyte-derived C3 (p < 0.05) and C3aR expression (p < 0.05) after ischemia. Endothelial progenitor cells also reduced inflammatory response after ischemia (p < 0.05). Endothelial progenitor cell transplantation reduced astrocyte-derived C3 expression in the brain after ischemic stroke, together with decreased C3aR and inflammatory response contributing to neurological function recovery. Our results indicate that modulating complement C3/C3aR pathway is a novel therapeutic target for the ischemic stroke.

A Sulfur Copolymers (SDIB)/Polybenzoxazines (PBz) Polymer Blend for Electrospinning of Nanofibers.

This study demonstrated the processability of sulfur copolymers (SDIB) into polymer blend with polybenzoxazines (PBz) and their compatibility with the electrospinning process. Synthesis of SDIB was conducted via inverse vulcanization using elemental sulfur (S8). Polymer blends produced by simply mixing with varying concentration of SDIB (5 and 10 wt%) and fixed concentration of PBz (10 wt%) exhibited homogeneity and a single-phase structure capable of forming nanofibers. Nanofiber mats were characterized to determine the blending effect on the microstructure and final properties. Fiber diameter increased and exhibited non-uniform, broader fiber diameter distribution with increased SDIB. Microstructures of mats based on SEM images showed the occurrence of partial aggregation and conglutination with each fiber. Incorporation of SDIB were confirmed from EDX which was in agreement with the amount of SDIB relative to the sulfur peak in the spectra. Spectroscopy further confirmed that SDIB did not affect the chemistry of PBz but the presence of special interaction benefited miscibility. Two distinct glass transition temperatures of 97 °C and 280 °C indicated that new material was produced from the blend while the water contact angle of the fibers was reduced from 130° to 82° which became quite hydrophilic. Blending of SDIB with component polymer proved that its processability can be further explored for optimal spinnability of nanofibers for desired applications.

Polymerization of Meldrum's Acid and Diisocyanate: An Effective Approach for Preparation of Reactive Polyamides and Polyurethanes.

Meldrum's acid (MA) is utilized as a monomer to polymerize with diisocyanates to result in polyamides, containing MA moieties at polymer chains. This reaction is also employed to prepare isocyanate-terminated polyamide segments which are utilized as a precursor for preparation of MA-containing polyurethanes. Based on the thermolysis reaction of MA groups, followed by ketene dimerization reaction, the reactive polyamides and polyurethanes show self-cross-linkable features. The cross-linked polyurethanes exhibit good film formability, thermal stability, and mechanical properties. A new MA-based polymerization method and a novel synthesis route for preparation of reactive polyamides and polyurethanes are demonstrated.

Impact of Computer-Based and Pharmacist-Assisted Medication Review Initiated in the Emergency Department.

OBJECTIVES: Whether early medication reconciliation and integration can reduce polypharmacy and potentially inappropriate medication (PIM) in the emergency department (ED) remains unclear. Polypharmacy and PIM have been recognized as significant causes of adverse drug events in older adults. Therefore, this pilot study was conducted to delineate this issue. DESIGN: An interventional study. SETTING: A medical center in Taiwan. PARTICIPANTS: Older ED patients (aged ≥65 years) awaiting hospitalization between December 1, 2017, and October 31, 2018 were recruited in this study. A multidisciplinary team and a computer-based and pharmacist-assisted medication reconciliation and integration system were implemented. MEASUREMENTS: The reduced proportions of major polypharmacy (≥10 medications) and PIM at hospital discharge were compared with those on admission to the ED between pre- and post-intervention periods. RESULTS: A total of 911 patients (pre-intervention = 243 vs post-intervention = 668) were recruited. The proportions of major polypharmacy and PIM were lower in the post-intervention than in the pre-intervention period (-79.4% vs -65.3%; P < .001, and - 67.5% vs -49.1%; P < .001, respectively). The number of medications was reduced from 12.5 ± 2.7 to 6.9 ± 3.0 in the post-intervention period in patients with major polypharmacy (P < .001). CONCLUSION: Early initiation of computer-based and pharmacist-assisted intervention in the ED for reducing major polypharmacy and PIM is a promising method for improving geriatric care and reducing medical expenditures. J Am Geriatr Soc 67:2298-2304, 2019.