A survey-based report on the occurrence of cerebral palsy in Urban areas of Karachi.

Cerebral Palsy (CP), a non-progressive motor disorder, which arises due to lesions of the brain during pregnancy, labour or shortly after birth effects 1-1.5/1000 live births. Altogether 658 CP cases were acquitted from 14 health organizations that permitted access to the data. Data was assembled with respect to topography, muscle tone, severity level and Gross Motor Function Classification System (GMFCS) is accompanied by the comorbidities and co-mitigating factors from 2010-2016. Data represented topographically showed a greater percentage of quadriplegic cases i.e.186 (39.9%). Spastic tone was the most commonly presented muscle tone i.e. 352 (53.4%) and 235 (57.7%) cases were in the mild severity zone. Level II was the most prevalent GMFCS i.e. 189 (34.4%). The most prevalent comorbidity was epilepsy i.e. 96 (14.58%) and co-mitigating factor was Attention Deficit/Hyperactivity Disorder i.e. 18 (2.73%). A dominant male to female ratio was seen as 1.4:1. The prevalence of males was exhibiting an increase of 80.3% in contrast to females.

Development of aminolyzed polylactic acid-based porous films for pH-responsive sustained drug delivery devices.

Biomaterial-based drug-carrying systems have scored enormous focus in the biomedical sector. Poly(lactic acid) (PLA) is a versatile material in this context. A porous and hydrophilic PLA surface can do this job better. We aimed to synthesize pH-responsive PLA-based porous films for uptaking and releasing amikacin sulfate in the aqueous media. The native PLA lacks functional/polar sites for the said purpose. So, we tended to aminolyze it for tailored physicochemical and surface properties. The amino (-NH2) group density on the treated films was examined using the ninhydrin assay. Electron microscopic analyses indicated the retention of porous morphology after aminolysis. Surface wettability and FTIR results expressed that the resultant films became hydrophilic after aminolysis. The thermal analysis expressed reasonable thermal stability of the aminolyzed films. The prepared films expressed pH-responsive behaviour for loading and releasing amikacin sulfate drug at pH 5.5 and 7.4, respectively. The drug release data best-fitted the first-order kinetic model based on Akaike information and model selection criteria. The prepared PLA-based aminolyzed films qualified as potential candidates for pH-responsive drug delivery applications. This study could be the first report on pH-responsive amikacin sulfate uptake and release on the swellable aminolyzed PLA-based porous films for effective drug delivery application.

Effect of cold plasma treatment on polylactic acid and polylactic acid/poly (ethylene glycol) films developed as a drug delivery system for streptomycin sulfate.

Polylactic acid (PLA) being a renewable polyester have extensively researched in the biomedical field due to its non-toxicity, high biocompatibility, and easy processing properties. However, low functionalization ability and hydrophobicity limit its applications and hence demands physical and chemical modifications to overcome these limitations. Cold plasma treatment (CPT) is frequently used to improve the hydrophilic properties of PLA-based biomaterials. This provides an advantage to obtain a controlled drug release profile in drug delivery systems. The rapid drug release profile may be advantageous in some applications such as wound application. The main objective of this study is to determine the effects of CPT on PLA or PLA@polyethylene glycol (PLA@PEG) porous films fabricated by solution casting method for use as a drug delivery system with a rapid release profile. The physical, chemical, morphological and drug release properties of PLA and PLA@PEG films, such as surface topography, thickness, porosity, water contact angle (WCA), chemical structure, and streptomycin sulfate release properties, after CPT were systematically investigated. XRD, XPS and FTIR results showed that oxygen-containing functional groups were formed on the film surface with CPT without changing the bulk properties. Along with the changes in the surface morphology such as surface roughness and porosity, the new functional groups provide the films hydrophilic properties by reducing the water contact angle. The improved surface properties enabled the selected model drug, streptomycin sulfate, to exhibit a faster release profile with drug-released mechanism fitted by first order kinetic model. Considering all the results, the prepared films showed an enormous potential for future drug delivery applications, especially in wound application where rapid drug release profile is an advantage.

Preparation, properties, and applications of gelatin-based hydrogels (GHs) in the environmental, technological, and biomedical sectors.

Gelatin's versatile functionalization offers prospects of facile and effective crosslinking as well as combining with other materials (e.g., metal nanoparticles, carbonaceous, minerals, and polymeric materials exhibiting desired functional properties) to form hybrid materials of improved thermo-mechanical, physio-chemical and biological characteristics. Gelatin-based hydrogels (GHs) and (nano)composite hydrogels possess unique functional features that make them appropriate for a wide range of environmental, technical, and biomedical applications. The properties of GHs could be balanced by optimizing the hydrogel design. The current review explores the various crosslinking techniques of GHs, their properties, composite types, and ultimately their end-use applications. GH's ability to absorb a large volume of water within the gel network via hydrogen bonding is frequently used for water retention (e.g., agricultural additives), and absorbency towards targeted chemicals from the environment (e.g., as wound dressings for absorbing exudates and in water treatment for absorbing pollutants). GH's controllable porosity makes its way to be used to restrict access to chemicals entrapped within the gel phase (e.g., cell encapsulation), regulate the release of encapsulated cargoes within the GH (e.g., drug delivery, agrochemicals release). GH's soft mechanics closely resembling biological tissues, make its use in tissue engineering to deliver suitable mechanical signals to neighboring cells. This review discussed the GHs as potential materials for the creation of biosensors, drug delivery systems, antimicrobials, modified electrodes, water adsorbents, fertilizers and packaging systems, among many others. The future research outlooks are also highlighted.

Chitosan functionalized poly(vinyl alcohol) for prospects biomedical and industrial applications: A review.

Chitin and chitosan are amino polysaccharides having multidimensional properties, such as biocompatibility, biodegradability, antibacterial properties and non-toxicity, muco-adhesivity, adsorption properties, etc., and thus they can be widely used in variety of areas. Although human history mainly relies on the biopolymers, however synthetic materials like polyvinyl alcohol (PVA) have good mechanical, chemical and physical properties. Functionalization of PVA with chitin and chitosan is considered very appropriate for the development of well-designed biomaterials such as biodegradable films, for membrane separation, for tissue engineering, for food packaging, for wound healing and dressing, hydro gels formation, gels formation, etc. Considering versatile properties of the chitin and chitosan, and wide industrial and biomedical applications of PVA, this review sheds a light on chitin and chitosan based PVA materials with their potential applications especially focusing the bio-medical field. All the technical scientific issues have been addressed highlighting the recent advancement.