Adjustable Ultra-Light Mechanical Negative Poisson's Ratio Metamaterials with Multi-Level Dynamic Crushing Effects.

Mechanical metamaterials with multi-level dynamic crushing effects (MM-MLs) are designed in this study through coordinate transformation and mirror arrays. The mechanical effects of the diameter and length ratio of the struts and connecting rods, the Euler angles, and the cell numbers on the mechanical properties are investigated separately. MM-ML can exhibit significant two-level platform stress, and the local cells in the first platform stress stage undergo rotational motion, while the second platform stress stage mainly involves collapse compression and bending. Although increasing the length of the connecting rods can increase the range of Poisson's ratio, it will reduce the level of platform stress and energy absorption. Increasing the Euler angle will reduce the strain interval of the first platform stress and can improve the energy absorption capacity. In addition, increasing the cell number while maintaining a constant relative density can effectively enhance energy absorption. MM-ML has significant parameter controllability, can achieve different platform stress regions, different ranges of Poisson's ratios, and energy absorption requirements according to the application scenario, and can demonstrate functional diversity compared to existing research. The design scheme can provide ideas for adaptive crushing protection requirements.

An Integrated Approach: A Hybrid Machine Learning Model for the Classification of Unscheduled Stoppages in a Mining Crushing Line Employing Principal Component Analysis and Artificial Neural Networks.

This article implements a hybrid Machine Learning (ML) model to classify stoppage events in a copper-crushing equipment, more specifically, a conveyor belt. The model combines Artificial Neural Networks (ANNs) and Support Vector Machines (SVMs) with Principal Component Analysis (PCA) to identify the type of stoppage event when they occur in an industrial sector that is significant for the Chilean economy. This research addresses the critical need to optimise maintenance management in the mining industry, highlighting the technological relevance and motivation for using advanced ML techniques. This study focusses on combining and implementing three ML models trained with historical data composed of information from various sensors, real and virtual, as well from maintenance reports that report operational conditions and equipment failure characteristics. The main objective of this study is to improve the efficiency when identifying the nature of a stoppage serving as a basis for the subsequent development of a reliable failure prediction system. The results indicate that this approach significantly increases information reliability, addressing the persistent challenges in data management within the maintenance area. With a classification accuracy of 96.2% and a recall of 96.3%, the model validates and automates the classification of stoppage events, significantly reducing dependency on interdepartmental interactions. This advancement eliminates the need for reliance on external databases, which have previously been prone to errors, missing critical data, or containing outdated information. By implementing this methodology, a robust and reliable foundation is established for developing a failure prediction model, fostering both efficiency and reliability in the maintenance process. The application of ML in this context produces demonstrably positive outcomes in the classification of stoppage events, underscoring its significant impact on industry operations.

Mixed crushing and competitive leaching of all electrode material components and metal collector fluid in the spent lithium battery.

Hydrometallurgy is a primary method for recovering cathode electrode materials from spent lithium-ion batteries (LIBs). Most of the current research materials are pure cathode electrode materials obtained through manual disassembly. However, the spent LIBs are typically broken as a whole during the actual industrial recycling which makes the electrode materials combined with the collector fluid. Therefore, the competitive leaching between metal collector fluid and electrode material was examined. The pyrolysis characteristics of the electrode materials were analyzed to determine the pyrolysis temperature. The electrode sheet was pyrolyzed and then crushed for competitive leaching. The effect of pyrolysis was analyzed by XPS. The competitive leaching behavior was studied based on leaching agent concentration, leaching time and leaching temperature. The composition and morphology of the residue were determined to prove the competitive leaching results by XRD-SEM. TG results showed that 500 °C was the suitable pyrolysis temperature. XPS analysis demonstrated that pyrolysis can completely remove PVDF. Li and Co were preferentially leached during the competitive leaching while the leaching rates were 90.10% and 93.40% with 50 min leaching at 70 °C. The Al and Cu had weak competitive leachability and the leaching rate was 29.10% and 0.00%. XRD-SEM analysis showed that Li and Co can be fully leached with residual Al and Cu remaining. The results showed that the mixed leaching of electrode materials is feasible based on its excellent selective leaching properties.

Occupational injuries and risk assessment among stone crushing industry workers: a cross-sectional study.

BACKGROUND AND OBJECTIVES: The prevalence of occupational injuries among blue-collar workers is higher in the stone-crushing industries due to high-risk and iterant nature of the work. These occupational injuries, in turn, caused workers' ill health, as well as death, which eventually diminish the gross domestic product. We aimed at assessing the attributes of occupational injuries and the risk associated with the hazards in the stone-crushing industry. METHODS: This study utilized a questionnaire base cross-sectional survey that was conducted from September 2019 to February 2020. Data were collected from 32 stone-crushing factories of Eastern Bangladesh and analyzed to show their relationship with different variables. The risk levels associated with the frequent hazardous events were measured using a Semi-Quantitative Risk Assessment Matrix. RESULTS: Most of the injuries were found to occur between 12:00 and 16:00 h. Nearly a fifth of the injuries were serious or critical in nature, caused the workers to be absent at least a week. Exposure to excessive dust, working without personal protective equipment (PPE), and improper lifting and handling techniques caused one-third of injuries. Wrist and hand/fingers, back and lower back, feet/toe, eye, knee, arm, neck and head, and ankle were found as most injured body parts. The primary cause of most injuries was the workers' failure to use PPE. All major hazardous events were found to possess a high-risk level. CONCLUSION: Our finding suggests that stone crushing is one of the most hazardous industries and the practitioners must consider the findings when implementing a risk avoidance policy.

Comparison of demineralized bone matrix with different cycling crushing times in posterolateral fusion model of athymic rats.

Decalcified bone matrix (DBM) is a widely used alternative material for bone transplantation. In the DBM production process, an effective particle size and the highest utilization rate of raw materials can be achieved only through multiple high-speed circulating comminution. The rat posterolateral lumbar fusion model (PLF) is the most mature small animal model for the initial evaluation of the efficacy of graft materials for bone regeneration and spinal fusion. To evaluate the differences in the in vivo osteogenic effects of DBM pulverization through 1, 5, 9, and 14 high-speed cycles, sixty athymic rats were divided into six groups: single cycling crushing (CC1), 5 cycles of crushing (CC5), 9 cycles of crushing (CC9), 13 cycles of crushing (CC13), autogenous bone graft (ABG) and negative control (NC). Posterolateral lumbar fusion was performed. Six weeks after surgery, the bilateral lumbar fusion of athymic rats was evaluated through manual palpation, X-ray, micro-CT and histological sections. Rank data were tested by the rank-sum test, and nonparametric data were tested by the Kruskal‒Wallis H test. The manual palpation and X-ray results showed that the fusion rate did not significantly differ between the CC1, CC5, CC9, CC13 and ABG groups. However, cavities appeared in CC9 and CC13 on the micro-CT image. The bone mass (BV/TV) of CC1, CC5, CC9 and CC13 was better than that of the ABG group, while almost no osteogenesis was observed in the NC group. Histologically, there was no obvious difference between the four groups except that the CC9 group and CC13 group had more fibrous tissues in the new bone. In conclusion, DMB with different cycling crushing times has no obvious difference in fusion rate of PLF, but it is slightly better than the ABG group.

Investigations on Compaction Behavior of Kollidon®SR-Based Multi-component Directly Compressed Tablets for Preparation of Controlled Release Diclofenac Sodium.

The physics of tablets mixtures has gained much attention lately. The purpose of this work is to evaluate the compaction properties of Kollidon® SR (KSR) in the presence of different excipients such as Microcrystalline cellulose (MCC), Monohydrous lactose (MH Lactose), Poly (vinyl acetate) (PVA100), and a water-soluble drug Diclofenac sodium (DNa) to prepare once daily formulation. Tablets were prepared using direct compression and were compressed into flat-faced tablets using hydraulic press at various pressures. The combination of MCC and KSR in the tablets showed reduced porosity, and almost constant low Py values as KSR levels increased; also, KSR-DNa tablets had higher percentage porosity and crushing strength values than KSR-MH Lactose tablets. The crushing strengths of KSR-MCC tablets were larger than those of KSR-DNa tablets. Ternary mixture tablets comprised of KSR-MCC-DNa showed decreased porosities and low Py values as the percentage of KSR increased especially at high compression pressures but had higher crushing strengths compared to KSR-DNa or MCC-DNa binary tablets. KSR-MH Lactose-DNa ternary tablets experienced lower porosities and crushing strengths compared to KSR-MCC-DNa tablets. Quaternary tablets of KSR-PVA100-MCC-DNa showed lower porosity and Py values than quaternary tablets obtained using similar proportion of MH Lactose instead of MCC. In conclusion, optimum quaternary tablets were obtained with optimum crushing strengths, relatively low Py, and moderate percentage porosities among all prepared quaternary tablets. The drug release of the optimum quaternary tablets demonstrated similar in vitro release profile compared to that of the marketed product with a mechanism of release that follows Korsmeyer-Peppas model.

Environment-friendly, efficient process for mechanical recovery of waste lithium iron phosphate batteries.

Technology for recycling retired lithium batteries has become increasingly environment-friendly and efficient. In traditional recovery methods, pyrometallurgy or hydrometallurgy is often used as an auxiliary treatment method, which results in secondary pollution and increases the cost of harmless treatment. In this article, a new method for combined mechanical recycling of waste lithium iron phosphate (LFP) batteries is proposed to realize the classification and recycling of materials. Appearance inspections and performance tests were conducted on 1000 retired LFP batteries. After discharging and disassembling the defective batteries, the physical structure of the cathode binder was destroyed under ball-milling cycle stress, and the electrode material and metal foil were separated using ultrasonic cleaning technology. After treating the anode sheet with 100 W of ultrasonic power for 2 minutes, the anode material was completely stripped from the copper foil, and no cross-contamination between the copper foil and graphite was observed. After the cathode plate was ball-milled for 60 seconds with an abrasive particle size of 20 mm and then ultrasonically treated for 20 minutes with a power of 300 W, the stripping rate of the cathode material reached 99.0%, and the purities of the aluminium foil and LFP reached 100% and 98.1%, respectively.

Medication modification in a population of community-dwelling individuals aged 65 years or older.

BACKGROUND: medication safety is a major public health challenge, particularly among older populations. Changing the medication's form may be inappropriate and may incur a risk of adverse effects. OBJECTIVES: the objectives were to estimate the prevalence of medication modification and to identify factors associated with the practice of medication modification in community-dwelling older individuals. DESIGN: observational, cross-sectional, single-centre and epidemiological study. SETTINGS: community. SUBJECTS: outpatients and/or their accompanying persons, aged 65 years or over. METHODS: sociodemographic and clinical variables were recorded. It was also noted how the medication was taken, who administered the medications, the number of oral medications ingested per day, and whether or not the form of the medication was modified to facilitate administration. Descriptive analyses and logistic regression were performed. RESULTS: a total of 252 individuals were included in the study, with a mean age of 83 ± 7 years. Of these, 44 (17.5%) reported modifying their medication, either routinely (n = 36) or occasionally (n = 8). The factors independently associated with medication modification were the existence of psycho-behavioural disorders [odds ratio (OR) = 3.78; 95% confidence interval (CI) = 1.84-7.76; P < 0.0001], mobility difficulties (OR = 2.16; 95% CI = 1.01-4.62; P = 0.04), and the presence of dysphagia (OR = 3.23; 95% CI = 1.49-6.99; P < 0.0001). CONCLUSIONS: this study indicates that main caregivers are more likely to engage in medication modification than nurses or the patients themselves. Factors associated with medication modification include swallowing difficulties and psycho-behavioural disorders. These findings provide new avenues that could help to mitigate this practice.

Effect of Particle Size and Constraint Conditions on Single Particle Strength of Carbonate Sand.

Carbonate sand is often encountered and utilized as construction material in offshore engineering projects. Carbonate sand particles, which are porous and angular, are found to be highly crushable under high stress conditions, whereas the mechanisms and controlling factors for the crushing of carbonate sand particles are not well developed. The crushability and particle strength of around 400 particles from three fractions (5-10 mm, 2-5 mm, and 1-2 mm) of carbonate sand from the South China Sea were investigated via grain-scale single particle crushing tests. Special emphasis was placed on the effect of external constraint conditions (i.e., coordination number) and intrinsic particle morphology characteristics on the particle strength of carbonate soil. The particle strength of carbonate sand was found to be around half of quartz sand in terms of characteristic stress. Negative correlations, which could be depicted by an exponential equation, were found between the particle size and particle strength. Due to elongated particle shape and tensile stress concentration, a higher coordination number may lower the particle strength, which contradicts what was reported for quartz sands. A series of seven fundamental particle dimensions and five particle shape descriptors was characterized, and the aspect ratio was found to be one of the more influential shape descriptors for particle strength. The results enriched the database for the analysis of highly irregular geomaterial and provided insights into controlling factors of particle strength and crushing mechanisms of the carbonate sand.

Self-regulated Anti-Overdose Crush and Extraction-Resistant Drug Delivery System to Combat Opioid Overdose Crisis.

Pharmaceutical opioid dosage forms are commonly misused via an oral route in non-manipulated form, i.e., overdose in intact form, or manipulated form, i.e., after crushing the dosage form, and also via the non-oral route in manipulated form, particularly the parenteral or nasal route. To assess the self-regulated anti-overdose property, crushing strength, extractability, and syringeability of the developed drug delivery system by in vitro laboratory studies. Tapentadol HCl drug particulates fabricated using different polymers were assessed for extractability studies in 25 ml of water at room temperature (RT) and at > 90°C. Crushing strength was assessed by grinding the drug particulates in a mortar and pestle and a coffee grinder for 1 min. For syringeability, an attempt was made to withdraw the drug mixture using a 1 ml insulin syringe for 1 min. To assess the self-regulated anti-overdose property, in vitro dissolution testing on a single-capsule per dissolution vessel (normal condition) and four-capsules per dissolution vessel (overdose condition) was performed. POLYOX, Natrosol, and Blanose-containing drug particles retarded drug extraction by > 80% at RT and > 90°C. After 1 min of grinding in a mortar and pestle and a coffee grinder, crushed POLYOX-containing drug particulates were retained at > 99% on the ASTM-170# screen. The attempt to withdraw the viscous mixture of drug formulation prepared with 5 ml of water for 1 min using a 1 ml insulin syringe was unsuccessful. In dissolution studies, more than 90% of the drug was released in normal conditions, and more than 90% of the drug was retarded in overdose conditions. In vitro laboratory studies demonstrate that the developed self-regulated anti-overdose crush-resistant drug delivery system may deter misuse via oral and non-oral routes.

Solid oral medications' suitability for use in enteral feeding tubes.

BACKGROUND: There is a lack of specific data about the efficacy and safety of medications administered via feeding tubes, although there is a general awareness that not all drug formulations are suitable. AIMS AND OBJECTIVES: To overview the current situation with solid medications administered through feeding tubes in the Tartu University Hospital intensive care units. To evaluate the availability of information on the suitability of drug formulations for administration via feeding tubes. DESIGN: This was a descriptive retrospective document analysis study. METHODS: During visits to the intensive care units, medication data for current patients were collected from paper medical charts and nurses. In addition, package information leaflets, summaries of product characteristics, and two practical handbooks were used for evaluating the medicines' suitability for administration via feeding tubes. A request for information was also sent to manufacturers or marketing authorization holders. RESULTS: In 3 months, data were collected from 113 intensive care patients' medical charts. A total of 306 medication administrations via feeding tubes were documented and analysed, 67% of which were solid oral dosage forms. Exactly 91.2% of these were conventional tablets. After the analysis of information availability, 88% of the medications were classified as suitable for administration via feeding tubes, but only 48% had the manufacturer-provided information. CONCLUSION: This study showed that the information about the suitability of formulations administration through a feeding tube is not readily available for almost half of the medications. The manufacturers seem to have the relevant information, but it is not always added to their medications' official information, putting these patients at higher risk for errors. RELEVANCE TO CLINICAL PRACTICE: This study shows that if there is no clear statement about administration through feeding tubes on official manufacturers' information, this should be sought directly from manufacturers or marketing authorization holders, and the data could be incorporated into local guidelines.

Trematode Infection in a Freshwater Snail Hydrobioides Nassa (Gastropoda: Bithyniidae) in Thailand.

1,024 individuals of Hydrobioides nassa were collected from 12 different localities in eight provinces from north, west, and central regions of Thailand. The infection of parasitic trematodes was investigated using shedding and crushing methods to search for cercariae and metacercariae. Trematode infection was found at a relatively low prevalence of 5.57%. Five different morphological types of cercariae were detected; xiphidio, monostome, mutabile, ophthalmoxiphidio, and microcercous, and three different morphological types of unknown metacercariae were observed. Microcercous cercariae of the lung fluke genus Paragonimus is reported here for the first time in a bithyniid snail. Our current finding show that H. nassa can serve as intermediate host for a range of parasitic trematodes in Thailand.

Recent advances in process engineering and upcoming applications of metal-organic frameworks.

Progress in metal-organic frameworks (MOFs) has advanced from fundamental chemistry to engineering processes and applications, resulting in new industrial opportunities. The unique features of MOFs, such as their permanent porosity, high surface area, and structural flexibility, continue to draw industrial interest outside the traditional MOF field, both to solve existing challenges and to create new businesses. In this context, diverse research has been directed toward commercializing MOFs, but such studies have been performed according to a variety of individual goals. Therefore, there have been limited opportunities to share the challenges, goals, and findings with most of the MOF field. In this review, we examine the issues and demands for MOF commercialization and investigate recent advances in MOF process engineering and applications. Specifically, we discuss the criteria for MOF commercialization from the views of stability, producibility, regulations, and production cost. This review covers progress in the mass production and formation of MOFs along with future applications that are not currently well known but have high potential for new areas of MOF commercialization.

A Study on the Failure Behavior of Sand Grain Contacts with Hertz Modeling, Image Processing, and Statistical Analysis.

The crushing behavior of particles is encountered in a large number of natural and engineering systems, and it is important for it to be examined in problems related to hydraulic fracturing, where proppant-proppant and proppant-rock interactions are essential to be modeled as well as geotechnical engineering problems, where grains may crush because the transmitted stresses at their contacts exceed their tensile strength. Despite the interest in the study of the crushing behavior of natural particles, most previous experimental works have examined the single-grain or multiple-grain crushing configurations, and less attention has been given in the laboratory investigation of the interactions of two grains in contact up to their failure as well as on the assessment of the methodology adopted to analyze the data. In the present study, a quartz sand of 1.18-2.36 mm in size was examined, performing a total of 244 grain-to-grain crushing tests at two different speeds, 0.01 and 1 mm/min. In order to calculate stresses from the measured forces, Hertz modeling was implemented to calculate an approximate contact area between the particles based on their local radii (i.e., the radius of the grains in the vicinity of their contact). Based on the results, three different modes of failure were distinguished as conservative, fragmentary, and destructive, corresponding to micro-scale, meso-scale, and macro-scale breakage, respectively. From the data, four different classes of curves could be identified. Class-A and class-B corresponded to an initially Hertzian behavior followed by a brittle failure with a distinctive (single) peak point. The occurrence of hardening prior to the failure point distinguished class-B from class-A. Two additional classes (termed as class-C and class-D) were observed having two or multiple peaks, and much larger displacements were necessary to mobilize the failure point. Hertz fitting, Weibull statistics, and clustering were further implemented to estimate the influence of local radius and elastic modulus values. One of the important observations was that the method of analysis adopted to estimate the local radius of the grains, based on manual assessment (i.e., eyeball fitting) or robust Matlab-based image processing, was a key factor influencing the resultant strength distribution and m-modulus, which are grain crushing strength characteristics. The results from the study were further compared with previously reported data on single- and multiple-grain crushing tests.

Recycling of electrode materials from spent lithium-ion power batteries via thermal and mechanical treatments.

This study developed a physical separation process that recovers active cathode materials from current collectors in spent lithium-ion power batteries (LIBs). The physical separation process, implemented via thermal and mechanical treatments, was examined based on cohesive zone models (CZMs) and verified by physical separation experiments. The most efficient condition was determined by optimising the key parameters (temperature and time) of selective heating. Among several mechanical separation methods, high-speed shearing best separates positive electrode materials into active cathode materials (LiFePO4) and current collectors (Al fragments). The separation effect was verified by computing the dissociation rate and microscopic observation of the separated materials. The feasibility and efficiency of the above process were assessed in a work-of-force analysis, flow field simulation, high-speed crushing experiment and material property analysis. The above analyses realised a feasible, efficient and environmentally friendly separation route without changing the chemical structure and properties of the electrode materials. Under non-high (energy-conserving) temperature conditions, the LiFePO4 dissociation rate stabilises at 80-85%. Under high-speed crushing, the LiFePO4 dissociation rate reaches 85% at 32,000-r/min crushing and a maximum shearing velocity of the blade edge v ≈ 500 m/s. This approach can effectively recycle electrode materials, gain valuable resources and can be used to recycle and utilise spent LIBs, thus addressing two grave issues - environmental pollution and resource wastage to achieve the sustainable development of LIBs and electric vehicle industry.

Environmentally friendly automated line for recovering aluminium and lithium iron phosphate components of spent lithium-iron phosphate batteries.

Lithium iron phosphate (LFP) batteries contain metals, toxic electrolytes, organic chemicals and plastics that can lead to serious safety and environmental problems when they are improperly disposed of. The published literature on recovering spent LFP batteries mainly focuses on policy-making and conceptual design. The production line of recovering spent LFP batteries and its detailed operation are rarely reported. A set of automatic line without negative impact to the environment for recycling spent LFP batteries at industrial scale was investigated in this study. It includes crushing, pneumatic separation, sieving, and poison gas treatment processes. The optimum retaining time of materials in the crusher is 3 minutes. The release rate is the highest when the load of the impact crusher is 800 g. An air current separator (ACS) was designed to separate LFP from aluminium (Al) foil and LFP powder mixture. Movement behaviour of LFP powder and Al foil in the ACS were analysed, and the optimized operation parameter (35.46 m/s) of air current speed was obtained through theoretical analysis and experiments. The weight contents of an Al foil powder collector from vibrating screen-3 and LFP powder collector from bag-type dust collector are approximately 38.7% and 52.4%, respectively. The economic cost of full manual dismantling is higher than the recovery production line. This recycling system provides a feasible method for recycling spent LFP batteries.

Efficacy of multi-wave locked system laser therapy on nerve regeneration after crushing in Wister rats.

[Purpose] To investigate the efficacy of the multi-wave locked system laser therapy on the regeneration of peripheral nerve injuries by evaluating the functional, electrophysiological, and morphological changes of the crushed sciatic nerve in Wistar rats. [Materials and Methods] Sixty male Wistar rats (200-250 g) were randomly assigned to control negative, control positive, or laser groups and subjected to no laser therapy or crushing, to crushing without laser therapy, or crushing followed by multi-wave locked system laser therapy five times/week for four weeks (power=1 W, energy density=10 J/cm2, total energy=100 J), respectively. Functional, electrophysiological, and morphometric analyses were performed before and 7, 15, 21, and 28 days after crushing. The sciatic functional index, compound motor action potential amplitude, motor nerve conduction velocity, and nerve and myelin sheath diameters were measured. [Results] The sciatic functional index value decreased significantly, while the compound motor action potential amplitude, motor nerve conduction velocity, nerve diameter, and myelin sheath diameter increased significantly in the laser group post-treatment compared to the values in the control groups. [Conclusion] Multi-wave locked system laser therapy was effective in accelerating the regeneration of crushed sciatic nerves in Wistar rats.

The Impact of Stump Closure Techniques on Pancreatic Fistula Stratified by the Thickness of the Pancreas in Distal Pancreatectomy.

BACKGROUND: The purpose of this retrospective study was to evaluate the impact of stump closure techniques on pancreatic fistula (PF) focusing on pancreatic thickness after distal pancreatectomy (DP). METHODS: A total of 213 patients who underwent DP between 2007 and 2017 were retrospectively reviewed. The risk factors of PF were investigated. RESULTS: In all patients, age ≥65 years (odds ratio [OR]: 3.60, p = 0.012), operation time ≥300 min (OR: 3.05, p = 0.013) and thickness of transected pancreas (OR: 1.37, p < 0.001) were identified as independent risk factors for clinically relevant PF. A receiver operating curve analysis revealed the optimum cut-off values of thickness to be 14 mm with stapler closure and 17 mm with the clamp-crushing method. There were no significant differences regarding PF between the stapler closure and clamp-crushing methods in the thin (<14 mm) and very thick pancreas (≥17 mm) groups (p = 0.822, p = 0.072). In contrast, stapler closure was the only independent risk factor for developing PF in the moderately thick (≥14, <17 mm) pancreas group (OR: 6.75 and p = 0.004, respectively). CONCLUSION: The clamp-crushing method was superior to stapler closure for pancreatic transection, especially in patients with moderately thick pancreas.

Clinical outcomes and toxicities of pazopanib administered orally in crushed form: Case reports and review of the literature.

Cancer treatment has changed dramatically with the development of oral targeted therapies. Pazopanib, an oral VEGF tyrosine kinase inhibitor, is currently approved for advanced renal cell carcinoma, advanced soft tissue sarcoma, and is being studied for various tumor types. Due to the potential of increased exposure to pazopanib when crushed, pazopanib should be given as an intact whole tablet. Thus, in patients with difficulty swallowing medications or feeding tubes, pazopanib is usually not considered to be an option. Here, we describe two cases which show the administration of crushed pazopanib was feasible and had apparent clinical activity.

Understanding the Performance of a Novel Direct Compression Excipient Comprising Roller Compacted Chitin.

Chitin has been investigated in the context of finding new excipients suitable for direct compression, when subjected to roller compaction. Ball milling was concurrently carried out to compare effects from different energy or stress-inducing techniques. Samples of chitin powders (raw, processed, dried and humidified) were compared for variations in morphology, X-ray diffraction patterns, densities, FT-IR, flowability, compressibility and compactibility. Results confirmed the suitability of roller compaction to convert the fluffy powder of raw chitin to a bulky material with improved flow. X-ray powder diffraction studies showed that, in contrast to the high decrease in crystallinity upon ball milling, roller compaction manifested a slight deformation in the crystal lattice. Moreover, the new excipient showed high resistance to compression, due to the high compactibility of the granules formed. This was correlated to the significant extent of plastic deformation compared to the raw and ball milled forms of chitin. On the other hand, drying and humidification of raw and processed materials presented no added value to the compressibility and compactibility of the directly compressed excipient. Finally, compacted chitin showed direct compression similarity with microcrystalline cellulose when formulated with metronidazole (200 mg) without affecting the immediate drug release action of the drug.