Dimension psychologique de l’analgésie contrôlée par le patient en période post-opératoire

Douleur et Analgésie - L’analgésie contrôlée par le patient (Patient Controlled Analgesia ou PCA) est une méthode d’analgésie couramment employée en...     

Bionanocellulose/Poly(Vinyl Alcohol) Composites Produced by In-Situ Method and Ex-Situ/Impregnation or Sterilization Methods

The purpose of the work was to obtain composites based on bionanocellulose (BNC) and poly(vinyl alcohol) (PVA) for specific biomedical and cosmetic applications and to determine how the method and conditions of their preparation affect their utility properties. Three different ways of manufacturing these composites (in-situ method and ex-situ methods combined with sterilization or impregnation) were presented. The structure and morphology of BNC/PVA composites were studied by ATR-FTIR spectroscopy and scanning microscopy (SEM, AFM). Surface properties were tested by contact angle measurements. The degree of crystallinity of the BNC fibrils was determined by means of the XRD method. The mechanical properties of the BNC/PVA films were examined using tensile tests and via the determination of their bursting strength. The water uptake of the obtained materials was determined through the gravimetric method. The results showed that PVA added to the nutrient medium caused an increase in biosynthesis yield. Moreover, an increase in base weight was observed in composites of all types due to the presence of PVA. The ex-situ composites revealed excellent water absorption capacity. The in-situ composites appeared to be the most durable and elastic materials.     

Temporal Evolution of Pressure Generated by a Nanosecond Laser Pulse Used for Assessment of Adhesive Strength of the Tungsten–Zirconium–Borides Coatings

The article presents theoretical and experimental study of shock waves induced by a nanosecond laser pulse. Generation of surface plasma pressure by ablation of the graphite absorption layer in water medium and shock wave formation were analyzed theoretically and experimentally. The amplitude and temporal variation of the shock wave pressure was determined basing on a proposed hydrodynamic model of nanosecond laser ablation and experimentally verified with use of a polyvinylidene fluoride (PVDF) piezoelectric-film sensor. The determined pressure wave was used for examination of adhesive strength of tungsten–zirconium–boride coatings on steel substrate. The magnetron sputtered (MS) W–Zr–B coatings show good adhesion to the steel substrate. The obtained experimental results prove the correctness of the proposed model as well as the suitability of the procedure for assessment of adhesive strength.     

The Mechanical and Tribological Properties of Epoxy-Based Composites Filled with Manganese-Containing Waste

Waste from large-scale production processes is a growing environmental problem that can potentially be solved by using this waste as fillers in polymeric composites to improve the mechanical and tribological properties of polymeric matrixes. This paper presents research concerning how the introduction of fillers in the form of manganese residue and manganese(II) oxide changes the mechanical and tribological properties of epoxy composites produced by gravity casting. The research was carried out for composites with 2.5 wt.%, 5 wt.%, and 10 wt.% of fillers. Properties such as the density, hardness, resilience, flexural strength, deflection, flexural modulus, tensile strength, elongation at break, and Young’s modulus were determined. Moreover, based on the ball-on-plate test, the wear volume and friction coefficients of the tested materials were determined. Microscopic images of the abrasion profiles were also obtained. The geometry of the wear paths was measured with a profilometer, and the results showed that introducing fillers reduced the abrasive wear of the composites; however, in all cases, the fillers decreased the strength of the tested materials.     

Orodispersible Films with Rupatadine Fumarate Enclosed in Ethylcellulose Microparticles as Drug Delivery Platform with Taste-Masking Effect

Orally disintegrating (orodispersible) films provide a versatile tool for drug administration, especially in the pediatric and geriatric population, since they reduce the risk of choking and do not necessitate drinking water during application. By considering their direct contact with the taste buds, palatability is an influential aspect related to patient compliance. The microparticles based on taste-masking polymers containing drugs enclosed inside effectively mask the unpleasant taste of medicines. Ethylcellulose is a hydrophobic polymer widely used as a taste-masking material. Rupatadine fumarate, a second-generation antihistamine drug, is characterised by an intense bitter taste; therefore, it is crucial to achieve a tolerable taste whilst developing orodispersible formulations with its content. The objective of this study was to develop orally disintegrating films with rupatadine fumarate in the form of ethylcellulose-based microparticles obtained from aqueous dispersions of ethylcellulose—Surelease^® or Aquacoat^® ECD. It was a technological challenge to achieve homogenous drug content per dosage unit and sufficient mechanical properties for film operating due to the necessity to suspend the microparticles in the casting solution. Although the process of obtaining films consisted of several steps (mixing, pouring, drying), the particles were homogeneously dispersed, and each film of the desired size contained the proper dose of the drug. The taste-masking effect was also maintained. This parameter was confirmed by three independent methods: in vivo by healthy volunteers, an electronic tongue and a dissolution test. The applied taste-evaluation techniques showed that the films containing Aquacoat^® ECD microparticles have the highest degree of bitter taste reduction, which confirms the results obtained in our previous studies.     

Socioeconomic Risk Factors of Poor Nutritional Status in Polish Elderly Population: The Results of PolSenior2 Study

Poor nutritional status (PNS) threatens successful aging. Identifying potentially modifiable predictors of PNS is essential for elaborating a preventive strategy for the population at risk. To assess the prevalence of PNS in the Polish elderly population and analyze its socioeconomic correlates based on the data from the nationwide PolSenior2 project. Special emphasis was put on potentially modifiable factors among the identified PNS predictors. Nutritional status was assessed in 5698 community-dwelling older adults with the Mini Nutritional Assessment–Short Form. We evaluated the effect of age, sex, level of education, marital status, place of residence, subjective loneliness, and self-reported poverty on the nutritional status of the studied subjects. PNS was found in 25.3% of studied subjects (27.7% women and 21.9% men; p < 0.001). Female sex, older age, unmarried status (in men), subjective loneliness, and self-reported poverty were independent correlates of PNS. The two last above-mentioned predictors were identified as potentially modifiable. Based on our results, we recommend preventive interventions (e.g., performing regular screening), particularly in unmarried (men), poorly educated individuals, self-reporting poverty, complaining of loneliness, and the oldest old. PNS preventive strategies should include social support (both emotional and instrumental) to reduce the effect of poverty and subjective loneliness.     

Differential seizure-induced and developmental changes of neurexin expression.

The neurexins are differentially expressed neuronal surface proteins. Each neurexin gene (I, II, and III) has two promoters giving α and β major isoforms, and alternative splicing generates further extensive diversity. Following kainate- and pentylenetetrazole-induced seizures, there were no specific changes of expression of neurexins I and III in rat brains, whereas neurexin II expression increased in the dentate gyrus of the hippocampus. Both major isoforms were induced, particularly neurexin IIα. No significant alteration of neurexin II RNA splicing was observed. During postnatal development, neurexin II expression peaked in 6- to 10-day-old animals, in contrast with that of neurexins I and III; while neurexin IIα expression was elevated, neurexin IIβ expression was constant. The data suggest differential functions of the three neurexins and of their α- and β-isoforms and implicate neurexin IIα in the establishment of functional neuronal circuitry in postnatal brain and activity-dependent changes in adult brain.     

Review of Solutions for the Use of Phase Change Materials in Geopolymers

The paper deals with the possibility of using Phase Change Materials (PCM) in concretes and geopolymer composites. The article presents the most important properties of PCM materials, their types, and their characteristics. A review of the latest research results related to their use in geopolymer materials is presented. The benefits of using PCM in building materials include the improvement of thermal comfort inside the building, and also the fact that the additive in the form of PCM reduces thermal gradients and unifies the temperature inside the concrete mix, which can reduce the risk of cracking. The paper also presents a critical analysis related to the feasibility of mass scale implementations of such composites. It was found that the use of PCM in sustainable construction is necessary and inevitable, and will bring a number of benefits, but it still requires large financial resources and time for more comprehensive research. Despite the fact that PCM materials have been known for many years, it is necessary to refine their form to very stable phases that can be used in general construction as well as to develop them in a cost-effective form. The selection of these materials should also be based on the knowledge of the matrix material.     

Cardiac transplantation in a 14-yr-old patient with mitochondrial encephalomyopathy

We report a rare case of a successful cardiac transplantation in a patient suffering from cardiomyopathy and complex mitochondrial disease. The patient presented with severe heart failure and malignant ventricular arrhythmias requiring implantation of a defibrillator and advanced medical treatment. The patient was listed for urgent heart transplantation and received a donor heart after 36 days. One yr post-operatively, the patient has completely recovered.