Current advances concerning the most cited metal ions doped bioceramics and silicate-based bioactive glasses for bone tissue engineering

Studies related to biomaterials that stimulate the repair of living tissue have increased considerably, improving the quality of many people's lives that require surgery due to traumatic accidents, bone diseases, bone defects, and reconstructions. Among these biomaterials, bioceramics and bioactive glasses (BGs) have proved to be suitable for coating materials, cement, scaffolds, and nanoparticles, once they present good biocompatibility and degradability, able to generate osteoconduction on the surrounding tissue. However, the role of biomaterials in hard tissue engineering is not restricted to a structural replacement or for guiding tissue regeneration. Nowadays, it is expected that biomaterials develop a multifunctional role when implanted, orchestrating the process of tissue regeneration and providing to the body the capacity to heal itself. In this way, the incorporation of specific metal ions in bioceramics and BGs structure, including magnesium, silver, strontium, lithium, copper, iron, zinc, cobalt, and manganese are currently receiving enhanced interest as biomaterials for biomedical applications. When an ion is incorporated into the bioceramic structure, a new category of material is created, which has several unique properties that overcome the disadvantages of primitive material and favors its use in different biomedical applications. The doping can enhance handling properties, angiogenic and osteogenic performance, and antimicrobial activity. Therefore, this review aims to summarize the effect of selected metal ion dopants into bioceramics and silicate-based BGs in bone tissue engineering. Furthermore, new applications for doped bioceramics and BGs are highlighted, including cancer treatment and drug delivery.     

Piperacillin/tazobactam‐induced neurotoxicity in a hemodialysis patient: A case report

Antibiotics are potentially a cause of neurotoxicity in dialysis patients, the most common are the beta‐lactams as ceftazidime and cefepime, and few cases have been reported after piperacillin/tazobactam use. This report presents a case of a hypertensive and diabetic 67‐year‐old woman in regular hemodialysis, which previously had a stroke. She was hospitalized presenting pneumonia, which was initially treated with cefepime. Two days after treatment, she presented dysarthria, left hemiparesis, ataxia, and IX and X cranial nerves paresis. Computed tomography showed no acute lesions and cefepime neurotoxicity was hypothesized, and the antibiotic was replaced by piperacillin/tazobactam. The neurologic signs disappeared; however, 4 days after with piperacillin/tazobactam treatment, the neurological manifestations returned. A new computed tomography showed no new lesions, and the second antibiotic regimen withdrawn. After two hemodialysis sessions, the patient completely recovered from neurological manifestations. The patient presented sequentially neurotoxicity caused by two beta‐lactams antibiotics. This report meant to alert clinicians that these antibiotics have dangerous neurological effects in chronic kidney disease patients.     

Visceral Obesity and Its Shared Role in Cancer and Cardiovascular Disease: A Scoping Review of the Pathophysiology and Pharmacological Treatments

The association between obesity, cancer and cardiovascular disease (CVD) has been demonstrated in animal and epidemiological studies. However, the specific role of visceral obesity on cancer and CVD remains unclear. Visceral adipose tissue (VAT) is a complex and metabolically active tissue, that can produce different adipokines and hormones, responsible for endocrine-metabolic comorbidities. This review explores the potential mechanisms related to VAT that may also be involved in cancer and CVD. In addition, we discuss the shared pharmacological treatments which may reduce the risk of both diseases. This review highlights that chronic inflammation, molecular aspects, metabolic syndrome, secretion of hormones and adiponectin associated to VAT may have synergistic effects and should be further studied in relation to cancer and CVD. Reductions in abdominal and visceral adiposity improve insulin sensitivity, lipid profile and cytokines, which consequently reduce the risk of CVD and some cancers. Several medications have shown to reduce visceral and/or subcutaneous fat. Further research is needed to investigate the pathophysiological mechanisms by which visceral obesity may cause both cancer and CVD. The role of visceral fat in cancer and CVD is an important area to advance. Public health policies to increase public awareness about VAT’s role and ways to manage or prevent it are needed.     

Child Death From Pediatric Illness: Conceptualizing Intervention From a Family/Systems and Public Health Perspective.

Despite the universal and understandable distress associated with the death of a child from pediatric illness, do psychologists help surviving families in ways that match their need for assistance? Many families do not seek psychological help and cope adaptively with their loss. Indications for psychotherapy with bereaved families are based largely on experience with families who engage in treatment and who have greater distress. Other families may not receive sufficient services but are at risk for ongoing difficulties and unlikely to engage in treatment. Suggestions for intervention are made, with attention to the fit of therapeutic approaches with family needs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A prospective investigation of the impact of childhood sexual abuse on the development of sexuality.

The sexual attitudes and activities of 77 sexually abused and 89 comparison women (mean age=20.41, SD=3.38) were assessed 10 years after disclosure in a longitudinal, prospective study of the long-term effects of childhood sexual abuse. Abused participants were more preoccupied with sex, younger at first voluntary intercourse, more likely to have been teen mothers, and endorsed lower birth control efficacy than comparison participants. When psychological functioning earlier in development was examined, sexual preoccupation was predicted by anxiety, sexual aversion was predicted by childhood sexual behavior problems, and sexual ambivalence (simultaneous sexual preoccupation and sexual aversion) was predicted by pathological dissociation. Findings also indicate that biological father abuse may be associated with greater sexual aversion and sexual ambivalence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Direct synthesis of copper faujasite

Copper containing faujasite has been successfully prepared for the first time using a direct synthesis method. Faujasite type zeolite can be prepared in the presence of copper species by tuning the synthesis conditions. Ammonium hydroxide was used to form a copper complex that was later mixed with the reacting gel. Sodium is required to obtain copper faujasite. The complete elimination of sodium ions from the starting gel produces amorphous material. Crystallization took place at 358 K for 11 days. Crystallization temperature of 373 K produces ANA type zeolite as an impurity. Increasing by two times the amount of copper complex added to the reacting gel increases the crystallization time of Cu-FAU from 11 to 20 days (the crystallization rate decreases). The copper containing faujasite obtained was characterized by XRD, FESEM, EDX, EPR, FT-IR, TPR, and BET. According to the XRD pattern only FAU type zeolite was obtained. According to TPR experiments, the reduction temperature for Cu²⁺ ions present in Cu-FAU prepared by direct synthesis was 70 K more than for Cu-FAU prepared by ion-exchange. This difference can be due to the different location of the copper ions in the supercages or in the sodalite cages of the faujasite.     

Crack Stability and Its Effect on Fracture Toughness of Hot-Pressed Silicon Nitride Beam Specimens

The effect of stable crack extension on fracture toughness test results was determined using single-edge precracked beam specimens. Crack growth stability was examined theoretically for bars loaded in three-point bending under displacement control. The calculations took into account the stiffness of both the specimen and the loading system. The results indicated that the stiffness of the testing system played a major role in crack growth stability. Accordingly, a test system and specimen dimensions were selected which would result in unstable or stable crack extension during the fracture toughness test, depending on the exact test conditions. Hot-pressed silicon nitride bend bars (NC132) were prepared with precracks of different lengths, resulting in specimens with different stiffnesses. The specimens with the shorter precracks and thus higher stiffness broke without stable crack extension, while those with longer cracks, and lower stiffness, broke after some stable crack extension. The fracture toughness values from the unstable tests were 10% higher than those from the stable tests. This difference, albeit small, is systematic and is not considered to be due to material or specimen-to-specimen variation. It is concluded that instability due to the stiffness of test system and specimen must be minimized to ensure some stable crack extension in a fracture toughness test of brittle materials in order to avoid inflated fracture toughness values.     

Microstructural Modelling of Nb Microalloyed Steels during Thin Slab Direct Rolling Processing

The microstructural evolution during the hot rolling of coarse grain sized austenite has been modeled considering all the microstructural mechanisms (dynamic, static and metadynamic recrystallization, strain induced precipitation) that can take place during an industrial TSDR production of three Nb microalloyed steels. Based on the results obtained from the model, processing maps have been drawn for 0.02%, 0.035% and 0.05% Nb microalloyed steels. Optimum processing conditions to exploit all the benefits of the Nb microalloying have been defined considering a final gauge thickness range between 1.5 and 12.65 mm. In addition, and facing the difficulties present in the production of thick hot strip, several alternative thermomechanical schedules are proposed, which would originate microstructures with a suitable combination of homogeneity and retained strain prior to transformation.     

A Tale of Two Dams: The Impact of Reservoir Management on Rural Depopulation in Central Spain

In rural areas, depopulation is mainly due to a lack of economic and employment opportunities. In this context, the reservoirs already built can be a source of socioeconomic development based on tourism and outdoor leisure activities. The condition for this development to materialize is that reservoir management considers these activities. In Central Spain, a process of rural depopulation has been generated in the municipalities around the reservoirs at the Upper Tagus River, as water management allows water transfers from the Tagus to the Segura River without taking into account regulations that prioritize and protect donor basin users. Through the comparison of reservoir water management and demographic data of two rural areas close to the reservoirs, this article reveals the direct relationship between reservoir management that enables recreational uses with its consequent socioeconomic development and the maintenance of the population in the territory. Consequently, reservoir water management based on the socioeconomic development of reservoir banks is necessary and a priority over transfers to another basin.