Search Results (212)

The present study aimed to develop biodegradable films formulated with pectin/carboxymethyl cellulose (CMC) and cinnamon essential oil, investigating the effects of CP treatment time on the properties of the films. The developed films were used as packaging to evaluate the shelf life of chicken meat. Biodegradable films were produced from a film-forming solution containing pectin/CMC, glycerol (30%), and cinnamon essential oil (2%). All formulations included the essential oil, and the control group corresponded to the film that was not subjected to CP treatment. The CP treatments were applied at 22.5 L/min, 20 kV, and 80 kHz for 10, 20, and 30 min. The results showed that increasing CP treatment time led to a progressive reduction in apparent viscosity, indicating improved homogeneity of the polymer system. Hydrophobicity increased with treatment time, as shown by a higher contact angle (from 51.15° to 62.38°), resulting in lower water solubility. Mechanical properties were also enhanced, with tensile strength rising from 3.29 MPa to 6.74 MPa after 30 min of CP. Biodegradability improved with treatment time, reaching 99.51% mass loss after 15 days for the longest exposure. Films produced from the solution treated for 30 min (FCP30) were most effective in extending the shelf life of chicken breast fillets, reducing lipid oxidation (TBARS: 61.9%), peroxide content (58.7%), and microbial spoilage (TVB-N: 59.2%) compared to the untreated film. Overall, the results highlight the importance of CP treatment time as a key factor in enhancing film performance, supporting its application in sustainable active packaging. Full article

Prolonged hospital stays separate children from their families and adversely impact the well-being of both. Children with medical complexity (CMC) often have long hospital stays and sometimes spend months to years missing their childhoods, often alone in their rooms. Caregivers of CMC must navigate many barriers to discharge during long hospital stays, which further strains the family system. In this review, we summarize the developmental vulnerabilities of chronically hospitalized CMC and propose that the hospital environment itself confers additional risk for poor neurodevelopmental outcomes. We will discuss the opportunities for pediatric post-acute care (PPAC) hospitals to create spaces where medical treatment, developmental recovery, and family integration in care can exist simultaneously. We then describe how the Care Beyond the Bedside model developed by one PPAC hospital aims to diminish the detrimental effects of prolonged hospitalization on CMC and their families by prioritizing developmental opportunity alongside medical stability. Critical components of this care model are patient and family spaces designed for community, safety training to supervise patients away from the bedside, and investment in staffing and programming to support the model. This care model acknowledges that play and healing are inextricably linked and that children develop best when they are out of bed, participating in life with their families. Full article

Background: Doxorubicin (DOX) is a potent anti-cancer agent that is widely described in cancer treatment. However, its administration is often limited by its adverse effects, particularly its testicular toxicity, which can induce infertility in male patients. DOX-induced testicular damage is due to oxidative stress, apoptosis, and inflammation. Nanocurcumin (NCR) is a nano-formulated edition of curcumin with a higher therapeutic potential. NCR has demonstrated antioxidant and anti-inflammatory properties. Methods: This study is designed to inspect the potential validity of NCR on DOX-induced testicular damage in male rats. We used thirty-two Wistar albino rats (150–200 g) and divided them into four groups. NCR (80 mg/kg/ dissolved in 1% CMC) was given orally by oral gavage for 14 days. A single dose of DOX (15 mg/kg) (i.p.) was injected on the 7th day of the experiment. Results: DOX treatment reduced the sperm viability and motility rate, cellular antioxidants, and gonadal hormones; it led to higher levels of inflammatory mediators, necrosis, and sloughing in seminiferous tubules. Conversely, NCR treatment significantly alleviated these side effects by improving sperm count/motility and reducing sperm abnormalities. The testicular function recovery was likely driven by stimulating the cytoprotective SIRT1/NF-κB pathway, depressing the testicular level of oxidative indicators such as MDA, TNF-α, iNOS, IL-1β, and NO, and increasing levels of antioxidants such as GSH and SOD. In addition, NCR contradicted the apoptotic changes by downregulating the pro-apoptotic signals Bax and caspase-3, while inducing Bcl-2 upregulation. Moreover, NCR increased levels of gonadal hormones, attenuated histological abnormalities, and preserved testicular structure when compared with the DOX group. Conclusions: NCR treatment can effectively ameliorate DOX-induced testicular toxicity. Full article

Understanding the effects of edible coatings on postharvest quality and shelf life of ‘Karaerik’ grapes is crucial for improving storage outcomes and reducing losses. However, limited information exists regarding the effectiveness of different coating materials on this regionally significant variety. In this study, ‘Karaerik’ grapes were treated with carboxymethyl cellulose (CMC) and locust bean gum (KB) coatings and stored under cold conditions (0 ± 0.5 °C, 90–95% relative humidity) for 0, 25, 45, and 60 days. Storage duration and coating treatments significantly affected most physical, physiological, and biochemical parameters. During storage, grape weight loss progressively increased, reaching 9.60% in the control by day 60. Coatings slightly reduced this loss, with KB showing the lowest (5.11%) compared to the control (5.69%). Respiration initially declined but surged again at day 60, especially in the control (96.4 μmol CO₂/kg·hour), while coatings helped mitigate this rise. Ethylene release remained unchanged. A slight pH decline (~4.6%) was observed in the control, while KB-treated grapes maintained higher pH and lower acidity. Soluble solids remained stable across treatments. Color changed notably during storage: a* nearly doubled (more redness), b* increased (less blue), and chroma (C*) declined by ~25%, especially in uncoated grapes. Total sugar dropped by ~43% in KB-treated grapes, with the control retaining the most. Tartaric acid decreased by ~55%, notably in KB samples. Antioxidant activity and total phenolics declined significantly (~66%) in the control. CMC coating better-preserved antioxidant capacity, while the control showed the highest phenolic levels overall. Ferulic, gallic, and chlorogenic acids increased toward the end of storage, particularly in coated grapes. In contrast, rutin and vanillic acid peaked mid-storage and were better preserved in the control. The heatmap showed significant metabolite changes in fruit samples across 0D, 25D, 45D, and 60D storage periods under CMC, CNT, and KB treatments, with distinct clustering patterns revealing treatment-specific biochemical responses. The correlation matrix revealed strong positive relationships (r > 0.70) between total sugar, glucose, and fructose levels, while ethylene showed significant negative correlations (−0.65 to −0.85) with maturity index, pH, and total soluble solids, indicating interconnected metabolic pathways during fruit ripening and storage. We conclude that edible coating selection significantly influences grape biochemical stability during cold storage, with CMC emerging as a superior choice for maintaining certain quality parameters. Full article

The textile industry is under increasing pressure to adopt sustainable practices due to the significant environmental impacts associated with fiber production, including high energy consumption, water usage, and substantial greenhouse gas emissions. The recycling of textile waste, particularly cotton, is a promising solution that has the potential to reduce landfill waste and decrease the demand for virgin fibers. However, mechanically recycled cotton fibers frequently demonstrate diminished mechanical properties compared to virgin fibers, which limits their potential for high-quality textile applications. This study explores the use of cross-linking agents (citric acid (CA) and sodium hypophosphite (SHP)), polymers (polyethylene glycol (PEG), chitosan (CH), carboxymethyl cellulose (CMC) and starch (ST)), and silicas (anionic (SA) and cationic (SC)) to enhance the mechanical properties of recycled cotton fibers. The treatments were then subjected to a hierarchical ranking, with the effectiveness of each treatment determined by its impact on enhancing fiber tenacity. The findings of this research indicate that the most effective treatment was starck (ST_50), which resulted in an enhancement of tenacity from 14.63 cN/tex to 15.34 cN/tex (+4.9%), closely followed by CA-SHP_110/110, which also reached 15.34 cN/tex (+4.6%). Other notable improvements were observed with CMC_50 (15.23 cN/tex), PEG_50 (14.91 cN/tex), and CA_50 (14.89 cN/tex), all in comparison to the control. In terms of yarn quality, the CA-SHP_110/110 treatment yielded the most substantial reductions in yarn irregularities, including thin places, thick places, and neps with decreases of 36%, 10%, and 7%, respectively. Furthermore, CA_50 exhibited moderate enhancements in yarn regularity, thin places (−12%), thick places (−6.1%), and neps (−8.9%). The results of this study demonstrate that combining CA with SHP, particularly when preceded by the heating of the solution before the addition of the fibers, results in a substantial enhancement of the structural integrity, strength, and overall quality of recycled cotton fibers. This approach offers a viable pathway for the improvement of the performance of recycled cotton, thereby facilitating its wider utilization in high-quality textile products. Full article

Hand osteoarthritis (OA) is a prevalent and disabling condition, yet its pathogenesis remains less studied than OA in large weight-bearing joints. Emerging genetic, epigenetic, and microbiome research suggests that hand OA might be biologically distinct, involving joint-specific pathways not shared by knee or hip OA. This review integrates genome-wide association studies specific to hand OA, highlighting key molecular contributors such as inflammatory cytokines. These genetic insights, together with emerging data on epigenetic alterations and gut microbial dysbiosis, point to broader systemic and regulatory influences on hand OA onset and progression. We also assess pharmacologic interventions tested in randomized controlled trials that have attempted to target these pathways. While agents such as TNF and IL-6 inhibitors, hydroxychloroquine, and corticosteroids have shown limited success, emerging evidence supports the potential of methotrexate in synovitis-positive general hand OA, platelet-rich plasma in thumb carpometacarpal (CMC) OA, and prolotherapy in interphalangeal (IP) OA. These findings illustrate the persistent gap between mechanistic understanding and therapeutic success. Future work must prioritize multifactorial strategies for addressing pain and translational frameworks that link molecular mechanisms to treatment response. In summary, this review offers an update on hand OA and identifies key opportunities for more targeted and effective therapy. Full article

Hydrogels (HDs) offer a promising platform for localized and sustained drug delivery. In this study, carboxymethyl chitosan (CMC)—based hydrogels were crosslinked with genipin and evaluated for the controlled release and tissue retention of suramin, a polyanionic drug with anti-inflammatory and antifibrotic properties. The influence of crosslinking density (1%, 3%, and 5%) on drug release, permeation kinetics, and retention was investigated using in vitro synthetic membranes and reconstructed human epithelial tissue models. The 1% genipin HD exhibited the highest cumulative release and drug retention (48.8 ± 6.8 μg/cm² in synthetic membranes; 24.06 ± 7.33 μg/cm² in epithelial models), along with a sustained release profile governed by first-order and Fickian diffusion kinetics. Notably, the 1% crosslinked formulation also demonstrated enhanced transmembrane flux (>140 μg/cm²/h after six hours), suggesting that lower crosslinking density favors both diffusional mobility and depot functionality. In contrast, free suramin solution displayed limited tissue interaction and minimal permeation, highlighting the role of the hydrogel matrix in regulating local bioavailability. These findings demonstrate that CMC–genipin HD can closely modulate drug delivery kinetics through crosslinking density, offering a biocompatible strategy for localized treatment of ulcerated epithelial conditions such as oral mucositis or chronic wounds. Diffusion models included a synthetic multilayer membrane (Strat-M^®) and a reconstructed human epidermis (EpiDerm™) to simulate skin-like barrier properties. Full article

Background: Cartilage defects and injuries often lead to osteoarthritis, posing significant challenges for cartilage repair. Traditional treatments have limited efficacy, necessitating innovative therapeutic strategies. This study aimed to develop an injectable hydrogel-based tissue engineering construct to enhance cartilage regeneration by combining mesenchymal stem cells (MSCs) and the small molecule drug kartogenin (KGN). Methods: An injectable hydrogel was synthesized by crosslinking carboxymethyl chitosan (CMC) with aldehyde-modified cellulose nanocrystals (DACNCs). KGN was incorporated into the hydrogel during crosslinking to achieve sustained drug release. Three hydrogels with varying CMC/DACNC molar ratios (MR = 0.11, 0.22, and 0.33) were developed and characterized for their structural, mechanical, and biocompatible properties. The hydrogel with the optimal ratio (MR = 0.33) was further evaluated for its ability to support MSC viability and differentiation in vitro. Additionally, signaling pathways (TGF-β, FOXO, and PI3K-AKT) were investigated to elucidate the underlying mechanisms. In vivo efficacy was assessed using a rabbit femoral trochlear cartilage defect model. Results: The hydrogel with a higher CMC/DACNC molar ratio (MR = 0.33) exhibited increased compressive modulus, a reduced swelling rate, and superior biocompatibility, effectively promoting MSC differentiation in vitro. Signaling pathway analysis revealed activation of the TGF-β, FOXO, and PI3K-AKT pathways, suggesting enhanced chondrogenic potential. In vivo experiments demonstrated that the KGN-MSC-encapsulated hydrogel significantly improved cartilage repair. Conclusions: The injectable CMC/DACNC hydrogel, combined with KGN and MSCs, synergistically enhanced cartilage regeneration both in vitro and in vivo. This study highlights the potential of this hydrogel as a promising scaffold for cartilage tissue engineering, offering a novel therapeutic approach for cartilage defects and injuries. Full article

Background: Vulvar vaginal candidiasis (VVC) is a type of vaginitis resulting from a Candida infection of the vaginal mucosa. Traditional treatments using antibiotics often lead to resistance and disrupt the vaginal microenvironment, causing ongoing problems for patients. In response to these challenges, this study introduces a multifunctional intelligent responsive probiotic hydrogel designed to modulate the vaginal microecological environment to combat Candida albicans infection. Methods: The innovative CMCS-OHA-Lp/Lr hydrogel was formulated using oxidized hyaluronic acid (OHA) and carboxymethyl chitosan (CMCS) as carriers, incorporating Lactobacillus plantarum (Lp) and Lactobacillus rhamnosus (Lr) as active components. Comprehensive characterization of the CMCS-OHA-Lp/Lr hydrogel revealed its chemical structure, rheological properties, rapid self-healing properties, gel degradation, and the release of lactobacilli in vitro. Results: The findings demonstrated that the hydrogel’s cross-linking conferred significant physical properties. In addition, the in vitro release study of Lactobacillus showed that the cumulative release rates of Lp and Lr in the medium with pH 5.5 were 83.50 ± 2.70% and 73.31 ± 2.22%, which proved the pH-responsive release characteristics of probiotics in acidic vaginal environments. Furthermore, the storage activity of Lactobacillus indicated that the survival rates of the CMCS-OHA-Lp and CMCS-OHA-Lr hydrogels were 86.90 ± 0.20% and 85.50 ± 0.56%, respectively, proving that encapsulation within the hydrogels significantly enhanced the storage stability of probiotics. In vivo studies further confirmed that the hydrogel alleviated vulval edema symptoms and reduced C. albicans colonies in the vagina, thereby mitigating vaginal inflammation. Conclusions: In conclusion, this pH-responsive, self-healing, and shear-thinning hydrogel offers a promising approach for the clinical treatment of VVC and serves as an effective probiotic delivery vehicle. Full article

Low-grade tea, often underutilized due to its coarse texture and limited bioavailability, represents a significant resource waste. This study systematically investigated the synergistic effects of steam explosion (SE) and superfine grinding on enhancing the structural deconstruction, powder property, instant solubility, and diffusivity of low-grade. SE treatment induced critical physicochemical modifications, including hemicellulose degradation, lignin recondensation, and cellulose crystalline reorganization, which significantly weakened the lignocellulosic matrix. Subsequent superfine grinding via ball milling achieved ultrafine particles, with median diameter D₅₀ = 10.4 ± 0.17 μm, and almost completely destroyed the cell wall by 99.9%. Extraction kinetics revealed that SE-ball milling synergistically accelerated the diffusion behavior of bioactive compounds, reducing equilibrium time by 2~4 times and increasing maximum yields of polysaccharides, polyphenols, caffeine, and water-soluble solids by 9~25% compared to untreated samples. Homogenization combined with 0.08 mg/mL CMC-Na further improved the suspension stability of tea powder and reduced its centrifugal sedimentation to 9.85%. These findings demonstrate a scalable strategy to transform low-grade tea into high-value ingredients with enhanced accessibility and solubility of bioactive compounds, offering promising applications in instant beverages, fortified foods, and nutraceuticals. Full article

Topical approaches to dermatophytosis have the advantage of targeted therapy and minimal side effects and are patient-friendly. The present study focused on obtaining thin, flexible, and transparent bioadhesive polymeric films loaded with terbinafine hydrochloride (TH), in order to be administered to the skin affected by fungal infection. Polymeric films based on pullulan (P), oxidized pullulan (T-OP), sodium carboxymethylcellulose (NaCMC), and glycerin were obtained by the casting and evaporation technique, and the solubility of the drug was significantly increased by micellar solubilization with Tween-80, thus avoiding the use of organic solvents. Physico-chemical characterization through the FTIR technique and EDX analysis indicates the absence of strong interactions between the drug and the polymer, and the loading efficiency highlights the uniform distribution of the drug. The mechanical properties, bioadhesion, contact angle, and water sorption capacity highlight optimal adhesion parameters on the skin. In vitro studies indicate a prolonged drug release, in the first 300 min, of 80% and 60% for F2_TH and F1_TH, respectively, and the release kinetics follow the Weibull model. Significant antifungal activity was obtained for both polymeric films. The biocompatibility of the ingredients, the gentle technique for obtaining the films, and the results obtained from their analysis represent promise for their applicability in topical antifungal treatment. Full article

Dysphagia is a serious complication of stroke, yet effective pharmacological treatments remain limited. This study investigated the effects of FAD012 (3,5-dimethyl-4-hydroxy cinnamic acid), a synthetic derivative of ferulic acid (FA), on cerebral damage and swallowing dysfunction in a rat model of bilateral common carotid artery occlusion (2VO). Sprague–Dawley rats were orally administered FAD012 (3 or 10 mg/kg), FA (10 mg/kg), or 0.5% carboxymethyl cellulose (CMC, suspension vehicle) starting one week before 2VO. Two weeks after 2VO surgery, which was performed under isoflurane anesthesia, reflex swallowing was assessed by electromyographic recordings of the mylohyoid muscle under urethane anesthesia. Two weeks after 2VO, cerebral blood flow (CBF) declined to approximately 40% of baseline, and the number of reflex swallowing responses was significantly reduced in the CMC group. Additionally, 2VO induced O₂⁻ production, apoptotic cell death in the striatum, and a reduction in tyrosine hydroxylase expression. Substance P (SP) levels in the laryngopharyngeal mucosa, positively regulated by dopaminergic signaling in the basal ganglia, also decreased. FAD012 (10 mg/kg) effectively prevented the 2VO-induced reduction in CBF, enhanced the reflex swallowing, and preserved the dopamine-SP system. Notably, FAD012 exerted significantly stronger effects than FA at the same dose. These findings suggest that FAD012 maintains CBF under cerebral hypoperfusion and enhances the swallowing reflex by maintaining neuronal function in the striatal and laryngopharyngeal regions of 2VO rats. Full article

Membranes made from biopolymers and loaded with doxycycline were investigated for potential use in the treatment of foot ulcers in diabetic patients. Carboxymethylcellulose (CMC) and chitosan (CHS) membranes were fabricated with 7% glycerol and 1% doxycycline (DOX). Their mechanical and physical properties, biocompatibility, and antimicrobial effects were thoroughly evaluated. The results demonstrated effective antibacterial activity against S. aureus and S. mutans. Based on the mechanical, physical, and hemolytic data, DOX-loaded CMC/CHS/G membranes show promise as a topical wound delivery system. Full article

The preference and demand for low-fat diets have increased due to their health benefits. This study aimed to develop a thermally stable water-in-oil (W/O) emulsion. The addition of 3.75 wt% of polysaccharide colloids, including curdlan gum (CG), kappa-carrageenan (kC), gellan gum (GEG), guar gum (GUG), high-ester pectin (HEP), and carboxymethyl cellulose (CMC), to the aqueous phase resulted in the formation of a gel structure within it. Furthermore, these polysaccharide colloids reduced the excessive mobility of water droplets under high-temperature conditions. The oil phase consisted of anhydrous butter and a lipophilic nonionic surfactant. The emulsion was subjected to a heat treatment at 95 °C for 30 min, and the emulsions before and after the heat treatment were characterized. The results showed that among the above colloidal emulsions, the 3.75 wt% CG emulsion did not show significant changes in viscosity, stability index, mean particle size, friction coefficient, and encapsulation efficiency before and after heat treatment. The 3.75 wt% CG colloid showed the most significant enhancement in the thermal stability of W/O emulsions. This study proposes a novel fat-replacement strategy for products requiring high-temperature processing, such as processed cheese. Full article

Background: Epizootics of largemouth bass ranavirus (LMBRaV) in largemouth bass (Micropterus salmoides) populations are associated with elevated mortality and significant financial losses. Given the lack of effective and safe medication to treat this disease, oral vaccination, which directly targets the intestinal mucosal immune system, is crucial for disease resistance. Methods: This study utilized carboxymethyl cellulose (CMC) to coat LMBRaV inactivated vaccine (LIV) (micro-CMC@LIV). The morphology and characteristics of the CMC microcapsules were determined. In vitro simulated gastric and intestinal conditions were used to validate that the microcapsules could tolerate gastric conditions and subsequently release their contents in the intestinal tract. This was confirmed using CMC-coated coumarin 6 (C6) fluorescence microcapsules. Results: After the oral administration of micro-CMC@LIV, the detection of LMBRaV major capsid protein confirmed effective antigen release and absorption in the midgut and hindgut. Neutralizing antibody titers were significantly higher (1:81.71) in the micro-CMC@LIV group compared to the uncoated vaccine group (1:21.69). The expression of genes linked to the innate and adaptive immune systems was upregulated post-micro-CMC@LIV treatment. Following the LMBRaV challenge, the micro-CMC@LIV group exhibited a relative percent survival (RPS) of 82.14%, significantly higher than the uncoated vaccine group (61.61%). Droplet digital PCR analysis revealed significantly lower viral loads in the liver, spleen, and head kidney of the micro-CMC@LIV group compared to the control group and the uncoated vaccine group. Conclusions: These results collectively suggest that the CMC-coated LIV can be effectively delivered to the intestinal tract and induce robust antibody and immune responses, providing a reliable method for preventing and controlling LMBRaV disease in the largemouth bass industry. Full article