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16 pages, 732 KiB  
Article
Illegal Dumping Sites in Bloemfontein, South Africa: Respiratory Symptoms, Risk Factors, and Community Perspectives
by Botle Maluleka, Phoka C. Rathebe and Busisiwe Shezi
Int. J. Environ. Res. Public Health 2025, 22(5), 685; https://doi.org/10.3390/ijerph22050685 - 25 Apr 2025
Viewed by 891
Abstract
Illegal waste dumping is a significant global issue, particularly in low- and middle-income countries such as South Africa. This study aimed to investigate the risk factors for acute respiratory symptoms among residents living near illegal domestic waste dumping sites. The study also explored [...] Read more.
Illegal waste dumping is a significant global issue, particularly in low- and middle-income countries such as South Africa. This study aimed to investigate the risk factors for acute respiratory symptoms among residents living near illegal domestic waste dumping sites. The study also explored community perceptions regarding illegal dumping and its health effects. This cross-sectional study was conducted in Rocklands, Free State, South Africa, with 200 participants: 117 living within 0–5 km of a dumping site and 83 residing ≥5–10 km away. Data were collected using a structured questionnaire. Generalized linear models were employed to explore the relationship between proximity to illegal dumping sites and respiratory symptoms, adjusting progressively for confounders in successive models. Respiratory symptoms were more prevalent among those within 5 km of illegal dumping sites: cough (48.0% vs. 27.0%), shortness of breath (23.0% vs. 18.0%), wheezing (20.0% vs. 7.0%), and chest tightness (20.0% vs. 7.0%). Proximity was significantly associated with wheezing (PR: 2.77; 95% CI: 1.10–6.98) and chest tightness (PR: 2.86; 95% CI: 1.19–6.84). Community-driven initiatives, such as awareness campaigns and recycling, were strongly supported as solutions. These findings highlight the need for education on waste management. Collaborative efforts are essential to reduce illegal dumping and improve waste management. Full article
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14 pages, 2180 KiB  
Article
Generalization on Both Sides of a Mutualism: Pollinators of Jacquemontia curtisii in Southern Florida
by Suzanne Koptur
Plants 2025, 14(7), 1041; https://doi.org/10.3390/plants14071041 - 27 Mar 2025
Viewed by 496
Abstract
Jacquemontia curtisii Peter ex Hallier f. is common in the pine rocklands of the southern part of peninsular Florida, with its white star-shaped flowers open to visits from many species of arthropods. Its flowers are visited by a wide array of insects, especially [...] Read more.
Jacquemontia curtisii Peter ex Hallier f. is common in the pine rocklands of the southern part of peninsular Florida, with its white star-shaped flowers open to visits from many species of arthropods. Its flowers are visited by a wide array of insects, especially Hymenoptera and Lepidoptera. To determine if any of these flower visitors are specialized to J. curtisii, we observed visitors to the flowers of this species, catching visitors and sampling the pollen from their bodies. We examined stigmas of J. curtisii from 12 different sites to see how many plant species’ pollen was found and the size of the pollen loads. Though it seemed like many insects were visiting J. curtisii exclusively when it was in bloom, a surprising number had pollen of two or more other co-occurring plant species, indicating that the flower-visiting bees were generalists, as were the flowers of Jacquemontia curtisii. We compared the list of flower visitors with those observed at two previously studied southern Florida Jacquemontia species, J. pentanthos (Jacq.) G. Don and J. reclinata House ex Small, and compared pollen/ovule ratios of the three species, making predictions about the breeding systems of J. curtisii and J. pentanthos, as their P/Os are larger than those of J. reclinata, which was shown previously to be mostly self-incompatible. Full article
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13 pages, 1661 KiB  
Article
Childhood Trauma, Cognition, and Eating Psychopathology: A Network Analysis
by Kathryn Pasquariello, David A. Gansler, Sukanya Ray, Malvina O. Pietrzykowski, Margaret Pulsifer and Christina Ralph-Nearman
Healthcare 2025, 13(6), 630; https://doi.org/10.3390/healthcare13060630 - 14 Mar 2025
Viewed by 699
Abstract
Background/Objectives: Childhood trauma is associated with psychiatric sequelae beyond post-traumatic stress disorder (PTSD), including eating disorders (EDs) and cognitive dysfunction. While eating pathology is related to cognition irrespective of childhood trauma exposure, such experiences may influence the way in which these symptoms [...] Read more.
Background/Objectives: Childhood trauma is associated with psychiatric sequelae beyond post-traumatic stress disorder (PTSD), including eating disorders (EDs) and cognitive dysfunction. While eating pathology is related to cognition irrespective of childhood trauma exposure, such experiences may influence the way in which these symptoms develop. One method that has garnered increased interest in studying the interrelationships between symptoms and pinpointing core features of psychopathology is network analysis. Methods: Using data from the Nathan Kline Institute Rockland Sample, the present study utilized network analysis to examine associations between ED symptoms and cognitive deficits among a community sample. Comorbidity networks were constructed in two samples: adult reporters of childhood trauma (n = 116) and non-reporters (n = 101). Results: In line with the cognitive-behavioral model of EDs, overvaluation of weight/shape was central to both networks but demonstrated higher strength centrality among trauma reporters. Additionally, among trauma reporters, executive functioning deficits were linked to food-related attentional biases; alternatively, affective symptoms were salient among non-reporters. Finally, negative self-concept (theorized as a putative consequence of cognitive deficits) was implicated in both networks. When comparing the networks according to global strength, we did not find significant differences. Conclusions: Our findings contribute to the literature examining the interrelatedness of eating pathology and cognition and extend these findings by considering the role of trauma exposure. While our networks shared features of overvaluation of weight/shape and negative self-concept, they differed according to cognitive-affective concomitants. This information holds clinical utility in advancing assessment and intervention for individuals with eating psychopathology. Full article
(This article belongs to the Special Issue Prevention and Intervention in Eating Disorders)
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10 pages, 476 KiB  
Article
Comparing Ant Activity and Plants Bearing Extrafloral Nectaries in Rockland Habitats of the Florida Keys with Those of the Everglades and the Bahamas
by Suzanne Koptur and Kathleen H. Keeler
Diversity 2024, 16(7), 360; https://doi.org/10.3390/d16070360 - 24 Jun 2024
Viewed by 1053
Abstract
Rocklands are present in South Florida, both on the peninsula and in the Keys. Previous work has shown that extrafloral nectaries on pine rockland plants in the Florida Everglades and surrounding areas play a role in attracting ant protectors. Species with nectaries are [...] Read more.
Rocklands are present in South Florida, both on the peninsula and in the Keys. Previous work has shown that extrafloral nectaries on pine rockland plants in the Florida Everglades and surrounding areas play a role in attracting ant protectors. Species with nectaries are more abundant and ant activity greater in more recently burned pine rockland habitats compared with longer undisturbed rockland hammock forest. The floristic composition and prevailing climate of Keys rocklands differs substantially from those on the mainland, so we sought to investigate ant activity and the abundance of plants with extrafloral nectaries in Big Pine Key rockland habitats. Standard baiting methods were used to assess ant abundance and potential predation activity in hardwood hammock, shrubby pine rockland, and open pine rockland sites. Ant activity was the lowest in open pine rockland, greatest in hardwood hammock, and intermediate in shrubby pine rockland, the opposite of what has been observed in previous studies in southern peninsular Florida and on Andros, Bahamas. Sampling vegetation at these same sites revealed a larger proportion of plant species with extrafloral nectaries in the pine rocklands than the hammock, as observed previously in Everglades habitats. Possible reasons for differences in ant activity in Keys rockland habitats are discussed. Full article
(This article belongs to the Special Issue Diversity in 2024)
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12 pages, 3653 KiB  
Article
Self-Incompatibility in Devil’s Potato (Echites umbellatus Jacq., Apocynaceae) May Explain Why Few Flowers Set Fruit
by Suzanne Koptur, Andrea Salas Primoli, Imeña Valdes and Maha Nusrat
Biology 2024, 13(6), 423; https://doi.org/10.3390/biology13060423 - 7 Jun 2024
Viewed by 1157
Abstract
Pollinators are needed for the reproduction of Echites umbellatus, and only sphingid moths have mouthparts long enough to reach the nectar at the bottom of the species’ long, twisted floral tube. Though plants produce many flowers over a period of several months, [...] Read more.
Pollinators are needed for the reproduction of Echites umbellatus, and only sphingid moths have mouthparts long enough to reach the nectar at the bottom of the species’ long, twisted floral tube. Though plants produce many flowers over a period of several months, one observes very few fruits in nature. We asked: (1) Are plants self-compatible, or do they need pollen from another individual to set fruit and seed? (2) Are cross-pollinations between unrelated individuals more successful than crosses with relatives? (3) How does the relatedness of pollen and ovule parent plants affect fruit set, seed number, and seed quality? We investigated the breeding system of E. umbellatus by collecting fruits from seven sites, growing plants and performing hand pollinations over a period of several years, collecting and measuring fruits and counting seeds. Echites umbellatus is self-incompatible, though some individuals produce fruit by self-pollination. Cross-pollinations between unrelated individuals set the most fruit (59%), and those that were self-pollinated set the least (9%). Fruit set from cross-pollinations between related individuals was intermediate (32%). Although the number of seeds per fruit did not differ significantly among pollination treatments, fruits from self-pollinations had substantially fewer viable seeds than outcrossed fruits, with fruits from sibling crosses being intermediate. There were higher levels of self-compatibility in the fragment populations compared with plants from intact habitats. Self-incompatibility may explain why fruit set is low in this plant species; future investigation into the breakdown of self-incompatibility in smaller populations is warranted. Full article
(This article belongs to the Section Ecology)
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9 pages, 208 KiB  
Article
Fungal Keratitis, Epidemiology and Outcomes in a Tropical Australian Setting
by Leah N. Kim, Hema Karthik, Kate Elizabeth Proudmore, Sarah Elizabeth Kidd and Robert William Baird
Trop. Med. Infect. Dis. 2024, 9(6), 127; https://doi.org/10.3390/tropicalmed9060127 - 3 Jun 2024
Cited by 1 | Viewed by 1592
Abstract
Background: Fungal keratitis is an ophthalmic emergency that can cause visual impairment and blindness. We reviewed the epidemiology and clinical features of fungal keratitis in a tropical Australian setting. Objectives: To document the clinical and microbiological characteristics of fungal keratitis in an Australian [...] Read more.
Background: Fungal keratitis is an ophthalmic emergency that can cause visual impairment and blindness. We reviewed the epidemiology and clinical features of fungal keratitis in a tropical Australian setting. Objectives: To document the clinical and microbiological characteristics of fungal keratitis in an Australian tropical setting. Methods: A retrospective cohort study of patients with fungal keratitis from October 2014 to December 2022 was conducted at Royal Darwin Hospital, Northern Territory, Australia. We reviewed all patients with culture-proven fungal keratitis and their outcomes. Results: There were 31 patients identified. Aboriginal and Torres Strait Islander (ATSI) patients were of a significantly younger median age (28 years) compared to non-ATSI patients (42 years), and they also presented later to health care. Contact lens use and ocular trauma were the most common predisposing factors. Most patients presented with a corneal infiltrate and corneal epithelial defect, and the central visual axis was affected in 54% of patients. Curvularia spp. and Fusarium spp. were the commonest causative fungi (39% and 30% respectively). Conclusions: Our series is different and reveals a wider range of fungal species identified over the 7 years of the study, in particular, a range of Curvularia spp. were detected. Access to eye health services in rural and remote settings is important, particularly for ATSI patients, as morbidity remains high. Full article
22 pages, 4142 KiB  
Review
An Update on Emergent Nano-Therapeutic Strategies against Pediatric Brain Tumors
by Ammu V. V. V. Ravi Kiran, G. Kusuma Kumari, Praveen T. Krishnamurthy, Asha P. Johnson, Madhuchandra Kenchegowda, Riyaz Ali M. Osmani, Amr Selim Abu Lila, Afrasim Moin, H. V. Gangadharappa and Syed Mohd Danish Rizvi
Brain Sci. 2024, 14(2), 185; https://doi.org/10.3390/brainsci14020185 - 18 Feb 2024
Cited by 2 | Viewed by 3032
Abstract
Pediatric brain tumors are the major cause of pediatric cancer mortality. They comprise a diverse group of tumors with different developmental origins, genetic profiles, therapeutic options, and outcomes. Despite many technological advancements, the treatment of pediatric brain cancers has remained a challenge. Treatment [...] Read more.
Pediatric brain tumors are the major cause of pediatric cancer mortality. They comprise a diverse group of tumors with different developmental origins, genetic profiles, therapeutic options, and outcomes. Despite many technological advancements, the treatment of pediatric brain cancers has remained a challenge. Treatment options for pediatric brain cancers have been ineffective due to non-specificity, inability to cross the blood–brain barrier, and causing off-target side effects. In recent years, nanotechnological advancements in the medical field have proven to be effective in curing challenging cancers like brain tumors. Moreover, nanoparticles have emerged successfully, particularly in carrying larger payloads, as well as their stability, safety, and efficacy monitoring. In the present review, we will emphasize pediatric brain cancers, barriers to treating these cancers, and novel treatment options. Full article
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19 pages, 4184 KiB  
Systematic Review
VEGF Inhibitors Improve Survival Outcomes in Patients with Liver Metastases across Cancer Types—A Meta-Analysis
by Jordan W. Conway, Jorja Braden, Serigne N. Lo, Richard A. Scolyer, Matteo S. Carlino, Alexander M. Menzies, Georgina V. Long and Ines Pires da Silva
Cancers 2023, 15(20), 5012; https://doi.org/10.3390/cancers15205012 - 16 Oct 2023
Cited by 4 | Viewed by 2189
Abstract
Background: Liver metastases are associated with poor prognosis across cancers. Novel treatment strategies to treat patients with liver metastases are needed. This meta-analysis aimed to assess the efficacy of vascular endothelial growth factor inhibitors in patients with liver metastases across cancers. Methods: A [...] Read more.
Background: Liver metastases are associated with poor prognosis across cancers. Novel treatment strategies to treat patients with liver metastases are needed. This meta-analysis aimed to assess the efficacy of vascular endothelial growth factor inhibitors in patients with liver metastases across cancers. Methods: A systematic search of PubMed, Cochrane CENTRAL, and Embase was performed between January 2000 and April 2023. Randomized controlled trials of patients with liver metastases comparing standard of care (systemic therapy or best supportive care) with or without vascular endothelial growth factor inhibitors were included in the study. Outcomes reported included progression-free survival and overall survival. Results: A total of 4445 patients with liver metastases from 25 randomized controlled trials were included in this analysis. The addition of vascular endothelial growth factor inhibitors to standard systemic therapy or best supportive care was associated with superior progression-free survival (HR = 0.49; 95% CI, 0.40–0.61) and overall survival (HR = 0.83; 95% CI, 0.74–0.93) in patients with liver metastases. In a subgroup analysis of patients with versus patients without liver metastases, the benefit with vascular endothelial growth factor inhibitors was more pronounced in the group with liver metastases (HR = 0.44) versus without (HR = 0.57) for progression-free survival, but not for overall survival. Conclusion: The addition of vascular endothelial growth factor inhibitors to standard management improved survival outcomes in patients with liver metastasis across cancers. Full article
(This article belongs to the Section Systematic Review or Meta-Analysis in Cancer Research)
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13 pages, 5777 KiB  
Article
The Nighttime Fragrance of Guettarda scabra (Rubiaceae): Flower Scent and Its Implications for Moth Pollination
by María Cleopatra Pimienta, Diego Salazar and Suzanne Koptur
Molecules 2023, 28(17), 6312; https://doi.org/10.3390/molecules28176312 - 29 Aug 2023
Cited by 3 | Viewed by 2385
Abstract
Floral scent is crucial for attracting pollinators, especially in plants that bloom at night. However, chemical profiles of flowers from nocturnal plants with varied floral morphs are poorly documented, limiting our understanding of their pollination ecology. We investigated the floral scent in Guettarda [...] Read more.
Floral scent is crucial for attracting pollinators, especially in plants that bloom at night. However, chemical profiles of flowers from nocturnal plants with varied floral morphs are poorly documented, limiting our understanding of their pollination ecology. We investigated the floral scent in Guettarda scabra (L.) Vent. (Rubiaceae), a night-blooming species with short- and long-styled floral morphs, found in the threatened pine rocklands in south Florida, US. By using dynamic headspace sampling and GC–MS analysis, we characterized the chemical profiles of the floral scent in both morphs. Neutral red staining was also employed to determine the specific floral regions responsible for scent emission in G. scabra. The results revealed that G. scabra’s fragrance consists entirely of benzenoid and terpenoid compounds, with benzeneacetaldehyde and (E)-β-ocimene as dominant components. There were no differences in the chemical profiles between the long- and short-styled flowers. Staining assays indicated that the corolla lobes, anthers, and stigma were the primary sources of the scent. These findings indicate that G. scabra’s floral scent is consistent with that of night-blooming plants pollinated by nocturnal hawkmoths, providing important insights into its chemical ecology and pollinator attraction. This study demonstrates how floral scent chemistry can validate predictions based on flower morphology in hawkmoth-pollinated plants. Full article
(This article belongs to the Section Natural Products Chemistry)
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10 pages, 2603 KiB  
Communication
Population Genetic Structure of a Rare Butterfly in a Fragmented South Florida Ecosystem
by Emily Heffernan, Amanda Markee, Mary R. Truglio, Megan Barkdull, Sarah Steele Cabrera and Jaret Daniels
Insects 2023, 14(4), 321; https://doi.org/10.3390/insects14040321 - 27 Mar 2023
Cited by 1 | Viewed by 3397
Abstract
We investigated the genetic structure and diversity between populations of a rare butterfly, the Florida duskywing (Ephyriades brunnea floridensis E. Bell and W. Comstock, 1948) (Lepidoptera: Hesperiidae) across a network of South Florida pine rockland habitat fragments. Based on 81 individuals from [...] Read more.
We investigated the genetic structure and diversity between populations of a rare butterfly, the Florida duskywing (Ephyriades brunnea floridensis E. Bell and W. Comstock, 1948) (Lepidoptera: Hesperiidae) across a network of South Florida pine rockland habitat fragments. Based on 81 individuals from seven populations and using multiple polymorphic microsatellite loci, our analyses support the presence of mainland Florida (peninsular) and Florida Keys (island) population groupings, with a moderate, asymmetrical gene flow connecting them, and the presence of private alleles providing unique identities to each. We additionally found that despite a prevalence in many Lepidoptera, the presence of Wolbachia was not identified in any of the samples screened. Our findings can be used to inform conservation and recovery decisions, including population monitoring, organism translocation, and priority areas for management, restoration or stepping-stone creation to help maintain the complex genetic structure of separate populations. Full article
(This article belongs to the Collection Butterfly Diversity and Conservation)
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16 pages, 3665 KiB  
Communication
Management of a Globally Imperiled and Fire-Dependent Ecosystem in the Urban Matrix of Miami–Dade County, Florida: A Case Study of the Richmond Tract Pine Rocklands
by Adrian Figueroa, Joel T. Heinen, Frank N. Ridgley, Steven M. Whitfield and Hong Liu
Diversity 2023, 15(3), 426; https://doi.org/10.3390/d15030426 - 14 Mar 2023
Cited by 5 | Viewed by 2982
Abstract
Pine rockland habitat of South Florida is among the most highly threatened terrestrial ecosystems in the neo-subtropics and is among the rarest worldwide. With only 1.2% of its original extent remaining outside Everglades National Park, fewer than 780 hectares of this ecosystem remains [...] Read more.
Pine rockland habitat of South Florida is among the most highly threatened terrestrial ecosystems in the neo-subtropics and is among the rarest worldwide. With only 1.2% of its original extent remaining outside Everglades National Park, fewer than 780 hectares of this ecosystem remains across all of South Florida. This fire-dependent ecosystem—habitat for many rare, endemic species—has experienced substantial deforestation and defaunation due to urbanization, land use change, habitat fragmentation, fire suppression, and exotic plant invasions. Owing to the small size of remaining fragments, and the fact that most are surrounded by urbanization, adequate burning regimes are suppressed. The Richmond Tract, a complex of twelve separate parcels under multiple private and public ownership partially surrounding Zoo Miami, is the largest tract of pine rockland outside the federal protection of Everglades National Park. In this article, we take inventory of the threatened biodiversity at the Richmond Tract and focus on the policy and management landscape. We take a close look at threats to the pine rockland’s persistence here and review approaches that either help maintain the health of this ecosystem or those that may need to be reconsidered. We end by discussing coordination among multiple stakeholder groups, the potential use for incentive-based conservation practices, and suggesting ways to improve management in highly urbanized South Florida. Full article
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20 pages, 2484 KiB  
Article
More than Moths: Flower Visitors of a Night-Blooming Plant in South Florida Pine Rocklands, USA
by María Cleopatra Pimienta and Suzanne Koptur
Plants 2022, 11(20), 2799; https://doi.org/10.3390/plants11202799 - 21 Oct 2022
Cited by 7 | Viewed by 3276
Abstract
Plants whose flowers open at night but remain open during the day also attract diurnal flower visitors, potentially boosting their pollination rates and providing resources that can support diverse arthropod communities. The rough-leaf velvetseed, Guettarda scabra (Rubiaceae), is an evergreen shrub that thrives [...] Read more.
Plants whose flowers open at night but remain open during the day also attract diurnal flower visitors, potentially boosting their pollination rates and providing resources that can support diverse arthropod communities. The rough-leaf velvetseed, Guettarda scabra (Rubiaceae), is an evergreen shrub that thrives only in the imperiled pine rockland habitat in south Florida. Its white, tubular, and fragrant flowers open during late afternoon, exhibiting traits strongly associated with the attraction of nocturnal hawkmoths (Sphingidae). Flowers of G. scabra remain open until the following morning, becoming available to a wider array of visitors, bringing into question the expectation that sphingophilous flowers are visited mainly by hawkmoths. To evaluate whether the flowers of G. scabra are mainly visited by nocturnal hawkmoths and understand the role of this plant in the pine rockland habitat, we characterized the arthropod fauna associated with its flowers during the morning, evening, and at night. We found that most flower visitors were diurnal insects of the orders Hymenoptera and Lepidoptera, although we observed other arthropod groups too. Visitation at night was dominated by two species of hawkmoths. Nectar was the main resource used by the arthropod community during this study. Legitimate visitation and nectar-robbing were the behaviors most frequently observed among the flower visitors. Our results suggest that flowers of the night-blooming G. scabra constitute an important food source for both diurnal and nocturnal arthropod fauna in the fire-dependent pine rocklands of southern Florida. Our study provides novel data to support efforts to conserve and protect pine rocklands and the plants and animals that inhabit them. Full article
(This article belongs to the Special Issue Advances in Plant Reproductive Ecology and Conservation Biology)
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17 pages, 1780 KiB  
Article
Effect of Hydrophilic Polymers on the Release Rate and Pharmacokinetics of Acyclovir Tablets Obtained by Wet Granulation: In Vitro and In Vivo Assays
by D. Nagasamy Venkatesh, Subramanianainar N. Meyyanathan, Andjelka Kovacevic, Aleksandra Zielińska, Joel Fonseca, Piotr Eder, Agnieszka Dobrowolska and Eliana B. Souto
Molecules 2022, 27(19), 6490; https://doi.org/10.3390/molecules27196490 - 1 Oct 2022
Cited by 9 | Viewed by 2763
Abstract
This study aims to evaluate the feasibility of producing acyclovir-containing modified release matrix tablets by a wet granulation method based on the type and concentration of two pharmaceutical-grade hydrophilic matrix polymers (i.e., hydroxypropyl methylcellulose (HPMC), carbomers, and their combinations) commonly used in biomedical [...] Read more.
This study aims to evaluate the feasibility of producing acyclovir-containing modified release matrix tablets by a wet granulation method based on the type and concentration of two pharmaceutical-grade hydrophilic matrix polymers (i.e., hydroxypropyl methylcellulose (HPMC), carbomers, and their combinations) commonly used in biomedical applications. The mechanical properties of the tablets and in vitro and in vivo performance were studied. The physicochemical properties of the raw materials and corresponding physical mixtures were characterized by differential scanning calorimetry, showing that the hydrophilic polymers did not influence the physicochemical properties of the drug. The wet granulation process improved the flow and compression properties of the obtained granules. This method enabled the preparation of the matrix tablets of acyclovir with appropriate mechanical properties concerning hardness and friability. The drug release kinetics was governed by the type and concentration of the hydrophilic polymers composing the matrices. The study has proven that HPMC-composed tablets were superior in modified drug release properties compared to carbomer- and HPMC/carbomer-based tablets. Mathematical analysis of the release profiles, determined in a medium adjusted to pH 1.2 followed by pH 7.4, revealed that the drug released from the hydrophilic tablets followed non-Fickian first-order kinetics. An optimal HPMC-based formulation submitted to accelerated stability studies (40 °C, 75% RH) was stable for three months. A complete cross-over bioavailability study of the selected acyclovir-loaded sustained release tablets and marketed immediate-release tablets were compared in six healthy male volunteers. The extent of drug absorption from the sustained release tablets was significantly greater than that from immediate-release pills, which may improve the drug’s antiviral properties attributed to the lower elimination rate and enhanced acyclovir half-life. Full article
(This article belongs to the Special Issue Polymers in Biomedical Applications)
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4 pages, 214 KiB  
Case Report
Delayed Diagnosis of Whipple’s Disease Complicated by Jarisch–Herxheimer Reaction to Ceftriaxone Treatment: A Case Report and Literature Review
by Marcus C. C. Clarke and Ric N. Price
Trop. Med. Infect. Dis. 2022, 7(3), 40; https://doi.org/10.3390/tropicalmed7030040 - 3 Mar 2022
Cited by 1 | Viewed by 3195
Abstract
Whipple’s disease is a rare chronic infection caused by the actinomycete Tropheryma whipplei. Patients commonly present with gastrointestinal symptoms. We present a case of classic Whipple’s disease complicated by a probable Jarisch–Herxheimer reaction following the initiation of ceftriaxone treatment. Full article
11 pages, 881 KiB  
Article
Media Exposure, Behavioural Risk Factors and HIV Testing among Women of Reproductive Age in Papua New Guinea: A Cross-Sectional Study
by Oyelola A. Adegboye, Henry C. Ezechukwu, Hannah Woodall, Megan Brough, Jodie Robertson-Smith, Rosella Paba, Geraint Czech and Theophilus I. Emeto
Trop. Med. Infect. Dis. 2022, 7(2), 30; https://doi.org/10.3390/tropicalmed7020030 - 18 Feb 2022
Cited by 6 | Viewed by 3170
Abstract
Background: Reproductive health remains a major health concern in developing countries such as Papua New Guinea (PNG). The prevalence of human immunodeficiency virus (HIV) in PNG is the highest in the Southern Pacific region, with women having a higher risk of contracting the [...] Read more.
Background: Reproductive health remains a major health concern in developing countries such as Papua New Guinea (PNG). The prevalence of human immunodeficiency virus (HIV) in PNG is the highest in the Southern Pacific region, with women having a higher risk of contracting the infection. Hence, there have been several policies aimed at mitigating the spread of the disease. One of these policies include the use of mass media as a health promotion tool to educate the population on the risk of the disease. Therefore, this study aimed at investigating the association of mass media to HIV testing among women. Methods: Data were obtained from the PNG Demographic and Health Survey (DHS) of 2019. A total of 15,005 reproductive-age women was included in this analysis. Results: The results showed that women with low (aOR = 1.63, 95% CI: 1.39, 1.90) and high (aOR = 1.53, 95% CI: 1.36, 1.72) media exposure were more likely to undertake HIV testing compared to those with no media exposure. Compared to no education, women with incomplete primary (aOR = 1.22, 95% CI: 1.06, 1.40), complete primary (aOR = 1.56, 95% CI: 1.30, 1.87), incomplete secondary (aOR = 2.18, 95% CI: 1.85, 2.58), complete secondary (aOR= 2.33, 95% CI: 1.77, 3.09) and higher (aOR = 3.38, 95% CI: 2.57, 4.46) education were more likely to undertake HIV testing. Compared to women with the poorest wealth index, women with richer indexes were more likely to undertake HIV testing. Women living in rural areas were less likely to undertake HIV testing (aOR = 0.72, 95% CI: 0.63, 0.82). However, marital status, knowledge of transmission and religion were not associated with HIV testing. Conclusion: In conclusion, this study provides strong evidence that mass media exposure increases the likelihood of HIV testing in women of reproductive age in PNG. Mass media campaigns would serve as a cost-effective health promotion tool against the spread of disease. Full article
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