In Vitro Surfactant and Perfluorocarbon Aerosol Deposition in a Neonatal Physical Model of the Upper Conducting Airways

Objective: Aerosol delivery holds potential to release surfactant or perfluorocarbon (PFC) to the lungs of neonates with respiratory distress syndrome with minimal airway manipulation. Nevertheless, lung deposition in neonates tends to be very low due to extremely low lung volumes, narrow airways and high respiratory rates. In the present study, the feasibility of enhancing lung deposition by intracorporeal delivery of aerosols was investigated using a physical model of neonatal conducting airways. Methods: The main characteristics of the surfactant and PFC aerosols produced by a nebulization system, including the distal air pressure and air flow rate, liquid flow rate and mass median aerodynamic diameter (MMAD), were measured at different driving pressures (4-7 bar). Then, a three-dimensional model of the upper conducting airways of a neonate was manufactured by rapid prototyping and a deposition study was conducted. Results: The nebulization system produced relatively large amounts of aerosol ranging between 0.3 +/- 0.0 ml/min for surfactant at a driving pressure of 4 bar, and 2.0 +/- 0.1 ml/min for distilled water (H(2)Od) at 6 bar, with MMADs between 2.61 +/- 0.1 mu m for PFD at 7 bar and 10.18 +/- 0.4 mu m for FC-75 at 6 bar. The deposition study showed that for surfactant and H(2)Od aerosols, the highest percentage of the aerosolized mass (similar to 65%) was collected beyond the third generation of branching in the airway model. The use of this delivery system in combination with continuous positive airway pressure set at 5 cmH(2)O only increased total airway pressure by 1.59 cmH(2)O at the highest driving pressure (7 bar). Conclusion: This aerosol generating system has the potential to deliver relatively large amounts of surfactant and PFC beyond the third generation of branching in a neonatal airway model with minimal alteration of pre-set respiratory support.

Diseño mecánico de una junta para válvula de bola.

[ES]Este es un Trabajo de Fin de Grado (TFG) de diseño en el que se pretende calcular las características de una junta para una válvula de bola. Dentro de dichas características se incluirán las dimensiones geométricas y los materiales de los cuales deberá ser fabricado cada componente que pueda tener. Esta junta estará sometida a una presión y una temperatura concretas, por lo que se harán los análisis necesarios para obtener las dimensiones y materiales adecuados. Para ello, antes de empezar con dicho análisis se pretende explorar las alternativas y escoger las más indicadas para el caso que en este trabajo se nos plantea. Al ser un trabajo únicamente de diseño, no se entrará en detalles de fabricación ni distribución.

Mechanism of transport of saquinavir-loaded nanostructured lipid carriers across the intestinal barrier

[EN] The aims of this work were (i) to evaluate the potential of nanostructured lipid carriers (NLCs) as a tool to 24 enhance the oral bioavailability of poorly soluble compounds using saquinavir (SQV), a BCS class IV drug 25 and P-gp substrate as a model drug, and (ii) to study NLC transport mechanisms across the intestinal barrier. 26 Three different NLC formulations were evaluated. SQV transport across Caco-2 monolayers was enhanced up 27 to 3.5-fold by NLCs compared to SQV suspension. M cells did not enhance the transport of NLCs loaded with 28 SQV. The size and amount of surfactant in the NLCs influenced SQV's permeability, the transcytosis pathway 29 and the efflux of SQV by P-gp. An NLC of size 247 nm and 1.5% (w/v) surfactant content circumvented P-gp 30 efflux and used both caveolae- and clathrin-mediated transcytosis, in contrast to the other NLC formulations, 31 which used only caveolae-mediated transcytosis. By modifying critical physicochemical parameters of the 32 NLC formulation, we were thus able to overcome the P-gp drug efflux and alter the transcytosis mechanism 33 of the nanoparticles. These findings support the use of NLCs approaches for oral delivery of poorly 34 water-soluble P-gp substrates.

Plan De Cuidados Estandarizado. Atención individual a personas con úlcera venosa

Se presenta un Plan de Atención de Enfermería en Atención Primaria para personas que presenten úlceras venosas en las extremidades inferiores, y que frecuentemente, se oye como motivo de consulta: “Sensación de pesadez y calambres en las piernas que va en aumento al final del día”. Las úlceras venosas siendo con diferencia, el tipo de úlceras más frecuentes de la extremidad inferior, suponen un importante problema de salud, tanto para las personas que las padecen, consecuencia del largo tiempo que precisan hasta su curación, como para los sistemas sanitarios que requieren una gran inversión en recursos humanos y materiales. Para tratarlas, es necesaria la implicación y participación de la persona en el proceso de cuidados, como receptor y eje central del mismo, además de la puesta en marcha de estrategias dirigidas hacia la continuidad de cuidados. Se utiliza, el modelo conceptual de Virginia Henderson (la persona como un todo e independiente) y como metodología enfermera para la gestión y planificación de los cuidados, el Proceso de Atención de Enfermería mediante un lenguaje universal y estandarizado a través de la interrelación de las taxonomías NANDA I - NOC - NIC. La enfermera interviene supliendo o acompañando a la persona, cuando observe la insatisfacción de alguna de las 14 necesidades humanas básicas propuestas por V. Henderson en su modelo, proporcionando cuidados integrales y orientando la actuación hacia el logro de su independencia para llevar a cabo sus autocuidados.

rhegf-Loaded Plga-Alginate Microspheres Enhance The Healing Of Full-Thickness Excisional Wounds In Diabetised Wistar Rats

[EN] Diabetic foot ulcers (DFUs) represent a major clinical challenge in the ageing population. To address this problem, rhEGF-loaded Poly-Lactic-co-Glycolic-Acid (PLGA)-Alginate microspheres (MS) were prepared by a modified w/o/w-doubleemulsion/ solvent evaporation method. Different formulations were evaluated with the aim of optimising MSs properties by adding NaCl to the surfactant solution and/or the solvent removal phase and adding alginate as a second polymer. The characterization of the developed MS showed that alginate incorporation increased the encapsulation efficiency (EE) and NaCl besides increasing the EE also became the particle surface smooth and regular. Once the MS were optimised, the target loading of rhEGF was increased to 1% (PLGA-Alginate MS), and particles were sterilised by gamma radiation to provide the correct dosage for in vivo studies. In vitro cell culture assays demonstrated that neither the microencapsulation nor the sterilisation process affected rhEGF bioactivity or rhEGF wound contraction. Finally, the MS were evaluated in vivo for treatment of the full-thickness wound model in diabetised Wistar rats. rhEGF MS treated animals showed a statistically significant decrease of the wound area by days 7 and 11, a complete re-epithelisation by day 11 and an earlier resolution of the inflammatory process. Overall, these findings demonstrate the promising potential of rhEGF-loaded MS (PLGA-Alginate MS) to promote faster and more effective wound healing, and suggest its possible application in DFU treatment.

The effect of low solubility organic acids on the hygroscopicity of sodium halide aerosols

In order to accurately assess the influence of fatty acids on the hygroscopic and other physicochemical properties of sea salt aerosols, hexanoic, octanoic or lauric acid together with sodium halide salts (NaCl, NaBr and NaI) have been chosen to be investigated in this study. The hygroscopic properties of sodium halide sub-micrometre particles covered with organic acids have been examined by Fourier-transform infrared spectroscopy in an aerosol flow cell. Covered particles were generated by flowing atomized sodium halide particles (either dry or aqueous) through a heated oven containing the gaseous acid. The obtained results indicate that gaseous organic acids easily nucleate onto dry and aqueous sodium halide particles. On the other hand, scanning electron microscopy (SEM) images indicate that lauric acid coating on NaCl particles makes them to aggregate in small clusters. The hygroscopic behaviour of covered sodium halide particles in deliquescence mode shows different features with the exchange of the halide ion, whereas the organic surfactant has little effect in NaBr particles, NaCl and NaI covered particles experience appreciable shifts in their deliquescence relative humidities, with different trends observed for each of the acids studied. In efflorescence mode, the overall effect of the organic covering is to retard the loss of water in the particles. It has been observed that the presence of gaseous water in heterogeneously nucleated particles tends to displace the cover of hexanoic acid to energetically stabilize the system.

Sintesi hidrotermal bidezko titanio dioxidozko nanohodien lorpena

[EUS] Gaur egun nanozientzia zientzia eta teknologia arlo guztietara zabaldu da, gizarte garapenean eragin handia izan du. Ikerkuntza arlo guztietara zabaldu da ezinezkoak ziruditen erronkak argitu eta ezezagunak ditugun ezagutzak garatzeko asmoz. Lan honetan TiO2 nanohagatxoen sintesia burutu da metodo hidrotermala erabiliz. Sintesi baldintzek lortutako produktuaren egituran eta forman duten eragina kontuan harturik, sintesia gertatzeko ezinbestekoak diren pHa, tenperatura eta denbora aztertu dira. Ondoren, tratamendu kimiko eta termiko ezberdinen bidez konposizio eta egitura ezberdinak lor daitezkeela frogatu da. Bereziki, surfaktante eta pHaren arabera egitura ezberdinak lortzen direla ikusirik. Sintetizatutako laginen karakterizazioa burutzeko X izpien difrakzioa, transmisio bidezko mikroskopia elektronikoa, infragorri espektroskopia, eta termograbimetria teknikak erabili dira. Hauen bidez NaTi3O6·(OH)x·(H2O)y , (TiO2)x(H2O)y , anatasa eta rutilo faseak identifikatu dira, eta nanohagatxoen lodiera eta morfologia ezberdinak ikusi dira.