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In this work, silica nanospheres were used as support for gold nanoparticles and applied for bisphenol A electrochemical detection. The development of new silica-supported materials has attracted increasing attention in the scientific world. One approach of interest is using silica nanospheres as support for gold nanoparticles. These materials have a variety of applications in several areas, such as electrochemical sensors. The obtained materials were characterized by solid-state UV-vis spectroscopy, electron microscopy, X-ray diffraction, and electrochemical techniques. The electrode modified with AuSiO 2 700/CHI/Pt was applied as an electrochemical sensor for BPA, presenting an oxidation potential of 0.842 V and a higher peak current among the tested materials. The AuSiO 2 700/CHI/Pt electrode showed a logarithmic response for the detection of BPA in the range of 1-1000 nmol L -1 , with a calculated detection limit of 7.75 nmol L -1 and a quantification limit of 25.8 nmol L -1 . Thus, the electrode AuSiO 2 700/CHI/Pt was presented as a promising alternative to an electrochemical sensor in the detection of BPA., Competing Interests: The authors declare no competing financial interest., (© 2023 The Authors. Published by American Chemical Society.)

This is an original article that addresses the healthcare workforce (HW) in Brazil, as well as comorbidities and mental health changes during the COVID-19 pandemic. This study was conducted by the Oswaldo Cruz Foundation and collected data through an online questionnaires from a total of 36,612 participants, health professionals (HP, with higher education level), and invisible healthcare workers (IHW, with a technical mid-level education). The overall prevalence of comorbidities in Brazil was 26.1% and 23.9%; the highest was arterial hypertension (27.4% and 31.9%), followed by obesity (18.4% and 15.1%), chronic respiratory diseases (15.7% and 12.9%), diabetes mellitus (10.3% and 10.4%), and depression/anxiety (9.1% and 11.7%), in the HW and IHW, respectively. The region with the highest frequency was the southeast, where the largest contingent of workers is located. The HW, affected with a high burden of non-communicable chronic diseases and exposed to SARS-CoV-2, proved to be vulnerable to illness and death. Mental symptoms and intense psychological suffering have been reported. These results allow us to estimate the impacts upon physical and mental health, as well as upon living and working conditions of the HW. The health and life of workers, leading role in facing health challenges of the pandemic, are a high priority in public policies.

The use of direct oral anticoagulants (DOACs) is widely increasing in the United States (US). Warfarin has been the conventional anticoagulant used in the past few decades, but it has been gradually replaced by DOACs. The objective of the study was to analyze trends in utilization, reimbursement, and price for those anticoagulants in the US Medicaid population. Retrospective data analysis was conducted using the National Summary Files for the Medicaid State Drug Utilization Data. Study drugs included dabigatran, rivaroxaban, apixaban, edoxaban and warfarin. The study assessed secular trends of utilization, reimbursement, and per-prescription price. The data was collected from the first quarter of 2000 through to the second quarter of 2020 restricted for outpatient prescriptions only. During the 21-year study period, a substantial rise in total expenditures on warfarin and DOACs was observed from $144 million in 2000 to $694 million in 2020. Moreover, the utilization of DOACs has increased significantly since the first approval of Xarelto in 2010 from 1079 in 2011 to 1.5 million in 2019. The per-prescription price of DOACs increased from an average of $200 in 2011 to $407 in 2020. Conversely, the total number of prescriptions of Warfarin and branded Coumadin decreased from 2.4 million to 1.4 million and from 3.9 million to less than a million, respectively. The present study demonstrated a change in the trends of US expenditure and utilization for warfarin and DOACs with DOACs representing the majority of market share of both spending per prescription and reimbursement., (© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

The present study aimed to compare the metabolic effects caused by using copper oxide nanoparticles with two distinct morphologies nanorods and nanosphere. The CuONPs in the form of nanorods were characterized in the order of 500 nm, on a scale of 20, 100, and 500 nm. Meanwhile, the nanosphere CuONPs were characterized in the order of 5 nm, on a 30 nm scale. The analysis of metabolic rate was performed using the closed respirometry technique, specific ammonia excretion, and swimming ability as biomarkers, the physiological effects on Danio rerio were investigated. For the experiments, 88 fish were used, exposed for 24 h at concentrations of 0, 50, 100, and 200 μg/L of copper oxide nanoparticles in the form of nanospheres and nanorods, respectively. The tests carried out with the nanorods demonstrated metabolic alterations in fish, with an increase of 294% and 321% in the metabolic rate at concentrations of 100 μg/L and 200 μg/L, respectively. Furthermore, there was a decrease in specific ammonia excretion by 34% and 83% and in swimming capacity by 34% and 55% at concentrations of 100 and 200 μg/L, respectively, when compared to the control. The tests performed with nanospheres did not show significant changes compared to the control. These experiments showed that different morphological structures of the same copper oxide nanoparticle caused different effects on fish metabolism. It is concluded that the characterization of nanoparticles is essential to understand their effects on fish, since their structural forms can cause different toxic effects on D. rerio., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Objective: to characterize the Brazilian Sign Language teaching in undergraduate nursing courses., Method: a cross-sectional study, carried out on the curriculum matrices of 553 higher education nursing courses. Data collection took place through access to the websites of the Ministry of Education and educational institutions., Results: the nursing courses that offered Libras were located predominantly in the Southeast (36%), coming from private institutions (87.2%). Most Libras courses (82%) were offered on a mandatory basis in the second half of the course (46.7%). The semester in which the offer was most frequent was the eighth (15.9%). There was an association (p <0.001) between the offer of course and the variable "public or private category"., Conclusions: there was a predominance of Libras course in private institutions, in the Southeast region, with a 40-hour workload, offered in the second half of the course.

The use of hybrid nanostructures based on magneto-luminescent properties is a promising strategy for nano-bio applications and theranostics platforms. In this work, we carried out the synthesis and functionalization of iron oxide nanocubes (IONCs) to obtain multifunctional hybrid nanostructures towards biomedical applications. The IONCs were functionalized with tetraethylorthosilicate, thenoyltrifluoroacetone-propyl-triethoxysilane and europium(iii)-dibenzoylmethane complexes to obtain the materials termed as IOCNCs@SiO 2 , IONCs@SiO 2 TTA, IONCs@SiO 2 TTA-Eu and IONCs@SiO 2 -TTA-Eu-DBM, respectively. Then, the biological interactions of these nanostructures with red blood cells - RBCs (hemolysis) and human blood plasma (protein corona formation) were evaluated. The XPS spectrocopy and EDS chemical mapping analysis showed that each domain is homogeneously occupied in the hybrid material, with the magnetic core at the center and the luminescent domain on the surface of the hybrid nanomaterial with a core@shell like structure. Futhermore, after each functionalization step, the nanomaterial surface charge drastically changed, with critical impact on RBC lysis and corona formation. While IONCs@SiO 2 and IONCs@SiO 2 -TTA-Eu-DBM showed hemolytic properties in a dose-dependent manner, the IONCs@SiO 2 TTA-Eu did not present any hemolytic effect up to 300 μg mL -1 . Protein corona results showed a pattern of selective adsorption of proteins with each surface of the synthesized hybrid materials. However, as a general result, a suppression of hemolysis after protein corona formation in all tests was verified. Finally, this study provides a solid background for further applications of these hybrid magneto-luminescent materials containing new surface functionalities in the emerging field of medical nanobiotechnology.