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The three-dimensional imprinted polymeric network was synthesized via a bulk polymerization reaction in the presence of a flavonoid as a template. In this reaction, methacrylic acid (MAA) and acrylic acid (AA), tetrahydrofuran and trimethylolpropanetrimethacrylate, were used as functional monomers, porogen, and cross-linker, respectively. In this study, two kinds of molecularly imprinted polymers (MIPs) with different ratios of 1:8:40 and 1:20:80 (template: functional monomer: cross-linker) were synthesized and compared together. The related binding capacities were calculated as equal to 392.08 mg/g and 609.00 mg/g, respectively, by UV-spectrometer. The synthesized polymers have been evaluated via field emission scan electron microscopy, transmission electron microscopy, and Brunauer–Emmett–Teller techniques. High selectivity and the proper specific surface area as equal to 167.00 m2/g in MIPs-based methacrylic acid (MIPs-MAA) and 434 m2/g in MIPs-based acrylic acid (MIPs-AA) comparatively to non-imprinted molecular polymers are the privileged characteristics in this research. The MIPs provided are a good candidate for the separation of flavonoids with the solid phase extraction method. [ABSTRACT FROM AUTHOR]

Employ a novel testing method to assess Multi Directional Impact Protection System (MIPS) helmet technology on rotational velocity and acceleration during head impact. An optimization study was completed utilizing a 50th percentile male Hybrid III anthropomorphic test device (ATD). Helmets included expanded polystyrene foam (EPS) and two different MIPS helmets (MIPS 1, MIPS 2). A 24.38-m-long elevated track with rails and a motorized sled was utilized to replicate a fall from approximately 2.13 m. The sled was set to a speed of 20.92 kph, where a tripping mechanism induced rotation in the ATD from the sled and onto a sand surface. During impact of the ATD with the sand surface, head kinematics were measured using resultant acceleration (peak G's), duration of impact (ms), and rotational velocity (rad/s). A total of three trials for each helmet did not demonstrate a significant difference between the EPS vs. MIPS 1 group with, peak (G's) for resultant acceleration (p = 0.100), duration (ms) for resultant acceleration, (p = 0.100), peak (G's) for rotational velocity, (p = 0.700), and duration (ms) for rotational velocity (p = 0.700). Similarly, the EPS vs. MIPS 2 testing demonstrated no significant differences between the MIPS 2 helmet compared to the EPS helmet, with resultant acceleration (p = 0.400), duration acceleration (p = 0.200), rotational velocity (p = 0.400) and duration velocity (p = 0.400). However, when the MIPS helmet data were pooled, and the EPS helmet data were compared, a statistically significant difference in the duration of acceleration was found (p = 0.048). Current testing uses a helmeted head form which is dropped or rolled from a prescribed height. These methods discount the loading placed on the neck and head through the angular momentum of the body. Our novel testing method did not find significant differences between the helmet types in diminishing peak rotational forces to the brain; however, our data suggests that MIPS helmet liners may reduce duration of impact. The reduction of acceleration duration could indicate less rotation of the neck, due to the dampening of these forces by the MIPS liners. [ABSTRACT FROM AUTHOR]

Seawater (SW)-acclimated Nile tilapia, Oreochromis niloticus, reared under a salinity 30 environment had lower growth and survival than the freshwater (FW)-acclimated fish. It was hypothesized that cells of the SWacclimated fish had not been able to synthesize an adequate level of a compatible osmolyte, myo-inositol (MI), in adjusting to the salinity 30 environment. In this study, MI supplements, at 250, 500, and 750 mg/kg pellets, were provided to the fish through top-dressing. After the 30-day feeding trial, the following parameters were determined: final body weights; survival; biomass increase; feed conversion ratio (FCR); plasma osmolality and ions; and two transcripts in the gills mips250 and mipa1 encoding enzymes responsible for MI biosynthesis. The SW-acclimated O. niloticus receiving 500-mg MI supplement had significantly higher survival, biomass increase, and lower FCR than those of the SW-acclimated fish receiving no supplement. At 500-mg MI supplemental level, the increasing values of plasma osmolality and Na+ observed in SW-acclimated fish were significantly attenuated. The transcript mipa1, but not mips250, was markedly up-regulated in the SW-acclimated O. niloticus, compared with that of the FW-acclimated fish. Again, MI at 500-mg supplement attenuated the upregulation significantly. This study suggests that MI supplement at the optimum level enhanced the performance of SW-acclimated O. niloticus, and through yet unknown mechanisms, attenuated some of their physiological responses to the osmotic stress. [ABSTRACT FROM AUTHOR]

Molecularly Imprinted Polymers (MIPs) offer promising advancements in gynecological diagnostics due to their high selectivity, stability, and cost-effectiveness. This review explores the application of MIP-based biosensors in detecting biomarkers for gynecological cancer, infections, and hormonal monitoring. Despite significant progress in MIP technology, its integration into clinical gynecology remains limited. The review provides a deep dive into the synthesis and characterization process of MIPs, current diagnostic methods, and the potential of emerging diagnostic approaches such as microfluidics and nanotechnology. Then, an overview of the various conditions, diseases, and potential biomarkers is explored. Emphasizing the importance of women's health, the review analyzes the latest research in MIP-based biosensing of gynecological conditions and calls for increased research and development to bridge the gap between laboratory innovation and clinical application. The goal is to enhance early detection, improve patient outcomes, and reduce healthcare costs. This advancement is essential for better disease management and personalized treatment in gynecology.

Phytosterols (PSs) are bioactive compounds in the sterol family, present in numerous complex food and plant matrices in free and conjugated forms. The interest in these compounds arises for phytotherapeutic purposes, particularly for their action on cholesterol metabolism and impact on cardiovascular diseases. There is a need to develop approaches that can selectively extract target analytes and accurately identify and quantify them with high precision. This work proposed the synthesis of molecularly imprinted polymers (MIPs) for PSs with a sonochemical approach, enabling a rapid polymerization step (5 min). This proposed MIP was able to extract 8 PSs (brassicasterol, stigmastanol, campesterol, campestanol, stigmasterol, β-sitosterol, Δ5-avenasterol, α-spinasterol) from a wide range of plant and food matrices belonging to different classes (Brassicaceae, dried fruits and Leguminosae) and was coupled to ultra-high liquid chromatography with tandem mass spectrometry (UHPLC-MS/MS). MIP based on dispersed solid phase extraction (dSPE-MIP) and targeted analysis has proven to be particularly effective in addressing the challenges associated with the complexity of plant-derived matrices, minimising interferences. This was demonstrated by the excellent control of the matrix effect, which was within ±15 %, ensuring the robustness and reliability of the method. The identification and quantification of 8 different PSs was successfully achieved with satisfactory recovery values ranging from 65 % to 100 %. The proposed strategy offers an affordable alternative to classical methods, providing enhanced sensitivity, selectivity and overall performance.

Lumpy Skin Disease (LSD) is a notifiable viral disease caused by Lumpy Skin Disease virus (LSDV). It is usually associated with high economic losses, including a loss of productivity, infertility, and death. LSDV shares genetic and antigenic similarities with Sheep pox virus (SPV) and Goat pox (GPV) virus. Hence, the LSDV traditional diagnostic tools faced many limitations regarding sensitivity, specificity, and cross-reactivity. Herein, we fabricated a paper-based turn-on fluorescent Molecularly Imprinted Polymer (MIP) sensor for the rapid detection of LSDV. The LSDV-MIPs sensor showed strong fluorescent intensity signal enhancement in response to the presence of the virus within minutes. Our sensor showed a limit of detection of 101 log10 TCID50/mL. Moreover, it showed significantly higher specificity to LSDV relative to other viruses, especially SPV. To our knowledge, this is the first record of a paper-based rapid detection test for LSDV depending on fluorescent turn-on behavior. [ABSTRACT FROM AUTHOR]

As medicine is moving toward performance and outcome-based payment and is transitioning away from productivity-based systems, value is now being appraised in healthcare through "performance measures." Over the past few decades, assessment of clinical performance in health care has been essential in ensuring safe and cost-effective patient care. The Centers for Medicare & Medicaid Services is further driving this change with measurable, outcomes-based national payer incentive payment systems. With the continually evolving requirements in health care reform focused on value-based care, there is a growing concern that clinicians, particularly dermatologists, may not understand the scientific rationale of health care quality measurement. As such, in order to help dermatologists understand the health care measurement science landscape to empower them to engage in the performance measure development and implementation process, the first article in this 2-part continuing medical education series reviews the value equation, historic and evolving policy issues, and the American Academy of Dermatology's approach to performance measurement development to provide the required foundational knowledge for performance measure developers. [ABSTRACT FROM AUTHOR]

Molecularly imprinted polymers (MIPs), as magnetic extraction adsorbents, are used for the selective, rapid determination and extraction of dexamethasone and hydrocortisone in skincare products. Therefore, in this paper, magnetic molecularly imprinted polymers (MMIPs) and magnetic non-molecularly imprinted polymers (MNIPs) were utilized as adsorbents to describe the adsorption phenomena of dexamethasone and hydrocortisone. This interpretation, based on a statistical physics theory, applies the multilayer model with saturation to comprehend the adsorption of the drugs. Results obtained via numerical simulation revealed that dexamethasone and hydrocortisone adsorption happens via a non-parallel orientation on the surfaces of MMIPs and MNIPs, and they also showed that the adsorption amount of the MMIPs for the template molecule was notably greater than that of the MNIPs at the same initial concentration. The adsorption energy values retrieved from the data analysis ranged between 7.65 and 15.77 kJ/mol, indicating that the extraction and determination of dexamethasone and hydrocortisone is a physisorption process. Moreover, the distribution of a site's energy was calculated to confirm the physical nature of the interactions between adsorbate/adsorbent and the heterogeneity of the surfaces of the MMIPs and MNIPs. Finally, the thermodynamic interpretation confirmed the exothermicity and spontaneous nature of the adsorption of these drugs on the tested adsorbents. [ABSTRACT FROM AUTHOR]

Molecularly imprinted polymers (MIPs) were synthesized via the precipitation polymerization technology for the specific adsorption of morphine. A number of polymers (methacrylic acid, trifluoromethyl acrylic acid, and acrylamide) were studied, respectively, as the precursor monomers under various synthetic conditions (the imprinting (IP) ratio, cross‐linking (CL) ratio, solvent ratio, reaction temperature, etc.). The MIP with optimal performance was derived using methacrylic acid (MAA) as the functional monomer, ethylene glycol dimethacrylate (EGDMA) as the crosslinker, and azobisisobutyronitrile (AIBN) as the initiator, with an IP ratio of 1:3 and a CL ratio of 5:1. This MIP presented a maximum morphine adsorption capacity of 38.24 mg/g (one of the highest capacities ever reported in the literature) at a bulk morphine concentration of ~230 ppm in acetonitrile solution. The adsorption capacity, selectivity, reusability, as well as the chemical and mechanical stabilities of the MIP were confirmed by the adsorption experiments, instrumental characterization, thermodynamic analysis, as well as the proposed mechanisms. [ABSTRACT FROM AUTHOR]

Objective: To investigate the knowledge of diagnostic reference levels (DRLs), image quality, radiation dose and protocol parameters among Jordanian medical imaging professionals (MIPs) involved in PET/CT and CT scan procedures. Materials and methods: A questionnaire was designed and distributed to MIPs in Jordan. The survey comprised four sections: demographic data, MIP knowledge on dose/protocol parameters, image quality, and DRLs. Statistical analyses were performed utilizing Pearson's correlation, t-tests, ANOVA, and linear regression, with a significance level of 95 % and a p-value threshold of

Traumatic brain injury (TBI) from bicycle and motorcycle-related accidents continues to be a major medical and financial burden in the United States. The complex management and debilitating consequences of TBI demand greater attention to its prevention, of which much relies on helmet use and structure. Conventional helmets today rely on an expanded polystyrene (EPS)-liner, which works to mitigate the linear acceleration experienced by the brain during impact. However, recent evidence suggests that it is not the linear acceleration but the rotational acceleration of the impact that most contribute to TBI development. This has led to the development of novel helmet designs that aim to mitigate rotational kinematics in addition to linear kinematics. The objective of this study was to overview limitations in current helmet design and discuss two of the most well-studied novel prototypes: WaveCels and Multi-Directional Impact Protection Systems (MIPS). Though both ultimately reduce the rotational acceleration of injury, they differ in mechanism and efficacy. Given the importance of helmet structure in the prevention of TBI, we find that more work is needed directly comparing these and other new designs. [ABSTRACT FROM AUTHOR]

The demand for analysing biological molecules such as dopamine (DA), ascorbic acid (AA), and uric acid (UA) is growing more than ever in applied science for better health and medicine. Over the past two decades, molecular imprinted polmers (MIPs) have been developed as synthetic receptors or substitute materials for antibodies due to their high stability, short time needed for electropolymerization, and high specificity towards the target analyte. However, the sensitivity of electrochemical sensors decreased as a result of MIPs' low conductivity and lack of electrocatalytic activity. To overcome this limitation, nanomaterials such as gold nanoparticles (AuNPs), carbon nanotubes (CNTs), graphene (GR), titanium carbide MXene (Ti3C2Tx), carbon dots (CDs), molybdenum diselenide (MoSe2), and black phosphorus quantum dots (BPQDs) and their nanocomposites have been employed as biosensing transducers to construct MIPs based on electrochemical biosensors for cost-effective detection of biological molecules with high sensitivity and specificity. This is because the high surface area, good electrical conductivity, and ease of functionalization of nanomaterials all increase MIP sensitivity to targeted biological molecules. When these advantages of nanomaterials are combined with those of electrochemical methods, such as rapid response time, ease of use, low cost, and miniature ability, MIPs based on nanomaterial-modified electrodes are widely preferred tools for sensing AA, DA, and UA. Herein, this review provides insight into recent developments in the application of molecularly imprinted polymer (MIP) nanomaterial-based electrochemical biosensors for detecting biological molecules, including AA, DA, and UA. The integration of nanomaterials with MIPs into electrochemical biosensors has led to an unprecedented impact on improving the limit of detection of biomolecules, indicating great potential for use in public health and medical care.

Traumatic brain injury (TBI) from bicycle and motorcycle-related accidents continues to be a major medical and financial burden in the United States. The complex management and debilitating consequences of TBI demand greater attention to its prevention, of which much relies on helmet use and structure. Conventional helmets today rely on an expanded polystyrene (EPS)-liner, which works to mitigate the linear acceleration experienced by the brain during impact. However, recent evidence suggests that it is not the linear acceleration but the rotational acceleration of the impact that most contribute to TBI development. This has led to the development of novel helmet designs that aim to mitigate rotational kinematics in addition to linear kinematics. The objective of this study was to overview limitations in current helmet design and discuss two of the most well-studied novel prototypes: WaveCels and Multi-Directional Impact Protection Systems (MIPS). Though both ultimately reduce the rotational acceleration of injury, they differ in mechanism and efficacy. Given the importance of helmet structure in the prevention of TBI, we find that more work is needed directly comparing these and other new designs.

Diabetic nephropathy (DN) refers to kidney damage caused by diabetes and is one of the major microvascular complications of diabetes. This disease has a certain degree of concealment in the early stage, with clinical symptoms appearing later and a higher mortality rate. Therefore, the detection of early biomarkers for DN is of great importance in reducing kidney function damage. The common biomarkers for DN mainly include glomerular and tubular lesion markers. At present, clinical diagnosis often uses a combination of multiple indicators and symptoms, and the development of a simple, efficient, and sensitive multi-marker detection platform is particularly important for the early diagnosis of DN. In recent years, with the vigorous development of various biomimetic molecular recognition technologies, biomimetic recognition biosensors (BRBS) have many advantages, such as easy preparation, low cost, high stability, and repeatability under harsh environmental conditions, and have great application potential in the analysis of DN biomarkers. This article reviews the research progress of molecularly imprinted polymers (MIPs) construction technology and aptamers assembly technology developed in the field of biomimetic sensor research in recent years, as well as the detection of DN biomarkers based on BRBS, and prospects for their development. [ABSTRACT FROM AUTHOR]

Antibiotics have emerged as ground-breaking medications for the treatment of infectious diseases, but due to the excessive use of antibiotics, some drugs have developed resistance to microorganisms. Because of their structural complexity, most antibiotics are excreted unchanged, polluting the water, soil, and natural resources. Additionally, food items are being polluted through the widespread use of antibiotics in animal feed. The normal concentrations of antibiotics in environmental samples typically vary from ng to g/L. Antibiotic residues in excess of these values can pose major risks the development of illnesses and infections/diseases. According to estimates, 300 million people will die prematurely in the next three decades (by 2050), and the WHO has proclaimed "antibiotic resistance" to be a severe economic and sociological hazard to public health. Several antibiotics have been recognised as possible environmental pollutants (EMA) and their detection in various matrices such as food, milk, and environmental samples is being investigated. Currently, chromatographic techniques coupled with different detectors (e.g., HPLC, LC-MS) are typically used for antibiotic analysis. Other screening methods include optical methods, ELISA, electrophoresis, biosensors, etc. To minimise the problems associated with antibiotics (i.e., the development of AMR) and the currently available analytical methods, electrochemical platforms have been investigated, and can provide a cost-effective, rapid and portable alternative. Despite the significant progress in this field, further developments are necessary to advance electrochemical sensors, e.g., through the use of multi-functional nanomaterials and advanced (bio)materials to ensure efficient detection, sensitivity, portability, and reliability. This review summarises the use of electrochemical biosensors for the detection of antibiotics in milk/milk products and presents a brief introduction to antibiotics and AMR followed by developments in the field of electrochemical biosensors based on (i) immunosensor, (ii) aptamer (iii) MIP, (iv) enzyme, (v) whole-cell and (vi) direct electrochemical approaches. The role of nanomaterials and sensor fabrication is discussed wherever necessary. Finally, the review discusses the challenges encountered and future perspectives. This review can serve as an insightful source of information, enhancing the awareness of the role of electrochemical biosensors in providing information for the preservation of the health of the public, of animals, and of our environment, globally. [ABSTRACT FROM AUTHOR]

2,4,6‐trichlorophenol (TCP) is regarded as a very harmful persistent organic pollutant. It is prohibited by the US EPA due to its stability, possible toxicity, and substantial carcinogenicity, which could result in long‐term harm to both the environment and living things. A novel solid‐contact electrode (SCE) is fabricated and characterized for potentiometric determination of 2,4,6‐trichlorophenol (2,4,6‐TCP). Molecularly imprinted trichlorophenol polymer (MIP) beads are used as a recognition receptor for potentiometric determination of this persistent organic pollutant. The MIPs are synthesized using 4‐vinyl pyridine (4‐VP) and N,N′‐Methylene bis(acrylamide) (N,N‐MBAA) as functional monomer and cross‐linking agent, respectively. They are embedded in a selective polyvinyl chloride (PVC) membrane on the top of multi‐walled carbon nanotubes (MWCNTs), which is used as an ion to electron transducer. The SCE exhibits a Nernstian response with a slope of −55.4±2.1 mV/decade (R2=0.999) over the concentration range of 8.0×10−6 to 1.0×10−4 M, a detection limit of 5.0×10−7 M (0.98 μg/mL), and a response time of <10 s. Using electrochemical impedance spectroscopy (EIS) and chronopotentiometry (CP), the suggested SCE′s interfacial capacitance is measured. The interfacial capacitance was increased using MWCNTs and reached 39.7 μF. Also, it prevented the undesirable thin water layer from forming between the conducting glassy carbon (GC) substrate and the sensing membrane. As a result, potential stability is improved, and membrane delamination is avoided. The suggested SCE had a wide range of applications for monitoring TCP in various environmental samples because of the high selectivity, sensitivity, and possible stability that were attained. [ABSTRACT FROM AUTHOR]

Lumpy Skin Disease (LSD) is a notifiable viral disease caused by Lumpy Skin Disease virus (LSDV). It is usually associated with high economic losses, including a loss of productivity, infertility, and death. LSDV shares genetic and antigenic similarities with Sheep pox virus (SPV) and Goat pox (GPV) virus. Hence, the LSDV traditional diagnostic tools faced many limitations regarding sensitivity, specificity, and cross-reactivity. Herein, we fabricated a paper-based turn-on fluorescent Molecularly Imprinted Polymer (MIP) sensor for the rapid detection of LSDV. The LSDV-MIPs sensor showed strong fluorescent intensity signal enhancement in response to the presence of the virus within minutes. Our sensor showed a limit of detection of 101 log10 TCID50/mL. Moreover, it showed significantly higher specificity to LSDV relative to other viruses, especially SPV. To our knowledge, this is the first record of a paper-based rapid detection test for LSDV depending on fluorescent turn-on behavior.

Molecularly imprinted polymers (MIPs), as magnetic extraction adsorbents, are used for the selective, rapid determination and extraction of dexamethasone and hydrocortisone in skincare products. Therefore, in this paper, magnetic molecularly imprinted polymers (MMIPs) and magnetic non-molecularly imprinted polymers (MNIPs) were utilized as adsorbents to describe the adsorption phenomena of dexamethasone and hydrocortisone. This interpretation, based on a statistical physics theory, applies the multilayer model with saturation to comprehend the adsorption of the drugs. Results obtained via numerical simulation revealed that dexamethasone and hydrocortisone adsorption happens via a non-parallel orientation on the surfaces of MMIPs and MNIPs, and they also showed that the adsorption amount of the MMIPs for the template molecule was notably greater than that of the MNIPs at the same initial concentration. The adsorption energy values retrieved from the data analysis ranged between 7.65 and 15.77 kJ/mol, indicating that the extraction and determination of dexamethasone and hydrocortisone is a physisorption process. Moreover, the distribution of a site’s energy was calculated to confirm the physical nature of the interactions between adsorbate/adsorbent and the heterogeneity of the surfaces of the MMIPs and MNIPs. Finally, the thermodynamic interpretation confirmed the exothermicity and spontaneous nature of the adsorption of these drugs on the tested adsorbents.

Abstract 2,4,6‐trichlorophenol (TCP) is regarded as a very harmful persistent organic pollutant. It is prohibited by the US EPA due to its stability, possible toxicity, and substantial carcinogenicity, which could result in long‐term harm to both the environment and living things. A novel solid‐contact electrode (SCE) is fabricated and characterized for potentiometric determination of 2,4,6‐trichlorophenol (2,4,6‐TCP). Molecularly imprinted trichlorophenol polymer (MIP) beads are used as a recognition receptor for potentiometric determination of this persistent organic pollutant. The MIPs are synthesized using 4‐vinyl pyridine (4‐VP) and N,N′‐Methylene bis(acrylamide) (N,N‐MBAA) as functional monomer and cross‐linking agent, respectively. They are embedded in a selective polyvinyl chloride (PVC) membrane on the top of multi‐walled carbon nanotubes (MWCNTs), which is used as an ion to electron transducer. The SCE exhibits a Nernstian response with a slope of −55.4±2.1 mV/decade (R2=0.999) over the concentration range of 8.0×10−6 to 1.0×10−4 M, a detection limit of 5.0×10−7 M (0.98 μg/mL), and a response time of

The massive production and extensive use of fossil-based non-biodegradable plastics are leading to their environmental accumulation and ultimately cause health threats to animals, humans, and the biosphere in general. The problem can be overcome by developing eco-friendly ways for producing plastics-like biopolymers from waste residues such as of agricultural origin. This will solve two currently prevailing social issues: waste management and the efficient production of a biopolymer that is environmentally benign, polyhydroxyalkanoates (PHA). The current study assesses the environmental impact of biopolymer (PHA) manufacturing, starting from slaughterhouse waste as raw material. The Material Input Per Service Unit methodology (MIPS) is used to examine the sustainability of the PHA production process. In addition, the impact of shifting from business-as-usual energy provision (i.e., electricity from distribution grid network and heat provision from natural gas) to alternative renewable energy sources is also evaluated. As a major outcome, it is shown that the abiotic material contribution for PHA production process is almost double for using hard coal as an energy source than the petro-plastic low-density-poly(ethene) (LPDE), which PHA shall ultimately replace. Likewise, abiotic material contribution is 43 % and 7 % higher when using the electricity from the European electricity mix (EU-27 mix) and biogas, respectively, than in the case of LDPE production. However, PHA production based on wind power for energy provision has 12 % lower abiotic material input than LDPE. Furthermore, the water input decreases when moving from the EU-27 mix to wind power. The reduction in water consumption for various electricity provision resources amounts to 20 % for the EU-27 mix, 25 % for hard coal, 71 % for wind, and 70 % for biogas. As the main conclusion, it is demonstrated that using wind farm electricity to generate PHA is the most environmentally friendly choice. Biogas is the second-best choice, although it requires additional abiotic material input. • Assessment of environmental impact of biopolymer (PHA) manufacturing. • Conversion of waste and surplus materials towards value-added bioproducts. • Environmental analysis using Material Input Per Service Unit (MIPS) methodology. • Comparative analysis of PHA with the fossil-based competitor LDPE. [ABSTRACT FROM AUTHOR]

Despite the health care community's best efforts, 20% of diabetic patients who develop a diabetic foot ulcer will require some form of amputation. Those undergoing a major lower extremity amputation risk an increase in their five‐year mortality rate to 56.6%, which is comparable to or higher than many forms of cancer. Given this perspective, quality measures need to be considered at each patient inflection point to drive increased compliance with best practices in order to redirect patients whose therapies fail. Medicare limited datasets (October 2015 through October 2019) retrospectively analyzed patients with diabetes receiving care for chronic lower extremity diabetic ulcers (LEDUs). The analysis demonstrated that only 21% of Medicare patients with hard‐to‐heal LEDUs received sharp debridement at intervals of every 7 days and less, while only 40% received sharp debridement at intervals of every 8 to 14 days. This is despite landmark prospective randomized controlled trials showing the benefits of frequent sharp debridement to patients with LEDUs. According to the Medicare data, when patients received debridement at intervals of 7 days or less with concurrently applied skin substitutes, observed amputation rates dropped by 65% to the lowest levels identified among Medicare LEDU episodes (2.1%). Optimal use of debridement and adjunctive use of skin substitutes significantly improves outcomes and lowers the use of healthcare resources. Another unexpected finding highlighted in the Medicare data analysis was that wound care providers have not been applying skin substitutes early enough. Clinical guidelines related to LEDUs have long relied on the seminal Sheehan marker study, which identified that diabetic ulcers that have not progressed to at least 53% healing after four weeks of conservative care have only a 9% chance of proceeding to closure by 12 weeks. It is therefore vital that patients move to advanced therapies within 30 to 45 days after initiation of failed conservative care; however, the Medicare claims data shows this is not happening regularly enough (average time to first skin substitute application >69 days) to benefit both the patient and the healthcare system. There is a demonstrable need for quality measures that encourage (1) frequent and adequate debridement throughout wound treatment, (2) earlier adoption of advanced treatments, such as skin substitutes, for LEDUs to align with clinical guidelines, (3) the application of skin substitutes to better align with medical evidence, which is associated with improved patient outcomes, as well as (4) expansion of best practices across all demographic and socioeconomic populations. [ABSTRACT FROM AUTHOR]

The merit-based incentive payment system (MIPS) is a value-based payment model created by the Centers for Medicare & Medicaid Services (CMS) to promote high-value care through performance-based adjustments of Medicare reimbursements. In this cross-sectional study, we examined the participation and performance of oncologists in the 2019 MIPS. Oncologist participation was low (86%) compared to all-specialty participation (97%). After adjusting for practice characteristics, higher MIPS scores were observed among oncologists with alternative payment models (APMs) as their filing source (mean score, 91 for APMs vs. 77.6 for individuals; difference, 13.41 [95% CI, 12.21, 14.6]), indicating the importance of greater organizational resources for participants. Lower scores were associated with greater patient complexity (mean score, 83.4 for highest quintile vs. 84.9 for lowest quintile, difference, −1.43 [95% CI, −2.48, −0.37]), suggesting the need for better risk-adjustment by CMS. Our findings may guide future efforts to improve oncologist engagement in MIPS. [ABSTRACT FROM AUTHOR]

The growing interest in bio-inspired materials is driven by the need for increasingly targeted and efficient devices that also have a low ecological impact. These devices often use specially developed materials (e.g., polymers, aptamers, monoclonal antibodies) capable of carrying out the process of recognizing and capturing a specific target in a similar way to biomaterials of natural origin. In this article, we present two case studies, in which the target is a biomolecule of medical interest, in particular, α-thrombin and cytokine IL-6. In these examples, different biomaterials are compared to establish, with a theoretical-computational procedure known as proteotronics, which of them has the greatest potential for use in a biodevice. [ABSTRACT FROM AUTHOR]

In this study, the development of an MIP-based electrode for voltammetric detection of irbesartan is presented. Irbesartan is a drug prescribed to treat hypertension and high blood pressure. Recent studies associated sartans with several forms of cancer, making removing this class of substances from the environment a high priority, and the EU has categorized it as an emerging pollutant. Molecularly imprinted polymers (MIPs) have already been used to remove pollutants from complex matrixes; hence, they were also chosen for this work. In particular, a polymer based on polyacrylate moiety was used to functionalize the graphite working electrode of screen-printed cells (SPCs), aiming to develop a voltammetric method for Irbesartan sensing. The prepolymeric mixture was drop-coated on the working electrode. The electrochemical technique used to quantify irbesartan is the square wave voltammetry (SWV); the experiments were carried out in acetate buffer at pH 5.5. A detection limit of 19 μg/L was obtained, and the linearity ranged from 31 μg/L to 432 μg/L. The procedure was replicated with different SPCs obtaining similar results, highlighting good reproducibility. The electrodes were also applied to determine irbesartan in fortified tap water samples, obtaining high recovery percentages. Considering the good results, the electrochemical methods based on MIP-functionalized screen-printed electrodes are promising for quantifying irbesartan at a trace level. [ABSTRACT FROM AUTHOR]

Severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) biosensors have captured more attention than the conventional methodologies for SARS‐CoV‐2 detection due to having cost‐effective platforms and fast detection. However, these reported SARS‐CoV‐2 biosensors suffer from drawbacks including issues in detection sensitivity, degradation of biomaterials on the sensor's surface, and incapability to reuse the biosensors. To overcome these shortcomings, molecularly imprinted polymer nanoparticles (nanoMIPs) incorporated conductometric biosensor for highly accurate, rapid, and selective detection of two model SARS‐CoV‐2 proteins: (i) receptor binding domain (RBD) of the spike (S) glycoprotein and (ii) full length trimeric spike protein are introduced. In addition, these biosensors successfully responded to several other SARS‐CoV‐2 RBD spike protein variants including Alpha, Beta, Gamma, and Delta. Our conductometric biosensor selectively detects the two model proteins and SARS‐CoV‐2 RBD spike protein variant samples in real‐time with sensitivity to a detection limit of 7 pg mL–1 within 10 min of sample incubation. A battery‐free, wireless near‐field communication (NFC) interface is incorporated with the biosensor for fast and contactless detection of SARS‐CoV‐2 variants. The smartphone enabled real‐time detection and on‐screen rapid result for SARS‐CoV‐2 variants can curve the outbreak due to its ability to alert the user to infection in real time. [ABSTRACT FROM AUTHOR]

No abstract available. Article truncated after 150 words. Everyone is in favor of quality healthcare and improving it. However, to date, initially highly touted quality measures prove to be meaningless metrics in about 5-10 years. That is, when the measures are scientifically studied, they are found to be of little worth. The cycle is then repeated, i.e., new and highly touted measures are again selected and found to be useless in 5-10 years. The latest in this cycle may be the Centers for Medicare and Medicaid’s (CMS) Merit-based Incentive Payment System (MIPS). The theory underlying MIPS has been that paying for quality rather than quantity will incentivize healthcare providers to improve quality. As part of the deal creating the Affordable Care Act (Obamacare) MIPS was established as a pay for performance system which promised to improve healthcare while reducing costs. However, healthcare costs have continued to rise (2). Data on improvement in quality has been lacking. Now, Bond …

Introduction/Objective: Perfectionism is a variable with a transversal impact in different areas of physical activity and sports, such as adherence to physical exercise, learning skills, talent development and sports performance. However, very few sport-specific assessments instruments are validated with the Spanish population. Therefore, this work's objective is to evaluate the psychometric characteristics of the Multidimensional Inventory of Perfectionism in Sport (MIPS). Method: a sample of 216 male and female athletes from different disciplines and competition levels in Spain completed the MIPS and the Coping Strategies in Sports Competition (ISCCS) questionnaire. Results: The results obtained from the confirmatory factor analysis suggest that the fit indices of the MIPS multidimensional model were adequate and that Cronbach's alpha coefficients showed good internal reliability. Gender invariance analyzes showed that the instrument measured well in both men and women. The convergent validity of the MIPS was also confirmed. Conclusion: The Spanish version of the MIPS is a valid instrument for the Spanish sports population in general, resulting in a well-adapted, reliable and valid instrument from a psychometric point of view. [ABSTRACT FROM AUTHOR]

We focus on Maximum Inner Product Search (MIPS), which is an essential problem in many machine learning communities. Given a query, MIPS finds the most similar items with the maximum inner products. Methods for Nearest Neighbor Search (NNS) which is usually defined on metric space do not exhibit the satisfactory performance for MIPS problem since inner product is a non-metric function. However, inner products exhibit many good properties compared with metric functions, such as avoiding vanishing and exploding gradients. As a result, inner product is widely used in many recommendation systems, which makes efficient Maximum Inner Product Search a key for speeding up many recommendation systems. Graph-based methods for NNS problem show the superiorities compared with other class methods. Each data point of the database is mapped to a node of the proximity graph. Nearest neighbor search in the database can be converted to route on the proximity graph to find the nearest neighbor for the query. This technique can be used to solve MIPS problem. Instead of searching the nearest neighbor for the query, we search the item with a maximum inner product with query on the proximity graph. In this article, we propose a reinforcement model to train an agent to search on the proximity graph automatically for MIPS problem if we lack the ground truths of training queries. If we know the ground truths of some training queries, our model can also utilize these ground truths by imitation learning to improve the agent’s searchability. By experiments, we can see that our proposed mode which combines reinforcement learning with imitation learning shows the superiorities over the state-of-the-art methods. [ABSTRACT FROM AUTHOR]

Logisim is a digital logic circuit design and simulation software that is an open source, free of charge, secondary development, installation-free, easy to use and intuitive. This paper examines how Logisim can be used to design the data path and combine it with Verilog for FPGA design of single cycle CPUs. [ABSTRACT FROM AUTHOR]

Background: Educating patients about methotrexate is a core role of rheumatology nurses. We have previously reported the scoring of videoed interviews of rheumatology nurses educating patients prior to commencing methotrexate in comparison with the Calgary-Cambridge consultation model, and the qualitative analysis of the transcripts (Robinson et al. Musculoskeletal Care 2021). We were interested to investigate what could be learned from a more quantitative analysis of utterances and movements in these consultations and how they related to the qualitative interpretations. Aim: To investigate the frequency of utterances and body movements during interactions between rheumatology nurses and patients commencing methotrexate and to relate these to the qualitative interpretations of the interviews. Methods: Video-recordings of ten patients receiving methotrexate education from four different rheumatology nurses were available from the previous study. They were analysed using the Medical Interaction Process System (MIPS). This involved coding all utterances and body movements minute-by-minute by multiple inspections of the recordings. The first 10 min of each consultation was coded. The utterances and movements of the nurses and patients were compared. The thematic analysis based on the structure and content of the Calgary-Cambridge (C–C) consultation model was available from the previous study. This enabled the results from the MIPS to be compared between the interviews that scored higher on the C–C model and those scoring lower. Results: The inter-rater reliability between 2 raters for one video was satisfactory (80–100% agreement). Numerically, giving information dominated the nurse contribution and assent by positive utterances and head nodding dominated for the patients. The results were consistent with the nurse agenda dominating the interaction with little opportunity for patient involvement. Nurses in high-scoring interviews made more illustrative gestures and fewer batonic movements while patients did the opposite. Nurses in high-scoring consultations asked more open questions, with more checking of understanding and summarising but fewer interruptions. Patients in low-scoring consultations were much more animated with head movements and illustrative gestures. Patients also checked and interrupted more. Conclusions: In this pilot study, the MIPS was usable and demonstrated verbal and non-verbal behaviours consistent with the qualitative assessments. It also showed some behaviours that are not intuitive but may indicate how effectively the interview was progressing. Some nurse behaviours identified that were associated with the higher scoring interviews may be useful indictors for training including making illustrative rather than batonic gestures and checking understanding. Patient behaviours, such as greater animation, were exhibited in low-scoring consultations, and could indicate that the interview was not addressing the patient perspective. Quantification of utterances and movements can be done and may give insights into the consultation process. Key Points • Interview data can be quantified using the Medical Interaction Process System (MIPS). • Quantification of qualitative data can give insights into the nurse/patient consultation process. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to conduct a network meta-analysis comparing the diagnostic value of different urinary markers for prostate cancer. Methods: As of June 2022, the literature was retrieved by searching Pubmed, EMBASE, Web of Science databases and other databases. The methodological quality of included studies was assessed using the Cochrane Collaboration's risk of bias tool, and publication bias was assessed using funnel plots. The surface under the cumulative ranking curve (SUCRA) values was used to determine the most effective diagnostic method and the data were analyzed accordingly using data analysis software. Results: A total of 16 articles was included including 9952 patients. The ranking results of network meta-analysis showed that the diagnostic performance of the four urine markers Selectmdx, MIPS, PCA3 and EPI was better than that of PSA. Among them, the specificity, positive predictive value and diagnostic accuracy of Selectmdx ranked first in the SUCRA ranking (SUCRA values: 85.2%, 88.3%, 97.1%), and the sensitivity ranked second in the SUCRA ranking (SUCRA value: 54.4%), and the negative predictive value ranked fourth in SUCRA (SUCRA value: 51.6%). The most sensitive screening tool was MIPS (SUCRA value: 67.1%), and it was also the second screening tool ranked higher in specificity, positive predictive value, negative predictive value and diagnostic accuracy (SUCRA value: 56.5%, respectively)., 57.1%, 67.9%, 74.3%). The high negative predictive value SUCRA ranking is EPI (SUCRA value: 68.0%), its sensitivity ranks third (SUCRA value: 45.6%), and its specificity, positive predictive value and diagnostic accuracy are ranked fourth (SUCRA values are: 45%, 38.2%, 35.8%). Conclusion: According to the network ranking diagram, we finally concluded that Selectmdx and MIPS can be used as the most suitable urine markers for prostate cancer screening and diagnosis. To further explore the diagnostic value of different urinary markers in the screening of PCa patients. [ABSTRACT FROM AUTHOR]

Diabetic nephropathy (DN) refers to kidney damage caused by diabetes and is one of the major microvascular complications of diabetes. This disease has a certain degree of concealment in the early stage, with clinical symptoms appearing later and a higher mortality rate. Therefore, the detection of early biomarkers for DN is of great importance in reducing kidney function damage. The common biomarkers for DN mainly include glomerular and tubular lesion markers. At present, clinical diagnosis often uses a combination of multiple indicators and symptoms, and the development of a simple, efficient, and sensitive multi-marker detection platform is particularly important for the early diagnosis of DN. In recent years, with the vigorous development of various biomimetic molecular recognition technologies, biomimetic recognition biosensors (BRBS) have many advantages, such as easy preparation, low cost, high stability, and repeatability under harsh environmental conditions, and have great application potential in the analysis of DN biomarkers. This article reviews the research progress of molecularly imprinted polymers (MIPs) construction technology and aptamers assembly technology developed in the field of biomimetic sensor research in recent years, as well as the detection of DN biomarkers based on BRBS, and prospects for their development.

The adsorbents used to remove taint compounds from wine can also remove constituents that impart desirable color, aroma, and flavor attributes, whereas molecularly imprinted polymers (MIPs) are tailor-made to selectively bind one or more target compounds. This study evaluated the potential for MIPs to ameliorate smoke taint in wine via removal of volatile phenols during or after fermentation. The addition of MIPs to smoke-tainted Pinot Noir wine (for 24 h with stirring) achieved 35-57% removal of guaiacol, 4-methylguaiacol, cresols, and phenol, but <10% of volatile phenol glycoconjugates were removed and some wine color loss occurred. Of the MIP treatments that were subsequently applied to Semillon and Merlot fermentations or wine, MIP addition post-inoculation of yeast yielded the best outcomes, both in terms of volatile phenol removal and wine sensory profiles. Despite some impact on other aroma volatiles and red wine color, the findings demonstrate that MIPs can ameliorate smoke-tainted wine.

This review describes the synthesis of nanocomposite derivatives based on β‐cyclodextrin (β‐CD) using silver nanoparticles (NPs), gold NPs, magnetic NPs, carbon nanotubes, nanosheets, carbon dots and graphene oxide NPs. These nanocomposites were prepared by green synthesis method, chemical method, reduction method, thermal reduction, ultrasonication method and hydrothermal method. β‐CD is cyclic oligosaccharide consisting of seven glucose units linked by 1,4‐α‐glycosidic bonds. Its external surface is hydrophilic due to the substantial hydroxyl groups, and the interior is hydrophobic. β‐CD are useful in nanocomposites and metallic NPs because they provide nanoplatforms for biocompatibility. β‐CD is commonly used to change NPs because of their excellent biocompatibility, amphipathic properties and for enhancing the morphological and chemical features of nanocomposites. Thus, nanostructured materials based on β‐CD may enhance the potential for molecular recognition property which is a natural phenomenon and fundamentally important in chemistry and biology. The most important area in molecular recognition research is design and synthesis of model receptors (hosts) to recognize substrates (guests) of biochemical significance to mimic biological events. Because NPs have a high surface‐to‐volume ratio when combined with molecularly imprinted polymers (MIPs). This review briefs the application and characterizations of β‐CD based nanocomposites derivatives in molecular recognition. [ABSTRACT FROM AUTHOR]

In 2017, the Centers for Medicare and Medicaid Services transitioned clinicians to the Merit-Based Incentive Payment System (MIPS), the largest mandatory pay-for-performance program in health care history. The first full MIPS program year was 2018, during which the Centers for Medicare and Medicaid Services raised participation requirements and performance thresholds. Using publicly available Medicare data, we conducted a retrospective cross-sectional analysis of otolaryngologist participation and performance in the MIPS in 2017 and 2018. In 2018, otolaryngologists reporting as individuals were less likely (P <.001) to earn positive payment adjustments (n = 1076/1584, 67.9%) than those participating as groups (n = 2802/2804, 99.9%) or in alternative payment models (n = 1705/1705, 100.0%). Approximately one-third (n = 1286/4472, 28.8%) of otolaryngologists changed reporting affiliations between 2017 and 2018. Otolaryngologists who transitioned from reporting as individuals to participating in alternative payment models (n = 137, 3.1%) achieved the greatest performance score improvements (median change, +23.4 points; interquartile range, 12.0-65.5). These findings have important implications for solo and independent otolaryngology practices in the era of value-based care. [ABSTRACT FROM AUTHOR]

The present review article summarizes the recent findings reported in the literature with regard to the use of molecularly imprinted polymers for the removal of arsenic from water and wastewater. MIPs are polymers in which a template is employed in order to enable the formation of recognition sites during the covalent assembly of the bulk phase, via a polymerization or polycondensation process. The efficiency of both arsenic species and the mechanism of removal are highlighted. The results have shown that under certain conditions, MIPs demonstrated arsenic sorption capacities of up to 130 mg/g for As(V) and 151 mg/g for As(III), while the regeneration ability was found to reach up to more than 20 cycles. The overall results showed that further development of MIPs could result in the formation of promising adsorbents for arsenic removal from waters. The use of MIPs for the removal not only of arsenic but also other inorganic contaminants is considered a very important topic, with great potential in terms of future applications in water treatment. The main advantage of these materials is that they are very selective toward the contaminant of interest. This enhanced selectivity is attributed to the incorporation of specific templates, which can then adsorb the contaminant of interest almost exclusively. Therefore, the main problem in adsorption processes is the competition for adsorption sites by other water components, for example, phosphates, nitrates, carbonates, and sulfates, which can be circumvented by the use of MI-type adsorbents. [ABSTRACT FROM AUTHOR]

Parkinson's disease (PD) is the most prevalent type of incurable movement disorder. Recent research findings propose that the familial PD-associated molecule DJ-1 exists in cerebrospinal fluid (CSF) and that its levels may be altered as Parkinson's disease advances. By using a molecularly imprinted polymer (MIP) as an artificial receptor, it becomes possible to create a functional MIP with predetermined selectivity for various templates, particularly for the DJ-1 biomarker associated with Parkinson's disease. It mostly depends on molecular recognition via interactions between functional monomers and template molecules. So, the computational methods for the appropriate choice of functional monomers for creating molecular imprinting electropolymers (MIEPs) with particular recognition for the detection of DJ-1, a pivotal biomarker involved in PD, are undertaken in this study. Here, molecular docking, molecular dynamics simulations (MD), molecular mechanics Poisson–Boltzmann surface area (MM-PBSA) methods, and quantum mechanical calculation have been applied to investigate the intermolecular interaction between DJ-1 and several functional electropentamers, viz., polypyrrole (PPy), poly(3,4-ethylenedioxythiophene) (PEDOT), poly(o-aminophenol) (POAP), and polythiophene (PTS). In this context, the electropentamers were selected to mimic the imprinted electropolymer system. We analyzed the most stable configurations of the formed complexes involving DJ-1 and electropentamers as a model system for MIEPs. Among these, PEDOT exhibited a more uniform arrangement around DJ-1, engaging in numerous van der Waals, H-bond, electrostatic, and hydrophobic interactions. Hence, it can be regarded as a preferable choice for synthesizing a MIP for DJ-1 recognition. Thus, it will aid in selecting a suitable functional monomer, which is of greater significance in the design and development of selective DJ-1/MIP sensors. [Display omitted] • MD simulations performed on optimal binding pose selected via AutoDock for electropentamer/DJ-1 complex. • PEDOT forms a robust DJ-1 complex, indicated by low RMSD and RMSF, and stable hydrogen bonds. • MMPBSA analysis show PEDOT having strong binding free energy through electrostatic, van der Waals interaction. • Based on the studies, PEDOT could be the suitable monomer for DJ-1/MIP sensor. • These computational methods thus assist in selecting functional monomer for MIP sensor design. [ABSTRACT FROM AUTHOR]

The growing interest in bio-inspired materials is driven by the need for increasingly targeted and efficient devices that also have a low ecological impact. These devices often use specially developed materials (e.g., polymers, aptamers, monoclonal antibodies) capable of carrying out the process of recognizing and capturing a specific target in a similar way to biomaterials of natural origin. In this article, we present two case studies, in which the target is a biomolecule of medical interest, in particular, α-thrombin and cytokine IL-6. In these examples, different biomaterials are compared to establish, with a theoretical-computational procedure known as proteotronics, which of them has the greatest potential for use in a biodevice.

Novel molecularly imprinted polymers for selective binding of tetracyclines were synthesised through oil-in-water Pickering emulsion polymerisation with SiO2 particles as stabilisers. The products were used for solid phase extraction coupled with high-performance liquid chromatography to detect trace tetracycline and oxytetracycline in animal-derived samples. The SPE materials were characterised in detail by Fourier transform infrared spectrometry, scanning electron microscopy and thermogravimetry analysis. The imprinted polymers displayed high adsorption capacity, fast binding process and high selectivity through evaluation of adsorption performance employing kinetic, static adsorption and selectivity experiments. Under optimum detection conditions, good linearity (12 to 121 µg kg−1) and limits of detection (1.8 to 1.9 μg kg−1) for tetracyclines were obtained. In addition, satisfactory recoveries of 75% to 115 % were also achieved by spiking tetracyclines into milk, chicken, fish and pork samples, giving direct evidence of real practicality of our proposed separation method. [ABSTRACT FROM AUTHOR]