Heavy Drugs Research Articles

Optimization of K-Means Clustering Method for Drug Grouping at Mertoyudan I Health Center, Magelang

Health centers as health service providers have an important role in ensuring adequate drug availability for the community. However, drug management in health centers often faces obstacles, including the use of manual methods in stock monitoring, which can lead to unavailability or accumulation of unused drugs. This study aims to improve the efficiency of drug management in health centers through the application of the K-Means Clustering method. This method is used to group drug stocks into three main clusters: heavy drugs, moderate drugs, and light drugs. With this grouping, it is expected that pharmacists can more easily determine the type of drug, monitor drug availability in a timely manner, and manage drug procurement according to patient needs. Research methods include literature studies, data collection and analysis, system modeling design, and system testing and evaluation. The results of this study are expected to improve the efficiency of drug management in health centers, so that health services to the community can be more optimal. The results of testing using the Silhouette Coefficient (SC) method produced an average SC of 0.97 which means strong structure, so it can be concluded that it has a strong structure.

Exploring the protective potential of NRF2 overexpressed neural extracellular vesicles against cisplatin-induced neurotoxicity via NRF2/ARE pathway

Neurotoxicity is characterized by the accumulation of harmful chemicals such as heavy metals and drugs in neural tissue, resulting in subsequent neuronal death. Among chemicals platinum-based cancer drugs are frequently used due to their antineoplastic effects, but this drug is also known to cause a wide range of toxicities, such as neurotoxicity. The nuclear-factor-erythroid 2-related factor-2 (NRF2) is crucial in combating oxidative stress and maintaining cellular homeostasis. This study thoroughly explores the protective effects of extracellular vesicles derived from NRF2 gene overexpressed neural progenitor cells (NEVs) on cisplatin-induced neurotoxicity. Therefore, extracellular vesicles derived from neural progenitor cells were isolated and characterized. The Cisplatin neurotoxicity dose was 75 µM in mature, post-mitotic neurons. 1.25 µM of tert-butyl hydroquinone that induces NRF2/ARE pathway was used as the positive control. The effects of extracellular vesicles (EVs) were investigated using functional and molecular assays such as PCR and protein-based assays. Here, we observed that NEVs dose-dependently protected post-mitotic neuron cells in response to cisplatin. The study also examined whether the effect was EV-induced by limiting EV biogenesis. The molecular basis of preventive treatment was established. When pre-administered, 1×108 particles/ml of NEVs maintained antioxidant and detoxifying gene and protein expression levels similar to control cell levels. Furthermore, NEVs reduced both cellular and mitochondrial ROS levels and preserved mitochondrial membrane potential. In addition, Catalase and SOD levels were found higher in NEV-treated cells compared to cisplatin control. The findings in NRF2-based protection of cisplatin-induced neurotoxicity may provide further evidence for the relationship between EVs and inhibition of neuronal stress through the NRF2/ARE pathway, increasing the understanding of neuroprotective responses and the development of gene-engineered EV therapy options for peripheral neuropathy or other neurodegenerative diseases. This is the first study in the literature to investigate the neutralizing potency of NRF2 overexpressed neural EVs against cisplatin-induced neurotoxicity.

Deuterated Alkyl Sulfonium Salt Reagents; Importance of H/D Exchange Methods in Drug Discovery.

Deuterated drugs (heavy drugs) have recently been spotlighted as a new modality for small-molecule drugs because the pharmacokinetics of pharmaceutical drugs can be enhanced by replacing C-H bonds with more stable C-D bonds at metabolic positions. Therefore, deuteration methods for drug candidates are a hot topic in medicinal chemistry. Among them, the H/D exchange reaction (direct transformation of C-H bonds to C-D bonds) is a useful and straightforward method for creating novel deuterated target molecules, and over 20 reviews on the synthetic methods related to H/D exchange reactions have been published in recent years. Although various deuterated drug candidates undergo clinical trials, approved deuterated drugs possess CD3 groups in the same molecule. However, less diversification, except for the CD3 group, is a problem for future medicinal chemistry. Recently, we developed various deuterated alkyl (dn-alkyl) sulfonium salts based on the H/D exchange reaction of the corresponding hydrogen form using D2O as an inexpensive deuterium source to introduce CD3, CH3CD2, and ArCH2CD2 groups into drug candidates. This concept summarises recent reviews related to H/D exchange reactions and novel reagents that introduce the CD3 group, and our newly developed electrophilic dn-alkyl reagents are discussed.

Applications of 3D organoids in toxicological studies: a comprehensive analysis based on bibliometrics and advances in toxicological mechanisms.

A mechanism exploration is an important part of toxicological studies. However, traditional cell and animal models can no longer meet the current needs for in-depth studies of toxicological mechanisms. The three-dimensional (3D) organoid derived from human embryonic stem cells (hESC) or induced pluripotent stem cells (hiPSC) is an ideal experimental model for the study of toxicological effects and mechanisms, which further recapitulates the human tissue microenvironment and provides a reliable method for studying complex cell-cell interactions. This article provides a comprehensive overview of the state of the 3D organoid technology in toxicological studies, including a bibliometric analysis of the existing literature and an exploration of the latest advances in toxicological mechanisms. The use of 3D organoids in toxicology research is growing rapidly, with applications in disease modeling, organ-on-chips, and drug toxicity screening being emphasized, but academic communications among countries/regions, institutions, and research scholars need to be further strengthened. Attempts to study the toxicological mechanisms of exogenous chemicals such as heavy metals, nanoparticles, drugs and organic pollutants are also increasing. It can be expected that 3D organoids can be better applied to the safety evaluation of exogenous chemicals by establishing a standardized methodology.

Removal of Azo Dyes from Water Using Natural Luffa cylindrica as a Non-Conventional Adsorbent.

Reducing high concentrations of pollutants such as heavy metals, pesticides, drugs, and dyes from water is an emerging necessity. We evaluated the use of Luffa cylindrica (Lc) as a natural non-conventional adsorbent to remove azo dye mixture (ADM) from water. The capacity of Lc at three different doses (2.5, 5.0, and 10.0 g/L) was evaluated using three concentrations of azo dyes (0.125, 0.250, and 0.500 g/L). The removal percent (R%), maximum adsorption capacity (Qm), isotherm and kinetics adsorption models, and pH influence were evaluated, and Fourier-transform infrared spectroscopy and scanning electron microscopy were performed. The maximum R% was 70.8% for 10.0 g L-1Lc and 0.125 g L-1 ADM. The Qm of Lc was 161.29 mg g-1. Adsorption by Lc obeys a Langmuir isotherm and occurs through the pseudo-second-order kinetic model. Statistical analysis showed that the adsorbent dose, the azo dye concentration, and contact time significantly influenced R% and the adsorption capacity. These findings indicate that Lc could be used as a natural non-conventional adsorbent to reduce ADM in water, and it has a potential application in the pretreatment of wastewaters.

Hybrid calcium magnesium ferrite: A multifaceted nanomaterial for energy, sensing, and environmental applications

The current work employs the urea aided conventional sol–gel procedure to synthesize hybrid calcium magnesium ferrite (CMF – CaO/MgFe2O4) nanomaterial. To verify the existence of synthesized nanomaterials, X-ray diffraction analysis (XRD), scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FT-IR), and UV diffuse reflectance spectroscopy (UV-DRS) are employed. The observed crystalline size of the nanomaterials is 44.14 nm. The estimated band gap is 2.36 eV, which is validated using UV-DRS equipment. The investigation's findings are supported by actual applications in electrochemical studies and photocatalytic degradation of synthesized hybrid CMF. It was also investigated how to modify the working electrode's surface to detect heavy metals, drugs, and biomolecules like uric acid, paracetamol, creatinine, cadmium and mercury. Electrochemical research was done to determine the ideal properties of CMF as an electrode material for use in batteries, supercapacitors, and sensors applications. Furthermore, synthesized hybrid CMF exhibits excellent photocatalytic activity, employed as a catalyst to decolorize acid red 88(AR-88) dyes at room temperature under visible light illumination, with a 120-minute photocatalytic activity with the degradation efficiencyof 60.40 %.

Advancements in rheumatoid arthritis therapy: a journey from conventional therapy to precision medicine via nanoparticles targeting immune cells.

Rheumatoid arthritis (RA) is a progressive autoimmune disease that mainly affects the inner lining of the synovial joints and leads to chronic inflammation. While RA is not known as lethal, recent research indicates that it may be a silent killer because of its strong association with an increased risk of chronic lung and heart diseases. Patients develop these systemic consequences due to the regular uptake of heavy drugs such as disease-modifying antirheumatic medications (DMARDs), glucocorticoids (GCs), nonsteroidal anti-inflammatory medicines (NSAIDs), etc. Nevertheless, a number of these medications have off-target effects, which might cause adverse toxicity, and have started to become resistant in patients as well. Therefore, alternative and promising therapeutic techniques must be explored and adopted, such as post-translational modification inhibitors (like protein arginine deiminase inhibitors), RNA interference by siRNA, epigenetic drugs, peptide therapy, etc., specifically in macrophages, neutrophils, Treg cells and dendritic cells (DCs). As the target cells are specific, ensuring targeted delivery is also equally important, which can be achieved with the advent of nanotechnology. Furthermore, these nanocarriers have fewer off-site side effects, enable drug combinations, and allow for lower drug dosages. Among the nanoparticles that can be used for targeting, there are both inorganic and organic nanomaterials such as solid-lipid nanoparticles, liposomes, hydrogels, dendrimers, and biomimetics that have been discussed. This review highlights contemporary therapy options targeting macrophages, neutrophils, Treg cells, and DCs and explores the application of diverse nanotechnological techniques to enhance precision RA therapies.

An overview on the protective effects of ellagic acid against heavy metals, drugs, and chemicals.

Ellagic acid (EA) is a polyphenol extracted from many plants. EA modulates inflammatory mediators via antioxidant mechanisms, such as catalase (CAT) activities, superoxide dismutase (SOD), enhancement, increase in glutathione (GSH), and lipid peroxidation (LPO) suppression. EA has anti-apoptotic properties that are thought to be mediated by regulating the expression of B-cell lymphoma 2 (Bcl-2), Bcl-2-associated X protein (Bax), and caspase-3. In this article, we surveyed the literature dealing with the protective effects of EA against different heavy metals, drugs, and natural toxins. The findings indicated that EA has remarkable protective properties against various toxicants. Its protective effects were mostly mediated via normalizing lipid metabolism, oxidative stress, and inflammatory mediators, for example, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and IL-1β. The results of this study showed that EA has significant protective effects against a varied range of compounds, either chemical or natural. These effects are mainly mediated via intensifying the antioxidant defense system. However, other mechanisms such as inhibition of inflammatory responses and suppression of apoptosis are important.

Bibliometric Analysis of Constructed Wetlands with Ornamental Flowering Plants: The Importance of Green Technology

The use of constructed wetlands (CWs) for wastewater treatment has earned high interest around the world. However, innovations to improve its removal efficiency and adoption have been suggested in the last decades. For instance, the use of ornamental flowering plants (OFP), which make wetland treatment systems more aesthetic and is an option for the production of commercial flowers while the water is cleansed. The objectives of this study were to identify through a bibliometric analysis (2000–2022) the main OFP that have been used in CWs and their functionality as phytoremediators (removal effects), as well as the authors, collaborations, main investigations, and the countries where such investigations have been carried out. To this respect, 10,254 studies on CWs were identified. The United States and China were the leading countries in the use of this eco-technology. Subsequently, regarding the use of OFP, the analysis revealed 92 studies on this matter in which Mexico has three researchers who lead the use of OFP in CWs (almost 40% of publications of CWs with OFP), where the main species studied include Canna hybrids, Zantedeschia aethiopica, Strelitzia reginae, Iris species, Spathiphyllum sp., and Anturium sp. These species may remove between 30–90% of pollutants of organic compounds, 30–70% of heavy metals and drugs, and about 99.9% of pathogens. Thus, this study may help researchers to identify OFP for new CWs design, and to know new future research directionsand collaboration approaches in this area using multipurpose alternatives like those of CWs with OFP. More research can still be carried out on the use of CWs with OFP in temperate climates, as well as evaluating the influence of different substrates and water flow on the growth of these plants.

Recent advances in base metal-catalyzed cooperative transfer hydrogenation and hydrodeuteration of alkenes

Catalytic alkene hydrogenation is a powerful method that has been widely used in the syntheses of valuable products ranging from commodity chemicals to pharmaceuticals. Hydrogenation has also been a key strategy for selectively introducing heavy hydrogen isotopes to small molecules, a key strategy for metabolism studies and even the synthesis of “heavy drugs,” where the hydrogen isotope is a key element of the active pharmaceutical ingredient. Traditional hydrogenations with pressurized H2 gas are atom economic but often require complex reaction setups or expensive metal catalysts. Further, use of diatomic hydrogen necessarily limits the ability to incorporate different hydrogen isotopes at each alkene position, with H2, D2, and T2 each resulting in compete labeling of the alkene. In response to these challenges, a recent and growing movement has sought to develop transfer hydrogenation methods using non-H2 hydrogen sources and earth abundant element catalysts to simplify reaction operation. Excitingly, recent developments have delivered transfer hydrogenations that proceed using cooperative hydrogen donor reagents, permitting the controllable incorporation of different hydrogen isotopes at each position of the alkene via reagent control. In this Digest, we disclose recent advances in Earth-abundant metal-catalyzed cooperative transfer hydrogenation of alkenes with various combinations of two distinct transfer hydrogen reagents as non-H2 hydrogen sources.

Progress in the design of portable colorimetric chemical sensing devices.

The need for precise determination of heavy metals, anions, biomolecules, pesticides, drugs, and other substances is vital across clinical, environmental, and food safety domains. Recent years have seen significant progress in portable colorimetric chemical sensing devices, revolutionizing on-the-spot analysis. This review offers a comprehensive overview of these advancements, covering handheld colorimetry, RGB-based colorimetry, paper-based colorimetry, and wearable colorimetry devices. It explores the underlying principles, functional materials (chromophoric reagents/dyes and nanoparticles), detection mechanisms, and their applications in environmental monitoring, clinical care, and food safety. Noble metal nanoparticles (NPs) have arisen as promising substitutes in the realm of sensing materials. They display notable advantages, including heightened sensitivity, the ability to fine-tune their plasmonic characteristics for improved selectivity, and the capacity to induce visible color changes, and simplifying detection. Integration of NPs fabricated paper device with smartphones and wearables facilitates reagent-free, cost-effective, and portable colorimetric sensing, enabling real-time analysis and remote monitoring.

Heavy Metals, Halogenated Hydrocarbons, Phthalates, Glyphosate, Cordycepin, Alcohol, Drugs, and Herbs, Assessed for Liver Injury and Mechanistic Steps.

Aluminum, arsenic, cadmium, chromium, cobalt, copper, iron, lead, mercury, nickel, thallium, titanium, zinc, carbon tetrachloride, phthalates, glyphosate, alcohol, drugs, and herbs are under discussion having the potential to injure the human liver, but allocation of the injury to the hepatotoxicant as exact cause is difficult for physicians and requires basic clinical knowledge of toxicology details. Liver injury occurs at a variable extent depending on the dose, mostly reproducible in animal models that allow studies on molecular steps leading to the hepatocellular injury. These exogenous hepatotoxins may cause an overproduction of reactive oxidative species (ROS), which are generated during microsomal or mitochondrial oxidative stress from incomplete oxygen split and trigger the injury if protective antioxidant capacities are reduced. Primary subcelluar target organelles involved are liver mitochondria through lipid peroxidation of membrane structures and the action of free radicals such as singlet radical 1O2, superoxide radical HO•2, hydrogen peroxide H2O2, hydroxyl radical HO•, alkoxyl radical RO•, and peroxyl radical ROO•. They attempt covalent binding to macromolecular structural proteins. As opposed to inorganic chemicals, liver injury due to chemicals with an organic structure proceedes via the hepatic microsomal cytochrome P450 with its different isoforms. In sum, many exogenous chemicals may have the potential of liver injury triggerd by overproduced ROS leading primarily to impairment of mitochondial functions in the course of structural mitochondial membrane dearrangement. As clinical data were often incomplete, future clinical prototols should focus on meeting liver injury criteria, exclusion of alternative causes, a robust causality evaluation management, and obtaining liver histology if clinically indicated and of benefit for the patient.

Anion detection employing synthetic chemosensors in aqueous media

Water is a vital component of our daily life. A variety of human-caused climate change as well as natural geochemical aging of soil and rocks leads to water pollution. Through water the pollutants can easily enter human and animal food network. These contaminants include heavy metals cations, anions, pesticides, cosmetics, polymers, dyes, and drugs. When consumed through the contaminated water these toxins can cause direct injury to human beings and animals even at concentrations slightly higher than the permissible limit. Thus, wastewater or contaminated water treatment is a major goal for scientists and policymakers these days. To remove the contaminants from water, first and foremost, the pollutants must be identified. As a result, many techniques are used and/or being developed to validate water adulteration, such as detection of pollutants using nanocomposites, supramolecular approaches, metal–organic frameworks, heteronuclear-organic frameworks, polymeric membranes, molecule-based optical chemosensors etc. This article focuses on the detection of particular anions (F–, CN–, PO43–, SO42–, NO2–, S2-, Cl-) in aqueous medium using synthetic optical chemosensors as well as computational research to validate the detection method of anion in the aqueous media.

Prognostic Value of the MAGGIC Score, H2FPEF Score, and HFA-PEFF Algorithm in Patients with Exertional Dyspnea and the Incremental Value of Exercise Echocardiography

The strategies for improving outcomes in heart failure with preserved ejection fraction (HFpEF) are insufficiently defined, which affects optimal patient management. The aim of the study was to compare the prognostic value of the previously validated Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) risk score with 2 approaches primarily dedicated to diagnosing HFpEF: the H2FPEF score (heavy, 2 or more hypertensive drugs, atrial fibrillation, pulmonary hypertension [pulmonary artery systolic pressure >35mm Hg], elder age >60, elevated filling pressures [E/e'>9]) and the HFA-PEFF algorithm (Heart Failure Association diagnostic algorithm-pretest assessment; echocardiography and natriuretic peptide score; functional testing; final etiology) in patients with exertional dyspnea categorized as HFpEF. Clinical and biochemical variables and echocardiographic resting and exercise data from 201 enrollees were retrospectively analyzed. Participants were followed for 48 (24-60) months for HF hospitalization and cardiovascular death. Seventy-four patients (36.8%) met the study outcome. In sequential Cox analysis, the addition of MAGGIC risk score, H2FPEF score, and HFA-PEFF step 2 (including only resting echocardiographic evaluation) and step 3 (including also exercise diastolic data) algorithms to the base model comprising brain natriuretic peptide and peak oxygen uptake improved the predictive power for the study endpoint. Harrell'scstatistic showed a greater predictive ability for the HFA-PEFF step 3 algorithm than for each of the other scores (c index 0.715 vs 0.637, 0.644, and 0.638 for MAGGIC, H2FPEF, and HFA-PEFF step 2, respectively; all P<.05). No significant differences were found for other between-score comparisons. In patients with exertional dyspnea and a possible HFpEF, the H2FPEF score and HFA-PEFF algorithm limited to resting echocardiography provide prognostic value comparable to the MAGGIC risk score. Extending the HFA-PEFF algorithm with exercise diastolic data is associated with a significant improvement in risk stratification.

Exhaustive Syntheses of Deuterium-labelled Compounds

Deuterium (2H, D) is a stable isotope of hydrogen (1H). Deuterium-incorporated (labelled) compounds are widely utilized in various scientific fields such as mechanistic studies of organic reactions, elucidation of drug metabolism, application as tracers for microanalysis. Recently, development of heavy drugs and molecular imaging using techniques such as neutron scattering and Raman spectroscopy are spotlighted. We have developed various deuterium-incorporated compounds using D2O as an inexpensive deuterium source to construct novel functional materials. The use of platinum group metals on carbon as catalysts could result in the multi-deuteration of compounds in the mixed solvents of 2-propanol and D2O, and site-selectively deuterated compounds can be synthesized by organocatalytic methods. In this review, the latter deuteration methods using organocatalysts and their applications are summarized. Terminal alkynes smoothly underwent deuterium incorporation by using triethylamine as an organic base or a solid resin possessing the tertiary amine moiety in the same molecule to give mono-deuterated alkynes. These compounds were partially reduced over our prepared specific palladium catalyst under atmospheric D2 gas to produce tri-deuterated alkenes. Achiral or chiral di-deuterated β-nitro alcohols were also prepared by the organic-base-catalyzed deuteration of nitromethane, followed by nitroaldol reactions in a one pot manner. The mono-deuteration of aromatic aldehyde could be effectively catalyzed by N-heterocyclic carbene. Furthermore, the α-deuteration of aliphatic aldehydes using a basic resin catalyst and the subsequent Knoevenagel condensation with malononitrile could provide γ-deuterium-incorporated α,β-unsaturated nitrile derivatives. The deuterated compounds thus obtained can be important synthetic precursors to construct the deuterium-incorporated target functional materials.

Toxicity of environmentally important micropollutants on three trophic levels

Micropollution is a serious environmental problem caused by continuous entry of trace quantities of toxic chemical substances into the aquatic environment. In the present study, three trophic levels of the aquatic ecosystems were used to evaluate the acute toxicities of environmentally important micropollutants including heavy metals, pesticides and drugs. There is a scarcity of information on toxicity of the studied substances on marine water algae. Among studied micropollutants, the most toxic chemical to Daphnia magna and Danio rerio was found to be 1-Chloro-2,4 dinitrobenzene with EC50 of 0.002 and 4.2 mg/L, respectively. Although this compound was also toxic to marine algae, Phaeodactylum tricornutum, arsenic showed the highest toxicity to the algae with EC50 of 2.4 mg/L. As compared to other organisms, D. magna was found to have higher sensitivity to all of the tested micropollutants.

Reactive Oxygen Species (ROS): Key Components in Cancer Therapies.

Reactive Oxygen Species (ROS) refers to the highly reactive substances which contain oxygen radicals. Hypochlorous acid, peroxides, superoxide, singlet oxygen, alpha-oxygen, and hydroxyl radicals are the major examples of ROS. Generally, the reduction of oxygen (O2) in molecular form produces superoxide (•O2 -) anion. ROS are produced during a variety of biochemical reactions within the cell organelles, such as endoplasmic reticulum, mitochondria, and peroxisome. Naturally, ROS are also formed as a byproduct of the normal metabolism of oxygen. The production of ROS can be induced by various factors such as heavy metals, tobacco, smoke, drugs, xenobiotics, pollutants, and radiation. From various experimental studies, it is reported that ROS acts as either a tumor-suppressing or a tumor-promoting agent. The elevated level of ROS can arrest the growth of tumors through the persistent increase in cell cycle inhibition. The increased level of ROS can induce apoptosis by both intrinsic and extrinsic pathways. ROS is considered to be a tumor-suppressing agent as the production of ROS is due to the use of most of the chemotherapeutic agents in order to activate cell death. The cytotoxic effect of ROS provides impetus towards apoptosis, but in higher levels, ROS can cause initiation of malignancy that leads to uncontrolled cell death in cancer cells. In contrast, some species of ROS can influence various activities at the cellular level, including cell proliferation. This review highlights the genesis of ROS within cells by various routes and their role in cancer therapies.

Cellulose-Based Materials for Water Remediation: Adsorption, Catalysis, and Antifouling

Cellulose-based materials have been advanced technologies that used in water remediation. They exhibit several advantages being the most abundant biopolymer in nature, high biocompatibility, and contain several functional groups. Cellulose can be prepared in several derivatives including nanomaterials such as cellulose nanocrystals (CNCs), cellulose nanofibrils (CNFs), and TEMPO (2,2,6,6-tetramethylpiperidine-1-oxyl radical)-mediated oxidized cellulose nanofibrils (TOCNF). The presence of functional groups such as carboxylic and hydroxyls groups can be modified or grafted with organic moieties offering extra functional groups customizing for specific applications. These functional groups ensure the capability of cellulose biopolymers to be modified with nanoparticles such as metal-organic frameworks (MOFs), graphene oxide (GO), silver (Ag) nanoparticles, and zinc oxide (ZnO) nanoparticles. Thus, they can be applied for water remediation via removing water pollutants including heavy metal ions, organic dyes, drugs, and microbial species. Cellulose-based materials can be also used for removing microorganisms being active as membranes or antibacterial agents. They can proceed into various forms such as membranes, sheets, papers, foams, aerogels, and filters. This review summarized the applications of cellulose-based materials for water remediation via methods such as adsorption, catalysis, and antifouling. The high performance of cellulose-based materials as well as their simple processing methods ensure the high potential for water remediation.

Correlates of impulsivity among female sex workers in Mexico

Impulsivity is a trait characteristic that is associated with sexual risk behavior. We examined correlates of impulsivity among 602 female sex workers (FSWs) enrolled in a sexual risk reduction intervention in Mexico (2016–2020). Impulsivity was positively associated with condomless sex with clients. Higher levels of impulsivity were associated with greater use of alcohol and heavy drugs, use of illicit drugs with clients, sexual/physical abuse history, and clinical depression. Global public health policy that supports free substance abuse treatment in combination with psychotherapeutic treatments (e.g. regulation management skills) and behavioral-focused therapy may help to reduce HIV/STI incidence in this vulnerable population.

Zeolite-based composites for the adsorption of toxic matters from water: A review

The adsorption of toxic matters from water using zeolites has been developed due to the low cost of operation and adsorbent. However, their use due to the lower efficiency of natural zeolites and the difficult reusability of nanosized-synthetic zeolites is limited. In recent twenty years, the use of zeolite-based composites in the forms of zeolite/inorganic and zeolite/polymer composites has been accelerated for the adsorption of toxic matters from water sources. This review summarized the recent studies on the capability of zeolite-based composites toward toxic matters adsorption such as heavy metal ions, dyes, herbicides, and drugs from water. The main adsorption mechanisms using the zeolite-based composites are surface adsorption, chelation, ion exchange, electrostatic interaction, diffusion and, complexation. The comparison of the capability of zeolite-based composites and raw zeolites for the removal of toxic matters from the water provides the valuable applicability of the zeolite-based composites for actual wastewater treatment in the future.