High Efficacy Research Articles

Cleft Lip and Palate Classification Through Vision Transformers and Siamese Neural Networks

This study introduces a novel approach for the diagnosis of Cleft Lip and/or Palate (CL/P) by integrating Vision Transformers (ViTs) and Siamese Neural Networks. Our study is the first to employ this integration specifically for CL/P classification, leveraging the strengths of both models to handle complex, multimodal data and few-shot learning scenarios. Unlike previous studies that rely on single-modality data or traditional machine learning models, we uniquely fuse anatomical data from ultrasound images with functional data from speech spectrograms. This multimodal approach captures both structural and acoustic features critical for accurate CL/P classification. Employing Siamese Neural Networks enables effective learning from a small number of labeled examples, enhancing the model’s generalization capabilities in medical imaging contexts where data scarcity is a significant challenge. The models were tested on the UltraSuite CLEFT dataset, which includes ultrasound video sequences and synchronized speech data, across three cleft types: Bilateral, Unilateral, and Palate-only clefts. The two-stage model demonstrated superior performance in classification accuracy (82.76%), F1-score (80.00–86.00%), precision, and recall, particularly distinguishing Bilateral and Unilateral Cleft Lip and Palate with high efficacy. This research underscores the significant potential of advanced AI techniques in medical diagnostics, offering valuable insights into their application for improving clinical outcomes in patients with CL/P.

Synthesis, Antimicrobial and Antioxidant Activity with in silico ADMET Prediction, Molecular Docking and Dynamics Studies of Carbazole Ring Containing Thiazole Schiff Bases

AbstractTwelve thiazole hybrids (2 a–2 l) were synthesized in this study incorporating with Schiff base and carbazole scaffolds and characterized by spectral analyses. Antimicrobial activity and antioxidant potency were investigated by agar disc diffusion method and DPPH free radical scavenging assays where trimethyldihydrothiazole 2 c had revealed its higher efficacy in both biological studies. It had displayed IC50 of 25.55±0.40 μg/mL which is higher than the standard ascorbic acid (IC50=41.31±1.83 μg/mL) as well as dihydrothiazoylchromenone 2 e showed promising antioxidant activity with IC50 value of 40.82±0.54. The compound 2 c satisfied all the ADME properties and toxicological parameters with maximum drug score value (0.39) among all derivatives. Molecular docking was undertaken for higher bioactive compounds where 2 c revealed its wide range of interactions with different amino acid residues which was also endorsed with the output of molecular dynamics simulation.

Photocleavable Guide RNA for Photocontrolable CRISPR/Cas9 System

The development of gene editing systems on the base of CRISPR/Cas having higher efficacy, specificity, and possibility of their activity regulation by light irradiation is actually problem. Modification of CRISPR/Cas components, in particular guide RNA, by introduction of photocleavable linkers is the prospective approach for the solution of this problem. We developed the approach for the synthesis of photocleavable guide sgRNA for the CRISPR/Cas9 system containing the linkers on the base of 1-(2-nitrophenyl)-1,2-ethanediol. Such photomodified guide RNAs degrade upon UV-irradiation and CRISPR/Cas9 system is inactivated. We obtained three variants of photomodified sgRNA with different photolinker positions. It was demonstrated that sgRNA variant with photolinker introduced in the Cas9 protein binding and hairpins formation region is able to effectively guide Cas9 nuclease for DNA-target cleavage before UV-irradiation and lose its activity after irradiation. The conditions of controllable 40%-cleavage of model DNA-target were chosen. Developed approach provide specific inactivation of CRISPR/Cas9 gene editing system in specific time moment in definite place. Photoregulation of gene editing system permits not only reduce the undesirable off-target effects, but also becomes the basis of genetic disease therapy.

Inhibition of Food Spoilage Fungi, Botrytis cinerea and Rhizopus sp., by Nanoparticles Loaded with Baccharis dracunculifolia Essential Oil and Nerolidol.

This study investigates the antifungal potential of encapsulated essential oil (EO) from Baccharis dracunculifolia and nerolidol (NE) within Pluronic® F-127 nanoparticles (NPs). The EO, containing nerolidol, β-caryophyllene, and α-pinene as major bioactive compounds, exhibited superior antifungal activity compared to NE. The NP-EO formulations demonstrated high efficacy against Botrytis cinerea, with inhibition rates ranging from 29.73% to 87.60% and moderate efficacy against Rhizopus sp., with inhibition rates from 11.81% to 32.73%. In comparison, NP-NE showed lower antifungal activity. Both formulations effectively inhibited spore germination, with NP-EO showing greater inhibition compared to NP-NE. The encapsulation efficiency was significantly higher for NP-EO (80.1%) as compared to NP-NE (51.1%), attributed to the complex composition of EO facilitating better encapsulation and retention. Stability studies indicated that both NP formulations were stable at 25 °C for at least 15 days and exhibited changes in particle size and the formation of smaller particle populations at other temperatures (4 °C and 37 °C). Hemolytic activity was low across all NPs, suggesting their safety for food applications. The findings underscore the efficacy and applicability of EO-encapsulated NPs in extending food shelf life and maintaining product quality. The controlled and prolonged release of active compounds, coupled with their antifungal activity and safety, suggests that these NPs represent a promising and innovative approach for food preservation and active packaging development.

Immunogenicity and Safety of the Recombinant Adjuvanted Herpes Zoster Vaccine in Patients with Chronic Lymphocytic Leukemia and Multiple Myeloma

Background/objectives: Patients with chronic lymphocytic leukemia (CLL) and multiple myeloma (MM) are susceptible to viral infections, including varicella-zoster virus (VZV) reactivation due to both disease-related and treatment-induced immunosuppression. The recombinant adjuvanted herpes zoster vaccine (RZV) has shown high efficacy in immunocompetent adults, but immunogenicity data in CLL and MM patients are limited. This study evaluates the immunogenicity and safety of RZV in this population. Methods: Patients with CLL and MM vaccinated with RZV (administered in two doses at least one month apart) were included in the study. Pre- and post-vaccination anti-VZV IgM and IgG antibody levels were measured to assess immunogenicity, and adverse events (AEs) were captured for safety evaluation. Results: Seventy-eight patients received both vaccine doses, and 71 had post-vaccination samples. Most of the patients were IgM seronegative and IgG seropositive before vaccination. Pre-vaccination IgG levels were higher in CLL patients compared to MM patients (p = 0.001), while post-vaccination IgG levels significantly increased in both CLL (p < 0.0001) and MM (p < 0.0001) patients. In actively treated CLL patients, pre-vaccination IgG levels were significantly lower than in not actively treated patients (p = 0.002). Post-vaccination IgG levels were lower in MM patients receiving antiviral prophylaxis concurrently with the vaccination (p = 0.013). AEs were reported in 49.4% of patients after the first dose and 48.7% after the second dose, mostly mild (local or low-grade systemic). One case of immune thrombocytopenia was noted. Conclusions: RZV demonstrated strong immunogenicity and acceptable safety in CLL and MM patients, significantly boosting IgG levels, even in actively treated or heavily pretreated patients.

Explainable Multi-Layer Dynamic Ensemble Framework Optimized for Depression Detection and Severity Assessment.

Depression is a pervasive mental health condition, particularly affecting older adults, where early detection and intervention are essential to mitigate its impact. This study presents an explainable multi-layer dynamic ensemble framework designed to detect depression and assess its severity, aiming to improve diagnostic precision and provide insights into contributing health factors. Using data from the National Social Life, Health, and Aging Project (NSHAP), this framework combines classical machine learning models, static ensemble methods, and dynamic ensemble selection (DES) approaches across two stages: detection and severity prediction. The depression detection stage classifies individuals as normal or depressed, while the severity prediction stage further classifies depressed cases as mild or moderate-severe. Finally, a confirmation depression scale prediction model estimates depression severity scores to support the two stages. Explainable AI (XAI) techniques are applied to improve model interpretability, making the framework more suitable for clinical applications. The framework's FIRE-KNOP DES algorithm demonstrated high efficacy, achieving 88.33% accuracy in depression detection and 83.68% in severity prediction. XAI analysis identified mental and non-mental health indicators as significant factors in the framework's performance, emphasizing the value of these features for accurate depression assessment. This study emphasizes the potential of dynamic ensemble learning in mental health assessments, particularly in detecting and evaluating depression severity. The findings provide a strong foundation for future use of dynamic ensemble frameworks in mental health assessments, demonstrating their potential for practical clinical applications.

Vaccination against respiratory syncytial virus (RSV)-For the protection of infants and older adults

Respiratory syncytial virus (RSV) is afrequent cause of respiratory infections in all age groups. Infections in infants and older adults frequently result in severe disease and complications. There is no specific antiviral treatment against RSV. The characterization of the structure of the fusion (F) protein in its immunogenic prefusion conformation has enabled the development of novel vaccines directed against the prefusion protein as the antigen. These include an adjuvanted monovalent vaccine (Arexvy) and anonadjuvanted bivalent vaccine (Abrysvo). Both are approved and indicated for use in older adults, in whom they have been shown to be over 80% effective in the protection against symptomatic RSV infections and associated lower respiratory tract diseases. Abrysvo is approved for use in pregnancy to protect the newborn through the transplacental transfer of high-titer maternal antibodies. The vaccine has been shown to have an efficacy of over 80% in the first 3 months of life to protect the infant from severe RSV-associated lower respiratory disease but slightly deceases after an age of 6 months. The clinical studies demonstrated the safety of the vaccines in both adults and pregnant women. The rate of undesired side effects was low in all studies and severe side effects were very rare. The new vaccines are efficacious new tools to prevent RSV-associated disease and complications in high-risk groups. For infants, an alternative strategy can be passive immunization with monoclonal antibodies, including the recently developed nirsevimab, which has also shown high efficacy.

Hyaluronic acid dissolving microneedle patch-assisted acupoint transdermal delivery of triptolide for effective rheumatoid arthritis treatment

Triptolide (TP), a major active component of the herb Tripterygium wilfordii Hook F, has been shown excellent pharmacological effects on rheumatoid arthritis. However, TP is prone to causing severe organ toxicity, which limits its clinical application. In recent years, microneedle technology has provided a new option for the treatment of arthritis due to its advantages of efficient local transdermal drug delivery. In this study, we constructed a microneedle platform to deliver TP locally to the joints, thereby enhancing TP penetration and reducing systemic toxicity. Additionally, we investigated whether acupoint drug delivery can produce a synergistic effect of needles and drugs. First, TP was loaded into microneedles using polyvinylpyrrolidone and hyaluronic acid as matrix materials. Next, we established a rat adjuvant-induced arthritis (AIA) model to evaluate the therapeutic effect of TP-loaded microneedles. The experiments showed that TP-loaded microneedles alleviated the AIA rats’ inflammatory response, joint swelling, and bone erosion. However, there was no significant difference in the therapeutic effect observed in the acupoint and non-acupoint administration groups. In conclusion, TP-loaded microneedles have the advantages of safety, convenience, and high efficacy over conventional administration routes, laying a foundation for the transdermal drug delivery system-based treatment of rheumatoid arthritis.

Antiviral combination treatment strategies for SARS-CoV-2 infection in immunocompromised patients.

The purpose of this review is to report the available evidence regarding the use of combination regimens of antivirals and/or antibody-based therapy in the treatment of SARS-CoV-2 in immunocompromised patients. Literature search identified 24 articles, excluding single case reports, which included mainly patients with hematological malignancies and/or B-cell depletion. Data were divided based on the timing and reason for administration of combination treatment, that is, early treatment to prevent progression to severe COVID-19 and treatment of prolonged or relapsed infection. We described the treated populations, treatment duration and composition of combination treatment. We briefly addressed new treatment options and we proposed an algorithm for the management of COVID-19 infection in patients affected by hematological malignancies. Combination treatment seems an effective (73-100%) and well tolerated (<5% reported bradycardia, hepatotoxicity, neutropenia) strategy for treating prolonged/relapsed SARS-CoV-2 infections in the immunocompromised host, although its optimal composition and duration cannot be defined based on the currently available evidence. The role of combination treatment as an early treatment strategy for immunocompromised patients at a high risk of progression to severe disease/persistent shedding requires further evidence from comparison with monotherapy, even though high efficacy was reported for combinations of antivirals plus mAbs in case of previous viral variants.

Biological efficacy of selected insecticides for the control of the green apple aphid Aphis pomi (de Geer, 1773) on apple in Bulgaria

The aim of this study was to evaluate the biological efficacy of chemical insecticides, from different chemical classes, recommended for the control of the apple aphid Aphis pomi in apple orchards in Bulgaria. The experiment was carried out in 2023 in the experimental field of Agricultural University-Plovdiv. The insecticides tested were spirotetramat (Movento 100 SC), flonikamid (Teppeki) and acetamiprid (Mospilan 20 SG). The insecticides were applied at the concentrations recommended for the control of this and other pests. All the tested chemical insecticides showed very high biological efficacy, therefore they can be recommended as suitable for efficient control of Aphis pomi on apple. Keywords: Chemical insecticides, Movento, Teppeki, Mospilan, Aphis pomi, Аpple, Bulgaria

Possibility for control with botanical insecticides against the mealy plum aphid Hyalopterus pruni Geoffroy, 1762 (Hemiptera: Aphididae) on the plum in Southern Bulgaria

The aim of this study was to evaluate the efficacy of botanical insecticides recommended for control of the mealy plum aphid Hyalopterus pruni (Hemiptera: Aphididae). The experiment was carried out in 2024 in the experimental field of the Fruit Growing Institute-Plovdiv, Bulgaria. The tested insecticides were orange oil (Limocid), liquid extract of Urtica spp. (Basictec) and pyrethrins (Abanto). The insecticides were applied at the recommended concentrations for control of aphids, whiteflies, thrips and other pests. All tested botanical insecticides showed high biological efficacy and can be used to control the mealy plum aphid. Keywords: mealy plum aphid, biological control, botanical insecticides, Limocid, Basictec, Abanto, Hyalopterus pruni

The role of artificial intelligence in the management of liver diseases.

Universal neonatal hepatitis B virus (HBV) vaccination and the advent of direct-acting antivirals (DAA) against hepatitis C virus (HCV) have reshaped the epidemiology of chronic liver diseases. However, some aspects of the management of chronic liver diseases remain unresolved. Nucleotide analogs can achieve sustained HBV DNA suppression but rarely lead to a functional cure. Despite the high efficacy of DAAs, successful antiviral therapy does not eliminate the risk of hepatocellular carcinoma (HCC), highlighted the need for cost-effective identification of high-risk populations for HCC surveillance and tailored HCC treatment strategies for these populations. The accessibility of high-throughput genomic data has accelerated the development of precision medicine, and the emergence of artificial intelligence (AI) has led to a new era of precision medicine. AI can learn from complex, non-linear data and identify hidden patterns within real-world datasets. The combination of AI and multi-omics approaches can facilitate disease diagnosis, biomarker discovery, and the prediction of treatment efficacy and prognosis. AI algorithms have been implemented in various aspects, including non-invasive tests, predictive models, image diagnosis, and the interpretation of histopathology findings. AI can support clinicians in decision-making, alleviate clinical burdens, and curtail healthcare expenses. In this review, we introduce the fundamental concepts of machine learning and review the role of AI in the management of chronic liver diseases.

Efficacy of natural and synthetic inhibitors in the elimination of viruses in potato (Solanum tuberosum L.)

Background. Developing new effective plant protection methods against viruses is a vital task for seed potato production. The use of virus inhibitors (mainly synthetic ones) is the most common method in potato virus control. Products of natural origin might be a way to reduce the dependence on synthetic inhibitors. Among the former, extracts from seaweeds have high potential, producing a low or no negative impact on the environment or human health. Materials and methods. The materials of the research included potato cvs. ‘Poseidon’ and ‘Orion’ developed at the Federal Scientific Center of Agricultural Biotechnology of the Far East named after A.K. Chaika, the commercial antiviral product Ribavirin, and the sulfated polysaccharide – carrageenan – obtained from red algae at the G.B. Elyakov Pacific Institute of Bioorganic Chemistry. A highly sensitive PCR method was employed to detect viral infections in plant samples. Results. The efficacy of chemotherapy with Ribavirin (0.03%) was established at 79.8% against PVY, 77.0% against PLRV, 80.3% against PVM, and 84.5% against PVS. The most successfully eliminated viruses were PVY, PVM, and PVS. Carrageenan as an antiviral substance eliminated potato viruses at the following rates: PLRV in 74.7% of the explants, PVM in 70.2%, PVS in 69.2%, and PVY in 16.9%. Conclusion. Analyzing the antiviral activity of natural and synthetic virus inhibitors in the case study of carrageenan and Ribavirin demonstrated their high efficacy against potato viruses. Natural polysaccharides – carrageenans – were observed to have a significant antiviral effect, so their use in agricultural biotechnology might be promising for new experiments. Our approach successfully eliminated viruses in two new promising potato cultivars, ‘Poseidon’ and ‘Orion’, which were included in the system of virus-free seed production. These cultivars were submitted for patenting and official testing under the State Variety Trials.

In-Silico Perspectives on the Potential Therapeutic Aids of Hesperetin Derivatives for Lung Cancer

Background: Lung carcinoma has become one of the most noteworthy and dangerous health problems discovered today. The disease is mainly caused by smoking and becomes among the leading causes of death spread by growing the cancerous cells into the lining of the lungs and nearby lobes. The FDA has given clearance to numerous drugs and chemotherapy agents; nevertheless, they can be exceedingly costly as well as frequently fall short of entirely addressing the ailment. In the medical management of lung cancer, new medicines or active leads with high efficacy and minimal toxicity are required in this era.Methods: The study has been conducted with the intent to uncover a prospective approach to treating lung cancer through structural modification of Hesperetin by creating its analogs to enhance its efficacy compared to its parent compound with the computational drug design. The analysis has been conducted with various approaches followed by PASS prediction, ADME, toxicity profile, molecular docking, data filtration, and anticancer activity.Results: All the compounds showed satisfactory criteria in each parameter that was assessed. The data mining was done carefully by pointing out the compounds that had the greatest value among all the compounds in each investigation, which resulted in a total of 3 compounds out of 50. Conclusions: Finally, the selected compounds were further analyzed for MD simulation studies. Afterward, PCA analysis was also conducted in order to get the lead compound with this additional investigation.Keywords: Lung cancer; Anti-cancer lead; Hesperetin; Drug designing; Molecular docking; MD simulation; PCA

Nanoscale Multipatterning Zn,Co-ZIF@FeOOH for Eradication of Multidrug-Resistant Bacteria and Antibacterial Treatment of Wounds.

The rising incidence of infections caused by multidrug-resistant bacteria highlights the urgent need for innovative bacterial eradication strategies. Metal ions, such as Zn2+ and Co2+, have bactericidal effects by disrupting bacterial cell membranes and interfering with essential cellular processes. This has led to increased attention toward metal-organic frameworks (MOFs) as potential nonantibiotic bactericidal agents. However, the uniform and enhanced localized release of bactericidal metal ions remains a challenge. Herein, we introduce a nanoscale multipatterned Zn,Co-ZIF@FeOOH, featuring a multipod-like morphology with spiky corners, and dual-bactericidal metal ions. Compared to pure Zn,Co-ZIF, the multipod-like morphology of Zn,Co-ZIF@FeOOH exhibits enhanced adhesion toward bacterial surfaces via topological and multiple interactions of electrostatic interaction, significantly increasing the local release of Zn2+ and Co2+. Additionally, the spiky corners of the spindle-shaped FeOOH nanorods physically penetrate bacterial membranes, causing damage and further enhancing adhesion to bacteria. Nine Gram-negative and one Gram-positive bacteria were selected for in vitro test. Notably, the nanoscale multipatterned Zn,Co-ZIF@FeOOH exhibited high bactericidal efficacy against various multidrug-resistant bacteria, including extended-spectrum β-lactamase-producing (ESBL+) bacteria and carbapenem-resistant bacteria, performing well in both acidic and neutral environments. The wound healing activity of Zn,Co-ZIF@FeOOH was further demonstrated using female Balb/c mouse models infected with bacteria, where the materials show robust antibacterial efficacy and commendable biocompatibility. This study showcases the assembly of metal oxide/MOF composites for nanoscale multipatterning, aims at synergistic bacterial eradication and offers insights into developing nanomaterial-based strategies against multidrug-resistant bacteria.

Dual Metal Sites Coengineered Graphitic Carbon Nitride as Green Electrocatalyst for Highly Selective Overall Water Splitting—A Sustainable Approach

The development of efficient, low‐cost, non‐noble metal‐oxide‐based nanohybrid materials for overall water splitting is a critical strategy for enhancing clean energy use and addressing environmental issues. In this study, an interfacial engineering strategy for the development of bimetallic Co–Ni nanoparticles on graphitic carbon nitride (g‐C3N4) using ultrasonication followed by coprecipitation is conveyed. These nanoparticles demonstrate high efficacy as bifunctional electrocatalysts for the hydrogen evolution reaction (HER) and oxygen evolution reaction (OER) in alkaline conditions. Co–Ni nanoparticles on graphitic carbon nitride demonstrate an increased surface area via ultrasonication and subsequent coprecipitation. The g‐C3N4 combined with Co–Ni nanoparticles leads to the development of bifunctional catalysts that exhibit significant efficiency in both HER and OER, and their interfacial properties are investigated for the first time. The chemical composition and morphology of g‐C3N4 integrated with Co–Ni nanoparticles significantly influence the modulation of redox‐active sites and the facilitation of electron transfer, resulting in improved splitting efficiency. The interactions between the Co–Ni bimetal and g‐C3N4 demonstrate exceptional electrochemical performance for water splitting. Consequently, the 20% 20–Co–Ni–graphitic carbon nitride electrode demonstrated superior HER performance, comparable to the other electrodes. In the results, it is indicated that an increased molar ratio of Co and Ni incorporated in graphitic carbon nitride significantly improves HER performance.

Membrane technology as a strategy for microplastics removal from landfill leachate: a review

ABSTRACT This study offers a comprehensive review of global microplastic (MP) contamination in landfill leachate (LL) and examines remediation strategies using membrane technologies such as ultrafiltration (UF), nanofiltration (NF), reverse osmosis (RO), and membrane bioreactors (MBRs). Research investigations and full-scale applications of these technologies for treating LL demonstrate their efficacy as viable solutions for on-site leachate treatment, providing promise in mitigating LL toxicity and reducing the environmental and human health risks associated with MP pollution. While the size of MPs in LL may raise questions about the necessity of using NF and RO membranes for MP removal, these processes are commonly employed in many landfills to serve as barriers for MP retention. Despite the high efficacy of MBR systems in removing MPs, the accumulation of MPs in the biological sludge can adversely affect biological performance and membrane fouling, necessitating further exploration. In general, membrane technologies face challenges such as membrane fouling and the release of MPs. Therefore, further research is needed to address MP removal, understand membrane–MP interactions, explore cleaning strategies in LL treatment and their impact on MP release from membranes, and study the integrity of membranes after continuous exposure to LL under varied operating conditions.

Exploring the Antitumor Potential of New Indazole-indolizines Designed by Molecular Hybridization

Background: Cancer represents the major health problem faced by the population of the world, remaining one of the main causes of death. Hence, the development of new targeted antitumor drugs with high efficacy and lower toxicity is still needed. Objective: As a continuation of our work to discover new molecules with cytotoxic properties, two heterocyclic scaffolds, namely indolizine, and indazole, were combined in the same molecule, aiming to improve the bioactivity. This article focused on the synthesis, characterization, and biological evaluation of a series of new indazole-indolizine hybrid compounds. Methods: The biological potential of the synthesized compound was investigated in vitro against the human farnesyltransferase enzyme and NCI 60 tumor cell lines panel. While the farnesyltransferase inhibitory activity was modest, a very good antiproliferative action was observed for compound 4a, which, at a concentration of 10 μM, inhibited the growth of 20 types of cancer cells by more than 50% and showed cytotoxic action against the ovarian cancer cell line OVCAR-4. Results: A series of novel indazole-indolizine hybrids were synthesized via a [3+2] cycloaddition reaction, fully characterized and biologically evaluated for antitumor potential. Conclusion: Compound 4a could be a promising starting point in the development of new antitumoral agents. Further biological investigations will be performed to identify the biological target of the compounds. Moreover, different synthetic strategies to introduce new substituents on the indolizine core will be addressed.

The efficacy of combination of sodium hypochlorite (NaOCL)/hypochlorous acid (HOCL) in wound management: A systematic review and network meta-analysis

Introduction Antiseptic and antibacterial solutions are increasingly used in the treatment of various types of wounds. The successful stabilization of wounds using a combination Sodium Hypochlorite/Hypochlorous acid (NaOCl/HOCl) or superoxidized solution (SOS) has been reported, serving as an effective solution without irritating mammal cells and without posing a carcinogenic hazard. Presently, no systematic review or meta-analysis is available that compares the effectiveness of these antiseptic solutions. The present study aims to investigate the role of NaOCl/HOCl in the treatment of wounds. Methods The systematic review with extended to network meta-analysis (NMA) was conducted using NaOCl/HOCl, povidone-iodine, octenidine dihydrochloride, polyhexamethylene biguanide, alcohol, and silver compared with normal saline. The primary outcome was wound healing. Using surface under the cumulative ranking curve (SUCRA), the direct and indirect comparisons were conducted with the probability of selecting the best treatment. Results A total of 507 studies were identified from PUBMED and SCOPUS databases, and 64 articles were duplicates. Among 29 studies included, 22 randomized controlled trials (RCTs) and 7 cohort studies met our inclusion criteria. NaOCl/HOCl had a higher chance of wound healing 1.07-1.30 times compared with all the regimens. NaOCl/HOCl has the probability of providing the best treatment, followed by silver and octenidine with SUCRAs of 36.9, 23.1, and 21.8, respectively. Conclusions NaOCl/HOCl ranks first and proves to have the highest efficacy, followed by silver, octenidine, and PHMB for treatment.

Formulation and characterization of cholesterol-based nanoparticles of gabapentin protecting from retinal injury.

This study aimed to prepare cholesterol and stearic acid-based solid lipid nanoparticles of gabapentin (GAB-SLNs) for protection against streptozotocin (STZ)-induced retinal injury in rats. We prepared four preparations of GAB-SLNs using a hot high-shear homogenization ultrasonication process, and the best formulation was selected and tested for biological activity. The retinal injury was brought in male adult albino rats while gabapentin doses continued for 6weeks. Six groups of rats were assigned as the vehicle, diabetic, diabetic + gabapentin (10-20mg/kg), and diabetic + GAB-SLNs (10-20mg/kg). GAB-SLN#2 was selected as the optimized formulation with high entrapment efficacy (EE%, 98.64% ± 1.97%), small particle size (185.65 ± 2.41nm), high negative Zeta potential (-32.18 ± 0.98mV), low polydispersity index (0.28 ± 0.02), and elevated drug release (99.27% ± 3.48%). The TEM image of GAB-SLN#2 revealed a smooth surface with a spherical shape. GAB-SLNs provided greater protection against retinal injury than free gabapentin as indicated by the histopathology data which demonstrated more organization of retinal layers and less degeneration in ganglion cell layer in rats treated with GAB-SLN#2. Further, GAB-SLN#2 reduced the inflammatory proteins (IL-6/JAK2/STAT3) and vascular endothelial growth factor (VEGF). The preparation of GAB-SLNs enhanced the physical properties of gabapentin and improved its biological activity as a neuroprotectant. Further studies are warranted to validate this technique for the use of oral gabapentin in other neurological disorders.