A Single Amino Acid Able to Promote High-Temperature Ring-Opening Polymerization by Dual Activation

Amino acids are indispensable compounds in the body, performing several biological processes that enable proper functioning. In this work, it is demonstrated that a single amino acid, taurine, is also able to promote the ring-opening polymerization (ROP) of several cyclic monomers under industrially relevant conditions. It is shown that the unique zwitterionic structure of taurine, where the negatively charged sulfonic acid group and the protonated amine group are separated by two methylene groups, not only provides high thermal stability but also leads to a dual activation mechanism, which is corroborated by quantum mechanical calculations. This unique mechanism allows for the synthesis of polylactide of up to 50 kDa in bulk at 180 °C with good end-group fidelity using a highly abundant catalyst. Furthermore, cytotoxicity tests confirm that PLLA synthesized with taurine is non-toxic. Moreover, it is demonstrated that the presence of taurine does not have any detrimental effect on the thermal stability of polylactide, and therefore polymers can be used directly without any post-polymerization purification. It is believed that the demonstration that a simple structure composed of a single amino acid can promote polymerization can bring a paradigm shift in the preparation of polymers.

Lactide and Ethylene Brassylate-Based Thermoplastic Elastomers and Their Nanocomposites with Carbon Nanotubes: Synthesis, Mechanical Properties and Interaction with Astrocytes

Polylactide (PLA) is among the most commonly used polymers for biomedical applications thanks to its biodegradability and cytocompatibility. However, its inherent stiffness and brittleness are clearly inappropriate for the regeneration of soft tissues (e.g., neural tissue), which demands biomaterials with soft and elastomeric behavior capable of resembling the mechanical properties of the native tissue. In this work, both L- and D,L-lactide were copolymerized with ethylene brassylate, a macrolactone that represents a promising alternative to previously studied comonomers (e.g., caprolactone) due to its natural origin. The resulting copolymers showed an elastomeric behavior characterized by relatively low Young's modulus, high elongation at break and high strain recovery capacity. The thermoplastic nature of the resulting copolymers allows the incorporation of nanofillers (i.e., carbon nanotubes) that further enable the modulation of their mechanical properties. Additionally, nanostructured scaffolds were easily fabricated through a thermo-pressing process with the aid of a commercially available silicon stamp, providing geometrical cues for the adhesion and elongation of cells representative of the nervous system (i.e., astrocytes). Accordingly, the lactide and ethylene brassylate-based copolymers synthesized herein represent an interesting formulation for the development of polymeric scaffolds intended to be used in the regeneration of soft tissues, thanks to their adjustable mechanical properties, thermoplastic nature and observed cytocompatibility.

Modulating the Crystallinity of a Circular Plastic Towards Packaging Material with Outstanding Barrier Properties

Chemically recyclable polymers have attracted increasing attention since they are promising materials in a circular economy, but such polymers appropriate for packaging applications are scarce. Here we present a combined thermal, mechanical, and transport (permeability and sorption) study of a circular polymer system based on biobased trans-hexahydrophthalide which, upon polymerization, can lead to amorphous, homochiral crystalline, and nanocrystalline stereocomplex materials. This study uncovers their largely different transport properties of the same polymer but with different stereochemical arrangements and synergistic or conflicting effects of crystallinity on transport properties versus thermal and mechanical properties. Overall, the homocrystalline chiral polymer shows the best performance with an outstanding barrier character to gases and vapors, outperforming commercial poly(ethylene terephthalate) and polyethylene. The results presented herein show that it is possible to modify the crystalline structure of the same polymer to tune the mechanical and transport properties and generate multiple materials of different barrier characters. This article is protected by copyright. All rights reserved.

Lactide-Valerolactone Copolymers for Packaging Applications

Lactide-valerolactone copolymers have potential application in the packaging sector. Different copolymers were synthesized, and the kinetics of the copolymerization reactions and the microstructure of the copolymers were analysed. Lactide showed higher reactivity than valerolactone which leads to composition drift through the reaction. Thermal, mechanical and barrier properties of the selected copolymers were studied. Overall, the incorporation of valerolactone results in copolymers with higher ductility than poly(lactide) with intermediate water and oxygen permeability which makes these materials appropriate candidates for use in the packaging sector.

[Evaluation of the collaboration between Primary and Hospital Care in order to improve inappropriate prescription]

INTRODUCTION AND OBJECTIVES

To evaluate the implementation of a collaborative experience between Primary (PC) and Hospital Care (HC) aimed at reducing potentially inappropriate prescribing (PIP) in patients with polypharmacy.

MATERIALS AND METHODS

Collaborative experience including a controlled before-after intervention study, carried out in the Donostialdea Integrated Health Organization (IHO), with Bilbao Basurto IHO as control group, Osakidetza, Basque Health Service. Participant were 227 PC physicians and physicians from 7 hospital services, and patients with 5 or more drugs meeting at least one PIP criteria. The intervention consisted of communication and knowledge between professionals, PC-HC consensus, training, identification of patients at risk, medication review, evaluation and feed-back. The collaboration process (agreements, consensus documents, training activities) and the change in the prevalence of PIP in polymedicated patients (using computerised health records) were evaluated.

RESULTS

A total of 21 PIP criteria and 6 recommendation documents were agreed. An analysis was performed on 15,570 PIP from OSI Donostialdea and 24,866 from the control group. The prevalence of PIP in polymedicated patients was reduced by -4.53% (95% CI: -4.71 to -4.36, P< .0001) in comparison with the control group. The before-after differences were statistically significant across the 7 services.

CONCLUSIONS

PC-HC collaboration is feasible and, along with other intervention components, reduces inappropriate polypharmacy in the context of a recently integrated healthcare organisation. The collaboration process is complex and requires continuous monitoring, policy involvement, leadership that encourages health professional participation, and intensive use of information systems.

Poly(hydroxy acids) derived from the self-condensation of hydroxy acids: from polymerization to end-of-life options

Poly(hydroxy acids) derived from the self-condensation of hydroxy acid are biodegradable and can be fully recycled in a Circular Economy approach.

Correction: Poly(hydroxy acids) derived from the self-condensation of hydroxy acids: from polymerization to end-of-life options

Correction for ‘Poly(hydroxy acids) derived from the self-condensation of hydroxy acids: from polymerization to end-of-life options’ by Elena Gabirondo et al., Polym. Chem., 2020, 11, 4861–4874, DOI: 10.1039/D0PY00088D.

Packaging materials with desired mechanical and barrier properties and full chemical recyclability

Plastics have become indispensable in modern life and the material of choice in packaging applications, but they have also caused increasing plastic waste accumulation in oceans and landfills. Although there have been continuous efforts to develop biodegradable plastics, the mechanical and/or transport properties of these materials still need to be significantly improved to be suitable for replacing conventional plastic packaging materials. Here we report a class of biorenewable and degradable plastics, based on copolymers of γ-butyrolactone and its ring-fused derivative, with competitive permeability and elongation at break compared to commodity polymers and superior mechanical and transport properties to those of most promising biobased plastics. Importantly, these materials are designed with full chemical recyclability built into their performance with desired mechanical and barrier properties, thus representing a circular economy approach to plastic packaging materials.

Elaboration and Characterization of Conductive Polymer Nanocomposites with Potential Use as Electrically Driven Membranes

In this work, a general, facile, and relatively low-cost method to produce electrically driven non-porous membranes by revalorization of recycled polyolefins is proposed. The polymer matrices are poly(propylene) (PP) and poly(ethylene) (PE) and their corresponding recycled samples, which are respectively mixed with carbon nanotubes (CNT). The performances of the elaborated nanocomposites are studied by morphological, rheological, and electrical conductivity tests. The Joule heating effect is evaluated by applying an electric field and recording the corresponding temperature rise. An increase of 90 °C is obtained in certain cases, which represents the highest temperature enhancement reached so far by the Joule effect in thermoplastics, to our knowledge. The work shows a route to develop stimulus (voltage)-response (temperature) materials with low cost and with potential applications in many fields. As an example, the increase of the permeability with temperature of membranes made of the indicated nanocomposites, is analyzed.

Modelling and control of the microstructure of comb-like poly(MAA-co-PEGMA) water-soluble copolymers

Modelling and controlling the cumulative copolymer composition of the copolymerisation of water soluble monomers MAA and PEGMAS.

Ethylene brassylate-co-δ-hexalactone biobased polymers for application in the medical field: synthesis, characterization and cell culture studies

Biodegradable polyesters based on ethylene brassylate and δ-hexalactone were synthesized by ring-opening polymerization and thoroughly characterized.

Synthesis and properties of ω-pentadecalactone-co-δ-hexalactone copolymers: a biodegradable thermoplastic elastomer as an alternative to poly(ε-caprolactone)

The copolymerization of ω-pentadecalactone with δ-hexalactone creates a new kind of low glass transition polyester that shows improved biodegradability and flexibility in comparison to poly(ε-caprolactone) (PCL).

A new generation of poly(lactide/ε-caprolactone) polymeric biomaterials for application in the medical field

Thermoplastic biodegradable polymers displaying an elastomeric behavior are greatly valued for the regeneration of soft tissues and for various medical devices. In this work, terpolymers composed of ε-caprolactone (CL), D-lactide (D-LA), and L-lactide (L-LA) were synthesized. These poly(lactide-ε-caprolactone) (PLCLs) presented an elevated randomness character (R∼1), glass transition temperatures (Tg ) higher than 20°C and adjusted L-LA content. In this way, the L-LA average sequence length (/L-LA ) was reduced to below 3.62 and showed little or no crystallization capability during in vitro degradation. As a result, the obtained materials underwent homogenous degradation exhibiting KMw ranging from 0.030 to 0.066 d(-1) and without generation of crystalline remnants in advanced stages of degradation. Mechanical performance was maintained over a period of 21 days for a rac-lactide-ε-caprolactone copolymer composed of ∼85% D,L-LA and ∼15% CL and also for a terpolymer composed of ∼72% L-LA, ∼12% D-LA and ∼16% CL. Terpolymers having L-LA content from ∼60 to 70% and CL content from ∼10 to 27% were also studied. In view of the results, those materials having CL and D-LA units disrupting the microstructural arrangement of the L-LA crystallizable chains, an L-LA content <72% and a random distribution of sequences, may display proper and tunable mechanical behavior and degradation performance for a large number of medical applications. Those with a CL content from 15 to 30% will fulfill the demand of elastomeric materials of Tg higher than 20°C whereas those with a CL content from 5 to 15% might be applied as ductile stiff materials.

Posterior reversible encephalopathy syndrome as a revealing manifestation of Guillain-Barré syndrome

We report a patient with a Guillain-Barré syndrome (GBS) revealed by a posterior reversible encephalopathy syndrome (PRES). The PRES is typically associated with bilateral parieto-occipital T2 and FLAIR hyperintense MRI lesions and observed in various etiologic conditions leading to acute arterial hypertension. PRES results from a breakdown of the circulatory autoregulation, many in the posterior cerebral territories. GBS can be considered as an independent risk factor of PRES, due to acute dysautonomia and pain with consecutive arterial hypertension, as well as to cytokine production changing capillary permability. Such patients with PRES-revealed GBS may be treated with intravenous immunoglobulin therapy only after exclusion of any ischemic or hemorrhagic cerebral complications, and after control of the blood pressure and of the encephalopathic signs and symptoms.