Efficiency assessment of primary care providers: A conditional nonparametric approach

This paper uses a fully nonparametric approach to estimate efficiency measures for primary care units incorporating the effect of (exogenous) environmental factors. This methodology allows us to account for different types of variables (continuous and discrete) describing the main characteristics of patients served by those providers. In addition, we use an extension of this nonparametric approach to deal with the presence of undesirable outputs in data, represented by the rates of hospitalization for ambulatory care sensitive condition (ACSC). The empirical results show that all the exogenous variables considered have a significant and negative effect on efficiency estimates.     

Engineering the interface between glucose oxidase and nanoparticles

The behavior of glucose oxidase (GOx) on gold nanoparticles (NPs) was investigated as a function of (1) NP surface chemistry, (2) stabilizing protein additives, and (3) protein microenvironment. GOx secondary structure and unfolding was probed by circular dichroism (CD) spectroscopy and fluorescence, and GOx enzymatic activity was measured by a colorimetric assay. We also examined the activity and structure of GOx after displacement from the NP surface. Generally, GOx behavior was negatively impacted by conjugation to the NP, and conjugation conditions could vary the influence of the NP. Surface chemistry and protein microenvironment could improve behavior, but addition of stabilizing proteins negatively influenced activity. After displacement from the NPs, GOx tended to remain unfolded, indicating that the interactions with the NP were irreversible.     

Adsorbed liposome deformation studied with quartz crystal microbalance

Deformation of surface-adsorbed liposomes is an important parameter that governs the kinetics of their transformations, but one that is very difficult to measure in the case of nm-size liposomes. We investigate the deformation of dimyristoyl phosphatidyl choline liposomes by quartz crystal microbalance (QCM) as a function of temperature and show that it follows the dependence of this lipid's bending modulus on temperature, as expected from theoretical considerations. To corroborate our approach, we model QCM response from adsorbed liposomes by explicitly considering their shape and mechanical properties.     

Flexible and dynamic thermal behavior of self-catenated [{Ni3(H2O)3(Bpa)4}(V6O18)]·8H2O constructed from 10-c heterometallic inorganic-organic clusters

The hydrothermal treatment of Ni(NO(3))(2)·6H(2)O, NaVO(3), and Bpa (1,2-Di(pyridyl)ethane) (C(12)H(12)N(2)) at 120 °C during 3 days leads to green single crystals of the title compound. The single crystal X-ray diffraction reveals that [{Ni(3)(H(2)O)(3)(Bpa)(4)}(V(6)O(18))]·8H(2)O crystallizes in the monoclinic system, P2(1)/c space group, with a = 13.5536 (2), b = 19.0463 (2), c = 27.7435 (3) ?, β = 112.3880 (10)°, V = 6622(3) ?(3), with R1(obs) = 0.0558, wR2(obs) = 0.1359, for 10278 observed reflections. The complexity of the crystal structure is based on different points, as the existence of: both "gauche" and "trans" conformations of the organic ligand, the [V(12)O(36)](-12) cycles, formed by 12 corner-sharing VO(4) tetrahedra, and, finally, the combination of both three-dimensional metal-organic and inorganic substructures, giving rise to a self-catenated highly connected net. The crystallization water molecules are semi-encapsulated in the channels along the [100] direction, and their loss gives rise to a dynamical and reversible structural contraction. Moreover, after the removal of the crystallization water molecules, the compound exhibits a negative thermal behavior in the 85-155 °C temperature range, and irreversible structural transformation due to the loss of coordinated water molecules up to 200 °C. The IR and UV-vis spectra were determined for the as-synthesized sample, after the removal of crystallization water molecules and after the irreversible transformation due to the loss of coordinated water molecules. The thermal evolution of χ(m) was adjusted to a magnetic model considering an isotropic dimer plus two Ni(II) d(8) isolated octahedra.     

2-Oxopiperazine-based gamma-turn conformationally constrained peptides: synthesis of CCK-4 analogues

2-Oxopiperazine derivatives 1 have been designed as mimetics of gamma-turn conformationally constrained tripeptides. The synthetic pathway devised for the preparation of both epimers of 1 at C(5) involves a reductive amination of cyanomethyleneamino pseudopeptides with amino acid derivatives, followed by regiospecific lactamization of the resulting C-backbone branched pseudopeptides. The versatility of this methodology is illustrated in the synthesis of analogues of the tetrapeptides Boc-[Nle(31)]-CCK-4 and Boc-[Lys(o-tolylaminocarbonyl)(31)]-CCK-4. The introduction of the new conformational restriction into these Boc-CCK-4 analogues led to a loss of 2 or 3 orders of magnitude in the affinity at CCK receptors. These results suggest the absence of a gamma-turn in the bioactive conformation of the C-terminal tripeptide of CCK-4.     

A validated solid-liquid extraction method for the HPLC determination of polyphenols in apple tissues Comparison with pressurised liquid extraction

A solid-liquid extraction procedure followed by reversed-phase high-performance liquid chromatography (RP-HPLC) coupled with a photodiode array detector (DAD) for the determination of polyphenols in freeze-dried apple peel and pulp is reported. The extraction step consists in sonicating 0.5 g of freeze-dried apple tissue with 30 mL of methanol-water-acetic acid (30:69:1, v/v/v) containing 2 g of ascorbic acid/L, for 10 min in an ultrasonic bath. The whole method was validated, concluding that it is a robust method that presents high extraction efficiencies (peel: >91%, pulp: >95%) and appropriate precisions (within day: R.S.D. (n = 5) <5%, and between days: R.S.D. (n = 5) <7%) at the different concentration levels of polyphenols that can be found in apple samples. The method was compared with one previously published, consisting in a pressurized liquid extraction (PLE) followed by RP-HPLC-DAD determination. The advantages and disadvantages of both methods are discussed.     

Diastereoselective formation of homochiral flexible perylene bisimide cyclophanes and their hybrids with fullerenes

Cyclophanes of different ring sizes featuring perylene-3,4:9,10-tetracarboxylic acid bisimide (PBI) linked by flexible malonates were designed, synthesized, and investigated with respect to their structural, chemical and photo-physical properties. It is predominantly the number of PBIs and their geometric arrangement, which influence dramatically their properties. For example, two-PBI containing cyclophanes reveal physico-chemical characteristics that are governed by strong co-facial π–π interactions. This is in stark contrast to cyclophanes with either three or four PBIs. Key to co-facial π–π stackings are the flexible malonate linkers, which, in turn, set up the ways and means for diastereoselectivity of the homochiral PBIs at low temperatures, on one hand. In terms of selectivity, diastereomeric (M,M)/(P,P) : (M,P)/(P,M) pairs with a ratio of approximately 10 : 1 are discernible in the ¹H NMR spectra in C₂D₂Cl₄ and a complete diastereomeric excess is found in CD₂Cl₂. On the other hand, symmetry-breaking charge transfer as well as charge separation at room temperature are corroborated in steady-state and time-resolved photo-physical investigations. Less favourable are co-facial π–π stackings in the three-PBI containing cyclophanes. For statistical reasons, the diastereoisomers (M,M,M)/(P,P,P) and (M,M,P)/(P,P,M) occur here in a ratio of 1 : 3. In this case, symmetry-breaking charge transfer as well as charge separation are both slowed down. The work was rounded-off by integrating next to the PBIs, for the first time, hydrophobic or hydrophilic fullerenes into the resulting cyclophanes. Our novel fullerene–PBI cyclophanes reveal unprecedented diastereoselective formation of homochiral (M,M)/(P,P) pairs exceeding the traditional host–guest approach. Hybridization with fullerenes allows us to modulate the resulting solubility, stacking, cavity and chirality, which is of tremendous interest in the field.

Perylene bisimide (PBI) cyclophanes linked by flexible malonates were functionalized with fullerenes. Modulation of the chemical environment enhances the chiral self-sorting, leading exclusively to the homochiral diastereomeric pair (M,M)/(P,P).     

Photocatalytic and magnetic titanium dioxide/polystyrene/magnetite composite hybrid polymer particles

Novel multifunctional titanium dioxide (TiO₂)/polystyrene/magnetite composite hybrid polymer particle dispersions with TiO₂ nanoparticles in the surface and magnetite nanoparticles encapsulated inside the polymer matrix were produced by Pickering miniemulsion polymerization in one single step. Whereas TiO₂ nanoparticles were used to impart photocatalytic functionality and colloidal stability, magnetite nanoparticles were incorporated to allow an easy extraction for recovery and reuse of the composite multifunctional particles. The morphology of the composite particles was assessed by scanning transition electron microscopy (STEM) and energy‐dispersive X‐ray spectroscopy (EDX). The paramagnetism of the particles was analyzed using a SQUID magnetometer and their photocatalytic activity was assessed by degrading methylene blue (MB) solutions under UV light and by recovering and reusing of the particles in five consecutive cycles. © 2016 Wiley Periodicals, Inc. J. Polym. Sci., Part A: Polym. Chem. 2016 , 54, 3350–3356     

A Concise Synthesis of a BODIPY-Labeled Tetrasaccharide Related to the Antitumor PI-88

A convergent synthetic route to a tetrasaccharide related to PI-88, which allows the incorporation of a fluorescent BODIPY-label at the reducing-end, has been developed. The strategy, which features the use of 1,2-methyl orthoesters (MeOEs) as glycosyl donors, illustrates the usefulness of suitably-designed BODIPY dyes as glycosyl labels in synthetic strategies towards fluorescently-tagged oligosaccharides.