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Inclusion complexes require higher concentration of Beta cyclodextrins (βCD) resulting in increased formulation bulk, toxicity, and production costs. This systematic review offers a comprehensive analysis using Quality by design (QbD) as a tool to predict potential applications of Polyvinylpyrrolidone (PVP) as a ternary substance to address issues of inclusion complexes. We reviewed 623 documents from 2013 to 2023 and Eighteen (18) research papers were selected for statistical and meta-analysis using the QbD concept to identify the most critical factors for selecting drugs and effect of PVP on inclusion complexes. The QbD analysis revealed that Molecular weight (MW), Partition coefficient (Log P), and the auxiliary substance ratio directly affected complexation efficiency (CE), thermodynamic stability in terms of Gibbs free energy (ΔG), and percent drug release. However, Stability constant (K) remained unaffected by any of these parameters. The results showed that low MW (250), median Log P (6), and a βCD: PVP ratio of 2:3 would result in higher CE, lower G, and improved drug release. PVP improves drug solubility, enhances delivery and therapeutic outcomes, and counteracts increased drug ionization due to decreased pH. In certain cases, its bulky nature and hydrogen bonding with CD molecules can form non-inclusion complexes. The findings of the study shows that there is potential molecular interaction between PVP and β-cyclodextrins, which possibly enhances the stability of inclusion complexes for drug with low MW and log P values less than 9. The systematic review shows a comprehensive methodology based on QbD offers a replicable template for future investigations into drug formulation research.
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http://dx.doi.org/10.1208/s12249-024-02845-3 | DOI Listing |
Genome Biol
September 2025
Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, 100101, Beijing, China.
Background: Centromeres are crucial for precise chromosome segregation and maintaining genome stability during cell division. However, their evolutionary dynamics, particularly in polyploid organisms with complex genomic architectures, remain largely enigmatic. Allopolyploid wheat, with its well-defined hierarchical ploidy series and recent polyploidization history, serves as an excellent model to explore centromere evolution.
View Article and Find Full Text PDFJ Robot Surg
September 2025
Department of General Surgery, Giglio Hospital Foundation, Cefalu', Italy.
The adoption of robotic pancreatectomy has grown significantly in recent years, driven by its potential advantages in precision, minimally invasive access, and improved patient recovery. However, mastering these complex procedures requires overcoming a substantial learning curve, and the role of structured mentoring in facilitating this transition remains underexplored. This systematic review and meta-analysis aimed to comprehensively evaluate the number of cases required to achieve surgical proficiency, assess the impact of mentoring on skill acquisition, and analyze how outcomes evolve throughout the learning process.
View Article and Find Full Text PDFUpdates Surg
September 2025
Surgical Department, HPB Unit Pederzoli Hospital, Peschiera del Garda, Verona, Italy.
Minimally invasive pancreaticoduodenectomy is gaining success among surgeons also for the increasing use of robotic approach. Ideal candidates are patients with small, confined tumor and dilatated Wirsung duct which is a quite rare clinical conditions: in fact, most of minimally invasive pancreaticoduodenectomies are performed for periampullary cancer, easy to remove but with soft pancreatic remnant and tiny Wirsung duct. The result is the technical challenge of the pancreatico-enteric reconstructions.
View Article and Find Full Text PDFActa Ortop Mex
September 2025
Servicio de Ortopedia y Traumatología, Hospital de San Rafael, Hospitales Pascual. Cádiz, España.
Introduction: anatomical deformities such as developmental dysplasia of the hip (DDH) and Perthes disease represent a challenge for reconstruction. The use of 3D-printed models can be helpful for assessing the deformity, bone mass, implant size, and orientation.
Objectives: to prospectively evaluate the outcomes of 3D simulation in primary total hip arthroplasty.
J Sci Med Sport
August 2025
Sports Performance, Recovery, Injury and New Technologies Research Centre, Australian Catholic University, Australia; School of Behavioural and Health Sciences, Australian Catholic University, Brisbane, Australia.
Objectives: This systematic review and meta-analysis examined the effectiveness of lumbo-pelvic-hip complex strengthening and/or stabilisation exercises, with and without isolated pelvic floor muscle training, on postpartum pelvic floor health. Specifically, effects on pelvic floor muscle strength, endurance, activity, and pelvic floor dysfunction symptom severity were analysed.
Design: A systematic review and meta-analysis of randomised controlled trials was conducted.