[Application of “major scientific issues and engineering technology difficulties in traditional Chinese medicine(2019-2021)” in national science and t echnology layout]

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In order to judge the future development trend of science and technology, plan ahead and lay out the frontier technology fields and directions, China Association of Chinese Medicine(CACM) has launched consultation projects for collecting "major scienti-fic issues and engineering technology difficulties in traditional Chinese medicine(TCM)" for the industry for three consecutive years since 2019. Up to now, 18 projects have been selected as major issues for research, and some experience and achievements have been made. These projects have been applied in important scientific and technological work such as scientific and technological planning and deployment at all levels of national, local, and scientific research institutions, the selection and cultivation of major national scientific and technological projects, and the construction of innovation bases, giving full play to the role of the think tank advisory committee of CACM. This study reviewed the selection of major issues for the first time, systematically combed its application in the national layout of science and technology, and put forward the existing problems and improvement suggestions, aiming to provide new ideas for further improving the selection of major issues and research direction, providing a theoretical basis and decision support for the national scientific and technological layout in the field of TCM, and promoting scientific and technological innovation to facilitate the high quality development of TCM.


Keywords:

industrial development; modernization of traditional Chinese medicine; policy research; scientific and technological innovation; traditional Chinese medicine theory.

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Health economic evaluation of preventive digital public health interventions using decision-analytic modelling: a systematized review

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Background:

Digital public health (DiPH) provides novel approaches for prevention, potentially leading to long-term health benefits in resource-limited health systems. However, cost-effectiveness of DiPH interventions is unclear. This systematized review investigates the use of decision-analytic modelling in health economic evaluations of DiPH primary prevention and health promotion interventions, focusing on intervention’s design, methods used, results, and reporting quality.


Methods:

PubMed, CINAHL, and Web of science were searched for studies of decision-analytic economic evaluations of digital interventions in primary prevention or health promotion, published up to June 2022. Intervention characteristics and selected items were extracted based on the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). Incremental cost-effectiveness ratios (ICERs) were then extracted and price-adjusted to compare the economic evaluation results. Finally, the included studies’ reporting quality was assessed by building a score using CHEERS.


Results:

The database search (including search update) produced 2,273 hits. After removing duplicates, 1,434 titles and abstracts were screened. Of the 89 studies meeting the full-text search criteria, 14 were ultimately reviewed. The most common targets were physical activity (five studies) and weight loss (four). Digital applications include text messages, web-based inventions, app-based interventions, e-learning devices, and the promotion of smartphone apps. The mean ICER of the 12 studies using quality-adjusted life years (QALYs) is €20,955 per QALY (min. – €3,949; max. €114,211). The mean of reported CHEERS items per study is 81% (min. 59%; max. 91%).


Conclusions:

This review only includes primary prevention and health promotion, and thus excludes other DiPH fields (e.g. secondary prevention). It also focuses on decision-analytic models, excluding study-based economic evaluations. Standard methods of economic evaluation could be adapted more to the specifics of DiPH by measuring the effectiveness of more current technologies through alternative methods, incorporating a societal perspective, and more clearly defining comparators. Nevertheless, the review demonstrates using common thresholds that the new field of DiPH shows potential for cost-effective preventive interventions.


Keywords:

Cost-effectiveness; Cost-utility; Digital health; Digital public health; Economic evaluation; Prevention; eHealth; mHealth.

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Monometallic and alloy nanoparticles: a review of biomedical applications

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Current intrinsic deficiencies in biomedicine promote the rapid development of alternative multitasking approaches. Recently, monometallic and alloy nanoparticles (NPs) have been widely studied for their potential biomedical applications. However, the research mainly focuses on monometallic compounds and metal oxide NPs that have already been studied. In this review, we investigate promising modified mono- and bimetallic NPs for improving the current state of materials science in medicine. It was contended that effective general biomedical applications can be enhanced by intelligent NP design. Particularly, we discuss transition and platinum metal compositions, iron-based and non-iron compounds, along with liquid alloys. Subsequently, we explore the capabilities provided by modifications such as inorganic and organic coatings, polymers, and biomolecules that can invent new NP designs for precise applications, ultimately resulting in an improved patient outcome. We provide a comprehensive assessment of the advantages and limitations of monometallic and alloy nanomaterials and possible solutions to problems that delay their development.

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Recent advances in sustainable N-heterocyclic carbene-Pd(II)-pyridine (PEPPSI) catalysts: A review

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Various catalysts in homogeneous or heterogeneous catalysis deploy unconventional reaction pathways by lowering the activation energy (AE) barrier, controlling the selectivity, and creating environmental impact, thereby bringing about economic viability. Hence, the study of these methodologies is of immense interest. To develop a new chemistry, there is much scope for the invention of brilliant candidates that could effectively catalyze diverse reaction methodologies. The palladium-catalyzed reactions motivate interesting applications on various organic transformations under mild reaction conditions. Although phosphorous designed ligands or catalysts have been used, despite their expensiveness, sensitivity and other properties, there is the necessity of developing even better cross-coupling ligands or catalysts such as N-heterocyclic carbene (NHC)-based palladium complexes. These palladium-NHCs (Pd-NHC) are novel and universal nucleophilic entities that have come into light as the most successful class of catalysts in organometallic chemistry. In the same class, a specific category of palladium-NHCs such as palladium-pyridine enhanced pre-catalyst preparation by the stabilization initiation (palladium-PEPPSI) complexes, are emerging as versatile alternatives to phosphine containing palladium complexes for various cross-coupling reactions due to their excellent catalytic activity. Further to mention that NHCs are recently extensively used as ancillary ligands in organometallic chemistry, which includes industrial-related catalytic transformations due to strong σ-donors to metal centres. Apart from this, many NHC-metal complexes are the fascinating consideration in material science as probable metallo-pharmaceuticals. The current review offers a brief exploration of palladium-PEPPSI complexes over the past few years. Further, the synthesis of a variety of these types of catalysts, their applications in Suzuki-Miyaura, Buchwald-Hartwig, Sonogashira, Negishi couplings direct C2-arylation, O-C(O) cleavage, α-arylation/alkylation of carbonyl compounds and trans-amidation reactions via cross-coupling methodologies, which are covered. Additionally, reported recent developments on reusable heterogeneous PdPEPPSI complexes and their catalytic applications are being covered. Finally, the chiral Pd complexes and their asymmetric transformations are discussed.


Keywords:

C-C/C-heteroatom bond formations; C–H activation; Environmentally sustainable processes; Green synthesis; Heterogeneous catalysis; Homogeneous catalysis; Palladium-NHCs; Palladium-PEPPSI catalysts.

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