RESUMEN
Atopic dermatitis (AD) is a common, chronic, relapsing-remitting inflammatory disease that can be challenging to treat. Patients with mild disease are usually managed well with good skin care practices including moisturization and appropriate bathing along with intermittent use of topical therapies such as topical corticosteroids and/or topical calcineurin inhibitors during flares. Patients with frequent flares may benefit from proactive application of topical therapies twice a week to the most troublesome areas. Patients with severe disease often present significant treatment challenges. Systemic therapies are usually required for severe AD but have varying degrees of success and can be associated with side-effect profiles that require counseling and close monitoring. Phototherapy has been shown to have success in treating moderate-to-severe AD, but several factors can limit its utility and efficacy including cost and access. New therapies are in development targeting specific pathways relevant for AD. Dupilumab was the first biologic treatment approved in North America, Europe, and Japan for adults with moderate-to-severe AD. Although this treatment can lead to rapid improvement in the majority of patients, there are inadequate responders. In this review, we discuss the clinical challenges and treatment options for moderate-to-severe refractory AD.
RESUMEN
Carbon Nanotube/High Density Polyethylene (CNT/HDPE) composites were manufactured and tested to determine their wear behavior. The nanocomposites were made from untreated multi-walled carbon nanotubes and HDPE pellets. Thin films of the precursor materials were created with varying weight percentages of nanotubes (1%, 3%, and 5%), through a process of mixing and extruding. The precursor composites were then molded and machined to create test specimens for mechanical and wear tests. These included small punch testing to compare stiffness, maximum load and work-to-failure and block-on-ring testing to determine wear behavior. Each of the tests was conducted for the different weight percentages of composite as well as pure HDPE as the baseline. The measured mechanical properties and wear resistance of the composite materials increased with increasing nanotube content in the range studied.