The efficacy of antiretroviral therapy is significantly compromised by medication non-adherence. Long-acting enteral systems that can ease the burden of daily adherence have not yet been developed. Here we describe an oral dosage form composed of distinct drug–polymer matrices which achieved week-long systemic drug levels of the antiretrovirals dolutegravir, rilpivirine and cabotegravir in a pig. Simulations of viral dynamics and patient adherence patterns indicate that such systems would significantly reduce therapeutic failures and epidemiological modelling suggests that using such an intervention prophylactically could avert hundreds of thousands of new HIV cases. In sum, weekly administration of long-acting antiretrovirals via a novel oral dosage form is a promising intervention to help control the HIV epidemic worldwide.
Periodic structures with extremely low porosities capable of forming large band gaps-frequency ranges with strong wave attenuation-are designed by patterning an elastic sheet with an array of alternating crack-like pores separated by small ligaments. The results indicate that the presence and size of the band gaps are controlled by the smallest geometric -feature in the system (which can be easily controlled by tuning the aspect ratio of the pores), providing an important guideline for the design of systems with the -desired response.
In this study, we report a novel periodic material with negative Poisson’s ratio (also called auxetic materials) fabricated by denting spherical dimples in an elastic flat sheet. While previously reported auxetic materials are either porous or comprise at least two phases, the material proposed here is non-porous and made of a homogeneous elastic sheet. Importantly, the auxetic behavior is induced by a novel mechanism which exploits the out-of-plane deformation of the spherical dimples. Through a combination of experiments and numerical analyses, we demonstrate the robustness of the proposed concept, paving the way for developing a new class of auxetic materials that significantly expand their design space and possible applications.
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