scholarly journals Measurement of Adhesion of Sternal Wires to a Novel Bioactive Glass-Based Adhesive

2019 ◽  
Vol 10 (3) ◽  
pp. 37
Author(s):  
Varinder Pal Singh Sidhu ◽  
Mark R. Towler ◽  
Marcello Papini
Keyword(s):  
Loading Rate ◽  
Static Friction ◽  
Healing Time ◽  
Strain Rates ◽  
Scanning Electron Micrographs ◽  
The Novel ◽  
Sternal Closure ◽  
Pull Out ◽  
Steel Wires ◽  
Significant Difference

Stainless steel wires are the standard method for sternal closure because of their strength and rigidity, the simplicity of the process, and the short healing time that results from their application. Despite this, problems still exist with sternal stability due to micromotion between the two halves of the dissected and wired sternum. Recently, a novel glass-based adhesive was developed which, in cadaveric trials and in conjunction with wiring, was shown to restrict this micromotion. However, in order to avoid complications during resternotomy, the adhesive should adhere only to the bone and not the sternal wire. In this study, sternal wires were embedded in 8 mm discs manufactured from the novel glass-based adhesive and the constructs were then incubated at 37 °C for one, seven, and 30 days. The discs were manufactured in two different thicknesses: 2 and 3 mm. Wire pull-out tests were then performed on the constructs at three different strain rates (1, 0.1, and 0.01 mm/min). No statistically significant difference in pull-out force was found regardless of incubation time, loading rate, or construct thickness. The pull-out forces recorded were consistent with static friction between the wire and adhesive, rather than the adhesion between them. Scanning electron micrographs provided further proof of this. These results indicate that the novel adhesive may be suitable for sternal fixation without complicating a potential resternotomy.

scholarly journals Anatomy of the Distal End of Flexor Digitorum Longus Tendon and Percutaneous Release Technique: A Cadaveric Study

2019 ◽  
Vol 4 (4) ◽  
pp. 247301141988427
Author(s):  
Baofu Wei ◽  
Ruoyu Yao ◽  
Annunziato Amendola
Keyword(s):  
Distal Phalanx ◽  
Neurovascular Bundle ◽  
Middle Phalanx ◽  
Flexor Digitorum Longus ◽  
Longus Tendon ◽  
Pull Out ◽  
Percutaneous Release ◽  
Significant Difference ◽  
Distal Interphalangeal ◽  
Flexor Digitorum

Background: The transfer of flexor-to-extensor is widely used to correct lesser toe deformity and joint instability. The flexor digitorum longus tendon (FDLT) is percutaneously transected at the distal end and then routed dorsally to the proximal phalanx. The transected tendon must have enough mobility and length for the transfer. The purpose of this study was to dissect the distal end of FDLT and identify the optimal technique to percutaneously release FDLT. Methods: Eight fresh adult forefoot specimens were dissected to describe the relationship between the tendon and the neurovascular bundle and measure the width and length of the distal end of FDLT. Another 7 specimens were used to create the percutaneous release model and test the strength required to pull out FDLT proximally. The tendons were randomly released at the base of the distal phalanx (BDP), the space of the distal interphalangeal joint (SDIP), and the neck of the middle phalanx (NMP). Results: At the distal interphalangeal (DIP) joint, the neurovascular bundle begins to migrate toward the center of the toe and branches off toward the center of the toe belly. The distal end of FDLT can be divided into 3 parts: the distal phalanx part (DPP), the capsule part (CP), and the middle phalanx part (MPP). There was a significant difference in width and length among the 3 parts. The strength required to pull out FDLT proximally was about 168, 96, and 20 N, respectively, for BDP, SDIP, and NMP. Conclusion: The distal end of FDLT can be anatomically described at 3 locations: DPP, CP, and MPP. The tight vinculum brevis and the distal capsule are strong enough to resist proximal retraction. Percutaneous release at NMP can be performed safely and effectively. Clinical Relevance: Percutaneous release at NMP can be performed safely and effectively during flexor-to-extensor transfer.

scholarly journals Optimizing Manufacturing and Osseointegration of Ti6Al4V Implants through Precision Casting and Calcium and Phosphorus Ion Implantation? In Vivo Results of a Large-Scale Animal Trial

Materials ◽  
2020 ◽  
Vol 13 (7) ◽  
pp. 1670 ◽  
Author(s):  
Wölfle-Roos JV ◽  
Katmer Amet B ◽  
Fiedler J ◽  
Michels H ◽  
Kappelt G ◽  
...  
Keyword(s):  
Ion Implantation ◽  
Large Scale ◽  
In Vivo Studies ◽  
Control Group ◽  
Implant Surface ◽  
Precision Casting ◽  
Pull Out ◽  
Significant Difference ◽  
Calcium And Phosphorus

Background: Uncemented implants are still associated with several major challenges, especially with regard to their manufacturing and their osseointegration. In this study, a novel manufacturing technique—an optimized form of precision casting—and a novel surface modification to promote osseointegration—calcium and phosphorus ion implantation into the implant surface—were tested in vivo. Methods: Cylindrical Ti6Al4V implants were inserted bilaterally into the tibia of 110 rats. We compared two generations of cast Ti6Al4V implants (CAST 1st GEN, n = 22, and CAST 2nd GEN, n = 22) as well as cast 2nd GEN Ti6Al4V implants with calcium (CAST + CA, n = 22) and phosphorus (CAST + P, n = 22) ion implantation to standard machined Ti6Al4V implants (control, n = 22). After 4 and 12 weeks, maximal pull-out force and bone-to-implant contact rate (BIC) were measured and compared between all five groups. Results: There was no significant difference between all five groups after 4 weeks or 12 weeks with regard to pull-out force (p > 0.05, Kruskal Wallis test). Histomorphometric analysis showed no significant difference of BIC after 4 weeks (p > 0.05, Kruskal–Wallis test), whereas there was a trend towards a higher BIC in the CAST + P group (54.8% ± 15.2%), especially compared to the control group (38.6% ± 12.8%) after 12 weeks (p = 0.053, Kruskal–Wallis test). Conclusion: In this study, we found no indication of inferiority of Ti6Al4V implants cast with the optimized centrifugal precision casting technique of the second generation compared to standard Ti6Al4V implants. As the employed manufacturing process holds considerable economic potential, mainly due to a significantly decreased material demand per implant by casting near net-shape instead of milling away most of the starting ingot, its application in manufacturing uncemented implants seems promising. However, no significant advantages of calcium or phosphorus ion implantation could be observed in this study. Due to the promising results of ion implantation in previous in vitro and in vivo studies, further in vivo studies with different ion implantation conditions should be considered.

Comparative Study for the Assay of Plant Derived Chemicals in Pharmaceutical Formulation Using Methods Dependent on Factorized Spectra

2021 ◽  
Author(s):  
Nesma M Fahmy ◽  
Adel M Michael
Keyword(s):  
Pharmaceutical Formulations ◽  
Pharmaceutical Formulation ◽  
Ternary Mixtures ◽  
Ratio Method ◽  
The Novel ◽  
Naturally Occurring ◽  
Accuracy And Precision ◽  
Validation Parameters ◽  
Significant Difference

Abstract Background Modern built-in spectrophotometer software supporting mathematical processes provided a solution for increasing selectivity for multicomponent mixtures. Objective Simultaneous spectrophotometric determination of the three naturally occurring antioxidants—rutin(RUT), hesperidin(HES), and ascorbic acid(ASC)—in bulk forms and combined pharmaceutical formulation. Method This was achieved by factorized zero order method (FZM), factorized derivative method (FD1M), and factorized derivative ratio method (FDRM), coupled with spectrum subtraction(SS). Results Mathematical filtration techniques allowed each component to be obtained separately in either its zero, first, or derivative ratio form, allowing the resolution of spectra typical to the pure components present in Vitamin C Forte® tablets. The proposed methods were applied over a concentration range of 2–50, 2–30, and 10–100 µg/mL for RUT, HES, and ASC, respectively. Conclusions Recent methods for the analysis of binary mixtures, FZM and FD1M, were successfully applied for the analysis of ternary mixtures and compared to the novel FDRM. All were revealed to be specific and sensitive with successful application on pharmaceutical formulations. Validation parameters were evaluated in accordance with the International Conference on Harmonization guidelines. Statistical results were satisfactory, revealing no significant difference regarding accuracy and precision. Highlights Factorized methods enabled the resolution of spectra identical to those of pure drugs present in mixtures. Overlapped spectra of ternary mixtures could be resolved by spectrum subtraction coupled FDRM (SS-FDRM) or by successive application of FZM and FD1M.

Bending Properties of General Purpose Stainless Steel Wire Formed for Orthodontic Use

2013 ◽  
Vol 746 ◽  
pp. 394-399
Author(s):  
Niwat Anuwongnukroh ◽  
Yosdhorn Chuankrerkkul ◽  
Surachai Dechkunakorn ◽  
Pornkiat Churnjitapirom ◽  
Theeralaksna Suddhasthira
Keyword(s):  
Mechanical Properties ◽  
Stainless Steel ◽  
Orthodontic Treatment ◽  
Steel Wire ◽  
General Purpose ◽  
Stainless Steel Wire ◽  
Bending Test ◽  
Bending Properties ◽  
Steel Wires ◽  
Significant Difference

The archwire is generally used in fixed appliances for orthodontic treatment to correct dental malocclusion. However, it is interesting to know whether general purpose stainless steel wire could replace commercial orthodontic archwire in orthodontic practice for economic reasons. The purpose of this study was to determine the bending properties of general purpose stainless steel wire compared with commercial orthodontic stainless steel wires after forming as an archwire for orthodontic use. The samples used in this study were 90 general purpose and 45 commercial (Highland) round stainless steel wires in 0.016, 0.018, and 0.020 sizes (30 general purpose and 15 commercial wires for each size). All 15 general purpose stainless steel wires with different sizes were formed into orthodontic archwire with a Universal Testing Machine. All samples were tested (three-point bending test) for mechanical properties. The results showed no significant difference between general purpose and commercial orthodontic wires in size 0.016 for 0.1 mm offset bending force, 0.2% yield strength, and springback. Although many mechanical properties of general purpose wires differed from commercial wires, their values conformed to other previous studies within the range of clinical acceptance. In conclusion, orthodontic formed general purpose round stainless steel wires had statistically different (p <0.05) mechanical properties from commercial orthodontic stainless steel wires (Highland) but the mechanical properties were acceptable to use in orthodontic treatment.

scholarly journals Cementitious Composites Reinforced with Polypropylene, Nylon and Polyacrylonitile Fibres

2012 ◽  
Vol 730-732 ◽  
pp. 271-276
Author(s):  
H.R. Pakravan ◽  
M. Jamshidi ◽  
M. Latifi ◽  
F. Pacheco-Torgal
Keyword(s):  
Absorption Capacity ◽  
Cement Matrix ◽  
Cementitious Composites ◽  
Scanning Electron Micrographs ◽  
Energy Absorption Capacity ◽  
Cement Ratio ◽  
Pull Out ◽  
Water To Cement Ratio ◽  
Before And After ◽  
Scanning Electron

This paper compares the adhesion strength between three polymeric fibres (polypropylene (PP), nylon66 (N66) and polyacrylonitrile (PAN)) embedded in a cement paste. The specimens were prepared at a water to cement ratio (w/c) of 0.5 and tested after 7, 14 and 28 curing days. It was found that although the adhesion between the polymeric fibres to the cement matrix is an important factor, the energy absorption capacity or energy dissipation ability of the fibres, plays a more important role in the improvement of the cementitious composites fracture toughness. Scanning electron micrographs were used to characterize the fibres surface before and after the Pull-out tests.

Relationship between plasma and salivary melatonin and cortisol investigated by LC-MS/MS

2017 ◽  
Vol 55 (9) ◽  
Author(s):  
Martijn van Faassen ◽  
Rainer Bischoff ◽  
Ido P. Kema
Keyword(s):  
Mass Spectrometry ◽  
Equilibrium Dialysis ◽  
Added Value ◽  
The Novel ◽  
Plasma Melatonin ◽  
Disease States ◽  
Validation Criteria ◽  
Significant Difference ◽  
Salivary Melatonin ◽  
Free Plasma

AbstractBackground:Disturbance of the circadian rhythm has been associated with disease states, such as metabolic disorders, depression and cancer. Quantification of the circadian markers such as melatonin and cortisol critically depend on reliable and reproducible analytical methods. Previously, melatonin and cortisol were primarily analyzed separately, mainly using immunoassays.Methods:Here we describe the validation and application of a high-throughput liquid chromatography in combination with mass spectrometry (LC-MS/MS) method for the combined analysis of melatonin and cortisol in plasma and saliva. The LC-MS/MS method was validated according to international validation guidelines. We used this method to analyze total plasma, free plasma (as obtained by equilibrium dialysis) and saliva melatonin and cortisol in healthy adults.Results:Validation results for plasma and saliva melatonin and cortisol were well within the international validation criteria. We observed no difference between saliva collected by passive drooling or Salivette. Moreover, we noted a significant difference in saliva vs. free plasma melatonin. We observed on average 36% (95% CI: 4%–60%) higher salivary melatonin levels in comparison to free plasma melatonin, suggestive of local production of melatonin in the salivary glands.Conclusions:The novel outcome of this study is probably due to the high precision of our LC-MS/MS assay. These outcomes illustrate the added value of accurate and sensitive mass spectrometry based methods for the quantification of neuroendocrine biomarkers.

scholarly journals Bracket base remnants after orthodontic debonding

2013 ◽  
Vol 83 (5) ◽  
pp. 885-891 ◽  
Author(s):  
Matteo Zanarini ◽  
Antonio Gracco ◽  
Monica Lattuca ◽  
Silvia Marchionni ◽  
Maria Rosaria Gatto ◽  
...  
Keyword(s):  
Energy Dispersive ◽  
Scanning Electron Micrographs ◽  
X Ray ◽  
Significant Difference ◽  
Group A ◽  
Fixed Appliances ◽  
Group B ◽  
Imagej Software ◽  
Bracket Base ◽  
Scanning Electron

ABSTRACT Objective: To evaluate whether the debonding procedure leads to restitutio ad integrum of the enamel surface by investigating the presence of enamel within the bracket base remnants after debonding. Materials and Methods: Sixty patients who completed orthodontic treatment with fixed appliances were included. A total of 1068 brackets were microphotographed; the brackets presenting some remnants on the base (n  =  818) were selected and analyzed with ImageJ software to measure the remnant area. From this population a statistically significant sample (n  =  100) was observed under a scanning electron microscope to check for the presence of enamel within the remnants. Energy dispersive x-ray spectrometry was also performed to obtain quantitative data. Results: Statistically significant differences in the remnant percentage between arches were observed for incisor and canine brackets (P &lt; .0001 and P  =  .022, respectively). From a morphologic analysis of the scanning electron micrographs the bracket bases were categorized in 3 groups: group A, bases presenting a thin enamel coat (83%); group B, bases showing sizable enamel fragments (7%); group C, bases with no morphologic evidence of enamel presence (10%). Calcium presence was noted on all evaluated brackets under energy dispersive x-ray spectrometry. No significant difference was observed in the Ca/Si ratio between group A (16.21%) and group B (18.77%), whereas the Ca/Si ratio in group C (5.40%) was significantly lower than that of the other groups (P &lt; .323 and P  =  .0001, respectively). Conclusion: The objective of an atraumatic debonding is not achieved yet; in some cases the damage could be clinically relevant.

scholarly journals A novel PS4 criterion approach based on symptoms of rare diseases and in-house frequency data in a Bayesian framework

2020 ◽  
Author(s):  
You Kyung Cho ◽  
Dhong-gun Won ◽  
Changwon Keum ◽  
Beom Hee Lee ◽  
Go Hun Seo ◽  
...  
Keyword(s):  
Rare Diseases ◽  
Odds Ratio ◽  
Case Control Study ◽  
Rare Variants ◽  
Bayesian Framework ◽  
The Novel ◽  
Significant Difference ◽  
Novel Method ◽  
Control Study ◽  
Criterion Approach

AbstractThe American College of Medical Genetics (ACMG) and Genomics/Association for Molecular Pathology (AMP) previously reported standardized guidance for the assessment of genetic variants. One of the criteria regarding the prevalence in a case-control study, PS4, is important due to its evidence of pathogenicity. Despite recent studies approaching gene- and disease-specific probands, interpretation of a variant to PS4 still has certain limitations for rare variants. Here, we suggest a generalized method, Bayesian odds ratio (BayesianOR), applicable to PS4 via decomposing a disease to its symptoms and applying a Bayesian framework. Using this approach, we demonstrate reproducibility of the calculation of the original odds ratio from well-studied epilepsy data and verify the applicability to in-house frequencies for various rare diseases. In addition, BayesianOR showed a significant difference in tendency with different ClinVar pathogenicity, using in-house data. Thus, the novel method described here should provide an improved interpretation of sequence variants. Furthermore, we anticipate that it will enhance the diagnosis of patients with rare diseases.

scholarly journals Tensile and transverse strength of novel copolymers for denture base.

2019 ◽  
Vol S (1) ◽  
pp. 7-10
Author(s):  
Ahmed Asim Saeed Al-Ali ◽  
◽  
Ammar k. Al-Noori ◽  
Amer A. Taqa ◽  
◽  
...  
Keyword(s):  
Acrylic Resin ◽  
P Value ◽  
Transverse Strain ◽  
The Novel ◽  
Denture Base ◽  
Transverse Strength ◽  
Base Materials ◽  
Propenoic Acid ◽  
Significant Difference ◽  
Transverse Strains

Objectives: Compare tensile and transverse strength of new copolymers for denture base. Materials and methods: The specimens were prepared from heat cured acrylic resin with three types of additives: Acryester B, Ethoxycarbonylethylene, and Propenoic acid at a percentage of 5% and 10%. The tensile and transverse strains were tested, recorded and compared. Results: The analysis of variance display statistically significant difference. The p-value was 0.001 for each of tensile and transverse strain tests. Conclusions: The tensile strength of the novel copolymers increased. The transverse strength of some of the novel copolymers increased.

scholarly journals THE ASPREE STUDY: DISABILITY-FREE SURVIVAL, UPDATED RESULTS, SUB-STUDIES, AND IMPLICATIONS FOR ASPIRIN USE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S632-S633
Author(s):  
Anne M Murray ◽  
John McNeil ◽  
Basil Eldadah
Keyword(s):  
The Elderly ◽  
Secondary Outcome ◽  
The Novel ◽  
Free Survival ◽  
Incident Cancer ◽  
Significant Difference ◽  
All Cause Mortality ◽  
Observational Cohort ◽  
The Rich ◽  
And Performance

Abstract The NIA/NCI ASPREE (ASPirin in Reducing Events in the Elderly) Study was a landmark RCT of 19,114 healthy adults aged 70 (whites) and 65 (US minorities) in Australia and the US that demonstrated lack of effect of low dose aspirin (LDA:100 mg/d) on the novel primary end point of Disability- Free Survival (life free of disability and dementia) over a mean treatment of 4.7 years. Surprisingly, LDA was associated with a trend toward increased all cause mortality, driven by cancer deaths (results published NEJM September 2018). After the LDA intervention was halted in June 2017, ASPREE was extended as an observational cohort follow-on study, ASPREE-XT, to measure potential delayed LDA effects on ASPREE outcomes. The ASPREE study primary results will be summarized, and the rationale for and performance of the novel DFS geriatric outcome discussed. New results of the analysis of dementia as a secondary outcome will also be presented (both for overall dementia and Alzheimer’s disease). We will also examine the unexpected increased all-cause mortality attributed to cancer deaths, despite no significant difference between groups for all incident cancer, and effects of LDA on incident metastatic disease. The important implications of the ASPREE results for prescribing LDA for primary prevention in health elderly will be discussed, and the ASPREE-XT study design and progress described. Lastly, the breadth of the ASPREE sub-studies including the Biobank, Brain Imaging studies and Genomics, and opportunities to access the rich ASPREE data and collaborate with ASPREE investigators will be reviewed.

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