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Biomedical subjects

Mark Walton

Publications and source records attributed to Mark Walton.

8 recordsLinked to original sources

Long-term in vivo degradation of poly-L-lactide (PLLA) in bone.

The use of absorbable orthopedic implants has increased substantially during the last decade. Currently, most of them are fabricated from poly-L-lactide (PLLA), its co-polymers, or mixtures with other constituents. In vivo, PLLA persists for years after its surgical role has ended, which is confirmed by a long-term histological study of PLLA implanted in sheep either as functional interference screws or nonfunctional rods. The first tissue reaction is the sequestration of the implant within new bone during the initial 3 months. After a nonreactive period, a second tissue reaction is associated with the early signs of structural disintegration of the PLLA at 1 year. Subsequently, as the polymer mass reduces, it is replaced by a relatively avascular fibrous tissue containing macrophages and having an occasional multinucleated giant cell on the implant surface. After 3 years much of the polymer is still present, although as isolated fragments. The tissue reactions can be explained in terms of the physical chemistry of PLLA degradation. Though biocompatible, the excessive longevity of PLLA and the absence of its replacement by bone, indicates that despite being satisfactory clinically, it is not an ideal implant material, and that improved absorbable materials need to be developed.

Absorbable Implants↗

On the inability to ignore touch when responding to vision in the crossmodal congruency task.

We investigated the extent to which people can selectively ignore distracting vibrotactile information when performing a visual task. In Experiment 1, participants made speeded elevation discrimination responses (up vs. down) to a series of visual targets presented from one of two eccentricities on either side of central fixation, while simultaneously trying to ignore task-irrelevant vibrotactile distractors presented independently to the finger (up) vs. thumb (down) of either hand. Participants responded significantly more slowly, and somewhat less accurately, when the elevation of the vibrotactile distractor was incongruent with that of the visual target than when they were presented from the same (i.e., congruent) elevation. This crossmodal congruency effect was significantly larger when the visual and tactile stimuli appeared on the same side of space than when they appeared on different sides, although the relative eccentricity of the two stimuli within the hemifield (i.e., same vs. different) had little effect on performance. In Experiment 2, participants who crossed their hands over the midline showed a very different pattern of crossmodal congruency effects to participants who adopted an uncrossed hands posture. Our results suggest that both the relative external location and the initial hemispheric projection of the target and distractor stimuli contribute jointly to determining the magnitude of the crossmodal congruency effect when participants have to respond to vision and ignore touch.

Adult↗

Cross-modal congruency and visual capture in a visual elevation-discrimination task.

Participants in this experiment were required to discriminate the elevation of visual target stimuli (upper versus lower) presented to either side of fixation, while simultaneously trying to ignore vibrotactile distracters presented independently from the index finger (up) or thumb (lower) of either hand. The participants' hands were occluded from view under an opaque screen while the visual targets were situated directly over the hands above the screen. Participants responded more slowly on this elevation-discrimination task when the vibrotactile distracters were incongruent with the elevation of the visual targets (i.e. a "lower" vibration to the thumb during the presentation of an upper visual target) than when they were congruent (presumably due to the competing responses primed by the target and distracter stimuli on incongruent trials). The vibrotactile distracters had less of an effect on performance when a pair of rubber hands was placed on top of the screen, "holding" the target lights, in a posture consistent with that of the participant. Those participants who agreed most strongly with a statement about feeling the vibrations at the location of the rubber hands in a post-congruency task questionnaire evidenced the greatest reduction in the magnitude of the cross-modal congruency effect.

Adult↗

In vivo comparison of the osseointegration of vacuum plasma sprayed titanium- and hydroxyapatite-coated implants.

For the last 15 years, orthopedic implants have been coated with hydroxyapatite (HA) to improve implant fixation. The osteoconductive effect of HA coatings has been demonstrated in experimental and clinical studies. However, there are ongoing developments to improve the quality of HA coatings. The objective of this study was to investigate whether a rough and highly crystalline HA coating applied by vacuum plasma spraying (VPS) had a positive effect on the osseointegration of special, high-grade titanium (Ti) implants with the same surface roughness. Ti alloy implants were coated (VPS) with special, high-grade Ti or HA. The osseointegration of the implants was evaluated by either light microscopy or pullout tests after 1, 2, and 4 weeks of unloaded implantation in the cancellous bone of 18 sheep. The interface shear strength increased significantly over all time intervals. By 4 weeks, values had reached approximately 10N/mm(2). However, the difference between the coatings was not significant at any time interval. Direct bone-implant contact was significantly different between the coatings after 2 and 4 weeks, and reached 46% for Ti and 68% for HA implants by 4 weeks. This study indicates that the use of a rough and highly crystalline HA coating, applied by VPS, enhances early osseointegration. Accelerated establishment of secondary implant fixation decreases the risk of early loosening.

Animals↗

Development and mapping of 2240 new SSR markers for rice (Oryza sativa L.).

A total of 2414 new di-, tri- and tetra-nucleotide non-redundant SSR primer pairs, representing 2240 unique marker loci, have been developed and experimentally validated for rice (Oryza sativa L.). Duplicate primer pairs are reported for 7% (174) of the loci. The majority (92%) of primer pairs were developed in regions flanking perfect repeats > or = 24 bp in length. Using electronic PCR (e-PCR) to align primer pairs against 3284 publicly sequenced rice BAC and PAC clones (representing about 83% of the total rice genome), 65% of the SSR markers hit a BAC or PAC clone containing at least one genetically mapped marker and could be mapped by proxy. Additional information based on genetic mapping and "nearest marker" information provided the basis for locating a total of 1825 (81%) of the newly designed markers along rice chromosomes. Fifty-six SSR markers (2.8%) hit BAC clones on two or more different chromosomes and appeared to be multiple copy. The largest proportion of SSRs in this data set correspond to poly(GA) motifs (36%), followed by poly(AT) (15%) and poly(CCG) (8%) motifs. AT-rich microsatellites had the longest average repeat tracts, while GC-rich motifs were the shortest. In combination with the pool of 500 previously mapped SSR markers, this release makes available a total of 2740 experimentally confirmed SSR markers for rice, or approximately one SSR every 157 kb.

Chromosome Mapping↗

Fat embolism and acute hypotension during vertebroplasty: an experimental study in sheep.

STUDY DESIGN: An experimental study of cardiovascular complications that arise during vertebroplasty was conducted. OBJECTIVE: To investigate the sequential occurrence of fat embolism and hypotension during vertebroplasty. SUMMARY OF BACKGROUND DATA: Vertebroplasty, the augmentation of vertebrae with polymethylmethacrylate, is a technique for treating osteoporotic compression fractures and achieving prophylactic stabilization of osteoporotic vertebral bodies at risk of fracture. However, there is concern that fat embolism and acute hypotension could occur as in a variety of other orthopedic procedures. METHODS: In six sheep, 6 mL of polymethylmethacrylate was injected unilaterally into L1. Transesophageal echocardiography monitored the pulmonary artery for echodense particles. Heart rate, arterial and venous pressures, and blood gas values were recorded before and for 25 minutes after injection. The lungs were subjected to postmortem histologic evaluation and compared with lung specimens from two sheep that had not undergone vertebroplasty. RESULTS: Injection of cement elicited a very rapid decrease in heart rate (within 2 +/- 1 seconds) and a rapid increase in venous pressure (within 3 +/- 1 seconds), which was followed by a fall in arterial pressure (within 5 +/- 2 seconds) (phase 1). Thereafter, showers of echogenic material appeared (within 6 +/- 1 seconds) and lasted for 138 +/- 36 seconds. A second more severe fall in arterial pressure was observed beginning at 18 +/- 2 seconds (phase 2). The injection resulted in an increase in partial pressure of carbon dioxide and a decrease in pH. The histology showed intravascular fat globules and bone marrow cells in lung tissue. CONCLUSIONS: The results suggest that immediately after cement injection, there was a reflex fall in heart rate and arterial pressure. The second fall in arterial pressure was a consequence of fat emboli passing through the heart and getting trapped in the lungs.

Animals↗