PubMed · 13523546
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B BAUMAN. 1958. Copper intoxication.. https://pubmed.ncbi.nlm.nih.gov/13523546/
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Copper and copper-based materials have gained increasing attention for the functional modification of implantable medical devices intended for prolonged soft-tissue contact, including vascular stents, catheters, and intrauterine devices. Owing to their broad-spectrum antimicrobial activity, redox reactivity, and involvement in angiogenesis and cellular signaling, copper-based systems offer significant potential for multifunctional surface engineering. However, achieving a balance between antibacterial efficacy, corrosion behavior, controlled ion release, and cytocompatibility remains a critical challenge. This PRISMA-compliant systematic review analyzes copper-containing materials and surface modification strategies for soft-tissue biomedical applications. A structured search of Scopus, Web of Science, and PubMed (2015-2025) identified 65 eligible studies. The review encompasses bulk copper-containing alloys, electrochemical and chemical surface modification techniques, physical vapor deposition approaches, and advanced hybrid systems integrating copper with polymers, hydrogels, or metal-phenolic networks. Across the reviewed literature, antibacterial performance was strongly dependent on copper concentration, microstructural distribution, and spatiotemporal ion release profiles. Moderate, well-controlled copper incorporation frequently improved antibacterial efficacy while maintaining acceptable hemocompatibility and cytocompatibility, particularly in vascular and blood-contacting devices. In contrast, excessive copper loading often accelerated corrosion and induced adverse cellular responses. Emerging multifunctional architectures demonstrated improved regulation of biological interactions, enabling simultaneous antibacterial, antithrombotic, and proendothelial effects. Overall, copper-based surface technologies represent a versatile platform for soft-tissue implant modification. Future translational progress will require precise control of copper release kinetics and comprehensive long-term in vivo validation to ensure safety and sustained therapeutic performance. From the authors' perspective, the most promising future direction involves multifunctional copper-based hybrid coatings capable of dynamically regulating ion release, host tissue integration, and antibacterial performance simultaneously. Strategies integrating hierarchical architectures, stimulus-responsive release systems, and clinically scalable fabrication methods are expected to play a key role in translating copper-containing surfaces from experimental concepts toward commercially viable soft-tissue biomedical devices.
A two-dimensional numerical model has been developed to simulate the electrokinetic remediation of soils contaminated with heavy metals and has been validated using laboratory experiments performed with a copper spiked kaolin. The model divides the soil into compartments in a Cartesian grid and a non-conductivity barrier encloses the considered area. Basically, it consists in two main parts clearly distinguishable. The first part describes the electromigration phenomenon in the soil, which is represented by a set of electric resistors, following the Cartesian grid and using Kirchoff's laws of electricity to calculate the voltage drop distribution in the considered area. The second part describes the chemical equilibrium process between the heavy metal and the soil, assuming local equilibrium conditions within the compartments. A good agreement was obtained between the lab scale experimental assays and the model predictions. The model has also been used to examine the effect of the electrolyte neutralization within the scope of the acid-enhanced electrokinetic method. These simulations have foreseen problems related with the system evolution, which would not arise under one-dimensional geometries and are due to the changes of the potential distribution in the two-dimensional arrangement where some kind of short circuit arises, ultimately leading to a decrease of the system efficiency.
Mapping the spatial distribution of soil pollutants is essential for delineating contaminated areas. Currently, geostatistical interpolation, kriging, is increasingly used to estimate pollutant concentrations in soils. The kriging-based approach, indicator kriging (IK), may be used to model the uncertainty of mapping. However, a smoothing effect is usually produced when using kriging in pollutant mapping. The detailed spatial patterns of pollutants could, therefore, be lost. The local uncertainty of mapping pollutants derived by the IK technique is referred to as the conditional cumulative distribution function (ccdf) for one specific location (i.e. single-location uncertainty). The local uncertainty information obtained by IK is not sufficient as the uncertainty of mapping at several locations simultaneously (i.e. multi-location uncertainty or spatial uncertainty) is required to assess the reliability of the delineation of contaminated areas. The simulation approach, sequential indicator simulation (SIS), which has the ability to model not only single, but also multi-location uncertainties, was used, in this study, to assess the uncertainty of the delineation of heavy metal contaminated soils. To illustrate this, a data set of Cu concentrations in soil from Taiwan was used. The results show that contour maps of Cu concentrations generated by the SIS realizations exhausted all the spatial patterns of Cu concentrations without the smoothing effect found when using the kriging method. Based on the SIS realizations, the local uncertainty of Cu concentrations at a specific location of x', refers to the probability of the Cu concentration z(x') being higher than the defined threshold level of contamination (z(c)). This can be written as Prob(SIS)[z(x')>z(c)], representing the probability of contamination. The probability map of Prob(SIS)[z(x')>z(c)] can then be used for delineating contaminated areas. In addition, the multi-location uncertainty of an area A,delineated as contaminated based on the probability map of Prob(SIS)[z(x')>z(c)], can be calculated to assess the reliability of delineation. Multi-location uncertainty refers to the probability of Cu concentrations in several locations, x'(1), x'(2), em leader, x'(m,) in the area A, being higher than the threshold (z(c)) as denoted by Prob(SIS)[z(x'(1))>z(c), z(x'(2))>z(c), em leader, andz(x'(m))>z(c)] or Prob(SIS)[z(A)>z(c)]. The multi-location uncertainty Prob(SIS)[z(A)>z(c)], obtained from the SIS, can be used to assess the reliability of delineation for regions suspected of contamination, (A), which has been delineated as contaminated. Reliance on this information facilitates the decision making process in determining which areas are contaminated and require cleanup action.