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Experimental studies on a new bioactive material: HAIonomer cements.

The lack of exotherm during setting, absence of monomer and improved release of incorporated therapeutic agents has resulted in the development of glass ionomer cements (GICs) for biomedical applications. In order to improve biocompatibility and biomechanically match GICs to bone, hydroxyapatite-ionomer (HAIonomer) hybrid cements were developed. Ultra-fine hydroxyapatite (HA) powders were produced using a new induction spraying technique that utilizes a radio-frequency source to spheriodize an atomized suspension containing HA crystallites. The spheriodized particulates were then held at 800 degrees C for 4 h in a carbolite furnace using a heating and cooling rate of 25 degrees C/min to obtain almost fully crystalline HA powders. The heat-treated particles were characterized and introduced into a commercial glass ionomer cement. 4 (H4), 12 (H12) and 28 (H28) vol% of fluoroalumino silicate were substituted by crystalline HA particles that were dispersed using a high-speed dispersion technique. The HAIonomer cements were subjected to hardness, compressive and diametral tensile strength testing based upon BS6039:1981. The storage time were extended to one week to investigate the effects of cement maturation on mechanical properties. Commercially available capsulated GIC (GC) and GIC at maximum powder:liquid ratio (GM) served as comparisons. Results were analyzed using factorial ANOVA/Scheffe's post-hoc tests and independent samples t-test at significance level 0.05. The effect of time on hardness was material dependent. With the exception of H12, a significant increase in hardness was observed for all materials at one week. A significant increase in compressive strength was, however, observed for H12 over time. At 1 day and 1 week, the hardness of H28 was significantly lower than for GM, H4, and H12. No significant difference in compression and diametral tensile strengths were observed between materials at both time intervals. Results show that HAIonomers is a promising material, which possess good mechanical properties. Potential uses of this new material include bone cements and performed implants for hard tissue replacement in the field of otological, oral-maxillofacial and orthopedic surgery.

Biocompatible Materials↗

Examination of the compaction properties of a 1:1 acetaminophen:microcrystalline cellulose mixture using precompression and main compression.

The compaction properties of a 1:1 acetaminophen and microcrystalline cellulose (MCC) mixture have been studied using a compaction simulator to make tablets by single compression and by a combination of precompression and main compression. The tensile strengths of the tablets and the energies involved in the compressions were determined. The tensile strengths of the tablets increased with increases in single compression pressure from 80 to 400 MPa and as the total applied pressure increased from 80 MPa up to around 400 MPa when combinations of precompression and main compression pressures were used. The tablet porosity decreased with increase in main compression pressure while the tablet tensile strengths increased. At minimum tablet porosity, further increase in main compression pressure could no longer result in increase in tablet strengths. Tablets compressed with combinations of precompression and main compression were stronger (2.15 +/- 0.02 to 3.99 +/- 0.1 MPa) than those produced with single compression (0.73 +/- 0.01 to 3.09 +/- 0.05 MPa). The total gross energies of compression increased with an increase in pressure of both the precompression and main compression. The elastic energies during main compression increased with an increase in precompression pressure as the tablet exhibited greater elastic deformation and reduced plasticity on second compression. The increase in elastic energies during main compression may also be because elastic energy is recoverable and is independent of precompression. As the precompression pressure increased, the minimum tablet porosity was attained; hence, the plastic energy during main compression became smaller while the elastic energy increased. Thus, a combination of low precompression and main compression pressures of 160/80 MPa or 80/160 MPa are more advantageous in the tableting of the 1:1 acetaminophen:MCC than a high single compression pressure of 320 or 400 MPa.

Acetaminophen↗

Degradation behaviour of self-reinforced 80L/20G PLGA devices in vitro.

In vitro degradation of self-reinforced PLGA 80L/20G material and bioabsorbable stents was studied in artificial urine and phosphate buffer solution (PBS) to define if the media have an effect on the degradation rate in urological applications. After six weeks, the Mv of the samples immersed in PBS was 40% (16.7 kDa) from the initial value and 57% (24.0 kDa) for the samples immersed in artificial urine. The strength loss of samples that were immersed in PBS was slower when compared with samples in artificial urine. The bending strength of samples immersed 15 weeks in artificial urine was 43% (21.7 MPa) of the bending strength of samples immersed in PBS (50.9 MPa), and the shear strength was 13% (artificial urine 3.7 MPa, PBS 28.8 MPa), respectively. The maximum compression force in PBS was slightly over at the initial level after 2 weeks of immersion. It decreased to half (102.2N) of the initial value (204.1N) in 8 weeks, and after 12 weeks it was 25% (50.8 N) of the initial value. The compression force in artificial urine was 35% (66.8 N) of the initial value (193.9 N) after 8 weeks. In 12 weeks it had lowered to 26 N in artificial urine, which was 14% of the initial value. The degradation rate of self-reinforced L-lactic and glycolic acid stents in vitro tests in artificial urine was coinciding with our clinical test. Based on these results, it is possible to make a sufficiently accurate in vitro model for the degradation rate of bioabsorbable polymers for urological applications.

Absorbable Implants↗

Preparation of porous hydroxyapatite scaffolds by combination of the gel-casting and polymer sponge methods.

A new technique of combining the gel-casting and polymer sponge methods is introduced in this study to prepare macroporous hydroxyapatite scaffolds, which provides a better control over the microstructures of scaffolds and enhances their mechanical properties. With this technique, we were able to produce scaffolds with mechanical and structural properties that cannot be attained by either the polymer sponge or gel-casting method. The scaffolds prepared have an open, uniform and interconnected porous structure with a pore size of 200-400 microm. A compressive yield strength of approximately 5 MPa equivalent to that of cancellous bone and a compressive modulus of approximately 8 GPa similar to that of cortical bone were achieved. The pore morphology, size, and distribution of the scaffolds were characterized using a scanning electron microscope. X-ray diffraction and Fourier transform infrared spectroscopy were used to determine the crystal structure and chemical composition of scaffolds, respectively. Scaffolds with desired porosity, pore size, and geometry can be prepared by using polymer sponges of appropriate structures.

Biocompatible Materials↗

New QCT analysis approach shows the importance of fall orientation on femoral neck strength.

UNLABELLED: The influence of fall orientation on femur strength has important implications for understanding hip fracture risk. A new image analysis technique showed that the strength of the femoral neck in 37 males varied significantly along the neck axis and that bending strength varied by a factor of up to 2.8 for different loading directions. INTRODUCTION: Osteoporosis is associated with decreased BMD and increased hip fracture risk, but it is unclear whether specific osteoporotic changes in the proximal femur lead to a more vulnerable overall structure. Nonhomogeneous beam theory, which is used to determine the mechanical response of composite structures to applied loads, can be used along with QCT to estimate the resistance of the femoral neck to axial forces and bending moments. MATERIALS AND METHODS: The bending moment [My(theta)] sufficient to induce yielding within femoral neck sections was estimated for a range of bending orientations (theta) using in vivo QCT images of 37 male (mean age, 73 years; range, 65-87 years) femora. Volumetric BMD, axial stiffness, average moment at yield (M(y,avg)), maximum and minimum moment at yield (M(y,max) and M(y,min)), bone strength index (BSI), stress-strain index (SSI), and density-weighted moments of resistance (Rx and Ry) were also computed. Differences among the proximal, mid-, and distal neck regions were detected using ANOVA. RESULTS: My(theta) was found to vary by as much as a factor of 2.8 for different bending directions. Axial stiffness, M(y,avg), M(y,max), M(y,min), BSI, and Rx differed significantly between all femoral neck regions, with an overall trend of increasing axial stiffness and bending strength when moving from the proximal neck to the distal neck. Mean axial stiffness increased 62% between the proximal and distal neck, and mean M(y,avg) increased 53% between the proximal and distal neck. CONCLUSIONS: The results of this study show that femoral neck strength strongly depends on both fall orientation and location along the neck axis. Compressive yielding in the superior portion of the femoral neck is expected to initiate fracture in a fall to the side.

Accidental Falls↗

Evaluation of critical binder properties affecting the compactibility of binary mixtures.

The aim of this study was to identify essential physical and mechanical properties of various binders and to investigate their influence on the tensile strength and porosity of tablets made from binary mixtures with sodium bicarbonate. The binders were characterized according to axial and radial tensile strength after compression into tablets, yield pressure and minimum porosity during compression, and elastic recovery after compression. The addition of a binder generally resulted in an increase in the tensile strength and a decrease in the porosity of the sodium bicarbonate tablets. The location of the binder in the voids between the sodium bicarbonate particles thus decreasing the porosity of the tablet seemed to be an important consideration. Consequently, the addition of binders with a low yield pressure value and a relatively small elastic recovery value (e.g., polyethylene glycol 3000 and polyvinylpyrrolidone) resulted in tablets of low porosity and high tensile strength, especially in the axial direction. The tensile strength of the pure binder also seemed to be important, especially for binders with a lower degree of deformability (e.g., microcrystalline cellulose and pregelatinised starch). The results also indicated the value of using both axial and radial tensile strength measurements in assessing the effect of a dry binder and showed that the importance of different binder properties varied according to the direction of the tablet strength measurements. The results demonstrated that the applied characteristics of the binders used in this study may serve as a useful tool in evaluating the effectiveness of binders.

Porosity↗

The load on the lumbar spine during asymmetrical bi-manual materials handling.

Previous biomechanical analyses of typical load manipulation tasks were mainly limited to sagittal-plane activities or to static cases. This paper includes the biomechanical determination and assessment of lumbar load during asymmetrical bi-manual materials handling tasks which involve lateral turning of the body, trunk inclination, and sagittal flexion and lateral bending of the spine. Diagonal lifting tasks were analysed for different values for load weight (0-40 kg) and task duration (0.75-1.5 s). Whereas a constant grasp height of 15 cm was assumed, the height for releasing the load differed (50, 100, 150 cm). A dynamic spatial human model ('The Dortmunder') was used for calculating the torque in the sagittal, frontal, and transversal planes through the lumbosacral joint and for determining the compressive and the sagittal and lateral shear force at the L5-S1 disc. The trajectories of body segments and load are computer-simulated on the basis of postures adopted during the movement. During diagonal lifting of loads, lumbosacral torque in the sagittal plane is considerably larger than the lateral bending and torsional torque components. Dynamic analyses result in higher maximum values in the lumbar-load time curves than static analyses. The shorter the time for task execution, the higher the resultant dynamic effects and, in consequence, the higher the lumbar load. Lumbosacral compression and shear increase with increasing load-release heights due to higher acceleration and retardation of body and load when the same grasp position and task duration are assumed. The maximum load-bearing capacity of the lumbar spine was determined on the basis of strength data for isolated lumbar segments provided in the literature. The compressive strength falls within the same range as the compressive forces calculated for asymmetrical lifting of loads up to 40 kg. On account of the wide scattering of the compressive strength values, the main influences were determined (age and gender). At an age of 40 years, strength is approx. 6.7 kN for males and 4.7 kN for females (decrease with age per decade: 1.0 kN males, 0.6 kN females). In order to avoid overestimating an individual's lumbar compressive strength, predicted values should be reduced, e.g., by the standard deviation in the male or female samples (2.6 kN or 1.5 kN). Although only a few maximum shear force values are available in the literature, comparison with the calculated values for diagonal lifting leads to the conclusion that sagittal and lateral shear should not be ignored in the assessment of lumbar load during asymmetrical handling tasks.

Adult↗

Engineering craniofacial scaffolds.

OBJECTIVE: To develop an integrated approach for engineering craniofacial scaffolds and to demonstrate that these engineered scaffolds would have mechanical properties in the range of craniofacial tissue and support bone regeneration for craniofacial reconstruction. EXPERIMENTAL VARIABLE: Scaffold architecture designed to achieve desired elasticity and permeability. Scaffold external shape designed to match craniofacial anatomy. OUTCOME MEASURE: Final fabricated biomaterial scaffolds. Compressive mechanical modulus and strength. Bone regeneration as measured by micro-CT scanning, mechanical testing and histology. SETTING: Departments of Biomedical Engineering, Oral/Maxillofacial Surgery, and Oral Medicine, Pathology and Oncology at the University of Michigan. RESULTS: Results showed that the design/fabrication approach could create scaffolds with designed porous architecture to match craniofacial anatomy. These scaffolds could be fabricated from a wide range of biomaterials, including titanium, degradable polymers, and degradable calcium phosphate ceramics. Mechanical tests showed that fabricated scaffolds had compressive modulus ranging 50 to 2900 MPa and compressive strength ranging from 2 to over 56 MPa, within the range of human craniofacial trabecular bone. In vivo testing of designed scaffolds showed that they could support bone regeneration via delivery of BMP-7 transduced human gingival fibroblasts in a mouse model. Designed hydroxyapatite scaffolds with pore diameters ranging from 400 to 1200 microns were implanted in minipig mandibular defects for 6 and 18 weeks. Results showed substantial bone ingrowth (between 40 and 50% at 6 weeks, between 70 and 80% at 18 weeks) for all scaffolds, with no significant difference based on pore diameter. CONCLUSION: Integrated image-based design and solid free-form fabrication can create scaffolds that attain desired elasticity and permeability while fitting any 3D craniofacial defect. The scaffolds could be manufactured from degradable polymers, calcium phosphate ceramics and titanium. The designed scaffolds supported significant bone regeneration for all pore sizes ranging from 300 to 1200 microns. These results suggest that designed scaffolds are clinically applicable for complex craniofacial reconstruction.

Animals↗

Adjusting dissolution specifications for the variability induced by storage conditions.

The United States Pharmacopeia requires that drug products meet established dissolution specifications throughout their shelf life. Whereas chemical stability for six months at accelerated storage conditions is generally regarded as providing a two-year expiry period, stress conditions are not considered predictive of dissolution stability at controlled room temperature. This paper presents an application of response surface methodology intended to incorporate the variability induced by storage temperature and relative humidity into robust product dissolution specifications. Contour plots, depicting one-sided tolerance limits of percent released, are presented as a function of crushing strength and dissolution time.

Compressive Strength↗

[Effect of filler system on the mechanical properties of light-cured composite resins. II. Mechanical properties of visible light-cured composite resins with binary filler system].

To improve the fracture resistance of the composite resin system under highly stressed conditions, a variable amount of microfiller was incorporated into the light-cured composite resins containing splinter-shaped silica filler. With the increasing the microfiller content (10-30 wt%) in the resin matrix, the elastic modulus, compressive proportional limit and compressive fracture strength of the composite resin were increased. The plastic deformation of the composite resins under compressive stress were decreased with increasing microfiller content. These findings suggested that the combination of a larger silica filler and microfiller would increase the compressive fracture resistance of the composite resin systems.

Composite Resins↗

The dependence between the strength and stiffness of cancellous and cortical bone tissue for tension and compression: extension of a unifying principle.

A strong positive correlation between the apparent ultimate strength and stiffness of bone tissue that can be expressed by a unified relationship has been observed for cortical bone in tension and low-density cancellous bone in compression. For practical purposes, the existence of a relationship between strength and stiffness is significant in that bone stiffness can be measured in vivo using non-invasive methods. It is generally accepted that bone strength is greater in compression than in tension whereas there is no substantial evidence that bone stiffness in compression is different from that in tension. This might suggest that compressive strength would relate to the stiffness, if at all, in a way that is different from tensile strength. In order to examine similarities and differences in the way strength is associated with stiffness between modes of loading and tissue type, we tested equine cortical bone and bovine cancellous bone in compression and examined these data together with previously reported data from compression testing of human cancellous bone as well as tensile testing of cortical bone from various sources. We have found for cortical bone that (i) the sensitivity of strength to stiffness is the same for tension and compression (p>0.75, ANCOVA), and (ii) the difference between the magnitudes of compressive and tensile strength for cortical bone is the result of an additive, rather than a multiplicative factor (52.1 MPa after adjusting to 1 microstrain/s, p<0.0001, ANOVA). High-density bovine tibial cancellous bone, on the other hand, has a steeper slope for its compressive strength-stiffness relationship than that for cortical bone and human cancellous bone, resulting in a transitional relationship between compressive strength and stiffness for a range of bone types and densities. Based on the current results and previous work, it is suggested that the offset strength in the compressive strength-stiffness relationship may be a direct manifestation of the difference between the compressive and tensile strengths of the bone material that constitutes the building blocks of the bone structure. Deviation of high-density cancellous bone compressive behavior from the other bone types and densities is attributed to stress distribution differences between the bone types.

Adaptation, Physiological↗

Soil reinforcement with recycled carpet wastes.

A root or fibre-reinforced soil behaves as a composite material in which fibres of relatively high tensile strength are embedded in a matrix of relatively plastic soil. Shear stresses in the soil mobilize tensile resistance in the fibres, which in turn impart greater strength to the soil. A research project has been undertaken to study the influence of synthetic fibrous materials for improving the strength characteristics of a fine sandy soil. One of the main objectives of the project is to explore the conversion of fibrous carpet waste into a value-added product for soil reinforcement. Drained triaxial tests were conducted on specimens, which were prepared in a cylindrical mould and compacted at their optimum water contents. The main test variables included the aspect ratio and the weight percentage of the fibrous strips. The results clearly show that fibrous inclusions derived from carpet wastes improve the shear strength of silty sands. A model developed to simulate the effect of the fibrous inclusions accurately predicts the influence of strip content, aspect ratio and confining pressure on the shear strength of reinforced sand.

Compressive Strength↗

Effects of temperature and pressure during compression on polymorphic transformation and crushing strength of chlorpropamide tablets.

The effects of temperature on the polymorphic transformation of chlorpropamide during compression and on the physical properties of the tablet have been investigated. A heater and liquid nitrogen pool were mounted on the die of a single punch eccentric tableting machine, and the die temperature was controlled by a thermocontroller. A tableting machine with two load cells (upper and lower punches) and a non-contact displacement transducer were used to measure compression stress, distance and energy. The X-ray diffraction profiles of the deagglomerated compressed sample powder were measured to calculate the polymorphic content. The amount of form C transformed from form A at 45 degrees C was about twice that at 0 degree C with the same compression energy. The amount of form A transformed from form C by compression at 45 degrees C was almost the same as that at 0 degree C. This suggests that the mechanochemical effect of form A depended on the compression temperature, but that of form C was independent of temperature. The crushing strength of tablets of form A was about twice that of form C, even at the same porosity. The plots of log (crushing strength of tablet) against porosity of form A tablets compressed at 0 and 45 degrees C were linear with the same slope; the slope for form C tablets compressed at 45 degrees C was less than that at 0 degree C.

Chemistry, Pharmaceutical↗

Factors affecting hazardous waste solidification/stabilization: a review.

Solidification/stabilization is accepted as a well-established disposal technique for hazardous waste. As a result many different types of hazardous wastes are treated with different binders. The S/S products have different property from waste and binders individually. The effectiveness of S/S process is studied by physical, chemical and microstructural methods. This paper summarizes the effect of different waste stream such as heavy metals bearing sludge, filter cake, fly ash, and slag on the properties of cement and other binders. The factors affecting strength development is studied using mix designs, including metal bearing waste alters the hydration and setting time of binders. Pore structure depends on relative quantity of the constituents, cement hydration products and their reaction products with admixtures. Carbonation and additives can lead to strength improvement in waste-binder matrix.

Carbon↗

The influence of sintering temperature on the porosity and strength of porous hydroxyapatite ceramics.

The present paper reports on the influence of sintering temperature on the porosity and strength of porous hydroxyapatite (HA). HA powder was first prepared by the sol-gel precipitation method using calcium hydroxide and ortho-phosporic acid. The fine HA powder, measuring <50 microm was then mixed into a slurry with the addition of binder agent, being a mixture of sago and PVA. A small amount of sodium dodecyl sulphate was also used as a foaming agent. Porous HA samples were then prepared via slip casting technique. The surface morphology of the sintered samples was observed under scanning electron microscopy at 20 kV and the compositions were determined via SEM-EDX. A universal testing machine was used to determine the compaction strength of the sintered samples.

Ceramics↗

Vaginal palpation of pelvic floor muscle strength: inter-test reproducibility and comparison between palpation and vaginal squeeze pressure.

BACKGROUND: Vaginal palpation is commonly used in clinical practice to teach and evaluate pelvic floor muscle strength, and several grading systems have been developed. The aim of the present study was to test inter-rater reproducibility of the modified Oxford grading system and compare results from vaginal palpation with squeeze pressure measurement. METHODS: Twenty female physical therapy students, mean age 25.1 years (range 21-38) participated in the study. Two experienced physical therapists conducted the palpation test in random order. Muscle strength was classified according to a 6-point scale (modified Oxford grading system). Results from the palpation test were compared with measurement of vaginal squeeze pressure using a vaginal balloon connected to a fiberoptic microtransducer (Camtech AS, Sandvika, Norway). To ensure validity of pressure measurement only contractions with simultaneous observation of inward movement of the perineum were registered. RESULTS: The inter-rater reliability for vaginal palpation was 0.70 measured by Spearman's rho (p<0.01). Cohen's Kappa was kappa=0.37 (SEM 0.16). There was agreement between the physical therapists in nine subjects (45%). In all but one subject the disagreement was one category. Mean maximal strength for the group was 19.7 cm H2O (95% CI: 16.5-22.9). There were no differences between weak, moderate, good and strong muscle contraction classified by palpation test when comparing results from the vaginal squeeze pressure (p=0.66). CONCLUSIONS: Vaginal palpation is mandatory when teaching correct pelvic floor muscle contraction. However, the present results indicate that the method is not reproducible, sensitive and valid to measure PFM strength for scientific purposes.

Adult↗