The impact of glutaraldehyde on the characteristics of bovine hydroxyapatite-gelatin based bone scaffold as gentamicin delivery system

2021 ◽  
Vol 32 (4) ◽  
pp. 687-691
Author(s):  
Aniek Setiya Budiatin ◽  
Maria Apriliani Gani ◽  
Chrismawan Ardianto ◽  
Samirah ◽  
Sahrati Yudiaprijah Daeng Pattah ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Weight Loss ◽  
Compressive Strength ◽  
Mtt Assay ◽  
Solid Content ◽  
Bone Scaffold ◽  
Significant Difference ◽  
Bovine Hydroxyapatite ◽  
Degradation Test ◽  
The Impact

Abstract Objectives Biomaterials are widely used as drug delivery systems targeting bone tissue, such as to treat bone infectious disease. However, the addition of drugs to biomaterials weakens their mechanical properties. Crosslinkers are compounds that improve the mechanical properties of biomaterials. This study aims to determine the effect of glutaraldehyde (GTA) as a crosslinker on the characteristics of bovine hydroxyapatite-gelatin-based bone scaffold with gentamicin as antibiotics (BHA-GEL-GEN-GTA). Methods BHA-GEL-GEN-GTA scaffold with GTA solid content ranging from 0.1 to 1.4 wt% was made by direct compression. The compressive strength test was carried out using autograph. Scaffold degradation test was carried out by dissolving the scaffolds in PBS. Scaffold toxicity was performed by MTT assay using BHK-21 fibroblast cells. Results There was a significant difference in the scaffolds’ compressive strength due to differences in GTA volume. Scaffold crosslinked using GTA with solid content 0.1 and 0.2 wt% in 2 mL solution had higher compressive strength than those in 1 mL solution. Furthermore, GTA with solid content 0.6, 1, 1.2, and 1.4 wt% showed higher compressive strength than those without GTA. Degradation test results showed that GTA increased the percentage of weight loss and swelling of the scaffold. The scaffold exhibited a nontoxic profile in MTT assay. Conclusions GTA with optimum solid content shows great compressive strength, stable swelling profile with low percentage of scaffold’s weight loss, and is considered as nontoxic.

scholarly journals Degradation of Roller-Compacted Concrete Subjected to Freeze-Thaw Cycles and Immersion in Potassium Acetate Solution

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Wuman Zhang ◽  
Jingsong Zhang ◽  
Shuhang Chen ◽  
Sheng Gong
Keyword(s):  
Mechanical Properties ◽  
Weight Loss ◽  
Compressive Strength ◽  
Impact Energy ◽  
Impact Test ◽  
Potassium Acetate ◽  
Acetate Solution ◽  
Freeze Thaw ◽  
Roller Compacted Concrete ◽  
The Impact

Two sets of roller-compacted concrete (RCC) samples cured for 28 days were subjected to freeze-thaw (F-T) cycles and immersion in laboratory conditions. F-T cycles in water and water-potassium acetate solution (50% by weight) were carried out and followed by the flexural impact test. The weight loss, the dynamic elastic modulus (Ed), the mechanical properties, and the residual strain of RCC were measured. The impact energy was calculated based on the final number of the impact test. The results show that the effect of F-T cycles in KAc solution on the weight loss and Ed of RCC is slight. Ed, the compressive strength, and the flexural strength of RCC with 250 F-T cycles in KAc solution decrease by 3.8%, 23%, and 36%, respectively. The content (by weight) of K+ at the same depth of RCC specimens increases with the increase of F-T cycles. The impact energy of RCC specimens subjected to 250 F-T cycles in KAc solution decreases by nearly 30%. Microcracks occur and increase with the increase of F-T cycles in KAc solution. The compressive strength of RCC immersed in KAc solution decreases by 18.8% and 32.8% after 6 and 12 months. More attention should be paid to using KAc in practical engineering because both the freeze-thaw cycles and the complete immersion in KAc solution damage the mechanical properties of RCC.

Effect of combined drink cans and steel fibers on the impact resistance and mechanical properties of concrete

2020 ◽  
Vol 14 (2) ◽  
pp. 6734-6742
Author(s):  
A. Syamsir ◽  
S. M. Mubin ◽  
N. M. Nor ◽  
V. Anggraini ◽  
S. Nagappan ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Tensile Strength ◽  
Compressive Strength ◽  
Reinforced Concrete ◽  
Impact Resistance ◽  
Fiber Reinforced Concrete ◽  
Steel Fibers ◽  
Fiber Reinforced ◽  
Indirect Tensile ◽  
The Impact

This study investigated the combine effect of 0.2 % drink cans and steel fibers with volume fractions of 0%, 0.5%, 1%, 1.5%, 2%, 2.5% and 3% to the mechanical properties and impact resistance of concrete. Hooked-end steel fiber with 30 mm and 0.75 mm length and diameter, respectively was selected for this study.  The drinks cans fiber were twisted manually in order to increase friction between fiber and concrete. The results of the experiment showed that the combination of steel fibers and drink cans fibers improved the strength performance of concrete, especially the compressive strength, flexural strength and indirect tensile strength. The results of the experiment showed that the combination of steel fibers and drink cans fibers improved the compressive strength, flexural strength and indirect tensile strength by 2.3, 7, and 2 times as compare to batch 1, respectively. Moreover, the impact resistance of fiber reinforced concrete has increase by 7 times as compared to non-fiber concretes. Moreover, the impact resistance of fiber reinforced concrete consistently gave better results as compared to non-fiber concretes. The fiber reinforced concrete turned more ductile as the dosage of fibers was increased and ductility started to decrease slightly after optimum fiber dosage was reached. It was found that concrete with combination of 2% steel and 0.2% drink cans fibers showed the highest compressive, split tensile, flexural as well as impact strength.    

Fabrication and characterization of bovine hydroxyapatite-gelatin-alendronate scaffold cross-linked by glutaraldehyde for bone regeneration

2021 ◽  
Vol 32 (4) ◽  
pp. 555-560
Author(s):  
Samirah ◽  
Aniek Setiya Budiatin ◽  
Ferdiansyah Mahyudin ◽  
Junaidi Khotib
Keyword(s):  
Compressive Strength ◽  
Bone Regeneration ◽  
Mtt Assay ◽  
Local Treatment ◽  
Swelling Ratio ◽  
High Concentration ◽  
Proliferation And Differentiation ◽  
Bovine Hydroxyapatite

Abstract Objectives Alendronate are widely used in the treatment of bone disorders characterized by inhibit osteoclast-mediated bone resorption such as Paget’s disease, fibrous dysplasia, myeloma, bone metastases and osteoporosis. In recent studies alendronate improves proliferation and differentiation of osteoblasts, thereby facilitating for bone regeneration. The disadvantages of this class are their poor bioavailability and side effects on oral and intravenous application such as stomach irritation and osteonecrosis in jaw. Thus, local treatment of alendronate is needed in order to achieve high concentration of drug. Bovine hydroxyapatite-gelatin scaffold with alendronate was studied. Glutaraldehyde was used as cross-linking agent, increase the characteristics of this scaffold. The objectives of this study were to manufacture and characterize alendronate scaffold using bovine hydroxyapatite-gelatin and crosslinked by glutaraldehyde. Methods Preparation of cross-linked bovine hydroxyapatite-gelatin and alendronate scaffold with different concentration of glutaraldehyde (0.00, 0.50, 0.75, and 1.00%). The scaffolds were characterized for compressive strength, porosity, density, swelling ratio, in vitro degradation, and cytotoxicity (the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide assay, shorted as MTT assay). Results Bovine hydroxyapatite-gelatin-alendronate scaffold cross-linked with glutaraldehyde showed lower density than without glutaraldehyde. As glutaraldehyde concentration increased, porosity also increased. Eventually, it reduced compressive strength. Swelling ratio and in vitro degradation was negatively dependent on glutaraldehyde concentration. In addition, the scaffold has a good safety by MTT assay. Conclusions Bovine hydroxyapatite-gelatin-alendronate scaffold was fabricated with various concentrations of glutaraldehyde. The presence of glutaraldehyde on bovine hydroxyapatite-gelatin-alendronate is safe and suitable candidate scaffold for bone regeneration.

O193 ROLE OF MALNUTRITION IN 0ESOPHAGEAL SURGERY FOR CANCER

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
R Alfieri ◽  
M Nardi ◽  
V Moretto ◽  
E Pinto ◽  
M Briarava ◽  
...  
Keyword(s):  
Weight Loss ◽  
Postoperative Complications ◽  
Nutritional Status ◽  
Term Survival ◽  
Long Term Outcome ◽  
Long Term Survival ◽  
Oesophagogastric Junction ◽  
Significant Difference ◽  
The Impact

Abstract Aim To investigate whether preoperative malnutrition is associated with long term outcome and survival in patients undergoing radical oesophagectomy for oesophageal or oesophagogastric junction cancer. Background & Methods Dysphagia, weight loss, chemo-radiationtherapy frequently lead to malnutrition in patients with oesophageal or oesophagogastric junction cancer. Severe malnutrition is associated with higher risk of postoperative complications but little is known on the correlation with long term survival. We conducted a single center retrospective study on a prospectively collected database of patients undergoing oesophagectomy from 2008 and 2012 in order to evaluate the impact of preoperative malnutrition with postoperative outcome and long term survival. Preoperative malnutrition was classified as: prealbumin level less than 220 mg/dL (PL), MUST index (Malnutrition Universal Screeening Tool) >2 and weight loss >10%. Results 177 consecutive patients were considered: due to incomplete data 60 were excluded from the analysis that was performed on 117 patients. PL was reported in 52 (44%) patients, MUST index was recorded in 62 (53%), 58 (49%) patients presented more than 10% weight loss at the preoperative evaluation. PL was associated with more postoperative Clavien-Dindo 1-2 complications (p=0.048, OR 2.35 95%IC 1.001-5.50), no differences were observed in mortality, anastomotic leak, major pulmonary complications. MUST index was not correlated with postoperative complications nor mortality but resulted worse in patients treated with chemo-radiotherapy (p=0.046, OR 1.92 95%CI 1.011-3.64). Weight loss >10% was not associated with postoperative complications or mortality. Overall 7 years survival rate was 69%. and DFS was 68%. Malnourished patients did not differ from non-malnourished regarding age, sex, tumor site, tumor stage and histology. No significant difference in 7 years survival rates was observed in patients with PL <220 mg/dL ( 55 % vs 67%), neither in patients with MUST score>2 (58% vs 72%), nor in patients with weight loss >10% (53% vs 70%). Conclusions Malnutrition is more common in patients treated with chemoradiation therapy and it is associated with postoperative complications. However, both long term and disease free survival are not affected by preoperative nutritional status. Larger patient population and data on long term postoperative nutritional status will be analyzed in further studies.

scholarly journals Comparison of Dental Stone Models and Their 3D Printed Acrylic Replicas for the Accuracy and Mechanical Properties

Materials ◽  
2020 ◽  
Vol 13 (18) ◽  
pp. 4066
Author(s):  
Marta Czajkowska ◽  
Ewa Walejewska ◽  
Łukasz Zadrożny ◽  
Monika Wieczorek ◽  
Wojciech Święszkowski ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Compressive Strength ◽  
Impact Strength ◽  
Physical Properties ◽  
Diagnostic Tool ◽  
Medical Records ◽  
Diagnostic Value ◽  
Dental Models ◽  
3D Printed ◽  
The Impact

This study was conducted to test possibilities of application of 3D printed dental models (DMs) in terms of their accuracy and physical properties. In this work, stone models of mandibles were cast from alginate impressions of 10 patients and scanned in order to obtain 3D printed acrylic replicas. The diagnostic value was tested as matching of model scans on three levels: peak of cusps, occlusal surface, and all teeth surfaces. The mechanical properties of acrylic and stone samples, specifically the impact strength, shore D hardness, and flexural and compressive strength were investigated according to ISO standards. The matching of models’ surfaces was the highest on the level of peaks of cusps (average lack of deviations, 0.21 mm) and the lowest on the level of all teeth surfaces (average lack of deviations, 0.64 mm). Acrylic samples subjected to mechanical testing, as expected, showed higher mechanical properties as compared to the specimens made of dental stone. In the present study we demonstrated that 3D printed acrylic models could be ideal representatives in the case of use as a diagnostic tool and as a part of medical records. The acrylic samples exhibited not only higher mechanical properties, but also showed better accuracy comparing to dental stone.

scholarly journals Brushite cement containing gelatin: evaluation of mechanical strength and in vitro degradation

Cerâmica ◽  
2019 ◽  
Vol 65 (374) ◽  
pp. 261-266 ◽  
Author(s):  
L. P. Silva ◽  
M. D. P. Ribeiro ◽  
E. S. Trichês ◽  
M. Motisuke
Keyword(s):  
Mechanical Properties ◽  
Weight Loss ◽  
Compressive Strength ◽  
Solid Phase ◽  
Setting Time ◽  
Biological Properties ◽  
Solubility In Water ◽  
Ringer’S Solution ◽  
Weight Loss Data

Abstract Calcium phosphate cements (CPCs) are potential materials for repairing bone defects, mainly due to their excellent biocompatibility and osteoconductivity. Nevertheless, their low mechanical properties limit their usage in clinical applications. The gelatin addition may improve the mechanical and biological properties of CPCs, but their solubility in water may increase the porosity of the cement during degradation. Thus, the aim of this work was to investigate the influence of gelatin on the setting time, compressive strength and degradation rate of a brushite cement. CPCs were prepared with the addition of 0, 5, 10 and 20 wt% of gelatin powder in the solid phase of the cement. The results indicated that the setting time increased with gelatin. Furthermore, cement with 20 wt% of gelatin had an initial compressive strength of 14.1±1.8 MPa while cement without gelatin had 4.5±1.2 MPa. The weight loss, morphology and compressive strength were evaluated after degradation in Ringer’s solution. According to the weight loss data, gelatin was eliminated of samples during degradation. It was concluded that the presence of gelatin improved CPCs mechanical properties; however, as degradation in Ringer’s solution evolved, cement compressive strength decreased due to gelatin dissolution and, consequently, an increase in sample porosity.

scholarly journals Changes in Bone Marrow Fat upon Dietary-Induced Weight Loss

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1509
Author(s):  
Manuela Spurny ◽  
Yixin Jiang ◽  
Solomon A. Sowah ◽  
Ruth Schübel ◽  
Tobias Nonnenmacher ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Weight Loss ◽  
Study Cohort ◽  
Marrow Fat ◽  
Bone Marrow Fat ◽  
Randomized Controlled ◽  
Cell Counts ◽  
Significant Difference ◽  
Metabolic Biomarkers ◽  
The Impact

Background: Bone marrow fat is implicated in metabolism, bone health and haematological diseases. Thus, this study aims to analyse the impact of moderate weight loss on bone marrow fat content (BMFC) in obese, healthy individuals. Methods: Data of the HELENA-Trial (Healthy nutrition and energy restriction as cancer prevention strategies: a randomized controlled intervention trial), a randomized controlled trial (RCT) among 137 non-smoking, overweight or obese participants, were analysed to quantify the Magnetic Resonance Imaging (MRI)-derived BMFC at baseline, after a 12-week dietary intervention phase, and after a 50-week follow-up. The study cohort was classified into quartiles based on changes in body weight between baseline and week 12. Changes in BMFC in respect of weight loss were analysed by linear mixed models. Spearman’s coefficients were used to assess correlations between anthropometric parameters, blood biochemical markers, blood cells and BMFC. Results: Relative changes in BMFC from baseline to week 12 were 0.0 ± 0.2%, −3.2 ± 0.1%, −6.1 ± 0.2% and −11.5 ± 0.6% for Q1 to Q4. Across all four quartiles and for the two-group comparison, Q1 versus Q4, there was a significant difference (p < 0.05) for changes in BMFC. BMFC was not associated with blood cell counts and showed only weaker correlations (<0.3) with metabolic biomarkers. Conclusion: Weight loss is associated with a decrease of BMFC. However, BMFC showed no stronger associations with inflammatory and metabolic biomarkers.

scholarly journals Routine intraoperative jejunostomy placement and minimally invasive oesophagectomy: an unnecessary step?†

2019 ◽  
Vol 56 (4) ◽  
pp. 746-753 ◽  
Author(s):  
Tiuri E Kroese ◽  
Leonidas Tapias ◽  
Jacqueline K Olive ◽  
Lena E Trager ◽  
Christopher R Morse
Keyword(s):  
Weight Loss ◽  
Minimally Invasive ◽  
Relative Weight ◽  
Patient Characteristics ◽  
Perioperative Outcomes ◽  
P Value ◽  
Oral Nutrition ◽  
Significant Difference ◽  
Minimally Invasive Oesophagectomy ◽  
The Impact

Abstract OBJECTIVES: Adequate nutrition is challenging after oesophagectomy. A jejunostomy is commonly placed during oesophagectomy for nutritional support. However, some patients develop jejunostomy-related complications and the benefit over oral nutrition alone is unclear. This study aims to assess jejunostomy-related complications and the impact of intraoperative jejunostomy placement on weight loss and perioperative outcomes in patients with oesophageal cancer treated with minimally invasive Ivor Lewis oesophagectomy (MIE). METHODS: From a prospectively maintained database, patients were identified who underwent MIE with gastric reconstruction. Between 2007 and 2016, a jejunostomy was routinely placed during MIE. After 2016, a jejunostomy was not utilized. Postoperative feeding was performed according to a standardized protocol and similar for both groups. The primary outcomes were jejunostomy-related complications, relative weight loss at 3 and 6 months postoperative and perioperative outcomes, including anastomotic leak, pneumonia and length of stay, respectively. RESULTS: A total of 188 patients were included, of whom 135 patients (72%) received a jejunostomy. Ten patients (7.4%) developed jejunostomy-related complications, of whom 30% developed more than 1 complication. There was no significant difference in weight loss between groups at 3 months (P = 0.73) and 6 months postoperatively (P = 0.68) and in perioperative outcomes (P-value >0.999, P = 0.591 and P = 0.513, respectively). CONCLUSIONS: The use of a routine intraoperative jejunostomy appears to be an unnecessary step in patients undergoing MIE. Intraoperative jejunostomy placement is associated with complications without improving weight loss or perioperative outcomes. Its use should be tailored to individual patient characteristics. Early oral nutrition allows patients to maintain an adequate nutritional status.

Pharmacist Intervention Enhances Adherence to Orlistat Therapy

2003 ◽  
Vol 37 (11) ◽  
pp. 1598-1602 ◽  
Author(s):  
Margaret Malone ◽  
Sharon A Alger-Mayer
Keyword(s):  
Weight Loss ◽  
Pharmaceutical Care ◽  
Pharmacist Intervention ◽  
Community Practice ◽  
Management Skills ◽  
Large Numbers ◽  
Number Of Patients ◽  
Significant Difference ◽  
Additional Support ◽  
The Impact

BACKGROUND: Pharmacists, especially those in community practice, should increase their level of intervention in dealing with the nationwide epidemic of obesity since they interact with large numbers of the public on a regular basis. We hypothesized that patients who receive medication for weight loss may have an improved therapeutic outcome if they received additional support from their community pharmacist. OBJECTIVE: To evaluate the impact of pharmacist support on patient persistence with orlistat. METHODS: Pharmacists were trained in basic obesity management skills. Patients who were prescribed orlistat and attending an outpatient nutrition program were invited to participate in the study. All patients agreed to receive pharmaceutical care. Those who lived where the service was available were assigned to the intervention (I) group and those who did not were assigned to the control (C) group. All patients received usual care provided by the outpatient clinic. RESULTS: Thirty patients, 15 in the I group and 15 in the C group, were recruited. Both groups were predominantly women (87%) with a mean ± SD age of 43.8 ± 9.7 years. Patients in the I group had significantly greater persistence with orlistat therapy as assessed by duration of therapy (p = 0.006) and number of patients completing the 26-week study (7 I, 2 C; p = 0.046). There was no significant difference in percent of weight loss between groups (p > 0.05). CONCLUSIONS: In this pilot study, patients receiving pharmaceutical care took orlistat longer than the controls and had improved outcome with orlistat therapy.

scholarly journals Feasibility study of compost as a partial substitute for fine aggregate in concrete

2021 ◽  
Keyword(s):  
Weight Loss ◽  
Compressive Strength ◽  
Elevated Temperature ◽  
Fine Particles ◽  
Strength Loss ◽  
Fine Aggregate ◽  
Geopolymer Concrete ◽  
Control Specimen ◽  
Sem Image ◽  
Significant Difference

Abstract In this study, vermicompost is replaced for fine aggregate in geopolymer concrete (GPC). Initially mix design is made for GPC and mix proportion is proposed. The vermicompost is replaced at 5%, 10%, 15% and 20% with M sand in GPC. Result indicates the 5% replacement with vermicompost based geopolymer concrete (GPVC) has the compressive strength of 32 N mm−2 (M30 grade) whereas the compressive strength of control specimen made with GPC is 37 N mm−2. Other replacement shows 21 N mm−2, 14 N mm−2 and 11 N mm−2 respectively. The 5% replaced concrete cubes and control specimen are tested at an elevated temperature of 200°C, 400°C, 600°C and 800°C and compared with the control specimen. There is no significant difference observed in weight lost at control (GPC) and GPVC specimen. An elevated temperature, the weight loss is almost 4% at 200°C because of expulsion of water from the concrete. Afterwards only 2% weight loss is observed in remaining elevated temperature. The compressive strength loss is observed at an elevated temperature in GPC and GPVC specimen because of thermal incompatibility between aggregate and the binder. EDX results show M sand and compost contains Si, Al, C, Fe, Ca, Mg, Na and K and it is similar in the elemental composition and SEM image confirms vermicompost contains fine particles.

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