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In this paper, we explore the development of a multi-functional surface designed to tackle the challenges posed by Staphylococcus aureus (S. aureus), a common opportunistic pathogen. Infections caused by S. aureus during surgical procedures highlight the need for effective strategies to inhibit its adhesion, growth, and colonization, particularly on the surfaces of invasive medical devices. Until now, most existing research has focused on nanopillar structures (positive topographies). Uniform nanopillar arrays have been shown to control bacterial behavior based on the spacing between nanopillars. However, nanopillar structures are susceptible to external friction, impact, and force, making it challenging to maintain their antibacterial properties. Therefore, in this study, we investigate the antibacterial behavior of nanohole structures, which offer relatively superior mechanical robustness compared to nanopillars. Moreover, for applications in medical devices such as laparoscopes, there is a pressing need for surfaces that are not only transparent and flexible (or curved) but are also equipped with antibacterial properties. Our study introduces a scalable multi-functional surface that synergistically combines antibacterial and anti-fog properties. This is achieved by fabricating thin films with variously sized holes (ranging from 0.3 µm to 4 µm) using polyurethane acrylate (PUA). We assessed the activity of S. aureus on these surfaces and found that a 1 µm-diameter-hole pattern significantly reduced the presence of live S. aureus, without any detection of dead S. aureus. This bacteriostatic effect is attributed to the restricted proliferation due to the confined area provided by the hole pattern. However, the persistence of some live S. aureus on the surface necessitates further measures to minimize bacterial adhesion and enhance antibacterial effectiveness. To address this challenge, we coated the zwitterionic polymer 2-methacryloyloxyethyl phosphorylcholine (MPC) onto the nanohole pattern surface to reduce S. aureus adhesion. Moreover, in long-term experiments on surfaces, the MPC-coated effectively inhibited the colonization of S. aureus (18 h; 82%, 7 days; 83%, and 14 days; 68% antibacterial rate). By integrating PUA, MPC, and nanohole architectures into a single, flexible platform, we achieved a multi-functional surface catering to transparency, anti-fogging, and anti-biofouling requirements. This innovative approach marks a significant advancement in surface engineering, offering a versatile solution applicable in various fields, particularly in preventing S. aureus contamination in invasive medical devices like laparoscopes. The resultant surface, characterized by its transparency, flexibility, and antibacterial functionality, stands out as a promising candidate for mitigating S. aureus-related risks in medical applications.
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Antibacterianos , Pruebas de Sensibilidad Microbiana , Staphylococcus aureus , Propiedades de Superficie , Staphylococcus aureus/efectos de los fármacos , Antibacterianos/farmacología , Antibacterianos/química , Antibacterianos/síntesis química , Nanoestructuras/química , Adhesión Bacteriana/efectos de los fármacos , Tamaño de la PartículaRESUMEN
Recycling waste Ni-Cd batteries has received much attention recently because of the serious environmental pollution they cause and to avoid the dissipation of valuable metals. Despite significant research, it is still difficult to efficiently recycle valuable and hazardous metals from waste Ni-Cd batteries in an economical and environmentally friendly manner. This study employed a novel process utilizing ultrasound-assisted leaching to recover Ni, Cd, and Co from waste nickel-cadmium (Ni-Cd) batteries. Organic DL-malic acid served as the leaching agent and H2O2 was employed as an oxidizing agent. The effects of various factors on the recovery efficiency of Ni, Cd, and Co, such as leaching temperature, time, DL-malic acid concentration, pulp density, H2O2 concentration, and ultrasound frequency, were also examined. To predict the chemical compounds present before and after the recycling experiments, the solid residues from the metal extraction were analyzed using XRD, XPS, FE-SEM, and EDS element mapping. Concurrently, ICP-OES was utilized to determine the metal content in the leachate. Under optimized conditions of 90 °C, 90 min, 2M DL-malic acid, 160 mL/g pulp density, and 20% ultrasound frequency, over 83% of Ni, 94% of Cd, and 98% of Co were effectively leached from the waste Ni-Cd battery powder. The leaching kinetics of Ni, Cd, and Co followed the surface chemical reaction control model. The activation energies (Ea) for Ni, Cd, and Co leaching were 21.34, 20.47, and 18.38 kJ/mol, respectively. The findings suggest that ultrasound-assisted leaching is an efficient, cost-effective, environmentally friendly, and sustainable alternative for extracting precious and hazardous metals from waste Ni-Cd batteries. Additionally, it reduces industrial chemical usage and enhances waste management sustainability.
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Cadmio , Níquel , Reciclaje , Cadmio/química , Níquel/química , Metales/química , Malatos/química , Cobalto/químicaRESUMEN
A direct and comprehensive comparative study on different 3D printing modalities was performed. We employed two representative 3D printing modalities, laser- and extrusion-based, which are currently used to produce patient-specific medical implants for clinical translation, to assess how these two different 3D printing modalities affect printing outcomes. The same solid and porous constructs were created from the same biomaterial, a blend of 96% poly-ε-caprolactone (PCL) and 4% hydroxyapatite (HA), using two different 3D printing modalities. Constructs were analyzed to assess their printing characteristics, including morphological, mechanical, and biological properties. We also performed an in vitro accelerated degradation study to compare their degradation behaviors. Despite the same input material, the 3D constructs created from different 3D printing modalities showed distinct differences in morphology, surface roughness and internal void fraction, which resulted in different mechanical properties and cell responses. In addition, the constructs exhibited different degradation rates depending on the 3D printing modalities. Given that each 3D printing modality has inherent characteristics that impact printing outcomes and ultimately implant performance, understanding the characteristics is crucial in selecting the 3D printing modality to create reliable biomedical implants.
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Durapatita , Rayos Láser , Poliésteres , Impresión Tridimensional , Poliésteres/química , Durapatita/química , Ensayo de Materiales , Porosidad , Animales , Humanos , Materiales Biocompatibles/química , Andamios del Tejido/química , RatonesRESUMEN
Lignin is generally considered to be a renewable and sustainable resource of aromatic chemicals. However, the depolymerization of Kraft lignin (KL) for the production of selective phenolic monomers presents a significant challenge due to its highly recalcitrant nature. Therefore, in this work, we investigated the effect of metal sites and acid active sites on Mo/SBA-15, Co/SBA-15 and CoMo/SBA-15 catalysts in supercritical ethanol for the depolymerization of KL to produce phenolic monomers. Ethanol was used as a hydrogen donor solvent instead of using external hydrogen. Results showed that the bimetallic CoMo/SBA-15 catalyst exhibited significantly higher catalytic activity compared to the monometallic, Co/SBA-15, Mo/SBA-15 or bare SBA-15. The highest phenolic monomers yield of 27.04 wt% was achieved at 290 °C for 4 h over CoMo/SBA-15 catalyst. The inter-unit linkages such as ß-O-4', ß-ß and α-O-4' in lignin were considerably cleaved during the catalytic depolymerization in supercritical ethanol. Meanwhile, higher functionality of carbonyl compounds was present in the non-catalytic bio-oil, while more alkylated phenols were produced over CoMo/SBA-15 catalyst. The major phenolic monomers identified in the catalytic bio-oil were 4-ethylguaiacol (9.15 wt%), 4-methylguaiacol (6.80 wt%), and 4-propylguaiacol (2.85 wt%). These findings suggest that the metal sites and abundant acid active sites of CoMo/SBA-15 had a synergistic effect toward the degradation of different linkages of lignin and production of selective phenolic monomers in bio-oils.
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The incidence of screw loosening, migration, and pullout caused by the insufficient screw-bone fixation stability is relatively high in clinical practice. To solve this issue, the auxetic unit-based porous bone screw (AS) has been put forward in our previous work. Its favorable auxetic effect can improve the primary screw-bone fixation stability after implantation. However, porous structure affected the fatigue behavior and in vivo longevity of bone screw. In this study, in vitro fatigue behaviors and in vivo osseointegration performance of the re-entrant unit-based titanium auxetic bone screw were studied. The tensile-tensile fatigue behaviors of AS and nonauxetic bone screw (NS) with the same porosity (51%) were compared via fatigue experiments, fracture analysis, and numerical simulation. The in vivo osseointegration of AS and NS were compared via animal experiment and biomechanical analysis. Additionally, the effects of in vivo dynamic tensile loading on the osseointegration of AS and NS were investigated and analyzed. The fatigue strength of AS was approximately 43% lower while its osseointegration performance was better than NS. Under in vivo dynamic tensile loading, the osseointegration of AS and NS both improved significantly, with the maximum increase of approximately 15%. Preferrable osseointegration of AS might compensate for the shortage of fatigue resistance, ensuring its long-term stability in vivo. Adequate auxetic effect and long-term stability of the AS was supposed to provide enough screw-bone fixation stability to overcome the shortages of the solid bone screw, developing the success of surgery and showing significant clinical application prospects in orthopedic surgery. STATEMENT OF SIGNIFICANCE: This research investigated the high-cycle fatigue behavior of re-entrant unit-based auxetic bone screw under tensile-tensile cyclic loading and its osseointegration performance, which has not been focused on in existing studies. The fatigue strength of auxetic bone screw was lower while the osseointegration was better than non-auxetic bone screw, especially under in vivo tensile loading. Favorable osseointegration of auxetic bone screw might compensate for the shortage of fatigue resistance, ensuring its long-term stability and longevity in vivo. This suggested that with adequate auxetic effect and long-term stability, the auxetic bone screw had significant application prospects in orthopedic surgery. Findings of this study will provide a theoretical guidance for design optimization and clinical application of the auxetic bone screw.
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Myocardial infarction is one of the largest contributors to cardiovascular disease and reduces the ability of the heart to pump blood. One promising therapeutic approach to address the diminished function is the use of cardiac patches composed of biomaterial substrates and cardiac cells. These patches can be enhanced with the application of an auxetic design, which has a negative Poisson's ratio and can be modified to suit the mechanics of the infarct and surrounding cardiac tissue. Here, we examined multiple auxetic models (orthogonal missing rib and re-entrant honeycomb in two orientations) with tunable mechanical properties as a cardiac patch substrate. Further, we demonstrated that 3D printing based auxetic cardiac patches of varying thicknesses (0.2, 0.4, and 0.6 mm) composed of polycaprolactone and gelatin methacrylate can support induced pluripotent stem cell-derived cardiomyocyte function for 14-day culture. Taken together, this work shows the potential of cellularized auxetic cardiac patches as a suitable tissue engineering approach to treating cardiovascular disease.
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Despite notable advances in extrusion-based 3D bioprinting, it remains a challenge to create a clinically-sized cellular construct using extrusion-based 3D printing due to long printing times adversely affecting cell viability and functionality. Here, we present an advanced extrusion-based 3D bioprinting strategy composed of a two-step printing process to facilitate creation of a trachea-mimetic cellular construct of clinically relevant size. A porous bellows framework is first printed using typical extrusion-based 3D printing. Selective printing of cellular components, such as cartilage rings and epithelium lining, is then performed on the outer grooves and inner surface of the bellows framework by a rotational printing process. With this strategy, 3D bioprinting of a trachea-mimetic cellular construct of clinically relevant size is achieved in significantly less total printing time compared to a typical extrusion-based 3D bioprinting strategy which requires printing of an additional sacrificial material. Tracheal cartilage formation was successfully demonstrated in a nude mouse model through a subcutaneous implantation study of trachea-mimetic cellular constructs wrapped with a sinusoidal-patterned tubular mesh preventing rapid resorption of cartilage rings in vivo. This two-step 3D bioprinting for a trachea-mimetic cellular construct of clinically relevant size can provide a fundamental step towards clinical translation of 3D bioprinting based tracheal reconstruction.
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Bioimpresión , Animales , Cartílago , Condrogénesis , Ratones , Impresión Tridimensional , Ingeniería de Tejidos , Andamios del Tejido , TráqueaRESUMEN
To date, a method of attaching a FRP (fiber-reinforced polymer) to concrete members with epoxy has been widely applied to increase the strength of the member. However, there are cases in which the adhesion of the epoxy deteriorates over time and the reinforcing effect of the FRP is gradually lost. Therefore, monitoring whether or not the reinforcing effect is properly maintained is needed in order to prevent a decrease in the structural performance of the member improved by FRP reinforcement. In this regard, this study examines FRP with OF (optical fiber) sensors to monitor the reinforcing effect of FRP in concrete structural members. In particular, this paper seeks to determine an appropriate adhesion length when FBG (fiber Bragg grating) based OF sensors are externally bonded to FRP strips with epoxy resin. To this end, a tensile test was carried out to evaluate the sensing performance according to the adhesion length. In addition, an analytical approach was performed and the result were compared with test result. The results of the experimental and analytical studies showed that the strain generated in the FRP is sufficiently transferred to the OF if the total adhesion length of it is 40 mm or more in consideration of the error in the epoxy thickness.
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To date, numerous studies have explored recycling of lithium, nickel, cobalt, and manganese (NCM) from spent lithium-ion batteries (LIBs). Nevertheless, the leaching and efficient separation of the precious metals from NCM active cathode material via an environmentally benign and economical process is still challenging. Therefore, in this research, we present a novel and energy an efficient route through which to leach valuable metals, for example, lithium (Li), nickel (Ni), cobalt (Co), and manganese (Mn) from the NCM cathode material of the waste LIBs using water-containing waste chlorinated polyvinyl chloride (CPVC) or polyvinyl chloride (PVC) in a batch reactor. Parameters such as temperature, time, liquid-solid, and mass ratios on the extraction efficiencies of Li, Ni, Co, and Mn were carefully examined. The outcomes show that CPVC performed better than PVC for the extraction of valuable metals from NCM material, and this was attributed to its high Cl contents. The maximum extraction efficiencies of Li, Ni, Co, and Mn (99.15%, 98.10%, 99.30%, and 100%, respectively) were achieved under optimized reaction conditions: a temperature of 290 °C, reaction time of 1 h, a liquid-solid ratio 60:1 mL/g and solid to solid mass ratio of 1:3. The apparent activation energies (Ea) for Li, Ni, Co, and Mn were computed to be (24.42, 28.85, 29.67, and 28.79) kJ/mol. The results obtained in this work, indicated that it may contribute to efforts aiming to reduce industrial chemical consumption and increase sustainability in waste management technique.
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In recent tracheal tissue engineering, limitations in cartilage reconstruction, caused by immature delivery of chondrocyte-laden components, have been reported beyond the complete epithelialization and integration of the tracheal substitutes with the host tissue. In an attempt to overcome such limitations, this article introduces a protective design of tissue-engineered trachea (TraCHIM) composed of a chitosan-based nanofiber membrane (CHIM) and a 3D-printed biotracheal construct. The CHIM was created from chitosan and polycaprolactone (PCL) using an electrospinning process. Upon addition of chitosan to PCL, the diameter of electrospun fibers became thinner, allowing them to be stacked more closely, thereby improving its mechanical properties. Chitosan also enhances the hydrophilicity of the membranes, preventing them from slipping and delaminating over the cell-laden bioink of the biotracheal graft, as well as protecting the construct. Two weeks after implantation in Sprague-Dawley male rats, the group with the TraCHIM exhibited a higher number of chondrocytes, with enhanced chondrogenic performance, than the control group without the membrane. This study successfully demonstrates enhanced chondrogenic performance of TraCHIM in vivo. The protective design of TraCHIM opens a new avenue in engineered tissue research, which requires faster tissue formation from 3D biodegradable materials, to achieve complete replacement of diseased tissue.
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Quitosano/química , Condrocitos/citología , Condrogénesis , Poliésteres/química , Ingeniería de Tejidos/métodos , Tráquea/citología , Animales , Humanos , Masculino , Impresión Tridimensional , Ratas , Ratas Sprague-Dawley , Andamios del TejidoRESUMEN
In this study, soil washing is applied for the remediation of heavy-metal (Pb, Cu and Zn) contaminated paddy soil located near an abandoned mine area. FeCl3 washing solutions were used in bench-scale soil washing experiments at concentrations in the range of 0.1 to 1 M. The strong acid, HCl was also used in this study for comparison. The washing process was performed at room temperature, mixing at 200 RPM for 1 h and a liquid to solid ratio of 2. A sequential extraction technique was performed to evaluate the chemical fractions of Pb in the soils. The soil washing effectiveness was evaluated and compared against regulations applicable to residential districts (Korean warning standards). The soil washing results showed that the heavy metal concentrations were reduced with increasing concentrations of FeCl3. Moreover, the lowest heavy metal concentrations were obtained with a 1 M FeCl3 washing solution. In the case of Pb removal, a 0.3 M FeCl3 washing solution was required to comply with the Korean warning standard of 200 mg/kg. The lowest Pb concentration of 117 mg/kg was obtained with 1 M FeCl3. Similar washing results were also obtained with HCl. The initial total concentrations for Cu and Zn were below the Korean warning standards of 150 and 300 mg/kg, respectively. Consequently, the reduction in Cu and Zn from the contaminated paddy soil using FeCl3 washing solutions was rather limited. The sequential extraction results showed that the exchangeable and weak acid-soluble fractions of Pb were significantly reduced upon FeCl3 washing.
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Metales Pesados , Contaminantes del Suelo , Contaminación Ambiental , Metales Pesados/análisis , Suelo , Contaminantes del Suelo/análisisRESUMEN
This study presents the development of an effective and environmentally friendly method to leach and to recover valuable metals, such as lithium (Li) and cobalt (Co) from the spent lithium-ion batteries (LIBs) using subcritical water assisted by nickel catalyst and waste chlorinated polyvinyl chloride (CPVC). The effects of reaction parameters, such as Ni2+ concentration, temperature, time, and liquid-solid ratio on the leaching efficiencies of Li and Co were carefully investigated. The solid residues obtained thereof were characterized by XRD and SEM-EDS analyses, while the leachates were analyzed by ICP-OES. The ICP-OES results showed that about 99.05% of Li and 98.08% of Co were effectively leached from the spent LiCoO2 powder under the following optimized reaction conditions: temperature of 240 °C, reaction time of 40 min, Ni2+ concentration of 0.04 M, and the liquid-solid ratio of 25:1 mL/g, respectively. Finally, based on the precipitation method, the Li and Co were recovered from the leachate as Li2CO3 and Co(OH)2. The results and the method applied in this research suggest that the leaching and recovery of Li and Co from the spent LIBs using subcritical nickel-containing water is an inexpensive, efficient, sustainable and eco-friendly technology.
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The objective of this study was to determine leaching efficiency of Li and Co from spent lithium-ion batteries (LIBs) by using waste chlorinated polyvinyl chloride (CPVC) in hydrothermal subcritical water process. Waste CPVC was used as the source of HCl to speed up leaching efficiency. Effects of temperature, time, LiCoO2: CPVC mass ratio and liquid-solid ratio on leaching efficiencies of Li and Co were investigated. Solid residues were characterized by XRD and SEM-EDS elemental mapping to predict chemical compounds remained after leaching. Results showed that more than 98.71 % of Li and 97.69 % of Co were effectively leached from LiCoO2 powder under the following conditions: temperature of 250 °C, reaction time of 60 min, and LiCoO2: CPVC mass ratio of 1:3. Results of this study suggest that recovery of Li and Co from spent LIBs using hydrothermal subcritical water is an efficient, environmental friendly and sustainable technology.
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Over the past several decades, clinical studies have shown significant analgesic effects of acupuncture. The efficacy of acupuncture treatment has improved with the recent development of nanoporous needles (PN), which are produced by modifying the needle surface using nanotechnology. Herein, we showed that PN at acupoint ST36 produces prolonged analgesic effects in an inflammatory pain model; the analgesic effects of PN acupuncture were sustained over 2 h, while those using a conventional needle (CN) lasted only 30 min. In addition, the PN showed greater therapeutic effects than CN after 10 acupuncture treatments once per day for 10 days. We explored how the porous surface of the PN contributes to changes in local tissue, which may in turn result in enhanced analgesic effects. We showed that the PN has greater rotational torque and pulling force than the CN, particularly at acupoints ST36 and LI11, situated on thick muscle layers. Additionally, in ex vivo experiments, the PN showed greater winding of subcutaneous connective tissues and muscle layers. Our results suggest that local mechanical forces are augmented by the PN and its nanoporous surface, contributing to the enhanced and prolonged analgesic effects of PN acupuncture.
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Oil spills from disasters such as the sinking of ships and the discharge of oily wastes cause serious environmental problems. Polydimethylsiloxane(PDMS) sponges are valuable tools for isolating spilled oil. Here, we propose new PDMS sponges with bio-inspired design and enhanced absorption capacities. 3D printing was used to produce templates having negative designs, and after being filled with PDMS, the templates were selectively dissolved. Through this, PDMS sponges with well-interconnected and controlled porosities were produced within 10% error. The wettability of sponges with various pore sizes and line widths was investigated. The surfaces were found to be highly hydrophobic, with water contact angles of 100-143°, and oleophilic, with oil contact angles of â¼0°. The sponge fabricated with line width of 200 µm and pore size of 400 µm showed the highest hydrophobicity and oleophilicity. These parameters were used to produce the surfaces of hollow sponges having bio-inspired design that mimics the water absorption and storage functions of cactus. Repeated oil-water separation testing was conducted, and the absorption capacities were compared with those of non-hollow and conventional sponges. The new design showed absorption capacity up to 3.7 times that of the sponges. The bio-inspired PDMS sponge provides a significant advance in oil-water separation ability.
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Successful remediation of soil with co-existing organics contaminants and arsenic (As) is a challenge as the chemical and remediation technologies are different for each group of pollutants. In this study, the treatment effectiveness of the pressurized hot water (PHW) extraction process was investigated for remediation of soil co-contaminated with phenol, crude oil, polycyclic aromatic hydrocarbons (PAHs), and As. An elimination percentage of about 99% was achieved for phenol, and in the range of 63-100% was observed for the PAHs at 260°C for 90â min operation. The performance of PHW extraction in the removal of total petroleum hydrocarbons was found to be 86%. Of the 87â mg/kg of As in untreated soil, 67% of which was eliminated after treatment. The removal of organic contaminants was mainly via desorption, dissolution and degradation in subcritical water, while As was eliminated probably by oxidation and dissolution of arsenic-bearing minerals. According to the experimental results, the PHW extraction process can be suggested as an alternative cleaning technology, instead of using any organic solvents for remediation of such co-contaminated soil.
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Arsénico , Hidrocarburos Policíclicos Aromáticos , Contaminantes del Suelo , Contaminación Ambiental , SueloRESUMEN
Arthritis is not only a chronic disease but also causes physical inactivity. We investigated the association between arthritis and quality of life and psychological problems, as measured by suicidal ideation. We used data from the 2013 Community Health Survey, and 162,598 persons aged 40 years and older were included as study subjects. Our main focus was to investigate association of arthritis with suicidal ideation and quality of life. Multivariate survey logistic regression analysis was used to estimate the odds ratio for suicidal ideation, and multivariate survey linear regression analysis used to identify associations between variables and scores on the EuroQol Visual Analogue Scale(EQ-VAS). 8.30% of male and 13.90% of female experienced suicidal ideation, and 16.17% of and 21.23% of female suffered from arthritis. Individuals with arthritis were more likely to report suicidal ideation and have lower health-related quality of life (HRQOL) scores. Furthermore, higher rates of suicidal ideation and lower HRQOLs were also associated with older age, low income and less education. Arthritis was associated with higher rates of suicidal ideation and lower HRQOL scores. These results should contribute to the development and implementation of polices and management strategies to alleviate suicidal ideation and increase HRQOL scores among arthritis patients.
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Artritis/epidemiología , Calidad de Vida , Factores Socioeconómicos , Ideación Suicida , Anciano , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Extensive circumferential tracheal defects remain a major challenging problem in the field of tracheal reconstruction. In this study, a tissue-engineered tracheal graft based on three-dimensional (3D) printing was developed for extensive circumferential tracheal reconstruction. A native trachea-mimetic bellows scaffold, a framework for a tissue-engineered tracheal graft, was indirectly 3D printed and reinforced with ring-shaped bands made from medical grade silicone rubber. A tissue-engineered tracheal graft was then created by stratifying tracheal mucosa decellularized extracellular matrix (tmdECM) hydrogel on the luminal surface of the scaffold and transferring human inferior turbinate mesenchymal stromal cell (hTMSC) sheets onto the tmdECM hydrogel layer. The tissue-engineered tracheal graft with critical length was anastomosed end-to-end to the native trachea and complete re-epithelialization was achieved on the entire luminal surface within 2 months in a rabbit model with no post-operative complications. With this successful result, the present study reports the preliminary potential of the tissue-engineered tracheal graft as a rational tissue engineering strategy for extensive circumferential tracheal reconstruction.
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Matriz Extracelular/química , Trasplante de Células Madre Mesenquimatosas , Células Madre Mesenquimatosas/citología , Ingeniería de Tejidos/métodos , Andamios del Tejido/química , Tráquea/citología , Animales , Células Cultivadas , Humanos , Trasplante de Células Madre Mesenquimatosas/métodos , Impresión Tridimensional , Conejos , Procedimientos de Cirugía Plástica , Tráquea/química , Tráquea/cirugíaRESUMEN
Intervertebral disc (IVD) degeneration is associated with imbalances between catabolic and anabolic responses, regulated by extracellular matrix (ECM)-modifying enzymes such as matrix metalloproteinases (MMPs) and their endogenous tissue inhibitors of metalloproteinases (TIMPs). Potential contributing factors, such as interleukin (IL)-1ß and tumor necrosis factor (TNF)-α, derived from infiltrated, activated macrophages within IVD tissues, can trigger abnormal production of ECM-modifying enzymes and progression of IVD degeneration. Novel therapies for regulating ECM-modifying enzymes can prevent or ameliorate IVD degeneration. Photobiomodulation (PBM), known to regulate wound repair, exhibits regenerative potential by modulating biological molecules. This study examined the effects of PBM, administered at various wavelengths (630, 525, and 465 nm) and energy densities (16, 32, and 64 J/cm2), on the production of ECM-modifying enzymes in replicated degenerative IVD. Our results showed that PBM selectively inhibited the production of ECM-modifying enzymes in a dose- and wavelength-dependent manner, suggesting that it could be a novel tool for treating symptomatic IVD degeneration.
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Matriz Extracelular/enzimología , Degeneración del Disco Intervertebral/terapia , Terapia por Luz de Baja Intensidad , Núcleo Pulposo/enzimología , Progresión de la Enfermedad , Matriz Extracelular/efectos de la radiación , Regulación de la Expresión Génica/efectos de la radiación , Humanos , Interleucina-1beta/genética , Disco Intervertebral/enzimología , Disco Intervertebral/patología , Disco Intervertebral/efectos de la radiación , Degeneración del Disco Intervertebral/genética , Degeneración del Disco Intervertebral/patología , Macrófagos/patología , Macrófagos/efectos de la radiación , Metaloproteinasas de la Matriz/genética , Metaloproteinasas de la Matriz/efectos de la radiación , Núcleo Pulposo/patología , Núcleo Pulposo/efectos de la radiación , Cultivo Primario de Células , Inhibidores Tisulares de Metaloproteinasas/genética , Inhibidores Tisulares de Metaloproteinasas/efectos de la radiación , Factor de Necrosis Tumoral alfa/genéticaRESUMEN
This study evaluated the possibility of tracheal reconstruction with allograft, pig-to-rabbit fresh xenograft or use of a tissue-engineered trachea, and compared acute rejection of three different transplanted tracheal segments in rabbits. Eighteen healthy New Zealand White rabbits weighing 2.5-3.1 kg were transplanted with three different types of trachea substitutes. Two rabbits and two alpha 1, 3-galactosyltransferase gene-knockout pigs weighing 5 kg were used as donors. The rabbits were divided into three groups: an allograft control group consisting of rabbit-to-rabbit allotransplantation animals (n = 6), a fresh xenograft group consisting of pig-to-rabbit xenotransplantation animals (n = 6), and an artificial trachea scaffold group (n = 6). All animals were monitored for 4 weeks for anastomotic complications or infection. The recipients were sacrificed at 28 days after surgery and the grafts were evaluated. On bronchoscopy, all of the fresh xenograft group animals showed ischemic and necrotic changes at 28 days after trachea replacement. The allograft rabbits and the tissue-engineered rabbits showed mild mucosal granulation. The levels of interleukin-2 and interferon-γ in the fresh xenograft group were higher than in other groups. Histopathologic examination of the graft in the fresh xenograft rabbits showed ischemic and necrotic changes, including a loss of epithelium, mucosal granulation, and necrosis of cartilaginous rings. The pig-to-rabbit xenografts showed more severe acute rejection within a month than the rabbits with allograft or artificial trachea-mimetic graft. In addition, the artificial tracheal scaffold used in the present experiment is superior to fresh xenograft and may facilitate tracheal reconstruction in the clinical setting.