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1.
Biomaterials ; 313: 122756, 2025 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-39182327

RESUMEN

Currently, the treatment of bone defects in arthroplasty is a challenge in clinical practice. Nonetheless, commercially available orthopaedic scaffolds have shown limited therapeutic effects for large bone defects, especially for massiveand irregular defects. Additively manufactured porous tantalum, in particular, has emerged as a promising material for such scaffolds and is widely used in orthopaedics for its exceptional biocompatibility, osteoinduction, and mechanical properties. Porous tantalum has also exhibited unique advantages in personalised rapid manufacturing, which allows for the creation of customised scaffolds with complex geometric shapes for clinical applications at a low cost and high efficiency. However, studies on the effect of the pore structure of additively manufactured porous tantalum on bone regeneration have been rare. In this study, our group designed and fabricated a batch of precision porous tantalum scaffolds via laser powder bed fusion (LPBF) with pore sizes of 250 µm (Ta 250), 450 µm (Ta 450), 650 µm (Ta 650), and 850 µm (Ta 850). We then performed a series of in vitro experiments and observed that all four groups showed good biocompatibility. In particular, Ta 450 demonstrated the best osteogenic performance. Afterwards, our team used a rat bone defect model to determine the in vivo osteogenic effects. Based on micro-computed tomography and histology, we identified that Ta 450 exhibited the best bone ingrowth performance. Subsequently, sheep femur and hip defect models were used to further confirm the osteogenic effects of Ta 450 scaffolds. Finally, we verified the aforementioned in vitro and in vivo results via clinical application (seven patients waiting for revision total hip arthroplasty) of the Ta 450 scaffold. The clinical results confirmed that Ta 450 had satisfactory clinical outcomes up to the 12-month follow-up. In summary, our findings indicate that 450 µm is the suitable pore size for porous tantalum scaffolds. This study may provide a new therapeutic strategy for the treatment of massive, irreparable, and protracted bone defects in arthroplasty.


Asunto(s)
Regeneración Ósea , Tantalio , Andamios del Tejido , Tantalio/química , Regeneración Ósea/efectos de los fármacos , Porosidad , Animales , Andamios del Tejido/química , Ratas , Ratas Sprague-Dawley , Osteogénesis/efectos de los fármacos , Humanos , Masculino , Prueba de Estudio Conceptual , Materiales Biocompatibles/química , Materiales Biocompatibles/farmacología , Femenino
2.
Biomaterials ; 313: 122754, 2025 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-39197237

RESUMEN

A critical shortage of donor corneas exists worldwide. Hydrogel patches with a biological architecture and functions that simulate those of native corneas have garnered considerable attention. This study introduces a stromal structure replicating corneal patch (SRCP) composed of a decellularized cornea-templated nanotubular skeleton, recombinant human collagen, and methacrylated gelatin, exhibiting a similar ultrastructure and transmittance (above 80 %) to natural cornea. The SRCP is superior to the conventional recombinant human collagen patch in terms of biomechanical properties and resistance to enzymatic degradation. Additionally, SRCP promotes corneal epithelial and stromal cell migration while preventing the trans-differentiation of stromal cells into myofibroblasts. When applied to an ocular surface (37 °C), SRCP releases methacrylated gelatin, which robustly binds SRCP to the corneal stroma after activation by 405 nm light. Compared to gelatin-based photocurable hydrogel, the SRCP better supports the restoration of normal corneal curvature and withstands deformation under an elevated intraocular pressure (100 mmHg). In an in vivo deep anterior-corneal defect model, SRCP facilitated epithelial healing and vision recovery within 2 weeks, maintained graft structural stability, and inhibited stromal scarring at 4 weeks post-operation. The ideal performance of the SRCP makes it a promising humanized corneal equivalent for sutureless clinical applications.


Asunto(s)
Sustancia Propia , Hidrogeles , Humanos , Animales , Hidrogeles/química , Gelatina/química , Cicatrización de Heridas/efectos de los fármacos , Colágeno/química , Conejos , Procedimientos Quirúrgicos sin Sutura/métodos , Córnea
3.
Angew Chem Int Ed Engl ; : e202413108, 2024 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-39262088

RESUMEN

Antimony selenosulfide (Sb2(S,Se)3) has obtained widespread concern for photovoltaic applications as a light absorber due to superior photoelectric features. Accordingly, various deposition technologies have been developed in recent years, especially hydrothermal deposition method, which has achieved a great success. However, device performances are limited with severe carrier recombination, relating to the quality of absorber and interfaces. Herein, bulk and interface defects are simultaneously suppressed by regulating heterogeneous nucleation kinetics with barium dibromide (BaBr2) introduction. In details, the Br adsorbs and dopes on the polar planes of cadmium sulfide (CdS) buffer layer, promoting the exposure of nonpolar planes of CdS, which facilitates the favorable growth of [hk1]-Sb2(S,Se)3 films possessing superior crystallinity and small interface defects. Additionally, the Se/S ratio is increased due to the replacement of S/Se by Br, causing a downshift of the Fermi levels with a benign band alignment and a shallow-level defect. Moreover, Ba2+ is located at grain boundaries by coordination with S and Se ions, passivating grain boundary defects. Consequently, the efficiency is increased from 7.70% to 10.12%. This work opens an avenue towards regulating the heterogeneous nucleation kinetics of Sb2(S,Se)3 film deposited via hydrothermal deposition approach to optimize its crystalline orientation and defect features.

4.
Artículo en Inglés | MEDLINE | ID: mdl-39262208

RESUMEN

Perovskite multiple quantum wells (MQWs) have shown great potential in the field of light-emitting diodes (LEDs). However, the random formation of QWs with varying well widths (n numbers) often leads to suboptimal interface defects and charge transport issues. Here, we reveal that the crystallization sequence of bromide-based perovskite MQWs is large-n QWs preceding small-n QWs. With this insight, we prevent the crystallization of subsequent small-n QWs by reducing the crystallization rate, ultimately resulting in the crystallization of only n = 5 QWs. This reduction in the crystallization rate is achieved through the chemical interaction of dual additives with perovskite constituents. Additionally, the chemical interaction effectively passivates the uncoordinated lead ions defects. Consequently, pure-phase perovskite QWs with a high photoluminescence quantum efficiency of 75% are achieved. The resulting green LEDs achieve a peak external quantum efficiency of 17.1% and a maximum luminance of 29,480 cd m-2, which is attractive for full-color display applications of perovskites.

5.
Zhongguo Dang Dai Er Ke Za Zhi ; 26(9): 899-906, 2024.
Artículo en Chino | MEDLINE | ID: mdl-39267503

RESUMEN

OBJECTIVES: To investigate how maternal MTR gene polymorphisms and their interactions with periconceptional folic acid supplementation are associated with the incidence of ventricular septal defects (VSD) in offspring. METHODS: A case-control study was conducted, recruiting 426 mothers of infants with VSD under one year old and 740 mothers of age-matched healthy infants. A questionnaire survey collected data on maternal exposures, and blood samples were analyzed for genetic polymorphisms. Multivariable logistic regression analysis and inverse probability of treatment weighting were used to analyze the associations between genetic loci and VSD. Crossover analysis and logistic regression were utilized to examine the additive and multiplicative interactions between the loci and folic acid intake. RESULTS: The CT and TT genotypes of the maternal MTR gene at rs6668344 increased the susceptibility of offspring to VSD (P<0.05). The GC and CC genotypes at rs3768139, AG and GG at rs1050993, AT and TT at rs4659743, GG at rs3768142, and GT and TT at rs3820571 were associated with a decreased risk of VSD (P<0.05). The variations at rs6668344 demonstrated an antagonistic multiplicative interaction with folic acid supplementation in relation to VSD (P<0.05). CONCLUSIONS: Maternal MTR gene polymorphisms significantly correlate with the incidence of VSD in offspring. Mothers with variations at rs6668344 can decrease the susceptibility to VSD in their offspring by supplementing with folic acid during the periconceptional period, suggesting the importance of periconceptional folic acid supplementation in genetically at-risk populations to prevent VSD in offspring.


Asunto(s)
5-Metiltetrahidrofolato-Homocisteína S-Metiltransferasa , Suplementos Dietéticos , Ácido Fólico , Defectos del Tabique Interventricular , Humanos , Ácido Fólico/administración & dosificación , Femenino , Defectos del Tabique Interventricular/genética , 5-Metiltetrahidrofolato-Homocisteína S-Metiltransferasa/genética , Estudios de Casos y Controles , Lactante , Adulto , Embarazo , Polimorfismo Genético , Masculino , Polimorfismo de Nucleótido Simple
6.
Sensors (Basel) ; 24(17)2024 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-39275478

RESUMEN

Water leakage defects often occur in underground structures, leading to accelerated structural aging and threatening structural safety. Leakage identification can detect early diseases of underground structures and provide important guidance for reinforcement and maintenance. Deep learning-based computer vision methods have been rapidly developed and widely used in many fields. However, establishing a deep learning model for underground structure leakage identification usually requires a lot of training data on leakage defects, which is very expensive. To overcome the data shortage, a deep neural network method for leakage identification is developed based on transfer learning in this paper. For comparison, four famous classification models, including VGG16, AlexNet, SqueezeNet, and ResNet18, are constructed. To train the classification models, a transfer learning strategy is developed, and a dataset of underground structure leakage is created. Finally, the classification performance on the leakage dataset of different deep learning models is comparatively studied under different sizes of training data. The results showed that the VGG16, AlexNet, and SqueezeNet models with transfer learning can overall provide higher and more stable classification performance on the leakage dataset than those without transfer learning. The ResNet18 model with transfer learning can overall provide a similar value of classification performance on the leakage dataset than that without transfer learning, but its classification performance is more stable than that without transfer learning. In addition, the SqueezeNet model obtains an overall higher and more stable performance than the comparative models on the leakage dataset for all classification metrics.

7.
Sensors (Basel) ; 24(17)2024 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-39275507

RESUMEN

A data-driven approach to defect identification requires many labeled samples for model training. Yet new defects tend to appear during data acquisition cycles, which can lead to a lack of labeled samples of these new defects. Aiming at solving this problem, we proposed a zero-shot pipeline blockage detection and identification method based on stacking ensemble learning. The experimental signals were first decomposed using variational modal decomposition (VMD), and then, the information entropy was calculated for each intrinsic modal function (IMF) component to construct the feature sets. Second, the attribute matrix was established according to the attribute descriptions of the defect categories, and the stacking ensemble attribute learner was used for the attribute learning of defect features. Finally, defect identification was accomplished by comparing the similarity within the attribute matrices. The experimental results show that target defects can be identified even without targeted training samples. The model showed better classification performance on the six sets of experimental data, and the average recognition accuracy of the model for unknown defect categories reached 72.5%.

8.
Sensors (Basel) ; 24(17)2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39275549

RESUMEN

In the field of industrial inspection, accurate detection of thread quality is crucial for ensuring mechanical performance. Existing machine-vision-based methods for internal thread defect detection often face challenges in efficient detection and sufficient model training samples due to the influence of mechanical geometric features. This paper introduces a novel image acquisition structure, proposes a data augmentation algorithm based on Generative Adversarial Networks (GANs) to effectively construct high-quality training sets, and employs a YOLO algorithm to achieve internal thread defect detection. Through multi-metric evaluation and comparison with external threads, high-similarity internal thread image generation is achieved. The detection accuracy for internal and external threads reached 94.27% and 93.92%, respectively, effectively detecting internal thread defects.

9.
Sensors (Basel) ; 24(17)2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39275553

RESUMEN

The purpose of this research is to develop an innovative software framework with AI capabilities to predict the quality of automobiles at the end of the production line. By utilizing machine learning techniques, this framework aims to prevent defective vehicles from reaching customers, thus enhancing production efficiency, reducing costs, and shortening the manufacturing time of automobiles. The principal results demonstrate that the predictive quality inspection framework significantly improves defect detection and supports personalized road tests. The major conclusions indicate that integrating AI into quality control processes offers a sustainable, long-term solution for continuous improvement in automotive manufacturing, ultimately increasing overall production efficiency. The economic benefit of our solution is significant. Currently, a final test drive takes 10-30 min, depending on the car model. If 200,000-300,000 cars are produced annually and our data prediction of quality saves 10 percent of test drives with test drivers, this represents a minimum annual saving of 200,000 production minutes.

10.
Sensors (Basel) ; 24(17)2024 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-39275746

RESUMEN

As semiconductor chip manufacturing technology advances, chip structures are becoming more complex, leading to an increased likelihood of void defects in the solder layer during packaging. However, identifying void defects in packaged chips remains a significant challenge due to the complex chip background, varying defect sizes and shapes, and blurred boundaries between voids and their surroundings. To address these challenges, we present a deep-learning-based framework for void defect segmentation in chip packaging. The framework consists of two main components: a solder region extraction method and a void defect segmentation network. The solder region extraction method includes a lightweight segmentation network and a rotation correction algorithm that eliminates background noise and accurately captures the solder region of the chip. The void defect segmentation network is designed for efficient and accurate defect segmentation. To cope with the variability of void defect shapes and sizes, we propose a Mamba model-based encoder that uses a visual state space module for multi-scale information extraction. In addition, we propose an interactive dual-stream decoder that uses a feature correlation cross gate module to fuse the streams' features to improve their correlation and produce more accurate void defect segmentation maps. The effectiveness of the framework is evaluated through quantitative and qualitative experiments on our custom X-ray chip dataset. Furthermore, the proposed void defect segmentation framework for chip packaging has been applied to a real factory inspection line, achieving an accuracy of 93.3% in chip qualification.

11.
Clin Biomech (Bristol, Avon) ; 120: 106336, 2024 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-39276502

RESUMEN

BACKGROUND: Autologous cancellous bone grafting still represents the gold standard for the therapy of non-healing bone defects. However, donor site morbidity and the restricted availability of autologous bone grafts have initiated scientists to look for promising alternatives to heal even large defects. The present study aimed to evaluate the biomechanical potential and failure properties of a previously developed metaphyseal critical-size defect model of the proximal tibia in minipigs for future comparisons of bone substitute materials. METHODS: Fresh-frozen minipig tibiae were divided into two groups, with half undergoing the creation of critical-size defects. Specimens were subjected to biomechanical fatigue tests and load-to-failure tests. CT scans post-test verified bone damage. Statistical analysis compared the properties of defected and intact specimens. FINDINGS: In this model, it was demonstrated that under uniaxial cyclic compression within the loading axis, the intact tibiae specimens (8708 ± 202 N) provided a significant (p = 0.014) higher compressive force to failure than the tibiae with the defect (6566 ± 1653 N). INTERPRETATION: Thus, the used minipig model is suitable for comparing bone substitute materials regarding their biomechanical forces and bone regeneration capacity.

12.
Sci Rep ; 14(1): 21469, 2024 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-39277591

RESUMEN

In general, defects are crucial in designing the different properties of two-dimensional materials. Therefore large variations in the electric and optical characteristics of two-dimensional layered molybdenum disulphide might be attributed to defects. This study presents the design of a temperature and nitrogen sensor based on few-layer molybdenum disulfide sheets (FLMS), which was developed from bulk MoS2 (BMS) through an exfoliation approach. The produced sulfur defect, molybdenum defect, line defect, and plane defect were characterized by scanning transmission electron microscopy (STEM), which substantially impacts the sensing characteristics of the resulting FLMS. Our theoretical analysis validates that the sulfur vacancies of the MoS2 lattice improve sensing performance by promoting effective charge transfer and surface interactions with target analytes. The FLMS-based sensor showed a high sensitivity for detecting nitrogen gas with a detection limit (LOD) of ~ 0.18 ppm. Additionally, temperature-detecting capabilities were assessed over various temperatures, showing outstanding stability and repeatability. To the best of our knowledge, this material is the first of its kind, demonstrating visible N2 gas sensing with chromic behaviour.

13.
Front Cardiovasc Med ; 11: 1448967, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39280031

RESUMEN

Background: Transcatheter atrial septal defect (ASD) closure is the primary approach for treating ASD secundum; however, data on long-term outcomes remain limited. This study aimed to elucidate the prevalence of adverse outcomes following transcatheter ASD closure in a diverse population. Methods: This retrospective cohort study was conducted at the Songklanagarind Hospital and included patients who underwent transcatheter ASD closure between January 2010 and August 2021. Results: The study included 277 patients who completed follow-up for at least 1 year, with varying ages: <25 years (31%), 25-40 years (19%), 40-60 years (34%), and >60 years (16%). The median follow-up duration was 37 months (interquartile range: 20, 61). The overall mortality rate was 1.8%, and no deaths were attributed to device-related complications. Hospitalization due to heart failure occurred in 0.7% of the cases. Most patients improved or stabilized based on the New York Heart Association functional class. Adverse outcomes included new-onset atrial fibrillation (prevalence: 2.7%) and pulmonary hypertension (prevalence: 0.6%). The resolution of pulmonary hypertension varied among age groups, with 100% resolution in patients <25 years. Multivariate analysis identified male sex, overweight, and history of stroke to be significantly associated with adverse outcomes after transcatheter ASD closure. Conclusion: Transcatheter ASD closure was safe and effective, with age not being a limiting factor for success. Male sex, being overweight, and a history of stroke were associated with adverse outcomes. These findings contribute to our understanding of the long-term outcomes following ASD closure.

14.
Int J Mol Sci ; 25(17)2024 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-39273256

RESUMEN

Cleft lip and/or palate (CL/P) are the most common congenital anomalies in the craniofacial region, leading to morphological and functional disruptions in the facial region. Their etiology involves genetic and environmental factors, with genetics playing a crucial role. This study aimed to investigate the association of four single nucleotide polymorphisms (SNPs)-rs987525, rs590223, rs522616, and rs4714384-with CL/P in the Polish population. We analyzed DNA samples from 209 individuals with CL/P and 418 healthy controls. The impact of SNPs on the presence of CL/P was assessed using multivariate logistic regression. Significant associations were found with rs987525. Specifically, the AC genotype was linked to an increased CL/P risk (odds ratio [OR] = 1.95, 95% confidence interval [CI]: 1.34-2.83, p < 0.001), while the CC genotype was associated with a decreased risk (OR = 0.46, 95% CI: 0.32-0.67, p < 0.001). Rs4714384 was also significant, with the CT genotype correlated with a reduced risk of CL/P (OR = 0.66, 95% CI: 0.46-0.94, p = 0.011). SNPs rs590223 and rs522616 did not show statistically significant associations. These results underscore the role of rs987525 and rs4714384 in influencing CL/P risk and suggest the utility of genetic screening in understanding CL/P etiology.


Asunto(s)
Labio Leporino , Fisura del Paladar , Predisposición Genética a la Enfermedad , Polimorfismo de Nucleótido Simple , Humanos , Labio Leporino/genética , Labio Leporino/epidemiología , Fisura del Paladar/genética , Fisura del Paladar/epidemiología , Polonia/epidemiología , Femenino , Masculino , Genotipo , Estudios de Casos y Controles , Frecuencia de los Genes , Oportunidad Relativa
15.
J Clin Med ; 13(17)2024 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-39274252

RESUMEN

Introduction: Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a genetic disorder characterised by progressive fibrosis predominantly of the right ventricular (RV) myocardium, resulting in life-threatening arrhythmias and heart failure. The diagnosis is challenging due to a wide spectrum of clinical symptoms. The important role of ECG was covered in the current diagnostic criteria. The role of the epsilon wave (EW) is still under discussion. Aim: The aim of the study was to examine a potential association between the EW and late ventricular potentials (LPs) in ARVC patients (pts). The correlation between RV dilatation or dysfunction and LPs/EW was also analysed. Methods: The ARVC group consisted of 81 pts (53 men, aged 20-78 years) fulfilling 2010 International Task Force Criteria. 12-lead ECG, LPs, Holter, and ECHO were performed in all pts. The presence of EW was analysed in ECG by 3 investigators. LPs were detected by signal-averaged ECG (SAECG). SAECG was considered positive for LPs when at least two of the three following criteria were met: (1) the filtered QRS duration (fQRS) ≥ 114 msec; (2) the duration of the final QRS fragment in which low-amplitude signals lower than 40 µV are recorded (LAS-40 > 38 msec); and (3) the root mean square amplitude of the last 40 milliseconds of the fQRS complex (RMS-40 < 20 µV). The results were compared with a reference group consisting of 53 patients with RV damage in the course of atrial septum defect (ASD) or Ebstein's Anomaly (EA). Results: In the ARVC group, a significant relationship was observed between the occurrence of EW and the presence of LPs. EW was more common in the LP+ than in the LP- patients (48.1% vs. 6.9%, p < 0001; OR 12.5; 95% CI [2.691-58.063]). In ARVC pts, RVOT > 36 mm, RVIT > 41 mm, and RV S' < 9 cm/s were observed significantly more often in the LPs+ than in the LPs- group (OR [95% CI]: 8.3 [2.9-1.5], 6.4 [2.2-19.0] and 3.6 [1.1-12.2], respectively). In the ARVC group, any of fQRS > 114 ms, LAS > 38 ms, and RMS < 20 µV were significantly more frequent in EW+ pts. In multivariate analysis, the independent factors of the EW were LAS-40 and RV S'. In the LPs- subgroup, RVOT > 36 mm was more frequent in ASD/EA than in ARVC (70.4% vs. 25%, p = 0.002). Similarly, in the LPs- subgroup, RVIT > 41 mm was encountered more frequently in ASD/EA than in ARVC (85.2% vs. 48.3%, p = 0.004). Conclusions: In ARVC, there is an association between EW and LPs, with both probably resulting from the same process of fibrofatty substitution of the RV myocardium. Although RV dilatation is common in ASD and EA, it does not correlate with LPs.

16.
J Clin Med ; 13(17)2024 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-39274522

RESUMEN

Sperm DNA fragmentation (sDF) is a DNA damage able to predict natural conception. Thus, many laboratories added tests for the detection of sDF as an adjunct to routine semen analysis with specific indications. However, some points related to sDF are still open. The available tests are very different each from other, and a direct comparison, in terms of the prediction of reproductive outcomes, is mandatory. The proposed mechanisms responsible for sDF generation have not yielded treatments for men with high levels of sDF that have gained the general consent in clinical practice, thus requiring further research. Another relevant point is the biological meaning to attribute to sDF and, thus, what we can expect from tests detecting sDF for the diagnosis of male infertility. SDF can represent the "tip of iceberg" of a more extended and undetected sperm abnormality somehow impacting upon reproduction. Investigating the nature of such a sperm abnormality might provide novel insights into the link between sDF and reproduction. Finally, several studies reported an impact of native sDF on assisted reproduction technique outcomes. However, to fertilise the oocyte, selected spermatozoa are used where sDF, if present, associates with highly motile spermatozoa, which is the opposite situation to native semen, where most sDF associates with non-viable spermatozoa. Studies comparing the impact of sDF, as assessed in both native and selected spermatozoa, are needed.

17.
Materials (Basel) ; 17(17)2024 Sep 09.
Artículo en Inglés | MEDLINE | ID: mdl-39274824

RESUMEN

The purpose of this study was to investigate the optimization of computer-aided design/computer-aided manufacturing (CAD/CAM) patient-specific implants for mandibular facial bone defects and compare the biocompatibility and osseointegration of machined titanium (Ma), Sandblasted/Large-grit/Acid-etched (SLA) titanium, and polyetherketoneketone (PEKK) facial implants. We hypothesized that the facial implants made of SLA titanium had superior osseointegration when applied to the gonial angle defect and prevented the senile atrophy of the bone. Histologic findings of the soft-tissue reaction, hard-tissue reaction, and bone-implant contact (BIC (%) of 24 Ma, SLA, and PEKK facial implants at 8 and 12 weeks were investigated. There was no statistical difference in the soft tissue reaction. Bone was formed below the periosteum in all facial implants at 12 weeks and the BIC values were significantly different at both 8 and 12 weeks (p < 0.05). Ma, SLA, and PEKK facial implants are biocompatible with osseointegration properties. SLA can enhance osseointegration and provoke minimal soft tissue reactions, making them the most suitable choice. They provide an excellent environment for bone regeneration and, over the long term, may prevent atrophy caused by an aging mandible. The bone formation between the lateral surface of the facial implant and periosteum may assist in osseointegration and stabilization.

18.
Artículo en Inglés | MEDLINE | ID: mdl-39270773

RESUMEN

BACKGROUND: Stilting is a novel technique used in reverse shoulder arthroplasty (RSA) in patients with significant glenoid bone loss. This technique utilizes peripheral locking screws placed behind an unseated portion of the baseplate, to transmit forces from the baseplate to the cortical surface of the glenoid, without the need for bone grafting. The stilted screw, once locked, provides a fixed angle point of support for an unseated aspect of a baseplate. The primary advantages of this technique are reduced cost compared to a custom implant and reduced operative time compared to bone grafting. METHODS: We conducted a retrospective, non-randomized, comparative cohort study of 41 patients underwent primary Reverse Shoulder Arthroplasty (RSA) using the Stilting Technique with the Exactech Equinoxe Reverse System (Gainesville, FL, USA) at a single, academic center from the years 2004-2021. Exclusion criteria included age under 18 or over 100, and oncologic or acute fracture RSA indications. Operative data was documented, including implant records, percent baseplate seating, and operative duration. Survivorship was compared among primary stilted-RSA (n=41), bone graft-RSA (n=42), and non-stilted/non-bone grafted RSA (n=1,032) within our institutional shoulder arthroplasty database. A radiographic examination of baseplate failure was also conducted across the study groups. Postoperative functional outcomes were compared in a matched analysis involving patients with a minimum 2-year follow-up between stilted patients and a non-stilted/non-bone grafted control group for primary RSA. RESULTS: All Stilted-RSA cases utilized metal augments and demonstrated a mean baseplate seating of 61% (range 45-75%). For stilted RSAs, survivorship was 100% and 92.6% at 2- and 5-years, compared to 98.3% and 94.6% for non-stilted/non-bone grafted and 96.3% and 79.5% for bone-grafted RSAs (p=0.042). At 5-years, the baseplate-related failure rates were greater in the stilted (7.4%) and the bone-grafted (9.3%) cohorts compared with the non-stilted/non-bone grafted cohort (1.1%, p<0.001). The mean time to baseplate failure was 30 months for stilted RSA. Functional outcomes for primary RSA were statistically similar between stilted and non-stilted patients, including range of motion, Constant, ASES, SST, UCLA, and SPADI scores. CONCLUSION: The stilted-RSA cohort exhibited noninferior revision and baseplate failure rates to that of bone-grafted RSA. This suggests that stilting may be a viable technique for patients undergoing primary RSA with significant glenoid deformity.

19.
Nanomaterials (Basel) ; 14(17)2024 Aug 26.
Artículo en Inglés | MEDLINE | ID: mdl-39269055

RESUMEN

The long-wave infrared (LWIR) interband cascade detector with type-II superlattices (T2SLs) and a gallium-free ("Ga-free") InAs/InAsSb (x = 0.39) absorber was characterized by photoluminescence (PL) and spectral response (SR) methods. Heterostructures were grown by molecular beam epitaxy (MBE) on a GaAs substrate (001) orientation. The crystallographic quality was confirmed by high-resolution X-Ray diffraction (HRXRD). Two independent methods, combined with theoretical calculations, were able to determine the transitions between the superlattice minibands. Moreover, transitions from the trap states were determined. Studies of the PL intensity as a function of the excitation laser power allowed the identification of optical transitions. The determined effective energy gap (Eg) of the tested absorber layer was 116 meV at 300 K. The transition from the first light hole miniband to the first electron miniband was red-shifted by 76 meV. The detected defects' energy states were constant versus temperature. Their values were 85 meV and 112 meV, respectively. Moreover, two additional transitions from acceptor levels in cryogenic temperature were determined by being shifted from blue to Eg by 6 meV and 16 meV, respectively.

20.
Nanomaterials (Basel) ; 14(17)2024 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-39269078

RESUMEN

In recent years, the power conversion efficiency of perovskite solar cells has increased rapidly. Perovskites can be prepared using simple and cost-effective solution methods. However, the perovskite films obtained are usually polycrystalline and contain numerous defects. Passivation of these defects is crucial for enhancing the performance of solar cells. Here, we report the use of propylamine hydroiodide (PAI) for defect passivation. We found that PAI can result in higher-efficiency cells by reducing the defects and suppressing non-radiative recombination. Consequently, n-i-p perovskite solar cells with a certificated efficiency of 21% were obtained. In addition, PAI exhibited excellent performance in p-i-n devices by serving as a buried interface layer, leading to an improved efficiency of 23%.

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