PVC-Based Ion-Selective Electrodes with a Silicone Rubber Outer Coating with Improved Analytical Performance.

An outer layer of pure silicone rubber (SR), i.e. SR without any plasticizer, ionophore, or lipophilic anion, was applied on top of a conventional poly(vinyl chloride) (PVC) based K+-selective membrane in a solid-contact ion-selective electrode (SC-ISE). The influence of the outer SR coating on the analytical performance of the K+-ISEs was studied. The presence of the SR coating did not affect the selectivity of the SC-ISE, indicating that the plasticizer, ionophore, and lipophilic anion are spontaneously distributed from the PVC-based membrane into the SR layer. This was confirmed by electrochemical impedance spectroscopy (EIS). Interestingly, the reproducibility of the standard potential of the conditioned SC-ISE was significantly improved from E0 ± 35.3 mV to E0 ± 3.5 mV simply by adding the SR coating on top of the plasticized PVC based K+-selective membrane. Moreover, the adsorption of bovine serum albumin (BSA) was significantly reduced at the SR coated ion-selective membrane. Thus, the addition of a SR coating on a plasticized PVC ion-selective membrane seems to be a feasible method to improve the analytical performance and to reduce the biofouling of potentiometric ion sensors.

Evaluation of silicone elastomers as structural materials for microstructured adhesives.

Microstructured (sometimes referred to as gecko-like) adhesives have numerous advantages over flat films, especially for practical applications on non-ideal surfaces that may be uneven or contaminated with dust. However, due to interdependence among material surface and bulk properties, the best material to fabricate such adhesives is still unknown. In this work, we analyzed eleven commercially available silicone elastomers to evaluate their use as flat and microstructured adhesives to address multiple material related questions that may impact the choice of the 'best' material for microstructured dry adhesives. To illustrate the applicability of the measured properties to modeling microstructured surfaces, we use stalk-shaped microstructures, whose contact mechanics are well understood. We demonstrate that there is no correlation between the adhesion strength of flat and microstructured adhesives; while bulk dissipation is the most important factor influencing the adhesion strength of flat elastomers, after microstructurization, interface toughness becomes more important. Therefore, microstructured elastomers loaded with high surface energy additives may demonstrate higher adhesion than their flat counterparts. We also compare the adhesion of flat and microstructured silicone elastomers on rough substrates. In this case, we show that while flat elastomer adhesion decreases with increasing substrate roughness, microstructured silicone adhesion actually increases with increasing roughness up to 0.19 [Formula: see text]m. This is the first time an increase in adhesion strength on rough surfaces is reported for materials stiffer than 1.0 MPa.

Production of Medical Grade Silicone for Facial Prosthesis with Bactericidal Properties from the Inclusion of Poly (Diallyldimethylammonium Chloride): An in Vitro Study

Objective: To evaluate the inclusion capacity and bactericidal efficiency of diallyl dimethyl ammonium chloride (PDADMAC) diluted in tetrahydrofuran (THF) upon inclusion in the medical grade silicone polymer structure. Material and Methods: It was diluted the PDADMAC in THF at the concentration of 4wt%. It was included in the silicon paste during its vulcanization process. The contact angle measurements were performed to evaluate whether the biocide inclusion into the silicon paste was successful. All samples were sterilized with gamma radiation at 25KGy-dosage prior to the microbiological tests. Microbiological testing strictly followed the Antibacterial products - Test for antibacterial activity and efficacy JIS Z 2801: 201010 and the used of specific bacteria, as Staphylococcus aureus ATCC 6538P and Escherichia coli ATCC 8739. Results: The results showed that PDADMAC, when dissolved in THF at 4wt%, displayed good incorporation in medical silicone and a broad-spectrum antibacterial response. The results of the tests using Escherichia coli ATCC 8739 and Staphylococcus aureus ATCC 6538P showed that the silicone with no biocide addition did not present antibacterial activity. In contrast, the experimental group plus 2 mL of PDADMAC would have an ideal antibacterial response. Conclusion: Medical grade silicone can be used as a material with antibacterial properties, since it has been able to keep PDADMAC compound attached to its structure, thus acquiring antimicrobial property.

Gluteoplastia Técnica Intramuscular (XYZ) / Gluteoplasty using the Intramuscular (XYZ) Method

INTRODUÇÃO: No conceito de beleza corporal, a forma e o tamanho das nádegas são fundamentais, provocando uma crescente busca não só de mulheres, como também de homens, pela cirurgia de gluteoplastia. O objetivo deste trabalho é apresentar a experiência do autor em gluteoplastia com a técnica intramuscular (XYZ). MÉTODO: No período de 2010 a 2015 foram operados 29 pacientes com idades entre 22 e 64 anos (média 43 anos), sendo 26 mulheres (89,66%) e três homens (10,34%). Foram usados implantes redondos ou ovais, com volumes entre 240 e 420 ml (média de 330 ml), dependendo da melhor indicação para cada caso. RESULTADOS: Foram obtidos bons resultados sob o aspecto de aumento de volume e harmonia da região glútea, com alto índice de satisfação dos pacientes. CONCLUSÕES: Na casuística do estudo a técnica intramuscular (XYZ) se mostrou segura, tanto nas cirurgias primárias como nas cirurgias secundárias, para tratar casos de assimetria e/ou implantes visíveis. Com a pré- determinação dos pontos fixos XYZ, o procedimento torna-se seguro e reprodutível.

INTRODUCTION: The shape and size of the buttocks are essential to the notion of bodily beauty. This has resulted in a growing interest in gluteoplasty among both women and men. The aim of the present study was to present the author's experience with gluteoplasty using the intramuscular XYZ method. METHOD: Between 2010 and 2015, 29 patients aged 22 to 64 years (average, 43 years) underwent gluteoplasty; of these 26 were women (89.66%) and 3 were men (10.34%). Round or oval implants were used, with volumes of 240 to 420 ml (average, 330 ml), depending on the individual case. RESULTS: Good results were obtained in terms of volume increase and harmony of the gluteal region, with a high degree of patient satisfaction. CONCLUSIONS: The intramuscular XYZ method was safe, both for primary and secondary surgery, to treat cases of asymmetry and/or visible implants. Predetermining the XYZ reference points makes this procedure safe and reproducible.

SIMONI (Smart Integrated Monitoring) as a novel bioanalytical strategy for water quality assessment: Part II-field feasibility survey.

Because it is impossible to chemically analyze all relevant micropollutants, the implementation of bioanalytical tools is essential to estimate ecological risks of chemical mixtures in regular water-monitoring programs. The first tier of the Smart Integrated Monitoring (SIMONI) strategy, which was described in part I, is based on the combination of passive sampling and bioanalytical measurements. Bioassay responses are compared with effect-based trigger values (EBT), and an overall SIMONI score on all bioassay data was designed to indicate environmental risks. The present study is focused on analyzing the feasibility of the hazard identification tier by evaluating results of 45 field campaigns at sites with different pollution profiles near the city of Amsterdam. A Daphnia assay was performed in situ, while silicon rubber or polar organic chemical integrative sampler (POCIS) extracts were tested with 4 nonspecific (daphnids, algae, bacteria, and cell culture) and 10 specific (9 Chemical Activated Luciferase Gene Expression [CALUX] assays and antibiotics scan) bioassays. Sensitivity analyses demonstrated the relevance of 2 classification variables in the SIMONI score formula on all bioanalytical data. The model indicated increased risks for the ecosystem at surface waters in greenhouse areas and undiluted wastewater-treatment plant (WWTP) effluents. The choice of testing specific bioassays on either polar or nonpolar passive sampling extracts is cost-effective and still provided meaningful insights on micropollutant risks. Statistical analyses revealed that the model provides a relevant overall impact assessment based on bioassay responses. Data analyses on the chemically determined mixture toxic pressure and bioanalytical methods provided similar insights in relative risk ranking of water bodies. The SIMONI combination of passive sampling and bioanalytical testing appears to be a feasible strategy to identify chemical hazards. Environ Toxicol Chem 2017;36:2400-2416. © 2017 SETAC.

Estudo da eficiência bactericida do biocida policloreto de dialildimetilamônio em materiais usados para confecção de próteses orais e faciais / Study of the bactericidal efficiency of the biocide poly(diallyldimethylammonium chloride) used in materials for the manufacture of oral and facial prostheses

As próteses faciais e intraorais tem um importante papel na devolução da estética e de algumas funções para os pacientes. Por meio da restauração da imagem corporal é possível reintegrá-lo a sociedade, resgatando assim a identidade do indivíduo. A boa condição dessas próteses é primordial para que estas possam exercer suas funções adequadamente e manter o local, onde estão inseridas, livre de infecções e inflamações. Portanto, a não formação de colônias e biofilmes bacterianos em materiais eleitos para confecção dessas próteses, trarão benefícios aos pacientes reabilitados. Visando isso, a presente dissertação verificou a capacidade de inclusão e a eficiência bactericida do biocida policloreto de dialildimetilamônio (PDADMAC) em resina acrílica autopolimerizável (RAAQ) e termopolimerizável (RAAT), e silicone de uso médico. Os resultados mostraram que o biocida PDADMAC quando dissolvido no tetrahidrofurano apresentou boa incorporação tanto nas resinas acrílicas, quimicamente ativas e termo ativas, quanto no silicone de uso médico e que apenas os corpos de prova que receberam 2 mililitros do PDADMAC em massa polimérica tiveram uma resposta bactericida eficaz.

The facial and intraoral prosthesis has an important role in the aesthetics and return of some functions to patients. Through restoration of the body image can reistante to can society , thus recovering the individual's identity . The good condition of these prostheses is essential so they can perform their function properly and maintain the the area where the prostheses are inserted free of infection and inflammation. Therefore, no formation of bacteria colonies and biofilms in the chosen materials for making these prostheses , will bring benefits to patients rehabilitated. The present work evaluated the capability of inclusion and the bactericidal efficiency of the biocide poly(diallyldimethylammonium chloride) ( pDADMAC ) of acrylic resin autopolymmerized ( RAAQ ) and thermal polymerized ( RAAT ) , and silicone medical use. The results showed that the biocide pDADMAC when dissolved in tetrahydrofuran presented a good incorporation in both acrylic resins and in the medical grade silicone and that only the samples that received 2 ml of pDADMAC in polymer had an effective bactericidal response.

Quantifying the effects of temperature and salinity on partitioning of hydrophobic organic chemicals to silicone rubber passive samplers.

Nowadays, passive sampling is a widely applied technique to determine freely dissolved aqueous concentrations of hydrophobic organic chemicals (HOCs), such as polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs). Crucial to the measurements are sampler-water partition coefficients, which are generally determined in the laboratory under "standard conditions" (in freshwater at 20 °C). Theoretically, however, the coefficients are dependent on environmental conditions, such as temperature and salinity. Yet, there are insufficient experimental data in the scientific literature to prove this for different polymers. Several polymers are already being applied during field monitoring, however, and neglecting any effects may lead to imprecise results. In the present study, we therefore quantified the effects of temperature and salinity on the sampler-water partition coefficients of PAHs and PCBs for silicone rubber, a material used in Dutch passive sampling monitoring campaigns. The results demonstrated a chemical-specific and hydrophobicity-dependent temperature effect, being independent of salinity, and a chemical- and temperature-independent salinity effect. Based on the obtained data, location-specific silicone rubber-water partition coefficients (Ksr-w; adjusted for temperature and salinity) can be calculated. The impact of applying such location-specific values was demonstrated using the Dutch passive sampling field monitoring database, covering ten years of PAH and PCB data for several locations. Adjusting the Ksr-w values resulted in aqueous concentrations that were lowered by a factor of 1.6 on average. The reduction was rather constant because of the manner of sampling (under nonequilibrium conditions and using performance reference compounds) and calculating. When sampling under equilibrium conditions in seawater at temperatures at about freezing, and/or applying different calculation approaches, the adjustment effect can potentially increase up to a factor of about 5-6 for the more hydrophobic PAHs and PCBs. Although this study exclusively focused on silicone rubber, qualitatively the results will also apply to other passive sampling materials.

Technology of an adhesive silicone film as drug carrier in transdermal therapy. I: Analytical methods used for characterization and design of the universal elastomer layers.

Silicone polymers possess unique properties, which make them suitable for many different applications, for example in the pharmaceutical and medical industry. To create an adhesive silicone film, the appropriate silicone components have to be chosen first. From these components two layers were made: an adhesive elastomer applied on the skin, and a non-adhesive elastomer on the other side of the film. The aim of this study was to identify a set of analytical methods that can be used for detailed characterization of the elastomer layers, as needed when designing new silicone films. More specifically, the following methods were combined to detailed identification of the silicone components: Fourier transform infrared spectroscopy (FTIR), proton nuclear magnetic resonance (¹H NMR) and size exclusion chromatography with evaporative light scattering detector (SEC-ELSD). It was demonstrated that these methods together with a rheological analysis are suitable for controlling the cross-linking reaction, thus obtaining the desired properties of the silicone film. Adhesive silicone films can be used as universal materials for medical use, particularly for effective treatment of scars and keloids or as drug carriers in transdermal therapy.

Micro-scale surface-patterning influences biofilm formation

The formation of biofilms on indwelling/implanted medical devices is a common problem. One of the approaches used to prevent biofilm formation on medical devices is to inhibit bacterial attachment by modification of the synthetic polymers used to fabricate the device. In this work, we assessed how micro-scale features (patterns) imprinted onto the surface of silicone elastomer similar to that used for medical applications influenced biofilm formation by Staphylococcus aureus, Staphylococcus epidermidis, and Pseudomonas aeruginosa. Patterns were transferred from a multi-patterned oxidized silicon-wafer master-template to silicone elastomer. Features consisted of bars, squares, and circles each extending 0.51 µm above the surface. Feature sizes ranged between 1.78 and 22.25 µm. Distances separating features ranged between 0.26 and 17.35 µm. Bacterial biofilm formation on discs cut from imprinted silicone elastomer was assessed by direct microscopic observation and quantified as the surface area covered by biofilm. Unpatterned silicone elastomer served as a control. Several of the micro-scale patterns imprinted into the silicone elastomer significantly reduced biofilm formation by each bacterium and interrupted biofilm continuity. Although there were differences in detail among strains, bacteria tended to attach in the area between features more than to the surface of the feature itself.

Efeito da temperatura dos moldes de silicones na precisão de troquéis de gessos dos tipos IV e V / Effect of the temperature of silicone impressions on the precision of type IV and V gypsum dies

As alterações dimensionais dos moldes de silicone podem decorrer das variações de temperatura inerentes ao procedimento de moldagem. Os moldes podem ser resfriados ao serem removidos da boca para a bancada de trabalho. Este estudo avaliou o efeito da temperatura dos moldes de silicones na precisão de troquéis de gessos tipos IV e V. Moldes elastoméricos padronizados foram vazados para produzir troquéis de gessos dos tipos IV e V. Os moldes (n=10) foram confeccionados com silicones Adsil® Vigodent, Express®3M Espe, Zeta Plus® e Oranwash® L Zhermack, pela técnica de dupla moldagem, à temperatura de 35ºC e armazenados a 22ºC. Um grupo recebeu vazamento de gessos tipos IV e V à temperatura de 22ºC, enquanto no outro grupo os moldes foram reaquecidos a 35ºC e vazados com os mesmos gessos. A dimensão da largura dos corpos-de-prova foi medida em milímetros, usando microscópio comparador digital (Mitutoyo).As médias de cada grupo foram comparadas pelos testes de Kruskal-Wallis e Mann-Whitney. Foi observado efeito significativo do material de moldagem, quando o vazamento foi feito com gesso tipo IV, a 22ºC (p<0,001)e a 35ºC (p=0,003). Os efeitos do tipo de gesso e da temperatura foram significativos para todos os materiais estudados (p<0,001). A técnica de reaquecimento de moldes produziu modelos de gesso tipo IV com dimensões similares àqueles obtidos de moldes vazados com gesso do tipo V, à temperatura ambiente.

The use of poly(ethylene oxide) for the efficient stabilization of entrapped alpha-chymotrypsin in silicone elastomers: a chemometric study.

The enzyme alpha-chymotrypsin, a model for catalytic proteins, was entrapped in different silicone elastomers that were formed via the condensation-cure room temperature vulcanization (CC-RTV) of silanol terminated poly(dimethylsiloxane) with tetraethyl orthosilicate as a crosslinker, in the presence of different poly(ethylene oxide) oligomers that were functionalized with triethoxysilyl groups. The effects of various chemical factors on both the activity and entrapping efficiency of proteins (leaching) were studied using a 2-level fractional factorial design--a chemometrics approach. The factors studied include the concentration and chain length of poly(ethylene oxide), enzyme content, and crosslinker (TEOS) concentration. The study indicated that poly(ethylene oxide) can stabilize the entrapped alpha-chymotrypsin in silicone rubber: the specific activity can be maximized by incorporating a relatively high content of short chain, functional PEO. Increased enzyme concentration was found to adversely affect the specific activity. The effect of TEOS was found to be insignificant when PEO was present in the elastomer, however, it does affect the activity positively in the case of simple elastomers.

Highly active, lipase silicone elastomers.

Lipase Candida rugosa was entrapped in silicone rubber via condensation-cure room temperature vulcanization of silanol-terminated poly(dimethylsiloxane) with tetraethyl orthosilicate as a crosslinker, to give a highly active silicone-enzyme elastomer. The effect on enzyme activity of addition of water and hydrophilic polymeric moieties based on poly(ethylene oxide) 2 was examined, as were crosslinker concentration, enzyme concentration, and elastomer thickness. It was demonstrated that lipase is most active in silicone elastomers and more active in silicone oils than simple hydrocarbons. Crosslink density in these elastomers was not an important factor in the reactivity of the rubber. However, the addition of hydrophilic species prior to elastomer formation decreased the efficiency both of the dispersion of the enzyme and the resulting activity of the elastomer. This effect could be moderated by prior exposure of the lipase to silicone oil. Thus, hydrophobic silicones play a protective/activating role for lipase.

New selective method for quantification of organosilanol groups in silicone pre-elastomers.

The silicone elastomers used for drug delivery are normally reinforced by fumed silica, which contains a high density of silanol groups. These inorganic silanol groups have to be deactivated in order to avoid stiffening the uncured pre-elastomer, also called creep hardening. One commonly used way of achieving this deactivation is to mix the material with low molecular mass organosilanols at an elevated temperature. It is important to be able to quantify the nonbonded organosilanols remaining in the material after manufacture. Traditional testing does not distinguish between inorganic silanols and organosilanols. A new selective method for the quantification of organosilanol groups in silicone pre-elastomers has therefore been developed. This method is based on derivatization of the silanol groups with a mixture of dimethylphenylchlorosilane and tetramethyldiphenylsilazane, so that the silanol groups are replaced with a dimethylphenyl group. The derivatized organosilanols are then determined by liquid chromatography using a size exclusion column and a UV detector. No interference was found from other groups normally present in medical grade pre-elastomers, such as vinyls, hydrides, and inorganic bonded silanol on silica or water. The results agreed well with the nonselective Karl Fischer titration for some short chain silanols.

Noninvasive Raman spectroscopic identification of intraocular lens material in the living human eye.

PURPOSE: To develop a safe noninvasive technique for identifying the material of intraocular lenses (IOLs) implanted in patients. SETTING: Center for Biomedical Engineering and the Department of Ophthalmology and Visual Sciences, University of Texas Medical Branch, Galveston, Texas, USA. METHODS: Raman spectroscopy was used to noninvasively identify the type of IOL implanted after previous cataract surgery in 9 eyes of 6 patients who were legally blind as a result of eye disease. Three IOLs were characterized: poly(methyl methacrylate) (PMMA) (n = 5), acrylic (n = 3), and silicone (n = 1). Confocal Raman spectroscopy was used with a laser power of 95 microW and exposure time of 1 second. RESULTS: Distinct spectral peaks associated with each type of IOL were obtained. These included spectra peaks at 2840 cm(-1), 2946 cm(-1), and 3000 cm(-1) for PMMA; 2917 cm(-1), 2939 cm(-1), and 3055 cm(-1) for acrylic; and 2900 cm(-1), 2961 cm(-1), and 3048 cm(-1) for silicone. The procedure was well accepted by patients, and there were no complications. CONCLUSIONS: The specific Raman spectra of the IOLs allowed for noninvasive determination of IOL material with the use of a safe light dose and an exposure time of 1 second.

Effect of folding on the multifocal silicone intraocular lens: scanning electron microscopic study.

PURPOSE: To evaluate whether the surface of the refractive zonal multifocal silicone intraocular lens (IOL) is altered by different folding and implantation instruments and is more sensitive to manipulation during folding than the surface of a monofocal IOL. SETTING: Department of Ophthalmology, University Hospital, Kiel, Germany. METHODS: Evaluated were the refractive multifocal silicone IOL (SA-40N, Array) and an otherwise identical monofocal IOL (SI-40NB) from the same manufacturer (Allergan Inc.). Different folding devices (folding blocks, folding and implantation forceps, and an injector system) were used. The IOLs were kept folded for 60 seconds; 24 hours later, scanning electron microscopy (SEM) was performed. In addition, the cartridges of the injector system were examined by SEM. RESULTS: Overall, regardless of the folding and implantation instruments used, both the multifocal and monofocal IOLs had discrete surface alterations. The cartridges of the injector system had a rough surface at the tip, while the proximal portion appeared smooth. CONCLUSION: There were no signs of lesions particularly affecting the surface of multifocal IOLs.

In vitro and in vivo fluoride release from orthodontic elastomeric ligature ties.

Clinically, demineralization of enamel around orthodontic attachments can occur after only 1 month. Fluoride incorporation into elastomeric ligature ties may provide additional protection against decalcification through fluoride release. This study compared the fluoride release of fluoride-impregnated and nonfluoride elastomeric ligature ties (Ortho Arch Company) both in vitro and in vivo. A total of 260 fluoride-impregnated and 260 nonfluoride elastomerics were evaluated in this study, 400 in vitro and 120 in vivo. For the in vivo part of the study, six patients had fluoride and nonfluoride elastomerics placed in cross-quadrant fashion in their mouths; these were removed and tested for residual fluoride release after 1 month. With the use of the potentiometric analytical method, the fluoride release of the elastomerics was determined in distilled water as the 24-hour residual release, to compare the in vitro and in vivo fluoride leached into solution. The data was analyzed with the Wilcoxon matched-pairs signed ranks test. The distilled water control yielded an F- reading of 0.03 +/- 0.01 microgram/F/mL. In the in vitro part of the study, an average of 0. 38 microgram/F/mL/elastomeric was released over the 1 month period by the fluoride-impregnated elastomerics; this decreased significantly (P <. 05) to a 24-hour residual value at 1 month of 0.02 microgram/F/mL/elastomeric ligature, which is in the same order of magnitude as the distilled water control solution. The nonfluoride ties produced a calculated 24 hour residual fluoride release of 0. 003 microgram/F/mL/elastomeric after 1 month; this is much less than the distilled water control and would not be possible to measure accurately. After 1 month in vivo, significantly greater (P >.05) amounts of 24-hour residual fluoride were apparent: F- elastomerics = 1.43 microgram/F/mL/elastomeric and nonfluoride elastomerics = 0.44 microgram/F/mL/elastomeric. Fluoride ties gained weight intra-orally. Residual, leachable fluoride was present in fluoride-impregnated and nonfluoride elastomeric ligature ties after 1 month of intraoral use, due to imbibition. The clinical efficacy of fluoride-impregnated elastomeric ligature ties to prevent decalcification in the presence of plaque needs to be investigated.

Avaliaçäo da alteraçäo dimensional de modelos de gesso obtidos através de diferentes técnicas de transferência dos casquetes de moldagem / Evaluation of dimensional alterations of stone models by different coping transfer impression techniques

O sucesso clínico da prótese dentária é dependente em grande parte, da precisäo dimensional dos materiais e das técnicas de moldagens. A técnica do casquete individual de acrílico é um procedimento que possibilita excelentes resultados clínicos sendo extremamente precisa e previsível. Todavia, se estes casquetes se movimentarem durante a moldagem de transferência, que visa moldar as estruturas adjacentes e remover os casquetes da boca, o relacionamento interpilares será afetado e o modelo obtido näo reproduzirá fielmente o posicionamento tridimensional das estruturas moldadas. Utilizou-se um modelo-mestre em aço inoxidável, simulando uma prótese fixa com dois pilares intercalados por dois pônticos. Pontos de referência foram gravados nas superfícies oclusais e vestibulares dos pilares desse modelo-mestre permitindo que se obtivessem as medidas interpilares. O referido modelo-mestre foi usado para obtençäo de moldes através da técnica do casquete individual. Para a moldagem intracasquete usou-se um polissulfeto. Para realizar a moldagem de transferência, quatro diferentes materiais de moldagem foram empregados: alginato, silicona de condensaçäo, silicona de adiçäo e polissulfeto. Para os quatro tipos de materiais, testou-se a moldagem de transferência com casquetes isolados e com casquetes unidos com resina acrílica. Os resultados obtidos mostraram que, independente da técnica utilizada para moldagem de transferência, todos os modelos apresentaram distâncias interpilares aumentadas. As maiores alteraçöes nas distâncias interpilares ocorreram quando a moldagem de tranferência foi realizada com alginato. O procedimento de unir os casquetes com resina acrílica antes da moldagem de transferência reduziu a alteraçäo dimensional para todos os materiais testados. Entretanto, para o alginato e para a silicona de condensaçäo, essa reduçäo näo teve significado estatístico. Quando a moldagem de transferência foi executada com silicona de adiçäo ou polissulfeto, a alteraçäo dimensional interpilares foi sensivelmente reduzida e a uniäo dos casquetes com resina acrílica produziu modelos significantemente mais precisos

Breast milk contamination and silicone implants: preliminary results using silicon as a proxy measurement for silicone.

In response to concerns about contamination of human breast milk from silicone gel-filled breast implants, and because silicon levels are assumed to be a proxy measurement for silicone, we compared silicon levels in milk from lactating women with and without implants. Two other sources of infant nutrition, cow's milk and infant formulas, were also analyzed for silicon. The survey took place at the Breast-feeding Clinic at Women's College Hospital in Toronto. A convenience sample of lactating women, 15 with bilateral silicone gel-filled implants and 34 with no implants, was selected. Women with foam-covered or saline implants or with medically related silicone exposures were ineligible. Collection of samples was scrupulously controlled to avoid contamination. Samples were prepared in a class 100 "ultraclean" laboratory and analyzed using graphite furnace atomic absorption spectrophotometry. Silicon levels were analyzed in breast milk, whole blood, cow's milk, and 26 brands of infant formulas. Comparing implanted women to controls, mean silicon levels were not significantly different in breast milk (55.45 +/- 35 and 51.05 +/- 31 ng/ml, respectively) or in blood (79.29 +/- 87 and 103.76 +/- 112 ng/ml, respectively). Mean silicon level measured in store-bought cow's milk was 708.94 ng/ml, and that for 26 brands of commercially available infant formula was 4402.5 ng/ml (ng/ml = parts per billion). We concluded that lactating women with silicone implants are similar to control women with respect to levels of silicon in their breast milk and blood. Silicon levels are 10 times higher in cow's milk and even higher in infant formulas.

29Si imaging of silicone breast implants and intraocular silicone oil.

Silicon-29 (29Si) imaging was investigated as a potential imaging modality for monitoring silicone prostheses in humans. The 29Si relaxation times of several silicone gels were measured and found to average T1 = 21.2 +/- 1.5 s and T2 = 207 +/- 40 ms, with no significant difference between virgin and explanted gels. A single-shot half-Fourier rapid acquisition with relaxation enhancement (RARE) and a refocused gradient-echo sequence were used for acquiring 29Si images with 5 x 5 mm2 resolution and no slice selection. Three volunteers with silicone-gel-filled breast implants and one subject with an intraocular silicone oil injection were thus examined in a total acquisition time of 10-15 min per image. On all 29Si images, the shape of the silicone object was well depicted. Although at present, conventional proton images are superior in resolution and signal-to-noise ratio, 29Si imaging has the advantage of optimal specificity, since only the silicone itself is visible.

Silicon granulomas and dermatomyositis-like changes associated with chronic eyelid edema after silicone breast implant.

Silicone medical products may be associated with various complications. Recent attention has focused particularly on health risks associated with silicone breast implants. The authors present the clinical and histopathological findings in a 71-year-old woman who had previously undergone breast reconstruction with a silicone gel-filled elastomer envelope-type breast implant and who developed severe chronic eyelid edema and inflammation. Extensive systemic evaluation and serologic studies were unrevealing, prompting biopsy of the eyelids. Histopathologic evaluation of the upper eyelids revealed scattered noncaseating granulomas throughout the dermis, an atrophying interface dermatitis with a sparse perivascular lymphocytic infiltrate, and focal perivascular and interstitial lymphocytic infiltrates of the muscles. Scanning electron microscopy demonstrated particles of material within the granulomas, which were revealed by electron probe x-ray microanalysis to contain silicon. The presence of silicon-containing material within areas of eyelid inflammation supports a role for silicon in the pathogenesis of this patient's condition. In the absence of other predisposing conditions, migration of silicone breast implant material must be considered.