RESUMEN
The current process for creating zirconia reconstructions for teeth is time-consuming, expensive, and results in tool wear and raw material waste. An alternative method, near-net shape additive manufacturing capable of producing samples with color gradient is presented as an innovative and more efficient solution. A low-cost robocasting system, which enabled the co-extrusion of two different ceramic inks, was designed and developed. Moreover, hydrogel-based ceramic inks, with rheological properties suitable for the present system, containing commercially available Yttria-stabilized zirconia (white and yellow) powders, were produced. Parts of different color shades and color gradients, with a high aspect ratio and good green body stability, were printed. In addition, precise color measurements were carried out, and co-extruded parts were compared with ultraviolet-C photofunctionalized parts. High fractions of binder in green bodies caused distortions in the samples during air drying and upon sintering. Debinding and sintering at 1500°C yielded parts of relatively low density (4.90-5.09 g/cm3) and hardness (500 HV10-1100 HV10). A slightly different sintering behavior was observed for parts of different compositions. Density and hardness increased with the fraction of iron oxide-containing ink.
RESUMEN
While efficient removal of uremic toxins and accumulated water is pivotal for the well-being of dialysis patients, protein adsorption to the dialyzer membrane reduces the performance of a dialyzer. Hydrophilic membrane modification with polyvinylpyrrolidone (PVP) has been shown to reduce protein adsorption and to stabilize membrane permeability. In this study we compared middle molecule clearance and filtration performance of nine polysulfone-, polyethersulfone-, and cellulose-based dialyzers over time. Protein adsorption was simulated in recirculation experiments, while ß2-microglobulin clearance as well as transmembrane pressure (TMP) and filtrate flow were determined over time. The results of this study showed that ß2-microglobulin clearance (-7.2 mL/min/m2) and filtrate flow (-54.4 mL/min) decreased strongly during the first 30 min and slowly afterwards (-0.7 mL/min/m2 and -6.8 mL/min, respectively, for the next 30 min); the TMP increase (+37.2 mmHg and +8.6 mmHg, respectively) showed comparable kinetics. Across all tested dialyzers, the dialyzer with a hydrophilic modified membrane (FX CorAL) had the highest ß2-microglobulin clearance after protein fouling and the most stable filtration characteristics. In conclusion, hydrophilic membrane modification with PVP stabilizes the removal capacity of middle molecules and filtration performance over time. Such dialyzers may have benefits during hemodiafiltration treatments which aim to achieve high exchange volumes.
RESUMEN
Despite the significant medical and technical improvements in the field of dialytic renal replacement modalities, morbidity and mortality are excessively high among patients with end-stage kidney disease, and most interventional studies yielded disappointing results. Hemodiafiltration, a dialysis method that was implemented in clinics many years ago and that combines the two main principles of hemodialysis and hemofiltration-diffusion and convection-has had a positive impact on mortality rates, especially when delivered in a high-volume mode as a surrogate for a high convective dose. The achievement of high substitution volumes during dialysis treatments does not only depend on patient characteristics but also on the dialyzer (membrane) and the adequately equipped hemodiafiltration machine. The present review article summarizes the technical aspects of online hemodiafiltration and discusses present and ongoing clinical studies with regards to hard clinical and patient-reported outcomes.