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1.
Odontology ; 2024 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-38703256

RESUMO

Understanding the apical pressure and irrigant flow patterns in root canals is crucial for safe and effective irrigation. Therefore, this study aimed to assess the flow characteristics of irrigants in root canal models with varying tapers during final irrigation by employing various needle designs, including a back-to-back double-side-vented needle, through computational fluid dynamics. The root canal model was configured as a closed geometrical cone with a simulated apical zone (size 30) and features tapers of 4%, 6%, and 8%. Three needle types-open-ended needle (OEN), single side-vented needle (SSVN), and double side-vented needle (DSVN)-were investigated. The results indicated that for the 4% taper models, the open-ended needle generated the maximum apical pressure, followed by the double side-vented needle and the single side-vented needle. However, in the 6% and 8% tapering root canal models, the double-side-vented needle applied the lowest maximum apical pressure. Consequently, the DSVN can pose a risk for irrigant extrusion in minimally prepared canals due to heightened apical pressure. In wider canals, the DSVN exhibited lower apical pressure. The maximum irrigant replacement was observed with OEN compared to that of the closed-ended group for both flow rates. Additionally, compared with OENs, closed-ended needles exhibited nonuniform and lower shear wall stress.

2.
Clin Neurol Neurosurg ; 237: 108153, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38350174

RESUMO

OBJECTIVES: The geometry of carotid bifurcation is a crucial contributing factor to the localization of atherosclerotic lesions. Currently, studies on carotid bifurcation geometry are limited to the region near to bifurcation. This study aimed to determine the influence of carotid bifurcation geometry on the blood flow using numerical simulations considering magnitude of haemodynamic parameters in the extended regions of carotid artery. METHODS: In the present study, haemodynamic analysis is carried out using the non-Newtonian viscosity model for patient-specific geometries consisting of both Left and Right carotid arteries. A 3D patient-specific geometric model is generated using MIMICS, and a numerical model is created using ANSYS. RESULTS: The results obtained from patient-specific cases are compared. The influence of geometric features such as lumen diameter, bifurcation angle, and tortuosity on the haemodynamics parameters such as velocity, WSS, pressure, Oscillatory Shear Index (OSI), and Time-Averaged Wall Shear Stress (TAWSS) are compared. CONCLUSION: The results demonstrate significant changes in the flow regime due to the geometric shape of the carotid artery. It is observed that the lower value of TAWSS occurs near the bifurcation region and carotid bulb region. In addition, the higher value of the (OSI) is observed in the Internal Carotid Artery (ICA) and the tortuous carotid artery region. However, it is also observed that apart from the bifurcation angle, other factors, such as tortuosity and area ratio, play a significant role in the flow dynamics of the carotid artery.


Assuntos
Artérias Carótidas , Hemodinâmica , Humanos , Artérias Carótidas/diagnóstico por imagem , Artéria Carótida Interna/diagnóstico por imagem , Viscosidade , Velocidade do Fluxo Sanguíneo/fisiologia , Estresse Mecânico
3.
Inhal Toxicol ; 36(1): 44-56, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38343121

RESUMO

Objective: The nasal cavity effectively captures the particles present in inhaled air, thereby preventing harmful and toxic pollutants from reaching the lungs. This filtering ability of the nasal cavity can be effectively utilized for targeted nasal drug delivery applications. This study aims to understand the particle deposition patterns in three age groups: neonate, infant, and adult.Materials and methods: The CT scans are built using MIMICS 21.0, followed by CATIA V6 to generate a patient-specific airway model. Fluid flow is simulated using ANSYS FLUENT 2021 R2. Spherical monodisperse microparticles ranging from 2 to 60 µm and a density of 1100 kg/m3 are simulated at steady-state and sedentary inspiration conditions.Results: The highest nasal valve depositions for the neonate are 25% for 20 µm, for infants, 10% for 50 µm, 15% for adults, and 15% for 15 µm. At mid nasal region, deposition of 15% for 20 µm is observed for infant and 8% for neonate and adult nasal cavities at a particle size of 10 and 20 µm, respectively. The highest particle deposition at the olfactory region is about 2.7% for the adult nasal cavity for 20 µm, and it is <1% for neonate and infant nasal cavities.Discussion and conclusions: The study of preferred nasal depositions during natural sedentary breathing conditions is utilized to determine the size that allows medication particles to be targeted to specific nose regions.


Assuntos
Cavidade Nasal , Nariz , Adulto , Lactente , Recém-Nascido , Humanos , Cavidade Nasal/diagnóstico por imagem , Nariz/diagnóstico por imagem , Tamanho da Partícula
4.
J Biomed Phys Eng ; 14(1): 99-110, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38357598

RESUMO

The selection of abrasive material and parameters of the Air-Abrasion device for a particular application is a crucial detail. However, there are no standard recommendations or manuals for choosing these details; the operator must depend on his experience and knowledge of the procedure to select the best possible material and set of parameters. This short review attempts to identify some of the effects that the selection of material and parameters could have on the performance of the Air-Abrasion procedure for a particular application. The material and parameter data are collected from various studies and categorized according to the most popular materials in use right now. These studies are then analyzed to arrive at some inferences on the performance of Air-Abrasion materials and parameters. This review arrives at a few conclusions on the effectiveness of a material and parameter set, and that there is potential for developments in the area of standardizing parameter selection; also, there is scope for further studies on Bio-Active Glass as an alternative to the materials currently used in Air-Abrasion.

5.
Biomed Phys Eng Express ; 10(2)2024 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-38227968

RESUMO

Ureters are essential components of the urinary system and play a crucial role in the transportation of urine from the kidneys to the bladder. In the current study, a three-dimensional ureter is modelled. A series of peristaltic waves are made to travel on the ureter wall to analyse and measure parameter effects such as pressure, velocity, gradient pressure, and wall shear at different time steps. The flow dynamics in the ureters are thoroughly analysed using the commercially available ANSYS-CFX software. The maximum pressure is found in the triple wave at the ureteropelvic junction and maximum velocity is observed in the single and double wave motion due to the contraction produced by the peristalsis motion. The pressure gradient is maximum at the inlet of the ureter during the single bolus motion. The contraction produces a high jet of velocity due to neck formation and also helps in urine trapping in the form of a bolus, which leads to the formation of reverse flow. Due to the reduction in area, shear stress builds on the ureter wall. The high shear stress may rupture the junctions in the ureter.


Assuntos
Ureter , Peristaltismo , Modelos Biológicos , Pressão , Bexiga Urinária
6.
Biomed Phys Eng Express ; 9(6)2023 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-37769637

RESUMO

Patient-specific dynamic loadings are seldom considered during the evaluation of hip implants. The primary objective of this study is to check for the feasibility of the use of UHMWPE as the material for an acetabular cup o CoCr Alloy that is reported to produce a squeaking sound after replacement. An elliptical shaped stem with three different cross-sectional profiles is considered for simulation. Using a commercial finite element method, patient-specific dynamic forces were applied for the quantitative analysis. The loading and boundary conditions are used as per ISO and ASTM standards. The walking gait cycle is used with two widely used biocompatible materials: titanium and cobalt-chromium. Initially, only the stem is considered for the analysis to finalize the best out of the three profiles, along with the better material for the stem. Later the complete implant is used for the analysis. Profile 1 exhibits 1.25 and 1.17 times greater stress than Profile 2 for CoCr Alloy and Ti-6Al-4V, respectively. Similarly, Profile 3 displays stresses 1.26 and 1.25 times greater than Profile 2 for CoCr Alloy and Ti-6Al-4V, respectively. Comparatively, displacement in stem Profile 2 is 1.75 times higher in Ti-6Al-4V than CoCr Alloy. The full implant displacement at 14% gait cycle is 1.15% higher for the CoCr-acetabular column material combination when compared to UHMWPE. It can be concluded that UHMWPE can be used as the acetabular cup material instead of CoCr for the Profile 2 elliptical shaped hip implant to prevent squeaking after replacement.


Assuntos
Prótese de Quadril , Humanos , Análise de Elementos Finitos , Estudos Transversais , Ligas
7.
Biomimetics (Basel) ; 8(2)2023 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-37092412

RESUMO

The transmission mechanism of artificial flapping-wing drones generally needs low weight and the fewest interconnecting components, making their development challenging. The four-bar Linkage mechanism for flapping actuation has generally been used till now with complex and heavy connecting designs, but our proposed novel perpendicularly organized 3-cylindrical joint mechanism is designed to be unique and lighter weight with smooth functioning performance. The proposed prototype transforms the rotary motion of the motor into a specific angle of flapping movement, where the dimensions and specifications of the design components are proportional to the obtained flapping angle. Power consumption and flapping actuation can be monitored by adjusting the motor's rotational speed to control the individual wing in this mechanism. The proposed mechanism consists of a crank with three slightly slidable cylindrical joints perpendicularly arranged to each other with a specified distance in a well-organized pattern to produce a flapping movement at the other end. In order to examine the kinematic attributes, a mathematical process approach is formulated, and kinematic simulations are performed using SIMSCAPE multibody MATLAB, PYTHON programming and COMPMECH GIM software. The proposed invention's real-time test bench prototype model is designed, tested and analyzed for flapping validation.

8.
Biomimetics (Basel) ; 7(4)2022 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-36412736

RESUMO

Insect RoboFlyers are interesting and active focuses of study but producing high-quality flapping robots that replicate insect flight is challenging., due to the dual requirement of both a sophisticated transmission mechanism with light weight and minimal intervening connections. This innovative mechanism was created to address the need for a producible structure that is small in size, small in mass, and has reduced design linkages. The proposed Single Crank-Slotted Dual Lever (SC-SDL) mechanism transforms rotational motion into specific angular motion at different velocities for each of its two strokes, i.e., the forward stroke and the return stroke. The discovery of a lag between the left and right lever motions in our design mechanism-I leads us to the conclusion that the flapping is asymmetric. To eliminate the position lag, the design has been altered, and a new design mechanism-II has been developed. Comparative kinematic analysis of both design systems is performed using simulations. Two-dimensional analysis of the base ornithopter configuration using ANSYS FLUENT yielded deeper insights regarding the influence of varying flapping frequency on critical flow metrics regarding adequate lift and thrust. For a flapping frequency of 24 Hz, adequate lift generation was achieved with minimal flow disturbances and wake interactions. Averaged dual wing estimations were made as part of the CFD study, which showed similar agreements. To validate the estimations, experimental tests were performed over the design mechanism-II configuration.

9.
Pol J Radiol ; 87: e448-e461, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36091649

RESUMO

Endometriosis is a common benign and chronic inflammatory gynaecological disease due to functional endometrial glands and stroma in an ectopic location outside the uterine cavity. It affects 5-10% of reproductive age group women in the peak age of 24-29 years. However, women with infertility and chronic pelvic pain have an even greater prevalence, accounting for 30-50% and 90% of cases, respectively. Although it is a common entity, patients often get a delayed diagnosis because it is often subtle (hidden), missed, or confused with mimics, leading to misdiagnosis, which significantly affects patients' quality of life because they live in constant pain from undiagnosed endometriosis. Laparoscopy followed by histopathological confirmation is the gold standard for diagnosis, but it is an invasive procedure. MRI is an excellent non-invasive modality that helps in non-invasive diagnosis, with excellent delineation of the disease extent, and thus provides a presurgical mapping of the disease, which is helpful for the operating surgeon. Radiologists should be aware of all possible spectrum and diagnose this early and provide a detailed structured report mapping the entire extent of the disease process, which helps in effective treatment planning and successful outcomes in improving patients' quality of life.

10.
Vis Comput Ind Biomed Art ; 5(1): 11, 2022 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-35394268

RESUMO

Cerebral intracranial aneurysms are serious problems that can lead to stroke, coma, and even death. The effect of blood flow on cerebral aneurysms and their relationship with rupture are unknown. In addition, postural changes and their relevance to haemodynamics of blood flow are difficult to measure in vivo using clinical imaging alone. Computational simulations investigating the detailed haemodynamics in cerebral aneurysms have been developed in recent times not only to understand the progression and rupture but also for clinical evaluation and treatment. In the present study, the haemodynamics of a patient-specific case of a large aneurysm on the left side internal carotid bifurcation (LICA) and no aneurysm on the right side internal carotid bifurcation (RICA) was investigated. The simulation of these patient-specific models using fluid-structure interaction provides a valuable comparison of flow behavior between normal and aneurysm models. The influences of postural changes were investigated during standing, sleeping, and head-down (HD) position. Significant changes in flow were observed during the HD position and quit high arterial blood pressure in the internal carotid artery (ICA) aneurysm model was established when compared to the normal ICA model. The velocity increased abruptly during the HD position by more than four times (LICA and RICA) and wall shear stress by four times (LICA) to ten times (RICA). The complex spiral flow and higher pressures prevailing within the dome increase the risk of aneurysm rupture.

11.
Comput Methods Programs Biomed ; 214: 106538, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34848078

RESUMO

BACKGROUND AND OBJECTIVE: Neonates are preferential nasal breathers up to 3 months of age. The nasal anatomy in neonates and infants is at developing stages whereas the adult nasal cavities are fully grown which implies that the study of airflow dynamics in the neonates and infants are significant. In the present study, the nasal airways of the neonate, infant and adult are anatomically compared and their airflow patterns are investigated. METHODS: Computational Fluid Dynamics (CFD) approach is used to simulate the airflow in a neonate, an infant and an adult in sedentary breathing conditions. The healthy CT scans are segmented using MIMICS 21.0 (Materialise, Ann arbor, MI). The patient-specific 3D airway models are analyzed for low Reynolds number flow using ANSYS FLUENT 2020 R2. The applicability of the Grid Convergence Index (GCI) for polyhedral mesh adopted in this work is also verified. RESULTS: This study shows that the inferior meatus of neonates accounted for only 15% of the total airflow. This was in contrast to the infants and adults who experienced 49 and 31% of airflow at the inferior meatus region. Superior meatus experienced 25% of total flow which is more than normal for the neonate. The highest velocity of 1.8, 2.6 and 3.7 m/s was observed at the nasal valve region for neonates, infants and adults, respectively. The anterior portion of the nasal cavity experienced maximum wall shear stress with average values of 0.48, 0.25 and 0.58 Pa for the neonates, infants and adults. CONCLUSIONS: The neonates have an underdeveloped nasal cavity which significantly affects their airway distribution. The absence of inferior meatus in the neonates has limited the flow through the inferior regions and resulted in uneven flow distribution.


Assuntos
Hidrodinâmica , Cavidade Nasal , Simulação por Computador , Humanos , Recém-Nascido , Cavidade Nasal/diagnóstico por imagem , Estresse Mecânico , Tomografia Computadorizada por Raios X
12.
Comput Methods Programs Biomed ; 210: 106378, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34507083

RESUMO

BACKGROUND AND OBJECTIVE: The bladder receives the urine from the kidney and ureter. The series of peristaltic waves facilitate urine transport to the bladder. The peristaltic flow in the ureter is associated with fluid trapping and material reflux, which may cause an increase in bladder pressure. It is difficult to visualize the complex peristalsis phenomenon, in the ureter using image and radiography experiments. A numerical simulation will help in the understanding of urine bolus formation and its effect on the ureter wall. METHODS: A three-dimensional computational fluid dynamic analysis is carried out to understand the flow physics associated with bolus formation and the effect of reflux on the ureter. ANSYS-CFX, a commercially available computational dynamics package is used to simulate the peristalsis. A single sinusoidal peristaltic wave traveling along a circular tube will yield the velocity, pressure, wall shear stress distributions inside the ureter. RESULTS: The propagation of the peristaltic wave results in the backflow of urine near the inlet at the beginning of the flow. As the wave propagates towards the outlet, the flow rate decreases. It is observed that pressure distribution along the ureter axis will deteriorate towards the outlet. The contraction produces a very high-pressure gradient which causes the urine backflow. The trapping and the bolus formation cause a significant rise in bolus pressure, simultaneously developing negative pressure at the contraction neck. CONCLUSIONS: The effect of peristalsis on the ureter biofluid dynamic behavior of the ureter is visualized in this study. It is established that the peristaltic contraction results in high-pressure formation at the bolus and negative pressure at the neck. It was found to be a maximum of 1.1 Pa at the bolus center and -1.13 Pa at the neck region. At the ureter pelvis junction, a higher wall shear of 0.095 Pa is observed as the wave starts to propagate. The velocity vectors show that the trapping of urine causes reflux and results in an adverse pressure gradient near the wall. A maximum pressure gradient of 485 Pa/meter was observed at the contraction of the ureter wall.


Assuntos
Peristaltismo , Ureter , Simulação por Computador , Pressão , Estresse Mecânico , Ureter/diagnóstico por imagem
13.
Polymers (Basel) ; 13(13)2021 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-34201738

RESUMO

In this study, we evaluated the morphological behavior of polyurethane elastomers (PUEs) by modifying the soft segment chain length. This was achieved by increasing the soft segment molecular weight (Mn = 400-4000 gmol-1). In this regard, polycaprolactone diol (PCL) was selected as the soft segment, and 4,4'-cyclohexamethylene diisocyanate (H12MDI) and 1,6-hexanediol (HDO) were chosen as the hard segments. The films were prepared by curing polymer on Teflon surfaces. Fourier transform infrared spectroscopy (FTIR) was utilized for functional group identification in the prepared elastomers. FTIR peaks indicated the disappearance of -NCO and -OH groups and the formation of urethane (NHCOO) groups. The morphological behavior of the synthesized polymer samples was also elucidated using scanning electron microscopy (SEM) and atomic force microscopy (AFM) techniques. The AFM and SEM results indicated that the extent of microphase separation was enhanced by an increase in the molecular weight of PCL. The phase separation and degree of crystallinity of the soft and hard segments were described using X-ray diffraction (XRD). It was observed that the degree of crystallinity of the synthesized polymers increased with an increase in the soft segment's chain length. To evaluate hydrophilicity/hydrophobicity, the contact angle was measured. A gradual increase in the contact angle with distilled water and diiodomethane (38.6°-54.9°) test liquids was observed. Moreover, the decrease in surface energy (46.95-24.45 mN/m) was also found to be inconsistent by increasing the molecular weight of polyols.

14.
Comput Methods Programs Biomed ; 208: 106273, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34284197

RESUMO

BACKGROUND AND OBJECTIVE: Total hip arthroplasty is known as one of the best advancements in orthopedics in the 20th century. Due to age or trauma hip joint has to replace by an artificial implant. After the hip arthroplasty, the patients can return to normal day-to-day activities with a normal range of motion. There are several types and designs are currently available. These designs usually depend upon the anatomy of the patients. There is a need for revision surgery due to dislocation and aseptic loosening in these joints over time in actively younger patients. Minor changes in the design stage can certainly improve the life expectancy of the implant and will also further reduce the revision rate. METHODS: In this current work, finite element analysis is carried out by varying the neck length with a change in femoral head size for a circular-shaped stem. The effects of using a shorter neck are analyzed. A total of nine combinations are considered for analysis. Modeling is carried out in CATIA V-6 and analysis is performed in ANSYS R-19. A femoral head of 36, 40, and 44 mm and taper neck length of 18, 16, and 14 mm is considered. CoPE is considered as the material combination for all the models. RESULTS: It was observed that the von Mises stresses in the complete implant tend to decrease with an increase in the femoral head size. Maximum 5% variation in stress values when 36 mm femoral head is compared with 44 mm. The stresses in the taper neck region tend to decrease with a decrease in the neck length. Minimum von Mises stress of 161.83 MPa was found for the complete implant and in the head-neck region, a minimum von Mises stress found 91.9 MPa. CONCLUSIONS: Performance evaluation of hip implant under static loading conditions gives a clear idea about the behavior of implant. It was found that a decrease in the von Mises stresses with a decrease in the taper length. However, these variations won't affect much in the performance of the hip implant. Also, a reduction in taper length can significantly increase the dislocation in the implant. So it is advised to consider the optimal taper length with an increase in the femoral head size.


Assuntos
Artroplastia de Quadril , Prótese de Quadril , Cabeça do Fêmur/diagnóstico por imagem , Cabeça do Fêmur/cirurgia , Análise de Elementos Finitos , Humanos , Estresse Mecânico
15.
Int J Biol Macromol ; 183: 2174-2183, 2021 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-34102237

RESUMO

Guar gum (plant-based polysaccharide) is a promising candidate with immense potential. It is used as emulsifier, thickener, stabilizer, and as binding agent in many industries. In the present project, it was planned to synthesize guar gum based polyurethanes by varying the amount of guar gum. Guar gum (GG) was used along with hydroxyl-terminated polybutadiene (HTPB) as soft segment, which was then reacted with isophorone diisocyanate (IPDI) to form PU pre-polymers. In last step, these -NCO terminated pre-polymers were extended with 1,4 butane diol as chain extender. The prepared polyurethane samples were then characterized by using FTIR, solid-state 1HNMR and X-ray diffraction (XRD). Thermal behavior of the samples was studied by thermogravimetric analysis (TGA) and differential scanning calorimetry (DSC). Results indicated that the incorporation of guar gum in PU backbone improved its thermal behavior and crystallinity.


Assuntos
Galactanos/química , Mananas/química , Gomas Vegetais/química , Poliuretanos/química , Butadienos/química , Butileno Glicóis/química , Cristalização , Elastômeros/química , Isocianatos/química , Estrutura Molecular , Relação Estrutura-Atividade , Temperatura
16.
Int J Biol Macromol ; 165(Pt B): 1889-1899, 2020 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-33086116

RESUMO

Bionanocomposites is an emerging class of biohybrid materials, have a significant impact in environmental and biomedical fields owing to their high performance, lightweight, unique, and ecofriendly properties. A major challenge in the multiphase bionanocomposites system is to subtle control over the performance by managing the individual properties of reacting components. Herein, we presented the preliminary investigation on bionanocomposite system based on graphene nanoplatelets (GNPs) and hydroxyethyl cellulose graft poly(lactic acid) copolymer-polyurethane (HLAC-PU) with the aim to understand the structure property correlation for proposed applications in electronics and medical areas. The HLAC was fabricated by graft copolymerization of hydroxyethyl cellulose (HEC) and lactic acid (LA) with dibutyltin dilaurate. The HLAC was used to get a bio-functionalized PU matrix reinforced with GNPs by step-growth polymerization method. The structural, surface, and thermal properties of the HLAC and GNPs-HLAC-PU bionanocomposites were studied. The spectroscopic techniques confirmed the structure of bionanocomposites by the identification of related bands. The SEM/EDX results demonstrated that the 0.3 wt% of GNPs dispersed well in the HLAC-PU matrix and offered higher crystallinity. The reinforcement of the 0.3 wt% of GNPs has meaningfully enhanced the thermal stability producing higher residue contents. The reinforced GNPs filler increased the water resistance of bionanocomposites by reducing their water vapor permeability.


Assuntos
Celulose/análogos & derivados , Grafite/química , Grafite/síntese química , Nanocompostos/química , Poliuretanos/química , Celulose/química , Nanocompostos/ultraestrutura , Poliésteres/química , Espectroscopia de Prótons por Ressonância Magnética , Espectroscopia de Infravermelho com Transformada de Fourier , Temperatura , Termogravimetria , Água/química , Difração de Raios X
17.
Comput Methods Programs Biomed ; 196: 105597, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32574903

RESUMO

BACKGROUND AND OBJECTIVE: The hip joint is the vital joint that is responsible for the bodyweight transfer from the upper body to the lower body. Due to age these joints are worn out and need to be replaced by artificial hip implants. Wear is the predominant factor that is responsible for the loosening of hip implants. The wear occurs between the joints due to various reasons. The wear estimation at the design stage gives a clear idea about the life of the implants and also minor changes in the design may also significantly increase the life expectancy of the implant which can further reduce the rate of revision surgery. The linear wear rate is estimated in the taper trunnion surface. METHODS: In this study, the circular and trapezoidal-shaped stem implant is designed, and wear studies are performed at the trunnion junction. The femoral head of size 28 mm, acetabular cup thickness of 4 mm, and a backing cup of thickness 2 mm are considered for the study. The neck taper radiuses at the top surface are altered. Ansys is used to perform the simulations. RESULTS: At the time of assembly of the femoral head into the stem, the stresses were found to be increasing with an increase in the top surface radius of the neck taper junctions. However, when the walking conditions are considered for wear estimation of implants the circular implants with the 12/14 mm taper exhibited the lesser linear wear rate of 0.003 mm/year. The trapezoidal implants with the 10/14 mm taper exhibited a lesser linear wear rate of 0.032 mm/year. CONCLUSIONS: Wear is an important parameter that leads to the revision of implants due to loosening. It is found that with the decrease in the taper radius at the top surface against the standard 12/14 mm taper there is no significant decrease in the wear rate at the taper junction. Overall the circular implants exhibited less wear rate results over the trapezoidal-shaped stem implants. Due to the less linear wear rate, the circular implant has a higher life over the trapezoidal-shaped implant. Further, these implants can be manufactured to test using a hip simulator with the same conditions to validate the obtained results.


Assuntos
Artroplastia de Quadril , Prótese de Quadril , Análise de Elementos Finitos , Humanos , Desenho de Prótese , Falha de Prótese , Rádio (Anatomia)
18.
Comput Math Methods Med ; 2020: 9163085, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32454886

RESUMO

This study investigated the impact of paravalvular leakage (PVL) in relation to the different valve openings of the transcatheter aortic valve implantation (TAVI) valve using the fluid structure interaction (FSI) approach. Limited studies were found on the subject of FSI with regards to TAVI-PVL condition, which involves both fluid and structural responses in coupling interaction. Hence, further FSI simulation with the two-way coupling method is implemented to investigate the effects of hemodynamics blood flow along the patient-specific aorta model subjected to the interrelationship between PVL and the different valve openings using the established FSI software ANSYS 16.1. A 3D patient-specific aorta model is constructed using MIMICS software. The TAVI valve identical to Edward SAPIEN XT 26 (Edwards Lifesciences, Irvine, California), at different Geometrical Orifice Areas (GOAs), is implanted into the patient's aortic annulus. The leaflet opening of the TAVI valve is drawn according to severity of GOA opening represented in terms of 100%, 80%, 60%, and 40% opening, respectively. The result proved that the smallest percentage of GOA opening produced the highest possibility of PVL, increased the recirculatory flow proximally to the inner wall of the ascending aorta, and produced lower backflow velocity streamlines through the side area of PVL region. Overall, 40% GOA produced 89.17% increment of maximum velocity magnitude, 19.97% of pressure drop, 65.70% of maximum WSS magnitude, and a decrement of 33.62% total displacement magnitude with respect to the 100% GOA.


Assuntos
Estenose da Valva Aórtica/fisiopatologia , Estenose da Valva Aórtica/cirurgia , Substituição da Valva Aórtica Transcateter/efeitos adversos , Idoso , Valva Aórtica/diagnóstico por imagem , Valva Aórtica/fisiopatologia , Valva Aórtica/cirurgia , Estenose da Valva Aórtica/diagnóstico por imagem , Velocidade do Fluxo Sanguíneo , Biologia Computacional , Simulação por Computador , Próteses Valvulares Cardíacas , Hemodinâmica , Hemorreologia , Humanos , Hidrodinâmica , Imageamento Tridimensional , Masculino , Modelos Cardiovasculares , Modelagem Computacional Específica para o Paciente/estatística & dados numéricos , Desenho de Prótese , Tomografia Computadorizada por Raios X
19.
Int J Biol Macromol ; 153: 591-599, 2020 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-32156538

RESUMO

2-Hydroxyethyl cellulose graft polylactic acid copolymer (HLAC) was prepared by graft copolymerization of lactic acid (LA) and 2-hydroxyethyl cellulose (2-HEC), initiated by dibutyltin dilaurate (DBTDL) catalyst in aqueous media. Halloysite nanotubes (HNTs)/polyurethane (PU) bionanocomposites were prepared using the HLAC as chain extender in the step-growth polymerization. HNTs were dispersed in HLAC based PU matrix at different weight ratios of 0.30, 0.50, 1.00, and 3.00. Chemical structure and morphology of the graft copolymer and bionanocomposite elastomers were characterized using solid state 1H NMR, ATR-FTIR, XRD, and SEM-EDX, while thermal degradation behavior was studied by TGA and DSC techniques. Surface morphology of the HNTs reinforced HLAC/PU bio-nanocomposites demonstrated the homogeneous dispersion of HNTs with little wavy rough surface at low contents which turned to be brittle at higher contents due to agglomerated HNTs. It is observed that the lower contents of HNTs were completely exfoliated in the HLAC/PU matrix. Crystalline pattern of the elastomers improved at lower contents of HNTs that enhanced the thermal stability of the bionanocomposites. The mechanical testing suggested that HNTs/HLAC/PU bionanocomposites have higher values of tensile strength and % elongation with only 0.3-0.5 wt% contents of HNTs that suggested the potential applications of elastomers at economic cost.


Assuntos
Celulose/análogos & derivados , Argila/química , Nanocompostos/química , Nanotubos/química , Poliésteres/química , Poliuretanos/química , Celulose/química
20.
Int J Biol Macromol ; 150: 426-440, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32006577

RESUMO

The main aim of this research work was to incorporate modified hydroxyethylcellulose (HEC) into PDMS based polyurethanes. In the first part, modification of hydroxyethylcellulose was carried out by polymerizing lactic acid (LA) with HEC using ammonia water to prepare poly(lactic acid) grafted hydroxyethylcellulose (HEC-g-PLA). The maximum degree of grafting (59.5%) was achieved at: 1:9 mole ratio of HEC/LA, 2 h, 80 °C (for activation) and 4 h, 90 °C (for reaction) with 0.74 degree of substitution. In the second part, hydroxyl terminated polybutadiene (HTPB) was reacted with isophorone diisocyanate to produce NCO-terminated polyurethane prepolymer which in turn extended by chain extender to synthesize polydimethyl siloxane hydroxyl terminated (PDMS) based polyurethanes. Effect of incorporation of HEC-g-PLA as a chain extender was studied by varying its mole ratio in PDMS based PUs. Characterization of HEC-g-PLA and all PDMS/HEC-g-PLA based polyurethane samples was carried out by using Fourier Transform Infrared (FTIR) and proton solid-state NMR (1H SS NMR). Biological behavior of synthesized samples was also tested by various biological activities and results indicated that incorporation of HEC-g-PLA in to PDMS based polyurethanes leads to improvement in antibacterial activity, anti-biofilm inhibition, biocompatibility and non-mutagenicity. Therefore, HEC-g-PLA/PDMS blended polyurethanes are promising biomaterials that have potential for various biomedical applications.


Assuntos
Dimetilpolisiloxanos/química , Modelos Moleculares , Estrutura Molecular , Poliuretanos/química , Antibacterianos/química , Antibacterianos/farmacologia , Materiais Biocompatíveis/química , Biofilmes/efeitos dos fármacos , Técnicas de Química Sintética , Hemólise , Espectroscopia de Ressonância Magnética , Poliésteres , Poliuretanos/síntese química , Espectroscopia de Infravermelho com Transformada de Fourier , Relação Estrutura-Atividade
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