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1.
Sensors (Basel) ; 23(19)2023 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-37837150

RESUMO

This study aims to evaluate the lifespan of Ti-Ag dry electrodes prepared using flexible polytetrafluoroethylene (PTFE) substrates. Following previous studies, the electrodes were designed to be integrated into wearables for remote electromyography (EMG) monitoring and electrical stimulation (FES) therapy. Four types of Ti-Ag electrodes were prepared by DC magnetron sputtering, using a pure-Ti target doped with a growing number of Ag pellets. After extensive characterization of their chemical composition and (micro)structural evolution, the Ti-Ag electrodes were immersed in an artificial sweat solution (standard ISO-3160-2) at 37 °C with constant stirring. Results revealed that all the Ti-Ag electrodes maintained their integrity and functionality for 24 h. Although there was a notable increase in electrical resistivity beyond this timeframe, the acquisition and transmission of (bio)signals remained viable for electrodes with Ag/Ti ratios below 0.23. However, electrodes with higher Ag content (Ag/Ti = 0.31) became insulators after 7 days of immersion due to excessive Ag release into the sweat solution. This study concludes that higher Ag/Ti atomic ratios result in heightened corrosion processes on the electrode's surface, consequently diminishing their lifespan despite the advantages of incorporating Ag into their composition. This research highlights the critical importance of evaluating electrode longevity, especially in remote biomedical applications like smart wearables, where electrode performance over time is crucial for reliable and sustained monitoring and stimulation.


Assuntos
Longevidade , Titânio , Titânio/química , Eletrodos
2.
Sensors (Basel) ; 23(18)2023 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-37765838

RESUMO

Thermoelectric phenomena, such as the Anomalous Nernst and Longitudinal Spin Seebeck Effects, are promising for sensor applications in the area of renewable energy. In the case of flexible electronic materials, the request is even larger because they can be integrated into devices having complex shape surfaces. Here, we reveal that Pt promotes an enhancement of the thermoelectric response in Co-rich ribbon/Pt heterostructures due to the spin-to-charge conversion. Moreover, we demonstrated that the employment of the thermopiles configuration in this system increases the induced thermoelectric current, a fact related to the considerable decrease in the electric resistance of the system. By comparing present findings with the literature, we were able to design a flexible thermopile based on LSSE without the lithography process. Additionally, the thermoelectric voltage found in the studied flexible heterostructures is comparable to the ones verified for rigid systems.

3.
ACS Appl Mater Interfaces ; 15(33): 39872-39882, 2023 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-37527439

RESUMO

This study explores the potential of integrating thin-film technology in the design of new and effective electromagnetic interference (EMI) shielding and conductive materials for textiles and wearables. This application is of particular interest to the textile industry as it can bring new functionalities to wearables and protect humans from prolonged exposure to EM radiation. Three different thin films of pure Ti, pure Cu, and Ti-doped with Cu prepared by magnetron sputtering were used to functionalize textile knits based on cotton (code 39F) and lyocell fibers (62I). The films displayed different crystalline structures, morphologies, and topographies, which depended on their chemical compositions. The shielding effectiveness (SE) of the functionalized knits against EMI was evaluated in the frequency range of 2-8 GHz. Also, the electrical response under stress was assessed since the electrical conductivity is closely related to the EMI shielding effectiveness. The results demonstrate the feasibility of using a thin conductive layer based on Cu or Ti-Cu to improve the shield textiles with great adhesion and low thickness, providing an interesting path to improve shielding efficiency for EMI without modifying the flexibility of the textiles.

4.
Sensors (Basel) ; 23(3)2023 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-36772460

RESUMO

Fe3Co67Cr3Si15B12 ribbons with a high degree of flexibility and excellent corrosion stability were produced by rapid quenching technique. Their structural, magnetic, and thermomagnetic (Anomalous Nernst Effect) properties were studied both in an as-quenched (NR) state and after stress annealing during 1 h at the temperature of 350 °C and a specific load of 230 MPa (AR). X-ray diffraction was used to verify the structural characteristics of our ribbons. Static magnetic properties were explored by inductive technique and vibrating sample magnetometry. The thermomagnetic curves investigated through the Anomalous Nernst Effect are consistent with the obtained magnetization results, presenting a linear response in the thermomagnetic signal, an interesting feature for sensor applications. Additionally, Anomalous Nernst Effect coefficient SANE values of 2.66µV/K and 1.93µV/K were estimated for the as-quenched and annealed ribbons, respectively. The interplay of the low magnetostrictive properties, soft magnetic behavior, linearity of the thermomagnetic response, and flexibility of these ribbons place them as promising systems to probe curved surfaces and propose multifunctional devices, including magnetic field-specialized sensors.

5.
Sensors (Basel) ; 22(19)2022 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-36236764

RESUMO

Titanium-copper alloy films with stoichiometry given by Ti1-xCux were produced by magnetron co-sputtering technique and analyzed in order to explore the suitability of the films to be applied as resistive temperature sensors with antimicrobial properties. For that, the copper (Cu) amount in the films was varied by applying different DC currents to the source during the deposition in order to change the Cu concentration. As a result, the samples showed excellent thermoresistivity linearity and stability for temperatures in the range between room temperature to 110 °C. The sample concentration of Ti0.70Cu0.30 has better characteristics to act as RTD, especially the αTCR of 1990 ×10-6°C-1. The antimicrobial properties of the Ti1-xCux films were analyzed by exposing the films to the bacterias S. aureus and E. coli, and comparing them with bare Ti and Cu films that underwent the same protocol. The Ti1-xCux thin films showed bactericidal effects, by log10 reduction for both bacteria, irrespective of the Cu concentrations. As a test of concept, the selected sample was subjected to 160 h reacting to variations in ambient temperature, presenting results similar to a commercial temperature sensor. Therefore, these Ti1-xCux thin films become excellent antimicrobial candidates to act as temperature sensors in advanced coating systems.


Assuntos
Anti-Infecciosos , Titânio , Ligas , Antibacterianos/farmacologia , Anti-Infecciosos/farmacologia , Bactérias , Cobre , Escherichia coli , Staphylococcus aureus , Temperatura
6.
ACS Appl Bio Mater ; 5(3): 1267-1272, 2022 03 21.
Artigo em Inglês | MEDLINE | ID: mdl-35168328

RESUMO

The eradication of microorganisms from high traffic surfaces to prevent either viral or bacterial infections represents an urgent need, mainly in the scope of the present pandemic scenario. In this context, this work explores the dual functionality of titanium-copper thin films as pressure elements with antimicrobial properties, aiming for the implementation of touch and sensing capabilities in high traffic surfaces. Copper was employed as the antibacterial agent within a titanium matrix. The film's geometry and deposition parameters were varied in order to optimize antimicrobial and piezoresistive response. A considerable antimicrobial response has been obtained, increasing the copper amount (from 23 to 63 at. %) in the titanium matrix, leading to an outstanding 8 log10 CFU bacterial reduction in the case of Escherichia coli. Moreover, for the same amount of copper, the piezoresistive sensibility of the thin films increases up to a maximum gauge factor of 5.18 ± 0.09, which indicates an adequate electromechanical behavior for sensing applications. Our findings demonstrate the best combined antimicrobial and piezoresistive characteristics for the films with a Cu content of 63 at. %, indicating a potential use of these films for electromechanical sensor applications.


Assuntos
Anti-Infecciosos , Titânio , Antibacterianos/farmacologia , Anti-Infecciosos/farmacologia , Cobre/farmacologia , Escherichia coli
7.
Materials (Basel) ; 14(18)2021 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-34576399

RESUMO

In this paper, we explore and modify the structural, mechanical, and decorative properties of films composed by TiN and Ti (N, C) with a wide range of N2 gas flow during the deposition in order to be used on orthodontic systems. The films were grown using reactive DC magnetron sputtering from a pure Ti target and customized with C pellets onto Si and stainless steel 316L substrates. The structural properties were studied using X-ray diffraction and scanning electron microscopy, while the mechanical ones were obtained through hardness, elastic modulus, and friction coefficient. Moreover, the wear rate has been measured under an artificial saliva medium to simulate the oral cavity. The color of the films deposited onto stainless steel 316 L substrate was characterized through CIELab color code. Our findings show that the addition of N2 and C in the Ti matrix improves the mechanical properties of the films. With the increase in the amount of N2 and C, the hardness reaches a value of 739 HV, higher than the one reported in the literature (600 HV), a low value of the coefficient of elasticity (8.0 GPa), and also a low friction coefficient (0.30). Moreover, with the addition of N2 and C in the Ti films, the color of the films changes from metallic aspect until "with" gold, which means that our coatings exhibit versatile mechanical and color characteristics to be used in orthodontic wires applications.

8.
Materials (Basel) ; 14(18)2021 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-34576561

RESUMO

ZnO and doped ZnO films with non-ferromagnetic metal have been widely used as biosensor elements. In these studies, the electrochemical measurements are explored, though the electrical impedance of the system. In this sense, the ferromagnetic properties of the material can be used for multifunctionalization of the sensor element using external magnetic fields during the measurements. Within this context, we investigate the room-temperature ferromagnetism in pure ZnO and Ag-doped ZnO films presenting zigzag-like columnar geometry. Specifically, we focus on the films' structural and quasi-static magnetic properties and disclose that they evolve with the doping of low-Ag concentrations and the columnar geometry employed during the deposition. The magnetic characterization reveals ferromagnetic behavior at room temperature for all studied samples, including the pure ZnO one. By considering computational simulations, we address the origin of ferromagnetism in ZnO and Ag-doped ZnO and interpret our results in terms of the Zn vacancy dynamics, its substitution by an Ag atom in the site, and the influence of the columnar geometry on the magnetic properties of the films. Our findings bring to light an exciting way to induce/explore the room-temperature ferromagnetism of a non-ferromagnetic metal-doped semiconductor as a promising candidate for biosensor applications.

9.
Sensors (Basel) ; 21(18)2021 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-34577350

RESUMO

We investigated the magnetization dynamics through the magnetoimpedance effect in an integrated YIG/Pt-stripline system in the frequency range of 0.5 up to 2.0 GHz. Specifically, we explore the dependence of the dynamic magnetic behavior on the field orientation by analyzing beyond the traditional longitudinal magnetoimpedance effect of the transverse and perpendicular setups. We disclose here the strong dependence of the effective damping parameter on the field orientation, as well as verification of the very-low damping parameter values for the longitudinal and transverse configurations. We find considerable sensitivity results, bringing to light the facilities to integrate ferrimagnetic insulators in current and future technological applications.

10.
Polymers (Basel) ; 12(10)2020 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-32987931

RESUMO

Graphene and its derivatives have shown outstanding potential in many fields and textile/composites industry are not an exception. Giving their extraordinary properties, Graphene Nanoplatelets (GNPs) are excellent candidates for providing new functionalities to fibers and composites. In this work, natural fabrics (flax) were functionalized with chitosan (CS) based polymeric formulations of GNPs to develop fibrous systems with electrical properties as well as other functionalities. One of the greatest disadvantages of using carbon-based materials for fabrics' impregnation is their difficult dispersion. Therefore, several polymers were used as matrices, binding and dispersive agents including chitosan, polyethylene glycol (PEG), and glycerol. All the systems were characterized using several techniques that demonstrated the presence and incorporation of the GNPs onto the composites. Besides their characterization, considering their use as smart materials for monitoring and sensing applications, electrical properties were also evaluated. The highest value obtained for electrical conductivity was 0.04 S m-1 using 2% of GNPs. Furthermore, piezoresistive behavior was observed with Gauge Factor (GF) of 1.89 using 0.5% GNPs. Additionally, UV (ultraviolet) protection ability and hydrophobicity were analyzed, confirming the multifunctional behavior of the developed systems extending their potential of application in several areas.

11.
Materials (Basel) ; 13(13)2020 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-32610458

RESUMO

Multifunctional and multiresponsive thin films are playing an increasing role in modern technology. This work reports a study on the magnetic properties of ZnO and Ag-doped ZnO semiconducting films prepared with a zigzag-like columnar architecture and their correlation with the processing conditions. The films were grown through Glancing Angle Deposition (GLAD) co-sputtering technique to improve the induced ferromagnetism at room temperature. Structural and morphological characterizations have been performed and correlated with the paramagnetic resonance measurements, which demonstrate the existence of vacancies in both as-cast and annealed films. The magnetic measurements reveal changes in the magnetic order of both ZnO and Ag-doped ZnO films with increasing temperature, showing an evolution from a paramagnetic (at low temperature) to a diamagnetic behavior (at room temperature). Further, the room temperature magnetic properties indicate a ferromagnetic order even for the un-doped ZnO film. The results open new perspectives for the development of multifunctional ZnO semiconductors, the GLAD co-sputtering technique enables the control of the magnetic response, even in the un-doped semiconductor materials.

12.
Materials (Basel) ; 13(6)2020 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-32245058

RESUMO

This paper presents the development of metallic thermoresistive thin film, providing an innovative solution to dynamically control the temperature during the injection molding process of polymeric parts. The general idea was to tailor the signal response of the nitrogen- and oxygen-doped titanium-copper thin film (TiCu(N,O))-based transducers, in order to optimize their use in temperature sensor devices. The results reveal that the nitrogen or oxygen doping level has an evident effect on the thermoresistive response of TiCu(N,O) films. The temperature coefficient of resistance values reached 2.29 × 10-2 °C-1, which was almost six times higher than the traditional platinum-based sensors. In order to demonstrate the sensing capabilities of thin films, a proof-of-concept experiment was carried out, integrating the developed TiCu(N,O) films with the best response in an injection steel mold, connected to a data acquisition system. These novel sensor inserts proved to be sensitive to the temperature evolution during the injection process, directly in contact with the polymer melt in the mold, demonstrating their possible use in real operation devices where temperature profiles are a major parameter, such as the injection molding process of polymeric parts.

13.
J Biomed Mater Res A ; 107(10): 2150-2159, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31094062

RESUMO

Currently available scaffolds for tissue repair have shown very limited success, so many efforts have being put in the development of novel functional materials capable of regulating cell behavior and enhance the tissue healing rate. Piezoelectric materials, as zinc oxide (ZnO), can be a very interesting solution for scaffold development, as they can deliver electrical signals to cells upon mechanical solicitation, allowing the development of suitable microenvironments for tissue repair. This way, it is reported the deposition of ZnO thin films on a polymer by direct current magnetron sputtering, under different conditions, in order to obtain a piezoelectric ZnO thin film with potential for tissue repair applications. The obtained ZnO thin films were characterized in terms of morphology, crystallography, electrical conductivity, transmittance, piezoelectricity, and adhesion quality. The deposition process resulted in uniform films, with a very good adhesion to the substrate. The different deposition conditions influenced the evolution of the crystalline domains and preferential growths and consequently, the electrical properties of the films. One of the conditions resulted in a thin film with a high piezoelectric coefficient and a conductor behavior, being considered the most promising to act as a bioactive coating.


Assuntos
Especificidade de Órgãos , Polímeros/química , Cicatrização , Óxido de Zinco/química , Adesividade , Condutividade Elétrica , Oxigênio/química , Polietilenotereftalatos/química , Difração de Raios X
14.
Nanomaterials (Basel) ; 8(12)2018 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-30572578

RESUMO

Cellulosic fibre-based smart materials exhibiting multiple capabilities are getting tremendous attention due to their wide application areas. In this work, multifunctional flax fabrics with piezoresistive response were developed through the combined functionalization with silver (Ag) and zinc oxide (ZnO) nanoparticles (NPs). Biodegradable polyethylene glycol (PEG) was used to produce AgNPs, whereas ZnONPs were synthetized via a simple and low-cost method. Flax fabrics with and without NPs were characterized by Ground State Diffuse Reflectance (GSDR), Field Emission Scanning Electron Microscopy (FESEM), Energy Dispersive Spectroscopy (EDS), X-ray Diffraction (XRD), Attenuated Total Reflectance-Fourier Transform Infrared Spectroscopy (ATR-FTIR), and Thermogravimetric analysis (TGA). After creating a conductive surface by flax functionalization with AgNPs, ZnONPs were synthetized onto these fabrics. The developed fibrous systems exhibited piezoresistive response and the sensor sensitivity increased with the use of higher ZnO precursor concentrations (0.4 M). Functionalized fabrics exhibited excellent antibacterial activity against Gram-negative (Escherichia coli) and Gram-positive (Staphylococcus aureus) bacteria, higher hydrophobicity (WCA changed from 0° to >100°), UV radiation resistance, and wash durability. Overall, this work provides new insights regarding the bifunctionalization of flax fabrics with Ag/ZnO nanostructures and brings new findings about the combined effect of both NPs for the development of piezoresistive textile sensors with multifunctional properties.

15.
Nanotechnology ; 29(35): 355706, 2018 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-29889053

RESUMO

Inclined, zigzag and spiral TiAg films were prepared by glancing angle co-deposition, using two distinct Ti and Ag targets with a particle incident angle of 80° and Ag contents ranging from 20 to 75 at%. The effect of increasing Ag incorporation and columnar architecture change on the morphological, structural and electrical properties of the films was investigated. It is shown that inclined columnar features (ß = 47°) with high porosity were obtained for 20 at% Ag, with the column angle sharply decreasing (ß = 21°) for 50 at% Ag, and steeply increasing afterwards until ß = 37° for the film with 75 at% Ag. The sputtered films exhibit a rather well-crystallized structure for Ag contents ≥50 at%, with a TiAg (111) preferential growth. No significant oxidation was detected in all films, except for the one with 20 at% Ag, after two 298-473-298 K temperature cycles in air. The calculated temperature coefficient of resistivity (TCR) values vary between 1.4 and 5.5 × 10-4 K-1. Nano-sculptured spiral films exhibit consistently higher resistivity (ρ = 1.5 × 10-6 Ω m) and TCR values (2.9 × 10-4 K-1) than the inclined one with the same Ag content (ρ = 1.2 × 10-6 Ω m and TCR = 2.0 × 10-4 K-1). No significant changes are observed in the zigzag films concerning these properties. The effective anisotropy A eff at 473 K changes from 1.3 to 1.7 for the inclined films. Spiral films exhibit an almost completely isotropic behavior with A eff = 1.1. Ag-rich TiAg core + shell Janus-like columns were obtained with increasing Ag concentrations.

16.
Polymers (Basel) ; 10(1)2018 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-30966097

RESUMO

This paper provides new insights regarding jute fibers functionalization with silver nanoparticles (Ag NPs) with improved conductivity values and highlights the sustainability of the processes involved. These NPs were applied onto jute fabrics by two different sustainable methods: ultraviolet (UV) photoreduction and by using polyethylene glycol (PEG) as a reducing agent and stabilizer. Field Emission Scanning Electron Microscopy (FESEM) images demonstrated that the Ag NPs were incorporated on the jute fibers surface by the two different approaches, with sizes ranging from 70 to 100 nm. Diffuse reflectance spectra revealed the plasmon absorption band, corresponding to the formation of metallic Ag NPs, in all samples under study. Attenuated Total Reflectance-Fourier Transform Infrared Spectroscopy (ATR-FTIR) was used to characterize the obtained samples, demonstrating NPs adsorption to the surface of the fibers. The resistivity value obtained by the two-point probe method of the jute fabric without functionalization is about 1.5 × 107 Ω·m, whereas, after NPs functionalization, it decreased almost 15,000 times, reaching a value of 1.0 × 10³ Ω·m. Further research work is being undertaken for improving these values, however, 1000 Ω·m of resistivity (conductivity = 0.001 S/m) is already a very reasonable value when compared with those obtained with other developed systems based on natural fibers. In summary, this work shows that the use of very simple methodologies enabled the functionalization of jute fibers with reasonable values of conductivity. This achievement has a huge potential for use in smart textile composites.

17.
Neurorehabil Neural Repair ; 24(1): 10-22, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19794133

RESUMO

BACKGROUND/OBJECTIVE: Basic science advances in spinal cord injury (SCI) are leading to novel clinical approaches. The authors report a prospective, uncontrolled pilot study of the safety and outcomes of implanting olfactory mucosal autografts (OMA) in 20 patients with chronic, sensorimotor complete or motor complete SCI. METHODS: Seven paraplegic and 13 tetraplegic subjects (17 men and 3 women; 19-37 years old) who sustained a traumatic SCI 18 to 189 months previously (mean = 49 months) were enrolled. Preoperative rehabilitation that emphasized lower extremity stepping using either overground walking training or a robotic weight-supported treadmill training was provided for 25 to 39 hours per week for a median of 4 months at 3 sites. No change in ASIA Impairment Scale (AIS) motor scores for the lower extremities or AIS grades of completeness was found. OMAs were transplanted into 1.3- to 4-cm lesions at C4-T12 neurological levels after partial scar removal. Therapy was continued postoperatively. Preoperative and postoperative assessments included AIS scores and classification, electromyography (EMG) of attempted voluntary contractions, somatosensory evoked potentials (SSEP), urodynamic studies with sphincter EMG, spinal cord magnetic resonance imaging (MRI), and otolaryngology and psychology evaluations. The Functional Independence Measure (FIM) and Walking Index for Spinal Cord Injury (WISCI) were obtained in 13 patients. RESULTS: All patients survived and recovered olfaction. One patient was rehospitalized for aseptic meningitis. Minor adverse events occurred in 4 others. The mean duration of follow-up was 27.7 months (range = 12-45 months). By MRI, the lesion site was filled in all patients with no neoplastic overgrowth or syringomyelia. AIS grades improved in 11 of 20 patients, 6 (A --> C), 3 (B --> C), and 2 (A --> B), and declined in 1 (B --> A). Improvements included new voluntary EMG responses (15 patients) and SSEPs (4 patients). Scores improved in the FIM and WISCI (13/13 tested), and urodynamic responses improved in 5 patients. CONCLUSION: OMA is feasible, relatively safe, and possibly beneficial in people with chronic SCI when combined with postoperative rehabilitation. Future controlled trials may need to include a lengthy and intensive rehabilitation arm as a control.


Assuntos
Neurônios/transplante , Mucosa Olfatória/transplante , Traumatismos da Medula Espinal/reabilitação , Traumatismos da Medula Espinal/cirurgia , Transplante de Células-Tronco , Adulto , Doença Crônica/reabilitação , Doença Crônica/terapia , Feminino , Seguimentos , Humanos , Masculino , Manipulações Musculoesqueléticas/métodos , Mucosa Olfatória/citologia , Paralisia/etiologia , Paralisia/reabilitação , Paralisia/cirurgia , Projetos Piloto , Estudos Prospectivos , Robótica , Índice de Gravidade de Doença , Traumatismos da Medula Espinal/complicações , Transplante de Células-Tronco/efeitos adversos , Transplante Autólogo/efeitos adversos , Resultado do Tratamento , Adulto Jovem
18.
Int J Pediatr Otorhinolaryngol ; 71(5): 831-5, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17360048

RESUMO

Cherubism is an autosomal dominant disorder in which the normal bone is replaced by cellular fibrous and immature bone, resulting in painless symmetrical enlargement of the jaws. An aggressive case of cherubism with extensive swelling on several facial bones in a 19-year-old boy is reported. The disorder was diagnosed 15 years ago, but the patient has not been submitted to any type of surgery so far. The highlights of this case are the great proportion of the lesions, the enormous functional and emotional disturbances brought about by these lesions, and the difficulty to choose the most appropriate age and form of treatment.


Assuntos
Querubismo/diagnóstico , Adolescente , Pré-Escolar , Progressão da Doença , Seguimentos , Humanos , Masculino , Mandíbula/patologia , Maxila/patologia
19.
J Spinal Cord Med ; 29(3): 191-203; discussion 204-6, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16859223

RESUMO

BACKGROUND/OBJECTIVE: Olfactory mucosa is a readily accessible source of olfactory ensheathing and stem-like progenitor cells for neural repair. To determine the safety and feasibility of transplanting olfactory mucosa autografts into patients with traumatically injured spinal cords, a human pilot clinical study was conducted. METHODS: Seven patients ranging from 18 to 32 years of age (American Spinal Injury Association [ASIA] class A) were treated at 6 months to 6.5 years after injury. Olfactory mucosa autografts were transplanted into lesions ranging from 1 to 6 cm that were present at C4-T6 neurological levels. Operations were performed from July 2001 through March 2003. Magnetic resonance imaging (MRI), electromyography (EMG), and ASIA neurological and otolaryngological evaluations were performed before and after surgery. RESULTS: MRI studies revealed moderate to complete filling of the lesion sites. Two patients reported return of sensation in their bladders, and one of these patients regained voluntary contraction of anal sphincter. Two of the 7 ASIA A patients became ASIA C. Every patient had improvement in ASIA motor scores. The mean increase for the 3 subjects with tetraplegia in the upper extremities was 6.3 +/- 1.2 (SEM), and the mean increase for the 4 subjects with paraplegia in the lower extremities was 3.9 +/- 1.0. Among the patients who improved in their ASIA sensory neurological scores (all except one patient), the mean increase was 20.3 +/- 5.0 for light touch and 19.7 +/- 4.6 for pinprick. Most of the recovered sensation below the initial level of injury was impaired. Adverse events included sensory decrease in one patient that was most likely caused by difficulty in locating the lesion, and there were a few instances of transient pain that was relieved by medication. EMG revealed motor unit potential when the patient was asked to perform movement. CONCLUSION: This study shows that olfactory mucosa autograft transplantation into the human injured spinal cord is feasible, relatively safe, and potentially beneficial. The procedure involves risks generally associated with any surgical procedure. Long-term patient monitoring is necessary to rule out any delayed side effects and assess any further improvements.


Assuntos
Mucosa Olfatória/transplante , Traumatismos da Medula Espinal/cirurgia , Transplante de Células-Tronco/métodos , Adolescente , Adulto , Animais , Eletromiografia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Atividade Motora/fisiologia , Contração Muscular/fisiologia , Músculo Liso/inervação , Músculo Liso/fisiologia , Regeneração Nervosa/fisiologia , Mucosa Olfatória/citologia , Avaliação de Resultados em Cuidados de Saúde , Projetos Piloto , Recuperação de Função Fisiológica , Traumatismos da Medula Espinal/patologia , Traumatismos da Medula Espinal/fisiopatologia , Transplante de Células-Tronco/efeitos adversos , Tato , Transplante Autólogo , Índices de Gravidade do Trauma
20.
Periodontia ; 16(2): 61-64, jun. 2006. ilus, tab, graf
Artigo em Português | LILACS, BBO - Odontologia | ID: lil-510816

RESUMO

O presente estudo teve como objetivo avaliar a acurácia no diagnóstico radiográfico de defeitos ósseos periodontais por radiologistas e periodontistas. Diferentes tipos de defeitos ós-seos foram confeccionados em duas mandíbulas humanas secas. Radiografias periapicais foram realizadas em regiões pré-determinadas antes (controle) e depois da confecção dos defeitos ósseos. O tempo de exposição variou de 0,1 a 0,5 segundos. As radiografias e o processamento radiográfico foram padronizados. As radiografias foram analisadas por especialistas previamente calibrados. A acurácia no diagnóstico radiográfico foi de 61%. O defeito ósseo horizontal foi o mais visualizado, seguido do vertical, sendo o cratera o de maior dificuldade no diagnóstico.


Assuntos
Osso e Ossos/anormalidades , Periodontia , Radiografia
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