Quality of life in postmenopausal women with osteoporosis: a systematic review and meta-analysis.

PURPOSE: Postmenopausal osteoporosis has become a global trend, which seriously affects women's quality of life. However, the differences remain unclear in health-related quality of life (HRQoL) among postmenopausal women with normal bone mineral density, osteoporosis, and osteoporotic fractures. The aim of this study was to assess health-related quality of life in women with three different bone states. METHODS: Databases of PubMed, Embase, Cochrane, and Web of Science were based on the search terms, and the search time was set from the inception of each database to January 2022. A study was included if the researchers used a validated quality of life questionnaire to investigate the quality of life of postmenopausal women with osteoporosis or osteoporotic fractures. The random-effect model was used for meta-analysis, and the mean difference with a 95% confidence interval (95%CI) was calculated. RESULTS: Thirteen studies that met the inclusion criteria were systematically reviewed, involving 2897 postmenopausal women, and 12 of them were included in the meta-analysis. Postmenopausal women with osteoporosis had worse overall HRQoL and different HRQoL dimensions compared with postmenopausal women with normal bone density. Compared with postmenopausal women with osteoporosis, postmenopausal women with osteoporotic fractures had worse overall HRQoL and individual dimensions of HRQoL, especially physical component summary (SMD = - 0.61, 95% CI, - 0.98 to - 0.24). Bone mineral density was positively associated with HRQoL, while fragility fracture severity was negatively associated with HRQoL. CONCLUSIONS: Postmenopausal osteoporosis and fragility fractures reduce HRQoL to varying degrees in women. More research should be done to reduce the incidence of the disease.

Analysis of the Mechanical and Preforming Behaviors of Carbon-Kevlar Hybrid Woven Reinforcement.

Carbon-Kevlar hybrid reinforcement is increasingly used in the domains that have both strength and anti-impact requirements. However, the research on the preforming behaviors of hybrid reinforcement is very limited. This paper aims to investigate the mechanical and preforming behaviors of carbon-Kevlar hybrid reinforcement. The results show that carbon-Kevlar hybrid woven reinforcement presents a unique "double-peak" tensile behavior, which is significantly different from that of single fiber type reinforcement, and the in-plane shear deformation demonstrates its large in-plane shear deformability. Both the tensile and in-plane shear behaviors present insensitivity to loading rate. In the preforming process, yarn slippage and out-of-plane yarn buckling are the two primary types of defects. Locations of these defects are closely related to the punch shape and the initial yarn direction. These defects cannot be alleviated or removed by just increasing the blank holder pressure. In the multi-layer preforming, the compaction between the plies and the friction between yarns simultaneously affect the quality of final preforms. The defect location of multi-layer preforms is the same as that of single-layer, while its defect range is much wider. The results found in this paper could provide useful guidance for the engineering application and preforming modeling of hybrid woven reinforcement.

The Surface Characteristics, Microstructure and Mechanical Properties of PEEK Printed by Fused Deposition Modeling with Different Raster Angles.

Additive manufacturing provides a novel and robust way to prepare medical product with anatomic matched geometry and tailored mechanical performance. In this study, the surface characteristics, microstructure, and mechanical properties of fused deposition modeling (FDM) prepared polyether-ether-ketone (PEEK) were systematically studied. During the FDM process, the crystal unit cell and thermal attribute of PEEK material remained unchanged, whereas the surface layer generally became more hydrophilic with an obvious reduction in surface hardness. Raster angle has a significant effect on the mechanical strength but not on the failure mechanism. In practice, FDM fabricated PEEK acted more like a laminate rather than a unified structure. Its main failure mechanism was correlated to the internal voids. The results show that horizontal infill orientation with 30° raster angle is promising for a better comprehensive mechanical performance, and the corresponding tensile, flexural, and shear strengths are (76.5 ± 1.4) MPa, (149.7 ± 3.0) MPa, and (55.5 ± 1.8) MPa, respectively. The findings of this study provide guidelines for FDM-PEEK to enable its realization in applications such as orthopedic implants.