Evaluation of a new composite prosthesis for the repair of abdominal wall defects

The degree of integration of biomaterials used in the repair of abdominal wall defects seems to depend upon the structure of the prosthesis. The present investigation evaluates the behaviour in terms of adhesion formation and integration of a new composite prosthesis that could be employed in this clinical application. Full-thickness abdominal wall defects (7 × 5 cm) were created in 16 anaesthetized New Zealand white rabbits and the prosthesis were placed in direct contact with the visceral peritoneum during the experiment. The defects were repaired with a composite prosthesis or pure polypropylene mesh to establish two study groups (n = 8 each). The composite device was constituted by a polypropylene mesh physically attached to a poly(ether)urethane–polydimethylsiloxane laminar sheet. Animals were sacrificed 7, 14, 21 and 30 days after implant and prosthesis/surrounding tissue specimens subjected to light and electron microscopy. Firm adhesions were detected in the polypropylene implants, while they were not present in the composite implants. The excellent behaviour of the composite prosthesis shown in this study warrants further investigation on its use for the repair of abdominal wall defects when a prosthetic device needs to be placed in contact with the intestinal loops.     

New heparinizable modified poly(carbonate urethane) surfaces diminishing bacterial colonization

Percutaneous devices are extensively used in modern medicine therapies, even in long term applications. Complications from their use, related to bacterial colonization and/or to materials thrombogenicity, may result in a significant morbidity and mortality incidence. In this study, a novel polycarbonate-urethane (PCU), incorporating a tailor-made diamino-diamide-diol (PIME) showing the ability to bind heparin at physiological pH, was compared to commercial medical-grade PCUs (Carbothane and Bionate). Mechanical and thermal properties were evaluated by tensile tests, dynamic mechanical analysis and differential scanning calorimetry. The presence of a low amount of PIME chain extender in Bionate polyurethanes (Bionate-PIME) slightly affects the mechanical properties, remaining however comparable with the medical grade PCUs used for the fabrication of cardiovascular devices. To verify thereof heparin surface adsorbed in disfavouring bacterial colonization, heparinized Bionate-PIME was tested for bacterial adhesion, using Bionate and Carbothane as reference. In vitro bacterial interaction tests were performed with the strains mainly involved in the pathogenesis of device-related infections (S. epidermidis and S. aureus). MTT tests and SEM observations showed a decrease in colonization of the different strains on the heparinized Bionate-PIME surfaces, confirming that preadsorbed heparin plays a role in mediating the biomaterial surface/bacterial cells interactions.     

Atmospheric mercury near a chlor-alkali plant in Sweden

Atmospheric mercury species/fractions were measured near a chlor-alkali plant in Sweden during August 28 to September 4, 2001. The concentration of total gaseous mercury in the plume from the plant was measured using TEKRAN and GARDIS instruments. Gaseous elemental mercury was measured using a light detection and ranging (LIDAR) technique. From vertical LIDAR sweeps through the plume from the chlor-alkali plant mercury emission rates could be calculated. The concentrations of reactive gaseous mercury (RGM) in the plume and also inside the cell house were measured using annular KCl coated denuders. The RGM emission constitutes 0.5-1.0% of the total mercury emitted from the plant. The mercury concentration adsorbed on particles was measured as well as the mercury flux from soil. The data presented also include an intercomparison showing an excellent agreement between TEKRAN/GARDIS and LIDAR gaseous mercury measurements.     

Dewatering model for optimal operation of sludge treatment wetlands

Sludge treatment wetlands (STW) are used as a dewatering technology in some European countries since the 80’s. Although the efficiency of this technology in terms of sludge dewatering and mineralisation is well known, design and operation parameters are yet to be standardised. The aim of this study is to develop a mathematical model capable of predicting the water loss with time, in order to optimise the feeding frequency enhancing sludge dewatering and expanding the lifespan of the system. The proposed model is validated with experimental data from one pilot and two full-scale STW. The scenarios considered indicate that the optimum feeding frequency decreases with the sludge layer height. In this way, systems with a sludge layer of 20 cm, 40 cm and 80 cm (corresponding to 2, 4 and 8 years of operation), should be fed every 2.5, 10 and 30-40 days, respectively. On the other hand, evapotranspiration (ET) has no effect on the feeding frequency, although it does increase the sludge dryness from 25% to 45% (for ET of 2.5 and 14.5 mm/d in the case of 20 cm of sludge height). According to the model output, the sludge loading rate is determined as a function of evapotranspiration, feeding frequency and sludge height.     

Novel Insight into the Serum Sphingolipid Fingerprint Characterizing Longevity

Sphingolipids (SLs) are structural components of the lipid bilayer regulating cell functions. In biological fluids, their distribution is sex-specific and is at variance in aging and many disorders. The aim of this study is to identify SL species associated with the decelerated aging of centenarians. SLs, extracted from serum of adults (Ad, 35–37 years old), aged (Ag, 75–77 years old) and centenarian (C, 105–107 years old) women were analyzed by LC-MS/MS in combination with mRNA levels in peripheral blood mononuclear cells (PBMCs) of SL biosynthetic enzymes. Results indicated in Ag and C vs. Ad a comparable ceramides (Cers) increase, whereas dihydroceramide (dhCer) decreased in C vs. Ad. Hexosylceramides (HexCer) species, specifically HexCer 16:0, 22:0 and 24:1 acyl chains, increased in C vs. Ag representing a specific trait of C. Sphingosine (Sph), dihydrosphingosine (dhSph), sphingosine-1-phosphate (S1P) and dihydrosphingosine-1-phosphate (dhS1P), increased both in Ag and C vs. Ad, with higher levels in Ag, indicating a SL fine-tuning associated with a reduced physiological decline in C. mRNA levels of enzymes involved in ceramide de novo biosynthesis increased in Ag whereas enzymes involved in sphingomyelin (SM) degradation increased in C. Collectively, results suggest that Ag produce Cers by de novo synthesis whereas C activate a protective mechanism degrading SMs to Cers converting it into glycosphingolipids.     

Bone Involvement in Systemic Lupus Erythematosus

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by a wide variability of clinical manifestations due to the potential involvement of several tissues and internal organs, with a relapsing and remitting course. Dysregulation of innate and adaptive immune systems, due to genetic, hormonal and environmental factors, may be responsible for a broad spectrum of clinical manifestations, affecting quality of life, morbidity and mortality. Bone involvement represents one of the most common cause of morbidity and disability in SLE. Particularly, an increased incidence of osteoporosis, avascular necrosis of bone and osteomyelitis has been observed in SLE patients compared to the general population. Moreover, due to the improvement in diagnosis and therapy, the survival of SLE patient has improved, increasing long-term morbidities, including osteoporosis and related fractures. This review aims to highlight bone manifestations in SLE patients, deepening underlying etiopathogenetic mechanisms, diagnostic tools and available treatment.     

Observer‐based model reference control of Takagi–Sugeno–Lipschitz systems affected by disturbances using quadratic boundedness

In this paper, a model reference control strategy is proposed in order to perform trajectory tracking in Takagi–Sugeno–Lipschitz (TSL) systems. Since the state vector is assumed not to be completely available for measurement, a proportional observer is added to the control scheme in order to apply an estimate‐feedback control action instead of a state‐feedback one. The overall design of both the controller and the observer gains are performed using a Lyapunov‐based quadratic boundedness specification, in order to improve the robustness against unknown exogenous disturbances. It is shown that the conditions that ensure convergence within ellipsoidal regions of the tracking and estimation errors can be expressed in the form of a linear matrix inequality (LMI) formulation. The effectiveness of the developed control strategy is demonstrated by means of simulation results.     

Ceramic-on-ceramic catastrophic liner failure in total hip arthroplasty: Morphological and compositional analysis of fractured ceramic components

Surface bearing of total hip arthroplasty (THA) still is a strong subject of study due to the relatively high rate of failures caused by a multiplicity of factors including surgical technique, patient's attitude, and type/characteristics of the materials used (metal, ceramics, polyethylene) with their specific risk factors. Fractures of the ceramic components are rare but catastrophic events, with many concerns among the orthopaedic surgeons. Such complication is usually evaluated from a clinical viewpoint; this study provides a materials scientist's complementary perspective and comprehensively evaluates the surface and the mechanism of rupture of the ceramic liner in two cases with different ceramics (Biolox Forte and Biolox Delta) after ceramic-on-ceramic THA. The morphological and compositional analyses of the ceramic components were performed by field-emission scanning electron microscopy (FESEM) and energy dispersive spectroscopy (EDS), along with macroscopic pictures. The SEM analysis of the ceramic liner showed many wear signs in all directions, while the EDS revealed the presence of titanium near to the fracture border, which might be interpreted as a consequence of the catastrophic contact between ceramic liner and metal back. Biolox Delta and Biolox Forte ceramic liners showed different patterns of fracture and surface modifications that are illustrated and discussed.     

Milk kefir enriched with inulin-grafted seed extract from white wine pomace: chemical characterisation,antioxidant profile and in vitro gastrointestinal digestion

An innovative functional food with symbiotic and functional potential was produced by combining probiotic milk kefir, and white grape-seed pomace obtained by UAE (ultrasound-assisted extraction) rich in catechin and glycosylated flavonoids. The milk kefir was fortified by adding, after 24 h of fermentation, a polymer of inulin grafted with seed extract. The inulin/grape extract-enriched polymer showed a higher antioxidant profile (P < 0.05). Simulated in vitro digestion demonstrated that 50 g of the kefir product would result in the delivery of antioxidants equivalent to 300 mg of ascorbic acid. The integrity of the intestinal barrier functions was not compromised by kefir treatments (at 10 μg mL^-1).