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  • Articles  (299)
  • Chemistry  (299)
  • 1990-1994  (299)
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  • 1993  (299)
  • Medicine  (299)
  • 1
    Electronic Resource
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 4 (1993), S. 231-240 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Because of the importance of complement activation in the induced activation of leukocytes in vivo, determination of complement-activating capacity of a candidate biomaterial is an important step in evaluating its biocompatibility. In vitro evaluation can be performed in the presence of human serum by means of techniques described in the literature and reviewed in this paper. Certain physical and chemical parameters involved in complement activation by materials have to be assessed: the chemical composition of the surface, surface area in contact with serum, temperature and duration of contact, and ionic environment with emphasis on divalent ions. Concerning materials evaluation, the adsorption of complement proteins or protein fragments has to be determined in addition to activation. Following screening tests using CH50 determination, activation of both classical and alternative pathways leading to formation of C3 convertases and formation of C5 convertase should be assessed. An example of the determination of the complement-activating capacity of two hydroxylated materials is presented and guidelines for in vitro evaluation are proposed. © 1993 John Wiley & Sons, Inc.
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  • 2
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    Journal of Applied Biomaterials 4 (1993), S. 241-247 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The purpose of this study was to determine the influence of the surgeon's tying techique on knot security using 0 and 2-0 monofilament and multifilament nylon sutures. Using an Instron® Tensile Tester and a portable tensiometer, knot security was achieved with these sutures using four-throw square knots (1=1=1=1). After didactic and psychomotor skill training, medical students were taught to construct the four-throw square knot using either a two-hand tie or an instrument tie. Using the portable tensionmeter, their knot tying techniques were judged to be superior to those used by surgeons. The surgeon's faulty technique can easily be corrected by didactic information and psychomotor skill training. © 1993 John Wiley & Sons, Inc.
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  • 3
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 4 (1993), S. 55-60 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Ferromagnetic Ni—Cu alloy wires were characterized in order to obtain well-defined thermoseeds for application in interstitial hyperthermia of prostate cancer. Thermoseeds have been produced which possess Curie points in the therapeutic hyperthermia range, approximately 40 to 50 °C. The effect of thermal treatment and composition on the heating characteristics of the thermoseeds were investigated. The preliminary study shows that the recrystallization is crucial for altering thermoseeds' heating characteristics. Obtaining thermoseeds which behave as desired depends on changes in annealing times and temperatures. One may increase the maximum heating temperature (similar to Curie temperature) by increasing the annealing time and cooling time. Decreasing the lower annealing plateau temperature also increases the maximum seed heating temperature. Higher nickel content compositions did not affect rise time but increased the maximum heating temperature. © 1993 John Wiley & Sons, Inc.
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  • 4
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 4 (1993), S. 61-65 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The establish criteria for characterizing synthetic sutures, the handling characteristics of silk suture were analyzed. The characteristics that distinguish silk suture from other braided suture materials are its good “knot security” and relatively low “tiedown resistance.” Analytic consideration of knot security suggests that not only superficial friction but also resistance force produced by cross-sectional deformity of braided threads plays an important role in silk's superior performance. Results of a “pullout friction test,” developed to quantitatively evaluate resistance produced by surface friction and cross-sectional deformity suggest that the superiority of silk thread can be explained in terms of high static withdrawal resistance under low loads and relatively low dynamic withdrawal resistance under high loads. © 1993 John Wiley & Sons, Inc.
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  • 5
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    Journal of Applied Biomaterials 4 (1993), S. 73-75 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: There has been an increase in the use of primary reference material as a standard for identifying the cellular response to biomaterials. One such material is NHLBI-DTB polydimethylsiloxane (PDMS). The PDMS was developed for blood contacting studies and is composed of PDMS backed on one side with mylar. The results of implantation studies of two different publications are discussed in light of the different materials and different surface topographies of each of the materials. The appropriateness of in vivo studies using this reference material is questioned. © 1993 John Wiley & Sons, Inc.
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  • 6
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    Journal of Applied Biomaterials 4 (1993), S. 341-346 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: A testing method was developed to evaluate the mechanical properties of a fibrin adhesive in an effort to correlate mechanical strength to fibrinogen content. Autologous fibrin adhesives with varying fibrinogen content were loaded to failure in shear using a mechanical testing machine. The method developed was capable of distinguishing a mechanical strength difference among the three fibrin sample lots used in the study. A number of parameters were evident that could lead to testing variability. The development of a more sophisticated component delivery system would greatly reduce the variability of these parameters and thus, the product reliability. Ultimately, the information gathered from the current and future studies will form a type of quality control standard to directly correlate the percentage of fibrinogen in a particular sample to its adhesive performance. © 1993 John Wiley & Sons, Inc.
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  • 7
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    Journal of Applied Biomaterials 4 (1993), S. 359-361 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 8
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    Journal of Applied Biomaterials 4 (1993), S. 113-113 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 9
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    Journal of Applied Biomaterials 4 (1993), S. 114-114 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 10
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    Journal of Applied Biomaterials 4 (1993), S. 115-115 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 11
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    Journal of Applied Biomaterials 4 (1993) 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 12
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    Journal of Applied Biomaterials 4 (1993), S. 363-363 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 13
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    Journal of Applied Biomaterials 4 (1993), S. 365-365 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 14
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Polyurethane films that contained various amounts of zinc diethyldithiocarbamate (ZDEC) and zinc dibutyldithiocarbamate (ZDBC) were prepared as standard reference materials (SRM). Using three cell lines of V79, L929, and Balb/3T3 cells, the cytotoxicity of the dithiocarbamates and the SRM films were compared by agar diffusion assay, filter diffusion assay, neutral red assay, cell growth assay, and colony assay. Among these in vitro cytotoxicity tests, colony assay was found to be the most sensitive method for detecting the cytotoxicity. The cytotoxic potentials of extracts from SRM films correlated well with the concentrations of ZDEC or ZDBC involved in SRM. When various rubber materials including SRM and surgical rubber latex materials were tested, cytotoxic potentials of these extracts were also correlated with the inflammatory tissue capsule thickness in short-term implantation tests. On the basis of these results, the SRM is judged to be useful for validating test sensitivity, and comparing the correlation between in vitro and in vivo responses. © 1993 John Wiley & Sons, Inc.
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  • 15
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 4 (1993) 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 16
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    Journal of Applied Biomaterials 4 (1993), S. 13-27 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: This study focuses on examining the biological response of intramedullary bone to poly-L-lactic acid (PLLA), particularly during the PLLA degradation phase. To study the influence of spherical crystals (spherulites) of PLLA on intramedullary bone response, two different types of PLLA coupon, with and without spherulites but with the same molecular weight, were used. Chambers containing PLLA coupons were implanted into the right femur of eight dogs, four with and four without spherulites; chambers containing stainless steel (SS) coupons (as a control) were implanted in the left femurs of all eight. Two dogs, one with and one without spherulites, were sacrificed at 3, 6, 12, and 24 weeks postoperatively. Histomorphometric evaluation and histophathological assessment were used to compare the response to PLLA and SS. Scanning electron micrographs showed that there were minimal changes in the surface of PLLA coupons at 3 and 6 weeks. But at 12 and 24 weeks, there were many cracks and holes on the surfaces of the coupons, and some parts of the surface were scaling off. The cross-sectional area of PLLA coupons showed no change at 3 and 6 weeks, but started to decrease by 12 weeks. The amount of ingrown bone between PLLA coupons was significantly greater than that between SS coupons at 3 and 6 weeks, but had decreased dramatically by 12 weeks. Extensive bone resorption around PLLA coupons occurred by 12 weeks accompanied by infiltration of inflammatory cells. An abundance of histiocytes, giant cells, and leucocytes were seen, along with a few histiocytes that had phagocytized PLLA particles of less than 2 μm. By contrast, no inflammatory reaction was seen in SS samples at any period up to and including 24 weeks. PLLA demonstrated excellent biocompatibility with intramedullary bone for the first 6 weeks in this model. Once degradation commenced, however, biocompatibility decreased dramatically. Our study detected no difference between coupons with and without spherulites. It thus appears that the existence of relatively large PLLA particles did not influence the response of intramedullary bone to PLLA, but rather that it was the smaller particles (〈 2 μm) released from the PLLA that induced foreign-body inflammatory reactions and bone resorption. It is also possible that a local decrease in pH occurred around PLLA coupons, which could have influenced vital kinetics. © 1993 John Wiley & Sons, Inc.
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  • 17
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    Journal of Applied Biomaterials 4 (1993), S. 39-46 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: An in vivo investigation of a new high molybdenum and nitrogen duplex stainless steel (25Cr—7Ni—4Mo—0.3N) has been performed. Cylindrical pins and specially developed devices, to test in static conditions the in vivo localized corrosion resistance, made of this new duplex steel and of a common austenitic stainless steel were implanted in rabbit's femurs for 6 and 12 months. After sacrifice, SEM observations and EDS microanalyses to detect metallic ion release were carried out on the femur sections surrounding the pins. Morphologic observations with stereoscope and SEM were performed on the metallic surfaces of the special devices in order to detect the presence of localized corrosion. Both ion release and localized corrosion were observed for the specimens made of austentic stainless steel, but not for those made of 25Cr—7Ni—4Mo—0.3N duplex stainless steel. © 1993 John Wiley & Sons, Inc.
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  • 18
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    Journal of Applied Biomaterials 4 (1993), S. 47-54 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The static general corrosion behavior of Ti-6Al-4V alloy specimens in three lactated Ringer's-based solutions was investigated using d.c. potentiodynamic, d.c. linear polarization resistance, and a.c. impedance techniques. A critical appraisal of the use of these techniques for the estimation of the corrosion rate of the material is presented. Whence it was shown that the presence of bovine serum in or decreasing the pH level of (to about 1) lactated Ringer's solution leads to an increase in the corrosion rate of the alloy (relative to that in lactated Ringer's solution, pH 6.25). © 1993 John Wiley ' Sons, Inc.
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  • 19
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    Journal of Applied Biomaterials 4 (1993), S. 103-105 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
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  • 20
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Two new cardiovascular monofilament sutures attached to taper point needles have been developed for use in expanded polytetrafluoroethylene (PTFE) grafts. One monofilament suture made of PTFE has a microporous structure that allows it to be channel swaged to a needle that closely approximates its suture diameter. The other suture is a monofilament polypropylene suture that has been extruded to produce a tapered swage end, which was significantly smaller than that of the remainder of the suture in order to be channel swaged to smaller diameter needles. On the basis of comprehensive biomechanical performances, the performance of the new needle suture products with needle/suture diameter ratios approaching 1:1 was superior to needle suture products with 2:1 needle/suture diameter ratios for use in PTFE vascular grafts, regardless of the suture material. © 1993 John Wiley & Sons, Inc.
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  • 21
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    Journal of Applied Biomaterials 4 (1993), S. 109-111 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 22
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    Journal of Applied Biomaterials 4 (1993), S. 97-101 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: This study evaluated the biocompatibility of an unfilled, fluoride-releasing acrylic resin by subcutaneous implantation in guinea pigs. The experimental fluoride resin was compared to a nonfluoride, dental pit and fissure sealant (DELTON) of similar composition. Thirty-four male albino guinea pigs received four Teflon® tubes each, implanted in the dorsal area. The tubes were open at both ends, three contained the experimental fluoride resin and one held the nonfluoride resin. The tubes and surrounding tissue were excised in 1-2 cm blocks, by necropsy, at 14 and 84 days. Histological evaluation showed that inflammatory response was none-to-slight at 14 days for 95% of the fluoride and 100% of the nonfluoride specimens. Five percent of the fluoride specimens produced a moderate tissue response. At 84 days, inflammatory response was none-to-slight for 82.5% of the fluoride and 61.5% of the commercial nonfluoride specimens, while 17.5% of the fluoride and 38.5% of the nonfluoride specimens produced moderate tissue responses. Chi-squared analysis and Fisher's Exact test revealed no statistically significant difference (p ≤ 0.05) in tissue response between the two resins at either 14 or 84 days. Hence it is concluded that the experimental, fluoride-releasing resin produces a very mild subcutaneous tissue response and that its biocompatibility is comparable to that of a widely used nonfluoride dental resin. It can, therefore, be considered as having a high potential for biological safety as a dental restorative resin or adhesive, or for other biomedical applications. © 1993 John Wiley & Sons, Inc.
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  • 23
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    Journal of Applied Biomaterials 4 (1993), S. 195-209 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Organizing and accessing biomaterials-related information is problematic because of the interdisciplinary nature of the field. Relevant information appears in the literature of numerous science and technology subdisciplines and there is no one index or database that covers all of the related publications. An additional barrier to information retrieval is the lack of a thesaurus for the field. Multiple terms representing the same concepts are currently employed and it is not always readily apparent which terms to use in a literature search. As an aid for students and researchers in the discipline, the author provides an indexed bibliography of English language monographic works on biomaterials and biocompatibility published after 1973. © 1993 John Wiley & Sons, Inc.
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  • 24
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    Journal of Applied Biomaterials 4 (1993), S. 183-194 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The failure of most percutaneous devices (PD) is caused by infection initiated by a lack of a tight seal at the skin-device interface. This interface can be disrupted by both extrinsic and intrinsic forces. Many stress reduction methods have been proposed, the most common being the application of a subcutaneous flange. It is widely believed that the bending compliance of the flange plays a significant role in the success or failure of a PD.A study was conducted to observe the effect of flange compliance on local host response in both a functional and nonfunctional setting. Two PDs having flanges with different bending rigidities were implanted percutaneously in goats (n = 8). After a healing period of 2 weeks, half of these devices were externally stimulated with a random load. All the implants were retrieved after 4 weeks and evaluated histologically.The tissue capsule was significantly thicker and the incidence of severe fibrosis and/or necrosis was higher at the flange rim of the functional implants, irrespective of flange compliance. The more compliant devices were encapsulated with a thick fibrous capsule more frequently than the less compliant ones, irrespective of functional status. The more compliant devices also had a greater incidence of foreign body giant cells in the corner region and elicited severe acute inflammation at the corner and top of the flange more frequently than the less compliant implants. Numerous areas of degenerating foreign body giant cells accompanied with fibroblastic proliferation and dystrophic mineralization were identified in many of the capsules beneath the flanges.It was concluded that the rigid implants elicited a more desirable tissue response than the compliant implants while the functional implants elicited a less desirable response than the nonfunctional ones. There was no synergistic or antagonistic relationship between the functional status of the device and flange compliance. © 1993 John Wiley & Sons, Inc.
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  • 25
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    Journal of Applied Biomaterials 4 (1993), S. 213-219 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The aim of this study was to investigate the bone response to three different types of titanium (Ti) alloys and hydroxyapatite (HA) coated titanium alloy by histological and histomorphometrical analysis. Therefore, implants made of these materials were inserted into the tibia of rabbits. Implantation times were 6 and 16 weeks. The histological evaluation included measurement of the amount of bone apposition and analysis of the bone reaction and interface characteristics around the implants. The results demonstrated no marked differences in bony reaction to the different implant materials. In addition, the HA coatings showed loss of thickness. © 1993 John Wiley & Sons, Inc.
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  • 26
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Hydroxyapatite induction by a synthesized pure silica hydrogel was examined in various simulated body fluids (SBFs) having different magnesium, calcium, and phosphate ion concentrations as well as pH values. The silica hydrogel generated biologically active apatite on its surface by taking up calcium and phosphorous ionic groups from a surrounding SBF that was prepared to emulate the human plasma in inorganic composition. The induction period for apatite nucleation on the surface of the silica was largely decreased with the addition of a small amount of the calcium or phosphate ions to the SBF and with an increase in pH, but increased with the addition of magnesium ion. Bioactivity of bioactive materials like Bioglass® and glass-ceramic A-W was well interpreted in terms of the rate of apatite formation reflected in these results. Moreover, the results provide the basic knowledge for designing new bioactive materials. © 1993 John Wiley & Sons, Inc.
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  • 27
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    Journal of Applied Biomaterials 4 (1993), S. 277-277 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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  • 28
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Median nerve regeneration was studied in 30 adult primates after repair by microsurgical suture or tubulization with a nonwoven, bioabsorbable, polyglycolic acid device. The two methods were compared electrophysiologically and histologically 6 and 12 months after repair. The electrophysiology included recording of electrically evoked compound action potentials and subsequent determination of threshold, conduction velocity, amplitude, and area above the baseline for each component. Measurements were obtained before nerve transection and at the time of biopsy by stimulating both proximal and distal to the transection site. Analysis of all electrophysiological parameters revealed no statistically significant differences (p 〈 0.05) between the two repair techniques. Histopathology included examination of cross sections proximal and distal to the repair sites and longitudinal sections through the coaptation site. End organs (Meissner's and Pacinian corpuscles and muscle) were sectioned to determine the degree of reinnervation. No significant differences between the repair techniques were observed by histological analysis of these sections. These evaluations indicated that the tubulization repair technique produced results comparable to that of the suture technique. © 1993 John Wiley & Sons, Inc.
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  • 29
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    Journal of Applied Biomaterials 4 (1993), S. 77-85 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Stents are tubular devices that are used in cylindrical passages of the body following trauma or disease in order to keep the cross section of these passages open. A mathematical model of a self-expanding metallic stent has been developed with the aim of predicting various geometrical and mechanical properties of the stent. The model was developed with the main assumptions that the stent acts as a combination of a number of independent open-coiled helical springs with ends fixed against rotation, and that the springs undergo elastic deformations only. A series of experiments has been carried out in order to assess the validity of the model. The experimental results show good agreement with theory for the tests involving stent diameter and longitudinal force as a function of stent length and fair agreement, limited by frictional effects, for the tests involving radial pressure as a function of stent diameter. © 1993 John Wiley & Sons, Inc.
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  • 30
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    Journal of Applied Biomaterials 4 (1993), S. 67-72 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Fibroblast growth factor (FGF) is a polypeptide that has been shown to have a stimulatory effect on osseous tissues in vitro. This study characterized the release of FGF from plaster of Paris (PLP) and measured the dissolution of PLP in various solutions with the aim of developing a reliable carrier system for the release of FGF in vivo. The study consisted of five experiments: (I) FGF diffusion from PLP pellets, (II) FGF diffusion from PLP discs, (III) PLP dissolution in saline, (IV) PLP dissolution in serum, and (V) FGF adsorption by commercially pure titanium. FGF was observed to be released at a rate directly proportional to the rate of dissolution of the PLP carrier, suggesting that either the FGF binds to the PLP; or, alternatively, the FGF may be entrapped by the PLP. Dissolution rate, and thus release rate, could be varied by varying the mass of the carrier. Greater diffusion of FGF was observed in larger, more slowly dissolving PLP carriers. Dissolution of PLP was observed to be slower in serum than in saline, apparently due to stabilization by factors in the serum but not due to a concentration gradient effect. Titanium coupons did not adsorb significant amounts of FGF. These results indicate that PLP, which has been shown in the past neither to FGF. These results indicate that PLP, which has been shown in the past neither to aggravate inflammatory response nor to interfere with bone ingrowth, may serve as delivery vehicle for FGF to osseous tissues in vivo. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 107-107 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 32
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: To assess new and existing materials for total joint arthroplasty, the authors performed a comprehensive histomorphologic and morphometric analysis of bone to cylinders implanted transversely in the proximal tibia of mature New Zealand white rabbits. Four sterile, cylindrical implants measuring 6.1 × 3.8mm were manually inserted through drill holes in both tibiae with a „line-to-line fit.“ The materials tested included: ASTM F-75 cast cobalt-chrome-molybdenum alloy, commercially pure titanium wrought zirconium-2.5 niobium alloy, zirconium oxide coated zirconium-2.5 niobium alloy, wrought titanium-13 niobium-13 zirconium alloy, and nitrogen diffusion hardened titanium-6 aluminum-4 vanadium alloy. Control animals with or without drill holes were included. The animals were killed by barbiturate overdose 6 months postoperatively. The upper tibiae were harvested and processed for undecalcified histologic sections that were stained with toluidine blue. The sections were examined by an investigator blind to the identity of the implanted materials. A full necropsy was also performed.A collar of lamellar bone, of variable length and thickness, continuous with the original cortex formed a buttress around the implants. There was no evidence of foreign body or inflammatory reaction. The marrow was slightly fatty, but cells of allthree hematopoietic lines were identifiable. The materials investigated had the following ranking in decreasing order of bone contact: Ti-13Nb-13Zr 〉 nitrogen hardened Ti-6Al-4V 〉 C.P. titanium 〉 Zr 2.5Nb 〉ZrO2 coated Zr-2.5Nb 〉 cast Co—Cr alloy. The difference between the groups was statistically significant (p = 0.05). For the variable „average bone layer thickness“ the ranking in decreasing order was: nitrogen hardened Ti-6Al-4V alloy = C.P. titanium 〉 Ti-13Nb-13Zr 〉 ZrO2/Zr-2.5Nb 〉 Zr-2.5Nb 〉 cast Co—Cr alloy (p = 0.19). For the variable „average bone layer thickness in bone contact regions,“ the ranking of the values, in decreasing order were: nitrogen hardened Ti-6Al-4V 〉 C.P. titanium 〉 ZrO2 coated Zr-2.5Nb 〉 Ti-13Nb-13Zr 〉Zr-2.5 Nb 〉 cast Co—Cr alloy (p = 0.02). The final necropsy reports of the animals identified no adverse findings that were concentrated to any particular implant group. The new, lower modulus materials Ti-13Nb-13Zr and Zr-2.5 Nb, and nitrogen hardened Ti-6Al-4V appear to have a similar or superior bone response to Co—Cr alloy when implanted in the rabbit tibia model. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 127-134 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The effect of pulsed electromagnetic fields (PEMFs) on the foreign body response to particulate debris, similar in morphology and quantity to wear debris present in the tissues around loose total joint prostheses, was investigated using a rabbit model. Cobalt chrome pins were inserted into the femurs along with particulate debris consisting of ultra high molecular weight polyethylene (UHMWPE), polymethylmethacrylate (PMMA), and cobalt chrome (CC). The particles induced a significant cellular response compared to the control animals that did not receive any debris. The application of PEMFs did not increase this foreign body response, nor did it have an effect on the number of resorption cavities, cortical area, or cortical thickness. © 1993 John Wiley & Sons, Inc.
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  • 34
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    Journal of Applied Biomaterials 4 (1993), S. 135-141 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: We have developed a bioactive bone cement consisting of silane-treated CaO—SiO2—P2O5—CaF2 glass powder as the filling particles and bisphenol-a-glycidyl methacrylate (BIS-GMA) diluted with triethylene-glycol dimethacrylate (TEGDMA) as the organic matrix. Histological examination demonstrated direct bonding between the cement and bone along the circumference of the cement at 4 weeks after implantation in rat tibia. The compressive strength and toughness of the cement were two and four times greater than those of polymethylmethacrylate (PMMA) cement, respectively. The inflammatory reaction of the skin caused by the new cement was not as intense as that for PMMA 3 days after subcutaneous implantation. This new cement may be applicable as a bioactive bone cement with high mechanical strength. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 157-160 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Needle performance is primarily judged by its penetration through tissue. For detailed studies of needle performance, tissue is too heterogeneous and unstable and difficult to obtain. A homogeneous, stable, and readily available polyurethane substrate has been evaluated as a suitable alternative to biological tissue for evaluation of needle penetration. The needle penetration profiles through the synthetic substrate correlated very well with those through natural tissue. In addition, the synthetic substrate was sensitive enough to easily detect a 20% increase in the force necessary to penetrate natural tissue. This polyurethane substrate offers a valid alternative to biological tissue for the testing of needle penetration performance. © 1993 John Wiley & Sons, Inc.
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  • 36
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    Journal of Applied Biomaterials 4 (1993), S. 161-167 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Four stainless steel alloys, commonly used for surgical needles were tensile and bend tested. The materials included: ASTM 42000, ASTM 45500, ASTM 30200, and a Fe-12Cr-8.5Ni-3.2Mo-1.9Ti alloy. Small diameter wires in a wide range of strength levels were produced using various heat treatments and/or cold drawing. Samples from each processing condition were tensile and bend tested. Calculated yield moment and ultimate moment were determined using tensile yield strength, the flexural formula (M(y) = σ(y) I/C), and the shape factor for circular cross sections (M(u)/M(y) = 1.7). A deviation was observed between the theoretically calculated yield moment and a 2° offset measured yield moment. This was expected because moment-strain diagrams provide only an approximation of yield moment due to the gradual departure from linearity. The 2° offset yield was termed the surgical yield because it represents the strain at which a surgical needle would start to lose functionality. A nonlinear relationship (R) was observed between measured and calculated values. The relationship (R) proved to be a function of cold work by wire drawing as measured by the change in wire length (ΔL), R = a - b * In(ΔL). This suggests that engineers selecting materials for bending applications such as surgical needles cannot use tensile data alone to predict bend strength. Processing history must also be known. © 1993 John Wiley & Sons, Inc.
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  • 37
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    Journal of Applied Biomaterials 4 (1993), S. 143-152 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The aim of this study was to examine the bonding process between hydroxyapatite-coated strain gauges and bone in order to continue development of a long term in vivo strain measurement device. Two types of commercially available hydroxyapatite (HA) particles were applied to the sensing surface of uniaxial strain gauges using a polysulfone solution as an adhesive. Characterization by scanning electron microscopy and x-ray diffraction (XRD) was used to determine materials property differences between the two powders. Interfacial strengths between the HA coatings and the strain gauges were tested and found comparable to interfacial strength obtained by a plasma sprayed HA coating on the surface of a titanium implant.Gauges were surgically placed on the periosteal surface of greyhound femora. Three groups of dogs were implanted with gauges for periods of 3, 6, and 12 weeks using cyanoacrylate, resorbable sutures, and cable ties to initially hold the gauge against the surface of the bone.Following euthanasia, the femora of the dogs were explanted and subjected to cantilever loading. Response of the implanted HA-coated gauges were compared to a control set that had been freshly glued onto the contralateral femur. Full response, that is, 100h% of the strain measurement with respect to the control, was obtained after 12 weeks in vivo. Attachment of HA-coated gauges with a circumferential suture showed bonding, while HA-coated gauges attached with cyanoacrylate did not bond to bone.After mechanical testing, femora were embedded in polymethylmethacrylate, cut, ground, and polished. Sections were stained using mineralized bone stain (MIBS) and optical microscopy was performed using transmitted and fluorescent light to allow analysis of remodeling occurring in the region of the strain gauges. Bone formation occurred at the HA surface of sutured gauges, and a fibrous tissue layer developed between the bone and HA coating when the tissue adhesive was used to initially bond the gauge. Fluorescence microscopy indicated an increase in the number of areas of bone remodeling adjacent to the gauge but a normal rate of remodeling of 0.93 ± 0.07 μm/day was observed. No gross bone remodeling due to strain gauge placement was observed. Backscattered electron imaging (BSE) indicated new bone apposition at all time periods. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 169-181 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The purpose of this paper is to examine the performance of the newly available monofilament polypropylene suture (Surgipro) manufactured by U.S. Surgical and compared it with commercial Prolene sutures for determining the merit of this new suture. Two different sizes of Surgipro sutures were esused. They were 4/0 and 0 sizes and were tested in terms of their fundamental properties: level of crystallinity, melting temperature, fiber morphology, and mechanical properties including knot strength and knot security. The effect of three different sterilization methods on the mechanical and fundamental properties of the new polypropylene (PP) sutures was also examined. In general, the new Surgipro sutures performed as good as Prolene sutures in terms of mechanical properties; but there were some differences in fundamental properties between these two types of PP sutures, particularly in finer size PP sutures. The major differences were in interior fiber morphology, level of crystallinity, and melting temperature. Surgipro suture fibers showed homogeneous interior morphology, while Prolene fibers exhibited two distinctive fiber morphologies. These two types of PP suture fibers also responded differently to the three sterilization methods tested. Surgipro sutures are less affected by different sterilization methods than the same size Prolene control. Except for the Co60 gamma sterilization, Surgipro suture fibers did not exhibit statistically significant differences in tensile breaking strength between sterilized and control. Ethylene oxide and autoclave sterilized Prolene suture fibers, however, showed statistically (p 〈 0.05) consistently lower tensile breaking strength than their unsterilized controls. One should be aware of the fact that suture manufacturers are constantly improving their manufacturing processes. The difference between these two types of PP suture fibers may disappear in the future. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993) 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 40
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    Journal of Applied Biomaterials 4 (1993), S. 1-12 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: This article describes preliminary biocompatibility screening of three degradable phosphate fibers containing K+, Ca+2/Na+ and Na+/Ca+2/Al+3 ions in the polymer chain, and of several different degradable polymers reinforced with these fibers. Biodegradable phosphate fibers of calcium-sodium-metaphosphate (CSM) and sodium-calcium-aluminum-polyphosphate (NCAP) were acutely nontoxic in cellular, tissue, and whole animal evaluations, as determined by standard acute toxicity tests. Histological studies of bone implants sites fabricated from composites of copolymers of poly(E-caprolactone/L-lactide) and poly(ortho ester) reinforced with either CSM or NCAP fibers showed these composite materials to be nontoxic, with no abnormal inflammatory response. However, histological evaluation of muscle implants sites revealed the appearance of necrotic foci associated with implant sites in 12 of 22 NCAP containing composite specimens (p 〈 0.05). Results of this preliminary biocompatibility screening suggest CSM fibers may be useful in reinforcing degradable polymers for production of completely biodegradable composites for implant use. © 1993 John Wiley & Sons, Inc.
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  • 41
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    Journal of Applied Biomaterials 4 (1993), S. 29-38 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The interface between bone and a bioactive glass cement - a mixture of bioactive glass powder and ammonium phosphate solution, previously reported on by the authors - was evaluated quantitatively and histologically. The materials tested were (1) the original bioactive glass cement (BCI cement); (2) an improved type of bioactive glass cement (BCII cement); (3) polymethylmethacrylate (PMMA) bone cement; and (4) a bioactive, apatite-wollastonite-containing, glass ceramic (A-W·GC). Hardened cylindrical specimens of each cement were inserted loosely into canine femora and the interfacial shear strengths were measured using a push-out test. The interfacial strength values of the bioactive glass cements increased with prolonged implantation time. At each postimplantation time studied (8, 12, and 24 weeks), the interfacial strength value of BCI cement did not differ significantly from that of A-W·GC. BCII cement interfacial strength was greater than that of BCI cement, whereas the interfacial strength of PMMA bone cement remained at a very low level throughout the study. Histological examinations revealed that direct bonding of both bioactive glass cements to bone had occurred without pathologic degradation. After 24 weeks, the defects between the bone and the bioactive glass cements had been filled with mature lamellar bone. Because the bioactive glass cement system developed by the authors, especially BCII cement, shows excellent osteoconductivity and bonds to bone tightly, we consider it to be a promising material for fixing prostheses into bone. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 249-252 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: An in vitro evaluation was conducted of the adhesion capabilities of rabbit corneal endothelial cells on intraocular lenses (IOLs) made of heparin-coated polymethylmethacrylate (HSM-PMMA). The concave endothelial surfaces of albino rabbit corneas were placed in contact in vitro with the convex surfaces of the optical side of HSM-PMMA IOLs in 4-day cultures. PMMA IOLs served as controls. After an incubation period, the preparations were examined via phase-contrast microscopy and via inverted microscopy after staining with vital dye (neutral red), both with and without the cornea in place. After fixation and staining with Giemsa, the cells adherent on the lens were counted on five different microscopic fields. It was observed that the corneal endothelial cells adhered equally to heparin-coated and untreated PMMA IOLs. © 1993 John Wiley & Sons, Inc.
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  • 43
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    Journal of Applied Biomaterials 4 (1993), S. 273-276 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 44
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: The application of superselective endovascular occlusion in vascular radiology has broadened the scope of possible radical surgery of giant angiodysplasias by reducing considerably the risk of severe haemorrhage during the surgery. Occlusion was performed on 229 patients using spherical and cylindrical particles of porous poly(2-hydroxyethyl methacrylate). The treatment of a patient suffering from angiodysplasia of the pelvis is described as an example. The first day following endovascular occlusion a hypercoagulation reaction developed, with a decrease of both the level of fibrinolysis and of anticoagulant factors. This was mainly due to a decrease of the level of antithrombin III and activation of the factor XIII indicating a strong tendency of intravascular thrombosis. During the third day, the hypercoagulation reaction increased. However, on the fifteenth day, parameters of the haemostasis system were close to normal values. Only the activity of the factor XIII remained high suggesting the stabilization and the organization of fibrin clot in the embolized blood vessel territory. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 269-272 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Journal of Applied Biomaterials 4 (1993), S. 277-277 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 47
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    Journal of Applied Biomaterials 4 (1993), S. 279-279 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 48
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    Journal of Applied Biomaterials 4 (1993) 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 49
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    Journal of Applied Biomaterials 4 (1993), S. 289-301 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The „tail string“ that extends from a contraceptive intrauterine device (IUD) into the vagina is an illustrative case in materials engineering design. The strings must satisfy certain criteria for strength and other properties in order to fulfill the function of providing a means of insuring that the IUD has not been ejected, and eventually of helping remove the IUD. This must be done without contributing to an additional risk of unwanted medical side effects beyond those that may be inherent in any such device. Oriented monofilament olefins appear to satisfy these criteria, and have been used successfully in several IUD designs. This article describes a study of two such monofilaments taken from new IUDs, showing how the material's processing, structure, and properties lead to effective performance as tail strings. Several types of used IUDs were also studied, to insure that nothing occurred during use that would alter the conclusions drawn from the study of new strings. © 1993 John Wiley & Sons, Inc.
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  • 50
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: There is growing concern in the medical community that silicones, ubiquitous in health care, may exhibit antigenic, immunogenic, and/or adjuvant activity. Sera from women with silicone breast prostheses were assayed by ELISA for humoral immunoreactivity to a variety of common interstitial and cellular components. In decreasing order of frequency, significant IgG avidities were found against silicone surfaces treated with fibronectin-laminin, phospholipids, no treatment, and fibrinogen when compared with sera obtained from healthy, age-matched, nonimplanted women and a population of nonimplanted women with previously diagnosed autoimmune diseases. Moreover, the sera from approximately 15% of the positive responders were found to react to matrix proteins independent of the siloxane polymer. The data show human antibody production to native macromolecules with antibody avidity being related to molecular conformation. Silicone may function as an adjuvant by inducing changes in the conformation of native molecules. © 1993 John Wiley & Sons, Inc.
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    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: A variety of methods have been recorded for the assessment of altered cellular functions caused by biomaterials. Cell membrane integrity can be determined by different tests depending upon the cell membrane permeability to various markers. To measure the degree of cell damage, we have chosen to compare the release of two markers in the supernatants: enzyme lactate dehydrogenase (LDH, which we wanted to compare to that of radioactive chromium preincorporated in cells, the latter being validated by a standard), from three cell types: cells from a fibroblastic cell line (3T3 Balb/c) and human differentiated endothelial cells and osteoblasts, exposed to injurious agents and to biomaterials of classical use. The labeling procedure as well as the incubation periods performed, were carried out according to a standard. Celllabeling efficiency ranged from 4 to 10%. The biomaterials tested provoked no or slight cell membrane damage. After linear regression analysis, we found high coefficients between chromium release and LDH release.Thus, the determination of LDH activity, which is easy to manipulate, could be a satisfactory test to evaluate cell membrane integrity in contact with biomaterials and a prerequisite stage before the more sophisticated 51chromium release test. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 303-307 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: A simple, yet specific, means to identify submicron polyethylene (PE) particles in routine histologic sections would be practically useful. We have previously reported a very fine, diffuse, birefringence (when viewed under polarized light) in the cytoplasm of phagocytic cells from around total hip replacements (THRs) with a PE acetabular bearing and proposed that this finding was caused by multiple submocron PE particles. In order to determine the specificity of this light microscopie finding, we have analyzed a wide range of specimens (N = 27), characterized by a foreign-body inflammatory response to both biologic and prosthetic material, that do not contain PE. In no case was there any suggestion of the diffuse cytoplasmic birefringence that is characteristic of specimens from THRs with a PE acetabular bearing surface. This study indicates that, within the range of orthopedic implant materials and designs currently in use, this diffuse birefringence is a specific finding and it represents a simple, practical, and useful method for ligh microscopic identification of submicron PE. © 1993 John Wiley & Sons, Inc.
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  • 53
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    Journal of Applied Biomaterials 4 (1993), S. 317-329 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Apatite-wollastonite-containing glass-ceramic (A - W · GC) has a strong ability to bond to bone and relatively high mechanical strength. Therefore, as a bulk material it has recently been applied clinically even in load-bearing sites. In this study, we modified A-W · GC by altering its composition ratio with the removal of CaF2 and the addition of B2O3, and examined the potential use of the resulting new glass-ceramic as a material for coating on a titanium (Ti) alloy. The bioactivity of this new coating (NC) material and its bonding ability to bone were investigated mechanically and histologically. After implantation of the Ti alloy plate coated with this material into the tibiae of rabbits for 2, 3, 4, 8, and 25 weeks, a detaching test was performed. The detaching failure load of the NC plates was compared with those of A-W · GC plates, hydroxyapatite (HA) plates, and uncoated Ti alloy plates implanted in the same way. The failure load of NC was as high as that of A-W · GC for all periods, whereas it was significantly higher at 3 and 4 weeks than that of HA. Uncoated Ti alloy showed lower failure loads for all periods, differing significantly from the other materials. There was no breakage or detachment of the coating layer observed after the detaching test. Histological examinations by CMR, Giemsa surface staining, and SEM-EPMA showed that NC bonded directly to bone without any intervening soft tissue layer. A calcium-phosphorus-rich layer (apatite layer) was observed within the coating layer, as is the case in A-W · GC. These results indicate that this new glass-ceramic has earlier bone-bonding ability and high mechanical strength, making it a promising coating material. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 119-125 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Ultra high molecular weight polyethylene (UHMWPE) wear particles are frequently implicated in causing failure of total joint arthroplasties by eliciting a foreign body reaction. The majority of these particles are subcellular and many are submicron in size. Identification of these small particles of UHMWPE by conventional histologic techniques is difficult. We have therefore investigated the utility of Oil Red O (ORO) stain to identify UHMWPE on histologic sections.A wide variety of specimens was studied including an experimental rabbit model with subcutaneous implantation of polyethylene particles as well as specimens from clinical cases with joint arthroplasties. The sensitivity and specificity of ORO stain was compared to conventional polarized light microscopy for the identification of particulate UHMWPE debris. The ORO stain was found to be as sensitive in identifying particulate UHMWPE debris as polarized light microscopy. However, ORO stain was less specific: two specimens that did not contain any UHMWPE also stained with ORO. Careful examination of standard hematoxylin and eosin stained sections with polarized light was therefore more specific for the identification of particulate UHMWPE. As a single test, the ORO stain does not appear to offer any clear advantage specifically for the identification of UHMWPE. © 1993 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 4 (1993), S. 347-354 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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    Notes: A vascular graft with the inner diameter of about 3 mm was prepared from segmented poly (ether urethane) with an extrusion technique. To make the wall of the vascular grafts porous, NaCl salts were added to the polyurethane solution to be extruded and removed with water extraction after evaporating the solvent in the extruded tube. The wall was reinforced with elastic fiber to prevent dilation. The compliance of the vascular graft measured with the method of Hayashi et al. ranged from 0.2 to 0.3% mmHg-1. The initial Young's modulus was close to that of canine carotic artery, to which the porous polyurethane graft 4-cm long was anastomosed. Vascular grafts were occluded within 2 weeks after implantation, when their pore size was 0, 1.7, or 4.4 m̈m, whereas those with the pore size of 5.5, 7.4, and 30 m̈m were patent for longer than 4 weeks. When the vascular graft with the pore size of 30 m̈m was implanted for 6 months, the luminal surface was covered with neointima, but the endothelium-like cells appearing in the middle of the intima of the vascular graft were immature and sometimes had a very big nucleus. In addition, spindle-shaped, modified smooth muscle cells were noticed in the deep layer of the neointima, especially in the tissue where anastomotic intimal hyperplasia occurred. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 11-23 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Cartilaginous implants for potential use in reconstructive or orthopedic surgery were created using chondrocytes grown on synthetic, biodegradable polymer scaffolds. Chondrocytes isolated from bovine or human articular or costal cartilage were cultured on fibrous polyglycolic acid (PGA) and porous poly(L)lactic acid (PLLA) and used in parallel in vitro and in vivo studies. Samples were taken at timed intervals for assessment of cell number and cartilage matrix (sulfated glycosaminoglycan [S-GAG], collagen). The chondrocytes secreted cartilage matrix to fill the void spaces in the polymer scaffolds that were simultaneously biodegrading. In vitro, chondrocytes grown on PGA for 6 weeks reached a cell density of 5.2 × 107 cells/g, which was 8.3-fold higher than at day 1, and equalled the cellularity of normal bovine articular cartilage. In vitro, the cell growth rate was approximately twice as high on PGA as it was on PLLA; cells grown on PGA produced S-GAG at a high steady rate, while cells grown on PLLA produced only minimal amounts of S-GAG. These differences could be attributed to polymer geometry and biodegradation rate. In vivo, chondrocytes grown on both PGA and PLLA for 1-6 months maintained the three-dimensional (3-D) shapes of the original polymer scaffolds, appeared glistening white macroscopically, contained S-GAG and type II collagen, and closely resembled cartilage histologically. These studies demonstrate the feasibility of culturing isolated chondrocytes on biodegradable polymer scaffolds to regenerate 3-D neocartilage. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 65-69 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Biomaterials elicit an inflammatory response that is undoubtedly a factor in their heading and in the complications associated with their use. Herein, we report the modification of a rat air pouch in which we measured the production of intracellular hydrogen peroxide by inflammatory cells adherent to the surfaces of silicone elastomer (SE) and expanded polytetrafluoroethylene (ePTFE). We used the fluorescent probe dichlorofluorescein diacetate (DCFH-DA) to measure the intracellular production of hydrogen peroxide 2 and 7 days after implantation. After 2 days, host cells adherent to ePTFE produced almost 3.5 times more hydrogen peroxide than did cells adherent to SE (P 〈 .001). By 7 days, the H2O2 production on cells adherent to ePTFE had decreased while that on cells adherent to SE was unchanged. These data indicate that the air pouch is a good alternative to other in vivo models for studies of the biological reactions induced by biomaterials. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 97-109 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Enzyme-induced liberation of hard-segment-containing components from polyurethanes was evaluated using two 14C-labeled polyurethanes. A polyester ureaurethane and polyether urea-urethane were synthesized from toluene-2,4-diisocyanate (TDI)/ polycaprolactone diol (PCL) or TDI/polyethylene glycol (PEO) with 14C-labeled ethylene diamine. Both materials were characterized using electron spectroscopy for chemical analysis (ESCA), differential scanning calorimetry (DSC), size exclusion chromotography, and material chemistry by Fourier transform infrared (FTIR) spectroscopy. Biodegradation assays were carried out using cholesterol esterase (CE), collagenase (CO), cathepsin B (CB), and xanthine oxidase (XO) at the pH optimum conditions for each enzyme at 37°C. Biodegradation was analyzed by monitoring the release of radiolabel, by weight change, and by surface analysis using scanning electron microscopy. The polyester urea-urethane was shown to be susceptible to enzymatic degradation above the effect of the buffer control solution by the CE but not by the other enzyme systems as monitored by radiolabel released. In the initial period of incubation, the rate of degradation was increased for all systems, including buffer controls; however, the rates dropped off rapidly by day 28. The change in weight data for the polyester urea-urethane and polyether urea-urethane showed no enzyme-dependent biodegradation above the buffer controls. However, in sodium acetate buffer at pH = 5, the polymers showed a significant weight loss relative to other buffers. In conclusion, this study showed that the biological component responsible for the onset of the biodegradation process is more likely the result of a multitude of biologically mediated compounds acting synergistically, with the process being enhanceds by physical parameters such as material dissolution. In addition characterization of surface and bulk chemistry as well as material structure evaluation have been shown to be essential to interpret degradation data. © 1993 John Wiley & Sons, Inc.
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    Notes: Plasma-sprayed ceramic coatings of fluorapatite (FA), magnesiumwhitlockite (MW), and hydroxylapatite (HA), and noncoated Ti-6Al-4V alloy (Ti) implants were evaluated histologically and histomorphometrically in a goat animal study. Cylindrical Ti-6Al-4V plugs were plasma-spray-coated with FA, MW, and HA. Noncoated, gritblasted Ti plugs served as controls. The plugs were implanted into the right femur and left humerus of 20 adults goats. The results were evaluated using descriptive histology and histomorphometry. The histomorphometry consisted of measurements of bone apposition and coating thickness. The results demonstrated that FA showed a high amount of bone apposition without signs of degradation or dissolution. MW showed considerable reduction in thickness and at 12 weeks an adverse tissue reaction. However, at 25 weeks the amount of bone apposition was significantly increased compared with the 12-week implants. HA revealed considerable and progressive reduction in thickness and at 25 weeks a lower amount of bone apposition than FA and MW. At 12 weeks the Ti implants did reveal bone apposition, although frequently localized fibrous tissue was visible. At 25 weeks the Ti implants did not differ in bone apposition from the HA implants. Further studies are necessary on the effect of degradation or dissolution of HA on the compatibility with bone. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 167-175 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: An apparatus was developed to measure loaddisplacement friction properties at the cancellous bone/porous-coated metal plate interface. Bone cubes were obtained from different proximal regions of four resurfaced cadaveric tibiae. Three different poroussurfaced metal plates (one fiber mesh and two bead) and a smooth-surfaced metal plate were used. In the presence of a constant normal contact pressure (0.10, 0.15, or 0.25 MPa), a variable tangential load up to the maximum resistance of the interface was applied and both relative normal and tangential displacements were recorded. Repetitive and fatigue loadings were also considered. Measured results show that the interface friction curve is highly nonlinear, exhibiting large relative tangential displacements in the range of 50-400 μm before the maximum load is reached. Relative displacements in the normal direction remain below 10 μm. The maximum resistance in friction is independent of the bone excision site, type of porous-surfaced metal plate, magnitude of normal load, placement of bone cubes on metal plates or vice versa, repetition of applied load, and conservation period of bone cubes in saline solution. The smoothsurfaced metal plate has significantly smaller friction resistance than porous-coated ones. The fatigue loading of up to 4000 cycles at 1 Hz, in the presence of 0.25 MPa contact pressure, slightly decrease the interface friction coefficient. Finally, the initial secant stiffness of the interface at 75% of the maximum resistance load is found to be larger for the bone cubes from the lateral and medial regions and for the metal plate with smooth surface. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 239-245 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The objective of this study was to determine whether demineralized rat incisor matrices were a more potent inducer of ectopic endochondral bone formation than demineralized diaphyseal bone matrices derived from the same donors. Twenty-five-milligram disks of demineralized bone or tooth matrix obtained from adolescent Long-Evans rats were implanted in a standardized ectopic site. Biochemical and histometric measurements of bone formation revealed that the two matrices were functionally equivalent inducers of endochondral bone formation. The induced pellicle of bone reached a maturation point 18 days after implantation. Dentin matrix implants generated a significantly greater amount of mineralized tissue than did bone matrix implants. This difference could be explained on the basis of remineralization of the dentin particles to a greater degree than the bone matrix particles. Initial observations suggesting a more robust osteoinductive activity in demineralized incisor matrix can be attributed to the decreasing activity of bone matrix from older donors when compared to younger donors. The extent of osteoinduction by the two substrata was equivalent when the matrices were matched for age. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 283-287 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Journal of Biomedical Materials Research 27 (1993), S. 313-325 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: ACL substitutes made of braided or plied purified collagen fibers and cross-linked with hexamethylenediisocyanate were implanted into a total of 14 adult goats to achieve resorption within 8 to 10 months. Two types of collagen fiber prostheses differing in degree of collegen purification were tested. The implants were harvested 2 to 11 months postimplantation, tested for mechanical strength, and evaluated by morphological methods. In the first group (n = 5), the less purified and less crosslinked collagen fiber ACL implant induced fast connective tissue ingrowth. At 6 months postimplantation, 40 to 60% of the collagen implant was resorbed. No studies on breaking strength were done in this group. In the second group, highly purified and more crosslinked ACL implants were less infiltrated by cells and were resorbed only by 10 to 20%. Still, the breaking strength was decreased to 10% of the original implant strength. In the second group, the fixation of the ACL implant in the bone tunnel with a bone wedge was insufficient (n = 6); however, additional fixation with metal screws was successful (n = 3). We conclude that cross-linked collagen fibers alone cannot be used as a safe ACL substitute as they quickly lose mechanical strength despite limited biodegradation. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 327-334 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: In vitro degradation of two lots of Biomer, a commercial poly(ether urethane urea), has been investigated in order to understand possible mechanisms for in vivo degradation. Two lots of Biomer, BSUA001 and BSP067, were used in the study. Lot BSUA001 contained a poly(diisopropylaminoethyl-methacrylate), an ultraviolet-stabilizing additive. This additive was absent in lot BSP067. Samples of each lot were exposed to two hydrolytic enzymes, papain and leucine aminopeptidase, and to hydrogen peroxide for 24 h. The extent of degradation was assessed using high-pressure gel permeation chromatography and x-ray photoelectron spectroscopy (XPS). Statistically significant changes in the molecular-weight distribution occured in lot BSP067 for all three treatments. Only the hydrogen peroxide treatment resulted in statistically significant changes in the molecular weight of lot BSUA001. XPS data for samples of lot BSUA001 that had been treated with hydrogen peroxide revealed the formation of nitroso groups and protonated amines at the surface. The data suggest that surface chemistry is important for enzyme catalyzed degradation, while permeability is important for degradation by hydrogen peroxide. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 89-95 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: Thrombin adsorption to polyvinyl alcohol (PVA) was different from its adsorption to polyethylene (PE) - not so much in amount, but in its affinity. Thrombin was more easily displaced from polyethylene and its adsorption was more readily prevented by prior or simultaneous exposure to albumin. From PVA (or heparin-PVA), only ∼ 30% of the adsorbed protein could be removed by a series of eluents, including even harsh ones such as 2.5M NaOH and 6M guanidine;〉85% could be removed from PE. Thrombin adsorption to PVA was not affected by the presence of BSA in solution or at the surface, but was virtually prevented on PE by preexposure to or adsorption with BSA. Heparin-PVA was not much different than PVA in most of these experiments, but did exhibit a “Vroman effect”. In the absence of fibringen or antithrombin III, there was a maximum in thrombin adsorption from plasma at a plasma concentration of 1%. The behavior on this surface was dependent on both exposure time and protein concentration. These studies highlight the complexity of the interaction between plasma proteins and polymer surfaces (particularly hydrogel surfaces) and the difficulty of obtaining a clear picture of what happens when a single protein interacts with a polymer in the presence of other proteins. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993) 
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    Journal of Biomedical Materials Research 27 (1993), S. 153-166 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: The in vitro hydrolytic degradation of 2-0 size PDS monofilament suture was studied for the purpose of revealing its morphologic structure and degradation mechanism. The sutures were immersed in phosphate buffer of pH 7.44 for up to 120 days at 37°C. These hydrolyzed sutures were examined by the changes in tensile properties, weight, thermal properties, x-ray diffraction structure, surface morphology, and dye diffusion phenomena. It was found that hydrolysis had significant effects on the change of PDS fiber morphology and properties. Hydrolysis, however, had no significant effect on overall molecular orientation of the fiber until the very late stage. PDS suture fibers retained their skeleton throughout the earlier periods of hydrolysis concurrent with mass and tensile strength losses. PDS sutures exhibited an absorption delay of 120 days. Both heat of fusion and melting point exhibited a maximum function of hydrolysis time. Hydrolysis of PDS suture fibers proceeded through two stages: random scission of chain segments located in the amorphous regions of microfibrrils and intermicrofibrillar space, followed by stepwise scission of chain segments located in the crystalline regions of microfibrils. Dye diffusion data showed that the passage along the longitudinal direction of the fiber was relatively easier than the lateral direction as evident in the diffusion coefficient, activation energy, and flexibility of chain segments. Swiss-cheese model of fiber structure appears to describe the observed dye diffusion phenomena and their dependence on hydrolysis time and dying temperature. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 183-189 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: A novel method was developed to prepare threedimensional structures with desired shapes used as templates for cell transplantation. The produced biomaterials are highly porous with large surface/volume and provide the necessary space for attachment and proliferation of the transplanted cells. The processing technique calls for the formation of a composite material with nonbonded fibers embedded in a matrix followed by thermal treatment and the selective dissolution of the matrix. To evaluate the technique, poly(glycolic acid) (PGA) fiber meshes were bonded using poly(L-lactic acid) (PLLA) as a matrix. The bonded structures were highly porous with values of porosity up to 0.81 and area/volume ratios as high as 0.05 μm-1. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 207-216 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: We have partially characterized surface glycoproteins of the canine heartworm, Dirofilaria immitis. Histochemical studies indicated the presence of neutral and acidic mucopolysaccharides at the blood-cuticle interface. Fluorescein isothiocyanate-conjugated lectin binding patterns suggested the presence of α-D-glucosyl and/ or α-D-mannosyl, β-galactosyl, N-acetylneuraminyl and N-acetylated-D-hexosaminyl (sialic and glucuronic acids, respectively) terminal residues among the constituent sugars of the glycocalyx. An additional goal of this study was to assess the significance of each carbohydrate in parasite hemocompatibility by using scanning electron microscopy, internal reflection infrared spectroscopy, and comprehensive contact angle measurements. Each carbohydrate identified in the glycocalyx was selectively cleaved with the appropriate exoglycosidase. Heartworms bearing native and enzyme-altered surfaces were exposed to platelet-rich canine plasma. Activation and aggregation of platelets were significantly increased on enzyme-treated surfaces as compared with native surfaces. Enzyme-induced cleavage of carbohydrate residues was associated with an increase in critical surface tension or a loss in cuticular structural integrity or both. Hemocompatibility of the heartworm cuticle depends on the retention of a stable saccharide-rich layer that minimizes interaction with plasma proteins and platelets; thus, carbohydrate residues on the glycocalyx may contribute to parasite hemocompatibility. The presence of similar low-critical-surface-tension coatings with high mechanical integrity may impart thromboresistance to other polyphenolic or chitinous substances. © 1993 John Wiley & Sons, Inc.
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    Notes: Prosthetic arterial graft infection continues to be a significant and often devastating complication of vascular surgery. The organisms Staphylococcus aureus (S. aureus) and Staphylococcus epidermidis (S. epidermidis) are the primary pathogens causing acute and late graft infections, respectively.The objective of this study was to develop an infection-resistant prosthetic arterial graft by applying the bacteriocidal quinolone antibiotic ciprofloxacin to polyethylene terepthalate (Dacron) via thermofixation (pad/heat), a new application method founded on established textile procedures. We hypothesize that the limited fibrophilic characteristics of ciprofloxacin will permit binding to Dacron and at the same time allow persistent controlled release over an extended period of time. Using pad/heat technology, 33 μg (± 2.97 μg, n = 12) of ciprofloxacin was successfully bound to a 1-cm2 piece of woven Dacron. A full complement of microbiologic assays demonstrated superior, sustained antistaphylococcal activity of the pad/heat Dacron when compared to Dacron dipped into an equivalent concentration of ciprofloxacin. The sustained antimicrobial efficacy of ciprofloxacin pad/heat-treated Dacron opens new avenues in the development of infection-resistant biomaterials based on an understanding of textile chemistry. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993) 
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    Journal of Biomedical Materials Research 27 (1993), S. 289-299 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: This article reports on chemical reactions and the properties they generated in artificial bone materials termed “organoapatites.” These materials are synthesized using methodology we reported in the previous article of this series1. Two different processes were studied here for the transition from organoapatite particles to implants suitable for the restoration of the skeletal system. One process involved the hardening of powder compacts by beams of blue light derived from a lamp or a laser and the other involved pressure-induced interdiffusion of polymers. In both cases, the hardening reaction involved the formation of a polyion complex between two polyelectrolytes. In the photo-induced reaction an anionic electrolyte polymerizes to from the coulombic network and in the pressure-induced one, pressure forms the complex by interdiffusion of two polyions. Model reactions were studied using various polycations. Based on these results the organoapatite selected for the study was that containing dispersed poly(L-lysine) and sodium acrylate as the anionic monomer. The organomineral particles can be pressed at room temperature into objects of great physical integrity and hydrolytic stability relative to anorganic controls. The remarkable fact about these objects is that intimate molecular dispersion of only 2-3% by weight organic material provides integrity to the mineral network in an aqueous medium and also doubles its tensile strength. This integrity is essentially nonexistent in “anorganic” samples prepared by the same methodology used in organoapatite synthesis. The improvement in properties was most effectively produced by molecular bridges formed by photopolymerization. The photopolymerization leads to the “hardening” of pellets prepared by pressing of organoapatite powders. The reaction was found to be more facile in the microstructure of the organomineral, and it is potentially useful in the surgical application of organoapatites as artificial bone. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 357-365 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: A new method to bind ionically and remove heparin from solution and dilute serum is described. Utilizing cellulose diacetate (CA) as the polymer substrate, a cationic polymer chain - poly(allylamine)-PALA - was immobilized directly onto the CA surface and onto the surface using poly(ethylene glycol) (PEG) spacer groups. The ionic interaction between the anionic heparin molecule and the cationic PALA polymer is specific and effective to remove haparin from the bulk solution. The binding properties of heparin onto the PALA and PEG-PALA surfaces were examined. The effects of PEG spacers on heparin binding onto the PALA-immobilized surface were investigated by varying the MW of PEG spacers. PALA (MW 8500)-immobilized surfaces exhibited enhanced heparin binding. The maximum heparin binding was observed in the region of PEG MW 2000-4000. For the high-molecular-weight PALA (MW 50,000)-immobilized surfaces, heparin binding was independent of the molecular weight of PEG. PEG spacers were also evaluated for their ability to prevent or decrease protein (albumin) adsorption. It was observed that at high albumin concentrations, the adsorption of proteins decreased with increasing chain length of PEG, up to MW 3400. These observations suggest that low-molecular-weight PALA (MW 8500)-immobilized CA surfaces with PEG spacers (MW 3400) may provide increased heparin binding capacity and decreased protein adsorption. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 619-626 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: It was previously reported that polystyrene substituted with the sulfonate group, PSSO3, which has anticoagulant heparin-like properties, and then coated with fibronectin supports the growth of human umbilical vein endothelial cells. On the other hand, polystyrene substituted with the amino acid sulfamide group, PSSO2-Asp, which has a higher anticoagulant activity, and then coated with fibronectin no longer supported the growth of endothelial cells. We report here that, while the affinity of fibronectin to either polymer is of the same order of magnitude, fibronectin is adsorbed onto the PSSO2-Asp polymer in a different conformation compared to the PSSO3 polymer. This was shown by a higher binding of polyclonal antifibronectin antibodies to fibronectin-coated PSSO2-Asp polymer, and by a decreased susceptibility of the coated fibronectin to proteolysis by thermolysin. This study provides evidence that a solid phase substrate with a strong heparin-like function may influence the conformation and biological properties of fibronectin. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 645-653 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The purpose of this work is to use dynamic histomorphometry to evaluate the basic biological mechanisms by which hydroxyapatite/tricalcium phosphate (HA/TCP) implant coatings accelerate bone formation rates. Twenty-five rabbits had an HA/TCP coated cylindrical titanium fiber metal mesh implant surgically placed in the subchondral bone of the proximal tibia and a noncoated implant placed in the contralateral tibia. Twenty-two of these animals had HA/TCP coated cylindrical solid titanium implants placed in the distal femur and an uncoated implant placed in te contraleteral femur. The animals were double labeled with vital stains, and sacrificed at 3, 6, 16, or 26 weeks after surgery. Histomorphometric analyses were done of the bone implant interfaces. Both static and dynamic histomorphometric parameters indicate that HA/TCP coatings stimulate faster bone ingrowth to coated fiber metal implants through the early production of woven bone and by subsequent rapid lamellar bone formation rates. Coated fiber metal implants demonstrated significantly more bone ingrowth than noncoated implants through 16 weeks postimplatatin, but not by 26 weeks, In solid implants, the differences between coated and noncoated implants are less pronouned and not statistically significant, although there is a trend toward increased bone appostion to the surface of the implants over the first 16 weeks following implantation. The clinical significance of these results is that coated implants may allow earlier return to normal weightbearing. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 511-520 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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    Notes: Biospecific functional polymers, i. e., polymers randomly substituted with specific chemical functional groups, were designed to interact with living systems. Interactions between polystyrene sodium sulfonate (PSSO3Na) and insulin secreting RINm5F cells have been previously described.For the sake of comparison, interactions of PSSO3Na with human umbilical vein endothelial cells (HUVEC) were studied. In this case, the interaction is indirect, i.e., mediated by a binding protein, fibronectin (Fn). This was evidenced by HUVEC culture on Fn precoated PSSO3Na microcarriers. The interactions between PSSO3Na and HUVEC result in a biologically normal proliferation of cells and synthesis and secretion of Von Willebrand Factor (VWF). These results show that different biospecific interactions may occur between cells in culture, binding proteins and polymers randomly substituted with suitable functional groups. HUVEC, when cultured on heparin-like microcarriers, behave differently from other cells like RINm5F, whose interaction with the same polymers is not mediated by binding proteins. © 1993 John Wiley & Sons, Inc.
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: The binary mixtures of a urethane model compound, diethyl 4,4′-methylenebis(N-phenylcarbamate) (MDU), and various polyether macroglycols have been investigated mainly by infrared (IR) spectroscopy. The mixtures of macroglycol and MDU showed two C=O bands (free C=O at higher wave number, hydrogen bonded C=O at lower wave number), and the intensity of free C=O increased while that of hydrogen bonded C=O decreased linearly with increasing molar ratio of macroglycol/MDU. The slope of the increase or decrease suddenly changed at the specific molar ratio around the eutectic composition. The eutectic molar composition for PTMO1000/MDU was determined as 1.15 or 1.1 by differential scanning calorimetry (DSC) or infrared (IR) studies while that for PTMO3000/MDU as 0.345 or 0.55 by DSC or IR, respectively. The eutectic compositions for other sets were determined by IR studies as follows: PEO1000/MDU, 0.4; PEO3000/MDU, 0.16; PPO1000/MDU, 1.4; PPO3000/MDU, 0.45. The number of ethylene oxide, tetramethylene oxide, and propylene oxide units to form a eutectic with MDU calculated from these values were 15-20, 10-11, and 23-24, respectively. The similar DSC or IR changes were observed in the various kinds of polyurethanes such as MDI/BD, MDI/MDI/PTMO/BD, and MDI/PTMO polymers. The relationship between the eutectic compositions of soft segments (MDI/macroglycol) and the ideal Mn of the macroglycols in blood compatibility of segmented polyurethanes are discussed. © 1993 John Wiley & Sons, Inc.
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  • 79
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: To evaluate serum-material interaction for six types of minimodule and to assess the relationship between the interaction and chemical composition, notably bulk polymer hydroxyl (—OH) percent of polymer, or surface oxygen (SO) percent, polymeric membranes with varying —OH and SO percents were evaluated with normal human serum. The membrane materials (—OH percent and SO percent) evaluated included polypropylene (PP; 0% and 1.9%), polyvinyl alcohol (PVA; 23.7% and 27.3%), ethylene vinyl alcohol (EVAL 4A and D; 30.4% and 25.3%), Cuprophan (CP; 31.5% and 37.4%), and Hemophan (HP; 30.9% and 23.6%), respectively. Data from serum perfusions expressed as percent changes to sham perfusion showed that solute percent decreases were less than 10% in all materials except PVA (10-22%). PVA and CP had higher C3a, C4a, and C5a, and C3a concentration increases, and had larger suppressive effects for all three mitogen-induced mononuclear cell transformation functions (MNCTF) and concanavalin A-induced MNCTF, respectively. PVA had higher SO percent than CP having lower or comparable bulk —OH percent to EVAL or HP. The results obtained in the serum material interaction studies related more with the SO percent of the polymer rather than bulk —OH percent. The differences for C4a and PHA-induced MNCTF observed between the two EVAL membranes may be associated with significantly different pore size and therefore different surface structural properties. These results suggest that surface chemical (SO percent on the materials) and structural property analyses are important factors in biocompatibility parameter studies. © 1993 John Wiley & Sons, Inc.
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  • 80
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    Journal of Biomedical Materials Research 27 (1993), S. 599-602 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: During the pathogenesis of catheter-related urinary tract infection, bacteria attach to the catheter and migrate along a biofilm into the bladder. We studied the effect of coating silastic catheters with salicylic acid on bacterial and yeast adherence. An agar roll technique, bioluminescent assay, and radiolabeling study all produced consistent results. There was a dose related inhibition of adherence with Pseudomonas aeruginosa, Enterobacter aerogenes, Klebsiella pneumoniae, Candida albicans, and Enterococcus faecalis. Inhibition of over 90% was noted with Enterobacter and Pseudomonas. Similar results were obtained in broth and synthetic urine. A dose related reduction in adherence was seen with all gram-negative rods and yeast as measured by a radiolabeling assay. TDMAC was used to bind the salicylic acid to the catheters with 〉 95% inhibition of the gram-negative rods. These studies suggest the potential role of coating catheters with salicylic acid to reduce bacterial adherence and urinary tract infection. © 1993 John Wiley & Sons, Inc.
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  • 81
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    Journal of Biomedical Materials Research 27 (1993), S. 683-695 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The activation-independent and -dependent integrin receptors - glycoproteins GPIc-IIa (α5-β1) and GPIIb-IIIa (αIIb-β3) - are involved in platelet adhesion and thrombus growth on damaged subendothelium through interactions with fibrinogen, fibronectin, von Willebrand factor, and other adhesive proteins. Because these receptors are used in normal in vivo hemostatic adhesion, they may also have a role for adhesion onto synthetic surfaces in the vasculature. Platelet adhesion in vitro was examined onto Formvar, glass, and four polyurethaneureas with various soft segment chemistries and surface properties. Platelets were pretreated with RGD peptides before and after adhesion. RGD peptide pretreatment inhibited spreading and close contact formation compared to treatment with saline or control RGE peptides, with no observable effect on the number of adherent platelets per area. High-voltage electron microscopy showed abnormally sparse and short microfilament structures with RGD peptide treatment, suggesting an indirect inhibition of actin filament formation. Video-enhanced light microscopy showed a cessation of spreading and a partial reversal of close contacts following RGD peptide application to adherent platelets. Because minimal amounts of plasma proteins are present in column-washed platelet suspensions, and as platelet secretion appeared to be minimal in these experiments, these observations suggest that RGD binding integrin receptors may function in platelet spreading even in the absence of exogenous ligand. As RGD peptides did not affect the numbers of adherent platelets, while producing substantial decreases in the extent of spreading, we suggest that platelet integrins, possibly GPIIb-IIIa, are involved in spreading on synthetic surfaces but not for initial adhesion. © 1993 John Wiley & Sons, Inc.
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  • 82
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    Journal of Biomedical Materials Research 27 (1993), S. 735-745 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Polyurethanes based upon polytetramethylene oxide (PTMO) as the polyol and derivatized with propyl sulfonate functionality pendant from the urethane nitrogen have previously been shown to possess good bloodcontacting properties. Other investigators have shown that sulfonated polyurethanes containing polyethylene oxide (PEO) as the soft segment are much more thrombogenic than those containing PTMO as the soft segment. In this article, the surface properties of sulfonated polyurethanes based upon either PTMO or PEO are compared. Dynamic contact angle measurements show a significant decrease in the receding angles of the sulfonated PTMO-containing polyurethane as compared to its nonsulfonated precursor polymer. No significant difference is seen between the receding contact angles of either the sulfonated PEO-based polyurethane or its nonsulfonated analog. Variableangle electron spectroscopy for chemical analysis (ESCA) studies of sulfonated PTMO-based polyurethane performed at room temperature show that there is a significant decrease in sulfur content at the surface. In contrast, the sulfonated PEO-based polyurethane showed little change in sulfur content with take-off angle. Finally, ESCA studies of freeze-dried surfaces show a significant increase in sulfur near the surface of the sulfonated PTMO-based polymer as compared to vacuum-dried samples but show no such increase for the sulfonated PEO-based polyurethane. It is suggested that the ability of the sulfonate functionality to be expressed at the surface may explain the observed differences in blood compatibility between the sulfonated polyurethanes based upon polyols of varying hydrophilicity. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 757-761 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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    Notes: Collagen composition in tissue capsules around implants has been reported to deffer histologically from collagen in subcutaneous connective tissue. In the present study, an immune histochemical analysis of collagen types I and III was undertaken in tissue capsules of various implant materials. The materials in cluded polyvinyl chloride/polyacrylonitrile copolymer, poly(ethylene terephthalate), polysiloxane, titanium, and hydroxyapatite, which had been implanted into the dorsal subcutaneous space of rabbits for various time periods from 28 and to 90 days. The results indicate that collagen type III stained in all capsules independent of the evaluated materials, implantation periods, and material surface roughness. Collagen type I stained only in titanium implant capsules and dominated there over collagen type III. The staining sensitivity was highly specific and reproducible. The presence of collagen type III can be expected because it is the collagen of connective tissue healing. Collagen type I appears to be a response to chemical or electrochemical titanium surface properties but not to surface roughness. The quantitative relationship between the two collagen types may indicate capsule tissue stability and therefore serve as another biocompatibility measure. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 831-835 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Journal of Biomedical Materials Research 27 (1993), S. 837-850 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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    Notes: Our existing biomaterials, although demonstrating generally satisfactory clinical performance, were developed based upon a trial-and-error optimization approach rather than being engineered to produce the desired interfacial reaction. Most biomaterials exhibit a nonspecific biological reaction, with sluggish kinetics and a broad spectrum of active processes simultaneously occurring. This article describes materials science, nanotechnology, and molecular biology techniques that may permit the synthesis of precisely engineered surfaces. Such surfaces might demonstrate rapid, precise reactions with proteins and cells. This opens the question, “what type of specific surface bioreactions do we want?” New thoughts on biocompatibility are presented that may be helpful in the design of specific surfaces yielding precise, defined biological responses. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1210-1211 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Journal of Biomedical Materials Research 27 (1993), S. 1225-1233 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Calcium phosphate (Ca, P) precipitation behavior on the surface of two bioactive glasses and four bioactive glass composites - two with hydroxylapatite (Ca10(PO4)6(OH)2) and two with rhenanite (CaNaPO4) - were studied in simulated body fluid (SBF) and in Tris-Buffer at 5, 8, 16, 24, 48, 72, and 144 h. The Weight loss of the materials was measured and the amount of precipitation was estimated using scanning electron microscopy with electrochemical detection (SEM-EDX) analysis. The test was repeated for one glass and its respective rhenanite composite every 3 h until 60 h and thereafter every 10 h until 150 h in SBF. Atomic absorption spectroscopy, spectrophotometry, SEM-EDX analysis, and pH measurements were performed on these samples. It is shown that in vitro the composite materials have a higher capacity for Ca, P precipitation than the glasses. Weight losses of the materials correlate well with their composition. Both the glass and Ca, P phases influence the precipitation mechanism and rate. Precipitation begins preferably from the glass phase. Ca, P particles clearly influence the time of onset and rate of precipitation. Cross-sectional EDX analysis of the samples revealed an absence of a clear Sirich layer in glass AOBO (SiO2 53.9 mol %, Na2O 27.5, CaO 12.4, P2O5 6.2, Al2O3 0.0 and B2O3 0.0) composites. This was attributed to the presence of extra calcium and phosphate ions on the surface of the material. The ion-concentration and pH change curves offered insight into the mechanism of precipitation. A connection was established between SEM-EDX results and the release curves. Formation of an Si, Ca, Na film was observed that seemed to initiate the Ca, P precipitation. It is speculated that it is a characteristic of this particular glass composition. Two possible models for the mechanism of Ca, P precipitation are discussed. Phosphate polycondensation with silicate network or Ca binding to silicate network can both explain the results and it is assumed that in general both mechanisms play a role in the precipitation process. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1269-1279 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Microporous compliance matched and noncompliant grafts were compared in a dog carotid artery interposition model. We fabricated 4 mm diameter sponge type polyurethane (Biomer) tubes 5 cm in length with a 0.5 mm wall thickness. The luminal surface was covered with a 50 μm coating of cross-linked gelatin. Compliance was measured in vitro and in vivo by volume and vessel diameter changes. Over a mean arterial pressure range of 55-155 mm Hg, the diameter changes of grafts and stump arteries were measured in situ using an ultrasonic Hokanson device. Compliance matched grafts were found to have the same in vitro compliance values as the natural canine carotid at a mean arterial pressure of 100 mm Hg. Compliance matched and noncompliant grafts had values of 10.3 ± 1.3 and 0.9 ± 0.1 × 10-2 mm Hg, respectively. End to end arterial anastomoses were constructed between the graft and the host arteries.The use of synthetic grafts with matched compliance to the adjacent natural vessels has been advocated as the ideal solution to circumvent the problems of graft failure. These studies indicate that compliance values for compliance matched grafts decreased immediately after implantation (from 10.3 to 6.5 × 10-2 %/mm Hg) and within 6 weeks decreased to 3.6 × 10-2 %/mm Hg. The compliance values for noncompliant grafts remained constant throughout the test period.At autopsy all grafts showed a tightly adhered tissue capsule. The thickness of the anastomotic hyperplasia at the distal sites of compliance matched grafts was significantly different (P 〈 .05) than that of the adjacent artery. The patency for compliant and noncompliant grafts was 64% and 50%, respectively. Evidence for polyurethane graft degradation was obtained by Fourier transform infrared spectroscopy and gel permeation chromatography analysis of patent explants. Compliance mismatch alone does not contribute to graft failure, however, material degradation, suture technique and/or capsule formation can play a contributory role although these were not tested directly. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1309-1314 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Polymers with phospholipid polar groups, 2-methacryloyloxyethyl phosphorylcholine (MPC) polymers, have excellent nonthrombogenic properties. The effects of adsorption of phospholipids on platelet adhesion and activation on the MPC copolymer with n-butyl methacrylate (BMA) were investigated with particular attention to the structure of the phospholipids adsorbed onto the polymer surface. The electrical nature of the phospholipids adsorbed on the polymer surface affected the thrombogenicity of the polymer. On the MPC polymer surface treated with an aqueous liposomal solution of acidic phospholipids, phosphatidylserine, platelet adhesion and activation occurred to a greater extent when compared to a poly(MPC-co-BMA) surface. However, on the MPC polymer surface treated with electrically neutral phosphatidylcholines, reduced thrombogenicity could be observed. Therefore, the adsorption of the phosphatidylcholines was an important factor in reducing the thrombogenicity on the polymers. Moreover, by comparison of the poly(MPC-co-BMA) to a poly(BMA), platelet adhesion and activation on these polymer surfaces depended on the adsorption state of the phosphatidylcholines. The amount of phosphatidylcholine adsorbed on the poly(MPC-co-BMA) increased with an increase in the MPC mole fraction of the copolymer. This indicates that the MPC moieties have affinity for the phosphatidylcholines. We conclude that the poly(MPC-co-BMA) can adsorb large amounts of phosphatidylcholines and that these phospholipids organize themselves. The organized adsorption layer of the phosphatidylcholines on the surface, which construct biomembrane-like surfaces, can reduce platelet adhesion and activation effectively. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1349-1355 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Although there are many studies which document high metal ion concentrations in clinically retrieved tissues surrounding total joint replacements, most investigations have remained cautious in their interpretation due to the artifactual influences of metal particulate.The possible contribution of polyethylene wear debris to artifactually high periprosthetic metal ion concentration readings has not been previously considered. This study documents the potential role of polyethylene particulate contamination in causing artifactually high metal concentration readings in tissues.The data showed metal ion contamination in the polyethylene was progressive at each stage of exposure to metal: from bar stock preparation, to manufacturing, to in vivo ambulation. The manufacturing and machining processes showed a statistically significant (P ≤ .05) increase in metal ion concentrations in the nonarticulated acetabular inserts over bar stock.The results of this study demonstrate that periprosthetic tissue and synovial fluid metal ion concentration data must be interpreted with caution due to possible artifactual problems associated with metal ion contaminated polyethylene particulate. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1393-1399 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The passive biocompatibility of silicon-based electrode arrays was studied in feline cortical tissue. Three types of arrays were used: uncoated, coated with polyimide, and coated with polyimide over an adhesion promoter. Fifteen arrays were implanted for 24 h to determine early tissue reaction to the implantation procedure, and twelve arraays were implanted for 6 months to determine structural and material biocompatibility. Edema and hemorrhage were present around the short-term implants, but involved less than 6% of the total area of the tissue covered by the array. With chronic implants, leukocytes were rarely present and macrophages were found around roughly one-third of the tracks. Remnants of foreign material from the electrodes could be identified in less than 10% of the tracks. Gliosis was found around all tracks, forming an annulus between 20 and 40 μm thick. A capsule was not always present, and never exceeded a thickness of 9 μm. These results suggest that the implantation procedure produces limited amounts of tissue damage, and that the arrays are biocompatible. However, the arrays insulated with polyimide over a primer had significantly greater involvement of macrophages, gliosis, and capsule formation than uncoated arrays and arrays insulated with polyimide without printer, perhaps indicating a reaction to aluminum oxide in the primer. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1419-1424 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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    Notes: Mechanical stimulation has been shown to affect the differentiation and development of mesenchymal tissue. In the present study, we compared the histological and histomorphometric results of tissue ingrowth into micromotion chambers that were moved at 0 cycles per day, 20 cycles once per day, and 20 cycles twice per day over 20-30 sec, for 3 weeks. In each case, a chamber having a 1 × 1 × 5 mm square-holed groove for tissue ingrowth was used. The total amplitude of motion was 0.75 mm. Histological sections from nonmoved chambers contained extensive trabecular bone, embedded in a fibrovascular stroma. Histomorphometric analysis disclosed that bone comprised a mean of 31 ± 2% (mean ± SEM) of the ingrown tissue. Twenty movements per day appeared to further stimulate bone ingrowth (46 ± 5%). Extensive ingrowth of more immature woven and trabecular bone was noted in a more cellular stroma. In general, increasing the degree of micromotion to 20 movements twice per day resulted in a decreased amount of bone formation (19 ± 7%). In several of these specimens, little or no bone could be found. These experiments have demonstrated that, for the parameters chosen in this study, a short daily period of low frequency, micromotion may facilitate bone ingrowth; however, when the same motion is delivered twice daily, bone ingrowth is depressed. Thus a “window” of externally applied strain appears to exist, which may facilitate or discourage tissue differentiation to bone. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 851-859 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Primary bone cells, isolated from the periosteally stripped calvariae of neonate rats, were cultured on 60Co γ-irradiation-sterilized bacteriologic-grade polystyrene that had been either surface treated with concentrated sulfuric acid or received further γ-irradiation treatments facilitated cell colonization of the polystyrene compared to those surfaces not treated in the laboratory. x-Ray photoelectron spectroscopy (XPS) showed that the two treatments introduced different chemical groups onto the polymer surface and that cell adhesion was related to γ-irradiation in a dose-dependent manner. These results show that simple biologic assays, such as cell colonization, are not able to distinguish between differences in surface chemistry demonstrated by such a routinely employed surface analysis technique. Thus, there is a need to develop more sensitive biologic assays that provide functional information of a precision that can be correlated with subtle changes in substratum surface chemistry. Further, we argue that because cells isolated by tissue digestion using proteolytic enzymes respond more readily to changes in the surface chemistry of the substratum they colonize, compared to explanted cells; biologic assays designed for biomaterials testing must take into account changes effected in cell adhesion behavior by isolation procedures. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1315-1327 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Plasma-sprayed hydroxyapatite coated (HAC) 50 and 200 μm thick on Ti-6Al-4v cylinders was transcortically implanted in the femora of canines to to evaluate in detail the effect of coating thickness on the pushout shear strength and failure mode examined under scanning electron microscope after the periods of 4, 6, 8, and 12 weeks. The HAC coating exhibited higher shear strength at 50 μm than at 200 μm. Its failure mode was conclusively at or near the HAC-bone interface, and the slight attack of body fluid had not degraded the implant to the extent that failure occurred at the HAC-Ti alloy interface after 12 weeks of observation. For 200 μm-HAC, failure was found at the HAC-bone interface, inside the HAC lamellar splat layer and at the HAC-Ti alloy substrate interface, depending on the period of implantation. It was also deduced that the variation of failure mode of 200 μm-HAC with time could not be accounted for by the attack of body fluid alone; the degradation must be a synergetic adverse result of residual stress in the HAC and the attack of body fluid. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1341-1348 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The release of toluene diisocyanate derivatives from polyurethane foam covers that were removed from the Měme breast implant was studied. The polyurethane foam covers as retrieved from the implants were contaminated on average with 2,4- and 2,6-toluene diamine (TDA), 2,4- and 2,6-toluene diisocyanate (TDI), and toluene isocyanate amine (TIA) at the 1086 ppm level (combined TDA, TDI, and TIA). When cleaned foam was incubated in Ringer's solution at 37°C for periods ranging from 6-35 days, 4.6 ppm/day of TDA, TDI, and TIA (combined) was formed; the projected annual degradation rate of the foam under these conditions was estimated to be about 0.8%. When cleaned foam was incubated dry at 37°C, 1.5 ppm/day of TDA, TDI, and TIA (combined) was produced. Hence, the polyurethane foam covers used in the Měme breast implants are susceptible to both thermal and hydrolytic degradation under simulated physiological conditions. © 1993 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 27 (1993), S. 1569-1577 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The aim of this study was to investigate the effect of phagocytosed poly(L-lactic acid) particles on the morpholgy and viability of phagocytes, mainly macrophages. Therefore, predegraded poly(L-lactic acid) (P-PLLA) and nontreated PLLA (N-PLLA) particles, both having diameters not exceeding 38 μm, were injected intraperitoneally in mice. P-PLLA particles were obtained by 25 kGy γ-irradiation of N-PLLA particles. N-PLLA and P-PLLA particles were injected using an 0.3% ethanol/0.9% saline solution intraperitoneally to the mice. We also studied the release of the absorbed ethanol as a possible model for the release of low molecular weight, potentially toxic products. As control, nondegradable polytetrafluoroethylene (PTFE) particles and the carrier solution were used. After 1, 2, 3, 4, 5, and 7 days, the cells of the abdominal cavity were harvested to study the effect of phagocytosis of polymer particles on phagocytic cell morphology and viability. Studies with transmission electron microscopy indicated that, upon injection of particles in the peritoneal cavity, macrophages demonstrated signs of cell damage, cell death, and cell lysis due to phagocytosis of a large amount of P-PLLA particles. The morphology of the cells that had phagocytosed the N-PLLA and PTFE particles did not differ substantially from those of control animals in which only the solution was injected. Also, in the controls, hardly any cell death and no debris was observed. When the PLLA particles were injected as a suspension in a 0.3% ethanol/0.9% saline solution, no difference was observed between N-PLLA and P-PLLA. After phagocytosis, both cause cell damage, sometimes leading to cell death. The highest numbers of necrotic cells were observed on day 2. The effects could be caused by the (peak) release of degradation products from P-PLLA fragments or by the release of the absorbed ethanol when the 0.3 ethanol/0.9 saline solution was used to administer the particles. In conclusion, it can be stated that cell damage, sometimes leading to cell death, may be caused by phagocytosed poly(L-lactic acid) particles. © 1993 John Wiley & Sons, Inc.
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    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 27 (1993), S. 1463-1476 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Model biomaterial surfaces with well defined chemistry were prepared from close-packed alkyltrichlorosilane monolayers on polished silicon and glass. The outermost molecular groups which come in direct contact with the biological environment were varied across a wide range of oxidation states by employing —CF3, —CH3, —CO2CH3, and —CH2OH terminal functionalities. Characterization by contact angles, surface spectroscopy, and ellipsometry verified that these model surfaces could be repeatedly prepared with good consistency for routine use to study biomolecule adsorption onto model surfaces. Adhesion of canine endothelial cells and the adsorption of proteins (human serum albumin and human fibrinogen) as well as a series of synthetic defined oligopeptides to these model surfaces have been studied. Endothelial cells attachment and growth were in the rank order of: —CH2OH 〉 —CO2Me 〉 —CH3 〉 —CF3. The peptides were comprised of different alternating sequences of lysine, leucine, and tryptophan residues. These structural differences imparted different amphiphilic characters that led to measurable differences in the adsorption of these peptides to liquid-vapor interfaces. The adsorption to model surfaces was studied using ESCA, radiometry, and concentration-dependent contact angles. ESCA and radiometry measured irreversible biomolecules adsorption whereas the contact angle method measured steadystate adsorption. Radiometric results were inconsistent with ESCA, possibly due to artifacts associated with protein radiolabeling. © 1993 John Wiley & Sons, Inc.
    Additional Material: 7 Ill.
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  • 98
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Calcification of bioprosthetic heart valves fabricated from glutaraldehyde pretreated bovine pericardium or porcine aortic valves (PAV) is a frequent cause of the failure of these devices. Of all strategies considered thus far, only detergent preincubations using compounds such as sodium dodecyl sulfate (SDS) ingibited PAV bioprosthetic mineralization in circulatory sheep bioprosthetic valve replacements. The present study sought to characterize the mechanism of action of SDS preincubation. Results of transport and material characterization studies showed that SDS had a relatively high affinity for PAV, with a maximum uptake of 167.1 ± 6.8 μg SDS/mg tissue over 24 h at 37°C with a partition coefficient of 19.3. The PAV diffusion of SDS was 1.95 ± 0.35 10-6 cm2/sec. The principal effect of SDS on PAV was phospholipid extraction. The residual organic phospholipid extraction. The residual organic phosphate in the SDS pretreated tissue was 2.22 ± 0.72 nmol/mg tissue compared to the control untreated group with 18.52 ± 2.1 nmol/mg tissue. Incubations of PAV specimens in a 1% SDS solution for 24 h significantly inhibited calcification after 21 days in subdermal implants in 3-week-old male rats (PAV Ca2+ = 18.0 ± 11.8 μg/mg) compared to control (177.8 ± 6.0 μg/mg). In contrast, coimplants of 30% SDS silicone rubber polymers, for regional sustained SDS administration, did not impede PAV calcification in 21 day implants Ca2+ = 166.0 ± 14.0 μg/mg compared to the nondrug silicone matrix controls, (Ca2+ = 173.0 ± 6.6 μg/mg). Thus, we conclude that the mechanisms of SDS inhibition of PAV calcification is due to material effects which occur during preincubation, and is not facilitated by sustained SDS administration. © 1993 John Wiley & Sons, Inc.
    Additional Material: 3 Ill.
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  • 99
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Changes in platelet cytoplasmic free calcium levels were investigated in contact with cast film surfaces of a block copolymer containing 2-hydroxyethyl methacrylate (HEMA) and styrene (St) (0.5 mole fraction HEMA). These copolymer surfaces demonstrate microdomain alternating lamellae structures composed of hydrophilic HEMA domains (5 nm width) and hydrophobic St domains (20 nm width). The results were compared with those obtained from platelets contacting a random copolymer of HEMA-St (0.5 mole fraction HEMA) and from homopolymers of polystyrene (PSt) and poly(2-hydroxyethyl methacrylate) (HEMA). Cytoplasmic free calcium levels in platelets contacting the microdomain structured surfaces of the HEMA-St block copolymer remained relatively constant in contrast to the significant increases observed for the radically prepared HEMA-St copolymer, PSt, and PHEMA surfaces. Adhering platelets were stimulated by exogenously introduced thrombin and calcium ionophore A23187 20 min after platelet adherence to the polymer surfaces. Only platelets on the block copolymer surfaces showed active metabolic responses. These results suggest that adhering platelets on the microdomain structured surfaces maintain high sensitivities to external stimulation due to an intrinsic strong inhibition of platelet functional changes induced by surface contact. © 1993 John Wiley & Sons, Inc.
    Additional Material: 8 Ill.
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  • 100
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 27 (1993), S. 1559-1567 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Graft polymerization of methoxy-poly(ethylene glycol) methacrylate, an ester of methacrylic acid and monomethoxy-poly(ethylene glycol) (PEO), was performed onto a polyetherurethane (PU) film and tube under different polymerization conditions by a plasma treatment technique. The surface of grafted PU film was characterized by staining with dye, x-ray photoelectron spectroscopy, contact angle, and zeta potential. All these measurements indicated that water-soluble chains were immobilized on the PU surface, their location being restricted to the film surface region. The PU surface showed reduced protein adsorption in vitro and reduced platelet adhesion in vitro and ex vivo. The optimum graft density suppressing the protein adsorption was as low as 5 μg cm-2. When a small amount of dimethacrylate was added to the monomer solution for graft polymerization to introduce crosslinking in the grafted layer, protein adsorption was further slightly reduced. The extent of reduction in serum albumin adsorption was always less than that of γ-globulin. Although platelet adhesion was largely reduced by the surface graft polymerization, a definite amount of protein was always adsorbed to the grafted surface. © 1993 John Wiley & Sons, Inc.
    Additional Material: 15 Ill.
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