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  • Articles  (1,037)
  • Polymer and Materials Science  (1,028)
  • Two-phase flow  (9)
  • Inorganic Chemistry
  • 2015-2019
  • 1990-1994  (1,037)
  • 1915-1919
  • Technology  (1,037)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Shock waves 3 (1994), S. 167-179 
    ISSN: 1432-2153
    Keywords: Cellular material ; Experiment ; Shock wave propagation ; Two-phase flow
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics , Technology
    Notes: Abstract In the Part I of this study, namely the analytical part in Mazor et al. (1992), the governing equations of the phenomenon in which a planar shock wave collides head-on with a cellular material and interacts with it were developed using a Lagrangian approach. In addition, the numerical approach adopted by us during the numerical course of this study was briefly outlined there. The present part reports on experimental and numerical results of the head-on reflection of a planar shock wave with an open cell polyurethane foam. Foams as mentioned by Gibson and Ashby (1988) and summerized in Part I of this study by Mazor et al. (1992), are one of the two general types of cellular materials.
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Shock waves 3 (1994), S. 159-165 
    ISSN: 1432-2153
    Keywords: Analysis ; Cellular material ; Shock wave propagation ; Two-phase flow
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics , Technology
    Notes: Abstract The equations governing the head-on collision of a planar shock wave with a cellular material and a numerical scheme for solving the set of the governing equations were outlined. In addition, the condition for the transmitted compression waves to transform into a shock wave, inside the cellular material was introduced. It was proved analytically that a cellular material cannot be used as a means of reducing the pressure load acting on the end-wall of the shock tube. In subsequent papers, the interaction of planar shock waves with specific cellular materials, e.g., foams and honeycombs will be described in detail.
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  • 3
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 5 (1994) 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
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  • 4
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 5 (1994), S. 9-16 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Eight patients with failure of metal-backed patellar components were studied for evidence of intraarticular and systemic metal deposition. Seven of the eight patients had failure of a titanium-based patellar component that then articulated with a cobaltchromium femoral component. One patient had articulation of a cobalt-chromium patellar component against a cobalt-chromium femoral component. All components failed by the same pattern of failure. Wearing of the ultra high molecular weight polyethylene was followed by displacement of the polyethylene and then metal-to-metal contact of the components.Methods for analysis of the debris included light and electron microscopy of synovial tissue and electron dispersive x-ray analysis (EDAX) of tissue. Graphite furnace atomic absorption spectroscopy (GFAAS) was done on synovial fluid and synovial tissue as well as urine and blood specimens taken at various times from implantation to patellar revision.Massive deposition of metallic debris within the knee joint was documented both histologically and by GFAAS. Titanium levels reached as high as 2776 ppm (mg/L) in the synovial fluid and as high as 917 mg/g of synovial tissue. Elevation of all the pertinent metals was seen in the tissue and body fluids. Titanium and aluminum levels were the highest. Titanium levels in the serum generally were highest near the time of implant failure. Other metal elevations were variable and could not be related to the time of failure. Synovial fluid levels of all metals and serum levels of titanium are reflective of intraarticular generation of metallic debris.This study demonstrates that in situations of failure of a device, massive intraarticular debris generation occurs and systemic transport will occur. To date no systemic consequences can be attributed to the deposition of debris and follow-up urine and blood specimens suggest that debridement and revision of the failed device results in lowering of the ion levels. © 1994 John Wiley & Sons, Inc.
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  • 5
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 5 (1994), S. 1-7 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Microthane foam, a poly(ester)urethane, used as a covering of some breast implants (Meme or Replicon by Surgitek) degrades readily in phosphate buffer pH 7.4 producing multiple unknown products in addition to 2,4 and 2,6 toluenediamine (TDA). The cumulative weight loss of the foam in buffer was 1.5% at 1 week and 2% at 2 weeks. Multiple peak molecular weights from 105 to 665 000 were found in the aqueous foam extracts following 2 weeks of incubation at 37°C using size exclusion chromatography (SEC). TDA was measured in the foam buffer extracts by high pressure liquid chromatography (HPLC) and confirmed by gas chromatography/mass spectroscopy (GC/MS). The total cumulative levels of 2,4 TDA and 2,6 TDA measured were 3 ± 0.65 μg/g of foam and 1.13 ± 0.19 μg/g of foam following 36 days of incubation at 37 °C. Higher amounts, 8.96 μg/g of 2,4 TDA and 3.3 μg/g of 2,6 TDA, were obtained at 50 °C. The cumulative release of TDA in aqueous extracts was found to correlate linearly with time suggesting a slow but continuous production of TDA under neutral conditions. However, less than 0.2 μg/g of TDA was detected as residual TDA in the methylene chloride extracts following up to 60 days at 37 °C. PU foam extracted with methylene chloride under similar conditions showed higher foam weight loss, 4.4 and 5% at 1 and 2 weeks, respectively. The results presented in this study provide further evidence that Microthane undergoes hydrolysis under neutral conditions in aqueous solutions producing TDA and other unknown low molecular weight components and oligomers. © 1994 John Wiley & Sons, Inc.
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  • 6
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 5 (1994), S. 17-21 
    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), used in total joint replacement implants, undergoes oxidative degradation due to gamma radiation sterilization and to exposure to oxidizing agents in the body environment. UHMWPE components also experience large stresses both on and near the articulating surface. It is hypothesized that there is a causal relationship between chemical degradation and mechanical loading of UHMWPE joint components. This report describes the development of an in vitro test to examine the combined effects of chemical environment and cyclic loading history on the chemical, physical, and mechanical properties of UHMWPE. The test apparatus consists of modular load trains, in which strings of UHMWPE test specimens can be subjected to cyclic tensile and compression load ranges, while being exposed to either control or degrading environments. Following cyclic loading for specified time intervals, the specimens can be statically loaded to determine the effect of cyclic loading and environment on the monotonic tensile and compressive stress-strain behavior of UHMWPE. To determine the appropriate control and degrading environments, gamma radiation sterilized UHMWPE specimens were maintained (unloaded) for up to 6 months in aqueous environments of distilled water and three concentrations of hydrogen peroxide (0.01, 0.1, and 1.0%) in distilled water at 37°C. Specimens were evaluated with depth from the surface for changes in density. Infrared spectroscopy (IR) analysis was conducted on selected surface sections. No significant changes in density or surface IR spectra occurred for specimens in distilled water as compared with the UHMWPE in the initial radiation sterilized condition. Specimens exposed to hydrogen peroxide solutions demonstrated changes in density and IR spectra consistent with oxidative degradation and comparable to the changes previously observed on retrieved UHMWPE components. Based on these results, distilled water was selected for the control environment. A 0.5% hydrogen peroxide solution was selected for the test environment, to produce moderate changes at a rate compatible with the maximum 12-month time period of the experiment. © 1994 John Wiley & Sons, Inc.
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  • 7
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    Journal of Applied Biomaterials 5 (1994), S. 39-45 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Neonatal rat calvaria osteoblasts were cultured on hydroxyapatite (as received or relatively-rough surface and mechanically polished to a 0.3-m̈m finish) and on glass (reference material) in Dulbecco's Modified Eagle Medium supplemented with 10% fetal bovine serum, 50 μg/mL ascorbic acid, and 10 mM β-glycerophosphate under standard, sterile, cell-culture conditions for 1, 3, 7, 14 and 21 days. At the end of the prescribed time periods, the cells were fixed and embedded in resin before removing the material substrates by exposure to acid solutions. Transmission electron microscopic examination of stained, ultrathin sections of the biological structures revealed osteoblast monolayers at 1 day of culture but multilayered cell structures at later time periods (14 and 21 days). The osteoblasts exhibited continuous contact and intimate apposition on polished hydroxyapatite and on glass; in contrast, osteoblasts on as received or rough hydroxyapatite made contact with discrete high points, spanned low regions of the material surface, and did not conform to all substrate contours. An electron dense layer (composed of mucopolysaccharides and proteins) was observed on all substrates tested after 7 days of culture. Collagen fibrils were seen interspersed among the osteoblasts as early as 3 days of culture; at later culture times, (i.e., 21 days) mineralized loci were observed in the extracellular matrix. © 1994 John Wiley & Sons, Inc.
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  • 8
    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 is the in vitro evaluation of the functional modifications of human endothelial cells in the presence of Dacron® impregnated with resorbable proteins. For this purpose, human endothelial cells isolated from the umbilical vein have been put in contact for 48 h with knitted Dacron® impregnated with collagen or gelatin and with nonimpregnated knitted Dacron® and double velour Dacron®. As control, endothelial cells cultured in the absence of material were used. After the contact time, cell counts were performed. In addition, the concentrations of two proteins synthesized by endothelium, tissue plasminogen activator (t-PA) and plasminogen activator inhibitor 1 (PAI-1), were evaluated on the supernatants. In the cultures in contact with Dacron® impregnated with collagen or gelatin and in those in contact with knitted Dacron®, we have observed a smaller cell growth than that observed in cultures without materials. The synthesis of t-PA showed some significant variations between the control cultures and those in contact with the materials. PAI-1 production was significantly reduced in the cultures in contact with gelatin impregnated Dacron® and with knitted Dacron®. Double velour Dacron® caused no significant variation in any of the examined parameters. © 1994 John Wiley & Sons, Inc.
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  • 9
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 5 (1994), S. 191-193 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Tissue specimens retrieved from four regions adjacent to hip implants during revision surgery were subjected to a novel treatment to make possible the quantitative separation of residual metal particulates and metal reaction products (metal ions and metal-protein complexes). The tissues were exposed to sodium hypochlorite solution that degraded and solubilized them, liberating metal reaction products and leaving behind metal wear particles, which were separated by centrifugation. Atomic absorption spectrophotometry was used to analyze the concentrations of the separated metal ions and wear particles. Co ion concentrations were 0.05 to 0.9 mM, Cr ion concentrations were 0.04 to 2.1 mM, and Ti ion concentrations were 0.30 to 0.60 mM. The weight of Co metal particles was 0.1 to 4.9 mg/100 mg tissue, of Cr metal particles 0.07 to 2.2 mg/100 mg tissue, and of Ti particles 0.09 to 5.2 mg/100 mg tissue; one black tissue sample contained 3333 mg Ti/100 mg tissue. No correlation was found between the concentrations of these two entities in the samples examined, probably due to the complex and varied processes creating them. The procedures discussed here will result in data that can help elucidate the separate contributions of metal reaction products and metal particulates to implant loosening. © 1994 John Wiley & Sons, Inc.
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  • 10
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    Journal of Applied Biomaterials 5 (1994), S. 195-201 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Modular hip prostheses are increasing in variety and utilization. Component stability, high endurance limit, and minimal particulate debris generation are critical for long-term clinical success. The purpose of this study was to characterize the fatigue response and evaluate the in vitro potential for component motion and wear of the S-ROMTM, a Ti-6Al-4V hip prosthesis with a modular design based on a Morse taper connection. A fatigue jig was desiged to simulate fixation of the device at the sleeve-bone interface only with distal support mainly against the lateral endosteal cortex. Two series of tests were performed in air at room temperature: one with direct vertical loading (to produce high bending moments in the coronal plane) and one with a compound loading angle directed at 15° out-of-plane (to include torsional physiological loads). Applied loads using a servohydraulic test machine ranged from 5 × BW (body weight) to 9 × BW (1 × BW = 73 kg, ≈ 160 lb) at 10 Hz on an Instron apparatus. No mechanical failures were observed on the 11-mm size stems below 6 × BW for in-plane vertical loading, and at or below 7 × BW for out-of-plane loading. Using displacement monitoring with a sensitivity of 35 μm, no measurable slippage or relative motion was detected between the stem and sleeve when they were properly assembled. Examination of the contact areas with scanning electron microscopy revealed random surface modification (an indication of fretting or burnishing) with occasional evidence of transfer of material between stem and sleeve. At loads under 7 × BW there was no visual evidence of loose wear debris in the presence of gross stability. Overall, the extent of surface change or wear was relatively small in all components tested at physiological load levels. © 1994 John Wiley & Sons, Inc.
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  • 11
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    New York, NY [u.a.] : Wiley-Blackwell
    Journal of Applied Biomaterials 5 (1994) 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
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  • 12
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Effects of compliance mismatch at end-to-end artery/graft anastomoses on the distributions of wall stresses and compliance were studied using the finite element method. The canine common carotid artery (CCA), and expanded polytetrafluoro-ethylene (EPTFE) thin-walled graft, and a newly developed polyurethane graft (HS-2) were used as the models for the host artery, stiff graft, and compliant graft, respectively. Mechanical properties of CCA and HS-2 were determined from a pressure-diameter test, those of EPTFE graft were obtained by tensile test. Nonlinear elasticity of CCA and HS-2 was incorporated by iterating a linear FEM analysis: elastic moduli of the vessel walls were changed every 5 mmHg. The results showed that, in the case of the artery/EPTFE anastomosis in which the diameters of the artery and the graft were matched at 0 mmHg, regions of high tensile and shear stresses appeared in the graft near the anastomosis at the intraluminal pressure of 100 mmHg. The stress concentrations were remarkable, even if the diameters were matched at 100 mmHg and the pressure was varied within a physiological range (60-140 mmHg). Moreover, a hypercompliant zone appeared in the arterial wall near the anastomosis in this case. On the other hand, neither high stress concentrations nor hypercompliant zone appeared near the artery/HS-2 anastomosis. Because the mechanical complications at the compliance-mismatched anastomosis might finally result in graft failure and occlusion, it is important to match the compliance of graft to that of natural arteries, particularly to improve the patency of small-calibered arterial grafts. © 1994 John Wiley & Sons, Inc.
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  • 13
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    Journal of Applied Biomaterials 5 (1994), S. 99-101 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
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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: Hyaluronic acid (HA) and hydroxypropylmethylcellulose (HPMC) in buffered saline are “viscoelastics” used in ophthalmic surgery to prevent mechanical damage to delicate eye structures and to form a protective coating over corneal endothelium.HA is a high molecular weight polysaccharide that exhibits decreasing viscosity at increased shear rates. HPMC is a cellulose derivative that exhibits low surface tension. This study examines the physical properties of HA and HPMC solutions and attempts to correlate these properties with the ability of those macromolecules to coat and protect ocular structures.Results presented in this article suggest mixtures of HA and HPMC exhibit low surface tension and ease of aspiration characteristics that are desired in viscoelastic materials. For this reason a blend of these two macromoleculars offers handling advantages over each of these individual macromolecules. © 1994 John Wiley & Sons, Inc.
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  • 15
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    Journal of Applied Biomaterials 5 (1994), S. 109-115 
    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 examine the effects of particles, derived from metals commonly used in joint prostheses, on chondrocyte proliferation, metabolism, and morphology in vitro. Chondrocyte viability was influenced by the type and concentration of metal particle added. Cobalt was toxic to chondrocytes at all particle concentrations (0.83-0.000083%, v/v), whereas the chromium, titanium and titanium-aluminum particles only effected chondrocyte viability at high concentrations. The metabolic response of chondrocytes to particulate debris as assessed by caseinase, collagenase, and hexosaminidase activities were variable at low concentrations but were always reduced at high concentrations (0.83% v/v). Prostaglandin E2 levels in the medium showed a steady increase when particle load increased, except in the medium of chondrocytes exposed to titanium-aluminum. Scanning electron microscopy of chondrocytes exposed to titanium showed ruffled cell borders and frequent membrane blebbings. This was in contrast to chondrocytes exposed to cobalt, where the crenated appearance indicated cell death, and titanium-aluminum, where the cells appeared quiescent. These findings show that metal particles alter chondrocyte viability and metabolism and suggest that particulate debris may influence the integrity and stability of articular cartilage following hemiarthroplasty. © 1994 John Wiley & Sons, Inc.
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  • 16
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Titanium alloy tibial segmented defect repair devices whose stems were coated with two layers of titanium alloy beads (Ti-6A1-4V, bead diameter c. 750 μm) were implanted in six beagle dogs. In four of the animals stems had been plasma-sprayed with hydroxyapatite (HA); the other two animals received devices with uncoated stems. Devices intended for 6-month and 3-month evaluation were implanted in right and left tibiae, respectively. Because the amount of bone ingrowth into pore spaces was greater in cortical bone than in cancellous bone, stems were more stable and firmer in the cortical bone. In stems coated with HA, new bone tissue came into contact with the surface of beads in the superficial layer of the stem faster than in stems not so coated. Furthermore, new bone tissue entered into pore spaces in these stems earlier, in larger amounts, and reached more deeply, binding directly to the beads. Rate and quality of bone ingrowth did not differ between the 3-month and 6-month tibiae; in other words, optimal bone ingrowth was attained within 3 months postimplantation. © 1994 John Wiley & Sons, Inc.
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  • 17
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    Journal of Applied Biomaterials 5 (1994), S. 51-64 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Recent reports describe an unfavorable noninfective inflammatory response to acidic degradation products in clinical applications of bone fixation devices fabricated from bulk hydrolyzing polyglycolides and polylactides (PGA and PLA). The work described here suggests that poly(ortho esters) (POEs) offer an alternative. By comparison, hydrophobic POEs degrade predominately via surface hydrolysis, yielding first a combination of nonacidic degradation products, followed by alcoholic and acidic products gradually over time. POE specimens proved acutely nontoxic in United States Pharmacopeia tests of cellular, intracutaneous, systemic, and intramuscular implant toxicity.Hot-molded specimens degraded slowly in saline, retaining 92% initial stiffness (1.6 GPa flexion) and retaining 80% initial strength (66 MPa flexion) in 12 weeks. Degradation was almost unaffected by decreasing saline pH from 7.4 to 5.0. This demonstrated the relative hydrophobicity of POEs, since incorporation of small amounts of acid within the polymer markedly increases the degradation rate. Degradation rates were increased substantially by dynamic mechanical loading in saline. This may be true for other degradable polymers also, but no data could be found in the literature. Presumably, tensile loading opens microcracks, allowing water to enter.Solvent cast POE films were strong in tension (30 + MPa tensile yield) and reasonably tough (12-15% elongation to yield). Higher molecular weight films (41-67 kDa) showed no degradation in mechanical properties after 31 days in physiological buffer at body temperature. A 27-kDa film offered similar initial strength and stiffness but began showing mechanical degradation at 31 days. The films showed a decrease in weight with exposure time but no change in either molecular weight or water absorption at 31 days, further supporting the observation that POE degrades by surface hydrolysis rather than by bulk hydrolysis. © 1994 John Wiley & Sons, Inc.
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  • 18
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    Journal of Applied Biomaterials 5 (1994), S. 65-77 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Cardiovascular implant mineralization involving bioprosthetic materials, such as glutaraldehyde cross linked porcine aortic valves or synthetic materials such as polyurethanes, is an important problem that frequently leads to clinical failure of bioprosthetic heart valves, and complicates long-term experimental artificial heart device implants. Novel, proprietary, calcification resistant polyetherurethanes (PEU) as an alternative to bioprosthetic materials were the subject of these investigations. A series of PEU was derivatized through a proprietary reaction mechanism to achieve covalent binding of 100 to 500 nM/mg of bisphosphonate (2-hydroxyethane bisphosphonic acid, HEBP). The stability of HEBP (physically dispersed or covalently bound) verified by studying the release kinetics in physiological buffer (pH 7.4) at 37°C, demonstrated the covalent binding reaction to be stable, efficient, and permanent. Surface (FTIR-ATR, ESCA, SEM/EDX) and bulk (solubility, GPC) properties demonstrated that the covalent binding of HEBP occurs in the soft segment of the PEU, reduces surface degradation, and does not affect the original material properties of the PEU (prior to derivatization). In vitro calcium diffusion of the derivatized PEU showed a decrease in calcium permeation as the concentration of HEBP covalent binding was increased. In vivo properties of underivatized and derivatized PEU (containing 100 nM of covalently bound HEBP) were studied with rat subdermal implants for 60 days. Explants demonstrated calcification resistance due to the covalently bound HEBP without any side effects. It is concluded that a PEU containing HEBP might serve as a calcification resistant candidate material for the fabrication of a heart valve prosthesis and other implantable devices. © 1994 John Wiley & Sons, Inc.
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  • 19
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    Journal of Applied Biomaterials 5 (1994), S. 215-220 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Chemical stress relaxation methods are employed to study chemical and mechanical factors influencing the degradation of uncoated polyglycolic acid (PG) sutures. Specially constructed instrumentation is used to study the kinetics of the load bearing capability of PG (DexonTM) 3-0 sutures in hydrolytic solution. The effects of pH, temperature, strain rate, and initial load on the rate of chemical stress relaxation are presented. Data show how mechanical factors such as the rate of loading (related to the speed of knot tying), as well as the final tension, are related to the rate of structural degradation. Maximum stability is observed at approximately 40°C, with slower degradation both above and below this point. Results show that the slower and tighter the suture is pulled, the greater its ability to sustain tensile loads during hydrolysis. © 1994 John Wiley & Sons, Inc.
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  • 20
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    Journal of Applied Biomaterials 5 (1994), S. 221-226 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The most recent advance in skin stapling is the Auto Suture® SQS®-20 disposable stapler. It approximates and everts wound edges, placing one synthetic absorbable pin in the dermis each time the instrument handle is activated. Staple wound closure was accomplished four times faster than sutural closure of the dermis. Wounds with staple pin closure exhibit superior resistance to infection than wounds approximated by dermal sutures. Although sutures provide more immediate wound security, as measured by wound breaking strength, than dermal pins, the breaking strength of wounds subjected to either dermal pins or dermal sutures were not significantly different 14 days after wounding. © 1994 John Wiley & Sons, Inc.
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  • 21
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    Journal of Applied Biomaterials 5 (1994), S. 103-108 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: This study examined the incidence of infection and the contributing factors in 166 patients undergoing total joint revision surgery. Of these 32 (19%) had organisms grown from material taken at the local site at the time of revision surgery. Six of the culture-negative patients were clinically suspected of having an infection. With the inclusion of these six, the total incidence of infection in these revision patients was 23%. This is not the incidence of infection in total joint surgery. This is the incidence of infection in patients undergoing revision surgery for whatever reason. The cause of infection in 53% of the cases was either Staphylococcus aureus or coagulase-negative Staphylococci. The Gram-negative bacteria were implicated in only five (15%) of the cases. Many of these infections (31%) were in patients who had had the implant for greater than 7 years. Only 15% of the infections were in patients who had the implant for less than 6 months with an additional 9% being revised in the first year. There were no clinical symptoms or underlying conditions, including allergy, that distinguished the infected from the noninfected group. The infection rate was somewhat higher with the cobalt chromium alloys, somewhat less in the uncemented devices, and somewhat higher in the patients with total knee replacements than those with total hip replacements. The histopathologic analysis revealed that the presence of polymorphonuclear leukocytes (PMNS) was correlated with infection, but most patients with infection had lymphocytes rather than PMNS indicative of a chronic infection. Thus the diagnosis of infection on the basis of histopathology needs to be carefully evaluated. The presence of PMNS is diagnostic for infection, but has a high number of false negatives. The histopathologic data and the data on implantation time indicate that most of these infections are chronic infections. © 1994 John Wiley & Sons, Inc.
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  • 22
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Both micromotion and particulate debris have been implicated in the process of aseptic loosening of joint arthroplasties and the failure of bone ingrowth into porous coated prostheses. In the present study, we compare the histological and histomorphometric results of tissue ingrowth into titanium chambers in the presence of interfacial micromotion versus phagocytosable particles of two polymers used in orthopedic surgery. The micromotion chamber, having a 1 × 1 × 5 mm transverse canal for tissue ingrowth was implanted into the proximal right tibia of five mature male New Zealand white rabbits. In the first series, the chambers were manipulated at 40 cycles per day (cpd) at 1 Hz, using an amplitude of 0.5 mm. The tissue within the chamber was harvested after 3 weeks. In the following series, fabricated particles of bone cement or highdensity polyethylene (HDPE) were mixed with the carrier, 1% sodium hyaluronate (Healon) to obtain a concentration of 108 particles/mL; this solution was implanted in the canal of the chamber but micromotion was not instituted. Histological sections from control, nonmoved chambers, or those implanted with the carrier Healon alone contained extensive trabecular and woven bone embedded in a fibrovascular stroma. The application of 40 cpd resulted in less formation of bone and more fibrous tissue within the chamber. The sections containing particles of bone cement were infiltrated by numerous foamy, mononuclear, and multinuclear histiocytes. HDPE particles were associated with more fibrosis and a less aggressive foreign body response compared to cement particles. Chambers manipulated at 40 cpd and those containing cement or HDPE particles contained less bone compared to nonmoved chambers or those containing Healon alone. Despite evoking different histological reactions, the presence of micromotion or polymer particles appears to inhibit the formation of bone in this experimental model. © 1994 John Wiley & Sons, Inc.
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  • 23
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The intervertebral disc is a complex joint anatomically and functionally. It may be displaced or damaged due to trauma or a disease process. To alleviate this condition, it may be necessary to remove the involved disc surgically and fuse the two adjacent vertebrae. Fusion is one option; however, replacing the damaged disc (or part thereof) with a suitable synthetic equivalent to allow near normal joint motion is more desirable. Unfortunately, the complex mechanical properties of the lumbar disc cannot be duplicated with homogeneous synthetic materials (polymers). To overcome this fundamental problem we have developed rational designs utilizing biocompatible thermoplastic elastomers of various stiffnesses (durometers) with and without fiber reinforcements. Our design consisted of three components analogous to the natural end plates, annulus, and nucleus. In this study only the fiber-reinforced design is considered. The variables examined in the present study included orientation of the fiber layers, number of fiber layers, and order of the reinforcing layers. The results of mechanical testing of the fiber reinforced disc spacer indicate that a range of compressive and torsional properties can be achieved. The results further demonstrate that properly developed, this design results in properties similar to the natural disc. Designs developed provided adequate compression and compression torsion properties for a synthetic spine disc spacer. © 1994 John Wiley & Sons, Inc.
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  • 24
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    Journal of Applied Biomaterials 5 (1994), S. 133-140 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Absorbable fibers of linear poly-α-hydroxy acids have been used successfully in providing temporary scaffolds for tissue regeneration. In some surgical applications, degradation rates for poly(glycolide) (PGA) are too high, but implants of poly(L-lactide) (PLLA) fibers may degrade too slowly for optimal function. Polymers produced by copolymerization of L-lactide with varying amounts of D-lactide may offer an alternative choice for absorbable fiber based implants. Poly(L/D-lactide) stereocopolymers with L/D lactide molar ratios of 95/5, 90/10, and 85/15 were considered. Melt-spun/hot-drawn fibers with L/D molar ratios of 90/10 and 85/15 and draw ratios ranging from 3.0 to 8.9 were further evaluated by mechanical testing, differential scanning calorimetry, birefringence, x-ray diffraction, and in vitro exposure to pH 7.4 phosphate buffered saline at 37°C. Fabrication was reproducible and results indicated that tensile strength, modulus, and birefringence all increased with increasing draw ratio up to a draw ratio of 6.7 and declined thereafter; elongation to failure decreased for the entire range studied. For fibers with a draw ratio of 6.7, there was a 10% relative difference in crystallinity between the 90/10 and 85/15 lactide fibers (90/10 was higher). Wet strength retention after 12 weeks in vitro exposure was approximately 10% for the 90/10 fibers and 30% for the 85/15 fibers. The intermediate wet strength retention of lactide stereocopolymer fibers when compared to reported values for PGA and PLLA fibers, suggests these materials may be useful in absorbable surgical implants for tissue repair and regeneration. © 1994 John Wiley & Sons, Inc.
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  • 25
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    Journal of Applied Biomaterials 5 (1994), S. 265-270 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Biomechanical properties of rehydrated freeze-dried human dura mater tissues were studied. Scanning electron and polarized light analysis indicated a multilayered distribution of collagen fibers in the dura mater tissue. Uniaxial tensile testing of 95 test strips permitted determination of average values for failure stress (6.65 ± 0.14 MPa), failure strain (0.15 ± 0.003), tangent modulus (69.50 ± 1.29 MPa), elongation (0.56 ± 0.01), and tangent stiffness (12.53 ± 0.24 kN/m) of the dura mater tissue. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 273-273 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
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  • 27
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    Journal of Applied Biomaterials 5 (1994), S. 141-150 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The ability of transforming growth factor-beta1 (TGF-β1) to stimulate bone healing was evaluated in a rat critical calvarial defect model. Both a low dose and a high dose of TGF-β1 were incorporated into two different types of implants: one made from a composite of poly(lactic-co-glycolic acid) (PLPG) (50:50) and demineralized bone matrix (DBM), and the other from calcium sulfate (CaSO4). Scanning electron microscopy showed that the CaSO4 implants were more porous than the PLPG/DBM samples. Both types of implants released biologically active TGF-β1 for over 300 h in vitro. The samples were implanted in a 9-mm diameter rat calvarial defect for 6 weeks along with contralateral control implants containing no TGF-β1. Microradiography and histological analysis were used to assess the bone healing in the defects. Microradiography revealed that the greatest amount of calcified bone (67.5%) was present in the CaSO4 implants containing a high dose of TGF-β1 while minimal new bone formation occurred in the PLPG/DBM implants. Histologically, the PLPG/DBM implants exhibited an inflammatory response with little mineralization or bone formation. The defects containing the PLPG/DBM implants consisted of a connective tissue stroma with large void spaces. Giant cells and numerous polymorphonuclear leukocytes were present throughout the implants. In contrast, the CaSO4 implants had only a few inflammatory cells and the presence of mineralization and true bone was a more consistent feature. These preliminary studies show that TGF-β1 is capable of inducing new bone formation. Furthermore, the materials used to deliver the growth factor can play a significant role in the bone healing process. © 1994 John Wiley & Sons, Inc.
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  • 28
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    Journal of Applied Biomaterials 5 (1994), S. 151-157 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Bioabsorbable polymer implants may provide a viable alternative to metal implants for internal fracture fixation. One of the potential difficulties with absorbable implants is the possible toxicity of the polymeric degradation products especially if they accumulate and become concentrated. Accordingly, material evaluation must involve dose-response toxicity data as well as mechanical properties and degradation rates. In this study the toxicity and rates of degradation for six polymers were determined, along with the toxicity of their degradation product components. The polymers studied were poly(glycolic acid) (PGA), two samples of poly(L-lactic acid) (PLA) having different molecular weights, poly(ortho ester) (POE), poly(∊-caprolactone) (PCL), and poly(hydroxy butyrate valerate) (5% valerate) (PHBV). Polymeric specimens were incubated at 37°C in 0.05 M Tris buffer (pH 7.4 at 37°C) and sterile deionized water. The solutions were not changed during the incubation intervals, providing a worst-case model of the effects of accumulation of degradation products. The pH and acute toxicity of the incubation solutions and the mass loss and logarithmic viscosity number of the polymer samples were measured at 10 days, 4, 8, 12, and 16 weeks. Toxicity was measured using a bioluminescent bacteria, acute toxicity assay system. The acute toxicity of pure PGA, PLA, POE, and PCL degradation product components was also determined. Degradation products for PHBV were not tested. PGA incubation solutions were toxic at 10 days and at all following intervals. The lower molecular weight PLA incubation solutions were not toxic in buffer but were toxic by 4 weeks in water. The other materials did not produce toxic responses during the 16-week exposures. The degradation products components in order from most toxic to least toxic are: lactic acid (PLA), ∊-caproic acid (PCL), glycolic acid (PGA), cyclohexane dimethanol (POE), propionic acid (POE), 1,6 hexane diol (POE), pentaerythritol dipropionate (POE), and pentaerythritol (POE). © 1994 John Wiley & Sons, Inc.
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  • 29
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    Journal of Applied Biomaterials 5 (1994), S. 163-173 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Polymeric biomaterial surfaces were modified by albumin grafting to improve their blood compatibility. Albumin molecules were functionalized by introducing double bonds using glycidyl acrylate. The functionalized albumin was covalently attached to various biomaterial surfaces such as polypropylene, polycarbonate, and poly(vinyl chloride) by γ-irradiation. Surface-induced platelet adhesion and thrombus formation on the albumin-grafted surfaces was examined using computer-enhanced video microscopy and scanning electron microscopy. The amount of the grafted albumin was dependent on the γ-irradiation dose and the concentration of albumin used for adsorption. The grafted albumin molecules remained on the surface even after exposure to blood for prolonged time periods. This approach was used to graft albumin to polymeric materials of an oxygenator. The albumin grafting resulted in a substantial improvement in blood compatibility as compared to control oxygenators. The covalent grafting of functionalized albumin by γ-irradiation obviates the need for premodification of chemically inert polymer surfaces. It is useful for albumin grafting to various biomaterial surfaces. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 159-162 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Concerns with the currently available bioprostheses are calcification, long-term durability, and suboptimal hemodynamic performance. It is well known that these concerns are all more or less related to the cross-linking reagent, glutaraldehyde or formaldehyde, used in fixing bioprostheses. To address these concerns, we undertook the development of a porcine bioprosthesis fixed with a polyepoxy compound. In the development of this polyepoxy compound valve, it was found that the porcine leaflets fixed with polyepoxy compound were softer and more pliable than those fixed with glutaraldehyde. In this study, a special microtoming technique was developed to section the biological tissue so that the fixation uniformity in distinct layers of porcine aortic wall could be characterized. The fixation index and the denaturation temperature measurements in distinct layers of aortic walls showed that the cross-linking density was uniform throughout the entire aortic wall for the polyepoxy compound fixed porcine valve. It was also noticed that the fixation index of the polyepoxy compound fixed aortic wall (91.5 ± 0.5, n =3) was not significantly different from that of its valvular leaflet (90.6 ± 0.8, n = 3). Similarly, the denaturation temperature of the polyepoxy compound fixed aortic wall (80.4 ± 0.9°C, n = 5) was statistically comparable to that of its valvular leaflet (79.0 ± 0.5°C, n = 5). The results of this study indicated that polyepoxy compound can adequately fix the entire porcine aortic wall as well as its valvular leaflets. In a preliminary study, three polyepoxy compound fixed valves were evaluated in the mitral position in a juvenile sheep model. At 5-month retrieval, no calcification could be visually observed in any of the explanted valves. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 175-181 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: To improve the frictional characteristics of a biomaterial, the mechanical performance of a lubricated surface was studied. In vitro friction tests showed that the coefficient of dynamic friction of the lubricated surface was about 0.01 against rabbit bladder and the coefficient of static friction increased with the preload period. The efficacy of a lubricated cystoscope was evaluated by an in vivo test simulating cystoscope operation. The maximal and the total resistance force on the cystoscope model were found to decrease with the surface lubrication. Histological study revealed that urethral damage caused by rubbing with the cystoscope model was reduced by this lubrication technique. Presumably, prolonged retention of water on the lubricated surface region prevented tissue adhesion to the foreign material. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 183-183 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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  • 33
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    Journal of Applied Biomaterials 5 (1994) 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 34
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    Journal of Applied Biomaterials 5 (1994), S. 203-213 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: In this study, the corrosion and surface properties of four commercially available nickel-chromium dental casting alloys, were evaluated using electrochemical corrosion testing and Auger electron microscopy. The corrosion tests were conducted under cell culture conditions of 5% CO2 humidified atmosphere at 37°C in minimum essential medium (MEM) balanced salt solution, 95% MEM-5% FBS (fetal bovine serum) cell culture media, and in 95% MEM-5% FBS media after cold solution sterilization of test samples. The results of the surface and corrosion analyses were correlated to cytotoxicity and metal ion release from the alloys using agarose overlay and direct contact cell culture tests. The surface and electrochemical corrosion analyses demonstrated that the non-beryllium containing alloys were more resistant to accelerated corrosion processes as compared to the beryllium-containing alloys. All alloys demonstrated decreased corrosion rates in cell culture solutions after cold solution sterilization treatment. The corrosion products released from the nickel-based alloys failed to alter the cellular morphology and viability of human gingival fibroblasts, however they did cause reductions in cellular proliferation. The potential for accelerated corrosion and the exposure of local and systemic tissues to elevated levels of corrosion products raises concerns over the biocompatibility of these alloys. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 185-190 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Differences in bearing surface conformity and wear mechanisms suggest that the polyethylene (PE) wear debris generated by total knee replacement (TKR) prostheses should be different than that in total hip replacement prostheses (THR). To address this issue, PE wear debris and the cellular response in periprosthetic tissues from 19 failed TKRs was compared to that from 24 failed THRs using polarized light microscopy and a semiquantitative grading system. The foreign-body inflammatory reaction in the THR cases was characterized by plump macrophages with a diffuse cytoplasmic birefringence when examined under polarized light, indicating the presence of multiple submicron particles of PE. The majority of the PE particles were 〈1 μm in size and only a small fraction of the total were 〉10 μm. The foreign-body inflammatory reaction in the TKR cases was characterized by giant cells with fewer macrophages. In the TKR specimens, the size range of PE particles was broader than in the hips. PE particles between 2 and 20 μm were frequent in TKR specimens; particles 〈1 μm in length were less common than in the THR specimens. Diffuse cytoplasmic birefringence was not a characteristic of the TKR cases. These histologic differences were so consistently distinct that the source of the specimen (i.e., from a THR or TKR) could be blindly determined by light microscopy. The size distribution of the PE wear particles in these cases indicate that THRs generate a higher number of submicron PE particles and relatively few large particles while TKRs generate a broader range of particles that includes fewer submicron particles. The observed differences in the cellular responses is likely a direct result of the differences in the spectrum of PE wear particles. These differences may in part account for differences in periprosthetic bone resorption and loosening in TKRs as compared to THRs. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 227-234 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Previous observations on polysaccharides used as viscoelastic agents in ophthalmic surgery suggest that the pseudoplasticity of solutions of hyaluronan (HA) and the low surface tension of hydroxypropylmethylcellulose (HPMC) solutions are physical properties that make these solutions useful clinically. Our laboratories are interested in correlating the physical properties of macromolecular solutions with the ability of these molecules to protect ocular structures during eye surgery. The purpose of this study is to compare the physical properties of model viscoelastics with the properties of HA and HPMC. The results of these studies suggest that polysaccharides that form extended structures in solution at low shear rates and that are characterized by large decreases in the axial ratio at high shear rates, exhibit pseudoplastic behavior. In this study pseudoplasticity is exhibited by polysaccharides with molecular weights in excess of 450 000, and is insensitive to the backbone chemistry for linear macromolecules. In addition, low surface tension is associated with charged macromolecules that have a high positive second virial coefficient. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 245-254 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Biomaterial associated calcification is the principal cause of the clinical failure of bioprosthetic implants. The present investigation describes the mineralization of polymeric substrate in an extracirculatory environment and the possible methods of prevention. Calcification was examined on various polyurethane films (and bioprosthetic tissue) incubated in metastable solutions of calcium phosphate and the role of polymer casting and precipitation was evaluated. The formulation and the in vitro efficacy of prolonged controlled-release chitosan matrices, containing the novel anticalcification agents, such as Fe+++ or protamine sulfate (PS), were also attempted. The in vitro release profiles of PS from chitosan beads was performed in a rotating shaker (100 rpm) in 0.1 M phosphate buffer (pH 7.4) and was monitored spectrophotometrically. The amount and percentage of drug release were much higher initially, which was controlled with the incorporation of egg phosphatidyl choline (EPC). The PS loaded chitosan beads (coincubated in calcium phosphate solution with the calcifiable polyurethane films) significantly inhibited biomaterial calcification (about 40-50% inhibition). Surface modification of polyurethanes with Fe+++ or PS also inhibited the calcification profile of the material. These findings suggest the possibility of a combination therapy for prevention of biomaterial associated calcification via surface modifications in conjunction with long-term controlled release of the anticalcifying drugs. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 257-264 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Holes in surgical gloves are considered to be an important source of transmission of pathogens between surgeon and patient. Two new glove hole detectors have been devised to alert the surgeon to the presence of holes. These devices have been evaluated using six powder-free and seven powdered varieties of surgical gloves that were either dry or exposed to hydration. Eight of the 13 surgical gloves hydrated rapidly with water, altering their resistance to the conduction of electricity. Because the Barrier Integrity MonitorTM only has a hydration monitor, 68 false positives occurred during the evaluation, indicating to the surgeon that he/she should change gloves unnecessarily because the glove had no hole. In contrast, the Surgic Alert MonitorTM (SAMTM) had a hydration alarm as well as a glove hole detection alarm. During the 104 tests, the SAMTM device showed no false positives. In the testing of five of the rapidly hydrating types of surgical gloves, the SAMTM device could not reliably detect holes. On the basis of this study, the SAMTM device, in conjunction with gloves that resist hydration, appeared to be a reliable hole detection monitor. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994) 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 40
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: The need for alternatives to autogenous bone grafts is widely recognized. This study compared the torsional strength of canine femora 1 year after grafting with one of three forms of a collagen/hydroxyapatite/tricalcium phosphate bone grafting material (COLLAGRAFT15), autogenous bone, or no graft. The groups were compared to each other and to the unoperated contralateral femora. Results of torsional testing were evaluated for torsional strength, torsional displacement, total energy to fracture and White fracture mode. Data analysis showed lower torsional strength of the operated vs. unoperated femora with the exception of morsellized COLLAGRAFT15 material, which had higher strength. However, the only difference in the operated groups was that the morsellized COLLAGRAFT15 had greater strength than several groups including the autogenous bone group. There was no difference found in angular displacement between any of the groups. However, there was a difference in the energy to fracture in both strip forms of the COLLAGRAFT15. The final conclusion is that in this model, grafting with COLLAGRAFT15 provided torsional properties at one year postoperatively at least equivalent to autogenous bone. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 315-323 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The objective of the present study was to develop a reliable and statistically valid test to measure the fracture toughness of small specimens of bone, and by extension, prosthetic materials, using a compact sandwich specimen. Samples of bone were sandwiched between holders of a different material and using this specimen configuration a new technique was developed to test the fracture toughness of the bone interlayer. The effects of different speciments sizes and holder materials were investigated empirically. Using finite element analysis a correction factor was determined to account for the finite thickness of the interlayer and the analytical solutions governing the test specimen were accordingly modified. Bulk compact tension specimens of bone were tested for comparison. Both wet and dry bone were evaluated and the fracture surface morphology characterized using scanning electron microscopy. The results indicate no statistically significant differences between the fracture toughness values obtained from the compact tension and sandwich specimens. The application of this technique to the testing of interfacial bonding between bone and biomaterials is discussed. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 307-314 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The thrust of the present work was the experimental determination of the uniaxial static compressive and fully reversed tension-compression fatigue properties of CMWTM 3 acrylic bone cement whose consituents were mixed in a properietary chamber while simultaneously subjected to a vacuum. Selected indices of performance in this material are: mean static compressive strength, 81.4 MPa; mean compressive modulus of elasticity, 1.95 GPa; endurance limit, 8.1 MPa; and characteristic fatigue life (using a three-parameter Weibull fit to the fatigue test data obtained at a stress of ±10 MPa), 238 712 cycles. The difficulties in comparing results obtained using different cement formulations, preparation conditions, and test conditions are detailed. With this in mind, it is suggested that the present results are within the range of values reported by previous workers for other formulations mixed using a variety of methods. The clinical significance of the present results is discussed. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 325-331 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: A simple and effective method for attaching ciprofloxacin HCl salt to the surface of porouscoated titanium based orthopedic materials was developed. The method utilizes the electrophoretic migration of both fine ciprofloxacin HCl particles and ciprofloxacin ions to deposit the antibiotic salt on a positively biased surface. The quantity of antibiotic deposited can be easily and effectively controlled by varying the time of deposition and applied voltage. In vitro tests have indicated that the antimicrobial activity of the treated surfaces is retained for a period of 5 days. The method allows a significant amount of antibiotic to be deposited and could theoretically be used to deliver antibiotics to the tissues surrounding prosthetic devices in order to prevent postoperative infections. © 1994 John Wiley & Sons, Inc.
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
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    Notes: Bone-implant displacements can be caused by rigid body motion and by differences in material properties of the implant and bone. In the present study of the tibial component in total knee replacement, we tested a series of tibial component fixation designs to determine how certain design features influenced the magnitude of the tangential displacement between the component and supporting bone in a canine model. The transverse expansion of the proximal tibia under static axial loading was measured in the intact tibia and then in the same bone following implantation of tibial components with different interface characteristics: cementless flat smooth, cementless flat porous-coated, cementless flat porous-coated with screws, cementless pegged porous-coated, cementless pegged porous-coated with screws, cemented pegged, and cemented pegged with screws. In all cases, the magnitude of the transverse expansion increased with higher applied loads. When the statistical analysis was restricted to the cementless interfaces, the presence/absence of the porous coating, the presence/absence of pegs, and the use of screws had no significant influence on tibial expansion. However, in an analysis including the cemented and cementless pegged components, tibial expansion was reduced with the use of screws. The magnitude of the interface motion due to these displacement incompatibilities was approximately fivefold lower than the amount of interface motion related to rigid body motion found in a separate study with the canine model. The measured expansion was similar in the intact tibiae and the implanted tibiae, suggesting that the transverse constraint in the canine proximal tibia must be provided by the surrounding cortical ring rather than the subchondral bone. © 1994 John Wiley & Sons, Inc.
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  • 45
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: Modified Eagle's minimum essential medium supplemented with 5% fetal calf serum was highly sensitive to cytotoxicity and formed large control colonies in the V79 colony assay. A highly sensitive cytotoxicity test was developed using 96-well microtiter plates. Test chemicals or extracts of polyurethane materials containing the same chemicals were added 24 h after inoculation of cell suspensions. The cells were fixed and stained with crystal violet after additional culture for 6 days (V79 cells) or 10 days (Balb/3T3 cells). In terms of sensitivity and rapid quantitative measurement, this modified colony microassay, using a low cell density in 96-well microplates, was superior to various cytotxicity tests such as colony, growth inhibition, cytolethality, and agar diffusion assays. © 1994 John Wiley & Sons, Inc.
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  • 46
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    Journal of Applied Biomaterials 5 (1994), S. 255-255 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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  • 47
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    Journal of Applied Biomaterials 5 (1994), S. 235-243 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Acrylic cement, used for the fixation of total hip replacements and other orthopedic implants, is a subject of renewed scientific interest as a result of recent hypotheses about dynamic, longterm mechanical failure mechanisms suspected to play a role in prosthetic loosening. Little is known, however, about the long-term mechanical behavior of cement. In this study, the dynamic creep deformation of hand mixed acrylic cement was examined in laboratory tests. Strain patterns found represented the familiar creep process consisting of a primary, a secondary, and a tertiary creep phase. Specimens dynamically loaded with a maximum stress of 3 MPa from 0 were subject to creep of about 50% of the elastic strain after 250 000 loading cycles. A linear relationship between the logarithmic values of the creep-strain and the number of loading cycles was found. Specimens exposed to higher loads showed significantly higher creep-strains. No relationship could be established between the strain levels and the porosity of the specimens. Specimens dynamically loaded with a maximal stress of 7 or 11 MPa from 0 failed during the tests. The number of loading cycles to failure was similar to fatigue strength data reported in earlier literature. © 1994 John Wiley & Sons, Inc.
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  • 48
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    Journal of Applied Biomaterials 5 (1994), S. 271-272 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 49
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    Journal of Applied Biomaterials 5 (1994), S. 275-275 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 50
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    Journal of Applied Biomaterials 5 (1994), S. 285-291 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Cantilever beam and four-point bend specimen geometries were used to experimentally determine the critical energy release rates for a plasma sprayed hydroxylapatite-titanium alloy (HA-Ti alloy) interface. A locus of energy release rates as a function of crack tip phase angle was determined where a 0° phase angle represented tensile opening (mode I) loading and a 90° phase angle represented in-plane shear (mode II) loading. Energy release rates were found to increase substantially with an increase in phase angle. An energy release rate of 0.108 N/mm was determined for a phase angle of 0° (mode I). Energy release rates of 0.221, 0.686, and 1.212 N/mm were determined for phase angles of 66°, 69°, and 72°, respectively. The experimental data was matched to a phenomenological model for which crack propagation depended on mode I loading alone indicating that crack propagation at the Ha-Ti alloy interface is dominated by the mode I loading alone indicating that crack propagation at the Ha-Ti alloy interface is dominated by the mode I loading component. Therefore, regions of HA coated implants that experience compressive or shear loading across the HA-Ti alloy interface may be much less likely to debond than regions that experience tensile loading. © 1994 John Wiley & Sons, Inc.
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  • 51
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    Journal of Applied Biomaterials 5 (1994), S. 293-306 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Strain transfer near hydroxyapatite (HA) coated canine hip implants was examined using simulated anatomical loading based on in vivo strain measurements. Strain changes near implants relative to intact control values were in excess of 100% for transverse and principal strains for zero time period (immediate postimplant) specimens. They were generally smaller (100% or less) for axial, transverse, and principal minimums in the same locations for 4 months postimplantation specimens.Cortical bone loss occurred in all implanted femora. The most extensive loss, up to 47%, occurred adjacent to the proximal section of the implant. Extensive trabecular bone formation, over 300% in some regions of each femur, was noted in all implanted femora.Backscattered electron imaging along the HA-coated sections of the implants showed extensive bone bonded to the coating. Normal light and UV light micrographs showed direct bone apposition to the implant surfaces and extensive bone formation in all test animals. Microscopy revealed no evidence of any soft tissue layer between the implant and bone. Bone was typically found in direct contact with the implant surface.Histomorphometry indicated that bone formation rates in the implanted femora were elevated, up to 850%, relative to controls. Fewer formation sites were noted on the posterior and lateral (in two cases zero sites). Mineral apposition rates (MAR) from two of the dogs were slightly elevated (from 110-113%) in the implanted femora relative to controls and depressed (to about 83% of controls) in a third. © 1994 John Wiley & Sons, Inc.
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  • 52
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    Journal of Applied Biomaterials 5 (1994), S. 333-338 
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The preconditioned stress relaxation behavior of irradiated ultra-high molecular weight polyethylene (UHMWPE), a commonly used bearing surface in total joint replacements (TJR), was modelled in uniaxial compression at 37°C. Twenty cylindrical specimens (10 mm dia. × 27 mm length) were machined from a compression molded plate of medical grade UHMWPE and γ-irradiated to a minimum dose of 2.5 Mrad. At an initial strain rate 1000%/s, five specimens were each tested at constant strains of 1, 2, 5 and 10%. The modified superposition principle provided a good agreement of the nonlinear viscoelastic (stress relaxation) behavior of UHMWPE (standard error of 0.0753 MPa). © 1994 John Wiley & Sons, Inc.
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  • 53
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: A dense, uniform and highly biologically active bone-like apatite layer can be formed in arbitrary thickness on any kind and shape of solid substrate surface by the following biomimetic method at ordinary temperature and pressure. First, a substrate is set in contact with particles of bioactive CaO SiO2 based glass soaked in a simulated body fluid (SBF) with inorganic ion concentrations nearly equal to those of human blood plasma. Second, the substrate is soaked in another solution with ion concentrations 1.5 times those of SBF (1.5 SBF). In the present study, organic polymer substrates treated with 5 M NaOH solution were subjected to the above mentioned biomimetic process. The induction periods for the apatite nucleation on polyethyl-eneterephthalate (PET), polymethylmethacrylate (PMMA), polyamide 6 (PA6), and polyethersulfone (PESF) substrates were reduced from 24 to 12 h with the NaOH treatment. The adhesive strength of the formed apatite layer were increased from 3.5 to 8.6 MPa, from 1.1 to 3.4 MPa, and from 0.6 to 5.3 MPa with the NaOH treatment, for PET, PMMA, and PA 6, respectively. It was assumed that highly polar groups, such as carboxyl and sulfinyl ones formed by the hydrolysis of an ester group on PET and PMMA and of an amide group on PA 6, or of a sulfonyl group on PESF with the NaOH treatment, attached a large number of hydrated silica dissolved from the glass particles, to accelerate the apatite nucleation, and also to form a strong bond with the apatite. The apatite-organic polymer composites thus obtained are expected to be useful as bone-repairing as well as soft tissue-repairing materials. © 1994 John Wiley & Sons, Inc.
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  • 54
    ISSN: 1045-4861
    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: Osteolysis is a central feature of aseptic loosening of orthopaedic joint prostheses. This destructive process is believed to result from phagocytosis of implant wear debris by periprosthetic and synovial macrophages and the subsequent release of proinflammatory mediators, including collagenase. Isolated murine macrophages were cultured in vitro with particulate titanium in order to explore the mechanism of macrophage activation by particulate wear debris. The results, in which the amount of secreted, soluble collagenase in culture supernatants was inversely proportional to titanium concentration, suggested that titanium strongly adsorbed secreted collagenase. This inference was confirmed by direct binding assays in which particulate titanium coated with adsorbed collagenase bound an alkaline phosphatase conjugated anticollagenase antibody, but not a conjugated anti-IgG antibody. Adsorption of collagenase was not influenced by preincubation of titanium particles with albumin. The adsorbed collagenase remained enzymatically active as indicated by its ability to hydrolyze a synthetic peptide substrate. These results demonstrate that particulate titanium stimulates collagenase production by macrophages and then strongly adsorbs the secreted proinflammatory enzyme. The process of macrophage stimulation, collagenase secretion, and adsorption may represent an important mechanism for localization and concentration of collagenase in periprosthetic and synovial tissue, a mechanism that ultimately triggers bone resorption through osteoclast activation. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 375-375 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 56
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    Journal of Applied Biomaterials 5 (1994), S. 369-373 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: A newly developed saw technique was developed to produce sections circa 10 μm or thicker from fresh bone or dentine and from plastic embedded undecalcified bone tissue with or without implant materials. The method comprises only one step because grinding or polishing to make the sections thinner is not necessary. The bone slices can be decalcified rapidly without using aggressive solvents and used for making ultrathin sections for electron microscopy. Sections of fresh dentine of 15 to 30 μm are transparent which makes it possible to study osteoclastic resorption in vitro. Sections, 10 μm thick, with an intact interface of bone and implant material can be observed for biocompatibility studies. © 1994 John Wiley & Sons, Inc.
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    Journal of Applied Biomaterials 5 (1994), S. 377-378 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 58
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    Journal of Biomedical Materials Research 28 (1994) 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
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  • 59
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    Journal of Biomedical Materials Research 28 (1994), S. 27-33 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: Composites comprised of calcium deficient hydroxyapatite (CA/P = 1.5) and gelatin form in about 4 h at 38°C. The solid reactants used are CaHPO4 and Ca4(PO4)2O and the liquid reactant is gelatin solution. The reaction forming hydroxyapatite occurs in several steps. Based on the measurement of heat liberation, there is an initial period where the reaction rate is low. This is followed by a period of constant reaction until the reaction is complete. Analysis of the variation in pH shows that hydroxyapatite formation occurs at a steady state pH near 8.2. Analyses of the evolution of crystalline phases indicates that Ca4(PO4)2O is consumed prior to complete reaction resulting in a phase assemblage of hydroxyapatite (CA/P 〉 1.5) and CaHPO4. Further reaction results in compositional adjustments in hydroxyapatite as CaHPO4 is consumed. Microstructurally, the composites which form consist of clusters of hydroxyapatite embedded in a gelatin network. The presence of gelatin does not influence the morphology of the hydroxyapatite which forms nor does it retard its rate of formation. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 35-47 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The purpose of this study was to characterize the physicochemical properties of calcific deposits that cause the failure of tissue-derived heart valve bioprostheses. This was done in an effort to understand the mechanism of pathologic biomineralization in the cardiovascular system and potentially prevent deterioration of bioprostheses. Calcific deposits taken from 10 failed bioprosthetic valves that had been implanted in patients for 2-13 years were characterized by chemical analysis, x-ray diffraction, FTIR spectroscopy, scanning electron microscopy, polarized light microscopy, and solubility measurements. The combined results identified the biomineral as an apatitic calcium phosphate salt with substantial incorporation of sodium, magnesium and carbonate. The average Ca/PO4 ratio for this “young” pathologic biomineral was ∼1.3, considerably lower than ∼1.7 found in mature atherosclerotic plaque biomineral and mature skeletal biomineral, both of which approximate hydroxyapatite in composition. Deproteinated calcific deposits from bioprostheses had thermodynamic solubilities comparable to those of both atherosclerotic plaque, typical pathologic biomineral and hydrolyzed octacalcium phosphate (OCP, Ca4H(PO4)3 · 2.5 H2O), a proposed precursor phase to biomineral apatite. This later finding, together with chemical composition and structrual details of the bioprostetic deposits themselves, supports a mechanism of cardiovascular calcification in which OCP plays a crucial role in the formation of the final apatitic phase. This suggests an approach toward prevention of bioprosthetic tissue calcification through control of the formation of the kinetically favored OCP precursor and/or its transformation into bioapatite. © 1994 John Wiley & Sons, Inc.This article is a U.S. Government work and, as such, is in the public domain in the United States of America.
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  • 61
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    Journal of Biomedical Materials Research 28 (1994), S. 59-63 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: Current in vitro biocompatibility methods do not evaluate the degradation of biomaterials after contact with enzymes that might be present in the oral or systemic environment. In this study, two methods of in vitro enzyme degradation and a method for the separation of the degradative products by high performance thinlayer chromatography (HPTLC) are reported. In the first method two dental adhesives, Scotchbond and Scotchbond II, and two dental composites, Helimolar and P-50, were evaluated. These materials were incubated with four different enzymatic preparations for periods of up to 72 h. The enzymes were lipase, esterase, and liver enzyme extracts from both mouse and rat. Chloroform soluble products extracted from the aqueous phase were examined by HPTLC for decomposition products resulting from enzyme activity. The second method was similar, but analyzed the aqueous fraction directly without chloroform extraction. In this method five dental restorative materials, P-50, P-30, Scotochbond II, Silux, and Silux Plus, were incubated with a nonspecific porcine liver esterase. In addition to the polymerized biomaterials. Monomers containing methacrylic acid units were also hydrolyzed with esterase and analyzed by ion chromatography to establish the sensitivity of the enzyme simulator. Each biomaterial presented thin-layer zones not present before enzymatic action. These experiments provide support that aqueous enzymatic action may facilitate the hydrolytic weakening of polymeric biomaterials. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 81-90 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: Particulate wear-debris are detected in histiocytes/macrophages of granulomatous tissues adjacent to loose joint prostheses. Such cell-particle interactions have been simulated in vitro by challenging macrophages with particles dosed according to weight percent, volume percent, and number of particles. Each of these dosage methods has inherent shortcomings due to varying size and density of challenging particles of different compositions. In this study we challenged P388D1 macrophages with titania and polystyrene particles (〉 2 μm), with dosage based on the ratio of the surface area of the particles to the surface area of the cells. The effect of size and composition on (1) the bone resorbing activity, (2) fibroblast proliferation, and (3) secretion of IL-1 and PGE2 was determined.Macrophage response to particulate debris appears to be dependent on particle size, composition, and dose as given by surface area ratio. P388D1 macrophages challenged with titania particles released IL-1, but did not stimulate fibroblasts. Inhibition of macrophage DNA synthesis at higher surface area ratios suggests cell damage or death. Particle-stimulated cells increased bone resorption up to 125% of controls but released only basal levels of PGE2.Macrophages stimulated by wear particles are expected to synthesize numerous factors affecting events in the bone-implant interface. Using the concept of surface area ratio allows us to study and compare such cellular responses to wear particles in a standardized manner. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 113-122 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: Electrochemical measurements, x-ray photoelectron spectroscopy, and scanning tunneling microscopy have been used to study the effect of hydrogen peroxide on the passivity of titanium in a phosphate-buffered saline (PBS) solution. The results indicate that the passive film formed in the PBS solution - with and without addition of H2O2 - may be described with a twolayer structure model. The inner layer has a structure close to TiO2 whereas the outer layer consists of hydroxylated compounds. The introduction of H2O2 in the PBS solution broadens the hydroxylate-rich region, probably due to the formation of a Ti(IV)-H2O2 complex. Furthermore, the presence of H2O2 results in enhanced dissolution of titanium and a rougher surface on a microscopic scale. Finally, a dark pigmentation (blue color) is observed when titanium has been exposed - for several weeks - to PBS with additions of H2O2. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 137-137 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Journal of Biomedical Materials Research 28 (1994), S. 133-136 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Journal of Biomedical Materials Research 28 (1994), S. 387-395 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: Intracranial studies to analyze the degradation kinetics of the bioerodible polymer poly[bis(p-carboxyphenoxy)propane-sebacic acid] [p(CPP-SA) 20:80] copolymer wafers were conducted in a rat model. Rats were separated into four groups: those receiving (1) polymer, (2) polymer loaded with the chemotherapeutic agent BCNU,(3) drugloaded polymer with previous tumor implantation, and (4) polymer and an absorbable hemostatic material. A polymer wafer was surgically implanted into the brain of each animal. Residual polymer was harvested at varying times for chromatographic analysis. In vitro effects of pH, mixing, and water availability on degradation were also studied. The results of in vitro and in vivo studies were compared to understand the behavior of polymers in a clinical setting. We found that degradation of p(CPP-SA) initially occurred more slowly in vivo than in vitro. The presence of BCNU, tumor, and absorbable hemostatic material did not affect the ultimate time of polymer degradation in vivo, and the intrinsic polymer degradation time of 1 mm thick p(CPP-SA) 20:80 disks in vivo was 6-8 weeks. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 405-405 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: Aspergillus oryzae, Mucor mucedo, and Phycomyces blakesleeanus cultures were examined as sources of chitin/chitosan. The nitrogen content of the alkali-treated mycelia/sporangiophores of A. oryzae, M. mucedo, and P. blakesleeanus was 2.52, 3.61, and 6.27% w/w, which relates to an estimated chitin content of 37, 52, and 91%, respectively. The effect of these fungal materials on the rate of proliferation of human F1000 fibroblasts in culture was examined. At 0.01% w/v, all three materials exhibited significant (P〈.05) proproliferant activity over a period of 13 days. However, at 0.05% w/v, P. blakesleeanus further enhanced cell proliferation, whereas A. oryzae and M. mucedo produced a significant (P〈.05) antiproliferant effect. Higher concentrations of P. blakesleeanus (0.1 and 0.5%) caused marked inhibition of F1000 cell proliferation when measured on days 3 and 6. Only the proproliferant effect of these fungal materials appears to correlate to their chitin content. Furthermore, the cytomorphology of the fibroblasts indicated that P. blakesleeanus, and to a lesser extent M. mucedo, possessed cell attractant properties, again correlating with chitin content. If developed for use as wound management materials, the sporangiophores of P. blakesleeanus and the mycelium of M. mucedo could possibly promote the growth of fibroblasts and provide a matrix for their anchorage, thus contributing to the granulation phase of the healing cascade. © 1994 John Wiley & Sons, Inc.
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: We have used total internal reflection fluorescence (TIRF) to measure the adsorption kinetics of a newly synthesized fluorescent derivative of a triblock copolymer comprising two poly(ethylene oxide) arms connected by a poly(butylene oxide) segment. The composition is (EO)400 (BO)55 (EO)400, in which EO represents ethylene oxide, BO represents butylene oxide, and one or both of the terminal OH groups of the two (EO)400 arms are labeled with tetramethylrhodamine. The poly(butylene oxide) segment binds to hydrophobic octadecyl glass, used as a substratum. The TIRF signal is shown to be derived almost entirely from surface-adsobed polymer. This facilitates calculation of adsorption isotherms from 0.1-0.005% bulk polymer solution by means of diffusion kinetics. Information about the effective thickness of the adsorbed polymer, determined by optical interference microscopy, corresponds with what is known about the conformation of similar molecules at interfaces and indicates monolayer adsorption on the glass. © 1994 John Wiley & Sons, Inc.
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    Notes: Studies were made on the fate of implanted material during bone induction. Mixtures of 1 mg of crude bone morphogenetic protein (BMP), or bovine serum albumin as a control, and 1.5 mg of bovine collagen, were pressed into discs and implanted under the fascia of the rectus abdominus muscle of rats. The tissues with implants were fixed 7, 10, and 14 days later and examined histologically. On day 7 after implantation, the implant was surrounded and invaded by alkaline phosphatasepositive cells. New bone and cartilage were seen at the periphery of the implant. In the regions of calcified cartilage and bone, these osteogenic matrices were intermixed with the implant. The mineral deposits were seen by electron microscopy not only on the osteogenic matrices but also on the implanted collagen. On day 14, the bone had spread to the center of the implant. No osteogenesis or chondrogenesis was seen in control implants. It was concluded that the calcification occurred on the implanted collagen during bone induction, and that it was related to successive bone formation and remodeling. © 1994 John Wiley & Sons, Inc.
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    Notes: Two kinds of polyetherurethane (PEU), U-3 and U-8, were coated in thin layers on an ethylene-vinylalcohol copolymer (EVAL) film 0.1 mm thick. U-3 is a nonsegmented PEU prepared from 4,4′-diisocyanatodiphenylmethane (MDI) and poly(tetramethylene oxide) of Mn = 1,000 (PTMO 1000), and U-8 is a segmented PEU prepared from MDI, PTMO 1000, and 1,4-butanediol. The coating thicknesses were 0.0068 and 0.022 mm for U-3 and U-8, respectively. These coated films were implanted subcutaneously into rats and retrieved after various weeks. The coatings on the retrieved samples were dissolved in tetrahydrofuran (THF), and the average molecular weight (MW) was determined by injecting the THF solution into a gel permeation chromatograph. In the case of U-3, MW increased after 2 weeks, then decreased over the implantation period. After 10 weeks, U-3 almost disappeared from the base film. In the case of U-8, MW reached the maximum at 4 weeks postimplantation then decreased gradually over the implantation period. The rate and degree of MW change were greater in U-3 than in U-8. Here, we argue that, in the early stage, low molecular weight PTMO/MDI oligomers leached out from the PEUs to the inflammatory exudate to increase MW, and in the later stage macrophage attachment/activation had a role in the degradation of PEUs. The surface morphologic changes observed by scanning electron microscopy are also discussed. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994) 
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    Keywords: Chemistry ; Polymer and Materials Science
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  • 73
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    Journal of Biomedical Materials Research 28 (1994), S. 527-527 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Journal of Biomedical Materials Research 28 (1994), S. 667-675 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: A trypan blue inclusion assay was used to measure cell death on poly(dimethyl siloxane) (PDMS), polyethylene (PE), poly(methyl methacrylate) (PMMA), polyurethanes, glass, and glow-discharge-treated polystyrene or poly(ethylene terephthalate). Cell lines used were bovine aortic endothelial, 3T3, mouse peritoneal macrophage, and BHK cells. In the absence of proteins in the media, PDMS, PE, PMMA, and some polyurethanes were consistently found to induce cell death. This toxic effect disappeared if the cells were seeded in serum-containing medium or if concentrated solutions of proteins (albumin, IgG, or fibronectin) were preadsorbed on the materials. The substrate toxicity appeared to be due to the physical properties of the substrate and not to the release of toxic leachables. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 685-691 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The ability of corneal epithelial cells to attach, spread, and migrate on synthetic surfaces is largely determined by the characteristics of the adsorbed protein layer. In previous studies we have described an in vitro model for quantitating epithelial cell outgrowth from explanted corneal buttons onto synthetic materials (Pettit et al., Invest. Ophthalmol. Vis. Sci., 31, 2269 [1990]). We have also described the role of fibronectin (fn) adsorption and binding strength on epithelial cell outgrowth (Pettit et al., J. Biomed. Mater. Res., 26, 1259 [1992]). In the current study we have used a monoclonal antibody against the RGD cell binding domain of fn (mAb 3E3) to further characterize the role of adsorbed fn in promoting epithelial cell outgrowth. Ten materials of diverse chemical and physical properties were adsorbed with fn (0.1 mg/ml) or mixtures of fn and albumin (concentrations totaling 0.1 mg/ml) and tested for antibody recognition of the cell binding domain. The surface density of bound anti-cell binding domain antibody varied from a low of 0.66 ± 0.11 for fluorinated ethylene propylene copolymer (FEP) to a high of 1.90 ± 0.26 for tissue culture polystyrene dish substrates (units are OD at 450 nm measured in the ELISA technique normalized to polyethylene). A general increase in cell outgrowth areas was noted, with increases in recognizable cell binding domain. However, several exceptions to this trend were noted as well (e. g., low cell outgrowth but high antibody recognizability for glass). These results suggest that, although the number of cell binding domains exposed on adsorbed fn molecules may influence cell outgrowth, other characteristics of the adsorbed protein, such as the binding strength to the underlying substrate, may be equally important in characterizing epithelial cell-substrate interactions. © 1994 John Wiley & Sons, Inc.
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    Notes: Rats, dogs, sheep, and cattle were implanted subcutaneously with stainless-steel tissue cages. Bolus injections of cefoxitin and ivermectin were administered to the interiors of the tissue cages 11, 32, and 60 days after implantation to simulate pulsatile drug release from an implanted device. Plasma drug levels were determined for 6 h for cefoxitin and up to 8 days for ivermectin. Tissue cages were retrieved 3 and 6 months after implantation for macroscopic and microscopic examination. In dogs and rats, plasma levels of both drugs following administrations to the tissue cages were significantly lower than those following subcutaneous injection, suggesting that the tissue growth around and in the cages posed a barrier to systemic drug availability in those species. In cattle and sheep, the tissue cages and associated tissue did not inhibit systemic availability of either drug as compared with routine subcutaneous administration. © 1994 John Wiley & Sons, Inc.
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  • 77
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    Notes: A material subjected to traction stress increases in length; if we maintain the elongation constant, the stress varies over a period of time. This phenomenon has been referred to as relaxation. The purpose of this study was to define a mathematical law that relates the variation in stress to time when elongation remains constant in bovine pericardium. The mathematical function obtained after assaying 34 samples to the point of relaxation, subjected to initial stresses ranging from 0.17-10.07 MPa, responds to the following equation: y = -0.0252 + 0.953 α - (0.0165 + 0.015 α)lnt, where γ is the stress withstood at an instant in time, t, after initial stress α. A normogram, validated by assays of up to 6,340 min duration (4.40 days), is presented for graphic calculation, permitting the computation of the loss of stress due to relaxation of this biomaterial, with initial stresses ranging from 1-10 MPa. © 1994 John Wiley & Sons, Inc.
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  • 78
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    Journal of Biomedical Materials Research 28 (1994), S. 269-277 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Polyactive®, a polyethylene oxide/ polybutylene terephthalate (PEO/PBT) copolymer, has been reported to display bone-bonding behavior. Although a detailed description of the in vivo bone/ Polyactive® interface is available, the underlying bone-bonding mechanism is still largelyunknown. In this in vitro study, a calvarial envelope method has been adopted to reproduce the in vivo bone-bonding phenomenon and subsequently to obtain information on the biological effect of varying PEO/PBT segment ratios. The following PEO/PBT ratios were examined: 70/30, 60/40, 55/45, 40/60, and 30/70. Light microscopy (LM) and scanning (SEM), transmission (TEM), and backscatter electron microscopy (BSE), as well as X-ray microanalysis (XRMA), were employed. Within the period of analysis (3 weeks), an intimate contact between mineralized deposition and the 70/30, 60/40, and, to a lesser extent, the 55/45 surface was observed. Calcified areas developed within the surface of these PEO/BPT proportions during the culture period. Needle-shaped crystals from the mineralized tissue compartment and from calcified areas within the materials surface were intermingled at the interface, providing a morphologic continuity. A cellular layer was interposed with the mineralization front and the noncalcified 40/60 and 30/70 substrates. Apparently, the percentage of PEO is important for calcification within the near surface of the polymer. This relation is such that the highter the PEO content in PEO/PBT ratios, the more rapid the calcification is considered. The occurrence of material calcification is considered to be largely responsible for the subsequent interfacial interactions. The calvarial envelope culture method allows not only reproduction of the in vivo bone/Polyactive® interface, but also a relatively rapid differentiation within the range of PEO/PBT ratios. It was therefore concluded that this in vitrosystem is suitable for further studies toward a better understanding of the bone/Polyactive® interfacial composition and the underlying mechanisms. © 1994 John Wiley & Sons, Inc.
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    Notes: The purpose of this work was threefold: to enhance the adhesion between the reinforced absorbable calcium phosphate (CaP) fibers and the absorbable polyglycolide acid (PGA) matrix, to improve the hydrolytic degradation of the CaP fibers, and preliminarily to evaluate the cytotoxicity of the plasma treated surface of CaP fibers. CH4 plasma treatment was used to achieve these goals. The microbond method was used to evaluate the effects of the plasma treatment on the interfacial shear strength between the PGA matrix and CaP fibers. The treatment increased the mean interfacial shear strength of the CaP/PGA composite system by 30%. AFM data showed that CH4-treated CaP fibers had considerable microscopic surface roughness, which facilitated mechanical interlocking between the reinforced CaP fibers and PGA matrix. The untreated and plasma-treated fibers were also subjected to in vitro hydrolytic degradation in a phosphate buffer solution of pH 7.44 at 37°C for up to 15 h. CH4 plasma treatment resulted in a considerable lower polar term of the surface energy and a significantly higher disperse term in water media. This change in the proportion of surface energy terms may reduce the capillary wicking phenomena of water through the CaP fiber/PGA matrix interface. The CaP fiber dissolution studies revealed that both CH4 and Parylene plasma polymer coatings appeared to reduce the solubility of CaP fibers, and that the magnitude of reduction was higher in an acidic than a physiologic pH environment. A preliminary cytotoxicity test revealed that both CH4 and Parylene plasma-treated CaP fibers were noncytotoxic. Additional research should be done to determine the optimum plasma conditions and the possible use of other plasma gases to improve the interfacial shear stress of the composite and the dissolution properties of CaP fibers. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 343-348 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: Plasma spraying is a technique currently used in the production of HA-coated titanium implants. These coatings have been shown to be porous; they dissolve and have a weak bond to the substrate. The long-term interface strength has been questioned in particular. The aim of the present work was to produce HA coatings without the shortcomings of those produced by plasma spraying. Hot isostatic pressing (HIP) at 850°C and 1000 bar with no holding time was applied for this purpose. Initially, the HA powder was mixed with water and air sprayed on the Ti substrate. The Ti specimens were then cold-pressed, enclosed by a protective Pt foil, and encapsulated in an evacuated glass ampulla. Subsequent to HIP, the glass and the Pt foil were removed. These coatings were denser than those produced by plasma spraying. The bonding was measured to be 〉 62 MPa, which is considered to be satisfactory. The structure of the coating was checked by X-ray diffraction and IR spectroscopy, and was found to correspond to that of HA. Some cracks were observed in the coating running predominantly vertical to the surface. Whether these are acceptable has to be verified by in vivo experiments. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 349-352 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: Blood biocompatibility of medical devices is in many ways dependent on surface characteristics and biochemical blood material interactions. In this study, the contact system, in which the activation of factor XII and plasma kallikrein is included, is highlighted. This article describes a simple chromogenic assay to determine the Hageman Factor fragment (HFf, or factor XIIf) and kallikrein activity in vitro. The assay is based on conversion of Z-Lys-Phe-Arg-pNA. 2HCl to which human factor XIIf and kallikrein appeared to have a high affinity. To discriminate between the serine proteases factor XIIf and kallikrein to cleave this substrate, aprotinin was added to one of two complementary samples. In this in vitro study, standardized disks from glass, high-density polyethylene (HDPE), polytetrafluoro ethylene (PTFE), and polydimethyl siloxane (PDMS) were studied for their capacity to generate factor XIIf and kallikrein in plasma. Kaolin was used as positive control. On glass disks the highest and on HDPE the lowest generation of factor XIIf and kallikrein were found, both with a ratio of 1 : 1. On PDMS and on PTFE disks protease activities were intermediate, but with a factor XIIf and kallikrein activity ratio of 1 : 2 and 1 : 4, respectively. Apparently because of the hydrophobic surface character of PDMS and PTFE, these surfaces absorb or fail to produce the factor XIIf. This assay appeared to be discriminative even for materials that are considered mild activators of the contact system and can therefore be used as a standard method to qualify biomaterials. NOTE: Factor XIIf(mol wt. 28,000) is designated in the literature as HFf, β-factor XIIa, or factor XIILMW and factor XIIa (mol wt. 80,000) as HFa, factor XIIaHMW, or α-factor XIIa. To avoid the unfashionable use of β-factor XIIa or α-factor XIIa, we chose in this study the use of factor XIIf and factor XIIa, according to the article by R. A. Pixley et al., Blood, 66, 198-300 (1985). © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 377-386 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: Biomaterial-centered infection is an important cause of the failure of prosthetic implants and organs. Because neutrophils mediate host defense against infection, the effect of biomaterials on neutrophil superoxide release and the mechanism of that effect were investigated using three materials commonly employed in surgical practice. The graft materials were expanded polytetrafluorethylene (PTFE), polyurethane and woven dacron. Polystyrene, a commonly used laboratory support vessel, was also studied. Both polystyrene and polyurethane were activating, but serum inhibitable, whereas PTFE was nonactivating, and woven dacron was not activating unless serum was present. The signaling mechanisms used by these materials demonstrated time and material dependency. Pertussis toxin inhibition of G proteindependent activation had little or no effect on biomaterial induced activation, whereas FMLP-induced activation of the same biomaterial-associated cells was inhibited. Protein kinase C inhibition with staurosporine greatly inhibited polystyrene-induced activation, but had only a partial effect with polyurethane and even less effect with the activation associated with serum-treated woven dacron. These studies demonstrated that biomaterial contact-induced neutrophil activation differed from that described for cells in suspension, and showed that activation mechanisms on one material cannot be extrapolated to mechanisms on other materials. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 791-804 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Topics: Medicine , Technology
    Notes: A fracture-mechanics based study has performed to characterize the fracture toughness and rates of cyclic fatiguecrack growth of incipient flaws in prosthetic heart-valve components made of pyrolytic carbon-coated graphite. Such data are required to predict the safe structural lifetime of mechanical heart-valve prostheses using damagetolerant analysis. Unlike previous studies where fatiguecrack propagation data were obtained using through thickness, long cracks (∼2-20 mm long), growing in conventional (e.g., compact-tension) samples, experiments were performed on physically small cracks (∼100-600 μm long), initiated on the surface of the pyrolytic-carbon coating to simulate reality. Small-crack toughness results were found to agree closely with those measured conventionally with long cracks. However, similar to well-known observations in metal fatigue, it was found that based on the usual computations of the applied (far-field) driving force in terms of the maximum stress intensity, Kmax, small fatigue cracks grew at rates that exceeded those of long cracks at the same applied stress intensity, and displayed a negative dependency on Kmax; moreover, they grew at applied stress intensities less than the fatigue threshold value, below which long cracks are presumed dormant. To resolve this apparent discrepancy, it is shown that long and small crack results can be normalized, provided growth rates are characterized in terms of the total (near-tip) stress intensity (incorporating, for example, the effect of residual stress); with this achieved, in principle, either form of data can be used for life prediction of implant devices. Inspection of the long and small crack results reveals extensive scatter inherent in both forms of growth-rate data for the pyrolytic-carbon material. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 865-870 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: A series of in vitro experiments demonstrated a clear effect of additive hyaluronic acid (HA) on animal joints with experimentally reduced lubricating ability. Eleven canine hip joints were utilized and the experimental conditions tested were: (i) intact joints, (ii) after washing the joint surfaces, and (iii) after adding 1% HA to them. The frictional coefficient of every joint increased after washing and subsequently decreased after adding HA. The mean values were 0.007 (SD 0.004) on the intact joints, 0.020 (SD 0.009) after washing, and 0.013 (SD 0.005) after the addition of HA. The differences between the three values of frictional coefficients were shown to be statistically significant (p 〈 0.01). © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 891-899 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Cartilage implants which could potentially be used to resurface damaged joints were created using rabbit articular chondrocytes and synthetic, biodegradable polymer scaffolds. Cells were serially passaged and then cultured in vivo on fibrous polyglycolic acid (PGA) scaffolds. Cell-PGA constructs were implanted in vivo as allografts to repair 3-mm diameter, full thickness defects in the knee joints of adult rabbits, and cartilage repair was assessed histologically over 6 months. In vitro, chondrocytes proliferated on PGA and regenerated cartilaginous matrix. Collagen and glycosaminoglycan (GAG) represented 20 to 8% of the implant dry weight (dw), respectively, at the time of in vivo implantation; the remainder was PGA and unspecified components. Implants based on passaged chondrocytes had 1.7-times as much GAG and 2.6-times as much collagen as those based on primary chondrocytes. In vivo, cartilaginous repair tissue was observed after implantation of PGA both with and without cultured chondrocytes. Six month repair was qualitatively better for cell-PGA allografts than for PGA alone, with respect to: (1) surface smoothness, (2) columnar alignment of chondrocytes, (3) spatially uniform GAG distribution, (4) reconstitution of the subchondral plate, and (5) bonding of the repair tissue to the underlying bone. These pilot studies demonstrate that it is feasible to use cell-polymer allografts for joint resurfacing in vivo. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 939-946 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: There are several reports in the literature concerning the similarities and the differences between the oxide on cpTi and Ti-6Al-4V alloy; however, their biological sequelae are not entirely known. In this work, a series of surface characterization techniques were used in conjunction with short term in vitro biological assays to assess the effects of materials selection (cpTi and Ti alloy) on osteoblast-like cell responses. Surface analysis indicated that with the exception of oxide thickness, there were no significant differences in surface characteristics between the two implant materials. These results were reflected in the biological studies, where the levels of cell attachment and adaptation of the attached cells to the titanium surfaces were similar. These results are in general agreement with previous in vivo studies and continue to indicate that cpTi and Ti alloy are suitable, biologically compatible materials for fabrication of dental implants. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 961-967 
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    Keywords: Chemistry ; Polymer and Materials Science
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    Notes: Factors involved with the plasma-spray coating procedure, such as starting powder compound (fluorapatite, hydroxylapatite, magnesium-whitlockite, or tetra-calcium phosphate), powder particle distribution 1-45 or 1-125 (μm), powder port gun (port 2 or 6), and post-heat treatment of 1 h at 600°C, were examined for their effects on crystallinity and solubility/stability of the coating. From solubility tests, X-ray diffractometry, and scanning microscopy studies, the solubility and crystallinity were found to be dependent on Ca/P ratio, particle distribution, and post-heat treatment. The post-heat treatment influenced the degree of both crystallinity and solubility. The plasma-spray powder port factor for the hydroxylapatite coatings was not significant. Incubation in buffer of the coatings introduced precipitation at the surfaces of all non-heat-treated coatings except fluorapatite. No precipitation could be observed in any of the heat-treated coatings. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 981-992 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: With the identification of the exacerbating effect of glutaraldehyde on calcification of heart valve materials, there exists a renewed interest in both alternative reagents and the effects of crosslinking on connective tissues. One potentially useful class of reagents are poly(glycidyl ether) compounds. We have examined 5 of these reagents with different molecular sizes and functionalities for their effects on mechanical properties and collagen denaturation (shrinkage) temperature. Samples of bovine pericardium were tested fresh or after 48 h fixation in one of the five compounds for denaturation temperature, stress-strain response, stress relaxation, plastic deformation, and fracture properties. Of the compounds tested, those with intermediate length backbones and 4 or 5 epoxide groups were most effective in producing intrahelical crosslinking and increased denaturation temperature over 48 h. However, in samples examined after 17 months of fixation, all reagents had equivalently increased the denaturation temperature. Examination of mechanical results revealed two distinct mechanisms for mechanical change. Observed shifting of the stress-strain curve to the right (due to shrinkage), increased plastic deformation, and some reduction of stress relaxation are all unrelated to denaturation temperature (and hence to changes in intrahelical crosslinking). An alternate mechanism, perhaps formation of intermolecular crosslinks may be responsible. Intrahelical crosslinking produces only lesser reductions in stress relaxation. Cross-comparison of reagents of differing molecular structure provides a useful tool toward increased understanding of the mechanical consequences of tissue crosslinking. © 1994 John Wiley & Sons, Inc.
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  • 91
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    Notes: The biocompatibility of a new semisolid, hydrophobic poly-(ortho ester) (POE) intended for controlled drug delivery to the eye was evaluated. The polymer was injected subconjunctivally in rabbits, and clinical and histologic examinations were performed 3, 10, 15, and 21 days after injection. Polymers injected as controls were an aqueous gel of sodium hyaluronate (SH), 1% in phosphate buffer, and medical grade silicone oil. After injection, the POE emulsified into small droplets and a focal eosinophilic reaction was noted at 3 days' implantation. At 10 days' implantation, the inflammatory reaction had resolved, with fibroblasts being the predominant cell type. At 15 and 21 days, no POE was identified and normal appearing tissue was present in the injection site. Sodium hyaluronate was not inflammatory over the period of the implantations. Silicone oil induced a slight inflammation at 3 days, with the presence of eosinophils and limited necrosis with cellular debris. Silicone oil was present in the implantation site at 3, 10, 15, and 21 days. The inflammatory response to the respective polymers was evaluated in the subconjunctival tissue. The inflammatory reaction was quantified at the implant site, adjacent subconjunctival tissues, and scleral and corneal stroma. The inflammatory cell densities in these respective tissue zones were determined, and the ratio of eosinophils over total inflammatory cells was calculated. POE did not become encapsulated with fibrous tissue, but biodegraded in a short time, indicating its potential for use after glaucoma filtration surgery. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 1079-1085 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The implantation of polymer devices in the brain that release neuroactive drugs locally and in a controlled manner is gaining increasing interest. The fates and tissue reactions of poly(∊-caprolactone), ethylcellulose, and polystyrene microspheres, prepared by the solvent evaporation method, radiosterilized by γ-irradiation, and stereotactically implanted in rat brain have been studied by routine staining and immunohistochemistry. During the first few days after implantation, a nonspecific astrocytic brain tissue reaction was observed along with a macrophagous-microglial cell reaction typically found following any damage in the central nervous system, except in the presence of certain foreign body giant cells. Nine months into the experiment, microspheres appeared to be engulfed by histiocytic cells. The microsphere cluster was surrounded by a sheath composed of collagen and astrocytic cells. No necrosis was observed, suggesting the absence of toxicity. In some animals, however, an hydrocephalus developed as a result of obstruction of the medial ventricle by some microspheres. © 1994 John Wiley & Sons, Inc.
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    Journal of Biomedical Materials Research 28 (1994), S. 1445-1453 
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    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Rat osteoblasts were cultured on films of biodegradable poly(L-lactic acid) (PLLA), 75:25 poly(DL-lactic-co-glycolic acid) (PLGA), 50:50 PLGA, and poly(glycolic acid) (PGA) for up to 14 days. Osteoblasts attached equally well to all the polymer substrates after 8 h in culture. By day 4 in culture, osteoblasts had exceeded confluency numbers, and their proliferation leveled off by day 7. An increase in alkaline phosphatase (ALP) activity from 1.92 (±0.47) × 10-7 for day 7 to 5.75 (±0.12) × 10-7 μmol/cell per min for day 14 was reported for osteoblasts cultured on 75:25 PLGA, which was comparable to that observed for tissue culture polystyrene (TCPS) controls. The ALP activities expressed by osteoblasts cultured on PLLA, 50:50 PLGA, and PGA films did not significantly increase over time. Collagen synthesis for osteoblasts cultured on all polymer substrates was similar to that of TCPS and did not vary with time. The morphology of cultured osteoblasts was not affected by the continuous degradation of the polymer substrates. These results demonstrate that poly(α-hydroxy esters) can provide a suitable substrate for osteoblast culture and hold promise in bone regeneration by osteoblast transplantation. © 1994 John Wiley & Sons, Inc.
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  • 94
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    Journal of Biomedical Materials Research 28 (1994), S. 1239-1244 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Since its identification 60 years ago as a ubiquitous component of the body of mammals, hyaluronic acid has been widely studied, primarily in the fields of medicine and biology. On the other hand, our research has dealt with hyaluronic acid as a chemical intermediate in the synthesis of novel lubricious coatings, and in this connection data were needed on stability of aqueous solutions of the polymer over a range of temperatures from 25-100°C. The investigation reported here provides that information, obtained by exposing samples in sealed ampules in baths a controlled temperatures and determining the resultin change in viscosity of the solutions. Data of this kind have not previously been reported on sodium hyaluronate free from the proteins and other organics normally associate with the polymer in its natural environment. © 1994 John Wiley & Sons, Inc.
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  • 95
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    Journal of Biomedical Materials Research 28 (1994), S. 1157-1163 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: A commercial polyester acrylate prepolymer, to which a 2:3 wt/wt ratio of tripropyleneglycol diacrylate was added to increase photopolymerization rate, was employed as photochemical conjugating agent, through photografting. 1,2-Diphenyl,2,2-dimethoxyethanone was added as standard photoinitiator (7.0 wt/wt%), together with varying amounts (0.003-4.0 wt/wt%) of some proprietary photocatalytic systems, based on the following photocataiysts: m̈-peroxobis [N,N′-ethylene-bis(salicylideneiminato)cobalt](III) (I), vanadium (V) triethoxide (II), and a synergic mixture of vanadium (V) tri-t-butoxide and tri-i-propoxide (III). A homogeneous suspension containing (10 ± 2) × 105 human thyroid follicular cells per milliliter of photochemically reacting medium was photografted, at a surface density of 6.5 ± 0.7 mg · cm -2 of diacrylate prepolymer mixture, onto polystyrene plates or onto commercial microfiltration and ultrafiltration membranes consisting of nonwoven cellulose tissues with known porosities varying between 5 and 30 m̈m and in photografted polyester acrylate-based membranes with a cutoff of 50 ± 5 KD. Bioconjugation yields, as a function of photografting time, were measured gravimetrically and by multiple internal reflection IR spectroscopy. Three series of experiments were performed: (1) measurements of graft yields of the prepolymer, and of the parallel disappearance of double bonds, in the absence of mammalian cells; (2) the same as (1), in the presence of thyroid follicular cells; (3) the same as (2), but with the photoinitiating system formed by the standard photoinitiator alone, with no photocatalyst. Results show that if a suitable photocatalyst is not added, no practical conjugation is possible. An appropriate choice of the photocatalytic system and of its concentration allows reduction of irradiation times (e. g., by a factor of about 2 × 104 calculated as the mean lifetime ratio, between the uncatalyzed system and that with 0.1 wt% of [III]), thus minimizing cell inactivation and/or improving responsiveness to the bioassay. From this point of view, photoactivity of (III) is outstanding. The very small, but clearly perceptible, influence of polymeric support on bioconjugation is also commented upon. © 1994 John Wiley & Sons, Inc.
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  • 96
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    Journal of Biomedical Materials Research 28 (1994), S. 1209-1219 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: In this article, a protocol for the evaluation of new materials for small joint prostheses is introduced. The testing methods employed in the protocol were developed by reviewing reported clinical failure modes and conditions found in vivo. The methods developed quantitatively evaluates the fatigue, fatigue crack propagation, and wear resistance properties of materials. For this study, a silicone elastomer similar to Dow Corning Silastic HP100, a radiation stable polypropylene, and a copolymer of polypropylene and ethylene propylene-diene monomer (EPDM) are evaluated. None of the materials tested demonstrated the ideal properties that are sought in a self-hinging joint prostheses. The silicone elastomer had excellent wear properties; however, cracks quickly propagated, causing catastrophic failure when fatigued. Conversely, the copolymer showed excellent fatigue crack propagation resistance and less than favorable wear properties. The polypropylene did not perform well in any evaluation. © 1994 John Wiley & Sons, Inc.
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  • 97
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    Journal of Biomedical Materials Research 28 (1994), S. 1233-1238 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The functional capacity of human umbilical vein endothelial cells (HUVEC) grown on Dacron (polyethylene terephthalate; PET) vascular prosthetic material was compared with the function of cells on smooth surfaced PET, tissue culture polystyrene (TCPS), and Natrix-coated TCPS. Prosthetic materials include two knitted fabrics (Bionit I and II) and two woven preparations (DeBakey Soft Woven and Extra Low Porosity). Two entities produced by HUVEC that influence blood coagulation were assessed: the procoagulant tissue factor (TF) and the anticoagulant prostacyclin (PGI2). Although TF activity was stimulated on all substrates by endotoxin (LPS), there was no difference among prostheses and no difference among smooth surface materials, but TF was reduced in cells on the prosthetic materials relative to those on smooth surface substrates. The reduced TF production by HUVEC on prosthetic material could be reversed by returning them to TCPS. In contrast, PGI2 production on prostheses was comparable to that on smooth surfaces for both stimulated and unstimulated cells. Stimulation with histamine (1 µM) gave a 2.4-fold increase in PGI2 whereas mellitin (10 µg/ml) increased production 12.5-fold. The differential response of HUVEC with regard to these two coagulation factors, one of which is secreted and the other membrane bound, may reflect the distorted shape of cells on fibers of the prosthesis. © 1994 John Wiley & Sons, Inc.
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  • 98
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    Journal of Biomedical Materials Research 28 (1994), S. 1259-1266 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Two new polymeric materials (polymers A and B) containing covalently bound iodine were prepared. These polymers were evaluated with respect to their possible use as radiopaque implant biomaterials - that is, materials that are visible in a noninvasive manner using routine X-ray absorption imaging techniques. Polymer A is a copolymer of methyl methacrylate (MMA) and 1 (80 and 20 mol%, respectively). Polymer B was prepared from MMA, 1, and 2-hydroxyethyl methacrylate (HEMA) (mol ratio 65:20:15, respectively). Compound 1 was synthesized from 4-io-dophenol and methacryloyl chloride. The resulting polymers were characterized with GPC, DSC, NMR, and by measuring both the advancing and receding contact angles. Thrombogenicity of the polymers was determined by an in vitro thrombin generation test procedure. The maximum concentration of free thrombin was 76 ± 1 nM for polymer A, and 64 ± 3 nM for polymer B. The lag times (i.e., time onset of thrombin generation) were 392 seconds for polymer A and 553 seconds for polymer B. For PVC-T, which is known as a passive material, a lag time of 583 seconds was found. This indicates that polymer B is comparable to PVCT, and more passive than polymer A. Polymer A exhibited minor activation of platelets. Polymer B did not induce platelet activation at all. The polymers exhibited, even as fibers with a diameter of ca. 0.3 mm, good radiopacity with routine imaging X-ray techniques in the clinic. It is argued that polymers A and B - which actually represent a whole family of radiopaque polymeric biomaterials - exhibit promising properties with respect to applications as construction materials for a new generation of endovascular stents. © 1994 John Wiley & Sons, Inc.
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  • 99
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    Journal of Biomedical Materials Research 28 (1994), S. 1295-1301 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: This study was designed to determine the effects of age, sex, and site of implantation on the extent of alkaline phosphatase-complexed collagen sheets mineralization in the animal body. Collagen sheets were prepared from bovine dentin and cortical bone and complexed with varying amounts of intestinal alkaline phosphatase (ALP).1 Controls were without enzyme or with heat-inactivated enzyme. Sheets were implanted subcutaneously over the skull and in the dorsolateral abdominal wall in 5- or 20- week-old male and female Wistar rats. After 2-3 weeks the implants were removed and analyzed for phosphate and calcium content. Our findings have shown that alkaline phosphatase-induced mineralization of collagenous implants is influenced to a considerable extent by age, sex, and site of implantation. Highest mineral influx was seen in the younger males. Implants in younger females and older males contained less mineral, whereas those installed in the older females were almost free of calcium phosphate deposits. Dentinal implants in the skull region contained more mineral than those in the abdominal wall. © 1994 John Wiley & Sons, Inc.
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  • 100
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    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 28 (1994), S. 1365-1373 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: To produce a bone-bonding polymer surface that is capable of inducing deposition of a hydroxyapatite (HA) layer in the body fluid, an organophosphate polymer was covalently immobilized onto a high-density polyethylene film by surface graft polymerization of a phosphate-containing monomer. The grafted film was immersed in simulated physiologic solution (SPS). The chemical composition and structure of the formed apatite layer as well as its bonding strength to the polymer surface were investigated. To distinguish the effect of phosphate groups on the deposition of apatite layer from the simple calcium absorption by the anion, a comparative study was done using a polyethylene film with surface immobilized carboxylic groups. Calcium phosphate deposition was observed on all the materials investigated, but the kinetics, composition, deposit amount, and bonding strength of the new phase were found to be significantly different among the modified materials, depending on the density and chemical nature of the surface immobilized ionic groups. It was found that the polymeric materials modified by surface graft polymerization of a phosphate-containing monomer produce a carbonated HA layer firmly bonded with the material upon immersion in SPS. Carboxyl groups in the grafted layer was not enough to activate bonding with the HA layer. © 1994 John Wiley & Sons, Inc.
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