Repair

维修
  • 文章类型: Journal Article
    义齿骨折是牙科实践中常见的问题,它们的修复被认为是恢复其功能属性的第一选择。然而,材料间电阻可能会受损。通常,这些材料之间的结合减弱。因此,可以考虑各种表面处理方法来增强它们的机械性能。使用聚(甲基丙烯酸甲酯)(PMMA)热聚合树脂(HPR)作为修复材料,用于维修的冷聚合材料(CPR),和不同变体的氧化铝磨料喷砂(AB),甲基丙烯酸甲酯(M),乙酸乙酯(EA),二氯甲烷(CH),应用异丙醇(IA)处理。最后,选择并分析了组合表面处理。通过扫描电子显微镜和弯曲观察处理后的表面形貌,剪力,和冲击强度进行了测试。AB和CH化学处理,M,EA被用来改善所有的机械性能,并且通过结合两种类型的处理可以实现性能的进一步改善。观察到表面形态的变化。由于冲击强度低,用IA处理产生不太有利的结果。AB和CH的组合取得了最好的结果,但是在应用CH期间,必须严格控制暴露时间。
    Denture fractures are a common problem in dental practice, and their repair is considered a first option to restore their functional properties. However, the inter-material resistance may become compromised. Typically, the bond between these materials weakens. Therefore, various surface treatment methods may be considered to enhance their mechanical properties. Poly(methyl methacrylate) (PMMA) heat-polymerized resin (HPR) was used as the repaired material, cold-polymerized material (CPR) for the repairs, and different variants of alumina abrasive blasting (AB), methyl methacrylate (M), ethyl acetate (EA), methylene chloride (CH), and isopropyl alcohol (IA) treatments were applied. Finally, combined surface treatments were chosen and analyzed. Surface morphologies after treatments were observed by scanning electron microscopy and the flexural, shear, and impact strengths were tested. AB and chemical treatment with CH, M, and EA was used to improve all mechanical properties, and further improvement of the properties could be achieved by combining both types of treatments. Varied changes in surface morphologies were observed. Treatment with IA yielded less favorable results due to the low impact strength. The best results were achieved for the combination of AB and CH, but during the application of CH it was necessary to strictly control the exposure time.
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  • 文章类型: Journal Article
    脑脊液接触神经元(CSF-cNs)代表一组独特的中间神经元,其特征是其突出的顶端球形突起穿透脊髓的中央管,其基底轴突向相邻细胞延伸。近一个世纪前确定,由于历史上缺乏明确的标记,CSF-cNs的特定作用和属性才刚刚开始出现.最近的发现已经证实,表达PKD2L1的CSF-cNs具有神经干细胞的属性,提示脊髓损伤后再生过程中的关键功能。本文旨在阐明CSF-cNs作为脊髓发育过程中潜在神经干细胞的分子标志物,并评估其在脊髓损伤后的作用。强调它们对脊髓修复的潜在治疗意义。
    Cerebrospinal fluid-contacting neurons (CSF-cNs) represent a distinct group of interneurons characterized by their prominent apical globular protrusions penetrating the spinal cord\'s central canal and their basal axons extending towards adjacent cells. Identified nearly a century back, the specific roles and attributes of CSF-cNs have just started to emerge due to the historical lack of definitive markers. Recent findings have confirmed that CSF-cNs expressing PKD2L1 possess attributes of neural stem cells, suggesting a critical function in the regeneration processes following spinal cord injuries. This review aims to elucidate the molecular markers of CSF-cNs as potential neural stem cells during spinal cord development and assess their roles post-spinal cord injury, with an emphasis on their potential therapeutic implications for spinal cord repair.
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  • 文章类型: Journal Article
    背景:Viabahn内置假体已成为血管内治疗的重要选择,然而,关于其对周围动脉瘤修复的有效性的长期数据有限.本研究旨在评估安全性,技术和临床成功,以及Viabahn内置假体的长期通畅性,用于治疗股动脉动脉瘤。
    方法:这项回顾性的第三级单中心研究分析了从2010年到2020年接受Viabahn内修复股pop动脉瘤手术的患者。术中并发症,技术和临床成功率,和主要不良事件(MAE,包括急性血栓性闭塞,严重截肢,心肌梗塞,和设备或手术相关的死亡)在30天进行评估。注意到临床驱动的靶病变血运重建(cdTLR)的发生率。通畅率通过Kaplan-Meier分析进行评估。
    结果:在19例患者中(平均年龄,72±12岁;18名男性,1名女性)使用Viabahn内置假体进行动脉瘤修复,术中无不良事件,100%的技术和临床成功率。在30天大关,所有患者(19/19,100%)均无MAE。中位随访时间为1,009天[IQR,462-1,466]。2/19例(10.5%)患者在27个月和45个月后发生髌骨支架植入术闭塞,分别。因此,主要通畅率为100%,90%,在12、24和36-72个月时为74%,分别。血管内cdTLR在两种情况下都是成功的,导致100%的持续二次通畅。
    结论:使用Viabahn假体修复股pop动脉瘤的技术和临床成功率为100%,0%的30天MAE利率,和出色的长期通畅性。
    BACKGROUND: The Viabahn endoprosthesis has become a vital option for endovascular therapy, yet there is limited long-term data on its effectiveness for peripheral aneurysm repair. This study aimed to evaluate the safety, technical and clinical success, and long-term patency of the Viabahn endoprosthesis for treating femoropopliteal aneurysms.
    METHODS: This retrospective tertiary single-center study analyzed patients who underwent a Viabahn endoprosthesis procedure for femoropopliteal aneurysm repair from 2010 to 2020. Intraoperative complications, technical and clinical success rates, and major adverse events (MAE, including acute thrombotic occlusion, major amputation, myocardial infarction, and device- or procedure-related death) at 30 days were assessed. Incidence of clinically-driven target lesion revascularisation (cdTLR) was noted. Patency rates were evaluated by Kaplan-Meier analysis.
    RESULTS: Among 19 patients (mean age, 72 ± 12 years; 18 male, 1 female) who underwent aneurysm repair using the Viabahn endoprosthesis, there were no intraoperative adverse events, with 100% technical and clinical success rates. At the 30-day mark, all patients (19/19, 100%) were free of MAE. The median follow-up duration was 1,009 days [IQR, 462-1,466]. Popliteal stent graft occlusion occurred in 2/19 patients (10.5%) after 27 and 45 months, respectively. Consequently, the primary patency rates were 100%, 90%, 74% at 12, 24, and 36-72 months, respectively. Endovascular cdTLR was successful in both cases, resulting in sustained secondary patency at 100%.
    CONCLUSIONS: The use of Viabahn endoprostheses for femoropopliteal aneurysm repair demonstrated technical and clinical success rates of 100%, a 0% 30-day MAE rate, and excellent long-term patency.
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  • 文章类型: Journal Article
    The initial treatment of open laryngeal trauma must be implemented immediately, with the primary focus on saving lives. However, in the later stages, various factors may cause changes in the structure and function of the larynx, which requires special attention. This article reports on the treatment process of a patient with depression who suffered from laryngeal trauma. Due to the late stage of laryngeal infection causing laryngeal defects, a hyoid epiglottis combined with sternocleidomastoid muscle clavicular flap repair was performed. Additionally, personalized functional exercise was performed, ultimately resulting in recovery.
    摘要: 开放性喉外伤的初始救治需争分夺秒,以抢救生命为主,但后期可能会因各种因素导致喉结构及功能的改变,需要特别重视。本文报道1例抑郁症患者喉外伤的救治过程,因为后期伴有喉感染引起喉缺损行舌骨会厌联合胸锁乳突肌锁骨瓣修复,并行个体化的功能锻炼,最后痊愈。.
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  • 文章类型: Journal Article
    近年来,重金属污染日益突出,严重破坏生态系统和生物多样性,对人类健康构成严重威胁。然而,目前的重金属修复方法效果不理想,因此,迫切需要找到一种新的有效方法。肽是构成蛋白质的单位,分子量小,生物活性强。它们可以通过形成复合物来有效地修复蛋白质,还原重金属离子,激活植物的抗氧化防御系统,促进微生物的生长和代谢。由于其特殊的结构和性质,肽在修复重金属污染方面显示出巨大的潜力。本文综述了近年来利用多肽修复重金属污染的研究进展,描述了补救的机制和应用,为重金属污染的修复提供参考。
    In recent years, heavy metal pollution has become increasingly prominent, severely damaging ecosystems and biodiversity, and posing a serious threat to human health. However, the results of current methods for heavy metal restoration are not satisfactory, so it is urgent to find a new and effective method. Peptides are the units that make up proteins, with small molecular weights and strong biological activities. They can effectively repair proteins by forming complexes, reducing heavy metal ions, activating the plant\'s antioxidant defense system, and promoting the growth and metabolism of microorganisms. Peptides show great potential for the remediation of heavy metal contamination due to their special structure and properties. This paper reviews the research progress in recent years on the use of peptides to remediate heavy metal pollution, describes the mechanisms and applications of remediation, and provides references for the remediation of heavy metal pollution.
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  • 文章类型: Journal Article
    癌症是一个重要的全球公共卫生问题,发病率和死亡率都在增加。为了应对这一挑战,纳米材料等新型药物载体,脂质体,水凝胶,纤维,和微球已经在肿瘤学中被广泛研究和利用。其中,聚合物微球由于其易于制备而越来越受欢迎,性能优异,生物相容性,和药物释放能力。本文对常用的聚合物微球制备材料进行了分类,总结了各种制备方法(乳化、相分离,喷雾干燥,电喷射,微流体,和膜乳化),综述了聚合物微球在癌症诊断中的应用,治疗,和术后护理。分析了聚合物微球在肿瘤治疗中的应用现状及未来发展方向,强调它们对改善患者预后的重要性和潜力。
    Cancer is a significant global public health issue with increasing morbidity and mortality rates. To address this challenge, novel drug carriers such as nano-materials, liposomes, hydrogels, fibers, and microspheres have been extensively researched and utilized in oncology. Among them, polymer microspheres are gaining popularity due to their ease of preparation, excellent performance, biocompatibility, and drug-release capabilities. This paper categorizes commonly used materials for polymer microsphere preparation, summarizes various preparation methods (emulsification, phase separation, spray drying, electrospray, microfluidics, and membrane emulsification), and reviews the applications of polymer microspheres in cancer diagnosis, therapy, and postoperative care. The current status and future development directions of polymer microspheres in cancer treatment are analyzed, highlighting their importance and potential for improving patient outcomes.
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  • 文章类型: Journal Article
    屈指肌腱损伤是一种常见的手外伤,需要手术修复。目的是比较修复强度和抗滑动性与不同数量的修复股线和使用两股反手锁定(TSOL)结的方结。首先,在机械强度和失效模式下,比较了具有不同缝合线股数和闭合结数的孤立缝合线环。然后,将来自火鸡手指的90个足屈肌(FDP)肌腱用于肌腱修复实验。两个阶段都遵循类似的3×3矩阵,比较结类型,包括TSOL+1SK(方结),TSOL+2SK,和TSOL+3SK和修复技术,包括两个-,four-,和六线维修技术。测试修复的肌腱对滑轮的阻力(摩擦),最大力,位移为2mm的力,刚度,和故障模式。增加股数和闭合方结可增加屈肌腱修复和隔离缝合环的拉伸强度和刚度,而对肌腱摩擦没有显着影响。方结数量的增加仅在Pennington修复中显示出强度的增加,这与结解开数量的增加有关,弱结失败模型。我们的数据表明,增加股数可有效提高肌腱修复的整体强度。当选择双链修复时,增加结数可以提高修复强度。然而,在六股修复技术中,结数似乎不会影响修复强度。
    Flexor tendon injury is a common hand trauma that requires surgical repair. The objective was to compare the repaired strength and gliding resistance with a varied number of repair strands and of square knots using a two-strand-overhand locking (TSOL) knot. First, isolated suture loops with different number of suture strands and number of closing knots were compared in mechanical strength and failure mode. Then, 90 flexor digitorum profundus (FDP) tendons from turkey digits were used for the tendon repair experiment. Both phases followed a similar 3 × 3 matrix comparing the knot type including TSOL+1SK (square knot), TSOL+2SK, and TSOL+3 SK and repair techniques including two-, four-, and six-strand repairs techniques respectively. The repaired tendons were tested for tendon resistance against pulley (friction), maximum force, force at 2 mm displacement, stiffness, and failure mode. Increasing the number of strands and closing square knots increases the tensile strength and stiffness of flexor tendon repairs and isolated suture loops without a significant effect on tendon friction. An increase in the number of square knots have shown increased strength only in Pennington repair, which correlated with the increased number of knot unraveling, a weak knot failure model. Our data demonstrated that increasing the number of strands is effective for improving the overall strength of tendon repair. When a two-strand repair is chosen, increasing knot number can improve repair strength. However, the number of knots appears not affecting repair strength in six-strand repair technique.
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  • 文章类型: Journal Article
    鼓膜穿孔(TMP)在临床环境中很普遍。TMPs患者常发生金黄色葡萄球菌和铜绿假单胞菌感染,导致中耳和外耳道感染,阻碍耳膜愈合。这项研究的目的是使用聚(乳酸-乙醇酸)和透明质酸制造一种酶响应性抗菌电纺支架,用于治疗感染的TMP。对支架的性能进行了表征,包括形态学,润湿性,机械性能,降解特性,抗菌性能,和生物相容性。结果表明,制备的支架具有核壳结构,具有优异的力学性能,疏水性,降解性,和细胞相容性。此外,体外细菌测试和对鼓膜感染的离体研究表明,该支架具有透明质酸酶响应性抗菌特性。当暴露于由金黄色葡萄球菌和铜绿假单胞菌释放的酶时,其可以快速释放抗生素。这些发现表明,该支架具有修复感染的TMPs的巨大潜力。
    Tympanic membrane perforation (TMP) is prevalent in clinical settings. Patients with TMPs often suffer from infections caused by Staphylococcus aureus and Pseudomonas aeruginosa, leading to middle ear and external ear canal infections, which hinder eardrum healing. The objective of this study is to fabricate an enzyme-responsive antibacterial electrospun scaffold using poly(lactic-co-glycolic acid) and hyaluronic acid for the treatment of infected TMPs. The properties of the scaffold were characterized, including morphology, wettability, mechanical properties, degradation properties, antimicrobial properties, and biocompatibility. The results indicated that the fabricated scaffold had a core-shell structure and exhibited excellent mechanical properties, hydrophobicity, degradability, and cytocompatibility. Furthermore, in vitro bacterial tests and ex vivo investigations on eardrum infections suggested that this scaffold possesses hyaluronidase-responsive antibacterial properties. It may rapidly release antibiotics when exposed to the enzyme released by S. aureus and P. aeruginosa. These findings suggest that the scaffold has great potential for repairing TMPs with infections.
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  • 文章类型: Journal Article
    本研究调查了各种表面处理方法,以评估setCentionN(基于碱土的修复材料)与新型基于碱土的修复材料之间的剪切粘结强度。评估不同的表面处理提供了优化修复程序的见解,使修复的耐久性,因此可能有利于临床结果。
    总共48个基于碱土的修复材料块,深度为4毫米,直径为4毫米,准备好了。根据所进行的表面处理将样品随机分为8组(n=6)。第I组:通过bur进行表面处理;第II组:通过激光进行表面处理;第III组:使用两步蚀刻和冲洗粘合剂(AdperSingleBond2粘合剂),第IV组:单步自蚀刻粘合剂的应用(Scotchbond通用粘合剂);第V组:先制备,然后应用两步蚀刻和冲洗粘合剂;第VI组:先制备,然后应用一步自蚀刻粘合剂;第VII组:激光制备,然后应用两步蚀刻和冲洗粘合剂;第VIII组:激光制备,然后应用一步自蚀刻粘合剂。表面处理后,所有标本都用新混合的碱岩材料修复。用通用试验机评估修复粘结强度测量值。Shapiro-Wilk和Levene检验用于检验方差的正态和同质性。进行了具有事后Games-Howell测试的ANOVA和具有事后Bonferroni测试的双向ANOVA,以评估表面制备对修复粘结强度的影响。
    与其他表面处理相比,使用2步蚀刻和冲洗粘合剂导致更高的修复粘合强度(26.05±2.12)。相比之下,用毛刺对表面进行粗糙化导致最低的修复粘结强度(17.06±3.29)(P=0.02)。
    将2步蚀刻和冲洗粘合剂应用于现有的基于碱土的修复材料,可与新添加的基于碱土的修复材料提供优越的粘合。
    UNASSIGNED: This study investigates various surface treatment methods to assess shear bond strength between set Cention N (alkasite-based restorative material) and new alkasite based restorative material. Assessing different surface treatments provide insights in optimizing repair procedure that enables durability of the restoration, thus potentially benefitting clinical outcomes.
    UNASSIGNED: A total of 48 alkasite based restorative material blocks, measuring 4 mm in depth and 4 mm in diameter, were prepared. The samples were randomly divided into 8 groups (n = 6) according to the surface treatment done. Group I: Surface preparation by bur; Group II: Surface treatment by laser; Group III: Application of 2-step etch and rinse adhesive (Adper Single Bond 2 adhesive),Group IV: Application of single step self-etch adhesive (Scotchbond Universal adhesive); Group V: Bur preparation followed by application of 2-step etch and rinse adhesive; Group VI: Bur preparation followed by application of single step self-etch adhesive; Group VII: Laser preparation followed by application of 2-step etch and rinse adhesive; and Group VIII: Laser preparation followed by application of single step self-etch adhesive. Post-surface preparation, all the specimens were restored with newly mixed alkasite material. Repair bond strength measurements were assessed with universal testing machine. Shapiro-Wilk and Levene\'s tests were used to check normality and Homogeneity of variance. ANOVA with post-hoc Games-Howell test and two-way ANOVA with post-hoc Bonferroni test was performed to evaluate the influence of surface preparation on the repair bond strength.
    UNASSIGNED: Using a 2-step etch and rinse adhesive resulted in a higher repair bond strength (26.05±2.12) compared to other surface treatments. In contrast, roughening of the surface with burs led to lowest repair bond strength (17.06±3.29) (P=0.02).
    UNASSIGNED: Application of 2-step etch and rinse adhesive to the existing alkasite based restorative material provides superior bonding with the newly added alkasite based restorative material.
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  • 文章类型: Journal Article
    背景:根尖周组织的修复过程取决于,在其他因素中,关于牙髓水泥的性质。参与该过程的主要细胞之一是巨噬细胞。
    方法:从C57BL/6(MBL6)和BALB/c(MBalb)小鼠获得的小鼠腹膜巨噬细胞,分别,用含有或不含有EnnofsequenceBCSealer®(BC)的毛细血管培养,SealerPlusBC®(MK),BioC封口机(Ang)和MTA®。在24、48和72小时通过锥虫蓝和MTT方法测量细胞活力。细胞粘附,布拉氏链球菌的吞噬作用,活性氧(ROS)的产生,一氧化氮(NO),和细胞因子TNF-α和TGF-β,也进行了评估。使用ANOVA检验分析数据(p<0.05)。
    结果:生物陶瓷密封剂和MTA之间的细胞活力相似(p>0.05)。当分析粘附性和吞噬作用时,两种巨噬细胞之间没有统计学差异。炎症刺激的存在显着改变了与水泥接触的MBL6巨噬细胞的ROS产生。两种巨噬细胞谱系的TGF-β的产生相似。
    结论:这项研究表明,评估的生物陶瓷水泥不会干扰MBL6和MBalb巨噬细胞的粘附,吞噬能力,以及TGF-β的产生。粘固剂刺激MBL6巨噬细胞对诱导的炎症反应产生ROS,可能有利于消除残留的病原体。
    BACKGROUND: The repair process of periradicular tissues depends, among other factors, on the properties of endodontic cements. One of the main cells involved in this process are macrophages.
    METHODS: Murine peritoneal macrophages obtained from C57BL/6 (MBL6) and BALB/c (MBalb) mice, respectively, were cultured with capillaries containing or not Endosequence BC Sealer® (BC), Sealer Plus BC® (MK), Bio C Sealer (Ang) and MTA®. Cell viability was measured by trypan blue and MTT methods at 24, 48 and 72 hours. Cell adhesion, phagocytosis of S. boulardii, production of reactive oxygen species (ROS), nitric oxide (NO), and the cytokines TNF-α and TGF-β, were also evaluated. The data were analysed using the ANOVA test (p<0.05).
    RESULTS: Cell viability was similar between bioceramic sealers and MTA (p>0.05). There was no statistical difference between both macrophages when adherence and phagocytose were assayed. The presence of inflammation stimulus significantly altered the production of ROS by MBL6 macrophages in contact with the cements. The production of TGF-β was similar for both lineages of macrophages.
    CONCLUSIONS: This study shows that the evaluated bioceramic cements do not interfere with MBL6 and MBalb macrophages adhesion, phagocytic capacity, as well as TGF-β production. The cements stimulated the production of ROS by MBL6 macrophages in response to induced inflammation, potentially favouring the elimination of residual pathogens.
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