Coloring complex shapes decreases patient anxiety in three care environments: a pilot study with color analysis.

Introduction: This study was conducted to determine the effectiveness of coloring activity of circular symmetrical shape with complex patterns, so-called mandala, on anxiety associated with chronic illness in three different ambulatory medical situations (general consultation, psychiatric day hospital, and hemodialysis session). Methods: Thirty patients were included in three groups and came from three different ambulatory medical situations: a hemodialysis group (n = 10), a psychiatric day hospital group (n = 10), and a nephrology consultation group (n = 10). We asked the patients to fill STAI-S and STAI-T questionnaires before to color complex circular shape with complex patterns, then to fill the STAI-S questionnaire again and a questionnaire on the experience of the activity. Results: The results show that the STAI-S score was significantly lower after coloring for the hemodialysis (p = 0.02) and psychiatric groups (p = 0.005) but not for the general consultation group (p = 0.26). STAI-T scores did not differ between groups. The distribution of colors in the mandala was different in the three groups of patients. A positive subjective experience of the activity was found in all groups. Discussion: These results show the effectiveness of a coloring activity of a circular shape with complex patterns on anxiety associated with chronic illness in care environment. The different distribution of the colors of the mandala in the three groups raises the question of the influence of the context on the mood of the patients and the deeper meaning of the choice of colors and their placement in the mandala. Our study reinforces the multiple applications of art activities in different medical disciplines and encourages their development within healthcare settings.

Numerical analysis of the mechanical behavior of ceramic dental implants based on Ce-TZP/Al2O3 composite.

This study aimed to identify the potential use of the ceramic composite ZrO2(CeO2)-Al2O3 as a dental implant due to its intrinsic geometry and different masticatory loads based on finite element simulations. Ceramic samples were sintered at 1500 °C-2h, and characterized: The mechanical properties of the ceramic composite (hardness, fracture toughness, flexural strength, Young's Modulus, and Poisson ratio) were determined, in addition to the relative density and its structural characteristics. Commercial dental implant designs (incisal and third-molar) on CAD models were used in this study as an initial implant geometry applied in a typical simulated mandible anatomy. Finite element models were generated for implant geometries using CAD and CAE techniques. Loading cases were considered based on different intensities (100-500 N) and orientation angles to the implant axis (0° and 45°) to reproduce human masticatory conditions. For comparison purposes, the numerical predictions were compared with finite element simulations of gold-standard titanium implants. Ce-TZP/Al2O3 sintered ceramics showed flexural strength of 952.6 ± 88 MPa, hardness and fracture toughness of 1427 ± 46 HV and 11.3 ± 0.4 MPa m1/2, respectively, beside Young's modulus of 228.3 ± 65 GPa and Poisson ratio of 0.28. For both Ce-TZP/Al2O3 dental implant geometries, the implant prototypes showed adequate mechanical behavior regardless of the masticatory load value or the orientation angle applied in the simulations: All finite element predictions are lower than the values established by Mohr Coulomb's failure criterion, allowing the feasibility, preliminarily, of the proposed ceramics for dental implant applications without fracture risk.

Implications of Pulsed Electric Field Pre-Treatment on Goat Milk Pasteurization.

Goat milk is an interesting product from a nutritional and health standpoint, although its physico-chemical composition presents some technological challenges, mainly for being less stable than cow's milk at high temperatures. As pasteurization and ultra-high temperature processing are universally employed to ensure milk quality and safety, non-thermal methods, such as pulsed electric fields (PEFs), reduce the microbial load and eliminate pathogens, representing an interesting alternative for processing this product. This study demonstrates how the combined use of a PEF with short thermal processing and moderate temperature can be effective and energy-efficient in goat milk processing. A combination of thermal treatment at 63 °C after a low-intensity PEF (50 µs pulses, 3 Hz, and 10 kV·cm-1) caused the same reduction effect on the population of Listeria monocytogenes (goat's raw milk artificially spiked), as compared to a thermal treatment at 72 °C without a PEF. However, z values are significantly higher when PEF is used as a pre-treatment, suggesting that it may induce heat resistance in the survival population of L. monocytogenes. The sensitivity of L. monocytogenes to high temperatures is less pronounced in goat's milk than cow's milk, with a more pronounced impact of a PEF on lethality when combined with lower temperatures in goat's milk. The effect of a PEF on Escherichia coli viability was even more pronounced. It was also observed that thermal treatment energy needs with a PEF as a pre-treatment can be reduced by at least 50% of the total energy requirements.

Iatrogenic encephalopathies are not so rare in psychiatry: A retrospective study about 5217 EEG examinations.

OBJECTIVES: Encephalopathy is a severe pathological process induced by multiple factors, which is typically associated with electroencephalogram (EEG) abnormalities. Early diagnosis, management, and treatment improve the patient's prognosis. Psychotropic treatments are a risk for drug-induced encephalopathies. In this study, the prevalence of encephalopathies in a psychiatric hospital has been studied for 5 years (2012 to 2016) using 5217 EEG records. METHODS: EEGs were performed i) systematically on patient admission, ii) in response to inexplicable modifications of consciousness or behavior, or when metabolic anomalies occurred, and iii) to perform therapeutic monitoring in outpatient consultations. When encephalopathy was suspected, the clinical data (age, sex and concomitant treatment) and biological data (plasma levels of medications) were collected. RESULTS: Encephalopathy was suspected in 189 patients. Following EEG examination, and monitoring of clinical course, encephalopathy was subsequently determined to be highly probable for 52 patients, (giving a prevalence of 1% per year), and low suspicion of encephalopathy in the other 137 patients. The suspicion of encephalopathy was made on both clinical (n=28) and non-clinical (n=24) signs. Involved drugs were mainly valproic acid (n=14), lithium (n=11) and clozapine (n=11) in the highly probable encephalopathy group. CONCLUSIONS: Our study demonstrates the importance of EEG in the diagnosis and monitoring of encephalopathies in a psychiatric hospital. Clinical symptoms of encephalopathies are polymorphic and sometimes atypical. This diagnosis is underestimated in a context where behavior or consciousness disorders are generally not attributed to psychotropic drugs used in psychiatry.

Cefiderocol Treatment for Severe Infections due to Difficult-to-Treat-Resistant Non-Fermentative Gram-Negative Bacilli in ICU Patients: A Case Series and Narrative Literature Review.

Cefiderocol (FDC) is a siderophore cephalosporin now recognized as a new weapon in the treatment of difficult-to-treat-resistant (DTR) Gram-negative pathogens, including carbapenemase-producing enterobacterales and non-fermentative Gram-negative bacilli (GNB). This article reports our experience with an FDC-based regimen in the treatment of 16 extremely severe patients (invasive mechanical ventilation, 15/16; extracorporeal membrane oxygenation, 9/16; and renal replacement therapy, 8/16) infected with DTR GNB. Our case series provides detailed insight into the pharmacokinetic profile and the microbiological data in real-life conditions. In the narrative review, we discuss the interest of FDC in the treatment of non-fermentative GNB in critically ill patients. We reviewed the microbiological spectrum, resistance mechanisms, pharmacokinetics/pharmacodynamics, efficacy and safety profiles, and real-world evidence for FDC. On the basis of our experience and the available literature, we discuss the optimal FDC-based regimen, FDC dosage, and duration of therapy in critically ill patients with DTR non-fermentative GNB infections.

Comparison between different fracture toughness techniques in zirconia dental ceramics.

Vickers indentation (IF) and single-edge-V-notched beam (SEVNB), to measure the fracture toughness (KIC ) of zirconia-based dental ceramics and mathematical models were proposed to establish a correlation between both. Zirconia (ZrO2 ) stabilized with 3 mol. % of Y2 O3 (3Y-TZP) and 5 mol% of Y2 O3 (5Y-PSZ) were compacted (n = 42) and sintered for 2 h at different temperatures (1475°C, 1500°C, 1550°C, or 1600°C). After sintering, they were characterized by relative density using the ASTM C373-88 standard, X-ray diffraction (XRD) and scanning electron microscopy (SEM). The average grain size was measured according to the ASTM E1382-97 standard. The fracture toughness (KIC ) was determined using two methods: Vickers indentation fracture toughness (KIC-IF ): method based on mathematical modeling that considers the parameters used for the Vickers hardness test and Fracture toughness by the single-edge-V-notch-beam (KIC-SEVNB ): method proposed by ISO 23146:08. The main phases of the 3Y-TZP and 5Y-PSZ ceramics were ZrO2 -tetragonal and ZrO2 -cubic, respectively. The 3Y-TZP specimens showed equiaxed grains with average grain sizes ranging from 0.55 to 0.79 µm. The grain sizes of 5Y-PSZ of specimens sintered at 1475°C and 1600°C were 0.62 and 2.32 µm, respectively. For all ceramics the crack size ratio was c/a < 2.5, suggesting a Palmqvist-type crack system. The fracture toughness measured by the Vickers indentation method (KIC-IF ) and by the SEVNB method (KIC-SEVNB ) was the same when the experimental data were fit to a mathematical model.

The Impact of Goat Milk Pretreatment with Pulsed Electric Fields on Cheese Quality.

To reduce the microbial load in goat's milk, which is less thermally stable than cow's milk, an alternative processing method was used in this study. This involved treating the milk with pulsed electric fields (PEFs) (at 10 kV·cm-1, with 50 µs pulses for 3 Hz) and then heat-treating it at 63 °C for 6.0 s, as well as using heat treatment alone at 75 °C for 3.4 s. Cheeses were made using both types of milk treatment, and samples were collected after 5, 15, and 25 days of ripening for DNA extraction and purification, followed by high-throughput sequencing on the MiSeq Illumina sequencing platform. Analysis of the bacterial populations in the two types of cheese using various diversity indices revealed no significant differences in species richness and abundance, although there was a trend for the PEF-treated cheese to have a less diverse set of species with an uneven distribution of relative abundance. However, when examining the composition of the microbial communities in the two types of cheese using Weighted UniFrac analysis and Analysis of Similarities, there were significant differences in the presence and abundance of various species, which could have implications for the development of starter cultures. Concerning physicochemical properties (pH, aw, moisture content, total acidity and L, and a and b color parameters), the results also reveal that, generally, no significant differences were found, except for the color parameter, where cheeses treated with PEF demonstrated more whiteness (L) and yellowness (b) during ripening. Sensory scores for typicity (caprylic, goaty, and acetic) increased over time, but between treatments, only small differences were perceived by panellists in cheese with 5 days of ripening. Concerning texture firmness and cohesiveness, the PEF+HT samples presented lower values than the HT samples, even over storage time. In general, concerning quality parameters, similar behavior was observed between the treatments during the ripening period.

The Matrix Effect in the RT-PCR Detection of SARS-CoV-2 Using Saliva without RNA Extraction.

The present work focuses on the detection of SARS-CoV-2 in saliva, contributing to understanding the inhibition effect of the matrix and its influence on the results. Detection of viral genes ORF1ab, N, and E was performed by RT-PCR using saliva directly in the reaction without RNA extraction. Different amounts of saliva were spiked with increasing amounts of viral RNA from COVID-19 patients and subjected to RT-PCR detection. In parallel, 64 saliva samples from confirmed COVID-19 patients were used in two different amounts directly in the RT-PCR reaction and their results compared. The presence of saliva in the RT-PCR always causes a positive shift of the Ct values, but a very high between-person variability of its magnitude was obtained, with increases ranging from 0.93 to 11.36. Viral targets are also affected differently depending on the initial number of viral particles. Due to inhibitors present in saliva, the duplication of sample volume causes only 48 to 61% of the expected Ct value decrease depending on the viral target gene. The use of saliva has advantages, but also limitations, due to potential inhibitors present in the matrix. However, the choice of the target and the right amount of sample may significantly influence the results.

Test-retest reliability of lung diffusing capacity for nitric oxide during light to moderate intensity cycling exercise.

This study examined test-retest reliability of single-breath lung diffusing capacity for nitric oxide (DLNO) and carbon monoxide (DLCO) during exercise. Sixteen healthy subjects (age 20-67 years) performed DLNO-DLCO tests during light and moderate intensity cycling exercise at 50% and 80% of individual anaerobic threshold (IAT). Primary endpoint was DLNO at 80% IAT. Precision of DLNO, DLCO, and alveolar volume was quantified by within-subject standard deviation (SDws, measurement error) and intraclass correlation coefficients (ICC). Reproducibility was determined by SDws* 2.77. Overall, reliability was excellent for all outcomes. SDws and reproducibility for DLNO at 80% IAT were 4.6 and 12.7 mL.min-1.mmHg-1, and the ICC was 0.99 (95% confidence interval 0.98-0.99). Median breathlessness at 80% IAT was 4 (interquartile range 3-6) on a 0-10 scale. Our data suggest excellent reliability of single-breath DLNO during moderate intensity exercise, but perceived levels of breathlessness may limit its usefulness, especially at exercise intensities beyond IAT.

Effect of the surface finish on the mechanical properties and cellular adhesion in (Ce,Y)-TZP/Al2O3 ceramic composites for denture implants.

Ceramic composites based on (Ce, Y)-TZP/Al2O3 system have great potential for applications as dental implants due to their unusually great balance between good mechanical properties and resistance to hydrothermal degradation. Surface roughness plays an important role in controlling these properties, but few studies have investigated the relationship between cytocompatibility and surface roughness, at levels considered moderate and low, comparable to titanium implants. In this work, bending strength, hydrothermal degradation and biological evaluation of a ceramic composite based on (Ce,Y)-TZP/Al2O3 system were investigated as a function of surface roughness. Compacted samples were sintered at 1500 °C - 2h and then submitted to different surface treatments: Group 1 composed of samples with smooth surfaces, Group 2 and Group 3 composed of rough surfaces (grinded with 15 µm or 45 µm diamond sandpaper, respectively. Samples were characterized by X-ray diffraction, scanning electron microscopy, contact angle and optical profilometry and then subjected to hydrothermal degradation tests in autoclave (134 °C - 2 bar) using artificial saliva. The Piston-on-three-balls (P-3B) testing was used to determine flexural strength. To assess indirect cytotoxicity, samples were immersed in the culture medium for NIH-3T3 cells for 72 h. Furthermore, cell adhesion and proliferation were investigated using MG63 cells (human osteosarcoma) after 3, 7, 14, and 21 days of culture. Cytotoxicity, adhesion, and cell proliferation were examined by the Methyl Tetrazolium salt (MTS) and Alizarin Red, using a confocal laser microscope. The results indicated that the materials have high resistance to degradation. Furthermore, the (Ce,Y)-TZP/Al2O3 composites are not cytotoxic. The flexural strength of the composites was 913 ± 103 MPa in samples presenting original (smooth) surface, however, a reduction in the order of 17% was observed in samples containing rough surfaces. The rougher samples show the best cellular adhesion and proliferation, leading to the formation of a mineralized matrix after 21 days. These results clearly suggest that the new (Ce,Y)-TZP/Al2O3 brand is strong and highly biocompatible and warrants further study.

Impact of Thermal Pretreatment of Saliva on the RT-PCR Detection of SARS-CoV-2.

The use of saliva directly as a specimen to detect viral RNA by RT-PCR has been tested for a long time as its advantages are relevant in terms of convenience and costs. However, as other body fluids, its proven inhibition effect on the amplification reaction can be troublesome and compromise its use in the detection of viral particles. The aim of the present work is to demonstrate that saliva pretreatment may influence the RT-PCR amplification of three gene targets of SARS-CoV-2 significantly. A pool of RNA from confirmed COVID-19 patients was used to test the influence of heat pretreatment of saliva samples at 95°C for 5, 10, 15 and 20 min on the amplification performance of ORF1ab, E, and N SARS-CoV-2 genes. Prolonged heating at 95°C significantly improves the Ct value shift, usually observed in the presence of saliva, increasing the limit of detection of viral genes ORF1ab, E, and N. When tested using a cohort of COVID-19 patients' saliva, the increased time of heat pretreatment resulted in a significant increase in the detection sensitivity.

Experimental analysis and numerical simulations of the mechanical properties of a (Ce,Y)-TZP/Al2O3/H6A ceramic composite containing coupled toughening mechanisms.

OBJECTIVES: This study investigates the simulation of the mechanical behavior of a bioceramic composite based on (Ce,Y)-TZP reinforced with equiaxed Al2O3 and platelet-shaped hexaaluminate (H6A) grains using Finit Element Method (FEM). METHODS: A commercial (Ce, Y)-TZP/Al2O3 ceramic powder was compacted into disc-shaped specimens that were sintered at 1500 °C for 2 h. The sintered samples were further subjected to hydrothermal degradation in an autoclave at 134 °C, 0.2 MPa, for 10 h and characterized according to their phase composition, microstructure, and relative density. Their flexural strength values were determined by the piston-on-three-ball test, and Weibull statistics was used to evaluate the results. Their hardness, fracture toughness and elastic parameters were also measured. Numerical simulations of the biaxial strength test were performed using the ABAQUS finite element code. RESULTS: The sintered ceramic composite material presented relative density >99%, high resistance to hydrothermal degradation, average hardness of 1435 ± 35 HV, fracture toughness KIC of 9.7 ± 0.5 MPa m1/2, and average biaxial flexural strength of 952.6 ± 88 MPa. The numerical predictions of the biaxial flexural strength showed a consistently lower average biaxial flexural strength value of 880.9 MPa, ∼10% lower than the average experimental results. CONCLUSIONS: The differences observed are attributed to the complex coupled toughness mechanisms of this material, not included in the finite element simulations.

Flexural strength of 3Y-TZP bioceramics obtained by direct write assembly as function of residual connected-porosity.

OBJECTIVES: The present work reports the effect of the extrusion nozzles' size and consequent residual porosity on the flexural strength of 3Y-TZP bioceramics fabricated by direct write assembly technology. METHODS: A printable ink containing a volume fraction of 45% of 3Y-TZP (ZrO2 stabilized with 3 mol% Y2O3) submicron powder, carboxymethyl cellulose and polyethyleneimine as additives was fine-tuned by rheological measurements. Different nozzle diameters (0.41 mm, 0.33 mm, and 0.25 mm) were used to print 3D specimens with proper dimensions for structural and mechanical characterization after sintering, namely relative density, linear shrinkage, and three-point flexural strength. Bulk surface sample and exposed fractured surfaces after flexural strength tests were analyzed by X-ray diffraction, Rietveld refinement and scanning electronic microscopy. Strength reliability and failure probability of the three sample groups were analyzed by Weibull statistics. RESULTS: The sintered samples exhibited relative densities in the range of 78% (nozzle Ø 0.41 = mm) and 82% (nozzle Ø 0.25 = mm), i.e., a slight increase in the residual interfilamentous porosity is observed, as the extrusion tip diameter increases, while linear shrinkage is statistically similar (≈25%). Likewise, a progressive reduction of flexural strength and Weibull modulus as nozzle diameter increases was noticeable, being respectively σf = 337,5 ± 49 MPa and m = 6.6 for the smallest nozzle diameter (Ø = 0.25 mm) and σf = 261.4 ± 79 MPa and m = 3.2 for the biggest one (Ø = 0.41 mm). Unlike nozzle diameter, the material is constituted by 79-81 wt% tetragonal t-ZrO2 and 19-21 wt% cubic c-ZrO2 with equiaxed grain sizes between 0.3 and 0.6 µm. CONCLUSION: X-ray diffraction analyses on the fracture surface of flexural test samples suggests that the toughening mechanism by tetragonal→ monoclinic phase transformation is the main responsible for the mechanical strength of this structural ceramic. Additionally, the reduction of flexural strength for samples printed with extrusion nozzle of 0.41 mm could be explained by the surface roughness of the bending surfaces, as well as the lower effective resistance to crack-propagation arising from the higher size of residual pores on the fracture surface.

Optimizing the microstructure of a new machinable bioactive glass-ceramic.

OBJECTIVES: This study aimed to optimize the crystallization process and the microstructure of a new bioactive glass-ceramic (GC) previously developed by our research group to obtain machinable glass-ceramics. METHODS: Differential scanning calorimetry (DSC) analyses were conducted to explore the characteristic temperatures and construct a semi-quantitative nucleation curve. The GC specimens were characterized by X-ray diffraction (XRD) and Rietveld refinement. Their brittleness index (B) and machinability were characterized and compared with IPS e.max-CAD®. Their Young's modulus, fracture toughness, and hardness were assessed. RESULTS: We found that the maximum crystal nucleation rate temperature of this GC is ~470 °C. Treatments were designed based on the 1st DSC peak onset (570 °C), 1st peak offset (650 °C), and 2nd peak offset (705 °C) crystallization temperatures of lithium metasilicate (LS, LiSi2O3) and lithium disilicate (LS2, Li2Si2O5). Rietveld refinement indicated an increase in LS2 and a reduction in LS and amorphous phase for increased temperatures and longer treatment times. Their B values indicate good machinability compared with that of the control group based on statistical analyses. As expected, lower levels of LS2 increase the machinability regardless of the rotation speed adopted, leading to a greater depth of cut and reduced Edge Chipping Damage Depth (ECDD). CONCLUSION: This bioactive GC with optimized microstructure presents high machinability. For treatment temperatures above 570 °C, the number of elongated LS2 crystals increases and decreases the amorphous phase content, which reduce the machinability of the GC, and should therefore be avoided. The best results were obtained using heat treatment at 570 °C, which produces LS crystals embedded in a glassy matrix (67%) with small contents of secondary phases.

Performance of saliva as a specimen to detect SARS-CoV-2.

Massive testing to detect SARS-CoV-2 is an imperious need in times of epidemic but also presents challenges in terms of its concretization. The use of saliva as an alternative to nasopharyngeal swabs (NPS) has advantages, being more friendly to the patient and not requiring trained health workers, so much needed in other functions. This study used a total of 452 dual samples (saliva and NPS) of patients suspected of having COVID-19 to compare results obtained for the different specimens when using RT-PCR of RNA extracted from NPS and saliva, as well as saliva directly without RNA extraction. SARS-CoV-2 was not detected in 13 saliva (direct) of the 80 positive NPS samples and in 16 saliva (RNA) of a total of 76 NPS positive samples. Sensitivity of detection of viral genes ORF1ab, E and N in saliva is affected differently and detection of these genes in saliva samples presents great variability when NPS samples present Ct-values above approximately 20, with sensitivities ranging from 76.3% to 86.3%. On average an increase in 7.3 Ct-values (average standard deviation of 4.78) is observed in saliva samples when compared to NPS. The use of this specimen should be carefully considered due to the false negative rate and the system used for detection may be also very relevant since the different viral genes are affected differently in terms of detection sensitivity using saliva.

Mechanical properties of ceramic composites based on ZrO2 co-stabilized by Y2O3-CeO2 reinforced with Al2O3 platelets for dental implants.

OBJECTIVES: The objective of this work was the development and characterization of a ceramic composite based on (Ce,Y)-TZP/Al2O3 aiming an application on dental implants, comparing it with conventional monolithic 3Y-TZP ceramics, currently used for the same type of application. METHODS: Ceramic samples, 3Y-TZP (n = 40) and (Ce,Y)-TZP/Al2O3 (n = 40), were sintered at 1500 °C - 2h and characterized by relative density, X-Ray diffraction (XRD) and microstructure. Then, the samples of both materials were divided into two groups: 1) samples with original (as sintered) surfaces; 2) samples with conditioned, polished, surfaces. All samples were submitted to hydrothermal degradation tests, on an autoclave (134 °C - 2 bar), for 10 h in artificial saliva. The degraded samples were characterized by XRD and the polished group were also characterized by their elastic moduli, Vickers hardness and fracture toughness (Vickers indentation method). Both groups were also submitted to a flexural strength test, 3B-P testing, for which the data were interpreted using Weibull statistics. RESULTS: All sintered specimens presented nearly full densification. After the hydrothermal degradation tests, 3Y-TZP samples presented 16.4% of monoclinic (m)-ZrO2 phase while the composite samples withheld 100% of tetragonal (t)-ZrO2 phase. Both materials presented equiaxial ZrO2 grains with an average size of 0.48 ± 0.17 µm and 0.75 ± 0.22 µm, respectively, for the monolithic and composite ceramics. In the composites, is observed the presence of well distributed Al2O3 grains on the ZrO2 matrix, in two distinct morphologies: equiaxial grains and platelets. The composites (Ce,Y)-TZP/Al2O3 presented average values of elastic moduli, Vickers hardness and fracture toughness of 228.3 ± 6.5 GPa, 1427 ± 46 HV e 11.3 ± 0.4 MPa m1/2, respectively. An inversely proportional relationship is observed between the roughness and the bending strength, since the 3Y-TZP samples presented a average strength of 860.7 ± 81 MPa (as-sintered) and 965.4 ± 93 MPa (polished) while the (Ce,Y)-TZP/Al2O3 composites presented average strength of 810.6 ± 147 MPa (as-sintered) and 952.6 ± 88 MPa (polished). CONCLUSIONS: The composites (Ce,Y)-TZP/Al2O3 showed high resistance to degradation in saliva and adequate properties for use as dental implants. Values of flexural strength (>950 MPa) and Weibull modulus (m > 10) were similar to the conventional 3Y-TZP ceramics. Moreover, its hardness, elastic modulus and fracture toughness were higher than those obtained for 3Y-TZP. The expressive values of KIC obtained for (Ce,Y)-TZP/Al2O3 composites are results of association of different toughening mechanisms acting simultaneously in the material.

Flow dynamics of vitreous humour during saccadic eye movements.

In this work, we reveal the flow dynamics of Vitreous Humour (VH) gel and liquid phases during saccadic movements of the eye, considering the biofluids viscoelastic character as well as realistic eye chamber geometry and taking into account the saccade profile. We quantify the differences in the flow dynamics of VH gel and liquid phases using viscoelastic rheological models that are able to model the VH shear rheology, considering different amplitudes of saccadic movements (10∘, 20∘, 30∘ and 40∘). For this purpose, the computational fluid dynamics (CFD) open source software OpenFOAM® was used. The results portray a distinct flow behaviour for the VH gel and liquid phases, with inertial effects being more significant for the VH liquid phase. Moreover, the Wall Shear Stress (WSS) values produced by the VH gel phase are more than twice of those generated by the VH liquid phase. Results also show that for different amplitudes of eye movement both the velocity magnitude in the vitreous cavity and the shear stresses on the cavity walls rise with increasing saccadic movement displacement.

Effect of hydrothermal aging on the properties of zirconia with different levels of translucency.

OBJECTIVES: The aim of this study was to evaluate the effect of hydrothermal aging on the mechanical properties and translucency of dental zirconia with different levels of translucency. METHODS: Three different types of dental yttria-stabilized zirconia were used: 3Y-TZP (ZrO2 - 3 mol.% Y2O3) of medium opacity (designated Z3OP), 3Y-TZP of medium translucency (Z3MT), and 5Y-PSZ (ZrO2 - 5 mol.% Y2O3) of high translucency (Z5HT). A total of 120 specimens were sintered (n = 40 specimens/group). The control group (sintered→polished→heat-treated) and the aged group (sintered→polished→heat-treated→hydrothermally degraded at 134 °C, 2 bar, 5h) were characterized by relative density, quantitative phase analysis by X-ray diffraction using the Rietveld method, microstructural analysis by scanning electron microscopy, surface roughness and translucency. All groups were submitted to a biaxial flexural strength test. Data analysis using Kruskal-Wallis, Nemenyi (p-value = 0.05), and Weibull statistics were used. RESULTS: All sintered specimens presented full densification. After aging, an increase of the m-ZrO2 phase content was observed for the Z3OP group. On the other hand, Z3MT and Z5HT did not show any m-ZrO2 phase, indicating resistance to the hydrothermal degradation. Smaller grains were observed in the Z3MT group in relation to Z3OP group and the Z5HT group presented a bimodal grain distribution, where the largest grains were associated to cubic ZrO2. Z3OP exhibited a slight increase in roughness as a function of degradation, while the roughness remained statistically stable in the other groups. Translucency was little influenced by degradation, but considerably affected by increasing thickness. The Z5HT samples were the group with the highest translucency among the control groups. Z3OP exhibited the highest flexural strength, while being the most susceptible to hydrothermal degradation. The lowest values were presented by Z5HT in all groups, due to the high concentration of c-ZrO2 grains. CONCLUSION: Hydrothermal aging is less critical to the flexural strength of zirconia-based materials than the materials' composition and microstructure. Z5HT zirconia showed the highest translucency, however the measured difference is not visually perceptible. Z5HT was considered the most resistant to hydrothermal degradation.

Fresh-Cut Bell Peppers in Modified Atmosphere Packaging: Improving Shelf Life to Answer Food Security Concerns.

The influence of modified atmosphere packaging (MAP, 10% O2 and 45% CO2) on the quality characteristics of fresh-cut green, red and yellow bell peppers (Capsicum annuum L. var annuum) was investigated. Packaging film bags (Krehalon MLF40-PA/PE) with fresh-cut bell peppers were stored for up to 17 days at 5 °C. The in-package O2 level ranged between 10 and 15%, respecting the current recommendations for fresh-cut vegetable products. Initial CO2 levels were higher than commonly used (from 5 to 10%), decreasing progressively over time due to the permeability of the selected polyethylene film. At the end of the storage period, they stabilized between 2 and 5%. A small variation in texture, moisture, titratable acidity, pH and microbial growth was observed during the storage period, as well as a good color retention and sensory properties maintenance. Negligible losses in the antioxidant activity and bioactive compounds (total phenol, flavonoid, anthocyanin and carotenoid content) were noted at the end of the study. Sensory analysis showed that panelists could not detect significant differences among sampling periods. A PCA with predictive biplots confirmed the existence of significant correlations. The products retain their initial characteristics without severe loss of quality until at least the 17th storage day. Given the current commercial shelf life of fresh-cut bell peppers, ranging from 9 to 14 days, the described treatment enabled an increase of at least 3 days (20%) of the products shelf life, reducing food waste and contributing to food security.

Preparation of TiC/Ti3SiC2 Composite by Sintering Mechanical Alloyed Ti-Si-C Powder Mixtures.

The present work aims to evaluate the crystalline phases and microstructure of a TiC-Ti3SiC2 ceramic composite, obtained by mechanical alloying of Ti, C and Si powders and subsequent sintering. A mechanical alloying technique in a planetary ball mill for 1, 10, 50, 100 and 200 h using Ti, Si and C powders with molar ratios of 3:1:2 as feedstock in argon (Ar) gas was employed to prepare nano-sized Ti-Si-C powders. TiC crystallite size and lattice strain were evaluated by X-ray diffraction analysis (XRD) and the morphological characteristics and particle size distribution were examined using scanning electron microscope (SEM). After milling, a reduction of the average particle size and crystallinity is observed. Furthermore, after 10 h of milling time, TiC starts to crystallize. The powder mixture obtained after 200 h of milling was compacted and sintered at 1200 °C under controlled atmosphere, for 15 min, 2 h or 4 h with a heating rate of 5 °C/min. Almost full densification of samples sintered for 2 h and 4 h has been achieved, with relative densities close to 98.8±0.2% and TiC and Ti3SiC2 as crystalline phases with an average crystallite size of TiC near 0.7 µm. Rietveld refinement indicates that the majority TiC-cubic phase (>85 vol%) presents a unit cell volume of 8.03 nm³ after sintering at 1200 °C. Despite the maintenance of the volume of the hexagonal unit cell of Ti3SiC2, (15.05 nm³), the increase of the isothermal sintering time resulted in an increase of the lattice parameter "a", from 0.315 nm to 0.320 nm, and a reduction of the lattice parameter "c" from 1.750 nm to 1.705 nm. The control of the changes in the residual stresses within the TiC matrix and the Ti3SiC2 precipitates, which is associated with the deformation in the lattice parameters, must be controlled to achieve high fracture toughness in the composite.