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1.
Article in English | MEDLINE | ID: mdl-38884320

ABSTRACT

Face cups form a vital component of breathing, assisting with devices that aid in artificial breathing for neonates. This study aims to evaluate the flow parameters in the nasal cavity for two different types of face cups. The neonatal nasal cavity model was developed from CT scans using MIMICS 21.0. Two face cups, one hemispherical and the other anatomical shaped cups are developed around the nasal cavity and the airflow is simulated using ANSYS 2021 R2. Results are compared with a nasal-only model. At the nasal valve region, the highest velocity is seen for the nasal-only model which is 16.3% higher than that of the hemispherical face cup and 15.2% superior to the anatomical-shaped face cup. In addition, the decrease in pressure across the nasal-only model is 7.4 and 6.6% below that of the hemispherical cup and anatomical cup masks. The nasal resistance values across the nasal cavity are the lowest for the nasal-only model, 7.7 and 6.7% lower respectively than the hemispherical and anatomical-shaped cups. There were very minor changes in the flow parameters such as velocity, pressure and wall shear stress when comparing the hemispherical and anatomic-shaped masks for the airflow inside the nasal cavity.

2.
RSC Adv ; 14(11): 7699-7709, 2024 Feb 29.
Article in English | MEDLINE | ID: mdl-38444968

ABSTRACT

The application of novel one-dimensional (1D) architectures in the field of energy storage has fascinated researchers for a long time. The fast-paced technological advancements require reliable rapid synthesis techniques for the development of various Multi-metal oxide (MMO) nanostructures. For the first time, we report the synthesis of a single-phase hierarchical one-dimensional (1D) branched BiVO4-Reduced Graphene Oxide (BVONB/RGO) nanocomposite with different weight percent variations of RGO starting from 6, 12, 24, and 26 wt% using the supercritical water method (SCW). The affirmation of the sample characteristics is done through various nano-characterization tools that help in establishing the monoclinic crystal structure, and nano branch morphology along with its physical, and thermal characteristics. Further, the electrochemical behavior evaluations of the fabricated coin cells provide insights into the well-known superior initial cycle capacity of around 810 mA h g-1, showing the superior ability of BVONB structures in storing lithium-ions (Li-ions). Meanwhile, an improved cyclic performance of the pure BVONB/RGO with 260 mA h g-1 is evident after 50 cycles. Finally, the reported rapid single-pot SCW approach has delivered promising results in establishing a material process technique for multimetal oxides and their RGO nanocomposites successfully.

3.
Biomed Phys Eng Express ; 10(3)2024 Mar 13.
Article in English | MEDLINE | ID: mdl-38437729

ABSTRACT

The femur is one of the most important bone in the human body, as it supports the body's weight and helps with movement. The aging global population presents a significant challenge, leading to an increasing demand for artificial joints, particularly in knee and hip replacements, which are among the most prevalent surgical procedures worldwide. This study focuses on hip fractures, a common consequence of osteoporotic fractures in the elderly population. To accurately predict individual bone properties and assess fracture risk, patient-specific finite element models (FEM) were developed using CT data from healthy male individuals. The study employed ANSYS 2023 R2 software to estimate fracture loads under simulated single stance loading conditions, considering strain-based failure criteria. The FEM bone models underwent meticulous reconstruction, incorporating geometrical and mechanical properties crucial for fracture risk assessment. Results revealed an underestimation of the ultimate bearing capacity of bones, indicating potential fractures even during routine activities. The study explored variations in bone density, failure loads, and density/load ratios among different specimens, emphasizing the complexity of bone strength determination. Discussion of findings highlighted discrepancies between simulation results and previous studies, suggesting the need for optimization in modelling approaches. The strain-based yield criterion proved accurate in predicting fracture initiation but required adjustments for better load predictions. The study underscores the importance of refining density-elasticity relationships, investigating boundary conditions, and optimizing models throughin vitrotesting for enhanced clinical applicability in assessing hip fracture risk. In conclusion, this research contributes valuable insights into developing patient-specific FEM bone models for clinical hip fracture risk assessment, emphasizing the need for further refinement and optimization for accurate predictions and enhanced clinical utility.


Subject(s)
Hip Fractures , Humans , Male , Aged , Finite Element Analysis , Bone Density , Femur , Aging
4.
Inhal Toxicol ; 36(1): 44-56, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38343121

ABSTRACT

Objective: The nasal cavity effectively captures the particles present in inhaled air, thereby preventing harmful and toxic pollutants from reaching the lungs. This filtering ability of the nasal cavity can be effectively utilized for targeted nasal drug delivery applications. This study aims to understand the particle deposition patterns in three age groups: neonate, infant, and adult.Materials and methods: The CT scans are built using MIMICS 21.0, followed by CATIA V6 to generate a patient-specific airway model. Fluid flow is simulated using ANSYS FLUENT 2021 R2. Spherical monodisperse microparticles ranging from 2 to 60 µm and a density of 1100 kg/m3 are simulated at steady-state and sedentary inspiration conditions.Results: The highest nasal valve depositions for the neonate are 25% for 20 µm, for infants, 10% for 50 µm, 15% for adults, and 15% for 15 µm. At mid nasal region, deposition of 15% for 20 µm is observed for infant and 8% for neonate and adult nasal cavities at a particle size of 10 and 20 µm, respectively. The highest particle deposition at the olfactory region is about 2.7% for the adult nasal cavity for 20 µm, and it is <1% for neonate and infant nasal cavities.Discussion and conclusions: The study of preferred nasal depositions during natural sedentary breathing conditions is utilized to determine the size that allows medication particles to be targeted to specific nose regions.


Subject(s)
Nasal Cavity , Nose , Adult , Infant , Infant, Newborn , Humans , Nasal Cavity/diagnostic imaging , Nose/diagnostic imaging , Particle Size
5.
Biomed Phys Eng Express ; 10(2)2024 Jan 24.
Article in English | MEDLINE | ID: mdl-38227968

ABSTRACT

Ureters are essential components of the urinary system and play a crucial role in the transportation of urine from the kidneys to the bladder. In the current study, a three-dimensional ureter is modelled. A series of peristaltic waves are made to travel on the ureter wall to analyse and measure parameter effects such as pressure, velocity, gradient pressure, and wall shear at different time steps. The flow dynamics in the ureters are thoroughly analysed using the commercially available ANSYS-CFX software. The maximum pressure is found in the triple wave at the ureteropelvic junction and maximum velocity is observed in the single and double wave motion due to the contraction produced by the peristalsis motion. The pressure gradient is maximum at the inlet of the ureter during the single bolus motion. The contraction produces a high jet of velocity due to neck formation and also helps in urine trapping in the form of a bolus, which leads to the formation of reverse flow. Due to the reduction in area, shear stress builds on the ureter wall. The high shear stress may rupture the junctions in the ureter.


Subject(s)
Ureter , Peristalsis , Models, Biological , Pressure , Urinary Bladder
6.
Sci Rep ; 13(1): 19506, 2023 Nov 09.
Article in English | MEDLINE | ID: mdl-37945574

ABSTRACT

Fiber Metal Laminates (FMLs) have garnered considerable attention and are increasingly being utilized in the development of protective armors for explosion and ballistic scenarios. While most research has focused on assessing the response of FMLs to single impacts, real battlefield situations often require shielding structures to endure multiple impacts. Thus, this study revolves around the creation of hybrid FMLs designed for shock shielding purposes. The primary focus is on how these laminates withstand repetitive impacts from high-intensity shock waves, aiming to pinpoint the optimal sequence that offers the highest resistance against multiple shock impacts. To establish effective shielding, a multi-layered FML configuration is employed. This configuration incorporates AA6061-T6 facing plates, ballistic-grade synthetic materials like aramid/epoxy ply, and ultra-high molecular weight polyethylene (UHMWPE)/epoxy ply. Additionally, a paperboard/epoxy lamina is introduced to induce functional grading based on layerwise shock impedance mismatches. Shock impact experiments are conducted using a shock tube equipped with helium as the driver gas. Critical shock parameters, including Mach Number, positive impulse, and peak overpressure, are meticulously evaluated. For validation purposes, a numerical model is employed to project the damage profile as a function of radial distance across different laminate sequences. The study unveils that ply deformations are strongly influenced by the arrangement of core layers, particularly the positions of the paperboard and UHMWPE layers within the core structure. To contextualize the findings, the shock impact results obtained from this study are compared with those from prior experiments that employed nitrogen-driven shocks.

7.
Biomed Phys Eng Express ; 9(6)2023 11 03.
Article in English | MEDLINE | ID: mdl-37769637

ABSTRACT

Patient-specific dynamic loadings are seldom considered during the evaluation of hip implants. The primary objective of this study is to check for the feasibility of the use of UHMWPE as the material for an acetabular cup o CoCr Alloy that is reported to produce a squeaking sound after replacement. An elliptical shaped stem with three different cross-sectional profiles is considered for simulation. Using a commercial finite element method, patient-specific dynamic forces were applied for the quantitative analysis. The loading and boundary conditions are used as per ISO and ASTM standards. The walking gait cycle is used with two widely used biocompatible materials: titanium and cobalt-chromium. Initially, only the stem is considered for the analysis to finalize the best out of the three profiles, along with the better material for the stem. Later the complete implant is used for the analysis. Profile 1 exhibits 1.25 and 1.17 times greater stress than Profile 2 for CoCr Alloy and Ti-6Al-4V, respectively. Similarly, Profile 3 displays stresses 1.26 and 1.25 times greater than Profile 2 for CoCr Alloy and Ti-6Al-4V, respectively. Comparatively, displacement in stem Profile 2 is 1.75 times higher in Ti-6Al-4V than CoCr Alloy. The full implant displacement at 14% gait cycle is 1.15% higher for the CoCr-acetabular column material combination when compared to UHMWPE. It can be concluded that UHMWPE can be used as the acetabular cup material instead of CoCr for the Profile 2 elliptical shaped hip implant to prevent squeaking after replacement.


Subject(s)
Hip Prosthesis , Humans , Finite Element Analysis , Cross-Sectional Studies , Alloys
8.
Biomed Phys Eng Express ; 9(3)2023 03 01.
Article in English | MEDLINE | ID: mdl-36716460

ABSTRACT

The hip joint helps the upper body to transfer its weight to lower body. Along with age, there are various reasons for the degeneration of the hip joint. The artificial hip implant replaces the degenerated hip. Wear between the joints is the primary cause of the hip implant becoming loose. The wear can occur due to various reasons. Due to this revision surgery are most common in young and active patients. In the design phase of the implant if this is taken care then life expectancy of the implant can be improved. Small design changes can significantly enhance the implant's life. In this work, elliptical-shaped hip implant stem is designed, and linear wear is estimated at trunnion junction. In this work, a 28 mm diameter femoral head with a 4 mm thick acetabular cup and a 2 mm thick backing cup is used. The top surface taper radiuses are changed. Solid works was used to create the models. Ansys was used to perform the analysis. It was found that as the radius of the TTR decreased, the wear rate decreased. The least wear rate was found in 12/14 mm taper with a value of 1.15E-02mm year-1for the first material combination and with a value of 1.23E-02mm year-1for the second material combination. In the comparison between the models with 1 mm chamfer and no chamfer, it was found that the wear rate was lower for the models with 1 mm chamfer. When the chamfer was increased (more than 1 mm), the linear wear increased. Wear is the main reason for the loosening of hip implants, which leads to a revision of an implant. It was found that with a decrease in TTR, there was a small increase in the linear wear rate. Overall, the implant with TTR 6 mm and a chamfer of 1 mm was found to have the least wear rate. To validate these results, the implant can be 3D printed and tested on a hip simulator.


Subject(s)
Arthroplasty, Replacement, Hip , Hip Prosthesis , Humans , Finite Element Analysis , Prosthesis Design , Prosthesis Failure
9.
F1000Res ; 12: 559, 2023.
Article in English | MEDLINE | ID: mdl-38813349

ABSTRACT

Background: Two-wheeled vehicles are the major mode of transportation in India. Such vehicles are exposed to excessive vibration on the road when compared to four-wheeled vehicles. However, the research on the reduction of whole body vibration in the case of two-wheelers is not explored in detail. The present study predicts rider comfort in the case of an electric two-wheeler as per ISO 2631-1, by obtaining the finding the weighted acceleration at the strategic locations of vibration at the test rig. Methods: An electric two-wheeler test rig is used in the study. The values of acceleration from the test rig in running conditions are obtained by using NI LabVIEW 2019. The drive cycle of the electric vehicle (EV) test rig is controlled by Sync sols' EV lab software. Obtaining the weighted root mean square (RMS) acceleration from running the test setup, it is compared with the ISO 2631-1 standard to obtain the rider comfort. Results: Loading area, traction motor, base mount, and suspension were found to be the strategic points of vibration. Frequency weighted RMS acceleration of 0.3 to 0.4 m/s 2 obtained at these points are prone to cause discomfort for the rider. Vehicle speed, road profile, and duration of exposure were found to be important parameters affecting the rider's comfort. A maximum of 4.6 m/s 2 amplitude was observed. The loading area, which corresponds to a rider's seat in actual vehicle, is important and reduction of these vibrations make the ride comfortable for the rider. Suspension and base mount of the test rig are found to be uncomfortable observing the weighted RMS acceleration. Conclusions: A suitable damping technique design is very much essential in reducing these vibrations and improve the rider comfort, as many more non-deterministic vibrations are prone to cause dis-comfort in case of actual on road riding conditions.

10.
Comput Methods Programs Biomed ; 214: 106538, 2022 Feb.
Article in English | MEDLINE | ID: mdl-34848078

ABSTRACT

BACKGROUND AND OBJECTIVE: Neonates are preferential nasal breathers up to 3 months of age. The nasal anatomy in neonates and infants is at developing stages whereas the adult nasal cavities are fully grown which implies that the study of airflow dynamics in the neonates and infants are significant. In the present study, the nasal airways of the neonate, infant and adult are anatomically compared and their airflow patterns are investigated. METHODS: Computational Fluid Dynamics (CFD) approach is used to simulate the airflow in a neonate, an infant and an adult in sedentary breathing conditions. The healthy CT scans are segmented using MIMICS 21.0 (Materialise, Ann arbor, MI). The patient-specific 3D airway models are analyzed for low Reynolds number flow using ANSYS FLUENT 2020 R2. The applicability of the Grid Convergence Index (GCI) for polyhedral mesh adopted in this work is also verified. RESULTS: This study shows that the inferior meatus of neonates accounted for only 15% of the total airflow. This was in contrast to the infants and adults who experienced 49 and 31% of airflow at the inferior meatus region. Superior meatus experienced 25% of total flow which is more than normal for the neonate. The highest velocity of 1.8, 2.6 and 3.7 m/s was observed at the nasal valve region for neonates, infants and adults, respectively. The anterior portion of the nasal cavity experienced maximum wall shear stress with average values of 0.48, 0.25 and 0.58 Pa for the neonates, infants and adults. CONCLUSIONS: The neonates have an underdeveloped nasal cavity which significantly affects their airway distribution. The absence of inferior meatus in the neonates has limited the flow through the inferior regions and resulted in uneven flow distribution.


Subject(s)
Hydrodynamics , Nasal Cavity , Computer Simulation , Humans , Infant, Newborn , Nasal Cavity/diagnostic imaging , Stress, Mechanical , Tomography, X-Ray Computed
11.
Comput Methods Programs Biomed ; 210: 106378, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34507083

ABSTRACT

BACKGROUND AND OBJECTIVE: The bladder receives the urine from the kidney and ureter. The series of peristaltic waves facilitate urine transport to the bladder. The peristaltic flow in the ureter is associated with fluid trapping and material reflux, which may cause an increase in bladder pressure. It is difficult to visualize the complex peristalsis phenomenon, in the ureter using image and radiography experiments. A numerical simulation will help in the understanding of urine bolus formation and its effect on the ureter wall. METHODS: A three-dimensional computational fluid dynamic analysis is carried out to understand the flow physics associated with bolus formation and the effect of reflux on the ureter. ANSYS-CFX, a commercially available computational dynamics package is used to simulate the peristalsis. A single sinusoidal peristaltic wave traveling along a circular tube will yield the velocity, pressure, wall shear stress distributions inside the ureter. RESULTS: The propagation of the peristaltic wave results in the backflow of urine near the inlet at the beginning of the flow. As the wave propagates towards the outlet, the flow rate decreases. It is observed that pressure distribution along the ureter axis will deteriorate towards the outlet. The contraction produces a very high-pressure gradient which causes the urine backflow. The trapping and the bolus formation cause a significant rise in bolus pressure, simultaneously developing negative pressure at the contraction neck. CONCLUSIONS: The effect of peristalsis on the ureter biofluid dynamic behavior of the ureter is visualized in this study. It is established that the peristaltic contraction results in high-pressure formation at the bolus and negative pressure at the neck. It was found to be a maximum of 1.1 Pa at the bolus center and -1.13 Pa at the neck region. At the ureter pelvis junction, a higher wall shear of 0.095 Pa is observed as the wave starts to propagate. The velocity vectors show that the trapping of urine causes reflux and results in an adverse pressure gradient near the wall. A maximum pressure gradient of 485 Pa/meter was observed at the contraction of the ureter wall.


Subject(s)
Peristalsis , Ureter , Computer Simulation , Pressure , Stress, Mechanical , Ureter/diagnostic imaging
12.
Comput Methods Programs Biomed ; 208: 106273, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34284197

ABSTRACT

BACKGROUND AND OBJECTIVE: Total hip arthroplasty is known as one of the best advancements in orthopedics in the 20th century. Due to age or trauma hip joint has to replace by an artificial implant. After the hip arthroplasty, the patients can return to normal day-to-day activities with a normal range of motion. There are several types and designs are currently available. These designs usually depend upon the anatomy of the patients. There is a need for revision surgery due to dislocation and aseptic loosening in these joints over time in actively younger patients. Minor changes in the design stage can certainly improve the life expectancy of the implant and will also further reduce the revision rate. METHODS: In this current work, finite element analysis is carried out by varying the neck length with a change in femoral head size for a circular-shaped stem. The effects of using a shorter neck are analyzed. A total of nine combinations are considered for analysis. Modeling is carried out in CATIA V-6 and analysis is performed in ANSYS R-19. A femoral head of 36, 40, and 44 mm and taper neck length of 18, 16, and 14 mm is considered. CoPE is considered as the material combination for all the models. RESULTS: It was observed that the von Mises stresses in the complete implant tend to decrease with an increase in the femoral head size. Maximum 5% variation in stress values when 36 mm femoral head is compared with 44 mm. The stresses in the taper neck region tend to decrease with a decrease in the neck length. Minimum von Mises stress of 161.83 MPa was found for the complete implant and in the head-neck region, a minimum von Mises stress found 91.9 MPa. CONCLUSIONS: Performance evaluation of hip implant under static loading conditions gives a clear idea about the behavior of implant. It was found that a decrease in the von Mises stresses with a decrease in the taper length. However, these variations won't affect much in the performance of the hip implant. Also, a reduction in taper length can significantly increase the dislocation in the implant. So it is advised to consider the optimal taper length with an increase in the femoral head size.


Subject(s)
Arthroplasty, Replacement, Hip , Hip Prosthesis , Femur Head/diagnostic imaging , Femur Head/surgery , Finite Element Analysis , Humans , Stress, Mechanical
13.
Comput Methods Programs Biomed ; 196: 105597, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32574903

ABSTRACT

BACKGROUND AND OBJECTIVE: The hip joint is the vital joint that is responsible for the bodyweight transfer from the upper body to the lower body. Due to age these joints are worn out and need to be replaced by artificial hip implants. Wear is the predominant factor that is responsible for the loosening of hip implants. The wear occurs between the joints due to various reasons. The wear estimation at the design stage gives a clear idea about the life of the implants and also minor changes in the design may also significantly increase the life expectancy of the implant which can further reduce the rate of revision surgery. The linear wear rate is estimated in the taper trunnion surface. METHODS: In this study, the circular and trapezoidal-shaped stem implant is designed, and wear studies are performed at the trunnion junction. The femoral head of size 28 mm, acetabular cup thickness of 4 mm, and a backing cup of thickness 2 mm are considered for the study. The neck taper radiuses at the top surface are altered. Ansys is used to perform the simulations. RESULTS: At the time of assembly of the femoral head into the stem, the stresses were found to be increasing with an increase in the top surface radius of the neck taper junctions. However, when the walking conditions are considered for wear estimation of implants the circular implants with the 12/14 mm taper exhibited the lesser linear wear rate of 0.003 mm/year. The trapezoidal implants with the 10/14 mm taper exhibited a lesser linear wear rate of 0.032 mm/year. CONCLUSIONS: Wear is an important parameter that leads to the revision of implants due to loosening. It is found that with the decrease in the taper radius at the top surface against the standard 12/14 mm taper there is no significant decrease in the wear rate at the taper junction. Overall the circular implants exhibited less wear rate results over the trapezoidal-shaped stem implants. Due to the less linear wear rate, the circular implant has a higher life over the trapezoidal-shaped implant. Further, these implants can be manufactured to test using a hip simulator with the same conditions to validate the obtained results.


Subject(s)
Arthroplasty, Replacement, Hip , Hip Prosthesis , Finite Element Analysis , Humans , Prosthesis Design , Prosthesis Failure , Radius
14.
Case Rep Dent ; 2020: 9735074, 2020.
Article in English | MEDLINE | ID: mdl-32015918

ABSTRACT

INTRODUCTION: The interdental papilla may be lost or reduced in height, forming black triangles due to various reasons, which gives an unaesthetic appearance when the patient smiles. Various noninvasive and invasive techniques have been used to augment/reconstruct the interdental papilla, to reclaim the pink triangle. The most satisfactory and natural appearance can be obtained by augmenting or reconstructing the lost papilla as the pink esthetics is as important as the white esthetics. CASES: Two female patients and 1 male patient reported to the dental department with the complaint of a small black gap in the gum area between their upper front teeth since 6 months and 1 year, respectively. On examination, the interdental papillae in all three cases were classified as class 1 (Nordland and Tarnow's). The interdental papilla was augmented surgically by using three different approaches in each case. RESULT AND CONCLUSION: Postoperatively and after 1-month follow-up, there was a complete fill of the interdental area by the interdental papilla normal (Nordland and Tarnow's). As a result, the black triangle was successfully converted into a natural pink triangle in all three cases.

16.
Article in English | WPRIM (Western Pacific) | ID: wpr-875803

ABSTRACT

@#Introduction: Coronary stents are metallic tubular mesh like structure used to maintain patency of clogged coronary artery. When inflated using an external inflating device, these implants provide passage for free flow of oxygenated blood to heart muscles. One of the factor influencing the effectiveness of these devices is its geometrical structure, particularly the placement of links between stent crowns. Methods: In this numerical investigation, two commercially available stents are realistically modelled and idealized geometries are used for investigating the effects of link placement on stress distribution and displacement pattern. Results: Results suggest that non-connected stent crowns are prone to open up, resulting in high stress gradient and non-uniform displacement pattern on artery. Investigation on modified design demonstrates that stress and displacement pattern is greatly improved upon proper placement of links between stent cells. Conclusion: The investigation emphasizes the idea of having closed cell stent design for favourable stress and displacement pattern on arterial surface and better bending capabilities.

17.
Heliyon ; 5(6): e01767, 2019 Jun.
Article in English | MEDLINE | ID: mdl-31245635

ABSTRACT

BACKGROUND: The Hip joint is the primary joint which gives stability to the human body. The wear and tear associated with age and other factors, require these joints to be replaced by implants using hip arthroplasty surgeries. Cobalt chromium alloy (CoCr), titanium alloy, stainless steel are some of the most common hip joint materials used for hip implants. The design requirement for hip joint implants are very stringent to avoid revision joint surgeries due to aseptic loosening. There are various choices in shapes and materials used for stem and acetabular designs. This makes it more difficult to make an informed decision on the type of design and material that can be used for hip implants. METHODS: Circular, Oval, ellipse and trapezoidal designs with three individual cross sections (defined as profile 1, profile 2 and profile 3) are considered for the study. All models are modeled using CATIA V-6. Static structural analysis is performed using ANSYS R-19 to arrive at the best possible design and material combination for stem and acetabular cup. RESULTS: It was found that, profile 2 of all the four designs has the lowest possible deformation and von Mises stress when compared to profile 1 and profile 2. In general, profile 2 with trapezoidal stem has best outcomes in terms of its mechanical properties. Besides, stem designed with material CoCr and its associated acetabular cup with CoC (ceramic on ceramic) material can produce an implant having better properties and longer durability. CONCLUSIONS: CoCr was found to be the preferred choice of material for stem design. It was also observed that, irrespective of material considered for the analysis profile 2 with trapezoidal stem showcased lesser deformation and von Mises stress over the other eleven models. For analysis involving acetabular cups, CoC implants exhibited better mechanical properties over the conventional CoPE (Ceramic on polyethylene) materials such as Ultra-high molecular weight polyethylene (UHMWPE). It is inferred from the findings of this study that, the profile 2 with trapezoidal stem design made of CoCr material and acetabular cup made of CoC material is best suited for hip joint implants.

18.
Prostate Cancer Prostatic Dis ; 21(1): 78-84, 2018 04.
Article in English | MEDLINE | ID: mdl-29158509

ABSTRACT

BACKGROUND: Deciding when to biopsy a man with non-suspicious DRE findings and tPSA in the 4-10 ng/ml range can be challenging, because two-thirds of such biopsies are typically found to be benign. The Prostate Health Index (phi) exhibits significantly improved diagnostic accuracy for prostate cancer detection when compared to tPSA and %fPSA, however only one published study to date has investigated its impact on biopsy decisions in clinical practice. METHODS: An IRB approved observational study was conducted at four large urology group practices using a physician reported two-part questionnaire. Physician recommendations were recorded before and after receiving the phi test result. A historical control group was queried from each site's electronic medical records for eligible men who were seen by the same participating urologists prior to the implementation of the phi test in their practice. 506 men receiving a phi test were prospectively enrolled and 683 men were identified for the historical control group (without phi). Biopsy and pathological findings were also recorded for both groups. RESULTS: Men receiving a phi test showed a significant reduction in biopsy procedures performed when compared to the historical control group (36.4% vs. 60.3%, respectively, P < 0.0001). Based on questionnaire responses, the phi score impacted the physician's patient management plan in 73% of cases, including biopsy deferrals when the phi score was low, and decisions to perform biopsies when the phi score indicated an intermediate or high probability of prostate cancer (phi ≥36). CONCLUSIONS: phi testing significantly impacted the physician's biopsy decision for men with tPSA in the 4-10 ng/ml range and non-suspicious DRE findings. Appropriate utilization of phi resulted in a significant reduction in biopsy procedures performed compared to historical patients seen by the same participating urologists who would have met enrollment eligibility but did not receive a phi test.


Subject(s)
Biopsy , Prostate-Specific Antigen/metabolism , Prostate/pathology , Prostatic Neoplasms/diagnosis , Aged , Decision Making , Humans , Male , Middle Aged , Predictive Value of Tests , Prostate/metabolism , Prostatic Neoplasms/genetics , Prostatic Neoplasms/pathology , Surveys and Questionnaires , Urology/trends
20.
Pharmazie ; 57(4): 256-60, 2002 Apr.
Article in English | MEDLINE | ID: mdl-11998446

ABSTRACT

The objective of this investigation was to develop a bleomycin depot based on monolithic microparticulate technology to suppress tumour growth and to maintain constant plasma drug concentrations within an optimal therapeutic window over a prolonged period of time. Formulations were optimized with biodegradable poly-epsilon-carpolactone and evaluated in vitro for physicochemical characteristics, drug release in phosphate buffered saline (pH 7.4) and evaluated in vivo in tumour bearing mice. This investigation revealed that upon subcutaneous injection, the biodegradable depot-forming poly-epsilon-carpolactone microspheres controlled drug release and suppressed tumour growth kinetics significantly compared to control. A preliminary pharmacokinetic evaluation exhibited steady plasma drug concentrations during the study period. This formulation with its reduced frequency of administration and better control of drug disposition is expected to provide an economic benefit to the user compared with products currently available for chemotherapy.


Subject(s)
Antibiotics, Antineoplastic/administration & dosage , Bleomycin/administration & dosage , Caproates/chemistry , Lactones/chemistry , Melanoma, Experimental/drug therapy , Animals , Antibiotics, Antineoplastic/pharmacokinetics , Antibiotics, Antineoplastic/therapeutic use , Bleomycin/pharmacokinetics , Bleomycin/therapeutic use , Chemical Phenomena , Chemistry, Physical , Delayed-Action Preparations , Drug Compounding , Mice , Mice, Inbred C57BL , Microspheres , Particle Size , Solubility
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