Minimally invasive sagittal osteotomy-technical note.

This article describes a novel minimally invasive technique for bilateral sagittal split osteotomy (BSSO) that aims to reduce surgical trauma while maintaining bone overlap and rigid internal fixation for proper consolidation of the bone segments. The technique involves a small vestibular mucoperiosteal incision made on the lateral aspect of the mandible between the first and second molars, enabling a standard ramus split, surgical segment movement, and miniplate fixation. A retrospective evaluation of 67 consecutive patients who underwent BSSO using this protocol showed favorable split of the mandible with no unfavorable splits or non-union. Patients were discharged from hospital within an average of 17 h with minimal postoperative complications. This technique provides good surgical visualization with a very small incision and allows standard BSSO surgery without difficulty.

Low Concentrations of Gold Nanoparticles as Electric Charge Carriers in Piezoelectric Cement-Based Materials.

Piezoelectric cement-based composites could serve to monitor the strain state of structural elements or act as self-powered materials in structural health monitoring (SHM) applications. The incorporation of piezoelectric materials as an active phase within cement matrices has presented a highly attractive avenue until today. However, their application is challenged by the low electrical conductivity of the hydrated cement matrix. Gold nanoparticles (Au NPs) possess substantial potential for elevating the free electrical charge within the matrix, increasing its electrical conductivity between the Au NPs and the cement matrix, thereby enhancing the piezoelectric response of the composite. In this sense, the objective of this study is to investigate the effects of incorporating low concentrations of gold nanoparticles (Au NPs) (442 and 658 ppm) on the electrical and piezoelectric properties of cement-based composites. Additionally, this study considers the effects of such properties when the material is cured under a constant electric field. Electrical impedance spectroscopy was used to evaluate the polarization resistance and piezoresistive properties of the material. Additionally, open-circuit potential measurements were taken alongside the application of mechanical loads to assess the piezoelectric activity of the composites. The findings revealed a notable decrease in the composite's total electrical resistance, reaching a value of 1.5 ± 0.2 kΩ, almost four times lower than the reference specimens. In the realm of piezoelectricity, the piezoelectric voltage parameter g33 exhibited a remarkable advancement, improving by a factor of 57 when compared to reference specimens. This significant enhancement can be attributed to both the concentration of Au NPs and the electrical curing process. In summary, the outcomes of this study underscore the feasibility of creating a highly electrically conductive cement-based matrix, using low concentrations of gold nanoparticles as electric charge carries, and indicate the possible piezoelectric behavior of the studied compposite.

Dynamically guided transantral piezoelectric endodontic microsurgery: A case report with technical considerations.

AIM: Endodontic microsurgery (EMS) of maxillary molars may represent a complex challenge to the clinician due to the location of the roots and the proximity of the maxillary sinus floor. This report aimed to describe the simultaneous use of a computer-assisted dynamic navigation (C-ADN) system and piezoelectric bony-window osteotomy for the transantral microsurgical approach of a maxillary left first molar with adequate root canal filling and symptomatic apical periodontitis. SUMMARY: This case report highlights the importance of C-ADN to carry out a minimally invasive buccal surgical access to palatal roots affected by apical periodontitis and provides a practical example to help clinicians make treatment decisions based on the available evidence. Clinical and tomographic evaluations were performed before the surgical procedure and at 24-month follow-up. This case was treated using a C-ADN system fitted to a piezotome for the buccal approach of the buccal roots, maxillary sinus membrane lifting, and for transantral location, root-end resection, cavity preparation, and filling of the palatal root. The navigation system allowed to achieve an accurate apical canal terminus location and root-end filling of the three roots with a minimally invasive piezoelectric crypt approach. At the 24-month follow-up examination, the patient remains asymptomatic, with normal periapical structures, and regeneration of maxillary sinus walls. It was concluded that the combination of dynamic navigation with piezoelectric bony-window osteotomy offers enhanced accuracy, tissue preservation, diminished risk of iatrogenic complications, and could maximize success and survival rates in transantral EMS.

Modeling of Ammunition Dynamic Pressure Measurement Chain in Ballistic Tests.

The use of piezoelectric transducers for internal dynamic pressure measurements in ammunition testing provides a significant advantage in the development and performance analysis of weapons and ammunition. Knowledge of the electrical characteristics of the dynamic pressure measurement chain, which includes the piezoelectric transducer and the charge amplifier, is a relevant condition for the design of interior ballistics pressure measurement systems. Thus, this study aims to characterize and model a piezoelectric transducer and its associated charge amplifier. First, the piezoelectric transducer was characterized using impedance analysis and modeled using a least squares curve-fitting tool, according to the Butterworth-Van Dyke model. Next, the charge amplifier was characterized through response analysis based on known inputs and modeled using LTSpice simulation techniques and the least squares curve-fit tool. Consequently, a measurement chain model is presented and simulated for two cases with different impulse signals. The first impulse signal was obtained from an interior ballistics computer simulation, and in the second case, it was considered the negative step signal characteristic of the calibration of piezoelectric transducers by means of dead weight. From the simulations, it was possible to verify the effectiveness of the model, which provided results with a low error in relation to the original pressure curve, and its applicability is demonstrated by the result of the simulation of the pressure variation in the calibration, where the attenuation of the signal can be visualized as the characteristic of the input curve changes.

ß-Phase Enhancement of Force Spun Composite Nanofibers for Sensing Applications.

In this study, a piezoelectric harvesting device was developed using polyvinylidene fluoride (PVDF) nanofibers reinforced with either BaTiO3 nanoparticles or graphene powder. BaTiO3 nanoparticles were synthesized through the sol-gel method with an average size of approximately 32 nm. The PVDF nanofibers, along with the nanoparticle composites in an acetone-N,N-dimethylformamide mixture, were produced using a centrifugal Forcespinning™ machine, resulting in a heterogeneous arrangement of fiber meshes, with an average diameter of 1.6 µm. Experimental tests revealed that the electrical performance of the fabricated harvester reached a maximum value of 35.8 Voc, demonstrating the potential of BaTiO3/ PVDF-based piezoelectric devices for designing wearable applications such as body-sensing and energy-harvesting devices.

Additive Manufactured Piezoelectric-Driven Miniature Gripper.

In several cases, it is desirable to have prototypes of low-cost fabrication and adequate performance. In academic laboratories and industries, miniature and microgrippers can be very useful for observations and the analysis of small objects. Piezoelectrically actuated microgrippers, commonly fabricated with aluminum, and with micrometer stroke or displacement, have been considered as Microelectromechanical Systems (MEMS). Recently, additive manufacture using several polymers has also been used for the fabrication of miniature grippers. This work focuses on the design of a piezoelectric-driven miniature gripper, additive manufactured with polylactic acid (PLA), which was modeled using a pseudo rigid body model (PRBM). It was also numerically and experimentally characterized with an acceptable level of approximation. The piezoelectric stack is composed of widely available buzzers. The aperture between the jaws allows it to hold objects with diameters lower than 500 µm, and weights lower than 1.4 g, such as the strands of some plants, salt grains, metal wires, etc. The novelty of this work is given by the miniature gripper's simple design, as well as the low-cost of the materials and the fabrication process used. In addition, the initial aperture of the jaws can be adjusted, by adhering the metal tips in the required position.

Method for fabricating self-powered cement sensors based on gold nanoparticles.

Nowadays, cement industry researchers are working hard to develop cement sensors based on nanocomposites because they can be used to develop intelligent and sustainable civil structures, self-powered, self-healing, or self-monitoring. In this light, this paper shows a methodology to obtain piezoelectric cement sensors, which produce enough energy not to require an external power source in sensing-strain applications. Mainly, two proposed experimental procedures increased the piezoelectric properties of these cement-based composites: add gold nanoparticles in the proper concentrations and apply a constant electric field during the curing stage. Firstly, the gold nanoparticles were obtained through a pulsed laser ablation system, and their particle size distribution was measured with a particle analyzer Litesizer 500 from Anton Paar, and their morphology was corroborated using a scanning electron microscope. Two concentrations (442 ppm and 658 ppm) of gold nanoparticles were obtained by changing the total ablation time. Next, we fabricated the cement sensors as described by ASTM standards C39-C39M. Hence, the cement was hand mixed with a water-to-cement ratio (w/c) of 0.47 for then poured on cylindrical molds saving the proportions recommended by the ASTM standard; in this stage, the gold nanoparticles were already part of the water ratio. Then, the cement sensors were cured under an external electric field and dried for 24 hours more in an oven to be finally ready for electromechanical characterization. Meanwhile, the electric response in altern current and the piezoelectric behavior were corroborated through electrical impedance spectroscopy and open circuit potential measurements, respectively. The piezoelectric behavior was obtained when a compressive strength was applied to the sensor, and the generated voltage was simultaneously measured. Finally, the electrical and mechanical characterization measurements were processed and analyzed using Python scripts.•The particle size and the families amount of Au NPs are affected by the ablation time.•The correct proportion of Au NPs increases the inherent piezoelectricity of cement paste.•The piezoelectric response can be addressed by coupling electric and mechanical tests.

MXene-Based Nanocomposites for Piezoelectric and Triboelectric Energy Harvesting Applications.

Due to its superior advantages in terms of electronegativity, metallic conductivity, mechanical flexibility, customizable surface chemistry, etc., 2D MXenes for nanogenerators have demonstrated significant progress. In order to push scientific design strategies for the practical application of nanogenerators from the viewpoints of the basic aspect and recent advancements, this systematic review covers the most recent developments of MXenes for nanogenerators in its first section. In the second section, the importance of renewable energy and an introduction to nanogenerators, major classifications, and their working principles are discussed. At the end of this section, various materials used for energy harvesting and frequent combos of MXene with other active materials are described in detail together with the essential framework of nanogenerators. In the third, fourth, and fifth sections, the materials used for nanogenerators, MXene synthesis along with its properties, and MXene nanocomposites with polymeric materials are discussed in detail with the recent progress and challenges for their use in nanogenerator applications. In the sixth section, a thorough discussion of the design strategies and internal improvement mechanisms of MXenes and the composite materials for nanogenerators with 3D printing technologies are presented. Finally, we summarize the key points discussed throughout this review and discuss some thoughts on potential approaches for nanocomposite materials based on MXenes that could be used in nanogenerators for better performance.

Stress-Charge Nonlinear Physical Description and Tensor Symmetries for Piezoelectric Materials.

Nonlinear piezoelectric materials are raised as a great replacement for devices that require low power consumption, high sensitivity, and accurate transduction, fitting with the demanding requirements of new technologies such as the Fifth-Generation of telecommunications (5G), the Internet of Things (IoT), and modern radio frequency (RF) applications. In this work, the state equations that correctly predict the nonlinear piezoelectric phenomena observed experimentally are presented. Furthermore, we developed a fast methodology to implement the state equations in the main FEM simulation software, allowing an easy design and characterization of this type of device, as the symmetry structures for high-order tensors are shown and explained. The operation regime of each high-order tensor is discussed and connected with the main nonlinear phenomena reported in the literature. Finally, to demonstrate our theoretical deductions, we used the experimental measurements, which presented the nonlinear effects, which were reproduced through simulations, obtaining maximum percent errors for the effective elasticity constants, relative effective permittivity, and resonance frequencies of 0.79%, 2.9%, and 0.3%, respectively, giving a proof of the potential of the nonlinear state equations presented for the unifying of all nonlinear phenomena observed in the piezoelectric devices.

Piezoelectric signals of HAp and collagen with different glucose concentrations: A method for diabetes detection.

Piezoelectric signals were obtained from samples based on hydroxyapatite (HAp) and collagen (C) containing different glucose (G) concentrations. HAp was obtained by coprecipitation using Ca2+ and HPO42- as precursor ions in solution. C and G were added at the beginning of the coprecipitation method during the HAp growth. The presence of glucose in HAp and collagen samples drastically reduces the voltage amplitudes and considerably increases the relaxation times of the piezoelectric signals. HAp and collagen are the main constituents of bone, muscle, etc., then, it is possible to use piezoelectric technology for local and early detection of high glucose concentrations: small pressures applied by electrodes or by actuators placed in appropriate places on the body to establish a background concentration and, from this, to determine regions of the body with high local glucose concentrations: weak signals and large relaxation times are associated with a diminishing in the sensitivity, and are indicative of the presence of regions of abnormally high glucose concentrations.

Development of a Pavement-Embedded Piezoelectric Harvester in a Real Traffic Environment.

Road pavements are spread over large areas and convey various possibilities for energy sources such as high thermal gradients due to their materials and colors, wind corridors, large flat areas for solar harvesting, and heavy loading from traffic. The latest advances in road energy generation have been discretely implemented and have mainly focused on photovoltaic surface applications; other studies have explored the use of piezoelectric transducers with high stresses for better energy-production performance but limited life span. This study explores the stresses on pavement surfaces from traffic loading shockwaves that yield to the natural frequency vibration a piezoelectric harvester using a cantilever array. The passing vehicles triggered 16 piezoelectric sensors divided into four embedded steel profiles. The peak electrical power obtained in the experiment was 55.6 µW with a single transducer using a tip mass of 16 g. The proposed harvester demonstrated potential for applications in micro-generation of energy with limited infrastructure modification and high endurance under traffic loading over time. Its generation capacity is around 50 mWh a month with 16 piezoelectric cantilevers installed (for a commercial traffic volume of 1500 vehicles a day), enough to power a 200 m flashing LED raised marker strip to guide drivers for lane alignment during night shifts.

Relationship between the Synthesis Method and the Magnetoelectric Properties of Bismuth Sodium-Potassium Titanate/Nickel Cobalt Ferrite Lead-Free Composites.

In this work, the influence of the synthesis methods of piezoelectric and magnetostrictive phases on the final properties of the Bi0.5(Na0.8K0.2)0.5TiO3-Ni0.5Co0.5Fe2O4 composites was studied. Different routes were used to individually synthesize each phase, and the composites were prepared using different fractions for each phase. Composites were sintered, and the structural, microstructural, dielectric, and magnetoelectric properties were evaluated. According to the selected synthesis method employed for each phase, different particle sizes and reactivities of the individual phases were obtained. These differences determined the suitable sintering temperature for each set of composites and were responsible for the final properties. In fact, magnetoelectric properties were modulated by the combination of composition and synthesis routes.

Macro Fiber Composite-Actuated Soft Robotic Fish: A Gray Box Model-Predictive Motion Planning Strategy Under Limited Actuation.

This work experimentally investigates a model-predictive motion planning strategy to impose oscillatory and undulation movements in a macro fiber composite (MFC)-actuated robotic fish. Most of the results in this field exploit sinusoidal input signals at the resonance frequency, which reduces the device's maneuverability. Differently, this work uses body/caudal fin locomotion patterns as references in a motion planning strategy formulated as a model-based predictive control (MPC) scheme. This open-loop scheme requires the modeling of the device, which is accomplished by deriving a gray box state-space model using experimental modal data. This state-space model considers the electromechanical coupling of the actuators. Based on the references and the model, the MPC scheme derives the input signals for the MFC actuators. An experimental campaign is carried out to verify two references for mimicking the locomotion patterns of a fish under limited actuation. The experimental results confirm the motion planning scheme's capability to impose oscillatory and undulation movements.

Flood Detection in Steel Tubes Using Guided Wave Energy Leakage.

A study that evaluated the use of ultrasonic-guided waves to detect water in hollow pipes is presented. In this work, a guided wave system employed a 40 kHz piezoelectric (PZT) transmitter and a PZT ultrasound transducer. The transmitter was based on a battery-operated microcontroller, and the receiver was composed of a digital signal processor (DSP) module connected to a PC via a USB for monitoring purposes. The transmitter and receiver were attached, non-intrusively without perfect alignment, to the external wall of a steel tube 1 m × 270 mm × 2 mm in size. Flood detection was performed based on guided wave attenuation due to energy leakage from the internal steel wall of the tube to water. Two approaches were carried out. The former was an off-line signal response based on the wavelet energy entropy analysis of a received pulse; the latter was a real-time hit-and-miss analysis centered on measuring the time-space in-between two transmitted pulses. Experiments performed in the laboratory successfully identified flooded tubes.

Triboelectric and Piezoelectric Nanogenerators for Self-Powered Healthcare Monitoring Devices: Operating Principles, Challenges, and Perspectives.

The internet of medical things (IoMT) is used for the acquisition, processing, transmission, and storage of medical data of patients. The medical information of each patient can be monitored by hospitals, family members, or medical centers, providing real-time data on the health condition of patients. However, the IoMT requires monitoring healthcare devices with features such as being lightweight, having a long lifetime, wearability, flexibility, safe behavior, and a stable electrical performance. For the continuous monitoring of the medical signals of patients, these devices need energy sources with a long lifetime and stable response. For this challenge, conventional batteries have disadvantages due to their limited-service time, considerable weight, and toxic materials. A replacement alternative to conventional batteries can be achieved for piezoelectric and triboelectric nanogenerators. These nanogenerators can convert green energy from various environmental sources (e.g., biomechanical energy, wind, and mechanical vibrations) into electrical energy. Generally, these nanogenerators have simple transduction mechanisms, uncomplicated manufacturing processes, are lightweight, have a long lifetime, and provide high output electrical performance. Thus, the piezoelectric and triboelectric nanogenerators could power future medical devices that monitor and process vital signs of patients. Herein, we review the working principle, materials, fabrication processes, and signal processing components of piezoelectric and triboelectric nanogenerators with potential medical applications. In addition, we discuss the main components and output electrical performance of various nanogenerators applied to the medical sector. Finally, the challenges and perspectives of the design, materials and fabrication process, signal processing, and reliability of nanogenerators are included.

Recent Progress of Nanogenerators for Green Energy Harvesting: Performance, Applications, and Challenges.

Natural sources of green energy include sunshine, water, biomass, geothermal heat, and wind. These energies are alternate forms of electrical energy that do not rely on fossil fuels. Green energy is environmentally benign, as it avoids the generation of greenhouse gases and pollutants. Various systems and equipment have been utilized to gather natural energy. However, most technologies need a huge amount of infrastructure and expensive equipment in order to power electronic gadgets, smart sensors, and wearable devices. Nanogenerators have recently emerged as an alternative technique for collecting energy from both natural and artificial sources, with significant benefits such as light weight, low-cost production, simple operation, easy signal processing, and low-cost materials. These nanogenerators might power electronic components and wearable devices used in a variety of applications such as telecommunications, the medical sector, the military and automotive industries, and internet of things (IoT) devices. We describe new research on the performance of nanogenerators employing several green energy acquisition processes such as piezoelectric, electromagnetic, thermoelectric, and triboelectric. Furthermore, the materials, applications, challenges, and future prospects of several nanogenerators are discussed.

The evaluation of a surgery and the short-term benefits of a new active bone conduction hearing implant - the Osia® / Avaliação da cirurgia e os benefícios a curto prazo de um novo implante auditivo de condução óssea ativa - o sistema Osia®,

Abstract Introduction Modern medicine offers a wide spectrum of different hearing devices, and bone conduction implants can be found among them. Objective The presentation of the outcomes of the implantation of a new active bone conduction hearing implant - the Osia®, and its comparison with the well-known passive transcutaneous system - the Baha® Attract. Methods Eight adult patients with bilateral mixed hearing loss were randomly divided into two groups. Group 1 was implanted with the Osia®, and group 2 was implanted with the Baha® Attract. The details of the surgery were analyzed, along with the functional and audiological results. Results In all the cases, the surgery was successful, and the healing uneventful. In both groups, it was observed that pure tone audiometry and speech audiometry in free field improved significantly after the implantation (mean gain in pure tone audiometry for the Osia group 42.8 dB SPL and for the Baha group 38.8 dB SPL). In the Osia group, the results after the surgery were much better than with the Baha® 5 Power processor on the Softband. The patients implanted with the Osia® evaluated the quality of their hearing as being superior to those implanted with the Baha® Attract. There was an evident improvement in the abbreviated profile of hearing aid benefit questionnaire and in the speech, spatial and qualities of hearing scale for both systems. In the abbreviated profile of hearing aid benefit, changes were more evident in the Osia group (in global score 49% vs. 37.2%). Conclusion Implantation of the Osia® is an effective treatment option for the patients with bilateral mixed hearing loss. The surgery is safe but more complex and time-consuming than the Baha® Attract implantation. The preliminary audiological results as well as the overall quality of life indicate that the Osia® is a better solution than the Baha® Attract. However, future studies should be carried out to make further observations in a larger group of patients, and with longer follow-up.

Resumo Introdução A medicina moderna oferece um amplo espectro de diferentes aparelhos auditivos, e implantes de condução óssea estão entre eles. Objetivo Apresentação dos resultados do uso de um novo implante auditivo de condução óssea ativa - o Osia® e sua comparação com o conhecido sistema transcutâneo passivo - o sistema Baha® Attract. Método Oito pacientes adultos com perda auditiva mista bilateral foram divididos aleatoriamente em dois grupos. O grupo 1 foi implantado com o Osia® e o grupo 2 foi implantado com o sistema Baha® Attract. Os detalhes da cirurgia foram analisados, juntamente com os resultados funcionais e audiológicos. Resultados Em todos os casos, a cirurgia foi bem-sucedida e a cicatrização ocorreu sem intercorrências. Nos dois grupos, observou-se que a audiometria de tons puros e a audiometria de fala em campo livre melhoraram significativamente após o implante (ganho médio na audiometria para tons puros para o grupo Osia® de 42,8 dB NPS e para o grupo Baha®, 38,8 dB NPS). No grupo Osia®, os resultados após a cirurgia foram muito melhores do que com o processador Baha® 5 Power no sistema SoftBand. Os pacientes implantados com o Osia® avaliaram melhor a qualidade de sua audição do que os implantados com o sistema Baha® Attract. Houve uma melhoria evidente no questionário abbreviated profile of hearing aid benefit e na escala speech, spatial and qualities of hearing, para ambos os sistemas. No questionario abbreviated profile of hearing aid benefit, as mudanças foram mais evidentes no grupo Osia® (escore global 49% vs. 37,2%). Conclusão O sistema Osia® é uma opção de tratamento eficaz para pacientes com perda auditiva mista bilateral. A cirurgia é segura, mas mais complexa e demorada que a implantação do sistema Baha® Attract. Os resultados audiológicos preliminares, bem como aqueles avaliando a qualidade de vida, indicam que o Osia® é uma alternativa melhor que o Baha® Attract. Entretanto, mais observações são necessárias em grupos maiores de pacientes e com tempo de seguimento mais longo.

Damage Classification Using Supervised Self-Organizing Maps in Structural Health Monitoring.

Improvements in computing capacity have allowed computers today to execute increasingly complex tasks. One of the main benefits of these improvements is the possibility of developing machine learning algorithms, of which the fields of application are extensive and varied. However, an area in which this type of algorithms acquires an increasing relevance is structural health monitoring (SHM), where inspection strategies and guided wave-based approaches make the evaluation of the structural conditions of an aircraft, vessel or building among others possible, by detecting and classifying existing damages. The use of sensors, data acquisition systems (DAQ) and computation has also allowed these damage detection and classification tasks to be carried out automatically. Despite today's advances, it is still necessary to continue with the development of more robust, reliable, and low-cost structural health monitoring systems. For this reason, this work contemplates three key points: (i) the configuration of a data acquisition system for signal gathering from an an active piezoelectric (PZT) sensor network; (ii) the development of a damage classification methodology based on signal processing techniques (normalization and PCA), from which the models that describe the structural conditions of the plate are built; and (iii) the use of machine learning algorithms, more specifically, three variants of the self-organizing maps called CPANN (counterpropagation artificial neural network), SKN (supervised Kohonen) and XYF (X-Y fused Kohonen). The data obtained allowed one to carry out an experimental validation of the damage classification methodology, to determine the presence of damages in two aluminum plates of different sizes, where masses were added to change the vibrational responses captured by the sensor network and a composite (CFRP) plate with real damages, such as delamination and cracks. This classification methodology allowed one to obtain excellent results by validating the usefulness of the SKN and XYF networks in damage classification tasks, showing overall accuracies of 73.75% and 72.5%, respectively, according to the cross-validation process. These percentages are higher than those obtained in comparison with other neural networks such as: kNN, discriminant analysis, classification trees, partial least square discriminant analysis, and backpropagation neural networks, when the cross-validation process was applied.

The evaluation of a surgery and the short-term benefits of a new active bone conduction hearing implant - the Osia®.

INTRODUCTION: Modern medicine offers a wide spectrum of different hearing devices, and bone conduction implants can be found among them. OBJECTIVE: The presentation of the outcomes of the implantation of a new active bone conduction hearing implant - the Osia®, and its comparison with the well-known passive transcutaneous system - the Baha® Attract. METHODS: Eight adult patients with bilateral mixed hearing loss were randomly divided into two groups. Group 1 was implanted with the Osia®, and group 2 was implanted with the Baha® Attract. The details of the surgery were analyzed, along with the functional and audiological results. RESULTS: In all the cases, the surgery was successful, and the healing uneventful. In both groups, it was observed that pure tone audiometry and speech audiometry in free field improved significantly after the implantation (mean gain in pure tone audiometry for the Osia group 42.8 dB SPL and for the Baha group 38.8 dB SPL). In the Osia group, the results after the surgery were much better than with the Baha® 5 Power processor on the Softband. The patients implanted with the Osia® evaluated the quality of their hearing as being superior to those implanted with the Baha® Attract. There was an evident improvement in the abbreviated profile of hearing aid benefit questionnaire and in the speech, spatial and qualities of hearing scale for both systems. In the abbreviated profile of hearing aid benefit, changes were more evident in the Osia group (in global score 49% vs. 37.2%). CONCLUSION: Implantation of the Osia® is an effective treatment option for the patients with bilateral mixed hearing loss. The surgery is safe but more complex and time-consuming than the Baha® Attract implantation. The preliminary audiological results as well as the overall quality of life indicate that the Osia® is a better solution than the Baha® Attract. However, future studies should be carried out to make further observations in a larger group of patients, and with longer follow-up.

In Vitro Cell Interactions on PVDF Films: Effects of Surface Morphology and Polar Phase Transition.

In recent years, several studies have validated the use of piezoelectric materials for in situ biological stimulation, opening new interesting insights for bio-electric therapies. In this work, we investigate the morphological properties of polyvinylidene fluoride (PVDF) in the form of microstructured films after temperature-driven phase transition. The work aims to investigate the correlations between morphology at micrometric (i.e., spherulite size) and sub-micrometric (i.e., phase crystallinity) scale and in vitro cell response to validate their use as bio-functional interfaces for cellular studies. Morphological analyses (SEM, AFM) enabled evidence of the peculiar spherulite-like structure and the dependence of surface properties (i.e., intra-/interdomain roughness) upon process conditions (i.e., temperature). Meanwhile, chemical (i.e., FTIR) and thermal (i.e., DSC) analyses highlighted an influence of casting temperature and polymer solution on apolar to polar phases transition, thus affecting in vitro cell response. Accordingly, in vitro tests confirmed the relationship between micro/sub-microstructural properties and hMSC response in terms of adhesion and viability, thus suggesting a promising use of PVDF films to model, in perspective, in vitro functionalities of cells under electrical stimuli upon mechanical solicitation.