RESUMEN
Natural and synthetic polymeric materials, particularly soft and hard tissue replacements, are paramount in medicine. We prepared calcium-incorporated sulfonated polyether-ether ketone (SPEEK) polymer membranes for bone applications. The bioactivity was higher after 21 days of immersion in simulated body fluid (SBF) due to calcium concentration in the membrane. We present a new biomaterial healing system composed of calcium and sulfonated polyether ether ketone (Ca-SPEEK) that can function as a successful biomaterial without causing inflammation when tested on bone marrow cells. The Ca-SPEEK exhibited 13 ± 0.5% clot with low fibrin mesh formation compared to 21 ± 0.5% in SPEEK. In addition, the Ca-SPEEK showed higher protein adsorption than SPEEK membranes. As an inflammatory response, IL-1 and TNF-α in the case of Ca-SPEEK were lower than those for SPEEK. We found an early regulation of IL-10 in the case of Ca-SPEEK at 6 h, which may be attributed to the down-regulation of the inflammatory markers IL-1 and TNF-α. These results evidence the innovative bioactivity of Ca-SPEEK with low inflammatory response, opening venues for bone applications.
Asunto(s)
Materiales Biocompatibles , Células de la Médula Ósea , Calcio , Polímeros , Factor de Necrosis Tumoral alfa , Animales , Ratones , Células de la Médula Ósea/efectos de los fármacos , Células de la Médula Ósea/metabolismo , Polímeros/química , Polímeros/farmacología , Calcio/metabolismo , Materiales Biocompatibles/química , Materiales Biocompatibles/farmacología , Factor de Necrosis Tumoral alfa/metabolismo , Benzofenonas/química , Benzofenonas/farmacología , Inflamación/tratamiento farmacológico , Polietilenglicoles/química , Polietilenglicoles/farmacología , Cetonas/química , Cetonas/farmacología , Ensayo de Materiales , Interleucina-1/metabolismo , Interleucina-10/metabolismoRESUMEN
OBJECTIVES: The aims of this study were to identify the attitude of peer tutors (PTs) toward peer-assisted learning (PAL) and to explore the perceived benefits of PAL by PTs and peer learners (PLs). DESIGN: A qualitative and quantitative research study. METHODS: This study involved fourth-year medical undergraduates during their clinical posting in ophthalmology. One PAL session was conducted in each of the 4-week clinical postings. Peer tutors were selected during the first week and were briefed on PAL. Premultiple and postmultiple choice questions were distributed to PLs before and after each PAL session. One focus group discussion was conducted with PLs to explore their perception. Peer tutors were requested to give feedback in the form of structured Likert scale statements with 2 open-ended questions. RESULTS: A total of 104 students, 6 PTs and 98 PLs, participated in this study. Both tutor and learner groups expressed positive attitudes toward PAL. Peer learners preferred having PAL in a clinical setting. There were some issues related with PAL that emerged from both groups. Success in PAL depends on the teaching ability of PTs. CONCLUSIONS: Students have positive perceptions toward PAL. Most of the students believed PAL was beneficial to them.