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  • 1. Ajalloueian, Fatemeh
    et al.
    Zeiai, Said
    Rojas, Ramiro
    Department of Chemistry, Division of Polymer Chemistry, Uppsala University, Sweden.
    Fossum, Magdalena
    Hilborn, Jöns
    One-Stage Tissue Engineering of Bladder Wall Patches for an Easy-To-Use Approach at the Surgical Table2013Inngår i: Tissue Engineering. Part C, Methods, ISSN 1937-3384, E-ISSN 1937-3392, Vol. 19, nr 9, 688-696 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    We present a method for producing a cell-scaffold hybrid construct at the bedside. The construct is composed of plastic-compressed collagen together with a poly(e-caprolactone) (PCL)-knitted mesh that yields an integrated, natural-synthetic scaffold. This construct was evaluated by seeding of minced bladder mucosa, followed by proliferation in vitro. High mechanical strength in combination with a biological environment suitable for tissue growth was achieved through the creation of a hybrid construct that showed an increased tensile strength (17.9 +/- 2.6 MPa) when compared to plastic-compressed collagen (0.6 +/- 0.12 MPa). Intimate contact between the collagen and the PCL fabric was required to ensure integrity without delamination of the construct. This contact was achieved by surface alkaline hydrolysis of the PCL, followed by adsorption of poly(vinyl) alcohol. The improvement in hydrophilicity of the PCL-knitted mesh was confirmed through water contact angle measurements, and penetration of the collagen into the mesh was evaluated by scanning electron microscopy (SEM). Particles of minced bladder mucosa tissue were seeded onto this scaffold, and the proliferation was followed for 6 weeks in vitro. Results obtained from phase contrast microscopy, SEM, and histological staining indicated that cells migrated from the minced tissue particles and reorganized on the scaffold. Cells were viable and proliferative, with morphological features characteristic of urothelial cells. Proliferation reached the point at which a multilayer with a resemblance to stratified urothelium was achieved. This successful method could potentially be used for in vivo applications in reconstructive urology as an engineered autologous tissue transplant without the requirement for in vitro culture before transplantation.

  • 2.
    Ajaxon, Ingrid
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Can Bone Void Fillers Carry Load?: Behaviour of Calcium Phosphate Cements Under Different Loading Scenarios2017Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Calcium phosphate cements (CPCs) are used as bone void fillers and as complements to hardware in fracture fixation. The aim of this thesis was to investigate the possibilities and limitations of the CPCs’ mechanical properties, and find out if these ceramic bone cements can carry application-specific loads, alone or as part of a construct. Recently developed experimental brushite and apatite cements were found to have a significantly higher strength in compression, tension and flexion compared to the commercially available CPCs chronOS™ Inject and Norian® SRS®. By using a high-resolution measurement technique the elastic moduli of the CPCs were determined and found to be at least twice as high compared to earlier measurements, and closer to cortical bone than trabecular bone. Using the same method, Poisson's ratio for pure CPCs was determined for the first time. A non-destructive porosity measurement method for wet brushite cements was developed, and subsequently used to study the porosity increase during in vitro degradation. The compressive strength of the experimental brushite cement was still higher than that of trabecular bone after 25 weeks of degradation, showing that the cement can carry high loads over a time span sufficiently long for a fracture to heal. This thesis also presents the first ever fatigue results for acidic CPCs, and confirms the importance of testing the materials under cyclic loading as the cements may fail at stress levels much lower than the material’s quasi-static compressive strength. A decrease in fatigue life was found for brushite cements containing higher amounts of monetite. Increasing porosity and testing in a physiological buffer solution (PBS), rather than air, also decreased the fatigue life. However, the experimental brushite cement had a high probability of surviving loads found in the spine when tested in PBS, which has previously never been accomplished for acidic CPCs. In conclusion, available brushite cements may be able to carry the load alone in scenarios where the cortical shell is intact, the loading is mainly compressive, and the expected maximum stress is below 10 MPa. Under such circumstances this CPC may be the preferred choice over less biocompatible and non-degradable materials.

  • 3.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Acciaioli, Alice
    Istituto Ortopedico Rizzoli, Laboratorio di Tecnologia Medica.
    Lionello, Giacomo
    Istituto Ortopedico Rizzoli, Laboratorio di Tecnologia Medica.
    Ginebra, Maria-Pau
    Biomaterials, Biomechanics and Tissue Engineering Group, Dept. of Materials Science and Metallurgy, Technical University of Catalonia (UPC).
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Baleani, Massimilliano
    Istituto Ortopedico Rizzoli, Laboratorio di Tecnologia Medica.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Elastic properties and strain-to-crack-initation of calcium phosphate bone cements: Revelations of a high-resolution measurement technique2017Inngår i: Journal of The Mechanical Behavior of Biomedical Materials, ISSN 1751-6161, E-ISSN 1878-0180, Vol. 74, 428-437 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Calcium phosphate cements (CPCs) should ideally have mechanical properties similar to those of the bone tissue the material is used to replace or repair. Usually, the compressive strength of the CPCs is reported and, more rarely, the elastic modulus. Conversely, scarce or no data are available on Poisson's ratio and strain-to-crack-initiation. This is unfortunate, as data on the elastic response is key to, e.g., numerical model accuracy. In this study, the compressive behaviour of brushite, monetite and apatite cements was fully characterised. Measurement of the surface strains was done using a digital image correlation (DIC) technique, and compared to results obtained with the commonly used built-in displacement measurement of the materials testers. The collected data showed that the use of fixed compression platens, as opposed to spherically seated ones, may in some cases underestimate the compressive strength by up to 40%. Also, the built-in measurements may underestimate the elastic modulus by up to 62% as compared to DIC measurements. Using DIC, the brushite cement was found to be much stiffer (24.3 ± 2.3 GPa) than the apatite (13.5 ± 1.6 GPa) and monetite (7.1 ± 1.0 GPa) cements, and elastic moduli were inversely related to the porosity of the materials. Poisson's ratio was determined to be 0.26 ± 0.02 for brushite, 0.21 ± 0.02 for apatite and 0.20 ± 0.03 for monetite. All investigated CPCs showed low strain-to-crack-initiation (0.17–0.19%). In summary, the elastic modulus of CPCs is substantially higher than previously reported and it is concluded that an accurate procedure is a prerequisite in order to properly compare the mechanical properties of different CPC formulations. It is recommended to use spherically seated platens and measuring the strain at a relevant resolution and on the specimen surface.

  • 4.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Acciaioli, Alice
    Lionello, Giacomo
    Ginebra, Maria-Pau
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Baleani, Massimiliano
    Compressive strength increase of calcium phosphate bone cements is accompanied by a stiffness increase2016Konferansepaper (Annet vitenskapelig)
  • 5.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Holmberg, Anders
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Öhman Mägi, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Long-term degradation of brushite cements in three different liquids2016Konferansepaper (Annet vitenskapelig)
  • 6.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Holmberg, Anders
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Öhman Mägi, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    The influence of porosity on the fatigue properties of brushite cement2016Inngår i: Biomaterials for tissue engineering models, 2016Konferansepaper (Annet vitenskapelig)
  • 7.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Holmberg, Anders
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Öhman-Mägi, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Compressive fatigue properties of a high-strength, degradable calcium phosphate bone cement – influence of porosity and environmentManuskript (preprint) (Annet vitenskapelig)
  • 8.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Lionello, Giacomo
    bLaboratorio di Tecnologia Medica, Istituto Ortopedico Rizzoli, Italy.
    Ginebra, Maria-Pau
    cBiomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgy, Technical University of Catalonia .
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Baleani, Massimiliano
    bLaboratorio di Tecnologia Medica, Istituto Ortopedico Rizzoli, Italy.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Local stiffness measurements in apatite and brushite cements2015Konferansepaper (Annet vitenskapelig)
  • 9.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Maazouz, Yassine
    Biomaterials, Biomechanics and Tissue Engineering Group, Dept. of Materials Science and Metallurgy, Technical University of Catalonia .
    Ginebra, Maria-Pau
    Biomaterials, Biomechanics and Tissue Engineering Group, Dept. of Materials Science and Metallurgy, Technical University of Catalonia .
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    A non-drying porosity evaluation method for calcium phosphate cements2014Inngår i: 26th Symposium and Annual Meeting of the International Society for Ceramics in Medicine, 2014, 68-68 s.Konferansepaper (Fagfellevurdert)
  • 10.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Maazouz, Yassine
    Ginebra, Maria-Pau
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Evaluation of a porosity measurement method for wet calcium phosphate cements2015Inngår i: Journal of biomaterials applications, ISSN 0885-3282, E-ISSN 1530-8022, Vol. 30, nr 5, 526-536 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The porosity of a calcium phosphate cement is a key parameter as it affects several important properties of the cement. However, a successful, non-destructive porosity measurement method that does not include drying has not yet been reported for calcium phosphate cements. The aim of this study was to evaluate isopropanol solvent exchange as such a method. Two different types of calcium phosphate cements were used, one basic (hydroxyapatite) and one acidic (brushite). The cements were allowed to set in an aqueous environment and then immersed in isopropanol and stored under three different conditions: at room temperature, at room temperature under vacuum (300 mbar) or at 37􏰀C. The specimen mass was monitored regularly. Solvent exchange took much longer time to reach steady state in hydroxyapatite cements compared to brushite cements, 350 and 18 h, respectively. Furthermore, the immersion affected the quasi-static compressive strength of the hydroxyapatite cements. However, the strength and phase composition of the brushite cements were not affected by isopropanol immersion, suggesting that isopropanol solvent exchange can be used for brushite calcium phosphate cements. The main advantages with this method are that it is non-destructive, fast, easy and the porosity can be evaluated while the cements remain wet, allowing for further analysis on the same specimen. 

  • 11.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Mechanical Properties of Brushite Calcium Phosphate Cements2017Inngår i: The World Scientific Encyclopedia of Nanomedicine and Bioengineering II: Bioimplants, Regenerative Medicine, and Nano-Cancer Diagnosis and Phototherapy: Volume 3: Design of Bioactive Materials for Bone Repair and Regeneration / [ed] Shi, D., Singapore: World Scientific Pte Ltd. , 2017Kapittel i bok, del av antologi (Fagfellevurdert)
  • 12.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Compressive Fatigue Properties of Acidic Calcium Phosphate Cement2014Inngår i: Proceedings of 7th World Congress of Biomechanics, 2014Konferansepaper (Fagfellevurdert)
  • 13.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Long-term in vitro degradation of a high-strength brushite cement in water, PBS, and serum solution2015Inngår i: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, 575079Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Bone loss and fractures may call for the use of bone substituting materials, such as calcium phosphate cements (CPCs). CPCs can be degradable, and, to determine their limitations in terms of applications, their mechanical as well as chemical properties need to be evaluated over longer periods of time, under physiological conditions. However, there is lack of data on how the in vitro degradation affects high-strength brushite CPCs over longer periods of time, that is, longer than it takes for a bone fracture to heal. This study aimed at evaluating the long-term in vitro degradation properties of a high-strength brushite CPC in three different solutions: water, phosphate buffered saline, and a serum solution. Microcomputed tomography was used to evaluate the degradation nondestructively, complemented with gravimetric analysis. The compressive strength, chemical composition, and microstructure were also evaluated. Major changes from 10 weeks onwards were seen, in terms of formation of a porous outer layer of octacalcium phosphate on the specimens with a concomitant change in phase composition, increased porosity, decrease in object volume, and mechanical properties. This study illustrates the importance of long-term evaluation of similar cement compositions to be able to predict the material’s physical changes over a relevant time frame. 

  • 14.
    Ajaxon, Ingrid
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Öhman Mägi, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Compressive fatigue properties of an acidic calcium phosphate cement—effect of phase composition2017Inngår i: Journal of materials science. Materials in medicine, ISSN 0957-4530, E-ISSN 1573-4838, Vol. 28, nr 3, 41Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Calcium phosphate cements (CPCs) are synthetic bone grafting materials that can be used in fracture stabilization and to fill bone voids after, e.g., bone tumour excision. Currently there are several calcium phosphate-based formulations available, but their use is partly limited by a lack of knowledge of their mechanical properties, in particular their resistance to mechanical loading over longer periods of time. Furthermore, depending on, e.g., setting conditions, the end product of acidic CPCs may be mainly brushite or monetite, which have been found to behave differently under quasi-static loading. The objectives of this study were to evaluate the compressive fatigue properties of acidic CPCs, as well as the effect of phase composition on these properties. Hence, brushite cements stored for different lengths of time and with different amounts of monetite were investigated under quasi-static and dynamic compression. Both storage and brushite-to-monetite phase transformation was found to have a pronounced effect both on quasi-static compressive strength and fatigue performance of the cements, whereby a substantial phase transformation gave rise to a lower mechanical resistance. The brushite cements investigated in this study had the potential to survive 5 million cycles at a maximum compressive stress of 13 MPa. Given the limited amount of published data on fatigue properties of CPCs, this study provides an important insight into the compressive fatigue behaviour of such materials. 

  • 15.
    Alanko, Rosanna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Ortopedteknisk plattform.
    Oskarsson, Tina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Ortopedteknisk plattform.
    Kommunikation mellan patient och ortopedingenjör: En kvalitativ studie2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    En studie har genomförts med syftet att undersöka diabetespatienters tolkning av informationen som ges av deras respektive ortopedingenjör under ett patientmöte samt undersöka vad ortopedingenjören anser sig ha förmedlat för information till patienten under patientmötet. Metoden i studien är kvalitativ där intervjuer med semistrukturerade öppna frågor har använts. I studien ingick två ortopedingenjörer samt två diabetespatienter. Efter avslutade intervjuer har materialet från intervjuerna analyserats och bildat kategorier. Dessa kategorier har sedan använts för att finna skillnader samt likheter mellan ortopedingenjörens och patientens tolkningar. Patientmötens har spelats in för att få möjligheten att se vart missförstånd uppstått. Genomgående i resultatet var att ortopedingenjören anser sig ha förmedlat mer information än vad patienten beskriver under intervjuerna. Några missförstånd upptäcktes men kommunikationen mellan parterna var god.  

  • 16.
    Altmann, Brigitte
    et al.
    University of Freiburg .
    Karygianni, Lamprini
    University of Freiburg .
    Al-Ahmad, Ali
    University of Freiburg .
    Butz, Frank
    University of Freiburg .
    Bächle, Maria
    University of Freiburg .
    Adolfsson, Erik
    RISE - Research Institutes of Sweden, Swerea, Swerea IVF AB.
    Fürderer, Tobias
    Courtois, Nicolas
    Palmero, Paola
    Politecnico di Torino.
    Follo, Marie
    University of Freiburg .
    Chevalier, Jérôme
    Université de Lyon.
    Steinberg, Thorsten
    University of Freiburg .
    Kohal, Ralf Joachim
    University of Freiburg .
    Assessment of Novel Long-Lasting Ceria-Stabilized Zirconia-Based Ceramics with Different Surface Topographies as Implant Materials2017Inngår i: Advanced Functional Materials, ISSN 1616-301X, E-ISSN 1616-3028Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The development of long-lasting zirconia-based ceramics for implants, which are not prone to hydrothermal aging, is not satisfactorily solved. Therefore, this study is conceived as an overall evaluation screening of novel ceria-stabilized zirconia-alumina-aluminate composite ceramics (ZA8Sr8-Ce11) with different surface topographies for use in clinical applications. Ceria-stabilized zirconia is chosen as the matrix for the composite material, due to its lower susceptibility to aging than yttria-stabilized zirconia (3Y-TZP). This assessment is carried out on three preclinical investigation levels, indicating an overall biocompatibility of ceria-stabilized zirconia-based ceramics, both in vitro and in vivo. Long-term attachment and mineralized extracellular matrix (ECM) deposition of primary osteoblasts are the most distinct on porous ZA8Sr8-Ce11p surfaces, while ECM attachment on 3Y-TZP and ZA8Sr8-Ce11 with compact surface texture is poor. In this regard, the animal study confirms the porous ZA8Sr8-Ce11p to be the most favorable material, showing the highest bone-to-implant contact values and implant stability post implantation in comparison with control groups. Moreover, the microbiological evaluation reveals no favoritism of biofilm formation on the porous ZA8Sr8-Ce11p when compared to a smooth control surface. Hence, together with the in vitro in vivo assessment analogy, the promising clinical potential of this novel ZA8Sr8-Ce11 as an implant material is demonstrated. 

  • 17. Augustine, Robin
    Arrowroot (Maranta arundinacea) is an edible starch, commercially available as powder, prepared from the roots of the plant family Marantaceae. Arrowroot is well known for its medicinal effects and use as chief ingredient in infant cookies. Arrowroot in film form is prepared and its microwave absorption characteristics, permittivity, loss factor, conductivity, skin depth, and heating coefficient are analyzed. The results are quite promising and can be concluded that arrowroot in film form is a potential candidate for several applications in medical field, when compared with well studied chitosan film2009Inngår i: Microwave and Optical Technology Letters, Vol. 51, nr 5Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Arrowroot (Maranta arundinacea) is an edible starch, commercially available as powder, prepared from the roots of the plant family Marantaceae. Arrowroot is well known for its medicinal effects and use as chief ingredient in infant cookies. Arrowroot in film form is prepared and its microwave absorption characteristics, permittivity, loss factor, conductivity, skin depth, and heating coefficient are analyzed. The results are quite promising and can be concluded that arrowroot in film form is a potential candidate for several applications in medical field, when compared with well studied chitosan film

  • 18. Augustine, Robin
    Biocompatibility study of beta tricalcium phosphate bioceramics and chitosan biopolymer and their use as phantoms for medical imaging applications2009Inngår i: Microwave and Optical Technology Letters, Vol. 51, nr 12Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Beta tricalcium phosphate (b-TCP) bioceramics and chitosan biopolymers are used as biomedical implants because of their better biocompatibility and good bioresorption characteristics. As they are biomaterials, they have good interactions with microwave frequencies. b-TCP and chitosan powder, films, pellets, and gel are prepared and studied at the S-band microwave frequencies. Dielectric parameters such as dielectric constant, dielectric loss, conductivity, and S-parameters are evaluated. Dielectric parameters of different forms of b-TCP and chitosan show resemblance with that of human tissues. Hence, these materials can also be considered as potential phantoms for specific absorption rate measurements as well as in microwave imaging applications. V

  • 19. Augustine, Robin
    Biocompatibility study of hydroxyapatite-chitosan composite for medical applications at microwave frequencies2008Inngår i: Microwave and optical technology letters (Print), ISSN 0895-2477, E-ISSN 1098-2760, Vol. 50, nr 11, 2931-2934 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Hydroxyapatite (HAp, Ca10(PO4)6(OH)2) bioceramic and chitosan (poly [(β-1-4) d-glucosamine]) biopolymer show good biocompatibility in vivo. They have biological origin and show excellent interactions with microwave. Microwave study of HAp made using different drying techniques and their composites with chitosan in the ISM band is presented. Pastes are made using HAp and chitosan with different ratios of mixing. The dielectric properties of this composites match with that of human fat, collagen tissues. Some of the compositions exhibit dielectric property close to that of natural bone. This makes them more biocompatible and better substitutes for natural bone. Thus composite bioceramics can be considered as phantom model constituents for imaging purposes.

  • 20.
    Barba, Albert
    et al.
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Diez-Escudero, Anna
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Maazouz, Yassine
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Rappe, Katrin
    Bone Healing Group, Small Animal Surgery Department, Veterinary School, Universitat Autonoma de Barcelona.
    Espanol, Montserrat
    Barcelona Research Center in Multiscale Science and Engineering, Universitat Politecnica de Catalunya.
    Montufar, Edgar B
    Barcelona Research Center in Multiscale Science and Engineering, Universitat Politecnica de Catalunya.
    Bonany, Mar
    Barcelona Research Center in Multiscale Science and Engineering, Universitat Politecnica de Catalunya.
    Sadowska, Joanna M
    Barcelona Research Center in Multiscale Science and Engineering, Universitat Politecnica de Catalunya.
    Guillem-Marti, Jordi
    Barcelona Research Center in Multiscale Science and Engineering, Universitat Politecnica de Catalunya.
    Öhman Mägi, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Manzanares, Maria-Cristina
    Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, Universitat de Barcelona.
    Franch, Jordi
    Bone Healing Group, Small Animal Surgery Department, Veterinary School, Universitat Autonoma de Barcelona.
    Ginebra, Maria-Pau
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Osteoinduction by Foamed and 3D-Printed Calcium Phosphate Scaffolds: Effect of Nanostructure and Pore Architecture2017Inngår i: ACS Applied Materials and Interfaces, ISSN 1944-8244, E-ISSN 1944-8252, Vol. 9, nr 48, 41722-41736 s.Artikkel i tidsskrift (Fagfellevurdert)
  • 21.
    Barba, Albert
    et al.
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Rappe, Katrin
    Bone Healing Group, Small Animal Surgery Department, Veterinary School, Universitat Autonoma de Barcelona.
    Fontecha, P
    Bone Healing Group, Small Animal Surgery Department, Veterinary School, Universitat Autonoma de Barcelona.
    Diez-Escudero, Anna
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Maazouz, Yassine
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Espanol, Montserrat
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Öhman Mägi, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Manzanares, Maria-Cristina
    Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, Universitat de Barcelona.
    Franch, Jordi
    Bone Healing Group, Small Animal Surgery Department, Veterinary School, Universitat Autonoma de Barcelona.
    Ginebra, Maria-Pau
    Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgical Engineering, Universitat Politecnica de Catalunya.
    Nanostructured Calcium Phosphate Scaffolds Trigger Osteoinduction and Osteogenesis2017Konferansepaper (Fagfellevurdert)
  • 22.
    Berglund, Anders
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för odontologi.
    Branting-Ekenbäck, C
    Ohlson, M
    En översikt över chairside CAD/CAM-system i Sverige. Garanteras patientsäkerheten genom CE-märkningen av utrustning och material?2013Rapport (Annet vitenskapelig)
    Abstract [sv]

    Inom odontologin har Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) blivit allt vanligare, främst på tandtekniska laboratorier, men tekniken blir också vanligare på tandläkarklinikerna, s.k. chairside CAD/CAM. Chairside CAD/CAM innebär att tandläkaren efter preparationen av en tand framställer tandersättningen i tre steg. I första steget används en intraoral scanner istället för den traditionella avtryckstagningen (Mörmann et al., 2002; Beuer et al., 2008; Hehn, 2001). Man kan även scanna modeller och avtryck, vilket kan vara bra om patienten har svårt att gapa eller har hög salivproduktion, då scannrarna är känsliga för fuktiga miljöer (Kachalia et al., 2010). Det digitala avtrycket överförs till datorn, där uppgifterna bearbetas och en modell av tänderna skapas i 3D. I det andra steget designar tandläkaren tandersättningen på 3D-modellen. Här bestämmer tandläkaren kusphöjd, kontakter approximalt, utsträckning mot preparationsgränsen och utseende på tandersättningen. I det tredje steget fräses tandersättningen fram ur ett keramblock i en fräsmaskin. Ofta målas kronan här för att karaktärisera den och ge den ett mer tandlikt utseende innan den bränns i ugn. Med större möjligheter att själv kunna sköta hela processen fram till färdig tandkonstruktion måste tandläkaren fundera över hur kvaliteten och säkerheten hos de färdiga produkterna kan säkerställas. Färdiga tandtekniska arbeten räknas som specialanpassade medicintekniska produkter och ska inte CE-märkas men de material som ingår i arbetet är oftast CE-märkta. Lag (1993:584) om medicintekniska produkter och Läkemedelsverkets föreskrifter (LVFS 2003:11) om medicintekniska produkter innehåller krav på att medicintekniska produkter som släpps ut på marknaden ska vara lämpliga och säkra för sina användningsområden genom att krav ställs som ska leda till att allvarliga avvikelser, olyckor och tillbud på grund av produkterna så långt som möjligt ska kunna undvikas. Avvikelser inkluderar här både funktionsfel och misstänkta biverkningar. Innan ett tandtekniskt laboratorium får börja leverera tandtekniska arbeten till tandläkare måste ett antal krav vara uppfyllda för att bl.a. säkerställa säkerheten hos dessa produkter för patienterna. Laboratoriet ska vara registrerat hos Läkemedelsverket och vid registreringen måste man intyga att man har en tillverkningsverksamhet som uppfyller de krav för specialanpassade medicintekniska produkter som ställs i LVFS 2003:11. Medicintekniska produkter ska konstrueras och tillverkas på ett sådant sätt att de inte äventyrar patienternas kliniska tillstånd eller säkerhet, användarnas eller i förekommande fall andra personers hälsa och säkerhet, när de används under avsedda förhållanden och för sitt avsedda ändamål. Riskerna med att använda produkterna ska vara acceptabla med tanke på fördelarna för patienten och förenliga med en hög hälso-och säkerhetsnivå. Detta innefattar omfattande krav både på produkt och tillverkningsprocess. Det finns en del oklarheter rörande hur det regelverk som styr framställningen av tandtekniska arbeten tillämpas för arbeten tillverkade med chairside CAD/CAM.

  • 23.
    Bäckman, Sandra
    Högskolan i Halmstad, Sektionen för ekonomi och teknik (SET), Bio- och miljösystemforskning (BLESS), Biomekanik och biomedicin.
    Produktutvecklingsprojekt: En applikation till användandet av oxygenbehandling i hemmet.2013Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Enligt statistiken år 2010 fanns det 26 individer sett från en grupp på 100.000 som var tilldelade oxygenbehandling i hemmet. Oxygenbehandlingen tillför en bestämd mängd oxygen till bäraren då möjligheten att själv förse sig med rätt mängd för överlevnad hämmats. Den dominerande sjukdomen till oxygenbehandling i hemmet är KOL, kroniskt obstruktiv lungsjukdom. Som namnet antyder är det en kronisk sjukdom som ger inflammatoriska förändringar i lungans bronkioler. Dessa förändringar minskar andningsytan vilket resulterar i att individens andningskapacitet reduceras.

    Projektet använde metoder från dynamisk produktutveckling med användaren i fokus. Detta för att få fram en funktionell prototyp som kunde användas utav avsedd målgrupp och uppfylla det syfte, mål och krav som ställdes på projektets resultat. En viktig komponent som projektet därför arbetade med var insamling av data. För detta användes olika metoder som kunde tillskaffa sig information från både användare och förskrivare av oxygenbehandling.  Samtliga av de metoder som användes var beprövade sedan tidigare och projektet kunde därför med fördel genomföra intervjuer, observationer, matrisuppställningar, riskanalyser samt användartester på patienter med oxygenbehandling.

    Prototypen som togs fram i projektet resulterade i att avsedd målgrupp kunde utföra testmoment på den utan att det förekom risker med användandet. Resultatet uppfyllde därför syftet och målet med projektet som riktade sig mot att patienter skulle få möjlighet till att förflytta den syrgasslang som används vid oxygenbehandling. Vidare kunde slutsatsen dras att resultatet uppfyllde patienternas önskemål om att ta fram en möjlighet till förflyttning av syrgasslangen i hemmet samtidigt som det besvarade de frågeställningar som projektet strävade efter att besvara. Det fanns inga befintliga lösningar på det problem som beskrevs i projektet och det gav möjlighet att framställa en första prototyp som uppfyllde syftet och målet.  

  • 24.
    Cai, Bing
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Geopolymer-based drug formulations for oral delivery of opioids2014Licentiatavhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Opioid therapy for chronic pain generally use controlled release formulations to deliver analgesic drugs around-the-clock. Controlled release dosage forms can enlarge the therapeutic effect by controlling the rate and site of release. However, with high drug content, opioid formulations are easily targeted for non-medical use. With the increasing concern of opioid abuse, tamper-resistance becomes an important attribute for opioid controlled-release dosage forms. Geopolymers have been studied as drug carrier for opioids to improve the tamper-resistance but there are still some issues, such as curing condition and fast drug release in acid, have not been studied in detail yet. This thesis focuses on the optimization and evaluation of the geopolymer-based formulation on its controlled-release and tamper-resistance properties with the aim of achieving optimal therapeutic outcomes and reducing abuse potential.

    In this work, we showed some further improvement and evaluations on geopolymer-based drug formulations. The mechanical strength and porosity of geopolymers could be influenced by the curing conditions: high humidity for at least 48 hours could improve its mechanical strength, but elevated temperature only accelerated the geopolymerization but promoted water evaporation, leading to shrinkage and crack formation. Incorporating pH-sensitive organic polymers could improve the acid resistance of geopolymer formulation and thus reduce the risk of dose dumping. Comparing to a commercial opioid tablet, the geopolymer matrix have higher mechanical strength and could offer better resistance against physical manipulation and extraction under heating. The results provided solid experimental support on the potential for geopolymer as matrix for oral opioid delivery systems.

  • 25.
    Cai, Bing
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Bredenberg, Susanne
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Evaluation of the resistance of a geopolymer-based drug delivery system to tampering2014Inngår i: International Journal of Pharmaceutics, ISSN 0378-5173, E-ISSN 1873-3476, Vol. 465, nr 1-2, 169-174 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Tamper-resistance is an important property of controlled-release formulations of opioid drugs. Tamper-resistant formulations aim to increase the degree of effort required to override the controlled release of the drug molecules from extended-release formulations for the purpose of non-medical use. In this study, the resistance of a geopolymer-based formulation to tampering was evaluated by comparing it with a commercial controlled-release tablet using several methods commonly used by drug abusers. Because of its high compressive strength and resistance to heat, much more effort and time was required to extract the drug from the geopolymer-based formulation. Moreover, in the drug-release test, the geopolymer-based formulation maintained its controlled-release characteristics after milling, while the drug was released immediately from the milled commercial tablets, potentially resulting in dose dumping. Although the tampering methods used in this study does not cover all methods that abuser could access, the results obtained by the described methods showed that the geopolymer matrix increased the degree of effort required to override the controlled release of the drug, suggesting that the formulation has improved resistance to some common drug-abuse tampering methods. The geopolymer matrix has the potential to make the opioid product less accessible and attractive to non-medical users.

  • 26.
    Cai, Bing
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Bredenberg, Susanne
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Mellgren, Torbjörn
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    The effect of curing conditions on compression strength and porosity of metakaolin-based geopolymers2013Inngår i: Developments in Strategic Materials and Computational Design IV, John Wiley & Sons, 2013Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Geopolymers have been suggested to use as construction, waste treatment and fire proof materials and even drug delivery material due to its excellent mechanical strength, chemical stability and flame resistance. The aim of this study was to investigate the influence of temperature, time and humidity during curing on mechanical strength and porosity of geopolymers.

    The geopolymer precursor paste was obtained by mixing metakaolin, waterglass and de-ionized water. The paste was molded into cylindrical rubber moulds (6  12 mm) and cured under different conditions: i.e. temperatures (ambient temperature, 37°C and 90°C), humidity and time (24, 48 and 96 hours). The compressive strength was determined using a universal testing machine. Helium pycnometer was used to measure the porosity. Via x-ray diffraction the phase composition of the cured samples was determined.

    Elongated curing slightly decreased the total porosity of the tested geopolymers. Higher curing temperature increased the compressive strength after 24 hour but did not affect strength for longer curing times. In general, the samples cured in moisture had higher mechanical strength than those cured in air. But low compression strength of samples cured under high temperature and long time showed that some water content in geopolymer was essential to retaining its microstructure.

  • 27.
    Cai, Bing
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Xia, Wei
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Bredenberg, Susanne
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Li, Hao
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Öron-, näs- och halssjukdomar.
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Bioceramic microneedles with flexible and self-swelling substrate2015Inngår i: European journal of pharmaceutics and biopharmaceutics, ISSN 0939-6411, E-ISSN 1873-3441, Vol. 94, 404-410 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To reduce the effort required to penetrate the skin and optimize drug release profiles, bioceramic microneedle arrays with higher-aspect-ratio needles and a flexible and self-swelling substrate have been developed. Swelling of the substrate can assist in separating it from the needles and leave them in the skin as a drug depot. The preparation procedures for this bioceramic microneedle are described in the paper. Clonidine hydrochloride, the model drug, was released in a controlled manner by the microneedle device in vitro. Results showed that the microneedle array with a flexible and self-swelling substrate released the drug content faster than the array with a rigid substrate. Disintegration of the needle material and diffusion of the drug molecules are believed as the main control mechanisms of the drug release from these microneedle arrays. Ex vivo skin penetration showed that they can effectively penetrate the stratum corneum without an extra device. This work represents a progression in the improvement of bioceramic microneedles for transdermal drug delivery.

  • 28.
    Cai, Yanling
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Nanoteknologi och funktionella material.
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Strømme, Maria
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Nanoteknologi och funktionella material.
    Welch, Ken
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Nanoteknologi och funktionella material.
    Biofilm elimination and detachment using photocatalytic TiO2 surfaces2011Inngår i: Conference, 2011Konferansepaper (Fagfellevurdert)
  • 29.
    Cai, Yanling
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Nanoteknologi och funktionella material.
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Strømme, Maria
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Nanoteknologi och funktionella material.
    Welch, Ken
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Nanoteknologi och funktionella material.
    Biofilm susceptibility to photocatalytic dental mateirals2011Inngår i: Conference, 2011Konferansepaper (Fagfellevurdert)
  • 30.
    Cai, Yixiao
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Edin, Fredrik
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Öron-, näs- och halssjukdomar.
    Jin, Zhe
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Fysiologi.
    Alexsson, Andrei
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Reumatologi.
    Gudjonsson, Olafur
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Neurokirurgi.
    Liu, Wei
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Öron-, näs- och halssjukdomar.
    Rask-Andersen, Helge
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Öron-, näs- och halssjukdomar.
    Karlsson, Mikael
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Li, Hao
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Öron-, näs- och halssjukdomar.
    Strategy towards independent electrical stimulation from cochlear implants: Guided auditory neuron growth on topographically modified nanocrystalline diamond2016Inngår i: Acta Biomaterialia, ISSN 1742-7061, E-ISSN 1878-7568, Vol. 31, 211-220 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Cochlear implants (CI) have been used for several decades to treat patients with profound hearing loss. Nevertheless, results vary between individuals, and fine hearing is generally poor due to the lack of discrete neural stimulation from the individual receptor hair cells. A major problem is the deliverance of independent stimulation signals to individual auditory neurons. Fine hearing requires significantly more stimulation contacts with intimate neuron/electrode interphases from ordered axonal re-growth, something current CI technology cannot provide.

    Here, we demonstrate the potential application of micro-textured nanocrystalline diamond (NCD) surfaces on CI electrode arrays. Such textured NCD surfaces consist of micrometer-sized nail-head-shaped pillars (size 5 5 lm2) made with sequences of micro/nano-fabrication processes, including sputtering, photolithography and plasma etching.

    The results show that human and murine inner-ear ganglion neurites and, potentially, neural progenitor cells can attach to patterned NCD surfaces without an extracellular matrix coating. Microscopic methods revealed adhesion and neural growth, specifically along the nail-head-shaped NCD pillars in an ordered manner, rather than in non-textured areas. This pattern was established when the inter-NCD pillar distance varied between 4 and 9 lm.

    The findings demonstrate that regenerating auditory neurons show a strong affinity to the NCD pillars, and the technique could be used for neural guidance and the creation of new neural networks. Together with the NCD’s unique anti-bacterial and electrical properties, patterned NCD surfaces could provide designed neural/electrode interfaces to create independent electrical stimulation signals in CI electrode arrays for the neural population.

  • 31. Capece, Sabrina
    et al.
    Chiessi, Ester
    Cavalli, Roberta
    Giustetto, Pierangela
    Grishenkov, Dmitry
    KTH, Skolan för teknik och hälsa (STH), Medicinsk teknik, Medicinsk avbildning.
    Paradossi, Gaio
    A general strategy for obtaining biodegradable polymer shelled microbubbles as theranostic devices2013Inngår i: Chemical Communications, ISSN 1359-7345, E-ISSN 1364-548X, Vol. 49, nr 51, 5763-5765 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Fabrication of multifunctional ultrasound contrast agents (UCAs) has been recently addressed by several research groups. A versatile strategy for the synthesis of UCA precursors in the form of biodegradable vesicles with a biocompatible crosslinked polymer shell is described. Upon ultrasound irradiation, acoustic droplet vaporization transforms such particles into microbubbles behaving as UCAs. This proof of concept entails the features of a potential theranostic microdevice.

  • 32. Capese, Sabrina
    et al.
    Chiessi, E.
    Cavalli, R.
    Giustetto, P.
    Grishenkov, Dmitry
    KTH, Skolan för teknik och hälsa (STH), Medicinsk teknik, Medicinsk avbildning.
    Paradossi, Gaio
    Diapartimento di Chimica, Università di Roma Tor Vergata.
    A general strategy for the obtainment of biodegradable polymer shelled microbubbles as theranostic device2013Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Introduction

    Fabrication of multifunctional ultrasound contrast agents (UCAs) has been addressed by many research groups.1,2 Recently a poly(vinyl alcohol) shelled microbubble 3 has shown a remarkable chemical and physical stability and versatility for the surface functionalization, leading to a platform for multimodality imaging (ultrasounds, magnetic resonance, single photon emission computer tomography) and targeting inflammation and tumours4. In this contribution we present a new strategy for the synthesis of UCAs precursors in the form of vesicles with a biodegradable crosslinked polymer shell.

    Methods

    Deposition of methacryloyl-derivative of hydrophilic and biodegradable polymers as dextran (DexMA50) or hyaluronic acid (HAMA30) on a lipid vesicle with a liquid perfluoropentane core, 5,6 followed by a photopolymerization of the methacrylate moiety allows the obtainment of polymer shelled vesicles.

    Results

    Lipid shelled vesicles with a perfluorocarbon (PFC) core (Figure 1a) undergo an acoustic droplet vaporization (ADV),7 upon ultrasounds (US) irradiation, transforming such particles into ultrasound effective microbubbles (Fig 1b). The process is reversible as the US are switched off (Fig 1c). In the “microbubble” state, i.e. during US irradiation, the system is echogenic at low mechanical index, allowing their use as UCAs. In this contribution we show that additional functions can be implemented into the microbubbles. For example, we demonstrated the possibility to obtain shells with a thermoreversible behaviour.

    Conclusions

    This new class of polymer shelled vesicles/microbubbles entails features desired in a potential theranostic microdevice.

  • 33.
    Cardemil, Carina
    et al.
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, Department of Oral and Maxillofacial Surgery, Örebro University Hospital, Örebro, Sweden, BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Gothenburg, Sweden .
    Elgali, Ibrahim
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Gothenburg, Sweden.
    Xia, Wei
    Applied Materials Science, Department of Engineering Sciences, Uppsala University, Uppsala, Sweden, BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Gothenburg, Sweden.
    Emanuelsson, Lena
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Gothenburg, Sweden.
    Norlindh, Birgitta
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Gothenburg, Sweden.
    Omar, Omar
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Gothenburg, Sweden.
    Thomsen, Peter
    Department of Biomaterials, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, BIOMATCELL VINN Excellence Center of Biomaterials and Cell Therapy, Gothenburg, Sweden .
    Strontium-doped calcium phosphate and hydroxyapatite granules promote different inflammatory and bone remodelling responses in normal and ovariectomised rats2013Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 8, nr 12, e84932Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The healing of bone defects may be hindered by systemic conditions such as osteoporosis. Calcium phosphates, with or without ion substitutions, may provide advantages for bone augmentation. However, the mechanism of bone formation with these materials is unclear. The aim of this study was to evaluate the healing process in bone defects implanted with hydroxyapatite (HA) or strontium-doped calcium phosphate (SCP) granules, in non-ovariectomised (non-OVX) and ovariectomised (OVX) rats. After 0 (baseline), six and 28d, bone samples were harvested for gene expression analysis, histology and histomorphometry. Tumour necrosis factor-α (TNF-α), at six days, was higher in the HA, in non-OVX and OVX, whereas interleukin-6 (IL-6), at six and 28d, was higher in SCP, but only in non-OVX. Both materials produced a similar expression of the receptor activator of nuclear factor kappa-B ligand (RANKL). Higher expression of osteoclastic markers, calcitonin receptor (CR) and cathepsin K (CatK), were detected in the HA group, irrespective of non-OVX or OVX. The overall bone formation was comparable between HA and SCP, but with topological differences. The bone area was higher in the defect centre of the HA group, mainly in the OVX, and in the defect periphery of the SCP group, in both non-OVX and OVX. It is concluded that HA and SCP granules result in comparable bone formation in trabecular bone defects. As judged by gene expression and histological analyses, the two materials induced different inflammatory and bone remodelling responses. The modulatory effects are associated with differences in the spatial distribution of the newly formed bone.

  • 34.
    Carlsson, Elin
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi. Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Mestres, Gemma
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Treerattrakoon, Kiatnida
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
    Lopez, Alejandro
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Karlsson Ott, Marjam
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Larsson, Sune
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    In vitro and in vivo response to low-modulus PMMA-based bone cement2015Inngår i: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, 594284Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The high stiffness of acrylic bone cements has been hypothesized to contribute to the increased number of fractures encountered after vertebroplasty, which has led to the development of low-modulus cements. However, there is no data available on the in vivo biocompatibility of any low-modulus cement. In this study, the in vitro cytotoxicity and in vivo biocompatibility of two types of low-modulus acrylic cements, one modified with castor oil and one with linoleic acid, were evaluated using human osteoblast-like cells and a rodent model, respectively. While the in vitro cytotoxicity appeared somewhat affected by the castor oil and linoleic acid additions, no difference could be found in the in vivo response to these cements in comparison to the base, commercially available cement, in terms of histology and flow cytometry analysis of the presence of immune cells. Furthermore, the in vivo radiopacity of the cements appeared unaltered. While these results are promising, the mechanical behavior of these cements in vivo remains to be investigated.

  • 35.
    Carlström, Mikael
    et al.
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle.
    Wargsjö, Hampus
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle.
    Printing Prosthetics: Designing an additive manufactured arm for developing countries2017Independent thesis Advanced level (professional degree), 20 poäng / 30 hpOppgave
    Abstract [sv]

    De traditionella armproteser som tillverkas i utvecklingsländer står inför stora problem i att leverera patienter med lämpliga hjälpmedel. Processen är inte bara tidskrävande eftersom varje enhet måste anpassas för varje enskild användare men vissa komponenter kan inte produceras lokalt vilket driver upp priset ytterligare. Syftet med detta examensarbete var att utveckla en armprotes för utvecklingsländerna med hjälp av additiv tillverkning (3D Printing) för klienten 3D Life Prints som baseras i Nairobi, Kenya. En protes är ett hjälpmedel som används för att underlätta en amputerad människa i dagliga aktiviteter och med hjälp av additiv tillverkning kan även en lokal tillverkningsprocess utvecklas och förbättras vilket skulle kunna minska tiden för tillverkning och distribution av proteser. Den initiala protesen, som låg till grund för designarbetet, var en underarmsprotes som fortfarande var i utvecklingsstadiet hos klienten. Protesen tillverkades med hjälp av tillverkningsmetoden Fused Deposit Modelling (FDM), som har den fördelen att den använder sig av relativt billiga 3D skrivare. För att sammanfatta syftet med projektet utvecklades följande frågeställningar

    1. Hur tillverkas, distribueras och används konventionella proteser i jämförelse med additivt tillverkade proteser i Nairobi, Kenya?

    2. Vem är den primära användaren av proteser i utvecklingsländer, vilka problem upplevs hos dagens lösningar och vilka faktorer anses vara den viktigaste hos användaren? Och varför? 

    3. Hur ska additivt tillverkade proteser utformas för optimal användning i utvecklingsländer? 

    Förutom att besvara frågeställningarna var målet att utvecklingen av systemet skulle leda till förbättrad funktionalitet för användaren och underlätta tillverkningen för organisationen. 

    För att få en allmän översikt över det vetenskapliga området av additivt tillverkade proteser studerades kontexten för utvecklingsländer, användarcentrerad design (eftersom syftet var att förbättra en produkt för en specifik användare), armproteser och additiv tillverkning. Resultatet, från de olika stadier av designprocessen, var den slutgiltiga designen av "3D Life Arm". Det slutliga systemet bestod av fyra huvudkomponenter, Kroppsselen, Inlägget, Proteshanden och Hylsan. Komponenterna använde sig utav additiv tillverkning i både styvt material (Kroppsselen, Hylsan och Inlägget) och flexibelt material (Proteshanden). Lokalt tillgängliga komponenter användes där additiv tillverkning inte var möjligt till exempel fisketråd och skruvar. En slutsats drogs att de två faktorer som ansågs viktigast för användaren var att produkten skulle vara estetiskt tilltalande och billig. Även sociala stigman spelar en stor roll och enligt användare och experter i Nairobi, måste protesen efterlikna den saknade armen så mycket som möjligt för att kunna smälta in. Författarna konstaterade att kostnaden var den viktigaste faktorn när man utformar proteser för utvecklingsländerna, eftersom användaren i dagsläget inte har råd med de proteser som tillverkas i Nairobi. Sammanfattningsvis utfördes en kostnads- och tidsanalys för att kontrollera tillverkningskostnaderna för hela systemet. Med tre skrivare kunde alla delar tillverkas för 282 kronor och skulle ta cirka 15 timmar och 15 minuter att skriva ut som är betydligt lägre än de funktionella proteser som tillverkades i Nairobi. Ytterligare utvärderingar krävs för att fastställa att protesen kommer att klara av påfrestningarna från dagliga aktiviteter hos användaren och en fungerande strategi för passning måste utvärderas ytterligare. Författarna tror dock att med hjälp av en fullt utbildad protestillverkare finns det en framtid för additiv tillverkning av armproteser. 

  • 36.
    Carlvik, Fredrik
    et al.
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap.
    Orve, Jacob
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap.
    Unify Xtend: Utveckling av vakuumassisterat suspensionsystem för att reducera skav och glapp vid användning av benprotes2017Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
    Abstract [en]

    Lindhe Xtend is a prosthetics company in Halmstad with the ambition of providing the amputee with functional mobility and a high quality of life. Their main product, the Xtend Foot is a patented prosthetic foot developed to imitate the natural features of the human foot.

     

    Dissatisfaction with prostheses often stems from poor fitting of the part that connects to the body. This often leads to chafing, pistoning and strain. Amongst users of leg prostheses, the strain often results in a reduction of limb volume, further augmenting the bad fit. The development of suspension systems has excelled through the recent years as many prosthetics companies has developed products with integrated vacuum assisted suspension systems, a mounting method where vacuum is used to hold the prosthesis against the body. This mounting mechanism of the limb onto the prosthesis has been proven to prevent fluctuations of limb volume as well as reducing chafing and pistoning.

     

    A vacuum assisted suspension system integrated with the Xtend Foot has been invented using the product development process. The project group has used motion analysis, calculations and concept generation to reach a final concept to be prototyped, called Unify Xtend. Unify Xtend is made to demonstrate the function of the final concept, to actively produce a vacuum during ambulation using a pneumatic actuator.

    This project has addressed prosthetics and pneumatics. The project group has, using their knowledge of mechanical engineering and physiology, combined and applied them in this thesis.

    Further user testing is needed to evaluate the usability of the prototype, due to reaching target pressure considerably faster than the products of main market competitors.

  • 37.
    Chen, Song
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Yu, Shun
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Xia, Wei
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Synthesis and characterization of monetite with thin nacreous structure2016Konferansepaper (Fagfellevurdert)
  • 38.
    Chen, Song
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Öhman, Caroline
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Jefferies, Steven R.
    Gray, Holly
    Xia, Wei
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Quasi-static compressive strength and compressive fatigue limit of dental cements2016Konferansepaper (Fagfellevurdert)
  • 39.
    Chudinova, Ekaterina
    et al.
    Tomsk Polytechnic University, Tomsk, Russia.
    Surmeneva, Maria
    Tomsk Polytechnic University, Tomsk, Russia.
    Koptyug, Andrey
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Avdelningen för kvalitetsteknik, maskinteknik och matematik.
    Skoglund, Per
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Avdelningen för kvalitetsteknik, maskinteknik och matematik.
    Sharanova, A
    Tomsk Polytechnic University, Tomsk, Russia.
    Loza, K
    University of Duisburg-Essen, Germany.
    Epple, M
    University of Duisburg-Essen, Germany.
    Surmenev, Roman
    Tomsk Polytechnic University, Tomsk, Russia.
    Hydroxyapatite coating and silver nanoparticles assemblies on additively manufactured Ti6Al4V scaffolds2015Konferansepaper (Annet vitenskapelig)
  • 40. Clemente, Francesco
    et al.
    D'Alonzo, Marco
    Controzzi, Marco
    Edin, Benoni B.
    Umeå universitet, Medicinska fakulteten, Institutionen för integrativ medicinsk biologi (IMB), Fysiologi.
    Cipriani, Christian
    Non-Invasive, Temporally Discrete Feedback of Object Contact and Release Improves Grasp Control of Closed-Loop Myoelectric Transradial Prostheses2016Inngår i: IEEE transactions on neural systems and rehabilitation engineering, ISSN 1534-4320, E-ISSN 1558-0210, Vol. 24, nr 12, 1314-1322 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Human grasping and manipulation control critically depends on tactile feedback. Without this feedback, the ability for fine control of a prosthesis is limited in upper limb amputees. Although various approaches have been investigated in the past, at present there is no commercially available device able to restore tactile feedback in upper limb amputees. Based on the Discrete Event-driven Sensory feedback Control (DESC) policy we present a device able to deliver short-lasting vibrotactile feedback to transradial amputees using commercially available myoelectric hands. The device (DESC-glove) comprises sensorized thimbles to be placed on the prosthesis digits, a battery-powered electronic board, and vibrating units embedded in an arm-cuff being transiently activated when the prosthesis makes and breaks contact with objects. The consequences of using the DESC-glove were evaluated in a longitudinal study. Five transradial amputees were equipped with the device for onemonth at home. Through a simple test proposed here for the first time-the virtual eggs test-we demonstrate the effectiveness of the device for prosthetic control in daily life conditions. In the future the device could be easily exploited as an add-on to complement myoelectric prostheses or even embedded in prosthetic sockets to enhance their control by upper limb amputees.

  • 41.
    Cronskär, Marie
    et al.
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Avdelningen för kvalitetsteknik, maskinteknik och matematik.
    Rännar, Lars-Erik
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Avdelningen för kvalitetsteknik, maskinteknik och matematik.
    Bäckström, Mikael
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Avdelningen för kvalitetsteknik, maskinteknik och matematik.
    Production of Customized Hip Stem Prostheses: a Comparison Between Machining and Additive Manufacturing2013Inngår i: Rapid prototyping journal, ISSN 1355-2546, E-ISSN 1758-7670, Vol. 19, nr 5, 365-372 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose - The purpose of this paper is to study the use of the additive manufacturing (AM) method, electron beam melting (EBM), for manufacturing of customized hip stems. The aim is to investigate EBM's feasibility and commercial potential in comparison with conventional machining, and to map out advantages and drawbacks of using EBM in this application. One part of the study concerns the influence on the fatigue properties of the material, when using the raw surface directly from the EBM machine, in parts of the implant.Design/methodology/approach - The research is based on a case study of manufacturing a batch of seven individually adapted hip stems. The stems were manufactured both with conventional machining and with EBM technology and the methods were compared according to the costs of materials, time for file preparation and manufacturing. In order to enhance bone ingrowths in the medial part of the stem, the raw surface from EBM manufacturing is used in that area and initial fatigue studies were performed, to get indications on how this surface influences the fatigue properties.Findings - The cost reduction due to using EBM in this study was 35 per cent. Fatigue tests comparing milled test bars with raw surfaced bars indicate a reduction of the fatigue limit by using the coarse surface.Originality/value - The paper presents a detailed comparison of EBM and conventional machining, not seen in earlier research. The fatigue tests of raw EBM-surfaces are interesting since the raw surface has shown to enhance bone ingrowths and therefore is suitable to use in some medical applications.

  • 42. Dal Maso, Fabien
    et al.
    Raison, Maxime
    Lundberg, Arne
    Arndt, Anton
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Laboratoriet för biomekanik och motorisk kontroll (BMC).
    Begon, Mickaël
    Coupling between 3D displacements and rotations at the glenohumeral joint during dynamic tasks in healthy participants.2014Inngår i: Clinical Biomechanics, ISSN 0268-0033, E-ISSN 1879-1271, Vol. 29, nr 9, 1048-1055 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Glenohumeral displacements assessment would help to design shoulder prostheses with physiological arthrokinematics and to establish more biofidelic musculoskeletal models. Though displacements were documented during static tasks, there is little information on their 3D coupling with glenohumeral angle during dynamic tasks. Our objective was to characterize the 3D glenohumeral displacement-rotation couplings during dynamic arm elevations and rotations.

    METHODS: Glenohumeral displacements were measured from trajectories of reflective markers fitted on intracortical pins inserted into the scapula and humerus. Bone geometry was recorded using CT-scan. Only four participants were recruited to the experiment due to its invasiveness. Participants performed dynamic arm abduction, flexion and axial rotations. Linear regressions were performed between glenohumeral displacements and rotations. The pin of the scapula of one participant moved, his data were removed from analysis, and results are based on three participants.

    FINDINGS: The measurement error of glenohumeral kinematics was less than 0.15mm and 0.2°. Maximum glenohumeral displacements were measured along the longitudinal direction and reached up to +12.4mm for one participant. Significant couplings were reported especially between longitudinal displacement and rotation in abduction (adjusted R(2) up to 0.94).

    INTERPRETATION: The proposed method provides the potential to investigate glenohumeral kinematics during all kinds of movements. A linear increase of upward displacement during dynamic arm elevation was measured, which contrasts with results based on a series of static poses. The systematic investigation of glenohumeral displacements under dynamic condition may help to provide relevant recommendation for the design of shoulder prosthetic components and musculoskeletal models.

  • 43.
    Dehestani, Mahdi
    et al.
    Purdue University.
    Zemlyanov, Dmitry Yu
    Purdue University.
    Adolfsson, Erik
    RISE - Research Institutes of Sweden, Swerea, Swerea IVF AB.
    Stanciu, Lia A.
    Purdue University.
    Improving bioactivity of inert bioceramics by a novel Mg-incorporated solution treatment2017Inngår i: Applied Surface Science, ISSN 0169-4332, E-ISSN 1873-5584, Vol. 425, 564-575 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Zirconia/alumina ceramics possess outstanding mechanical properties for dental and orthopedic applications, but due to their poor surface bioactivities they exhibit a weak bone-bonding ability. This work proposes an effective 30-min solution treatment which could successfully induce formation of bone-like apatite on the surface of 3Y-TZP and a ternary composite composed of yttria-stabilized zirconia, ceria-stabilized zirconia, and alumina (35 vol% 3Y-TZP + 35 vol% 12Ce-TZP + 30 vol% Al2O3) after 3 weeks immersion in simulated body fluid (SBF). XRD was used for phase identification in the ceramic materials. The influence of solution treatment on the surface chemistry and its role on apatite formation were investigated via SEM, EDS and XPS. In vitro apatite-forming ability for the solution-treated and untreated samples of the composite and individual substrates of 3Y-TZP, 12Ce-TZP, and Al2O3 was evaluated by immersion in SBF. Apatite crystals were formed only on 3Y-TZP and composite substrates, implying that it is mainly the 3Y-TZP constituent that contributes to the bioactivity of the composite. Further, it was found from the XPS analysis that the zirconia material with higher phase stability (12Ce-TZP) produced less Zr–OH functional groups on its surface after solution treatment which accounts for its weaker bioactivity compared to 3Y-TZP. 

  • 44.
    Dranvik, Madeleine
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Ortopedteknisk plattform.
    Nyholm, Hanna
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Ortopedteknisk plattform.
    Jämförelse av två ankelortosers inversionsrestriktion före och efter fysisk aktivitet2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 45.
    Díez-Escudero, Anna
    et al.
    Technical University of Catalonia, Spain & Barcelona Research Center of Multiscale Science and Engineering, Spain.
    Montserrat, Espanol
    Technical University of Catalonia, Spain & Barcelona Research Center of Multiscale Science and Engineering, Spain.
    Di Pompo, Gemma
    Istituto Ortopedico Rizzoli, Italy.
    Torregianni, Elena
    Istituto Ortopedico Rizzoli, Italy.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Ciapetti, Gabriela
    Istituto Ortopedico Rizzoli, Italy.
    Baldini, Nicola
    Istituto Ortopedico Rizzoli, Italy.
    Ginebra, Maria-Pau
    Technical University of Catalonia, Spain & Barcelona Research Center of Multiscale Science and Engineering, Spain.
    Heparinisation as a tool to modulate osteoclastogenesis on calcium phosphates2017Konferansepaper (Annet vitenskapelig)
  • 46.
    Ek, Rebecca
    et al.
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Hong, Jaan
    Uppsala University, Immunology, Genetics and Pathology.
    Dejanovic, Slavko
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Blood coagulation on electron beam melted implant surfaces, implications for bone growth2011Inngår i: Proccedings of EBS 2011, Dublin, 2011Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    INTRODUCTION

    Implants for arthroplasty, plates and screws for orthopedics, maxillofacial and dentistry are more frequently being customised. Ti and CoCr alloys are common materials for bone implants. Surface roughness, porosity and choice of material may have an impact on the bone ingrowth. EBM (Electron Beam Melting) is a 3D-printing technique melting metallic powder layer by layer according to the corresponding CAD (Computer Aided Design) model of implants1.With EBM technology customised implants can be manufactured with a lower cost compared to conventional technologies2. Implants for bone replacement made from CT images with EBM technology will fit accurate and lead to simpler and better planed surgeries also3. The EBM technique, as such, is always resulting with rough surface on the implants (typically 20-45µm). That roughness can be controlled, in some extent, by changing the process parameters. Some authors claim that roughened surfaces are promoting bone ingrowth4.

    This work was aiming on the question: are EBM made surfaces good for bone ingrowth and is it possible to change the bone ingrowth by varying the machine settings? In order to answer this question a number of coin like specimens of CoCr were manufactured with the different surface roughness. The blood chamber model has shown how the first steps of bone healing were proceeding on specimen surfaces, indicating how the coagulation and complement systems can behave in vivo5.

     

    EXPERIMENTAL METHODS

    The manufacture of the test specimens was carried out with Arcam A2 EBM® equipment.  Process parameters were changed in the software EBM controle6 and three groups of eight specimens with different parameter setting were made. The specimens were then tested with whole blood from two individuals in a modified version of the blood chamber model named above7. Surface roughness was characterised with a stylus profiler Dektak® 6M.

     

    RESULTS AND DISCUSSION

    Table 1 percents Ra (average roughness) and plt (platelets) activated for each group.

     

                                             Table 1

    group         Ra mean      std                    plt mean   std

    1              35.0µm        3.24µm           92.9%       5.25%

    2              28.5µm        2.14µm           85.3%       7.61%

    3              28.2µm        1.75µm           84.4%       10.3%

     

    The results indicate that rougher surfaces are more thrombogenic which could imply that they are more suitable for bone ingrowth then smooth surfaces. Increase of total surface area (due to larger roughness) might be a reason for the improved trombogenic response.

     

     

    Figure 1 shows how many platelets were stuck on the specimen surfaces. Horizontal lines represent mean values and standard deviation.

     

    CONCLUSION

    The surface properties of EBM produced implants are affected by the made parameters. The results in Figure 1 corresponds well with previous results that rougher surfaces promotes bone ingrowth4. The increased thrombogenicity and platelet binding with rougher surfaces indicates that EBM made surfaces can affect the final bone response and will possibly suit as implant material.

     

    REFERENCES

    1. Raennar, L.E., et al., Efficientcooling with tool inserts manufactured by electronbeam melting. Rapid Prototyping Journal. 13:128-35, 2007

    2. Cronskaer, M. Applications of Electron Beam Melting to Titanium Hip Stem Implants

    3. Mazzoli, A., et al., Direct fabrication through electron beam melting technology of custom cranial implants designed in a PHANToM-based haptic environment. Materials and Design. 30:318-3192, 2009

    4. Frosch, K.H., et al., Metallic Biomaterials in Skeletal Rapair. Eur J Trauma. 32:149-59, 2006

    5. Thor A., et al.. The role of whole blood in thrombin generation in contact with various titanium surfaces. Biomaterials. 28:966-97, 2007

    6. Arcam AB (www.arcam.com)

    7. Hong, J., et al., A new in vitro model to study interaction between whole blood and biomaterials. Studies of platelet and coagulation activation acid the effect of aspirin. Biomaterials. 20:603-611, 1999

  • 47.
    Engstrand Unosson, Johanna
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Persson, Cecilia
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Engqvist, Håkan
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    An evaluation of methods to determine the porosity of calcium phosphate cements2015Inngår i: Journal of Biomedical Materials Research. Part B - Applied biomaterials, ISSN 1552-4973, E-ISSN 1552-4981, Vol. 103, nr 1, 62-71 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The porosity of a material can be determined using a diversity of methods; however, the results from these methods have so far not been compared and analyzed for calcium phosphate cements (CPCs). The aim of this study was to compare a fast and easy method for porosity measurements with some commonly used porosity methods for CPCs. The investigated method is based on the assumption that when a wet cement sample is dried, the volume of the evaporated water is equal to the volume of pores within the cement. Moreover, different methods of drying the cements were evaluated for acidic CPCs. The results showed that drying at room temperature (22°C ±1°C) is preferable, since a phase transformation was observed at higher temperatures. The results also showed that drying for 24 hours in vacuum was sufficient to achieve water free cements. The porosity measured was found to vary between the porosity methods evaluated herein, and to get a complete picture of a cement’s porosity more than one method is recommended. Water evaporation, is, however, a fast and easy method to estimate the porosity of CPCs and could simplify porosity measurements in the future.

  • 48.
    Eriksson, Siw
    et al.
    Högskolan i Borås, Akademin för textil, teknik och ekonomi.
    Sandsjö, Leif
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. MedTech West.
    Three-dimensional Fabrics as Medical Textiles2015Inngår i: Advances in 3D Textiles: A volume in Woodhead Publishing Series in Textiles / [ed] X. Chen, Woodhead Publishing Limited, 2015, 305-340 s.Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    The number of 3D textile applications in medicine is rapidly increasing as new technology and procedures are introduced in health care.  A first estimate of current medical applications of both general and 3D textiles is presented based on the medical devices classification system established by the US Food and Drug Administration. The textile specifics for these applications are covered from a textile technique perspective where the different 3D weaving as well as knitting, braiding and non-woven techniques are described and how their properties they can contribute in medical applications. In addition, emerging opportunities based on smart textiles as part of textile systems are described on a general level. The strong application areas of 3D medical textiles, i.e. wound management, vascular grafting and scaffolding for tissue engineering are covered in detail both from the medical and textiles perspective. Finally, some future lines of development are suggested and a short discussion on how new 3D textiles applications can be developed in close cooperation between the textile industry and the health care sector is presented.

  • 49.
    Errando-Herranz, Carlos
    et al.
    KTH, Skolan för elektro- och systemteknik (EES), Mikro- och nanosystemteknik.
    Vastesson, Alexander
    KTH, Skolan för elektro- och systemteknik (EES), Mikro- och nanosystemteknik.
    Zelenina, Marina
    KTH, Skolan för teknikvetenskap (SCI), Tillämpad fysik, Cellens fysik.
    Pardon, Gaspard
    KTH, Skolan för elektro- och systemteknik (EES), Mikro- och nanosystemteknik.
    Bergström, Gunnar
    Wijngaart, Wouter van der
    KTH, Skolan för elektro- och systemteknik (EES), Mikro- och nanosystemteknik.
    Haraldsson, Tommy
    KTH, Skolan för elektro- och systemteknik (EES), Mikro- och nanosystemteknik.
    Brismar, Hjalmar
    KTH, Skolan för teknikvetenskap (SCI), Tillämpad fysik, Cellens fysik.
    Gylfason, Kristinn B.
    KTH, Skolan för elektro- och systemteknik (EES), Mikro- och nanosystemteknik.
    Biocompatibility of OSTE polymers studied by cell growth experiments2013Inngår i: Proceedings of the 17th Int. Conf. on Miniaturized Systems for Chemistry  and Life Sciences (microTAS), Freiburg, Germany, 2013Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The recently introduced OSTE polymer technology has shown very useful features for microfluidics for lab-on-a-chip applications. However, no data has yet been published on cell viability on OSTE. In this work, we study the biocompatibility of three OSTE formulations by cell growth experiments. Moreover, we investigate the effect of varying thiol excess on cell viability on OSTE surfaces. The results show poor cell viability on one OSTE formulation, and viability comparable with polystyrene on a second formulation with thiol excess below 60%. In the third formulation, we observe cell proliferation. These results are promising for cell-based assays in OSTE microfluidic devices.

  • 50.
    Ferraz, Natalia
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Nanoteknologi och funktionella material.
    Hoess, Andreas
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Thormann, Annika
    Heilmann, Andreas
    Shen, Jinhui
    Tang, Liping
    Karlsson Ott, Marjam
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för teknikvetenskaper, Tillämpad materialvetenskap.
    Role of Alumina Nanoporosity in Acute Cell Response2011Inngår i: Journal of Nanoscience and Nanotechnology, ISSN 1533-4880, E-ISSN 1533-4899, Vol. 11, nr 8, 6698-6704 s.Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This work studied the effect of nanoporous alumina in acute cellular response in an in vivo model. Nanoporous alumina membranes, with pore size diameters of 20 and 200 nm, were fabricated by anodic oxidation of aluminium. The membranes were thereafter characterized in terms of pore size distribution and chemical composition. To evaluate acute inflammatory response, the membranes were implanted in the peritoneal cavity of mice. Cell recruitment to the implant site was determined by fluorescence activated cell sorting (FACS) analysis. Cell adhesion to material surfaces was studied in terms of cell number, type, and morphology using scanning electron microscopy (SEM) and immunocytochemical staining followed by fluorescence microscopy. The fabricated nanoporous alumina membranes were found to have narrow pore size distribution. The in vivo study showed that 200 nm alumina membranes induced stronger inflammatory response than 20 nm membranes. This was reflected by the number of implant-associated phagocytes and the number of cells recruited to the implantation site. Since both pore-size membranes possess similar chemical composition, we believe that the observed difference in cell recruitment and adhesion is an effect of the material nanotopography. Our results suggest that nanotopography can be used to subtly control the recruitment and adherence of phagocytic cells during the acute inflammatory response to alumina membranes.

12345 1 - 50 of 208
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