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Search results for: IMPLANTY ORTOPEDYCZNE
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Mechanics of mesh implanted into abdominal wall under repetitive load. Experimental and numerical study
PublicationThere are a number of papers discussing medical and mechanical aspects of ventral hernia management. Despite intensive work on the problem understanding, recurrences of the sickness still happen too often. For that reason new aspects of the problem must be considered. In this paper, a change in the abdominal implant’s stiffness is discussed, which is caused by cyclic loading. Such loading influence abdominal implant e.g. while...
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Investigation of abdomen surface deformation due to life excitation: implications for implant selection and orientation in laparoscopic ventral hernia repair
PublicationVentral hernia is a common medical problem. Statistically there are around 10% recurrences of the sickness. The authors' former investigation proved edges of the hernia orifice displacements to be one of the factors causing recurrence. Thus, experimental investigation of the abdomen surface deformation due to some normal activities of people is studied.The extreme strains, their localization and directions are identified. The acquired...
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pH-dependent composite coatings for controlled drug delivery system - Review
PublicationNowadays in case of long-term implants, the most common postoperative complications are bacterial infections, which in consequence may provoke loos- ening of the implants in the primary phase of stabilization. Bacterial infections are currently the most frequent cause of revision surgery of the implants such as hip joint endoprosthesis, knee joint endoprosthesis and dental implants. In order to provide the local and long-term antibacterial...
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Implant system for treatment of the orbital floor defects of blowout fractures in the maxillofacial region using polypropylene yarn and bioactive bone cement
PublicationFractures in the craniofacial region are a serious problem in terms of treatment. The most reasonable solution is the use of individual implants dedicated to a specific patient. The aim of this study was to develop the implant system specifically for treatment of the orbital floor defects of blowout fractures of maxillofacial region, using polypropylene yarn and bone cement. Three types of bone cement were used to fix the polypropylene...
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THE EVALUATION OF THE ABRASIVE WEAR OF THE TI13Nb13ZR ALLOY IMPLANTED BY NITROGEN IONS FOR FRICTION COMPONENTS OF THE HIP JOINT ENDOPROSTHESES
PublicationZ uwagi na potrzeby społeczne, a zwłaszcza rosnące zapotrzebowanie na endoprotezy stawów biodrowego i kolanowego oraz uwzględniając fakt, że procesy tribologiczne odgrywają wiodącą rolę w procesie utraty stabilności endoprotez ortopedycznych i decydują o ich trwałości, uznano za celowe przeprowadzenie oceny wpływu implantacji jonowej na zużycie ścierne biostopu Ti13Nb13Zr. Do badań wykorzystano pary trące: nieimplantowany stop...
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Electromagnetic Field Associated With Dermoscope Magnets May Affect the Safety of Cardiac Implanted Electronic Devices Patients
PublicationDermoscopy is currently used as an auxiliary tool in general dermatology. Since some commercially available dermoscopes have built-in magnets, electromagnetic interference (EMI) may occur when examining cardiac implantable electronic devices (CIED) patients. The aim of the study was to create maps of electromagnetic fields defining a safe distance in terms of EMI. The study was performed in laboratory conditions using measuring...
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Safety and efficacy of a Ventralight ST echo ps implant for a laparoscopic ventral hernia repair – a prospective cohort study with a one-year follow-up
Publicationing new products Thus, every mesh prior to introduction in clinical settings should be tested with a dedicated tacker to discover the proper fixation algorithm. The aim of the study was to assess the safety and efficacy of the Ventralight ST implant with an ECHO positioning system and a dedicated fixation device, the SorbaFix stapler, in a prospective cohort of patients. Material and methods. The study was a prospective single...
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Planty, promenady, ringi. Śródmiejskie założenia pierścieniowe Gdańska, Poznania, Wrocławia i Krakowa
Publication[notka wydawnicza] Okalają centra miast, określają ich strukturę urbanistyczną i wpływają na codzienne życie mieszkańców. Planty, promenady i ringi – które autor nazywa ogólnie założeniami pierścieniowymi – są charakterystyczne dla wielu polskich miast. Powstały w miejscu dawnej granicy miasta – średniowiecznych murów lub nowożytnych bastionów ziemnych. Dziś stanowią atrakcyjną przestrzeń publiczną wypełnioną alejami, bulwarami...
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Introduction to the RSC Advances themed collection on nano and microscale modifications of biomaterials
PublicationThe dramatically increasing development of novel biomaterials, their manufacturing techniques, and surface modications, as well as their application in in vivo tests and clinical trials, is evident. It is interesting to note in what a relatively short time the well-known long-term implants have become medical standard: titanium dental implants started in 1965, and total hip arthroplasty (not very successful) was rst attempted...
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Optimal Features of Porosity of Ti Alloys Considering their Bioactivity and Mechanical Properties
PublicationW artykule przedstawiono wpływ porowatości i rozmiaru porów tytanu i jego stopów, użytych, jako materiały ortopedyczne, na bioaktywność i własności mechaniczne struktur porowatych. Optymalne cechy porowatych rusztowań tytanowych umożliwiają rekonstrukcję i regenerację tkanki kostnej w zastosowaniach przenoszących obciażenie.
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Electrophoretic deposition and characterization of composite chitosan/Eudragit E 100 or poly(4-vinylpyridine)/mesoporous bioactive glass nanoparticles coatings on pre-treated titanium for implant applications
PublicationTitanium implants are surface-modified to achieve bioactivity and often antibacterial properties. Such surface coatings may increase corrosion degradation and be weakly attached to the substrate. In the present research, biodegradable composite coatings, investigated so far as smart environment-sensitive, slowly releasing silver to the implant neighborhood, were produced as a combination of chitosan (CS) with Eudragit E 100 (EE100)...
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SIMULATION OF PROCEED® SURGICAL MESH APPLIED TO VENTRAL HERNIA REPAIR
PublicationIn the present research, Proceed® implant is considered. The system is subjected to short-time dynamic pressure load, similar to post-operative cough naturally occurring in human abdomen. The model refers to a clinical case of 5cm of hernia operated by Proceed implant fixed by 15 joints every 3cm around the orifice. The simulations of the implanted mesh are performed by means of the Finite Element Method. The implant is modelled...
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Degradation of implantable materials – in vivo and in vitro research
PublicationThe article concerns the biological and electrochemical degradation of metallic implants in vivo and in vitro studies. The in vivo research dealt with degradation of plates used to join bones, as well as endoprostheses. The most common damages were: metalosis, breaking in the microstructure changes, breaking in area of holes, as well as plastic deformation throughout the length of an implant. The material used for the research...
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Biological and mechanical properties of bone cement with nanoparticles - in vivo and in vitro research
PublicationDespite antibiotics preventive treatment, before and after an implant implementation, risk of infection are real. These infections at the implant surface develop in a few months after applying them into the body. To prevent the development of bacteria and to reduce the risk of infection, implants coated with nanoparticles come into use. The Mechanical Department of the Technical University of Gdańsk carried out a research with...
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Biological and mechanical properties of bone cement with nanoarticles - in vitro and in vivo research
PublicationDespite antibiotic preventive treatment both before and after implant implementation, the risks of infection are real. These infections develop at the implant surface a few months after inserting them into the body. To prevent the development of bacteria and reduce the risk of infection, implants coated with nanoparticles are used. The Mechanical Department of the Technical University of Gdansk carries out research into using bone...
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Cough influence on fascia-mesh system built for a hernia repair - an experimental research
PublicationAn experimental approach to identify stronger and weaker fixation schemes in laparoscopic ventral hernia repair is presented in the paper. Two types of implants, whose mechanical properties are significantly different and five kinds of connectors are considered. Physical models of operated hernia have been built using those materials and porcine abdominal tissue. The models have been subjected to dynamic impulse load, similar to...
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Nanoindentation tests titanium alloy Ti-6Al-4V after interference laser treatment
PublicationThe study aimed was to assess selected mechanical properties of surface layers obtained after interference laser treatment – DLIL of titanium alloy Ti-6Al-4V used for implants. The samples were melted in still air at room temperature, for this purpose Nd:YAG laser was used, the number of laser shots was variable. Next, nanoindentation tests were performed, based on which Young’s modulus and nanohardness in the obtained surface...
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It applications for the remote testing of hearing.
PublicationTelemedycyna odgrywa coraz wiekszą rolę w diagnostyce i leczeniu osób z ubytkami słuchu. Jest to związane m.in. ze specyfiką badań audiometrycznych. Postęp technologiczny w dziedzinie aparatów słuchowych i implantów ślimakowych wymusza nowe metody diagnozy w audiologii, jak również w praktyce otolaryngologicznej. Serwis ''Telezdrowie'', w którym zaimplementowano liczne testy przesiewowe jest przykładem prowadzenia diagnostyki w...
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Green engineered biomaterials for bone repair and regeneration: Printing technologies and fracture analysis
PublicationDespite the exceptional self-regeneration properties of bone, severe injuries often require additional surgical intervention such as using artificial bone constructs. These structures need to meet a number of criteria regarding their structure, performance, alongside the rate and the mechanism of erosion and fracture when implanted, for stimulating the regeneration of defected bone and, more critically providing support in the...
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In Vitro Biological Characterization of Silver-Doped Anodic Oxide Coating on Titanium
PublicationDespite the high biocompatibility and clinical effectiveness of Ti-based implants, surface functionalization (with complex osteointegrative/antibacterial strategies) is still required. To enhance the dental implant surface and to provide additional osteoinductive and antibacterial properties, plasma electrolytic oxidation of a pure Ti was performed using a nitrilotriacetic acid (NTA)-based Ag nanoparticles (AgNP)-loaded calcium–phosphate...
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Stiffness change of abdominal prosthesis Optomesh™ under cyclic loading
PublicationAbdominal prostheses are used in humans for abdominal wall strengthening or reconstruction. From the mechanical point of view they are membranes, so their basic mechanical property is tensile stiffness. This property is experimentally identified for a selected implant, OptomeshTM. The obtained results are described herein. Uni-axial simple and cyclic tension tests are a basis for the analysis. Both kinds of tests allowed to distinguish...
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Pękanie złączy w czasie spawania i eksploatacji.
PublicationBadano wpływ poziomu nasycenia wodorem złączy spawanych elektrodami otulonymi na naprężenia krytyczne podczas pękania opóźnionego złączy ze stali kadłubowej. Przedstawiono możliwość określenia współczynnika intensywności naprężeń na podstawie uzyskanych wyników próby skłonności do pękania opóźnionego w próbie implant. Wartość współczynnika intensywności naprężeń określono także dla implantów jednorodnych, wykonanych z materiału...
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Coatings in arthroplasty [online]
PublicationThe modern coatings used in arthroplasty for long term implants are reviewed. The phosphate coatingsare the most popular technique to improve the bone-implant interfacial strength and promote theosseointegration. The plasma spraying, electrophoretic precipitation, powder metallurgy, ion beamsputtering, high velocity oxy-fuel (HVOF) combustion spraying, sol-gel technique, biomimeticdeposition are mostly used to obtain the phosphate,...
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The determinants of morphology and properties of the nanohydroxyapatite coating deposited on the Ti13Zr13Nb alloy by electrophoretic techniqe
PublicationThe titanium and its alloys belong at present to the most preferred and commonly applied biomaterials for load- bearing implants. The surfaces of biomaterials are subjected to modification, including the hydroxyapatite coatings deposited in order to ensure corrosion resistance and better joining between an implant and a bone through the possibility of ingrowth bone into the coating. In this paper, the morphology and properties...
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Polynomial Chaos Expansion in Bio-and Structural Mechanics
PublicationThis monograph presents a probabilistic approach to modelling the mechanics of materials and structures where the modelled performance is influenced by uncertainty in the input parameters. The work is interdisciplinary and the methods described are applied to medical and civil engineering problems. The motivation for this work was the necessity of mechanics-based approaches in the modelling and simulation of implants used in the...
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Polynomial Chaos Expansion in Bio- and Structural Mechanics
PublicationThis thesis presents a probabilistic approach to modelling the mechanics of materials and structures where the modelled performance is influenced by uncertainty in the input parameters. The work is interdisciplinary and the methods described are applied to medical and civil engineering problems. The motivation for this work was the necessity of mechanics-based approaches in the modelling and simulation of implants used in the repair...
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Environmental degradation of titanium biomaterials: mechanisms, effects, testing and evaluation
PublicationPrzedyskutowano możliwe przyczyny oraz mechanizmy degradacji biomateriałów tytanowych, używanych jako długoterminowe implanty stawów. Dokonano przeglądu wpływu impalntów metalicznych w ludzkim ciele. Przedstawiono bieżące procedury badania oraz ich wady. Zaproponowano procedurę oszacowania biomateriałów na implanty.
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Influence of Ultrasound on the Characteristics of CaP Coatings Generated Via the Micro-arc Oxidation Process in Relation to Biomedical Engineering
PublicationOver the past decade, bone tissue engineering has been at the core of attention because of an increasing number of implant surgeries. The purpose of this study was to obtain coatings on titanium (Ti) implants with improved properties in terms of biomedical applications and to investigate the effect of ultrasound (US) on these properties during the micro-arc oxidation (MAO) process. The influence of various process parameters, such...
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Is mesh fixation necessary in laparoendoscopic techniques for M3 inguinal defects? An experimental study.
Publicationrepairs, in case of large direct hernias (M3) mesh fixation is recommended to reduce recurrence risk. Despite lack of highquality evidence, the recommendation was upgraded to strong by expert panel. The authors conducted a research experiment to verify the hypothesis that it is possible to preserve the mesh in the operating field in large direct hernias (M3) without the need to use fixing materials. Method The authors conducted...
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Modelowanie wybranych własności mechanicznych struktur po-rowatych przeznaczonych na trzony długoterminowych implan-tów ortopedycznych, otrzymywanych z wykorzystaniem metod micro-CT oraz SLM
PublicationArtykuł przedstawia metodologię opracowania geometrii materiału porowatego opartego na bazie stopu tytanu. W metodologii tej dąży się do uzyskania struktury porowatej jak najbardziej zbliżonej do struktury zdrowej tkanki kostnej, bazującej na rzeczywistych modelach geometrycznych uzyskanych ze zdjęć rentgenowskich z tomografii komputerowej. Rzeczywisty materiał po odpowiedniej obróbce modelu geometrycznego oraz przy zachowaniu...
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Global sensitivity analysis of membrane model of abdominal wall with surgical mesh
PublicationThe paper addresses the issue of ventral hernia repair. Finite Element simulations can be helpful in the optimization of hernia parameters. A membrane abdominal wall model is proposed in two variants: a healthy one and including hernia defect repaired by implant. The models include many uncertainties, e.g. due to variability of abdominal wall, intraabdominal pressure value etc. Measuring mechanical properties with high accuracy...
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Technologia biomems - przegląd zastosowań
PublicationThe paper reviews the issues related to technology, MEMS (Micro-Electro Systems-Mechanical) in the context of applications in biotechnology and biomedical systems. Systems of this type, with applications in biology and medicine, have the name of our common BioMEMS systems. This pertains to a wide range of technology BioMEMS. The aim of this study is to determine future medical MEMS microphones with particular emphasis on their...
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Two-criteria optimisation problem for ventral hernia repair
PublicationTwo-criteria optimisation problem related to laparoscopic ventral hernia repair is formulated in this paper. An optimal implant from a given set and its orientation is sought. The implant is subjected to kinematic extortions due to a patient’s body movement and intra-abdominal pressure. The first criterion of the optimisation problem deals with the reaction force in the implant fastener, while the deflection of the implant constitutes...
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Sensitivity analysis based on non-intrusive regression-based polynomial chaos expansion for surgical mesh modelling
PublicationThe modelling of a system containing implants used in ventral hernia repair and human tissue suffers from many uncertainties. Thus, a probabilistic approach is needed. The goal of this study is to define an efficient numerical method to solve non-linear biomechanical models supporting the surgeon in decisions about ventral hernia repair. The model parameters are subject to substantial variability owing to, e.g., abdominal wall...
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Mechanical properties of mosquito nets in the context of hernia repair
PublicationThe paper deals with issue of applying mosquito nets as implants in hernia repair, which have already been used in resource-poor developing countries. Uniaxial tensile tests have been conducted on polyester mosquito meshes in two orthogonal directions. Non-linear elastic constitutive laws parameters have been identified to be applied in dense net material models. Mechanical performance of tested mosquito nets has been compared...
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In vivo performance of intraperitoneal onlay mesh after ventral hernia repair
PublicationBackground: Ventral hernia repair needs to be improved since recurrence, postoperative pain and other complications are still reported in many patients. The behavior of implants in vivo is not sufficiently understood to design a surgical mesh mechanically compatible with the human abdominal wall. Methods: This analysis was based on radiological pictures of patients who underwent laparoscopic ventral hernia repair. The pictures...
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Research of chitosan coatings deposited by electrophoretic deposition method at various voltage and time parameters
PublicationThe aim of this research is to estimate the electrophoretic deposition main parameters, such as voltage and time duration, that will provide optimal characteristics of the surface layer. Chitosan coatings were synthesized on biomedical Ti13Zr13Nb alloys at 20 V and 30 V and with deposit times of 2min, 5 min, 10 min, and 15 min. Evaluation of the coating was performed by using Scanning Electron Microscope (SEM), Energy-Dispersive...
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Towards Understanding of Mechanics of Hernia Managed by Synthetic Mesh in Laparoscopic Operation: A Single Case Study
PublicationIn this paper a research towards understanding of mechanics of ventral hernia operated with the use of Physiomesh Open image in new window implant and SecureStrap Open image in new window staples is described. Experimental and numerical studies are conducted for that purpose. Experimental works cover uni-axial tension tests of the implant samples and of the implant-staples-tissue system. Also experiments on implant-staples-tissue...
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EXPERIMENTS AND SIMULATIONS FOR LAPAROSCOPICVENTRAL HERNIA REPAIR IMPROVEMENT
PublicationThe authors conducted a wide experimental and numerical study in order to determine effective approaches in the laparoscopic VH repair. At first the study covered identification of mechanical properties of the abdominal fascia, implants, tacks and transabdominalsutures. Basis on these data, the one and two-dimensional mathematical models were formulated and a number of numerical static and dynamic analyses were carried out. Then...
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Mechanical behaviour of knit synthetic mesh used in hernia surgery
PublicationPurpose: There is a discussion in literature concerning mechanical properties and modelling of surgical meshes. An important feature of elastic modulus dependency on load history is taken into account in this paper, as implants are subjected to variable loading during human activity. The example of DynaMesh®-IPOM surgical implant is studied. Methods: The analysis is based on failure tension tests and cyclic loading and unloading...
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Electrophoretic Deposition of Chitosan/Eudragit E 100/AgNPs Coatings for Controlled Release of Antibacterial Substance
PublicationThe development of bacterial infection of the tissues surrounding an implant is one of the leading causes of implant surgery failure. In order to prevent the deposition of bacteria on the implant surface and the formation of biofilm, coatings that exhibit antibacterial properties are manufactured. However, the problem is the controlled release of the therapeutic substance from the coating over the extended life of the implant [1],...
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Underwater welded joint properties investigation
PublicationPrzeprowadzono badania mikro- i makroskopowe złączy spawanych typu implant wykonanych pod wodą metodą lokalnej komory suchej. Wyniki badań świadczą o tym, że w SWC badanych złączy tworzą się kruche struktury hartownicze, które są odpowiedzialne za zwiększoną skłonność stali o podwyższonej wytrzymałości do tworzenia pęknieć zimnych. Analiza rozkładów twardości złączy implant również potwierdza istnienie szkodliwego wpływu środowiska...
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Biomechanical causes for failure of the Physiomesh/Securestrap system
PublicationThis study investigates the mechanical behavior of the Physiomesh/Securestrap system, a hernia repair system used for IPOM procedures associated with high failure rates. The study involved conducting mechanical experiments and numerical simulations to investigate the mechanical behavior of the Physiomesh/Securestrap system under pressure load. Uniaxial tension tests were conducted to determine the elasticity modulus of the Physiomesh...
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Study of Nanohydroxyapatite Coatings Prepared by the Electrophoretic Deposition Method at Various Voltage and Time Parameters
PublicationThe aim of the work is to compare the properties of nanohydroxyapatite coatings obtained using the electrophoretic deposition method (EDP) at 10 V, 20 V, and 30 V, and with deposit times of 2 and 5 min. The primary sedimentation was used to minimize the risk of the formation of particle agglomerates on the sample surface. Evaluation of the coating was performed by using a Scanning Electron Microscope (SEM), Energy-Dispersive Spectroscopy...
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Polyurethanes modified with natural polymers for medical application. Part II. Polyurethane/gelatin, polyurethane/starch, polyurethane/cellulose
PublicationThis paper is a literature overview of biomedical PUR modifications with natural polymers such as starch, cellulose and gelatin. Properties like biodegradability and biocompatibility of modified PUR cause that these materials may be used as wound dressings, tissue scaffolds, tissue implants and also vascular grafts.
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Electrophoretically Deposited Chitosan/Eudragit E 100/AgNPs Composite Coatings on Titanium Substrate as a Silver Release System
PublicationDue to the possibility of bacterial infections occurring around peri-implant tissues, it is necessary to provide implant coatings that release antibacterial substances. The scientific goal of this paper was to produce by electrophoretic deposition (EPD) a smart, chitosan/Eudragit E 100/silver nanoparticles (chit/EE100/AgNPs) composite coating on the surface of titanium grade 2 using different deposition parameters, such as the...
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Nanotechnologie i nanomedycyna
PublicationZastosowanie nanotechnologii w wytwarzaniu implantów, diagnozowaniu chorób oraz ich leczeniu.
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Bioaktywność i biofunkcyjność cementu kostnego
PublicationOpracowanie dotyczy modyfikacji cementu kostnego w celu nadania mu właściwości bioaktywnych i biofunkcyjnych. Jego celem jest scharakteryzowanie cementu kostnego oraz obecnie stosowanych dodatków, któr e nadają mu właściwości przeciwdrobnoustrojowe oraz osteointegracyjne. Opracowanie zawiera opis badań własnych przeprowadzonych przez autorkę w aspekcie wytwarzania powłoki antybakteryjnej...
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Evaluation of the Cathodic Electrodeposition Effectiveness of the Hydroxyapatite Layer Used in Surface Modification of Ti6Al4V-Based Biomaterials
PublicationThe important issue associated with the design and the fabrication of the titanium and titanium alloy implants is the increase of their biointegration with bone tissue. In the presented paper, the research results concerning the conditions used in the cathodic deposition of hydroxyapatite on the surface Ti6Al4V substrates primarily modified by the production of TiO2 nanoporous coatings, TiO2 nanofibers, and titanate coatings, are...
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DNA-reactive anticancer imidazoacridinone C-1311 is a new inhibitor of hypoxia-inducible factor 1 alpha, vascular endothelial growth factor and tumor angiogenesis
PublicationHypoxia-inducible factor 1 (HIF-1) plays a critical role for tumor adaptation to hypoxia and promotes angiogenesis. Antitumor imidazoacridinone C-1311 is a DNA reactive topoisomerase II and FLT3 receptor tyrosine kinase inhibitor selected for phase II clinical trials for breast cancer. Here, we demonstrate the new mechanism of C-1311 action involving HIF-1a, vascular endothelial growth factor (VEGF) and angiogenesis as additional...