Development of polymeric nanocomposite (Xyloglucan-co-Methacrylic acid/Hydroxyapatite/SiO 2 ) scaffold for bone tissue engineering applications—In-vitro antibacterial, cytotoxicity and cell culture evaluation

Advancement and innovation in bone regeneration, specifically polymeric composite scaffolds, are of high significance for the treatment of bone defects. Xyloglucan (XG) is a polysaccharide biopolymer having a wide variety of regenerative tissue therapeutic applications due to its biocompatibility, in-vitro degradation and cytocompatibility. Current research is focused on the fabrication of polymeric bioactive scaffolds by freeze drying method for nanocomposite materials. The nanocomposite materials have been synthesized from free radical polymerization using n-SiO2 and n-HAp XG and Methacrylic acid (MAAc). Functional group analysis, crystallinity and surface morphology were investigated by Fourier transform infrared spectroscopy (FTIR), X-ray diffraction analysis (XRD) and scanning electron microscopy (SEM) techniques, respectively. These bioactive polymeric scaffolds presented interconnected and well-organized porous morphology, controlled precisely by substantial ratios of n-SiO2. The swelling analysis was also performed in different media at varying temperatures (27, 37 and 47 °C) and the mechanical behavior of the dried scaffolds is also investigated. Antibacterial activities of these scaffolds were conducted against pathogenic gram-positive and gram-negative bacteria. Besides, the biological behavior of these scaffolds was evaluated by the Neutral Red dye assay against the MC3T3-E1 cell line. The scaffolds showed interesting properties for bone tissue engineering, including porosity with substantial mechanical strength, biodegradability, biocompatibility and cytocompatibility behavior. The reported polymeric bioactive scaffolds can be aspirant biomaterials for bone tissue engineering to regenerate defecated bone

FINITE ELEMENT ANALYSIS ON STRUCTURAL BEHAVIOUR OF GEOpOLYMER REINFORCED CONCRETE BEAM USING JOHNSON-COOK DAMAGE IN ABAQUS

This paper details a finite element analysis of the behaviour of Si-Al geopolymer concrete beam reinforced steel bar under an impulsive load and hyper velocity speed up to 1 km/s created by an air blast explosion. The initial torsion stiffness and ultimate torsion strength of the beam increased with increasing compressive strength and decreasing stirrup ratio. The study involves building a finite element model to detail the stress distribution and compute the level of damage, displacement, and cracks development on the geopolymer concrete reinforcement beam. This was done in ABAQUS, where a computational model of the finite element was used to determine the elasticity, plasticity, concrete tension damages, concrete damage plasticity, and the viability of the Johnson-Cook Damage method on the Si-Al geopolymer concrete. The results from the numerical simulation show that an increase in the load magnitude at the midspan of the beam leads to a percentage increase in the ultimate damage of the reinforced geopolymer beams failing in shear plastic deformation. The correlation between the numerical and experimental blasting results confirmed that the damage pattern accurately predicts the response of the steel reinforcement Si-Al geopolymer concrete beams, concluded that decreasing the scaled distance from 0.298 kg/m3 to 0.149 kg/m3 increased the deformation percentage

Cut off values of waist circumference & associated cardiovascular risk in egyptians

<p>Abstract</p> <p>Background</p> <p>Recent guidelines stressed the need to adopt different values of waist circumference (WC) measurements to define abdominal obesity in different ethnic groups. The aim of this study is to identify WC cutoff points in normotensive and hypertensive subjects which are diagnostic of abdominal obesity in a Middle Eastern population and the prevalence of abdominal obesity in a nationwide sample.</p> <p>Methods</p> <p>Data were collected during phase-2 of the Egyptians National Hypertension Project survey. Blood pressure, anthropometric measurements and laboratory studies were performed according to a standardized protocol by trained personnel. To derive the cutoff points for WC, we applied the factor analysis on CV risk factors: diabetes mellitus, decrease in HDL-C and increase in LDL-C, triglycerides and left ventricular mass index by echocardiography.</p> <p>Results</p> <p>The sample included 2313 individuals above the age of 25 years. WC values (mean ± SD) were 88 ± 14 cm and 95 ± 14 cm for normotensive (NT) and hypertensive (HT) men respectively, and 89.6 ± 14.7 cm and 95.7 ± 15.9 cm for NT and HT women respectively. Applying factor analysis, the weighted average cutoff points were 93.5 cm for both NT and HT men and 91.5 and 92.5 cm for NT and HT women respectively. Based on these thresholds, the prevalence of abdominal obesity was 48% in men and 51.5% in women.</p> <p>Conclusion</p> <p>This is the first report of specific abdominal obesity cutoff points in a Middle Eastern country. The cutoff points were different from the Europid standards. There is a high prevalence rate of abdominal obesity among Egyptians which is associated with increased prevalence of cardiometabolic risk factors.</p

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Fracture strength and fractographic analysis of zirconia copings treated with four experimental silane primers

This study evaluated and compared the effect of new four experimental silane coupling agents on the fracture strength of zirconia copings. The findings were supported with fractographic and finite element analyses. All together 125 zirconia copings with a wall thickness of 0.6 mm were fabricated on identical nickel-chromium master dies and then divided randomly into five groups (n = 25). Four test groups were prepared according the experimental silane primer (labeled: OIWA1, OIWA2, OIWA3 and OIWA4) and one control group without silanization. The silane monomers used were: 3- methacryloxypropyltrimethoxysilane (in OIWA1), 3-acryloxypropyltrimethoxysilane (in OIWA2), 3-isocyanatopropyltriethoxysilane (in OIWA3) and styrylethyltrimethoxysilane (in OIWA4). Tribochemical sandblasting (silica-coating) treatment was performed to the inner surface of the copings in the test groups. All the specimens were silanized at the inner surfaces of the zirconia copings. Self-adhesive universal resin cement was used to cement the copings to the underlying master die. Zirconia copings were vertically loaded on the cusp area until the first crack failure was occurred using Precision Universal Tester at a constant crosshead speed of 1 mm/min. Then, the machine was manually controlled to cause more failure to further determine the texture of fracture. Three dimensional finite element analysis and fractography were performed to support the fracture strength findings. Based on the finite element analysis results, zirconia silanized with 3-acryloyloxypropyltrimethoxysilane showed the highest fracture strength with a mean of 963.75 N (SD 4.5 N), while zirconia copings silanized with 3-methacryloyloxypropyltrimethoxysilane showed a mean fracture strength value of 925.65 N (SD 2.4 N). Styrylethyltrimethoxysilane-silanised zirconia showed mean fracture strength of 895.95 N (SD 3.5 N). Adding silane coupling agents to the resin-zirconia interface increased the fracture strengths significantly (ANOVA, p < 0.05). Silanization with four new experimental silane primers in vitro produced significantly greater fracture strength than the control group not treated with the test silane. © 2013 Taylor & Francis Group, LLC