DISEÑO DE UN UTILLAJE PARA LA EXTRACCIÓN DE TORNILLOS MILIMÉTRICOS DE FIJACIÓN ÓSEA BAJO LA NORMA ASTM F543 (DESIGN OF A FIXTURE FOR PULL OUT TEST OF MILLIMETRIC BONE FIXING SCREWS GUIDED BY ASTM F543 STANDARD)

Resumen Los tornillos corticales son elementos utilizados en osteosíntesis para la fijación de fracturas, la estabilidad de la fijación del tornillo es principalmente el resultado del anclaje efectivo del tornillo, una mala estabilidad lleva al fracaso de la unión del hueso. Con base en las normas ASTM F543, se diseñó un herramental para la realización de pruebas de la resistencia a la extracción en tornillos corticales, esto con la finalidad de comparar diferentes tornillos médicos utilizados en osteosíntesis. Se identificaron los principales parámetros que influyen en la resistencia a la extracción de los tornillos y se diseñó un herramental para la realización de las pruebas, el cual cumple con los parámetros asignados por la norma ASTM F 543. Palabras clave:Espuma de poliuretano, fuerza de extracción, tornillo cortical. Abstract Cortical screws are elements used in osteosynthesis for the fixation of fractures, the stability of the fixation of the screw is mainly the result of the effective anchoring of the screw, poor stability leads to failure of the bone union. Based on the ASTM F543 standards, a tool was designed to carry out tests of the resistance to extraction in cortical screws, in order to compare different medical screws used in osteosynthesis. The main parameters that influence the resistance to extraction of the screws were identified and a fixture was designed to carry out the tests, which complies with the parameters assigned by the ASTM F 543 standard. Keywords:Cortical screw, pull-out force, rigid polyurethane foam

Familial hypercholesterolaemia in children and adolescents from 48 countries: a cross-sectional study

Background: Approximately 450 000 children are born with familial hypercholesterolaemia worldwide every year, yet only 2·1% of adults with familial hypercholesterolaemia were diagnosed before age 18 years via current diagnostic approaches, which are derived from observations in adults. We aimed to characterise children and adolescents with heterozygous familial hypercholesterolaemia (HeFH) and understand current approaches to the identification and management of familial hypercholesterolaemia to inform future public health strategies. Methods: For this cross-sectional study, we assessed children and adolescents younger than 18 years with a clinical or genetic diagnosis of HeFH at the time of entry into the Familial Hypercholesterolaemia Studies Collaboration (FHSC) registry between Oct 1, 2015, and Jan 31, 2021. Data in the registry were collected from 55 regional or national registries in 48 countries. Diagnoses relying on self-reported history of familial hypercholesterolaemia and suspected secondary hypercholesterolaemia were excluded from the registry; people with untreated LDL cholesterol (LDL-C) of at least 13·0 mmol/L were excluded from this study. Data were assessed overall and by WHO region, World Bank country income status, age, diagnostic criteria, and index-case status. The main outcome of this study was to assess current identification and management of children and adolescents with familial hypercholesterolaemia. Findings: Of 63 093 individuals in the FHSC registry, 11 848 (18·8%) were children or adolescents younger than 18 years with HeFH and were included in this study; 5756 (50·2%) of 11 476 included individuals were female and 5720 (49·8%) were male. Sex data were missing for 372 (3·1%) of 11 848 individuals. Median age at registry entry was 9·6 years (IQR 5·8-13·2). 10 099 (89·9%) of 11 235 included individuals had a final genetically confirmed diagnosis of familial hypercholesterolaemia and 1136 (10·1%) had a clinical diagnosis. Genetically confirmed diagnosis data or clinical diagnosis data were missing for 613 (5·2%) of 11 848 individuals. Genetic diagnosis was more common in children and adolescents from high-income countries (9427 [92·4%] of 10 202) than in children and adolescents from non-high-income countries (199 [48·0%] of 415). 3414 (31·6%) of 10 804 children or adolescents were index cases. Familial-hypercholesterolaemia-related physical signs, cardiovascular risk factors, and cardiovascular disease were uncommon, but were more common in non-high-income countries. 7557 (72·4%) of 10 428 included children or adolescents were not taking lipid-lowering medication (LLM) and had a median LDL-C of 5·00 mmol/L (IQR 4·05-6·08). Compared with genetic diagnosis, the use of unadapted clinical criteria intended for use in adults and reliant on more extreme phenotypes could result in 50-75% of children and adolescents with familial hypercholesterolaemia not being identified. Interpretation: Clinical characteristics observed in adults with familial hypercholesterolaemia are uncommon in children and adolescents with familial hypercholesterolaemia, hence detection in this age group relies on measurement of LDL-C and genetic confirmation. Where genetic testing is unavailable, increased availability and use of LDL-C measurements in the first few years of life could help reduce the current gap between prevalence and detection, enabling increased use of combination LLM to reach recommended LDL-C targets early in life

Antimicrobial Poly (methyl methacrylate) with Silver Nanoparticles for Dentistry: A Systematic Review

Poly(methyl methacrylate) (PMMA) is a widely used polymer for dental applications, and it is mainly used in the fabrication of dental prostheses. In an increasing number of these applications, the risk of suffering bacterial or fungal infection is higher than 60% among oral-prosthesis users. Some authors have reported the failure of other implants in the human body due to biofilm formation on the surface (mainly for total hip implants). In the dental field, the formation of bacterial and fungal biofilms on prosthesis’s surface is the etiologic factor for stomatitis, mainly caused by Candida albicans and bacteria such as Staphylococcus epidermidis, Staphylococcus aureus, Pseudomonas aeruginosa and Enterococcus faecalis, as well as many others. The antibacterial and antifungal properties of silver nanoparticles (AgNPs) have been widely reported, and their use in dental materials can prevent oral infections, such as candidiasis and stomatitis, and promote better oral health in dental-prosthesis users. They can even be used in other biomedical applications that require controlling biofilm formation on surfaces. In this review, the reported studies that use composites of PMMA and AgNPs (PMMA-AgNPs) for dental applications are listed and checked, with the aim of gaining a wider perspective of the use and application of this approach in the dental field

La Ciencia de Materiales en la Facultad de Química - UAEM

El libro se encuentra conformado por 13 capítulos que son resultados parciales de tesis de maestría y doctorado, escritos por estudiantes, por su comité de tutores y, en algunos casos, por los investigadores que colaboran con cada grupo disciplinario. Por ello, está dirigido a estudiantes de posgrado en Ciencia de Materiales, y de Ingeniería en Materiales del último año de la carrera.En 1996 dieron inicio los programas de Maestría y Doctorado en Ciencia de Materiales en la Facultad de Química de la Universidad Autónoma del Estado de México. Estos programas ofrecen a los estudiantes la formación académica y de investigación, a través del desarrollo de proyectos que incluyen la síntesis, modificación y el procesamiento de nuevos materiales para aplicaciones en medicina, óptica, construcción, catálisis, detección de sustancias volátiles, entre otras. En los últimos 3 años con el apoyo de estudiantes e investigadores, se logró concluir esta obra que da a conocer la importancia de sintetizar, caracterizar y aplicar materiales con base en sus propiedades.Secretaría de Educación Pública-Subsecretaría de Educación Superior-Dirección General de Educación Superior Universitaria. Número del convenio con la SEP: 2017-15-001-017

Compilación de Proyectos de Investigacion de 1984-2002

Instituto Politecnico Nacional. UPIICS