Experimental and Numerical Models of Complex Clinical Scenarios; Strategies to Improve Relevance and Reproducibility of Joint Replacement Research

This research review aims to focus attention on the effect of specific surgical and host factors on implant fixation, and the importance of accounting for them in experimental and numerical models. These factors affect (a) eventual clinical applicability and (b) reproducibility of findings across research groups. Proper function and longevity for orthopedic joint replacement implants relies on secure fixation to the surrounding bone. Technology and surgical technique has improved over the last 50 years, and robust ingrowth and decades of implant survival is now routinely achieved for healthy patients and first-time (primary) implantation. Second-time (revision) implantation presents with bone loss with interfacial bone gaps in areas vital for secure mechanical fixation. Patients with medical comorbidities such as infection, smoking, congestive heart failure, kidney disease, and diabetes have a diminished healing response, poorer implant fixation, and greater revision risk. It is these more difficult clinical scenarios that require research to evaluate more advanced treatment approaches. Such treatments can include osteogenic or antimicrobial implant coatings, allo- or autogenous cellular or tissue-based approaches, local and systemic drug delivery, surgical approaches. Regarding implant-related approaches, most experimental and numerical models do not generally impose conditions that represent mechanical instability at the implant interface, or recalcitrant healing. Many treatments will work well in forgiving settings, but fail in complex human settings with disease, bone loss, or previous surgery. Ethical considerations mandate that we justify and limit the number of animals tested, which restricts experimental permutations of treatments. Numerical models provide flexibility to evaluate multiple parameters and combinations, but generally need to employ simplifying assumptions. The objectives of this paper are to (a) to highlight the importance of mechanical, material, and surgical features to influence implant-bone healing, using a selection of results from two decades of coordinated experimental and numerical work and (b) discuss limitations of such models and the implications for research reproducibility. Focusing model conditions toward the clinical scenario to be studied, and limiting conclusions to the conditions of a particular model can increase clinical relevance and research reproducibility

One step ATRP initiator immobilization on surfaces leading to gradient-grafted polymer brushes

Published: April 30, 2014A method is described that allows potentially any surface to be functionalized covalently with atom transfer radical polymerization (ATRP) initiators derived from ethyl-2-bromoisobutyrl bromide in a single step. In addition, the initiator surface density was variable and tunable such that the thickness of polymer chain grafted from the surface varied greatly on the surfaces providing examples, across the surface of a substrate, of increased chain stretching due to the entropic nature of crowded polymer chains leading toward polymer brushes. An initiator gradient of increasing surface density was deposited by plasma copolymerization of an ATRP initiator (ethyl 2-bromoisobutyrate) and a non-ATRP reactive diluent molecule (ethanol). The deposited plasma polymer retained its chemical ability to surface-initiate polymerization reactions as exemplified by N,N'-dimethyl acrylamide and poly(ethylene glycol) methyl ether methacrylate polymerizations, illustrating linear and bottle-brush-like chains, respectively. A large variation in graft thickness was observed from the low to high chain-density side suggesting that chains were forced to stretch away from the surface interface--a consequence of entropic effects resulting from increased surface crowding. The tert-butyl bromide group of ethyl 2-bromoisobutyrate is a commonly used initiator in ATRP, so a method for covalent linkage to any substrate in a single step desirably simplifies the multistep surface activation procedures currently used.Bryan R. Coad, Katie E. Styan, and Laurence Meaghe

Intaglio Prints Tinted and Otherwise Enhanced by the Utilization of Color

This thesis involves Intaglio Prints tinted and otherwise enhanced with the use of color. While the objective is quite simple, the technical aspects surrounding a successful Color Intaglio Print are many. Functions of the color utilized in printing vary as do the applications. In this case, the use of color in conjunction with Black and White Intaglio Prints provides a further dimension of substance

Beginning Again North Dakota: An Asset-based Development Program for Rural communities Using a Community Capitals Frameword

EC-138

Accumulation and turnover of carbon in organic and mineral soils of the BOREAS northern study area

Rates of input, accumulation, and turnover of C differ markedly within soil profiles and in soils with different drainage in the BOREAS northern study area. Soil C storage increases from similar to 3 kg C m(-2) in well-drained, sandy soils to greater than 100 kg C m(-2) in wetlands. Two modes of C accumulation were observed in upland soil profiles. Large annual C inputs (0.06-0.1 kg C m(-2) yr(-1)) and slow decomposition (turnover times of 6-250 years) lead to rapid C accumulation in regrowing surface moss and detrital layers following fire. Deep organic layers that have accumulated over the millennia since the initiation of soil development, and are located below the most recent charred horizon, show slower rates of input (0.015-0.03 kg C m(-2) yr(-1)) and turnover (100-1600 years) and accumulate C about 10 times slower than surface detrital layers. Rates of C input to soils derived from C and C-14 data were in accord with net primary production estimates, with highest rates of input (0.14-0.6 kg C m(-2) yr(-1)) in wetlands. Turnover times for C in surface detrital layers were 6-15 years for well-drained sand soils that showed highest soil temperatures in summer, 30-40 years for wetlands, and 36-250 years for uplands with thick moss cover and black spruce trees. Long (>100 years) turnover times in upland black spruce/clay soils most likely reflect the influence of woody debris incorporated into detrital layers. Turnover times for deep organic and mineral layer C were controlled by drainage, with fastest turnover (80-130 years) in well-drained sand soils and slowest turnover (>3000 years) in wetlands. Total C accumulation rates, which account for C losses from both deep organic and surface detrital layers, are close to zero for sand/jack pine soils, 0.003-0.01 kg C m(-2) yr(-1) for moderately to poorly drained sites in mature forest stands, and 0.03 kg C m(-2) yr(-1) for a productive fen. Decomposition of organic matter more than several decades old accounts for 9-22% of total heterotrophic respiration at these sites. The rates of C accumulation derived here are decadal averages for specific stands and will vary as stands age or undergo disturbance. Extrapolation to larger regions and longer timescales, where burning offsets C gains in moss layers, will yield smaller rates of C storage