Obstetrics‐based clinical immersion of a multinational team of biomedical engineering students in Ghana

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135577/1/ijgo218.pd

UTILITY OF FIBEROPTIC BRONCHOSCOPY FOR RETRIEVAL OF ASPIRATED HEADSCARF PINS

Background: Tracheobronchial foreign body aspiration is a worldwide health problem which often results in life threatening complications.Headscarf pin aspiration is a common and unique form of foreign body aspiration among young Muslim women. Rigid bronchoscopy (RB) is considered the standard procedure for retrieval. Standard flexible bronchoscopy (FOB) is used increasingly in the treatment of tracheobronchial headscarf pins aspiration in adults.Aim: The aim of this study is to evaluate the utility (use) of FOB for the retrieval (extraction) of aspirated headscarf pins.Materials and Methods: Patients with the diagnosis of headscarf pin aspiration admitted to Sulaimanyah Teaching Hospital, department of cardiothoracic and vascular Surgery from January 2008 to September 2011 were included in the study. Standard FOB procedure using an oral approach with patient in recumbent position, under local anesthesia and conscious sedation was performed as the primary tool for retrieval.Results: A total of 20 cases were admitted during the study period. The mean age of the sample was 24 years (10-40 years).All patients presented with cough while two of them had hemoptysis (10%) and five had unilateral wheeze on chest auscultation (25%). The aspirated pin was successfully retrieved in 19/20 cases (95%) during the first attempt of FOB. However, FOB was not successful in 1/20 case (5%). The aspirated pin was successfully retrieved by RB under general anesthesia.Conclusions: FOB is a safe and successful method when performed by an experienced bronchoscopist, well educated staff, and at a well equipped bronchoscopy unit. Headscarf pin aspiration is a relatively common form of foreign body aspiration among young Muslim Iraqi women. It commonly occurs when women hold the pins in their teeth while wearing the hejaab and talking to others at the same time

The effect of variation in physical properties of porous bioactive glass on the expression and maintenance of the osteoblastic phenotype

Revision surgery to replace failed hip implants is a significant health care issue that is expected to escalate as life expectancy increases. A major goal of revision surgery is to reconstruct femoral intramedullary bone-stock loss. To address this problem of bone loss, grafting techniques are widely used. Although fresh autografts remain the optimal material for all forms of surgery seeking to restore structural integrity to the skeleton, it is evident that the supply of such tissue is limited. In recent years, calcium phosphate ceramics have been studied as alternatives to autografts and allografts. The significant limitations associated with the use of biological and synthetic grafts have led to a growing interest in the in vitro synthesis of bone tissue. The approach is to synthesize bone tissue in vitro with the patient\u27s own cells, and use this tissue for the repair of bony defects. Various substrates including metals, polymers, calcium phosphate ceramics and bioactive glasses, have been seeded with osteogenic cells. The selection of bioactive glass in this study is based on the fact that this material has shown an intense beneficial biological effect which has not been reproduced by other biomaterials. Even though the literature provides extensive data on the effect of pore size and porosity on in vivo bone tissue ingrowth into porous materials for joint prosthesis fixation, the data from past studies cannot be applied to the use of bioactive glass as a substrate for the in vitro synthesis of bone tissue. First, unlike the in vivo studies in the literature, this research deals with the growth of bone tissue in vitro. Second, unlike the implants used in past studies, bioactive glass is a degradable and resorbable material. Thus, in order to establish optimal substrate characteristics (porosity and pore size) for bioactive glass, it was important to study these parameters in an in vitro model. We synthesized porous bioactive glass substrates (BG) with varying pore sizes and porosity and determined the effect of substrate properties on the expression and maintenance of the osteoblastic phenotype, using an in vitro culture of osteoblast-like cells. Our data showed that porous bioactive glass substrates support the proliferation and maturation of osteoblast-like cells. Within the conditions of the experiment, we also found that at a given porosity of 44% the pore size of bioactive glass neither directs nor modulates the in vitro expression of the osteoblastic phenotype. On the other hand, at an average pore size of 92 $\mu$m, when cultures are maintained for 14 days, cell activity is greatly affected by the substrate porosity. As the porosity increases from 35% to 59%, osteoblast activity is adversely affected. (Abstract shortened by UMI.

A new route to sol-gel crystalline wollastonite bioceramic

Artificial bone graft materials formed from wollastonite have been extensively used in bone repair because of their high degree of bioactivity and biocompatibility, thereby justifying the development of a protocol for large-scale production. This work reports a novel route for preparing wollastonite via the sol-gel process using bentonite clay as a cheap silica source. The obtained wollastonite was characterized for morphology, elemental composition, phase composition and bioactivity using scanning electron microscopy, energy dispersive X-ray analysis, X-ray diffraction and Fourier transform infrared spectroscopy. Results obtained revealed that wollastonite phase was successfully formed in the material and it showed ability to induce formation of apatite within 0.5 day in biological fluid, an indicator for bone-bonding capability. Overall, the wollastonite prepared from the bentonite clay exhibited properties comparable to that synthesized from commercially obtained sodium metasilicate. Hence, our synthetic route may be useful for commercial-scale preparation of wollastonite

The Influence of Pineapple Leaf Fiber Orientation and Volume Fraction on Methyl Methacrylate-Based Polymer Matrix for Prosthetic Socket Application

This work reports on the use of low-cost pineapple leaf fiber (PALF) as an alternative reinforcing material to the established, commonly used material for prosthetic socket fabrication which is carbon-fiber-reinforced composite (CFRC) due to the high strength and stiffness of carbon fiber. However, the low range of loads exerted on a typical prosthetic socket (PS) in practice suggests that the use of CFRC may not be appropriate because of the high material stiffness which can be detrimental to socket-limb load transfer. Additionally, the high cost of carbon fiber avails opportunities to look for an alternative material as a reinforcement for composite PS development. PALF/Methyl Methacrylate-based (MMA) composites with 0°, 45° and 90° fiber orientations were made with 5–50 v/v fiber volume fractions. The PALF/MMA composites were subjected to a three-point flexural test to determine the effect of fiber volume fraction and fiber orientation on the flexural properties of the composite. The results showed that 40% v/v PALF/MMA composite with 0° fiber orientation recorded the highest flexural strength (50 MPa) and stiffness (1692 MPa). Considering the average load range exerted on PS, the flexural performance of the novel composite characterized in this work could be suitable for socket-limb load transfer for PS fabrication.Applied Science, Faculty ofNon UBCChemical and Biological Engineering, Department ofReviewedFacult

Mechanical and Structural Characterization of Pineapple Leaf Fiber

Evidence-based research had shown that elevated alkali treatment of pineapple leaf fiber (PALF) compromised the mechanical properties of the fiber. In this work, PALF was subjected to differential alkali concentrations: 1, 3, 6, and 9% wt/wt to study the influence on the mechanical and crystal properties of the fiber. The crystalline and mechanical properties of untreated and alkali-treated PALF samples were investigated by X-ray diffractometry (XRD), Fourier transform infrared spectroscopy (FTIR), and tensile testing analysis. The XRD results indicated that crystal properties of the fibers were modified with 6% wt/wt alkali-treated PALF recording the highest crystallinity and crystallite size of 76% and 24 nm, respectively. The FTIR spectra suggested that all alkali-treated PALF samples underwent lignin and hemicellulose removal to varying degrees. An increase in the crystalline properties improved the mechanical properties of the PALF treated with alkali at 6% wt/wt, which has the highest tensile strength (1620 MPa). Although the elevated alkali treatment resulted in decreased mechanical properties of PALF, crystallinity generally increased. The findings revealed that the mechanical properties of PALF not only improve with increasing crystallinity and crystallite size, but are also dependent on the intermediate bond between adjacent cellulose chains.Applied Science, Faculty ofNon UBCChemical and Biological Engineering, Department ofReviewedFacult

Electrochemical evaluation of ion substituted-hydroxyapatite on HeLa cells plasma membrane potential

This study reports the electrochemical activities of a novel ion substituted-Hydroxyapatite (HAp) material in contact with HeLa cells. The work was performed to evaluate the inhibitory effects of various concentrations of HAp on ion transfer mechanisms in HeLa cells. The materials (n = 2: HAp1 and HAp3) were prepared at different stirring times from Achatina achatina snail shells and phosphate-containing solution. The structure of the materials and the trace elements concentration were evaluated using x-ray diffractometry and infrared spectrometry as well as atomic absorption spectroscopy. Electrochemical studies conducted on the cells after 30 min of exposure to the materials demonstrated different responses as elucidated by cyclic voltammetry. The voltammograms revealed HAp1 to be non-redox whereas HAp3 was redox active. Minimal concentrations of HAp1 showed high anodic peak current when compared to the HeLa cells alone, indicating a hyperpolarization of the cells. The peak current gradually reduced as the concentration of HAp1 was increased, and then followed by a sudden rise suggesting inhibition of the cell action potential. HAp3 showed a wavy pattern of the anodic peak current when the material concentration was varied. Peak currents of $$0.92 \pm 0.03$$ nA and $$0.57 \pm 0.01$$ nA were recorded for HAp1 and HAp3, respectively at the highest concentration of 5 µL. The results suggest that different inhibitory mechanisms are at play on the voltage-gated ion channels of the cells, indicating the possibility of using the materials to achieve different cancer proliferation inhibition

Feasibility of Leveraging Consumer Wearable Devices with Data Platform Integration for Patient Vital Monitoring in Low-Resource Settings

Manual monitoring of vital signs, which often fails to capture the onset of deterioration, is the main monitoring modality in most Ghanaian hospitals due to the high cost and inadequate supply of patient bedside monitors. Consumer wearable devices (CWDs) are emerging, relatively low-cost technologies for continuous monitoring of physiological status; however, their validity has not been established in low-resource clinical settings. We aimed to (1) investigate the validity of the heart rate (HR) and oxygen saturation (SpO2) data from two widely used CWDs, the Fitbit Versa 2 and Xiaomi Mi Smart Band 6, against gold standard bedside monitors in one Ghanaian hospital and (2) develop a web application to capture and display CWD data in a clinician-friendly way. A healthy volunteer simultaneously wore both CWDs and blood pressure cuffs to measure HR and SpO2. To test for concordance, we conducted the Bland-Altman and mean absolute percentage error analyses. We also developed a web application that retrieves and displays CWD data in near real time as text and graphical trends. Compared to gold standards (patient monitor and manual), the Fitbit Versa 2 had 96.87% and 96.67% measurement accuracies for HR, and the Xiaomi Mi Smart Band 6 had 94.24% and 93.21% measurement accuracies for HR. The Xiaomi Mi Smart Band 6 had 98.79% measurement accuracy for SpO2. The strong concordance between CWD and gold standards supports the potential implementation of these devices as a novel method of vital sign monitoring to replace manual monitoring, thus saving costs and improving patient outcomes. Further studies are needed for confirmation