Softening Shape Memory Polymer Substrates for Bioelectronic Devices With Improved Hydrolytic Stability

Candidate materials for next generation neural recording electrodes include shape memory polymers (SMPs). These materials have the capability to undergo softening after insertion in the body, and therefore reduce the mismatch in modulus that usually exists between the device and the tissue. Current SMP formulations, which have shown promise for neural implants, contain ester groups within the main chain of the polymer and are therefore prone to hydrolytic decomposition under physiological conditions over periods of 11–13 months in vivo, thus limiting the utility for chronic applications. Ester free polymers are stable in harsh condition (PBS at 75°C or NaOH at 37°C) and accelerated aging results suggest that ester free SMPs are projected to be stable under physiological condition for at least 7 years. In addition, the ester free SMP is compatible with microfabrication processes needed for device fabrication. Furthermore, they demonstrate in vitro biocompatibility as demonstrated by high levels of cell viability from ISO 10993 testing

Incorporation of Novel Elements in Bioactive Glass Compositions to Enhance Implant Performance

Increasing popularities of bioactive-glasses and their potential medical applications have led to countless studies into improving their material characteristics and overall performance. Some scientists hope to create new bioactive-glass compositions, while others seek to merely modify existing ones such as the novel 45S5 bioactive-glass composition; created by Dr. Larry Hench. These modifications aim to address potential complications that may arise at a site following implantation such as bacterial infections. In other cases, the incorporation of a selected element or compound may aim to improve the implant functioning by increasing cell proliferation. Although possibilities are plentiful, researchers avoid compromising the typical bioactive glass characteristics when doping with elements such as silver, or gold to achieve additional properties. This chapter elaborates on the incorporation of popular elements by doping bioactive-glass compositions to introduce desired properties based on the implant application

Understanding the Effects of Both CD14-Mediated Innate Immunity and Device/Tissue Mechanical Mismatch in the Neuroinflammatory Response to Intracortical Microelectrodes

Intracortical microelectrodes record neuronal activity of individual neurons within the brain, which can be used to bridge communication between the biological system and computer hardware for both research and rehabilitation purposes. However, long-term consistent neural recordings are difficult to achieve, in large part due to the neuroinflammatory tissue response to the microelectrodes. Prior studies have identified many factors that may contribute to the neuroinflammatory response to intracortical microelectrodes. Unfortunately, each proposed mechanism for the prolonged neuroinflammatory response has been investigated independently, while it is clear that mechanisms can overlap and be difficult to isolate. Therefore, we aimed to determine whether the dual targeting of the innate immune response by inhibiting innate immunity pathways associated with cluster of differentiation 14 (CD14), and the mechanical mismatch could improve the neuroinflammatory response to intracortical microelectrodes. A thiol-ene probe that softens on contact with the physiological environment was used to reduce mechanical mismatch. The thiol-ene probe was both softer and larger in size than the uncoated silicon control probe. Cd14-/- mice were used to completely inhibit contribution of CD14 to the neuroinflammatory response. Contrary to the initial hypothesis, dual targeting worsened the neuroinflammatory response to intracortical probes. Therefore, probe material and CD14 deficiency were independently assessed for their effect on inflammation and neuronal density by implanting each microelectrode type in both wild-type control and Cd14-/- mice. Histology results show that 2 weeks after implantation, targeting CD14 results in higher neuronal density and decreased glial scar around the probe, whereas the thiol-ene probe results in more microglia/macrophage activation and greater blood–brain barrier (BBB) disruption around the probe. Chronic histology demonstrate no differences in the inflammatory response at 16 weeks. Over acute time points, results also suggest immunomodulatory approaches such as targeting CD14 can be utilized to decrease inflammation to intracortical microelectrodes. The results obtained in the current study highlight the importance of not only probe material, but probe size, in regard to neuroinflammation

Mobility in a Globalised World 2017

The term mobility has different meanings in the following science disciplines. In economics, mobility is the ability of an individual or a group to improve their eco-nomic status in relation to income and wealth within their lifetime or between gen-erations. In information systems and computer science, mobility is used for the concept of mobile computing, in which a computer is transported by a person dur-ing normal use. Logistics creates by the design of logistics networks the infrastruc-ture for the mobility of people and goods. Electric mobility is one of today’s solu-tions from an engineering perspective to reduce the need of energy resources and environmental impact. Moreover, for urban planning, mobility is the crunch ques-tion about how to optimise the different needs for mobility and how to link differ-ent transportation systems. In this publication we collected the ideas of practitioners, researchers, and gov-ernment officials regarding the different modes of mobility in a globalised world, focusing on both domestic and international issues

Bioelectronic Medicine: a multidisciplinary roadmap from biophysics to precision therapies

Bioelectronic Medicine stands as an emerging field that rapidly evolves and offers distinctive clinical benefits, alongside unique challenges. It consists of the modulation of the nervous system by precise delivery of electrical current for the treatment of clinical conditions, such as post-stroke movement recovery or drug-resistant disorders. The unquestionable clinical impact of Bioelectronic Medicine is underscored by the successful translation to humans in the last decades, and the long list of preclinical studies. Given the emergency of accelerating the progress in new neuromodulation treatments (i.e., drug-resistant hypertension, autoimmune and degenerative diseases), collaboration between multiple fields is imperative. This work intends to foster multidisciplinary work and bring together different fields to provide the fundamental basis underlying Bioelectronic Medicine. In this review we will go from the biophysics of the cell membrane, which we consider the inner core of neuromodulation, to patient care. We will discuss the recently discovered mechanism of neurotransmission switching and how it will impact neuromodulation design, and we will provide an update on neuronal and glial basis in health and disease. The advances in biomedical technology have facilitated the collection of large amounts of data, thereby introducing new challenges in data analysis. We will discuss the current approaches and challenges in high throughput data analysis, encompassing big data, networks, artificial intelligence, and internet of things. Emphasis will be placed on understanding the electrochemical properties of neural interfaces, along with the integration of biocompatible and reliable materials and compliance with biomedical regulations for translational applications. Preclinical validation is foundational to the translational process, and we will discuss the critical aspects of such animal studies. Finally, we will focus on the patient point-of-care and challenges in neuromodulation as the ultimate goal of bioelectronic medicine. This review is a call to scientists from different fields to work together with a common endeavor: accelerate the decoding and modulation of the nervous system in a new era of therapeutic possibilities

Sarcoma classification by DNA methylation profiling

Sarcomas are malignant soft tissue and bone tumours affecting adults, adolescents and children. They represent a morphologically heterogeneous class of tumours and some entities lack defining histopathological features. Therefore, the diagnosis of sarcomas is burdened with a high inter-observer variability and misclassification rate. Here, we demonstrate classification of soft tissue and bone tumours using a machine learning classifier algorithm based on array-generated DNA methylation data. This sarcoma classifier is trained using a dataset of 1077 methylation profiles from comprehensively pre-characterized cases comprising 62 tumour methylation classes constituting a broad range of soft tissue and bone sarcoma subtypes across the entire age spectrum. The performance is validated in a cohort of 428 sarcomatous tumours, of which 322 cases were classified by the sarcoma classifier. Our results demonstrate the potential of the DNA methylation-based sarcoma classification for research and future diagnostic applications

Framework and baseline examination of the German National Cohort (NAKO)

The German National Cohort (NAKO) is a multidisciplinary, population-based prospective cohort study that aims to investigate the causes of widespread diseases, identify risk factors and improve early detection and prevention of disease. Specifically, NAKO is designed to identify novel and better characterize established risk and protection factors for the development of cardiovascular diseases, cancer, diabetes, neurodegenerative and psychiatric diseases, musculoskeletal diseases, respiratory and infectious diseases in a random sample of the general population. Between 2014 and 2019, a total of 205,415 men and women aged 19–74 years were recruited and examined in 18 study centres in Germany. The baseline assessment included a face-to-face interview, self-administered questionnaires and a wide range of biomedical examinations. Biomaterials were collected from all participants including serum, EDTA plasma, buffy coats, RNA and erythrocytes, urine, saliva, nasal swabs and stool. In 56,971 participants, an intensified examination programme was implemented. Whole-body 3T magnetic resonance imaging was performed in 30,861 participants on dedicated scanners. NAKO collects follow-up information on incident diseases through a combination of active follow-up using self-report via written questionnaires at 2–3 year intervals and passive follow-up via record linkages. All study participants are invited for re-examinations at the study centres in 4–5 year intervals. Thereby, longitudinal information on changes in risk factor profiles and in vascular, cardiac, metabolic, neurocognitive, pulmonary and sensory function is collected. NAKO is a major resource for population-based epidemiology to identify new and tailored strategies for early detection, prediction, prevention and treatment of major diseases for the next 30 years. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10654-022-00890-5

Entwicklung, Charakterisierung und Beständigkeit von schaltbaren Informationsträgern basierend auf Formgedächtnispolymeren

The aim of this thesis was the development of switchable information carriers based on shape memory polymers (SMPs) and the investigation of their durability. Deployed as a new kind of security label, such technology may be an effective tool to prevent counterfeiting and product piracy. Thermoplastic as well as thermoset SMPs turned out to be applicable as a specific substrate for the fabrication of switchable information carriers. In particular, a physically cross-linked and semi-crystalline poly(ester urethane) (PEU), and a chemically cross-linked epoxy-based polymer were investigated. Both SMPs were able to undergo distinct changes in shape upon triggering, which is commonly known as the shape memory effect (SME). A key step for the fabrication of switchable information carriers was the development of a suitable technique for a surface-specific coloring of the polymeric base material. In particular, it was necessary to have a thin coat of paint in order to assure sufficient surface contrasts within the subsequently laser-engraved barcodes (e.g. quick response (QR) codes). In detail, coloring was conducted by diffusion of staining solutions, based on organic dyes, into the polymeric matrix. In order to obtain room temperature stable, temporary shapes with non-decipherable code information, various programming procedures were applied to the information carriers. These were either based on tensile or on compressive deformation. For instance, when using plane steel plates in the course of compressive deformation, code areas were randomly distorted. However, the triggering of the SME resulted in almost complete shape recoveries. As a result, the information carriers could reliably be switched back to readable states. Next, the durability of the information carriers against various environmental impacts was investigated. Artificial weathering was conducted exemplarily on blue and black colored QR code carriers based on PEU. Various scenarios were selected: exposure to UVA irradiation and aging in aqueous solution. In both cases, the durability was investigated at temperatures below and above the switching temperature of the employed SMP. Furthermore, an additional thermo- responsive security feature was added to the information carriers. Therefore, thermochromic pigments (T PIGs) were embedded into a PEU matrix. This mainly included the preparation of a PEU-paste doped with T PIG by solution mixing. The thermochromic paste was deposited by means of a solvent casting technique as thin layer atop the PEU plaque. After solvent evaporation, tightly connected PEU/PEU T PIG laminates were obtained. Subsequent laser ablation finalized the QR code carriers. These were readable at room temperature, but unreadable above the color switching temperature of the employed T PIGs due to a lack of contrast. Besides that, information carriers with temporarily concealed information could be obtained by covering the QR code with an additional layer doped with T PIG.Ziel der Arbeit war es, schaltbare Informationsträger aus Formgedächtnispolymer (FGP) zu entwickeln, und diese auf ihre Beständigkeit gegenüber unterschiedlichen Umwelteinflüssen zu untersuchen. Eingesetzt als neuartige Etiketten könnten diese zur fälschungssicheren Kennzeichnung von Waren verwendet werden. Sowohl thermoplastische als auch duroplastische FGPs waren geeignete Ausgangsmaterialien für solche Informationsträger. Im Speziellen wurde sowohl ein physikalisch quervernetztes, semikristallines Poly(ester urethan) (PEU), als auch ein chemisch quervernetztes, amorphes FGP auf Epoxidbasis näher untersucht. Ein wichtiger Schritt für die Entwicklung von schaltbaren Informationsträgern aus FGP war die Entwicklung eines Färberverfahrens, bei dem das Polymer nur oberflächennah eingefärbt wird. So konnten ausreichend hohe Kontraste in den anschließend mittels Lasergravur eingebrachten Barcodes (z.B. QR engl. quick response Codes) erreicht werden. Die Färbung der Polymeroberflächen durch Diffusion von organischen Färbelösungen in die Polymermatrix stellte sich als probate Methode heraus. Um die Informationsträger in stabile, temporäre Formen mit unlesbarer Information zu überführen, wurden unterschiedliche thermomechanische Programmierungsmethoden angewendet. Sowohl Druck- als auch Zugverformung stellten sich hierfür als geeignet heraus. In beiden Fällen waren die Informationen im programmierten Zustand aufgrund zu großer Verzerrungen der QR Codes unlesbar. Nach dem Auslösen des Formgedächtniseffektes kehrten die Etiketten nahezu in ihre ursprüngliche Form zurück, sodass die Information dann in jedem Fall wieder lesbar war. Im Weiteren wurde die Beständigkeit der neu entwickelten Informationsträger basierend auf PEU untersucht. Hierfür wurden zwei Alterungsszenarien gewählt: die Degradation durch UVA-Strahlung und die Beständigkeit in wässrigem Medium. In beiden Fällen wurde die Bewitterung unterhalb und oberhalb der Schalttemperatur des Polymers durchgeführt. Darüber hinaus wurden die Informationsträger mit einem weiteren thermoresponsiven Sicherheitsmerkmal kombiniert. Hierzu wurde zunächst eine viskose PEU-Lösung hergestellt, die im Anschluss mit den T PIGs vermengt wurde. Die so erhaltene Paste wurde mittels der sogenannten „solvent cast“ Technik als dünner Film auf die Polymeroberfläche aufgebracht. Nach dem vollständigen Abdampfen des Lösungsmittels wurden fest verbundene PEU/PEU-T PIG Laminate erhalten. Die nach der Laserablation erhaltenen multifunktionalen Informationsträger waren neben ihren Formgedächtniseigenschaften durch einstellbare, temperaturabhängige Farbänderungen charakterisiert. In einem weiteren Szenario wurden Informationsträger mit einer Schicht aus thermochromer Paste überdeckt. Als Folge war der Barcode bei Raumtemperatur unter dieser Schicht verborgen und wurde erst beim Erwärmen oberhalb der Schalttemperatur sichtbar und lesbar

Review of Colonic Anastomotic Leakage and Prevention Methods

Although surgeries involving anastomosis are relatively common, anastomotic leakages are potentially deadly complications of colorectal surgeries due to increased risk of morbidity and mortality. As a result of the potentially fatal effects of anastomotic leakages, a myriad of techniques and treatments have been developed to treat these unfortunate cases. In order to better understand the steps taken to treat this complication, we have created a composite review involving some of the current and best treatments for colonic anastomotic leakage that are available. The aim of this article is to present a background review of colonic anastomotic leakage, as well as current strategies to prevent and treat this condition, for a broader audience, including scientist, engineers, and especially biomedical engineers

Flexible and Stretchable Bioelectronics

Medical science technology has improved tremendously over the decades with the invention of robotic surgery, gene editing, immune therapy, etc. However, scientists are now recognizing the significance of ‘biological circuits’ i.e., bodily innate electrical systems for the healthy functioning of the body or for any disease conditions. Therefore, the current trend in the medical field is to understand the role of these biological circuits and exploit their advantages for therapeutic purposes. Bioelectronics, devised with these aims, work by resetting, stimulating, or blocking the electrical pathways. Bioelectronics are also used to monitor the biological cues to assess the homeostasis of the body. In a way, they bridge the gap between drug-based interventions and medical devices. With this in mind, scientists are now working towards developing flexible and stretchable miniaturized bioelectronics that can easily conform to the tissue topology, are non-toxic, elicit no immune reaction, and address the issues that drugs are unable to solve. Since the bioelectronic devices that come in contact with the body or body organs need to establish an unobstructed interface with the respective site, it is crucial that those bioelectronics are not only flexible but also stretchable for constant monitoring of the biological signals. Understanding the challenges of fabricating soft stretchable devices, we review several flexible and stretchable materials used as substrate, stretchable electrical conduits and encapsulation, design modifications for stretchability, fabrication techniques, methods of signal transmission and monitoring, and the power sources for these stretchable bioelectronics. Ultimately, these bioelectronic devices can be used for wide range of applications from skin bioelectronics and biosensing devices, to neural implants for diagnostic or therapeutic purposes