Visual comparison of two data sets: do people use the means and the variability?

In our everyday lives, we are required to make decisions based upon our statistical intuitions. Often, these involve the comparison of two groups, such as luxury versus family cars and their suitability. Research has shown that the mean difference affects judgements where two sets of data are compared, but the variability of the data has only a minor influence, if any at all. However, prior research has tended to present raw data as simple lists of values. Here, we investigated whether displaying data visually, in the form of parallel dot plots, would lead viewers to incorporate variability information. In Experiment 1, we asked a large sample of people to compare two fictional groups (children who drank ‘Brain Juice’ versus water) in a one-shot design, where only a single comparison was made. Our results confirmed that only the mean difference between the groups predicted subsequent judgements of how much they differed, in line with previous work using lists of numbers. In Experiment 2, we asked each participant to make multiple comparisons, with both the mean difference and the pooled standard deviation varying across data sets they were shown. Here, we found that both sources of information were correctly incorporated when making responses. Taken together, we suggest that increasing the salience of variability information, through manipulating this factor across items seen, encourages viewers to consider this in their judgements. Such findings may have useful applications for best practices when teaching difficult concepts like sampling variation

Influence of Two Changes in the Composition of an Acrylic Bone Cement on its Handling, Thermal, Physical, and Mechanical Properties

This study is a contribution to the growing body of work on the influence of changes in the composition of an acrylic bone cement on various properties of the curing and cured material. The focus is on one commercially-available acrylic bone cement brand, Surgical Simplex®P, and three variants of it and a series of properties, namely, setting time, maximum exotherm temperature, activation energy and frequency factor for the polymerization reaction, diffusion coefficient for the uptake of phosphate buffered saline, at 37°C, ultimate compressive strength (UCS), plane-strain fracture toughness, fatigue life (under fully-reversed tension-compression stress), hardness (H) and elastic modulus (both determined using quasi-static nanoindentation), and the variation of the storage and loss moduli with frequency of the applied force in a dynamic nanoindentation test. It was found that (a) a 68% reduction in the volume of the activator, N,N dimethyl-4-toluidine, relative to the total volume of the liquid monomer (the amounts of all the constituents in the powder and of the hydroquinone in the liquid monomer remaining unchanged) led to, for example, a significant decrease in the rate of the polymerization reaction, at 37°C (c′) and a significant increase in H; and (b) the elimination of the pre-polymerized poly (methyl methacrylate) beads in the powder (the amounts of all the other powder constituents and those of the liquid monomer remaining unchanged) led to, for example, a significant drop in c′ and a significant increase in UCS. Thus, these findings suggest a strategy for optimizing the composition of an acrylic bone cement. © 2007 Springer Science+Business Media, LLC

Novel Processing of Hydroxyapatite-Zirconia Composites using Nano-Sized Particles

A method to produce composites of hydroxyapatite (HA) with ZrO2 (Y-TZP) additions between 0 and 10 wt % at a low sinter temperature of 750 °C is presented. The method limits the amount of reaction between the HA and ZrO2. A ZrO2 loading level that would improve strength while limiting the decomposition of the HA is studied

Comparison of an Experimental Bone Cement with a Commercial Control, Hydroset™

Glass polyalkenoate cements based on strontium calcium zinc silicate glasses (Zn-GPCs) and high molecular weight polyacrylic acids (PAA) (MW; 52,000-210,000) have been shown to exhibit mechanical properties and in vitro bioactivity suitable for arthroplasty applications. Unfortunately, these formulations exhibit working times and setting times which are too short for invasive surgical applications such as bone void filling and fracture fixation. In this study, Zn-GPCs were formulated using a low molecular weight PAA (MW; 12,700) and a modifying agent, trisodium citrate dihydrate (TSC), with the aim of improving the rheological properties of Zn-GPCs. These novel formulations were then compared with commercial self-setting calcium phosphate cement, Hydroset™, in terms of compressive strength, biaxial flexural strength and Young\u27s modulus, as well as working time, setting time and injectability. The novel Zn-GPC formulations performed well, with prolonged mechanical strength (39 MPa, compression) greater than both vertebral bone (18.4 MPa) and the commercial control (14 MPa). However, working times (2 min) and rheological properties of Zn-GPCs, though improved, require further modifications prior to their use in minimally invasive surgical techniques. © 2009 Springer Science+Business Media, LLC

Fluoride Release from Model Glass Ionomer Cements

Glass ionomer cements (GICs) are an important class of biomedical material used extensively for color matched mercury free, dental restorations. GICs can release clinically beneficial amounts of fluoride and have acceptable handling properties which make them suitable as dental restoratives. The fluoride release of model GICs produced from specially synthesized fluoro-alumino-silicate glasses was studied. Nine glasses of varying fluoride content based on 4.5SiO2-3Al2O3-1.5P2O5-(5-Z)CaO-ZCaF2 were synthesized, and cement disks were prepared from them. The glass transition temperature reduced with increasing fluorine content of the glass. Fluoride ion release was measured into distilled water as a function of time for up to 140 days using a fluoride ion selective electrode. The quantity of fluoride released was found to be proportional to the fluorine content of the glass at all intervals time. The cumulative fluoride release was proportional to square root time. Substituting strontium for calcium in the glass had little influence on the fluoride release behavior of the cements. © 2002 Kluwer Academic Publishers

The Effect of Ionic Dissolution Products of Ca-Sr-Na-Zn-Si Bioactive Glass on in Vitro Cytocompatibility

Many commercial bone grafts cannot regenerate healthy bone in place of diseased bone. Bioactive glasses have received much attention in this regard due to the ability of their ionic dissolution products to promote cell proliferation, cell differentiation and activate gene expression. Through the incorporation of certain ions, bioactive glasses can become therapeutic for specific pathological situations. Calcium-strontium-sodium-zinc-silicate glass bone grafts have been shown to release therapeutic levels of zinc and strontium, however the in vitro compatibility of these materials is yet to be reported. In this study, the in vitro cytocompatibility of three different calcium-strontium-sodium-zinc-silicate glasses was examined as a function of their ion release profiles, using Novabone® bioglass as a commercial comparison. Experimental compositions were shown to release Si4+ ranging from 1 to 81 ppm over 30 days; comparable or enhanced release in comparison to Novabone. The maximum Ca2+ release detected for experimental compositions was 9.1 ppm, below that reported to stimulate osteoblasts. Sr2+ release was within known therapeutic ranges, and Zn2+ release ranged from 0.5 to 1.4 ppm, below reported cytotoxic levels. All examined glass compositions show equivalent or enhanced in vitro compatibility in comparison to Novabone. Cells exposed to BT112 ionic products showed enhanced cell viabilities indicating cell proliferation was induced. The ion release profiles suggest this effect was due to a synergistic interaction between certain combinations and concentrations of ions. Overall, results indicate that the calcium-strontium-sodium-zinc-silicate glass compositions show equivalent or even enhanced in vitro compatibility compared to Novabone®. © 2010 Springer Science+Business Media, LLC

Bone Cement as a Local Chemotherapeutic Drug Delivery Carrier in Orthopedic Oncology: A Review

Metastatic bone lesions are common among patients with advanced cancers. While chemotherapy and radiotherapy may be prescribed immediately after diagnosis, the majority of severe metastatic bone lesions are treated by reconstructive surgery, which, in some cases, is followed by postoperative radiotherapy or chemotherapy. However, despite recent advancements in orthopedic surgery, patients undergoing reconstruction still have the risk of developing severe complications such as tumor recurrence and reconstruction failure. This has led to the introduction and evaluation of poly (methyl methacrylate) and inorganic bone cements as local carriers for chemotherapeutic drugs (usually, antineoplastic drugs (ANPDs)). The present work is a critical review of the literature on the potential use of these cements in orthopedic oncology. While several studies have demonstrated the benefits of providing high local drug concentrations while minimizing systemic side effects, only six studies have been conducted to assess the local toxic effect of these drug-loaded cements and they all reported negative effects on healthy bone structure. These findings do not close the door on chemotherapeutic bone cements; rather, they should assist in materials selection when designing future materials for the treatment of metastatic bone disease

Aluminium-Free Glass Polyalkenoate Cements: Ion Release and in Vitro Antibacterial Efficacy

Glass polyalkenoate cements (GPCs) have exhibited potential as bone cements. This study investigates the effect of substituting TiO2 for SiO2 in the glass phase and the subsequent effect on cement rheology, mechanical properties, ion release and antibacterial properties. Glass characterization revealed a reduction in glass transition temperature (Tg) from 685 to 669 C with the addition of 6 mol % TiO2 (AT-2). Magic angle spinning nuclear magnetic resonance (MAS-NMR) revealed a shift from -81 ppm to -76pmm when comparing a Control glass to AT-2, indicating de-polymerization of the Si network. The incorporation of TiO2 also increased the working time (Tw) from 19 to 61 s and setting time (Ts) from 70 to 427 s. The maximum compressive strength (σc) increased from 64 to 85 MPa. Ion release studies determined that the addition of Ti to the glass reduced the release of zinc, calcium and strontium ions, with low concentrations of titanium being released. Antibacterial testing in E. coli resulted in greater bactericidal effects when tested in aqueous broth for both titanium containing cements. © Springer Science+Business Media New York 2013

Local Magnetic Susceptibility of the Positive Muon in the Quasi 1D S=1/2 Antiferromagnet KCuF3_3

We report muon spin rotation measurements of the local magnetic susceptibility around a positive muon in the paramagnetic state of the quasi one-dimensional spin 1/2 antiferromagnet KCuF$_3$. Signals from two distinct sites are resolved which have a temperature dependent frequency shift which is different than the magnetic susceptibility. This difference is attributed to a muon induced perturbation of the spin 1/2 chain.Comment: 13 pages, 4 figures, The 2002 International Conference on Muon Spin Rotation, Relaxation and Resonance, Virginia. US

Influence of Acid Washing on the Surface Morphology of Ionomer Glasses and Handling Properties of Glass Ionomer Cements

Acid washing is known to influence the handling properties of ionomer glasses used in glass ionomer cements due to the production of an ion depleted zone on the surface of the glass particles. The influence of acid washing on the particle size distribution and surface area of four glasses was examined by scanning electron microscopy (SEM), particle size analysis (PSA) and accelerated surface area porosimetry (ASAP) and the working and setting times of cements, produced from the glasses, correlated to changes in surface morphology. A linear relationship was found between the specific surface area of acid-washed SiO2-Al2O3-XF2-P2O5 glasses (X being either calcium or strontium) and their cement working and setting times. These changes directly correlated with increases in the mesopore volume. However, the influence of acid washing on the surface morphology was also found to be glass composition-dependant with the addition of sodium into the glass network resulting in no significant change in the surface area or mesopore volume despite changes in the working and setting time. Through examination of the influence of acid washing and glass composition on the specific surface area improvements in the control of the working and setting times of glass ionomer cements may be achieved. © 2007 Springer Science+Business Media, LLC