Background and Objective
The clinical outcomes of guided tissue regeneration (GTR) or guided bone regeneration (GBR) procedures can be impaired if a bacterial infection develops at the surgical site. ...Membrane exposure is one of the causes of the onset of bacterial infection. Previously, we have fabricated a poly(lactic acid/caprolactone) (PLCL) bilayer membrane composed of a porous layer and a compact layer. The compact layer acts as a barrier against connective tissue and epithelial cells, and we hypothesized that it could also be an effective barrier against bacterial cells. The objective of this study was to evaluate the ability of the PLCL bilayer membrane to block bacterial cell penetration, which would be useful for preventing postoperative infections.
Methods
Porphyromonas gingivalis, Streptococcus mutans, and multispecies bacteria collected from human saliva were used in this study. Bacteria were seeded directly on the compact layer of a PLCL bilayer membrane, and bacterial adhesion to the membrane, as well as penetration into the membrane's structure, were assessed. Bacterial adhesion was evaluated by the number of colonies formed at 6, 24, and 72 h, and penetration was observed using a scanning electron microscope at 24 and 72 h. Commercially available membranes, composed of poly(lactic‐co‐glycolic acid) or type I collagen, were used as controls.
Results
P. gingivalis, S. mutans, and the multispecies bacteria obtained from human saliva adhered onto all the membranes after only 6 h of incubation. However, fewer adherent cells were observed for the PLCL bilayer membrane compared with the controls for all experimental periods. The PLCL membrane was capable of blocking bacterial penetration, and no bacterial cells were observed in the structure. In contrast, bacteria penetrated both the control membranes and were observed at depths of up to 80 µm after 72 h of incubation.
Conclusion
Membrane characteristics may influence how bacterial colonization occurs. The PLCL membrane had reduced bacterial adhesion and blocked bacterial penetration, and these characteristics could contribute to a favorable outcome for regenerative treatments. In the event of membrane exposure at GTR/GBR surgical sites, membranes with an efficient barrier function, such as the PLCL bilayer membrane, could simplify the management of GTR/GBR complications.
•Poly(l-lactic acid/caprolactone) (PLCL) bilayer membrane was developed for GBR application.•Controlled degradation of PLCL bilayer membrane was achieved.•The PLCL bilayer membrane showed suitable ...mechanical properties.•The PLCL bilayer membrane exhibited high biocompatibility.•The porous layer of PLCL membrane promoted osteoblastic differentiation.
Guided bone regeneration (GBR) often involves the use of membranes as barriers for soft tissues. Commercially available membranes, however, do not possess an adequately low degradation rate, resulting in limited barrier function. The purpose of this study was to develop and assess the physicochemical and biological characteristics of a novel poly(l-lactic acid/caprolactone) (PLCL) bilayer membrane and determine its usefulness for GBR application.
The experimental bilayer membrane was prepared via a two-step freezing and lyophilization process with a PLCL solution. Next, the PLCL membrane was investigated regarding tensile strength, surface roughness, in vitro degradation and clinical operability. In addition, cell proliferation and differentiation were investigated on each layer of the experimental membrane. For all experiments, a commercially available poly(lactic-co-glycolic) acid membrane was used as a control.
In vitro analysis of the PLCL bilayer membrane revealed suitable mechanical strength combined with high breaking strain, which contributed to membrane operability. In addition, the PLCL bilayer membrane had enhanced stability compared to the commercial control due to its slower degradation, and was capable of supporting cell growth and osteogenic differentiation.
The current study confirmed that the PLCL membrane possessed a high biocompatibility and slow degradation rate that contributes to prolonged barrier function and bone regeneration. Altogether, it was considered that the PLCL bilayer membrane developed in this study was applicable for GBR treatment.
ABSTRACT The creation of a dark hole (DH) region in the science image for exoplanet direct detection depends on deformable mirrors (DMs), where the imperfect control of DM limits the achievable ...contrast. The mirror surface height resolution is set by the DM drive electronics, and the quantization errors in DM impact the contrast in the DH. Consequently, determining the optimal voltage value for the flattening map of DM is essential, as it involves balancing dynamic and accuracy considerations. We conduct a numerical study to examine the impact of these parameters on microelectromechanical DM within the high-contrast field of view of several DHs with various characteristics and optical configurations. Our analysis includes an exploration of their influence on both small and moderate angular separations. We compare our numerical results with a formula available in the literature that aims to capture the dependence of contrast on DM quantization errors. We show that the formula accuracy to predict the contrast limit when the DM deflection curves follow the as-manufactured quadratic power law is dependent on the DM flattening map voltage domain, regardless of DH size and angular separations. Further these results appear to be insensitive to factors such as actuator number, coronagraph type, set-up architecture, and science objective (small or moderate angular separations). We provide guidelines for determining the optimal voltage for the DM flattening map, discuss the domain validity of the formula used to predict DM quantization errors on the contrast, and provide insights into balancing DM actuator density and mirror surface height resolution.
Abstract
The direct detection and characterization of exoplanets will be a major scientific driver over the next decade, involving the development of very large telescopes that require high-contrast ...imaging close to the optical axis. Some complex techniques have been developed to improve the performance at small separations (coronagraphy, wavefront shaping, etc.). In this paper, we study some of the fundamental limitations of high contrast at the instrument design level, for cases that use a combination of a coronagraph and two deformable mirrors for wavefront shaping. In particular, we focus on small-separation point-source imaging (around 1 λ/D). First, we analytically or semi-analytically analyse the impact of several instrument design parameters: actuator number, deformable mirror locations and optic aberrations (level and frequency distribution). Second, we develop an in-depth Monte Carlo simulation to compare the performance of dark hole correction using a generic test-bed model to test the Fresnel propagation of multiple randomly generated optic static phase errors. We demonstrate that imaging at small separations requires a large setup and small dark hole size. The performance is sensitive to the amount of optic aberration and the spatial frequency distribution but shows a weak dependence on the actuator number or setup architecture when the dark hole is sufficiently small (from 1 to ≲ 5 λ/D).
Abstract Background Percutaneous transhepatic balloon dilatation is an alternative to surgery when benign bilioenteric strictures (BBES) are inaccessible to endoscopic treatment. Our primary ...objective was to report long-term patency of balloon-dilated BBES. Methods A total of 110 consecutive patients with 155 BBES had percutaneous transhepatic complete drainage of all biliary territories, balloon dilatation, and catheter stenting. Intracorporeal electrohydraulic lithotripsy treated associated biliary stones. Biliary drains were removed when no residual balloon waists were observed on at least 2 consecutive sessions, 6 weeks apart. Results A total of 109 of 110 patients had complete drainage. Forty-five patients had successfully treated associated stones. Eleven patients had short-term complications. No patients died. The median follow-up period was 59 months (range, .5–278 mo). Twenty-three patients were lost to follow-up evaluation. Thirteen patients had recurrent biliary obstruction (15%). Life-table analysis showed 90.9% bilioenteric patency after 2,697 days. Conclusions Percutaneous balloon dilatation and calibration of BBES provides acceptable morbidity and low long-term stricture recurrence.
ABSTRACT
Future large space- or ground-based telescopes will offer the resolution and sensitivity to probe the habitable zone of a large sample of nearby stars for exo-Earth imaging. To this end, ...such facilities are expected to be equipped with a high-contrast instrument to efficiently suppress the light from an observed star to image these close-in companions. These observatories will include features such as segmented primary mirrors, secondary mirrors, and struts, leading to diffraction effects on the star image that will limit the instrument contrast. To overcome these constraints, a promising method consists in combining coronagraphy and wavefront shaping to reduce starlight at small separations and generate a dark region within the image to enhance the exoplanet signal. We aim to study the limitations of this combination when observing short-orbit planets. Our analysis is focused on SPEED, the Nice test bed with coronagraphy, wavefront shaping with deformable mirrors (DMs), and complex telescope aperture shape to determine the main realistic parameters that limit contrast at small separations. We develop an end-to-end simulator of this bench with Fresnel propagation effects to study the impact of large phase and amplitude errors from the test-bed optical components and defects from the wavefront shaping system on the final image contrast. We numerically show that the DM finite stroke and non-functional actuators, coronagraph manufacturing errors, and near-focal-plane phase errors represent the major limitations for high-contrast imaging of exoplanets at small separations. We also show that a carefully defined optical set-up opens the path to high contrast at small separation.
Much research has been conducted on fabricating biomimetic biomaterials in vitro. Tissue engineering approaches are often conducted by combining cells, scaffolds, and growth factors. However, the ...degradation rate of scaffolds is difficult to control and the degradation byproducts occasionally limit tissue regeneration. To overcome these issues, we have developed a novel system using a thermo-responsive hydrogel that forms scaffold-free, three-dimensional (3D) cell constructs with arbitrary size and morphology. 3D cell constructs prepared using bone marrow-derived stromal stem cells (BMSCs) exhibited self-organizing ability and formed bone-like tissue with endochondral ossification. Endothelial cells were then introduced into the BMSC construct and a vessel-like structure was formed within the constructs. Additionally, the bone formation ability was promoted by endothelial cells and cell constructs could be freeze-dried to improve their clinical application. A pre-treatment with specific protein protectant allowed for the fabrication of novel bone substitutes composed only of cells. This 3D cell construct technology using thermo-responsive hydrogels was then applied to other cell species. Cell constructs composed of dental pulp stem cells were fabricated, and the resulting construct regenerated pulp-like tissue within a human pulpless tooth. In this review, we demonstrate the approaches for the in vitro fabrication of bone and dental pulp-like tissue using thermo-responsive hydrogels and their potential applications.
In-depth knowledge of the cellular and molecular composition of dental pulp (DP) and the crosstalk between DP cells that drive tissue homeostasis are not well understood. To address these questions, ...we performed a comparative analysis of publicly available single-cell transcriptomes of healthy adult human DP to 5 other reference tissues: peripheral blood mononuclear cells, bone marrow, adipose tissue, lung, and skin.
Our analysis revealed that DP resident cells have a unique gene expression profile when compared to the reference tissues, and that DP fibroblasts are the main cell type contributing to this expression profile. Genes coding for pleiotrophin (PTN) and midkine (MDK), homologous heparin-binding growth-factors, possessed the highest differential expression levels in DP fibroblasts. In addition, we identified extensive crosstalk between DP fibroblasts and several other DP resident cells, including Schwann cells, mesenchymal stem cells and odontoblasts, mediated by PTN and MDK.
DP fibroblasts emerge as unappreciated players in DP homeostasis, mainly through their crosstalk with glial cells. These findings suggest that fibroblast-derived growth factors possess major regulatory functions and thus have a potential role as dental therapeutic targets.
ABSTRACT
We present new speckle measurements of the position of Linus, the satellite of the asteroid (22) Kalliope, obtained at the 1 m Centre Pédagogique Planètes et Univers-Epsilon telescope on the ...Plateau de Calern, France. Observations were made in the visible domain with the speckle camera Pupil Interferometry Speckle camera and COronagraph. We obtained 122 measurements in February–March 2022 and April 2023, with a mean uncertainty close to 10 milliarcsec on the angular separation.