Hydrodynamics and solid dosage form disintegration/dissolution : immediate release tablets and novel in situ polyelectrolyte gastroretentive drug delivery systems

Solid oral dosage form disintegration in the human stomach is a highly complex process dependent on physicochemical properties of the stomach contents as well as on physical variables such as hydrodynamics and mechanical stress. Understanding the role of hydrodynamics and forces in disintegration of oral solid dosage forms can help to improve in vitro disintegration testing and the predictive power of the in vitro test. The aim of this work was to obtain a deep understanding of the influence of changing hydrodynamic conditions on solid oral dosage form performance. Therefore, the hydrodynamic conditions and forces present in the compendial PhEur/USP disintegration test device were characterized using a computational fluid dynamics (CFD) approach. Furthermore, a modified device was developed and the hydrodynamic conditions present were simulated using CFD. This modified device was applied in two case studies comprising immediate release (IR) tablets and gastroretentive drug delivery systems (GRDDS). Due to the description of movement provided in the PhEur, the movement velocity of the basket-rack assembly follows a sinusoidal profile. Therefore, hydrodynamic conditions are changing continually throughout the movement cycle. CFD simulations revealed that the dosage form is exposed to a wide range of fluid velocities and shear forces during the test. The hydrodynamic conditions in the compendial device are highly variable and cannot be controlled. A new, modified disintegration test device based on computerized numerical control (CNC) technique was developed. The modified device can be moved in all three dimensions and radial movement is also possible. Simple and complex moving profiles can be developed and the influence of the hydrodynamic conditions on oral solid dosage form performance can be evaluated. Furthermore, a modified basket was designed that allows two-sided fluid flow. CFD simulations of the hydrodynamics and forces in the modified device revealed significant differences in the fluid flow field and forces when compared to the compendial device. Due to the CNC technique moving velocity and direction are arbitrary and hydrodynamics become controllable. The modified disintegration test device was utilized to examine the influence of moving velocity on disintegration times of IR tablets. Insights into the influence of moving speed, medium viscosity and basket design on disintegration times were obtained. An exponential relationship between moving velocity of the modified basket and disintegration times was established in simulated gastric fluid. The same relationship was found between the disintegration times and the CFD predicted average shear stress on the tablet surface. Furthermore, a GRDDS was developed based on the approach of an in situ polyelectrolyte complex (PEC). Different complexes composed of different grades of chitosan and carrageenan and different ratios of those were investigated for their swelling behavior, mechanical stability, and in vitro drug release. With an optimized formulation the influence of changing hydrodynamic conditions on the swelling behavior and the drug release profile was demonstrated using the modified disintegration test device. Both, swelling behavior and drug release, were largely dependent on the hydrodynamic conditions. Concluding, it has been shown within this thesis that the application of the modified disintegration test device allows for detailed insights into the influence of hydrodynamic conditions on solid oral dosage form disintegration and dissolution. By the application of appropriate test conditions, the predictive power of in vitro disintegration testing can be improved using the modified disintegration test device. Furthermore, CFD has proven a powerful tool to examine the hydrodynamics and forces in the compendial as well as in the modified disintegration test device. rn

Flugzeuggetragene in-situ Messungen zur Eis- und Flüssigphase troposphärischer Wolken

Die Mikrophysik in Wolken bestimmt deren Strahlungseigenschaften und beeinflusst somit auch den Strahlungshaushalt des Planeten Erde. Aus diesem Grund werden im Rahmen der vorliegenden Arbeit die mikrophysikalischen Charakteristika von Cirrus-Wolken sowie von arktischen Grenzschicht-Wolken behandelt. Die Untersuchung dieser Wolken wurde mithilfe verschiedener Instrumente verwirklicht, welche Partikel in einem Durchmesserbereich von 250nm bis zu 6.4mm vermessen und an Forschungsflugzeugen montiert werden. Ein Instrumentenvergleich bestätigt, dass innerhalb der Bereiche in denen sich die Messungen dieser Instrumente überlappen, die auftretenden Diskrepanzen als sehr gering einzustufen sind. Das vorrangig verwendete Instrument trägt die Bezeichnung CCP (Cloud Combination Probe) und ist eine Kombination aus einem Instrument, das Wolkenpartikel anhand von vorwärts-gerichtetem Streulicht detektiert und einem weiteren, das zweidimensionale Schattenbilder einzelner Wolkenpartikel aufzeichnet. Die Untersuchung von Cirrus-Wolken erfolgt mittels Daten der AIRTOSS-ICE (AIRcraft TOwed Sensor Shuttle - Inhomogeneous Cirrus Experiment) Kampagne, welche im Jahr 2013 über der deutschen Nord- und Ostsee stattfand. Parameter wie Partikeldurchmesser, Partikelanzahlkonzentration, Partikelform, Eiswassergehalt, Wolkenhöhe und Wolkendicke der detektierten Cirrus-Wolken werden bestimmt und im Kontext des aktuellen Wissenstandes diskutiert. Des Weiteren wird eine beprobte Cirrus-Wolke im Detail analysiert, welche den typischen Entwicklungsprozess und die vertikale Struktur dieser Wolkengattung widerspiegelt. Arktische Grenzschicht-Wolken werden anhand von Daten untersucht, die während der VERDI (VERtical Distribution of Ice in Arctic Clouds) Kampagne im Jahr 2012 über der kanadischen Beaufortsee aufgezeichnet wurden. Diese Messkampagne fand im Frühling statt, um die Entwicklung von Eis-Wolken über Mischphasen-Wolken bis hin zu Flüssigwasser-Wolken zu beobachten. Unter bestimmten atmosphärischen Bedingungen tritt innerhalb von Mischphasen-Wolken der sogenannte Wegener-Bergeron-Findeisen Prozess auf, bei dem Flüssigwassertropfen zugunsten von Eispartikeln verdampfen. Es wird bestätigt, dass dieser Prozess anhand von mikrophysikalischen Messungen, insbesondere den daraus resultierenden Größenverteilungen, nachweisbar ist. Darüber hinaus wird eine arktische Flüssigwasser-Wolke im Detail untersucht, welche im Inneren das Auftreten von monomodalen Tröpfchen-Größenverteilungen zeigt. Mit zunehmender Höhe wachsen die Tropfen an und die Maxima der Größenverteilungen verschieben sich hin zu größeren Durchmessern. Dahingegen findet im oberen Übergangsbereich dieser Flüssigwasser-Wolke, zwischen Wolke und freier Atmosphäre, ein Wechsel von monomodalen zu bimodalen Tröpfchen-Größenverteilungen statt. Diese weisen eine Mode 1 mit einem Tropfendurchmesser von 20μm und eine Mode 2 mit einem Tropfendurchmesser von 10μm auf. Das dieses Phänomen eventuell typisch für arktische Flüssigwasser-Wolken ist, zeigen an dem Datensatz durchgeführte Analysen. Mögliche Entstehungsprozesse der zweiten Mode können durch Kondensation von Wasserdampf auf eingetragenen Aerosolpartikeln, die aus einer Luftschicht oberhalb der Wolke stammen oder durch Wirbel, welche trockene Luftmassen in die Wolke induzieren und Verdampfungsprozesse von Wolkentröpfchen hervorrufen, erklärt werden. Unter Verwendung einer direkten numerischen Simulation wird gezeigt, dass die Einmischung von trockenen Luftmassen in den Übergangsbereich der Wolke am wahrscheinlichsten die Ausbildung von Mode 2 verursacht.

In-situ detection of defect formation in organic flexible electronics by Kelvin Probe Force Microscopy

Organic semiconductor technology has attracted considerable research interest in view of its great promise for large area, lightweight, and flexible electronics applications. Owing to their advantages in processing and unique physical properties, organic semiconductors can bring exciting new opportunities for broad-impact applications requiring large area coverage, mechanical flexibility, low-temperature processing, and low cost. In order to achieve highly flexible device architecture it is crucial to understand on a microscopic scale how mechanical deformation affects the electrical performance of organic thin film devices. Towards this aim, I established in this thesis the experimental technique of Kelvin Probe Force Microscopy (KPFM) as a tool to investigate the morphology and the surface potential of organic semiconducting thin films under mechanical strain. KPFM has been employed to investigate the strain response of two different Organic Thin Film Transistor with active layer made by 6,13-bis(triisopropylsilylethynyl)-pentacene (TIPS-Pentacene), and Poly(3-hexylthiophene-2,5-diyl) (P3HT). The results show that this technique allows to investigate on a microscopic scale failure of flexible TFT with this kind of materials during bending. I find that the abrupt reduction of TIPS-pentacene device performance at critical bending radii is related to the formation of nano-cracks in the microcrystal morphology, easily identified due to the abrupt variation in surface potential caused by local increase in resistance. Numerical simulation of the bending mechanics of the transistor structure further identifies the mechanical strain exerted on the TIPS-pentacene micro-crystals as the fundamental origin of fracture. Instead for P3HT based transistors no significant reduction in electrical performance is observed during bending. This finding is attributed to the amorphous nature of the polymer giving rise to an elastic response without the occurrence of crack formation.

In situ pinning with arthroscopic osteoplasty for mild SCFE: A preliminary technical report

There is emerging evidence that even mild slipped capital femoral epiphysis leads to early articular damage. Therefore, we have begun treating patients with mild slips and signs of impingement with in situ pinning and immediate arthroscopic osteoplasty. DESCRIPTION OF TECHNIQUES: Surgery was performed using the fracture table. After in situ pinning and diagnostic arthroscopy, peripheral compartment access was obtained and head-neck osteoplasty was completed.

In situ and in vitro comparison of laser fluorescence with visual inspection in detecting occlusal caries lesions

The aim of this study was to compare the in situ and in vitro performances of a laser fluorescence (LF) device (DIAGNOdent 2095) with visual inspection for the detection of occlusal caries in permanent teeth. Sixty-four sites were selected, and visual inspection and LF assessments were carried out, in vitro, three times by two independent examiners, with a 1-week interval between evaluations. Afterwards, the occlusal surfaces were mounted on the palatal portion of removable acrylic orthodontic appliances and placed in six volunteers. Assessments were repeated and validated by histological analysis of the tooth sections under a stereomicroscope. For both examiners, the highest intra-examiner values were observed for the visual inspection when in vitro and in situ evaluations were compared. The inter-examiner reproducibility varied from 0.61 to 0.64, except for the in vitro assessment using LF, which presented a lower value (0.43). The methods showed high specificity at the D(1) threshold (considering enamel and dentin caries as disease). In vitro evaluations showed the highest values of sensitivity for both methods when compared to the in situ evaluations at D(1) and D(2) (considering only dentinal caries as the disease) thresholds. For both methods, the results of sensitivity (at D(1) and D(2)) and accuracy (at D(1)) showed significant differences between in vitro and in situ conditions. However, the sensitivity (at D(1) and D(2)), specificity and accuracy (both at D(1)) of the methods were not significantly different when the same condition was considered. It can be concluded that visual inspection and LF showed better performance in vitro than in situ.

Forensic application of postmortem diffusion-weighted and diffusion tensor MR imaging of the human brain in situ

DWI and DTI of the brain have proved to be useful in many neurologic disorders and in traumatic brain injury. This prospective study aimed at the evaluation of the influence of the PMI and the cause of death on the ADC and FA for the application of DWI and DTI in forensic radiology.

In situ melanoma of the nail unit in children: report of two cases in fair-skinned Caucasian children

Nail melanoma in children is rarely reported in the literature, and all of the published cases were diagnosed in dark-skinned phototypes or in Asians. We report two cases of in situ nail matrix melanoma presenting as longitudinal melanonychia (LM) in fair-skinned children of Italian origin. Nail plate dermatoscopy revealed a brown background with lines of irregular color, spacing, and thickness in both cases. Histopathology of the excised lesions showed melanoma in situ. Clinical, dermatoscopic, and pathological criteria that permit clear differentiation of benign melanocytic activation or proliferation from nail matrix melanoma are not established for children. The presence of a pigmented band of a single nail in a child usually represents a problem for clinicians, because the clinical and dermatoscopic features that are considered possible indicators of nail unit melanoma in adults are frequently observed in benign melanocytic hyperplasia and nevi in children. There is therefore the need to find parameters useful for clinical and dermatoscopic diagnosis in childhood nail pigmentation and to reach a consensus on management of children with a band of LM.