Hydroxyapatite porous structures for bone tissue engineering

Esta dissertação teve como objetivo o desenvolvimento de espumas porosas de hidroxiapatite (HA) baseadas em réplicas invertidas de cristais coloidais (ICC) para substituição óssea. Um ICC é uma estrutura tridimensional de elevada porosidade que apresenta uma rede interconectada de poros com elevada uniformidade de tamanhos. Este tipo de arquitetura possibilita uma proliferação celular homogénea e superiores propriedades mecânicas quando comparada com espumas de geometria não uniforme. O cristal coloidal (CC) - o molde da espuma - foi criado por empacotamento de microesferas de poliestireno (270 μm) produzidas por microfluídica e posterior tratamento térmico. O molde foi impregnado com um gel de hidroxiapatite produzido via sol-gel utilizando pentóxido de fósforo e nitrato de cálcio tetrahidratado como percursores de fósforo e cálcio, respectivamente. A espuma cerâmica foi obtida num único passo depois de um tratamento térmico a 1100oC que permitiu a solidificação do gel e a remoção do CC. A análise por espetroscopia de infravermelho por transformada de Fourier (FTIR) e difração de raios-X (XRD) revelou uma hidroxiapatite carbonatada tipo A com presença de fosfatos tricálcicos. As propriedades mecânicas foram avaliadas por testes de compressão. A biocompatibilidade in vitro foi demonstrada através de testes de adesão e proliferação celular de osteoblastos.

Influence of the molecular weight in mechanical properties and degradation kinetics of chitosan inverted colloidal crystals

Tissue engineering arises from the need to regenerate organs and tissues, requiring the development of scaffolds, which can provide an optimum environment for tissue growth. In this work, chitosan with different molecular weights was used to develop biodegradable 3D inverted colloidal crystals (ICC) structures for bone regeneration, exhibiting uniform pore size and interconnected network. Moreover, in vitro tests were conducted by studying the influence of the molecular weight in the degradation kinetics and mechanical properties. The production of ICC included four major stages: fabrication of microspheres; assembly into a cohesive structure, polymeric solution infiltration and microsphere removal. Chitosan’s degree of deacetylation was determined by infrared spectroscopy and molecular weight was obtained via capillary viscometry. In order to understand the effect of the molecular weight in ICC structures, the mass loss and mechanical properties were analyzed after degradation with lysozyme. Structure morphology observation before and after degradation was performed by scanning electron microscopy. Cellular adhesion and proliferation tests were carried out to evaluate ICC in vitro response. Overall, medium molecular weight ICC revealed the best balance in terms of mechanical properties, degradation rate, morphology and biological behaviour.

Soft biomaterials as a substitute for the Nucleus Pulposus

One of the largest health problems faced worldwide, when evaluated by direct (clinical) as well indirect cost (absenteeism), is the degeneration of the intervertebral disc (IVD) that leads to back pain and, potentially disability and individual´s quality of life decreasing. The intervertebral disc is a mechanical and biological complex structure, formed by a tough outer layer of fibrocartilage called Annulus Fibrosus (AF),which surrounds a soft, elastic and gelatinous core called Nucleus Pulposus (NP). These two structures are completed by two upper and lower encasing layer called Vertebral Endplates (VEP). The degeneration of the IVD is marked by the dehydration of the Nucleus Pulposus, reducing the hydrostatic pressure inside the nucleus, resulting in a loss of capability to support compressive forces, during the active period, and to regain height during the resting period. This situation will compromise the role of shock absorber by the NP and transfers these forces to the AF. This transfer will result in cracks on the AF, deteriorating the IVD, allowing the ingrowth of vessels and nerves. This project was based on the developing a protocol to test suitable NP replacements, in hope to future assessment of discrete mechanical values and characteristics for an NP replacement. For this, Nucleus pulposus samples from goat, encapsulated Hydromed gel denominated “Raviolis” and Chitosan gels, produced via wet route using an ammonium environment, were confined compressed. Chitosan was rheologically tested and swelling capability of all the three type of materials was assessed. Results showed that the Nucleus Pulposus and “Raviolis” have similar mechanical behavior, being able to swell and “build up” hydrostatic pressure after a compression stage, while the Chitosan gel did not showed that ability. Therefore, “Raviolis” are a more suitable candidate to replace the NP than Chitosan gels. It was also observed that confined compression is the key test to perform on any possible candidate to replace the NP.

Novas suturas à base de nanofibras poliméricas

As suturas são dispositivos médicos utilizados na aproximação dos bordos de feridas cirúrgicas ou acidentais. O objectivo deste trabalho consistiu em produzir um fio de sutura com base num material polimérico biodegradável. Para a produção do fio utilizou-se a técnica de electrofiação que permite a obtenção de fibras de diâmetro sub-micrométrico a partir de soluções poliméricas. Os polímeros usados foram a policaprolactona (PCL) e o acetato de celulose (AcCel), polímero sintético e natural, respectivamente. Usaram-se como solventes o clorofórmio e a dimetilacetamida. Foram realizados ensaios mecânicos para caracterizar as propriedades mecânicas das fibras. As fibras compostas por PCL e AcCel apresentaram tensão máxima inferior e módulo de Young superior às fibras de PCL. Concluiu-se que a adição de acetato de celulose tornou as fibras menos elásticas, como era esperado. Quando submetidos a deformações cíclicas, ambos os tipos de fibras mostraram um comportamento idêntico ao apresentado por uma amostra do mesmo material numa única tracção. Para obter os fios, utilizaram-se dois instrumentos de corte. Depois de alongados obtiveram-se fios com calibres correspondentes a 5-0 e 4-0, segundo a classificação da Pharmacopeia dos Estados Unidos. De seguida foram feitos testes in vivo em dois ratos de laboratório, da estirpe Wistar. Durante o procedimento cirúrgico os fios mostraram ser de fácil manuseamento permitindo um bom atravessamento dos tecidos. Observou-se uma boa regeneração dos tecidos apresentando uma cicatrização limpa e com bom aspecto. Os fios de sutura desenvolvidos neste trabalho reúnem as vantagens das suturas mono-filamento e multi-filamento sem nenhuma das respectivas desvantagens.

Anais de História de Além-Mar

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Anais de História de Além-Mar

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Anais de História de Além-Mar

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Anais de História de Além-Mar

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Anais de História de Além-Mar

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Anais de História de Além-Mar

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Anais de História de Além-Mar

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Supplementary private health insurance: The characteristics of subscribers

Despite the fact that public medical care has being heavily subsidized through a statutory national health system there has been a growing number of people who opt to enroll in extra private coverage. Using a two part model to infer the insurance decision and subsequent amount of insurance chosen we found out that people’s decision over private health coverage is not related with their health. The pattern of consumption of medical care that is not available in the public sector and a good socio economic background were found significant modeling the demand for private health insurance.

Nanocomposite polymer beads for cell detection

Circulating tumor cells (CTCs) may induce metastases when detached from the primary tumor. The numbers of these cells in blood offers a valuable prognostic indication. Magnetoresistive sensing is an attractive option for CTC counting. In this technique, cells are labeled with nancomposite polymer beads that provide the magnetic signal. Bead properties such as size and magnetic content must be optimized in order to be used as a detection tool in a magnetoresistive platform. Another important component of the platform is the magnet required for proper sensing. Both components are addressed in this work. Nanocomposite polymer beads were produced by nano-emulsion and membrane emulsification. Formulations of the oil phase comprising a mixture of aromatic monomers and iron oxide were employed. The effect of emulsifier (surfactant) concentration on bead size was studied. Formulations of polydimethilsiloxane (PDMS) with different viscosities were also prepared with nano-emulsion method resulting in colloidal beads. Polycaprolactone (PCL) beads were also synthetized by the membrane emulsification method. The beads were characterized by different techiques such as dynamic light scattering (DLS), thermogravimetric analysis (TGA) and scanning electron microscopy (SEM). Additionally, the magnet dimensions of the platform designed to detect CTCs were optimized through a COMSOL multiphysics simulation.