Carotid Artery Disease in the Era of Biomarkers: A Pilot Study
The intima-media thickness (IMT) and its irregularities or ulcerations in the common carotid artery (CCA) are useful tools as sentinel biomarkers for the integrity of the cardiovascular system. Total homocysteine and lipoprotein levels are the most commonly used elements in cardiovascular risk stratification. Duplex ultrasound (DUS), associated with serum biomarkers, can be used simply to assess the degree of atherosclerotic disease and cardiovascular risk. This study highlights the role of different kinds of biomarkers, showing their usefulness and potentiality in multi-district atherosclerotic patients, especially for early diagnosis and therapy effectiveness monitoring. A retrospective a…
Fractional-order poromechanics for a fully saturated biological tissue: Biomechanics of meniscus
Biomechanics of biological fibrous tissues as the meniscus are strongly influenced by past histories of strains involving the so-called material hereditariness. In this paper, a three-axial model of linear hereditariness that makes use of fractional-order calculus is used to describe the constitutive behavior of the tissue. Fluid flow across meniscus' pores is modeled in this paper with Darcy relation yielding a novel model of fractional-order poromechanics, describing the evolution of the diffusion phenomenon in the meniscus. A numerical application involving an 1D confined compression test is reported to show the effect of the material hereditariness on the pressure drop evolution.
Posterior meniscal root repair: a biomechanical comparison between human and porcine menisci
The aim of the present study was to compare the biomechanical characteristics of posterior meniscal root repair of porcine and human menisci. Methods. In vitro biomechanical testing was performed using 12 porcine menisci and 12 human menisci. All menisci were sectioned at the midpoint of their circumference and mounted on an electro-mechanic testing machine. The posterior root was sutured with three single stitches using a no. 2 non-absorbable suture. All specimens were subjected to cyclic axial loading followed by load-to-failure testing. Displacements were recorded at the conclusion of cycles 1, 100, 500 and 1000. Further, load-displacement curves of each specimen were recorded and analyz…
Stability analysis of Beck's column over a fractional-order hereditary foundation
This paper considers the case of Beck's column resting on a hereditary bed of independent springpots. The springpot possesses an intermediate rheological behaviour among linear spring and linear dashpot. It is defined by means of couple ( C β , β ) that characterize the material of the element and is ruled by a Caputo's fractional derivative. In this paper, we investigate the critical load of the column under the action of a follower load by means of a novel complex transform that allows to use the Routh–Hurwitz theorem in the complex half-plane for the stability analysis.
A non-linear stochastic approach of ligaments and tendons fractional-order hereditariness
Abstract In this study the non-linear hereditariness of knee tendons and ligaments is framed in the context of stochastic mechanics. Without losing the possibility of generalization, this work was focused on knee Anterior Cruciate Ligament (ACL) and the tendons used in its surgical reconstruction. The proposed constitutive equations of fibrous tissues involves three material parameters for the creep tests and three material parameters for relaxation tests. One-to-one relations among material parameters estimated in creep and relaxations were established and reported in the paper. Data scattering, observed with a novel experimental protocol used to characterize the mechanics of the tissue, w…
Multiscale Biomechanical Characterization of Ligaments and Tendons of the Human Knee
How preconditioning and pretensioning of grafts used in ACLigaments surgical reconstruction are influenced by their mechanical time-dependent characteristics: Can we optimize their initial loading state?
Abstract Purpose Consensus about a pre-implant preparation protocol adaptable to any graft used in Anterior Cruciate Ligament reconstruction is still lacking. In fact, there is not agreement on reliable metrics that consider both specific graft dimensional characteristics, such as its diameter, and the inherent properties of its constitutive material, i.e. ligaments or tendons. Aim of the present study was to investigate and propose the applied engineering stress as a possible metrics. Methods Preconditioning and pretensioning protocol involved groups of grafts with different section (10 or 32 mm2) and materials (i.e. human patellar and hamstring tendons, and synthetic grafts). A 140 N load…
Hereditariness of Aortic Tissue: In-Vitro Time-Dependent Failure of Human and Porcine Specimens
This study aims to investigate the time dependent failure of aortic tissues for pathological and healthy samples by biomechanical testing. The experimental campaign has involved human pathological tissue and healthy swine tissue as preliminary study towards the development of novel failure criteria.
A Fractional Approach to Non-Newtonian Blood Rheology in Capillary Vessels
In small arterial vessels, fluid mechanics involving linear viscous fluid does not reproduce experimental results that correspond to non-parabolic profiles of velocity across the vessel diameter. In this paper, an alternative approach is pursued introducing long-range interactions that describe the interactions of non-adjacent fluid volume elements due to the presence of red blood cells and other dispersed cells in plasma. These non-local forces are defined as linearly dependent on the product of the volumes of the considered elements and on their relative velocity. Moreover, as the distance between two volume elements increases, the non-local forces decay with a material distance-decaying …
Experimental Characterization of the Human Meniscal Tissue
The meniscus plays a critical role in load transmission, stability and energy dissipation in the knee joint. Loss of the meniscus leads to joint degeneration and osteoarthritis. In a number of cases replacement of the resected meniscal tissue by a synthetic implant might avoid the articular cartilage degeneration. None of the available implants presents optimal biomechanics characteristic due to the fact the biomechanics functionality of the meniscus is not yet fully understood. Mimicking the native biomechanical characteristics of the menisci seems to be the key factor in meniscus replacement functioning. This is extremely challenging due to its complex inhomogeneous microstructure, the la…
Multifibrillar bundles of a self-assembling hyaluronic acid derivative obtained through a microfluidic technique for aortic smooth muscle cell orientation and differentiation
A hyaluronic acid derivative that is able to physically crosslink in a saline aqueous environment was employed for the production of fibers with a mean diameter of 50 μm using a microfluidic technique. The microfibers were collected in a tailored rotating collector and assembled to form multifibrillar bundles. The orientation of the microfibers on the collected bundles was evaluated by microCT analysis. The bundles were biofunctionalized by physical addition of fibronectin or chemical tethering of a cyRGDC peptide to achieve control of Aortic Smooth Muscle Cell (AoSMC) attachment, elongation and alignment. The mechanical performances of these bundles were evaluated by elongation tests, rela…
A Non-Local Mode-I Cohesive Model for Ascending Thoracic Aorta Dissections (ATAD)
This paper presents a non-local interface mechanical model to describe aortic dissection. In this regard, the mode-I debonding problem based on a cohesive zone modeling is endowed with non-local terms to include long-range interactions that are present in multi-layered biological tissue. Such non-local effects are related to the collagen fibers that transmit forces between non-adjacent elements. Numerical simulations are provided with different values of the non-local parameters in order to show the effect of the non-locality during the debonding processes.
Power-Laws hereditariness of biomimetic ceramics for cranioplasty neurosurgery
Abstract We discuss the hereditary behavior of hydroxyapatite-based composites used for cranioplasty surgery in the context of material isotropy. We classify mixtures of collagen and hydroxiapatite composites as biomimetic ceramic composites with hereditary properties modeled by fractional-order calculus. We assume isotropy of the biomimetic ceramic is assumed and provide thermodynamic of restrictions for the material parameters. We exploit the proposed formulation of the fractional-order isotropic hereditariness further by means of a novel mechanical hierarchy corresponding exactly to the three-dimensional fractional-order constitutive model introduced.
Fractional-order nonlinear hereditariness of tendons and ligaments of the human knee
In this paper the authors introduce a nonlinear model of fractional-order hereditariness used to capture experimental data obtained on human tendons of the knee. Creep and relaxation data on fibrous tissues have been obtained and fitted with logarithmic relations that correspond to power-laws with nonlinear dependence of the coefficients. The use of a proper nonlinear transform allows one to use Boltzmann superposition in the transformed variables yielding a fractional-order model for the nonlinear material hereditariness. The fundamental relations among the nonlinear creep and relaxation functions have been established, and the results from the equivalence relations have been contrasted wi…
Computational Fluid Dynamics (CFD) and Finite Element Analysis (FEM) of a Customized Stent-Graft for Endovascular (EVAR) Treatment of Abdominal Aortic Aneurism (AAA)
Background: The treatment of abdominal aortic aneurysm (AAA) is today commonly treated by inserting a stent-graft by the endovascular route, without resorting to open surgery. However, some clinical cases do not allow this less invasive approach, meaning that the stent-graft cannot be inserted and open surgery is used. Methods: In the study, we propose a fluid–structure interaction (FSI) analysis of an aneurysmatic aorta that could not be treated with Endovascular Aneurysm Repair (EVAR). The vessel is reconstructed through segmentation from CT scans and subsequently modeled on CAD software to create the surface and thickness of the vessel itself. Subsequently, we proceeded to carry out Comp…
STRUMENTO MEDICO PER INSERIMENTI INTRALUMINALI
La presente invenzione trova applicazione nel settore dei dispositivi medici inseribili all’interno del corpo umano ed ha particolarmente per oggetto uno strumento medico per inserimenti intraluminali, quali dispositivi per incannulazione o cateterizzazione del sistema vascolare.
Exact Mechanical Hierarchy of Non-Linear Fractional-Order Hereditariness
Non-local time evolution of material stress/strain is often referred to as material hereditariness. In this paper, the widely used non-linear approach to single integral time non-local mechanics named quasi-linear approach is proposed in the context of fractional differential calculus. The non-linear model of the springpot is defined in terms of a single integral with separable kernel endowed with a non-linear transform of the state variable that allows for the use of Boltzmann superposition. The model represents a self-similar hierarchy that allows for a time-invariance as the result of the application of the conservation laws at any resolution scale. It is shown that the non-linear spring…
Enhanced In Situ Availability of Aphanizomenon Flos-Aquae Constituents Entrapped in Buccal Films for the Treatment of Oxidative Stress-Related Oral Diseases: Biomechanical Characterization and In Vitro/Ex Vivo Evaluation
In recent years, the key role of oxidative stress in pathogenesis of oral diseases has been emphasized and the use of antioxidant agents has been encouraged. Aphanizomenon flos-aquae (AFA) is a unicellular blue-green alga with antioxidant and anti-inflammatory properties. The aim of this study was the formulation and characterization of mucoadhesive thin layer films loaded with AFA, finalized to the treatment of oxidative stress (OS)-related oral diseases. First, to enhance the bioavailability of AFA constituents, the raw food grade material was appropriately treated by a high frequency homogenization able to disrupt cell walls. Thus, Eudragit®
Quasi-Fractional Models of Human Tendons Hereditariness
In this study, the authors, after collecting a series of experimental evidences following a creep and relaxation tendon campaign, propose a non-linear model of the viscoelastic behavior of the tendons. The ligaments investigated are the patellars and the hamstrings. The analytical model proposed by the authors aims to explain the non-linear hereditary behavior of these tissues and proposes an approach with which to develop a hereditary fractional-order non-linear model.
A Fractional-Order Model of Biopolyester Containing Naturally Occurring Compounds for Soil Stabilization
Currently, the use of polymers and biopolymers as soil-stabilizer additives for control of the soil degradation, deterioration, and desertification and for improving the arid and semiarid soils has been expanded significantly in the agricultural sector. This research was conducted to determine the effect of naturally occurring compounds, such as quercetin (Q) and sodium montmorillonite (NaMMt) at different weight ratios, in biopolyester, such as polylactic acid (PLA), aiming to formulate ecosustainable materials to control the soil degradation and to protect the environment. As known, the use of sophisticated analytical tools to describe the material rheology and melting properties is nowad…