The objective of the study was to determine whether the temperature of urine samples from patients with prostate cancer or the temperature of urine samples from men not suffering from this condition affects the efficacy of prostate cancer detection performed by a specially trained dog using its olfactory abilities. A total of 218 urine samples, divided into two sets differing in temperature, were tested for male prostate cancer by a dog sniffing urine samples. In group 1 (urine temperature 15–23 °C), 120 urine samples were examined by a sniffer dog, of which 57 samples were positive (from the group of men with established prostate cancer) and 63 samples were negative (from men not affected by prostate cancer). In group 2 (urine temperature 2–14 °C), 98 urine samples were examined by a sniffer dog, of which 51 were positive (from the group of men with established prostate cancer) and 47 were negative (from men not affected by prostate cancer). The results of our study demonstrated no link between the efficacy of male prostate cancer detection performed by a specially trained dog using its olfactory abilities from a urine sample and the temperature range from 2–23 °C (P > 0.05).
Intervertebral disc extrusion (IVDE) is a common neurological condition in many dog breeds. This study aimed to describe this condition in Yorkshire terriers (YT) and calculate the prevalence of this condition amongst the YTs with neurological diseases. This is a double-centre retrospective study which was conducted in two arms. The first part of the study, describing the clinical features and prognosis of cervical (C) IVDE in YTs, is based on data from 2005 to 2021. The second part of the study calculated the prevalence of C IVDE amongst the YTs with neurological diseases based on data from 2016 to 2021. A retrospective search through the medical records was conducted. YTs with C IVDE diagnosed with MRI and confirmed surgically were eligible for inclusion in this study. Sixty YTs were included in the first part of the study. There were 48 (80%) dogs with acute onset and 12 (20%) with chronic onset with acute deterioration. Ambulation was preserved in 31 (51.7%) dogs on admission, and the remaining 29 (48.3%) dogs were non-ambulatory. No significant association was found between ambulation on admission and recovery status (p = 0.547). Seventy-three intervertebral spaces were treated during the surgical intervention. Relapses were seen in seven (11.7%) dogs. Forty-nine (81.7%) dogs were ambulatory at discharge. A complete recovery was observed in 46 (76.7%) dogs; the remaining dogs (14, 23.3%) were classified as incomplete recovery. A significant difference was found in time to ambulation (p = 0.0238) and time to discharge (p = 0.0139) between the on-admission ambulatory and non-ambulatory dogs. Three hundred and eight YTs were diagnosed with neurological diseases between 2016 and 2021 in one referral centre. C IVDE was diagnosed in 31 (10.06%) dogs. This is the first study explicitly describing the C IVDE in YTs and establishing the prevalence of this condition amongst YTs with other neurological disorders.
- Publikační typ
- časopisecké články MeSH
PURPOSE OF THE STUDY Tendon injuries continue to be a highly topical issue. Research and clinical activities in this area aim to achieve an optimal repair of the damaged tendon. Such suture is characterised by maximum tensile strength, resistance to gapping at the repair site, preservation of smooth surface, prevention of adhesions and facilitation of fast rehabilitation and active tendon movement. The suture as such is required to show mechanical resistance in particular. Considered optimal is the use of core suture of the tendon in combination with epitendinous suture. The group of researchers has for several years already been exploring new materials. They can contribute to better balance between adequate mechanical strength of the suture and biological support of healing. MATERIAL AND METHODS The study was carried out as an ex vivo experiment on porcine tendon models. A tendon segment was obtained from slaughtered animals and a total rupture of the tendon was imitated by sharp cutting of its central portion. Subsequently, the tendon was repaired by Adelaide suture using coated braided polyester (Ethibond) and two types of new polyamide 6 based (PA6) sutures. The first suture was designed as an unabsorbable polyester core (PES silk) surrounded by absorbable PA6 nanofibres. The second suture was created by braiding a PES silk yarn and two viscose yarns with PA6 nanofibres into a composite surgical suture. As a part of the study also examined was the tensile strength of suture with the use of other stitches, effect of the shape of the needle s point on the tensile strength of the suture and the effect of secured mattress peritendinous suture. The tensile strength of the suture was tested until failure and the achieved maximum load was monitored. RESULTS The PES core yarn with PA6 nanofibre braiding showed lower tensile strength (28.5 ± 5.2 N) than the yarn braided from one PES yarn and two viscose yarns with PA6 nanofibres (45.7 ± 6.7 N). Both newly developed sutures, however, fail to achieve the tensile strength of Ethibond (100.3 ± 19.1 N). In case of Ethibond suture using various types of stitches, the lowest tensile strength was observed in McLarney 4-strand core suture (68.8 ± 18.7 N). A higher tensile strength was achieved by Adelaide 4-strand core suture (83.6 ± 11.2 N). The highest tensile strength was seen in 6-strand core Savage suture (147.4 ± 22.7 N). When the effect of the type of needle was tested, a statistically significant difference between the taper point needle (72.0 ± 7.0 N) and reverse cutting needle (63.3 ± 9.6 N) was observed. In case of McLarney suture the epitendinous stitch increased the tensile strength by 46.2% and in case of Adelaide suture by 48.3%. CONCLUSIONS For tendon core suture, the use of sutures with multiple longitudinal segments seems more appropriate. The epitendinous suture can considerably reinforce the basic load-bearing core suture. Also observed was not an insignificant effect of the needle profile on the resulting tensile strength of the suture. In materials developed by us, more suitable seems to be the design of braiding of absorbable nanofibers with a load-bearing non-absorbable yarn. While the mechanical tensile strength of new materials is lower, the benefits are expected in the form of biological support of healing. Moreover, the nanofibers can be used as a carrier of biological and therapeutic substances. Further improvement of mechanical properties of the newly developed biomaterial can be foreseen if the material of the load-bearing non-absorbable yarn is changed or the load-bearing yarn and nanofibres ratio modified. This pilot study shall use the findings for further development and modification of new materials in basic research and shall also verify the biological aspects and the course of healing in in vivo studies. Key words: tendon, suture, pig, biomaterials, nanofibres, mechanical testing, healing, polyester, Adelaide.
- MeSH
- biokompatibilní materiály * MeSH
- biomechanika MeSH
- lidé MeSH
- pilotní projekty MeSH
- prasata MeSH
- šicí techniky MeSH
- šlachy * chirurgie MeSH
- sutura MeSH
- testování materiálů MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
Závěrečná zpráva o řešení grantu Agentury pro zdravotnický výzkum MZ ČR
Nestr.
V biomedicínských technologiích je velmi aktuální problematika náhrad tkání poškozeného pohybového aparátu. Projekt je zaměřen na vývoj zcela nových biomateriálů a funkcionalizovaných nanovláken (pro kombinaci s kmenovými buňkami a růstovými faktory), včetně nových chirurgických technik léčby závažných traumat pohybového aparátu v podobě transplantací těchto biomateriálů do rozsáhlých defektů kostí a poraněných vazů a šlach. Řešitelský tým byl vybudován v rámci úspěšného řešení NPV II, VZ, IGA MZa dlouhodobě tvoří dynamický, stabilní, multioborový, dobře strukturovanýa produktivní výzkumný tým s vysokou tvůrčí kapacitou, disponující nejmodernějším prostorovým zázemím a špičkovými přístroji. Projekt je koncipován tak, aby experimentální vývoj a preklinické testování biomateriálů u vhodných animálních modelů dospěly k technologiím, jež by zaručily jejich bezpečné použití jakožto náhrad ireverzibilně poškozených tkání člověka. Tyto kroky jsou při zavádění nových léčebných metod nezbytné ještě před vlastními klinickými zkouškamia případným zavedením nových produktů do klinické praxe.; Replacing damaged tissue from the musculoskeletal system is a topical issue in biomedical technology. This project looks at the development of new biomaterials and functionalized nanofibres (to be combined with stem cells and growth factors), including new surgical techniques to treat severe traumas of the musculoskeletal system by transplanting these biomaterials into large bone defects, injured ligaments and tendons. The project team was formed as part of NPV II, VZ, IGA MZ and provides a long-term dynamic, stable, multidisciplinary, well-structured and productive research team with a high capacity for creativity, using the most advanced facilities and apparatus. The project is designed in such a way that the experimental development and preclinical testing of biomaterials using suitable animal models resulted in technology which guarantees their safe use as replacements for irreversibly damaged human tissue. When introducing new treatment methods, these steps are essential prior to the actual clinical trials and the possible introduction of new products into clinical practice.
- MeSH
- biokompatibilní materiály terapeutické užití MeSH
- hojení ran MeSH
- kosti a kostní tkáň zranění MeSH
- lidé MeSH
- ligamenta zranění MeSH
- modely nemocí na zvířatech MeSH
- nanokompozity terapeutické užití MeSH
- řízená tkáňová regenerace metody MeSH
- šlachy patologie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- zvířata MeSH
- NLK Publikační typ
- závěrečné zprávy o řešení grantu AZV MZ ČR
This study was conducted as an in vivo experiment in adult miniature pigs with the aim to test two new biomaterials. An iatrogenic defect was made into the central femoral diaphysis in the experimental animals and subsequently fixated by bridging plate osteosynthesis. Into the defect we implanted a cancellous autograft (control group), a pasty injectable scaffold (EXP A), and a porous 3D cylinder (EXP B). Radiological examination was performed in all animals at 0, 10, 20, 30 weeks after surgical procedure and histological assessment was performed. In the newly formed bone the osteoblastic activity was monitored. In terms of radiology, the most effective method was observed in the control group (completely healed 100%) compared to experimental groups EXP A (70.0%) and EXP B (62.5%). Histological assessment showed a higher cell count in the place of bone defect in the control group compared to experimental groups. Between the experimental groups, a higher count of bone marrow cells was found in group EXP B. Both newly developed biomaterials seem to be suitable as replacements for large bone defects, having good workability and applicability. However, compared to the control group treated with a cancellous autograft, the newly formed bone did not reach the same number of cells settling in and in some cases, full radiological healing was not reached. Nevertheless, the material was found to be grown into the original bone in all cases within the experimental groups. The new biomaterials have a great potential as a substitute in the treatment of large bone defects.
- MeSH
- autologní štěp chirurgie MeSH
- biokompatibilní materiály * klasifikace terapeutické užití MeSH
- fraktury femuru * diagnostické zobrazování terapie veterinární MeSH
- prasata chirurgie MeSH
- radiografie metody MeSH
- vnitřní fixace fraktury metody veterinární MeSH
- výzkum MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- klinická studie MeSH
- práce podpořená grantem MeSH
- MeSH
- mechanické testy metody MeSH
- poranění šlachy chirurgie veterinární MeSH
- prasata chirurgie MeSH
- sutura * normy veterinární MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- hodnotící studie MeSH
- práce podpořená grantem MeSH
INTRODUCTION Traumatic bone injuries or pathological processes may sometimes result in very extensive bone defects. Currently, the standard procedure applied in clinical humane as well as veterinary medicine to fill a bone defect is the autogenous bone graft which, however, necessitates a more invasive procedure for the patient and in the cases of extensive defects it fails to provide adequate amount of graft. Synthetic bone replacements can be used with no further burden for the patient and can simultaneously be used as the carriers for bioactive molecules or therapeutic drugs. For clinical use, an easy and simple application is one of the requirements that have to be taken into consideration. These requirements are best satisfied by preparations in the form of gel, which may be injected into the defects of various shapes even through minimal surgical approach. MATERIAL AND METHODS Synthetic transparent PGD-AlphaProA hydro-peptide-gel was used as a basis to develop a composite hydrogel scaffold. This gel was enriched by cryogenically ground poly- -caprolactone nanofibers (PCL) in a ratio of 1 ml of gel to 16 μg of nanofibres. In experimental animals (laboratory rat Wistar, n=20), a single regular circular defect of 1.5 mm in diameter was drilled by a low speed drill machine across the whole width of distal femur diaphysis, identically in both the hind legs. In the right hindleg, this defect was filled by injection of 0.05 ml of the composite peptide gel with nanofibers (experimental defect). In the contralateral limb a similar defect was left untreated, without filling (control defect), for spontaneous healing. The group of experimental animals was subsequently divided into four sub-groups (A, B, C, D) for the purpose of further follow-up. One week after the surgical implantation, in the first group of experimental animals (Group A; n = 5) lege artis euthanasia was performed, a radiological examination of both the hind legs was carried out and a sample of the bone from both the control and experimental defect was collected for histologic examination. The other groups of experimental animals were evaluated similarly at 2, 4 and 6 weeks after the surgical procedure (Group B, C, D; n = 5). These groups of experimental animals were assessed using various histological techniques by two independent pathologists. RESULTS A difference between the control and the experimental bone defect was observed only at the healing stage at two weeks after the implantation, when a tendency for greater formation of new bone trabeculas was seen in the defect treated with the composite hydro-peptide-gel with PCL nanofibers. The results show a slightly higher angiogenesis and cellularity at the bone defect site with an increase of newly formed bone tissue and faster colonisation of lamellar bone structures by bone marrow cells at early stages of the healing process (1-2 weeks old defect). In the experimental and control groups, at the later stage of healing (4-6 weeks old defect), the process of healing and bone modelling at the defect site shows no detectable morphological differences. CONCLUSIONS The experimental use of hydro-peptide-gel with PCL nanofibers in vivo in laboratory rats shows very good applicability into the defect site and, compared to the untreated defect within two weeks after the implantation, accelerates the bone healing. This fact could be an advantage especially at the early stage of healing, and thus accelerate the healing of more extensive defects. Key words: peptide gel, polycaprolactone, PCL, replacement, bone, healing, scaffold, nanofibers, biomaterial.
- MeSH
- biokompatibilní materiály škodlivé účinky terapeutické užití MeSH
- buněčné struktury fyziologie MeSH
- femur chirurgie MeSH
- hojení fraktur fyziologie MeSH
- kosti a kostní tkáň abnormality cytologie zranění patologie MeSH
- kostní náhrady škodlivé účinky terapeutické užití MeSH
- krysa rodu rattus MeSH
- látky indukující angiogenezi MeSH
- modely u zvířat MeSH
- nanovlákna terapeutické užití MeSH
- nemoci kostí patologie terapie MeSH
- polyestery aplikace a dávkování MeSH
- potkani Wistar MeSH
- transplantace kostí metody MeSH
- zvířata MeSH
- Check Tag
- krysa rodu rattus MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
- MeSH
- mechanické testy MeSH
- odběr tkání a orgánů MeSH
- pevnost v tahu * MeSH
- poranění šlachy * chirurgie MeSH
- prasata MeSH
- psi zranění MeSH
- šicí techniky * MeSH
- sutura * veterinární MeSH
- zvířata MeSH
- Check Tag
- psi zranění MeSH
- zvířata MeSH
- Publikační typ
- práce podpořená grantem MeSH
PURPOSE OF THE STUDY In developing new or modifying the existing surgical treatment methods of spine conditions an integral part of ex vivo experiments is the assessment of mechanical, kinematic and dynamic properties of created constructions. The aim of the study is to create an appropriately validated numerical model of canine cervical spine in order to obtain a tool for basic research to be applied in cervical spine surgeries. For this purpose, canine is a suitable model due to the occurrence of similar cervical spine conditions in some breeds of dogs and in humans. The obtained model can also be used in research and in clinical veterinary practice. MATERIAL AND METHODS In order to create a 3D spine model, the LightSpeed 16 (GE, Milwaukee, USA) multidetector computed tomography was used to scan the cervical spine of Doberman Pinscher. The data were transmitted to Mimics 12 software (Materialise HQ, Belgium), in which the individual vertebrae were segmented on CT scans by thresholding. The vertebral geometry was exported to Rhinoceros software (McNeel North America, USA) for modelling, and subsequently the specialised software Abaqus (Dassault Systemes, France) was used to analyse the response of the physiological spine model to external load by the finite element method (FEM). All the FEM based numerical simulations were considered as nonlinear contact statistic tasks. In FEM analyses, angles between individual spinal segments were monitored in dependence on ventroflexion/ /dorziflexion. The data were validated using the latero-lateral radiographs of cervical spine of large breed dogs with no evident clinical signs of cervical spine conditions. The radiographs within the cervical spine range of motion were taken at three different positions: in neutral position, in maximal ventroflexion and in maximal dorziflexion. On X-rays, vertebral inclination angles in monitored spine positions were measured and compared with the results obtain0ed from FEM analyses of the numerical model. RESULTS It is obvious from the results that the physiological spine model tested by the finite element method shows a very similar mechanical behaviour as the physiological canine spine. The biggest difference identified between the resulting values was reported in C6-C7 segment in dorsiflexion (Δφ = 5.95%), or in C4-C5 segment in ventroflexion (Δφ = -3.09%). CONCLUSIONS The comparisons between the mobility of cervical spine in ventroflexion/dorsiflexion on radiographs of the real models and the simulated numerical model by finite element method showed a high degree of results conformity with a minimal difference. Therefore, for future experiments the validated numerical model can be used as a tool of basic research on condition that the results of analyses carried out by finite element method will be affected only by an insignificant error. The computer model, on the other hand, is merely a simplified system and in comparison with the real situation cannot fully evaluate the dynamics of the action of forces in time, their variability, and also the individual effects of supportive skeletal tissues. Based on what has been said above, it is obvious that there is a need to exercise restraint in interpreting the obtained results. Key words: cervical spine, kinematics, numerical modelling, finite element method, canine.
- MeSH
- krční obratle diagnostické zobrazování fyziologie MeSH
- počítačová rentgenová tomografie MeSH
- počítačová simulace * MeSH
- psi MeSH
- rozsah kloubních pohybů * fyziologie MeSH
- zobrazování trojrozměrné MeSH
- zvířata MeSH
- Check Tag
- psi MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH