Biomedical Engineering and Bioengineering Commons^™

Effect Of Four Approaches To Oral Feeding Progression On Clinical Outcomes In Preterm Infants, Rita H. Pickler, Barbara A. Reyna, Paul A. Wetzel, Mary Lewis

Biomedical Engineering Publications

Background. The purpose of this study of preterm infants was to test the effect of four approaches to the time of transition from gavage to full oral feedings, time to discharge, and weight gain during the transition.Methods. A randomized experimental design was used with four intervention groups: early start (32 weeks' postmenstrual age)/slow progressing experience (gradually increasing oral feedings offered per day); early start/maximum experience (oral feedings offered at every feeding opportunity); late start (34 weeks' postmenstrual age)/slow progressing experience; and late start/maximum experience. Results. The analysis included 86 preterm infants. Once oral feedings were initiated, …

Regulation Of Osteoblast Differentiation By Acid-Etched And/Or Grit-Blasted Titanium Substrate Topography Is Enhanced By 1,25(Oh)2d3 In A Sex-Dependent Manner, Rene Olivares-Navarrete, Sharon L. Hyzy, Barbara D. Boyan, Zvi Schwartz

Biomedical Engineering Publications

This study assessed contributions of micron-scale topography on clinically relevant titanium (Ti) to differentiation of osteoprogenitor cells and osteoblasts; the interaction of this effect with 1𝛼,25-dihydroxyvitamin D₃ (1𝛼,25(OH)₂D₃); and if the effects are sex-dependent. Male and female rat bone marrow cells (BMCs) were cultured on acid-etched (A, 𝑅_𝑎 = 0.87 𝜇m), grit-blasted (GB, 𝑅_𝑎 = 3.90 𝜇m), or grit-blasted/acid-etched (SLA, 𝑅_𝑎 = 3.22 𝜇m) Ti. BMCs were sensitive to surface topography and underwent osteoblast differentiation. This was greatest on SLA; acid etching and grit blasting contributed additively. Primary osteoblasts were also sensitive …

Frontal Cryosectioning: An Improved Protocol For Sectioning Large Areas Of Fibrous Scaffolds, Casey Grey, David G. Simpson

Biomedical Engineering Publications

Fibrous tissue engineering scaffolds, such as those produced by electrospinning, cannot achieve their clinical potential until deep cell-scaffold interactions are understood. Even the most advanced imaging techniques are limited to capturing data at depths of 100 µm due to light scatter associated with the fibers that compose these scaffolds. Conventional cross-sectional analysis provides information on relatively small volumes of space and frontal sections are difficult to generate. Current understanding of cellular penetration into fibrous scaffolds is limited predominantly to the scaffold surface. Although some information is available from cross-sections, sections vary in quality, can distort spatial scaffold properties, and offer …

Osteogenic Embryoid Body-Derived Material Induces Bone Formation In Vivo, Ken Sutha, Zvi Schwartz, Yun Wang, Sharon Hyzy, Barbara D. Boyan, Todd C. Mcdevitt

Biomedical Engineering Publications

The progressive loss of endogenous regenerative capacity that accompanies mammalian aging has been attributed at least in part to alterations in the extracellular matrix (ECM) composition of adult tissues. Thus, creation of a more regenerative microenvironment, analogous to embryonic morphogenesis, may be achieved via pluripotent embryonic stem cell (ESC) differentiation and derivation of devitalized materials as an alternative to decellularized adult tissues, such as demineralized bone matrix (DBM). Transplantation of devitalized ESC materials represents a novel approach to promote functional tissue regeneration and reduce the inherent batch-to-batch variability of allograft-derived materials. In this study, the osteoinductivity of embryoid body-derived material …

Patterned Feeding Experience For Preterm Infants: Study Protocol For A Randomized Controlled Trial, Rita H. Pickler, Paul A. Wetzel, Jareen Meinzen-Derr, Heather L. Tubbs-Cooley, Margo Moore

Biomedical Engineering Publications

Background

Neurobehavioral disabilities occur in 5–15 % of preterm infants with an estimated 50–70 % of very low birth weight preterm infants experiencing later dysfunction, including cognitive, behavioral, and social delays that often persist into adulthood. Factors implicated in poor neurobehavioral and developmental outcomes are hospitalization in the neonatal intensive care unit (NICU) and inconsistent caregiving patterns. Although much underlying brain damage occurs in utero or shortly after birth, neuroprotective strategies can stop lesions from progressing, particularly when these strategies are used during the most sensitive periods of neural plasticity occurring months before term age. The purpose of this randomized …