No description available.

No description available.

The shear horizontal wave propagation and vibration of piezoelectric coupled structures under an open circuit electrical boundary condition are studied. Following the studies on the dynamic response of piezoelectric coupled structures, the repair of both crack/notch and delaminated structures using piezoelectric materials are conducted. The main contribution was the proposed the active structural repair design using piezoelectric materials for different structures. An accurate model for the piezoelectric effect on the shear wave propagation is first proposed to guide the application of piezoelectric materials as sensors and actuators in the repair of engineering structures. A vibration analysis of a circular steel substrate surface bonded by a piezoelectric layer with open circuit is presented. The mechanical models and solutions for the wave propagation and vibration analysis of piezoelectric coupled structures are established based on the Kirchhoff plate model and Maxwell equation. Following the studies of the dynamic response of piezoelectric coupled structures, a close-loop feedback control repair methodology is proposed for a vibrating delaminated beam structure by using piezoelectric patches. The electromechanical characteristic of the piezoelectric material is employed to induce a local shear force above the delamination area via an external actuation voltage, which is designed as a feedback of the deflection of a vibrating beam and a delaminated plate, to reduce the stress singularity around the delamination tips. Furthermore, an experimental realization of an effective repair of a notched cantilever beam structure subjected to a dynamic loading by use of piezoelectric patches is reported. A small piezoelectric patch used as a sensor is placed on the notch position to monitor the severity of the stress singularity around the notch area by measuring the charge output on the sensor, and a patch used as an actuator is located around the notch area to generate a required bending moment by employing an actuation voltage to reduce the stress singularity at the notch position. The actuation voltage on the actuator is designed from a feedback circuit process. Through the analytical model, FEM simulation and experimental studies, the active structural repair method using piezoelectric materials is realized and proved to be feasible and practical.

Colposuspension is an effective treatment for genuine stress incontinence. Continence is restored by positioning the bladder neck in a fixed and elevated retro-pubic position. Despite a high success rate of up to 90%, post-operative complications occur which may have an adverse effect on quality of life. Voiding difficulties develop in 0-43% of patients and detrusor instability in 2- 25%. This considerable variability is due to differences in definition, the timing of assessment, patient selection, and probably also in surgical technique. The natural history of these complications is not clearly known due to the lack of prospective follow-up studies. There is also general uncertainty with regards to their causes. While retrospective studies have attempted to identify pre-operative risk factors, there are no prospective studies which attempt to correlate the anatomical and functional changes caused by surgery with the development of voiding dysfunction and detrusor instability. This study has investigated prospectively 77 women undergoing the operation of colposuspension in relation to the incidence, natural history and causes of post-operative voiding dysfunction and detrusor instability. The complications were identified and followed-up objectively by means of serial urodynamic studies. Patients were also assessed clinically and using quality of life measures. The development of complications were correlated to a number of anatomical and functional changes caused by surgery. Anatomical changes were identified mainly by imaging the bladder neck with Magnetic Resonance Imaging (MRI). Functional changes were identified using urodynamic studies. Voiding dysfunction after colposuspension was common, with 69% of women requiring a catheter for more than seven days, and 28% for longer than 14 days. Improvement occurred gradually in most cases, with only 7. 7% and 2.5% of them needing catheterization at three months and one year respectively. De novo detrusor instability occurred in 21% of women at three months follow-up, and was symptomatic in 66% of these cases. Objective and subjective resolution was seen in 50% of these at one year follow-up. Quality of life after colposuspension improved in most cases despite the development of these complications, probably due to the resolution of their incontinence. Voiding dysfunction and detrusor instability after colposuspension were found to be multifactorial, due to patient related factors (age and detrusor contractility for voiding dysfunction, and age and a past history of bladder neck surgery for detrusor instability), and to operative factors (amount of bladder neck elevation and urethral compression). These findings might lead to the development of preventative measures.

No description available.

No description available.

Poly(ADP-ribose) polymerase (PADPRP) is a nuclear enzyme with a well documented role in DNA repair. Inhibitors of PADPRP, (e.g. 3' substituted benzamides) potentiate the cytotoxicity of a wide range of antitumour drugs. The results presented in this thesis represent, to the best of my knowledge, the first comprehensive and quantitative assessment of the ability of a range of P ADPRP inhibitors to modulate the cellular responses to damaging agents. Two novel PADPRP inhibitors, 8-hydroxy-2-methyl quinazolin-4(3H)-one (NU1025) and 3,4 dihydro-5-methoxyisoquinolin-1-(2H)-one (PD 128763) were compared with two "classical" PADPRP inhibitors, 3-aminobenzamide (3AB) and benzamide (BZ). The relative potencies for 3AB, BZ, NU1025 and PD 128763 as PADPRP inhibitors in vitro were 1.0, ~1.0, ~43 and ~53 respectively. All compounds potentiated the growth inhibition and cytotoxicity of the monofunctional alkylating agent temozolomide (TM) in L1210 cells. For example, 10/-lM NUI025 and PD 128763 gave dose enhancement factors (DEF) of ~2 at 100/0 survival, whereas ImM 3AB and 0.5mM BZ where required to give similar DEF values. Cellular NADl- levels were depleted up to 50% by 1-2mM TM and this depletion was completely prevented by coincubation with 50-100µM PD 128763 and 1-3mM 3AB. TM induced DNA single strand break levels were increased in a concentration dependent manner by the P ADPRP inhibitors. Overall, the relative potencies for ability of the compounds to potentiate TM induced growth inhibition, cytotoxicity and DNA single strand breaks showed good correlation with those determined in an in vitro inhibition study, with both NU1025 and PD 128763 exhibiting ~60 fold increased inhibitory activity as compared to 3AB. The PADPRP inhibitors per se did not effect the growth or survival of the L 121 0 cells, nor increase DNA strand breakage. NAD+ is the substrate for PADPRP. A L1210 cell line made resistant to tiazofurin (TZ) utilising a step wise selection protocol was shown to be deficient in nicotinamide mononucleotide adenyl transferase (NMNAT) , the final enzyme required for NAD+ biosynthesis. The consequences of a reduced NMNAT activity (<3% of the parental line ) and an ~40% reduction in intracellular NAD+ levels were determined. The resistant cells showed an ~3 fold increased sensitivity to TM as compared to the parental cells. Upon coincubation with increasing concentrations of NU1025 in the presence of a fixed concentration of TM, growth inhibition was potentiated ~70 fold in the resistant cells but only ~10 fold in the parental cell line, demonstrating the reduced level of competition between NAD+ and NUI025 for PADPRP. However, DNA single strand breaks were increased in the resistant compared to the parental cell line only when NU1025 was coincubated with TM. In contrast, in the presence of the PADPRP inhibitors alone, equivalent growth inhibitory effects were observed in each of the cell lines, suggesting inhibition of PADPRP was not the cytotoxic effector. The ~40% NAD+ depletion observed could therefore suggest, that NAD+ levels in the resistant cells were reduced to, or near to the KmNAD+ for PADPRP.

Acute and chronic hypoxia exists within the microenvironment of solid tumours and drives therapy resistance, genetic instability and metastasis. Despite its importance in solid tumour progression, very little is known regarding the functional consequences of hypoxia-mediated changes in the expression of DNA repair proteins. I studied the relationship between hypoxia and DNA repair using a prolonged chronic hypoxic gas treatment model in a variety of human tumour cell lines to mimic the dynamic state of proliferation and DNA repair in cells distant from the tumour blood vasculature. I observed decreased expression of homologous recombination (HR) and base excision repair (BER) proteins due to a novel mechanism involving decreased protein synthesis. Error-free HR was suppressed 3-fold under 0.2% O2 as measured by the DR-GFP reporter system and functional BER was impaired as assessed with a functional glycosylase assay. This decrease in protein expression and function resulted in increased sensitivity to the DNA damaging agents MMC, cisplatin, H2O2 and MMS. Additionally, chronically hypoxic cells were relatively radiosensitive (OER = 1.37) when compared to acutely hypoxic or anoxic cells (OER = 1.96 - 2.61). As HR defects are synthetically lethal with poly(ADP-ribose) polymerase 1 (PARP1) inhibition, I evaluated the sensitivity of repair-defective hypoxic cells to PARP inhibition. I observed increased clonogenic killing in HR-deficient hypoxic cells following inhibition or depletion of PARP1. PARP-inhibited hypoxic cells accumulated γH2AX foci consistent with an accumulation of collapsed replication forks. Additionally, tumour xenografts exposed to PARP1 inhibition showed increased γH2AX and cleaved caspase-3 expression in hypoxic subregions with suppressed RAD51 protein expression and decreased ex vivo clonogenic survival. I conclude that persistent down-regulation of DNA repair components by the microenvironment could result in faulty DNA repair with significant implications for therapeutic response and genetic instability in human cancers. Specifically, hypoxic cells may be sensitized to PARP inhibitors and other agents targeting repair pathways down-regulated by hypoxia as a consequence of microenvironment-mediated “contextual synthetic lethality”.

Polycaprolactone (PCL) is a biodegradable synthetic polymer that is currently used in a number of biomedical applications. A number of concerns have been raised over the toxicity of initiators commonly employed for the synthesis of PCL. Therefore, more biocompatible initiators have been studied. The biocompatibility of PCL, itself, is adequate; however, improved bioactivity is desirable for several applications. Copolymerisation, and incorporation of bioactive fillers can both be used as ways of enhancing the bioactivity of PCL. Therefore, the global objective of this project was to enhance the bioactivity of PCL by copolymerisation of PCL with poly(ethylene glycol) (PEG) using a biocompatible calcium-based initiator. This calcium-initiator was expected to leave potentially bioactive calcium-initiator residues in the synthesised copolymers. A study of the ring-opening polymerisation of epsilon-caprolactone (CL) in the presence of a poly(ethylene glycol) (PEG) / calcium hydride (CaH2) co-initiation system was performed. Polymerisation kinetics were monitored by following the degree of conversion of CL by Fourier transform-Raman (FT-Raman) spectroscopy and 1H nuclear magnetic resonance spectroscopy (NMR). Resultant PCL-b-PEG-b-PCL (PCL/PEG/PCL) triblock copolymers were analysed by NMR and gel permeation chromatography (GPC). The observed rates of polymerisation for the synthesis of PCL/PEG/PCL triblock copolymers using the PEG / CaH2 co-initiator were much lower than expected. 1H NMR and Raman microspectroscopy analysis showed that the concentration of the active calcium-PEG alkoxide was much lower than the initial feed concentration of PEG. Even so, the molecular weight of PCL/PEG/PCL triblock copolymers could be predicted from the CL : PEG feed ratio. This was found to be due to a fast reversible transfer process. Inductively coupled plasma-atomic emission spectroscopy (ICP-AES) analysis of solutions containing acid digested, pure PCL/PEG/PCL copolymers showed calcium concentrations at equal to or greater than 77 % of the calcium feed concentration. These calcium-initiator residues were isolated and their structures confirmed by Fourier transform infrared-attenuated total reflectance spectroscopy (FTIR-ATR). They were found to be a mixture of calcium hydroxide (Ca(OH)2) and calcium carbonate (CaCO3). The effect of calcium-initiator residues on the in vitro mineralisation of PCL/PEG/PCL triblock copolymers, as well as the same effect on a model calcium-salt-doped PCL homopolymer system, was studied by immersion in simulated body fluid (SBF). In the model studied, PCL homopolymer was doped with low concentrations (0.2 - 2 w / w % Ca) of Ca(OH)2, or CaCO3. Results from the model study showed calcium phosphate (CaP) mineral deposition on Ca(OH)2-doped PCL, and not on CaCO3-doped PCL. This was attributed to the higher solubility of Ca(OH)2, compared to CaCO3. Minimal CaP deposition was observed on PCL/PEG/PCL triblock copolymers. This was attributed to the low Ca(OH)2 concentration in these samples. For all mineralised samples in the SBF studies, the formation of carbonated HAP was observed. Overall, the synthesis of PCL/PEG/PCL copolymers using the PEG / CaH2 co-initiator was found to be a suitable method for preparing reproducible materials. The calcium-based initiator was also found to have potential for increasing the bioactivity of PCL-based materials.

Thesis (Ph.D.)--University of Delaware, 2008. / Principal faculty advisor: Eric B. Kmiec, Dept. of Biological Sciences. Includes bibliographical references.