The focus of this dissertation is on the development of a solid freeform fabrication (SFF) process for the design and manufacture of porous biodegradable orthopaedic implants from calcium polyphosphate (CPP). Porous CPP structures are used as bone substitutes for regenerating bone defects and/or as substrates in formation of so-called “biphasic” implants for repair of damaged osteochondral tissues. The CPP implants can be utilized in the treatment of many musculoskeletal diseases, osteochondral defects, and bone tumours while replacement of the defect site is required. In this study, the fabrication of CPP structures was developed through a powder-based SFF technique known as adhesive bonding 3D-printing. SFF is an advanced alternative to the “conventional” fabrication method consisting of gravity sintering of CPP pre-forms followed by machining to final form, as SFF enables rapid manufacturing of complex-shaped bio-structures with controlled internal architecture. To address the physical and structural properties of the porous SFF-made components, they were characterized using scanning electron microscopy, micro-CT scanning and mercury intrusion porosimetry. Specific surface area and permeability of the porous structures were also determined. Additionally, the chemical properties (crystallinity) of the specimens were identified by X-ray diffraction. The mechanical properties of the crystalline CPP material were also measured by micro- and nano-indentation. Moreover, the porous structures were tested by uniaxial and diametral mechanical compression to determine the compressive and tensile strengths, respectively. Furthermore, the effect of the stacked-layer orientation on the mechanical properties of the SFF-made constructs was investigated through the production of samples with horizontal or vertical stacked-layers. The properties of the SFF-made samples were compared with those of the conventionally-made CPP constructs. The SFF-made implants showed drastically higher compressive mechanical strength compared to the conventionally-formed samples with identical porosity. It was also shown that the orientation of the stacked-layer has substantial influence on the mechanical strengths. Moreover, this thesis examined the ability of in vitro forming of cartilaginous tissue on the SFF-made substrates where the chondrocytes cellular response to the CPP implants was evaluated histologically and biochemically. In addition, an initial in vivo assessment of the CPP structures as bone substitutes was conducted using a rabbit medial femoral site model. Significant amount of new-bone was formed within the CPP porous constructs during the 6-week implantation period demonstrating appropriate biological response of SFF-made CPP structures for bone substitute applications. Another accomplishment of this thesis was the development of a mathematical model which predicts the compact density of powder layers spread by a counter-rotating roller in the SFF technique. The results may be used in the control of the apparent density of the final implant. The potential of the developed SFF method as an efficient and reproducible technique for the production of porous CPP structures for use in orthopaedics and musculoskeletal tissue regenerative applications was concluded.

<p>The current study aimed to describe the extent and reasons for substituting and switching HAART at the Katutura Intermediate Hospital in Windhoek, Namibia</p>

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

The focus of this dissertation is on the development of an additive manufacturing system and methodology for fabricating structures with functionally graded porous internal properties and complex three-dimensional external characteristics. For this purpose, a multi-scale three-dimensional printing system was developed, with capabilities and fabrication methodologies refined in the context of, but not limited to, manufacturing of porous bone substitutes. Porous bone implants are functionally graded structures, where internally, the design requires a gradient in porosity and mechanical properties matching the functional transition between cortical and cancellous bone regions. Geometrically, the three-dimensional shape of the design must adhere to the anatomical shape of the bone tissue being replaced. In this work, control over functionally graded porous properties was achieved by integrating specialized modules in a custom-made additive manufacturing system and studying their effect on fabricated constructs. Heterogeneous porous properties were controlled by: (i) using a micro-syringe deposition module capable of embedding sacrificial elements with a controlled feature size within the structure, (ii) controlling the amount of binder dispersed onto the powder substrate using a piezoelectric printhead, (iii) controlling the powder type or size in real-time, and/or (iv) selecting the print layer stacking orientation within the part. Characterization methods included differential scanning calorimetry (DSC)-thermo gravimetric analysis (TGA) to establish the thermal decomposition of sacrificial elements, X-ray diffraction (XRD) and dispersive X-ray spectroscopy (EDAX) to investigate the chemical composition and crystallinity, scanning electron microscopy (SEM) and optical microscopy to investigate the physical and structural properties, uniaxial mechanical loading to establish compressive strength characteristics, and porosity measurements to determine the bulk properties of the material. These studies showed that the developed system was successful in manufacturing embedded interconnected features in the range of 100-500 $ \mu m $, with a significant impact on structural properties resulting in bulk porosities in the range of 30-55% and compressive strength between 2-50 MPa. In this work, control over the the three-dimensional shape of the construct was established iteratively, by using a silhouette extraction image processing technique to determine the appropriate anisotropic compensation factors necessary to offset the effects of shrinkage in complex-shaped parts during thermal annealing. Overall shape deviations in the range of +/- 5-7 % were achieved in the second iteration for a femoral condyle implant in a sheep model. The newly developed multi-scale 3DP system and associated fabrication methodology was concluded to have great potential in manufacturing structures with functionally graded properties and complex shape characteristics.

The focus of this dissertation is on the development of a solid freeform fabrication (SFF) process for the design and manufacture of porous biodegradable orthopaedic implants from calcium polyphosphate (CPP). Porous CPP structures are used as bone substitutes for regenerating bone defects and/or as substrates in formation of so-called “biphasic” implants for repair of damaged osteochondral tissues. The CPP implants can be utilized in the treatment of many musculoskeletal diseases, osteochondral defects, and bone tumours while replacement of the defect site is required. In this study, the fabrication of CPP structures was developed through a powder-based SFF technique known as adhesive bonding 3D-printing. SFF is an advanced alternative to the “conventional” fabrication method consisting of gravity sintering of CPP pre-forms followed by machining to final form, as SFF enables rapid manufacturing of complex-shaped bio-structures with controlled internal architecture. To address the physical and structural properties of the porous SFF-made components, they were characterized using scanning electron microscopy, micro-CT scanning and mercury intrusion porosimetry. Specific surface area and permeability of the porous structures were also determined. Additionally, the chemical properties (crystallinity) of the specimens were identified by X-ray diffraction. The mechanical properties of the crystalline CPP material were also measured by micro- and nano-indentation. Moreover, the porous structures were tested by uniaxial and diametral mechanical compression to determine the compressive and tensile strengths, respectively. Furthermore, the effect of the stacked-layer orientation on the mechanical properties of the SFF-made constructs was investigated through the production of samples with horizontal or vertical stacked-layers. The properties of the SFF-made samples were compared with those of the conventionally-made CPP constructs. The SFF-made implants showed drastically higher compressive mechanical strength compared to the conventionally-formed samples with identical porosity. It was also shown that the orientation of the stacked-layer has substantial influence on the mechanical strengths. Moreover, this thesis examined the ability of in vitro forming of cartilaginous tissue on the SFF-made substrates where the chondrocytes cellular response to the CPP implants was evaluated histologically and biochemically. In addition, an initial in vivo assessment of the CPP structures as bone substitutes was conducted using a rabbit medial femoral site model. Significant amount of new-bone was formed within the CPP porous constructs during the 6-week implantation period demonstrating appropriate biological response of SFF-made CPP structures for bone substitute applications. Another accomplishment of this thesis was the development of a mathematical model which predicts the compact density of powder layers spread by a counter-rotating roller in the SFF technique. The results may be used in the control of the apparent density of the final implant. The potential of the developed SFF method as an efficient and reproducible technique for the production of porous CPP structures for use in orthopaedics and musculoskeletal tissue regenerative applications was concluded.

Neste trabalho são apresentados dois modelos para o ensaio de destilação ASTM D-86, desenvolvidos no simulador EMSO e validados por dados experimentais de frações de petróleo disponíveis na literatura. Estes modelos apresentam índice algébrico-diferencial igual a um, diferentemente do primeiro modelo proposto na literatura que apresentava índice algébrico-diferencial igual a 2, o qual não possibilitava ser resolvido pelos simuladores atuais. As predições obtidas com os modelos propostos geraram resultados com desvio médio em torno de 0,6 % em relação aos dados experimentais da literatura. Em seguida, foi estudado o método proposto para determinação de mistura substituta de componentes reais e foram propostas algumas alterações. Esta metodologia pode ser dividida em duas etapas consecutivas. A primeira etapa determina um conjunto de componentes reais e a segunda calcula a composição da mistura substituta de componentes reais de modo a caracterizar misturas complexas de composição desconhecida, como frações de petróleo, substituindo o conceito de pseudo-componentes. Para isso, o algoritmo se baseia em dados experimentais tais como a curva PEV, o °API, a massa molar média da mistura e outras propriedades globais disponíveis. Foram obtidos resultados que se mostraram satisfatórios. Para finalizar este trabalho, foi proposto um novo método para determinação da mistura substituta que utiliza a primeira etapa do algoritmo de determinação de mistura substituta e modificado por este trabalho. Em seguida, é realizada uma estimação dinâmica de parâmetros de condição inicial utilizando um dos modelos desenvolvidos neste trabalho para o ensaio de destilação ASTM D-86. A estimação é baseada principalmente na curva experimental da destilação ASTM D-86 e na densidade à 60°F (ou °API). Os resultados desta nova metodologia foram comparados com outros métodos de determinação de mistura substituta e constatou-se uma melhora na aproximação das suas propriedades quando comparadas com a mistura original de composição desconhecida. / This work presents two models for the assay of distillation ASTM D-86, developed in the EMSO Simulator and validated using experimental data of petroleum fractions available in the literature. These models showed differential-algebraic index equal to one, differently from the first model proposed in the literature that showed differential-algebraic index equal to two. Problems with an index higher than one are usually impossible to solve by modern simulators. The predictions obtained with the proposed models generated results with average deviation of about 0,6% in relation to those in the literature. After this, a method proposed in the literature to determinate the substitute mixture of real compounds for petroleum fractions was studied and slightly modified. This methodology can be divided in the two following steps. The first one determines a group of real components and the second one calculates the composition of the substitute mixture of the real components in order to characterize a complex mixture of unknown composition, as petroleum fractions. This methodology aims at replace the pseudo-components concept. To make this, the algorithm is based in experimental data as the TBP curve, the °API, the average molar mass of the mixture and others global properties available. The obtained results showed to be suitable. Finally, this work proposes a new method to determine the substitute mixture that uses the first step of the algorithm of determination of substitute mixture and modified in this work. Next, it was used a dynamic estimation of parameters in initial conditions using one of the models proposed in this work for the distillation assay ASTM D-86. The estimation is mainly based on distillation experimental curve ASTM D-86 and the density at 60°F (or °API). The results of this new methodology were com pared to other methods of determination of substitute mixture and it was found an evolution in the similarity of its properties when compared to the original mixture with unknown composition.

Abstract Keywords: Children, Parent, Foster Parents, Assisted Custody, Foster Family Care The present thesis aims are to find out what opinions and attitudes have foster parents to an assisted contact. Whether they are informed of the possibility of mediation, or how many children in foster care with their biological parent encounters. it should be examined how foster parents learnd about the possibility of assiseted contact and if the service is currently used, or whether it will be used by foster parents in the future. In this work we were determined by one question which is in the line with the target of the work. The question is: Are the foster parents having a child in foster care afraid of the loss of the child in relation to assisted contact? From a methodological point of view was applied qualitative research. Technology for field data collection was elected a semi-structured interview. The results were evaluated by cluster method. The results achieved in many parts coincide with literature, but new facts were also found. The research showed 7 clusters, which proved to be more common in the testimonies of the communication partners. The research was carried out thanks to probe into the lives of foster families, including the most intimate details of their life together. It was found that most foster parents do not distinguish foster care as a temporary treatment, but the child is perceived almost as an adopted child. It is difficult for them to think about the loss of a child or to meet a child with a biological parent. The outputs of the thesis can be used as a basis for further studies and research in this area. They can also be used as a teaching or supporting material in the subjects of social studies.

O pinhão é a semente comestível da Araucaria angustifolia, sendo consumido no sul e sudeste do Brasil principalmente na sua forma in natura. A falta de diversidade em relação ao seu consumo acarreta a sobra da safra e a sua utilização como ração animal, o que diminui o valor de comercialização do produto, prejudicando os ganhos econômicos do produto. A semente do pinhão é composta de 34% de amido e um conteúdo muito baixo de proteínas e lipídios, o que a torna favorável para a obtenção de amido, aditivo amplamente utilizado pela indústria de alimentos. O objetivo deste trabalho foi caracterizar uma nova fonte de amido a partir de semente de Araucária angustifolia, através de um estudo detalhado da metodologia de extração do amido de pinhão, das características físico-químicas, funcionais e reológicas do grânulo e de sua modificação estrutural. Primeiramente foi determinado um protocolo para a extração do amido e realizado o estudo do efeito do tratamento alcalino (NaOH 0,05 mol.l-1 e NaOH 0,1 mol.l-1), em relação ao tratamento com água, na estrutura dos grânulos do amido extraídos. Para tanto foram feitas análises de fluorescência intrínseca, microscopia eletrônica de varredura e de força atômica e difractometria de raios X. A estrutura granular do amido de pinhão foi alterada significativamente quando as soluções alcalinas foram utilizadas durante a extração. O amido de pinhão apresentou estrutura do tipo C. Foram determinadas as características do grânulo de amido nativo, através de análises físico-químicas, MEV, microscopia ótica e sinerese, onde se verificou que o diâmetro médio dos grânulos de amido varia de 7 a 20 μm e as formas geométricas variam entre a oval, a elipsóide truncada e a hemisférica. O amido de pinhão mostrou-se menos propenso à retogradação, comparado ao amido de milho. Foram elaboradas as isotermas de adsorção do amido nativo às temperaturas de 10°, 20°, 30° e 40°C a partir do ajuste dos dados experimentais a diversos modelos de sorção, sendo os modelos de Peleg, seguidos pelos de Chung-Pfost e GAB os que tiveram os maiores coeficientes de correlação. A partir do modelo de GAB foram calculados os valores de umidade de monocamada, entalpia e entropia diferenciais de sorção. Foi realizado também um planejamento experimental a fim de estudar a reação de hidrólise do amido, através da influência das variáveis temperatura (30°a 44°C) e concentração de ácido clorídrico (1,2 a 3,2 mol.l-1) no valor de dextrose equivalente (DE) e na capacidade de formação do gel e de sua termorreversibilidade. Foi observado que sob os maiores valores de temperatura e concentração de ácido empregados, o valor de DE foi maior. No tratamento que resultou no maior valor de DE (3,2 mol.l-1 de HCl e 44°C) foi observada a formação de gel termorreversível, o que indicou a potencialidade do amido modificado como substituto de gordura e agente ligante, em alimentos. A funcionalidade do amido de pinhão foi verificada através das análises de formação, fusão e termorreversibilidade do gel, tendência à retrogradação, estabilidade ao congelamento e descongelamento, poder de inchamento, índice de solubilização, MEV, viscosidade de pasta e propriedades térmicas, como temperatura e entalpia de gelatinização. Os resultados indicaram que: somente os amidos modificados apresentam géis termorreversíveis; os amidos de pinhão nativo e modificados possuem menor tendência à retrogradação do que seus similares de milho; a modificação do amido reduziu a tendência à retrogradação das pastas de amido; o amido de pinhão mostrou menor sinerese sob armazenamento à 5°C e após ciclos de congelamento e descongelamento; a temperatura de armazenamento influi significativamente no poder de inchamento (PI) e no índice de solubilização dos amidos de pinhão e milho nativos; os amidos modificados apresentaram menor PI do que os nativos; a viscosidade máxima do amido de pinhão foi maior à encontrada para o amido de milho, sendo ele menos resistente à agitação mecânica à quente (maior breakdown); a hidrólise ácida reduziu drasticamente a viscosidade das pastas formadas; a temperatura de gelatinização do amido de pinhão é de 47,64°C e a entalpia de gelatinização de 15,23 J.g-1; a hidrólise ácida aumentou a temperatura de gelatinização das espécies testadas. / Pinhão is the edible seed of Araucaria angustifolia, being consumed in the south and southeastern Brazil mainly in the natural form. The lack of diversity in relation to its consumption results in plenty of crop and its use as animal feed, which reduces the value of product marketing and affect the economic gains of the product. The pinhão seed is composed of 34% starch and a very low content of proteins and lipids, making it favorable for obtaining starch that is widely used by the food industry. The objective of this study was to characterize a new source of starch from seeds of Araucaria angustifolia, through a detailed study of the method for starch extraction, the physical-chemical, functional and rheological properties of the granules and their structural modification. To do this, a protocol for the starch extraction and a study of the effect of alkaline treatment (NaOH 0.05 mol.l-1 NaOH and 0.1 mol.l-1) compared to water treatment, was first established. Therefore, intrinsic fluorescence analysis, scanning electron and atomic force microscopy and x-ray diffractometry were carried out. The granular structure of pinhão starch was changed significantly when the alkaline solutions were used during extraction. The pinhão starch had a type C structure. The characteristics of native starch granules, through physical and chemical analysis, SEM, optical microscopy and syneresis were determined which found that the average diameter of starch granules varies from 7 to 20 μm and geometric shapes range from oval, the ellipsoid truncated and hemispheric. The pinhão starch was less prone to retrogradation compared to maize starch. The adsorption isotherms of native starch at temperatures of 10 °, 20 °, 30 ° and 40 ° C were drafting from fitting the experimental data to various sorption models. The Peleg model, followed by Chung-Pfost and GAB model had the highest correlation coefficients. From the GAB model were calculated monolayer moisture, enthalpy and entropy differential sorption. It was also carried out an experimental design to study the reaction of starch hydrolysis, through the influence of temperature (30° to 44°C) and hydrochloric acid concentration (1.2 to 3.2 mol.l- 1) on the dextrose equivalent value (DE) and on the ability of the gel formation and its thermoreversibility. It was observed that under the highest values of temperature and concentration of acid, the value of DE was higher. In larger value of DE (3.2 mol l-1 HCl and 44°C) was observed the formation of thermoreversible gel, which indicated the potential of modified starch as a fat substitute and a binder in food. The functionality of the pinhão starch was verified by analyzing the gel formation and fusion, gel thermoreversibility, tendency to retrogradation, stability to freezing and thawing, swelling power, solubility index, SEM, pasting viscosity and thermal properties such as temperature and enthalpy of gelatinization. The results showed that: only the modified starches exhibit thermoreversible gels, the native and modified pinhão starch have less tendency to retrograde than their counterparts in maize, the modification of starch reduced the tendency to retrogradation of starch pastes, the pinhão starch showed lower syneresis under storage at 5°C and after freezing and thawing, storage temperature affects significantly the swelling power (SP) and the solubility index of pinhão and maize native starches, the modified starches had lower SP of the natives, the maximum viscosity of pinhão starch was higher than that found for maize starch, the pinhão starch is less resistant to hot mechanical stirring (greater breakdown) than for maize starch, the acid hydrolysis reduced the viscosity of the pulp formed, the gelatinization temperature of pinhão starch is 47.64°C and its gelatinization enthalpy is 15.23 Jg-1; acid hydrolysis increased the gelatinization temperature of the species tested.

The thesis deals with the psychological aspects of foster care, which we can define in this context as the perspective of a foster relationship and its impact on the child and foster parent. This thesis describes the psychological needs of the child, there are also defined consequences of psychological deprivation, such as psychological deprivation. It also analyzes the emotional attachment, the manifestations of its disorder and possible treatment. In addition to the analysis of children placed in foster care, this thesis also focuses on a foster parent. From this aspect, the motivation for substitute parenthood, as well as the difference between expectations and reality, is evaluated. Thesis also points to the relationship between the foster parent and the child, with all the impacts, difficulties and mistakes that foster parents can make during their upbringing. At the end of this thesis are presented the practical principles for the successful and long-term functioning of the foster relationship.

Neste trabalho são apresentados dois modelos para o ensaio de destilação ASTM D-86, desenvolvidos no simulador EMSO e validados por dados experimentais de frações de petróleo disponíveis na literatura. Estes modelos apresentam índice algébrico-diferencial igual a um, diferentemente do primeiro modelo proposto na literatura que apresentava índice algébrico-diferencial igual a 2, o qual não possibilitava ser resolvido pelos simuladores atuais. As predições obtidas com os modelos propostos geraram resultados com desvio médio em torno de 0,6 % em relação aos dados experimentais da literatura. Em seguida, foi estudado o método proposto para determinação de mistura substituta de componentes reais e foram propostas algumas alterações. Esta metodologia pode ser dividida em duas etapas consecutivas. A primeira etapa determina um conjunto de componentes reais e a segunda calcula a composição da mistura substituta de componentes reais de modo a caracterizar misturas complexas de composição desconhecida, como frações de petróleo, substituindo o conceito de pseudo-componentes. Para isso, o algoritmo se baseia em dados experimentais tais como a curva PEV, o °API, a massa molar média da mistura e outras propriedades globais disponíveis. Foram obtidos resultados que se mostraram satisfatórios. Para finalizar este trabalho, foi proposto um novo método para determinação da mistura substituta que utiliza a primeira etapa do algoritmo de determinação de mistura substituta e modificado por este trabalho. Em seguida, é realizada uma estimação dinâmica de parâmetros de condição inicial utilizando um dos modelos desenvolvidos neste trabalho para o ensaio de destilação ASTM D-86. A estimação é baseada principalmente na curva experimental da destilação ASTM D-86 e na densidade à 60°F (ou °API). Os resultados desta nova metodologia foram comparados com outros métodos de determinação de mistura substituta e constatou-se uma melhora na aproximação das suas propriedades quando comparadas com a mistura original de composição desconhecida. / This work presents two models for the assay of distillation ASTM D-86, developed in the EMSO Simulator and validated using experimental data of petroleum fractions available in the literature. These models showed differential-algebraic index equal to one, differently from the first model proposed in the literature that showed differential-algebraic index equal to two. Problems with an index higher than one are usually impossible to solve by modern simulators. The predictions obtained with the proposed models generated results with average deviation of about 0,6% in relation to those in the literature. After this, a method proposed in the literature to determinate the substitute mixture of real compounds for petroleum fractions was studied and slightly modified. This methodology can be divided in the two following steps. The first one determines a group of real components and the second one calculates the composition of the substitute mixture of the real components in order to characterize a complex mixture of unknown composition, as petroleum fractions. This methodology aims at replace the pseudo-components concept. To make this, the algorithm is based in experimental data as the TBP curve, the °API, the average molar mass of the mixture and others global properties available. The obtained results showed to be suitable. Finally, this work proposes a new method to determine the substitute mixture that uses the first step of the algorithm of determination of substitute mixture and modified in this work. Next, it was used a dynamic estimation of parameters in initial conditions using one of the models proposed in this work for the distillation assay ASTM D-86. The estimation is mainly based on distillation experimental curve ASTM D-86 and the density at 60°F (or °API). The results of this new methodology were com pared to other methods of determination of substitute mixture and it was found an evolution in the similarity of its properties when compared to the original mixture with unknown composition.