Magister Scientiae Dentium - MSc(Dent) (Orthodontics) / Orthodontic treatment has the ability to improve the aesthetics and the function of patients. In order to create space, orthodontic treatment often requires removal of teeth. The most common teeth removed for orthodontic treatment are the premolars. It has become popular to remove second premolars in certain cases where the soft tissue profile should not be altered. The Damon self-ligating orthodontic system is renowned for not requiring dental extractions in the majority of cases. The effect of extractions on the soft tissue profile of patients, in conjunction with using the Damon system, has therefore not been researched. It is important to understand the effect that orthodontic treatment and extractions can have on the soft tissue profile of patients. This effect can accurately be determined by making use of the soft tissue cephalometric analysis, developed by Dr Reed A. Holdaway in 1983.

<p>Point of care (POC) diagnosis is essential in personalized treatment to obtain effective clinical outcomes when the patient is on site. And Mass spectrometry (MS) system promotes the applications of rapid sampling ionization, which could be a tool for fast disease determination. In this thesis, a miniature MS system was firstly developed for POC tissue analysis. Lipid profile in rat organs were demonstrated. By coupling with online Paternò–Büchi (PB) reaction, fast determination of lipid C=C bond location isomers was realized. The system was applied to quantitatively analyze the change of lipid C=C location isomers between mouse normal and cancerous samples. The intensity ratio of fatty acid 18:1 (D9) and 18:1 (D11) in wild type breast tissue was calculated to be 2.881, while the ratio in tumor breast tissue was 0.667. The direct sampling-based miniature MS system is potential for POC analysis of lipid profiles and lipid biomarkers discovery.</p> <p>Secondly, an integration of paper-capillary spray and MS make it possible to analyze dried blood samples instantly in clinical laboratory and hospital. Quantitation of ratio between deuterate Phenylalanine and deuterate Tyrosine was achieved by using paper spray and paper-capillary spray MS directly, without any pretreatment of blood samples. Furthermore, these methods could generate calibration curves which enable the calculation of Phenylalanine concentration in whole human blood within 60 seconds. This disposable design is a promising application for point-of-care (POC) PKU analysis in newborn screening. </p> <p>At last, an increased in free fatty acids (FFAs) of cereals was observed during storage, and a simple and direct rice quality assessment was performed using nanoESI (Nano-Electrospray Ionization) mass spectrometry method. Six fatty acids including palmitic, oleic, and linoleic acids were compared between different rice species, growth regions and harvest years. 2D and 3D linear discriminant analysis (LDA) methods were deployed and a good sample separation was achieved. This direct sampling method of extracting FAs from rice surface combined with MS is suitable for industrial use in rapid identification for large number of samples.</p>

A variação na disponibilidade de nitrogênio e magnésio pode alterar as características produtivas, nutricionais e metabólicas das plantas forrageiras. O objetivo foi de avaliar o efeito das combinações de doses de nitrogênio e de magnésio na produção da parte aérea e das raízes, nas concentrações dos nutrientes nas lâminas de folhas recém-expandidas (LR) e nas raízes, na atividade da glutamina sintetase, nas concentrações das formas inorgânicas de nitrogênio e na relação nitrogênio:magnésio nas LR do capim-marandu. O experimento foi realizado em casa de vegetação, em Piracicaba SP, com a Brachiaria brizantha cv. Marandu. Foram estudadas cinco doses de nitrogênio (2; 9; 16; 23 e 30 mmol L-1) e cinco doses de magnésio (0,05; 0,70; 1,35; 2,00 e 2,65 mmol L-1) em solução nutritiva, em esquema fatorial 52 fracionado, perfazendo treze combinações: 2/0,05; 2/1,35; 2/2,65; 9/0,70; 9/2,00; 16/0,05; 16/1,35; 16/2,65; 23/0,70; 23/2,00; 30/0,05; 30/1,35 e 30/2,65. O delineamento experimental foi o de blocos ao acaso, com quatro repetições. As plantas tiveram dois períodos de crescimento, nos quais foram avaliadas as produções de massa seca, contados perfilhos e folhas, coletado material fresco para determinação da atividade da glutamina sintetase, determinada a área foliar e determinada as concentrações dos nutrientes e nitrato e amônio nas lâminas das folhas recém-expandidas. Após o segundo corte as raízes foram separadas da parte aérea sendo determinada a massa seca das raízes, o comprimento e superfície radiculares e as concentrações dos nutrientes nas raízes. As combinações de altas doses de nitrogênio e magnésio resultaram em alta produção de massa seca, número de folhas e perfilhos, área foliar, massa seca das raízes, e comprimento e superfície radicular do capim-marandu. As concentrações de nitrogênio (segundo corte) e cálcio (nos dois cortes) nas LR e a concentração de nitrogênio nas raízes aumentaram com as combinações de elevadas doses de nitrogênio e de magnésio. A concentração de potássio nas LR, nos dois cortes, e nas raízes da gramínea foi mais baixa quando se utilizaram combinações de elevadas doses de nitrogênio e magnésio. De forma isolada, o incremento nas doses de nitrogênio resultou em reduzidos comprimento e superfície específicos das raízes, mais alta concentração de nitrogênio nas LR e mais alta concentração de cálcio nas raízes e o incremento das doses de magnésio proporcionou pequenos comprimento e superfície específicos das raízes, mais alta concentração de magnésio nas LR e nas raízes e mais baixa concentração de cálcio nas raízes do capim. A concentração de nitrato nas folhas diagnósticas foi influenciada pelas combinações de doses de nitrogênio e magnésio enquanto a concentração de amônio aumentou com o incremento das doses de nitrogênio. A atividade da glutamina sintetase foi mais baixa em altas doses de nitrogênio, nos dois crescimentos da gramínea. A relação de 6,3:1 entre as concentrações de nitrogênio e de magnésio nas LR correspondeu à máxima produção de massa seca no primeiro corte do capim. / Productive, nutritional and metabolic characteristics of the forage plants may be changed by the nitrogen and magnesium availability. The objective was to study the effects of nitrogen and magnesium rates on marandu palisadegrass growth, by evaluating the shoot and root yield, leaf and root concentrations of nutrients and leaf concentration of inorganic forms of nitrogen, glutamine synthetase activity and nitrogen:magnesium ratio in recently expanded leaf laminae (RL). The experiment was carried out in a greenhouse at Piracicaba, State of São Paulo, Brazil, with the Brachiaria brizantha cv. Marandu. Five nitrogen rates (2, 9, 16, 23 and 30 mmol L-1) and five magnesium rates (0.05, 0.70, 1.35, 2.00 and 2.65 mmol L-1) were used in nutrient solutions, in a fractorial 52 factorial, resulting in the following combinations: 2/0.05, 2/1. 35, 2/2.65, 9/0.70, 9/2.00, 16/0.05, 16/1.35, 16/2.65, 23/0.70, 23/2.00, 30/0.05, 30/1.35 and 30/2.65. A randomized block design, with four replications was used. Plants had a growth and regrowth period. After the second harvest it was evaluated the dry mass yield, number of tillers and leaves, sampled fresh material to assay the glutamine synthetase activity, measured the leaf area, and determined the concentrations of nutrients, nitrate and ammonium in the recently expanded leaf laminae (diagnostic leaves). After the second harvest the roots were separated from the tops and was determined the root dry mass, total length and surface, specific length and surface, and concentrations of nutrients in such plant tissue. High nitrogen and magnesium rates resulted in high dry mass yield, leaf area, number of leaves and tillers, in both growth periods of the grass, as well as in roots dry mass, length and surface. Nitrogen (at the second harvest) and calcium (both harvests) concentrations in diagnostic leaves and nitrogen concentration in the roots was high when high rates of nitrogen nitrogen were combined with high rates of magnesium. Diagnostic leaves, in the two grown periods, and roots sampled had low potassium concentrations in plants growth with high rates of both nitrogen and magnesium. Increases in nitrogen rates increased nitrogen concentration in the diagnostic leaves and calcium concentration in the roots, and decreased root specific length and surface. Increases in magnesium rates increased magnesium concentration in the diagnostic leaves and roots, but decreased root calcium concentration and root specific length and surface. Ammonium concentration was increased by nitrogen rates and nitrate concentration was higher under magnesium deficiency. Glutamine synthetase, determined at the two growth periods, decreased with increasing nitrogen rates. Maximum dry mass yield in the first harvest of the grass was found when the nitrogen and magnesium concentrations ratio was 6.3:1 in the diagnostic leaves.

Conception et évaluation d’un modèle biomécanique, éléments finis, patient-spécifique, du pied humainApplications en podologie, orthopédie et diabétologieLe pied est une des structures les plus complexes du corps humain. Avec 28 os, 33 articulations et une centaine de structures ligamentaires, cette entité poly articulée est le résultat d’une hyperspécialisation ayant contribué à faire de l’homme l’unique primate totalement bipède. Quelque soit le relief, quelque soit le mouvement en cours, le pied transmet au tibia le bon vecteur force afin de finaliser le geste de la manière la plus précise et économe en énergie possible dans l’objectif de préparer l’action des segments sus jacents. Ainsi, en cas de lésion d’une des structures, l’ensemble du complexe pied doit pouvoir s’adapter, si ce n’est pas le cas, les tissus mous, les articulations ou les os seront fragilisés et verront leur fonction propre au sein de ce complexe altérée.Prédire l’adaptation du pied à une modification structurelle, tissulaire, neurologique ou fonctionnelle est un enjeu important dans l’estimation du risque lésionnel.Afin d’initier une réponse à ces problématiques, nous avons décidé au cours de cette thèse de modéliser le pied humain avec des outils mathématiques de simulation biomécanique. Dans un premier temps, un modèle tridimensionnel musculo-squelettique du pied a été reconstruit à partir d’imagerie scanner. Le pied polyarticulé en multicorps rigides obtenu possède des articulations uniquement contraintes par les ligaments et contacts osseux. Les muscles ont été implémentés afin de piloter le modèle en dynamique directe. Enfin, les tissus mous comme les volumes musculaires, le gras et la peau ont été maillés en éléments finis. L’utilisation d’un environnement de programmation multi-physique open source (Artisynth) a permis de coupler la modélisation musculo-squelettique et éléments finis.• L’adaptation du pied au sol en orthostatisme a été évaluée par comparaison des cartographies de pression d’une mise en charge simulée avec la mise en charge réelle du sujet.• Le contrôle moteur du pied en chaine ouverte par l’activation des muscles extrinsèques a été évalué en comparant la cinématique du modèle biomécanique pilotée par électromyographie avec la cinématique capturée en laboratoire sur un mouvement d’abduction – adduction.• Nous avons ensuite cherché à comprendre comment une arthrodèse de cheville modifie la cinématique du pied à la contraction musculaire, l’objectif étant d’aider au réglage chirurgical du geste.• Enfin nous avons utilisé les dernières avancées sur la physiologie de la plaie de pression afin de prédire le risque d’ulcération sur un pied neuroarthropatique diabétique par simulation numérique.Le modèle ainsi que les routines de simulations mis en place nous permettent d’avoir un des modèles les plus aboutis du pied humain utilisant aussi bien des données physiques externes comme les données baropodométriques, les données d’analyse quantifiée du mouvement ou encore les données électromyographiques. Ce modèle permettra par l’intermédiaire d’outils de mesh-matching d’obtenir des modèles patients spécifiques. Les domaines d’applications porteront sur l’aide au geste chirurgical, la prévention des risques d’ulcération, l’analyse avancée des relations entre le pied et le membre inférieur, mais aussi l’aide à la conception de prothèse en orthopédie classique et en mécatronique. / Biomechanical modeling of the human foot. Application to the healthy and pathological subject.The foot is one of the more complex structures of the human body. With 28 bones, 33 joints and a hundred ligamentous structures, this articulated entity is the result of a hyper specialization that makes humans the only obligate bipedal primates. Whatever the terrain, whatever the current movement, the foot transmits to the tibia the right force vector to finalize the gesture in the most precise and efficient manner and prepares the action of the lower limb. Thus, in case of injury to one of the structures, the whole foot complex must adapt if it is not the case, soft tissues, joints or bones are fragile and will have their own function within this complex altered .Predicting the foot’s adaptation of a structural, tissue, neurological or functional modification is an important issue in estimating the risk lesion on locomotion, in the design of therapeutic footwear and orthotics of the degenerative foot, but also in the future of this complex in situations where the boundary conditions change like working in microgravity or foot exoskeleton coupling.To initiate a response to these problems, we decided during this thesis to model the human foot with mathematical tools for biomechanical simulation. Initially, a musculoskeletal three-dimensional model of the foot was reconstructed from computed tomography. The multi-articulated foot joints constraints obtained by ligaments and bone contact. The muscles have been implemented to control the model in direct dynamic. Finally, the soft tissues such as muscle volume, fat and skin were meshed into finite elements. Using a multi-physics open source programming environment (Artisynth) allowed to couple musculoskeletal modeling and finite elements.• Adapting the foot on the ground in upright posture was evaluated by comparing the pressure maps at a simulated load setting with the actual loading pressure map of the subject.• The motor control of foot in opened chain by activation of the extrinsic muscles was assessed by comparing the kinematics of the biomechanical model piloted by electromyography with kinematics captured in the laboratory on a movement of abduction - adduction.• We then sought to understand how an ankle arthrodesis alter the kinematics of the foot muscle contraction, with the aim of helping the surgical setting gesture.• Finally, we used the latest advances in the physiology of a pressure ulcer to predict the risk of ulceration on diabetic foot with Charcot neuro arthropathy by numerical simulation.The model and simulation routines in place allow us to have one of the most successful models of the human foot using both external physical data like pedobarographic data, motion analysis data or electromyography data. This model will allow through mesh-matching tool to obtain specific patient models. The fields of applications will focus on assisted surgery, prevention of ulceration, advanced analysis of relations between the foot and the leg, but also will help the prosthesis design in orthopedic and mechatronics.

This study investigates the potential of Spatial Frequency Domain Imaging (SFDI) as a non-invasive imaging technique for tissue analysis in the context of Mohs surgery, a standard procedure for skin cancer removal with margin control. The current practice of performing multiple histopathologic sections during the procedure is time-consuming and labor-intensive. SFDI, utilizing optical measurements, offers quantitative imaging of biological tissues, enabling the assessment of their function and structure. This makes it particularly suitable for imaging sensitive tissues like the skin and the eye. By accurately measuring the optical properties of tissues, a deeper understanding of their characteristics and the interaction of light with tissue can be achieved. In this study, a novel transillumination SFDI system was designed and utilized to obtain spectral data from examined 2 mm thick tissue-simulating phantoms. The results demonstrated the potential of the transmission-based SFDI as a valuable tool in tissue analysis,providing rapid and accurate information about tissue properties. The implementation of transmission-based SFDI system holds promise for enhancing tissue-conserving surgeries. By enabling direct analysis of tissue properties at the point of care, this system could eliminate the need for histopathologic processing. Consequently, it can provide rapid and accurate information about tissue characteristics without the need for histopathologic processing, allowing for more precise and efficient surgical procedures and better patient outcomes

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