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Sikora H, Gabor J, Roczniok R, Kusz D, Swinarew A. The Measurement of the Oxidative Index of Polyethylene Obtained during Revision Hip Arthroplasty and Assessment of Its Variability Depending on the Degree of Osteolysis, Implantation Time, as Well as the Size and Material of the Utilized Head. J Clin Med 2024; 13:2751. [PMID: 38792292 PMCID: PMC11122221 DOI: 10.3390/jcm13102751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Revised: 04/23/2024] [Accepted: 05/03/2024] [Indexed: 05/26/2024] Open
Abstract
Background/Objectives: Aseptic loosening is the leading cause of late revision in total hip arthroplasty, primarily due to degenerative oxidation of polyethylene components, leading to wear particle formation and periacetabular osteolysis. This study aimed to analyze the oxidation levels in polyethylene liners and cemented cups retrieved from revision surgeries using Fourier-transform infrared spectroscopy (FTIR) and to explore the correlation between oxidation levels and factors such as head size, head material, fixation method, and implant survival time. Methods: Polyethylene liners and cups were analyzed post-revision surgery to assess oxidation levels, which were then compared to periacetabular bone loss measured by the Paprosky classification. This study evaluated the impact of head size (28 mm vs. 32 mm), head material (ceramic vs. metal), and fixation methods on oxidation. The relationship between the mean oxidation index (OI) and implant survival time was also investigated. Results: There was a significant positive correlation between the mean oxidation index of the polyethylene components and the severity of periacetabular osteolysis according to the Paprosky scale. While the mean OI for samples articulating with ceramic heads was lower than for those with metal heads, and the mean OI for samples with a 32 mm head size was lower than for those with a 28 mm size, these differences were not statistically significant. Furthermore, the fixation method did not affect the oxidation index, and no correlation was found between OI and the survival time of the implants. Conclusions: This study confirms a direct correlation between polyethylene oxidation and periacetabular osteolysis in hip replacements, highlighting the importance of material choice and design in potentially reducing the risk of aseptic loosening. Despite the lack of significant differences in oxidation levels based on head material and size, these factors may still play a role in the long-term outcome of hip arthroplasty, warranting further investigation.
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Affiliation(s)
- Hanna Sikora
- Scanmed Sport Clinic, ul. Bankowa 2, 44-244 Żory, Poland
| | - Jadwiga Gabor
- Faculty of Science and Technology, University of Silesia in Katowice, ul. 75 Pułku Piechoty 1A, 41-500 Chorzów, Poland;
| | - Robert Roczniok
- Department of Sport Theory and Practice, The Jerzy Kukuczka Academy of Physical Education in Katowice, ul. Mikołowska 72A, 40-065 Katowice, Poland;
| | - Damian Kusz
- Department of Orthopedics and Traumatology, Medical University of Silesia, ul. Ziołowa 45/47, 40-635 Katowice, Poland;
| | - Andrzej Swinarew
- Faculty of Science and Technology, University of Silesia in Katowice, ul. 75 Pułku Piechoty 1A, 41-500 Chorzów, Poland;
- Department of Swimming and Water Rescue, Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, ul. Mikołowska 72A, 40-065 Katowice, Poland
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Bartoli M, Piatti E, Tagliaferro A. A Short Review on Nanostructured Carbon Containing Biopolymer Derived Composites for Tissue Engineering Applications. Polymers (Basel) 2023; 15:polym15061567. [PMID: 36987346 PMCID: PMC10056897 DOI: 10.3390/polym15061567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 03/16/2023] [Accepted: 03/19/2023] [Indexed: 03/30/2023] Open
Abstract
The development of new scaffolds and materials for tissue engineering is a wide and open realm of material science. Among solutions, the use of biopolymers represents a particularly interesting area of study due to their great chemical complexity that enables creation of specific molecular architectures. However, biopolymers do not exhibit the properties required for direct application in tissue repair-such as mechanical and electrical properties-but they do show very attractive chemical functionalities which are difficult to produce through in vitro synthesis. The combination of biopolymers with nanostructured carbon fillers could represent a robust solution to enhance composite properties, producing composites with new and unique features, particularly relating to electronic conduction. In this paper, we provide a review of the field of carbonaceous nanostructure-containing biopolymer composites, limiting our investigation to tissue-engineering applications, and providing a complete overview of the recent and most outstanding achievements.
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Affiliation(s)
- Mattia Bartoli
- Center for Sustainable Future Technologies (CSFT), Istituto Italiano di Tecnologia (IIT), Via Livorno 60, 10144 Turin, Italy
- Consorzio Interuniversitario Nazionale per la Scienza e Tecnologia dei Materiali (INSTM), Via G. Giusti 9, 50121 Florence, Italy
| | - Erik Piatti
- Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - Alberto Tagliaferro
- Consorzio Interuniversitario Nazionale per la Scienza e Tecnologia dei Materiali (INSTM), Via G. Giusti 9, 50121 Florence, Italy
- Department of Applied Science and Technology, Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
- Faculty of Science, Ontario Tech University, 2000 Simcoe Street North, Oshawa, ON L1G 0C5, Canada
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Li D, Wang S, Lin H, Wang K, Guo Y, Yu L, Fang X. Effect of synovial fluid temperature on wear resistance of different polymer acetabular materials. J Biomater Appl 2023; 37:1736-1757. [PMID: 36927235 DOI: 10.1177/08853282231163678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Abstract
In order to investigate the effect of frictional heat on the wear resistance characteristics of polymeric acetabular materials, the tribological tests and wear numerical analysis of three common polymer acetabular materials were carried out under different synovial fluid temperatures. The study results show that XLPE and VE-XLPE exhibit superior wear resistance compared to UHMWPE in high-temperature, heavy load environments. The coefficient of friction of three materials gradually decreases as the temperature of the synovial fluid increases. The wear depth and wear volume of the three materials increased with the increase of the temperature of the synovial fluid, and the forms of wear at 46°C and 55°C were mainly adhesive wear and plastic deformation. The higher temperature of the synovial fluid accelerates the oxidative degradation of the material surface and generates oxidation functional groups, which leads to the breakage of C-C bonds in the surface molecular chains under the sliding shear effect, thus reducing the mechanical properties of the material. Specifically, the surface of the polymer material will soften at a higher ambient temperature, mainly due to the decrease of hardness, and then deteriorate in the friction property, and finally increase the wear rate. Ansys results showed that the volume wear of the three materials increased with the increase of synovial fluid temperature, and the trend could be approximately linear. Numerical calculations predict that VE-XLPE has the highest wear of 0.693 mm3 among the three materials at 37°C, followed by XLPE at 0.568 mm3 and UHMWPE with the lowest wear of 0.478 mm3. At higher synovial fluid temperatures (46°C, 55°C), VE-XLPE still has the largest wear volume among the three materials, while XLPE and UHMWPE have similar wear. The wear cloud pictures showed that the maximum wear volume occurred near the edge of the acetabulum.
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Affiliation(s)
- Dahan Li
- Center for Tribology, School of Mechatronic Engineering, 12675Jiangsu Normal University, Xuzhou, Jiangsu Province, China
| | - Songquan Wang
- Center for Tribology, School of Mechatronic Engineering, 12675Jiangsu Normal University, Xuzhou, Jiangsu Province, China
| | - Hao Lin
- Center for Tribology, School of Mechatronic Engineering, 12675Jiangsu Normal University, Xuzhou, Jiangsu Province, China
| | - Kaijun Wang
- Center for Tribology, School of Mechatronic Engineering, 12675Jiangsu Normal University, Xuzhou, Jiangsu Province, China
| | - Yongbo Guo
- Center for Tribology, School of Mechatronic Engineering, 12675Jiangsu Normal University, Xuzhou, Jiangsu Province, China
| | - Lu Yu
- Center for Tribology, School of Mechatronic Engineering, 12675Jiangsu Normal University, Xuzhou, Jiangsu Province, China
| | - Xingxing Fang
- Center for Tribology, School of Mechatronic Engineering, 12675Jiangsu Normal University, Xuzhou, Jiangsu Province, China
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Shahemi NH, Liza S, Sawae Y, Morita T, Shinmori H, Yaakob Y. Effects of surface wettability and thermal conductivity on the wear performance of ultrahigh molecular weight polyethylene/graphite and ultrahigh molecular weight polyethylene/graphene oxide composites. POLYM ADVAN TECHNOL 2022. [DOI: 10.1002/pat.5651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Nur Hidayah Shahemi
- TriPreM i‐Kohza, Department of Mechanical Precision Engineering, Malaysia‐Japan International Institute Technology Universiti Teknologi Malaysia Kuala Lumpur Malaysia
| | - Shahira Liza
- TriPreM i‐Kohza, Department of Mechanical Precision Engineering, Malaysia‐Japan International Institute Technology Universiti Teknologi Malaysia Kuala Lumpur Malaysia
| | - Yoshinori Sawae
- Machine Elements and Design Engineering Laboratory, Department of Mechanical Engineering, Faculty of Engineering Kyushu University Fukuoka Japan
| | - Takehiro Morita
- Machine Elements and Design Engineering Laboratory, Department of Mechanical Engineering, Faculty of Engineering Kyushu University Fukuoka Japan
| | - Hironori Shinmori
- Machine Elements and Design Engineering Laboratory, Department of Mechanical Engineering, Faculty of Engineering Kyushu University Fukuoka Japan
| | - Yazid Yaakob
- Department of Physics, Faculty of Science Universiti Putra Malaysia Serdang Malaysia
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The Analysis of Polyethylene Hip Joint Endoprostheses Strength Parameters Changes after Use inside the Human Body. MATERIALS 2021; 14:ma14227091. [PMID: 34832490 PMCID: PMC8625400 DOI: 10.3390/ma14227091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 10/28/2021] [Accepted: 11/15/2021] [Indexed: 11/30/2022]
Abstract
The influence of dynamic loads resulting from human motor activity and electrocorrosion inside the human body on the strength parameters of artificial joint elements has not yet been investigated. Hip joint arthroplasty is the most common surgical procedure in the world that allows doctors to remove pain and restore motor skills in people with severe hip diseases, after accidents, and in the elderly. Based on the reports, this article assesses changes in the number of implanted endoprostheses in the years 2005–2019 and determines the trends and estimated changes in the number of implanted hip prostheses in the following decades. The study assesses changes in selected strength parameters of UHMW-PE polyethylene inserts of hip joint endoprostheses during their use in the human body. The research was carried out on appropriately collected samples from UHMW-PE cups removed from the human body with a known history and lifetime from 4 to 10 years. Patients’ body weight ranged from 735 [N] to 820 [N], and the declared physical activity was similar in the entire research group. As part of the research, the values of changes in dynamic modules and the mechanical loss coefficient were determined in relation to the share of the crystalline and amorphous phases of artificial UHMW-PE cups, removed from the human body after different periods of exploitation under similar operating conditions. The analysis of selected strength parameters was performed at a temperature of 40 °C, which corresponds to the working conditions inside the human body. On the basis of numerical studies, the influence of changes in material parameters on the deformation of the artificial acetabulum during the patient’s motor activity, which is one of the causes of fatigue destruction, was determined.
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Medley JB. Highly cross‐linked polyethylene is the new ‘gold standard’ bearing material for total hip arthroplasty. BIOSURFACE AND BIOTRIBOLOGY 2021. [DOI: 10.1049/bsb2.12007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Affiliation(s)
- John B. Medley
- Department of Mechanical and Mechatronics Engineering University of Waterloo Waterloo Ontario Canada
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Influence of SBF-induced degradation on surface and tribological properties of irradiated GO/UHMWPE nanocomposites. IRANIAN POLYMER JOURNAL 2021. [DOI: 10.1007/s13726-020-00886-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Martínez-Morlanes MJ, Pascual FJ, Guerin G, Puértolas JA. Influence of processing conditions on microstructural, mechanical and tribological properties of graphene nanoplatelet reinforced UHMWPE. J Mech Behav Biomed Mater 2020; 115:104248. [PMID: 33360486 DOI: 10.1016/j.jmbbm.2020.104248] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 11/27/2020] [Accepted: 11/29/2020] [Indexed: 12/21/2022]
Abstract
Ultra-high molecular weight polyethylene (UHMWPE) is a relevant thermoplastic in industry and a well-proven standard biomaterial in joint replacements. To enhance its tribological properties while preserving its bulk ones, composite coatings on a UHMWPE substrate were prepared using non-functionalised graphene nanoplatelet (GNP) at reinforcement concentration of 0.1-5 wt% and two mechanical mixing techniques (ball mill or blade mixer) with different consolidation temperatures of 175-240 °C. Changes in morphology and size of the UHMWPE particles before hot-pressing were observed in function of the mechanical mixing techniques applied. Wear rate was affected by graphene content, reaching a minimum at 0.5 wt% GNP, with a reduction of 20 and 15%, for ball milling and blade mixer, respectively. However, blade mixer increased the wear rate by around twice respect the ball milling results, for all the studied materials. The coefficient of friction decreased notably, by ~25%, below 3 wt% GNP content, and hardness increased by 24%, regardless of the mechanical mixing process used. Finally, consolidation temperature had a positive influence on wear rate at temperatures of around 195 °C, which could be related to the free radical scavenger effect of the GNP.
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Affiliation(s)
- M J Martínez-Morlanes
- Department of Materials Science and Technology, Instituto de Investigación en Ingeniería de Aragón I3A, Universidad de Zaragoza, 50018, Zaragoza, Spain
| | - F J Pascual
- Centro Universitario de la Defensa de Zaragoza, Academia General Militar, Zaragoza, 50090, Spain
| | - G Guerin
- Department of Materials Science and Technology, Instituto de Investigación en Ingeniería de Aragón I3A, Universidad de Zaragoza, 50018, Zaragoza, Spain
| | - J A Puértolas
- Department of Materials Science and Technology, Instituto de Investigación en Ingeniería de Aragón I3A, Universidad de Zaragoza, 50018, Zaragoza, Spain.
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BASHA SHAIKAKBAR, SARKAR DEBASISH. COMPETITIVE LIFE TIME ASSESSMENT OF SrO-ZTA/SrO-ZTA AND CoCrMo/UHMWPE HIP PROSTHESIS BEARINGS. J MECH MED BIOL 2020. [DOI: 10.1142/s0219519420500098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The hip joint envisages the prime load bearing structure among other joints in the human body. Hip joint failure leads to the replacement of the hip joint prosthesis. This research work focuses on the proper selection of bearing couple materials for the hip joint to improve the performance and life. Herein, the stress and deformation of different bearing couple materials are analysed in the perspective of transient dynamic analysis under jogging load cycle. Selective hip joint bearing (femoral head-liner) couples are SS316L on UHMWPE (MoP), CoCrMo on UHMWPE (MoP), Ti6Al4V on SrO-ZTA (MoC), SrO-ZTA on UHMWPE (CoP) and SrO-ZTA on SrO-ZTA (CoC) encountered, respectively. The SrO-ZTA on SrO-ZTA (CoC) bearing couple generates the less Von Mises stress of 180.88 MPa. Load bearing pressure and Archard law predict the wear depth of CoCrMo on UHMWPE (MoP) and SrO-ZTA on SrO-ZTA (CoC) bearing couples are 0.141 mm/year and 0.031 mm/year, respectively. In simultaneous, the theoretical wear volume for CoCrMo on UHMWPE (MoP) and SrO-ZTA on SrO-ZTA (CoC) bearing couples are found as 35.46[Formula: see text]mm3/year and 2.62[Formula: see text]mm3/year, respectively. The wear depth and wear volume are supporting the available clinical retrievals and exist in well acceptable range. Competitive wear analysis data ensures 15 years safe life of SrO-ZTA on SrO-ZTA (CoC) hip prosthesis bearing.
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Affiliation(s)
- SHAIK AKBAR BASHA
- Department of Ceramic Engineering, National Institute of Technology, Rourkela, India
| | - DEBASISH SARKAR
- Department of Ceramic Engineering, National Institute of Technology, Rourkela, India
- HiLASE, Institute of Physics, ASCR, Prague, Czech Republic
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Wegner N, Scholz R, Knyazeva M, Walther F. Service life characterization of orthopedic implant material made of ultra-high molecular weight polyethylene under physiological conditions. J Mech Behav Biomed Mater 2020; 104:103617. [PMID: 32174385 DOI: 10.1016/j.jmbbm.2020.103617] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 12/13/2019] [Accepted: 01/03/2020] [Indexed: 10/25/2022]
Affiliation(s)
- Nils Wegner
- Department of Materials Test Engineering (WPT), TU Dortmund University, Baroper Str. 303, 44227, Dortmund, Germany.
| | - Ronja Scholz
- Department of Materials Test Engineering (WPT), TU Dortmund University, Baroper Str. 303, 44227, Dortmund, Germany
| | - Marina Knyazeva
- Department of Materials Test Engineering (WPT), TU Dortmund University, Baroper Str. 303, 44227, Dortmund, Germany
| | - Frank Walther
- Department of Materials Test Engineering (WPT), TU Dortmund University, Baroper Str. 303, 44227, Dortmund, Germany.
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Zhang H, Zhao S, Xin Z, Ye C, Li Z, Xia J. Wear Resistance Mechanism of Ultrahigh-Molecular-Weight Polyethylene Determined from Its Structure–Property Relationships. Ind Eng Chem Res 2019. [DOI: 10.1021/acs.iecr.9b04721] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Huan Zhang
- Shanghai Key Laboratory of Multiphase Materials Chemical Engineering, Department of Product Engineering, East China University of Science and Technology, Meilong Road 130, Shanghai 200237, People’s Republic of China
| | - Shicheng Zhao
- Shanghai Key Laboratory of Multiphase Materials Chemical Engineering, Department of Product Engineering, East China University of Science and Technology, Meilong Road 130, Shanghai 200237, People’s Republic of China
| | - Zhong Xin
- Shanghai Key Laboratory of Multiphase Materials Chemical Engineering, Department of Product Engineering, East China University of Science and Technology, Meilong Road 130, Shanghai 200237, People’s Republic of China
| | - Chunlin Ye
- State Key Laboratory of Polyolefins and Catalysis, Shanghai Key Laboratory of Catalysis Technology for Polyolefins (Shanghai Research Institute of Chemical Industry), Yunlin Road (East) 345, Shanghai 200062, People’s Republic of China
| | - Zhi Li
- State Key Laboratory of Polyolefins and Catalysis, Shanghai Key Laboratory of Catalysis Technology for Polyolefins (Shanghai Research Institute of Chemical Industry), Yunlin Road (East) 345, Shanghai 200062, People’s Republic of China
| | - Jincheng Xia
- State Key Laboratory of Polyolefins and Catalysis, Shanghai Key Laboratory of Catalysis Technology for Polyolefins (Shanghai Research Institute of Chemical Industry), Yunlin Road (East) 345, Shanghai 200062, People’s Republic of China
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Zeman J, Ranuša M, Vrbka M, Gallo J, Křupka I, Hartl M. UHMWPE acetabular cup creep deformation during the run-in phase of THA's life cycle. J Mech Behav Biomed Mater 2018; 87:30-39. [DOI: 10.1016/j.jmbbm.2018.07.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 07/09/2018] [Accepted: 07/10/2018] [Indexed: 12/19/2022]
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Long-term wear failure analysis of uhmwpe acetabular cup in total hip replacement. J Mech Behav Biomed Mater 2018; 87:1-9. [DOI: 10.1016/j.jmbbm.2018.07.017] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Revised: 07/10/2018] [Accepted: 07/10/2018] [Indexed: 11/20/2022]
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Enhanced lubricant film formation through micro-dimpled hard-on-hard artificial hip joint: An in-situ observation of dimple shape effects. J Mech Behav Biomed Mater 2018; 81:120-129. [DOI: 10.1016/j.jmbbm.2018.02.014] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2017] [Revised: 02/02/2018] [Accepted: 02/10/2018] [Indexed: 11/23/2022]
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