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The Fitzpatrick Skin Phototype Classification (FSPC) scale is widely used to categorize skin types but has limitations such as the underrepresentation of darker skin phototypes, low classification resolution, and subjectivity. These limitations may contribute to dermatological care disparities in patients with darker skin phototypes, including the misdiagnosis of wound healing progression and escalated dermatological disease severity. This study introduces (1) an optical sensor measuring reflected light across 410–940 nm, (2) an unsupervised K-means algorithm for skin phototype classification using broadband optical data, and (3) methods to optimize classification across the Near-ultraviolet-A, Visible, and Near-infrared spectra. The differentiation capability of the algorithm was compared to human assessment based on FSPC in a diverse participant population (n = 30) spanning an even distribution of the full FSPC scale. The FSPC assessment distinguished between light and dark skin phototypes (e.g., FSPC I vs. VI) at 560, 585, and 645 nm but struggled with more similar phototypes (e.g., I vs. II). The K-means algorithm demonstrated stronger differentiation across a broader range of wavelengths, resulting in better classification resolution and supporting its use as a quantifiable and reproducible method for skin type classification. We also demonstrate the optimization of this method for specific bandwidths of interest and their associated clinical implications. [ABSTRACT FROM AUTHOR]

Purpose: Mechanical loading of bone defects through rehabilitation is a promising approach to stimulate repair and reduce nonunion risk; however, little is known about how therapeutic mechanical stimuli modulate early-stage repair before mineralized bone formation. The objective of this study was to investigate the early effects of osteogenic loading on cytokine expression and angiogenesis during the first 3 weeks of BMP-2 mediated segmental bone defect repair. Materials and Methods: A rat model of BMP-2 mediated bone defect repair was subjected to an osteogenic mechanical loading protocol using ambulatory rehabilitation and a compliant, load-sharing fixator with an integrated implantable strain sensor. The effect of fixator load-sharing on local tissue strain, angiogenesis, and cytokine expression was evaluated. Results: Using sensor readings for local measurements of boundary conditions, finite element simulations showed strain became amplified in remaining soft tissue regions between 1 and 3 weeks (Week 3: load-sharing: −1.89 ± 0.35% and load-shielded: −1.38 ± 0.35% vs. Week 1: load-sharing: −1.54 ± 0.17%; load-shielded: −0.76 ± 0.06%). Multivariate analysis of cytokine arrays revealed that load-sharing significantly altered expression profiles in the defect tissue at 2 weeks compared to load-shielded defects. Specifically, loading reduced VEGF (p = 0.052) and increased CXCL5 (LIX) levels. Subsequently, vascular volume in loaded defects was reduced relative to load-shielded defects but similar to intact bone at 3 weeks. Endochondral bone repair was also observed histologically in loaded defects at 3 weeks. Conclusions: Together, these results demonstrate that moderate ambulatory strains previously shown to stimulate bone regeneration significantly alter early angiogenic and cytokine signaling and may promote endochondral ossification. [ABSTRACT FROM AUTHOR]

The gold standard of care for coronary artery disease, a leading cause of death for in the world, is balloon angioplasty in conjunction with stent deployment. However, implantation injuries and long‐term presence of foreign material often promotes significant luminal tissue growth, leading to a narrowing of the artery and severely restricted blood flow. A promising method to mitigate this process is the use of biodegradable metallic stents, but thus far they have either degraded too slowly (iron) or disappeared prematurely (magnesium). The present work investigates the use of a unique type of magnetic material, galfenol (iron‐gallium), for postoperative wireless control of stent degradation rates. Due to its magnetoelastic property, galfenol experiences longitudinal micron‐level elongations when exposed to applied magnetic fields, allowing generation of a microstirring effect that affect its degradation behavior. In vitro indirect cytotoxicity tests on primary rat aortic smooth muscle cells indicated that galfenol byproducts must be concentrated approximately seven times from collected 60 day degradation medium to cause ∼15% of death from all cells. Surface and cross‐sectional characterization of the material indicate that galfenol (Fe80Ga20) degradation rates (∼0.55% per month) are insufficient for stenting applications. While this material may not be ideal for comprising the entire stent, there is potential for use in combination with other materials. Furthermore, the ability to control degradation rates postimplantation opens new possibilities for biodegradable stents; additional magnetoelastic materials should be investigated for use in stenting applications. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 107B: 232–241, 2019. [ABSTRACT FROM AUTHOR]

A wireless and passive (battery free) temperature sensor that can be embedded inside an orthopedic implant, such as an interference screw, was developed. The sensor is based on an inductive–capacitive–resistive resonant circuit that is inductively powered so the temperature at the implant can be measured wirelessly. A potential application of this sensor is to monitor internal wound temperature for the diagnosis of local infection at the implant site. Infections pose a significant risk to patients, who receive orthopedic implants, often lead to adverse conditions including implant failure, tissue necrosis, and amputation. Current approaches for diagnosing orthopedic implant-associated infections, such as blood tests, radiographic imaging, and histological study are slow, tedious, and nonspecific. In recent years, thermographic imaging has been used to monitor local temperature at the external surgical site as a means to detect infection, but its applications are limited to surface or near-surface wounds. The described sensor will serve as an useful research tool to investigate using temperature as an indication of deep-tissue orthopedic implant infection. When fully developed, this sensor may also improve orthopedic care by allowing simple, early detection of infection at an implant site. This paper describes the design and fabrication of the sensor, as well as characterizes its performance. Experimental results indicate the temperature response of the sensor is reproducible within the tested range of 30–42 °C. [ABSTRACT FROM PUBLISHER]

A method is presented for transforming the high frequency bias susceptibility measurements of ferromagnetic thin films into the form of a MH loop with, depending upon the measurement geometry, the y-axis zero crossing giving a measure of the coercive force or anisotropy field. The loops provide a measure of the quantitative and qualitative high frequency switching properties of ferromagnetic thin films. © 2000 American Institute of Physics. [ABSTRACT FROM AUTHOR]

Bone development, maintenance, and regeneration are remarkably sensitive to mechanical cues. Consequently, mechanical stimulation has long been sought as a putative target to promote endogenous healing after fracture. Given the transient nature of bone repair, tissue-level mechanical cues evolve rapidly over time after injury and are challenging to measure noninvasively. The objective of this work was to develop and characterize an implantable strain sensor for noninvasive monitoring of axial strain across a rodent femoral defect during functional activity. Herein, we present the design, characterization, and in vivo demonstration of the device's capabilities for quantitatively interrogating physiological dynamic strains during bone regeneration. Ex vivo experimental characterization of the device showed that it possessed promising sensitivity, signal resolution, and electromechanical stability for in vivo applications. The digital telemetry minimized power consumption, enabling extended intermittent data collection. Devices were implanted in a rat 6mm femoral segmental defect model, and after three days, data were acquired wirelessly during ambulation and synchronized to corresponding radiographic videos, validating the ability of the sensor to noninvasively measure strain in real-time. Together, these data indicate the sensor is a promising technology to quantify tissue mechanics in a specimen specific manner, facilitating more detailed investigations into the role of the mechanical environment in dynamic bone healing and remodeling processes. [ABSTRACT FROM AUTHOR]