Publications by authors named "W H G Lewin"

Osseointegration is a crucial property of biomaterials used for bone defect repair. While titanium is the gold standard in craniofacial surgeries, various polymeric biomaterials are being explored as alternatives. However, polymeric materials can be bioinert, hindering integration with surrounding tissues.

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Article Synopsis
  • Communication skills are essential in medicine, but postgraduate training often lacks proper instruction in serious illness communication skills (SICS), leaving residents feeling unprepared for difficult conversations.
  • An innovative e-module was developed to teach core SICS, allowing residents to practice through structured role-plays and receive feedback, which replaced traditional lectures.
  • The study found that residents preferred mixed learning methods, felt more prepared for advanced care planning discussions after the intervention, and showed a growing interest in these conversations, despite concerns about their practicality in busy clinical settings.
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Soft plastic lures (SPLs) are commonly used artificial lures in recreational angling. Anglers regularly lose SPLs while fishing and there is little knowledge about the environmental impacts of lost SPLs. As with other plastic items, SPLs contain phthalates and other persistent additives that may leach into water.

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The present work describes a preclinical trial (, and ) protocol to assess the biomechanical performance and osteogenic capability of 3D-printed polymeric scaffolds implants used to repair partial defects in a sheep mandible. The protocol spans multiple steps of the medical device development pipeline, including initial concept design of the scaffold implant, digital twin finite element modeling, manufacturing of the device prototype, device implantation, and laboratory mechanical testing. First, a patient-specific one-body scaffold implant used for reconstructing a critical-sized defect along the lower border of the sheep mandible ramus was designed using on computed-tomographic (CT) imagery and computer-aided design software.

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Even with the best infection control protocols in place, the risk of a hospital-acquired infection of the surface of an implanted device remains significant. A bacterial biofilm can form and has the potential to escape the host immune system and develop resistance to conventional antibiotics, ultimately causing the implant to fail, seriously impacting patient well-being. Here, we demonstrate a 4 log reduction in the infection rate by the common pathogen of 3D-printed polyaryl ether ketone (PAEK) polymeric surfaces by covalently binding the antimicrobial peptide Mel4 to the surface using plasma immersion ion implantation (PIII) treatment.

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