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Development and characterization of multi-element doped hydroxyapatite bioceramic coatings on metallic implants for orthopedic applications
Desarrollo y caracterización de recubrimientos biocerámicos de hidroxiapatita dopados con multi-elementos en implantes metálicos para aplicaciones ortopédicas
Monika Furkoa,
Corresponding author
furkomonika@gmail.com

Corresponding author.
, Viktor Havasib, Zoltán Kónyab, Alina Grünewaldc, Rainer Detschc, Aldo R. Boccaccinic, Csaba Balázsia
a Hungarian Academy of Sciences, Centre for Energy Research, H-1121 Konkoly-Thegestr. 29-33, Budapest, Hungary
b University of Szeged, Department of Applied and Environmental Chemistry, Rerrich B. sqr 1, H-6720 Szeged, Hungary
c University of Erlangen-Nuremberg, Department of Materials Science and Engineering, Institute of Biomaterials, Cauerstr. 6, 91058 Erlangen, Germany
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Great efforts are made to improve the biocompatibility properties of commonly used metallic implant materials in orthopedic surgery&#46; One solution can be applying bioactive coatings such as calcium phosphates&#46; The phase&#44; structure&#44; composition and morphology of the CaP surfaces are important parameters that must be accurately controlled to influence their potential biofunctionality with respect to osteoblasts since interaction between calcium phosphate &#40;CaP&#41; thin layers and osteoblasts can be influenced by the outermost surface properties of those materials&#46; Hydroxyapatite &#40;HAp&#41; has been extensively studied due to the structural and chemical similarities to the main inorganic constituent of bone tissues&#46; However&#44; it is well documented that biological hydroxyapatite&#44; which forms the mineral phases of calcified tissues &#40;enamel&#44; dentin and bone&#41;&#44; differ from pure and synthetically produced HAp <a class="elsevierStyleCrossRefs" href="#bib0255">&#91;1&#8211;3&#93;</a>&#46; Biological apatite consists of a mixture of calcium phosphate phases&#44; such as tricalcium phosphate &#40;TCP&#41;&#44; carbonated hydroxyapatite &#40;CHA&#41; and calcium-deficient hydroxyapatite &#40;CDHA&#41;&#46; In this regard&#44; synthetic HAp exhibits a Ca&#47;P ratio of 1&#46;67&#44; while biological apatite deviates significantly from this value and its Ca&#47;P ratio is known to be as low as 1&#46;5&#46; One promising way to modify the osteoblastic response of HAp coatings&#44; both in vitro and in vivo&#44; could involve the use of substituted HAp&#44; incorporating different ions&#44; such as silicon <a class="elsevierStyleCrossRef" href="#bib0265">&#91;3&#93;</a>&#44; magnesium <a class="elsevierStyleCrossRef" href="#bib0275">&#91;5&#93;</a>&#44; zinc <a class="elsevierStyleCrossRef" href="#bib0280">&#91;6&#93;</a>&#44; silver <a class="elsevierStyleCrossRef" href="#bib0285">&#91;7&#93;</a>&#44; strontium <a class="elsevierStyleCrossRef" href="#bib0290">&#91;8&#93;</a> into the HAp lattice&#46; Numerous research works on the use of these substituted materials can be found in the literature <a class="elsevierStyleCrossRefs" href="#bib0265">&#91;3&#8211;11&#93;</a>&#46; On the other hand&#44; deep infection of megaprostheses is still a serious complication in orthopedic surgery&#46; Bacterial adhesion and biofilm formation on these alloys can easily cause various human diseases after surgery <a class="elsevierStyleCrossRef" href="#bib0310">&#91;12&#93;</a>&#46; Removing bacteria in a biofilm is impossible and a local or systemic antibiotic treatment is not effective&#46; Therefore&#44; the inhibition of bacterial adhesion is the most critical step in preventing implant-associated infections <a class="elsevierStyleCrossRef" href="#bib0315">&#91;13&#93;</a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In view of the problem of bacterial resistance to antibiotics and antiseptics&#44; nano-structured silver-containing coatings may be an effective way to prevent device related infections&#44; because its high and permanent antimicrobial activity combines with a remarkably low human toxicity <a class="elsevierStyleCrossRefs" href="#bib0320">&#91;14&#8211;16&#93;</a>&#46; Silver and in particular the free silver ion is well known for its broad-spectrum antimicrobial activity and its low toxicity to mammalian cells&#44; but still allows for the independent use of therapeutic antibiotics <a class="elsevierStyleCrossRefs" href="#bib0315">&#91;13&#8211;16&#93;</a>&#46; Strontium has been shown to have the dual benefit of promoting bone formation and reducing bone resorption&#46; Furthermore&#44; it has been shown that strontium has the ability to enhance pre-osteoblastic cell replication and can stimulate the formation of new bone through osteogenesis and differentiation into osteoblasts and has the ability to inhibit the activity of osteoclasts <a class="elsevierStyleCrossRefs" href="#bib0335">&#91;17&#8211;22&#93;</a>&#46; Mg<span class="elsevierStyleSup">2&#43;</span> doping can enhance the osteoblast adhesion strength as compared to pure HAp since incorporation of Mg into pure calcium HAp makes it closer to the natural bone <a class="elsevierStyleCrossRef" href="#bib0365">&#91;23&#93;</a> while the Zn content can promote the wound healing process after implantation&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">One of the most promising and cheapest methods to deposit coatings onto metallic substrates is the electrodeposition&#44; more specifically pulse current deposition&#46; The main advantages of applying pulse current instead of direct current are that more homogeneous&#44; uniform coatings with smaller grain size can be achieved thus improving the mechanical and chemical properties of coatings&#46; So far&#44; many research works have been performed using this novel method for layer deposition <a class="elsevierStyleCrossRefs" href="#bib0370">&#91;24&#8211;30&#93;</a>&#46; Gopi et al&#46; <a class="elsevierStyleCrossRef" href="#bib0370">&#91;24&#93;</a> have prepared minerals doped hydroxyapatite coating by pulse current on and off time in seconds &#40;from 1<span class="elsevierStyleHsp" style=""></span>s to 4<span class="elsevierStyleHsp" style=""></span>s&#41; and investigated the effect of parameter change&#46; Wang et al&#46; <a class="elsevierStyleCrossRef" href="#bib0375">&#91;25&#93;</a>&#44; however&#44; applied pulse-reverse current for electrodeposition&#46; In their experiments the positive and reverse pulse duty cycles were 0&#46;1 and 0&#46;5&#44; and the positive and reverse plating times were 10 and 2<span class="elsevierStyleHsp" style=""></span>ms&#46; They found that well adherent coating could be achieved by this method without any post-treatment&#46; The morphology of the such prepared coating was mainly plate-like with thickness of around 100<span class="elsevierStyleHsp" style=""></span>nm&#46; In a more recent study&#44; Marashi-Najafi et al&#46; <a class="elsevierStyleCrossRef" href="#bib0380">&#91;26&#93;</a> reported hydroxyapatite coating deposition onto Nitinol superelastic alloy by pulse current with duty cycle of 0&#46;2 at different current densities&#46; They also studied the effect of electrolyte concentration on the morphology of coatings and they revealed that the structure changed from needle like to plate like as the electrolyte concentration decreased&#46; In addition&#44; it is worthwhile to mention that in some research works voltage &#40;pulsed or direct&#41; was used for deposition instead of current&#44; according to the authors&#8217; reports <a class="elsevierStyleCrossRefs" href="#bib0385">&#91;27&#8211;30&#93;</a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In our present research work multi-element &#40;Ag&#44; Zn&#44; Sr and Mg&#41; doped hydroxyapatite coatings have been prepared by combination of pulse current electrodeposition method and surface post-treatment&#46; The morphology and structure of layers have been studied with SEM-EDX measurements&#46; Layers have been also characterized by FT-IR spectroscopy and X-ray diffraction measurements&#46; The biocompatible properties of layers have been assessed using MG-63 osteoblast-like cells and the biodegradable characteristics of samples have been tested in simulated body fluid by electrochemical method&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Experimental</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Preparation of pure and substituted calcium phosphate&#47;hydroxyapatite coatings</span><p id="par0025" class="elsevierStylePara elsevierViewall">Titanium alloy &#40;Ti6Al4V&#44; ISO5832-3&#44; Protetim Ltd&#46;&#41; discs &#40;10<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>1<span class="elsevierStyleHsp" style=""></span>mm&#41; were used as substrates&#46; One side of each disk was roughened using a sandblasting procedure with a 180-grit aluminum oxide media &#40;according to the standard procedure applied by the manufacturer similarly than in the cases of commercial implant materials&#41;&#46; This surface pre-treatment is necessary to enhance the adherence of layers&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">IGTV-4i&#47;6t type pulse current generator was used to prepare the different bioceramic coatings&#46; In the pulse current waveform <span class="elsevierStyleItalic">t</span><span class="elsevierStyleInf">on</span> is the time when current flows and <span class="elsevierStyleItalic">t</span><span class="elsevierStyleInf">off</span> is the relaxation time when the current is zero&#46; Applying <span class="elsevierStyleItalic">t</span><span class="elsevierStyleInf">off</span> time in pulse current deposition gives the system time to recover during the relaxation periods&#46; The electrodeposition process was carried out in a two-electrode cell under normal atmospheric conditions&#44; where the anode was a platinum sheet and the metallic implant disk was used as a cathode&#46; The deposition parameters are summarized in <a class="elsevierStyleCrossRefs" href="#tbl0005">Tables 1 and 2</a>&#46; The thickness of layers was around 1&#8211;2<span class="elsevierStyleHsp" style=""></span>&#956;m in all cases &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The morphological properties of the layers were studied by SEM and FIB measurements with LEO 1540XB Crossbeam workstation&#46; The beam parameters in SEM imaging mode were 5<span class="elsevierStyleHsp" style=""></span>keV beam energy and 30<span class="elsevierStyleHsp" style=""></span>&#956;m aperture size&#44; Everhart-Thornley and InLens secondary electron detectors were used&#46; The ion beam parameters in FIB milling mode were 30<span class="elsevierStyleHsp" style=""></span>kV accelerating voltage and 5<span class="elsevierStyleHsp" style=""></span>nA beam current&#46; For SEM&#47;FIB measurements the samples were tilted at 36 angle&#46; The electron beam parameters for the EDX were 8 and 16<span class="elsevierStyleHsp" style=""></span>keV beam energy&#46; A R&#246;ntec Si&#40;Li&#41; detector and the Bruker Esprit 1&#46;9 software had been used for the EDX measurements&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">FT-IR characterization</span><p id="par0035" class="elsevierStylePara elsevierViewall">To record FT-IR absorption spectra of investigated samples&#44; specular reflection technique was employed&#46; All infrared spectra of the samples were recorded on a Bruker Vertex 70 FT-IR spectrometer coupled with Hyperion 2000 IR microscope with 15&#215; &#40;NA<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;4&#41; specular reflection objective&#46; Spectra were recorded over the range of wave number 4000&#8211;400<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> at room temperature using 128 scans at 2<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> resolution&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">X-ray diffraction measurements</span><p id="par0040" class="elsevierStylePara elsevierViewall">The crystal structures of the samples were investigated using X-ray diffraction&#46; XRD spectra were recorded at room temperature by Rigaku MiniFlex II diffractometer &#40;Cu K<span class="elsevierStyleInf">&#945;</span> radiation source&#44; 0&#46;15418<span class="elsevierStyleHsp" style=""></span>nm&#41; equipped with a high count DTEX II detector and operated at 40<span class="elsevierStyleHsp" style=""></span>kV and 40<span class="elsevierStyleHsp" style=""></span>mA&#46; The diffraction patterns were collected over a 2<span class="elsevierStyleItalic">&#952;</span> range from 10&#176; to 60&#176; with 1&#176;&#47;min steps using flat plane geometry&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Electrochemical corrosion measurements</span><p id="par0045" class="elsevierStylePara elsevierViewall">The potentiodynamic polarization studies were carried out with Zahner IM6e electrochemical workstation &#40;Zahner&#44; Germany&#41;&#46; In the electrochemical measurements conventional three-electrode cell was used&#46; The working electrode was a metallic implant disk &#40;19<span class="elsevierStyleHsp" style=""></span>mm&#41; with and without coatings and platinum net and Ag&#47;AgCl&#47;KCl<span class="elsevierStyleInf">sat</span> electrodes were used as counter electrode and reference electrode&#44; respectively&#46; The potentiodynamic polarization curves were recorded with 1<span class="elsevierStyleHsp" style=""></span>mV&#47;s scanning rate&#46; Simulated body fluid was used as an electrolyte for all the electrochemical experiments&#44; which has ion concentrations nearly equal to those of human blood plasma and is buffered at pH 7&#46;40 with 50<span class="elsevierStyleHsp" style=""></span>mM trishydroxymethylaminomethane and 45<span class="elsevierStyleHsp" style=""></span>mM hydrochloric acid&#46; The composition of simulated body fluid can be seen in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46; By measuring the corrosion properties of samples it is possible to trace their biodegradation properties&#46; All the electrochemical characterizations were carried out at temperature of 37<span class="elsevierStyleHsp" style=""></span>&#176;C to simulate body conditions&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Biocompatible measurements on pure and modified hydroxyapatite layers</span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Cell culture</span><p id="par0050" class="elsevierStylePara elsevierViewall">Cells used for the experiments are represented by MG-63 cell line &#40;Sigma&#8211;Aldrich&#44; Germany&#41;&#44; which is a line of human osteoblast-like cells&#46; Cells were grown on 75<span class="elsevierStyleHsp" style=""></span>ml flasks and were detached by tripsin&#46; Medium was DMEM &#40;Dulbecco&#39;s Modified Eagles Medium&#41; with 10&#37; of FBS &#40;fetal bovine serum&#44; containing growth factors and nutrients to support cell growth&#41; and 100<span class="elsevierStyleHsp" style=""></span>U&#47;ml penicillin and 100<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;ml streptomycin to minimize the risk of infections&#46; The cultures were maintained at 37<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; 5&#37; CO<span class="elsevierStyleInf">2</span> in a humidified atmosphere in incubator &#40;New Branswick Galaxy 170S&#41;&#46; The culture media were changed in every three days&#46; The cells were counted in a Neubauer chamber&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Cell viability measurements with WST-8 reagent</span><p id="par0055" class="elsevierStylePara elsevierViewall">For cell viability measurements the samples were put in a 24-well microtiter plate and 1<span class="elsevierStyleHsp" style=""></span>ml of cell suspension at concentration of 10&#44;000<span class="elsevierStyleHsp" style=""></span>cells&#47;mL was seeded onto the surface of each samples&#46; The same amount of culture medium with cells without samples was used as control&#46; After a cultivation period of 2&#44; 7 and 14 days&#44; the culture media was removed from the 24 well culture plate and the cells were washed with sterile PBS&#46; After washing&#44; 1<span class="elsevierStyleHsp" style=""></span>mL of DMEM medium containing 1&#37; WST-8 reagent were added to the wells and it was incubated for 3&#46;5<span class="elsevierStyleHsp" style=""></span>h&#46; The incubation period was followed by spectrophotometric assay of colored product&#46; During this incubation period viable cells convert WST-8 to a water soluble formazan dye&#46; The specific absorbance of formazan dye &#40;at 450<span class="elsevierStyleHsp" style=""></span>nm&#41; in the MTP can be done with an ELISA plate reader &#40;PHomo Autobio Anthos Mykrosystem GMbh&#44; Germany&#41;&#46; The absorbance directly correlates with the cell number&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">ALP activity measurements</span><p id="par0060" class="elsevierStylePara elsevierViewall">ALP enzyme activity was measured after 6 and 14 days of incubation in order to characterize the osteoblastic activity of the MG-63 cells&#46; The cells were lysed with a cell lysis buffer which contains 20<span class="elsevierStyleHsp" style=""></span>mM TRIS buffered solution &#40;Merck&#41; with 0&#46;1<span class="elsevierStyleHsp" style=""></span>wt&#37; Triton X-100 &#40;Sigma&#44; Germany&#41;&#44; 1<span class="elsevierStyleHsp" style=""></span>mM MgCl<span class="elsevierStyleInf">2</span> and 0&#46;1<span class="elsevierStyleHsp" style=""></span>mM ZnCl<span class="elsevierStyleInf">2</span>&#46; The cell lysate was incubated with a reacting solution containing 0&#46;1<span class="elsevierStyleHsp" style=""></span>M Tris solution&#44; 2<span class="elsevierStyleHsp" style=""></span>mM MgCl<span class="elsevierStyleInf">2</span> and 9<span class="elsevierStyleHsp" style=""></span>mM p-Nitrophenylphosphate for 120<span class="elsevierStyleHsp" style=""></span>min&#46; After incubation absorption was measured at 405<span class="elsevierStyleHsp" style=""></span>nm using a spectrometer &#40;Specord 40&#41;&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Calcein staining</span><p id="par0065" class="elsevierStylePara elsevierViewall">For staining the live cells&#44; acetoxymethyl &#40;AM&#41; ester &#40;Calcein&#44; Molecular Probes&#44; Germany&#41; was used which is a fluorescent indicator&#46; The cell distribution growth on the sample surface was analyzed using florescent microscope &#40;FM&#44; Scope&#46; A1&#44; Carl Zeiss&#41;&#46; After the cultivation period of 48<span class="elsevierStyleHsp" style=""></span>h&#44; the adherent cells were fixed with 3&#46;7<span class="elsevierStyleHsp" style=""></span>vol&#37; paraformaldehyde for 10<span class="elsevierStyleHsp" style=""></span>min and permeabilised with 0&#46;1<span class="elsevierStyleHsp" style=""></span>vol&#37; Triton X-100 &#40;in PBS&#41; for 10<span class="elsevierStyleHsp" style=""></span>min at room temperature&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">DAPI &#40;4&#8242;&#44;6-diamidino-2-phenylindol&#41; staining</span><p id="par0070" class="elsevierStylePara elsevierViewall">The nuclei of fixed cells were stained with the fluorescence dye 4&#8242;&#44;6-diamidino-2-phenylindol &#40;DAPI RotiVR-Mount FluorCare&#41;&#46; For staining of the samples&#44; the matrices were incubated 15<span class="elsevierStyleHsp" style=""></span>min in the dark in DAPI-solution &#40;2<span class="elsevierStyleHsp" style=""></span>mL DAPI-stock solution in 1<span class="elsevierStyleHsp" style=""></span>mL DAPI buffer&#41;&#46; After staining ward&#44; the matrices were washed three times in PBS to eliminate the background&#46; The nuclei were imaged by the fluorescence microscope with blue filter&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Morphological characterization of MG-63 cells by SEM imaging</span><p id="par0075" class="elsevierStylePara elsevierViewall">The samples&#44; seeded and cultured with MG-63 cells for 2 days were washed with PBS&#44; fixed with a solution containing 3<span class="elsevierStyleHsp" style=""></span>vol&#37; glutaraldehyde &#40;Sigma&#44; Germany&#41; and 3<span class="elsevierStyleHsp" style=""></span>vol&#37; paraformaldehyde &#40;Sigma&#44; Germany&#41; in 0&#46;2<span class="elsevierStyleHsp" style=""></span>M sodium cacodylate buffer &#40;pH 7&#46;4&#41;&#44; and thoroughly rinsed with PBS for SEM analysis &#40;Auriga CrossBeam&#44; Carl Zeiss Microscopy GmbH&#44; Germany&#41;&#46; All samples were dehydrated in ethanol&#44; stored in 99&#46;8<span class="elsevierStyleHsp" style=""></span>vol&#37; ethanol and critical-point dried &#40;EM CPD300&#44; Leica&#44; Germany&#41;&#46;</p></span></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Statistics</span><p id="par0080" class="elsevierStylePara elsevierViewall">Results are presented using the mean value and standard deviation of four replicates of each sample type&#46; All results were normalized to MG-63 cells growth on a well plate &#40;REF<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>100&#37;&#41;&#46; The differences in analysis parameters between the different samples investigated were evaluated by one-way analysis of variance &#40;ANOVA&#41;&#46; The level of the statistical significance was defined at <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 &#40;Origin 8&#46;6&#44; Origin Lab Corporations&#44; USA&#41;&#46; The significance level was set as &#42;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; &#42;&#42;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01 and &#42;&#42;&#42;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#46; For the comparison of the mean values the Tukey test was used&#46;</p></span></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results and discussion</span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Morphological investigation</span><p id="par0085" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> shows the SEM and FIB measurements on HAp layer and on modified HAp coating&#46; It can be seen in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#40;a&#41; that the pulse electrodeposited HAp coating after surface treatment in 1<span class="elsevierStyleHsp" style=""></span>M NaOH solution has mainly small needle-like and larger rod-like particles with length of 100&#8211;200<span class="elsevierStyleHsp" style=""></span>nm and with diameter of 20&#8211;50<span class="elsevierStyleHsp" style=""></span>nm&#46; The Ca&#47;P elemental ratio in this case is 1&#46;78 &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">Table 4</a>&#41; which can indicate mainly hydroxyapatite crystals in the layer&#46; The SEM-FIB cross sectional image &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41; revealed that the layer has a very porous&#44; sponge-like structure and its thickness is not uniform&#46; The thickness of layer varied between 700<span class="elsevierStyleHsp" style=""></span>nm and 2<span class="elsevierStyleHsp" style=""></span>&#956;m&#44; depending on the site of samples&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">The metal ion-modified HAp layer &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41; shows similar morphology&#44; however&#44; in this case flake-like particle agglomerations can also be observed&#46; The SEM-FIB cross sectional image shows similarly porous structure with layer thickness of 1&#8211;2<span class="elsevierStyleHsp" style=""></span>&#956;m&#46; On the corresponding EDX spectra&#44; weak peaks of Ag&#44; Zn Sr and Mg element signals are also visible proving the presence and incorporation of metallic ions and particles in HAp layer&#46; The elemental analysis reveals the Ca&#47;P elemental ratio to be 1&#46;55 which can indicate the HAp crystal structure disruption or the presence of other CaP phases as impurities&#46; However&#44; this small amount of other calcium phosphate phase could not be detected by XRD measurement due to the detection limit &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46; It is visible on EDX spectra that Ti and Al and V peaks also appear because the applied electron beam excited the substrate material also due to the very thin and inhomogeneous coating&#46; The appearing very weak signal of C on the EDX spectra might indicate the presence of some carbonate impurities&#46; This result is in good accordance with the FT-IR measurements in <a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">FT-IR analysis of pure and modified calcium phosphate layers</span><p id="par0095" class="elsevierStylePara elsevierViewall">As <a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a> shows&#44; the FT-IR spectra are very identical for both coatings&#46; On the spectra of HAp and mHAp samples peaks at 627&#44; 960&#44; 990 and 1130<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> are related to PO<span class="elsevierStyleInf">4</span><span class="elsevierStyleSup">3&#8722;</span> anionic group content&#44; while the wide absorption peak in the 1400&#8211;1500<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> region is connected to absorbed CO<span class="elsevierStyleInf">3</span><span class="elsevierStyleSup">2&#8722;</span> content of HAp phase <a class="elsevierStyleCrossRef" href="#bib0410">&#91;32&#93;</a>&#46; Weaker overlapped peaks at 875<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> can be related to HPO<span class="elsevierStyleInf">4</span><span class="elsevierStyleSup">2&#8722;</span> content&#44; suggesting the presence of a minor carbonated hydroxyapatite &#40;cHAp&#41; phase in coatings&#46; However&#44; the slightly higher absorption of OH<span class="elsevierStyleSup">&#8722;</span> groups &#40;OH<span class="elsevierStyleSup">&#8722;</span> stretch vibration&#41; at 3700<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> in the case of mHAp coating might be explained by some elimination of cHAp phase from HAp owing to the incorporation of doping elements&#46; In addition&#44; slight signs of adsorbed water bands also appear on spectra from 3600<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> to around 2600<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span> and at 3570<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;1</span>&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">X-ray diffraction analysis</span><p id="par0100" class="elsevierStylePara elsevierViewall">The XRD patterns of pure and doped HAp samples are shown in <a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#46; Both spectra shows characteristic peaks of HAp at 2<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>31&#46;7&#176; &#40;2 1 1&#41;&#44; 32&#46;9&#176; &#40;3 0 0&#41;&#44; 25&#46;88&#176; &#40;0 0 2&#41; in accordance with the JCPDS file 09-0432&#46; The broad XRD peaks for HAp indicate its nanocrystallinity&#46; In the case of multi-ion modified HAp&#44; very similar peaks can be observed&#46; No other CaP phases or phosphate impurities can be detected on the spectra owing to the detection limit and the components&#8217; very low concentrations&#46; In our case&#44; there is no visible line shifting&#44; peak broadening and changing in peak intensity when metallic ions are added to the hydroxyapatite coating&#46; However&#44; several studies reported line shifting to higher 2 values due to the replacement of larger sized Ca<span class="elsevierStyleSup">2&#43;</span> &#40;0&#46;099<span class="elsevierStyleHsp" style=""></span>&#8491;&#41; ions with smaller sized Mg<span class="elsevierStyleSup">2&#43;</span> &#40;0&#46;69<span class="elsevierStyleHsp" style=""></span>&#8491;&#41; ions and Zn<span class="elsevierStyleSup">2&#43;</span> &#40;0&#46;77<span class="elsevierStyleHsp" style=""></span>&#8491;&#41; ions <a class="elsevierStyleCrossRefs" href="#bib0415">&#91;33&#8211;35&#93;</a>&#46; In other research work&#44; Ziani et al&#46; found broadening of the peaks due to the reduction in the crystallite size and increase in the lattice disorder&#44; which they attributed to the Mg<span class="elsevierStyleSup">2&#43;</span> substitution in the HAp lattice <a class="elsevierStyleCrossRef" href="#bib0430">&#91;36&#93;</a>&#46; On the other hand&#44; the substitution of strontium and silver can cause phase shifting to lower 2<span class="elsevierStyleItalic">&#952;</span> indicating an increase in the lattice parameters&#44; which can be attributed to the higher ionic radius of Sr &#40;1&#46;13<span class="elsevierStyleHsp" style=""></span>&#8491;&#41; and Ag &#40;1&#46;15<span class="elsevierStyleHsp" style=""></span>&#8491;&#41;&#44; as compared to Ca<span class="elsevierStyleSup">2&#43;</span><a class="elsevierStyleCrossRef" href="#bib0435">&#91;37&#93;</a>&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Corrosion characterization by electrochemical potentiodynamic measurements</span><p id="par0105" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a> demonstrates the potentiodynamic curves of implant material &#40;Ti6Al4V&#41; and HAp coating and modified HAp coating&#46; The curves were recorded after two weeks immersion in SBF solution&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">As <a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a> reveals&#44; large anodic passive regions can be observed on the anodic branches of potentiodynamic curves in all cases with small passive current densities &#40;<span class="elsevierStyleItalic">j</span><span class="elsevierStyleInf">p</span>&#41; and the shapes of potentiodynamic curves of all samples is quite similar&#46; In the case of uncoated implant material the onset of this passive region is around &#43;100<span class="elsevierStyleHsp" style=""></span>mV vs Ag&#47;AgCl and the passive film breakdown potential is at &#43;980<span class="elsevierStyleHsp" style=""></span>mV&#46; The passive region on potentiodynamic curves of pure HAp coating became slightly wider after two weeks of immersion than that for uncoated sample&#44; it starts at around &#8722;120<span class="elsevierStyleHsp" style=""></span>mV vs Ag&#47;AgCl and its breakdown potential is similarly at around &#43;980<span class="elsevierStyleHsp" style=""></span>mV&#46; On the other hand&#44; the widest passive region is observed in the case of mHAp coating&#44; spreading from &#8722;280<span class="elsevierStyleHsp" style=""></span>mV to around &#43;1<span class="elsevierStyleHsp" style=""></span>V vs Ag&#47;AgCl&#46; The very large slopes of anodic and cathodic branches of curves indicate mixed kinetic and diffusion controlled electrode processes for all samples&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">The electrochemical parameters&#44; such as passive current densities&#44; corrosion current densities and corrosion potentials of different samples are summarized in <a class="elsevierStyleCrossRef" href="#tbl0025">Table 5</a>&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">It is visible that the titanium alloy substrate possesses the lowest passive current density &#40;0&#46;91<span class="elsevierStyleHsp" style=""></span>A<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;2</span>&#41;&#44; while the highest value belongs to multi-element doped HAp coating &#40;3&#46;30<span class="elsevierStyleHsp" style=""></span>A<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;2</span>&#41;&#46; On the other hand&#44; it can also be observed on the anodic branch of potentiodynamic curves that while the passive currents of mHAp samples slightly decrease with potential scan&#44; the passive currents of substrate material and HAp coating are stable and hardly change till the breakdown potential&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">The corrosion current density &#40;<span class="elsevierStyleItalic">j</span><span class="elsevierStyleInf">corr</span>&#41; values and corrosion potentials &#40;<span class="elsevierStyleItalic">E</span><span class="elsevierStyleInf">corr</span>&#41; can be obtained by the intersection of lines extrapolated to the cathodic and anodic branch of potentiodynamic curves in the Tafel region &#40;&#177;50<span class="elsevierStyleHsp" style=""></span>mV from corrosion potential&#41;&#46; The titanium alloy has the noblest corrosion potential and lowest corrosion current density which denotes its highest corrosion stability&#46; On the other hand&#44; the most negative <span class="elsevierStyleItalic">E</span><span class="elsevierStyleInf">corr</span> and the highest <span class="elsevierStyleItalic">j</span><span class="elsevierStyleInf">corr</span> values belong to the mHAp samples&#46; This result can prove that during immersion in physiological solution&#44; dissolution processes of different doping elements as well as calcium phosphate components can occur&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">There are several research works investigating the degradation processes of hydroxyapatite coatings prepared by different methods&#46; It is reported that the porous characteristic &#40;size and number of pores present in the coating&#41; of calcium phosphate coatings significantly affects the corrosion&#47;dissolution rate of hydroxyapatite&#46; The coatings with smaller and fewer pores proved to be more corrosion resistant than coatings with higher degree of porosity because the former can provide better barrier property <a class="elsevierStyleCrossRefs" href="#bib0440">&#91;38&#8211;40&#93;</a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Zhang et al&#46; <a class="elsevierStyleCrossRef" href="#bib0410">&#91;32&#93;</a> stated that the corrosion mechanism of HAp coating with pores involves hydrogen ion &#40;H<span class="elsevierStyleSup">&#43;</span>&#41; generation at the interface where corrosion occurs&#44; thus decreasing the local pH value&#44; and then causes subsequent dissolution of HAp in the high H<span class="elsevierStyleSup">&#43;</span> concentration area&#46; The dissolution rate of HAp increases with decreasing pH&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Biocompatible measurements on samples</span><span id="sec0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Cell viability measurement with WST-8 assay</span><p id="par0140" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a> shows that in all culture period the mHAp sample had the highest cell viability values&#44; after 2 days it was 85&#37; while after two weeks it increased to around 90&#37; compared to positive control&#46;</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0145" class="elsevierStylePara elsevierViewall">The cell viability percentages were 78&#37; and 85&#37; after 2 days&#44; 81&#37; and 90&#37; after 2 weeks of culture on pure HAp and multi-ion modified HAp coatings&#44; respectively&#46; For uncoated titanium&#44; the viability was 81&#37; at 2nd day and it decreased to 71&#37; at 14th day&#46; After 2 days of culture&#44; the differences between the cell viability values were not statistically significant for HAp compared to titanium substrate &#40;<span class="elsevierStyleItalic">p</span> value was 0&#46;94&#41;&#44; while the difference between Ti alloy and mHAp was statistically different &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#41;&#46; It is visible that there is a slight decrease in cell viability for each sample after one week of incubation&#46; This phenomenon can be explained by cell differentiation&#46; Several researchers proved that when cells are in the state of differentiation&#44; they show less metabolic activity resulting in lower viability values <a class="elsevierStyleCrossRefs" href="#bib0455">&#91;41&#44;42&#93;</a>&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">After 2 weeks of culture in DMEM medium the difference between the cell viability on HAp and on mHAp samples become more significantly higher than those for uncoated substrate&#44; indicating the good biocompatible&#47;bioactive properties of both hydroxyapatite layers&#46; It is also visible that the multi-element modification advanced the biocompatibility of sample&#46; The differences between the cell viabilities of samples in this time point were all statistically highly significant &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; In addition&#44; it is well known that hydroxyapatite coating facilitate the attachment and growth of osteoblastic cells owing to its high hydrophilic property <a class="elsevierStyleCrossRefs" href="#bib0465">&#91;43&#44;44&#93;</a>&#46;</p></span><span id="sec0110" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Alkaline phosphatase activity measurements</span><p id="par0155" class="elsevierStylePara elsevierViewall">ALP is one of the first osteoblastic markers&#46; Since the osteoblast-like human MG-63 cell line is capable to produce some osteogenic markers such as alkaline phosphatase and osteocalcin <a class="elsevierStyleCrossRef" href="#bib0475">&#91;45&#93;</a>&#46; In our present study ALP expression of cells seeded on the surface of different samples and on culture well plate as reference was evaluated&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">It is visible in <a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a> that the ALP expression is higher by around 25&#37; and 30&#37; for pure HAp and multi-ion doped HAp&#44; respectively&#44; after 6 and 14 days of culture than that for uncoated substrate&#46; The level of ALP activity increased with culturing time&#46; After 6 days of immersion&#44; the ALP values of both HAp and mHAp were statistically different &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; compared to uncoated substrate&#44; while there was no statistically difference between the calcium phosphate coatings and the control group&#46; At the 14th day of culture&#44; only the ALP values of mHAp compared to Ti alloy and ALP expression of control compared to Ti alloy were statistically different &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; It is visible that the highest ALP expression belongs to mHAp sample&#46; On the other hand&#44; the differences between HAp and mHAp as well as between titanium substrate and HAp are not statistically different&#44; in the latter case the <span class="elsevierStyleItalic">p</span> value is 0&#46;094&#46; Our findings are in good agreement with reports from literature where Zhao et al&#46; <a class="elsevierStyleCrossRef" href="#bib0480">&#91;46&#93;</a> studied the effect of magnesium-substituted nano-hydroxyapatite coating on implant osseointegration&#46; In their research they found that the magnesium substituted HAp had higher ALP activity by two times than that of without magnesium content after 7 days of culture&#46; Yang et al&#46; <a class="elsevierStyleCrossRef" href="#bib0485">&#91;47&#93;</a> investigated the biocompatibility of Zn substituted hydroxyapatite on Murine preosteoblast cell &#40;MC3T3-E1&#41; cell line&#46; They reported significant increase in cell proliferation and ALP activity on day 7&#44; and osteocalcin production &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; were also observed for Zn<span class="elsevierStyleSup">2&#43;</span>-containing HAp-coated surfaces on day 14&#46; The coatings were prepared by electrochemical process and the Zn was present in the Zn-HAp coatings at a Zn&#47;&#40;Ca-Zn&#41; molar ratio of 1&#46;04&#37;&#46; Bueno et al&#46; <a class="elsevierStyleCrossRef" href="#bib0490">&#91;48&#93;</a> studied the effect of Sr substitution in HAp nanocomposite on the differentiation of OFCOLL II osteoblasts&#46; Other literature report showed that the presence of strontium in the HAp structure &#40;SrHAp&#41; seems to cause important effects in osteoblast and osteoclast growth and also favors the increase of osteoblast ALP activity <a class="elsevierStyleCrossRef" href="#bib0495">&#91;49&#93;</a>&#46; Thian et al&#46; <a class="elsevierStyleCrossRef" href="#bib0500">&#91;50&#93;</a> investigated the effect of apatite nanocrystals on the osteoblast behavior of human osteoblast &#40;HOB&#41; cells and they found that the ALP activity of cells growing on phase-pure apatite nanocrystals was detectable only after 5 days of culture&#46;</p><elsevierMultimedia ident="fig0030"></elsevierMultimedia></span><span id="sec0115" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Calcein&#47;DAPI staining</span><p id="par0165" class="elsevierStylePara elsevierViewall">Direct fluorescence staining of calcein and nucleus &#40;DAPI&#41; of MG-63 cells cultured for 2 days on titanium alloy&#44; HAp and mHAp coatings as well as on control group &#40;well plates&#41; are shown in <a class="elsevierStyleCrossRef" href="#fig0035">Fig&#46; 7</a>&#46;</p><elsevierMultimedia ident="fig0035"></elsevierMultimedia><p id="par0170" class="elsevierStylePara elsevierViewall">Calcein fluorescent staining is generally used to indicate intracellular esterase activity present in viable cells&#46; Dense and evenly dispersed multi-layered cells with large nuclei were observed for all samples&#44; however&#44; in the case of HAp and mHAp coated samples there were larger number of living cells&#46; The shape of cells mainly elongated and polygonal which indicates well adhered&#44; spreading and proliferating cells&#46;</p></span><span id="sec0120" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">MG-63 cell morphology study</span><p id="par0175" class="elsevierStylePara elsevierViewall">The expression of the phenotype of osteoblast-like cells &#40;MG-63&#41; was studied by SEM after incubation on uncoated titanium alloy&#44; on pure HAp coating and on ion-modified HAp coatings for 48<span class="elsevierStyleHsp" style=""></span>h&#46; It is obvious that the phenotype of MG-63 osteoblast-like cells were well-expressed and cell were spreaded on the surfaces of all samples and were in flattened form&#46; The shape of cells mainly polygonal with filopodia or very thin extensions&#46; The cells covered the coated samples&#8217; surfaces in a thick continuous monolayer and the MG-63 started to form also a multilayer in some areas of the sample&#46; On the other hand&#44; in the case of uncoated substrate&#44; the coverage was not perfect&#46; In some places the surface of substrate is also visible beside the cells &#40;see in <a class="elsevierStyleCrossRef" href="#fig0040">Fig&#46; 8</a>a&#41;&#46; The number and density of cells as well as the extent of spreading seemed to be a little higher in the case of calcium phosphate coated samples than for uncoated substrate&#46; Nevertheless&#44; there is not much visible difference in cell morphology in the case of both HAp and mHAp coated samples&#46; These results might confirm that the coating can advance cell adherence thus promoting cell proliferation and prove the results from Calcein&#47;DAPI staining&#46;</p><elsevierMultimedia ident="fig0040"></elsevierMultimedia></span></span></span><span id="sec0125" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Conclusion</span><p id="par0180" class="elsevierStylePara elsevierViewall">The SEM analysis revealed that the morphology of HAp and mHAp coatings was mainly needle-like in nanometre size&#46; The cross section analysis &#40;FIB&#41; showed the coatings to be in highly porous&#44; sponge-like structure&#44; which resembles the structure of natural bone&#46; The EDX elemental analysis confirmed that the ions doped HAp coating contained Ag&#44; Zn&#44; Sr and Mg elements also in under 1<span class="elsevierStyleHsp" style=""></span>At&#37; along with the calcium and phosphorous elements&#46; The FT-IR spectra showed similar characteristic peaks of PO<span class="elsevierStyleInf">4</span><span class="elsevierStyleSup">3&#8722;</span> and OH<span class="elsevierStyleSup">&#8722;</span> anionic groups of calcium phosphate phases and revealed carbonate impurities in both samples&#46; The XRD measurements also confirmed that the coating consist of mainly nanocrystalline hydroxyapatite phase and there was no visible line shifting&#44; peak broadening and changing in peak intensity when metallic ions were added to the hydroxyapatite coating&#46; According to the corrosion measurements&#44; the corrosion resistances of pure HAp and multi-ion doped HAp were lower than that of uncoated substrate due to the highly porous characteristic of layers&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">The biocompatible tests showed that the cell viability values increased significantly in the cases of both HAp and mHAp samples compared to bare implant materials and the highest values were measured in the case of mHAp&#46; The Calcein and DAPI staining of samples revealed dense&#44; multi-layered&#44; well adhered living cells on all samples with normal morphology&#46; The in vitro results presented here support that HAp and multi-ion doped HAp coatings advance the growth of MG-63 osteoblast-like cells&#46;</p></span></span>"
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        4 => array:2 [
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          "titulo" => "Introduction"
        ]
        5 => array:3 [
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          "titulo" => "Experimental"
          "secciones" => array:6 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "Preparation of pure and substituted calcium phosphate&#47;hydroxyapatite coatings"
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            1 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "FT-IR characterization"
            ]
            2 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "X-ray diffraction measurements"
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            3 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Electrochemical corrosion measurements"
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            4 => array:3 [
              "identificador" => "sec0035"
              "titulo" => "Biocompatible measurements on pure and modified hydroxyapatite layers"
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                  "titulo" => "Cell culture"
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                1 => array:2 [
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                  "titulo" => "Cell viability measurements with WST-8 reagent"
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                2 => array:2 [
                  "identificador" => "sec0050"
                  "titulo" => "ALP activity measurements"
                ]
                3 => array:2 [
                  "identificador" => "sec0055"
                  "titulo" => "Calcein staining"
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                4 => array:2 [
                  "identificador" => "sec0060"
                  "titulo" => "DAPI &#40;4&#8242;&#44;6-diamidino-2-phenylindol&#41; staining"
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                5 => array:2 [
                  "identificador" => "sec0065"
                  "titulo" => "Morphological characterization of MG-63 cells by SEM imaging"
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              "titulo" => "Statistics"
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          "titulo" => "Results and discussion"
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              "identificador" => "sec0080"
              "titulo" => "Morphological investigation"
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              "titulo" => "FT-IR analysis of pure and modified calcium phosphate layers"
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              "identificador" => "sec0090"
              "titulo" => "X-ray diffraction analysis"
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              "titulo" => "Corrosion characterization by electrochemical potentiodynamic measurements"
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              "identificador" => "sec0100"
              "titulo" => "Biocompatible measurements on samples"
              "secciones" => array:4 [
                0 => array:2 [
                  "identificador" => "sec0105"
                  "titulo" => "Cell viability measurement with WST-8 assay"
                ]
                1 => array:2 [
                  "identificador" => "sec0110"
                  "titulo" => "Alkaline phosphatase activity measurements"
                ]
                2 => array:2 [
                  "identificador" => "sec0115"
                  "titulo" => "Calcein&#47;DAPI staining"
                ]
                3 => array:2 [
                  "identificador" => "sec0120"
                  "titulo" => "MG-63 cell morphology study"
                ]
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          "identificador" => "sec0125"
          "titulo" => "Conclusion"
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          "titulo" => "Acknowledgements"
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          "titulo" => "References"
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    "fechaRecibido" => "2017-06-12"
    "fechaAceptado" => "2017-09-13"
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          "clase" => "keyword"
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          "palabras" => array:4 [
            0 => "Coatings"
            1 => "Microstructure"
            2 => "Corrosion"
            3 => "Bioceramics"
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        0 => array:4 [
          "clase" => "keyword"
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          "palabras" => array:4 [
            0 => "Recubrimientos"
            1 => "Microestructura"
            2 => "Corrosi&#243;n"
            3 => "Biocer&#225;micas"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Multi-element modified bioactive hydroxyapatite bioceramic &#40;mHAp&#41; coatings were successfully developed onto surgical grade titanium alloy material &#40;Ti6Al4V&#41;&#46; The coatings were prepared by pulse current deposition from electrolyte containing adequate amounts of calcium nitrate and ammonium dihydrogen phosphate at 70<span class="elsevierStyleHsp" style=""></span>C&#46; The pure HAp layer was doped and co-deposited with Ag&#44; Zn&#44; Mg&#44; Sr ions&#46; The biocompatible properties of layers were investigated by seeding osteoblast-like MG-63 cells onto the samples&#8217; surface&#46; The biocompatible measurements revealed enhanced bioactivity of modified HAp compared to uncoated implant materials and pure bioceramic coating&#46; The morphology and structure of coatings and cells were characterized by scanning electron microscopy &#40;SEM&#41;&#44; energy-dispersive X-ray spectroscopy &#40;EDX&#41; as well as FT-IR and XRD measurements&#46; The biodegradable properties of samples were investigated by electrochemical potentiodynamic measurements&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han desarrollado con &#233;xito recubrimientos biocer&#225;micos de hidroxiapatita bioactiva modificada con multi-elementos &#40;mHAp&#41; sobre soportes de titanio de grado quir&#250;rgico &#40;Ti6Al4V&#41;&#46; Los recubrimientos se depositaron con la t&#233;cnica de la corriente pulsada a partir de electr&#243;litos con cantidades adecuadas de nitrato de calcio y dihidrogenofosfato de amonio a 70<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; La capa de HAp pura se dop&#243; y co-deposit&#243; con iones Ag&#44; Zn&#44; Mg&#44;Sr&#46; La biocompatibilidad de las capas se investig&#243; mediante siembra de c&#233;lulas de MG-63&#44; similares a los osteoblastos&#44; en la superficie de las muestras&#46; Los resultados de los ensayos de biocompatibilidad revelaron una bioactividad mejorada de la HAp modificada en comparaci&#243;n con materiales de implante no revestidos y de revestimiento biocer&#225;mico puro&#46; La morfolog&#237;a y estructura de los revestimientos y las c&#233;lulas fueron caracterizadas mediante microscop&#237;a electr&#243;nica de barrido &#40;MEB&#41;&#44; espectrometr&#237;a de dispersi&#243;n de energ&#237;a de rayos X &#40;EDX&#41;&#44; as&#237; como mediante mediciones de FT-IR y DRX&#46; La biodegradabilidad de las muestras se investig&#243; mediante ensayos potenciom&#233;tricos din&#225;micos&#46;</p></span>"
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          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Potentiodymanic polarization curves of uncoated Ti6Al4V alloy &#40;black line&#41;&#44; of HAp coating &#40;blue line&#41; and of mHAp &#40;green line&#41; recorded after two weeks immersion in SBF solution at 37<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; The potential scanning rate is 1<span class="elsevierStyleHsp" style=""></span>mV&#47;s&#46;</p>"
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Cell viability percentage on the investigated samples compared to positive control&#46; Positive control&#58; MG-63 cells were grown in well plates without samples&#46; The level of thestatisticalsignificance is given by <span class="elsevierStyleItalic">p</span>-values as compared to control and titanium substrate&#46; All samples were measured in 6 replicate and calculated the mean values<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#46;</p>"
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          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">ALP expression percentage on the investigated samples compared to positive control&#46; Positive control&#58; MG-63 cells were grown in well plates without samples&#46; The level of the statistical significance is given by <span class="elsevierStyleItalic">p</span>-values as compared to control and titanium substrate&#46; All samples were measured in 6 replicate and calculated the mean values<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#46;</p>"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Fluorescence microscopy images of calcein-AM &#40;green fluorescent&#41; and nucleus &#40;with DAPI&#44; blue fluorescent&#41; and merged images of Mg-63 cells cultured for 2 days in DMEM medium on different samples such as titanium alloy &#40;a&#41; HAp &#40;b&#41; and mHAp &#40;c&#41; coatings&#46;</p>"
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      7 => array:7 [
        "identificador" => "fig0040"
        "etiqueta" => "Figure 8"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr8.jpeg"
            "Alto" => 3182
            "Ancho" => 1500
            "Tamanyo" => 904823
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        "descripcion" => array:1 [
          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">SEM images on MG-63 cells grown on titanium substrate &#40;a&#41; on HAp coating &#40;b&#41; and on mHAp coating after 2 days of culture in DMEM medium&#46;</p>"
        ]
      ]
      8 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Electrochemical deposition</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Electrolyte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Concentration&#47;gL&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ca&#40;NO<span class="elsevierStyleInf">3</span>&#41;<span class="elsevierStyleInf">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">115&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>NH<span class="elsevierStyleInf">4</span>H<span class="elsevierStyleInf">2</span>PO<span class="elsevierStyleInf">4</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>H<span class="elsevierStyleInf">2</span>O<span class="elsevierStyleInf">2</span> &#40;30&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10<span class="elsevierStyleHsp" style=""></span>ml&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Deposition parameters</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">t</span><span class="elsevierStyleInf">on</span>&#47;ms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">t</span><span class="elsevierStyleInf">off</span>&#47;ms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">i</span><span class="elsevierStyleInf">p</span>&#47;A<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleSup">&#8722;2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Bath temperature&#47;&#176;C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>pH&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Deposition time&#47;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Surface treatment after deposition</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1<span class="elsevierStyleHsp" style=""></span>M NaOH solution&#44; 70<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; 2<span class="elsevierStyleHsp" style=""></span>h&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab1717604.png"
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        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Electrodeposition parameters for obtaining pure hydroxyapatite layers&#46;</p>"
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      ]
      9 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at2"
            "detalle" => "Table "
            "rol" => "short"
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        ]
        "tabla" => array:1 [
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            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Electrodeposition</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Electrolyte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Concentration&#47;gL&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ca&#40;NO<span class="elsevierStyleInf">3</span>&#41;<span class="elsevierStyleInf">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">115&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mg&#40;NO<span class="elsevierStyleInf">3</span>&#41;<span class="elsevierStyleInf">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Sr&#40;NO<span class="elsevierStyleInf">3</span>&#41;<span class="elsevierStyleInf">2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2&#46;10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>NH<span class="elsevierStyleInf">4</span>H<span class="elsevierStyleInf">2</span>PO<span class="elsevierStyleInf">4</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">33&#46;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>H<span class="elsevierStyleInf">2</span>O<span class="elsevierStyleInf">2</span> &#40;30&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10<span class="elsevierStyleHsp" style=""></span>ml&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Deposition parameters</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">t</span><span class="elsevierStyleInf">on</span>&#47;ms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">t</span><span class="elsevierStyleInf">off</span>&#47;ms&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">i</span><span class="elsevierStyleInf">p</span>&#47;A cm<span class="elsevierStyleSup">&#8722;2</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Bath temperature&#47;&#176;C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>pH&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">4&#46;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Deposition time&#47;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Surface treatment after deposition</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Soaking in solution containing 0&#46;01<span class="elsevierStyleHsp" style=""></span>M Zn&#40;NO<span class="elsevierStyleInf">3</span>&#41;<span class="elsevierStyleInf">2</span> and 0&#46;0025<span class="elsevierStyleHsp" style=""></span>M AgNO<span class="elsevierStyleInf">3</span> for 24<span class="elsevierStyleHsp" style=""></span>h and afterward in 1<span class="elsevierStyleHsp" style=""></span>M NaOH solution at 70<span class="elsevierStyleHsp" style=""></span>&#176;C for 2<span class="elsevierStyleHsp" style=""></span>h with subsequent heat treatment at 150<span class="elsevierStyleHsp" style=""></span>&#176;C for 2<span class="elsevierStyleHsp" style=""></span>h&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab1717601.png"
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        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Electrodeposition parameters for obtaining modified HAp layers&#46;</p>"
        ]
      ]
      10 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Table "
            "rol" => "short"
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        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Reagent&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Amount &#40;g&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sodium chloride&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&#46;996&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sodium bicarbonate&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;350&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Potassium chloride&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;224&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Potassium phosphate trihydrate&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;228&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Magnesium chloride hexahydrate&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;305&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">1<span class="elsevierStyleHsp" style=""></span>M hydrochloric acid&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">40<span class="elsevierStyleHsp" style=""></span>mL&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Calcium chloride&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;278&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sodium sulfate&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#46;071&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tris &#40;hydroxymethyl&#41; aminomethane&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&#46;057&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab1717603.png"
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        "descripcion" => array:1 [
          "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Composition of simulated body fluid <a class="elsevierStyleCrossRef" href="#bib0405">&#91;31&#93;</a>&#46;</p>"
        ]
      ]
      11 => array:8 [
        "identificador" => "tbl0020"
        "etiqueta" => "Table 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
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            "identificador" => "at4"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " colspan="12" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Atomic percent &#40;&#37;&#41;</th></tr><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Spectrum&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">C&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">O&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Al&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Ti&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">V&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Ca&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">P&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Ag&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Zn&nbsp;\t\t\t\t\t\t\n
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        "identificador" => "xack342198"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0190" class="elsevierStylePara elsevierViewall">The authors would like to acknowledge the financial support of <span class="elsevierStyleGrantSponsor" id="gs1">JECS Trust</span> and the authors are grateful for the SEM-FIB&#47;EDX measurements performed by Levente Ill&#233;s &#40;MTA-EK&#44; Hungary&#41;&#46;</p>"
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Article information
ISSN: 03663175
Original language: English
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