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1.
Phys Rev Lett ; 127(7): 078102, 2021 Aug 13.
Article in English | MEDLINE | ID: mdl-34459628

ABSTRACT

Membrane viscosity is a fundamental property that controls molecular transport and structural rearrangements in lipid membranes. Given its importance in many cell processes, various experimental and computational methods have been developed to measure the membrane viscosity, yet the estimated values depend highly on the method and vary by orders of magnitude. Here we investigate the molecular origins of membrane viscosity by measuring the nanoscale dynamics of the lipid acyl tails using x-ray and neutron spectroscopy techniques. The results show that the membrane viscosity can be estimated from the structural relaxation times of the lipid tails.

2.
Soft Matter ; 17(23): 5671-5681, 2021 Jun 16.
Article in English | MEDLINE | ID: mdl-33942045

ABSTRACT

Biological membranes are composed of complex mixtures of lipids and proteins that influence each other's structure and function. The biological activities of many channel-forming peptides and proteins are known to depend on the material properties of the surrounding lipid bilayer. However, less is known about how membrane-spanning channels affect the lipid bilayer properties, and in particular, their collective fluctuation dynamics. Here we use neutron spin echo spectroscopy (NSE) to measure the collective bending and thickness fluctuation dynamics in dimyristoylphosphatidylcholine (di 14 : 0 PC, DMPC) lipid membranes containing two different antimicrobial peptides, alamethicin (Ala) and gramicidin (gD). Ala and gD are both well-studied antimicrobial peptides that form oligomeric membrane-spanning channels with different structures. At low concentrations, the peptides did not have a measurable effect on the average bilayer structure, yet significantly changed the collective membrane dynamics. Despite both peptides forming transmembrane channels, they had opposite effects on the relaxation time of the collective bending fluctuations and associated effective bending modulus, where gD addition stiffened the membrane while Ala addition softened the membrane. Meanwhile, the lowest gD concentrations enhanced the collective thickness fluctuation dynamics, while the higher gD concentrations and all studied Ala concentrations dampened these dynamics. The results highlight the synergy between lipids and proteins in determining the collective membrane dynamics and that not all peptides can be universally treated as rigid bodies when considering their effects on the lipid bilayer fluctuations.


Subject(s)
Alamethicin , Dimyristoylphosphatidylcholine , Cell Membrane , Gramicidin , Lipid Bilayers
3.
Struct Dyn ; 7(5): 054704, 2020 Sep.
Article in English | MEDLINE | ID: mdl-33094128

ABSTRACT

Like many soft materials, lipids undergo a melting transition associated with a significant increase in their dynamics. At temperatures below the main melting transition (Tm ), all molecular and collective dynamics are suppressed, while above Tm the alkyl tail motions, lipid diffusivity, and collective membrane undulations are at least an order of magnitude faster. Here we study the collective dynamics of dimyristoylphosphatidylglycerol (DMPG, di 14:0 PG) using neutron spin echo spectroscopy throughout its anomalous phase transition that occurs over a 12 °C-20° C wide temperature window. Our results reveal that the membranes are softer and more dynamic during the phase transition than at higher temperatures corresponding to the fluid phase and provide direct experimental evidence for the predicted increase in membrane fluctuations during lipid melting. These results provide new insights into the nanoscale lipid membrane dynamics during the melting transition and demonstrate how these dynamics are coupled to changes in the membrane structure.

4.
Proc Natl Acad Sci U S A ; 117(38): 23365-23373, 2020 09 22.
Article in English | MEDLINE | ID: mdl-32883879

ABSTRACT

The elastic and viscous properties of biological membranes play a vital role in controlling cell functions that require local reorganization of the membrane components as well as dramatic shape changes such as endocytosis, vesicular trafficking, and cell division. These properties are widely acknowledged to depend on the unique composition of lipids within the membrane, yet the effects of lipid mixing on the membrane biophysical properties remain poorly understood. Here, we present a comprehensive characterization of the structural, elastic, and viscous properties of fluid membranes composed of binary mixtures of lipids with different tail lengths. We show that the mixed lipid membrane properties are not simply additive quantities of the single-component analogs. Instead, the mixed membranes are more dynamic than either of their constituents, quantified as a decrease in their bending modulus, area compressibility modulus, and viscosity. While the enhanced dynamics are seemingly unexpected, we show that the measured moduli and viscosity for both the mixed and single-component bilayers all scale with the area per lipid and collapse onto respective master curves. This scaling links the increase in dynamics to mixing-induced changes in the lipid packing and membrane structure. More importantly, the results show that the membrane properties can be manipulated through lipid composition the same way bimodal blends of surfactants, liquid crystals, and polymers are used to engineer the mechanical properties of soft materials, with broad implications for understanding how lipid diversity relates to biomembrane function.

5.
J Chromatogr A ; 1617: 460842, 2020 Apr 26.
Article in English | MEDLINE | ID: mdl-31928770

ABSTRACT

A deeper understanding of the nanoscale and mesoscale structure of chromatographic adsorbents and the distribution of proteins within the media, is critical to a mechanistic understanding of separation processes using these materials. Characterisation of the media's architecture at this scale and protein adsorption within, is challenging using conventional techniques. In this study, we propose a novel resin characterisation technique that enables in-situ measurement of the structure of the adsorbed protein layer within the resin, under typical chromatographic conditions. A quartz flow-through cell was designed and fabricated for use with Small Angle Neutron Scattering (SANS), in order to measure the nanoscale to mesoscale structures of a silica based protein A chromatography resin during the monoclonal antibody sorption process. We were able to examine the pore-to-pore (˜133 nm) and pore size (˜63 nm) correlations of the resin and the in-plane adsorbed antibody molecules (˜ 4.2 nm) correlation at different protein loadings and washing buffers, in real time using a contrast matching approach. When 0.03 M sodium phosphate with 1 M urea and 10 % isopropanol buffer, pH 8, was introduced into the system as a wash buffer, it disrupted the system's order by causing partial unfolding of the adsorbed antibody, as evidenced by a loss of the in-plane protein correlation. This method offers new ways to investigate the nanoscale structure and ligand immobilisation within chromatography resins; and perhaps most importantly understand the in-situ behaviour of adsorbed proteins within the media under different mobile phase conditions within a sample environment replicating that of a chromatography column.


Subject(s)
Antibodies, Monoclonal/chemistry , Chromatography, Affinity , Neutron Diffraction , Scattering, Small Angle , Staphylococcal Protein A/chemistry , Adsorption
6.
Chem Phys Lipids ; 223: 104779, 2019 09.
Article in English | MEDLINE | ID: mdl-31153912

ABSTRACT

POPS is highly enriched in the inner leaflet of the plasma membrane. Here we present measurements of inter-membrane cholesterol transport rates in POPS vesicles. We find that the cholesterol transport kinetics are not only an order of magnitude slower than in POPC lipids at near physiological temperatures, they exhibit a surprising discontinuous Arrhenius behavior around 48 °C. Moreover, thermodynamic analysis suggests that for biologically relevant temperatures, below the discontinuity, the exchange of cholesterol is entropically dominated while it is enthalpically driven, as is the case in POPC vesicles, above that discontinuity. Using the polar fluorescent probe Laurdan we found that POPS fluid membranes retain a large degree of order in the headgroup region for temperatures below the discontinuity but undergo an order-to-disorder transition in the region coinciding with the discontinuity in the transport of cholesterol in POPS membranes providing an explanation not only for the discontinuity but for the entropic dominance at physiological temperatures.


Subject(s)
Cell Membrane/chemistry , Cholesterol/chemistry , Entropy , Phosphoserine/chemistry , Biological Transport , Kinetics , Temperature
7.
Soft Matter ; 15(13): 2762-2767, 2019 Apr 07.
Article in English | MEDLINE | ID: mdl-30789180

ABSTRACT

Biological membranes are highly heterogeneous in composition which in turn leads to local variations in the physical properties. Here we quantify how heterogeneity in stiffness determines the effective bending modulus, κeff, of model phase-separated membranes with coexisting soft fluid and rigid gel domains. We find that the temperature- and composition- dependent trends in membrane rigidity collapse onto a single curve, such that κeff directly scales with the area fraction of the rigid gel domains. Using no adjustable parameters, the measurements are found to agree with theoretical predictions for inhomogenous membranes and indicate that κeff is sensitive to the lateral distribution of the rigid phase within the membrane. This key finding confirms that the properties of heterogeneous membranes can be quantitatively predicted if the area fraction and properties of the individual phases are known.

8.
Soft Matter ; 14(26): 5344-5355, 2018 Jul 04.
Article in English | MEDLINE | ID: mdl-29808890

ABSTRACT

Topology and branching play an important but poorly understood role in controlling the mechanical and flow properties of worm-like micelles (WLMs). To address the challenge of characterizing branching during flow of WLMs, dielectric spectroscopy, rheology, and small-angle neutron scattering (dielectric RheoSANS) experiments are performed simultaneously to measure the concurrent evolution of conductivity, permittivity, stress, and segmental anisotropy of reverse WLMs under steady-shear flow. Reverse WLMs are microemulsions comprised of the phospholipid surfactant lecithin dispersed in oil with water solubilized in the micelle core. Their electrical properties are independently sensitive to the WLM topology and dynamics. To isolate the effects of branching, dielectric RheoSANS is performed on WLMs in n-decane, which show fast breakage times and exhibit a continuous branching transition for water-to-surfactant ratios above the corresponding maximum in zero-shear viscosity. The unbranched WLMs in n-decane exhibit only subtle decreases in their electrical properties under flow that are driven by chain alignment and structural anisotropy in the plane perpendicular to the electric field and incident neutron beam. These results are in qualitative agreement with additional measurements on a purely linear WLM system in cyclohexane despite differences in breakage kinetics and a stronger tendency for the latter to shear band. In contrast, the branched micelles in n-decane (higher water content) undergo non-monotonic changes in permittivity and more pronounced decreases in conductivity under flow. The combined steady-shear electrical and microstructural measurements are capable, for the first time, of resolving branch breaking at low shear rates prior to alignment-driven anisotropy at higher shear rates.

9.
Macromolecules ; 51(17)2018.
Article in English | MEDLINE | ID: mdl-38855633

ABSTRACT

Liquid phase assembly is among the most industrially attractive routes for scalable carbon nanotube (CNT) processing. Chlorosulfonic acid (CSA) is known to be an ideal solvent for CNTs, spontaneously dissolving them without compromising their properties. At typical processing concentrations, CNTs form liquid crystals in CSA; however, the morphology of these phases and their concentration dependence are only qualitatively understood. Here, we use small-angle neutron scattering (SANS), combined with polarized light microscopy and cryogenic transmission electron microscopy to study solution morphology over a range of concentrations and two different CNT lengths. Our results show that at the highest concentration studied the long CNTs form a highly ordered fully nematic phase, while short CNTs remain in a biphasic regime. Upon dilution, long CNTs undergo a 2D lattice expansion, whereas short CNTs seem to have an intermediate expansion between 2D and 3D probably due to the biphasic nature of the system. The average spacing between the CNTs scaled by the CNT diameter is the same in both systems, as expected for infinitely long aligned rods.

10.
Rev Sci Instrum ; 88(10): 105115, 2017 Oct.
Article in English | MEDLINE | ID: mdl-29092518

ABSTRACT

In situ measurements are an increasingly important tool to inform the complex relationship between nanoscale properties and macroscopic material measurements. Knowledge of these phenomena can be used to develop new materials to meet the performance demands of next generation technologies. Conductive complex fluids have emerged as an area of research where the electrical and mechanical properties are key design parameters. To study the relationship between microstructure, conductivity, and rheology, we have developed a small angle neutron scattering (SANS) compatible Couette rheological geometry capable of making impedance spectroscopy measurements under continuous shear. We have also mounted this geometry on a commercial strain controlled rheometer with a modified forced convection oven. In this manuscript, we introduce the simultaneous measurement of impedance spectroscopy, rheological properties and SANS data. We describe the validation of this dielectric RheoSANS instrument and demonstrate its operation using two systems-an ion gel comprising Pluronic® surfactant and ionic liquid, ethyl-ammonium nitrate, and poly(3-hexylthiophene) organogel prepared in a mixture of hexadecane and dichlorobenzene. In both systems, we use this new measurement capability to study the microstructural state of these materials under two different protocols. By monitoring their dielectric rheology at the same time as the SANS measurement, we demonstrate the capacity to directly probe structure-property relationships inherent to the macroscopic material response.

11.
Langmuir ; 33(43): 12260-12266, 2017 10 31.
Article in English | MEDLINE | ID: mdl-28968116

ABSTRACT

High-structured carbon fillers are ubiquitous as the conductive additive comprising suspension-based electrochemical energy storage technologies. Carbon black networks provide the necessary electrical conductivity as well as mechanical percolation in the form of a yield stress. Despite their critical role in determining system performance, a full mechanistic understanding of the relationship between the electrical transport characteristics of the percolated, conductive networks of carbon black, and the rheological properties is lacking, which hinders the rational design and optimization of flowable electrodes and the processing of electrolytes for batteries. Here, we report on the microstructural origin of the rheological and electrical properties of two commonly used conductive additives in neat propylene carbonate. From quiescent mechanical and structural studies, we find that the gelation of these carbon black suspensions is best described by the dynamic arrest of a clustered fluid phase. In contrast, the temperature and frequency dependence of the ac conductivity near this transition shows that mesoscale charge transport is determined by hopping between localized states that does not require a stress-bearing network. This unique combination of microstructural characterization with rheological and electrical measurements enables testing prevailing theories of the connection between electrical and mechanical percolation as well as improving conductive additives to enhance electrochemical performance.

12.
J Phys Chem Lett ; 8(19): 4679-4684, 2017 Oct 05.
Article in English | MEDLINE | ID: mdl-28892394

ABSTRACT

The elastic and viscous properties of self-assembled amphiphilic membranes dictate the intricate hierarchy of their structure and dynamics ranging from the diffusion of individual molecules to the large-scale deformation of the membrane. We previously demonstrated that neutron spin echo spectroscopy measurements of model amphiphilic membranes can access the naturally occurring submicrosecond membrane motions, such as bending and thickness fluctuations. Here we show how the experimentally measured fluctuation parameters can be used to determine the inherent membrane properties and demonstrate how membrane viscosity and compressibility modulus are influenced by lipid composition in a series of simple phosphatidylcholine bilayers with different tail lengths as a function of temperature. This approach highlights the interdependence of the bilayer elastic and viscous properties and the collective membrane dynamics and opens new avenues to investigating the mechanical properties of more complex and biologically inspired systems.


Subject(s)
Cell Membrane/chemistry , Lipid Bilayers/chemistry , Phosphatidylcholines/chemistry , Spectrum Analysis , Diffusion , Molecular Dynamics Simulation , Neutrons , Phospholipids , Temperature
13.
J Vis Exp ; (122)2017 04 10.
Article in English | MEDLINE | ID: mdl-28447997

ABSTRACT

A procedure for the operation of a new dielectric RheoSANS instrument capable of simultaneous interrogation of the electrical, mechanical and microstructural properties of complex fluids is presented. The instrument consists of a Couette geometry contained within a modified forced convection oven mounted on a commercial rheometer. This instrument is available for use on the small angle neutron scattering (SANS) beamlines at the National Institute of Standards and Technology (NIST) Center for Neutron Research (NCNR). The Couette geometry is machined to be transparent to neutrons and provides for measurement of the electrical properties and microstructural properties of a sample confined between titanium cylinders while the sample undergoes arbitrary deformation. Synchronization of these measurements is enabled through the use of a customizable program that monitors and controls the execution of predetermined experimental protocols. Described here is a protocol to perform a flow sweep experiment where the shear rate is logarithmically stepped from a maximum value to a minimum value holding at each step for a specified period of time while frequency dependent dielectric measurements are made. Representative results are shown from a sample consisting of a gel composed of carbon black aggregates dispersed in propylene carbonate. As the gel undergoes steady shear, the carbon black network is mechanically deformed, which causes an initial decrease in conductivity associated with the breaking of bonds comprising the carbon black network. However, at higher shear rates, the conductivity recovers associated with the onset of shear thickening. Overall, these results demonstrate the utility of the simultaneous measurement of the rheo-electro-microstructural properties of these suspensions using the dielectric RheoSANS geometry.


Subject(s)
Electric Impedance , Neutron Diffraction/instrumentation , Rheology/instrumentation , Scattering, Small Angle , Suspensions , Time Factors
14.
J Chromatogr A ; 1499: 118-131, 2017 May 26.
Article in English | MEDLINE | ID: mdl-28410804

ABSTRACT

Chromatography is a ubiquitous unit operation in the purification of biopharmaceuticals yet few studies have addressed the biophysical characterisation of proteins at the solution-resin interface. Chromatography and other adsorption and desorption processes have been shown to induce protein aggregation which is undesirable in biopharmaceutical products. In order to advance understanding of how adsorption processes might impact protein stability, neutron reflectivity was used to characterise the structure of adsorbed immunoglobulin G (IgG) on model surfaces. In the first model system, IgG was adsorbed directly to silica and demonstrated a side-on orientation with high surface contact. A maximum dimension of 60Å in the surface normal direction and high density surface coverage were observed under pH 4.1 conditions. In chromatography buffers, pH was found to influence IgG packing density and orientation at the solid-liquid interface. In the second model system, which was designed to mimic an affinity chromatography surface, protein A was attached to a silica surface to produce a configuration representative of a porous glass chromatography resin. Interfacial structure was probed during sequential stages from ligand attachment, through to IgG binding and elution. Adsorbed IgG structures extended up to 250Å away from the surface and showed dependence on surface blocking strategies. The data was suggestive of two IgG molecules bound to protein A with a somewhat skewed orientation and close proximity to the silica surface. The findings provide insight into the orientation of adsorbed antibody structures under conditions encountered during chromatographic separations.


Subject(s)
Staphylococcal Protein A/chemistry , Adsorption , Chromatography, Liquid/instrumentation , Immunoglobulin G/chemistry , Neutrons , Protein Binding , Protein Stability , Silicon Dioxide/chemistry , Surface Properties
15.
J Appl Crystallogr ; 49(Pt 6): 1861-1875, 2016 Dec 01.
Article in English | MEDLINE | ID: mdl-27980506

ABSTRACT

The capabilities of current computer simulations provide a unique opportunity to model small-angle scattering (SAS) data at the atomistic level, and to include other structural constraints ranging from molecular and atomistic energetics to crystallography, electron microscopy and NMR. This extends the capabilities of solution scattering and provides deeper insights into the physics and chemistry of the systems studied. Realizing this potential, however, requires integrating the experimental data with a new generation of modelling software. To achieve this, the CCP-SAS collaboration (http://www.ccpsas.org/) is developing open-source, high-throughput and user-friendly software for the atomistic and coarse-grained molecular modelling of scattering data. Robust state-of-the-art molecular simulation engines and molecular dynamics and Monte Carlo force fields provide constraints to the solution structure inferred from the small-angle scattering data, which incorporates the known physical chemistry of the system. The implementation of this software suite involves a tiered approach in which GenApp provides the deployment infrastructure for running applications on both standard and high-performance computing hardware, and SASSIE provides a workflow framework into which modules can be plugged to prepare structures, carry out simulations, calculate theoretical scattering data and compare results with experimental data. GenApp produces the accessible web-based front end termed SASSIE-web, and GenApp and SASSIE also make community SAS codes available. Applications are illustrated by case studies: (i) inter-domain flexibility in two- to six-domain proteins as exemplified by HIV-1 Gag, MASP and ubiquitin; (ii) the hinge conformation in human IgG2 and IgA1 antibodies; (iii) the complex formed between a hexameric protein Hfq and mRNA; and (iv) synthetic 'bottlebrush' polymers.

16.
ACS Appl Mater Interfaces ; 8(36): 24089-96, 2016 Sep 14.
Article in English | MEDLINE | ID: mdl-27536887

ABSTRACT

Slurry based electrodes have shown promise as an energy dense and scalable storage technology for electrochemical flow batteries. Key to their efficient operation is the use of a conductive additive which allows for volumetric charging and discharging of the electrochemically active species contained within the electrodes. Carbon black is commonly used for this purpose due to the relatively low concentrations needed to maintain electrical percolation. While carbon black supplies the desirable electrical properties for the application, it contributes detrimentally to the rheology characteristics of these concentrated suspensions. In this work, we develop a synthesis protocol to produce inorganic oxide particles with electrostatically adsorbed poly(3,4-ethylenedioxithiophene):polystyrenesulfonate ( PEDOT: PSS). Using a combination of small angle neutron scattering (SANS), electron microscopy, and thin-film conductivity, we show that the synthesis scheme provides a flexible platform to form conductive PEDOT: PSS-SiO2 nanoparticle dispersions. Based on these measurements, we demonstrate that these particles are stable when dispersed in propylene carbonate. Using a combination of rheology and dielectric spectroscopy, we show that these stable dispersions facilitate electrical percolation at concentrations below their mechanical percolation threshold, and this percolation is maintained under flow. These results demonstrate the potential for strategies which seek to decouple mechanical and electrical percolation to allow for the development of higher performance conductive additives for slurry based flow batteries.

17.
J Arthroplasty ; 31(9 Suppl): 127-30, 2016 09.
Article in English | MEDLINE | ID: mdl-27067754

ABSTRACT

BACKGROUND: The direct anterior approach (DAA) for total hip arthroplasty (THA) has rapidly become popular, but there is little consensus regarding the risks and benefits of this approach in comparison with a modern posterior approach (PA). METHODS: A total of 2147 patients who underwent DAA THA were propensity score matched with patients undergoing PA THA on the basis of age, gender, body mass index, and American Society of Anesthesia classification using data from a state joint replacement registry. Mean age of the matched cohort was 64.8 years, mean body mass index was 29.1 kg/m(2), and 53% were female. Multilevel logistic regression models using generalized estimating equations to control for grouping at the hospital level were used to identify differences in various outcomes. RESULTS: There was no difference in the dislocation rate between patients undergoing DAA (0.84%) and PA (0.79%) THA. Trends indicating a slightly longer length of stay with the PA and a slightly greater risk of fracture, increased blood loss, and hematoma with the DAA are consistent with previous studies. CONCLUSION: On the basis of short-term outcome and complication data, neither approach has a compelling advantage over each other, including no difference in the dislocation risk.


Subject(s)
Arthroplasty, Replacement, Hip/adverse effects , Arthroplasty, Replacement, Hip/methods , Hip Dislocation/etiology , Registries , Adult , Aged , Female , Hip Dislocation/epidemiology , Humans , Joint Dislocations , Male , Michigan/epidemiology , Middle Aged , Retrospective Studies
18.
JBJS Case Connect ; 6(3): e73, 2016.
Article in English | MEDLINE | ID: mdl-29252650

ABSTRACT

CASE: We report a case of catastrophic implant failure due to fatigue fracture of a well-functioning unicompartmental knee arthroplasty at 7 years in an active 55-year-old man, who presented with sudden onset of atraumatic knee pain and effusion. The patient underwent revision to total knee arthroplasty. Intraoperative findings included a metallic fragment fractured off the rim of the tibial base-plate and cement retained in the tibial tray. CONCLUSION: Retained cement in the tibial tray resulted in increased tibial tray contact stresses and fatigue fracture of the rim of the tray, creating a free metallic loose body that produced symptoms.


Subject(s)
Knee Prosthesis/adverse effects , Prosthesis Failure/etiology , Arthroplasty, Replacement, Knee/instrumentation , Humans , Male , Middle Aged
19.
Geriatr Orthop Surg Rehabil ; 6(3): 202-8, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26328237

ABSTRACT

BACKGROUND: Hip fractures have significant effects on the geriatric population and the health care system. Prior studies have demonstrated both the safety of intravenous (IV) acetaminophen and its efficacy in decreasing perioperative narcotic consumption. The purpose of this study is to evaluate the effect of scheduled IV acetaminophen for perioperative pain control on length of hospital stay, pain level, narcotic use, rate of missed physical therapy (PT) sessions, adverse effects, and discharge disposition in geriatric patients with hip fractures. METHODS: A retrospective review was performed of all patients 65 years and older admitted to a level I trauma center, who received operative treatment for a hip fracture over a 2-year period. Demographic data, in-hospital variables, and outcome measures were analyzed. Three hundred thirty-six consecutive fractures in 332 patients met inclusion criteria. These patients were divided into 2 cohorts. Group 1 (169 fractures) consisted of patients treated before the initiation of a standardized IV acetaminophen perioperative pain control protocol, and group 2 (167 fractures) consisted of those treated after the protocol was initiated. RESULTS: Group 2 had a statistically significant shorter mean length of hospital stay (4.4 vs 3.8 days), lower mean pain score (4.2 vs 2.8), lower mean narcotic usage (41.3 vs 28.3 mg), lower rate of PT sessions missed (21.8% vs 10.4%), and higher likelihood of discharge home (7% vs 19%; P ≤ .001). Use of IV acetaminophen was also consistently and independently predictive of the same variables (P < .01). CONCLUSION: The utilization of scheduled IV acetaminophen as part of a standardized pain management protocol for geriatric hip fractures resulted in shortened length of hospital stay, decreased pain levels and narcotic use, fewer missed PT sessions, and higher rate of discharge to home. LEVEL OF EVIDENCE: Therapeutic level III.

20.
Biophys J ; 109(1): 106-12, 2015 Jul 07.
Article in English | MEDLINE | ID: mdl-26153707

ABSTRACT

Membrane thickness fluctuations have been associated with a variety of critical membrane phenomena, such as cellular exchange, pore formation, and protein binding, which are intimately related to cell functionality and effective pharmaceuticals. Therefore, understanding how these fluctuations are controlled can remarkably impact medical applications involving selective macromolecule binding and efficient cellular drug intake. Interestingly, previous reports on single-component bilayers show almost identical thickness fluctuation patterns for all investigated lipid tail-lengths, with similar temperature-independent membrane thickness fluctuation amplitude in the fluid phase and a rapid suppression of fluctuations upon transition to the gel phase. Presumably, in vivo functions require a tunability of these parameters, suggesting that more complex model systems are necessary. In this study, we explore lipid tail-length mismatch as a regulator for membrane fluctuations. Unilamellar vesicles of an equimolar mixture of dimyristoylphosphatidylcholine and distearoylphosphatidylcholine molecules, with different tail-lengths and melting transition temperatures, are used as a model system for this next level of complexity. Indeed, this binary system exhibits a significant response of membrane dynamics to thermal variations. The system also suggests a decoupling of the amplitude and the relaxation time of the membrane thickness fluctuations, implying a potential for independent control of these two key parameters.


Subject(s)
Dimyristoylphosphatidylcholine/chemistry , Lipid Bilayers/chemistry , Models, Chemical , Phosphatidylcholines/chemistry , Unilamellar Liposomes/chemistry , Neutron Diffraction , Scattering, Small Angle , Spectrum Analysis , Transition Temperature , X-Ray Diffraction
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