Staying in service with posttraumatic headache: A retrospective cohort study of patient outcome.

OBJECTIVE: To predict the probability of a military outcome (medical discharge/retirement) in patients with mild traumatic brain injury from a clinical analysis of predetermined patient and headache characteristics. METHODS: This retrospective cohort study sampled all new patients referred for headache evaluation at the Brain Injury Clinic of the Womack Army Medical Center, Ft. Bragg, NC (August 2008-January 2010). Headache characteristics were extracted and analyzed. Multivariable binary logistic regressions were conducted to predict probability of medical discharge/retirement. RESULTS: Ninety-five soldiers (age 31.3 ± 7.4 years, male 93.7%) reported 166 headaches. The most common injury cited was a blast (53.7%). Patients with a continuous headache have almost 4 times the odds of a medically related discharge/retirement compared to patients without such a headache (continuous headache regression coefficient estimate: p < 0.042, odds ratio 3.98, 95% Wald confidence interval 1.05-15.07). Results suggest that, compared to service members who did not have a continuous headache, patients with headache histories with severe holocephalic pain who medicate to keep functioning had the highest probability of medical discharge/retirement. CONCLUSIONS: Certain headache characteristics may be predictive of military outcomes after mild traumatic brain injury, and we propose a profile that may be useful in that prediction. These data could be useful in future attempts to assess and treat patients with posttraumatic headache and to advise longer-term planning for return to duty or discharge.

Headache in military service members with a history of mild traumatic brain injury: A cohort study of diagnosis and classification.

Introduction Headaches after concussion are highly prevalent, relatively persistent and are being treated like primary headaches, especially migraine. Methods We studied all new patients seen between August 2008 and December 2009 assessed by a civilian headache specialist at the TBI Center at Womack Army Medical Center, Fort Bragg, NC. We report sample demographics, injuries and headache characteristics, including time from injury to headache onset, detailed descriptions and International Classification of Headache Disorders second edition primary headache diagnosis type. Results A total of 95 soldiers reported 166 headaches. The most common injury cited was a blast (53.7%). Most subjects (76.8%) recalled the onset of any headache within 7 days of injury. The most commonly diagnosed headache was a continuous type with migraine features ( n = 31 (18.7%)), followed by chronic migraine (type 1.5.1, n = 14 (8.4%)), migraine with aura (type 1.2.1, n = 10 (6.0%)), hemicrania continua (type 4.7, n = 12 (7.2%)), chronic cluster (type 3.1.2, n = 6 (3.6%)) and headaches not otherwise classifiable (type 14.1, n = 5 (3.0%)) also present. The most clinically important was a continuous headache with migraine features. Conclusion We present a series of patients seen in a military treatment facility for headache diagnosis after concussion in whom we found migraine, as well as uncommon primary headache types, at frequencies that were much higher than expected.

Cell penetrating peptides and the mechanisms for intracellular entry.

A major thrust in the biomedical and pharmaceutical industries is to develop diagnostic and therapeutic tools that have significantly improved selectivity and specificity compared to the current state-of-the-art. This has driven much of the effort to look at molecules and materials that are significantly larger than the traditional small molecule agents. Due to size restrictions, however, many of these materials are unable to penetrate the cell membrane and gain access to the intracellular components on which they exert their action. The relatively recent discovery of cell penetrating peptides (CPP) provides a powerful tool that has enabled the intracellular delivery of these materials. While a variety of proteins, DNA, polymers and even nanoparticles have been successfully delivered into cells, there still remains some debate as to the mechanism of entry utilized by the CPPs. In this review, we provide a brief outline of the different potential mechanisms for cellular uptake of CPPs.

Headaches in soldiers with mild traumatic brain injury: findings and phenomenologic descriptions.

OBJECTIVE: The primary goal of this study was to use headache criteria-based classification for headache types described by service members. BACKGROUND: Headache is common in soldiers returning from the wars in Afghanistan and Iraq. To date, few papers have provided detailed descriptions of these headaches. METHODS: The first 25 patients seen by a certified headache specialist at the Traumatic Brain Injury Center at Womack Army Medical Center, Fort Bragg, NC, between August 2008 and December 2009 are reported. RESULTS: Service members described a total of 55 headaches. Most, but not all, headaches began within 1 week after injury. Migraine type was most common. Aura occurred in 5 soldiers. Continuous headaches were described in 88%. Uncommon headache types including cluster type were diagnosed. Additional symptoms and service outcomes are described. CONCLUSIONS: We conclude that headaches occurring after various types of head injury, including explosions, can be assigned primary and secondary headache diagnoses using standard classifications not necessarily available to larger survey-based studies.

Formation of efficient dye-sensitized solar cells by introducing an interfacial layer of long-range ordered mesoporous TiO2 thin film.

Long-range ordered cubic mesoporous TiO 2 films with 300 nm thickness were fabricated on fluorine-doped tin oxide (FTO) substrate by evaporation-induced self-assembly (EISA) process using F127 as a structure-directing agent. The prepared mesoporous TiO 2 film (Meso-TiO 2) was applied as an interfacial layer between the nanocrystalline TiO 2 film (NC-TiO 2) and the FTO electrode in the dye-sensitized solar cell (DSSC). The introduction of Meso-TiO 2 increased J sc from 12.3 to 14.5 mA/cm (2), and V oc by 55 mV, whereas there was no appreciable change in the fill factor (FF). As a result, the photovoltaic conversion efficiency ( eta) was improved by 30.0% from 5.77% to 7.48%. Notably, introduction of Meso-TiO 2 increased the transmittance of visible light through the FTO glass by 23% as a result of its excellent antireflective role. Thus the increased transmittance was a key factor in enhancing the photovoltaic conversion efficiency. In addition, the presence of interfacial Meso-TiO 2 provided excellent adhesion between the FTO and main TiO 2 layer, and suppressed the back-transport reaction by blocking direct contact between the electrolyte and FTO electrode.

Structure of pyridazine in the S1 state: experiment and theory.

The molecular structure of pyridazine in the first electronically excited state (S(1)) is deduced from the combined use of resonance-enhanced two-photon ionization and mass-analyzed threshold ionization spectroscopic methods. The equation-of-motion coupled-cluster single and double (EOM-CCSD) calculation gives the distorted planar geometry for the most stable structure of the S(1) pyridazine. The symmetry constraint of C(2v) is relaxed to that of C(s), and consequently many in-plane vibrational modes are found to be optically active in both S(1)-S(0) and D(0)-S(1) excitation spectra, being appropriately assigned from the comparison of their frequencies with ab initio values. This indicates that the S(1)-S(0) excitation is partially localized, and provides an alternative explanation for the long-standing spectroscopic puzzle in S(1) pyridazine.

The effects of daily irradiation with polychromatic visible polarized light on human lymphocyte populations.

OBJECTIVE: The goal of this randomized, placebo controlled, double-blind study was to investigate the effects of transcutaneous irradiation with polychromatic visible polarized light (540-780 nm; 68% polarization; power density 3.0 E-10 W/cm(2)) on a subset population of human lymphocytes using flow cytometry. BACKGROUND DATA: The biomodulation and therapeutic effects of visible light of different wavelengths are well known, but the immunological effects of polychromatic visible polarized light have not been investigated sufficiently. METHODS: Before and after 28 consecutive days of irradiation, blood samples were collected from the subjects and the population count of the lymphocyte subset was measured. RESULTS: The absolute count of total lymphocytes, CD3(+) lymphocytes, and CD3(+)CD4(+) lymphocytes increased by 7% (p = 0.023), 9% (p = 0.058), and 13% (p = 0.021), respectively. Yet the absolute count of WBCs, CD3(+)CD8(+), CD19(+), and CD16(+)56(+) lymphocytes did not change significantly. CONCLUSION: The application of polychromatic visible polarized light with the aforementioned features increases the CD3(+)CD4(+) lymphocyte population. It is suggested that this regimen may be useful for the promotion of natural defenses in cell-mediated immunity.

Effect of TiO2 particle size on the performance of viologen-anchored TiO2 electrochromic device.

The effect of TiO2 particle size on the performance of the electrochromic device (ECD) has been investigated in this work by applying the TiO2 nanoparticles in 7, 15, and 30 nm sizes. The phosphonated viologen, bis(2-phosphonoethyl)-4,4'-bipyridinium dibromide, was anchored on the TiO2 surfaces for the construction of ECD. The ECD derived from 7 nm-sized TiO2 demonstrated the highest contrast ratio with high optical transparency, whereas it showed the slowest switching response. The enhancement of coloration efficiency with decrease of TiO2 particle size is due to the increased amount of the anchored viologen on TiO2 electrode. On the other hand, the relatively slower switching response would be caused by the difficulty of diffusion for the electrolytes and counter-ions through the small pores of the nanocrystalline TiO2 electrode derived from 7 nm-sized nanoparticles.

Mechanistic insight into the aromatic hydroxylation by high-valent iron(IV)-oxo porphyrin pi-cation radical complexes.

Mechanistic studies of the aromatic hydroxylation by high-valent iron(IV)-oxo porphyrin pi-cation radicals revealed that the aromatic oxidation involves an initial electrophilic attack on the pi-system of the aromatic ring to produce a tetrahedral radical or cationic sigma-complex. The mechanism was proposed on the basis of experimental results such as a large negative Hammett rho value and an inverse kinetic isotope effect. By carrying out isotope labeling studies, the oxygen in oxygenated products was found to derive from the iron-oxo porphyrin intermediates.

Vibrational structures of methylamine isotopomers in the predissociative ~A states: CH3NHD, CD3NH2, CD3NHD, and CD3ND2.

Mass-resolved two-photon (1+1) resonance-enhanced multiphoton ionization spectra of the ~A-X transitions of various methylamine isotopomers (CH(3)NHD, CD(3)NH(2), CD(3)NHD, and CD(3)ND(2)) cooled in the supersonic jet expansion have been measured and analyzed. The band analysis using the Hamiltonian for the internal and overall rotational motions provides the accurate vibrational band positions, allowing for unambiguous assignments for all observed vibrational bands of methylamine isotopomers in the ~A states. Amino wagging (nu(9)) and methyl rocking (nu(7)) modes are found to be Franck-Condon active, and associated anharmonicity constants are precisely determined to give the detailed shape of the potential energy surface in the vicinity of the minimum electronic molecular structure. The barrier height for the nearly free internal rotation about the C-N bond in the ~A state is calculated to be strongly dependent on the excitation of the other higher-frequency vibrational modes, and it is found that the trend is consistent with the experiment. Experimentally measured spectroscopic constants are compared with ab initio calculations, confirming all vibronic assignments. Experimental and theoretical results on all possible HD isotopomers of methylamine in this work, with the earlier report on CH(3)NH(2) and CH(3)ND(2) Baek et al., [J. Chem. Phys. 118, 11026 (2003)], provide the complete spectroscopic characterization of the A state of methylamine.

Nonadiabatic dynamics in the photodissociation of ICH2CN at 266 and 304 nm studied by the velocity map imaging.

Photodissociation dynamics of iodoacetonitrile (ICH2CN) have been investigated at pump wavelengths of 266 and 304 nm using a photofragment ion image velocity mapping technique. At both wavelengths, the prompt C-I bond rupture takes place on the repulsive excited states to give I(2P3/2) and I*(2P1/2), and their speed and spatial distributions are simultaneously measured. The recoil anisotropy parameter (beta) at 266 nm is determined to be 1.10 and 1.60 for I and I*, respectively, while it is found to be much higher at 304 nm to give beta=1.70 and 1.90 for I and I*, respectively. The branching ratios for I*I channels are measured to be 0.724 and 0.136 at 266 and 304 nm, respectively, giving insights on nonadiabatic transition phenomena and relative oscillator strengths of optically accessible transitions of ICH2CN. Accordingly, relative oscillator strengths of parallel/perpendicular transitions and nonadiabatic transitions among the excited states are quantitatively characterized. A large portion of the available energy (41%-48%) goes into the internal energy of the CH2CN fragment. A modified impulsive model in which the CH2CN fragment is assumed to be rigid predicts the energy disposal quite well. Delocalization of an unpaired electron of the CH2CN radical during the C-I bond cleavage, leading to a large structural change of the CH2CN moiety, may be responsible for internally hot fragments.