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1.
Langmuir ; 39(40): 14433-14440, 2023 Oct 10.
Article in English | MEDLINE | ID: mdl-37756498

ABSTRACT

Tangential flow interfacial self-assembly (TaFISA) is a promising scalable technique enabling uniformly aligned carbon nanotubes for high-performance semiconductor electronics. In this process, flow is utilized to induce global alignment in two-dimensional nematic carbon nanotube assemblies trapped at a liquid/liquid interface, and these assemblies are subsequently deposited on target substrates. Here, we present an observational study of experimental parameters that affect the interfacial assembly and subsequent aligned nanotube deposition. We specifically study the water contact angle (WCA) of the substrate, nanotube ink composition, and water subphase and examine their effects on liquid crystal defects, overall and local alignment, and nanotube bunching or crowding. By varying the substrate chemical functionalization, we determine that highly aligned, densely packed, individualized nanotubes deposit only at relatively small WCA between 35 and 65°. At WCA (< 10°), high nanotube bunching or crowding occurs, and the film is nonuniform, while aligned deposition ceases to occur at higher WCA (>65°). We find that the best alignment, with minimal liquid crystal defects, occurs when the polymer-wrapped nanotubes are dispersed in chloroform at a low (0.6:1) wrapper polymer to nanotube ratio. We also demonstrate that modifying the water subphase through the addition of glycerol not only improves overall alignment and reduces liquid crystal defects but also increases local nanotube bunching. These observations provide important guidance for the implementation of TaFISA and its use toward creating technologies based on aligned semiconducting carbon nanotubes.

2.
Soft Matter ; 18(25): 4653-4659, 2022 Jun 29.
Article in English | MEDLINE | ID: mdl-35704922

ABSTRACT

Controlling the deposition of polymer-wrapped single-walled carbon nanotubes (s-CNTs) onto functionalized substrates can enable the fabrication of s-CNT arrays for semiconductor devices. In this work, we utilize classical atomistic molecular dynamics (MD) simulations to show that a simple descriptor of solvent structure near silica substrates functionalized by a wide variety of self-assembled monolayers (SAMs) can predict trends in the deposition of s-CNTs from toluene. Free energy calculations and experiments indicate that those SAMs that lead to maximum disruption of solvent structure promote deposition to the greatest extent. These findings are consistent with deposition being driven by solvent-mediated interactions that arise from SAM-solvent interactions, rather than direct s-CNT-SAM interactions, and will permit the rapid computational exploration of potential substrate designs for controlling s-CNT deposition and alignment.

3.
Nat Commun ; 13(1): 2992, 2022 05 30.
Article in English | MEDLINE | ID: mdl-35637229

ABSTRACT

Semiconducting graphene nanoribbons are promising materials for nanoelectronics but are held back by synthesis challenges. Here we report that molecular-scale carbon seeds can be exploited to initiate the chemical vapor deposition (CVD) synthesis of graphene to generate one-dimensional graphene nanoribbons narrower than 5 nm when coupled with growth phenomena that selectively extend seeds along a single direction. This concept is demonstrated by subliming graphene-like polycyclic aromatic hydrocarbon molecules onto a Ge(001) catalyst surface and then anisotropically evolving size-controlled nanoribbons from the seeds along [Formula: see text] of Ge(001) via CH4 CVD. Armchair nanoribbons with mean normalized standard deviation as small as 11% (3 times smaller than nanoribbons nucleated without seeds), aspect ratio as large as 30, and width as narrow as 2.6 nm (tunable via CH4 exposure time) are realized. Two populations of nanoribbons are compared in field-effect transistors (FETs), with off-current differing by 150 times because of the nanoribbons' different widths.


Subject(s)
Cardiovascular Diseases , Graphite , Nanotubes, Carbon , Catalysis , Graphite/chemistry , Humans , Nanotubes, Carbon/chemistry
4.
Sci Adv ; 7(37): eabh0640, 2021 Sep 10.
Article in English | MEDLINE | ID: mdl-34516885

ABSTRACT

Semiconducting carbon nanotubes promise faster performance and lower power consumption than Si in field-effect transistors (FETs) if they can be aligned in dense arrays. Here, we demonstrate that nanotubes collected at a liquid/liquid interface self-organize to form two-dimensional (2D) nematic liquid crystals that globally align with flow. The 2D liquid crystals are transferred onto substrates in a continuous process generating dense arrays of nanotubes aligned within ±6°, ideal for electronics. Nanotube ordering improves with increasing concentration and decreasing temperature due to the underlying liquid crystal phenomena. The excellent alignment and uniformity of the transferred assemblies enable FETs with exceptional on-state current density averaging 520 µA µm−1at only −0.6 V, and variation of only 19%. FETs with ion gel top gates demonstrate subthreshold swing as low as 60 mV decade−1. Deposition across a 10-cm substrate is achieved, evidencing the promise of 2D nanotube liquid crystals for commercial semiconductor electronics.

5.
Nanoscale Adv ; 3(6): 1767-1775, 2021 Mar 23.
Article in English | MEDLINE | ID: mdl-36132553

ABSTRACT

Selective deposition of semiconducting carbon nanotubes (s-CNTs) into densely packed, aligned arrays of individualized s-CNTs is necessary to realize their potential in semiconductor electronics. We report the combination of chemical contrast patterns, topography, and pre-alignment of s-CNTs via shear to achieve selective-area deposition of aligned arrays of s-CNTs. Alternate stripes of surfaces favorable and unfavorable to s-CNT adsorption were patterned with widths varying from 2000 nm down to 100 nm. Addition of topography to the chemical contrast patterns combined with shear enabled the selective-area deposition of arrays of quasi-aligned s-CNTs (∼14°) even in patterns that are wider than the length of individual nanotubes (>500 nm). When the width of the chemical and topographical contrast patterns is less than the length of individual nanotubes (<500 nm), confinement effects become dominant enabling the selective-area deposition of much more tightly aligned s-CNTs (∼7°). At a trench width of 100 nm, we demonstrate the lowest standard deviation in alignment degree of 7.6 ± 0.3° at a deposition shear rate of 4600 s-1, while maintaining an individualized s-CNT density greater than 30 CNTs µm-1. Chemical contrast alone enables selective-area deposition, but chemical contrast in addition to topography enables more effective selective-area deposition and stronger confinement effects, with the advantage of removal of nanotubes deposited in spurious areas via selective lift-off of the topographical features. These findings provide a methodology that is inherently scalable, and a means to deposit spatially selective, aligned s-CNT arrays for next-generation semiconducting devices.

6.
Injury ; 52(10): 2725-2729, 2021 Oct.
Article in English | MEDLINE | ID: mdl-32107009

ABSTRACT

INTRODUCTION: Anterior pubic symphyseal plate fixation is the recommended treatment for disruption of pubic symphysis in an unstable pelvic ring injury. The rigid construct offered by locking symphyseal plate has the theoretical advantage of allowing patients to weight bear early. However, there are concerns of catastrophic failure about the locked plate construct. The purpose of the study was to establish if locking plate fixation for pubic symphysis disruption was effective to allow patients to mobilise weight bearing immediately after surgery. PATIENT AND METHODS: Retrospective analysis of a prospectively collected database from a single centre was performed. The study period was from 2008 to 2017. Radiographic evidence of fixation failure, revision surgery, removal of metalwork and follow up duration was noted. RESULTS: We identified 46 patients (F:M 8:38) with a mean age of 46 years (range 14 to 74 years). Based on the mechanism of injury patients were classified into Antero-posterior compression (28), Vertical shear [10], lateral compression [4] and combined mechanism [4]. Either a 4-hole or 6-hole locking plate was used in all patients, depending on fracture extension. Posterior fixation was required in 28 (61%) patients. All patients were allowed to fully or partial weight bear. The mean radiological follow-up period was 31 weeks with 13 (28%) patients having evidence of radiological failure. Revision was performed in 1 (2%) patient, in whom the screws had pulled out of the bone. The most common mode of failure was either the screw backing out from the plate or broken screw. Among the 4 (8%) patients who had their metalwork removed, 1 (2%) had delayed onset of infection, 2 (4%) had symptoms related to backed out screw and 1 (2%) opted electively to have metalwork removed. CONCLUSIONS: With our series of patients, we have found that using locking plate for pubic symphyseal diastasis is safe and effective in allowing patients to weight bear early. A low complication rate and need for re-operation is demonstrated.


Subject(s)
Fracture Fixation, Internal , Pubic Symphysis Diastasis , Adolescent , Adult , Aged , Bone Plates , Female , Humans , Middle Aged , Retrospective Studies , Weight-Bearing , Young Adult
7.
ACS Appl Bio Mater ; 4(11): 7961-7966, 2021 11 15.
Article in English | MEDLINE | ID: mdl-35006777

ABSTRACT

Cellulose nanocrystals (CNCs) are a naturally abundant nanomaterial derived from cellulose which exhibit many exciting mechanical, chemical, and rheological properties, making CNCs attractive for use in coatings. Furthermore, the alignment of CNCs is important to exploit their anisotropic mechanical and piezoelectric properties. Here, we demonstrate and study the fabrication of submonolayer to 25 nm thick films of CNCs via solution-based shear alignment. CNC solution is forced through a sub-millimeter tall channel at high volumetric flow rates generating shear. The half-width at half-maximum of the spread in CNC alignment significantly improves from 78 to 17° by increasing the shear rate from 19 to 19,000 s-1. We demonstrate that the film thickness is increased by increasing the volume of CNC solution flowed over the substrate and/or increasing the CNC solution concentration, with a degradation in film uniformity at higher (≥7 wt %) concentrations, likely due to CNC aggregates in the solution. Deposition of ultrathin aligned CNC films occurs within seconds and the technique is inherently scalable, demonstrating the promise of solution-based shear for the fabrication of ultrathin aligned CNC films, thereby enabling the future study of their inherent material properties or use in high-performance coatings and applications.


Subject(s)
Nanoparticles , Nanostructures , Anisotropy , Cellulose/chemistry , Nanoparticles/chemistry , Nanostructures/chemistry , Rheology
8.
J Clin Orthop Trauma ; 11(Suppl 4): S456-S463, 2020 Jul.
Article in English | MEDLINE | ID: mdl-32774012

ABSTRACT

INTRODUCTION: Radial Neck fractures are rare injuries in children. There is controversy surrounding their prognosis and management. AIMS: This review aims to produce an up-to-date summary to clarify prognostic factors and management principles, in the light of recent, better-quality evidence. METHODS: A systematic review was undertaken in accordance to PRISMA guidelines, applying pre-defined selection criteria. 6 papers were found suitable after quality assessment. All were observational cohort studies, one prospective and the rest retrospective. A semi-qualitative review was undertaken as heterogeneity, especially in the fracture classification and outcome assessment tools used, prevented quantitative synthesis. RESULTS: Majority of these fractures occur at the metaphysis. Consistently good results are seen with simple immobilization in fractures angulated<30° with translation<50%, with nearly all achieving a good outcome. In more displaced fractures, results are poorer and only about 70% patients achieve a good outcome. Both higher fracture displacement and more invasive treatment are associated with worse outcomes, but also with each other. Associated injuries are common, with Proximal Ulna fractures being commonest (71%), but their effect on outcomes is unclear. Age more than 10 years is associated with worse displacement, more invasive treatment and worse results. There is much confounding among all these factors which remains to be convincingly addressed. An algorithmic approach is advisable for these fractures, with stepwise application of more invasive treatment only if less invasive methods fail. Percutaneous fixation with either K-wires or retrograde intramedullary elastic nails is acceptable. Fractures reduced closed in theatre fare better if fixed percutaneously to prevent re-displacement. Open treatment should be considered only if the fracture can't be reduced to within the displacement limits of angulation<30° and translation<50%. Incidence of serious complications is generally low (3-5%), but their effect on outcomes is unclear. CONCLUSIONS: The treatment of higher-grade radial neck fractures is still controversial, needing further research, possibly through multi-center prospective data collection in pediatric fracture registries using validated outcome measures.

9.
Langmuir ; 35(38): 12492-12500, 2019 Sep 24.
Article in English | MEDLINE | ID: mdl-31461294

ABSTRACT

Semiconducting single-walled carbon nanotube (s-CNT) arrays are being explored for next-generation semiconductor electronics. Even with the multitude of alignment and spatially localized s-CNT deposition methods designed to control s-CNT deposition, fundamental understanding of the driving forces for s-CNT deposition is still lacking. The individual roles of the dispersant, solvent, target substrate composition, and the s-CNT itself are not completely understood because it is difficult to decouple deposition parameters. Here, we study poly[(9,9-dioctylfluorenyl-2,7-diyl)-alt-co-(6,6'-[2,2'-{bipyridine}])] (PFO-BPy)-wrapped s-CNT deposition from solution onto a chemically modified substrate. We fabricate various self-assembled monolayers (SAMs) to gain a greater understanding of substrate effects on PFO-BPy-wrapped s-CNT deposition. We observe that s-CNT deposition is dependent on both the target substrate and s-CNT dispersion solvent. To complement the experiments, molecular dynamics simulations of PFO-BPy-wrapped s-CNT deposition on two different SAMs are performed to obtain mechanistic insights into the effect of the substrate and solvent on s-CNT deposition. We find that the global free-energy minimum associated with favorable s-CNT adsorption occurs for a configuration in which the minimum of the solvent density around the s-CNT coincides with the minimum of the solvent density above a SAM-grafted surface, indicating that solvent structure near a SAM-grafted surface determines the adsorption free-energy landscape driving s-CNT deposition. Our results will help guide informative substrate design for s-CNT array fabrication in semiconductor devices.

10.
J Orthop Res ; 36(5): 1398-1405, 2018 05.
Article in English | MEDLINE | ID: mdl-28976599

ABSTRACT

Implants used to correct pathological varus-valgus deformities (VVD) and leg length discrepancies (LLD) may not be optimized for the specific treatment, as suggested by their off-label use. Detailed analysis of this issue has been limited by the poorly understood mechanical behavior of the growing physis and ignorance of the loads acting on the implants. The aim of this study was to predict and compare the loading conditions of a growth modulation implant in VVD and LLD treatments. Idealized finite element (FE) models of the juvenile distal femur treated with the Eight-Plate implant were developed for VVD and LLD. Bone growth was simulated using thermal strains. The axial force in the plate was compared between the two treatments. Case-specific plate forces were predicted by virtually reproducing the screw deformation visible on radiographs of LLD (N = 4) and VVD (N = 4) clinical cases. The simple FE models reproduced the clinical implant deformations well. The resulting forces ranged from 129 to 580 N for the VVD patients. For LLD, this range was from 295 to 1002 N per plate, that is, 590-2004 N for the entire physis. The higher forces in LLD could be explained by restricted screw divergence in the double-sided implant application. For the first time, the loading conditions of a growth modulation implant were investigated and compared between two treatments by FE analyses, and the range of case-specific loads was predicted. These simulation tools may be utilized for guiding appropriate usage and for efficient development of implants. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:1398-1405, 2018.


Subject(s)
Bone Malalignment/surgery , Finite Element Analysis , Leg Length Inequality/surgery , Adolescent , Biomechanical Phenomena , Bone Development , Bone Malalignment/physiopathology , Bone Plates , Bone Screws , Female , Humans , Leg Length Inequality/physiopathology , Male
11.
ACS Macro Lett ; 7(1): 100-104, 2018 Jan 16.
Article in English | MEDLINE | ID: mdl-35610925

ABSTRACT

High grafting density polymer brushes are grown on an inimer coating bearing nitroxide-mediated polymerization (NMP) inimers and glycidyl methacrylate (GMA). The inimer coating is cross-linked on the substrate to provide an initiator layer with needed stability during long exposure to organic solvents at moderate to high temperatures. Surface-initiated nitroxide-mediated polymerization (SI-NMP) is conducted to grow polystyrene (PS) brushes on the coating with a sacrificial layer designed to cleave the brushes. The cleaved brushes have larger molecular weights than the corresponding free polymers. The grafting density of the brushes is as high as 1.12 chains/nm2 throughout the brush growth, which is among the densest PS brushes reported so far. Atomic force microscopy (AFM) and X-ray photoelectron spectroscopy (XPS) depth profiling are used to reveal the surface morphology and kinetics of the growth.

12.
Langmuir ; 33(31): 7751-7761, 2017 08 08.
Article in English | MEDLINE | ID: mdl-28704605

ABSTRACT

The corona that forms as protein adsorbs to gold nanospheres (AuNSs) is directly influenced by the surface chemistry of the AuNS. Tools to predict adsorption outcomes are needed for intelligent design of nanomaterials for biological applications. We hypothesized that the denaturation behavior of a protein might be a useful predictor of adsorption behavior to AuNSs, and used this idea to study protein adsorption to anionic citrate-capped AuNSs and to cationic poly(allylamine hydrochloride) (PAH) wrapped AuNSs. Three proteins (α-amylase (A-Amy), ß-lactoglobulin (BLG), and bovine serum albumin (BSA)), representing three different classes of acid denaturation behavior, were selected with BLG being the least deformable and BSA being the most deformable. Protein adsorption to AuNSs was monitored via UV-vis spectrophotometry and dynamic light scattering. Changes to the protein structure upon AuNS interaction were monitored via circular dichroism spectroscopy. Binding constants were determined using the Langmuir adsorption isotherm, resulting in BSA > BLG ≫ A-Amy affinities for citrate-capped gold nanospheres. PAH-coated AuNSs displayed little affinity for these proteins at similar concentrations as citrate-coated AuNSs and became agglomerated at high protein concentrations. The enzymatic activity of A-Amy/citrate AuNS conjugates was measured via colorimetric assay, and found to be 11% of free A-Amy, suggesting that binding restricts access to the active site. Across both citrate AuNSs and PAH AuNSs, the changes in secondary structure were greatest for BSA > A-Amy > BLG, which does follow the trends predicted by acid denaturation characteristics.


Subject(s)
Nanospheres , Adsorption , Animals , Gold , Serum Albumin, Bovine , Surface Properties
13.
J Pediatr Orthop B ; 26(5): 441-448, 2017 Sep.
Article in English | MEDLINE | ID: mdl-27832012

ABSTRACT

No large multicentre studies have yet been published on tension-band-like implants such as the Eight Plate to treat limb-length discrepancies and varus valgus deformities in children. Therefore, we carried out a retrospective international multicentre study including 126 patients to assess outcomes and to reliably quantify the incidence of implant-related and growth-plate related adverse events (AEs). Correction was achieved in 66% of varus valgus deformities and in 59% of limb-length discrepancies and maintained in 85%. Twenty (18%) patients experienced 43 AEs, which were primarily screw-related. The AE rate of the Eight Plate is low; however, many of them could be avoided through tighter monitoring.


Subject(s)
Bone Plates/trends , Lower Extremity Deformities, Congenital/diagnostic imaging , Lower Extremity Deformities, Congenital/surgery , Postoperative Complications/diagnostic imaging , Adolescent , Bone Plates/adverse effects , Child , Cohort Studies , Female , Growth Plate/diagnostic imaging , Growth Plate/surgery , Humans , Internationality , Male , Postoperative Complications/etiology , Retrospective Studies , Treatment Outcome
14.
J Orthop ; 13(4): 356-9, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27453642

ABSTRACT

BACKGROUND: Chronic hip dislocation associated with acetabular apophyseal avulsion in adolescence is rare. Whilst superior acetabular rim fractures have a documented theoretical risk of hip instability, we have not found a case of chronic dislocation resulting from this. METHODS: We report a case of a 12-year-old healthy boy who initially sustained a missed right acetabular apophyseal avulsion after falling from a quad bike. This was missed on the initial radiograph and a subsequent radiograph following weight bearing a few days later showed a hip dislocation that was also missed. Upon diagnosis at 6 weeks, he underwent open reduction but also required acetabuloplasty to stabilise the hip. RESULTS: At 2 years follow-up, he was enjoying pain free swimming, cycling and walking. His Harris hip score was 87. CONCLUSION: This case reinforces the need for recognition that in the patient presenting with knee or thigh pain, exclusion of hip pathology is required. It also explores the pitfalls of diagnosis associated with rare patterns of injury and the need for adequate investigations such as examination under anaesthetic, arthrography and MRI. The use of acetabuloplasty is shown to be a useful strategy for the unstable hip resulting from irreparable acetabular rim fracture.

15.
J Anal Psychol ; 58(3): 409-431, 2013 Jun.
Article in English | MEDLINE | ID: mdl-23750943

ABSTRACT

Jung's Word Association Test was performed under fMRI conditions by 12 normal subjects. Pooled complexed responses were contrasted against pooled neutral ones. The fMRI activation pattern of this generic 'complexed response' was very strong (corrected Z scores ranging from 4.90 to 5.69). The activation pattern in each hemisphere includes mirror neurone areas that track 'otherness' (perspectival empathy), anterior insula (both self-awareness and emotional empathy), and cingulated gyrus (self-awareness and conflict-monitoring). These are the sites described by Siegel and colleagues as the 'resonance circuitry' in the brain which is central to mindfulness (awareness of self) and empathy (sense of the other), negotiations between self awareness and the 'internal other'. But there is also an interhemispheric dialogue. Within 3 seconds, the left hemisphere over-rides the right (at least in our normal subjects). Mindfulness and empathy are central to good psychotherapy, and complexes can be windows of opportunity if left-brain hegemony is resisted. This study sets foundations for further research: (i) QEEG studies (with their finer temporal resolution) of complexed responses in normal subjects (ii) QEEG and fMRI studies of complexed responses in other conditions, like schizophrenia, PTSD, disorders of self organization.


Subject(s)
Biomedical Research/methods , Brain/physiology , Jungian Theory , Magnetic Resonance Imaging/methods , Word Association Tests/statistics & numerical data , Adult , Female , Humans , Male , Middle Aged , Neurosciences/methods , Reference Values
16.
Injury ; 44(7): 947-51, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23395418

ABSTRACT

INTRODUCTION: The optimal method of fixation of symphyseal disruptions in pelvic ring injuries and post-operative rehabilitation is still debated. Options include two-hole, multi-hole and multiplanar plates. Post-operative rehabilitation can range from non-weight bearing bilaterally to full weight-bearing with crutches. Locking symphyseal plates have recently been introduced. There is a paucity of literature evaluating their use in such injuries. We present the first clinical case series of symphyseal diastasis managed with locking plates. METHODS: A retrospective analysis of a single centre case series between August 2008 and December 2011 was conducted. A total of 11 patients; 2 females and 9 males with a mean age of 42 years were included. The mean radiological follow up was 27 weeks. Radiological failure and need for revision were evaluated. RESULTS: 4 patients sustained their injury as a result of a motorcycle accident, 3 patients following a car accident, 2 fell from a height and 2 had crush injuries. 9 patients had other concomitant injuries. The mechanism of injury was classified as anterior-posterior compression injury in 6 patients, vertical shear in 4 patients and combined mechanism in 1 patient. 6 patients required posterior pelvic fixation. Patients were mobilised fully or partially weight bearing. One patient had a significant radiological failure. All patients were asymptomatic at last follow-up and none required revision surgery. CONCLUSION: Our series represents the first published clinical series of patients with symphyseal diastasis managed with locking plates. We have found the use of locking plates across the pubic symphysis to be safe with low complication rates despite early weight bearing.


Subject(s)
Bone Plates/statistics & numerical data , Fracture Fixation, Internal/methods , Pubic Symphysis Diastasis/surgery , Adolescent , Adult , Aged , Biomechanical Phenomena , External Fixators/statistics & numerical data , Female , Humans , Male , Middle Aged , Pubic Symphysis Diastasis/physiopathology , Retrospective Studies , Young Adult
17.
Acta Orthop Traumatol Turc ; 44(2): 117-23, 2010.
Article in English | MEDLINE | ID: mdl-20676013

ABSTRACT

OBJECTIVES: This study was designed to evaluate our departmental policy of plaster immobilization and selective Kirschner (K) wiring for the management of displaced distal radius fractures in children. METHODS: On a retrospective basis, we evaluated a consecutive series of 112 childhood displaced distal radius fractures (108 patients; 77 boys, 31 girls; mean age 10.5+/-2.6 years; range 5 to 16 years) presenting with clinical deformity during a two-year period. There were 97 incompletely displaced (86.6%), and 15 completely displaced (13.4%) fractures. All the fractures were managed with manipulation under general anesthesia and plaster immobilization. Additionally, K-wire fixation was performed following manipulation in seven (46.7%) of the completely displaced fractures. The mean follow-up period was 1.1 years (range 10 weeks to 2 years). RESULTS: The mean angulation of fractures prior to manipulation was 21.5+/-10.1 degrees, it decreased to 2.4+/-4.8 degrees following manipulation. Remanipulation was required in 11 fractures (9.8%) based on clinical and radiographic findings of redisplacement. Of these, eight fractures (8.3%) were incompletely displaced, and three fractures (20%) were completely displaced. All completely displaced fractures that required remanipulation had been additionally treated with K-wire fixation. Fractures requiring further treatment had a mean angulation of 17.1+/-5.8 degrees prior to remanipulation, and a mean residual angulation of 4.7+/-6.0 degrees at final radiographic assessment. A perfect fracture reduction was achieved in all the patients with a Salter-Harris II injury (n=22), and none of these patients required remanipulation. However, the quality of initial reduction was not associated with the development of redisplacement. There was no significant difference between isolated distal radius fractures (n=58) and combined radius and ulna fractures (n=32) with respect to remanipulation rate and final angulation (p>0.05). Final radiographs showed a significantly greater angulation in fractures which were initially completely displaced in comparison with those that were incompletely displaced (8.2+/-7.1 degrees vs. 4.2+/-5.7 degrees; p=0.024), but this was not of clinical significance. None of the patients had radial shortening and no K-wire related complications were encountered. CONCLUSION: Our data suggest that there should be other factors involved in the development of redisplacement and the need for remanipulation other than the degree of fracture displacement and the quality of initial reduction. Selective K-wire fixation in displaced fractures does not seem to decrease redisplacement and remanipulation rates.


Subject(s)
Bone Wires/statistics & numerical data , Radius Fractures/surgery , Accidental Falls , Accidents, Traffic , Adolescent , Anesthesia, General , Athletic Injuries , Child , Child, Preschool , Female , Follow-Up Studies , Functional Laterality , Humans , Immobilization , Male , Radiography , Radius/anatomy & histology , Radius Fractures/complications , Radius Fractures/diagnostic imaging , Ulna Fractures/complications , Ulna Fractures/diagnostic imaging , Ulna Fractures/surgery
18.
Bioresour Technol ; 101(13): 4971-9, 2010 Jul.
Article in English | MEDLINE | ID: mdl-19962880

ABSTRACT

A total of 147 model lignocellulose samples with a broad spectrum of structural features (lignin contents, acetyl contents, and crystallinity indices) were hydrolyzed with a wide range of cellulase loadings during 1-, 6-, and 72-h hydrolysis periods. Carbohydrate conversions at 1, 6, and 72 h were linearly proportional to the logarithm of cellulase loadings from approximately 10% to 90% conversion, indicating that the simplified HCH-1 model is valid for predicting lignocellulose digestibility. The HCH-1 model is a modified Michaelis-Menton model that accounts for the fraction of insoluble substrate available to bind with enzyme. The slopes and intercepts of a simplified HCH-1 model were correlated with structural features using multiple linear regression (MLR) models. The agreement between the measured and predicted 1-, 6-, and 72-h slopes and intercepts of glucan, xylan, and total sugar hydrolyses indicate that lignin content, acetyl content, and cellulose crystallinity are key factors that determine biomass digestibility. The 1-, 6-, and 72-h glucan, xylan, and total sugar conversions predicted from structural features using MLR models and the simplified HCH-1 model fit satisfactorily with the measured data (R(2) approximately 1.0). The parameter selection suggests that lignin content and cellulose crystallinity more strongly affect on digestibility than acetyl content. Cellulose crystallinity has greater influence during short hydrolysis periods whereas lignin content has more influence during longer hydrolysis periods. Cellulose crystallinity shows more influence on glucan hydrolysis whereas lignin content affects xylan hydrolysis to a greater extent.


Subject(s)
Biotechnology/methods , Lignin/chemistry , Biomass , Carbohydrates/chemistry , Cellulose/chemistry , Crystallization , Glucans/chemistry , Hydrolysis , Kinetics , Regression Analysis , Time Factors , Trees , Xylans/chemistry
19.
Am J Orthod Dentofacial Orthop ; 133(1): 51-7, 2008 Jan.
Article in English | MEDLINE | ID: mdl-18174071

ABSTRACT

INTRODUCTION: The objective of this study was to compare the effectiveness of midpalatal implants with that of headgear as methods of supplementing anchorage during orthodontic treatment. This was a randomized, clinical trial at the Chesterfield and North Derbyshire Royal Hospital NHS Trust and the Charles Clifford Dental Hospital, Sheffield, United Kingdom. METHODS: Fifty-one orthodontic patients between the ages of 12 and 39 with absolute anchorage requirements were randomly allocated to receive either a midpalatal implant or headgear to reinforce orthodontic anchorage. The outcome measures of the trial were the surgical and orthodontic success rates of the implants, the number of visits, and the length of treatment time, and the success of treatment as judged by the peer assessment rating (PAR) score reductions and the patients' attitudes to implant placement. RESULTS: The surgical success rate of the implants was 75%, and the orthodontic success rate was more than 90%. Both implants and headgear proved to be effective methods of reinforcing anchorage. The total number of visits was greater in the implant group, but the overall treatment times were almost identical. There were no statistically significant differences between the 2 groups in PAR scores either at the start or the end of treatment, and the percentages of PAR score reductions were almost identical. The patients had no problems accepting midpalatal implants as a method of reinforcing anchorage. CONCLUSIONS: Midpalatal implants are an acceptable technique for reinforcing anchorage in orthodontic patients and a good alternative for patients who do not wish to wear headgear.


Subject(s)
Dental Implants , Extraoral Traction Appliances , Orthodontic Anchorage Procedures/instrumentation , Tooth Movement Techniques/instrumentation , Adolescent , Adult , Child , Dental Implantation, Endosseous , Female , Humans , Male , Molar , Palate, Hard/surgery , Patient Satisfaction , Peer Review, Research , Regression Analysis
20.
Biotechnol Prog ; 24(2): 283-92, 2008.
Article in English | MEDLINE | ID: mdl-18220407

ABSTRACT

Plots of biomass digestibility are linear with the natural logarithm of enzyme loading; the slope and intercept characterize biomass reactivity. The feed-forward back-propagation neural networks were performed to predict biomass digestibility by simulating the 1-, 6-, and 72-h slopes and intercepts of glucan, xylan, and total sugar hydrolyses of 147 poplar wood model samples with a variety of lignin contents, acetyl contents, and crystallinity indices. Regression analysis of the neural network models indicates that they performed satisfactorily. Increasing the dimensionality of the neural network input matrix allowed investigation of the influence glucan and xylan enzymatic hydrolyses have on each other. Glucan hydrolysis affected the last stage of xylan digestion, and xylan hydrolysis had no influence on glucan digestibility. This study has demonstrated that neural networks have good potential for predicting biomass digestibility over a wide range of enzyme loadings, thus providing the potential to design cost-effective pretreatment and saccharification processes.


Subject(s)
Biomass , Neural Networks, Computer , Algorithms , Artificial Intelligence , Carbohydrates/analysis , Cellulase/chemistry , Chromatography, High Pressure Liquid , Crystallography, X-Ray , Forecasting , Hydrolysis , Programming Languages , Reproducibility of Results , Trichoderma/enzymology , Wood
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