The internal structure of magnetic nanoparticles determines the magnetic response.

This work aims to emphasize that the magnetic response of single-domain magnetic nanoparticles (NPs) is driven by the NPs' internal structure, and the NP size dependencies of magnetic properties are overestimated. The relationship between the degree of the NPs' crystallinity and magnetic response is unambiguously demonstrated in eight samples of uniform maghemite/magnetite NPs and corroborated with the results obtained for about 20 samples of spinel ferrite NPs with different degrees of crystallinity. The NP samples were prepared by the thermal decomposition of an organic iron precursor subjected to varying reaction conditions, yielding variations in the NP size, shape and relative crystallinity. We characterized the samples by using several complementary methods, such as powder X-ray diffraction (PXRD), transmission electron microscopy (TEM), high resolution TEM (HR-TEM) and Mössbauer spectroscopy (MS). We evaluated the NPs' relative crystallinity by comparing the NP sizes determined from TEM and PXRD and further inspecting the NPs' internal structure and relative crystallinity by using HR-TEM. The results of the structural characterization were put in the context of the NPs' magnetic response. In this work, the highest saturation magnetization (Ms) was measured for the smallest but well-crystalline NPs, while the larger NPs exhibiting worse crystallinity revealed a lower Ms. Our results clearly demonstrate that the NP crystallinity level that is mirrored in the internal spin order drives the specific magnetic response of the single-domain NPs.

Versatile theranostics agents designed by coating ferrite nanoparticles with biocompatible polymers.

Three biocompatible polymers, polyethylene glycol (PEG), dextran and chitosan, have been used in this work to control the colloidal stability of magnetic nanoparticles (14 ± 5 nm in diameter) and to vary the aggregation state in order to study their effect on relaxometric and heating properties. Two different coating strategies have been deeply developed; one based on the formation of an amide bond between citric acid coated nanoparticles (NPs) and amine groups present on the polymer surface and the other based on the NP encapsulation. Relaxometric properties revealed that proton relaxation rates strongly depend on the coating layer hydrophilicity and the aggregation state of the particles due to the presence of magnetic interactions. Thus, while PEG coating reduces particle aggregation by increasing inter-particle spacing leading to reduction of both T1 and T2 relaxation, dextran and chitosan lead to an increase mainly in T2 values due to the aggregation of particles in bigger clusters where they are in close contact. Dextran and chitosan coated NPs have also shown a remarkable heating effect during the application of an alternating magnetic field. They have proved to be potential candidates as theranostic agents for cancer diagnosis and treatment. Finally, cytotoxicity of PEG conjugated NPs, which seem to be ideal for intravenous administration because of their small hydrodynamic size, was investigated resulting in high cell viability even at 0.2 mg Fe ml(-1) after 24 h of incubation. This suspension can be used as drug/biomolecule carrier for in vivo applications.

Thermally sensitive gels based on chitosan derivatives for the treatment of oral mucositis.

The aim of the present work was the development of a thermally sensitive mucoadhesive gel based on chitosan derivatives for the treatment of oral mucositis. Trimethyl chitosan (TMC) and methylpyrrolidinone chitosan (MPC) were considered. They were mixed with glycerophosphate (GP) according to different polymer/GP molar ratios and characterized for gelation properties by means of rheological analysis in comparison with chitosan. The influence of molecular weight and substitution degree (SD) of TMC on gelation temperature and time was investigated. The mucoadhesive properties of the mixtures were also assessed using porcine buccal mucosa. The best properties were shown by TMC with high MW and low SD mixed with GP according to 1:2molar ratio. Such mixture was loaded with benzydamine hydrochloride, an anti-inflammatory drug with antimicrobial properties and subjected to in vitro drug release and wash away test. The formulation based on TMC/GP mixture was able to prolong drug release and to withstand the removal physiological mechanisms. The antimicrobial properties of both vehicle and formulation were investigated. Also in absence of drug, TMC/GP mixture was characterized by antimicrobial properties.

A refined view of the determinants of gait: significance of heel rise.

OBJECTIVES: Although the major determinants of gait described by Saunders and colleagues have been accepted for more than 40 years, recent investigations raise the question of whether the reduction in center of mass (COM) displacement compared with a compass gait model indeed results from the factors originally described. We tested the hypothesis that heel rise at the end of stance is a true determinant that can explain a considerable portion of the reduction in COM vertical displacement during walking. DESIGN: Stereophotogrammetric data during walking were collected. A modified compass gait model incorporating the effect of heel rise, as compared with predictions based on a standard compass model, were used to estimate the isolated effect of heel rise on reducing the vertical displacement of COM. SETTING: A gait laboratory. PARTICIPANTS: Thirty able-bodied subjects. MAIN OUTCOME MEASURE: The estimated reduction in COM displacement due to heel rise was compared with the actual reduction in displacement. RESULTS: The estimated effect of heel rise on reduction in COM displacement was 23.4+/-7.6mm, whereas the actual reduction in COM displacement was 21.2+/-6.5mm (difference not significant, paired p = .185). CONCLUSION: During normal walking, heel rise from foot flat has a considerable role in raising the height of the COM when it is at its lowest, thus reducing its overall displacement. Insofar as reduction of COM vertical displacement may have important energy implications, appreciating the specific gait parameter of heel rise is key in rehabilitative approaches to improve gait disability.

Dosing practices of physicians for anticoagulation with warfarin during inpatient rehabilitation.

OBJECTIVE: To determine the percentage of international normalized ratios (INRs) maintained within the therapeutic range for patients receiving chronic anticoagulation treatment with warfarin during inpatient rehabilitation. DESIGN: A consecutive, 4-month, retrospective chart review of all patients receiving oral anticoagulation treatment was conducted in a large academic rehabilitation center. The percentage of INRs within and out of the therapeutic range, frequency of blood samples, length of therapy, and warfarin dose prescribed by physicians were calculated. A total of 181 patients receiving chronic anticoagulation treatment were identified. A total of 3,709 blood samples were analyzed. In 74 patients, the primary physician recommended a therapeutic range (Group 1). In the remaining 107 patients, no therapeutic range was specified, and a target INR range of 2.0-3.0 was assumed (Group 2). RESULTS: In Group 1, the INRs were in the recommended range in 38.2% of all blood samples. In Group 2, 37.6% of all blood drawn was within an INR range of 2.0-3.0. Statistical analysis showed that no better accuracy was obtained when the INR range was predefined by a physician (Group 1) or assumed to be in the 2.0-3.0 range (Group 2; P = 0.839). CONCLUSIONS: Despite frequent physician monitoring, this study demonstrates the difficulty in maintaining INRs within therapeutic ranges for patients receiving oral anticoagulation. An overall tendency for underdosing is observed. Improvement is necessary, given the high morbidity and mortality associated with insufficient anticoagulation in rehabilitation inpatients.

Elbow extension using anterior deltoids and upper pectorals in spinal cord-injured subjects.

OBJECTIVE: Surface electromyography was used to identify muscles active in isometric elbow extension in spinal cord-injured (SCI) patients. DESIGN: Tetraplegic subjects participated in this cohort study aimed at identifying some of the muscles that are active during isometric elbow extension. SETTING: Regional Spinal Cord Injury (SCI) Center. PATIENTS: The patients had to have a C6 motor level on the right side (wrist extensor > or = 3/5) with 0/5 or 1/5 elbow extensor muscle power. Of 32 patients who could be contacted by telephone, 6 eventually were able to make it to the SCI center for testing. MEASUREMENTS: The patients performed a series of isometric elbow extension contractions of 25%, 50%, and 75% of maximum voluntary contraction (MVC) as measured by a force transducer. Surface electromyography (EMG) of the right elbow extensor, anterior deltoid, and upper pectoral muscles was measured using the root mean square (rms) of the amplitude of the motor unit activity as the parameter of muscle activity. Statistical analyses were performed using a repeated analysis of variance (ANOVA) with Tukey post-hoc HSD for each percentage of MVC. RESULTS: For each muscle tested, there was significantly (p < 0.05) greater rms activity for each percentage of MVC except between 50% and 75% MVC of the elbow extensor muscle. However, the elbow extensor muscle had minimal EMG activity when compared with the amplitude of the rms activity of the anterior deltoid and upper pectoral muscles for each percentage of MVC. CONCLUSION: The results of the study suggest that the anterior deltoid and the upper pectoral muscles exert an isometric elbow extension force for C6 quadriplegic patients.

Wrist strength measured by myometry as an indicator of functional independence.

The purpose of this study was to show that independence of self care activities of motor complete quadriplegic patients related better to the force of contraction of the wrist extensor (WE) muscles measured by a hand held myometer than to the manual muscle test (MMT) for grades 3 to 5. The patients (n = 24), identified by having unilaterally or bilaterally functional WE muscle (MMT > or = 3/5) with bilateral elbow extensor (EE) muscles < 3/5, were evaluated at 2 to 6 months after injury for four feeding activities utilizing the Quadriplegia Index of Function (QIF). We found 54% were independent drinking from a cup, 58% using a spoon or fork, 13% cutting food, and 23% pouring liquids. Comparisons were made between right, left, and bilateral mean myometry scores and median MMT scores for each of the QIF activities. The independent group of patients had myometry scores 54 to 140% greater (p < 0.05) than those patients dependent in the self care activity except when the right or left WE myometric score was analyzed for cutting food (p = 0.1). MMT comparisons showed no significant median score differences in any activity performed. There were no patients with only one WE muscle > or = 3/5 (n = 9) who were able to cut food or pour liquids independently. In conclusion, myometry appeared to be a better indicator than the MMT for some self care activities evaluated utilizing the Quadriplegia Index of Function.

Magnetic resonance imaging related to neurologic outcome in cervical spinal cord injury.

The purpose of this study was to examine the relationship between the initial intramedullary hemorrhage, as seen by magnetic resonance imaging (MRI), and the neurologic deficit and eventual neurologic outcome of acute cervical spinal cord injured subjects. MRI and motor assessments were performed on 24 subjects with motor complete (Frankel A & B) and incomplete (Frankel C & D) injuries. Recovery was determined by evaluating an initial and a final motor power following spinal cord injury (SCI), as defined by the manual muscle test (grade 1-5) and motor index score (MIS). Results showed that all 15 subjects having hemorrhage had motor complete injuries (Frankel A & B). Sixteen percent of the muscles in the upper extremities and 3% of the muscles in the lower extremities in these 15 subjects improved to a grade of > or = 3/5 at the final evaluation post-SCI. In comparison, of the nine subjects not having hemorrhage, eight had motor incomplete injuries (Frankel C & D) and had 73% and 74% of muscles improving in the upper and lower extremities, respectively. In addition, a change in MIS from initial to final evaluations showed a significant difference between subjects with hemorrhage and subjects without hemorrhage (upper extremities: p = .002 and lower extremities: p = .0001). In conclusion, the initial MR image and neurologic assessment correlated with motor power recovery.

Locomotor sites mapped with low current stimulation in intact and kainic acid damaged hypothalamus of anesthetized rats.

To determine whether local neurons mediated the locomotor effects of electrical stimulation of the lateral hypothalamus, kainic acid injections (0.5-1.25 micrograms), intended to destroy neural somata as opposed to fibers of passage, were made unilaterally in the tuberal-posterior hypothalamus of 22 rats. The area of lesion and its contralateral homolog were mapped for locomotor stepping sites in Nembutal-anesthetized rats mounted in a stereotaxic apparatus such that locomotor stepping rotated a wheel. Stimulation (25 and 50 microA, 50 Hz, 0.5-ms cathodal pulses, 10-s trains) was delivered through 50-80 microns glass pipettes filled with 2 M saline. Contralateral to the lesion, locomotor stepping sites were common in the perifornical lateral and medial hypothalamus and less dense in the zona incerta. On the side of the kainic-acid lesion, locomotor sites were generally absent in the central part of the damaged area. If they did appear within the area of lesion, they tended to be near the border with intact tissue. In a few cases, locomotor stepping sites were found centrally located in the lesion amidst widespread loss of somata. In four rats, additional maps of anterior locomotor regions in the preoptic area ipsilateral to the lesion suggested that their descending fibers were largely spared by the kainic lesions. Local neurons appear to be major contributors to the locomotion elicited by electrical stimulation of the lateral hypothalamus, but fibers of passage may also participate.

Locomotor stepping initiated by glutamate injections into the hypothalamus of the anesthetized rat.

Glutamate (50 mM, 50 nl) injected into the tuberal and posterior hypothalamus was tested for capacity to elicit locomotor stepping. Rats (n = 23) were anesthetized with Nembutal and suspended by a sling in a stereotaxic apparatus such that locomotor stepping rotated a wheel. In 61 of 275 sites tested, stepping was initiated by glutamate injections within 60 s. Positive sites were widespread and contained in the lateral hypothalamus, the perifornical area, the dorsomedial nucleus, and the zona incerta. The perifornical and lateral hypothalamic sites were most likely to have locomotor responses and the shortest latencies. These findings indicate that selective activation of hypothalamic neurons as opposed to fibers of passage can initiate locomotion.