Assessing Physical Function and Mobility following Pediatric Traumatic Brain Injury with the NIH Toolbox Motor Battery: A Feasibility Study.

AIMS: Traumatic brain injury (TBI) can impair physical function in children. The NIH Toolbox Motor Battery (NIHTB-M) was designed to be a brief assessment of physical function, but no studies have examined its use in children with TBI. This study aims to describe the feasibility of using the NIHTB-M to assess children with TBI. METHODS: The NIHTB-M was administered to children with TBI 2 weeks (n = 22) and/or 6 months (n = 23) following injury. This descriptive study summarizes participant performance, administration challenges, and the association between NIHTB-M scores, participant characteristics, and subjective report of physical function. RESULTS: Of the NIHTB-M domains, deficits in endurance and balance were most prevalent. Children aged 5 to 16 years could complete the assessment per administration guidelines, except for a few cases (n = 3) where orthopedic injuries limited participation. Younger children (aged 3 to 4) had difficulty following the NIHTB-M directions. Technological issues impacted balance assessment in several cases (n = 6). CONCLUSION: The NIHTB-M is brief to administer, generally well tolerated by school-aged children and, despite occasional technological challenges, is a feasible performance-based battery for assessment of children with TBI for clinical and research purposes. Additional investigation of psychometric properties and ceiling and floor effects is needed.

The expression of nicotinamide N-methyltransferase increases ATP synthesis and protects SH-SY5Y neuroblastoma cells against the toxicity of Complex I inhibitors.

NNMT (nicotinamide N-methyltransferase, E.C. 2.1.1.1) catalyses the N-methylation of nicotinamide to 1-methylnicotinamide. NNMT expression is significantly elevated in a number of cancers, and we have previously demonstrated that NNMT expression is significantly increased in the brains of patients who have died of Parkinson's disease. To investigate the cellular effects of NNMT overexpression, we overexpressed NNMT in the SH-SY5Y cell line, a tumour-derived human dopaminergic neuroblastoma cell line with no endogenous expression of NNMT. NNMT expression significantly decreased SH-SY5Y cell death, which correlated with increased intracellular ATP content, ATP/ADP ratio and Complex I activity, and a reduction in the degradation of the NDUFS3 [NADH dehydrogenase (ubiquinone) iron-sulfur protein 3] subunit of Complex I. These effects were replicated by incubation of SH-SY5Y cells with 1-methylnicotinamide, suggesting that 1-methylnicotinamide mediates the cellular effects of NNMT. Both NNMT expression and 1-methylnicotinamide protected SH-SY5Y cells from the toxicity of the Complex I inhibitors MPP+ (1-methyl-4-phenylpyridinium ion) and rotenone by reversing their effects upon ATP synthesis, the ATP/ADP ratio, Complex I activity and the NDUFS3 subunit. The results of the present study raise the possibility that the increase in NNMT expression that we observed in vivo may be a stress response of the cell to the underlying pathogenic process. Furthermore, the results of the present study also raise the possibility of using inhibitors of NNMT for the treatment of cancer.

Ultrasonic monitoring of early-stage biofilm growth on polymeric surfaces.

Biofilm growth on polymeric surfaces was monitored using ultrasonic frequency-domain reflectometry (UFDR). The materials utilized for this study included nonporous polycarbonate (PC) sheets, polyamide (PA) nanofiltration composite membranes and porous polyvinylidene fluoride (PVDF) microfiltration membranes (nominal pore size: 0.65 microm). Coupons of each material were placed in a biologically active annular reactor for up to 300 days, and subjected to a constant shear field (0.12 N m(-2)), which induced sessile microbial growth from acetate amended municipal tap water. Acoustic monitoring was non-destructively executed by traversing coupons in a constant temperature water bath using a spherically focused 20-MHz immersion transducer. This semi-automated system was configured to obtain reflections from 50 regions (c.a. 120x10(3) microm2) distributed evenly near the centerline of each coupon. The resulting reflected power distributions were compared with standard biochemical and microscopic assays that described surface associated biofilms. When compared to clean (virgin) conditions, biofilms growing on coupons induced consistent attenuations in reflection amplitude, which caused statistically significant shifts in reflected power (p<0.01). Using exocellular polysaccharides as a surrogate measure of total biofilm mass, UFDR was able to detect biofilms developing on any of the materials tested at surface-averaged masses < or = 150 microg cm(-2). Above these threshold levels, increasing amounts of exocellular polysaccharides correlated with significant decreases in total reflected power (TRP). The distribution of biomass on the coupon surfaces determined by acoustic spectra was consistent with that observed using environmental scanning electron microscopy (ESEM). These results suggest that UFDR may be used as a non-destructive tool to monitor biofouling in a wide variety of applications.