Comparative Study of Post-Surgical Outcomes in Pain, Disability, and Health-Related Quality of Life for Adult Spinal Deformity in Patients Aged above and below 75 Years.

(1) Background: Adult spinal deformity (ASD) surgery is known to improve clinical and radiological parameters; however, it may also cause more complications in elderly patients. The purpose of this study was to compare the outcomes of ASD surgery, specifically regarding pain, disability, and health-related quality of life (HRQOL) in patients aged 75 years and over and patients aged under 75 years; (2) Methods: A total of 151 patients who underwent ASD surgery between August 2014 and September 2020 were included. Patients were divided into two groups based on whether they are 75 years and over or under. Radiological parameters measured included sagittal vertical axis (SVA), pelvic tilt (PT), and pelvic incidence (PI)- lumbar lordosis (LL). Data were collected 3, 6, and 12 months after surgery; (3) Results: At 12 months postoperatively, visual analog scale (VAS) for low back pain (p = 0.342), Oswestry disability index (ODI) (p = 0.087), and EuroQol 5-Dimensions (EQ-5D) (p = 0.125) did not differ between patients under 75 years and those 75 and above 75 group. PT (p = 0.675), PI-LL (p = 0.948), and SVA (p = 0.108) did not differ significantly 12 months after surgery in the two groups. In the entire patient group, compared to preoperative data, significant improvements were demonstrated for clinical and radiological parameters 12 months after surgery (all p < 0.001). The rate of medical complications did not correlate with age, but the rates of proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) did (p = 0.638, p < 0.001, and p = 0.001, respectively); (4) Conclusions: In terms of clinical and radiological improvements, ASD surgery should be considered for patients regardless of whether they are younger than or older than 75 years. The clinical and radiological improvements and the risk of complications and revision surgeries must be considered in ASD patients who are 75 years or older.

Electrochemically active hydroquinone-based redox mediator for flexible energy storage system with improved charge storing ability.

Electrochemically active redox mediators have been widely investigated in energy conversion/storage system to improve overall catalytic activities and energy storing ability by inducing favorable surface redox reactions. However, the enhancement of electrochemical activity from the utilization of redox mediators (RMs) is only confirmed through theoretical computation and laboratory-scale experiment. The use of RMs for practical, wearable, and flexible applications has been scarcely researched. Herein, for the first time, a wearable fiber-based flexible energy storage system (f-FESS) with hydroquinone (HQ) composites as a catalytically active RM is introduced to demonstrate its energy-storing roles. The as-prepared f-FESS-HQ shows the superior electrochemical performance, such as the improved energy storage ability (211.16 F L-1 and 29.3 mWh L-1) and long-term cyclability with a capacitance retention of 95.1% over 5000 cycles. Furthermore, the f-FESS-HQ can well maintain its original electrochemical properties under harsh mechanical stress (bending, knotting, and weaving conditions) as well as humid conditions in water and detergent solutions. Thus, the strategical use of electrochemically active RMs can provide the advanced solution for future wearable energy storage system.

Experimental and Computational Studies of the Structure of CdSe Magic-Size Clusters.

Experimental and computational studies of resonant Raman spectra of truly monosized (CdSe)33 and (CdSe)34 nanoclusters have been performed. First-principles calculations of vibrations are performed to account for the peculiarity of the spectrum and resonant Raman selection rules. The calculation method is based on the analysis of the spatial distribution of the electron density in the ground and excited states and the corresponding displacement of atoms after the electronic transition. The calculated vibrational density of states and resonant Raman spectra of CdSe nanoclusters in a core-cage arrangement are distinctively different from those of small nanocrystals in the bulk fragment model and reasonably agree with the experimentally observed spectral features. The agreement can be considered as experimental evidence for the shell structure of "magic" CdSe nanoclusters. The resonant conditions for the Raman measurements and two different kinds of samples stabilized with decylamine in toluene and with cysteine in water ensure the reliability of our measurements and the minor influence of the stabilizer.

Selection and Characterization of Monoclonal Antibodies Targeting Middle East Respiratory Syndrome Coronavirus through a Human Synthetic Fab Phage Display Library Panning.

Since its first report in the Middle East in 2012, the Middle East respiratory syndrome-coronavirus (MERS-CoV) has become a global concern due to the high morbidity and mortality of individuals infected with the virus. Although the majority of MERS-CoV cases have been reported in Saudi Arabia, the overall risk in areas outside the Middle East remains significant as inside Saudi Arabia. Additional pandemics of MERS-CoV are expected, and thus novel tools and reagents for therapy and diagnosis are urgently needed. Here, we used phage display to develop novel monoclonal antibodies (mAbs) that target MERS-CoV. A human Fab phage display library was panned against the S2 subunit of the MERS-CoV spike protein (MERS-S2P), yielding three unique Fabs (S2A3, S2A6, and S2D5). The Fabs had moderate apparent affinities (Half maximal effective concentration (EC50 = 123-421 nM) for MERS-S2P, showed no cross-reactivity to spike proteins from other CoVs, and were non-aggregating and thermostable (Tm = 61.5-80.4 °C). Reformatting the Fabs into IgGs (Immunoglobulin Gs) greatly increased their apparent affinities (KD = 0.17-1.2 nM), presumably due to the effects of avidity. These apparent affinities were notably higher than that of a previously reported anti-MERS-CoV S2 reference mAb (KD = 8.7 nM). Furthermore, two of the three mAbs (S2A3 and S2D5) bound only MERS-CoV (Erasmus Medical Center (EMC)) and not other CoVs, reflecting their high binding specificity. However, the mAbs lacked MERS-CoV neutralizing activity. Given their high affinity, specificity, and desirable stabilities, we anticipate that these anti-MERS-CoV mAbs would be suitable reagents for developing antibody-based diagnostics in laboratory or hospital settings for point-of-care testing.

Preparation of concentrated colloids of gold core-silica shell nanoparticles for biomedical applications.

Encapsulation of gold nanoparticles within a silica shell is highly beneficial to the preparation of highly concentrated gold nanoparticles that can strongly absorb X-ray and hence be used as an X-ray contrast agent. This chapter describes a method for preparing highly concentrated colloidal gold nanoparticles suitable for an X-ray contrast agent application. It describes specific details of procedures for preparing spherical gold nanoparticles, forming thin silica shell on each gold nanoparticle, and enriching the silica-encapsulated gold nanoparticles.

Size-selective synthesis of ultrasmall hydrophilic CdSe nanoparticles in aqueous solution at room temperature.

Hydrophilic semiconductor nanoparticles are very attractive for various biological applications, such as in optical sensing, tracing, and imaging of biological molecules-of-interest, because of their broad excitation wavelength, tunable emission wavelength, strong photoluminescence, and relatively high stability against photobleaching and chemicals. Compared to organic phase synthesis and subsequent surface modification, aqueous phase synthesis approaches provide multiple advantages for obtaining hydrophilic semiconductor nanoparticles. Here, we describe methods for the size-selective growth and stabilization of ultrasmall hydrophilic CdSe nanoparticles in aqueous solution at room temperature by using amino acid cysteine or one of its derivatives as a surface capping agent.

Fabrication of functionalized double-lamellar multifunctional envelope-type nanodevices using a microfluidic chip with a chaotic mixer array.

Multifunctional envelope-type nanodevices (MENDs) are very promising non-viral gene delivery vectors because they are biocompatible and enable programmed packaging of various functional elements into an individual nanostructured liposome. Conventionally MENDs have been fabricated by complicated, labor-intensive, time-consuming bulk batch methods. To avoid these problems in MEND fabrication, we adopted a microfluidic chip with a chaotic mixer array on the floor of its reaction channel. The array was composed of 69 cycles of the staggered chaotic mixer with bas-relief structures. Although the reaction channel had very large Péclet numbers (>10(5)) favorable for laminar flows, its chaotic mixer array led to very small mixing lengths (<1.5 cm) and that allowed homogeneous mixing of MEND precursors in a short time. Using the microfluidic chip, we fabricated a double-lamellar MEND (D-MEND) composed of a condensed plasmid DNA core and a lipid bilayer membrane envelope as well as the D-MEND modified with trans-membrane peptide octaarginine. Our lab-on-a-chip approach was much simpler, faster, and more convenient for fabricating the MENDs, as compared with the conventional bulk batch approaches. Further, the physical properties of the on-chip-fabricated MENDs were comparable to or better than those of the bulk batch-fabricated MENDs. Our fabrication strategy using microfluidic chips with short mixing length reaction channels may provide practical ways for constructing more elegant liposome-based non-viral vectors that can effectively penetrate all membranes in cells and lead to high gene transfection efficiency.

Aqueous phase synthesized CdSe magic-sized clusters: solution composition dependence of adsorption layer structure.

We report dispersion solution composition dependence of the adsorption layer structure and the physical and optical properties of aqueous phase-synthesized semiconductor nanoparticles (NPs). We synthesized cysteine (Cys)-capped CdSe NPs with well-defined core structures, dispersed them in a series of aqueous solutions with different compositions, and then investigated their adsorption layer structure and physical and optical properties. Each CdSe NP consisted of a (CdSe)33 or (CdSe)34 magic-sized cluster (d - 1.45 nm) core, a ligand-Cys shell, and an adsorption layer. The dispersion solution composition strongly affected the adsorption layer structure of the CdSe NPs. The solution with a composition close to that of the as-prepared solution stabilized the physical and optical properties of the NPs. The solution with a composition different from that of the as-prepared solution, however, resulted in large changes in their adsorption layer structure and thus their physical and optical properties. The solution composed of neutral or weakly charged Cys and Cd-Cys complexes led to the adsorption layer with low charge density and that destabilized the NPs. The solution containing only neutral or weakly charged forms of Cys, without Cd-Cys complexes, was favorable to the formation of a thick adsorption layer with low charge density and that destabilized the NPs. The amount of adsorbed Cys in the adsorption layer depended on the dispersion solution composition. However, the amount of adsorbed Cd-Cys complexes in the adsorption layer was almost constant regardless of the dispersion solution composition.

Size-selective growth and stabilization of small CdSe nanoparticles in aqueous solution.

Using cysteine and its derivatives as capping molecules, we investigated the influence of the physical structure and chemical nature of capping molecules on the selective growth and stabilization of small CdSe nanoparticles (NPs) in aqueous solution at room temperature. Our investigations revealed specific roles for each functional group of cysteine, and we could correlate this structure and nature of the capping molecules with the size, size restriction, size distribution, and stability of the NPs. For selective growth and stabilization of the NPs in aqueous solution, their capping molecules should have at least one functional group with strong nucleophilicity as well as another free, charged functional group. Capping molecules acting as a monodentate ligand were more effective than those acting as a bidentate ligand for restricting the NPs to a smaller size, whereas the former was less effective than the latter for getting a narrower NP size distribution. Capping molecules with relatively bulky spatial geometry near the ligand-NP interface resulted in the formation of NPs with poor short- and long-term stabilities, whereas those having relatively compact spatial geometry near the interface led to NPs with at least moderate short-term stability. We saw that capping molecules having relatively compact outermost spatial geometry led to NPs with excellent long-term stability, whereas those having relatively bulky outermost spatial geometry produced NPs with at most only moderate long-term stability. Our results clearly showed general trends for the possibility of selective growth of stable semiconductor NPs with particular sizes in aqueous solution.

Cell separation by the combination of microfluidics and optical trapping force on a microchip.

We investigated properties of cells affecting their optical trapping force and successfully established a novel cell separation method based on the combined use of optical trapping force and microfluidics on a microchip. Our investigations reveal that the morphology, size, light absorption, and refractive index of cells are important factors affecting their optical trapping force. A sheath flow of sample solutions created in a microchip made sample cells flow in a narrow linear stream and an optical trap created by a highly focused laser beam captured only target cells and altered their trajectory, resulting in high-efficiency cell separation. An optimum balance between optical trapping force and sample flow rate was essential to achieve high cell separation efficiency. Our investigations clearly indicate that the on-chip optical trapping method allows high-efficiency cell separation without cumbersome and time-consuming cell pretreatments. In addition, our on-chip optical trapping method requires small amounts of sample and may permit high-throughput cell separation and integration of other functions on microchips.

On-chip fabrication of mutifunctional envelope-type nanodevices for gene delivery.

Microfluidic devices may be highly beneficial to the rapid fabrication of small quantities of various nonviral vectors with different functionalities, which is indispensable for effective order-made gene therapy. We adapted a microfluidic chip-based approach for fabricating small quantities of nonviral vectors in a short time in preparation for order-made gene therapy applications. This approach permitted us to fabricate multifunctional envelope-type nanodevices (MENDs), composed of a compacted (or condensed) DNA core and a lipid bilayer membrane shell, which are considered as promising nonviral vectors for gene therapy applications. The on-chip fabrication of the MEND was very simple, rapid, convenient, and cost-effective compared with conventional methods. The size of the MEND showed strong dependence on the concentration and flow rate of the reaction precursors and could be controlled to be much smaller than that achievable by conventional methods. This, together with abovementioned merits, makes our microfluidic chip-based approach very attractive for the fabrication of MENDs for effective application to order-made gene therapy.

Aqueous-phase synthesis of ultra-stable small CdSe nanoparticles.

Very stable and small CdSe nanoparticles (NPs) were synthesized from the aqueous solutions containing L-cysteine (Cys) at room temperature. The Cys-capped CdSe NPs showed a very sharp excitonic peak at 420 nm. Its very small full width at half maximum (18 nm) indicates very high quality of the CdSe NPs. Their absorption features experienced little change over a month, implying an excellent stability of the CdSe NPs. The synthesis conditions were very critical to the optical property and stability of the CdSe NPs: only those prepared at specific conditions (n(Se-precursor)/n(Cd-precursor) = 0.25-0.5, n(Cys)/n(Cd-precursor) = approximately 9, pH = approximately 12) showed very sharp absorption peaks and maintained an excellent stability against time. Under these conditions, the peaks always appear at nearly the same wavelength, indicating that these NPs are selectively stable and grow at a particular size and structure.

Silicon subiodide clusters.

Silicon subiodide clusters (Si(n)I(m), n = 1-20) produced by laser ablation of bulk powder silicone tetraiodide have been investigated by time-of-flight mass spectroscopy and ab initio calculations. Both experimental results and theoretical calculations revealed a tendency to form different structures of the clusters depending on n: chain, ring, and cage structures for n < or = 6, 6 < n < 16, and n > or = 16, respectively. The results showed that iodine, like hydrogen, can be used for stable silicon cluster termination.

Concentrated colloids of silica-encapsulated gold nanoparticles: colloidal stability, cytotoxicity, and X-ray absorption.

As an effort to develop a new, effective, nontoxic X-ray contrast agent, the concentrated colloids of silica-encapsulated gold nanoparticles (Au@SiO2 NPs) were fabricated and their colloidal stability, cytotoxicity, and X-ray absorption were investigated. The concentrated colloidal NPs were manufactured by forming a 4 nm-thick silica shell on the surface of each Au NP with 15 nm diameter, followed by enrichment to [Au] = 100 mM. They were very stable in water: the NPs were well separated each other without forming agglomerates and their optical property was very similar to that before enrichment. The colloidal stability of the NPs in biological environment was strongly dependent on their previous morphology in water. The NPs with minor shell damage were stable in phosphate buffered saline (PBS) solution: both in water and in PBS solution, they showed very similar morphology and optical property. However, the NPs with profound shell damage formed big agglomerates in PBS solution, resulting in the red-shift and broadening of the Au surface plasmon resonance peak. Cell viability and proliferation assessments revealed the biocompatibility of the Au@SiO2 NPs: no apparent cytotoxicity was observed even at 100 ppm NPs. The concentrated colloidal NPs showed very strong X-ray absorption. Their relative X-ray transmittance to water was comparable to that of a commercial agent. Considering these, the concentrated colloids of the Au@SiO2 NPs are suitable for an X-ray contrast agent.

X-ray absorption of gold nanoparticles with thin silica shell.

Silica-coated gold (Au) nanoparticles were prepared and their morphological and X-ray absorption properties were investigated. These core-shell type nanoparticles are very stable in aqueous media and may be suitable for an X-ray contrast agent in biological systems. Transmission electron micrographs confirmed well-separated and relatively homogeneous morphology of the nanoparticles in highly concentrated colloids. Peak position for Au plasmon resonance was red-shifted with increasing shell thickness. X-ray absorption by the colloids of silica-coated Au nanoparticles was stronger than that by those of silica-coated Agl nanoparticles, a recently investigated X-ray contrast agent, at similar experimental conditions.