Minimally invasive surgical technique for unstable supracondylar humerus fractures in children (Gartland type III or IV).

Background: Achieving and maintaining anatomical reduction during the treatment of pediatric humerus fractures, classified as Gartland type III or IV, presents a clinical challenge. Herein, we present a minimally invasive surgical approach using a novel and simple K-wire push technique that aids in achieving and maintaining anatomical reduction. Methods: We reviewed data of children receiving treatment for supracondylar fractures of the humerus at our hospital between January 2016 and December 2020. Patients were divided into two groups based on the method of treatment: Group 1 was treated with the K-wire push technique, and Group 2 was treated with the standard technique as described by Rockwood and Wilkins. The medical records and radiographic images were reviewed. In total, 91 patients with Gartland types III and IV fractures were included, with 37 and 54 patients in Groups 1 and 2, respectively. Results: The postoperative reduction radiographic parameters and Flynn scores at final follow-up were not significantly different between the two groups. Conclusion: The minimally invasive K-wire push technique for unstable supracondylar fractures in children is a safe and effective alternative for improving reduction. Using this technique, complications can be minimized, and the requirement for open reduction can be reduced.

Investigation of sorption and diffusion of hydrocarbons into polydimethylsiloxane in the headspace-solid phase microextraction sampling process via inverse gas chromatography.

Inverse gas chromatography was employed to investigate the sorption and diffusion of hydrocarbons into polydimethylsiloxane (PDMS) in the headspace-solid phase microextraction (HS-SPME) sampling process. Six hydrocarbons as molecular probes and two types of non-cross-linked PDMS with different average molecular weights as stationary phases were used in this study. Experimental measurements with columns containing a PDMS stationary phase were carried out to obtain specific retention volumes, molar enthalpies of sorption, interaction parameters, diffusion coefficients, and activation energies of diffusion of hydrocarbon probes over temperatures ranging from 60 to 90°C. The primary driving force of the hydrocarbon sorption into the PDMS SPME fibers was found to be the molar enthalpy of sorption, which depended on the molecular size of the hydrocarbons. As the molecular size of the hydrocarbon increased, the molar enthalpies of sorption became more exothermic. Interaction parameters and diffusion coefficients indicated that both n-heptane and n-octane were diffused into the PDMS matrix and localized to form clusters or aggregates, which were responsible for more negative molar entropies of sorption. However, the diffusivities of n-nonane and aromatic probes were limited due to their large molecular size and lack in the structural flexibility, respectively. The molar enthalpies of hydrocarbon sorption were independent of the average molecular weight of PDMS. However, specific retention volumes, interaction parameters, diffusion coefficients, and activation energies of diffusion of the hydrocarbons depended on the molecular weight of PDMS as well as the molecular weights and structures of hydrocarbons, as shown by the results of the Wilcoxon signed-rank test.

Measurements of relative distribution constants of vaporized hydrocarbons between air and polydimethylsiloxane via capillary columns for the calculation of headspace hydrocarbon compositions.

This study focused on the measurements and validity of relative distribution constants of vaporized hydrocarbons between air and polydimethylsiloxane (PDMS) using commercially available capillary columns. Capillary column gas chromatography (CCGC) measurements, using two columns containing a PDMS stationary phase with different film thicknesses, were conducted to determine the relative distribution constants of n-heptane, toluene, n-octane, p-xylene, n-nonane, and 1,2,4-trimethylbenzene between air and PDMS at 90 and 120 °C. To validate the accuracy of the relative distribution constants via CCGC, the compositions of three headspace samples containing different amounts of hydrocarbons were calculated using the relative distribution constants via CCGC and extracted amounts via PDMS solid phase microextraction (SPME) at 90 and 120 °C. It was found that calculated hydrocarbon compositions of headspace samples were comparable to true headspace hydrocarbon compositions via direct vapor analysis, with an average absolute relative error of 3.2%. Our results indicate that CCGC is an alternative method that can provide a reliable and convenient method to determine the relative distribution constants of various hydrocarbons between air and PDMS for quantitative chemical analysis of headspace.

Estimation of the area under a curve via several B-spline-based regression methods and applications.

Estimating the area under a curve (AUC) is an important subject in many fields of medicine and science. The regression model using B-spline functions provides flexibility in curve fitting, making it suitable for AUC estimation with various types of nonlinear trends. Despite the versatility of the B-spline approach, comprehensive discussions regarding relevant AUC estimation techniques using B-spline functions and their comparison with existing methods cannot be found in extant literature. In this paper, we investigate AUC estimation using B-spline regression and B-spline regression with several penalties, as well as discuss corresponding inferences. We carry out an extensive Monte Carlo study to evaluate the performance of the proposed methods in various realistic pharmacokinetics and analytical chemistry data settings. We show that the proposed methods provide robust and reliable AUC estimation regardless of different types of nonlinear models from scientific and medical research areas. Our proposed method is appropriate for general AUC estimation since it does not require nonlinear model specifications and inference techniques corresponding to the specified model.

Pulsatile flow pump based on an iterative controlled piston pump actuator as an in-vitro cardiovascular flow model.

In-vitro cardiovascular experiments provide an effective means for characterizing structural or hemodynamic features of medical devices before they are tested on animals or used in clinical practice. In-vitro experiments simulate complicated cardiovascular systems with blood pumps, vessels and valves, but without human or animal subjects. Therefore, such experiments are free from ethical issues and present large cost savings in comparison to in-vivo experiments. In this study, we aimed to design a fully programmable pulsatile flow pump that can consistently and accurately reproduce a wide range of physiological flow waveforms without costly transient flowmeter in the system. An iterative control algorithm (ICA) was used to minimize the differences between the desired and produced flow waveforms. Our results confirm that the developed pulsatile pump can replicate flow waveforms accurately, with root mean square errors (RMSEs) of 0.64 L/min and 0.52 mL for the flow rate and stroke volume, respectively.

Braille Display for Portable Device Using Flip-Latch Structured Electromagnetic Actuator.

We propose an electromagnetic-based braille display that can represent two-dimensional information. The key principle is a flip-latch structure, which allows satisfying requirements of both protrusion force for braille recognition and low power consumption. A magnet-inserted flip-latch has an eccentric shape, and is driven by and flips over the protruded voice coil and pushing the braille pin. Then it acts as a latch to lock and maintain the pin protrusion without additional energy consumption. We manufacture braille display modules and arrange them into a braille display with a total of 192 pins (16 columns and 12 rows). The pin-to-pin spacing is 2.5 mm, and the thickness of the display is about 5.5 mm. Each pin can switch states in 5 ms of operating time with 1W of power. In this paper, we describe the design and operating mechanism of the proposed actuator and perform operation tests to obtain stable driving conditions for the display. Finally, applications and limitations of the proposed braille display are analyzed.

Adsorption of hydrocarbons commonly found in gasoline residues on household materials studied by inverse gas chromatography.

The adsorption of hydrocarbons present in gasoline residues on household materials was investigated via inverse gas chromatography (IGC). A series of hydrocarbons (n-heptane, n-octane, n-nonane, toluene, p-xylene, and 1,2,4-trimethylbenzene) and three household materials (carpet fibers, cotton fabric, and cardboard) were selected in this work. IGC measurements using columns packed with these household materials were conducted to obtain molar enthalpies of adsorption of the selected hydrocarbons over the temperature range of 40 to 70 °C. Adsorption isotherms and Henry's law solubility coefficients (S) were also determined at 40 °C. Results from our IGC measurements revealed that molar enthalpies of adsorption, adsorption isotherms, and solubility coefficients were largely dependent upon the structures and size of hydrocarbons and the choice of solid substrates. Measured molar enthalpies of adsorption became more exothermic with increasing size of hydrocarbons, ranging from -23.4 to -40.9 kJ/mol for carpet fibers, -36.2 to -48.2 kJ/mol for cotton fabric, and -30.1 to -52.5 kJ/mol for cardboard. From the adsorption isotherms and the measured retention times as a function of the injection amount, the adsorption affinity of hydrocarbons to the carpet fibers was found to be weaker than the affinity between hydrocarbon molecules, producing relatively lower solubility coefficients for all hydrocarbons than those measured on cotton fabric and cardboard. However, the adsorption affinities of hydrocarbons to both cotton fabric and cardboard were much stronger with increased solubility coefficients presumably due to the diffusion and dispersion of hydrocarbons through solid substrates. In particular, solubility coefficients of three aromatics on cardboard were significantly larger than those measured on carpet fibers and cotton fabric. This might be responsible for previously reported enhanced persistence of gasoline residues spiked on cardboard.

Curing induced structural reorganization and enhanced reactivity of amino-terminated organic thin films on solid substrates: observations of two types of chemically and structurally unique amino groups on the surface.

Infrared-visible sum frequency generation vibrational spectroscopy (SFG) was used to characterize the structure of 3-aminopropyltriethoxysilane (APTES) films deposited on solid substrates under controlled experimental conditions for the first time. Our SFG spectra in combination with complementary analytical data showed that APTES films undergo structural changes when cured at an elevated temperature. Before the films are cured, well-ordered hydrophobic ethoxy groups are dominantly present on the surface. A majority of hydrophilic surface amino groups are protonated, and they are either buried or randomly oriented at the interface. After the films are cured, chemically and structurally different neutral amino groups are detected on the surface. Unlike the protonated amino groups, a new class of neutral amino groups is ordered at the interface and shows enhanced reactivity.

Investigations of chemical modifications of amino-terminated organic films on silicon substrates and controlled protein immobilization.

Fourier transform infrared spectroscopy by grazing-angle attenuated total reflection (FTIR-GATR), ellipsometry, atomic force microscopy (AFM), UV-visible spectroscopy, and fluorescence microscopy were employed to investigate chemical modifications of amino-terminated organic thin films on silicon substrates, protein immobilization, and the biological activity and hydrolytic stability of immobilized proteins. Amino-terminated organic films were prepared on silicon wafers by self-assembling 3-aminopropyltriethoxysilane (APTES) in anhydrous toluene. Surface amino groups were derivatized into three different linkers: N-hydroxysuccinimide (NHS) ester, hydrazide, and maleimide ester groups. UV-visible absorption measurements and fluorescence microscopy revealed that more than 40% of surface amino groups were chemically modified. Protein immobilization was carried out on modified APTES films containing these linkers via coupling with primary amines (-NH(2)) in intact monoclonal rabbit immunoglobulin G (IgG), the aldehyde (-CHO) of an oxidized carbohydrate residue in IgG, or the sulfhydryl (-SH) of fragmented half-IgG, respectively. FTIR spectra contain vibrational signatures of these functional groups present in modified APTES films and immobilized IgGs. Changes in the APTES film thickness after chemical modifications and protein immobilization were also observed by ellipsometric measurements. The biological activity and long-term hydrolytic stability of immobilized IgGs on modified APTES films were estimated by fluorescence measurements of an adsorbed antigen, fluorescein isothiocyanate (FITC)-labeled goat anti-rabbit IgG (FITC-Ab). Our results indicate that the FITC-Ab binding capacity of half-IgG immobilized via maleimide groups is greater than that of the oxidized IgG and the intact IgG immobilized via hydrazide and NHS ester groups, respectively. In addition, IgGs immobilized using all coupling chemistries were hydrolytically stable in phosphate-buffered saline (PBS).

Formation, structure, and reactivity of amino-terminated organic films on silicon substrates.

Amino-functionalized organic films were prepared by self-assembling 3-aminopropyltriethoxysilane (APTES) on silicon wafers in either anhydrous toluene or phosphate-buffered saline (PBS) for varied deposition times. Fourier transform infrared spectroscopy (FTIR) and ellipsometry have shown that the structure and thickness of APTES films are governed by the deposition time and reaction solution. Deposition from an anhydrous toluene solution produces APTES films ranging from 10 to 144 A in thickness, depending on the reaction time. FTIR spectra indicate that film growth initially proceeds by adsorption of APTES to the silicon surface followed by siloxane condensation, and after an extended period of time APTES molecules accumulate on the underlying APTES film by either covalent or noncovalent interactions. In contrast, spectroscopically indistinguishable APTES films in thickness ranging from 8 to 13 A were formed when deposition was conducted in aqueous solutions. Measured water contact angles indicate that APTES films deposited in aqueous solutions are more hydrophilic compared to those prepared in toluene solutions. Fluorescence measurements revealed that APTES films prepared in toluene solutions contain more reactive surface amino groups by ca. 3 to 10 times than those prepared in aqueous solutions for the identical reaction time.

Molecular composition and mechanical properties of biopolymer interfaces studied by sum frequency generation vibrational spectroscopy and atomic force microscopy.

Sum frequency generation (SFG) vibrational spectroscopy and atomic force microscopy (AFM) have been used to study the surface structure and surface mechanical behavior of biologically-relevant polymer systems. These techniques have emerged as powerful surface analytical tools to deduce structure/property relationships in situ, at both air/solid and air/liquid interfaces. SFG and AFM studies have been performed to understand how the surface properties of polymers are linked to polymer bulk compositions, changes in the ambient environment, or the degree of mechanical strain. Specifically, this review discusses (1) the macroscopic- and molecular-level tracking of small end groups attached to polyurethane blends, engineered to reduce blood clotting; (2) the role of ambient humidity on the surface mechanics of soft contact lenses possessing different water content in the bulk; (3) the affect of cyclic stretch on the molecular surface structure of polyurethane films, designed to mimic the mechanical deformation caused by heartbeat; and (4) the molecular ordering of functional groups at the polystyrene-protein interface. The correlation of spectroscopic and mechanical data by SFG and AFM is a powerful methodology to study and design materials with tailored surface properties.

Surface structural characterization of protein- and polymer-modified polystyrene microspheres by infrared-visible sum frequency generation vibrational spectroscopy and scanning force microscopy.

Structural investigations of bare and surface-modified polystyrene microspheres (beads) have been carried out by infrared-visible sum frequency generation (SFG) vibrational spectroscopy and scanning force microscopy (SFM). Bead surfaces have been modified by either the covalent linking of immunoglobulin G (IgG) and bovine serum albumin (BSA) or the nonspecific adsorption of a Pluronic surfactant. After surface modification with protein, SFG signals in the aliphatic CH-stretch region are detected at both the buffer/bead and air/bead interfaces, indicating that some amino acid residues in proteins adopt preferred orientations. SFG results indicate that the hydrophobic poly(propylene glycol) moieties in the Pluronic order when adsorbed onto the bead, at both the buffer/bead and air/bead interfaces, whereas hydrophilic poly(ethylene glycol) groups align to a lesser extent. SFG spectra also show that the phenyl rings of bare polystyrene beads in contact with air or buffer are ordered, with a dipole component directed along the surface normal, but become less ordered after the adsorption of either proteins or the polymer. Molecular orientation and ordering at the bead surface affect its hydrophobicity and aggregation behavior. SFM results reveal the formation of nonuniform islands when bare beads with more hydrophobic character are spun-cast onto a silica substrate. In the presence of adsorbed protein, a hexagonal packing of beads, with some defects, is observed, depending on the bulk pH and the type of attached protein. Adsorbed Pluronic causes the beads to aggregate in a disordered fashion, as compared to the behavior of bare and protein-modified beads.

Molecular packing of lysozyme, fibrinogen, and bovine serum albumin on hydrophilic and hydrophobic surfaces studied by infrared-visible sum frequency generation and fluorescence microscopy.

Infrared-visible sum frequency generation (SFG) vibrational spectroscopy, in combination with fluorescence microscopy, was employed to investigate the surface structure of lysozyme, fibrinogen, and bovine serum albumin (BSA) adsorbed on hydrophilic silica and hydrophobic polystyrene as a function of protein concentration. Fluorescence microscopy shows that the relative amounts of protein adsorbed on hydrophilic and hydrophobic surfaces increase in proportion with the concentration of protein solutions. For a given bulk protein concentration, a larger amount of protein is adsorbed on hydrophobic polystyrene surfaces compared to hydrophilic silica surfaces. While lysozyme molecules adsorbed on silica surfaces yield relatively similar SFG spectra, regardless of the surface concentration, SFG spectra of fibrinogen and BSA adsorbed on silica surfaces exhibit concentration-dependent signal intensities and peak shapes. Quantitative SFG data analysis reveals that methyl groups in lysozyme adsorbed on hydrophilic surfaces show a concentration-independent orientation. However, methyl groups in BSA and fibrinogen become less tilted with respect to the surface normal with increasing protein concentration at the surface. On hydrophobic polystyrene surfaces, all proteins yield similar SFG spectra, which are different from those on hydrophilic surfaces. Although more protein molecules are present on hydrophobic surfaces, lower SFG signal intensity is observed, indicating that methyl groups in adsorbed proteins are more randomly oriented as compared to those on hydrophilic surfaces. SFG data also shows that the orientation and ordering of phenyl rings in the polystyrene surface is affected by protein adsorption, depending on the amount and type of proteins.

Investigations of polyelectrolyte adsorption at the solid/liquid interface by sum frequency spectroscopy: evidence for long-range macromolecular alignment at highly charged quartz/water interfaces.

IR-visible sum frequency spectroscopy (SFS) was employed to investigate the molecular level details of the adsorption of the positively charged polyelectrolyte, polydiallyldimethylammonium chloride (PDDA), at the quartz/water interface. Below pH 9.0, signal from the interfacial water structure was visible, but none from the adsorbed polymer could be detected. This indicated that the PDDA was not well enough aligned at the interface under these conditions to elicit a sum frequency response. At more basic pH values (>or=9.6), however, adsorbed PDDA molecules became well-ordered as indicated by the presence of CH stretch peaks from methylene and methyl groups. The intensities of the CH stretch modes were independent of the adsorbed amount of PDDA at pH 12.3 but decreased as the pH of the bulk solution was lowered. The conditions for polymer alignment fell outside the parameters where layer-by-layer growth of oppositely charged polyelectrolytes was possible because the net charge on the surface under high pH conditions remained negative.