The Influence of Knee Osteoarthritis on Spinopelvic Alignment and Global Sagittal Balance.

Osteoarthritis (OA) of the knee is thought to lead to a loss of lumbar lordosis (LL) as a compensation for knee flexion contracture. Changes in sagittal alignment are not limited to the lumbar spine and involve a complex interplay of alignment of the hip, pelvis, and spine. While spine-hip interactions have been previously explored, the influence of knee OA sagittal alignment parameters on spinopelvic alignment and global sagittal balance remains unexplored. Standing radiological examination using EOS biplanar radiography was examined in 108 patients with knee OA. Whole-body sagittal alignment parameters (thoracic kyphosis, LL, pelvic incidence, pelvic tilt [PT], femoropelvic angle [FPA], femoral tilt angle [FTA], tibial tilt angle, and knee flexion angle [KFA]) and global balance parameters (sagittal vertical axis [SVA] and odontoid hip axis [OD-HA] angle) were measured three dimensionally (3D). The correlation coefficients among all parameters were assessed. A multiple stepwise linear regression model was built to investigate the direct association between SVA or OD-HA angle (dependent variables) and sagittal alignment parameters and demographic data (independent variables). Significant correlations between KFA, FPA, FTA, SVA, and OD-HA angle were found. FTA was correlated with LL and FPA. The FTA was the most influential predictor of both global sagittal balance parameters (p < 0.001). Knee OA leads to changes in global sagittal balance with effects at the hip, knee, pelvis, and spine. FTA (forward flexion of the femur vs. the vertical plane) is the largest driver of global sagittal plane balance in patients with knee OA.

Aerosol, chemical and physical properties of dry powder synthetic lung surfactant for noninvasive treatment of neonatal respiratory distress syndrome.

Inhalation of dry powder synthetic lung surfactant may assist spontaneous breathing by providing noninvasive surfactant therapy for premature infants supported with nasal continuous positive airway pressure. Surfactant was formulated using spray-drying with different phospholipid compositions (70 or 80 total weight% and 7:3 or 4:1 DPPC:POPG ratios), a surfactant protein B peptide analog (KL4, Super Mini-B, or B-YL), and Lactose or Trehalose as excipient. KL4 surfactant underperformed on initial adsorption and surface activity at captive bubble surfactometry. Spray-drying had no effect on the chemical composition of Super Mini-B and B-YL peptides and surfactant with these peptides had excellent surface activity with particle sizes and fine particle fractions that were well within the margins for respiratory particles and similar solid-state properties. Prolonged exposure of the dry powder surfactants with lactose as excipient to 40 °C and 75% humidity negatively affected hysteresis during dynamic cycling in the captive bubble surfactometer. Dry powder synthetic lung surfactants with 70% phospholipids (DPPC and POPG at a 7:3 ratio), 25% trehalose and 3% of SMB or B-YL showed excellent surface activity and good short-term stability, thereby qualifying them for potential clinical use in premature infants.

Comparison of electromagnetic shielding with polyaniline nanopowders produced in solvent-limited conditions.

Nanoparticle synthesis (~10-50 nm) of HCl-doped polyaniline elucidates the impact of limiting solvent (water) and oxidizing agent (ammonium peroxydisulfate) on morphology (XRD and TEM), chemical structure (FTIR), conductivity (two-point DC) and electromagnetic shielding effectiveness (SE) in microwave frequencies (i.e., X-band S-parameter measurements). Detailed comparison of these properties with respect to three distinct polymerization environments indicate that a solvent-free or limited solvent polymerization accomplished through a wet grinding solid-phase reaction produces superior conductivity (27 S/cm) with intermediate crystallinity (66%) for the highest EM shielding-an order of magnitude improvement over conventional polymerization with respect to EM power transmission reduction for all loadings per shielding area (0.04 to 0.17 g/cm(2)). By contrast, the classic oxidation of aniline in a well-dispersed aqueous reaction phase with an abundance of available oxidant in free solution yielded low conductivity (3.3 S/cm), crystallinity (54%), and SE, whereas similar solvent-rich reactions with limiting oxidizer produced similar conductivity (2.9 S/cm) and significantly lower SE with the highest crystallinity (72%). This work is the first to demonstrate that limiting solvent and oxidizer enhances electromagnetic interactions for shielding microwaves in polyaniline nanopowders. This appears connected to having the highest overall extent of oxidation achieved in the wet solid-phase reaction.