A study of the diagnostic accuracy and reliability of the Scoliometer and Adam's forward bend test

STUDY DESIGN: Study of the diagnostic accuracy and interexaminer reliability of scoliosis diagnostic tests. OBJECTIVES: To estimate the sensitivity, specificity, and predictive value of the Scoliometer (National Scoliosis Foundation, Watertown, MA) and Adam's forward bend test in diagnosing scoliosis, and to determine the interexaminer reliability of the Scoliometer and Adam's forward bend test. SUMMARY OF BACKGROUND DATA: Exposure to diagnostic radiation in patients with adolescent idiopathic scoliosis may result in a small but significant increase in cancer rates. The full-spine radiographic examination remains the standard procedure for the assessment of scoliosis. There is a need for a valid and reliable noinvasive test to assess scoliosis. METHODS: Two examiners independently assessed 105 patients presenting to a scoliosis clinic for trunk asymmetry with Adam's forward bend test and axial trunk rotation with the Scoliometer. The Cobb method served as the gold standard. RESULTS: The interexaminer agreement for the Scoliometer is excellent in the thoracic spine and substantial in the lumbar spine. The interexaminer measurement error shows poor precision for thoracic and lumbar Scoliometer measurements. The interexaminer agreement for Adam's forward bend test is substantial in the thoracic spine and poor in the lumbar spine. Adam's forward bend test is more sensitive than the Scoliometer in detecting thoracic curves measuring 20 degrees or more by the Cobb method. Receiver operating characteristic curve analysis suggests that the use of the Scoliometer marginally improves the ability of diagnosing a scoliosis in the thoracic spine. CONCLUSIONS: The Scoliometer and Adam's forward bend tests have adequate interexaminer reliability for the assessment of thoracic curves. The Scoliometer has better interexaminer agreement in the lumbar spine. However, the Scoliometer has a high level of interexaminer measurement error that limits its use as an outcome instrument. Because Adam's forward bend test is more sensitive than the Scoliometer, the authors believe that it remains the best noninvasive clinical test to evaluate scoliosis.     

Solvent-free oxidation of benzyl alcohol using titania-supported gold–palladium catalysts: Effect of Au–Pd ratio on catalytic performance

The oxidation of benzyl alcohol with molecular oxygen under solvent-free conditions has been investigated using a range of titania-supported Au–Pd alloy catalysts to examine the effect of the Au–Pd ratio on the conversion and selectivity. The catalysts have been compared at high reaction temperature (160 °C) as well as at 100 °C, to determine the effect on selectivity since at lower reaction temperature the range of by-products that are formed are limited. Under these conditions the 2.5 wt.% Au–2.5 wt.% Pd/TiO₂ was found to be the most active catalyst, whereas the Au/TiO₂ catalyst demonstrated the highest selectivity to benzaldehyde. Toluene, formed via either a hydrogen transfer process or an oxygen transfer process, was observed as a major by-product under these forcing conditions.     

Mechanical properties of discontinuous fiber reinforced thermoplastics. II. Random-in-plane fiber orientation

The mechanical properties are presented for a series of discontinuous fiber-reinforced thermoplastic composites made with random-in-plane fiber orientation. The matrix and fiber materials were chosen to provide a wide range of strength, modulus, ductility and adhesive properties. In many cases strong, rigid, yet tough composites were fabricated. Strength levels of over 20,000 psi and modulus values over 1,000,000 psi were reached in several systems reinforced with short Kevlar-49 and graphite fibers. A strong dependence of composite strength and modulus on fiber strength and modulus was noted indicating good transfer of load from matrix to reinforcement. Fiber efficiency factors for modulus and strength were calculated for the experimental composite systems and averaged 0.19 and 0.11 respectively. Data were analyzed using basic composite theory. Properties of the experimental composites could not be predicted from constituent properties.     

Surface properties and platelet adhesion characteristics of acrylic acid and allylamine plasma-treated polyethylene

Acidic oxygen-containing and basic nitrogen-containing functional groups were incorporated onto thin films formed by plasma polymerization of acrylic acid and allylamine in a lowpressure glow discharge. ESCA, ATR–FTIR spectroscopy, and static contact-angle measurements confirmed the presence of these functional groups. Surface hydrophilicity of the acrylic acid plasma polymer decreased with time due to the diffusion of hydrophilic oxygencontaining functional groups away from the surface of the plasma-treated polyethylene. In contrast, the hydrophilicity of the allylamine plasma polymer increased with time because of the extensive post-plasma-treatment oxidation with atmospheric oxygen. In assessing the blood compatibility of these two types of plasma polymer surfaces by platelet adhesion and spreading, the acidic acrylic acid plasma polymers showed an improvement in thromboresistance, but the basic allylamine plasma polymers were more thrombogenic than was the untreated low-density polyethylene base material. © 1993 John Wiley & Sons, Inc.     

Corrosion behavior of Monofrax K-3 refractory in borosilicate-based model low activity waste glass melts

Owing to its good chemical and thermal durabilities at high temperatures, Monofrax K-3 refractory is widely used in nuclear waste vitrification as a lining material in melting vessels. However, the corrosion of K-3 refractory during the vitrification of nuclear waste is a serious problem because it affects the melter's safety, performance, and lifetime. Therefore, in the present study, we have focused on unearthing the impact of glass network formers, such as SiO₂, B₂O₃, and Al₂O₃, in a model nuclear waste glass composition on the corrosion of Monofrax K-3 refractory. The corrosion tests have been performed per ASTM C621 at 1150°C for 5 days. The dimensional measurements on corroded K-3 refractory suggest that Al₂O₃ and SiO₂ tend to reduce the refractory corrosion (neck loss), with the effect of Al₂O₃ being significant. A corroded region on the K-3 refractory at the melt–refractory interface is observed. The corrosion occurs via a coupling of the melt infiltration induced by a capillary effect and the dissolution of Al, Mg, and Fe components from K-3 into the melt through chemical reactions. A Cr-rich layer is retained on the glass contact surface of the corroded K-3 refractory.     

Thiol-yne 3D Printable Polymeric Resins for the Efficient Removal of a Model Pollutant from Waters

A new 3D printable resin formulation is developed and optimized from commercially available thiol (pentaerythritol tetrakis(3-mercaptopropionate); PETMP) and alkyne (3-butyn-1-ol; BA) monomers. Printed objects are characterized by Fourier-transform infrared (FTIR) spectroscopy and thermogravimetric analysis (TGA). The extraction efficiency of the printed thiol-yne device is then investigated using a model dye – malachite green (MG). The results displayed excellent dye removal efficiency with > 95% MG removed within 5 min. The 3D-printed devices are reusable and show 100% removal over six cycles after washing with deionized water and methanol. The presence of surface hydroxyl groups derived from the BA monomer is shown to enhance dye adsorption in comparison to control materials. The printing procedure and resin formulation are robust and consistent when devices from different resin batches are compared for MG dye removal. The thiol-yne 3D printed devices demonstrated excellent dye removal (> 99%) from water samples collected from a tap and a nearby river source. The successful development of this resin provides a new thiol-yne-based resin system for stereolithography (SLA) 3D printing for the removal of organic dyes from wastewater and presents a potential for broad applications in water treatment.     

Incorporating a Polyethyleneglycol Linker to Enhance the Hydrophilicity of Mitochondria-Targeted Triphenylphosphonium Constructs

The targeting of bioactive molecules and probes to mitochondria can be achieved by coupling to the lipophilic triphenyl phosphonium (TPP) cation, which accumulates several hundred-fold within mitochondria in response to the mitochondrial membrane potential (Δψ_m). Typically, a simple alkane links the TPP to its “cargo”, increasing overall hydrophobicity. As it would be beneficial to enhance the water solubility of mitochondria-targeted compounds we explored the effects of replacing the alkyl linker with a polyethylene glycol (PEG). We found that the use of PEG led to compounds that were readily taken up by isolated mitochondria and by mitochondria inside cells. Within mitochondria the PEG linker greatly decreased adsorption of the TPP constructs to the matrix-facing face of the mitochondrial inner membrane. These findings will allow the distribution of mitochondria-targeted TPP compounds within mitochondria to be fine-tuned.     

Dispersion polymerization of styrene in CO2-expanded ethanol

Dispersion polymerization of styrene has been performed in CO₂-expanded ethanol at ≤9 MPa and 70 °C using PVP as stabilizer. The polymerizations proceeded with good colloidal stability, resulting in spherical particles of diameters of ∼2 μm. Pressurization with CO₂ leads to an increase in particle size (∼1 μm in the corresponding CO₂-free system), and a decrease in both polymerization rate and molecular weight. The main effect of CO₂ is proposed to be its influence on the partitioning of monomer between the continuous and the particle phase–the results indicate that CO₂-pressurization causes a reduction in monomer concentration in the particles. Overall, the results are consistent with literature data on the effects of the polarity of the continuous phase in dispersion polymerization of styrene in alcohols and alcohol/water mixtures.     

Enhancement of pro‐degradant performance in polyethylene/starch blends as a function of distribution

The effect of pro‐degradant distribution in polyethylene (PE)/starch blends on ultraviolet (UV) photo‐oxidative degradation was investigated. Two kinds of pro‐degradants, Fe and Co‐based, were used in this study. The distribution of pro‐degradants in the different phases was varied by a dual step process using a side‐feed on a reactive extruder. The variation in mechanical properties and evaluation of carbonyl groups by FTIR were conducted to investigate the effect of degradation following exposure to UV photo‐oxidative degradation. It was found that the variation in mechanical properties was higher when the pro‐degradants were distributed in the PE phase. The concentration of carbonyl groups increased as a function of UV exposure, and the concentration of carbonyl groups was higher when the pro‐degradants were distributed in the PE phase. Micro‐cracking was observed on the interface between starch and PE after adding the pro‐degradants. When the pro‐degradants were distributed in high‐density polyethylene (HDPE) phase, the micro‐cracks mainly appeared in HDPE matrix, and the density of micro‐crack was higher. In general, the function of the pro‐degradants in PE/starch blends was enhanced when their distribution was varied within HDPE phase. © 2012 Wiley Periodicals, Inc. J. Appl. Polym. Sci., 2013     

Silicon Nitride—Grain Boundary Oxynitride Glass Interfaces: Deductions From Glass Bulk Properties

Oxynitride glasses exist as grain boundary phases in Si₃N₄ ceramics. This paper provides an overview of oxynitride glasses outlining effects of composition on properties. A review of the effects of grain boundary glass chemistry on fracture resistance of silicon nitride is given. A knowledge of overall additive compositions and their quantities in Si₃N₄ combined with measured properties of bulk glasses allows residual stresses in the interfacial glasses to be calculated. Increase in Y:Al ratio leads to higher thermal expansion mismatch and higher residual stresses in intergranular glasses. Values are in good agreement with those obtained using micromechanical finite element analysis.