Muscle activity during patient transfers: a preliminary study on the influence of lift assists and experience

The purpose of this study was to examine muscle activity patterns during patient handling during manual transfers, and transfers using floor and ceiling lifts. EMG patterns during transfers from bed to wheelchair and wheelchair to bed as well as patient repositioning in novices and experienced participants were examined. Surface EMG was recorded from the upper and lower erector spinae, latissimus dorsi and trapezius muscles bilaterally. Overall, normalized mean and peak muscle activity were lowest using the ceiling lift, increasing with the floor lift, which were lower than manual transfers (novices: all p < 0.01). Experienced patient handlers demonstrated approximately two times greater trapezius and latissimus dorsi activity than novices, combined with lower mean erector spinae activity (p < 0.05, for most tasks). Integrated EMG for all muscles was directly proportional to the transfer time and was lowest during the manual transfer followed by the ceiling lift, with the floor lift being highest. The difference between the muscle activity patterns between the experienced and novice patient handlers may suggest a learned behaviour to protect the spine by distributing load to the shoulder. Further examination of the muscle activation patterns differences between experience levels could improve training techniques to develop better patient handling strategies.     

The Synthesis,Crystal and Molecular Structure,and Oxidation State of Iron Complex from Pyridoxal Isonicotinoyl Hydrazone and Ferrous Sulphate

The reaction of isonicotinoyl hydrazone of pyridoxal (PIH), a biologically active iron-carrier, with FeSO₄-7H₂0 at pH ∼ 6 generates the delta, lamda species of the N,N-trans-O,O-cis-cis coordination isomer of an iron(III) complex with iron-to-ligand ratio of 1:2. The dark red-brown crystals are monoclinic, space group C2/c, with unit-cell dimensions a = 14.487(2), b = 18.586(2), c = 27.508(4) Å, β = 102.76(3)°, and Z = 8. The coordination around the metal is distorted octahedral and involves the protonated organic ligands, which are chelated through the phenolic oxygen [Fe-O1 1.941(6), Fe-O1′ 1.938(6)], an enolic form of the carbonyl oxygen [Fe-O3 2.017(6), Fe-O3′ 2.018(6)] and the azomethinic nitrogen [Fe-N2 2.133(8), Fe-N2′ 2.133(8)]. Packing is determined by systems of N-H….O and O-H….O hydrogen bonds involving the protonated pyridoxal nitrogens, the pyridoxal hydroxymethyl group, and the [SO₄]²⁻ group. The Mössbauer spectra at different temperatures (300 K, 88 K and 4.1 K) clearly prove that the iron atom in the complex is in a high-spin trivalent state.     

Limb gangrene and two types of vasculitis

Single strand conformation polymorphism (SSCP) analysis using ethidium bromide can be improved by adding formamide as the denaturant. This gives higher resolution than previous SSCP methods; it had 100% sensitivity in the discrimination of 14 PCR samples from two different genes, even for a long fragment close to the upper limit of 250 base pairs. This modified procedure is a rapid, simple, safe, and yet highly sensitive method for detecting structural differences in DNA fragments.     

The development and validation of equations to predict grip force in the workplace: contributions of muscle activity and posture

The inherent difficulty of measuring forces on the hand in ergonomic workplace assessments has led to the need for equations to predict grip force. A family of equations was developed, and validated, for the prediction of grip force using forearm electromyography (six finger and wrist muscles) as well as posture of the wrist (flexed, neutral and extended) and forearm (pronated, neutral, supinated). Inclusion of muscle activity was necessary to explain over 85% of the grip force variance and was further improved with wrist posture but not forearm posture. Posture itself had little predictive power without muscle activity (<1%). Nominal wrist posture improved predictive power more than the measured wrist angle. Inclusion of baseline muscle activity, the activity required to simply hold the grip dynamometer, greatly improved grip force predictions, especially at low force levels. While the complete model using six muscles and posture was the most accurate, the detailed validation and error analysis revealed that equations based on fewer components often resulted in a negligible reduction in predictive strength. Error was typically less than 10% under 50% of maximal grip force and around 15% over 50% of maximal grip force. This study presents detailed error analyses to both improve upon previous studies and to allow an educated decision to be made on which muscles to monitor depending on expected force levels, costs and error deemed acceptable by the potential user.     

Polydopamine Encapsulation of Fluorescent Nanodiamonds for Biomedical Applications

Fluorescent nanodiamonds (FNDs) are promising bioimaging probes compared with other fluorescent nanomaterials such as quantum dots, dye‐doped nanoparticles, and metallic nanoclusters, due to their remarkable optical properties and excellent biocompatibility. Nevertheless, they are prone to aggregation in physiological salt solutions, and modifying their surface to conjugate biologically active agents remains challenging. Here, inspired by the adhesive protein of marine mussels, encapsulation of FNDs within a polydopamine (PDA) shell is demonstrated. These PDA surfaces are readily modified via Michael addition or Schiff base reactions with molecules presenting thiol or nitrogen derivatives. Modification of PDA shells by thiol terminated poly(ethylene glycol) (PEG‐SH) molecules to enhance colloidal stability and biocompatibility of FNDs is described. Their use as fluorescent probes for cell imaging is demonstrated; it is found that PEGylated FNDs are taken up by HeLa cells and mouse bone marrow‐derived dendritic cells and exhibit reduced nonspecific membrane adhesion. Furthermore, functionalization with biotin‐PEG‐SH is demonstrated and long‐term high‐resolution single‐molecule fluorescence based tracking measurements of FNDs tethered via streptavidin to individual biotinylated DNA molecules are performed. This robust polydopamine encapsulation and functionalization strategy presents a facile route to develop FNDs as multifunctional labels, drug delivery vehicles, and targeting agents for biomedical applications.