THE EFFECTS OF AN ERGONOMIC DEVICE ON SAGITTAL PLANE LOWER EXTREMITY MOTION DURING A FULL SQUAT IN ACL-REPAIRED AND NON-INJURED FEMALES

Each year, 250,000 Americans experience injuries affecting the anterior cruciate ligament (ACL), with women four to six times more likely to incur an ACL injury than their male counterparts. Knee Savers® (KS) are an ergonomic aid purported to lessen the risk of such injuries linked to deep squats. While widely used, KS have not been tested to determine their effect upon lower extremity kinematics. Female participants (n=20) with a history of ACLrepair (n=10) or non-injury (n=10) completed a deep squat with and without KS, while being filmed with 2D videography using methods increasingly available in clinical environments. Results from the study indicate no significant differences were found in sagittal plane lower extremity kinematics when squatting with and without KS. KS did not appear to influence lower extremity joint positions during the bottom phase of a deep squat as purported

FRONTAL PLANE KNEE MOTION OF ACL-REPAIRED AND NON-INJURED FEMALES WHEN USING KNEE SAVERS

Women are four to six times more likely to sustain ACL injuries compared to male counterparts. Few investigations have explored if ergonomic devices may alleviate the stress placed on the ACL during deep squatting. The purpose of the study was to determine if Knee Savers® (KS) influenced the frontal plane knee motion when previously-injured and healthy participants completed a squat. Female participants (ACLrepaired: n=10; healthy: n=10) completed a deep squat with and without KS using 2-D videography methods. Results indicated a greater medial motion of the patella in the frontal plane in the right leg of non-injured participants when compared to the ACLrepaired group (p = 0.04). When squatting with KS, the non-injured group experienced more frontal plane motion at the knee, compared to the ACL-repaired group

Dual effect of thiol addition on fluorescent polymeric micelles: ON-to-OFF emissive switch and morphology transition

YesThe morphology transition from micelles to vesicles of a solution-state self-assembled block copolymer, containing a fluorescent dye at the core–shell interface, has been induced by an addition–elimination reaction using a thiol, and has been shown to be coupled to a simultaneous ON-to-OFF switch in particle fluorescence.EPSRC and the IAS at the University of Warwic

Tuning the aggregation behavior of pH-responsive micelles by copolymerization

YesAmphiphilic diblock copolymers, poly(2-(diethylamino)ethyl methacrylate-co-2-(dimethylamino)ethyl methacrylate)-b-poly(2-(dimethylamino)ethyl methacrylate), P(DEAEMA-co-DMAEMA)-b-PDMAEMA with various amounts of DEAEMA have been synthesized by RAFT polymerization. Their micellization in water has been investigated by scattering measurements over a wide pH range. It appeared that the polymers self-assembled into pH sensitive star like micelles. For a given composition, when the pH is varied the extent of aggregation can be tuned reversibly by orders of magnitude. By varying the copolymer composition in the hydrophobic block, the onset and extent of aggregation were shifted with respect to pH. This class of diblock copolymer offers the possibility to select the range of stimuli-responsiveness that is useful for a given application, which can rarely be achieved with conventional diblock copolymers consisting of homopolymeric blocks.European Science Foundation (ESF), Engineering and Physical Sciences Research Council (EPSRC), BP (Firm), Birmingham Science City, Advantage West Midlands (AWM), European Regional Development Fund (ERDF

Complementary light scattering and synchrotron small-angle X-ray scattering studies of the micelle-to-unimer transition of polysulfobetaines

YesAB and ABA di- and triblock copolymers where A is the hydrophilic poly(oligoethylene glycol methacrylate) (POEGMA) block and B is a thermo-responsive sulfobetaine block [2-(methacryloyloxy) ethyl] dimethyl-(3-sulfopropyl) ammonium hydroxide (PDMAPS) were synthesised by aqueous RAFT polymerisation with narrow dispersity (ĐM ≤ 1.22), as judged by aqueous SEC analysis. The di- and triblock copolymers self-assembled in salt-free water to form micelles with a PDMAPS core and the self-assembly of these polymers was explored by SLS and TEM analysis. The micelles were shown, by DLS analysis, to undergo a micelle-to-unimer transition at a critical temperature, which was dependent upon the length of the POEGMA block. Increasing the length of the third, POEGMA, block decreased the temperature at which the micelle-to-unimer transition occurred as a result of the increased hydrophilicity of the polymer. The dissociation of the micelles was further studied by SLS and synchrotron SAXS. SAXS analysis revealed that the micelle dissociation began at temperatures below that indicated by DLS analysis and that both micelles and unimers coexist. This highlights the importance of using multiple complementary techniques in the analysis of self-assembled structures. In addition the micelle-to-unimer morphology transition was employed to encapsulate and release a hydrophobic dye, Nile Red, as shown by fluorescence spectroscopy.Engineering and Physical Sciences Research Council (EPSRC), University of Warwic

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

Enhanced properties of well-defined polymer networks prepared by a sequential thiol-Michael - radical thiol-ene strategy (STMRT)

This is an accepted manuscript of an article published by Elsevier in European Polymer Journal, available online at: https://doi.org/10.1016/j.eurpolymj.2021.110440 The accepted version of the publication may differ from the final published version.A sequential thiol-Michael - radical thiol-ene (STMRT) strategy was used to produce poly(ethylene glycol)-based model networks and enable establishment of a structure-property relationship from the network characteristics. Selective double thiol-Michael reactions on a series of poly(ethylene glycol) diacrylates (PEGDA), that differed in average chain length, with two molar equivalents of the trithiol trimethylolpropane tris(3mercaptopropionate) (TMPTMP) yielded well-defined telechelic poly(ethylene glycol)-based tetrathiols. These tetrathiols were in turn used to produce model (co-)networks by photo-induced radical thiol-ene polymerization with either the same poly(ethylene glycol) diacrylates or with tri(ethyleneglycol) divinylether (TEGDVE). The properties of these networks were studied by Fourier transform infrared spectroscopy (FTIR), differential scanning calorimetry (DSC) and dynamic mechanical thermal analysis (DMTA). The STMRT-produced model networks possess storage moduli (Eʹ) up to 4-fold larger and glass transition temperatures (Tg) of up to 10 °C lower than conventionally produced counterparts. The STMRT strategy allows the properties of the model networks to be finely tuned by manipulation of crosslink density and average polymer chain length

pH-responsive chiral nanostructures

There is great current interest in the design of robust synthetic polymers for the preparation of novel functional, well-defined, biocompatible and tailorable materials for a range of possible applications. In this work we have used reversible addition fragmentation chain transfer (RAFT) polymerization to prepare chiral and responsive amphiphilic block copolymers (based on polyphenylalanine acrylamide), which can be assembled at different pHs to form well-defined nanostructures. The morphology and size of the derived block polymers were explored using TEM, DLS and SLS measurements, while stability was examined by fluorescence and NMR spectroscopy. The application of these chiral and responsive nanostructures in the resolution of hydrophilic racemic amino acids has also been explored

Immobilization of MacMillan catalyst via controlled radical polymerization : catalytic activity and reuse

The MacMillan catalyst is an established organocatalyst capable of catalyzing a variety of organic reactions. Through the synthesis of a novel monomer containing the MacMillan catalytic functionality, a variety of copolymers have been synthesized with the comonomer, diethylene glycol methyl ether methacrylate (DEGMA). Reversible addition–fragmentation chain transfer (RAFT) polymerization was used for the synthesis of these functional polymers with good control over molecular weight, catalyst incorporation and polydispersity. These polymers showed lower critical solution temperature (LCST) behaviour where the cloud point was found to be dependent upon the degree of catalyst incorporation and catalyst loading was also found to have an effect on the Tg of the copolymers. The catalytic activity of the functional copolymers is demonstrated by the Diels–Alder reaction between cyclopentadiene and trans-hexen-1-al and shows enantioselectivity close to those previously reported by MacMillan. The polymers can be reused in multiple Diels–Alder reactions via a pseudo continuous process, maintaining high conversion and enantioselectivity throughout the cycles