No abstract

Traction of cervical spine is an effective method for the treatment of cervical spondylotic radiculopathy (CSR). In this study, a cervical tractor named traction exercise neck brace (TENB) was used to evaluate its effect on the patients with CSR. Forty CSR volunteers were recruited and randomly divided into two groups. One group was subjected to cervical muscle exercise with TENB under static traction condition. Another group was subjected to (JOBT) as controls. Symptoms of CSR were evaluated by the visual analogue scale (VAS) and neck disability index (NDI). Imaging characteristics were assessed by curvature of the cervical spine and size of the intervertebral foramen. A finite element (FE) analysis model of cervical spine was established by 3D reconstruction to simulate the TENB traction, which evaluates the biomechanical performance. Results showed that TENB significantly reduced scores of VAS and NDI in subjects, and this improved effect on symptoms of pain and radiculopathy is better than that of JOBT. TENB also improved the cervical curvature and enlarged intervertebral foramen at the C4–C6 level. Moreover, FE analysis found that simulated TENB traction increased the spacing of intervertebral foramen, intervertebral disc, and zygapophyseal and uncovertebral joints and changed the stress distribution on the facet joints and nucleus pulposus. This study demonstrates that TENB relieves the symptoms of CSR by adjusting structure of cervical vertebra and restoring its biomechanical performance, which may be a promising instrument in the treatment of CSR.

Nanoscale Ru/C multilayers are essential reflective optics in the hard x-ray region of 7–20 keV. To understand the layer growth behavior and develop ultrathin Ru/C multilayer mirrors with periods smaller than 3.0 nm, multilayers with different periods of 6.2–1.5 nm were fabricated and studied. It is found that the average interface width started to increase obviously when the period became smaller than 2.5 nm while the surface roughness of different multilayers remained almost the same. The intrinsic stress of the multilayer gradually decreased with decreasing period and reached a very low value of −82 MPa at d = 2.3 nm. High reflectance of 54% and 65% (at E = 8.04 keV) were demonstrated for the multilayers with periods of 2.5 nm and 3.0 nm, respectively, whereas that for 1.9 nm period was significantly lower. To further analyze the layer microstructure, x-ray diffraction and transmission electron microscopy were used. The polycrystallized structure of Ru remained similar for the multilayers with period less than 2.5 nm, while a non-continuous layer growth and severe intermixing between Ru and C were observed for the multilayer with period of 1.9 nm. The increased intermixing between Ru and C was found to be the main reason for the larger interface width and lower reflectance of the multilayers with period smaller than 2.5 nm. It also indicated that the layer thickness threshold for a Ru/C multilayer growing with good layer quality is 1.0–1.2 nm.

As an antibiotic that prevents and treats infections caused by Gram-positive bacteria such as Staphylococcus aureus, vancomycin incorporated in a biodegradable polymer poly(lactide-co-glycolide) provides opportunities to construct controlled-release drug delivery systems. Developments associated with this promising system have been largely concentrated on areas of drug delivery kinetics and biodegradability. In order to provide surface analytical approaches to this important system, the authors demonstrate applicability of time-of-flight secondary ion mass spectrometry (TOF-SIMS) in three-dimensional molecular imaging for a model system consisting of alternating layers of ploy(lactide-co-glycolide) and vancomycin. TOF-SIMS imaging clarified that the two chemicals can undergo phase separation when dimethyl sulfoxide is used as the solvent. The authors identified two diagnostic ions that are abundant and structural moieties of vancomycin. The results on TOF-SIMS imaging and depth profiling vancomycin provide useful information for further applications of TOF-SIMS in the development of antibiotic drug delivery systems involving the use of vancomycin.