L’instrument le plus fréquemment utilisé pour la mesure de l’amplitude de mouvement du coude est le goniomètre universel. Or celui-ci ne fait pas l’unanimité : plusieurs auteurs remettent en question sa fiabilité et validité. Cette étude détaille donc, en trois étapes, une alternative beaucoup plus précise et exacte : une méthode radiographique de mesure. Une étude de modélisation a d’abord permis de repérer les sources d’erreur potentielles de cette méthode radiographique, à ce jour jamais utilisée pour le coude. La méthode a ensuite servi à évaluer la validité du goniomètre. À cette fin, 51 volontaires ont participé à une étude clinique où les deux méthodes ont été confrontées. Finalement, la mesure radiographique a permis de lever le voile sur l’influence que peuvent avoir différents facteurs démographiques sur l’amplitude de mouvement du coude. La méthode radiographique s’est montrée robuste et certaines sources d’erreurs facilement évitables ont été identifiées. En ce qui concerne l’étude clinique, l’erreur de mesure attribuable au goniomètre était de ±10,3° lors de la mesure du coude en extension et de ±7,0° en flexion. L’étude a également révélé une association entre l’amplitude de mouvement et différents facteurs, dont les plus importants sont l’âge, le sexe, l’IMC et la circonférence du bras et de l’avant-bras. En conclusion, l’erreur du goniomètre peut être tolérée en clinique, mais son utilisation est cependant déconseillée en recherche, où une erreur de mesure de l’ordre de 10° est inacceptable. La méthode radiographique, étant plus précise et exacte, représente alors une bien meilleure alternative. / The most commonly used instrument for elbow range of motion measurement is the universal goniometer. However great controversy remains regarding its reliability and validity. Hence this study presents an accurate and precise alternative: a radiographic method of measurement. The limits of the radiographic method and potential sources of error were first evaluated through a biomechanical study. Fifty-one volunteers then participated in a clinical study in which this radiographic method was compared to the goniometer for elbow range of motion measurement. Finally, the great precision of radiographic measurements allowed us to study the potential influence of various demographic and anthropometric factors on elbow range of motion in the last part of this work. Regarding the clinical study, the goniometric and radiographic methods differ but they correlate. The goniometer’s measurement error was ±10.3° during extension measurement and ±7.0 ° for flexion. Secondly, the radiographic method provides consistent results despite malpositioning of the upper limb during radiographic image acquisition and easily preventable sources of error were identified. The study finally found an association between the range of motion and various factors, including age, sex, BMI, and the arm and forearm circumferences. In conclusion, error associated with the use of the goniometer could be tolerated in a clinical setting, the instrument being both inexpensive and simple to use. However, its use is discouraged in the research context, where a measurement error of 10° is unacceptable. The radiographic method, being more precise and accurate, represents a much better alternative.

No description available.

Title: Comparison of the effectiveness of manual therapy and therapy using exercises in muscle postural strings for painful neck syndromes. Objective: The main aim of this work is to compare the effect of active and passive approaches, combinations thereof, used in normal physiotherapy practice for painful neck syndromes. Active physiotherapy techniques represent the concept of Dr. Raševa, exercises in open and closed kinematic strings and elements of developmental kinesiology. Passive physiotherapy techniques are soft tissue techniques, mobilization and manipulation. The combination of these techniques is the application of active and passive techniques, i.e. the concept of Dr. Rašev, exercises in open and closed kinematic strings, elements of developmental kinesiology and soft tissue techniques, mobilization and manipulation. Methods: The study involved a total of 30 probands with chronic neck pain, randomly divided into three groups of 10. The first group (LTV - health exercise) included active treatment approaches, i.e. the concept of Dr. Raševa, exercises in open and closed kinematic strings and elements of developmental kinesiology. In the second group (TMT - soft tissue techniques) the contents were passive therapeutic approaches, i.e. soft tissue techniques, mobilization and manipulation....

Polymeric materials have provided pathways to products that could not be manufactured otherwise. A new technology which merges the benefits of ceramics into these polymer products has created materials ideally suited to many different industries, like food packaging. Nano Scale Surface Systems, Inc. (NS3), a company which coats polymers with ceramic oxides like SiO2 through a process known as plasma enhanced chemical vapor deposition (PECVD), was interested in the feasibility of an in line measurement system for monitoring the deposited films on various polymer products. This project examined two different coated polymer products, polyethylene terephthalate (PET) beverage containers and biaxially oriented PET food packaging, commonly known as plastic wrap in an effort to determine the feasibility of an ellipsometry based measurement system for NS3’s purpose. Due to its extensive use in the semiconductor industry for monitoring films deposited on silicon, a measurement systems known as ellipsometry, adept at monitoring the thickness and refractive index of thin films deposited on various substrates, appeared to be an ideal system for the measurement of ceramic oxides deposited on various polymer substrates. This project set out to determine the feasibility of using an ellipsometry based measurement system to monitor ceramic films, specifically silicon oxides (SiOX), deposited on polymer products. A preliminary experiment determined linearly polarized light could induce a discernible change in polarized light traversing a coated beverage container relative to an uncoated container. However, the experiment lacked repeatability due to the measurement apparatus’ cheap setup, prompting the construction of a null (conventional) ellipsometer for further research. The curved surface of the beverage containers under study unnecessarily complicated the feasibility study so further research examined PECVD SiOX on biaxially oriented PET instead. Characterization of the PECVD SiOX-PET material was divided into three experiments, with the first two analyzing the SiOX film and PET substrate separately while the third analyzed them together. To assist with the characterization experiments, NS3 provided samples, both SiOX coated and uncoated, of various deposition thicknesses on silicon and biaxially oriented PET substrates. Null ellipsometry was used in conjunction with spectroscopic reflectometry to characterize the refractive index and thickness of the deposited films. The combined measurement systems found the refractive index of the deposited SiOX films to be between 1.461 and 1.465. The measured thicknesses resulting from the two measurement systems coincided well and were usually 10-20 nm thicker than the predicted thicknesses by the deposition processing parameters. Abeles’ method and monochromatic goniometry were attempted; however, the results had to be discarded due to irrecoverable errors discovered in the reflectance measurement. X-ray photoelectron spectroscopy (XPS) data provided by NS3 showed the deposited SiOX films to be homogeneous with stoichiometries between 2.15 and 2.23. Characterization of the uncoated biaxially oriented PET required numerous measurement systems. From spectroscopic transmission, trirefringent anisotropy was discovered, intertwined with thickness variations in the PET foil. Goniometry measurements displayed distinct interference curves resulting from rear interface reflections interfering with front interface reflections from the PET sample. Subsequent goniometric models produced multiple solutions due to an unknown optical phenomenon, probably scattering, which degraded the reflection measurements. However, a combined measurement technique utilizing goniometry and differential scanning calorimetry (DSC) determined the refractive indices of the polymer to be NX = 1.677, NY = 1.632 and NZ = 1.495 with a thickness of 11.343 μm and a volume fraction crystallinity of 35-41%. Utilizing the measured refractive indices, ellipsometric models produced only an adequate fit of the measured data due to the presence of depolarization caused by non-uniform PET thickness and scattering resulting from embedded microscopic crystallites. The majority of the error in the ellipsometric data was observed in the Δ measurement. XPS measurements of SiOX deposited on polypropylene (PP) provided by NS3 showed a heterogeneous interphase layer between the deposited oxide and the polymer substrate where the composition of the layer was continually changing. A similar region, which violates the homogenous assumption the ellipsometric model relied on, was anticipated for the SiOX-PET samples under investigation. The use of an effective medium approximation (EMA) to represent the interphase region was attempted, but failed to provide a decent model fit of the measured data. Depolarization and high optical anisotropy caused by the polymer substrate in combination with a heterogeneous interphase region and the effects of the deposited SiOX layer all interacted to prevent ellipsometric modelling of the null ellipsometry measurements conducted. Goniometry measurements were conducted on the thickest deposited SiOX film (approximately 100 nm) which allowed for the refractive index of the film to be approximated through Abeles’ method (n = 1.46); however the validity of this approximation was questionable given the presence of interference fringes resulting from interference between reflections at both the front and rear interfaces of the material. From the experiments conducted, it was concluded that null ellipsometry with conventional ellipsometric models could not adequately measure a SiOX film’s refractive index or thickness when deposited on biaxially oriented PET. The reasons for the failure were interactions between multiple sources of error which led to both measurement errors and inaccurate model assumptions. Use of generalized ellipsometry, possibly with spectroscopic ellipsometry, may overcome the failures of conventional ellipsometry when studying this complex optical material.

<p> </p><p>Control of protein immobilization at sensor surfaces is of great interest within various scientific fields, since it enables studies of specific biomolecular interactions. To achieve this, one must be able to immobilize proteins with retained native structure, while minimizing non-specific protein binding. The high affinity interaction between streptavidin (SA) and biotin is extensively used as a linker between a surface, where SA is immobilized, and the (biotinylated) molecule of interest. Self- assembled monolayers (SAMs) of poly- and oligo ethylene glycol (PEG and OEG) derivatives have been proven in literature to minimize non-specific protein binding, and biotin-exposing SAMs have been shown efficient for immobilization of SA.</p><p>The aim of this master's thesis project was to develop biotinylated gold surfaces for quartz crystal microbalance with dissipation monitoring (QCM-D) applications through the self-assembly of mixed monolayers of thiolated OEG (or PEG) derivatives with or without a terminal biotin head group. For this, different thiol compounds were to be compared and evaluated. For the systems under study, the required biotin density for maximum specific SA immobilization was to be established, while keeping the non-specific serum adsorption at a minimum. Model experiments with biotinylated proteins immobilized to the SA-functionalized surfaces were to be performed to evaluate the possibilities for commercialization.</p><p>A protocol for the preparation of a novel biotinylated surface was developed based on the immersion of gold substrates in an ethanolic incubation solution of dithiols with OEG chains (SS-OEG and SS-OEG-biotin, 99:1) and found to give reproducible results with respect to low non-specific protein binding and immobilization of a monolayer of SA. The modified surfaces allowed for subsequent immobilization of biotinylated bovine serum albumin (bBSA) and biotinylated plasminogen (bPLG). PLG was the subject of a challenging case study, using a combination of QCM-D and surface plasmon resonance (SPR), where the immobilized protein was subjected to low molecular weight ligands that were believed to induce conformational changes. The high control of the surface chemistry allowed for the interpretation of the increased dissipation shift upon ligand binding in terms of conformational changes.</p><p>An obstacle before commercialization of the described biotinylated surfaces is that they do not seem stable for storage > 7 days. The reasons for this have to be investigated further.</p>

Control of protein immobilization at sensor surfaces is of great interest within various scientific fields, since it enables studies of specific biomolecular interactions. To achieve this, one must be able to immobilize proteins with retained native structure, while minimizing non-specific protein binding. The high affinity interaction between streptavidin (SA) and biotin is extensively used as a linker between a surface, where SA is immobilized, and the (biotinylated) molecule of interest. Self- assembled monolayers (SAMs) of poly- and oligo ethylene glycol (PEG and OEG) derivatives have been proven in literature to minimize non-specific protein binding, and biotin-exposing SAMs have been shown efficient for immobilization of SA. The aim of this master's thesis project was to develop biotinylated gold surfaces for quartz crystal microbalance with dissipation monitoring (QCM-D) applications through the self-assembly of mixed monolayers of thiolated OEG (or PEG) derivatives with or without a terminal biotin head group. For this, different thiol compounds were to be compared and evaluated. For the systems under study, the required biotin density for maximum specific SA immobilization was to be established, while keeping the non-specific serum adsorption at a minimum. Model experiments with biotinylated proteins immobilized to the SA-functionalized surfaces were to be performed to evaluate the possibilities for commercialization. A protocol for the preparation of a novel biotinylated surface was developed based on the immersion of gold substrates in an ethanolic incubation solution of dithiols with OEG chains (SS-OEG and SS-OEG-biotin, 99:1) and found to give reproducible results with respect to low non-specific protein binding and immobilization of a monolayer of SA. The modified surfaces allowed for subsequent immobilization of biotinylated bovine serum albumin (bBSA) and biotinylated plasminogen (bPLG). PLG was the subject of a challenging case study, using a combination of QCM-D and surface plasmon resonance (SPR), where the immobilized protein was subjected to low molecular weight ligands that were believed to induce conformational changes. The high control of the surface chemistry allowed for the interpretation of the increased dissipation shift upon ligand binding in terms of conformational changes. An obstacle before commercialization of the described biotinylated surfaces is that they do not seem stable for storage &gt; 7 days. The reasons for this have to be investigated further.

No description available.

No description available.

The presented doctoral research was aimed at preparation and characterization of ultra thin polymer films on solid substrates using different physical techniques. Each of these physical techniques probes selectively different characteristics of the films. While some of the techniques are strong in the predetermination of some unique properties of the layers, they might be limited and give no specific/conclusive information about some other important characteristics. Therefore, only the combination of the techniques provides a profound picture of the thickness, architecture, composition and functionality of the films/layers. This combined characterization approach elucidates in details the physical characteristics and the mechanisms responsible for the unique behavior of different polymer films/layers in the application that they are intended for. In the thesis, of particular interest were films of high biomedical, biotechnological and tissue engineering importance, such as: 1. poly(lactide) films formed by grafting "from-" a silanized alacrite thin films (L605 Co-based super alloy), 2. polydopamine (PDA) films that could serve as substrate independent mod- ification platform for further surface modification steps, 3. poly(ethylene oxide)films formed by "grafting to-" PDA modified surfaces, 4....