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Homeostatic mechanisms stabilize neural circuit function by keeping firing rates within a set-point range, but whether this process is gated by brain state is unknown. Here, we monitored firing rate homeostasis in individual visual cortical neurons in freely behaving rats as they cycled between sleep and wake states. When neuronal firing rates were perturbed by visual deprivation, they gradually returned to a precise, cell-autonomous set point during periods of active wake, with lengthening of the wake period enhancing firing rate rebound. Unexpectedly, this resetting of neuronal firing was suppressed during sleep. This raises the possibility that memory consolidation or other sleep-dependent processes are vulnerable to interference from homeostatic plasticity mechanisms. PAPERCLIP.
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Consolidación de la Memoria , Neuronas/fisiología , Sueño , Corteza Visual/citología , Vigilia , Animales , Homeostasis , Vías Nerviosas , Plasticidad Neuronal , Ratas , Ratas Long-Evans , Corteza Visual/fisiologíaRESUMEN
The interleukin (IL)-1 system plays a major role in immune responses and inflammation. The IL-1 system components include IL-1α, IL-1ß, IL-1 receptor type 1 and IL-1 receptor type 2 (decoy receptor), IL-1 receptor accessory protein, and IL-1 receptor antagonist (IL-1Ra). These components have been shown to play a role in pregnancy, specifically in embryo-maternal communication for implantation, placenta development, and protection against infections. As gestation advances, maternal tissues experience increasing fetal demand and physical stress and IL-1ß is induced. Dependent on the levels of IL-1Ra, which regulates IL-1ß activity, a pro-inflammatory response may or may not occur. If there is an inflammatory response, prostaglandins are synthesized that may lead to myometrial contractions and the initiation of labor. Many studies have examined the role of the IL-1 system in pregnancy by independently measuring plasma, cervical, and amniotic fluid IL-1ß or IL-1Ra levels. Other studies have tested for polymorphisms in IL-1ß and IL-1Ra genes in women experiencing pregnancy complications such as early pregnancy loss, in vitro fertilization failure, pre-eclampsia and preterm delivery. Data from those studies suggest a definite role for the IL-1 system in successful pregnancy outcomes. However, as anticipated, the results varied among different experimental models, ethnicities, and disease states. Here, we review the current literature and propose that measurement of IL-1Ra in relation to IL-1 may be useful in predicting the risk of poor pregnancy outcomes.
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Interleucina-1/metabolismo , Complicaciones del Embarazo/inmunología , Biomarcadores , Femenino , Humanos , Interleucina-1/clasificación , Embarazo , Complicaciones del Embarazo/sangre , Complicaciones del Embarazo/diagnóstico , Factores de RiesgoRESUMEN
A ZSM-5 catalyst is examined in relation to the methanol-to-hydrocarbon (MTH) reaction as a function of reaction temperature and time-on-stream. The reaction profile is characterised using in-line mass spectrometry. Furthermore, the material contained within a catch-pot downstream from the reactor is analysed using gas chromatography-mass spectrometry. For a fixed methanol feed, reaction conditions are selected to define various stages of the reaction coordinate: (i) initial methanol adsorption at a sub-optimum reaction temperature (1 h at 200 °C); (ii) initial stages of reaction at an optimised reaction temperature (1 h at 350 °C); (iii) steady-state operation at an optimised reaction temperature (3 days at 350 °C); and (iv) accelerated ageing (3 days at 400 °C). Post-reaction, the catalyst samples are analysed ex situ by a combination of temperature-programmed oxidation (TPO) and spectroscopically by electron paramagnetic resonance (EPR), diffuse-reflectance infrared and inelastic neutron scattering (INS) spectroscopies. The TPO measurements provide an indication of the degree of 'coking' experienced by each sample. The EPR measurements detect aromatic radical cations. The IR and INS measurements reveal the presence of retained hydrocarbonaceous species, the nature of which are discussed in terms of the well-developed 'hydrocarbon pool' mechanism. This combination of experimental evidence, uniquely applied to this reaction system, establishes the importance of retained hydrocarbonaceous species in effecting the product distribution of this economically relevant reaction system.
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Objectives We evaluated the ability of population attributable fraction (PAF) assessments to alter significant modifiable risks for low birthweight (LBW) and the impact of high altitude as a risk for LBW in Colorado. Methods Logistic regression analysis of birth certificate parameters in 1995-1997 identified risk factors for PAF assessment. PAF for birth at high altitude, multiple births, and LBW in singleton births were determined. Subsequent analysis of singleton LBW risks, using number needed to treat (NNT) analysis, estimated how elimination of major modifiable risk factors could reduce LBW in the study population. Public health interventions were initiated and PAF analysis conducted 12 years afterward to determine the effect of interventions. Results PAF in singleton births revealed low maternal weight gain in pregnancy and maternal smoking as the greatest modifiable attributable risk factors for LBW (12.7/12.5 %, respectively, in 1995-1997 and 12.9/7.1 % in 2007-2009). Significant interaction between these variables resulted in PAF of 34.4 % when the two occurred together in 1995-1997, decreasing to 19.4 % in 2007-2009. NNT analysis of singleton births in 1995-1997 revealed that eliminating low maternal weight gain, smoking, late prenatal care in all women and interpregnancy intervals <1 year in multiparous women reduced LBW by 46.5 %. The respective proportional reductions in PAF of 40.3 and 46.3 % for maternal smoking and weight gain/smoking interaction were associated with a 1.4 % LBW reduction in singleton births between the two study periods. Conclusions for Practice PAF and NNT analyses are valuable tools to predict intervention targets to lower LBW.
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Altitud , Recién Nacido de Bajo Peso , Nacimiento Prematuro/epidemiología , Fumar/efectos adversos , Aumento de Peso , Adulto , Peso al Nacer , Colorado/epidemiología , Femenino , Humanos , Recién Nacido , Masculino , Embarazo , Complicaciones del Embarazo/epidemiología , Prevalencia , Factores de Riesgo , Fumar/epidemiología , Factores SocioeconómicosRESUMEN
Aqueous liquid mixtures, in particular, those involving amphiphilic species, play an important role in many physical, chemical and biological processes. Of particular interest are alcohol/water mixtures; however, the structural dynamics of such systems are still not fully understood. Herein, a combination of terahertz time-domain spectroscopy (THz-TDS) and NMR relaxation time analysis has been applied to investigate 2-propanol/water mixtures across the entire composition range; while neutron diffraction studies have been carried out at two specific concentrations. Excellent agreement is seen between the techniques with a maximum in both the relative absorption coefficient and the activation energy to molecular motion occurring at â¼90 mol% H2O. Furthermore, this is the same value at which well-established excess thermodynamic functions exhibit a maximum/minimum. Additionally, both neutron diffraction and THz-TDS have been used to provide estimates of the size of the hydration shell around 2-propanol in solution. Both methods determine that between 4 and 5 H2O molecules per 2-propanol are found in the 2-propanol/water clusters at 90 mol% H2O. Based on the acquired data, a description of the structure of 2-propanol/water across the composition range is presented.
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Direct ethanol fuel cells (DEFCs) need newly designed novel affordable catalysts for commercialization. Additionally, unlike bimetallic systems, trimetallic catalytic systems are not extensively investigated in terms of their catalytic potential toward redox reactions in fuel cells. Furthermore, the Rh potential to break the ethanol rigid C-C bond at low applied potentials, and therefore enhance the DEFC efficiency and CO2 yield, is controversial amongst researchers. In this work, two PdRhNi/C, Pd/C, Rh/C and Ni/C electrocatalysts are synthesized via a one-step impregnation process at ambient pressure and temperature. The catalysts are then applied for ethanol electrooxidation reaction (EOR). Electrochemical evaluation is performed using cyclic voltammetry (CV) and chronoamperometry (CA). Physiochemical characterization is pursued using X-ray diffraction (XRD), transmission electron microscope (TEM), energy-dispersive X-ray spectroscopy (EDX) and X-ray photoelectron spectroscopy (XPS). Unlike Pd/C, the prepared Rh/C and Ni/C do not show any activity for (EOR). The followed protocol produces alloyed dispersed PdRhNi nanoparticles of 3 nm in size. However, the PdRhNi/C samples underperform the monometallic Pd/C, even though the Ni or Rh individual addition to it enhances its activity, as reported in the literature herein. The exact reasons for the low PdRhNi performance are not fully understood. However, a reasonable reference can be given about the lower Pd surface coverage on both PdRhNi samples according to the XPS and EDX results. Furthermore, adding both Rh and Ni to Pd exercises compressive strain on the Pd lattice, noted by the PdRhNi XRD peak shift to higher angles.
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The homeostatic regulation of neuronal activity is essential for robust computation; key set-points, such as firing rate, are actively stabilized to compensate for perturbations. From this perspective, the disruption of brain function central to neurodegenerative disease should reflect impairments of computationally essential set-points. Despite connecting neurodegeneration to functional outcomes, the impact of disease on set-points in neuronal activity is unknown. Here we present a comprehensive, theory-driven investigation of the effects of tau-mediated neurodegeneration on homeostatic set-points in neuronal activity. In a mouse model of tauopathy, we examine 27,000 hours of hippocampal recordings during free behavior throughout disease progression. Contrary to our initial hypothesis that tauopathy would impact set-points in spike rate and variance, we found that cell-level set-points are resilient to even the latest stages of disease. Instead, we find that tauopathy disrupts neuronal activity at the network-level, which we quantify using both pairwise measures of neuron interactions as well as measurement of the network's nearness to criticality, an ideal computational regime that is known to be a homeostatic set-point. We find that shifts in network criticality 1) track with symptoms, 2) predict underlying anatomical and molecular pathology, 3) occur in a sleep/wake dependent manner, and 4) can be used to reliably classify an animal's genotype. Our data suggest that the critical set-point is intact, but that homeostatic machinery is progressively incapable of stabilizing hippocampal networks, particularly during waking. This work illustrates how neurodegenerative processes can impact the computational capacity of neurobiological systems, and suggest an important connection between molecular pathology, circuit function, and animal behavior.
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The dehydrogenation of alkane feedstock to produce alkenes is a significant and energy intensive industrial process, generally occurring on metals and metal oxides. Here, we investigate a catalytic mechanism for the dehydrogenation of butane on single-layer, metal-free graphene using a combination of ab initio quantum chemical calculations and adsorption microcalorimetry. Dispersion-corrected Density Functional Theory (DFT) is employed to calculate transition states and energy minima that describe the reaction pathways connecting butane to the two possible products, but-1-ene and but-2-ene. The deprotonations occur with moderate energy barriers in the 0.54 eV-0.69 eV range. A strong agreement is observed between the results of the adsorption energies calculated by DFT (0.40 eV) and the measured differential heat of adsorption of n-butane on a graphitic overlayer. We conclude that the active-site for this catalytic reaction is a metal-free graphene vacancy, created by removing a carbon atom from a single-layer graphene sheet.
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CO2 utilization by conversion into useful chemicals can contribute to facing the problem of increasing CO2 emissions. Among other alternatives, hydrothermal transformation stands out by the high conversions achieved, just using high-temperature water as the solvent. Previous works have demonstrated that several organic compounds with hydroxyl groups derived from biomass can be used as reductants of NaHCO3 aqueous solutions as inorganic CO2 sources. Formate was obtained as the main product as it was produced by conversion both of the inorganic carbon and of the organic reductants, whose transformation into formate was promoted by the addition of NaHCO3. Based on these results, in this work, the hydrothermal conversion of NaHCO3 is performed together with the liquefaction of lignocellulosic biomass (sugarcane bagasse and pine needles) in a one-pot process. Results show that yields to formate of 10% wt/wt (with respect to the initial concentration of biomass) are achieved by hydrothermal treatment of NaHCO3 and lignocellulosic biomass at 250 °C with a residence time of 180 min. Other products, such as acetic acid and lactic acid, were also obtained. These results demonstrate the feasibility of the hydrothermal reduction of CO2 combined with the hydrothermal liquefaction of residual biomass in a simultaneous process.
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Songbirds and humans share the ability to adaptively modify their vocalizations based on sensory feedback. Prior studies have focused primarily on the role that auditory feedback plays in shaping vocal output throughout life. In contrast, it is unclear how non-auditory information drives vocal plasticity. Here, we first used a reinforcement learning paradigm to establish that somatosensory feedback (cutaneous electrical stimulation) can drive vocal learning in adult songbirds. We then assessed the role of a songbird basal ganglia thalamocortical pathway critical to auditory vocal learning in this novel form of vocal plasticity. We found that both this circuit and its dopaminergic inputs are necessary for non-auditory vocal learning, demonstrating that this pathway is critical for guiding adaptive vocal changes based on both auditory and somatosensory signals. The ability of this circuit to use both auditory and somatosensory information to guide vocal learning may reflect a general principle for the neural systems that support vocal plasticity across species.
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Pinzones , Pájaros Cantores , Animales , Ganglios Basales/fisiología , Retroalimentación Sensorial/fisiología , Pinzones/fisiología , Humanos , Aprendizaje/fisiología , Pájaros Cantores/fisiología , Vocalización Animal/fisiologíaRESUMEN
The direct use of ethanol in fuel cells presents unprecedented economic, technical, and environmental opportunities in energy conversion. However, complex challenges need to be resolved. For instance, ethanol oxidation reaction (EOR) requires breaking the rigid C-C bond and results in the generation of poisoning carbonaceous species. Therefore, new designs of the catalyst electrode are necessary. In this work, two trimetallic PdxAgyNiz/C samples are prepared using a facile borohydride reduction route. The catalysts are characterized by X-ray diffraction (XRD), Energy-Dispersive X-ray spectroscopy (EDX), X-ray photoelectron Spectroscopy (XPS), and Transmission Electron Microscopy (TEM) and evaluated for EOR through cyclic voltammetry (CV), chronoamperometry (CA), and electrochemical impedance spectroscopy (EIS). The XRD patterns have shown a weak alloying potential between Pd, and Ag prepared through co-reduction technique. The catalysts prepared have generally shown enhanced performance compared to previously reported ones, suggesting that the applied synthesis may be suitable for catalyst mass production. Moreover, the addition of Ag and Ni has improved the Pd physiochemical properties and electrocatalytic performance towards EOR in addition to reducing cell fabrication costs. In addition to containing less Pd, The PdAgNi/C is the higher performing of the two trimetallic samples presenting a 2.7 A/mgPd oxidation current peak. The Pd4Ag2Ni1/C is higher performing in terms of its steady-state current density and electrochemical active surface area.
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The synthesis of magnetic iron-carbon composites (Fe/C) from waste avocado seeds via hydrothermal carbonization (HTC) has been demonstrated for the first time. These materials are shown to be effective in adsorption and catalytic applications, with performances comparable to or higher than materials produced through conventional processing routes. Avocado seeds have been processed in high-temperature water (230 °C) at elevated pressure (30 bar at room temperature) in the presence of iron nitrate and iron sulfate, in a process mimicking natural coalification. Characterization of the synthesized material has been carried out by X-ray diffraction (XRD), atomic absorption spectroscopy (AAS), X-ray fluorescence (XRF), X-ray photoelectron spectroscopy (XPS), inductively coupled plasma-optical emission spectrometry (ICP-OES), Fourier-transform infrared spectroscopy (FT-IR), magnetometry, and through surface area measurements. The supported iron particles are observed to be predominately magnetite, with an oxidized hematite surface region. The presence of iron catalyzes the formation of an extended, ordered polymeric structure in the avocado seed-derived carbon. The magnetic Fe/C has been demonstrated as an adsorbent for environmental wastewater treatment using methylene blue and indigo carmine. Kinetic analysis suggests that the adsorbates are chemisorbed, with the positive surface charge of Fe/C being preferential for indigo carmine adsorption (49 mg g-1). Additionally, Fe/C has been evaluated as a heterogeneous catalyst for the hydroalkoxylation of phenylacetylene with ethylene glycol to 2-benzyl-1,3-dioxolane. Product yields of 45% are obtained, with 100% regioselectivity to the formed isomer. The solid catalyst has the advantages of being prepared from a waste material and of easy removal after reaction via magnetic separation. These developments provide opportunities to produce carbon-based materials for a variety of high-value applications, potentially also including energy storage and biopharmaceuticals, from a wide range of lignocellulosic biomass feedstocks.
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Direct ethanol fuel cells (DEFCs) have shown a high potential to supply energy and contribute to saving the climate due to their bioethanol sustainability and carbon neutrality. Nonetheless, there is a consistent need to develop new catalyst electrodes that are active for the ethanol oxidation reaction (EOR). In this work, two C-supported PdIrNi catalysts, that have been reported only once, are prepared via a facile NaBH4 co-reduction route. Their physiochemical characterization (X-ray diffraction (XRD), transmission electron microscopy (TEM), energy-dispersive X-ray spectroscopy (EDX), and X-ray photoelectron spectroscopy (XPS)) results show alloyed PdIrNi nanoparticles that are well dispersed (<3 nm) and exist in metallic state that is air-stable apart from Ni and, slightly, Pd. Their electrocatalytic activity towards EOR was evaluated by means of cyclic voltammetry (CV) and chronoamperometry (CA). Even though the physiochemical characterization of PdIrNi/C and Pd4Ir2Ni1/C is promising, their EOR performance has proven them less active than their Pd/C counterpart. Although the oxidation current peak of Pd/C is 1.8 A/mgPd, it is only 0.48 A/mgPd for Pd4Ir2Ni1/C and 0.52 A/mgPd for PdIrNi/C. These results were obtained three times and are reproducible, but since they do not add up with the sound PdIrNi microstructure, more advanced and in situ EOR studies are necessary to better understand the poor EOR performance.
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The synthesis of palladium-based trimetallic catalysts via a facile and scalable synthesis procedure was shown to yield highly promising materials for borohydride-based fuel cells, which are attractive for use in compact environments. This, thereby, provides a route to more environmentally friendly energy storage and generation systems. Carbon-supported trimetallic catalysts were herein prepared by three different routes: using a NaBH4-ethylene glycol complex (PdAuNi/CSBEG), a NaBH4-2-propanol complex (PdAuNi/CSBIPA), and a three-step route (PdAuNi/C3-step). Notably, PdAuNi/CSBIPA yielded highly dispersed trimetallic alloy particles, as determined by XRD, EDX, ICP-OES, XPS, and TEM. The activity of the catalysts for borohydride oxidation reaction was assessed by cyclic voltammetry and RDE-based procedures, with results referenced to a Pd/C catalyst. A number of exchanged electrons close to eight was obtained for PdAuNi/C3-step and PdAuNi/CSBIPA (7.4 and 7.1, respectively), while the others, PdAuNi/CSBEG and Pd/CSBIPA, presented lower values, 2.8 and 1.2, respectively. A direct borohydride-peroxide fuel cell employing PdAuNi/CSBIPA catalyst in the anode attained a power density of 47.5 mW cm-2 at room temperature, while the elevation of temperature to 75 °C led to an approximately four-fold increase in power density to 175 mW cm-2. Trimetallic catalysts prepared via this synthesis route have significant potential for future development.
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The surface chemical properties and the electronic properties of vapor grown carbon nanofibers (VGCNFs) have been modified by treatment of the oxidized CNFs with NH(3). The effect of treatment temperature on the types of nitrogen functionalities introduced was evaluated by synchrotron based X-ray photoelectron spectroscopy (XPS), while the impact of the preparation methods on the surface acid-base properties was investigated by potentiometric titration, microcalorimetry, and zeta potential measurements. The impact of the N-functionalization on the electronic properties was measured by THz-Time Domain spectroscopy. The samples functionalized via amination are characterized by the coexistence of acidic and basic O and N sites. The population of O and N species is temperature dependent. In particular, at 873 K nitrogen is stabilized in substitutional positions within the graphitic structure, as heterocyclic-like moieties. The surface presents heterogeneously distributed and energetically different basic sites. A small amount of strong basic sites gives rise to a differential heat of CO(2) adsorption of 150 kJ mol(-1). However, when functionalization is carried out at 473 K, nitrogen moieties with basic character are introduced and the maximum heat of adsorption is significantly lower, at approximately 90 kJ mol(-1). In the latter sample, energetically different basic sites coexist with acidic oxygen groups introduced during the oxidative step. Under these conditions, a bifunctional acidic and basic surface is obtained with high hydrophilic character. N-functionalization carried out at higher temperature changes the electronic properties of the CNFs as evaluated by THz-TDS. The functionalization procedure presented in this work allows high versatility and flexibility in tailoring the surface chemistry of nanocarbon material to specific needs. This work shows the potential of the N-containing nanocarbon materials obtained via amination in catalysis as well as electronic device materials.
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The synthesis of oxygenate products, including cyclic ketones and phenol, from carbon dioxide and water in the absence of gas-phase hydrogen has been demonstrated. The reaction takes place in subcritical conditions at 300 °C and pressure at room temperature of 25â barg. This is the first observation of the production of cyclic ketones by this route and represents a step towards the synthesis of valuable intermediates and products, including methanol, without relying on fossil sources or hydrogen, which carries a high carbon footprint in its production by conventional methods. Inspiration for these studies was taken directly from natural processes occurring in hydrothermal environments around ocean vents. Bulk iron and iron oxides were investigated to provide a benchmark for further studies, whereas reactions over alumina and zeolite-based catalysts were employed to demonstrate, for the first time, the ability to use catalyst properties such as acidity and pore size to direct the reaction towards specific products. Bulk iron and iron oxides produced methanol as the major product in concentrations of approximately 2-3â mmol L-1 . By limiting the hydrogen availability through increasing the initial CO2 /H2 O ratio the reaction could be directed to yield phenol. Alumina and zeolites were both observed to enhance the production of longer-chained species (up to C8 ), likely owing to the role of acid sites in catalysing rapid oligomerisation reactions. Notably, zeolite-based catalysts promoted the formation of cyclic ketones. These proof-of-concept studies show the potential of this process to contribute to sustainable development through either targeting methanol production as part of a "methanol economy" or longer-chained species including phenol and cyclic ketones.
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OBJECTIVE: To evaluate a sample of locally available corn-based foods for fumonisin contamination. STUDY DESIGN: We analyzed 38 corn tortilla and masa flour samples from Los Angeles, San Diego and Tijuana, Mexico,for fumonisin contamination. Retail sources were diverse and not limited to Hispanic neighborhoods. RESULTS: Fumonisins were found in all samples. The median fumonisin B1 mycotoxin level was 84 ng/g, with a range of 1-729 (n = 38). The median total fumonisin level was 231 ng/g, with a range of 2.8-1,863. Levels of fumonisins differed by geographic site. CONCLUSION: Fumonisin contamination of corn-based foods in southern California is common. At levels of contamination > 1,000 ng/g, a 60-kg potentially pregnant woman could exceed the World Health Organization recommendations by eating 120 g (dry weight) of corn products daily. Fumonisin contamination may constitute a preventable risk for NTDs among susceptible reproductive-age women and their progeny.
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Contaminación de Alimentos/análisis , Fumonisinas/análisis , Teratógenos/análisis , Zea mays/química , Monitoreo del Ambiente , Femenino , Humanos , Los Angeles , México , Embarazo , Zea mays/efectos adversosRESUMEN
In this paper we demonstrate the application of pressure perturbation calorimetry (PPC) to the characterization of 2-propanol/water mixtures. PPC of different 2-propanol/water mixtures provides two useful measurements: (i) the change in heat (ΔQ); and (ii) the [Formula: see text] value. The results demonstrate that the ΔQ values of the mixtures deviate from that expected for a random mixture, with a maximum at ~20-25 mol% 2-propanol. This coincides with the concentration at which molecular dynamics (MD) simulations show a maximum deviation from random distribution, and also the point at which alcohol-alcohol hydrogen bonds become dominant over alcohol-water hydrogen bonds. Furthermore, the [Formula: see text] value showed transitions at 2.5 mol% 2-propanol and at approximately 14 mol% 2-propanol. Below 2.5 mol% 2-propanol the values of [Formula: see text] are negative; this is indicative of the presence of isolated 2-propanol molecules surrounded by water molecules. Above 2.5 mol% 2-propanol [Formula: see text] rises, reaching a maximum at ~14 mol% corresponding to a point where mixed alcohol-water networks are thought to dominate. The values and trends identified by PPC show excellent agreement not only with those obtained from MD simulations but also with results in the literature derived using viscometry, THz spectroscopy, NMR and neutron diffraction.
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PURPOSE: A growing body of evidence indicates that perinatal factors modulate immune development and thereby may affect childhood asthma risk. In this study, we examined the associations between birth by cesarean section (C-section) and atopic disease occurrence in childhood. METHODS: Subjects were born in California between 1975 and 1987 and were 8 to 17 years old during their enrollment in the Children's Health Study. Our analysis was restricted to 3464 children born at or after 37 weeks of gestation with a birth weight of 2500 g or greater based on birth certificate data. Information about sociodemographic factors, reported physician-diagnosed asthma, and other atopic diseases was obtained by using a self-administered structured questionnaire. Logistic regression models were fitted to compute odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS: Children born by C-section were at increased risk for asthma (OR, 1.33; 95% CI, 1.01-1.75), hay fever (OR, 1.57; 95% CI, 1.24-1.99), and allergy (OR, 1.26; 95% CI, 1.03-1.53) compared with those born vaginally. Risk associated with C-section was the same for children regardless of family history of asthma or allergy. CONCLUSION: We conclude that birth by C-section or processes associated with it may increase the risk for atopic disease in childhood.