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1.
Small ; : e2403879, 2024 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-38881274

RESUMO

Ocean energy harvesting based on a triboelectric nanogenerator (TENG) has great application potential, while the encapsulation of triboelectric devices in water poses a critical issue. Herein, a triboelectric-electromagnetic hybrid nanogenerator (TE-HNG) consisting of TENGs and electromagnetic generators (EMGs) is proposed to harvest water flow energy. A magnetic coupling transmission component is applied to replace traditional bearing structures, which can realize the fully enclosed packaging of the TENG devices and achieve long-lasting energy harvesting from water flow. Under the intense water impact, magnetic coupling reduces the possibility of internal gear damage due to excessive torque, indicating superior stability and robustness compared to conventional TENG. At the waterwheel rotates speed of 75 rpm, the TE-HNG can generate an output peak power of 114.83 mW, corresponding to a peak power density of 37.105 W m-3. After 5 h of continuous operation, the electrical output attenuation of TENG is less than 3%, demonstrating excellent device durability. Moreover, a self-powered temperature sensing system and a self-powered cathodic protection system based on the TE-HNG are developed and illustrated. This work provides a prospective strategy for improving the output stability of TENGs, which benefits the practical applications of the TENGs in large-scale blue energy harvesting.

2.
ACS Nano ; 18(17): 11474-11486, 2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38632861

RESUMO

Cobalt-nitrogen-carbon (Co-N-C) catalysts with a CoN4 structure exhibit great potential for oxygen reduction reaction (ORR), but the imperfect adsorption energy toward oxygen species greatly limits their reduction efficiency and practical application potential. Here, F-coordinated Co-N-C catalysts with square-pyramidal CoN4-F1 configuration are successfully synthesized using F atoms to regulate the axial coordination of Co centers via hydrothermal and chemical vapor deposition methods. During the synthesis process, the geometry structure of the Co atom converts from six-coordinated Co-F6 to square-pyramidal CoN4-F1 in the coordinatively unsaturated state, which provides an open binding site for the O2. The introduction of axial F atoms into the CoN4 plane alters the local atomic environment around Co, significantly improving the ORR activity and Zn-air batteries performance. In situ spectroscopy proves that CoN4-F1 sites strongly combine with the OOH* intermediate and facilitate the splitting of O-O bond, making OOH* readily decompose into O* and OH* via a dissociative pathway. Theoretical calculations confirm that the axial F atom effectively reduces the electronic density of the Co centers and facilitates the desorption of the OH* intermediate, efficiently accelerating the overall ORR kinetics. This work advances a feasible synthesis mechanism of axial ligands and provides a route to construct efficient high-coordination catalysts.

3.
Phys Chem Chem Phys ; 26(7): 6049-6057, 2024 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-38295372

RESUMO

Boron-based complex clusters are a fertile ground for the exploration of exotic chemical bonding and dynamic structural fluxionality. Here we report on the computational design of a ternary MgTa2B6 cluster via global structural searches and quantum chemical calculations. The cluster turns out to be a new member of the molecular rotor family, closely mimicking a turning clock at the subnanoscale. It is composed of a hexagonal B6 ring with a capping Ta atom at the top and bottom, whereas the Mg atom is linked to one Ta site as a radial Ta-Mg dimer. These components serve as the dial, axis, and hand of a nanoclock, respectively. Chemical bonding analyses reveal that the inverse sandwich Ta2B6 motif in the cluster features 6π/6σ double aromaticity, whose electron counting conforms to the (4n + 2) Hückel rule. The Ta-Mg dimer has a Lewis-type σ bond, and the Mg site has negligible bonding with B6 ring. The ternary cluster can be formulated as an [Mg]0[Ta2B6]0 complex. Molecular dynamics simulations suggest that the cluster is structurally fluxional analogous to a nanoclock, even at a low temperature of 100 K. The Ta-Mg hand turns almost freely around the Ta2 axis and along the B6 dial. The tiny intramolecular rotation barrier is less than 0.3 kcal mol-1, being dictated by the bonding nature of double 6π/6σ aromaticity. The present system offers a new type of molecular rotor in physical chemistry.

4.
Ann Epidemiol ; 90: 42-48, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37926391

RESUMO

OBJECTIVES: Previous cross-sectional studies suggested that people with physical disabilities (one of the subgroups of disabled people) are associated with an increased risk of cardiovascular diseases (CVD) than healthy peers. However, a longitudinal cohort of disabled people exhibited a different trend, in which the study populations were similar in health inequalities. We aimed to examine whether physical disability was associated with an increased risk of coronary heart disease (CHD) among disabled people. STUDY DESIGN AND SETTING: This retrospective cohort study from the Shanghai Health Examination Program included a total of 6419 disabled adults (50.77 [9.88] age) with complete electronic health records and were free of CHD at baseline (2012) were followed-up for a 7.5-year period until 2019. The physical disability and non-physical disability subgroups were characterized based on the Disability Classification and Grading Standard (GB/T 26341-2010). Multivariable Cox regression analyses were used to evaluate adjusted hazard ratios (HR) for subsequent CHD, while Kaplan-Meier curves was used to assess the proportional hazards assumption. We conducted subgroup analyses based on gender, levels of disability, and baseline blood pressure. RESULTS: Kaplan-Meier analysis revealed a higher incidence of CHD in the physical disability group compared to the non-physical disability group during the 7.5-year follow-up period (P < 0.05). Subjects with physical disabilities exhibited an increased risk for subsequent CHD occurrence (HR: 1.12; 95% CI: 1.03-1.31), compared to the non-physical subgroup after adjustments for confounders. The sensitivity analysis conducted on subgroups according to gender and disability severity indicated that moderate physical disability and female physical disability were associated with a higher prevalence of CHD, which was confirmed by multi-adjusted regression analysis. The spline curves of BP and CHD indicated that the physical disability group displayed lower SBP and DBP thresholds of 120 mmHg and SBP, respectively. CONCLUSION: Within the disabled population, individuals with physical disability are at higher risk of developing CHD, and it is plausible that their optimal BP threshold for CHD prevention may need to be set at a lower level. Further research is essential to investigate BP management among individuals with physical disabilities and its influence on cardiovascular-related adverse events.


Assuntos
Doença das Coronárias , Pessoas com Deficiência , Adulto , Humanos , Feminino , Estudos Retrospectivos , Fatores de Risco , China/epidemiologia , Doença das Coronárias/epidemiologia , Doença das Coronárias/etiologia , Incidência
5.
Front Public Health ; 11: 1250623, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37799150

RESUMO

Introduction: The COVID-19 pandemic and subsequent quarantine measures have led to a significant impact on mental health worldwide. Medical staff, in particular, have been exposed to high levels of stress due to their frontline work during the crisis. However, there is still limited research on the psychological mechanism among medical staff after quarantine. Methods: In this cross-sectional observational study, 150 medical staff from Shanghai YangZhi Rehabilitation Hospital, Shanghai, China, were enrolled in October 2022. SPSS 26.0 and PROCESS 4.0 model 6 were used to analyze the chain mediating effect of perceived stress, anxiety, resilience and depression among medical staff after quarantine. Anxiety and depression were compared during and after the quarantine. All scales have high validity and reliability in a Chinese population. Results: Our findings revealed a positive correlation between perceived stress and anxiety (r = 0.60, p < 0.001) and depression (r = 0.60, p < 0.001) levels among medical staff. Conversely, resilience was found to have a negative correlation with perceived stress (r = -0.67, p < 0.001), anxiety (r = -0.57, p < 0.001) and depression (r = -0.61, p < 0.001). The score of depression during the quarantine was higher than the score after the quarantine, but the p-value is only marginally significant (p = 0.067). The score of anxiety during the quarantine was significantly higher than the score after the quarantine (p < 0.05). Moreover, the chain mediation model suggested that anxiety and resilience could mediate the association between perceived stress and depression among medical staff following quarantine. Specifically, perceived stress had no direct effect on depression (ß = 0.025, t = 0.548, p = 0.59) but positively predicted anxiety (ß = 0.381, t = 8.817, p < 0.001) and resilience (ß = -1.302, t = -6.781, p < 0.001), which influenced depression levels indirectly through multiple pathways. The three indirect paths: the mediating role of anxiety, the mediating role of resilience, and the chain mediating role of both anxiety and resilience. Discussion: This study emphasizes the importance of psychological interventions aimed at protecting medical staff's psychological resilience and promoting coping mechanisms to manage stress during and after crises such as the COVID-19 pandemic. Additionally, our findings suggest that both anxiety and resilience play critical roles in mitigating the detrimental effects of perceived stress on mental health and further highlight the need for continued research to better understand the complex interplay of these factors.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , Quarentena/psicologia , Depressão/epidemiologia , Depressão/psicologia , Pandemias , Estudos Transversais , Análise de Mediação , Reprodutibilidade dos Testes , SARS-CoV-2 , China/epidemiologia , Ansiedade/epidemiologia , Ansiedade/psicologia , Corpo Clínico , Estresse Psicológico/epidemiologia
6.
Phys Chem Chem Phys ; 25(39): 26443-26454, 2023 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-37740349

RESUMO

Boron-based nanoclusters show unique geometric structures, nonclassical chemical bonding, and dynamic structural fluxionality. We report here on the theoretical prediction of a binary Pd3B26 cluster, which is composed of a triangular Pd3 core and a tubular double-ring B26 unit in a coaxial fashion, as identified through global structural searches and electronic structure calculations. Molecular dynamics simulations indicate that in the core-shell alloy cluster, the B26 double-ring unit can rotate freely around its Pd3 core at room temperature and beyond. The intramolecular rotation is virtually barrier free, thus giving rise to an antifriction bearing system (or ball bearing) at the nanoscale. The dimension of the dynamic system is only 0.66 nm. Chemical bonding analysis reveals that Pd3B26 cluster possesses double 14π/14σ aromaticity, following the (4n + 2) Hückel rule. Among 54 pairs of valence electrons in the cluster, the overwhelming majority are spatially isolated from each other and situated on either the B26 tube or the Pd3 core. Only one pair of electrons are primarily responsible for chemical bonding between the tube and the core, which greatly weaken the bonding within the Pd3 core and offers structural flexibility. This is a key mechanism that effectively diminishes the intramolecular rotation barrier and facilitates dynamic structural fluxionality of the system. The current work enriches the field of nanorotors and nanomachines.

7.
Eur J Med Res ; 28(1): 275, 2023 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-37553723

RESUMO

BACKGROUND: Much less is known about the importance of blood pressure (BP) trajectories concerning the incidence of coronary heart disease (CHD) in people with disabilities. Our aim was to evaluate this association. METHODS: This cohort study surveyed 5711 adults from the Shanghai Disability Health Survey from June 2012 to June 2019. The latent class growth mixture model was used to examine distinct BP trajectories. We evaluated the association of BP trajectories with the risk of CHD by Cox proportional hazard models. The model for CHD risk fitted to BP trajectories was compared with models fitted to other BP-related indicators by goodness-of-fit, discrimination, and calibration. RESULTS: During a median follow-up of 71.74 months, 686 cases (median age was 49.03 (54.49, 58.55) years, 51.90% female) with CHD were identified, with a cumulative incidence of 12.01%. Systolic BP (SBP) and diastolic BP (DBP) were categorized into three classes, respectively. A statistically significant association was only observed between SBP trajectories and CHD. Compared with the normotensive stable SBP group (n = 1956), the prehypertension-stable group (n = 3268) had a higher risk (adjust hazards ratio (aHR) = 1.266, 95% confidence interval (CI) 1.014-1.581), and the stage 1 hypertension-decreasing group (n = 487) had the highest risk (aHR = 1.609, 95%CI 1.157-2.238). Among the BP-related indicators, the SBP trajectory was the strongest predictor of new-onset CHD. Findings were similar when sensitivity analyses were conducted. CONCLUSIONS: SBP trajectory was a more important risk factor for CHD than other BP-related indicators and stringent BP control strategies may be effective for primary CHD prevention in the disabled population.


Assuntos
Doença das Coronárias , Pessoas com Deficiência , Hipertensão , Adulto , Humanos , Feminino , Pessoa de Meia-Idade , Masculino , Pressão Sanguínea/fisiologia , Estudos de Coortes , Hipertensão/complicações , Hipertensão/epidemiologia , China/epidemiologia , Doença das Coronárias/etiologia , Doença das Coronárias/complicações , Fatores de Risco
8.
RSC Adv ; 13(28): 19030-19038, 2023 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-37388152

RESUMO

Zinc isotopic ratios serve as powerful tools for tracing biochemical cycling of metals at Earth's surface, including the distribution, transportation, and enrichment of zinc (Zn) in soil. To conduct such studies and enable inter-laboratory comparisons, high-precision Zn isotopic measurements require the use of soil reference materials (RMs). However, there have been limited reports on the high-precision Zn isotope ratios of soil RMs thus far. In this study, we have developed a two-step Zn chemical separation protocol utilizing Bio-Rad AG MP-1M resin columns. This method has demonstrated excellent reproducibility for measuring the external δ66Zn values (relative to JMC-Lyon) of standard soil reference materials over an extended time period, with a better than 0.06‰ (2SD) precision. Remarkably, this study is the first to report the Zn isotopic compositions of 20 soil reference materials from various soil types in China. With the exception of one sample obtained from a mining area, the Zn isotopic compositions of all the analyzed soil reference materials exhibit remarkable similarity, with an average δ66Zn value of 0.31 ± 0.12‰, which aligns closely with the values observed in igneous rocks. The exceptional sample, with a higher δ66Zn value of 0.61 ± 0.02‰, indicates potential contamination during mining activities.

9.
Molecules ; 28(12)2023 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-37375276

RESUMO

Inverse sandwich clusters composed of a monocyclic boron ring and two capping transition metal atoms are interesting alloy cluster systems, yet their chemical bonding nature has not been sufficiently elucidated to date. We report herein on the theoretical prediction of a new example of boron-based inverse sandwich alloy clusters, V2B7-, through computational global-minimum structure searches and quantum chemical calculations. This alloy cluster has a heptatomic boron ring as well as a perpendicular V2 dimer unit that penetrates through the ring. Chemical bonding analysis suggests that the inverse sandwich cluster is governed by globally delocalized 6π and 6σ frameworks, that is, double 6π/6σ aromaticity following the (4n + 2) Hückel rule. The skeleton B-B σ bonding in the cluster is shown not to be strictly Lewis-type two-center two-electron (2c-2e) σ bonds. Rather, these are quasi-Lewis-type, roof-like 4c-2e V-B2-V σ bonds, which amount to seven in total and cover the whole surface of inverse sandwich in a truly three-dimensional manner. Theoretical evidence is revealed for a 2c-2e Lewis σ single bond within the V2 dimer. Direct metal-metal bonding is scarce in inverse sandwich alloy clusters. The present inverse sandwich alloy cluster also offers a new type of electronic transmutation in physical chemistry, which helps establish an intriguing chemical analogy between inverse sandwich clusters and planar hypercoordinate molecular wheels.

10.
Molecules ; 28(7)2023 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-37050038

RESUMO

Doping alkali metals into boron clusters can effectively compensate for the intrinsic electron deficiency of boron and lead to interesting boron-based binary clusters, owing to the small electronegativity of the former elements. We report on the computational design of a three-layered sandwich cluster, Na5B7, on the basis of global-minimum (GM) searches and electronic structure calculations. It is shown that the Na5B7 cluster can be described as a charge-transfer complex: [Na4]2+[B7]3-[Na]+. In this sandwich cluster, the [B7]3- core assumes a molecular wheel in shape and features in-plane hexagonal coordination. The magic 6π/6σ double aromaticity underlies the stability of the [B7]3- molecular wheel, following the (4n + 2) Hückel rule. The tetrahedral Na4 ligand in the sandwich has a [Na4]2+ charge-state, which is the simplest example of three-dimensional aromaticity, spherical aromaticity, or superatom. Its 2σ electron counting renders σ aromaticity for the ligand. Overall, the sandwich cluster has three-fold 6π/6σ/2σ aromaticity. Molecular dynamics simulation shows that the sandwich cluster is dynamically fluxional even at room temperature, with a negligible energy barrier for intramolecular twisting between the B7 wheel and the Na4 ligand. The Na5B7 cluster offers a new example for dynamic structural fluxionality in molecular systems.

11.
Front Neurol ; 14: 1090808, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37006479

RESUMO

Background: Constraint-induced movement therapy (CIMT) targeting the lower limb function uses various methods. The influence of CIMT methods on lower limb outcomes after stroke has rarely been examined. Objectives: This study aimed to examine CIMT effects on lower limb outcomes and explore the influence of CIMT methods on treatment effects after stroke, with other potential factors considered as covariates. Methods: PubMed, Web of Science, Cochrane Library, Academic Search Premier via EBSCOHost, and PEDro databases were searched until September 2022. We included randomized control trials with CIMT targeting the lower limb function and dosage-matched active control. The Cochrane risk-of-bias tool was used to evaluate the methodological quality of each study. Hedges' g was used to quantify the effect size of CIMT on outcomes compared to the active control. Meta-analyses were conducted across all studies. A mixed-variable meta-regression analysis was used to investigate the influence of CIMT methods on treatment effects after stroke, with other potential factors considered as covariates. Results: Twelve eligible randomized controlled trials with CIMT were included in the meta-analysis, where 10 trials were with a low risk of bias. A total of 341 participants with stroke were involved. For the treatment effects on the lower limb function, CIMT showed a moderate short-term effect size [Hedges' g = 0.567; P > 0.05; 95% confidence interval (CI): 0.203-0.931], but a small and insignificant long-term effect size (Hedges' g = 0.470; P > 0.05; 95%CI: -0.173 to 1.112), compared with conventional treatment. The CIMT method of using a weight strapped around the non-paretic leg and the ICF outcome category of the movement function were identified as significant factors contributing to the heterogeneity of short-term effect sizes across studies (ß = -0.854 and 1.064, respectively, R 2 = 98%, P > 0.05). Additionally, using a weight strapped around the non-paretic leg had a significant contribution to the heterogeneity of long-term effect sizes across studies as well (ß = -1.000, R 2 = 77%, P > 0.05). Conclusion: Constraint-induced movement therapy is superior to conventional treatment for improvement of lower limb function in the short-term but not in the long-term. The CIMT method of using a weight strapped around a non-paretic leg contributed negatively to the treatment effect, and therefore might not be recommended. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO, identifier: CRD42021268681.

12.
J Chem Phys ; 158(14): 144301, 2023 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-37061504

RESUMO

The design of clusters featuring non-classical planar hypercoordinate atoms (phAs) often depends on the delocalized multicenter bonds involving reactive electron-deficient elements, which both destabilize the clusters and lead to difficulty in achieving the phA arrangement for electronegative elements such as nitrogen due to their preference for localized bonds. In this work, we computationally designed a series of aluminum chalcogenide clusters NAl4X4 + (X = S, Se, Te) with a desired planar tetracoordinate nitrogen and meaningfully improved chemical stability, as evidenced by the wide gaps (6.51-7.23 eV) between their highest occupied molecular orbitals and lowest unoccupied molecular orbitals, high molecular rigidity (dynamically stable up to 1500 K), and exclusively low global energy minima nature (their isomers locate at least 51.2 kcal/mol higher). Remarkably, these clusters are stabilized by peripheral chalcogen atoms, which not only sterically protect the NAl4 core moiety but also electronically compensate for the electron-deficient aluminum atoms via X → Al π back bonds, meeting the description of our recently proposed "electron-compensation" strategy.

13.
RSC Adv ; 13(3): 1964-1973, 2023 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-36712639

RESUMO

Despite the isovalency between Al and B elements, Al-doping in boron clusters can deviate substantially from an isoelectronic substitution process. We report herein on a unique sandwich di-Al-doped boron cluster, Al2B8, using global structural searches and quantum chemical calculations. The cluster features a perfectly planar B8 molecular wheel, with two isolated Al atoms symmetrically floating above and below it. The two Al atoms are offset from the center of the molecular wheel, resulting in a C 2v symmetry for the cluster. The Al2B8 cluster is shown to be dynamically fluxional even at far below room temperature (100 K), in which a vertical Al2 rod slides or rotates freely within a circular rail on the B8 plate, although there is no direct Al-Al interaction. The energy barrier for intramolecular rotation is only 0.01 kcal mol-1 at the single-point CCSD(T) level. Chemical bonding analysis shows that the cluster is a charge-transfer complex and can be formulated as [Al]+[B8]2-[Al]+. The [B8]2- molecular wheel in sandwich cluster has magic 6π/6σ double aromaticity, which underlies the dynamic fluxionality, despite strong electrostatic interactions between the [Al]+, [B8]2-, and [Al]+ layers.

14.
Phys Chem Chem Phys ; 25(4): 2846-2852, 2023 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-36621801

RESUMO

The beryllium-doped Be3B11- cluster has two nearly isoenergetic isomers, adopting the smallest trihedral spherical geometries with a boron single-chain skeleton. The B11 skeleton in the global minimum (C2v, 1A1) comprises three conjoined boron rings (one B8/two B7) on the waist, sharing two B3 equilateral triangles at the top and bottom, respectively. However, the local minimum (Cs, 1A') has one deformed B4 pyramid at the top. The drastic structural transformation of B11 skeletons from perfectly planar B11 clusters mainly profited from robust electrostatic interaction between Be atoms and B11 skeletons. The dynamic simulations suggest that two species can interconvert via a novel mechanism, that is "triangle-pyramid-triangle", which facilitates the free migration of boron atoms in the B11 skeleton, thereby showing the fascinating dynamic fluxionality. The chemical bonding analyses reveal that the B11 skeleton is covered by two types of delocalized π bonds in an orthogonal direction, which leads to its spherical aromaticity.

15.
Phys Chem Chem Phys ; 24(46): 28548-28553, 2022 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-36411992

RESUMO

Computational evidence is reported for the largest planar molecular wheel of the Y©B8C4 cluster, featuring an yttrium atom enclosed by a highly symmetric B8C4 ring. The B8C4 ring is viable in the -(BCB)4- form with double 9π/10σ aromaticity. The centered yttrium atom is dodeca-coordinated with the peripheral B8C4 ring, which sets a record coordination number for a planar structure in chemistry heretofore.

16.
Chem Sci ; 13(27): 8045-8051, 2022 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-35919428

RESUMO

The occurrence of planar hexacoordination is very rare in main group elements. We report here a class of clusters containing a planar hexacoordinate silicon (phSi) atom with the formula SiSb3M3 + (M = Ca, Sr, Ba), which have D 3h (1A1') symmetry in their global minimum structure. The unique ability of heavier alkaline-earth atoms to use their vacant d atomic orbitals in bonding effectively stabilizes the peripheral ring and is responsible for covalent interaction with the Si center. Although the interaction between Si and Sb is significantly stronger than the Si-M one, sizable stabilization energies (-27.4 to -35.4 kcal mol-1) also originated from the combined electrostatic and covalent attraction between Si and M centers. The lighter homologues, SiE3M3 + (E = N, P, As; M = Ca, Sr, Ba) clusters, also possess similar D 3h symmetric structures as the global minima. However, the repulsive electrostatic interaction between Si and M dominates over covalent attraction making the Si-M contacts repulsive in nature. Most interestingly, the planarity of the phSi core and the attractive nature of all the six contacts of phSi are maintained in N-heterocyclic carbene (NHC) and benzene (Bz) bound SiSb3M3(NHC)6 + and SiSb3M3(Bz)6 + (M = Ca, Sr, Ba) complexes. Therefore, bare and ligand-protected SiSb3M3 + clusters are suitable candidates for gas-phase detection and large-scale synthesis, respectively.

17.
BMC Musculoskelet Disord ; 23(1): 663, 2022 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-35820837

RESUMO

BACKGROUND: Trimalleolar fracture is a common ankle fracture with serious complications and costly healthcare problem. Most studies used clinical assessments to evaluate the functional status of the patients. Although clinical assessments are valid, they are static and subjective. Dynamic, objective and precise evaluations such as gait analysis are needed. Ankle biomechanics studies on gait in patients with trimalleolar fractures are still rare. This study aimed to investigate the clinical outcomes and gait biomechanics in patients with trimalleolar fractures in the early postoperative period and compared to healthy controls. METHODS: This was a cross-sectional study. 12 patients with trimalleolar fractures were recruited, and 12 healthy people served as controls. All patients underwent clinical assessments: Olerud and Molander ankle score (OMAS), ankle swelling and passive range of motion (ROM) of ankle, and completed gait biomechanical analysis when weight-bearing was allowed: temporal-spatial parameters, plantar pressure distributions, and surface electromyography (sEMG). The control group only performed gait test. RESULTS: Patients had poor outcomes of clinical assessments in the short-term. During gait analysis, patients presented compromised gait patterns: shorter step length, larger step width, slower walking speed and shorter single support compared to healthy controls (P < 0.001), and patients showed asymmetrical gait. Symmetry index of step width and walking speed were mainly correlated with the difference of ankle inversion ROM between two sides (R = -0.750, P = 0.005; R = -0.700, P = 0.011). During walking, patients showed abnormal dynamic plantar pressure features (mainly in the hindfoot and forefoot regions), and the IEMG (integrated electromyography) of tibial anterior muscle (TA) and peroneal longus muscle (PL) were larger than healthy controls (P = 0.002, 0.050). CONCLUSIONS: Patients with trimalleolar fractures showed physical impairments of the ankle, and presented altered gait parameters compared to healthy subjects in the short-term. The ankle stability of patients declined, and deficits in TA and PL muscle ability might contribute to it. Restoring complete muscle functions and improving passive ankle ROM are significant to promote the recovery of a normal gait pattern.


Assuntos
Fraturas do Tornozelo , Fraturas do Tornozelo/cirurgia , Estudos Transversais , Marcha/fisiologia , Análise da Marcha , Humanos , Período Pós-Operatório
18.
J Phys Condens Matter ; 34(38)2022 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-35839749

RESUMO

Molecular dynamics simulations are performed to study the mechanical properties and deformation mechanisms of a heterogeneous face-centered cubic/ body-centered cubic Cu/Ta nanolayered composite under uniaxial tension and compression. The results show that the stress-strain curves exhibit two main yield points in tension while only one yield point during compression, and the deformation primarily experiences three stages. The first stage is linearly elastic at small strains, followed by the nucleation and propagation of dislocations and stacking faults in the Cu layers, and eventually the Ta layers yield to plastic deformation. The yield of the specimen is mainly determined by the dislocation evolution in the hard phase (i.e. Ta layers), which leads to a sharp drop in the stress-strain curve. We show that the heterogeneous nanolayered composite exhibits a good deformation compatibility during compression but an obvious deformation incompatibility between Cu and Ta layers in tension. The temperature effect is also systematically investigated. It is revealed that the yield of the specimen at higher temperature depends only on the dislocation evolution in the thick Ta layers, and the yield strengths in tension and compression both decrease with the increasing temperature. In particular, our computations show that high temperature can significantly suppress the dislocation activities in the Cu layers during deformation, which results in a lower dislocation density of the Cu layers compared with that of the Ta layers and thus causing an incompatible fashion among the constituent layers.

19.
Front Chem ; 10: 868782, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35464225

RESUMO

Boron oxide clusters have structural richness and exotic chemical bonding. We report a quantum chemical study on the binary B5O6 - cluster, which is relatively oxygen-rich. A global structural search reveals planar C 2v (1A1) geometry as the global minimum structure, featuring a heteroatomic hexagonal B3O3 ring as its core. The three unsaturated B sites are terminated by two boronyl (BO) groups and an O- ligand. The B5O6 - cluster can be faithfully formulated as B3O3(BO)2O-. This structure is in stark contrast to that of its predecessors, C s B5O5 - and T d B5O4 -, both of which have a tetrahedral B center. Thus, there exists a major structural transformation in B5O n - series upon oxidation, indicating intriguing competition between tetrahedral and heterocyclic structures. The chemical bonding analyses show weak 6π aromaticity in the B5O6 - cluster, rendering it a boronyl analog of phenolate anion (C6H5O-) or boronyl boroxine. The calculated vertical detachment energy of B5O6 - cluster is 5.26 eV at PBE0, which greatly surpasses the electron affinities of halogens (Cl: 3.61 eV), suggesting that the cluster belongs to superhalogen anions.

20.
Phys Chem Chem Phys ; 24(18): 10952-10961, 2022 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-35466336

RESUMO

Boron oxide clusters have structural diversity and unique chemical bonding, and recent literature has shown that boronyl complexes dominate boron-rich oxide clusters. A counterexample in boronyl chemistry is presented in this work. Using global structural searches, electronic structure calculations, and chemical bonding analyses, we shall report on the computational design of two boron-based quasi-planar or planar clusters: B12O and B11Au. Contrary to expectation, the B12O cluster has a circular quasi-planar shape with a peripheral B-O-B bridge, which resembles bare B12 cluster. It does not contain a boronyl ligand. The isomeric boronyl complex turns out to be 10.32 kcal mol-1 higher in energy at the single-point CCSD(T) level. In contrast, B11Au cluster behaves normally with an elongated B11 moiety and a terminal Au ligand. Chemical bonding analyses reveal three-fold π/σ aromaticity in circular B12O cluster, including global 6π aromaticity, as well as spatially isolated inner 2σ aromaticity and outer 10σ aromaticity. The three-fold 6π/2σ/10σ aromaticity underlies the stability of B12O cluster. This bonding picture is unknown for bare B12 cluster and its derivatives. The elongated B11Au cluster has conflicting π/σ aromaticity (with 6π versus 8σ electron-counting). The B12O cluster is actually isoelectronic with bare B12 cluster in terms of delocalized π/σ bonding, which inherits the structural and electronic robustness of the latter.

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