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1.
J Chem Phys ; 160(5)2024 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-38341706

RESUMO

This study examines the structures, energies, and IR vibrational spectra of the sulfur dioxide-water SO2(H2O) complexes by employing coupled cluster theory CCSD(T) with Dunning style correlation consistent type basis sets aug-cc-pV(n+d)Z (n = D, T, Q, 5). Complete basis set (CBS) extrapolations have been carried out to predict binding energies for two isomers of the SO2(H2O) complex: a stacked global minimum (1A) structure and a hydrogen-bonded local minimum (1B) structure. The CCSD(T)/CBS extrapolation predicts an intermolecular S-O distance rS⋯O = 2.827 Å for the stacked isomer, which is in excellent agreement with an experimental measurement of 2.824 Å [K. Matsumura et al., J. Chem. Phys., 91, 5887 (1989)]. The CCSD(T)/CBS binding energy for the stacked dimer 1A and hydrogen-bonded form 1B is De = -4.37 kcal/mol and De = -2.40 kcal/mol, respectively. This study also employs anharmonic VPT2 MP2/aug-cc-pV(n+d)Z level corrections to CCSD(T)/aug-cc-pV(n+d)Z vibrational frequencies in both forms of SO2(H2O). The anharmonic CCSD(T)/aug-cc-pV(Q+d)Z OH stretching frequencies in the stacked structure 1A are 3743 cm-1 (ν3) and 3647 cm-1 (ν1), and these align well with the recorded IR spectroscopic values of 3745 and 3643 cm-1, respectively [C. Wang et al., J. Phys. Chem. Lett., 13, 5654 (2022)]. If we combine CCSD(T)/aug-cc-pV(n+d)Z De values with VPT2 vibrational frequencies, we obtain a new CCSD(T)/aug-cc-pV(Q+d)Z anharmonic dissociation energy D0 = -3.48 kcal/mol for 1A and D0 = -1.74 kcal/mol for 1B. In summary, the results presented here demonstrate that the application of CCSD(T) calculations with aug-cc-pV(n+d)Z basis sets and CBS extrapolations is critical in probing the structure and IR spectroscopic properties of the sulfur dioxide-water complex.

2.
Phys Chem Chem Phys ; 23(34): 18990-18998, 2021 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-34612437

RESUMO

Using MP2, CCSD(T) electronic structure theory and ab initio molecular dynamics simulations, we explore the structure, solvation dynamics and vibrational spectra of OH-(H2O)n clusters. Our study reports new cubic and fused cubic global minima structures of OH-(H2O)n for n = 8-26 with surface and interior solvation arrangements. In the case of OH-(H2O)26, we show that MP2 and CCSD(T) calculations predict global minima structures with the hydroxide ion occupying the interior region of a densely packed cubic cluster that is secured by ionic hydrogen bonds. More importantly, results from ab initio molecular dynamics simulations of OH-(H2O)26 demonstrate that the hydroxide ion remains in the cluster interior and hexa-coordinated, irrespective of the temperature, up to around 175 K, then incrementally transitions from a surface-exposed penta- (170-200 K), to a tetra- (225 K) to a tri-coordinated OH-(H2O)3 structure at 300 K. Building on our temperature-dependent vibrational power spectra, we are also able to disentangle structure and temperature effects on individual spectral contributions arising from water molecules located in the inner and outer shell of OH-(H2O)26. Some of these theoretical results provide valuable guidance for the interpretation of IRMPD spectra of small hydroxide-water clusters, but there are also several intriguing implications of these results, in particular, for the solvation of the OH- ion at the surface of water nanodroplets and aqueous interfaces.

3.
Osteoporos Int ; 31(6): 1089-1095, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32060561

RESUMO

This study revealed the change in the paravertebral muscles in patients with osteoporotic vertebral fracture. Increased pain is likely to be the driver for reduced activity, reduced activities of daily living, and consequent increase in fat infiltration of the paravertebral muscles, assumed to be secondary to reduced activity level or, conversely, partial immobilization. INTRODUCTION: To reveal the time courses and impact of the paravertebral muscles (PVMs) on the healing process of osteoporotic vertebral fractures and risk factors for PVM decrease. METHODS: Consecutive patients with symptomatic osteoporotic vertebral fractures were enrolled in 11 hospitals. At enrollment and 3- and 6-month follow-up, PVMs, including the multifidus and erector spinae, were examined using magnetic resonance imaging (MRI). The PVM cross-sectional area (CSA) and fat signal fraction (FSF) were measured at L3. Low back pain (LBP), activities of daily living (ADLs), and risk factors for PVM decrease at the 6-month follow-up were investigated. PVM decrease was defined as > 1 standard deviation decrease of the CSA or > 1 standard deviation increase of the FSF. RESULTS: Among 153 patients who completed the 6-month follow-up, 117 (92 women, 79%) had MRI of L3 at enrollment and 3- and 6-month follow-up (mean age at enrollment, 78.5 years). The CSA did not change 6 months from onset (p for trend = 0.634), whereas the FSF significantly increased (p for trend = 0.033). PVM decrease was observed in 30 patients (26%). LBP was more severe, and delayed union was more frequent in patients with PVM decrease (p = 0.021 mixed-effect model and p = 0.029 chi-square test, respectively). The risk factors for PVM decrease were ADL decline at the 3-month follow-up (adjusted odds ratio = 5.35, p = 0.026). CONCLUSION: PVM decrease was significantly related to LBP and delayed union after osteoporotic vertebral fracture onset. ADL decline at the 3-month follow-up was a risk factor for PVM decrease. Therefore, restoring ADLs within 3 months after onset is important.


Assuntos
Atividades Cotidianas , Músculos do Dorso/fisiopatologia , Dor Lombar , Fraturas por Osteoporose , Fraturas da Coluna Vertebral , Idoso , Feminino , Humanos , Dor Lombar/etiologia , Imageamento por Ressonância Magnética , Masculino , Fraturas por Osteoporose/complicações , Fraturas por Osteoporose/fisiopatologia , Fraturas da Coluna Vertebral/complicações , Fraturas da Coluna Vertebral/fisiopatologia
4.
J Chem Phys ; 153(8): 084302, 2020 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-32872877

RESUMO

Ozone-water complexes O3(H2O)n (n = 1-2) have been studied using coupled cluster theory with triple excitations CCSD(T) with correlation consistent basis sets aug-cc-pVnZ (n = D, T, Q) and complete basis set (CBS) extrapolation techniques. We identified seven dimer (n = 1) and nine trimer species (n = 2) with open C2v and cyclic D3h ozone. Calculations at the CCSD(T)/CBS level of theory for C2v O3(H2O) on the counterpoise (CP)-corrected potential energy surface yield a dissociation energy of De = 2.31 kcal/mol and an O3 central-oxygen (Oc) H2O oxygen (Ow) distance r[Oc⋯Ow] of 3.097 Å, which is in good agreement with an experimental value of 2.957 Å [J. Z. Gillies et al., J. Mol. Spectrosc. 146, 493 (1991)]. Combining our CCSD(T)/CBS value of De for C2v O3(H2O) with our best estimate anharmonic CCSD(T)/aVTZ ΔZPE yields a Do value of 1.82 kcal/mol; the CCSD(T)/CBS value of De for D3h O3(H2O) is 1.51 kcal/mol and yields an anharmonic CCSD(T)/aVTZ Do = 0.99 kcal/mol. CCSD(T)/aVTZ dissociation energies and structures for C2v O3(H2O)2 are De = 4.15 kcal/mol, (Do = 3.08 kcal/mol) and r[Oc⋯Ow] = 2.973 Å, and De = 2.64 kcal/mol (Do = 1.68 kcal/mol) with r[Oc⋯Ow] = 2.828 Å for D3h O3(H2O)2. The results from ab initio molecular dynamics simulations, which consider dynamic and thermal effects in O3(H2O), show that the O3(H2O) complex remains stable at 50 K and dynamically interconverts between two hydrogen-bonded conformers with short Oc⋯Ow contacts (3.85 Å). Carr-Parrinello molecular dynamic (CPMD) simulations for O3(H2O) and O3(H2O)2 at 100 K demonstrate that O3(H2O)2 remains structurally intact, whereas O3(H2O) dissociates to free ozone and water, a feature consistent with the larger average binding energy in O3(H2O)2 (2.2 kcal/mol) vs that in O3(H2O) (1.8 kcal/mol). Finally, the results from CCSD(T)/CBS and CPMD simulations demonstrate that the large inter-trimer binding energies in O3(H2O)2 would give rise to an elevated trimer/dimer population ratio, making O3(H2O)2 a particularly stable and spectroscopically detectable complex.

5.
Scand J Rheumatol ; 48(2): 87-94, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30269670

RESUMO

OBJECTIVE: Serum interleukin-18 (IL-18) levels are increased in patients with interstitial lung disease (ILD). In addition, IL-18 levels are increased in patients with rheumatoid arthritis (RA) and are associated with arthritis activity. We determined whether increased IL-18 levels are associated with ILD in RA. METHOD: RA patients were enrolled using an RA cohort database. Plasma IL-18 levels were measured by enzyme-linked immunosorbent assay. ILD was determined by a pulmonologist and a radiologist based on chest radiography and computed tomography findings. IL-18 levels for RA with ILD and RA without ILD were compared. Associations between ILD and various markers including IL-18 and confounding factors (e.g. smoking history) were investigated by logistic regression analysis. Diagnostic values of IL-18 for the presence of ILD were investigated using receiver operating characteristics curve analysis. RESULTS: ILD was complicated in 8.2% (n = 26) of the study population (N = 312). Plasma IL-18 levels were higher for RA patients with ILD than for RA patients without ILD (721.0 ± 481.4 vs 436.8 ± 438.9 pg/mL, p < 0.001). IL-18, Krebs von den Lungen-6, and anti-cyclic citrullinated peptide antibody titre and glucocorticoid doses were independently associated with the presence of ILD during multivariate logistic regression analysis. Sensitivity and specificity of IL-18 levels for the detection of ILD in RA patients were 65.3% and 76.3%, respectively (area under the curve = 0.73). CONCLUSION: Plasma IL-18 levels were higher for RA patients with ILD than for those without ILD. Increased IL-18 levels were associated with the presence of ILD.


Assuntos
Artrite Reumatoide/complicações , Interleucina-18/sangue , Doenças Pulmonares Intersticiais/complicações , Idoso , Artrite Reumatoide/sangue , Biomarcadores/sangue , Estudos Transversais , Feminino , Humanos , Doenças Pulmonares Intersticiais/sangue , Masculino , Pessoa de Meia-Idade
6.
Osteoporos Int ; 28(2): 473-482, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27577726

RESUMO

This study revealed the time course of osteoporotic vertebral fracture by magnetic resonance imaging using a simple classification. Signal changes were associated with the compression degree and mobility of the fractured vertebral body. This classification showed sufficient reliability in categorizing magnetic resonance imaging findings of osteoporotic vertebral fractures. INTRODUCTION: Magnetic resonance imaging (MRI) is useful in diagnosing osteoporotic vertebral fractures (OVFs). This study investigated the time course of OVFs by MRI using a simple classification. METHODS: This multicenter cohort study was performed from 2012 to 2015. Consecutive patients with ≤2-week-old OVFs were enrolled in 11 institutions. MRI was performed at enrollment and at 1-, 3-, 6-, and 12-month follow-up. Signal changes on T1-weighted imaging (T1WI), T2WI, and short τ inversion recovery (STIR) were classified according to signal intensity. Height and angular motion of vertebral bodies were also measured. RESULTS: The 6-month follow-up was completed by 153 patients. At enrollment, fractured vertebrae signal changes were 43 % diffuse and 57 % confined low on T1WI; on T2WI, 56, 24, and 5 % were confined low, high, and diffuse low, respectively; on STIR, 100 % were high. On T1WI, diffuse low remained most common (90 % at 1 month and 60 % at 3 months) until 6 and 12 months, when most were confined low (54 and 52 %, respectively). On T2WI, confined low remained most common (decreasing to 41 % at 12 months). On STIR, high signal change was shown in 98, 87, and 64 % at 3, 6, and 12 months, respectively. At 3, 6, and 12 months, diffuse low signal change was associated with significantly lower vertebral height, and high signal change was associated with significantly greater angular motion. CONCLUSIONS: MRI signal changes were associated with the compression degree and angular motion of fractured vertebrae. This classification showed sufficient reliability in categorizing MRI findings of OVFs.


Assuntos
Fraturas por Osteoporose/diagnóstico por imagem , Fraturas da Coluna Vertebral/diagnóstico por imagem , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Consolidação da Fratura , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Masculino , Variações Dependentes do Observador , Fraturas por Osteoporose/patologia , Prognóstico , Estudos Prospectivos , Reprodutibilidade dos Testes , Fraturas da Coluna Vertebral/patologia
7.
J Chem Phys ; 146(23): 234301, 2017 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-28641437

RESUMO

This study presents results for the binding energy and geometry of the H2S dimer which have been computed using Møller-Plesset perturbation theory (MP2, MP4) and coupled cluster (CCSD, CCSD(T)) calculations with basis sets up to aug-cc-pV5Z. Estimates of De, EZPE, Do, and dimer geometry have been obtained at each level of theory by taking advantage of the systematic convergence behavior toward the complete basis set (CBS) limit. The CBS limit binding energy values of De are 1.91 (MP2), 1.75 (MP4), 1.41 (CCSD), and 1.69 kcal/mol (CCSD[T]). The most accurate values for the equilibrium S-S distance rSS (without counterpoise correction) are 4.080 (MP2/aug-cc-pV5Z), 4.131 (MP4/aug-cc-pVQZ), 4.225 (CCSD/aug-cc-pVQZ), and 4.146 Å (CCSD(T)/aug-cc-pVQZ). This study also evaluates the effect of counterpoise correction on the H2S dimer geometry and binding energy. As regards the structure of (H2S)2, MPn, CCSD, and CCSD(T) level values of rSS, obtained by performing geometry optimizations on the counterpoise-corrected potential energy surface, converge systematically to CBS limit values of 4.099 (MP2), 4.146 (MP4), 4.233 (CCSD), and 4.167 Å (CCSD(T)). The corresponding CBS limit values of the equilibrium binding energy De are 1.88 (MP2), 1.76 (MP4), 1.41 (CCSD), and 1.69 kcal/mol (CCSD(T)), the latter in excellent agreement with the measured binding energy value of 1.68 ± 0.02 kcal/mol reported by Ciaffoni et al. [Appl. Phys. B 92, 627 (2008)]. Combining CBS electronic binding energies De with EZPE predicted by CCSD(T) vibrational second-order perturbation theory calculations yields Do = 1.08 kcal/mol, which is around 0.6 kcal/mol smaller than the measured value of 1.7 ± 0.3 kcal/mol. Overall, the results presented here demonstrate that the application of high level calculations, in particular CCSD(T), in combination with augmented correlation consistent basis sets provides valuable insight into the structure and energetics of the hydrogen sulfide dimer.

8.
Osteoporos Int ; 27(12): 3567-3575, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27344644

RESUMO

This study demonstrated the predictive values of radiological findings for delayed union after osteoporotic vertebral fractures (OVFs). High-signal changes on T2WI were useful findings. INTRODUCTION: The purpose of the present study is to determine predictive radiological findings for delayed union by magnetic resonance imaging (MRI) and plain X-rays at two time points in the acute phase of OVFs. METHODS: This multicenter cohort study was performed from 2012 to 2015. A total of 218 consecutive patients with OVFs ≤2 weeks old were enrolled. MRIs and plain X-rays were performed at the time of enrollment and at 1- and 6-month follow-ups. Signal changes on T1-weighted imaging (T1WI) were classified as diffuse low-, confined low-, or no-signal change; those on T2WI were classified as high (similar to the intensity of cerebrospinal fluid), confined low-, diffuse low-, or no-signal change. The angular motion of the fractured vertebral body was measured with X-rays. RESULTS: A total of 153 patients completed the 6-month follow-up. A high-signal change on T2WI was most useful in predicting delayed union. Sensitivity, specificity, and positive predictive values were 53.3, 87.8, and 51.6 % at enrollment and 65.5, 84.8, and 51.4 % at the 1-month follow-up, respectively. The positive predictive value increased to 62.5 % with observation of high- or diffuse low-signal changes at both enrollment and the 1-month follow-up. The cutoff value of vertebral motion was 5 degrees. Sensitivity and specificity at enrollment were 52.4 and 74.1 %, respectively. CONCLUSIONS: This study demonstrated the radiological factors predicting delayed union after an OVF. T2 high-signal changes showed the strongest association with delayed union. Consecutive MRIs were particularly useful as a differential tool to predict delayed union following OVFs.


Assuntos
Fraturas não Consolidadas/diagnóstico por imagem , Fraturas por Osteoporose/diagnóstico por imagem , Fraturas da Coluna Vertebral/diagnóstico por imagem , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Fraturas não Consolidadas/patologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Valor Preditivo dos Testes , Radiografia , Sensibilidade e Especificidade , Fraturas da Coluna Vertebral/patologia , Coluna Vertebral
9.
Faraday Discuss ; 194: 537-562, 2016 12 16.
Artigo em Inglês | MEDLINE | ID: mdl-27797386

RESUMO

We studied the electronic and nuclear dynamics of I-containing organic molecules induced by intense hard X-ray pulses at the XFEL facility SACLA in Japan. The interaction with the intense XFEL pulse causes absorption of multiple X-ray photons by the iodine atom, which results in the creation of many electronic vacancies (positive charges) via the sequential electronic relaxation in the iodine, followed by intramolecular charge redistribution. In a previous study we investigated the subsequent fragmentation by Coulomb explosion of the simplest I-substituted hydrocarbon, iodomethane (CH3I). We carried out three-dimensional momentum correlation measurements of the atomic ions created via Coulomb explosion of the molecule and found that a classical Coulomb explosion model including charge evolution (CCE-CE model), which accounts for the concerted dynamics of nuclear motion and charge creation/charge redistribution, reproduces well the observed momentum correlation maps of fragment ions emitted after XFEL irradiation. Then we extended the study to 5-iodouracil (C4H3IN2O2, 5-IU), which is a more complex molecule of biological relevance, and confirmed that, in both CH3I and 5-IU, the charge build-up takes about 10 fs, while the charge is redistributed among atoms within only a few fs. We also adopted a self-consistent charge density-functional based tight-binding (SCC-DFTB) method to treat the fragmentations of highly charged 5-IU ions created by XFEL pulses. Our SCC-DFTB modeling reproduces well the experimental and CCE-CE results. We have also investigated the influence of the nuclear dynamics on the charge redistribution (charge transfer) using nonadiabatic quantum-mechanical molecular dynamics (NAQMD) simulation. The time scale of the charge transfer from the iodine atomic site to the uracil ring induced by nuclear motion turned out to be only ∼5 fs, indicating that, besides the molecular Auger decay in which molecular orbitals delocalized over the iodine site and the uracil ring are involved, the nuclear dynamics also play a role for ultrafast charge redistribution. The present study illustrates that the CCE-CE model as well as the SCC-DFTB method can be used for reconstructing the positions of atoms in motion, in combination with the momentum correlation measurement of the atomic ions created via XFEL-induced Coulomb explosion of molecules.

10.
Eur J Neurol ; 23(9): 1455-62, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27222346

RESUMO

BACKGROUND AND PURPOSE: Akinetic mutism is thought to be an appropriate therapeutic end-point in patients with sporadic Creutzfeldt-Jakob disease (sCJD). However, prognostic factors for akinetic mutism are unclear and clinical signs or symptoms that precede this condition have not been defined. The goal of this study was to identify prognostic factors for akinetic mutism and to clarify the order of clinical sign and symptom development prior to its onset. METHODS: The cumulative incidence of akinetic mutism and other clinical signs and symptoms was estimated based on Japanese CJD surveillance data (455 cases) collected from 2003 to 2008. A proportional hazards model was used to identify prognostic factors for the time to onset of akinetic mutism and other clinical signs and symptoms. RESULTS: Periodic synchronous discharges on electroencephalography were present in the majority of cases (93.5%). The presence of psychiatric symptoms or cerebellar disturbance at sCJD diagnosis was associated with the development of akinetic mutism [hazard ratio (HR) 1.50, 95% confidence interval (CI) 1.14-1.99, and HR 2.15, 95% CI1.61-2.87, respectively]. The clinical course from cerebellar disturbance to myoclonus or akinetic mutism was classified into three types: (i) direct path, (ii) path via pyramidal or extrapyramidal dysfunction and (iii) path via psychiatric symptoms or visual disturbance. CONCLUSIONS: The presence of psychiatric symptoms or cerebellar disturbance increased the risk of akinetic mutism of sCJD cases with probable MM/MV subtypes. Also, there appear to be sequential associations in the development of certain clinical signs and symptoms of this disease.


Assuntos
Síndrome de Creutzfeldt-Jakob/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Afasia Acinética/epidemiologia , Afasia Acinética/etiologia , Doenças Cerebelares/complicações , Doenças Cerebelares/epidemiologia , Síndrome de Creutzfeldt-Jakob/epidemiologia , Síndrome de Creutzfeldt-Jakob/fisiopatologia , Progressão da Doença , Eletroencefalografia , Feminino , Humanos , Incidência , Imageamento por Ressonância Magnética , Masculino , Transtornos Mentais/complicações , Transtornos Mentais/epidemiologia , Pessoa de Meia-Idade , Mioclonia/epidemiologia , Mioclonia/etiologia , Valor Preditivo dos Testes , Prognóstico
11.
J Chem Phys ; 145(9): 094302, 2016 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-27608997

RESUMO

The fragmentation of doubly charged gas-phase methionine (HO2CCH(NH2)CH2CH2SCH3) is systematically studied using the self-consistent charge density functional tight-binding molecular dynamics (MD) simulation method. We applied graph theory to analyze the large number of the calculated MD trajectories, which appears to be a highly effective and convenient means of extracting versatile information from the large data. The present theoretical results strongly concur with the earlier studied experimental ones. Essentially, the dication dissociates into acidic group CO2H and basic group C4NSH10. The former may carry a single or no charge and stays intact in most cases, whereas the latter may hold either a single or a double charge and tends to dissociate into smaller fragments. The decay of the basic group is observed to follow the Arrhenius law. The dissociation pathways to CO2H and C4NSH10 and subsequent fragmentations are also supported by ab initio calculations.


Assuntos
Conceitos Matemáticos , Metionina/química , Simulação de Dinâmica Molecular , Estatística como Assunto
12.
Dis Esophagus ; 29(8): 1090-1099, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26541471

RESUMO

Patients with thoracic esophageal cancer are often treated by minimally invasive esophagectomy. However, the long-term survival benefits of minimally invasive esophagectomy remain unclear. Two approaches are available for thoracoscopic surgery: one with the patient in the left lateral decubitus position (LLDP), and the other with the patient in the prone position (PP). We investigated the survival benefit of thoracoscopic esophagectomy according to the tumor stage and patient position during the thoracoscopic procedure. We reviewed the records of 220 consecutive patients with esophageal cancer treated from 1998 to 2012. In total, 146 and 74 patients were treated with thoracoscopic esophagectomy in the LLDP and PP, respectively. No patients were initially proposed to be candidates for esophagectomy by thoracotomy during the study period. Data collection was performed with a focus on survival and recurrent disease. Among all the 220 patients, the overall 5-year survival rates were 83.7%, 74.1%, 45.5%, 78.6%, 44.2%, 29.4% and 24.3% in the patients with pStage IA, IB, IIA, IIB, IIIA, IIIB and IIIC disease, respectively. Despite the greater number of dissected mediastinal lymph nodes in the PP procedure, there were no significant differences in the survival curves between the LLDP and PP procedures. The long-term results of thoracoscopic esophagectomy are comparable and acceptable. The PP procedure was not confirmed to offer a superior survival benefit to the LLDP procedure in this retrospective study.


Assuntos
Neoplasias Esofágicas/cirurgia , Esofagectomia/mortalidade , Toracoscopia/mortalidade , Idoso , Neoplasias Esofágicas/mortalidade , Esofagectomia/métodos , Feminino , Humanos , Excisão de Linfonodo/métodos , Excisão de Linfonodo/estatística & dados numéricos , Linfonodos/cirurgia , Masculino , Pessoa de Meia-Idade , Posicionamento do Paciente/métodos , Decúbito Ventral , Estudos Prospectivos , Estudos Retrospectivos , Taxa de Sobrevida , Toracoscopia/métodos , Resultado do Tratamento
13.
Phys Rev Lett ; 114(7): 077202, 2015 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-25763972

RESUMO

A complex iridium oxide ß-Li(2)IrO(3) crystallizes in a hyperhoneycomb structure, a three-dimensional analogue of honeycomb lattice, and is found to be a spin-orbital Mott insulator with J(eff)=1/2 moment. Ir ions are connected to the three neighboring Ir ions via Ir-O(2)-Ir bonding planes, which very likely gives rise to bond-dependent ferromagnetic interactions between the J(eff)=1/2 moments, an essential ingredient of Kitaev model with a spin liquid ground state. Dominant ferromagnetic interaction between J(eff)=1/2 moments is indeed confirmed by the temperature dependence of magnetic susceptibility χ(T) which shows a positive Curie-Weiss temperature θ(CW)∼+40 K. A magnetic ordering with a very small entropy change, likely associated with a noncollinear arrangement of J(eff)=1/2 moments, is observed at T(c)=38 K. With the application of magnetic field to the ordered state, a large moment of more than 0.35 µ(B)/Ir is induced above 3 T, a substantially polarized J(eff)=1/2 state. We argue that the close proximity to ferromagnetism and the presence of large fluctuations evidence that the ground state of hyperhoneycomb ß-Li(2)IrO(3) is located in close proximity of a Kitaev spin liquid.

14.
Br J Surg ; 101(11): 1439-47, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25123379

RESUMO

BACKGROUND: Few larger studies have estimated the incidence of incisional hernia (IH) after abdominal surgery. METHODS: Patients who had abdominal surgery between November 2009 and February 2011 were included in the study. The incidence rate and risk factors for IH were monitored for at least 180 days. RESULTS: A total of 4305 consecutive patients were registered. Of these, 378 were excluded because of failure to complete follow-up and 3927 patients were analysed. IH was diagnosed in 318 patients. The estimated incidence rates for IH were 5·2 per cent at 12 months and 10·3 per cent at 24 months. In multivariable analysis, wound classification III and IV (hazard ratio (HR) 2·26, 95 per cent confidence interval 1·52 to 3·35), body mass index of 25 kg/m(2) or higher (HR 1·76, 1·35 to 2·30), midline incision (HR 1·74, 1·28 to 2·38), incisional surgical-site infection (I-SSI) (HR 1·68, 1·24 to 2·28), preoperative chemotherapy (HR 1·61, 1·08 to 2·37), blood transfusion (HR 1·46, 1·04 to 2·05), increasing age by 10-year interval (HR 1·30, 1·16 to 1·45), female sex (HR 1·26, 1·01 to 1·59) and thickness of subcutaneous tissue for every 1-cm increase (HR 1·18, 1·03 to 1·35) were identified as independent risk factors. Compared with superficial I-SSI, deep I-SSI was more strongly associated with the development of IH. CONCLUSION: Although there are several risk factors for IH, reducing I-SSI is an important step in the prevention of IH. REGISTRATION NUMBER: UMIN000004723 (University Hospital Medical Information Network, http://www.umin.ac.jp/ctr/index.htm).


Assuntos
Abdome/cirurgia , Hérnia Ventral/etiologia , Complicações Pós-Operatórias/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Hérnia Ventral/epidemiologia , Humanos , Incidência , Complicações Intraoperatórias/etiologia , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Estudos Prospectivos , Fatores de Risco , Infecção da Ferida Cirúrgica/etiologia , Adulto Jovem
15.
Phys Chem Chem Phys ; 16(17): 7813-22, 2014 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-24643288

RESUMO

Microsolvated clusters of gold chloride are probed by electrospray ionization mass spectrometry (ESI-MS) and scalar relativistic electronic structure calculations. Electrospray ionization of aqueous AuCl3 leads to mononuclear clusters of types [AuCl2](+)(H2O)n (n = 0-4), [AuOHCl](+)(H2O)n (n = 0-1) and [AuCl2](+)(HCl)2(H2O)n (n = 0-4). In addition, strong ion signals due to dinuclear [Au2Cl5-xOHx](+)(H2O)n (x = 0-1) are present in ESI mass spectra of aqueous AuCl3, with the abundance of individual dinuclear species controlled by the concentration-dependent variation of the precursor complexes [AuCl2-xOHx](+)(H2O)n and AuCl3. Equilibrium structures, energies and thermodynamic properties of mono- and dinuclear gold clusters have been predicted using MP2 and CCSD(T) theory, and these data have been applied to examine the influence of microsolvation on cluster stability. Specifically, results from CCSD(T) calculations indicate that non-covalently bound ion-neutral complexes Au(+)(Cl2)(H2O)n, with formal Au(I), are the dominant forms of mononuclear gold with n = 0-2, while higher hydrates (n > 2) are covalently bound [AuCl2](+)(H2O)n complexes in which gold exists as Au(III). MP2 calculations show that the lowest energy structure of dinuclear gold is an ion-molecule cluster [Au2Cl(Cl2)2](+) consisting of a single-bridged digold-chloronium ion bound end-on to two dichlorine ligands, with two higher energy isomers, single-bridged [Au2Cl3(Cl2)](+) and double-bridged [Au2Cl5](+) clusters. Finally, AuAu interactions in the singly-bridged clusters [Au2Cl(Cl2)2](+)(H2O)n and [Au2Cl3(Cl2)](+)(H2O)n are examined employing a wide range of computational tools, including natural bond order (NBO) analysis and localized orbital locator (LOL) profiles.

16.
Lupus ; 22(5): 497-503, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23554038

RESUMO

SH2D1A, also known as signaling lymphocytic activation molecule (SLAM)-associated protein (SAP), is an adaptor protein. Recently, it was reported that SAP deficient mice were protected from systemic lupus erythematosus (SLE). In this study, we postulated SH2D1A gene to be a candidate susceptibility gene for SLE and analyzed its association with SLE. A case-control association study was conducted on 5 tag single nucleotide polymorphisms (SNPs) in SH2D1A region in 506 Japanese female SLE patients and 330 healthy female controls. The luciferase assay was performed to determine the functional role of the SNP associated with SLE. One SNP in the intron 2, rs2049995, showed association with SLE (p=0.0110, odds ratio (OR) 1.97, 95% confidence interval (CI) 1.16-3.34, under the dominant model). The association of rs2049995 seemed to be stronger in the subset with the age of onset less than 20 years (p=0.0067, OR 2.65, 95% CI 1.28-5.46). Functional evaluation of rs2049995 showed that reporter gene activity was increased 1.9-fold for the susceptible allele compared with the resistant allele. An intronic SNP of SH2D1A is associated with SLE.


Assuntos
Peptídeos e Proteínas de Sinalização Intracelular/genética , Lúpus Eritematoso Sistêmico/genética , Adulto , Povo Asiático , Estudos de Casos e Controles , Feminino , Predisposição Genética para Doença , Humanos , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Íntrons , Japão , Células Jurkat , Leucócitos Mononucleares/metabolismo , Leucócitos Mononucleares/patologia , Luciferases , Lúpus Eritematoso Sistêmico/metabolismo , Pessoa de Meia-Idade , Polimorfismo de Nucleotídeo Único , Proteína Associada à Molécula de Sinalização da Ativação Linfocitária
17.
J Chem Phys ; 139(18): 181103, 2013 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-24320247

RESUMO

The ejection of triatomic hydrogen molecular ions HD2(+) and D3(+) from CD3OH(2+) is investigated by first-principle molecular dynamics simulation. Two C-D chemical bonds are found to be broken to form a neutral D2 moiety that vibrates, rotates, and moves for a relatively long period of time (20-330 fs) towards a transition state leading to the ejection of HD2(+) or D3(+). The formation of such a long-lived neutral D2 moiety within a hydrocarbon molecule interprets well the recent experimental findings of the long lifetime of doubly charged energized hydrocarbon molecules prior to the ejection of H3(+).

19.
J Phys Chem A ; 115(45): 13024-35, 2011 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-21842915

RESUMO

We employ second-order Møller-Plesset perturbation theory level in combination with recently developed pseudopotential-based correlation consistent basis sets to obtain accurate relativistic-consistent electron densities for small coinage metal clusters. Using calculated electron densities, we employ Bader's quantum theory of atoms in molecules (QTAIM) to gain insights into the nature of metal-metal bonding in the clusters M(2), M(4), M(4)(2-), and M(4)Na(2) (M = Cu, Ag, Au). For the simplest case of the metal dimer, M(2), we correlate the strength of the metal-metal bond with the value of the electron density at the bond critical point, the total energy density at the bond critical point, the sharing (delocalization) index, and the values of the two principle negative curvatures. We then consider changes to the metal-metal bonding and charge density distribution upon the addition of two metal atoms to form the metal tetramer, M(4), and then followed by the addition of an electron pair to form M(4)(2-) and finally followed by the addition of two alkali metal (sodium) ions to form M(4)Na(2). Using topological properties of the electron density, we present evidence for the existence of σ-aromaticity in Au(4)(2-). We also report the existence of two non-nuclear attractors in the molecular graph of Cu(4)(2-) and large negative charge accumulation in the nonbonded Cu basins of this cluster.

20.
J Clin Invest ; 106(7): 867-72, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11018074

RESUMO

In North America, liver disease due to alcohol consumption is an important cause of death in adults, although its pathogenesis remains obscure. Despite the fact that resident hepatic macrophages are known to contribute to early alcohol-induced liver injury via oxidative stress, the exact source of free radicals has remained a mystery. To test the hypothesis that NADPH oxidase is the major source of oxidants due to ethanol, we used p47(phox) knockout mice, which lack a critical subunit of this major source of reactive oxygen species in activated phagocytes. Mice were treated with ethanol chronically, using a Tsukamoto-French protocol, for 4 weeks. In wild-type mice, ethanol caused severe liver injury via a mechanism involving gut-derived endotoxin, CD14 receptor, production of electron spin resonance-detectable free radicals, activation of the transcription factor NF-kappaB, and release of cytotoxic TNF-alpha from activated Kupffer cells. In NADPH oxidase-deficient mice, neither an increase in free radical production, activation of NF-kappaB, an increase in TNF-alpha mRNA, nor liver pathology was observed. These data strongly support the hypothesis that free radicals from NADPH oxidase in hepatic Kupffer cells play a predominant role in the pathogenesis of early alcohol-induced hepatitis by activating NF-kappaB, which activates production of cytotoxic TNF-alpha.


Assuntos
Consumo de Bebidas Alcoólicas/efeitos adversos , Hepatite Alcoólica/etiologia , NADPH Oxidases/metabolismo , Oxidantes/efeitos adversos , Animais , Endotoxinas , Radicais Livres/efeitos adversos , Células de Kupffer/metabolismo , Receptores de Lipopolissacarídeos , Camundongos , Camundongos Knockout , NADPH Desidrogenase/genética , NADPH Oxidases/genética , NF-kappa B/metabolismo , Estresse Oxidativo , Fosfoproteínas/genética , Fator de Necrose Tumoral alfa/metabolismo
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