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1.
Inorg Chem ; 62(19): 7566-7573, 2023 May 15.
Article in English | MEDLINE | ID: mdl-37132389

ABSTRACT

Polyhedral boron clusters are lauded as 3D aromatics that frequently form interconnected periodic networks resulting in boron-rich borides with metal and non-metals having high thermodynamic stability and hardness. This leads to the question of whether the spherical delocalization of electrons in these clusters is extended across the network as in organic aromatic networks. These borides also frequently show partial oxidation, having fewer electrons than what is mandated by electron counting rules, whose impact on their aromatic stability and geometry remains mysterious. Understanding of the nature of electronic communication between polyhedra in polyhedral borides is largely unknown, though it is crucial for the rational design of advanced materials with desirable mechanical, electronic, and optical properties. Here, we show that electronic delocalization across polyhedral clusters has a significant impact on their structure and stability. Our computational inquiry of closo borane dimers shows substantial variation in conjugation with the ideal electron count. Upon two-electron oxidation, instead of forming exohedral multiple bonding that disrupts the aromaticity, it undergoes subtle geometric transformations that conserve aromaticity. The nature of geometric transformation depends on the highest occupied molecular orbital (HOMO) that is decided locally on the polyhedral degree of the interacting vertices. The prevalence of π-type interactions as the HOMO in tetravalent vertices encourages conjugation across clusters and turns into a macropolyhedral system hosting a rhombic linkage between clusters upon oxidation. In contrast, the σ-type interactions dominate the HOMO of pentavalent vertices that prefer to confine aromaticity within the polyhedra by separating them with localized 3c-2e bonds. Our findings expose the fundamental bonding principles that govern the interaction between boron clusters and will provide the chemical guidance for the design and analysis of polyhedral boride networks with desired properties.

2.
J Phys Chem A ; 126(20): 3219-3228, 2022 May 26.
Article in English | MEDLINE | ID: mdl-35579966

ABSTRACT

Classical bonding is predominantly understood using the insipid spn hybridization for σ-bonds as well as π bonds and their delocalized variants. Because hybridization ignores intricate differences in the energy and size of valence atomic orbitals, its naïve application to classically bonded boron atoms leads to numerous surprises in bond strengths, frontier MOs/bands, and even geometry. Here we show that the sp dissonance caused by size mismatch between the valence s and p orbitals of boron plays a crucial role in its bonding, subtly distinct from that of carbon and silicon. Unlike the heavier p block elements, boron prefers to actively engage its compact 2s orbitals in bonding. This leads to the overreach of p-p σ-type overlap that reduces its magnitude in the entire B─B bonding range. Consequently, the π-type overlap remains substantial, making its electronic structure visibly distinct in saturated and unsaturated regimes. The deltahedral frameworks offer a compromise by breaking this symmetry-enforced dichotomy of classical σ- and π-type bonding and following alternate electron counts that suit the electron deficiency of the boron. The pathological anatomy of classical B─B σ-bonding also explains the origins of puzzling metallic character and disorder in their classical boride networks even with ideal electron count, unlike deltahedral borides. The implications of sp dissonance are illustrated in classical boron networks of various hybridizations, explaining the unusual preference for unique sp3 lattice with strained four-membered rings in CrB4, origins of observed σ holes in MgB2 that lead to its superconducting nature, and the absence of Peierls distortion in LiB.

3.
Hong Kong Med J ; 27(1): 198-209, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33122448

ABSTRACT

BACKGROUND: Coronavirus disease 2019 (COVID-19) exhibits many extrapulmonary manifestations, including liver injury. This scoping review aimed to provide insight into the incidence, patterns, risk factors, histopathological findings, and relationship with disease severity of COVID-19-associated liver injury. Furthermore, we identified existing gaps in the research on the hepatic manifestations of COVID-19 and highlighted areas for future investigations. METHODS: A scoping review was conducted following the methodological framework suggested by Arksey and O'Mallay. Five online databases, along with grey literature, were searched for articles published until 22 May 2020, and we included 62 articles in the review. The research domains, methodological characteristics, and key conclusions were included in the analysis. RESULTS: Retrospective observational studies comprised more than one third (41.9%) of the included publications, and 77.8% were conducted on living patients. The incidence of liver injury varied widely across the studies (4.8%-78%), and liver injury was frequently associated with severe COVID-19. We identified the following risk factors for liver injury: male sex, lymphopoenia, gastrointestinal involvement, old age, increased neutrophil count, and the use of hepatotoxic drugs. Histopathological findings indicate that COVID-19 has direct cytopathic effects and causes liver function test derangements secondary to inflammation, hypoxia, and vascular insult. CONCLUSIONS: Liver injury following COVID-19 infection is common and primarily hepatocellular, with a greater elevation of aspartate aminotransferase tahn of alanine aminotransferase. However, the evidence regarding hepatic failure secondary to COVID-19 is insufficient. Standardised criteria to diagnose liver injury need to be devised. Current use of hepatotoxic drugs necessitates close monitoring of liver function.


Subject(s)
COVID-19 , Liver Diseases , COVID-19/complications , COVID-19/epidemiology , Humans , Incidence , Liver Diseases/epidemiology , Liver Diseases/etiology , Liver Diseases/pathology , Liver Diseases/physiopathology , Liver Function Tests/methods , Risk Factors , SARS-CoV-2 , Severity of Illness Index
5.
JAMA Netw Open ; 6(7): e2326357, 2023 07 03.
Article in English | MEDLINE | ID: mdl-37523184

ABSTRACT

Importance: Use of lumbar fusion has increased substantially over the last 2 decades. For patients with lumbar stenosis and degenerative spondylolisthesis, 2 landmark prospective randomized clinical trials (RCTs) published in the New England Journal of Medicine in 2016 did not find clear evidence in favor of decompression with fusion over decompression alone in this population. Objective: To assess the national use of decompression with fusion vs decompression alone for the surgical treatment of lumbar stenosis and degenerative spondylolisthesis from 2016 to 2019. Design, Setting, and Participants: This retrospective cohort study included 121 745 hospitalized adult patients (aged ≥18 years) undergoing 1-level decompression alone or decompression with fusion for the management of lumbar stenosis and degenerative spondylolisthesis from January 1, 2016, to December 31, 2019. All data were obtained from the National Inpatient Sample (NIS). Analyses were conducted, reviewed, or updated on June 9, 2023. Main Outcome and Measure: The primary outcome of this study was the use of decompression with fusion vs decompression alone. For the secondary outcome, multivariable logistic regression analysis was used to evaluate factors associated with the decision to perform decompression with fusion vs decompression alone. Results: Among 121 745 eligible hospitalized patients (mean age, 65.2 years [95% CI, 65.0-65.4 years]; 96 645 of 117 640 [82.2%] non-Hispanic White) with lumbar stenosis and degenerative spondylolisthesis, 21 230 (17.4%) underwent decompression alone, and 100 515 (82.6%) underwent decompression with fusion. The proportion of patients undergoing decompression alone decreased from 2016 (7625 of 23 405 [32.6%]) to 2019 (3560 of 37 215 [9.6%]), whereas the proportion of patients undergoing decompression with fusion increased over the same period (from 15 780 of 23 405 [67.4%] in 2016 to 33 655 of 37 215 [90.4%] in 2019). In univariable analysis, patients undergoing decompression alone differed significantly from those undergoing decompression with fusion with regard to age (mean, 68.6 years [95% CI, 68.2-68.9 years] vs 64.5 years [95% CI, 64.3-64.7 years]; P < .001), insurance status (eg, Medicare: 13 725 of 21 205 [64.7%] vs 53 320 of 100 420 [53.1%]; P < .001), All Patient Refined Diagnosis Related Group risk of death (eg, minor risk: 16 900 [79.6%] vs 83 730 [83.3%]; P < .001), and hospital region of the country (eg, South: 7030 [33.1%] vs 38 905 [38.7%]; Midwest: 4470 [21.1%] vs 23 360 [23.2%]; P < .001 for both comparisons). In multivariable logistic regression analysis, older age (adjusted odds ratio [AOR], 0.96 per year; 95% CI, 0.95-0.96 per year), year after 2016 (AOR, 1.76 per year; 95% CI, 1.69-1.85 per year), self-pay insurance status (AOR, 0.59; 95% CI, 0.36-0.95), medium hospital size (AOR, 0.77; 95% CI, 0.67-0.89), large hospital size (AOR, 0.76; 95% CI, 0.67-0.86), and highest median income quartile by patient residence zip code (AOR, 0.79; 95% CI, 0.70-0.89) were associated with lower odds of undergoing decompression with fusion. Conversely, hospital region in the Midwest (AOR, 1.34; 95% CI, 1.14-1.57) or South (AOR, 1.32; 95% CI, 1.14-1.54) was associated with higher odds of undergoing decompression with fusion. Decompression with fusion vs decompression alone was associated with longer length of stay (mean, 2.96 days [95% CI, 2.92-3.01 days] vs 2.55 days [95% CI, 2.49-2.62 days]; P < .001), higher total admission costs (mean, $30 288 [95% CI, $29 386-$31 189] vs $16 190 [95% CI, $15 189-$17 191]; P < .001), and higher total admission charges (mean, $121 892 [95% CI, $119 566-$124 219] vs $82 197 [95% CI, $79 745-$84 648]; P < .001). Conclusions and Relevance: In this cohort study, despite 2 prospective RCTs that demonstrated the noninferiority of decompression alone compared with decompression with fusion, use of decompression with fusion relative to decompression alone increased from 2016 to 2019. A variety of patient- and hospital-level factors were associated with surgical procedure choice. These results suggest the findings of 2 major RCTs have not yet produced changes in surgical practice patterns and deserve renewed focus.


Subject(s)
Spondylolisthesis , Adult , Humans , Adolescent , Aged , Constriction, Pathologic , Inpatients , Diagnosis-Related Groups , Decompression
6.
Phys Rev Lett ; 109(5): 057601, 2012 Aug 03.
Article in English | MEDLINE | ID: mdl-23006207

ABSTRACT

The existence of a highly ordered, two-dimensional, Sn/Ag alloy on Si(111) is reported in this study. We present detailed atomic and electronic structures of the one atomic layer thick alloy, exhibiting a 2 × 2 periodicity. The electronic structure is metallic due to a free-electron-like surface band dispersing across the Fermi level. By electron doping, the electronic structure can be converted into a semiconducting state. A rotated Sn trimer constitutes the key structural element that could be identified by a detailed analysis of constant energy contours derived from the free-electron-like band.

7.
Trop Anim Health Prod ; 43(4): 795-801, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21116714

ABSTRACT

The experiment was conducted to investigate the influence of maize (Zea mays), sorghum (Sorghum bicolor) and millet (Pennisetum americannum) silages with or without concentrate on nutrients intake, digestibility, nitrogen balance and weight gain in Sipli sheep. Six experimental diets were formulated having 100% maize silage (MS), maize silage and concentrate as 50:50 (MSC), 100% sorghum silage (SS), sorghum silage and concentrate as 50:50 (SSC), 100% millet silage (MiS) and millet silage and concentrate as 50:50 (MiSC), respectively. For this purpose, 24 Sipli lambs were randomly allotted to six experimental diets in a completely randomized design for 90 days, four lambs per diet. The results indicated that among various silage diets, lambs fed MS diet consumed higher dry matter (DM) than those fed SS and MiS diets. Likewise, lambs offered MSC had higher dry matter intake than those fed SSC and MiSC diets. Crude protein (CP) and neutral detergent fibre (NDF) consumed by the lambs also followed the similar trend. Higher DM, CP and NDF digestibilities were also observed in lambs fed MS and MSC diets than those fed SS, SSC, MiS and MiSC diets. Overall digestibilities of DM, CP and NDF were higher in experimental diets containing silage with concentrate. Lambs fed MS diet had 2.79 g/day and 4.45 g/day higher N retention than those fed SS and MiS, respectively. Similarly, lambs fed MSC diet had 2.24 g/day and 5.12 g/day higher N retention than those fed SSC and MiSC diets, respectively. The results showed that lambs fed MSC gained more daily weight gain had better feed conversion ratio than those fed MS, SS, SSC, MiS and MiSC diets. The findings of the present study indicated that lambs fed MSC diet had higher nutrients intake, digestibility, nitrogen balance and weight gain.


Subject(s)
Dietary Fiber/metabolism , Dietary Proteins/metabolism , Digestion , Nitrogen/metabolism , Sheep, Domestic/physiology , Animal Feed , Animal Nutritional Physiological Phenomena , Animals , Diet/veterinary , Dietary Supplements , Male , Panicum , Random Allocation , Sheep, Domestic/growth & development , Silage , Sorghum , Weight Gain , Zea mays
8.
J Phys Chem Lett ; 11(5): 1609-1613, 2020 Mar 05.
Article in English | MEDLINE | ID: mdl-32037823

ABSTRACT

Inspired by the unique properties of graphene, research efforts have broadened to investigations of various other two-dimensional materials with the aim of exploring their properties for future applications. Our combined experimental and theoretical study confirms the existence of a binary honeycomb structure formed by Ag and Te on Ag(111). Low-energy electron diffraction shows sharp spots which provide evidence of an undistorted AgTe layer. Band structure data obtained by angle-resolved photoelectron spectroscopy are closely reproduced by first-principles calculations, using density functional theory (DFT). This confirms the formation of a honeycomb structure with one Ag and one Te atom in the unit cell. In addition, the theoretical band structure reproduces also the finer details of the experimental bands, such as a split of one of the AgTe bands.

9.
Opt Express ; 14(23): 11113-27, 2006 Nov 13.
Article in English | MEDLINE | ID: mdl-19529526

ABSTRACT

This paper presents a narrow linewidth, high resolution, and high quantum efficiency imaging transmission filter based on optical trapping of resonance radiation in potassium vapor. The filter can be used to image radiation over a bandwidth narrow enough to fall within a Fraunhofer dark zone in the solar spectrum, and it can be applied to the imaging of flames, plumes or discharges containing potassium. It may also be applicable to the imaging of Raman scattering from a tunable laser. The spectral and imaging properties of the filter are demonstrated with a 1 cm aperture optically thick potassium cell illuminated by a narrow linewidth tunable laser. The spectral width at the potassium D2 line wavelength, 766.5 nm, is shown to be 1 to 2 GHz (.002 nm). At the line center, the quantum efficiency is better than 60% and the imaging resolution is better than 30 line pairs per mm. By employing a 200 micron "thin" potassium vapor cell, it is also shown that the filter maintains the high quantum efficiency (~50%) and good imaging capability (~20 lines per mm) across the 2 GHz spectral bandwidth of the cell. The "thin" cell has an out-of-band rejection of better than 1000. Its operation is demonstrated with a tunable laser as well as with broad band light from a potassium lamp and from a potassium chloride seeded flame.

10.
J Neurosurg Pediatr ; 16(6): 726-31, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26406160

ABSTRACT

OBJECT: Several studies have indicated that the 30-day morbidity and mortality risks are higher among pediatric and adult patients who are admitted on the weekends. This "weekend effect" has been observed among patients admitted with and for a variety of diagnoses and procedures, including myocardial infarction, pulmonary embolism, ruptured abdominal aortic aneurysm, stroke, peptic ulcer disease, and pediatric surgery. In this study, morbidity and mortality outcomes for emergency pediatric neurosurgical procedures carried out on the weekend or after hours are compared with emergency surgical procedures performed during regular weekday business hours. METHODS: A retrospective analysis of operative data was conducted. Between December 1, 2011, and August 20, 2014, a total of 710 urgent or emergency neurosurgical procedures were performed at Texas Children's Hospital in children younger than than 18 years of age. These procedures were then stratified into 3 groups: weekday regular hours, weekday after hours, and weekend hours. By cross-referencing these events with a prospectively collected morbidity and mortality database, the impact of the day and time on complication incidence was examined. Outcome metrics were compared using logistic regression models. RESULTS: The weekday regular hours and after-hours (weekday after hours and weekends) surgery groups consisted of 341 and 239 patients and 434 and 276 procedures, respectively. There were no significant differences in the types of cases performed (p = 0.629) or baseline preoperative health status as determined by American Society of Anesthesiologists classifications (p = 0.220) between the 2 cohorts. After multivariate adjustment and regression, children undergoing emergency neurosurgical procedures during weekday after hours or weekends were more likely to experience complications (p = 0.0227). CONCLUSIONS: Weekday after-hours and weekend emergency pediatric neurosurgical procedures are associated with significantly increased 30-day morbidity and mortality risk compared with procedures performed during weekday regular hours.


Subject(s)
After-Hours Care/statistics & numerical data , Hospitals, Pediatric/statistics & numerical data , Neurosurgical Procedures/adverse effects , Neurosurgical Procedures/mortality , Adolescent , Cerebrospinal Fluid Shunts/adverse effects , Cerebrospinal Fluid Shunts/mortality , Child , Child, Preschool , Female , Humans , Incidence , Infant , Logistic Models , Male , Morbidity , Odds Ratio , Retrospective Studies , Texas/epidemiology
11.
Onderstepoort J Vet Res ; 81(1): e1-e8, 2014 04 15.
Article in English | MEDLINE | ID: mdl-24833345

ABSTRACT

This review examined the use of green tea (Camellia sinensis) in the diets of poultry. Research findings were obtained from various recent studies, where much attention was focused on the role of green tea in the promotion of both animal and human health. The review involved some of the currently available information about green tea, pertaining to its chemical composition, anticoccidial and antimicrobial effect, effect on broiler and layer performance and on blood and egg yolk constituents. To the author's knowledge this is the first review paper on this topic. It will be helpful for poultry nutritionists and the poultry industry, although more detailed studies are still needed to elucidate the effects of green tea in poultry nutrition under various circumstances.


Subject(s)
Diet/veterinary , Poultry/physiology , Tea , Animal Feed/analysis , Animal Nutritional Physiological Phenomena , Animals
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