In vivo non-contact regions of proximal scaphoid in six extreme wrist positions.

INTRODUCTION: Fractures of the scaphoid are the most common carpal injuries, account for 80-90% of all carpal fractures. 5-15% nonunion of scaphoid fractures were reported even with adequate primary treatment, which probably progresses to osteoarthritic changes several decades later. Researches regarding to scaphoid physiological characteristic in vitro and in vivo and kinds of trials in clinical practice are being kept on going, which contribute much to our clinical practice. With the advancing wrist arthroscopy, 3D-print patient-specific drill guide, and intraoperative fluoroscopic guidance, dorsal approach (mini-invasive and percutaneous technique) is being popular, through which we can implant the screw in good coincidence with biomechanics and with less disturbing tenuous blood supply of the scaphoid. Investigating the noncontact area of the dorsal proximal scaphoid in different wrist positions can facilitate preoperatively estimating insert point of the screw. MATERIALS AND METHODS: Eight volunteers were recruited to accept CT scans in six extreme wrist positions. The images of DICOM mode were imput into the Mimics analytical system, the segmented scaphoid, lunate and radius were exported in mode of ASCII STL and were opened in the software of Geomagic studio. We created four planes based on anatomic markers on the surface of the radius and scaphoid to confine the proximal scaphoid to form the so-called non-contact regions. We measured and compared the areas in six targeted positions. RESULTS: Amidst six extreme wrist positions, area of the non-contact region in extreme dorsal extension (59.81 ± 26.46 mm2) was significantly the smallest, and it in extreme palmar flexion significantly was largest (170.51 ± 30.44 mm2). The non-contact regions increased in order of dorsal extension, supination, ulnar deviation, radial deviation, pronation and palmar flexion. As for two-group comparison, the non-contact region showed significantly larger (p < 0.05) in palmar flexion than the others except for in pronation individually, and in radial deviation (p < 0.05) than in dorsal extension. CONCLUSIONS: Sufficient space was available for the screw started from the dorsal approach despite the wrist positions.

Optical polarization properties of TPP2MnBr4 perovskite crystal adjusted by the self-trapping state.

Low-dimensional networked organic-inorganic hybrid metal halide crystal has become an emerging hotspot material due to its opportunities and advantages in the development of white-light-emitting diodes. Therefore, its photoluminescence (PL) mechanism is important. Herein, we study the PL behavior of columniform TPP2MnBr4 crystals using multi-spectroscopy. The temperature-dependent PL data show that the PL of the TPP2MnBr4 crystal originates from the recombination of a self-trapping exciton. A polarization-dependent PL test suggests that the self-trapping exciton is anisotropic, which indicates that the distribution of self-trapping states is sensitive to the orientation of the crystal axis. Space-resolved PL spectroscopy shows that the anisotropy of PL gradually weakens along the orientation of the columniform crystal, which has a longer relaxation distance than traditional light-wave-guiding behavior. Thus, anisotropy of PL can exist before it disappears in the crystal. Our results elucidate the PL mechanism of low-dimensional networked organic-inorganic hybrid metal halide crystals and provide a foundation for advanced optical polarization devices based on them.

Controlled Iodine Phase Transfer of Covalent Organic Framework Membranes for Instant but Sustained Disinfection.

Freestanding membranes of CuCl2-implanted TpPa covalent organic frameworks (COFs) were mechanochemically produced. The resulting membrane had a high I2 adsorption capacity (566.78 g·mol-1) in cyclohexane, which corresponds to 2.2I2 per unit cell with 1.3I2 immobilized on 3Cl- ions (60%) and 0.9 on 3N atoms (40%). Upon being placed in aqueous media, the membrane released 61.1% of its loaded I2 mainly by its Cl- ions within 10 min and the remaining 38.9% mainly from its N atoms within about 5 h. Thanks to that, the COF membranes loaded with 1.5 mg of I2 could be repetitively utilized to kill about 108 CFU/mL E. coli in 0.5-3 min at least five times, after which the membranes could retain their bactericidal activity for 4 h against 108 CFU/mL E. coli. This highlights the promising application of I2-loaded TpPa-CuCl2 COF membranes for instant and sustained disinfection.

Thermally Induced Reversible Fluorescence Switching of Lead Chloride Hybrids for Anticounterfeiting and Encryption.

Metal halide hybrids with thermally induced fluorescence transition have the potential to be utilized as the next generation of smart materials in optoelectronic devices. However, the fabrication of thermochromic materials with simultaneously reversible and lower transition temperatures is still a challenge. Herein, we present a novel one-dimensional (1D) organic-inorganic lead chloride hybrid (TPA)PbCl3-Green (TPA = tetrapropylammonium) single crystal that exhibits green emission and up to 30% photoluminescence quantum yield (PLQY). It is worth noting that the (TPA)PbCl3-Green crystal changes emission from green to blue light when heated at 323 K. The emission spectra indicate that the blue light is attributed to the combination of two emission peaks located at 438 and 520 nm, respectively. Furthermore, the green luminescence is restored after natural cooling to room temperature. The dynamic transition process is demonstrated via steady-state photoluminescence, single-crystal X-ray diffraction (SCXRD), and powder X-ray diffraction (XRD). (TPA)PbCl3-Green crystals and (TPA)PbCl3-Green@PVP complexes have also been explored as fluorescent security inks for dynamic anticounterfeiting and message encryption as well as optical logic gate applications due to the excellent cycling stability and low transition temperature. This material offers a completely new option for thermochromic materials used for security information.

Light-Emitting Metal-Organic Halide 1D and 2D Structures: Near-Unity Quantum Efficiency, Low-Loss Optical Waveguide and Highly Polarized Emission.

Organic-inorganic metal-halide materials (OIMMs) with zero-dimensional (0D) structures offer useful optical properties with a wide range of applications. However, successful examples of 0D structural OIMMs with well-defined optical performance at the micro-/nanometer scale are limited. We prepared one-dimensional (1D) (DTA)2 SbCl5 ⋅DTAC (DTAC=dodecyl trimethyl ammonium chloride) single-crystal microrods and 2D microplates with a 0D structure in which individual (SbCl5 )2- quadrangular units are completely isolated and surrounded by the organic cation DTA+ . The organic molecular unit with a long alkyl chain (C12 ) and three methyl groups enables microrod and -plate formation. The single-crystal microrods/-plates exhibit a broadband orange emission peak at 610 nm with a photoluminescence quantum yield (PLQY) of ca. 90 % and a large Stokes shift of 260 nm under photoexcitation. The broad emission originates from self-trapping excitons. Spatially resolved PL spectra confirm that these microrods exhibit an optical waveguide effect with a low loss coefficient (0.0019 dB µm-1 ) during propagation, and linear polarized photoemission with a polarization contrast (0.57).

Color Tunable Self-Trapped Emissions from Lead-Free All Inorganic IA-IB Bimetallic Halides Cs-Ag-X (X = Cl, Br, I).

Multi-metallic halides of group IA and IB metals are emerged as a new class of color tunable emitters. While chalcogenides and perovskites are extensively studied, these families of materials are little explored. In comparison, herein, lead and cadmium free bimetallic Cs-Ag-X (X = Cl, Br, I) halides are reported where the larger ion Ag+ helped in incorporating all the halide ions which in turn tune their emission color in spanning from 397 nm (violet) to 820 nm (near infrared) as a function of their composition. The synthesis method adopted here is the solvent free ball milling of respective halides of Cs and Ag and took the record shortest time and in bulk scale. From decay lifetimes, emissions from these bimetallic halides are found as a result of fast recombination of self-trapped excitons, which exhibited not only reasonably high quantum yield in the range of 17-68% but also excellent stability to air and moisture under ambient conditions. These also show wide Stokes shift with relatively longer decay lifetimes ranging above the exciton and below the surface trap or dopant induced emissions of inorganic semiconductors, indicating a new class of materials having unique identity of their optical behaviors.

Arm Growth and Facet Modulation in Perovskite Nanocrystals.

Highly emissive isotropic CsPbX3 (X = Cl, Br, and I) perovskite nanocrystals are typically observed in a six-faceted cube shape. When a unique approach is adopted and the reaction medium is enriched with halides, arm growth on all six facets was carried out and reported. Analysis suggested that these armed nanostructures were obtained from intermediate polyhedron shaped structures having 26 facets, and these were formed under halide-deficient conditions. Surface energy calculations further supported the possible existence of all facets for both of these structures under different halide composition environments. The entire study was first explored for CsPbBr3 and then extended to CsPbCl3; however, for CsPbI3 nanocrystals, Sr(II) dopant was used for obtaining stable emission. Arm lengths could also be tuned with a function of reaction temperature for CsPbBr3. Formation of stable facets in polyhedron shaped nanostructures and their transformation to respective hexapods under halide-deficient and halide-rich conditions add new fundamental concepts for these nanostructures and their shape evolutions.

Bandgap- and Radial-Position-Dependent Mn-Doped Zn-Cu-In-S/ZnS Core/Shell Nanocrystals.

This paper presents a mechanistic study on the doping of Zn-Cu-In-S/ZnS core/shell quantum dots (QDs) with Mn by changing the Zn-Cu-In-S QD bandgap and dopant position inside the samples (Zn-Cu-In-S core and ZnS shell). Results show that for the Mn:Zn-Cu-In-S/ZnS system, a Mn-doped emission can be obtained when the bandgap value of the QDs is larger than the energy of Mn-doped emission. Conversely, a bandgap emission is only observed for the doped system when the bandgap value of QDs is smaller than the energy gap of the Mn-doped emission. In the Zn-Cu-In-S/Mn:ZnS systems, doped QDs show dual emissions, consisting of bandgap and Mn dopant emissions, instead of one emission band when the value of the host bandgap is larger than the energy of the Mn-doped emission. These findings indicate that the emission from Mn-doped Zn-Cu-In-S/ZnS core/shell QDs depends on the bandgap of the QDs and the dopant position inside the core/shell material. The critical bandgap of the host materials is estimated to have the same value as the energy of the Mn d-d transition. Subsequently, the mechanism of photoluminescence properties of the Mn:Zn-Cu-In-S/ZnS and Zn-Cu-In-S/Mn:ZnS core/shell QD systems is proposed. Control experiments are then carried out by preparing Mn-doped Zn(Cu)-In-S QDs with various bandgaps, and the results confirm the reliability of the suggested mechanism. Therefore, the proposed mechanism can aid the design and synthesis of novel host materials in fabricating doped QDs.

Room temperature synthesis of ultra-small, near-unity single-sized lead halide perovskite quantum dots with wide color emission tunability, high color purity and high brightness.

Phosphor with extremely narrow emission line widths, high brightness, and wide color emission tunability in visible regions is required for display and lighting applications, yet none has been reported in the literature so far. In the present study, single-sized lead halide perovskite (APbX 3; A = CH3NH3 and Cs; X = Cl, Br, and I) nanocrystalline (NC) phosphors were achieved for the first time in a one-pot reaction at room temperature (25 °C). The size-dependent samples, which included four families of CsPbBr3 NCs and exhibited sharp excitonic absorption peaks and pure band gap emission, were directly obtained by simply varying the concentration of ligands. The continuity of the optical spectrum can be successively tuned over the entire UV-visible spectral region (360-610 nm) by preparing CsPbCl3, CsPbI3, and CsPb(Y/Br)3 (Y = Cl and I) NCs with the use of CsPbBr3 NCs as templates by anion exchange while maintaining the size of NCs and high quantum yields of up to 80%. Notably, an emission line width of 10-24 nm, which is completely consistent with that of their single particles, indicates the formation of single-sized NCs. The versatility of the synthetic strategy was validated by extending it to the synthesis of single-sized CH3NH3PbX 3 NCs by simply replacing the cesium precursor by the CH3NH3 X precursor.

A versatile 'click chemistry' route to size-restricted, robust, and functionalizable hydrophilic nanocrystals.

A versatile addition-crosslinking route is developed to transfer various hydrophobic nanocrystals into water. By assembling amphiphilic ligands and then crosslinking through 'click chemistry', a monolayer of polymer forms on the nanocrystal surface, leading to excellent stability and limited increase in hydrodynamic diameter. These nanocrystals can also be further functionalized easily for various applications such as catalysis, bioimaging, and medical therapy.

Using micro to manipulate nano.

A "Micro to nano" dewetting strategy is presented to generate multi-direction-controlled, precise-positioning 1D assemblies of conductive silver (Ag) NPs based on a superhydrophobicity-directed assembly strategy. Electrons can transport along linear NP assemblies and their behavior is sustained by coating a coaxial protecting layer outside the nanostructures. This new concept might open new routes for NP-based nanoelectronic circuit fabrication.

Syntheses and characterization of nearly monodispersed, size-tunable silver nanoparticles over a wide size range of 7-200 nm by tannic acid reduction.

Nearly monodispersed spherical silver nanoparticles (Ag NPs) were synthesized by using tannic acid (TA) as both reductant and stabilizer in a 30 °C water bath. The size of the as-prepared Ag NPs could be tuned in a range of 7-66 nm by changing the molar ratio of TA to silver nitrate and pH of the reaction solutions. UV-vis spectra, TEM observations, and temporal evolution of the monomer concentrations for the reactions carried out at different experimental conditions showed that the improved size distribution and size tunability of the Ag NPs were mainly attributed to the use of TA, which could promote the balance of nucleation and growth processes of the NPs effectively. The size of the Ag NPs was extendable up to 200 nm in one-pot fashion by the multi-injection approach. The size-dependent surface-enhanced Raman scattering (SERS) activity of the as-prepared Ag NPs was evaluated, and the NPs with size around 100 nm were identified to show a maximum enhanced factor of 3.6 × 10(5). Moreover, the as-prepared TA-coated Ag NPs presented excellent colloidal stability compared to the conventional citrate-coated ones.

One-Dimensional Copper-Doped Rb2AgI3 with Efficient Sky-Blue Emission as a High-Performance X-ray Scintillator.

Scintillators have garnered heightened attention for their diverse applications in medical imaging and security inspection. Nonetheless, commercial scintillators encounter challenges with costly rare-earth metals and toxic elements like thallium (Tl), driving the need for sustainable, cost-effective, and eco-friendly alternatives to meet contemporary X-ray detection demands. This study focuses on exploring the potential of Cu+-doped Rb2AgI3 as an effective metal halide (MH) scintillator. One-dimensional (1D) Rb2AgI3 and Cu+-doped Rb2AgI3 single crystals (SCs) were synthesized by using the conventional temperature-lowering crystallization method. When excited by UV light, Cu+-doped SCs emitted a broad sky-blue light at 490 nm with a high photoluminescence (PL) quantum yield (PLQY) of 76.48%. Remarkably, under X-ray excitation, these Cu+-doped SCs demonstrated an outstanding light yield of 36,293 photons MeV-1, a relatively low detection threshold of 1.022 µGyair s-1, and a rapid scintillation decay time of 465 ns. The prepared translucent scintillation film has good uniformity and flexibility, with a high spatial resolution of 10.2 lp mm-1. These results position Cu+-doped Rb2AgI3 as a leading candidate among promising X-ray scintillators, offering superior scintillation light yield, excellent stability, and nontoxicity.

Sn(II)-doped one-dimensional hybrid metal halide [C5H14NO]CdCl3 single crystals with broadband greenish-yellow light emission.

Low-dimensional organic-inorganic hybrid halides, as an important branch of metal halide materials, have attracted much attention due to their excellent photoelectric properties. Herein, we designed one new hybrid cadmium chloride [C5H14NO]CdCl3 based on combinations of the d10 metal cation (Cd2+) and choline chloride molecules. [C5H14NO]CdCl3 single crystals belong to the orthorhombic Pna21 space group and show a one-dimensional (1D) structure with distorted [CdCl5O]5- octahedra. The second harmonic generation (SHG) response of [C5H14NO]CdCl3 exhibits an intensity of approximately 0.4 × KDP. Moreover, the photoluminescence properties of the [C5H14NO]CdCl3 crystal are activated by doping with Sn2+ ions having stereochemically active lone pair 5s2 electrons. Under UV excitation conditions, bright greenish-yellow light emission can be observed, and the quantum efficiency (PLQY) is as high as 91.27%. The luminescence mechanism is revealed by combining the results of temperature dependent luminescence and density functional theory (DFT) calculation. This work can serve as a guide for the design and synthesis of emerging optical materials.

The long-term curative effect analysis of trans-articular plate combined with Kirschner wires in the treatment of fracture-dislocation of the fifth carpometacarpal joint.

Purpose: To evaluate the long-term curative effect analysis of trans-articular plate combined with Kirschner wires in the treatment of fracture-dislocation of the fifth carpometacarpal joint. Methods: From July 2016 to September 2021, 21 patients with fracture-dislocation of the fifth carpometacarpal joint were treated with trans-articular plate combined with Kirschner wires internal fixation. Each patient's gender, age, dominant hand, injured hand, trauma mechanism, the time between injury and surgery, the range of motion of the bilateral wrist in flexion, extension, radial deviation and ulnar deviation, grip strength of each side, the time of return to work, and follow-up time were recorded. The QDASH score and Cooney wrist function score were used to evaluate the postoperative function. The VAS system was used to evaluate postoperative pain. Results: The follow-up time was 37.0 ± 19.0 months and the time between injury and surgery was 1.3 ± 0.5 days. In the injured side and the contralateral side, the range of motion of the wrist flexion were 58.3 ± 4.0° and 60.5 ± 3.1°, the range of motion of the wrist radial deviation were 25.7 ± 3.3° and 26.9 ± 2.9°, the range of motion of the wrist ulnar deviation were 28.1 ± 3.7° and 29.5 ± 3.1° respectively with no significant difference. The range of motion of the wrist extension (54.0 ± 3.4°) in the injured side was smaller than that in the contralateral side (56.7 ± 3.7°) with significant difference. The grip strength of the injured side and the contralateral side were 96.1 ± 9.5 LB and 100.7 ± 9.7LB respectively with no significant difference. The QDASH score was 3.8 ± 1.8, Cooney wrist function score was 94.5 ± 4.2, VAS score was 1.0 ± 0.8 and the time of return to work was 5.1 ± 0.9 weeks. In the 21 cases, no postoperative complications such as incision infection, failure of internal fixation, fracture nonunion or fracture malunion occurred. Conclusion: The method of trans-articular plate combined with Kirschner wires is one of the alternative treatments for the fracture-dislocation of the fifth carpometacarpal joint. The long-term follow-up results were satisfactory.

Correlation of CdS nanocrystal formation with elemental sulfur activation and its implication in synthetic development.

Formation of CdS nanocrystals in the classic approach (with octadecene (ODE) as the solvent and elemental sulfur and cadmium carboxylate as the precursors) was found to be kinetically dependent on reduction of elemental sulfur by ODE, which possessed a critical temperature (~180 °C). After elemental sulfur was activated by ODE, the formation reaction of CdS followed closely. 2-tetradecylthiophene from the activation of S by ODE and fatty acids from the formation reaction of CdS were found to be the only soluble side products. The overall reaction stoichiometry further suggested that oxidation of each ODE molecule generated two molecules of H(2)S, which in turn reacted with two molecules of cadmium carboxylate molecules to yield two CdS molecular units and four molecules of fatty acids. In comparison to alkanes, octadecene was found to be substantially more active as a reductant for elemental sulfur. To the best of our knowledge, this is the first example of quantitative correlation between chemical reactions and formation of high-quality nanocrystals under synthetic conditions. To demonstrate the importance of such discovery, we designed two independent and simplified synthetic approaches for synthesis of CdS nanocrystals. One approach with its reaction temperature at the critical temperature of S activation (180 °C) used the same reactant composition as the classic approach but without any hot injection. The other approach performed at an ordinary laboratory temperature (≤100 °C) and in a common organic solvent (toluene) was achieved by addition of fatty amine as activation reagent of elemental sulfur.

The curative effect analysis of a modified Kirschner wires and locking plate internal fixation method for the fifth metacarpal neck fracture.

PURPOSE: To evaluate the efficacy of a modified internal fixation method for the treatment of fifth metacarpal neck fracture. METHODS: From March 2018 to December 2019, 12 patients with the fifth metacarpal neck fractures of the hands were treated with the Kirschner wires and locking plate internal fixation method. Each patient's gender, age, dominant hand, injured hand, trauma mechanism, preoperative and postoperative deformity (angulation and the length of the fifth metacarpal), the range of motion of the metacarpophalangeal joint and grip strength of each side, the time of return to work, and follow-up time were recorded and calculated. RESULTS: The mean follow-up time was 16.8 months, and the angulations of preoperative and postoperative deformity were 40.0 ± 3.7°and 17.6 ± 1.7°, respectively. The length of the fifth metacarpals of preoperative and postoperative deformity were 51.5 ± 2.1 mm and 60.0 ± 1.8 mm, respectively. At the last follow-up, the range of motion of the fifth metacarpophalangeal joint of the injured side and the contralateral side were 84.3 ± 3.6°and 86.5 ± 2.0°, and the grip strength of the injured side and the contralateral side were 74.8 ± 6.1 LB and 78.6 ± 8.3 LB, respectively, without statistically significant differences. QDASH score was 2.0 ± 1.0, and the time of return to work was 6.0 ± 0.7 weeks. CONCLUSION: The modified internal fixation method is one of the alternative treatments for the fifth metacarpal neck fracture with good curative effects.

Flow-through arterialized venous free thenar flaps for palmar soft tissue defects in fingers.

OBJECTIVE: To evaluate the efficacy of venous free thenar flaps for reconstructing palmar soft tissue defects in fingers. METHODS: From December 2018 to October 2019, 11 patients with palmar soft tissue defects in fingers were treated using venous free thenar flaps. At the final follow-up, the range of thumb radial and palmar abduction on the injured side and opposite side was calculated. The total active movement (TAM) of the injured and opposite fingers and flap sensibility recovery were also recorded. RESULTS: The mean follow-up time was 13.4 months, all flaps survived, and all wounds at the donor sites healed with no skin necrosis. At the last follow-up, the average range of thumb radial abduction and thumb palmar abduction on the injured side was 96.6% and 95.9% of the value on the opposite side, respectively. The average TAM of the injured fingers was 98.2% of the value of the opposite fingers. Sensation in the flaps was restored to grade S2 to S3. CONCLUSION: Venous free thenar flaps can be alternatives for reconstructing palmar soft tissue defects in fingers.

Bioinspired, Nanostructure-Amplified, Subcutaneous Light Harvesting to Power Implantable Biomedical Electronics.

Implantable biomedical electronics hold immense promise for in vivo personalized healthy monitoring and even precise therapeutic intervention. Tremendous miniaturization of indwelling modules enables implanted biomedical devices to perform multiple functions with ultralow power consumption but exacerbates the technical challenges of supplying effective power to the devices in vivo. In this Perspective, we summarize new developments in transmitting near-infrared light from sunlight or a light-emitting diode into subcutaneously implanted photovoltaic cells, in which the light utilization efficiency can be amplified with the aid of nanostructured rear reflectors. Considering the many natural examples of nanostructure-induced structural coloration displayed by submarine animals, we wish to open up new prospects of bioinspired, nanostructure-amplified, subcutaneous light harvesting to power implanted biomedical electronics.