Spirobifluorene-Based Porous Organic Salts: Their Porous Network Diversification and Construction of Chiral Helical Luminescent Structures

Porous organic salts (POSs) are organic porous materials assembled via charge-assisted hydrogen bonds between strong acids and bases such as sulfonic acids and amines. To diversify the network topology of POSs and extend its functions, this study focused on using 4,4',4'',4'''-(9,9'-spirobi[fluorene]-2,2',7,7'-tetrayl)tetrabenzenesulfonic acid (spiroBPS), which is a tetrasulfonic acid comprising a square planar skeleton. The POS consisting of spiroBPS and triphenylmethylamine (TPMA) (spiroBPS/TPMA) was constructed from the two-fold interpenetration of an orthogonal network with pts topology, which has not been reported in conventional POSs, owing to the shape of the spirobifluorene backbone. Furthermore, combining tris(4-chlorophenyl)methylamine (TPMA-Cl) and tris(4-bromophenyl)methylamine (TPMA-Br), which are bulkier than TPMA owing to the introduction of halogens at the p-position of the phenyl groups with spiroBPS allows us to construct novel POSs (spiroBPS/TPMA-Cl and spiroBPS/TPMA-Br). These POSs were constructed from a chiral helical network with pth topology, which was induced by the steric hindrance between the halogens and the curved fluorene skeleton. Moreover, spiroBPS/TPMA-Cl with pth topology exhibited circularly polarized luminescence (CPL) in the solid state, which has not been reported in hydrogen-bonded organic frameworks (HOFs).

Breathing Metal-Organic Frameworks Supported by an Arsenic-Bridged 4,4'-Bipyridine Ligand

Bent ligands bridged by heteroatoms have drawn significant interest as supramolecular coordination architectures. Traditionally, divalent group 16 elements are preferred over trivalent group 15 elements because of the anticipated steric hindrance. In this study, we explore metal-organic frameworks (MOFs) based on dipyridinoarsoles (DPAs), 4,4'-bipyridines bridged with an arsenic atom. An MOF with methyl-substituted DPA collapsed upon solvent removal, whereas that with phenyl-substituted DPA demonstrated breathing behavior due to guest molecule adsorption/desorption. In contrast, MOFs using the phosphorus analogue dipyridinophosphole exhibit inferior adsorption and lack breathing behavior. This is the first study to investigate the interplay among substituents, bridging elements, and dynamic behavior in MOFs using bent group 15 ligands.

Liposomal bupivacaine versus conventional anesthetic or placebo for hemorrhoidectomy: a systematic review and meta-analysis

BACKGROUND

Liposome bupivacaine (LB) is a long-acting anesthetic to enhance postoperative analgesia. Studies evaluating the efficacy of the LB against an active comparator (bupivacaine or placebo) on acute postoperative pain control in hemorrhoidectomy procedures are few and heterogeneous. Therefore, we performed a systematic review and meta-analysis comparing LB's analgesic efficacy and side effects to conventional/placebo anesthetic in hemorrhoidectomy patients.

METHODS

We performed a systematic review and meta-analysis of randomised controlled trials investigating the use of LB after haemorrhoidectomy. We searched the literature published from the time of inception of the datasets to August 19, 2022. The electronic databases included English publications in Ovid MEDLINE In-Process & Other Non-Indexed Citations, Ovid MEDLINE, Ovid EMBASE, and Scopus.

RESULTS

A total of 338 patients who underwent a hemorrhoidectomy procedure enrolled in three randomized clinical trials were included. The overall mean age was 45.84 years (SD ± 11.43), and there was a male predominance (53.55% male). In total 194 patients (52.2%) received LB and 144 (47.8%) received either bupivacaine or placebo. Pain scores at 72 h in the LB (199, 266, and 300 mg) were significantly lower than in the bupivacaine HCl group (p = 0.002). Compared to the bupivacaine/placebo group, the time to first use of opioids in the LB group was significantly longer at LB 199 mg (11 h vs. 9 h), LB 266 mg (19 h vs. 9 h), and LB 300 mg (19 h vs. 8 h) (p < 0.05). Moreover, compared to the bupivacaine/epinephrine group, it was significantly lower in the LB 266 mg group (3.7 vs. 10.2 mg) and at LB 300 mg (13 vs. 33 mg) (p < 0.05). Finally, regarding adverse effects, the conventional anesthetic/placebo group reported more pain in bowel movement than LB groups (OR 2.60, 95% CI 1.31-5.16).

CONCLUSIONS

Comparing LB to conventional anesthetic/placebo anesthetic for hemorrhoidectomy, we found a statistically significant reduction in pain through 72 h, decreased opioid requirements, and delayed time to first opioid use. Moreover, the conventional anesthetic/placebo group reported more pain in bowel movement than LB groups.

Control of Relative Positions of Electron-Donor and Electron-Acceptor Molecules in Charge-Transfer Complexes for Luminescent Property Modulation

Charge-transfer complexes can exhibit various physical properties that depend on the relative positions of electron-donor and electron-acceptor molecules. Several studies have investigated the relationship between the relative positions of electron-donor and electron-acceptor molecules and their luminescence properties. However, elucidating the correlation between the relative positions and detailed luminescence processes without changing the molecular structures has not been explored. Herein, we report control of the relative position based on charge-assisted hydrogen bonds between sulfo and amino groups and on alkylamines' steric factors, and report concomitant modulation of the luminescent properties. Six charge-transfer complexes were prepared from anthracene-2,6-disulfonic acid and 1,2,4,5-tetracyanobenzene as electron-donor and electron-acceptor molecules, and various alkylamines. Different alkylamines' steric factors drastically and precisely changed the relative positions of the electron-donor and electron-acceptor molecules without changing their molecular structures. Consequently, the six crystals exhibited maximum emission wavelengths from 543 to 624 nm and different luminescence processes.

Ice-Like Dynamics of Water Clusters

Understanding certain behaviors of water, e.g., its dynamics, is extremely important in various fields. Recently, using 1H nuclear magnetic resonance spectroscopy, we have identified a metastable state of water molecules, i.e., water clusters, in hydrophobic solvents in addition to dissolved water molecules and a small bulk water domain. However, the low abundance of water clusters made observing their dynamics challenging. In this study, the dynamics of water clusters in benzene-d6 were investigated by quasi-elastic neutron scattering measurements using the AGNES time-of-flight spectrometer of the Japan Research Reactor JRR-3. The diffusion dynamics of the hydrogen atoms were much slower than those of bulk water (with a self-diffusion coefficient of 1.15 × 10-9 m2/s at 273 K) and even slower than the upper-limit dynamics at the observable scale (10-10 m2/s). The dynamics of water clusters are slow, "like ice", even at 283-303 K, which is above the freezing point of water (273 K).

Reallocating desk workers' sitting time to standing or stepping: associations with work performance

BACKGROUND

Studies have suggested that sitting time at work may lead to underperformance but they may underestimate the benefits to desk workers' performance of reducing occupational sitting time without considering the relative effects of the specific activities replaced.

AIMS

To estimate differences in work performance (presenteeism, absenteeism and engagement) when occupational sitting time is reallocated to standing/stepping in desk workers.

METHODS

Data for middle-aged desk workers were from a Japan-wide online survey (n = 2228). Self-report proportion of occupational sitting and standing/stepping, work hours and work performance indicators, including absolute (ratings relating only to self) and relative (ratings of self, compared to others) presenteeism and absenteeism, and dimensions of work engagement, were collected. Partition and isotemporal substitution models were used to investigate the associations of occupational sitting and standing/stepping time with work performance, including their reallocation effects.

RESULTS

In partition models, longer occupational sitting time was associated with a lower absolute presenteeism score (i.e. less productivity), lower absolute absenteeism (i.e. longer-than-expected work hours), and lower engagement. Longer occupational standing/stepping time was associated with lower absolute absenteeism and more engagement. Isotemporal substitution models showed that each hour of occupational sitting reallocated to standing/stepping was favourably associated with overall work engagement (B = 0.087; 95% confidence interval 0.051, 0.122) and its dimensions (B ranged from 0.078 to 0.092), but was not associated with presenteeism or absenteeism.

CONCLUSIONS

These findings suggest that management support and practical initiatives to encourage desk workers to replace portions of their sitting time with standing/stepping may contribute to enhanced work engagement.

Cage-Like Sodalite-Type Porous Organic Salts Enabling Luminescent Molecule's Incorporation and Room-temperature Phosphorescence Induction in Air

Expression of room-temperature phosphorescence (RTP) in organic materials requires complicated molecular design and specific intermolecular interactions, and therefore types of RTP materials are restricted. This work presents cage-like sodalite-type porous organic salts (s-POSs) as host materials for luminescent molecules to induce RTP, using tetrasulfonic acid with an adamantane core and triphenylmethylamines that are modified with substituents in the para-positions of benzene rings (TPMA-X). By adding a representative luminescent molecule (pyrene) to a reaction solution during construction of s-POSs, the molecule is incorporated in a facile manner. s-POSs with a heavy halogen atom (X: Iodine) on the pore surface give heavy atom effects, suppression of thermal vibration, and protection from oxygen, for the incorporated molecule, which induce its RTP even in air. This strategy can be applied to various luminescent molecules, which may lead to the achievement of RTP of various colors.

Design of a robust and strong-acid MOF platform for selective ammonium recovery and proton conductivity

Metal-organic frameworks (MOFs) are potential candidates for the platform of the solid acid; however, no MOF has been reported that has both aqueous ammonium stability and a strong acid site. This manuscript reports a highly stable MOF with a cation exchange site synthesized by the reaction between zirconium and mellitic acid under a high concentration of ammonium cations (NH4+). Single-crystal XRD analysis of the MOF revealed the presence of four free carboxyl groups of the mellitic acid ligand, and the high first association constant (pKa1) of one of the carboxyl groups acts as a monovalent ion-exchanging site. NH4+ in the MOF can be reversibly exchanged with proton (H+), sodium (Na+), and potassium (K+) cations in an aqueous solution. Moreover, the uniform nanospace of the MOF provides the acid site for selective NH4+ recovery from the aqueous mixture of NH4+ and Na+, which could solve the global nitrogen cycle problem. The solid acid nature of the MOF also results in the proton conductivity reaching 1.34 × 10-3 S cm-1 at 55 °C by ion exchange from NH4+ to H+.

Accelerated Oxidative Degradation of Phosphonium-Type Ionic Liquid with l-Prolinate Anion: Degradation Mechanism and CO2 Separation Performance

Amino acid ionic liquids (AAILs) are regarded as green alternatives to existing CO₂-sorptive materials because amino acids are readily available from renewable sources in large quantities. For widespread applications of AAILs, including direct air capture, the relationship between the stability of AAILs, especially toward O₂, and the CO₂ separation performance is of particular importance. In the present study, the accelerated oxidative degradation of tetra-n-butylphosphonium l-prolinate ([P₄₄₄₄][Pro]), a model AAIL that has been widely investigated as a CO₂-chemsorptive IL, is performed using a flow-type reactor system. Upon heating at 120-150 °C and O₂ gas bubbling to [P₄₄₄₄][Pro], both the cationic and anionic parts undergo oxidative degradation. The kinetic evaluation of the oxidative degradation of [P₄₄₄₄][Pro] is performed by tracing the decrease in the [Pro]^- concentration. Supported IL membranes composed of degraded [P₄₄₄₄][Pro] are fabricated, and the membranes retain CO₂ permeability and CO₂/N₂ selectivity values in spite of the partial degradation of [P₄₄₄₄][Pro].

Statically and dynamically flexible hydrogen-bonded frameworks based on 4,5,9,10-tetrakis(4-carboxyphenyl)pyrene

Aperture shape and size of flexible hydrogen-bonded organic frameworks (HOF) were statically modulated using various aromatic solvents, and dynamically changed by desorption and adsorption of the solvent molecules.

All-Solid-State Rechargeable Air Batteries Using Dihydroxybenzoquinone and Its Polymer as the Negative Electrode

A proof-of-concept study was conducted on an all-solid-state rechargeable air battery (SSAB) using redox-active 2,5-dihydroxy-1,4-benzoquinone (DHBQ) and its polymer (PDBM) and a proton-conductive polymer (Nafion). DHBQ functioned well in the redox reaction with the solid Nafion ionomer at 0.47 and 0.57 V vs. RHE, similar to that in acid aqueous solution. The resulting air battery exhibited an open circuit voltage of 0.80 V and a discharge capacity of 29.7 mAh gDHBQ-1 at a constant current density (1 mA cm-2). With PDBM, the discharge capacity was much higher, 176.1 mAh gPDBM-1, because of the improved utilization of the redox-active moieties. In the rate characteristics of the SSAB-PDBM, the coulombic efficiency was 84% at 4 C, which decreased to 66% at 101 C. In a charge/discharge cycle test, the capacity remaining after 30 cycles was 44%, which was able to be significantly improved, to 78%, by tuning the Nafion composition in the negative electrode.

Precise Control of the Molecular Arrangement of Organic Semiconductors for High Charge Carrier Mobility

Organic semiconductors are well-known to exhibit high charge carrier mobility based on their spread of the π-orbital. In particular, the π-orbital overlap between neighboring molecules significantly affects their charge carrier mobility. This study elucidated the direct effect of subtle differences in the π-orbital overlap on charge carrier mobility, by precisely controlling only molecular arrangements without any chemical modifications. We synthesized disulfonic acid composed of a [1]benzothieno[3,2-b][1]benzothiophene (BTBT) moiety, and prepared organic salts with four butylamine isomers. Regardless of the type of butylamine combined, electronic states of the constituent BTBT derivative were identical, and all BTBT arrangements were edge-to-face herringbone-type. However, depending on the difference of steric hindrance, center-to-center distances and dihedral angles between neighboring BTBT moieties slightly varied. Despite a similar arrangement, the photoconductivity of four organic salts differed by a factor of approximately two. Additionally, theoretical charge carrier mobilities from their crystal structures exhibited a strong correlation with their photoconductivity.

3,11-Diaminodibenzo[a,j]phenazine: Synthesis, Properties, and Applications to Tröger's Base-Forming Ladder Polymerization

A new class of diamino-substituted π-extended phenazine compound was synthesized, and its photophysical properties were investigated. The U-shaped diaminophenazine displayed photoluminescence in solution with moderate quantum yield. The diamino aromatic compound was found applicable to the poly-condensation with formaldehyde to form Tröger's base ladder polymer. The obtained microporous ladder polymer features high CO₂ adsorption selectivity against N₂ , most likely due to the presence of basic nitrogen atoms in the phenazine rings.

The introduction of a base component to porous organic salts and their CO2 storage capability

The introduction of a base component to porous organic salts allows them to have CO2 storage capability.

Tetrachlorocatecholates of triarylarsines as a novel class of Lewis acids

Pnictogen-mediated Lewis acidity is an emerging research subject in organic chemistry, supramolecular chemistry, etc. In contrast to the extensive studies on phosphorus and antimony, the diversity of arsenic-Lewis acids was quite limited. Herein, tetrachlorocatecholates of triarylarsines were newly synthesized. Their structures, electronic properties, and Lewis acidities were experimentally and computationally examined and compared with the corresponding phosphorus and antimony analogs. This is the first systematic study on the relationship between the structure and Lewis acidity of arsenic-mediated Lewis acids.

Systematic Study of Pnictogen-Fused Heterofluorenes

Heteroatom-fused π-conjugated molecules have attracted considerable attention, and various elements for such fusion have been investigated. Herein, we focused on pnictogen-fused heterofluorenes. The structures, reactivity with O₂ and I₂, coordination ability to AuCl, and photophysical properties were systematically studied to better understand the effects of pnictogen atoms on the nature of π-conjugated molecules.

Systematic arrangement control of functional organic molecules

Systematic and precise arrangement control of functional organic molecules without changing both their molecular and layered structure was established.

Two States of Water Converge to One State below 215 K

Anomalies of water have been explained by the two-state water model. In the model, water becomes one state upon supercooling. However, water crystallizes completely below 235 K ("no man's land"). The structural origin of the anomalous of the water is hidden in the "no man's land". To understand the properties of water, the spectroscopic experiment in "Norman's land" is inevitable. Hence, we proposed a new soft-confinement method for standard nuclear magnetic resonance spectroscopy to explore the "no man's land". We found the singularity temperature (215 K) at ambient pressure. Water exists in one state below 215 K. Above 215 K, the two states of water are supercritical states of the liquid-liquid critical point. The current study provides a perspective to determine the liquid-liquid critical point of water existing in a high-pressure condition.

Copolymer of Phenylene and Thiophene toward a Visible-Light-Driven Photocatalytic Oxygen Reduction to Hydrogen Peroxide

π-Conjugated polymers including polythiophenes are emerging as promising electrode materials for (photo)electrochemical reactions, such as water reduction to H2 production and oxygen (O2) reduction to hydrogen peroxide (H2O2) production. In the current work, a copolymer of phenylene and thiophene is designed, where the phenylene ring lowers the highest occupied molecular orbital level of the polymer of visible-light-harvesting thiophene entities and works as a robust catalytic site for the O2 reduction to H2O2 production. The very high onset potential of the copolymer for O2 reduction (+1.53 V vs RHE, pH 12) allows a H2O2 production setup with a traditional water-oxidation catalyst, manganese oxide (MnO x ), as the anode. MnO x is deposited on one face of a conducting plate, and visible-light illumination of the copolymer layer formed on the other face aids steady O2 reduction to H2O2 with no bias assistance and a complete photocatalytic conversion rate of 14 000 mg (H2O2) gphotocat -1 h-1 or ≈0.2 mg (H2O2) cm-2 h-1.

An Alternative to Carbon Additives: The Fabrication of Conductive Layers Enabled by Soluble Conducting Polymer Precursors - A Case Study for Organic Batteries

Utilizing organic redox-active materials as electrodes is a promising strategy to enable innovative battery designs with low environmental footprint during production, which can be hard to achieve with traditional inorganic materials. Most electrode compositions, organic or inorganic, require binders for adhesion and conducting additives to enable charge transfer through the electrode, in addition to the redox-active material. Depending on the redox-active material, many types and combinations of binders and conducting additives have been considered. We designed a conducting polymer (CP), with a soluble, trimeric unit based on 3,4-ethylenedioxythiophene (E) and 3,4-propylenedioxythiophene (P) as the repeat unit, acting as a combined binder and conducting additive. While CPs as additives have been explored earlier, in the current work, the use of a trimeric precursor enables solution processing together with the organic redox-active material. To evaluate this concept, the CP was blended with a redox polymer (RP), which contained a naphthoquinone (NQ) redox group at different ratios. The highest capacity for the total weight of the CP/RP electrode was 77 mAh/g at 1 C in the case of 30% EPE and 70% naphthoquinone-substituted poly(allylamine) (PNQ), which is 70% of the theoretical capacity given by the RP in the electrode. We further used this electrode in an aqueous battery, with a MnSO₄ cathode. The battery displayed a voltage of 0.95 V, retaining 93% of the initial capacity even after 500 cycles at 1 C. The strategy of using a solution-processable CP precursor opens up for new organic battery designs and facile evaluation of RPs in such.

Nonpolar Water Clusters: Proton Nuclear Magnetic Resonance Spectroscopic Evidence for Transformation from Polar Water to Nonpolar Water Clusters in Liquid State

The hydrophilic/hydrophobic interactions of water are important in biological and chemical self-assembly phenomena. Water clusters in hydrophobic environments exhibit a unique morphology. Their process of formation and nonpolar properties have been extensively studied, but no direct experimental evidence has been available until now. This study provides spectroscopic evidence for the transformation of water to nonpolar configuration via clustering. Although individual water molecules form hydrogen bonds with the hydroxyl protons of n-hexanol when codissolved in a nonpolar solvent (toluene-d₈), the water clusters are comprised solely of hydrogen bonds between water molecules and do not form hydrogen bonds with the hydroxyl protons of n-hexanol. This behavior indicates that the water clusters are nonpolar rather than polar. This study reports the first example of nonpolar water configuration produced via a liquid-state clustering. This property is a common and important interfacial phenomenon of water in chemistry, biology, materials science, geology, and meteorology.

Conducting Redox Polymer as a Robust Organic Electrode-Active Material in Acidic Aqueous Electrolyte towards Polymer-Air Secondary Batteries

Organic materials receive increasing attention as environmentally benign and sustainable electrode-active materials. We present a conducting redox polymer (CRP) based on poly(3,4-ethylenedioxythiophene) with naphthoquinone pendant group, which is formed from a stable suspension of a trimeric precursor and an oxoammonium cation as oxidant. This suspension allows us to easily coat the polymer onto a current collector, opening up use of roll-to-roll processing or ink-jet printing for electrode preparation. The CRP showed a full capacity of 76 mAh g^-1 even at a high C rate of 100 C in acidic aqueous electrolyte. These properties make the CRP a promising candidate as anode-active material; a polymer-air secondary battery was fabricated with the CRP as anode, a conventional Pt/C catalyst as cathode, and sulfuric acid aqueous solution as electrolyte. This battery yielded a discharge voltage of 0.50 V and showed good cycling stability with 97 % capacity retention after 100 cycles and high rate capabilities up to 20 C.

Supercooled Low-Entropy Water Clusters

The properties of low-entropy water clusters and small bulk water domains in a hydrophobic solvent over a wide temperature range (235-333 K), including supercooling temperatures, were investigated. ¹H nuclear magnetic resonance spectroscopy showed singularity temperatures at ∼300, 250, 235, and 225 K. We proposed a model to understand these singularity temperatures in which the low-entropy water cluster is a locally favored tetrahedral structure (LFTS) and the small bulk water domain contains a mixture of disordered normal-liquid structure (DNLS) and LFTS. The model showed that the LFTS and DNLS populations change with applied temperature. Above ∼300 K, all local water structures become a DNLS. The population of LFTS increases with cooling and becomes dominant below ∼250 K. At ∼225 K, all local water structures converge to LFTS. The phase-transition rate of the low-entropy water clusters and small bulk water domains increases significantly at ∼235 K. The phase transition of the low-entropy water clusters showed primary ice nucleation. Low-entropy water clusters in a hydrophobic solvent are a unique water morphology and a probe material for water investigations.

Poly(dihydroxybenzoquinone): its high-density and robust charge storage capability in rechargeable acidic polymer–air batteries

A rechargeable acidic polymer–air battery was firstly fabricated, which exhibited a long-lifetime of >500 cycles and high rate capabilities.

P932Structural changes in left ventricle after transcatheter aortic valve implantation

Background

Transcatheter aortic valve implantation (TAVI) has improved prognosis and quality of life of patients with severe aortic stenosis (AS) who had been considered inoperable or at high risk for surgical aortic valve replacement reflecting their age, frailty, and comorbidities. However, less is known about changes in cardiac geometry after TAVI procedure, and predictors of them.

Purpose

To clarify changes in cardiac geometry after TAVI, and their predictors.

Methods

We retrospectively analyzed patients with severe AS who underwent TAVI in our institute between May 2016 and June 2018. Of the 117 consecutive patients enrolled to this study, 12 patients died before six-month follow up, and finally 88 patients received follow up exams including echocardiography at six months after TAVI procedure.

Results

The analysis of echocardiographic data at the baseline and the six-month follow up of the 88 patients (age 86.2±4.0 years, male 19.3%, STS-PROM 6.76±3.28%, peak aortic jet velocity 4.67±0.75m/s) revealed that left ventricular end-diastolic volume index (LVEDVi) (from 80.1±20.9ml/m2to 74.2±15.9ml/m2, p=0.011), and left ventricular mass index (LVMi) (from 116.0±32.7g/m2to 93.6±25.6g/m2, p<0.001) had improved in six months after TAVI procedure. The difference of LVEDVi (ΔLVEDVi: six-month LVEDVi–baseline LVEDVi) and the difference of LVMi (ΔLVMi: six-month LVMi – baseline LVMi) were significantly higher in the patients with chronic atrial fibrillation compared to the rest (ΔLVEDVi: +7.7±8.7ml/m2 vs −7.2±18.1ml/m2, p=0.024; ΔLVMi: +7.1±11.5g/m2 vs −25.3±33.5g/m2, p=0.008). In echocardiographic data, ΔLVEDVi and ΔLVMi both had positive correlation between baseline E/e' ratio (ΔLVEDVi: r=0.224, p=0.048; ΔLVMi: r=0.240, p=0.034), and negative correlation between baseline LVEDVi (ΔLVEDVi: r=−0.674, p<0.001; ΔLVMi: r=−0.312, p=0.003), LVMi (ΔLVEDVi: r=−0.422, p<0.001; ΔLVMi: r=−0.699, p<0.001), peak aortic jet velocity (ΔLVEDVi: r=−0.257, p=0.016; ΔLVMi: r=−0.376, p<0.001), and mean transaortic pressure gradient (ΔLVEDVi: r=−0.269, p=0.011; ΔLVMi: r=−0.403, p<0.001).

Conclusion

TAVI resulted in reverse remodeling and regression of hypertrophy in left ventricle. And these improvement were grater in patients with more advanced left ventricular remodeling and hypertrophy, and higher severity of AS at the baseline, however, less in patients with chronic atrial fibrillation and worse diastolic dysfunction.

Cartilage wear patterns in severe osteoarthritis of the trapeziometacarpal joint: a quantitative analysis

OBJECTIVE

The present quantitative study aimed to assess the three-dimensional (3-D) cartilage wear patterns of the first metacarpal and trapezium in the advanced stage of osteoarthritis (OA) and compare cartilage measurements with radiographic severity.

DESIGN

Using 19 cadaveric trapeziometacarpal (TMC) joints, 3-D cartilage surface models of the first metacarpal and trapezium were created with a laser scanner, and 3-D bone surface model counterparts were similarly created after dissolving the cartilage. These two models were superimposed, and the interval distance on the articular surface as the cartilage thickness was measured. All measurements were obtained in categorized anatomic regions on the articular surface of the respective bone, and we analyzed the 3-D wear patterns on the entire cartilage surface. Furthermore, we compared measurements of cartilage thickness with radiographic OA severity according to the Eaton grading system using Pearson correlation coefficients (r).

RESULTS

In the first metacarpal, the cartilage thickness declined volarly (the mean cartilage thickness of the volar region was 0.32 ± 0.16 mm, whereas that of the dorsal region was 0.53 ± 0.18 mm). Conversely, the cartilage evenly degenerated throughout the articular surface of the trapezium. Measurements of the categorized regions where cartilage thinning was remarkable exhibited statistical correlations with radiographic staging (r = -0.48 to -0.72).

CONCLUSIONS

Our findings indicate that cartilage wear patterns differ between the first metacarpal and trapezium in the late stage of OA. There is a need for further studies on cartilage degeneration leading to symptomatic OA in the TMC joint.

Reversible Hydrogen Releasing and Fixing with Poly(Vinylfluorenol) through a Mild Ir-Catalyzed Dehydrogenation and Electrochemical Hydrogenation

The radical polymerization of 2-vinylfluorenol, an alcohol derivative of vinylfluorene, gives poly(vinylfluorenol), which quantitatively releases hydrogen gas (≈110 mL per gram polymer at standard temperature and pressure) by simply warming at 100 °C with an iridium catalyst. A high population of fluorenol units in the polymer accomplishes a large formula-weight-based theoretical hydrogen density (1.0 wt%). The dehydrogenated ketone derivative, poly(vinylfluorenone), exhibits reversible negative-charge storage with a high density of 260 mAh g^-1 . The electrolytically reduced poly(vinylfluorenone) is momentarily hydrogenated in the presence of an electrolyte with water as the hydrogen source to be converted to the original poly(vinylfluorenol). The formed poly(vinylfluorenol) almost quantitatively evolves hydrogen gas similar to the starting poly(vinylfluorenol). Both hydrogen and charge storage with the organic fluorenol/fluorenone polymer suggest a new type of energy-storage configuration.

X-Ray Spectrometer for EXAFS Using a Position Sensitive Detector

An active recording x-ray crystal spectrometer for extended x-ray absorption fine structure (EXAFS) has been built using a position sensitive detector of the self scanning photodiode array (SSPA) type. The SSPA detector has energy and position sensitivity for x-rays. The spectrometer was applied to the measurement for EXAFS of the several compounds in foil, powder and liquid states. The spectra can be obtained rapidly, and compare very well with other methods. We found that the SSPA detector is very useful for the measurement of EXAFS.

Probing ultrafast spin-relaxation and precession dynamics in a cuprate Mott insulator with seven-femtosecond optical pulses

A charge excitation in a two-dimensional Mott insulator is strongly coupled with the surrounding spins, which is observed as magnetic-polaron formations of doped carriers and a magnon sideband in the Mott-gap transition spectrum. However, the dynamics related to the spin sector are difficult to measure. Here, we show that pump-probe reflection spectroscopy with seven-femtosecond laser pulses can detect the optically induced spin dynamics in Nd2CuO4, a typical cuprate Mott insulator. The bleaching signal at the Mott-gap transition is enhanced at ~18 fs. This time constant is attributable to the spin-relaxation time during magnetic-polaron formation, which is characterized by the exchange interaction. More importantly, ultrafast coherent oscillations appear in the time evolution of the reflectivity changes, and their frequencies (1400-2700 cm-1) are equal to the probe energy measured from the Mott-gap transition peak. These oscillations can be interpreted as the interference between charge excitations with two magnons originating from charge-spin coupling.

Educational effects using a robot patient simulation system for development of clinical attitude

INTRODUCTION

The aim of this study was to assess the effectiveness of improving the attitude of dental students towards the use of a full-body patient simulation system (SIMROID) compared to the traditional mannequin (CLINSIM) for dental clinical education.

MATERIALS AND METHODS

The participants were 10 male undergraduate dental students who had finished clinical training in the university hospital 1 year before this study started. They performed a crown preparation on an upper pre-molar tooth using SIMROID and CLINSIM as the practical clinical trials. The elapsed time for preparation was recorded. The taper of the abutment teeth was measured using a 3-dimensional shape-measuring device after this trial. In addition, a self-reported questionnaire was collected that included physical pain, treatment safety and maintaining a clean area for each simulator. Qualitative data analysis of a free format report about SIMROID was performed using text mining analysis. This trial was performed twice at 1-month intervals.

RESULTS

The students considered physical pain, treatment safety and a clean area for SIMROID significantly better than that for CLINSIM (P < .01). The elapsed time of preparation in the second practical clinical trial was significantly lower than in the first for SIMROID and CLINSIM (P < .01). However, there were no significant differences between the abutment tapers for both systems. For the text mining analysis, most of the students wrote that SIMROID was similar to real patients.

CONCLUSION

The use of SIMROID was proven to be effective in improving the attitude of students towards patients, thereby giving importance to considerations for actual patients during dental treatment.

Altered bone density and stress distribution patterns in long-standing cubitus varus deformity and their effect during early osteoarthritis of the elbow

OBJECTIVE

To quantify the bone density and stress distribution patterns in long-standing cubitus varus and clarify the effects of the deformity on bone density.

DESIGN

We created three-dimensional computed tomography (CT) elbow models from 21 patients with long-standing cubitus varus deformities without advanced osteoarthritis (OA) and assessed the deformity by superimposing the affected humerus onto a mirror-image of the contralateral normal. Elbows were divided into 13 regions before measuring the bone density of each region and comparing the percentage of high-density volume (%HDV) between affected and normal sides. We constructed finite element models and quantitatively analyzed stress distribution.

RESULTS

Average degrees of deformities were 20.1° of varus, 6.4° of extension, and 12.7° of internal rotation. The medial side of the affected humerus and ulna, Anteromedial trochlea (P < 0.001), Medial coronoid (P = 0.004), and Medial olecranon (P = 0.049) had significantly higher %HDVs than their normal counterparts. Conversely, %HDVs on the affected lateral side, Capitellum (P < 0.001), Anterolateral trochlea (P = 0.010), Posterolateral trochlea (P < 0.001), Lateral coronoid (P = 0.007), and Lateral olecranon (P < 0.001) were significantly lower than the normal side. The affected radial head %HDVs at Anterolateral and Posteromedial quadrants were high (P = 0.007) and low (P = 0.007), respectively. The bone density distribution coincided with stress distribution patterns revealed by finite element analysis (FEA), except in the lateral region influenced by forearm rotation.

CONCLUSIONS

Repetitive stress on the medial elbow may alter bone density distribution patterns, probably presenting from early stage of OA.