Anterior Spinal Artery Syndrome Due to Fibrocartilaginous Embolism-Case Report and Treatment Options

Acute occlusion of the anterior spinal artery and subsequent spinal ischemic infarction leads to anterior spinal artery syndrome characterized by back pain and bilateral flaccid paresis with loss of protopathic sensibility. As a rare cause fibrocartilaginous embolism has been described and is associated with sports or unusual strain.Following gymnastic exercise the day before symptom-onset, a 11 years old girl presented with neck pain, paresis of arms and legs, and impaired deep tendon reflexes. She was unable to lift her arms, grasp, stand, walk and had urinary incontinence. Magnetic resonance imaging revealed a longitudinal T2 hyperintense signal in the anterior spinal cord from C3 to C6 with accompanying bilateral diffusion restriction involving gray matter bilaterally at the level of C4 and C5 and unilaterally at the level of C3/4. The adjacent annulus fibrosus of the intervertebral disc showed a fissure without disc protrusion. Treatment with prednisolone and enoxaparin was started within 12 hours of symptom-onset and continued over 6 days and 8 weeks, respectively. After 2 months, her motor function gradually improved, spinal imaging showed persistent T2 signal hyperintense defects at the level of C4/5. After 5 months, there was only slight impairment affecting elevation and abduction of the right arm.Following physical exercise, the patient suffered from acute anterior spinal cord ischemia with imaging findings in line with a presumed fibrocartilaginous embolism. Unlike most cases, our patient showed almost complete recovery following treatment with prednisolone and enoxaparin. We speculate that the positive outcome is related to rapid treatment initiation.

Surface functional groups and degree of carbonization of selected chars from different processes and feedstock

The knowledge of the structural and chemical properties of biochars is decisive for their application as technical products. For this reason, methods for the characterization of biochars that are generally applicable and allow quality control are highly desired. Several methods that have shown potential in other studies were used to investigate two activated carbons and seven biochars from different processes and feedstock. The chars were chosen to cover a wide range of chemical composition and structural properties as a hardness test for the analytical methods used in this study. Specific problems connected with the pretreatment of samples and drawbacks of some methods for some types of chars could be identified in an integrated consideration of the results from different methods. None of the spectroscopic methods was found to be suitable for the quality control of all types of chars. The most valuable results were obtained by chemical analysis that, however, required the complete determination of the main elements, including that of oxygen, and of inorganic components for adequate results. The combination of X-ray photoelectron spectroscopy (XPS) and FT-IR spectroscopy allows a rough characterization of surface functional groups, but cannot discriminate aliphatic and aromatic OH groups. FT-IR might be a suitable method for the quality control of biochars made at lower temperature. The results of Raman spectroscopy did not well correlate with the amount of sp2 hybridized carbon determined by XPS. A better correlation of XPS data was found with the electrical polarization determined by the method of spectral induced polarization that was used for the first time in conjunction with extensive analytical characterization.

Multistep Sulfur Leaching for the Development of a Highly Efficient and Stable NiSx/Ni(OH)2/NiOOH Electrocatalyst for Anion Exchange Membrane Water Electrolysis

Nickel (poly)sulfides have been widely studied as anodic catalysts for alkaline water electrolysis owing to their diverse morphologies, high catalytic activities in the oxygen evolution reaction (OER), and low cost. To utilize low-cost and high-efficiency polysulfides with industry-relevant cycling stability, we develop a Ni-rich NiS_x/Ni(OH)₂/NiOOH catalyst derived from NiS₂/Ni₃S₄ nanocubes. Ni-rich NiS_x/Ni(OH)₂/NiOOH shows improved OER catalytic activity (η = 374 mV@50 mA cm^-2) and stability (0.1% voltage increase) after 65 h of a galvanostatic test at 10 mA cm^-2 compared with commercial Ni/NiO and hydrothermally synthesized Ni(OH)₂ (both show η > 460 mV@50 mA cm^-2 along with 4.40 and 1.92% voltage increase, respectively). A water-splitting electrolyzer based on Pt/C||AF1-HNN8-50||NiS_x/Ni(OH)₂/NiOOH exhibits a current density of 1800 mA cm^-2 at 2.0 V and 500 h high-rate stability at 1000 mA cm^-2 with negligible attenuation of only 0.12 mV h^-1. This work provides an understanding of truly stable species, intrinsic active phases of Ni polysulfides, their high-rate stability in a real cell, and sheds light on the development of stable chalcogenide-based anodic electrocatalysts for anion exchange membrane water electrolysis (AEMWE).

Formic Acid as H2 Storage System: Hydrogenation of CO2 and Decomposition of Formic Acid by Solid Molecular Phosphine Catalysts

The synthesis and decomposition of formic acid (FA) in aqueous triethylamine (NEt3) with solid molecular phosphine catalysts is demonstrated. Ru-catalyst based on the polymeric analog of 1,2-bis(diphenylphosphino)ethane presented the highest...

Migration Kinetics of Surface Ions in Oxygen-Deficient Perovskite During Topotactic Transitions

Oxygen diffusivity and surface exchange kinetics underpin the ionic, electronic, and catalytic functionalities of complex multivalent oxides. Towards understanding and controlling the kinetics of oxygen transport in emerging technologies, it is highly desirable to reveal the underlying lattice dynamics and ionic activities related to oxygen variation. In this study, the evolution of oxygen content is identified in real-time during the progress of a topotactic phase transition in La_0.7 Sr_0.3 MnO_3-δ epitaxial thin films, both at the surface and throughout the bulk. Using polarized neutron reflectometry, a quantitative depth profile of the oxygen content gradient is achieved, which, alongside atomic-resolution scanning transmission electron microscopy, uniquely reveals the formation of a novel structural phase near the surface. Surface-sensitive X-ray spectroscopies further confirm a significant change of the electronic structure accompanying the transition. The anisotropic features of this novel phase enable a distinct oxygen diffusion pathway in contrast to conventional observation of oxygen motion at moderate temperatures. The results provide insights furthering the design of solid oxygen ion conductors within the framework of topotactic phase transitions.

Effect of exercise training on vascular function and endothelial repair in heart failure with preserved ejection fraction: results from the OptimEx trial

Background

Exercise training improves peak oxygen uptake (VO2) in heart failure with preserved ejection fraction (HFpEF), but the underlying mechanisms are unknown. In other cardiovascular diseases, exercise training improves vascular function and increases levels of circulating endothelium-repairing cells. We aimed to investigate the effects of moderate continuous training (MCT) and high intensity interval training (HIIT) on vascular function and cellular endothelial repair in HFpEF.

Methods

This was a prespecified subanalysis of the Optimizing Exercise Training in Prevention and Treatment of Diastolic Heart Failure randomized trial. HFpEF patients (n=180) were randomized to HIIT, MCT or attention control. At baseline and after 12 weeks, we measured peak VO2, fingertip arterial tonometry (n=109), brachial artery flow-mediated dilation (n=59), aortic pulse wave velocity (n=94), and flow cytometry (n=136) for endothelial progenitor cells (CD45dimCD34+VEGFR2+) and angiogenic T cells (CD3+CD31+CD184+). Changes in these parameters were compared between groups using linear mixed models. Parameters were correlated using Spearman's rho.

Results

At 3 months, we did not observe significant differences between HIIT, MCT and control group regarding changes in vascular function throughout the vascular tree (fingertip arterial tonometry, brachial artery flow-mediated dilation and central arterial stiffness, Table 1) or levels of circulating endothelium-repairing cells (endothelial progenitor cells and angiogenic T cells, Table 1). Results were similar at 12 months and when restricting analysis to patients with at least 70% adherence to training sessions. Patients with higher peak VO2 at baseline had lower numbers of circulating endothelial progenitor cells (rho=−0.22, p=0.011).

Conclusions

In patients with HFpEF, exercise training did not change vascular function or levels of endothelium-repairing cells. Thus, improved vascular function likely does not contribute to the change in peak VO2 after training. These findings are in contrast with the benefits of exercise on vascular function in heart failure with reduced ejection fraction and coronary artery disease.

Funding Acknowledgement

Type of funding sources: Public grant(s) – EU funding. Main funding source(s): EU Framework Programme 7 Table 1

Nickel Structures as a Template Strategy to Create Shaped Iridium Electrocatalysts for Electrochemical Water Splitting

Low-cost, highly active, and highly stable catalysts are desired for the generation of hydrogen and oxygen using water electrolyzers. To enhance the kinetics of the oxygen evolution reaction in an acidic medium, it is of paramount importance to redesign iridium electrocatalysts into novel structures with organized morphology and high surface area. Here, we report on the designing of a well-defined and highly active hollow nanoframe based on iridium. The synthesis strategy was to control the shape of nickel nanostructures on which iridium nanoparticles will grow. After the growth of iridium on the surface, the next step was to etch the nickel core to form the NiIr hollow nanoframe. The etching procedure was found to be significant in controlling the hydroxide species on the iridium surface and by that affecting the performance. The catalytic performance of the NiIr hollow nanoframe was studied for oxygen evolution reaction and shows 29 times increased iridium mass activity compared to commercially available iridium-based catalysts. Our study provides novel insights to control the fabrication of iridium-shaped catalysts using 3d transition metal as a template and via a facile etching step to steer the formation of hydroxide species on the surface. These findings shall aid the community to finally create stable iridium alloys for polymer electrolyte membrane water electrolyzers, and the strategy is also useful for many other electrochemical devices such as batteries, fuel cells, sensors, and solar organic cells.

Phosphate-assisted efficient oxygen evolution over finely dispersed cobalt particles supported on graphene

Finely dispersed cobalt particles supported on graphene activated by phosphate boosting highly efficient and stable oxygen evolution.

Correction: Tantalum(v) 1,3-propanediolate β-diketonate solution as a precursor to sol–gel derived, metal oxide thin films

Correction for ‘Tantalum(v) 1,3-propanediolate β-diketonate solution as a precursor to sol–gel derived, metal oxide thin films’ by Christopher Beale et al., RSC Adv., 2020, 10, 13737–13748, DOI: 10.1039/D0RA02558E.

Tantalum(v) 1,3-propanediolate β-diketonate solution as a precursor to sol–gel derived, metal oxide thin films

Tantalum oxide is ubiquitous in everyday life, from capacitors in electronics to ion conductors for electrochromic windows and electrochemical storage devices. Investigations into sol–gel deposition of tantalum oxide, and its sister niobium oxide, has accelerated since the 1980s and continues to this day. The aim of this study is to synthesize a near UV sensitive, air stable, and low toxicity tantalum sol–gel precursor solution for metal oxide thin films – these attributes promise to reduce manufacturing costs and allow for facile mass production. By utilizing 1D and 2D nuclear magnetic resonance, this study shows that by removing ethanol from the precursor solution at a relatively low temperature and pressure, decomposition of the photosensitive complex can be minimized while obtaining a precursor solution with sufficient stability for storage and processing in the atmosphere. The solution described herein is further modified for inkjet printing, where multiple material characterization techniques demonstrate that the solution can be utilized in low temperature, photochemical solution deposition of tantalum oxide, which is likely amorphous. Tested substrates include amorphous silica, crystalline silicon wafer, and gold/titanium/PET foil. The hope is that these results may spark future investigations into electronic, optical, and biomedical device fabrication with tantalum oxide, and potentially niobium oxide, based films using the proposed synthesis method.

Synthesis of tantalum(v) 1,3-propanediolate β-diketonate solution and use in photochemical solution deposition to form tantalum oxide films.

Active matrix metalloproteinase-8 and periodontal bacteria-interlink between periodontitis and inflammatory bowel disease?

BACKGROUND

The aim of this study was the investigation of concentration and prevalence of selected periodontal pathogenic bacteria and concentration of active matrix metalloproteinase-8 (aMMP-8) within a group of patients with inflammatory bowel diseases (IBD) and to compare the results with a group of healthy control subjects (HC).

METHODS

Fifty-nine IBD patients with Crohn`s disease (CD, n = 30) or ulcerative colitis (UC, n = 29) and 59 HC were included in this cross-sectional study. Based on periodontal probing depth (PD) and clinical attachment level (CAL), periodontitis was classified as healthy/mild, moderate, or severe. aMMP-8 was analyzed from gingival crevicular fluid using enzyme linked immunosorbent assay. Eleven selected periodontal pathogenic bacteria were analyzed in subgingival plaque samples using polymerase chain reaction.

RESULTS

IBD patients showed higher CAL (P < 0.01), more severe periodontitis (P = 0.04), gingival bleeding (P < 0.01) and aMMP-8 concentration (P < 0.01) than HC. Only in CD, increasing severity of periodontitis was associated with an increase in aMMP-8 concentration (P = 0.02). The prevalences of Eubacterium nodatum and Eikenella corrodens were significantly lower in IBD compared to HC (P = 0.01). Additionally, the prevalence of Eikenella corrodens was significantly higher in CD compared to the UC group (P = 0.04). Further statistically significant differences in selected bacteria between IBD and HC or CD and UC groups could not be found (P > 0.05).

CONCLUSIONS

The results reveal changes in host immune response of IBD patients in terms of aMMP-8. Only in CD increasing aMMP-8 was associated with severity of periodontal disease. The role of periodontal pathogenic bacteria in the interrelationship between IBD and periodontitis remains unclear.

Direct Synthesis of Methyl Formate from CO2 With Phosphine-Based Polymer-Bound Ru Catalysts

Methyl formate was produced in one pot through the hydrogenation of CO₂ to formic acid/formate followed by an esterification step. The route offers the possibility to integrate renewable energy into the fossil-based chemical value chain. In this work, a phosphine-polymer-anchored Ru complex was shown to be an efficient solid catalyst for the direct hydrogenation of CO₂ to methyl formate. The 1,2-bis(diphenylphosphino)ethane-like polymer presented the highest activity with a turnover number (TON) of up to 3401 at 160 °C. The reaction parameters were systemically investigated to optimize the reaction towards the formation of methyl formate. This catalyst could be reused seven times without a significant decrease in activity. Evolution of the catalytic Ru center during the reaction was revealed, and a possible reaction mechanism was proposed.

Superior activity and selectivity of heterogenized cobalt catalysts for hydrogenation of nitroarenes

The development of improved catalysts based on Co nanoparticles supported on ordered mesoporous carbon CMK-3 for the highly selective hydrogenation of nitroarenes is described.

Hydrogenation of CO2 to Formate over Ruthenium Immobilized on Solid Molecular Phosphines

Formic acid is a promising hydrogen storage medium and can be produced by catalytic hydrogenation of CO₂ . Molecular ruthenium complexes immobilized on phosphine polymers have been found to exhibit excellent productivity and selectivity in the catalytic hydrogenation of CO₂ under mild conditions. The polymeric analog of 1,2-bis(diphenylphosphino)ethane exhibited the highest activity and turnover numbers up to 13 170 were obtained in a single run. This catalyst was already active at 40 °C and with a catalyst loading of only 0.0006 mol %. Recycling experiments revealed a loss of activity after the first run, followed by a gradual decrease during the subsequent runs. This is attributed to a change in the catalytically active complex during the hydrogenation reaction. High selectivity towards formate and low leaching were maintained in the absence of CO formation. Based on the catalyst characterization, a mechanism for the CO₂ hydrogenation is proposed.

Radiation exposure of patients during 68Ga-DOTATOC PET/CT examinations

Aim: Investigation of the biodistribution and calculation of dosimetry of Ga-68-DOTATOCfor patients imaged in the routine clinical setting for diagnosis or exclusion of neuroendocrine tumours. Patients, methods: Dynamic PET/CT-imaging (Biograph 16) was performed over 20 min in 14 patients (8 men, 6 women) after injection of (112 ± 22) MBq 68Ga-DOTATOC followed by whole body 3D-acquisition (8 bed positions, 3 or 4 min each) 30 min p.i. and 120 min p.i. Urinary tracer elimination was measured and blood activity was derived non-invasively from the blood pool of the heart. The relevant organs for dosimetry were spleen, kidneys, liver, adrenals, urinary bladder and pituitary gland. Dosimetry was performed using OLINDA/ EXM 1.0 software and specific organ uptake was expressed as standardized uptake values (SUVs). Results: Rapid physiological uptake of the radiotracer could be demonstrated in liver, spleen and kidneys, adrenals and pituitary gland (mean SUVs were 6, 20, 16, 10, and 4, respectively). Radiotracer elimination was exclusively via urine (16% of injected dose within 2h); no redistribution could be observed. The spleen and the kidneys received the highest radiation exposure (0.24 mSv/MBq, 0.22 mSv/MBq resp.), mean effective dose yielded 0.023 mSv/MBq. Conclusion: 68Ga-DOTATOC is used extensively for diagnosis of somatostatin receptor positive tumours because it has several advantages over the 111In-labelled ligand. The derived dosimetric values are lower than first approximations from the biological data of OctreoScan. The use of CT for transmission correction of the PET data delivers radiation exposure up to 1 mSv (low dose).

Wirkung von Milch und Diättränken mit und ohne HCO3 –-Ionen auf den intraluminalen pH-Wert im Labmagen und den systemischen Säuren-Basen-Status beim Kalb

Problemstellung: Bei Kälbern wird nach Zufuhrvon Diättränken mit Bikarbonat-Ionen eine besonders ausgeprägte Alkalisierung der Labmageningesta erwartet. Nachfolgend könnten die an saure pH-Werte gebundene abomasale Verdauung sowie unspezifische Infektabwehr beeinträchtigt sein. Material und Methode: Bei acht klinisch gesunden Kälbern wurde operativ eine Plastkanüle in den Labmagen eingesetzt. Danach erhielten die Tiere über sieben bisneun Tage als Nahrung alternierend 1) Kuhmilch, 2) bikarbonatfreie oder 3) bikarbonathaltige Diättränke. Außerdem wurde 4) das Gemisch aus gleichen Teilen bikarbo- nathaltige Diättränke und Milch verabreicht. In den über die Kanüle entnommenen Labmageningesta bestimmten wir dieWertefür pH, Fläche unter der pH-Wert-Kurve (AUC) und [SID3]. Weiterhin wurde vergleichend im arteriellen und venösen Blut der systemische Säuren-Basen-Status anhand traditioneller Hen- derson-Hasselbalch-Parameter sowie der Stewart-Variablen ermittelt. Ergebnisse: Die Fütterung von Milch bewirkte beiden Kälbern einen Anstieg des Labmagen-pH von Nüchternbefunden mit 2,00 ± 0,44 auf Werte bis 4,70 ± 0,41 über zwei Stunden. Die AUC-Werte bis vier Stunden postprandial betrugen 898 ± 87 (= 100%). Die in Milch zubereitete bikarbonatfreie Diättränke führte zur signifikant basischeren Auslenkung desabomasalen pH mit Werten bis 5,35 ± 0,31 sowieAUC = 1084 ± 89 (= 121%). Die mit Wasser hergestellte bikarbonathaltige Diättränke allein und ebenso ihr Gemisch mit Milch verursachten dentransient stärksten Anstieg des Labmagen-pH für 1,5 bzw. 0,5 Stunden auf Werte bis 6,59 ± 0,28 bzw. 6,22 ± 0,12. Die AUC- Werte unterschieden sich mit 1119 ± 45 (= 125%) und 1126 ± 44 (= 125%) signifikant von den Befunden nach Milchtränke, jedoch nichtvon den Resultaten nach Gabe der bikarbonatfreien Diättränke. Systemisch bewirkten die Fütterungen zum Zeitpunkt zwei Stunden postprandial eine im arteriellen und venösen Blut gleichermaßen nachweisbare geringe, teilweise signifikante basische Reaktion, wie ↑ pH, ↑ [HCO3 –, ↑ [BE], ↑ [SID3] und ↓ [Atot] bei unveränderten Werten für PCO2. Die postprandial im Blut der Kälber festgestellte “basische Flut” war nach Gabe der bikarbonathaltigen Diättränken relativ am deutlichsten ausgeprägt. Schlussfolgerung: Im Vergleich zur üblichen Milchfütterung verursachte die in Milch zubereitete bikarbonatfreie Diättränke postprandial signifikant stärkere basische Auslenkungen des Labmagen-pH. Mit Wasser hergestellte bikarbonathaltige Elektrolyttränken führten kurzfristig (≤ 2 h) zu noch stärkerem Anstieg des Labmagen-pH. Die AUC der pH-Wert-Kurve bisvierStunden postprandial (= zeitabhängige “Wirksamkeit”) differierte jedoch nicht signifikant von der nach Gabe der bikarbonatfreien Diättränken.

Stewart-Variablen des Säuren-Basen-Status bei Kälbern

Gegenstand und Ziel: Bisher wird das Stewart-Modell des Säuren-Basen- Status in der klinischen Veterinärmedizin kaum genutzt. Eine Ursache dafür ist der Mangel an Kenntnissen über anerkannte Referenzbereiche der Stewart-Variablen [strong ion difference = SID] und [Acid total = Atot] bei den verschiedenen Tierarten. Außerdem ist bisher wenig über den Einfluss wichtiger Erkrankungen auf die Stewart-Parameter bekannt. Material und Methode: Bei 17 Kälbern (Alter: 1–28 d) wurden statistisch begründete Referenzdaten für Serum-[SID3, 4] und -[Atot- Pro/-Alb] ermittelt. Außerdem wurde retrospektiv der Einfluss von Kälberdiarrhö auf die Stewart-Variablen im Experiment (39 Kälber; Alter: 5,3 ± 2,5 d) und in der klinischen Praxis (36 Kälber; Alter: 8,7 ± 5,0 d) untersucht. Ergebnisse: Gesunde Kälber besitzen in der ersten Lebenswoche mit der Serum-[SID3/4] von etwa 51/48 mmol/l um 2–3 mmol/l signifikant höhere Werte als ältere Tiere. Infolge des postnatalen Anstiegs der Serumalbuminkonzentration erhöhen sich die Serum-[Atot-Alb] von etwa 15 mmol/l (1. Tag) auf Werte von 22 mmol/l (28. Tag). Aus den Stewart-Variablen PvCO2, Serum-[SID4] und -[Atot-Pro] ließ sich der BlutpH mit der Differenz von 0,063 ± 0,0336 gegenüber den gemessenen Werten vorhersagen. Spontan auftretender Durchfall senkt bei Kälbern die Serum-[SID3, 4] auf etwa 40 mmol/l (überlebende Tiere) oder ante mortem auf noch niedrigere Werte. Schlussfolgerung: Die metabolische Azidose durchfallkranker Kälber ist nach dem Stewart-Modell auf die Imbalancen der starken Elektrolyte Na+ und Cl– (SID3↓), die Anhäufung von Blut-Laktat– (SID4↓) sowie die Dehydratation (Atot↑) zurückzuführen. Eine erfolgreiche Therapie der Azidose muss die erniedrigten Serum-[SID] anheben und durch Flüssigkeitszufuhr die Euhydratation mit physiologischer Serum-[Atot] herbeiführen. Klinische Relevanz: In oralen und parenteralen Rehydratationslösungen lassen sich die Werte für [SID] und [Atot] leicht ermitteln und zur prospektiven Wirksamkeitsbeurteilung der Lösungen gegen die Azidose bei durchfallkranken Kälbern nutzen.

Carbon nanotube containing polyacrylonitrile materials for the oxygen evolution reaction

Composite materials of polyacrylonitrile (PAN) and CNT are efficient metal-free catalysts for OER reaching a minimum overpotential of 368 mV.