The influence of obesity on falls and quality of life

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Effect of ligand methylation on the spin-switching properties of surface-supported spin-crossover molecules

X-ray absorption spectroscopy investigations of the spin-state switching of spin-crossover (SCO) complexes adsorbed on a highly-oriented pyrolytic graphite (HOPG) surface have shown so far that HOPG is a promising candidate to realize applications such as spintronic devices because of the stability of SCO complexes on HOPG and the possibility of highly efficient thermal and light-induced spin-state switching. Herein, we present the spin switching of several Fe(II) SCO complexes adsorbed on an HOPG surface with particular emphasis on the thermally induced spin transition behaviour with respect to different structural modifications. The complexes of the type [Fe(bpz)2(L)] (bpz  =  dihydrobis(pyrazolyl)borate, L  =  1,10-phenanthroline, 2,2'-bipyridine) and their methylated derivatives exhibit SCO in the solid state with some differences regarding cooperative effects. However, in the vacuum-deposited thick films on quartz, complete and more gradual spin transition behavior is observable via UV/vis spectroscopy. In contrast to that, all complexes show large differences upon direct contact with HOPG. Whereas the unmodified complexes show thermal and light-induced SCO, the addition of e.g. two or four methyl groups leads to a partial or a complete loss of the SCO on the surface. The angle-dependent measurement of the N K-edge compared to calculations indicates that the complete SCO and HS-locked molecules on the surface exhibit a similar preferential orientation, whereas complexes undergoing an incomplete SCO exhibit a random orientation on the surface. These results are discussed in the light of molecule-substrate interactions

Low Catalyst Loadings in Olefin Metathesis: Synthesis of Nitrogen Heterocycles by Ring-Closing Metathesis

A series of ruthenium catalysts have been screened under ring-closing metathesis (RCM) conditions to produce five-, six-, and seven-membered carbamate-protected cyclic amines. Many of these catalysts demonstrated excellent RCM activity and yields with as low as 500 ppm catalyst loadings. RCM of the five-membered carbamate series could be run neat, the six-membered carbamate series could be run at 1.0 M, and the seven-membered carbamate series worked best at 0.2−0.05 M

Development of a Bimodal Ankle-Foot Prosthesis for Walking and Standing/ Swaying

The human ankle-foot system conforms to a circular effective rocker shape for walking, but to a much flatter effective shape for standing and swaying. Many persons with lower limb amputations have impaired balance and reduced balance confidence, and may benefit from prostheses designed to provide flatter effective rocker shapes during standing and swaying tasks. This paper describes the development and testing of an ankle-foot prosthesis prototype that provides distinctly different mechanical properties for walking and standing/swaying. The prototype developed was a single-axis prosthetic foot with a lockable ankle for added stability during standing and swaying. The bimodal ankle-foot prosthesis prototype was tested on pseudoprostheses (walking boots with prosthetic feet beneath) for walking and standing/swaying loads, and was compared to an Otto Bock single-axis prosthetic foot and to able-bodied data collected in a previous study. The heightnormalized radius of the effective rocker shape for walking with the bimodal ankle-foot prototype was equal to that found earlier for able-bodied persons (0.17); the standing and swaying effective shape had a lower height-normalized radius (0.70) compared with that previously found for able-bodied persons (1.11). The bimodal ankle-foot prosthesis prototype had a similar radius as the Otto Bock single-axis prosthetic foot for the effective rocker shape for walking (0.17 for both), but had a much larger radius for standing and swaying (0.70 for bimodal, 0.34 for single-axis). The results suggest that the bimodal ankle-foot prosthesis prototype provides two distinct modes, including a biomimetic effective rocker shape for walking and an inherently stable base for standing and swaying. The radius of the prototype's effective rocker shape for standing/swaying suggests that it may provide inherent mechanical stability to a prosthesis user, since the radius is larger than the typical body center of mass's distance from the floor (between 50-60% of height). Future testing is warranted to determine if the bimodal ankle-foot prosthesis will increase balance and balance confidence in prosthesis users

What is Normal, What is Strange, and What is Missing in a Knowledge Graph: Unified Characterization via Inductive Summarization

Knowledge graphs (KGs) store highly heterogeneous information about the world in the structure of a graph, and are useful for tasks such as question answering and reasoning. However, they often contain errors and are missing information. Vibrant research in KG refinement has worked to resolve these issues, tailoring techniques to either detect specific types of errors or complete a KG. In this work, we introduce a unified solution to KG characterization by formulating the problem as unsupervised KG summarization with a set of inductive, soft rules, which describe what is normal in a KG, and thus can be used to identify what is abnormal, whether it be strange or missing. Unlike first-order logic rules, our rules are labeled, rooted graphs, i.e., patterns that describe the expected neighborhood around a (seen or unseen) node, based on its type, and information in the KG. Stepping away from the traditional support/confidence-based rule mining techniques, we propose KGist, Knowledge Graph Inductive SummarizaTion, which learns a summary of inductive rules that best compress the KG according to the Minimum Description Length principle---a formulation that we are the first to use in the context of KG rule mining. We apply our rules to three large KGs (NELL, DBpedia, and Yago), and tasks such as compression, various types of error detection, and identification of incomplete information. We show that KGist outperforms task-specific, supervised and unsupervised baselines in error detection and incompleteness identification, (identifying the location of up to 93% of missing entities---over 10% more than baselines), while also being efficient for large knowledge graphs.Comment: 10 pages, plus 2 pages of references. 5 figures. Accepted at The Web Conference 202

Comparison of complication risk for open carpal tunnel release: In-office versus operating room settings

BACKGROUND: Performing open carpal tunnel release (oCTR) in an office-based procedure room setting (PR) decreases surgical costs when compared with the operating room (OR). However, it is unclear if the risk of major medical, wound, and iatrogenic complications differ between settings. Our purpose was to compare the risk of major medical complications associated with oCTR between PR and OR settings. METHODS: Utilizing the MarketScan Database, we identified adults undergoing isolated oCTR between 2006 and 2015 performed in PR and OR settings. ICD-9-CM and/or CPT codes were used to identify major medical complications, surgical site complications, and iatrogenic complications within 90 days of oCTR. Multivariable logistic regression was used to compare complication risk between groups. RESULTS: Of the 2134 PR and 76,216 OR cases, the risk of major medical complications was 0.89% (19/2134) and 1.20% (914/76,216), respectively, with no difference observed in the multivariable analysis (adjusted odds ratio [OR] 0.84; 95% CI 0.53–1.33; P=0.45). Risk of surgical site complications was 0.56% (12/2134) and 0.81% (616/76,216) for the PR and OR, respectively, with no difference in the multivariable analysis (OR 0.68; 95% C.I. 0.38–1.22; P=0.19). Iatrogenic complications were rarely observed (PR 1/2134 [0.05%], OR 71/76,216 [0.09%]), which precluded multivariable modeling. CONCLUSION: These results support a similar safety profile for both the PR and OR surgical settings following oCTR with similar pooled major medical complications, pooled wound/surgical site complications, and iatrogenic complications

Brain abscess and stroke in children and adults with hereditary hemorrhagic telangiectasia: Analysis of a large national claims database

BACKGROUND AND OBJECTIVES: Hereditary hemorrhagic telangiectasia (HHT) is an inherited disease associated with pathogenic variants in transforming growth factor-β signaling pathway-related genes, resulting in abnormal vascular development in various organs. Brain arteriovenous malformations (AVMs) may lead to intracranial hemorrhage, and brain abscess or ischemic stroke may result from right to left shunting via pulmonary AVMs. We aimed to investigate the risk for these severe complications in both adults and children with HHT. METHODS: We conducted a case-control study among participants aged 1-64 years in the MarketScan Commercial (2006-2019) and Multistate Medicaid Databases (2011-2019). We identified cases with HHT using RESULTS: A total of 5,796 patients with HHT, of whom 588 were children (age younger than 16 years), were matched with 57,960 controls. There was an increased incidence of brain abscesses in HHT cases compared with controls, with an RR of 35.6 (95% CI 15.4-82.5). No brain abscesses were recorded in children aged 15 years or younger. Hemorrhagic strokes/subarachnoid hemorrhages were more common in HHT cases, with an RR of 4.01 (95% CI 2.8-5.7) in adults and 60.2 (95% CI 7.2-500.4) in children. Ischemic strokes were also more common in cases, with an RR of 3.7 (95% CI, 3.0-4.5) in adults and 70.4 (95% CI 8.7-572.3) in children. DISCUSSION: We observed a much higher incidence of severe CNS vascular complications in patients with HHT, particularly in children. Although a higher incidence of brain abscesses was noted in adult patients with HHT, no brain abscesses were recorded in children, a result that may be considered when surveillance recommendations for this population are revisited

Parvovirus B19 infection in sickle cell disease: An analysis from the Centers for Disease Control haemoglobinopathy blood surveillance project

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155921/1/tme12671_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155921/2/tme12671.pd