Nanocrystalline and Thin Film Germanium Electrodes with High Lithium Capacity and High Rate Capabilities

Germanium nanocrystals (12 nm mean diam) and amorphous thin films (60-250 nm thick) were prepared as anodes for lithium secondary cells. Amorphous thin film electrodes prepared on planar nickel substrates showed stable capacities of 1700 mAh/g over 60 cycles. Germanium nanocrystals showed reversible gravimetric capacities of up to 1400 mAh/g with 60% capacity retention after 50 cycles. Both electrodes were found to be crystalline in the fully lithiated state. The enhanced capacity, rate capability (1000C), and cycle life of nanophase germanium over bulk crystalline germanium is attributed to the high surface area and short diffusion lengths of the active material and the absence of defects in nanophase materials

Highly Reversible Lithium Storage in Nanostructured Silicon

Anode materials of nanostructured silicon have been prepared by physical vapor deposition and characterized using electrochemical methods. The electrodes were prepared in thin-film form as nanocrystalline particles (12 nm mean diameter) and as continuous amorphous thin films (100 nm thick). The nanocrystalline silicon exhibited specific capacities of around 1100 mAh/g with a 50% capacity retention after 50 cycles. The amorphous thin-film electrodes exhibited initial capacities of 3500 mAh/g with a stable capacity of 2000 mAh/g over 50 cycles. We suggest that the nanoscale dimensions of the silicon circumvents conventional mechanisms of mechanical deterioration, permitting good cycle life

Magnetomechanical effects in textured polycrystalline Tb76Dy24

Uniaxial stress-strain measurements were performed on polycrystalline Tb76Dy24 alloys which exhibit "giant magnetostriction" at cryogenic temperatures. The Young's moduli were reduced by up to a factor of five at 77 K, in comparison to their values at 300 K. We attribute this reduction to a mechanical compliance from domain rotation. Large mechanical hysteresis is also found in nominally elastic stress-strain curves measured below the Curie temperature. Hysteretic curves from 0 to 25 MPa demonstrate up to 19% dissipation of the applied mechanical energy. The anisotropy of thermal expansion was also measured and used as a parameter for the degree of crystallographic texture. This anisotropy was correlated to bulk magnetostriction and to mechanical hysteresis

Magnetostriction of single crystal and polycrystalline Tb0.60Dy0.40 at cryogenic temperatures

At cryogenic temperatures, single crystals of TbDy alloys exhibit giant magnetostrictions of nearly 9000 ppm, making these materials promising for engineering service in cryogenic actuators, valves, and positioners. The preparation of single crystals is difficult and costly. Preliminary results on the magnetostriction of textured polycrystalline materials are presented here. For instance, polycrystalline Tb0.60Dy0.40, plane-rolled (one direction of applied stress) to induce crystallographic texture, has shown magnetostrictions at 77 K of 3000 ppm for an applied field of 4.5 kOe and an applied load of 23 MPa, or 48% that of a single crystal under similar conditions. Comparisons are presented between the magnetostrictive response of plane- and form-rolled (two orthogonal directions of applied stress) polycrystalline Tb0.60Dy0.40 at 10 and 77 K. It is reported that at 10 K plane-rolled Tb0.60Dy0.40 exhibits 1600 ppm magnetostriction at an applied field of 4.4 kOe with a minimal applied load of 0.28 MPa. An observed restoration of the initial unstrained state may be a useful feature of polycrystalline materials for engineering service. Finally it is reported that thermal expansion measurements provide a measure of crystallographic texture for comparison with the magnetostriction

Do hydrotherapy exercise programmes improve exercise tolerance and quality of life in patients with chronic heart failure? A systematic review

The purpose of this study was to evaluate whether hydrotherapy programmes improve exercise tolerance and quality of life in patients with chronic heart failure. Data sources utilised were EBSCO, Scopus, Medline, PubMed, OVID, Proquest, PEDro and Cochrane Systematic Reviews databases. A systematic review of randomised controlled trials or quasi randomised controlled trials investigated hydrotherapy compared with a suitable control. Methodological quality was assessed using a modified version of the Downs and Black critical appraisal tool. Findings demonstrated that hydrotherapy was well tolerated with few adverse events reported. Two studies demonstrated hydrotherapy intervention groups significantly improved 6MWT from baseline (p≤0.05), while two studies found significantly greater improvements when compared to non-exercising (p=0.01) and land based exercising (p=0.001) controls. Four studies found significant gains (p≤0.05) in VO2 peak from baseline following hydrotherapy interventions. Two studies reported significant (p=0.01) intragroup improvements in total score of the Minnesota Living with Heart Failure Questionnaire in hydrotherapy intervention groups when compared with baseline and a non-exercising control respectively. In conclusion, hydrotherapy exercise programmes were well tolerated and appear to improve exercise capacity and quality of life in people with chronic heart failure but firm conclusions could not be drawn due to the poor to moderate quality of the evidence

Structure and Thermodynamics of the Mixed Alkali Alanates

The thermodynamics and structural properties of the hexahydride alanates (M2M'AlH6) with the elpasolite structure have been investigated. A series of mixed alkali alanates (Na2LiAlH6, K2LiAlH6 and K2NaAlH6) were synthesized and found to reversibly absorb and desorb hydrogen without the need for a catalyst. Pressure-composition isotherms were measured to investigate the thermodynamics of the absorption and desorption reactions with hydrogen. Isotherms for catalyzed (4 mol% TiCl3) and uncatalyzed Na2LiAlH6 exhibited an increase in kinetics, but no change in the bulk thermodynamics with the addition of a dopant. A structural analysis using synchrotron x-ray diffraction showed that these compounds favor the Fm-3m space group with the smaller ion (M') occupying an octahedral site. These results demonstrate that appropriate cation substitutions can be used to stabilize or destabilize the material and may provide an avenue to improving the unfavorable thermodynamics of a number of materials with promising gravimetric hydrogen densities.Comment: 6 pages, 7 figures,3 tables, submitted to PR

Use of medication by young people with attention-deficit/hyperactivity disorder

The document attached has been archived with permission from the editor of the Medical Journal of Australia (26 April 2007). An external link to the publisher’s copy is includedObjectivesTo examine the prevalence of psychotropic medication use by children with attention-deficit/hyperactivity disorder (ADHD) and children without ADHD. To identify factors associated with stimulant use by children in the community.DesignA representative, multistage probability sample of Australian households was conducted in 1998. Parents completed questionnaires assessing children's mental health problems and health-related quality of life. They also completed a structured interview to identify children's psychiatric disorders and their use of medications during the previous six months.ParticipantsParent or main caregiver of 3597 children aged 6-17 years.Main outcome measuresRates of use of stimulants (dexamphetamine and methylphenidate), antidepressants and clonidine by children.ResultsOverall, 1.8% of children (95% CI, 1.5%-2.3%) were receiving stimulant medication. Of those with ADHD, 12.6% (95% CI, 9.8%-16.1%) were being treated with stimulants, 2.3% (95% CI, 1.3%-4.3%) with antidepressants, and 1.9% (95% CI, 1.0%-3.7%) with clonidine. Among children without ADHD, 0.5% (95% CI, 0.3%-0.8%) were receiving stimulant medication. This represented 22.9% (95% CI, 14.6%-34.0%) of all the children who were receiving stimulants. Variables significantly associated with stimulant use were being male, having ADHD, attending a paediatrician, and having higher scores on the Aggressive Behaviour and Attention Problems scales on the Child Behaviour Checklist.ConclusionsAbout 13% of Australian children with ADHD, and a substantial number of children without ADHD, are taking stimulants. The question of whether Australian children are being undertreated or overtreated with stimulant medication depends on the criteria used to assess the appropriateness of stimulant use. Additional information is needed to clarify when stimulants should be used to treat ADHD.Michael G. Sawyer, Joseph M. Rey, Brian W. Graetz, Jennifer J. Clark and Peter A. Baghurs

Utilization of health care services by migrants in Europe-a systematic literature review.

Introduction: Our study reviewed the empirical evidence on the utilization of health care services by migrants in Europe, and on differences in health service utilization between migrants and non-migrants across European countries. Sources of data: A systematic literature review was performed, searching the databases Medline, Cinahl and Embase and covering the period from January 2009 to April 2016. The final number of articles included was 39. Areas of agreement: Utilization of accident and emergency services and hospitalizations were higher among migrants compared with non-migrants in most countries for which evidence was available. In contrast, screening and outpatient visits for specialized care were generally used less often by migrants. Areas of controversy: Utilization of general practitioner services among migrants compared with non-migrants presents a diverging picture. Growing points: Compared with previous systematic reviews, the results indicate a clearer picture of the differences in health service utilization between migrants and non-migrants in Europe. Areas timely for developing research: A comprehensive comparison across European countries is impossible because the number of studies is still limited. Further research should also help to identify barriers regarding the utilization of health care services by migrants

Thermochemistry of Alane Complexes for Hydrogen Storage: A Theoretical and Experimental Comparison

Knowledge of the relative stabilities of alane (AlH3) complexes with electron donors is essential for identifying hydrogen storage materials for vehicular applications that can be regenerated by off-board methods; however, almost no thermodynamic data are available to make this assessment. To fill this gap, we employed the G4(MP2) method to determine heats of formation, entropies, and Gibbs free energies of formation for thirty-eight alane complexes with NH3-nRn (R = Me, Et; n = 0-3), pyridine, pyrazine, triethylenediamine (TEDA), quinuclidine, OH2-nRn (R = Me, Et; n = 0-2), dioxane, and tetrahydrofuran (THF). Monomer, bis, and selected dimer complex geometries were considered. Using these data, we computed the thermodynamics of the key formation and dehydrogenation reactions that would occur during hydrogen delivery and alane regeneration, from which trends in complex stability were identified. These predictions were tested by synthesizing six amine-alane complexes involving trimethylamine, triethylamine, dimethylethylamine, TEDA, quinuclidine, and hexamine, and obtaining upper limits of delta G for their formation from metallic aluminum. Combining these computational and experimental results, we establish a criterion for complex stability relevant to hydrogen storage that can be used to assess potential ligands prior to attempting synthesis of the alane complex. Based on this, we conclude that only a subset of the tertiary amine complexes considered and none of the ether complexes can be successfully formed by direct reaction with aluminum and regenerated in an alane-based hydrogen storage system.Comment: Accepted by the Journal of Physical Chemistry

Evaluating Modeling and Validation Strategies for Tooth Loss

Prediction models learn patterns from available data (training) and are then validated on new data (testing). Prediction modeling is increasingly common in dental research. We aimed to evaluate how different model development and validation steps affect the predictive performance of tooth loss prediction models of patients with periodontitis. Two independent cohorts (627 patients, 11,651 teeth) were followed over a mean ± SD 18.2 ± 5.6 y (Kiel cohort) and 6.6 ± 2.9 y (Greifswald cohort). Tooth loss and 10 patient- and tooth-level predictors were recorded. The impact of different model development and validation steps was evaluated: 1) model complexity (logistic regression, recursive partitioning, random forest, extreme gradient boosting), 2) sample size (full data set or 10%, 25%, or 75% of cases dropped at random), 3) prediction periods (maximum 10, 15, or 20 y or uncensored), and 4) validation schemes (internal or external by centers/time). Tooth loss was generally a rare event (880 teeth were lost). All models showed limited sensitivity but high specificity. Patients' age and tooth loss at baseline as well as probing pocket depths showed high variable importance. More complex models (random forest, extreme gradient boosting) had no consistent advantages over simpler ones (logistic regression, recursive partitioning). Internal validation (in sample) overestimated the predictive power (area under the curve up to 0.90), while external validation (out of sample) found lower areas under the curve (range 0.62 to 0.82). Reducing the sample size decreased the predictive power, particularly for more complex models. Censoring the prediction period had only limited impact. When the model was trained in one period and tested in another, model outcomes were similar to the base case, indicating temporal validation as a valid option. No model showed higher accuracy than the no-information rate. In conclusion, none of the developed models would be useful in a clinical setting, despite high accuracy. During modeling, rigorous development and external validation should be applied and reported accordingly