High Proton Conductivity in a Flexible, Cross-Linked, Ultramicroporous Magnesium Tetraphosphonate Hybrid Framework

Multifunctional materials, especially those combining two or more properties of interest, are attracting immense attention due to their potential applications. MOFs, metal organic frameworks, can be regarded as multifunctional materials if they show another useful property in addition to the adsorption behavior. Here, we report a new multifunctional light hybrid, MgH6ODTMP·2H2O(DMF)0.5 (1), which has been synthesized using the tetraphosphonic acid H8ODTMP, octamethylenediamine-N,N,N′,N′-tetrakis(methylenephosphonic acid), by highthroughput methodology. Its crystal structure, solved by Patterson-function direct methods from synchrotron powder Xray diffraction, was characterized by a 3D pillared open framework containing cross-linked 1D channels filled with water and DMF. Upon H2O and DMF removal and subsequent rehydration, MgH6ODTMP·2H2O (2) and MgH6ODTMP·6H2O (3) can be formed. These processes take place through crystalline−quasi-amorphous−crystalline transformations, during which the integrity of the framework is maintained. A water adsorption study, at constant temperature, showed that this magnesium tetraphosphonate hybrid reversibly equilibrates its lattice water content as a function of the water partial pressure. Combination of the structural study and gas adsorption characterization (N2, CO2, and CH4) indicates an ultramicroporous framework. High-pressure CO2 adsorption data are also reported. Finally, impedance data indicates that 3 has high proton conductivity σ = 1.6 × 10−3 S cm−1 at T = 292 K at ∼100% relative humidity with an activation energy of 0.31 eV.Proyecto nacional MAT2010-15175 (MICINN, España

Divalent Metal Vinylphosphonate Layered Materials: Compositional Variability, Structural Peculiarities, Dehydration Behavior, and Photoluminescent Properties

A family of M-VP (M = Ni, Co, Cd, Mn, Zn, Fe, Cu, Pb; VP = vinylphosphonate) and M-PVP (M = Co, Cd; PVP = phenylvinylphosphonate) materials have been synthesized by hydrothermal methods and characterized by FTIR, elemental analysis, and thermogravimetric analysis (TGA). Their structures were determined either by single crystal X-ray crystallography or from laboratory X-ray powder diffraction data. The crystal structure of some M-VP and M-PVP materials is two-dimensional (2D) layered, with the organic groups (vinyl or phenylvinyl) protruding into the interlamellar space. However, the Pb-VP and Cu-VP materials show dramatically different structural features. The porous, three-dimensional (3D) structure of Pb-VP contains the Pb center in a pentagonal pyramid. A Cu-VP variant of the common 2D layered structure shows a very peculiar structure. The structure of the material is 2D with the layers based upon three crystallographically distinct Cu atoms; an octahedrally coordinated Cu2+ atom, a square planar Cu2+ atom and a Cu+ atom. The latter has an unusual co-ordination environment as it is 3-coordinated to two oxygen atoms with the third bond across the double bond of the vinyl group. Metal-coordinated water loss was studied by TGA and thermodiffractometry. The rehydration of the anhydrous phases to give the initial phase takes place rapidly for Cd-PVP but it takes several days for Co-PVP. The M-VP materials exhibit variable dehydration-rehydration behavior, with most of them losing crystallinity during the process.Proyecto nacional MAT2010-15175 (MICINN, España

Natural History of MYH7-Related Dilated Cardiomyopathy

BACKGROUND Variants in myosin heavy chain 7 (MYH7) are responsible for disease in 1% to 5% of patients with dilated cardiomyopathy (DCM); however, the clinical characteristics and natural history of MYH7-related DCM are poorly described. OBJECTIVES We sought to determine the phenotype and prognosis of MYH7-related DCM. We also evaluated the influence of variant location on phenotypic expression. METHODS We studied clinical data from 147 individuals with DCM-causing MYH7 variants (47.6% female; 35.6 +/- 19.2 years) recruited from 29 international centers. RESULTS At initial evaluation, 106 (72.1%) patients had DCM (left ventricular ejection fraction: 34.5% +/- 11.7%). Median follow-up was 4.5 years (IQR: 1.7-8.0 years), and 23.7% of carriers who were initially phenotype-negative developed DCM. Phenotypic expression by 40 and 60 years was 46% and 88%, respectively, with 18 patients (16%) first diagnosed at <18 years of age. Thirty-six percent of patients with DCM met imaging criteria for LV noncompaction. During follow-up, 28% showed left ventricular reverse remodeling. Incidence of adverse cardiac events among patients with DCM at 5 years was 11.6%, with 5 (4.6%) deaths caused by end-stage heart failure (ESHF) and 5 patients (4.6%) requiring heart transplantation. The major ventricular arrhythmia rate was low (1.0% and 2.1% at 5 years in patients with DCM and in those with LVEF of <= 35%, respectively). ESHF and major ventricular arrhythmia were significantly lower compared with LMNA-related DCM and similar to DCM caused by TTN truncating variants. CONCLUSIONS MYH7-related DCM is characterized by early age of onset, high phenotypic expression, low left ventricular reverse remodeling, and frequent progression to ESHF. Heart failure complications predominate over ventricular arrhythmias, which are rare. (C) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

A large case series of travel-related Mansonella perstans (vector-borne filarial nematode): a TropNet study in Europe.

Infection with Mansonella perstans is a neglected filariasis, widely distributed in sub-Saharan Africa, characterized by an elusive clinical picture; treatment for mansonellosis is not standardized. This retrospective study aimed to describe the clinical features, treatment schemes and evolution, of a large cohort of imported cases of M. perstans infection seen in four European centres for tropical diseases. Mansonella perstans infections, diagnosed by identification of blood microfilariae in migrants, expatriates and travellers, collected between 1994 and 2018, were retrospectively analysed. Data concerning demographics, clinical history and laboratory examinations at diagnosis and at follow-up time points were retrieved. A total of 392 patients were included in the study. Of the 281 patients for whom information on symptoms could be retrieved, 150 (53.4%) reported symptoms, abdominal pain and itching being the most frequent. Positive serology and eosinophilia were present in 84.4% and 66.1%, respectively, of those patients for whom these data were available. Concomitant parasitic infections were reported in 23.5% of patients. Treatment, administered to 325 patients (82.9%), was extremely heterogeneous between and within centres; the most commonly used regimen was mebendazole 100 mg twice a day for 1 month. A total of 256 (65.3%) patients attended a first follow-up, median 3 months (interquartile range 2-12) after the first visit; 83.1% of patients having received treatment based on mebendazole and/or doxycycline, targeting Wolbachia, became amicrofilaremic, 41.1-78.4% of whom within 12 months from single treatment. Lack of specific symptoms, together with the inconstant positivity of parasitological and antibody-based assays in the infected population, makes the clinical suspicion and screening for mansonellosis particularly difficult. Prospective studies evaluating prevalence of infection in migrants from endemic areas, infection-specific morbidity, presence of Wolbachia endosymbionts in M. perstans populations from different geographical areas and efficacy of treatment regimens are absolutely needed to optimize the clinical management of infection

Multifunctional luminescent and proton-conducting lanthanide carboxyphosphonate open-framework hybrids exhibiting crystalline-to-amorphous- to-crystalline transformations

[EN] The chemistry of metal phosphonates has been progressing fast with the addition of new materials that possess novel structural features and new properties, occasionally in a cooperative manner. In this paper, we report a new family of functional lanthanide-carboxyphosphonate materials. Specifically, the lanthanide is La, Ce, Pr, Sm, Eu, Gd, Tb, or Dy and the carboxyphosphonate ligand is 2-hydroxyphosphonoacetic acid (H(3)HPA). All reported LnHPA compounds, Ln(3)(H0.73O3PCHOHCOO)(4)center dot xH(2)O (x = 15-16), crystallize in the orthorhombic system. Two types of structures were isolated: series I and II polymorphs. For both series, the three-dimensional (3D) open frameworks result from the linkage of similar organo-inorganic layers, in the ac-plane, by central lanthanide cations, which yield trimeric units also found in other metal-HPA hybrids. Large oval-shaped 1D channels are formed by the spatial separation of the layers along the b-axis and filled with lattice water molecules. LnHPA materials undergo remarkable crystalline-to-amorphous-to crystalline transformations upon dehydration and rehydration cycles, as confirmed by thermodiffraction and NMR spectroscopy. The highest proton conductivity was observed for GdHPA (series II), 3.2 X 10(-4) S cm(-1) at 98% RH and T = 21 degrees C. The dehydration-rehydration chemistry was also followed by photoluminescence spectroscopy. It was shown that loss and reuptake of water molecules are accompanied by clear changes in the photoluminescence spectra and lifetimes of the Eu analog (series II). Our present results reveal a wide family of well-characterized, multifunctional lanthanide-based phosphonate 3D-structured metal-organic frameworks (MOFs) that show reversible crystalline-to-amorphous-to-crystalline transformations and, at the same time, exhibit high proton conductivity.The work at UMA was funded by MAT2010-15175 research grant (Spain), which is cofunded by FEDER. The work at the UoC was supported by a grant from the Research Committee of the University of Crete, ELKE, (KA 3517). The project "Factoria de Crystalizacion, CONSOLIDER INGENIO-2010" provided X-ray structural facilities for this work.Colodrero, RMP.; Papathanasiou, KE.; Stavgianoudaki, N.; Olivera-Pastor, P.; Losilla, ER.; Aranda, MAG.; Leon-Reina, L.... (2012). Multifunctional luminescent and proton-conducting lanthanide carboxyphosphonate open-framework hybrids exhibiting crystalline-to-amorphous- to-crystalline transformations. Chemistry of Materials. 24(19):3780-3792. https://doi.org/10.1021/cm302381kS37803792241

High Proton Conductivity in a Flexible, Cross-Linked, Ultramicroporous Magnesium Tetraphosphonate Hybrid Framework

Multifunctional materials, especially those combining two or more properties of interest, are attracting immense attention due to their potential applications. MOFs, metal organic frameworks, can be regarded as multifunctional materials if they show another useful property in addition to the adsorption behavior. Here, we report a new multifunctional light hybrid, MgH₆ODTMP·2H₂O­(DMF)_0.5 (<b>1</b>), which has been synthesized using the tetraphosphonic acid H₈ODTMP, octamethylenediamine-<i>N</i>,<i>N</i>,<i>N</i>′,<i>N</i>′-tetrakis­(methylenephosphonic acid), by high-throughput methodology. Its crystal structure, solved by Patterson-function direct methods from synchrotron powder X-ray diffraction, was characterized by a 3D pillared open framework containing cross-linked 1D channels filled with water and DMF. Upon H₂O and DMF removal and subsequent rehydration, MgH₆ODTMP·2H₂O (<b>2</b>) and MgH₆ODTMP·6H₂O (<b>3</b>) can be formed. These processes take place through crystalline–quasi-amorphous–crystalline transformations, during which the integrity of the framework is maintained. A water adsorption study, at constant temperature, showed that this magnesium tetraphosphonate hybrid reversibly equilibrates its lattice water content as a function of the water partial pressure. Combination of the structural study and gas adsorption characterization (N₂, CO₂, and CH₄) indicates an ultramicroporous framework. High-pressure CO₂ adsorption data are also reported. Finally, impedance data indicates that <b>3</b> has high proton conductivity σ = 1.6 × 10^–3 S cm^–1 at <i>T</i> = 292 K at ∼100% relative humidity with an activation energy of 0.31 eV