Jaw Tremor Resulting in Broken Teeth: On the Essential Tremor Spectrum

Background: Jaw tremors in essential tremor (ET) rarely represent anything other than a cosmetic concern. Phenomenology Shown: A case of an ET patient whose jaw tremor was severe enough to result in cracked teeth. Educational Value: It behooves treating clinicians to be aware of the full spectrum of this movement disorder

Jaw Tremor Resulting in Broken Teeth: On the Essential Tremor Spectrum

Background: Jaw tremors in essential tremor (ET) rarely represent anything other than a cosmetic concern. Phenomenology Shown: A case of an ET patient whose jaw tremor was severe enough to result in cracked teeth. Educational Value: It behooves treating clinicians to be aware of the full spectrum of this movement disorder

Health disparities and determinants of health: A glance at Healthy People 2020 goals

Introduction: Adverse health outcomes are often used as indicators of the health of a nation and are generally better in developed countries. According to the World Health Organization, every day, about 800 women died due to complications of pregnancy and child birth. Almost all of these deaths occurred in low-resource settings, and most could have been prevented. Maternal mortality ratio in the United States in 2015 was 14 maternal deaths per 1000 live births, range, significantly higher than most developed countries including Sweden (4 per 1000 live births), Switzerland (4 per 1000 live births), Austria (4 per 1000 live births), Japan (5 per 1000 live births), Germany (6 per 1000 live births), Canada (7 per 1000 live births), France (8 per 1000 live births), United Kingdom (9 per 1000 live births). Methods: Health outcomes were collected from the Centers for Disease Control and Prevention while socio-economic related indicators were extracted from the US Census Bureau. Selected health outcomes in the study are: infant and fetal mortality, maternal mortality, life expectance and cancer. Socio-economic indicators such as poverty and health insurance coverage were also analyzed. An evaluation of health disparities among racial and ethnic groups was performed. Correlation analyses were conducted to explore the potential strength of the relationship between health outcomes and socioeconomic factors in the US at the state level. Conclusion: Health disparities are still a major public health problem in US. A strong correlation at the state level between health outcomes and poverty and health insurance coverage at the state level was identified

The effect of water on the binding of glycosaminoglycan saccharides to hydroxyapatite surfaces: A molecular dynamics study

Classical molecular dynamics (MD) simulations have been employed to study the interaction of the saccharides glucuronic acid (GlcA) and N-acetylgalactosamine (GalNAc) with the (0001) and (011̄0) surfaces of the mineral hydroxyapatite (HAP). GlcA and GalNAc are the two constituent monosaccharides of the glycosaminoglycan chondroitin sulfate, which is commonly found in bone and cartilage and has been implicated in the modulation of the hydroxyapatite biomineralization process. MD simulations of the mineral surfaces and the saccharides in the presence of solvent water allowed the calculation of the adsorption energies of the saccharides on the HAP surfaces. The calculations show that GalNAc interacts with HAP principally through the sulfate and the carbonyl of acetyl amine groups, whereas the GlcA interacts primarily through the carboxylate functional groups. The mode and strength of the interaction depends on the orientation of the saccharide with respect to the surface and the level of disruption of the layer of water competing with the saccharide for adsorption sites on the HAP surface, suggesting that chondroitin 4-sulfate binds to the layer of solvent water rather than to HAP

Theoretical analysis of uranium-doped thorium dioxide: Introduction of a thoria force field with explicit polarization

Thorium dioxide is used industrially in high temperature applications, but more insight is needed into the behavior of the material as part of a mixed-oxide (MOX) nuclear fuel, incorporating uranium. We have developed a new interatomic potential model including polarizability via a shell model, and commensurate with a prominent existing UO2 potential, to conduct configurational analyses and to investigate the thermophysical properties of uranium-doped ThO2. Using the GULP and Site Occupancy Disorder (SOD) computational codes, we have analyzed the distribution of low concentrations of uranium in the bulk material, where we have not observed the formation of uranium clusters or the dominance of a single preferred configuration. We have calculated thermophysical properties of pure thorium dioxide and Th(1−x)UxO2 which generated values in very good agreement with experimental data

Molecular dynamics simulations of bio-active phosphate-based glass surfaces

Classical molecular dynamics (MD) simulations were used to study the structural changes in the surfaces of biocompatible phosphate glasses with compositions (P2O5)0.45(CaO)x(Na2O)0.55 − x (x = 30, 35, 40) to evaluate their effect on the solubility of the material. Direct comparison of the data for the three compositions highlighted the critical role that an enhancement in Na+ concentration plays in the hydrolysis of the material, which is responsible for the release of network components into solution. The calculations also confirm that the most soluble material is (P2O5)0.45(CaO)0.30(Na2O)0.25, has the lowest calcium coordination number, thereby causing fewer cross links to phosphate chains

Configurational analysis of uranium-doped thorium dioxide

While thorium dioxide is already used industrially in high temperature applications, more insight is needed about the behaviour of the material as part of a mixed-oxide (MOX) nuclear fuel, incorporating uranium. We have developed a new interatomic potential model, commensurate with a prominent existing UO2 potential, to conduct configurational analyses of uranium-doped ThO2 supercells. Using the GULP and Site Occupancy Disorder (SOD) computational codes, we have analysed the distribution of low concentrations of uranium in the bulk material, but have not observed the formation of uranium clusters or a single dominant configuration

Density functional theory study of the zeolite-mediated tautomerization of phenol and catechol

Because the structure of lignin consists mostly of inter-linked phenolic monomers, its conversion into more valuable chemicals may benefit from isomerization processes that alter the electronic structure of the aromatic rings. The tautomerization of phenolic-type compounds changes the hybridization from sp2 to sp3 of the carbon atom at the ortho position, which disables the aromaticity and facilitates the subsequent hydrogenation process. Here, we have performed a Density Functional Theory study of the tautomerization of phenol and catechol at the external surface of zeolite MFI. The tautomerization starts with the adsorption of the molecule on three-coordinated Lewis acid sites, followed by the dissociation of the phenolic hydroxyl group, with the transfer of the proton to the zeolite framework. The rotation of the deprotonated molecule enables a more favourable orientation for the back-transfer of the proton to the carbon atom at the ortho position. The energy barriers of the process are smaller than 55 kJ/mol, suggesting that this transformation is easily accessible under standard reaction conditions

DFT modeling of the adsorption of trimethylphosphine oxide at the internal and external surfaces of zeolite MFI

The characterization of the acidity of zeolites allows a direct correlation with their catalytic activity. To this end, probe molecules are utilized to obtain a ranking of acid strengths. Trimethylphosphine oxide (TMPO) is a widely used probe molecule, which allows the sensing of solid acids by using 31P NMR. We have performed calculations based on the density functional theory to investigate the Brønsted acid (BA) sites in zeolite MFI by adsorbing TMPO as a probe molecule. We have considered the substitution of silicon at the T2 site by aluminum, both at the internal cavity and at the external surface. The different acid strengths observed in the zeolite MFI when probed by TMPO (very strong, strong, and weak) may depend on the basicity of the centers sharing the acid proton. If the proton lies between the TMPO and one of the framework oxygen atoms binding the Al, the acidity is strong. When the framework oxygen atom is not directly binding the Al, it is less basic and a shortening of the TMPO–H distance is observed, causing an acid response of very strong. Finally, if two TMPO molecules share the proton, the TMPO–H distance elongates, rendering a weak acid character

A density functional theory study of the structure of pure-silica and aluminium-substituted MFI nanosheets

The layered MFI zeolite allows a straightforward hierarchization of the pore system which accelerates mass transfer and increases its lifetime as a catalyst. Here, we present a theoretical study of the structural features of the pure-silica and aluminium-substituted MFI nanosheets. We have analysed the effects of aluminium substitution on the vibrational properties of silanols as well as the features of protons as counter-ions. The formation of the two-dimensional system did not lead to appreciable distortions within the framework. Moreover, the effects on the structure due to the aluminium dopants were the same in both the bulk and the slab. The principal differences were related to the silanol groups that form hydrogen-bonds with neighbouring aluminium-substituted silanols, whereas intra-framework hydrogen-bonds increase the stability of aluminium-substituted silanols toward dehydration. Thus, we have complemented previous experimental and theoretical studies, showing the lamellar MFI zeolite to be a very stable material of high crystallinity regardless of its very thin structure