7 research outputs found

    Conducting linear chains of sulphur inside carbon nanotubes

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    Despite extensive research for more than 200 years, the experimental isolation of monatomic sulphur chains, which are believed to exhibit a conducting character, has eluded scientists. Here we report the synthesis of a previously unobserved composite material of elemental sulphur, consisting of monatomic chains stabilized in the constraining volume of a carbon nanotube. This one-dimensional phase is confirmed by high-resolution transmission electron microscopy and synchrotron X-ray diffraction. Interestingly, these one-dimensional sulphur chains exhibit long domain sizes of up to 160 nm and high thermal stability (∼800 K). Synchrotron X-ray diffraction shows a sharp structural transition of the one-dimensional sulphur occurring at ∼450-650 K. Our observations, and corresponding electronic structure and quantum transport calculations, indicate the conducting character of the one-dimensional sulphur chains under ambient pressure. This is in stark contrast to bulk sulphur that needs ultrahigh pressures exceeding ∼90 GPa to become metallic

    Life-threatening infections in children in Europe (the EUCLIDS Project): a prospective cohort study

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    Background: Sepsis and severe focal infections represent a substantial disease burden in children admitted to hospital. We aimed to understand the burden of disease and outcomes in children with life-threatening bacterial infections in Europe. Methods: The European Union Childhood Life-threatening Infectious Disease Study (EUCLIDS) was a prospective, multicentre, cohort study done in six countries in Europe. Patients aged 1 month to 18 years with sepsis (or suspected sepsis) or severe focal infections, admitted to 98 participating hospitals in the UK, Austria, Germany, Lithuania, Spain, and the Netherlands were prospectively recruited between July 1, 2012, and Dec 31, 2015. To assess disease burden and outcomes, we collected demographic and clinical data using a secured web-based platform and obtained microbiological data using locally available clinical diagnostic procedures. Findings: 2844 patients were recruited and included in the analysis. 1512 (53·2%) of 2841 patients were male and median age was 39·1 months (IQR 12·4–93·9). 1229 (43·2%) patients had sepsis and 1615 (56·8%) had severe focal infections. Patients diagnosed with sepsis had a median age of 27·6 months (IQR 9·0–80·2), whereas those diagnosed with severe focal infections had a median age of 46·5 months (15·8–100·4; p<0·0001). Of 2844 patients in the entire cohort, the main clinical syndromes were pneumonia (511 [18·0%] patients), CNS infection (469 [16·5%]), and skin and soft tissue infection (247 [8·7%]). The causal microorganism was identified in 1359 (47·8%) children, with the most prevalent ones being Neisseria meningitidis (in 259 [9·1%] patients), followed by Staphylococcus aureus (in 222 [7·8%]), Streptococcus pneumoniae (in 219 [7·7%]), and group A streptococcus (in 162 [5·7%]). 1070 (37·6%) patients required admission to a paediatric intensive care unit. Of 2469 patients with outcome data, 57 (2·2%) deaths occurred: seven were in patients with severe focal infections and 50 in those with sepsis. Interpretation: Mortality in children admitted to hospital for sepsis or severe focal infections is low in Europe. The disease burden is mainly in children younger than 5 years and is largely due to vaccine-preventable meningococcal and pneumococcal infections. Despite the availability and application of clinical procedures for microbiological diagnosis, the causative organism remained unidentified in approximately 50% of patients

    Random tiling and topological defects in a two-dimensional molecular network

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    This is the Accepted Manuscript of the following article: Blunt, M.O., Russell, J.C., Gimenez Lopez, M.C., Garrahan, J.P., Lin, X., Schróder, M., Champness, N.R., Beton, P.H., Science, 2008, DOI:10.1126/science.116333A molecular network that exhibits critical correlations in the spatial order that is characteristic of a random, entropically stabilized, rhombus tiling is described. Specifically, we report a random tiling formed in a twodimensional molecular network of p-terphenyl-3,5,3′,5′-tetracarboxylic acid adsorbed on graphite. The network is stabilized by hexagonal junctions of three, four, five, or six molecules and may be mapped onto a rhombus tiling in which an ordered array of vertices is embedded within a nonperiodic framework with spatial fluctuations in a local order characteristic of an entropically stabilized phase. We identified a topological defect that can propagate through the network, giving rise to a local reordering of molecular tiles and thus to transitions between quasi-degenerate local minima of a complex energy landscape. We draw parallels between the molecular tiling and dynamically arrested systems, such as glassesS

    Reactive Jetting of High Viscosity Nanocomposites for Dielectric Elastomer Actuation

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    The layer-by-layer nature of additive manufacturing is well matched to the layer construction of stacked dielectric actuators, with inkjet printing offering a unique opportunity due to its droplet-on-demand capability, suitable for multi-material processing at high resolution. This paper demonstrates the use of high viscosity, multi-material jetting to deposit two-part reactive inks with functionalized nanofillers to digitally manufacture dielectric elastomers for soft robots with high precision, and shape manipulation. Graphene-based fillers, including graphene oxide (GO) and thermally reduced graphene oxides (TRGOs), have been incorporated into a polydimethylsiloxane (PDMS) matrix at low loading (below the percolation threshold). Consequently, the dielectric constant of the elastomer dramatically increases (by 97%) compared to neat PDMS, yielding a more than 20-fold increase in the electric-field induced electromechanical contraction (from 0.3 to 6.7%). This study shows that the oxygen-functionalities present in GO and TRGOs, which possess a moderate conductivity, improve the dispersion of those fillers in polymer matrices, thus significantly improving the dielectric constant of the polymer composites. Inkjet printing of high-performance, soft electroactive composites enables high-speed, reliable fabrication of monolithic artificial muscles (leading to stronger, cheaper, and more capable soft robotic devices) and provides a vital stepping stone towards fully additively manufactured soft robots

    The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

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    AimThe SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery.MethodsThis was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin.ResultsOverall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P ConclusionOne in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

    Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

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    Delaying surgery for patients with a previous SARS-CoV-2 infection

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