Imaging features, classification and clinical features of intrahepatic congenital portosystemic shunts.

Congenital portosystemic shunts (CPSS) are a rare developmental anomaly diverting blood flow from the portal venous system and the liver to the systemic venous system. This case series examines the sonographic imaging findings, shunt classification, ultrasound shunt ratios, and outcomes in nine children (5 females, 4 males) admitted to our institution between 2015 and 2022 were included in this study. The shunts were initially categorized by the Parks classification and were followed by serial ultrasounds. Clinical presentation, clinical course, laboratory data, shunt ratios, and time to shunt closure were all followed on subsequent ultrasounds. The most common type of CPPS was the Type 3 shunt. In cases where shunt ratios were measured, the shunt ratio gradually decreased in tandem with decreasing ammonia levels until spontaneous closure was achieved. Predictors of lack of shunt closure included high shunt ratios and Type 4 shunts. Patients with CPPS can be followed with the shunt ratio calculation obtained from sonographic imaging, which may correlate to ammonia levels and indicate risk of hepatic encephalopathy as well as predict speed and timing of closure.

Stochastic and mixed density functional theory within the projector augmented wave formalism for simulation of warm dense matter.

Stochastic density functional theory (DFT) and mixed stochastic-deterministic DFT are burgeoning approaches for the calculation of the equation of state and transport properties in materials under extreme conditions. In the intermediate warm dense matter regime, a state between correlated condensed matter and kinetic plasma, electrons can range from being highly localized around nuclei to delocalized over the whole simulation cell. The plane-wave basis pseudopotential approach is thus the typical tool of choice for modeling such systems at the DFT level. Unfortunately, stochastic DFT methods scale as the square of the maximum plane-wave energy in this basis. To reduce the effect of this scaling and improve the overall description of the electrons within the pseudopotential approximation, we present stochastic and mixed DFT approaches developed and implemented within the projector augmented wave formalism. We compare results between the different DFT approaches for both single-point and molecular dynamics trajectories and present calculations of self-diffusion coefficients of solid density carbon from 1 to 50 eV.

Mixed stochastic-deterministic time-dependent density functional theory: application to stopping power of warm dense carbon.

Warm dense matter (WDM) describes an intermediate phase, between condensed matter and classical plasmas, found in natural and man-made systems. In a laboratory setting, WDM is often created dynamically. It is typically laser or pulse-power generated and can be difficult to characterize experimentally. Measuring the energy loss of high energy ions, caused by a WDM target, is both a promising diagnostic and of fundamental importance to inertial confinement fusion research. However, electron coupling, degeneracy, and quantum effects limit the accuracy of easily calculable kinetic models for stopping power, while high temperatures make the traditional tools of condensed matter, e.g. time-dependent density functional theory (TD-DFT), often intractable. We have developed a mixed stochastic-deterministic approach to TD-DFT which provides more efficient computation while maintaining the required precision for model discrimination. Recently, this approach showed significant improvement compared to models when compared to experimental energy loss measurements in WDM carbon. Here, we describe this approach and demonstrate its application to warm dense carbon stopping across a range of projectile velocities. We compare direct stopping-power calculation to approaches based on combining homogeneous electron gas response with bound electrons, with parameters extracted from our TD-DFT calculations.

Pediatric chest wall masses: spectrum of benign findings on ultrasound.

A palpable finding along the chest wall is a frequent indication for pediatric US. Accurate identification of benign lesions can reassure families and appropriately triage children who need follow-up, cross-sectional imaging, or biopsy. In this pictorial essay, we review chest wall anatomy, illustrate US techniques and discuss key US imaging features of common benign lesions and normal variants.

Improving Performance Covertly and Remotely with Tactile Stimulation.

Tactile stimulation can be used to privately prompt or provide feedback for a variety of behaviors. However, technological limitations have primarily resulted in narrow investigations of tactile stimulation delivered on a time-based schedule by a device like a MotivAider or WatchMinder. Recent advances in smartphone and watch technologies have created new ways for practitioners to deliver tactile stimulation privately and remotely to improve behavior. The purpose of this Brief Report is to provide a case study and a description of the advantages and applications of utilizing this technology, including preserving the privacy and dignity of clients by covertly improving performance; prompting behavior based on environmental events independent of scheduled times; delivering feedback quickly, quietly, and remotely without interrupting interactions; and fading dependencies on tactile prompting and feedback.

Parsonage-turner syndrome associated with SARS-CoV2 (COVID-19) infection.

Parsonage-Turner Syndrome (PTS), also known as idiopathic brachial plexopathy or neuralgic amyotrophy, is an uncommon condition characterized by acute onset of shoulder pain, most commonly unilateral, which may progress to neurologic deficits such as weakness and paresthesias (Feinberg and Radecki, 2010 [1]). Although the etiology and pathophysiology of PTS remains unclear, the syndrome has been reported in the postoperative, postinfectious, and post-vaccination settings, with recent viral illness reported as the most common associated risk factor (Beghi et al., 1985 [2]). Various viral, bacterial, and fungal infections have been reported to precede PTS, however, currently there are no reported cases of PTS in the setting of recent infection with SARS-CoV2 (COVID-19). We present a case of a 17 year old female patient with no significant past medical or surgical history who presented with several weeks of severe joint pain in the setting of a recent viral illness (SARS-CoV2, COVID-19). MRI of the left shoulder showed uniform increased T2 signal of the supraspinatus, infraspinatus, teres minor, teres major, and trapezius muscles, consistent with PTS. Bone marrow biopsy results excluded malignancy and hypereosinophilic syndrome as other possible etiologies. Additional rheumatologic work-up was also negative, suggesting the etiology of PTS in this patient to be related to recent infection with SARS-CoV2 (COVID-19). Radiologists should be aware of this possible etiology of shoulder pain as the number of cases of SARS-CoV2 (COVID-19) continues to rise worldwide.

The Effect of Tungsten Road Nails on Upper Body Movement Asymmetry in Horses Trotting on Tarmac.

Tungsten road nails are commonly used by farriers to increase grip between the hoof and the ground surface. There is limited evidence relating the use of road nails to the fundamental mechanics of movement. Grip is important for efficient deceleration on landing and subsequent propulsion, but this must be balanced against an amount of slip to divide the landing force into horizontal as well as vertical subcomponents. Here, we conducted an intervention study to quantify the effect of lateral heel road nail placement on weight bearing and propulsion in 10 horses trotting on tarmac. Wireless inertial measurement units measured vertical movement asymmetry. Differences in head and pelvic movement asymmetry before/after subsequent application of laterally placed road nails to forelimb and hindlimb hooves in a randomized order were compared to zero value (no change) with a one-sample t-test, P < .05. Left-to-right tuber coxae movement amplitude difference was significantly more negative (-3.25 mm, P = .03), suggesting more right than left tuber coxae movement amplitude, after application of a road nail to the left hindlimb. No movement asymmetries at the poll, withers, or sacrum were detected after nail placement (all P > .055). Pelvic movement indicates a very small increase in weight bearing and propulsion provided by the hindlimb with a laterally placed road nail compared to the contralateral hindlimb. Further work is needed to investigate slip- and grip-related parameters at the level of the hoof and to investigate the long-term consequences of very small changes in movement asymmetry.

Static and dynamic properties of multi-ionic plasma mixtures.

Complex plasma mixtures with three or more components are often encountered in astrophysics or in inertial confinement fusion (ICF) experiments. For mixtures containing species with large differences in atomic number Z, the modeling needs to consider at the same time the kinetic theory for low-Z elements combined with the theory of strongly coupled plasma for high-Z elements, as well as all the intermediate situations that can appear in multicomponent systems. For such cases, we study the pair distribution functions, self-diffusions, mutual diffusion, and viscosity for ternary mixtures at extreme conditions. These quantities can be produced from first principles using orbital free molecular dynamics at the computational expense of very intensive simulations to reach good statistics. Utilizing the first-principles results as reference data, we assess the merit of a global analytic model for transport coefficients, "pseudo-ions in jellium" (PIJ), based on an isoelectronic assumption (iso-n_{e}). With a multicomponent hypernetted-chain integral equation, we verify the quality of the iso-n_{e} prescription for describing the static structure of the mixtures. This semianalytical modeling compares well with the simulation results and allows one to consider plasma mixtures not accessible to simulations. Applications are given for the mix of materials in ICF experiments. A reduction of a multicomponent mixture to an effective binary mixture is also established in the hydrodynamic limit and compared with PIJ estimations for ICF relevant mixtures.

Chiral Heterobimetallic Bismuth-Rhodium Paddlewheel Catalysts: A Conceptually New Approach to Asymmetric Cyclopropanation.

Cyclopropanation reactions of styrene derivatives with donor-acceptor carbenes formed in situ are significantly more enantioselective when catalyzed by the heterobimetallic bismuth-rhodium complex 5 a endowed with N-phthalimido tert-leucine paddlewheel ligands rather than by its homobimetallic dirhodium analogue 1 a. This virtue is likely the result of two synergizing factors: the conical shape of 5 a translates into a narrower calyx-like chiral binding site about the catalytically active Rh center; the Bi atom, although fully solvent exposed, does not decompose aryl diazoacetates and is hence incapable of promoting a racemic background reaction. Moreover, ligand variation proved that successful catalyst design mandates that the anisotropy of the conical heterobimetallic core be matched by proper directionality of the ligand sphere.

Enhanced Electrophilicity of Heterobimetallic Bi-Rh Paddlewheel Carbene Complexes: A Combined Experimental, Spectroscopic, and Computational Study.

Dirhodium paddlewheel complexes are indispensable tools in modern organometallic catalysis for the controlled decomposition of diazo-compounds. Tuning the reactivity of the thus-formed transient carbenes remains an active and dynamic field of research. Herein, we present our findings that the distal metal center plays an as yet underappreciated role in modulating this reactivity. Replacement of one rhodium atom in the bimetallic core for bismuth results in the formation of a significantly more electrophilic carbene complex. Bismuth-rhodium catalysts thereby facilitate previously unknown modes of reactivity for α-diazoester compounds, including the cyclopropanation of alkenes as electron deficient as trichloroethylene. While dirhodium paddlewheel complexes remain the catalysts of choice for many carbene-mediated transformations, their bismuth-rhodium analogues exhibit complementary reactivity and show great potential for small molecule and solvent activation chemistry. DFT calculations highlight the importance of metal-metal bonding interactions in controlling carbene electrophilicity. The paucity of these interactions between the 4d orbitals of rhodium and the 6p orbitals of bismuth results in weaker π-back-bonding interactions for bismuth-rhodium carbene complexes compared to dirhodium carbene complexes. This leads to weakening of the rhodium-carbene bond and to a more carbene-centered LUMO, accounting for the observed enhancement in bismuth-rhodium carbene electrophilicity. These findings are supported by a detailed spectroscopic study of the "donor-donor" carbene complexes Rh2(esp)2C( p-MeOPh)2 (19) and BiRh(esp)2C( p-MeOPh)2 (20), employing a combination of UV-vis and resonance Raman spectroscopy. The results reveal that carbene chemoselectivity in MRh(L)4 catalysis can be modulated to a previously unrecognized extent by the distal metalloligand.

Congenital Rhabdomyosarcoma Presenting as a Neck Mass at Birth.

Rhabdomyosarcoma is a malignant tumor of the soft tissues which preferentially affects the pediatric population. Neonatal rhabdomyosarcoma is rare, and much of the published literature concerning this entity consists of isolated case reports and small case series. Recent work involving the classification of rhabdomyosarcoma has helped to delineate prognostic information based on gene rearrangements. Here, we present a case of congenital rhabdomyosarcoma seen in utero which manifested as a neck mass at birth and was found to harbor a favorable gene fusion.

Correlation and transport properties for mixtures at constant pressure and temperature.

Transport properties of mixtures of elements in the dense plasma regime play an important role in natural astrophysical and experimental systems, e.g., inertial confinement fusion. We present a series of orbital-free molecular dynamics simulations on dense plasma mixtures with comparison to a global pseudo ion in jellium model. Hydrogen is mixed with elements of increasingly high atomic number (lithium, carbon, aluminum, copper, and silver) at a fixed temperature of 100 eV and constant pressure set by pure hydrogen at 2g/cm^{3}, namely, 370 Mbars. We compute ionic transport coefficients, such as self-diffusion, mutual diffusion, and viscosity for various concentrations. Small concentrations of the heavy atoms significantly change the density of the plasma and decrease the transport coefficients. The structure of the mixture evidences a strong Coulomb coupling between heavy ions and the appearance of a broad correlation peak at short distances between hydrogen atoms. The concept of an effective one component plasma is used to quantify the overcorrelation of the light element induced by the admixture of a heavy element.

Molecular dynamics studies of electron-ion temperature equilibration in hydrogen plasmas within the coupled-mode regime.

We use classical molecular dynamics (MD) to study electron-ion temperature equilibration in two-component plasmas in regimes for which the presence of coupled collective modes has been predicted to substantively reduce the equilibration rate. Guided by previous kinetic theory work, we examine hydrogen plasmas at a density of n=10^{26}cm^{-3}, T_{i}=10^{5}K, and 10^{7}K

A few selected contributions to electron and photon collisions with H2 and H 2 + .

We discuss a number of aspects regarding the physics of H 2 + and H2. This includes low-energy electron scattering processes and the interaction of both weak (perturbative) and strong (ultrafast/intense) electromagnetic radiation with those systems.

Synthesis and characterization of phosphorescent two-coordinate copper(i) complexes bearing diamidocarbene ligands.

The photophysical properties of four, two-coordinate, linear diamidocarbene copper(i) complexes, [(DAC)2Cu][BF4] (1), (DAC)CuOSiPh3 (2), (DAC)CuC6F5 (3) and (DAC)Cu(2,4,6-Me3C6H2) (4) (DAC = 1,3-bis(2,4,6-trimethylphenyl)-5,5-dimethyl-4,6-diketopyrimidinyl-2-ylidene) have been investigated. Complex 1 shows a high photoluminescence quantum efficiency (ΦPL) in both the solid state (ΦPL = 0.85) and in CH2Cl2 solution (ΦPL = 0.65). The emission band of 1, both as a crystalline solid and in solution, is narrow (fwhm = 2300 cm-1) relative to the emission bands of 2 (fwhm = 2900 cm-1) and 3 (fwhm = 3700 cm-1). Complexes 2 and 3 are each brightly luminescent in the solid state (ΦPL = 0.62 and 0.18, respectively), but markedly less so in CH2Cl2 solution (ΦPL = 0.03 and <0.01, respectively). Complex 4 is not emissive in either the solid state or in solution. Phosphorescence of 1 in CH2Cl2 solution shows negligible quenching by oxygen in CH2Cl2 solution. This insensitivity to quenching is attributed to the excited state redox potential being insufficient for electron transfer to oxygen.

Experimental and Computational Studies of the Copper Borate Complexes [(NHC)Cu(HBEt3 )] and [(NHC)Cu(HB(C6 F5 )3 )].

The synthesis of the Cu-borate complexes [(6Mes)Cu(HBR3 )] featuring the unusual [HBEt3 ]- (5) and [HB(C6 F5 )3 ]- (6) ligands is described. Experimental and computational studies show both compounds feature a direct Cu-H interaction, but that while 5 is two-coordinate, 6 displays an additional, stabilizing Cu-Cipso (C6 F5 ) interaction.

Transport properties of an asymmetric mixture in the dense plasma regime.

We study how concentration changes ionic transport properties along isobars-isotherms for a mixture of hydrogen and silver, representative of turbulent layers relevant to inertial confinement fusion and astrophysics. Hydrogen will typically be fully ionized while silver will be only partially ionized but can have a large effective charge. This will lead to very different physical conditions for the H and Ag. Large first principles orbital free molecular dynamics simulations are performed and the resulting transport properties are analyzed. Comparisons are made with transport theory in the kinetic regime and in the coupled regime. The addition of a small amount of heavy element in a light material has a dramatic effect on viscosity and diffusion of the mixture. This effect is explained through kinetic theory as a manifestation of a crossover between classical diffusion and Lorentz diffusion.

Alternative first-principles calculation of entropy for liquids.

We present an alternative method for interpreting the velocity autocorrelation function (VACF) of a fluid with application to extracting the entropy in a manner similar to the methods developed by Lin et al. [J. Chem. Phys. 119, 11792 (2003)]JCPSA60021-960610.1063/1.1624057 and improved upon by Desjarlais [Phys. Rev. E 88, 062145 (2013)]PLEEE81539-375510.1103/PhysRevE.88.062145. The liquid VACF is decomposed into two components, one gas and one solid, and each contribution's entropic portion is calculated. However, we fit both the gas and solid portions of the VACF in the time domain. This approach is applied to a single-component liquid (a two-phase model of liquid Al at the melt line) and two different two-component systems: a superionic-to-superionic (bcc to fcc) phase transition in H_{2}O at high temperatures and pressures and a metastable liquid state of MgO. For all three examples, comparisons to existing results in the literature demonstrate the validity of our alternative.