Postoperative C-reactive protein levels correlate with reduced spinal column mobility after median sternotomy: a prospective cohort study.

Background: The sternum is connected to the spinal column via the ribs, forming the thorax. Therefore, it is necessary to consider the effect of a midline sternotomy on the spinal column, but no in vivo studies have been conducted to date. We investigated the changes in the range of motion of the spinal column before and after midline sternotomy and the perioperative factors that have the greatest influence. Methods: The participants were patients who had undergone cardiac surgery through a standby midline sternotomy. Spinal range of motion in forward flexion was measured before and after surgery. The following perioperative factors were investigated: operating time, days to postoperative measurement, C-reactive protein (CRP) measurement on the third postoperative day, the day of the start of bed release, and the stage of bed release progression on the second postoperative day. Statistics were compared between the two groups before and after surgery for each factor. Multiple regression analysis (forced entry method) was then performed with the change in spinal range of motion, which showed statistical differences between the preoperative and postoperative groups, as the dependent variable and each perioperative factor as the independent variable. Results: The study included 93 patients. Postoperatively, there was a significant decrease in thoracic spine range of motion. Multiple regression analysis showed that an increase in CRP on the third postoperative day was responsible for the decrease in thoracic range of motion (ß=-0.30, P<0.01). Conclusions: After median sternotomy, thoracic spine range of motion was decreased and correlated with postoperative inflammation.

Near-infrared light-inducible Z-scheme overall water-splitting photocatalyst without an electron mediator.

We facilely prepared a solid-state heterojunction photocatalyst in which silver vanadium oxide (Ag2V4O11) and zinc rhodium oxide (ZnRh2O4) as oxygen and hydrogen evolution photocatalysts, respectively, were directly connected to generate Ag2V4O11/ZnRh2O4. Ag2V4O11/ZnRh2O4 photocatalyzed overall pure-water splitting without any electron mediator under irradiation with near-infrared light at wavelengths of up to 910 nm. The key points are that the conduction bottom potential of Ag2V4O11 is almost the same as the valence band top potential of ZnRh2O4, and that the bandgaps of Ag2V4O11 and ZnRh2O4 are 1.4 and 1.2 eV, respectively.

Synthesis of a Gold-Inserted Iron Disilicide and Rutile Titanium Dioxide Heterojunction Photocatalyst via the Vapor-Liquid-Solid Method and Its Water-Splitting Reaction.

A solid-state Z-scheme system is constructed whereby rutile titania (TiO2) and beta-iron disilicide (ß-FeSi2) were combined to act as oxygen (O2)- and hydrogen (H2)-evolution photocatalysts, respectively, connected by gold (Au). ß-FeSi2 island grains with diameters in the 0.5-2 µm range were formed on the surface of Au-coated TiO2 powder by the co-sputtering method. On the surface of TiO2 powder, the Au-Si liquidus phase was obtained via a Au-Si eutectic reaction, which contributed to the selective deposition and crystallization of ß-FeSi2 island grains onto Au. After the loading of the H2-evolution cocatalysts platinum and chromium oxide onto ß-FeSi2, the system obtained catalyzed the evolution of H2 and O2 in a stoichiometric ratio from pure water under ultraviolet light irradiation. The transfer of photoexcited electrons in the conduction band (CB) of ß-FeSi2 to Pt causes the reduction of protons to H2, and the photogeneration of holes in the valence band (VB) of TiO2 causes the oxidation of water to O2. In addition, the photogenerated holes in the VB of ß-FeSi2 and the photoexcited electrons in the CB of TiO2 combined with each other in the Au layer, affording the completion of the overall photocatalytic water-splitting.

Related factors associated with exercise behavior in patients with peripheral arterial disease.

[Purpose] This study aimed to identify the factors associated with exercise behavior in patients with peripheral arterial disease. [Participants and Methods] The study included 43 patients with peripheral arterial disease (mean age, 75.2 ± 5.6 years) who were admitted for endovascular treatment from January 2020 to June 2021. Participants were surveyed through questionnaires to assess their physical function for determining their exercise behavior and the presence of physical, personal, and environmental factors that might have affected their stage of change regarding exercise behavior. [Results] A comparison of physical, personal, and environmental factors between the two groups classified by the presence or absence of exercise behavior showed that subjective health and exercise self-efficacy were significantly lower in the group without exercise. Furthermore, a difference was noted in the presence or absence of work. The adjusted binomial logistic regression analysis results using each of the factors differing between the groups, plus the walking impairment questionnaire total score as explanatory variables, showed a significant relationship with exercise self-efficacy only. [Conclusion] The results of this study showed that exercise self-efficacy presented a useful predictive relationship with the presence of exercise behavior in patients with peripheral arterial disease.

Quantum transport evidence of Weyl fermions in an epitaxial ferromagnetic oxide.

Magnetic Weyl semimetals have novel transport phenomena related to pairs of Weyl nodes in the band structure. Although the existence of Weyl fermions is expected in various oxides, the evidence of Weyl fermions in oxide materials remains elusive. Here we show direct quantum transport evidence of Weyl fermions in an epitaxial 4d ferromagnetic oxide SrRuO3. We employ machine-learning-assisted molecular beam epitaxy to synthesize SrRuO3 films whose quality is sufficiently high to probe their intrinsic transport properties. Experimental observation of the five transport signatures of Weyl fermions-the linear positive magnetoresistance, chiral-anomaly-induced negative magnetoresistance, π phase shift in a quantum oscillation, light cyclotron mass, and high quantum mobility of about 10,000 cm2V-1s-1-combined with first-principles electronic structure calculations establishes SrRuO3 as a magnetic Weyl semimetal. We also clarify the disorder dependence of the transport of the Weyl fermions, which gives a clear guideline for accessing the topologically nontrivial transport phenomena.

Red light-inducible overall water-splitting photocatalyst, gold-inserted zinc rhodium oxide and bismuth vanadium oxide heterojunction, connected using gold prepared by sputtering in ionic liquid.

We prepared a solid-state Z-scheme photocatalyst in which zinc rhodium oxide (ZnRh2O4) and bismuth vanadium oxide (Bi4V2O11) that served as hydrogen (H2) and oxygen (O2) evolution photocatalysts, respectively, were connected with gold (Au) nanoparticles. The Au nanoparticles were prepared by sputtering in an ionic liquid, N-methyl-N-propylpiperidinium bis(trifluoromethanesulfonyl)imide, to generate Au/ZnRh2O4/Au/Bi4V2O11 with various amounts of Au in the 12 mol. %-29 mol. % range (vs 1.0 mol ZnRh2O4 + 0.2 mol Bi4V2O11). Au/ZnRh2O4/Au/Bi4V2O11 photocatalyzed overall pure-water splitting under irradiation with red light at a wavelength of 700 nm, and the dependence of the amounts of Au on the apparent quantum efficiency tended to increase in the measurement range.

Selective loading of platinum or silver cocatalyst onto a hydrogen-evolution photocatalyst in a silver-mediated all solid-state Z-scheme system for enhanced overall water splitting.

We selectively loaded a hydrogen (H2)-evolution cocatalyst, either platinum (Pt) or silver (Ag), onto a H2-evolution photocatalyst, zinc rhodium oxide (ZnRh2O4), in a Ag-inserted ZnRh2O4 and bismuth vanadium oxide (Bi4V2O11) hetero-junction photocatalyst (ZnRh2O4/Ag/Bi4V2O11) by a photo-deposition method. The selective loading of Pt or Ag was achieved by taking advantage of the band-gap difference between ZnRh2O4 (1.2 eV) and Bi4V2O11 (1.7 eV) and increased the overall water-splitting activity of the photocatalyst.

Facile synthesis of a red light-inducible overall water-splitting photocatalyst using gold as a solid-state electron mediator.

We facilely prepared a solid-state heterojunction photocatalyst in which zinc rhodium oxide (ZnRh2O4) and bismuth vanadium oxide (Bi4V2O11) as hydrogen (H2) and oxygen (O2) evolution photocatalysts, respectively, were connected with gold (Au) to generate ZnRh2O4/Au/Bi4V2O11. ZnRh2O4/Au/Bi4V2O11 photocatalyzed the overall pure-water splitting under irradiation with red light at wavelengths of up to 740 nm.

Efficient oxygen evolution on hematite at neutral pH enabled by proton-coupled electron transfer.

The rate-determining step of the oxygen evolution reaction on hematite electrodes was switched from the sequential electron/proton transfer process to the concerted proton-coupled electron transfer (CPET) process by adding pyridine derivatives to the electrolyte. By inducing the CPET process, the overpotential for oxygen evolution at neutral pH decreased by approximately 250 mV.

A heterojunction photocatalyst composed of zinc rhodium oxide, single crystal-derived bismuth vanadium oxide, and silver for overall pure-water splitting under visible light up to 740 nm.

We recently reported the synthesis of a solid-state heterojunction photocatalyst consisting of zinc rhodium oxide (ZnRh2O4) and bismuth vanadium oxide (Bi4V2O11), which functioned as hydrogen (H2) and oxygen (O2) evolution photocatalysts, respectively, connected with silver (Ag). Polycrystalline Bi4V2O11 (p-Bi4V2O11) powders were utilized to form ZnRh2O4/Ag/p-Bi4V2O11, which was able to photocatalyze overall pure-water splitting under red-light irradiation with a wavelength of 700 nm (R. Kobayashi et al., J. Mater. Chem. A, 2016, 4, 3061). In the present study, we replaced p-Bi4V2O11 with a powder obtained by pulverizing single crystals of Bi4V2O11 (s-Bi4V2O11) to form ZnRh2O4/Ag/s-Bi4V2O11, and demonstrated that this heterojunction photocatalyst had enhanced water-splitting activity. In addition, ZnRh2O4/Ag/s-Bi4V2O11 was able to utilize nearly the entire range of visible light up to a wavelength of 740 nm. These properties were attributable to the higher O2 evolution activity of s-Bi4V2O11.

Visible-Light-Sensitive Photocatalysts: Nanocluster-Grafted Titanium Dioxide for Indoor Environmental Remediation.

Photocatalytic degradation of organic compounds requires photoexcited holes with strong oxidative power in the valence band (VB) of semiconductors. Although numerous types of doped semiconductors, such as nitrogen-doped TiO2, have been studied as visible-light-sensitive photocatalysts, the quantum yields of these materials were very low because of the limited oxidation power of holes in the nitrogen level above the VB. Recently, we developed visible-light-sensitive Cu(II) and Fe(III) nanocluster-grafted TiO2 using a facile impregnation method and demonstrated that visible-light absorption occurs at the interface between the nanoclusters and TiO2, as electrons in the VB of TiO2 are excited to the nanoclusters under visible-light irradiation. In addition, photogenerated holes in the VB of TiO2 efficiently oxidize organic contaminants, and the excited electrons that accumulate in nanoclusters facilitate the multielectron reduction of oxygen. Notably, Cu(II) and Fe(III) nanocluster-grafted TiO2 photocatalyst has the highest quantum yield among reported photocatalysts and has antiviral, self-cleaning, and air purification properties under illumination by indoor light fixtures equipped with white fluorescent bulbs or white light-emitting diodes.

Not nanocarbon but dispersant induced abnormality in lysosome in macrophages in vivo.

The properties of nanocarbons change from hydrophobic to hydrophilic as a result of coating them with dispersants, typically phospholipid polyethylene glycols, for biological studies. It has been shown that the dispersants remain attached to the nanocarbons when they are injected in mice and influence the nanocarbons' biodistribution in vivo. We show in this report that the effects of dispersants also appear at the subcellular level in vivo. Carbon nanohorns (CNHs), a type of nanocarbon, were dispersed with ceramide polyethylene glycol (CPEG) and intravenously injected in mice. Histological observations and electron microscopy with energy dispersive x-ray analysis revealed that, in liver and spleen, the lysosome membranes were damaged, and the nanohorns formed a complex with hemosiderin in the lysosomes of the macrophages. It is inferred that the lysosomal membrane was damaged by sphigosine generated as a result of CPEG decomposition, which changed the intra lysosomal conditions, inducing the formation of the CPEG-CNH and hemosiderin complex. For comparison, when glucose was used instead of CPEG, neither the nanohorn­hemosiderin complex nor lysosomal membrane damage was found. Our results suggest that surface functionalization can control the behavior of nancarbons in cells in vivo and thereby improve their suitability for medical applications.

Development of optically transparent water oxidation catalysts using manganese pyrophosphate compounds.

One challenge in artificial photosynthetic systems is the development of active oxygen evolution catalysts composed of abundant elements. The oxygen evolution activities of manganese pyrophosphate compounds were examined in electrochemical and photochemical experiments. Electrocatalysis using calcium-manganese pyrophosphate exhibited good catalytic ability under neutral pH and an oxygen evolution reaction was driven with a small overpotential (η<100 mV). UV-vis diffuse reflectance measurements revealed that manganese pyrophosphates exhibit weak absorption in the visible light region while commonly used oxygen evolution catalysts exhibit intense absorption. Therefore, the efficient light absorption of a photocatalyst was retained even after surface modification with a manganese pyrophosphate, and photochemical oxygen evolution was achieved by using magnesium ferrite modified with manganese pyrophosphate nanoparticles under the illumination of visible light at wavelength of over 420 nm.

Photocatalytic hydrogen evolution over ß-iron silicide under infrared-light irradiation.

We investigated the ability of ß-iron silicide (ß-FeSi2) to serve as a hydrogen (H2)-evolution photocatalyst due to the potential of its conduction band bottom, which may allow thermodynamically favorable H2 evolution in spite of its small band-gap of 0.80 eV. ß-FeSi2 had an apparent quantum efficiency for H2 evolution of ∼24% up to 950 nm (near infrared light), in the presence of the dithionic acid ion (S2O6(2-)) as a sacrificial agent. It was also sensitive to infrared light (>1300 nm) for H2 evolution.

[Successful endovascular repair of a ruptured thoracoabdominal aortic aneurysm with severe mural thrombus].

A 51-year-old man was transferred to our hospital on an emergency basis complaining of a sudden onset of severe left lumbar back pain. An emergency contrasted computed tomography showed a ruptured thoracoabdominal aortic aneurysm( rTAAA:Crawford classification type III). The ruptured site was near the aortic bifurcation, and the aneurysm had a relatively narrow segment with an extensive mural thrombus just below the renal arteries. Considering the high mortality of open surgery for the rTAAA and the poor general condition of the patient, we decided to perform endovascular aneurysm repair (EVAR) as a rescue procedure using the narrowed segment by the thrombus for a proximal landing zone. The abdominal part of the thoracoabdominal aortic aneurysm (TAAA) was successfully excluded with a stent graft to obtain complete hemostasis. The postoperative course was uneventful except for the need for hemodialysis. Even though there is a risk of developing late type 1 endoleak, this procedure can be a feasible option as a rescue procedure or a bridge to radical open surgery for ruptured TAAA in a specially anatomical setting like this case.

Ultrastructural localization of intravenously injected carbon nanohorns in tumor.

Nanocarbons have many potential medical applications. Drug delivery, diagnostic imaging, and photohyperthermia therapy, especially in the treatment of tumors, have attracted interest. For the further advancement of these application studies, the microscopic localization of nanocarbons in tumor tissues and cells is a prerequisite. In this study, carbon nanohorns (CNHs) with sizes of about 100 nm were intravenously injected into mice having subcutaneously transplanted tumors, and the CNHs in tumor tissue were observed with optical and electron microscopy. In the tumor tissue, the CNHs were found in macrophages and endothelial cells within the blood vessels. Few CNHs were found in tumor cells or in the region away from blood vessels, suggesting that, under these study conditions, the enhanced permeability of tumor blood vessels was not effective for the movement of CNHs through the vessel walls. The CNHs in normal skin tissue were similarly observed. The extravasation of CNHs was not so obvious in tumor but was easily found in normal skin, which was probably due to their vessel wall structure difference. Proper understanding of the location of CNHs in tissues is helpful in the development of the medical uses of CNHs.

A visible-light-induced overall water-splitting photocatalyst: conduction-band-controlled silver tantalate.

Visible-light-induced water splitting was achieved by increasing the visible-light sensitivity of AgTaO3, by the introduction of Nb, generating AgTa1-xNbxO3. After grafting NiO onto AgTa0.7Nb0.3O3, simultaneous, catalytic liberation of H2 and O2 at a molar ratio of ∼2 : 1 was achieved from pure water under only visible-light irradiation.

Transmitral resection of a left ventricular apical papillary fibroelastoma using video-assisted thoracoscopy.

Papillary fibroelastomas (PFEs) are rare benign tumors usually found on cardiac valves, and do not commonly originate from the left ventricle (LV). We report a 74-year-old female with a PFE in the LV apex. We performed complete resection of the tumor through a transmitral approach using video-assisted thoracoscopy.