Understanding the Impact of Group 14 Elements on the Reactivity of [1 + 2] Cycloaddition Reaction between a Cyclic (Alkyl)(amino)carbene Analogue with a Group 14 Element and a Heavy Acetylene Molecule.

Computational exploration using the density functional theory framework (M06-2X-D3/def2-TZVP) was undertaken to investigate the [1 + 2] cycloaddition reaction between a five-membered-ring heterocyclic carbene analogue (G14-Rea; G14 = group 14 element) and a heavy acetylene molecule (G14G14-Rea). It was theoretically observed that exclusively Si-Rea, Ge-Rea, and Sn-Rea demonstrate the capacity to participate in the [1 + 2] cycloaddition reaction with the triply bonded SiSi-Rea. In addition, only three heavy acetylenes (SiSi-Rea, GeGe-Rea, and SnSn-Rea) can catalyze the [1 + 2] cycloaddition reaction with Si-Rea. Our theoretical findings elucidated that the reactivity trend observed in these [1 + 2] cycloaddition reactions primarily arise from the deformation energies of the distorted G14G14-Rea. Also, our study reveals that the bonding characteristics of their respective transition states are controlled by the singlet-singlet interaction (donor-acceptor interaction), rather than the triplet-triplet interaction (electron-sharing interaction). Additionally, our work demonstrates that the bonding behavior between G14-Rea and G14G14-Rea is predominantly determined by the filled p-π orbital of G14G14-Rea (HOMO) → the empty perpendicular p-π orbital of G14-Rea (LUMO), rather than the vacant p-π* orbital of G14G14-Rea (LUMO) ← the filled sp2 orbital of G14-Rea (HOMO).

Evaluation of models to predict prognosis in patients with advanced hepatocellular carcinoma treated with TACE combined with apatinib.

BACKGROUND: The HAP, Six-and-Twelve, Up to Seven, and ALBI scores have been substantiated as reliable prognostic markers in patients presenting with intermediate and advanced hepatocellular carcinoma (HCC) undergoing transarterial chemoembolization (TACE) treatment. Given this premise, our research aims to assess the predictive efficacy of these models in patients with intermediate and advanced HCC receiving a combination of TACE and Apatinib. Additionally, we have conducted a meticulous comparative analysis of these four scoring systems to discern their respective predictive capacities and efficacies in combined therapy. METHODS: Performing a retrospective analysis on the clinical data from 200 patients with intermediate and advanced HCC, we studied those who received TACE combined with Apatinib at the First Affiliated Hospital of the University of Science and Technology of China between June 2018 and December 2022. To identify the factors affecting survival, the study performed univariate and multivariate Cox regression analyses, with calculations of four different scores: HAP, Six-and-Twelve, Up to Seven, and ALBI. Lastly, Harrell's C-index was employed to compare the prognostic abilities of these scores. RESULTS: Cox proportional hazards model results revealed that the ALBI score, presence of portal vein tumor thrombus (PVTT, )and tumor size are independent determinants of prognostic survival. The Kaplan-Meier analyses showed significant differences in survival rates among patients classified by the HAP, Six-and-Twelve, Up to Seven, and ALBI scoring methods. Of the evaluated systems, the HAP scoring demonstrated greater prognostic precision, with a Harrell's C-index of 0.742, surpassing the alternative models (P < 0.05). In addition, an analysis of the area under the AU-ROC curve confirms the remarkable superiority of the HAP score in predicting short-term survival outcomes. CONCLUSION: Our study confirms the predictive value of HAP, Six-and-Twelve, Up to Seven, and ALBI scores in intermediate to advanced Hepatocellular Carcinoma (HCC) patients receiving combined Transarterial Chemoembolization (TACE) and Apatinib therapy. Notably, the HAP model excels in predicting outcomes for this specific HCC subgroup.

NHC-Silyliumylidene Cation-Catalyzed Hydroboration of Isocyanates with Pinacolborane.

The low-oxidation-state silicon-catalyzed hydroboration of isocyanates with pinacolborane (HBpin) using the NHC-silyliumylidene cation catalyst [(IMe)2SiH]I (1, IMe = :C{N(Me)C(Me)}2) is described. In the catalysis, the Si lone pair electrons activate isocyanates, and the latter react with HBpin to form N-boryl formamides at room temperature. Catalyst 1 further activates N-boryl formamides at 70 °C, the intermediates of which react with HBpin to form N-boryl methylamines and (pinB)2O.

SiP-heterocycles derived from a bulky phosphanylsilylene.

Bis(1-adamantyl)phosphanylsilylene 1 was reacted with ArCCR (Ar = Ph, 4-iPr-C6H4, 3-F-C6H4; R = H, Ph) at 80 °C under microwave irradiation to afford fluorescence-active SiP-heterocycles 3a-d, which may undergo unique isomerizations starting from silirene intermediates. Moreover, the treatment of 1 with AdCP furnished a heavy congener of cyclopentadiene (4), whose formation involves cleavage of the Si(II)-P bond that is rarely observed in silylene chemistry.

Reactivity of the Intramolecular Vicinal Group-13/P- and B/Group-15-Based Frustrate Lewis Pairs with Sulfur Dioxide: Mechanistic Insight from DFT.

The emission of SO2 gas by industrialized societies contributes to the occurrence of acid rain in natural environments. In this study, we put forward a theoretical investigation into the capture reactions of SO2. Our analysis centers on the energy profiles of intramolecular 1,2-cyclohexylene-bridged FLP-associated molecules. We will particularly examine the reactions involving G13/P-based (with G13 denoting Group 13 element) and B/G15-based (with G15 representing Group 15 element) FLP-associated molecules. Except for Tl/P-FLP, B/N-FLP, and B/Bi-FLP, our theoretical examinations indicate that the remaining six FLP-associated molecules, namely G13'/P-FLP (G13' = B, Al, Ga, and In) and B/G15 ' -FLP (G15' = P, As, and Sb), can easily undergo SO2 capture reactions due to their energetic feasibility. Particularly, our theoretical findings suggested that 1,2-cyclohexylene-bridged Al/P-FLP, Ga/P-FLP, B/As-FLP, and B/Sb-FLP are capable of undergoing a reversible reaction and returning to the initial reactant state. Our theoretical evidence indicates that the G13-G15 bond length in the 1,2-cyclohexylene-linked G13/G15-FLP can serve as a basis for evaluating the free activation barrier associated with its reaction with SO2. Two theoretical methods, namely, the frontier molecular orbital theory and the energy decomposition analysis-natural orbitals of chemical valence approach, are utilized to investigate the electronic structure and bonding nature of the reactions under consideration. Moreover, the analyses based on the activation strain model revealed that it is the geometrical deformation energies of G13/G15-FLP, which is the key factor that greatly influences the activation barriers of such SO2 capture reactions. Further, our theoretical computations indicate that such capturing reactions of SO2 by intramolecular 1,2-cyclohexylene-linked G13/G15-based FLP-type molecules obey the Hammond postulate.

Tetrakis(N-heterocyclic Carbene)-Diboron(0): Double Single-Electron-Transfer Reactivity.

The use of 1,3,4,5-tetramethylimidazol-2-ylidene (IMe) to coordinate with diatomic B2 species afforded a tetrakis(N-heterocyclic carbene)-diboron(0) [(IMe)2B-B(IMe)2] (2). The singly bonded B2 moiety therein possesses a valence electronic configuration 1σg21πu21πg*2 with four vacant molecular orbitals (1σu*, 2σg, 1πu', 1πg'*) coordinated with IMe. Its unprecedented electronic structure is analogous to the energetically unfavorable planar hydrazine with a D2h symmetry. The two highly reactive πg* antibonding electrons enable double single-electron-transfer (SET) reactivity in small-molecule activation. Compound 2 underwent a double SET reduction with CO2 to form two carbon dioxide radical anions CO2•-, which then reduced pyridine to yield a carboxylated pyridine reductive coupling dianion [O2CNC5(H)5-C5(H)5NCO2]2- and converted compound 2 to the tetrakis(N-heterocyclic carbene)-diborene dication [(IMe)2B═B(IMe)2]2+ (32+). This is a remarkable transition-metal-free SET reduction of CO2 without ultraviolet/visible (UV/vis) light conditions.

Influence of Group 15 elements on the [3 + 2] cycloaddition reactivity of G15 = G15-G15-based 1,3-dipoles with cyclooctyne.

The influence of Group 15 elements (G15s) on the reactivity of the cycloaddition reactions of inorganic 1,3-dipolar analogs with cyclooctyne was computationally explored with density functional theory. To this end, the G15G15G15'-based 1,3-dipole, an interestingly representative model molecule of 1,3-dipole chemistry, was selected. The present computational investigations suggest that all NNG15-Rea and G15G15P-Rea molecules can be energetically feasible to undergo 1,3-dipolar cycloaddition reactions with cyclic alkynes, except for only the NNN-Rea 1,3-dipole molecule. The key factor, which can greatly affect the activation barriers, is quantitatively analyzed in detail through the frontier molecular orbital (FMO) theory, the activation strain model (ASM), and the energy decomposition analysis (EDA) approach. Our theoretical findings based on the FMO theory and the EDA suggest that two types of bonding interactions occur in such 1,3-dipolar cycloaddition reactions: forward bonding (filled p-π orbital (cyclooctyne) → the empty p-π* orbital (G15 = G15)) and back bonding (empty p-π* orbital (cyclooctyne) ← the lone pair (G15')). Notably, the bonding interactions of the former mechanism are much stronger than those of the latter mechanism. Evidence from the ASM reveals that the activation barriers of G15G15G15'-based 1,3-dipolar cycloaddition reactions strongly depend on the atomic radius of the G15 element. These theoretical conclusions allow a number of predictions to be made.

Computational insights into the reactivity for the [2+5] cycloaddition reactions of norbornene-linked group 14 element/P-based and Si/group 15 element-based frustrated Lewis pairs with benzaldehyde.

The element effects of Lewis acid (LA) and Lewis base (LB) on the potential energy surfaces of [2+5] cycloaddition reactions of norbornene-based G14/P-based (G14 = group 14 element) and Si/G15-based (G15 = group 14 element) frustrated Lewis pair (FLP)-type molecules with benzaldehyde were theoretically examined via density functional theory and several sophisticated methods. The theoretical findings indicated that among the above nine norbornene-linked G14/G15-based FLPs, only the Si/N-Rea, Si/P-Rea, and Si/As-Rea FLP-assisted compounds can readily undergo cycloaddition reactions with doubly bonded organic systems from kinetic and thermodynamic viewpoints. The energy decomposition analysis showed that the bonding interactions between the norbornene-based G14/G15-FLPs and benzaldehyde are better described in terms of the singlet-singlet model (donor-acceptor model) rather than the triplet-triplet model (electron-sharing model). In particular, natural orbitals for chemical valence findings revealed that the forward bonding is the lone pair (G15) → p-π*(C) interaction, which is a significantly strong FLP-to-benzaldehyde interaction. However, the back-bonding is the p-π*(G14) ← lone-pair orbital(O) interaction, which is a weak benzaldehyde-to-FLP interaction. The analyses based on the activation strain model showed that the larger the atomic radius of either the G14(LA) or the G15(LB) atom, the greater the G14⋯G15 separation distance in the norbornene-based G14/G15-FLP molecule, the smaller the orbital overlaps between G14/G15-FLP and Ph(H)CO, and the higher the activation barrier during its cycloaddition reaction with benzaldehyde.

Insights into the Reactivity of the Ring-Opening Reaction of Tetrahydrofuran by Intramolecular Group-13/P- and Al/Group-15-Based Frustrated Lewis Pairs.

A theoretical study concerning key factors affecting activation energies for ring-opening reactions of tetrahydrofuran (THF) by G13/P-based (G13 = B, Al, Ga, In, and Tl) and Al/G15-based (G15 = N, P, As, Sb, and Bi) frustrated Lewis pairs (FLPs) featuring the dimethylxanthene scaffold was performed using density functional theory. Our theoretical findings indicate that only dimethylxanthene backbone Al/P-Rea (Rea = reactant) FLP-type molecules can be energetically favorable to undergo the ring-opening reaction with THF. Our theoretical evidence reveals that the shorter the separating distance between Lewis acidic (LA) and Lewis basic (LB) centers of the dimethylxanthene backbone FLP-type molecules, the greater the orbital overlaps between the FLP and THF and the lower the activation barrier for such a ring-opening reaction. Energy decomposition analysis (EDA) evidence suggests that the bonding interaction for such a ring-opening reaction is predominated by the donor-acceptor interaction (singlet-singlet interaction) compared to the electron-sharing interaction (triplet-triplet interaction). In addition, the natural orbitals for chemical valence (NOCV) evidence demonstrate that the bonding situations of such ring-opening reactions can be best described as FLP-to-THF forward bonding (the lone pair (G15) → the empty σ*(C-O)) and THF-to-FLP back bonding (the empty σ*(G13) ← filled p-π(O)). The EDA-NOCV observations show that the former plays a predominant role and the latter plays a minor role in such bonding conditions. The activation strain model reveals that the deformation energy of THF is the key factor in determining the activation energy of their ring-opening reactions. Comparing the geometrical structures of the transition states with their corresponding reactants, a linear relationship between them can be rationally explained by the Hammond postulate combined with the respective activation barriers calculated in this work.

Diverse Reactions of o-Carborane-Fused Silylenes with C≡E (E = C, P) Triple Bonds.

The reactivities of o-carborane-fused silylenes toward molecules with C≡E (E = C, P) bonds are reported. The reactions of bis(silylene) [(LSi:)C]2B10H10 (1a, L = PhC(NtBu)2) with arylalkynes afforded bis(silylium) carborane adducts 2 and 3, showing a Si(µ-C2)Si structure with an open-cage nido-carborane backbone. In contrast, the reaction of 1a with a phosphaalkyne AdC≡P (Ad = 1-adamantyl) smoothly furnished compound 4, comprising fused CPSi rings with a C=Si double bond and Si-Si single bond, and the related formation mechanism was investigated by DFT calculations. Furthermore, when monosilylene [(LSi:)C]CHB10H10 (1b) was employed to react with AdC≡P, compound 5 was isolated. The structure of 5 features a 1,2,3-triphosphetene core. All products were characterized by NMR spectroscopy and/or X-ray crystallography.

Influence of the Element and Substituent Effects on the Reactivity of Catching Reactions of Difluorocarbene by Benzene-Bridged and Group-13/Group-15-Based Frustrated Lewis Pairs.

The trapping reactions of CF2 by benzene-bridged Group-13/P-based and B/Group-15-based frustrated Lewis pairs (FLPs) have been computationally investigated based on density functional theory. Interestingly, our theoretical calculations predict that the capture of CF2 by all five Group-13/P-based FLPs is energetically feasible. However, in the B/Group-15-based FLPs, only the phosphorus-based B/P-FLP can trap CF2 from kinetic and thermodynamical viewpoints. According to the analyses of the activation strain model, it can be known that the atomic radius of the G15 element (Lewis base) of benzene-bridged B/Group-15-FLP plays an important role in controlling the reactivity of the CF2 catching reactions, whereas the atomic radius of the Group-13 center (Lewis acid) does not play a role in influencing the activation barrier of these CF2 catching reactions. Our theoretical findings based on sophisticated methods suggest that the forward bonding is the FLP-to-CF2 interaction, the LP (Group-15-donor) → vacant p-π-orbital (CF2), which was quantitatively proved to be strong in such present CF2 catching reactions. However, the back bonding is the CF2-to-FLP interaction, the empty σ-orbital (Group-13-acceptor) ← sp2-σ-orbital (CF2), which was verified to be relatively weak. Our theoretical pieces of evidence reveal that the stronger electron-donating ability of the substituents is attached to the Lewis basic center and can make the reaction barrier of the benzene-bridged Group-13/Group-15-based FLP-related compound catching CF2 smaller and more exothermic.

An all-cellulose sponge with a nanofiller-assisted hierarchical cellular structure for fruit maintaining freshness.

Cellulose sponges with compressibility and resilience are an ideal packaging material for fruits with fragile skin. Here, a soft and elastic all-cellulose sponge (CS) with a hierarchical cellular structure was fabricated, where the long molecular chain cellulose constructed major pores, the cellulose at nanoscale acted as an elastic nanofiller to fill the gaps of long molecular chain cellulose fibers and constructed minor pores. With these two kinds of pores, this structure can absorb strain hierarchically. The sponge can protect fruits from mechanical damage when dropped or repeated vibration. Furthermore, the CS modified with chlorogenic acid (C-CGAS) had excellent antibacterial and antifungal abilities. Therefore, C-CGAS could extend the storage time of strawberries to 18 days without any microbial invasion, which is the longest storage time reported thus far. This study provides a new idea for the preparation of polymer sponges and a new design for the development of antimicrobial packaging materials.

Isolation of Silacycles from the Reactions of a Monochlorosilylene LSi(:)Cl (L = PhC(NtBu)2) with Ethynyl Lithium Salts.

The reactions of amidinate silylene chloride LSi(:)Cl (L = PhC(NtBu)2) with TMS- and Ph-ethynyl lithium salts gave rise to silacycles 1 and 4, respectively. The formation of 1 and 4 may undergo cyclo-condensations of transient ethynylsilylene intermidiates and the activation of an amidinate backbone. The distinct structures of 1 and 4 may be derived from the different electronic or steric properties of ethynyl substituents, and their formation mechanisms were investigated by density functional theory (DFT) calculations. Moreover, a sequential reaction of LSi(:)Cl with BH3·SMe2 and TMSC≡CLi as well as a reaction of LSi(:)Cl with TMSC≡CLi under O2 exclusively obtained ethynylsilanes 2 and 3, respectively, which indicated that either blocking a lone pair of a Si(II) atom or oxidizing Si(II) to Si(IV) prevents the further conversion of ethynylsilylenes to silacycle 1. All products were characterized by NMR spectroscopy and X-ray crystallography.

The reactivity of the trapping reaction of the benzene-bridged boron/phosphorus-based frustrated Lewis pair with difluorocarbene and its group 14 analogs: A theoretical investigation.

The trapping reactions of carbene analogs G14F2 (G14 = group 14 element) by the benzene-bridged B/P-Rea frustrated Lewis pair (FLPs) molecule are studied using density functional theory (B3LYP-D3(BJ)/def2-TZVP). Our theoretical investigations predict that only the CF2 intermediate rather than other heavy carbene analogs can be trapped by the B/P-Rea FLP-type molecule. Energy decomposition analysis-natural orbitals for chemical valence (EDA-NOCV) analyses indicate that the bonding nature of the G14F2 catching reactions by the B/P-Rea FLP-type molecule is a donor-acceptor (singlet-singlet) interaction rather than an electron-sharing (triplet-triplet) interaction. Moreover, EDA-NOCV and frontier molecular orbital (FMO) theory findings strongly suggest that the lone pair (LP) (P) → vacant p-π-orbital (G14F2 ) interaction rather than the empty σ-orbital (B) ← sp2 -σ-orbital (G14F2 ) interaction plays a predominant role in establishing its bonding condition during the G14F2 trapping reaction with the B/P-Rea FLP-associated molecule. Our activation strain model findings reveal that the atomic radius of the G14 element of G14F2 plays a key role in determining the activation barrier of the G14F2 trapping reactions by the benzene-bridged B/P-Rea FLP. The valence bond state correlation diagram (VBSCD) model developed by Shaik is used to rationalize the calculated results. The VBSCD findings demonstrate that in the present trapping reactions, the singlet triplet splitting of G14F2 plays a significant role in influencing its reaction barrier and reaction enthalpy. Our theoretical results demonstrate that the relationship between the geometrical parameters of the transition states and the corresponding reaction free energy barriers agrees well with the findings based on the Hammond postulate.

Deoxygenating Reduction of CO2 by [Cp*Al]4 to Form a (Al3O2C)2 Cluster Featuring Two Ketene Moieties.

Herein we report that the reaction of the low-valent aluminum(I) species [Cp*Al]4 (Cp* = pentamethylcyclopentadienyl) with CO2 exhibits complete cleavages of the C═O bonds. The deoxygenating reduction reaction of [Cp*Al]4 with CO2 at 120 °C afforded [(Cp*)3Al3O2C(CO)]2 (1), which featured two stacked (Al3O2C)2 units and two C═C═O ketene moieties. Moreover, the isoelectronic analogues of diimine and isothiocyanate with CO2 were also investigated, and the reactions of [Cp*Al]4 with Dipp*-N═C═N-Dipp* and Dipp-C═N═S [Dipp* = 2,6-bis(diphenylmethyl)-4-tert-butylphenyl; Dipp = 2,6-diisopropylphenyl] afforded dialuminylimine (2) and tetrameric [Cp*AlS]4 (3), respectively.

A Pyridine-Stabilized N-Phosphinoamidinato N-Heterocyclic Carbene-Diboravinyl Cation: Boron Analogue of Vinyl Cation.

A boron analogue of vinyl cation, pyridine-stabilized N-phosphinoamidinato N-heterocyclic carbene (NHC)-diboravinyl cation 2+ , was synthesized by displacement of bromide in diborene 1 with excess pyridine. Experimental and computational studies showed that the positive charge is mainly at the B-B skeleton with delocalization to the pyridine ligand. One of the main modes of reactivity is through the B=B double bond alongside activation of the pyridine substituent, where the Bpyridine center is the predominant nucleophilic center and the predominant electrophilic center is either the activated pyridine para position or the BNHC center, illustrating the presence of diborene cation A, borylene-borenium cation B and diborene-pyridinium cation C resonance structures in cation 2+ .

Natural phenolics and flavonoids modified the hierarchical cellular cellulose sponges for efficient water disinfection.

Disinfecting microbially contaminated water in a safe and sustainable way is a great challenge. The phenolics and flavonoids in plants are ideal antibacterial agents for biosafety. Herein, an all-plant-derived antibacterial sponge with a hierarchical cellular structure was prepared from natural phenolic and flavonoid crude extracts and cellulose for water purification. After being modified by quercetin, the quercetin-cellulose sponge (Q-CS) exhibits great toughness, elasticity and a large specific surface area, which benefited from a unique hierarchical cellular structure. Q-CS shows ultrahigh water flux (4.5 × 105 L·m-2·h-1·bar-1) and excellent antibacterial abilities against Escherichia coli and Staphylococcus aureus (<1.87 % viability). Sponges modified with crude pyrola (P-CS) and mulberry leaf extracts (M-CS) have similar properties compared with Q-CS. The good performances of P-CS and M-CS show the strong antibacterial applications of natural crude extract. This work provides a strategy for fabricating sustainable and safe antibacterial sponges for water disinfection.

Understanding the Reactivity of Combination Reactions of Intramolecular Geminal Group 13 Element/Phosphorus and Gallium/Group 15 Element Frustrated Lewis Pairs with CS2.

The reactions of CS2 captured by intramolecular geminal G13/P-based (G13 = group 13 elements) and Ga/G15-based (G15 = group 15 elements) frustrated Lewis pairs have been theoretically examined by using density functional theory (DFT) computations. With regard to the nine FLP-related compounds, our DFT calculated results reveal that only Al/P-Rea and Ga/P-Rea can kinetically and thermodynamically precede the energetically feasible combination reactions with CS2 to form the five-membered heterocyclic adducts. Our activation strain model analyses on the nine aforementioned model molecules indicate that the atomic radius of the Lewis acceptor (G13) and the Lewis donor (G15) plays a role in controlling their barrier heights to obtain good orbital overlaps among G13/P-Rea, Ga/G15-Rea, and CS2. Our theoretical observations based on the energy decomposition analysis-natural orbitals for chemical valence (EDA-NOCV) approach strongly indicate that the donor-acceptor bonding (i.e., singlet-singlet bonding) rather than the electron-sharing bonding (i.e., triplet-triplet bonding) plays a central role in determining the bonding conditions of the transition states, G13/P-TS and Ga/G15-TS. In addition, the theoretical evidence obtained by the frontier molecular orbital theory and EDA-NOCV analyses reveals that the best description for the bonding natures of the combination reactions of intramolecular geminal G13/P-Rea and Ga/G15-Rea with CS2 is the lone pair(G15) → p-π*(C) interaction rather than the p-π*(G13) ← p-π(S) interaction. Moreover, our present DFT computations concerning the calculated structures and corresponding relative energetics of the stationary points connected with the aforementioned sophisticated approaches are in accordance with the Hammond postulate.

Theoretical Study of the Activation Reaction of a Zr+/P-Based Frustrated Lewis Pair with Carbon Dioxide.

The combination reactions of carbon dioxide with a Zr+/P-based frustrated Lewis pair (FLP) were computationally explored within the density functional theory framework [B3LYP-D3(BJ)/def2-TZVP]. Results showed that these reactions are exothermic, associated with relatively low activation barriers, and proceed concertedly involving Zr+-O and P-C chemical bond formations. Theoretical analysis revealed that the shorter the Zr+···P bond length of the Zr+/P-based FLP, the shorter the stretching O-C bond length of CO2 upon reaction, the larger the ∠OCO bending angle of CO2, the smaller the deformation energy of CO2, the lower the barrier height, and the greater the reactivity between the Zr+/P-based FLP and CO2. According to the energy decomposition analysis-natural orbitals for chemical valence, the bonding natures of their associated transition states are determined by the singlet-singlet interaction (donor-acceptor interaction), not the triplet-triplet interaction (electron-sharing interaction). Moreover, the bonding characteristics between Zr+/P-based FLPs and CO2 are established predominantly by the lone pair orbital(P) → the empty p-π* orbital (CO2) interaction, not the empty d-orbital(Zr+) ← the filled p-π orbital (CO2) interaction. With the use of the activation strain model, theoretical examinations showed that the reactivity trend of such combination reactions is mainly attributed to the deformation energies of the deformed reactants. The relationship between deformed geometrical structures and related activation energies is in good agreement with Hammond's postulate.

Risk Factors for Tracheostomy after Traumatic Cervical Spinal Cord Injury: A 10-Year Study of 456 Patients.

OBJECTIVES: To explore the difference between tracheostomy and non-tracheostomy and identify the risk factors associated with the need for tracheostomy after traumatic cervical spinal cord injury (TCSCI). METHODS: The demographic and injury characteristics of 456 TCSCI patients, treated in the Xinqiao Hospital from 2010 to 2019, were retrospective analyzed. Patients were divided into the tracheostomy group (n = 63) and the non-tracheostomy group (n = 393). Variables included were age, gender,smoking history, mechanism of injury, concomitant injury, American Spinal Injury Association (ASIA) Impairment Scale, the neurological level of injury, Cervical Spine Injury Severity Score (CSISS), surgery, and length of stay in ICU and hospital. SPSS 25.0 (SPSS, Chicago, IL) was used for statistical analysis and ROC curve drawing. Chi-square analysis was applied to find out the difference of variables between the tracheostomy and non-tracheostomy groups. Univariate logistic regression analysis (ULRA) and multiple logistic regression analysis (MLRA) were used to identify risk factors for tracheostomy. The area under the ROC curve (AUC) was used to evaluate the performance of these risk factors. RESULTS: Of 456 patients who met the inclusion criteria, 63 (13.8%) underwent tracheostomy. There were differences in age (χ2 = 6.615, P = 0.032), mechanism of injury (χ2 = 9.87, P = 0.036), concomitant injury (χ2 = 6.131, P = 0.013),ASIA Impairment Scale (χ2 = 123.08, P < 0.01), the neurological level of injury (χ2 = 34.74, P < 0.01), and CSISS (χ2 = 19.612, P < 0.01) between the tracheostomy and non-tracheostomy groups. Smoking history, CSISS ≥ 7, AIS A and, NLI ≥ C5 were identified as potential risk factors for tracheostomy by ULRA. Smoking history (OR = 2.960, 95% CI: 1.524-5.750, P = 0.001), CSISS ≥ 7 (OR = 4.599, 95% CI: 2.328-9.085, P = 0.000), AIS A (OR = 14.213, 95% CI: 6.720-30.060, P = 0.000) and NLI ≥ C5 (OR = 8.312, 95% CI: 1.935-35.711, P = 0.004) as risk factors for tracheostomy were determined by MLRA. The AUC for the risk factors of tracheostomy after TCSCI was 0.858 (95% CI: 0.810-0.907). CONCLUSIONS: Smoking history, CSISS ≥ 7, AIS A and, NLI ≥ C5 were identified as risk factors needing of tracheostomy in patients with TCSCI. These risk factors may be important to assist the clinical decision of tracheostomy.