Effect of Neck Rotation With Flexion on Ultrasonographic Optic Nerve Sheath Diameter in Patients Undergoing Elective Craniotomy.

Background Extreme neck positioning to facilitate craniotomy can result in impaired venous drainage from the brain and a subsequent rise in increased intracranial pressure (ICP). The effects of varied neck positioning intraoperatively on ultrasonographic optic nerve sheath diameter (USG-ONSD) are still unexplored. This study aims to quantify the angle of neck rotation and flexion that can cause a significant increase in USG-ONSD in patients undergoing elective craniotomy. Methods A total of 100 patients were recruited in this non-randomized study and equally divided into two groups. In one group, patients with neck rotation ≤30 degrees and in another group, patients with neck rotation >30 degrees with varying degrees of neck flexion were included. The average of three USG-ONSD measurements in both eyes was obtained and compared in both groups at baseline, after positioning, and at the end of the surgery after making the neck neutral. Results The results of 100 recruited patients were analyzed. All the patients had neck flexion in the range of 40° to 45°, whereas the neck rotation ranged from 10° to 45°. The USG-ONSD of both eyes changed significantly from baseline to post-positioning time point in patients with neck rotation >30° (right eye p=0.038, left eye p=0.04) when compared to neck rotation ≤30°. There was no significant change in USG-ONSD from baseline to the postoperative time point after making the neck neutral (right eye p=0.245, left eye p=0.850) in both groups. Conclusions This study demonstrates that USG-ONSD, a surrogate measure of ICP, increased significantly after neck flexion with rotation >30° in neurosurgical patients. However, USG-ONSD becomes comparable to baseline after putting the patient's neck in a neutral position after surgery.

Instrument-Assisted Soft Tissue Mobilization Technique versus Static Stretching in Patients with Pronated Dominant Foot: A Comparison in Effectiveness on Flexibility, Foot Posture, Foot Function Index, and Dynamic Balance.

BACKGROUND: Pronated foot is a deformity with various degrees of physical impact. Patients with a pronated foot experience issues such as foot pain, ankle pain, heel pain, shin splints, impaired balance, plantar fasciitis, etc. Objective: The study intended to compare the effectiveness of IASTM (instrument-assisted soft tissue mobilization) and static stretching on ankle flexibility, foot posture, foot function, and balance in patients with a flexible pronated foot. METHODS: Seventy-two participants between the ages of 18-25 years with a flexible pronated foot were included and allocated into three groups: Control, stretching, and IASTM group using single-blinded randomization. Range of motion (ROM) measuring ankle flexibility, foot posture index (FPI), foot function index (FFI), and dynamic balance was measured at baseline and after 4 weeks of intervention. Soft tissue mobilization was applied on to the IASTM group, while the stretching group was directed in static stretching of the gastrocnemius-soleus complex, tibialis anterior, and Achilles tendon in addition to the foot exercises. The control group received only foot exercises for 4 weeks. RESULTS: The result shows the significant improvement of the right dominant foot in ROM plantar flexion, (F = 3.94, p = 0.03), dorsiflexion (F = 3.15, p = 0.05), inversion (F = 8.54, p = 0.001) and eversion (F = 5.93, p = 0.005), FFI (control vs. IASTM, mean difference (MD) = 5.9, p < 0.001), FPI (right foot, control vs. IASTM MD = 0.88, p = 0.004), and in dynamic balance of the right-leg stance (anterior, pre vs. post = 88.55 ± 2.28 vs. 94.65 ± 2.28; anteromedial, pre vs. post = 80.65 ± 2.3 vs. 85.55 ± 2.93; posterior, pre vs. post = 83 ± 3.52 vs. 87 ± 2.99 and lateral, pre vs. post = 73.2 ± 5.02 vs. 78.05 ± 4.29) in the IASTM group. The FFI was increased remarkably in the stretching group as compared to the control group. CONCLUSIONS: Myofascial release technique, i.e., IASTM with foot exercises, significantly improves flexibility, foot posture, foot function, and dynamic balance as compared to stretching, making it a choice of treatment for patients with a flexible pronated foot.

An improved sex-specific and age-dependent classification model for Parkinson's diagnosis using handwriting measurement.

BACKGROUND AND OBJECTIVES: Diagnosis of Parkinson's with higher accuracy is always desirable to slow down the progression of the disease and improved quality of life. There are evidences of inherent neurological differences between male and females as well as between elderly and adults. However, the potential of such gender and age infomration have not been exploited yet for Parkinson's identification. METHODS: In this paper, we develop a sex-specific and age-dependent classification method to diagnose the Parkinson's disease using the online handwriting recorded from individuals with Parkinson's (n = 37; m/f-19/18;age-69.3 ± 10.9yrs) and healthy controls (n = 38; m/f-20/18;age-62.4 ± 11.3yrs). A support vector machine ranking method is used to present the features specific to their dominance in sex and age group for Parkinson's diagnosis. RESULTS: The sex-specific and age-dependent classifier was observed significantly outperforming the generalized classifier. An improved accuracy of 83.75% (SD = 1.63) with the female-specific classifier, and 79.55% (SD = 1.58) with the old-age dependent classifier was observed in comparison to 75.76% (SD = 1.17) accuracy with the generalized classifier. CONCLUSIONS: Combining the age and sex information proved to be encouraging in classification. A distinct set of features were observed to be dominating for higher classification accuracy in a different category of classification.

The applicability of three-dimensional aromaticity in BiSn(n)- Zintl analogues.

Three-dimensional aromaticity is shown to play a role in the stability of deltahedral Zintl clusters and here we examine the connection between aromaticity and stability. In order to gain further insight, we have studied Zintl analogs comprised of bismuth doped tin clusters with photoelectron spectroscopy and theoretical methods. To assign aromaticity, we examine the ring currents induced around the cage by using the nucleus independent chemical shift. In the current study, BiSn(4)(-) is a stable cluster and fits aromatic criteria, while BiSn(5)(-) is found to fit antiaromatic criteria and has reduced stability. The more stable clusters exhibit an aromatic character which originates from weakly interacting s-states and bonding orbitals parallel to the surface of the cluster, while nonbonding lone pairs perpendicular to the surface of the cluster account for antiaromaticity and reduced stability. The effect of three-dimensional aromaticity on the electronic structure does not result in degeneracies, so the resulting variations in stability are smaller than those seen in conventional aromaticity.

Effect of hydrocarbons on the morphology of synthesized niobium carbide nanoparticles.

Niobium carbide nanoparticles were synthesized by flowing methane, ethylene, or acetylene gas through a plasma generated from an arc discharge between two niobium electrodes. Varying methane, ethylene, and acetylene concentrations were employed in the studies to investigate their effects on niobium carbide nanoparticle morphology. Transmission electron microscopy (TEM), energy dispersive X-ray spectroscopy (EDS), and selected area diffraction pattern (SADP) were used to investigate the synthesized NbC nanoparticles, whereupon it was found that these nanoparticles adopt cubic morphology with methane gas, a mixture of cubes and cuboctahedron morphology with ethylene gas, and solely a cuboctahedron morphology with acetylene gas. The change in particle morphology might be attributed to either the ethylene and acetylene free radicals or the increase in carbon concentration effecting the relative growth rates of the {111} and {100} facets on a NbC seed crystal.

Photoelectron imaging and density-functional investigation of bismuth and lead anions solvated in ammonia clusters.

We present the results of photoelectron velocity-map imaging experiments for the photodetachment of small negatively charged ammonia solvated Bi(n) and Pb(n) (n = 1, 2) clusters at 527 nm. The vertical detachment energies of the observed multiple electronic bands and their respective anisotropy parameters for the solvated Bi and Pb anions and clusters derived from the photoelectron images are reported. The electronic bands of Bi(NH(3))(n=1,2) are distinct from the Bi metal ion in exhibiting a perpendicular distribution whereas the electronic bands in Pb(NH(3))(n=1,2), unlike the Pb anion, show an isotropic distribution with respect to the laser polarization. Density-functional theory calculations with a generalized gradient approximation for the exchange-correlation potential were performed on these clusters to determine their atomic and electronic structures. Calculated geometries show a dramatic change between anionic and neutral ammonia solvated Bi and Pb species. Anionic clusters exhibit van der Waals interactions between the hydrogen atoms of ammonia and the metal core, where it was determined that the negative charge is localized. Neutral clusters, on the other hand, present a covalent bond between the nitrogen atom of ammonia and the metal core. Calculated binding energies show an enhancement in the bonding of the (NH(3))(2) dimer in the presence of the anionic Bi(1,2)(-) and Pb(1,2)(-) metal ions. This is rationalized by the electrostatic interaction between the negative charged metal core and the hydrogen atoms of the ammonia molecule.

Combined experimental and theoretical study of Al(n)X (n = 1-6; X = As, Sb) clusters: evidence of aromaticity and the Jellium model.

The electronic structure of Al(n)X (n = 1-6; X = As, Sb) clusters has been investigated using a synergistic approach combining negative ion photoelectron spectroscopy and first principles electronic structure calculations. It is shown that Al(3)X and Al(5)X exhibit enhanced energetic stability, as evidenced from calculated removal and embedding energies as well as chemical stability manifested through a large gap between the highest occupied molecular orbital (HOMO) and lowest unoccupied molecular orbital (LUMO). However, the stabilities of these species are derived from different mechanisms. Al(3)As and Al(3)Sb, with HOMO-LUMO gaps of 1.86 and 1.73 eV, respectively, are shown to have planar geometries where the p orbitals combine to form one pi and two sigma aromatic orbitals reminiscent of conventional all-metal aromatic species. Al(5)As and Al(5)Sb, with 20 valence electrons, possess a closed electronic shell (1s(2), 1p(6), 1d(10), 2s(2)) within a jellium framework and have HOMO-LUMO gaps of 1.12 and 1.17 eV, respectively.

Structural evolution of triniobium carbide clusters: evidence of large Cn chains (n = 3-4) in Nb3Cn- (n = 5-10) clusters.

First-principle density functional calculations and photoelectron spectroscopy experiments show that triniobium carbide clusters exist in multiple motifs. The Nb(3)C(n)(-) (n = 5-10) series have isomers surrounding a triangular Nb(3) base while incorporating Nb-C bonding. We provide evidence of not only C(2) carbon chains but also stable isomers with previously unidentified C(3) and C(4) carbon chains in triniobium carbide clusters.

Effect of carbon concentration on changing the morphology of titanium carbide nanoparticles from cubic to cuboctahedron.

Titanium carbide nanoparticles were synthesized by flowing methane through a plasma generated from an arc discharge between two titanium electrodes. Different methane concentrations were employed in studies made to investigate the effects of carbon concentration on particle morphology. Transmission electron microscopy and X-ray diffraction were used to investigate the synthesized TiC nanopowders, whereupon it was found that nanocrystalline TiC nanoparticles prefer a cubic morphology at low concentrations of methane and a cuboctahedron morphology at high concentration of methane. The change in particle morphology is attributed to carbon affecting the relative growth rates of the {111} and {100} facets on a TiC seed crystal.

Photoelectron imaging and theoretical investigation of bimetallic Bi(1-2)Ga(0-2)(-) and Pb(1-4)(-) cluster anions.

We present the results of photoelectron velocity-map imaging experiments for the photodetachment of small negatively charged Bi(m)Ga(n) (m=1-2, n=0-2), and Pb(n) (n=1-4) clusters at 527 nm. The photoelectron images reveal new features along with their angular distributions in the photoelectron spectra of these clusters. We report the vertical detachment energies of the observed multiple electronic bands and their respective anisotropy parameters for the Bi(m)Ga(n) and Pb(n) clusters derived from the photoelectron images. Experiments on the BiGa(n) clusters reveal that the electron affinity increases with the number of Ga atoms from n=0 to 2. The BiGa(2)(-) cluster is found to be stable, both because of its even electron number and the high electron affinity of BiGa(2). The measured photoelectron angular distributions of the Bi(m)Ga(n) and Pb(n) clusters are dependent on both the orbital symmetry and electron kinetic energies. Density-functional theory calculations employing the generalized gradient approximation for the exchange-correlation potential were performed on these clusters to determine their atomic and electronic structures. From the theoretical calculations, we find that the BiGa(2)(-), Bi(2)Ga(3)(-) and Bi(2)Ga(5)(-) (anionic), and BiGa(3), BiGa(5), Bi(2)Ga(4) and Bi(2)Ga(6) (neutral) clusters are unusually stable. The stability of the anionic and neutral Bi(2)Ga(n) clusters is attributed to an even-odd effect, with clusters having an even number of electrons presenting a larger gain in energy through the addition of a Ga atom to the preceding size compared to odd electron systems. The stability of the neutral BiGa(3) cluster is rationalized as being similar to BiAl(3), an all-metal aromatic cluster.

Al(n)Bi clusters: transitions between aromatic and jellium stability.

An experimental and theoretical study of bismuth-doped aluminum clusters in the gas phase has revealed two particularly stable clusters, namely, Al(3)Bi and Al(5)Bi. We show that their electronic structure can be understood in terms of the aromatic and "Jellium" models, respectively. Negative ion photodetachment spectra provide a fingerprint of the electronic states in Al(n)Bi(-) (n = 1-5) anions, while theoretical investigations reveal the nature of the electronic orbitals involved. Together, the findings reveal that the all-metal Al(3)Bi cluster with 14 valence electrons is a cyclic, planar structure with a calculated large ionization potential of 7.08 eV, a low electron affinity of 1.41 eV, and a large gap of 1.69 eV between the highest occupied and lowest unoccupied molecular orbitals (HOMO-LUMO gap). The Al(3)Bi cluster has molecular orbitals reminiscent of aromatic systems and is a neutral cluster with no need for counterion or ligand support. A slightly larger cluster, Al(5)Bi, has 20 valence electrons and is another highly stable compact structure with a calculated large ionization potential of 6.51 eV and a large HOMO-LUMO gap of 1.15 eV. This cluster's stability is rooted in a Jellium electronic shell closing. The formation of stable species using aromatic bonding allows us to extend the idea of cluster-assembled materials built out of stable clusters with Jellium shell closings (superatoms) to include ones involving aromatic building blocks.

Effect of charge and composition on the structural fluxionality and stability of nine atom tin-bismuth Zintl analogues.

Synergistic studies of bismuth doped tin clusters combining photoelectron spectra with first principles theoretical investigations establish that highly charged Zintl ions, observed in the condensed phase, can be stabilized as isolated gas phase clusters through atomic substitution that preserves the overall electron count but reduces the net charge and thereby avoids instability because of coulomb repulsion. Mass spectrometry studies reveal that Sn(8)Bi(-), Sn(7)Bi(2)(-), and Sn(6)Bi(3)(-) exhibit higher abundances than neighboring species, and photoelectron spectroscopy show that all of these heteroatomic gas phase Zintl analogues (GPZAs) have high adiabatic electron detachment energies. Sn(6)Bi(3)(-) is found to be a particularly stable cluster, having a large highest occupied molecular orbital (HOMO)-lowest unoccupied molecular orbital (LUMO) gap. Theoretical calculations demonstrate that the Sn(6)Bi(3)(-) cluster is isoelectronic with the well know Sn(9)(-4) Zintl ion; however, the fluxionality reported for Sn(9)(-4) is suppressed by substituting Sn atoms with Bi atoms. Thus, while the electronic stability of the clusters is dominated by electron count, the size and position of the atoms affects the dynamics of the cluster as well. Substitution with Bi enlarges the cage compared with Sn(9)(-4) making it favorable for endohedral doping, findings which suggest that these cages may find use for building blocks of cluster assembled materials.