Facile route of fluorine incorporation into nickel (oxy)hydroxide for improving the oxygen evolution reaction.

Despite extensive development, oxygen evolution reaction (OER) catalysts still require significant overpotentials to function. In this study, we show that the overpotential of a nickel (Ni) electrode for the OER can decrease by about 100 mV with fluorine (F) incorporation, particularly by a facile electrochemical approach at room temperature.

Design Strategies of Li-Si Alloy Anode for Mitigating Chemo-Mechanical Degradation in Sulfide-Based All-Solid-State Batteries.

Composite anodes of Li3 PS4  glass+Li-Si alloy (Type 1) and Li3 N+LiF+Li-Si alloy (Type 2) are prepared for all-solid-state batteries with Li3 PS4 (LPS) glass electrolyte and sulfur/LPS glass/carbon composite cathode. Using a three-electrode system, the anode and cathode potentials are separated, and their polarization resistances are individually traced. Even under high-cutoff-voltage conditions (3.7 V), Type 1 and 2 cells are stably cycled without voltage noise for >200 cycles. Although cathode polarization resistance drastically increases after 3.7 V charge owing to LPS oxidation, LPS redox behavior is fairly reversible upon discharge-charge unlike the non-composite alloy anode cell. Time-of-flight secondary ion mass spectrometry analysis reveals that the enhanced cyclability is attributed to uniform Li-Si alloying throughout the composite anode, providing more pathways for lithium ions even when these ions are over-supplied via LPS oxidation. These results imply that LPS-based cells can be reversibly cycled with LPS redox even under high-cutoff voltages, as long as non-uniform alloying (lithium dendrite growth) is prevented. Type 1 and 2 cells exhibit similar performance and stability although reduction product is formed in Type 1. This work highlights the importance of alloy anode design to prevent chemo-mechanical failure when cycling the cell outside the electrochemical stability window.

Degradation Mechanisms of Solid Oxide Fuel Cells under Various Thermal Cycling Conditions.

A critical issue to tackle before successful commercialization of solid oxide fuel cells (SOFCs) can be achieved is the long-term thermal stability required for SOFCs to operate reliably without significant performance degradation despite enduring thermal cycling. In this work, the impact of thermal cycling on the durability of NiO-yttria-stabilized zirconia-based anode-supported cells is studied using three different heating/cooling rates (1, 2, and 5 °C min-1) as the temperature fluctuated between 400 and 700 °C. Our experiments simulate time periods when power from SOFCs is not required (e.g., as might occur at night or during an emergency shutdown). The decay ratios of the cell voltages are 8.8% (82 µV h-1) and 19.1% (187 µV h-1) after thermal cycling testing at heating/cooling rates of 1 and 5 °C min-1, respectively, over a period of 1000 h. The results indicate SOFCs that undergo rapid thermal cycling experience much greater performance degradation than cells that experience slow heating/cooling rates. The changes in total resistance for thermally cycled cells are determined by measuring the Rpol of the electrodes (whereas the ohmic resistances of the cells remain unchanged from their initial value), signifying that electrode deterioration is the main degradation mechanism for SOFCs under thermal cycling. In particular, fast thermal cycling leads to severe degradation in the anode part of SOFCs with substantial agglomeration and depletion of Ni particles seen in our characterizations with field emission-scanning electron microscopy and electron probe microanalysis. In addition, the mean particle size in the cathode after thermal cycling testing increases from 0.104 to 0.201 µm for the 5 °C min-1 cell. Further, the presence of Sr-enriched regions is more significant in the La0.6Sr0.4Co0.2Fe0.8O3-δ cathode after fast thermally cycled SOFCs.

Operation Protocols To Improve Durability of Protonic Ceramic Fuel Cells.

To develop reliable and durable protonic ceramic fuel cells (PCFCs), the impacts of the operation protocols of PCFCs on the cell durability are investigated through analyses of the main degradation mechanisms. We herein propose three appropriately designed control protocols, including cathode air depletion, shunt current, and fuel cell/electrolysis cycling, to fully circumvent the operating-induced degradation of PCFCs. For this purpose, anode-supported cells, comprised of a NiO-BaCe0.7Zr0.1Y0.1Yb0.1O3-δ anode, BaCe0.7Zr0.1Y0.1Yb0.1O3-δ electrolyte, and NdBa0.5Sr0.5Co1.5Fe0.5O5+δ-Nd0.1Ce0.9O2-δ composite cathode, are prepared, and their long-term performances are evaluated under a galvanostatic condition of 0.5 A·cm-2 at 650 °C. The cell voltages of the protected cells using the operation protocols to prevent performance degradation are stably maintained under the applied current density for more than 1200 h without any noticeable degradation, whereas the performance of the unprotected cell gradually decreased with time, and the decay ratio was 14.9% over 850 h. The significant performance decay of the unprotected cell is strongly associated with the cathode degradation phenomenon, which was caused by the water vapor continuously produced during the electrochemical reactions. Hence, the performance recovery of the PCFCs with the operation protocols is achieved by incrementally decreasing the cathode potential (close to a value of zero) to minimize the effect of high PH2O and PO2 during the PCFC operations.

Clinical performance and survivorship of navigated floating platform mobile-bearing total knee arthroplasty: A minimum 10-year follow-up.

BACKGROUND: The purpose of this study is to report the outcome of navigation-assisted cruciate-retaining total knee arthroplasty (TKA) using one type of cemented, second-generation, floating-platform (FP), mobile-bearing system. METHODS: Forty-two patients who underwent cruciate retaining TKAs using e.motion-FP prostheses under navigational guidance were retrospectively reviewed. The preoperative diagnosis was osteoarthritis in all knees except one rheumatoid arthritis. The mean follow-up was 132.0 months (range, 120-140 months) and the mean age was 64.0 ± 4.7 years (range, 51-76 years) at the time of index surgery. Clinical and radiographic results as well as mechanical survival rate of this type of prosthesis were investigated at a minimum follow-up of 10 years. RESULTS: The mean mechanical femorotibial angle was improved from 11.7° ± 3.3° preoperatively to 1.4° ± 1.7° at the latest follow-up. No prosthesis-related complications occurred. One knee underwent open debridement due to superficial infection at 5 weeks after surgery and the other knee experienced a periprosthetic fracture around the proximal tibia, which was successfully healed after open reduction and internal fixation. CONCLUSIONS: The e.motion-floating platform mobile-bearing design yielded satisfactory long-term durability and implant performance under navigational guidance.

Diagnosis, causes and treatments of instability following total knee arthroplasty.

Instability following total knee arthroplasty is one of the major causes of revision surgery. In most cases, it can be prevented by using an appropriate prosthesis and a good surgical technique. Particular attention should be given to confirmation of diagnosis for which thorough history taking, complete physical examination and radiographic evaluation are needed. With regard to treatment, identification of the etiology of instability is crucial for establishing proper treatment plans; instability would persist without correction of the cause of the initial instability. For successful revision surgery, balanced medio-lateral and flexion-extension gaps should be achieved. Constrained or rotating-hinge total knee prosthesis should also be considered as an alternative option for certain subsets of patients with instability.

A comparative analysis of sagittal spinopelvic alignment between young and old men without localized disc degeneration.

INTRODUCTION: The purpose of this study was to compare the sagittal spinopelvic parameters between young normal asymptomatic adults and older normal asymptomatic adults without localized segmental disc degeneration. MATERIALS AND METHODS: Standing sagittal radiographs of the whole spine including the pelvis in 342 adult male volunteers (Group 1: n = 184, average age 21.2 years, range 19-28 vs. Group 2: n = 158, average age 63.8 years, range 53-79) were analyzed prospectively. Volunteers with history of spine operation, spinal disease, chronic pain in their back or legs, scoliosis, spondylolisthesis, 1-3 segmental disc space narrowing, and/or compression fractures in radiographs were excluded. The following parameters were included: thoracic kyphosis between T5 upper endplate (UEP) and T12 lower endplate (LEP), thoracolumbar kyphosis (T10 UEP - L2 LEP), T12 LEP-horizontal (H) angle (minus denotes EP above the H line), lumbar lordosis (T12 LEP - S1 UEP), lower lumbar lordosis (L4 UEP - S1 UEP), sacral slope, pelvic incidence and distances from C7 plumb/T12 plumb to the postero-superior endplate of S1. Group 2 (old men group) demonstrated larger thoracic kyphosis (30.1° ± 8.6° vs. 21.1° ± 7.8° in Group 1, P < 0.001), thoracolumbar kyphosis (10.0° ± 7.5° vs. 2.8° ± 7.1° in Group 1, P < 0.001), total lumbar lordosis at T12-S1 (57.3° ± 8.8° vs. 52.2° ± 9.2° in Group 1, P < 0.001), lower lumbar lordosis at L4-S1 (39.4° ± 6.7° vs. 32.4° ± 6.4° in Group 1, P < 0.001), a higher ratio of lower to total lumbar lordosis (69.5 ± 11.6 vs. 62.7 ± 10.6 % in Group 1, P < 0.001) and T12 LEP-H angle (-20.4° ± 5.7° vs. -15.7° ± 5.1° in Group 1, P < 0.001). There were no significant differences in sacral slope (36.5° ± 7.3° in Group 1 vs. 36.8° ± 6.7° in Group 2, P = 0.67) and pelvic incidence (46.5° ± 7.7° in Group 1 vs. 48.2° ± 8.5° in Group 2, P = 0.06). There was no significant difference in the measurement of distance from C7 plumb to the postero-superior endplate of S1 (-0.7 ± 2.4 cm in Group 1 vs. -0.3 ± 2.7 cm in Group 2, P = 0.197). However, the distance from T12 plumb to the postero-superior endplate of S1 (-0.7 ± 1.7 cm in Group 1 vs. -2.2 ± 1.7 cm in Group 2, P < 0.001) demonstrated a significant difference. CONCLUSION: The old men group demonstrated a significant increase in thoracic kyphosis, thoracolumbar kyphosis, total and lower lumbar lordosis, a higher ratio of lower to total lumbar lordosis, and a longer distance from T12 plumb to the postero-superior endplate of S1 without changes in sacral slope and global sagittal balance.

Tourniquet associated chemical burn.

Chemical burn under pneumatic tourniquet is an iatrogenic preventable injury and is rarely reported in the literature. The two important mechanisms are maceration (friction) and wetness underneath the tourniquent. In this report, our experience with two illustrative patients who presented with iatrogenic tourniquet associated burn is described.

Importance of independent measurement of width and length of lateral meniscus during preoperative sizing for meniscal allograft transplantation.

BACKGROUND: Successful meniscus transplantation depends on an accurate sizing of the meniscal allograft. Although accurate sizing of the meniscal allograft is crucial during meniscus transplantation, the accuracy of meniscal measurement methods is still in debate. PURPOSE: This study was undertaken to evaluate the relationship between the width and length of the lateral meniscus. These anatomic dimensions were also evaluated in the context of the patient's height, weight, gender, and body mass index (BMI). STUDY DESIGN: Descriptive laboratory study. METHODS: Ninety-one samples of fresh lateral meniscus were obtained during total knee arthroplasty. The samples were obtained carefully without injuring the meniscus itself and the bony attachment sites. For each lateral meniscus, the anatomic dimensions (width [LMW] and length [LML]) were recorded. The height, weight, gender, and BMI of the patients were also recorded. The Pearson correlation and multivariate and linear regression analysis were applied for each variable. The accuracy was defined as those measures that fell within 10% of the original size. A P value ≤ .05 was considered significant. RESULTS: The mean LMW was 30.7 mm (standard deviation [SD] = 3.5) and 27.0 mm (SD = 2.6) for men and women, respectively. The mean LML was 33.7 mm (SD = 4.3) and 30.8 mm (SD = 2.6) for men and women, respectively. Thirty-nine samples (42.5%) showed LMW measurements within a 10% difference of LML, whereas 50 samples (55%) showed an LMW greater than a 10% difference of LML. Although there were correlations between LML with LMW in men and correlations between weight and LMW with LML in women, the accuracy for the derived linear regression formulas was 3%, 9%, and 12%, respectively. CONCLUSION: The length cannot be predicted accurately from the width of the lateral meniscus. The height, weight, gender, and BMI failed to estimate the dimensions of the lateral meniscus. Therefore, it is essential to measure the width and length separately and match it with the allograft with other size measuring methods. CLINICAL RELEVANCE: This study emphasizes the importance of measuring the width and length of the lateral meniscus independently during preoperative sizing for a meniscal allograft transplantation procedure. The height, weight, gender, and body mass index may not be reliable parameters for estimating the size of the meniscus.

Is radiographic measurement of bony landmarks reliable for lateral meniscal sizing?

BACKGROUND: The accuracy of meniscal measurement methods is still in debate. HYPOTHESIS: The authors' protocol for radiologic measurements will provide reproducible bony landmarks, and this measurement method of the lateral tibial plateau will correlate with the actual anatomic value. STUDY DESIGN: Controlled laboratory study. METHODS: Twenty-five samples of fresh lateral meniscus with attached proximal tibia were obtained during total knee arthroplasty. Each sample was obtained without damage to the meniscus and bony attachment sites. The inclusion criterion was mild to moderate osteoarthritis in patients with mechanical axis deviation of less than 15°. Knees with lateral compartment osteoarthritic change or injured or degenerated menisci were excluded. For the lateral tibial plateau length measurements, the radiographic beam was angled 10° caudally at neutral rotation, which allowed differentiation of the lateral plateau cortical margins from the medial plateau. The transition points were identified and used for length measurement. The values of length were then compared with the conventional Pollard method and the anatomic values. The width measurement was done according to Pollard's protocol. For each knee, the percentage deviation from the anatomic dimension was recorded. Intraobserver error and interobserver error were calculated. RESULTS: The deviation of the authors' radiographic length measurements from anatomic dimensions was 1.4 ± 1.1 mm. The deviation of Pollard's radiographic length measurements was 4.1 ± 2.0 mm. With respect to accuracy-which represents the frequency of measurements that fall within 10% of measurements-the accuracy of authors' length was 98%, whereas for Pollard's method it was 40%. There was a good correlation between anatomic meniscal dimensions and each radiologic plateau dimensions for lateral meniscal width (R(2) = .790) and the authors' lateral meniscal length (R(2) = .823) and fair correlation for Pollard's lateral meniscal length (R(2) = .660). The reliability of each radiologic measurement showed good reliability (intraclass correlation coefficients, .823 to .973). The authors tried to determine the best-fit equation for predicting meniscal size from Pollard's method of bone size, as follows: anatomic length = 0.52 × plateau length (according to Pollard's method) + 5.2, not as Pollard suggested (0.7 × Pollard's plateau length). Based on this equation-namely, the modified Pollard method-the percentage difference decreased, and the accuracy increased to 92%. CONCLUSION: Lateral meniscal length dimension can be accurately predicted from the authors' radiographic tibial plateau measurements. CLINICAL RELEVANCE: This study may provide valuable information in preoperative sizing of lateral meniscus in meniscal allograft transplantation.