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Distinguishing shouted from non-shouted speech is crucial in communication. We examined how shouting affects temporal properties of the amplitude envelope (ENV) in a total of 720 sentences read by 18 Swiss German speakers in normal and shouted modes; shouting was characterised by maintaining sound pressure levels of ≥80 dB sound pressure level (dB-SPL) (C-weighted) at a 1-meter distance from the mouth. Generalized additive models revealed significant temporal alterations of ENV in shouted speech, marked by steeper ascent, delayed peak, and extended high levels. These findings offer potential cues for identifying shouting, particularly useful when fine-structure and dynamic range cues are absent, for example, in cochlear implant users., (© 2024 Author(s). All article content, except where otherwise noted, is licensed under a Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).)

Isolated volar metacarpophalangeal dislocations of fingers are extremely rare. There are few cases published in English and French literature. In this article, we aim to review the literature and present a case of isolated open volar dislocation of a finger. We treated this dislocation first by a dorsal approach alone and later, after recurrence, using a combined dorsal and volar approach. This report emphasizes the pathology of such injuries, clarifies the mechanisms, and outlines the treatment options of the dislocations. Close reduction can be achieved and maintained if done early. It must be attempted first for all cases. In irreducible or reducible but unstable dislocations, we recommend surgical restoration. During an open reduction, the major torn or avulsed soft tissue joint stabilizers must be repaired. A combined dorsal and volar approach, starting dorsally, is useful., (© 2021 The Authors.)

Inhaled corticosteroids have been the cornerstone of atopic, allergic asthma management for more than half a century. They have side effects (as does every medication), but they have transformed the control of asthma and saved many lives since their introduction. The current review revisits local and systemic side effects of inhaled corticosteroids and explores the prevalence and nature of parental fears (“corticophobia”) in different parts of the world. The empathetic physician treating asthma should bear in mind the impact of parental concerns on the management of this potentially life-threatening disease and try to dispel myths at every opportunity by emphasising the well-established benefits and excellent safety profile of inhaled corticosteroids.

Germanane (GeH), a germanium analogue of graphane, has recently attracted considerable interest because its remarkable combination of properties makes it an extremely suitable candidate to be used as 2D material for field effect devices, photovoltaics, and photocatalysis. Up to now, the synthesis of GeH has been conducted by substituting Ca by H in a β-CaGe 2 layered Zintl phase through topochemical deintercalation in aqueous HCl. This reaction is generally slow and takes place over 6 to 14 days. The new and facile protocol presented here allows to synthesize GeH at room temperature in a significantly shorter time (a few minutes), which renders this method highly attractive for technological applications. The GeH produced with this method is highly pure and has a band gap (E g ) close to 1.4 eV, a lower value than that reported for germanane synthesized using HCl, which is promising for incorporation of GeH in solar cells., (© 2020 The Authors. Published by Wiley-VCH GmbH.)

We report the updated guidelines for the management of osteoporosis in Greece, which include guidance on fracture risk assessment, diagnosis-pharmacological treatment-follow-up of osteoporosis based on updated information, and national evidence from Greek clinical practice and the healthcare setting., Purpose: The purpose of this report was to update the Guidelines for the Management of Osteoporosis in Greece that was published in 2011., Methods: In line with the GRADE system, the working group initially defined the main clinical questions that should be addressed when dealing with the diagnosis and management of osteoporosis in clinical practice in Greece. Following a literature review and discussion on the experience gained from the implementation of the 2011 Guidelines transmitted through the national electronic prescription network, the Hellenic Society for the Study of Bone Metabolism (HSSBM) uploaded an initial draft for an open dialogue with the relevant registered medical societies and associations on the electronic platform of the Greek Ministry of Health. After revisions, the Central Health Council approved the final document., Results: The 2018 Guidelines provide comprehensive recommendations on the issues of the timing of fracture risk evaluation and dual-energy X-ray absorptiometry (DXA) measurement, interpretation of the DXA results, the diagnostic work-up for osteoporosis, the timing as well as the suggested medications for osteoporosis treatment, and the follow-up methodology employed during osteoporosis treatment., Conclusions: These updated guidelines were designed to offer valid guidance on fracture risk assessment, diagnosis-pharmacological treatment-follow-up of osteoporosis based on updated information and national evidence from clinical practice and the healthcare setting. Clinical judgment is essential in the management of every individual patient for the purpose of achieving the optimal outcome in the safest possible way.

A novel sulfur-based platelet derivative was synthesized by reacting elemental sulfur with oleyl amine. The sulfur-oleyl amine (S-OA) derivative has an ionic salt form, layered morphology and forms a highly lamellar structure. Polarized optical microscopy (POM) clearly shows the birefringent lyotropic liquid crystalline behavior of the S-OA platelets dispersions., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Due to their unique properties of photoluminescence, biocompatibility, photostability, ease of preparing, and low cost, carbon dots have been studied extensively over the last decade. Soon after their discovery, it was realized that their main optical attributes may be protected, enhanced, and tuned upon proper surface passivation or functionalization. Therefore, up to date, numerous polymers have been used for these purposes, resulting to higher-quality carbon dots regarding their quantum yield or further emission-related aspects and compared to the primitive, bare ones. Hence, this review aims to clarify the polymers' role and effect on carbon dots and their features focusing on the quality characteristics of their photoluminescence upon passivation or functionalization. Given in fact the numbers of relevant publications, emphasis is given on recent articles capturing the latest advances for polymers in carbon dots for expanding emission lifetimes, advancing quantum yields, tuning emission wavelengths, enhancing specific spectral range absorption, and tailoring optoelectronic properties in general.

Two easy approaches are successfully employed for the preparation of nitrogen-doped carbon nanodot (NCND)-clay hybrids (bulk solids and thin films). Fluorescent and small NCNDs are intercalated within the interlayer space of LAPONITE® clay with a simple ion exchange reaction in bulk or embedded between functionalized LAPONITE® sheets by combining a layer-by-layer approach with a self-assembly process. In both cases, homogeneous hybrids with 2D-ordered NCNDs (accounting for >20 wt%) are produced, with the NCND optoelectronic properties preserved. Drop casting of suspensions or self-assembly on flexible substrates allows the fabrication of luminescent flexible films. The transparency of the films is found to be adjustable either by controlling the concentration of the drop-cast suspensions or by the number of layers in the self-assembly procedure. The prepared films are stable over time: the inert LAPONITE® platelets not only guide the highly ordered 2D assemblies of NCNDs in the interlayer space but also protect them from external agents, which could affect their surfaces and thus alter their optoelectronic properties.

The special electronic, optical, thermal, and mechanical properties of graphene resulting from its 2D nature, as well as the ease of functionalizing it through a simple acid treatment, make graphene an ideal building block for the development of new hybrid nanostructures with well-defined dimensions and behavior. Such hybrids have great potential as active materials in applications such as gas storage, gas/liquid separation, photocatalysis, bioimaging, optoelectronics, and nanosensing. In this study, luminescent carbon dots (C-dots) were sandwiched between oxidized graphene sheets to form novel hybrid multilayer films. Our thin-film preparation approach combines self-assembly with the Langmuir-Schaefer deposition and uses graphene oxide nanosheets as template for grafting C-dots in a bidimensional array. Repeating the cycle results in a facile and low-cost layer-by-layer procedure for the formation of highly ordered hybrid multilayers, which were characterized by photoluminescence, UV-visible, X-ray photoelectron, and Raman spectroscopies, as well as X-ray diffraction and atomic force microscopy., Competing Interests: The authors declare no competing financial interest.

We report the production of hierarchical all graphitic structures through a systematic study involving the use of wet chemical treatments for dip coating of carbon fibers (CFs) for surface grafting with multiwalled carbon nanotubes (CNTs). Realization of a thin homogeneous veil of CNTs onto the CF surface was achieved through an extensive parametric survey. Optimization of aqueous dispersions of CNTs eliminated the need for oxidation of the CF surface. The effects of chemical processes onto the surface and structural characteristics of the involved graphitic species were evaluated via thermogravimetric analysis, and X-ray photoelectron, infrared and Raman spectroscopies. The dielectric properties of the produced CNT aqueous dispersions were monitored via electrochemical impedance spectroscopy. A final assessment of the produced hierarchical CFs was performed through scanning electron microscopy., (Copyright © 2016 Elsevier Inc. All rights reserved.)

In this study we report the ability of reduced and non-reduced graphene oxide-based nanomaterials (GONs), modified with variable alkyl chain length and terminal functional groups, to act as effective scaffolds for the immobilization of cytochrome c (cyt c) using different immobilization procedures. The GONs/cyt c conjugates are characterized by a combination of techniques, namely atomic force microscopy, X-ray photoelectron and FT-IR spectroscopies as well as thermo-gravimetric and differential thermal analysis. The effect of the structure of functional groups and the surface chemistry of GONs on the immobilization efficiency, the peroxidase activity and the stability of the cyt c was investigated and correlated with conformational changes on the protein molecule upon immobilization. The enhanced thermal stability (up to 2-fold) and increased tolerance (up to 25-fold) against denaturing agents observed for immobilized cyt c, indicates that these functionalized GONs are suitable as nanoscaffolds for the development of robust nanobiocatalysts., (Copyright © 2015 Elsevier B.V. All rights reserved.)

We report on the effect of the degree of oxidation on the broadband non-linear optical response and magnetic behavior of graphene oxide, as well as on a route for obtaining reduced graphene oxide with enhanced optical properties without sacrificing the high dispersibility of the parent graphene oxide. As more sp(3) states evolved with the rise in oxidation degree, it turned out that the sp(2)/sp(3) fraction and sp(2) clustering are crucial parameters for tuning the broadband non-linear optical absorption over a wide range from ps to ns laser pulses for both visible and infrared laser irradiation. This was clearly confirmed by two different approaches, namely by a synthetic route through the gradual oxidation of graphene oxide from 1 to 3 oxidizing cycles, and reversely by in situ reduction of graphene oxide by UV laser irradiation. Furthermore, as the sp(3) states carry localized magnetic moments, ferromagnetic ordering is observed at low temperatures. The magnetization and temperature at which ferromagnetic ordering evolves are found to increase on increasing the oxidation degree. The tuning of non-linear optical and magnetic properties of graphene oxide by oxidation/reduction thus provides an easy way to endow graphene oxide with tunable physical features highly required in both optoelectronics and spintronics applications.

We present the preparation of disk-like graphene nanoflakes, highly dispersible in dimethylformamide (DMF), with uniform size and thickness. The preparation procedure includes an overnight mild sonication of natural graphite in DMF, followed by a purification step using ultra-centrifugation. The mean diameter of the as produced well defined round shaped graphene nanoflakes is about 100 nm and they consisted of less than twenty graphenic layers.

Novel nanohybrid materials were prepared by covalent grafting of a polyphenolic polymer [Humic Acid Like Polycondensate (HALP)] on SiO2 nanoparticles. Four nanohybrids were so-produced, using four different types of SiO2 i.e. three Aerosil flame-made nanoparticles with nominal specific surface area of 50, 90 and 300 m(2)/g, herein codenamed OX50, A90, A300 respectively, plus a colloidal SiO2[S300] with SSA=300 m(2)/g. The antioxidant activity of the SiO2-HALP nanohybrids was evaluated by assessing their kinetics for Hydrogen Atom Transfer [HAT] to DPPH radicals. When normalized per same HALP concentration, bigger NPs SiO2[OX50]-HALP NPs can scavenge 280 μmoles of DPPH radicals per gram of HALP, while [A90]-HALP and [A300]-HALP NPs can scavenge 514 and 832 μmoles of DPPH radicals per gram of HALP, respectively. The colloidal SiO2[S300]-HALP can scavenge fewer DPPH radicals (252 μmoles) per gram of HALP. Based on detailed kinetic data it is shown that (i) surface grafted HALPs perform 300% better HAT than non-grafted HALP in solution. (ii) By controlling the particle type and grafting-loading, we can control/optimize the HAT performance: when grafted on the appropriate SiO2 surface the HALP macromolecules are able to quench up to 0.8 mmoles of DPPH-radical per gram of HALP., (Copyright © 2015 Elsevier Inc. All rights reserved.)

MCM-41-supported nanoscale zero-valent iron (nZVI) was sytnhesized by impregnating the mesoporous silica martix with ferric chloride, followed by chemical reduction with NaHB4. The samples were studied with a combination of characterization techniques such as powder X-ray diffraction (XRD), Fourier-transform infrared (FT-IR) and Mössbauer spectroscopy, N2 adsorption measurements, transmission electron microscopy (TEM), magnetization measurements, and thermal analysis methods. The experimental data revealed development of nanoscale zero-valent iron particles with an elliptical shape and a maximum size of ∼80 nm, which were randomly distributed and immobilized on the mesoporous silica surface. Surface area measurements showed that the porous MCM-41 host matrix maintains its hexagonal mesoporous order structure and exhibits a considerable high surface area (609 m(2)/g). Mössbauer and magnetization measurements confirmed the presence of core-shell iron nanoparticles composed of a ferromagnetic metallic core and an oxide/hydroxide shell. The kinetic studies demonstrated a rapid removal of Cr(VI) ions from the aqueous solutions in the presence of these stabilized nZVI particles on MCM-41, and a considerably increased reduction capacity per unit mass of material in comparison to that of unsupported nZVI. The results also indicate a highly pH-dependent reduction efficiency of the material, whereas their kinetics was described by a pseudo-first order kinetic model., (Copyright © 2013 Elsevier B.V. All rights reserved.)

Background/objectives: Left ventricular restraint attenuates post-infarction remodeling, but may be associated with unfavorable long-term histological response. We hypothesized that beneficial effects can be obtained with short-term restraint during the early post-infarction period; for this purpose, we evaluated a biodegradable scaffold in the in vivo rat model and compared it with epicardial hydrogel application., Methods: A total of 230 Wistar rats (358 ± 7 g) were studied. Implantation was performed with and without prior myocardial infarction, induced by permanent coronary artery ligation. Diastolic filling was evaluated by left ventricular pressure recordings after scaffold implantation. Degradation rates and inflammatory/foreign body response were studied at 3, 7 and 15 days post-ligation. Remodeling indices were evaluated by echocardiography 15 days post-ligation., Results: No differences were found in diastolic pressure. Biodegradability was ~50% by 7 days and 100% by 15 days for both materials. Likewise, inflammatory/foreign body response peaked at 3 days post-implant, with subsequent remission, but fibroblastic reaction was more pronounced after scaffold than after hydrogel implantation. Post-ligation, ejection fraction was higher in the scaffold (40.0 ± 1.5%) or hydrogel groups (37.0 ± 1.3%), compared to controls (30.6 ± 1.9%). Wall tension index was lower with either biomaterial, but left ventricular end-diastolic diameter was shorter (p=0.044) and sphericity was attenuated (p=0.029) after scaffold, compared to hydrogel implantation., Conclusions: Both biomaterials showed a favorable histological response and attenuated remodeling, but epicardial restraint produced better results compared to hydrogel alone. The latter approach merits further investigation due to the ease of implantation., (Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.)

Effective techniques to reduce graphene oxide are in demand owing to the multitude of potential applications of this two-dimensional material. A very promising green method to do so is by exposure to ultraviolet irradiation. Unfortunately, the dynamics behind this reduction remain unclear. Here we perform a series of transient absorption experiments in an effort to develop and understand this process on a fundamental level. An ultrafast photoinduced chain reaction is observed to be responsible for the graphene oxide reduction. The reaction is initiated using a femtosecond ultraviolet pulse that photoionizes the solvent, liberating solvated electrons, which trigger the reduction. The present study reaches the fundamental time scale of the ultraviolet photoreduction in solution, which is revealed to be in the picosecond regime.

A 3 to 1 Ni/Si antiferromagnetic layered phyllosilicate, Ni(3)Si(C(3)H(6)NH(3))F(0.65)O(1.9)(OH)(4.45)(CH(3)COO)(1.1)·xH(2)O, was modified with K(4)[Fe(CN)(6)]·3H(2)O. This compound retained its ordering as proved by X-ray diffraction, while infrared spectra revealed the presence of [Fe(CN)(6)](4-) groups and X-ray photoelectron spectroscopy showed that the latter partially substitute the acetate groups. Both the parent and the modified compound are canted antiferromagnets with an anisotropy perpendicular to the layers and show spin-flop transitions. For the parent compound, a single step spin-flop occurs at H = 24 kOe. The modified compound shows increased antiferromagnetic canting and a two-step transition (H(1) = 24 kOe, H(2) = 48 kOe). These results testify to the existence of competing interactions that depend sensitively on the grafted species.

Myocardial tissue engineering involves the design of biomaterial scaffolds, aiming at regenerating necrotic myocardium after myocardial infarction. Biomaterials provide mechanical support to the infarct area and they can be used as vehicles for sustained and controlled local administration of cells and growth factors. Although promising results have been reported in experimental studies, many issues need to be addressed before human use.

Low dimensional metal sulfide particles have been prepared in the interlayers of montmorillonites via reactions of the metal ion-exchanged clay minerals in aqueous dispersions with gaseous hydrogen sulfide. The montmorillonites separated from the Wyoming (USA) and Jelšový Potok (Slovakia) bentonites were saturated with Pb(2+) or Zn(2+). In the final nanohybrids, the smectite mineral can be incorporated with metal sulfide pillars and/or nanoparticles. Properties of the prepared materials were investigated by various analytical techniques. The formation of metal sulfide nanoparticles in the interlayer galleries was indicated by X-ray diffraction and energy dispersive X-ray analysis. About 50% of Pb(2+) or Zn(2+) present in montmorillonite has formed metal sulfide semiconducting units. Infrared spectroscopy and thermogravimetric analysis were used for characterization of starting materials and products. Ultraviolet-visible absorption and photoluminescence spectroscopies confirmed that final composite systems acquired the optical properties of the incorporated quantum low dimensional systems exhibiting blue shift of the energy gap and higher oscillator strength excitonic peaks. Larger amounts of metal sulfide nanoparticles were formed in montmorillonite Jelšový Potok probably as a consequence of its higher cation exchange capacity.

A novel hybrid MCM-41-based material was synthesized by incorporation of AEDTC [N-(2-aminoethyl)dithiocarbamate] in the MCM-41 pores. The derived MCM-41 x AEDTC material possesses high AEDTC loading 35% [w:w], and a well-defined array of regular mesopores with a specific surface area of 632 m(2)/g. Heavy metal, Cd, Pb, Cu, and Zn, uptake was studied in detail at physiological pH values 6-8, by a combination of analytical and electron paramagnetic resonance (EPR) spectroscopic techniques. The analytical data show a significant improvement, i.e., 200-500%, for Pb, Cu, and Zn uptake by the MCM-41 x AEDTC hybrid vs the unmodified MCM-41. In contrast, Cd shows an exceptional behavior: (a) Cd uptake by MCM-41 x AEDTC is very low. (b) Competitive metal uptake experiments reveal that Cd ions cause a characteristic inhibition of Cu or Pb uptake by the MCM-41 x AEDTC while Cd binding itself always remained low. The present findings are analyzed by a combination of surface complexation modeling and EPR spectroscopy. Accordingly, in the MCM-41 x AEDTC the sulfur atoms of AEDTC provide strong binding sites for metal binding, with a stoichiometry [S(AEDTC)]:[Metal] = 1:1. Cd inhibits accessibility of Cu or Pb ions in the AEDTC sites., (2009 Elsevier Inc. All rights reserved.)

ZnS semiconductor quantum dots have been synthesized using a method involving melt exchange reaction inside the pores of MCM-41 and subsequent reaction with H(2)S. The ZnS quantum dots-MCM-41 composite, which has been studied with XRD, EDS, and BET techniques, is shown to have retained within the pores the formed quantum dots, with a size distribution exhibiting a maximum nanoparticle diameter of ca. 1.8 nm. The structure and the sorption properties of the ZnS/MCM-41 composite have been studied by means of X-ray diffraction, Fourier transform infrared spectroscopy, and surface area measurements. All experimental data reveal that all the final composite products, containing up to 9.3 wt % ZnS as verified by EDS analysis, keep the basic structural characteristics of MCM-41 materials, without significant reduction of their active surface areas. The quantum dot optical properties have been studied with UV-vis, photoluminescence, and photoluminescence excitation spectroscopies providing evidence for the low-dimensional character of the ZnS semiconductor particles.

Humic acids have stable radicals that are indigenous to their structure. Hydroxybenzoic acid derivatives such as gallic acid (GA) and protocatechuic acid are appropriate models for the radical properties of humic acids. Here we show that the adsorption or intercalation of gallic acid in Laponite clay results in a significant thermodynamic stabilization of gallic acid radicals. Moreover, the formed organoclay shows enhanced stability against acid dissolution. The structural details of the association of gallic acid with Laponite depend on the GA/Laponite loading. At low GA/Laponite ratios (approximately 10(-6) M of gallic acid per gram of clay), gallic acid is adsorbed at the variable charge sites of Laponite. This adsorption can be adequately described by surface complexation modeling. At higher GA/Laponite ratios (approximately 10(-3) M of gallic acid per gram of clay), X-ray diffraction data show that gallic acid is intercalated at the interlamellar sites of Laponite. In the presence of Pb2+ ions, the formed GA/Pb complex is associated with Laponite in an analogous structural manner, that is, adsorption at variable charge sites or intercalation at the interlamellar sites of Laponite, depending on the loading. Laponite stabilizes the GA/Pb radicals. At prolonged exposure to ambient O2, Laponite promotes the formation of stable oligomeric GA/Pb radical species, which are intercalated into interlamellar sites.

Superconducting low dimensional systems are the natural choice for fast and sensitive infrared detection, because of their quantum nature and the low-noise, cryogenic operation environment. On the other hand, monochromatic and coherent electron beams, emitted from superconductors and carbon-based nanostructured materials, respectively, are significant for the development of electron optical systems such as electron microscopes and electron-beam nanofabrication systems. Here we describe for the first time a simple method which yields carbon nanotubes encapsulating single crystalline superconducting tin nanowires by employing the catalytic chemical vapor deposition method over solid tin dioxide. The superconducting tin nanowires, with diameters 15-35 nm, are covered with well-graphitized carbon walls and show, due to their reduced diameters, a critical magnetic field (Hc) more than 30 times higher than the value of bulk metallic tin.