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Introduction: Clavicle fractures in adults are increasingly being treated by surgical fixation following reports of symptomatic non-union, malunion and poor functional outcome with conservative treatment. This has led to a similar trend in the management of clavicle fractures in adolescents. This study aims to evaluate the outcome and complications of non-operatively treated clavicle fractures in adolescents. Materials and methods: This is a retrospective, single institution study on adolescents aged 13-17 years who sustained a closed, isolated clavicle fracture, between 19972015. Clinical records were reviewed for demographic information, injury mode, time to radiographic fracture union, time to re-attainment of full shoulder range of motion (ROM), and time to return to full activities and sports. Complications and fracture-related issues were recorded. Radiographs were analysed for fracture location, displacement and shortening. Results: A total of 115 patients (98 males, 17 females; mean age:13.9 ± 0.89 years) were included for study. 101 (88%) sustained a middle-third fracture while the remainder sustained a lateral-third fracture. A total of 96 (95%) of the middle-third fractures were displaced, and 12 (86%) of the lateral-third fractures were displaced. All displaced fractures in this study had shortening. Sports-related injuries and falls accounted for 68 (59%) and 34 (30%) of the cases respectively. Overall, the mean time to radiographic fracture union was 7.8 ± 4.35 weeks; there were no cases of nonunion. Full shoulder ROM was re-attained in 6.6 ± 3.61 weeks, and full activities and sports was resumed in 11.4 ± 4.69 weeks. There were 5 cases of re-fracture and a single case of intermittent fracture site pain. Conclusion: Clavicle fractures in adolescents can and should be treated non-operatively in the first instance with the expectation of good outcomes in terms of time for fracture union, reattainment of shoulder full range of motion, and return to activities. Surgical stabilisation should be reserved for cases for which there is an absolute indication.

Oxygen participation, arising from increased transition metal-oxygen covalency during delithiation, is considered essential for the description of charge compensation in conventional layered oxides. The advent of high-resolution mapping of the O K-edge resonant inelastic X-ray scattering (RIXS) provides an opportunity to revisit the onset and extent of oxygen participation. Combining RIXS with an array of structural and electronic probes for the family of Ni-rich LiNi0.8Co0.2-yAlyO2cathodes, we identify common charge compensation regimes that are assigned to formal transition metal redox (4.25 V). From O K-edge RIXS maps, we find the emergence of a sharp RIXS feature in these systems when approaching full delithiation, which has previously been associated with lattice oxidized oxygen in alkali-rich systems. The lack of transition metal redox signatures and strong covalency at these high degrees of delithiation suggest this RIXS feature is similarly attributed to lattice oxygen charge compensation as in the alkali-rich systems. The RIXS feature's evolution with state of charge in conventional layered oxides is evidence that this feature reflects the depopulation of occupied O 2p states associated with oxygen participation.

Resonant inelastic X-ray scattering (RIXS) at the O K-edge is considered a prime technique to identify bulk oxidized oxygen formation, but its fundamental interpretation is not straightforward. In this study, we intentionally induce RIXS signatures of oxidized oxygen upon beam exposure in LiAlO2 polymorphs that are easily distinguished because of their wide band gaps. After careful consideration of beam exposure effects on Li[Li0.144Ni0.136Mn0.544Co0.136]O2 (LR-NMC), we conclude that oxidized oxygen features are inherent at high states of charge and are lost upon aggressive beam exposure. The extracted oxidized oxygen line shapes from our X-ray irradiation studies for both LiAlO2 (induced) and LR-NMC (inherent) are found to have an additional oxidized oxygen RIXS feature not observed in O2 gas studies. This study highlights the unique insight of O K-edge RIXS into determining the nature and stability of oxidized oxygen states.

This paper reports new insights into structural and chemical evolution of surface phases of LiNi0.8Co0.15Al0.05O2 (NCA) held at constant high voltages (up to 4.75 V) as well as high temperatures (60 °C) by correlating crystal structure using high angle annular dark field scanning transmission electron microscopy (HAADF-STEM) imaging with chemistry using electron energy loss spectroscopy (EELS). We also followed the Al distribution within individual NCA particles by X-ray energy dispersive spectroscopy (EDS). The progression of these phases as a function of distance from the edge shows simultaneous evolution of crystal structures and chemistry from rocksalt to layered, forming a complete solid solution. We have also observed an extended disordered phase with rocksalt (Fm3m) symmetry in which quantitative electron energy loss spectroscopy reveals it to be an oxygen deficient cation disordered phase with chemical characteristics, as determined by EELS, similar to spinel. The formation of these disordered phases with cation and oxygen vacancies has been driven by surface oxygen loss caused by reactions with the electrolyte followed by cation migration from the octahedral 3a M (M = Ni, Co, Al) layer to the octahedral 3b Li layer. These surface rocksalt phases are not fully dense as they contain Al and Li as well as a high concentration of cation and oxygen vacancies. After discharge, Li is detected within these phases indicative that Li transport has occurred through these rocksalt phases. At 60 °C and 4.75 V a very large impedance rise is observed leading to complete cell irreversibility which is caused by significant metal dissolution from the cathode and formation of surface porosity. In the near surface region of some particles, a phase transformation from R3m (O3) to P3m1 (O1) is also observed which has become thermodynamically stable from complete delithiation as well as from local Al surface depletion.

This article examines the expression and activity of plasmacytoid dendritic cells (pDCs) in patients with recurrent erythema multiforme (REM), a condition characterized by repeated outbreaks of erythema multiforme (EM). The study found that REM patients had increased expression of CD123, a marker for pDCs, in the epidermis and dermis. However, they also had reduced expression of Toll-like receptor 9 (TLR9), which suggests impaired activation of pDCs. The authors hypothesize that this impaired activation may contribute to the persistence of herpes simplex virus (HSV) and REM episodes. Further research on the role of reduced TLR9 expression in REM patients could lead to new targeted therapies. [Extracted from the article]

Coral‐based stable oxygen isotopes (δ18O) have been used as a proxy for sea surface temperature (SST) since the 1970s, and δ18O–SST calibration studies have been fundamental to assure robust and faithful SST reconstructions. Paleoclimatic studies based on corals from the tropical western South Atlantic (TWSA) are scarce, and the available coral species need to be calibrated to improve climate and environmental reconstructions. Siderastrea stellata, a slow‐growing coral, is a potential species to be explored as a coral archive in the TWSA. We provide the first multi‐site δ18O–SST calibration for the coral S. stellata from three locations at the TWSA: Todos os Santos Bay, Tamandaré and the Rocas Atoll. Pseudo‐coral δ18O calculations derived from gridded SSS and SST show that the contributions of SSS and SST to coral δ18O are expected to be different at each site. Weighted least squares linear regressions performed between the δ18O and SST generated the following calibrations equations: δ18O = −0.18 (±0.02) × SST (°C) + 1.90 (±0.47) for Todos os Santos Bay; δ18O = −0.18 (±0.02) × SST (°C) + 1.54 (±0.67) for Tamandaré; and δ18O = −0.16 (±0.03) × SST (°C) + 1.24 (±0.71) for the Rocas Atoll. The δ18O‐SST sensitivity of S. stellata from the TWSA is similar to that of other slow‐growing species of the genus and consistent with the expected δ18O‐SST sensitivity of other species reported in the literature. These calibrations will allow future SST reconstructions based on δ18O records from sub‐fossil and fossil S. stellata, an abundant species in the TWSA. Plain Language Summary: Corals continuously biomineralize calcium carbonate, storing environmental information within their exoskeletons in geochemical and isotopic records that span hundreds of years and making them suitable for high‐resolution climate reconstructions. The stable oxygen isotopes (δ18O) found in corals are an important proxy for revealing past sea surface temperatures (SST) and sea surface salinities (SSS). However, to ensure that this proxy is applicable to reconstruct past SST, further δ18O–SST calibration studies are needed on various regions and species. In this study, we carried out three field work experiments to provide the first multi‐site δ18O–SST calibration of the slow‐growing coral Siderastrea stellata from the western South Atlantic. Despite the slow growth nature of S. stellata corals that poses a challenge to high temporal resolution sampling, we successfully provided new calibration equations for SST reconstruction from three different locations in the western South Atlantic. Our calibration equations can now be applied to reconstruct SST based on coral δ18O records from sub‐fossil and fossil coral cores. Key Points: First multi‐site δ18O‐SST calibrations for the slow‐growing coral Siderastrea stellata from the western South Atlanticδ18O–SST sensitivity for S. stellata varied from −0.15 to −0.19‰ per °C across the different reef environmentsThis study paves the way for using S. stellata δ18O from fossil and subfossil corals for paleoclimate reconstructions from the western South Atlantic [ABSTRACT FROM AUTHOR]