A new form of TiO2 microspheres comprised of anatase/TiO2‐B ultrathin composite nanosheets has been synthesized successfully and used as Li‐ion storage electrode material. By comparison between samples obtained with different annealing temperatures, it is demonstrated that the anatase/TiO2‐B coherent interfaces may contribute additional lithium storage venues due to a favorable charge separation at the boundary between the two phases. The as‐prepared hierarchical nanostructures show capacities of 180 and 110 mAh g−1 after 1000 cycles at current densities of 3400 and 8500 mA g−1. The ultrathin nanosheet structure which provides short lithium diffusion length and high electrode/electrolyte contact area also accounts for the high capacity and long‐cycle stability.
The Ca2+ and Ba2+ solubility on Nd3+ sites in new layered perovskite NdBaInO4 mixed oxide ionic and hole conductor and their effect on the oxide ion conductivity of NdBaInO4 were investigated. Among the alkaline earth metal cations Ca2+, Sr2+, and Ba2+, Ca2+ was shown to be the optimum acceptor–dopant for Nd3+ in NdBaInO4 showing the largest substitution for Nd3+ up to 20% and leading to oxide ion conductivities ∼3 × 10–4–1.3 × 10–3 s/cm within 600–800 °C on Nd0.8Ca0.2BaInO3.9 composition, exceeding the most-conducting Nd0.9Sr0.1BaInO3.95 in the Sr-doped NdBaInO4. Energetics of defect formation and oxygen vacancy migration in NdBaInO4 were computed through the atomistic static-lattice simulation. The solution energies of Ca2+/Sr2+/Ba2+ on the Nd3+ site in NdBaInO4 for creating the oxygen vacancies confirm the predominance of Ca2+ on the substitution for Nd3+ and enhancement of the oxygen vacancy conductivity over the larger Sr2+ and Ba2+. The electronic defect formation energies indicate that the p-type conduction in a high partial oxygen pressure range of the NdBaInO4-based materials is from the oxidation reaction forming the holes centered on O atoms. Both the static lattice and molecular dynamic simulations indicate two-dimensional oxygen vacancy migration within the perovskite slab boundaries for the acceptor-doped NdBaInO4. Molecular dynamic simulations on the Ca-doped NdBaInO4 specify two major vacancy migration events, respectively, via one intraslab path along the b axis and one interslab path along the c axis. These paths are composed by two terminal oxygen sites within the perovskite slab boundaries.
Objective This study characterized telemedicine utilization among Medicaid enrollees by patients’ demographic characteristics, geographic location, enrollment type, eligibility category, and clinical conditions. Methods This study used 2008–2009 Medicaid claims data from 28 states and the District of Columbia to characterize telemedicine claims (indicated by GT for professional fee claims or Q3014 for facility fees) on the basis of patients’ demographic characteristics, geographic location, enrollment type, eligibility category, and clinical condition as indicated by ICD-9 codes. States lacking Medicaid telemedicine reimbursement policies were excluded. Chi-square tests were used to compare telemedicine utilization rates and one-way analysis of variance was used to estimate mean differences in number of telemedicine encounters among subgroups. Results A total of 45,233,602 Medicaid enrollees from the 22 states with telemedicine reimbursement policies were included in the study, and .1% were telemedicine users. Individuals ages 45 to 64 (16.4%), whites (11.3%), males (8.5%), rural residents (26.0%), those with managed care plans (7.9%), and those categorized as aged, blind, and disabled (28.1%) were more likely to receive telemedicine (p<.001). Nearly 95% of telemedicine claims were associated with a behavioral health diagnosis, of which over 50% were for bipolar disorder and attention-deficit disorder or attention-deficit hyperactivity disorder (29.3% and 23.4%, respectively). State-level variation was high, ranging from .0 to 59.91 claims per 10,000 enrollees (Arkansas and Arizona, respectively). Conclusions Despite the touted potential for telemedicine to improve health care access, actual utilization of telemedicine in Medicaid programs was low. It was predominantly used to treat behavioral health diagnoses. Reimbursement alone is insufficient to support broad utilization for Medicaid enrollees.
Rotaviruses cause acute diarrhea worldwide. Previous studies of rotavirus diarrhea in China found that rotavirus infection is the most common cause of severe diarrhea in young children. In the present study, surveillance of rotavirus diarrhea was conducted involving 9549 children aged <5 years who were admitted for treatment of diarrhea at 11 sentinel hospitals in China from August 2003 through July 2007. Group A rotavirus was detected in 3749 (47.8%) of the 7846 fecal specimens by using enzyme-linked immunosorbent assay. Rotavirus isolates were characterized by reverse-transcriptase polymerase chain reaction to determine G and P genotypes. All the strains that are common worldwide were detected; G3P[8] was the most common. An unusual G5 strain was detected in 2 specimens. Of all episodes of rotavirus diarrhea, 94% occurred during the first 2 years of life, peaking at 6-23 months of age. Our findings indicate that globally common rotavirus strains continue to be a major cause of severe childhood diarrhea in China. Introduction of routine immunization with effective rotavirus vaccines would substantially reduce this burden.
Gallate melilite materials have attracted considerable interest as new interstitial oxide ion conducting electrolytes for solid oxide fuel cells for more than a decade. However, the preparation of aluminate melilite materials as interstitial oxide ion conductors remains a challenge. Here, we show that interstitial oxide ion conducting aluminate melilite materials La1+x Ca1–x Al3O7+0.5x (x = 0–0.5) can be prepared via a full crystallization from bulk glass process. Rietveld refinements performed from combined neutron and synchrotron X-ray powder diffraction (NPD and SPD) data reveal multiple interstitial defect positions within the pentagonal ring, demonstrating the diversity of local structures around the oxygen interstitial defects in La1+x Ca1–x Al3O7+0.5x . Variable temperature solid-state 27Al nuclear magnetic resonance (NMR) spectroscopy measurements demonstrate the existence of 5-coordinated AlO5 polyhedra and dynamic exchange processes between these 5-coordinated Al sites, representing the first example of evidence for the migration mechanism of interstitial oxide ions in melilites by NMR. This latter involves framework and interstitial oxide ions, and is assisted by rotation and deformation of tetrahedra. These calculations reveal reduced mobility of interstitial oxide ions in aluminate tetrahedral network owing to its rigidity.
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