Macrocyclic compounds like crown ethers, calixarenes, etc. are well explored in the literature as receptors for alkali metal ions. In most of these studies, the size of the macrocyclic cavity has evolved as the prominent determining criterion for the selective binding of various ions. However, approaches to systematically tailor the ion transport properties via the interplay of topological as well as electronic properties of the hosts are rarely addressed. Herein, we investigate the performance of [2.2.2]PCPs ([2.2.2]paracyclophane and [2.2.2]paracyclophene) and cyclohexaphenylene (CHP) as receptors for the alkali ions, Li, Na and K. The three macrocycles differ in terms of the groups (ethylene, vinylene and phenylene) anchoring the three benzene rings into triangular three-dimensional architectures, thereby providing opportunities for controlling the topological and the electronic features of the cavities. Based on electronic structure calculations, we predict that PCPs and CHP could be used in conjunction with dehydrobenzoannulenes that possess similar triangular π-architectures in two-dimensions to achieve selective ion transmission. Furthermore, an extended network of CHP, graphenylene, is shown for the first time to be potentially useful in energy storage applications in lithium ion batteries akin to graphyne and graphdiyne. The ion binding properties of graphenylenes would be rather interesting to investigate experimentally for energy applications, particularly in the context of the recent successful synthesis of one of the members of the graphenylene family. Overall, we have attempted to provide a unified description of the cationic interactions with 2D and 3D triangular π-architectures, describing the utility of materials like graphyne, graphdiyne and graphenylene for ion sensing and separation and energy storage applications.
We report a case of delayed diagnosis of osteomyelitis of the
scapula extending to glenoid, with secondary septic arthritis
of glenohumeral joint in a 6-month-old female infant. We
performed urgent arthrotomy of the shoulder joint through an
anterior approach with drainage of pus from the scapula
through a posterior approach and prescribed intravenous
antibiotics. Diagnosis was delayed as the patient initially
presented with pneumonia, for which she was treated in the
neonatal intensive care unit; at that time, all medical efforts
were directed toward saving her life. Had the diagnosis been
made earlier, septic arthritis of the shoulder might have been
prevented. Diagnosis of septic shoulder arthritis is rare and
difficult, requiring a high index of suspicion.Key Wordsseptic arthritis, infection, scapular osteomyelitis
PICC lines are commonly used for chemotherapy infusion, nutritional
support and long-term antibiotic administration. Complications
associated with PICC line include malposition, migration, displacement,
fracture and catheter related thrombosis. Catheter fracture and
migration is a common complication with displaced fragment lodging into
the right atrium, right ventricle, pulmonary artery and azygous vein. We
report the case of fractured PICC with mobile fracture fragment into the
hepatic vein and IVC and its removal via percutaneous route.
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