Wide-Awake Tenolysis of a Pectoralis Major to Biceps Transfer After Near Total Arm Avulsion Amputation.

Wide-awake surgery is transforming many areas of hand surgery. We report a distinctive case of an avulsion near total amputation of the right dominant arm, which required emergent shaft humerus fracture fixation and brachial artery repair with a vein graft. Three months post-injury, the patient underwent long segment nerve grafts of the median and ulnar nerves, with pectoralis major to biceps transfer for elbow flexion reconstruction.

Unraveling the Catalytic Synergy between Ti(3+) and Al(3+) Sites on a Chlorinated Al2 O3 : A Tandem Approach to Branched Polyethylene.

An original step-by-step approach to synthesize and characterize a bifunctional heterogeneous catalyst consisting of isolated Ti(3+) centers and strong Lewis acid Al(3+) sites on the surface of a chlorinated alumina has been devised. A wide range of physicochemical and spectroscopic techniques were employed to demonstrate that the two sites, in close proximity, act in a concerted fashion to synergistically boost the conversion of ethylene into branched polyethylene, using ethylene as the only feed and without any activator. The coordinatively unsaturated Al(3+) ions promote ethylene oligomerization through a carbocationic mechanism and activate the Ti(3+) sites for the traditional ethylene coordination polymerization.

Solid-State NMR investigations of a MgCl2·4(CH3)2CHCH2OH molecular adduct: a peculiar case of reversible equilibrium between two phases.

MgCl2·xROH molecular adducts are extensively employed as a support material for Ziegler-Natta polyolefin catalysis. However, their structural properties are not well understood. Recently, we reported on the preparation of an isobutanol adduct, MgCl2·4(CH3)2CHCH2OH (MgiBuOH) ( Dalton Trans.

Touraine Solente Gole syndrome: The elephant skin disease.

Touraine Solente Gole syndrome is a rare hereditary syndrome of primary pachydermoperiostosis, with the characteristic triad of pachydermia (or elephant like skin), periostosis and acropachia. A 27-year-old patient presented with aesthetic deformity of forehead due to deep skin folds and coarsening of facial features due to progressive thickening of skin. Associated palmoplantar hyperkeratosis with broadened of finger and toe tips and digital clubbing were noticed.