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Herein, we report anecdotes of manatee (family Trichechidae) behavior based upon accounts made by experienced observers. We have categorized the anecdotes into the broad categories of Conservation and Management (interactions with boats, people, and capture nets; rehabilitation and release), Behavioral Ecology (navigation, mother–calf interactions, interactions with conspecifics, mating behavior and birthing, anti-predator behavior, foraging and eating), and Cognition (sensory perception; learning, memory, and knowledge; interactions with objects, other species, and people; and mimetic behavior). These are all subjects that pertain to the goals of the Florida Manatee Recovery Plan of 2001. We found that many accounts report similar behaviors, suggesting that these may be fruitful lines of further inquiry. One subcategory, Navigation, appears to offer many research areas amenable to systematic study. The apparent behavioral flexibility and knowledge shown in manatee actions in several domains suggest that investigations of manatee intelligence are likely to be revealing.

We report the results from follow-up observations of two Roche-lobe filling hot subdwarf binaries with white dwarf companions predicted to have accretion disks. ZTF J213056.71+442046.5 (ZTF J2130) with a 39-minute period and ZTF J205515.98+465106.5 (ZTF J2055) with a 56-minute period were both discovered as subdwarf binaries with light curves that could only be explained well by including an accretion disk in their models. We performed a detailed high-resolution spectral analysis using Keck/ESI to search for possible accretion features for both objects. We also employed polarimetric analysis using the Nordic Optical Telescope (NOT) for ZTF J2130. We did not find any signatures of an accretion disk in either object, and placed upper limits on the flux contribution and variation in degree of polarisation due to the disk. Owing to the short 39-minute period and availability of photometric data over six years for ZTF J2130, we conducted an extensive $O - C$ timing analysis in an attempt to look for orbital decay due to gravitational wave radiation. No such decay was detected conclusively, and a few more years of data paired with precise and consistent timing measurements were deemed necessary to constrain $\dot P$ observationally., 10 pages, 8 figures. Accepted for publication in MNRAS

A promising progenitor scenario for Type Ia supernovae (SNeIa) is the thermonuclear detonation of a white dwarf in a close binary system with another white dwarf. After the primary star explodes, the surviving donor can be spontaneously released as a hypervelocity runaway. One such runaway donor candidate is LP 398-9, whose orbital trajectory traces back $\approx 10^5$ years to a known supernova remnant. Here we report the discovery of carbon-rich circumstellar material around LP 398-9, revealed by a strong infrared excess and analyzed with follow-up spectroscopy. The circumstellar material is most plausibly composed of inflated layers from the star itself, mechanically and radioactively heated by the past companion's supernova. We also detect a 15.4 hr periodic signal in the UV and optical light curves of LP 398-9, which we interpret as surface rotation. The rotation rate is consistent with theoretical predictions from this supernova mechanism, and the brightness variations could originate from surface inhomogeneity deposited by the supernova itself. Our observations strengthen the case for this double-degenerate SNIa progenitor channel, and motivate the search for more runaway SNIa donors., Accepted to MNRAS

Ulnar claw hand usually occurs when the ulnar nerve is damaged distally. Claw hand deformity is characterized by metacarpophalangeal hyperextension and interphalangeal flexion, making it impossible to oppose the fingers and thumb. Bouvier’s test is used to guide the procedure. Palliative surgery requires prior preparation of paralytic hands. In case of a positive Bouvier's test, Zancolli’s lasso technique is preferred because of its effectiveness. Capsuloplasty with anteroposterior transosseous fixation is used if the bone is strong enough and when flexor digitorum profondus muscle is inactive and does not allow flexor digitorum superficialis tendon transfer. In case of a negative Bouvier’s test with interphalangeal extension deficit of 45 degrees of less, direct interossei muscle restoration techniques by active transfers are performed. If the interphalangeal extension deficit is more than 45 degrees, proximal interphalangeal arthrodesis is indicated. Wartenberg first described actively irreducible abduction of the little finger. Wartenberg’s sign is seen when ulnar paralysis occurs, and during ulnar nerve regeneration. Treatment of isolated Wartenberg's sign consists of re-routing the extensor digiti minimi. Among the other techniques, Belmahi's "tie lasso" is preferred when flexible claw hand is associated with Wartenberg’s sign.

Palliative tendon transfer is an integral part of radial nerve palsy treatment. It can be considered in the first weeks when the possibility of nerve repair by direct suture or nerve grafting is not feasible or reasonable. Mostly, it is discussed secondarily when it is too late for nerve surgery and motor recovery cannot be expected, or after failure or incomplete recovery after nerve repair. The goal of tendon transfers is to restore wrist, finger and thumb extension. For wrist extension, the use of pronator teres is well accepted. The best tendon transfer for finger extension is debated. This can be restored doing a flexor carpi ulnaris (FCU), flexor carpi radialis or flexor digitorum superficialis (FDS) to extensor digitorum communis transfer. Regarding thumb extension and abduction, a palmaris longus (PL) or one FDS tendon to the rerouted extensor pollicis longus (EPL) transfer can be performed. If a transfer is done on the EPL without rerouting it, abduction can be restored by doing a tendon transfer to the abductor pollicis longus (APL) or an APL tenodesis. The different tendon transfer options are selected based on the surgeon’s preference, and most importantly, discussed with the patients to define the objectives together. The transfer is chosen based on the clinical examination (high or low radial nerve palsy, tendon available for transfer like PL, wrist mobility) and based on the patient’s needs and expectations (activities requiring the FCU, finger independence, independence of thumb extension or abduction). If the surgical rules and the postoperative instructions for rehabilitation are followed, tendon transfers for radial nerve palsy regularly produce very satisfactory results.

Laborpraktika sind eine zentrale Lerngelegenheit des Physikstudiums. Allerdings wird ihre Lernwirksamkeit zunehmend kritisiert, da die weit verbreiteten engmaschigen Aufgabenstellungen kaum Anreize zur tiefergehenden Auseinandersetzung mit den fachlichen Inhalten der Physik enthalten. Während Einigkeit über die generelle Zielsetzung der Laborpraktika besteht, nämlich den Erwerb fachmethodischer Fähigkeiten, und es auch vereinzelt Ansätze zur punktuellen Weiterentwicklung dieses Veranstaltungsformates gibt, fehlt es an einem hochschulfachdidaktischen Diskurs, um eine evidenzbasierte Neugestaltung der Praktika zu begründen. Die Arbeit schlägt ein performanzorientiertes Kompetenzstrukturmodell für universitäres Experimentieren vor. Die Modellierung ist auf Basis der Analyse videografierter experimenteller Performanz (N,=,16) realisiert worden. Die Entwicklung der Dimensionen erfolgte unter Nutzung der qualitativen Forschungsansätze Dokumentarische Methode und Typenbildung. Das Modell ist anschließend multiperspektivisch geprüft worden. Perspektivisch kann das entwickelte Modell als Ausgangspunkt für die Präzisierung der Lernziele von Laborpraktika, die Entwicklung von performativen Leistungstests sowie für die Weiterentwicklung des Lehr-Lernformates Laborpraktikum genutzt werden.

Misophonia – an unusually strong aversion to certain sounds – can cause significant distress and disruption to those who have it but is an enigma in terms of our scientific understanding. A key challenge for explaining misophonia is that, as with other disorders, it is likely to emerge from an interaction of traits that also occur in the general population (e.g., sensory sensitivity, anxiety) and that are transdiagnostic in nature (i.e., shared with other disorders). With a large sample of participants (N=1430), we performed a cluster analysis (based on responses to questions relating to misophonia) and identified two misophonia subgroups differing in severity, as well as a third group without misophonia. A subset of this sample (N=403) then completed a battery of measures designed to assess sensory sensitivity and clinical co-morbidities. Clinical symptoms were limited to the most severe group of misophonics (including autistic traits, migraine with visual aura, anxiety sensitivity, obsessive-compulsive traits). Both the moderate and severe groups showed elevated attention-to-detail and hypersensitivity (across multiple senses). A novel symptom network model of the data shows the presence of a central hub linking misophonia to sensory sensitivity which, in turn, connects to other symptoms in the network (relating to autism, anxiety, etc.). In this way, the severity of misophonia can be understood as a propagation from core features, which are sensory-attentional in nature, to peripheral clinical symptoms.

Background: Patients with mitral valve prolapse (MVP) may develop adverse outcomes even in the absence of mitral regurgitation or left ventricular (LV) dysfunction. Purpose: To investigate the prognostic value of mitral annulus disjunction (MAD) and myocardial fibrosis at late gadolinium enhancement (LGE) cardiac MRI in patients with MVP without moderate-to-severe mitral regurgitation or LV dysfunction. Materials and Methods: In this longitudinal retrospective study, 118 144 cardiac MRI studies were evaluated between October 2007 and June 2020 at 15 European tertiary medical centers. Follow-up was from the date of cardiac MRI examination to June 2020; the minimum and maximum follow-up intervals were 6 months and 156 months, respectively. Patients were excluded if at least one of the following conditions was present: cardiomyopathy, LV ejection fraction less than 40%, ischemic heart disease, congenital heart disease, inflammatory heart disease, moderate or worse mitral regurgitation, participation in competitive sport, or electrocardiogram suggestive of channelopathies. In the remainder, cardiac MRI studies were reanalyzed, and patients were included if they were aged 18 years or older, MVP was diagnosed at cardiac MRI, and clinical information and electrocardiogram monitoring were available within 3 months from cardiac MRI examination. The end point was a composite of adverse outcomes: sustained ventricular tachycardia (VT), sudden cardiac death (SCD), or unexplained syncope. Multivariable Cox regression analysis was performed. Results: A total of 474 patients (mean age, 47 years ± 16 [SD]; 244 women) were included. Over a median follow-up of 3.3 years, 18 patients (4%) reached the study end point. LGE presence (hazard ratio, 4.2 [95% CI: 1.5, 11.9]; P = .006) and extent (hazard ratio, 1.2 per 1% increase [95% CI: 1.1, 1.4]; P = .006), but not MAD presence (P = .89), were associated with clinical outcome. LGE presence had incremental prognostic value over MVP severity and sustained VT and aborted SCD at baseline (area under the receiver operating characteristic curve, 0.70 vs 0.62; P = .03). Conclusion: In contrast to mitral annulus disjunction, myocardial fibrosis determined according to late gadolinium enhancement at cardiac MRI was associated with adverse outcome in patients with mitral valve prolapse without moderate-to-severe mitral regurgitation or left ventricular dysfunction.

Since its inception50 years ago, clean intermittent catheterization (CIC) has become ubiquitous in managing lower urinary tract dysfunction in children. Emphasis has been on its impact on daily life, but little on its implementation and adjustment in families. The aim of the current study was to discover how families learned to implement and manage their child's CIC needs by interviewing caregivers, adolescents, and young adults about their experiences. Interviews were designed to uncover facilitators and barriers to beginning CIC to initiate potential improvements in a multidisciplinary approach.A semi-structured interview guide was developed and piloted initially to 12 families for validation. Between August 2018 and October 2019, 40 families (52 interviews of caregivers and patients12 years) were then interviewed with open-ended questions interspersed with more specific ones to generate discussion. Transcripts were coded using Dedoose software to create a base list with emergent codes. Inductive and deductive methods were employed to generate themes. Consensus was reached during successive team meetings.Five major and several subthemes emerged regarding implementation of CIC by caregivers and patients learning CIC for the first time. THEME 1: Parental reaction to CIC: Caregivers described benefits of an adjustment period on learning their child's need for CIC. Prenatal information to caregivers of spina bifida children gave them time to mentally process the need for CIC. THEME 2: Ease of learning CIC: impact of age and gender: caregivers identified advantages of initiating CIC in infancy. Caregivers speculated CIC was physically easier in boys than girls due to meatus location. Developmentally ready children expressed a desire for independence and privacy as they learned to initiate CIC. THEME 3: The impact of additional caregiver support in learning and performing CIC: presence of multiple caregivers optimized learning and implementation of CIC. Having secondary caregivers available provided peace of mind and more flexibility in maintaining reliable CIC care. Patients learning CIC found it helpful to have a parent present at the teaching session. Occasionally, female caregivers reported feelings of anger and frustration when male caregivers were reluctant to be involved in catheterization, irrespective of their child's gender. THEME 4: Satisfaction with healthcare team's approach: The healthcare team's responsiveness to their learning needs affected how they mastered CIC. The healthcare team's teaching and reassurance helped build caregiver confidence. Developmentally appropriate children were able to learn self-catheterization when supported by the healthcare team. Patients learning self-CIC articulated having a supportive healthcare team was helpful with implementation. THEME 5: Effect of CIC on employment status relative to job changes, insurance, and daycare: implementing and performing CIC presented a spectrum of issues related to employment. Educating employers regarding CIC facilitated a caregiver's ability to both remain at work and administer to their child. Caregivers underscored the importance of adequate insurance when considering employment choices. Concerns about daycare availability affected caregivers' work schedules.It is anticipated this information will aid healthcare personnel to more effectively teach and initiate CIC in families, and in individuals learning for the first time. The findings should serve as the basis for conducting future patient satisfaction studies, which would determine the effectiveness and reproducibility of these approaches.

Congenital anomalies of the kidneys and urinary tract (CAKUT) are the most common cause of chronic kidney disease among children and adults younger than 30 yr. In our previous study, whole-exome sequencing (WES) identified a known monogenic cause of isolated or syndromic CAKUT in 13% of families with CAKUT. However, WES has limitations and detection of copy number variations (CNV) is technically challenging, and CNVs causative of CAKUT have previously been detected in up to 16% of cases.To detect CNVs causing CAKUT in this WES cohort and increase the diagnostic yield.We performed a genome-wide single nucleotide polymorphism (SNP)-based CNV analysis on the same CAKUT cohort for whom WES was previously conducted.We evaluated and classified the CNVs using previously published predefined criteria.In a cohort of 170 CAKUT families, we detected a pathogenic CNV known to cause CAKUT in nine families (5.29%, 9/170). There were no competing variants on genome-wide CNV analysis or WES analysis. In addition, we identified novel likely pathogenic CNVs that may cause a CAKUT phenotype in three of the 170 families (1.76%).CNV analysis in this cohort of 170 CAKUT families previously examined via WES increased the rate of diagnosis of genetic causes of CAKUT from 13% on WES to 18% on WES + CNV analysis combined. We also identified three candidate loci that may potentially cause CAKUT.We conducted a genetics study on families with congenital anomalies of the kidney and urinary tract (CAKUT). We identified gene mutations that can explain CAKUT symptoms in 5.29% of the families, which increased the percentage of genetic causes of CAKUT to 18% from a previous study, so roughly one in five of our patients with CAKUT had a genetic cause. These analyses can help patients with CAKUT and their families in identifying a possible genetic cause.

Beyond Anthropocentric Perspectives on EducationIn light of the dramatic growth and rapid institutionalization of human-animal studies in recent years, it is somewhat surprising that only a small number of publications have proposed practical and theoretical approaches to teaching in this inter- and transdisciplinary field. Featuring eleven original pedagogical interventions from the social sciences and the humanities as well as an epilogue from ecofeminist critic Greta Gaard, the present volume addresses this gap and responds to the demand by both educators and students for pedagogies appropriate for dealing with environmental crises.The theoretical and practical contributions collected here describe new ways of teaching human-animal studies in different educational settings and institutional contexts, suggesting how learners – equipped with key concepts such as agency or relationality – can develop empathy and ethical regard for the more-than-human world and especially nonhuman animals. As the contributors to this volume show, these cognitive and affective goals can be achieved in many curricula in secondary and tertiary education. By providing learners with the tools to challenge human exceptionalism in its various guises and related patterns of domination and exploitation in and outside the classroom, these interventions also contribute to a much-needed transformation not only of today’s educational systems but of society as a whole.This volume is an invitation to beginners and experienced instructors alike, an invitation to (re)consider how we teach human-animal studies and how we could and should prepare learners for an uncertain future in, ideally, a more egalitarian and just multispecies world.

The history of X-ray crystallography and X-ray diffraction, and their important contributions to science as a whole, is profound. From the first images of Wilhelm Roentgen and Madame Curie taking a...

A new strategy for the activation of glycosyl halide donors to be utilized in glycosylation reactions is presented, utilizing the ferrocenium (Fc) complexes [FcB(OH)2]SbF6 and FcBF4 as promoters. The scope of the new system has been investigated using glycosyl chloride and glycosyl fluoride donors in combination with common glycosyl acceptors, such as protected glucose. The corresponding glycosylation products were formed in 95 to 10% isolated yields with α/β ratios ranging from 1/1 to β only (2 to 14 h reaction time at room temperature, 40 to 100% ferrocenium promoter load).

Aims To investigate the effect of losartan on preventing bladder fibrosis and protecting renal function in rats with neurogenic paralysis bladder (NPB). Materials and methods Rats were assigned to the transecting spinal nerves group (TSNG), transecting spinal nerves + losartan group (LSTG), and control group (CG). On Day 32 postsurgery, bladder capacity (BC), bladder compliance (ΔC), bladder leakage pressure (Pves.leak) of TSNG and LSTG while BC, ΔC, and bladder threshold pressure (Pves.thre) of CG were measured by cystometry in each cohort. Renal function and the expression quantity of Angiotensin Ⅱ (Ang II) in blood were detected, in addition Ang II, Ang II Type 1 receptor (AT1), transformation growth factor β1 (TGFβ1), Collagen Ⅲ, and collagen fibrin in the bladder tissue were detected too. Results ΔC in TSNG and LSTG decreased significantly compared to the CG. Pves.leak in TSNG and LSTG were significantly higher than Pves.thre in CG. Renal function of both TSNG and LSTG decreased significantly compared with the CG, but renal function in LSTG was better than in TSNG. Ang Ⅱ in blood and bladder tissue in TSNG and LSTG increased significantly compared with CG. AT1 was expressed in the bladder tissue of all rats. The TGFβ1, Collagen Ⅲ, and collagen fibrin expression level increased significantly in TSNG compared with LSTG and CG, while these levels were not significantly different between CG and LSTG. Conclusion Losartan might prevent NPB fibrosis by stopping the upregulated signaling of Ang II/AT1/TGFβ1 and consequently may reduce kidney damage from occurring.

Catalyst decomposition has a negative effect on catalytic activity, and knowledge of decomposition pathways can assist with catalyst development. Ferrocenium cations have been employed as catalysts in a number of organic transformations, and we investigated the stability of a number of ferrocenium salts in solution. The observed rate decomposition constants for [Fc]Cl, [Fc]PF6, [Fc]BF4, [Fc]CSA [Fc = ferrocenium, CSA = camphor-10-sulfonate (β)], [AcFc]SbF6, (AcFc = acetylated ferrocene), and [FcB(OH)2]SbF6 [FcB(OH)2 = ferrocenylboronic acid] were determined in CH2Cl2 solution by time-resolved UV-vis spectroscopy. The rate decomposition constants depended on the nature of the counterion, with [Fc]Cl being the most stable complex in solution. The decomposition rate constants dropped by roughly an order of magnitude in most cases when the experiments were performed in nitrogenated solvent, demonstrating that the decomposition is mainly an oxidative process. The cosolvent HFIP (1,1,1,3,3,3-hexafluoropropan-2-ol) slowed the decomposition of the ferrocenium cations as well. Many catalytic or stoichiometric reactions of ferrocenium cations are performed with alcohols; we determined that hexan-1-ol is decomposed over the course of 16 hours, but not oxidized in the presence of a ferrocenium cation. Finally, the different ferrocenium cations were employed in a test reaction to determine catalytic activity. The nucleophilic substitution of hydroxyl groups in a tertiary propargylic alcohol by an alcohol is catalyzed by all complexes, and, again, a counterion dependency of the catalytic activity was observed. Also, HFIP increases the catalytic activity of the ferrocenium cations. The research has importance in the development of ferrocenium-based catalyst systems, because changes in the counterion as well as the architecture of the ferrocenium cation have an influence on stability and catalytic activity.

Intensity mapping (IM) of spectral lines has the potential to revolutionize cosmology by increasing the total number of observed modes by several orders of magnitude compared to the cosmic microwave background (CMB) anisotropies. In this paper, we consider IM of neutral hydrogen (HI) in the redshift range $0 \lesssim z \lesssim 3$ employing a halo model approach where HI is assumed to follow the distribution of dark matter (DM) halos. If a portion of the DM is composed of ultralight axions then the abundance of halos is changed compared to cold dark matter below the axion Jeans mass. With fixed total HI density, $\Omega_{\rm HI}$, assumed to reside entirely in halos, this effect introduces a scale-independent increase in the HI power spectrum on scales above the axion Jeans scale, which our model predicts consistent with N-body simulations. Lighter axions introduce a scale-dependent feature even on linear scales due to its suppression of the matter power spectrum near the Jeans scale. We use the Fisher matrix formalism to forecast the ability of future HI surveys to constrain the axion fraction of DM and marginalize over astrophysical and model uncertainties. We find that a HIRAX-like survey is a very reliable IM survey configuration, being affected minimally by uncertainties due to non-linear scales, while the SKA1MID configuration is the most constraining as it is sensitive to non-linear scales. Including non-linear scales and combining a SKA1MID-like IM survey with the Simons Observatory CMB, the benchmark "fuzzy DM" model with $m_a = 10^{-22}\text{ eV}$ can be constrained at the 10% level. For lighter ULAs this limit improves below 1%, and allows the possibility to test the connection between axion models and the grand unification scale across a wide range of masses., Comment: 16 pages, 14 figures, 2 tables, code to reproduce our results is publicly available at https://github.com/JurekBauer/axion21cmIM.git

IntroductionThe objective was to report on the experience of the French Army Health Service in the management of blast injury of the hands related to warfare explosive devices.MethodsA retrospective study was conducted in the Percy Military Hospital (role 4 medical treatment facility) among French soldiers who presented with a combat-related blast injury of the hand between 2002 and 2018. The functional result was assessed by the disabilities of the arm, shoulder and hand (DASH) and the Orthotics and Prosthetics User Survey (OPUS, upper extremity functional status) scores. Proximal amputations (PAs) and distal amputations (DAs) were distinguished for the analysis.ResultsFifteen patients with a mean age of 31±8 years were included. They totalised 20 blasted hands. There were 16 traumatic amputations: 8 in each of the PA and DA groups. Twelve patients had additional injuries, four of which were polytraumatic. Skin closure time and flap use were higher in the DA group. Only one thumb reconstruction was performed. At a mean follow-up of 6.5±4 years, the number of amputees wearing a prosthesis was higher in the PA group. The mean DASH and OPUS scores were 35.5%±24.0% and 64.0%±19.0%, respectively, with no difference between the two groups.ConclusionThe severity of hand blasts related to warfare explosive devices requires the systematic application of damage control surgery. PAs are frequent and secondary reconstruction options are limited. The functional result is poor and similar between proximal and distal amputees.

Diffusion coefficients are essential microphysics input for modeling white dwarf evolution, as they impact phase separation at crystallization and sedimentary heat sources. Present schemes for computing diffusion coefficients are accurate at weak coupling ($\Gamma \ll 1$), but they have errors as large as a factor of two in the strongly coupled liquid regime ($1 \lesssim \Gamma \lesssim 200$). With modern molecular dynamics codes it is possible to accurately determine diffusion coefficients in select systems with percent-level precision. In this work, we develop a theoretically motivated law for diffusion coefficients which works across the wide range of parameters typical for white dwarf interiors. We perform molecular dynamics simulations of pure systems and two mixtures that respectively model a typical-mass C/O white dwarf and a higher-mass O/Ne white dwarf, and resolve diffusion coefficients for several trace neutron-rich nuclides. We fit the model to the pure systems and propose a physically motivated generalization for mixtures. We show that this model is accurate to roughly 15% when compared to molecular dynamics for many individual elements under conditions typical of white dwarfs, and is straightforward to implement in stellar evolution codes., Comment: 6 pages, 4 figures, accepted for publication in MNRAS Letters

Ferrocenium catalysis is a vibrant research area, and an increasing number of ferrocenium-catalyzed processes have been reported in the recent years. However, the ferrocenium cation is not very stable in solution, which may potentially hamper catalytic applications. In an effort to stabilize ferrocenium-type architectures by inserting a bridge between the cyclopentadienyl rings, we investigated two ferrocenophanium (or ansa-ferrocenium) cations with respect to their stability and catalytic activity in propargylic substitution reactions. One of the ferrocenophanium complexes was characterized by single crystal X-ray diffraction. Cyclic voltammetry experiments of the ferrocenophane parent compounds were performed in the absence and presence of alcohol nucleophiles, and the stability of the cations in solution was judged based on the reversibility of the electron transfer. The experiments revealed a moderate stabilizing effect of the bridge, albeit the effect is not very pronounced or straightforward. Catalytic propargylic substitution test reactions revealed decreased activity of the ferrocenophanium cations compared to the ferrocenium cation. It appears that the somewhat stabilized ferrocenophanium cations show decreased catalytic activity.