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Exercise intolerance and exertional dyspnoea are hallmarks of fibrosing interstitial lung disease (FILD) and are associated with worse prognosis and quality of life. Activation of pulmonary vagal afferents influences the ventilatory pattern and contributes to the sensation of dyspnoea. We tested the hypothesis that nebulized fentanyl, which might attenuate aberrant pulmonary afferent activity in FILD, reduces ventilation and dyspnoea while extending exercise endurance time (EET). In this randomized, single‐blind, placebo‐controlled study, eight FILD patients (two males, 71 ± 6 years of age) performed incremental cardiopulmonary cycle exercise tests following nebulization of either fentanyl citrate (100 µg) or 0.9% saline. Previous work indicated that this dose was unlikely to produce central effects. Comparisons between treatment conditions at rest were undertaken using Student's paired t‐test, and exercise data were evaluated with two‐way ANOVA with repeated measures. Dyspnoea was assessed using the Borg dyspnoea scale. Resting respiratory variables were not different following treatment with fentanyl and saline; however, resting heart rate was lower following fentanyl (P = 0.002) and remained lower throughout exercise compared with placebo (P = 0.008). Fentanyl did not increase EET (placebo 334 ± 117 s vs. fentanyl 348 ± 126 s, P = 0.250) although overall minute ventilation was reduced slightly (mean difference: −0.97 L/min, P = 0.022). There were no differences in ratings of dyspnoea intensity or unpleasantness between the conditions either at rest or at end‐exercise. Nebulized fentanyl did not improve EET or exercise dyspnoea but did decrease minute ventilation during exercise, although the extent of this reduction appears clinically insignificant. These findings suggest that nebulized fentanyl is unlikely to offer significant benefits for enhancing exercise capacity in FILD. What is the central question of this study?Fibrotic interstitial lung disease is associated with dyspnoea and exercise intolerance. The role of bronchopulmonary vagal afferents is not completely understood. We asked whether nebulized fentanyl could attenuate sensory feedback and improve exercise capacity.What is the main finding and its importance?Nebulized fentanyl reduced exercise ventilation compared with placebo; however, the small magnitude of this reduction means that it is unlikely to be clinically significant. Exercise endurance time, peak ventilation and dyspnoea scores were unchanged. Nebulized fentanyl is therefore unlikely to offer significant benefits for enhancing exercise capacity in fibrotic interstitial lung disease. [ABSTRACT FROM AUTHOR]

Metal-halide perovskites have garnered considerable research attention as highly efficient light emitters in recent years due to their outstanding optoelectronic properties with remarkable tunability and excellent solution processabilities. Substantial advancements have been achieved in the development of novel halide perovskites, and the exploitations of these materials in light-emitting devices. This review comprehensively outlines recent breakthroughs in metal-halide perovskites, encompassing the rational design of perovskite materials with tunable light emission properties, the controllable growth of single crystal for a deeper understanding of their structure–property relationships, as well as the fundamental insights into the photophysics and carrier dynamics in perovskite systems. Additionally, it provides an overview of recent applications of perovskite materials in high-performance light-emitting diodes (LEDs) and lasers. [ABSTRACT FROM AUTHOR]

Here, a polymer blend active layer that exhibits both electronic and adhesive properties is introduced. Various conjugated polymers are blended with a catechol‐based polymer that shows high adhesion, such that blends serve as the active layer of multifunctional sticky organic thin‐film transistors (OTFTs). Blend films maintain relatively constant field‐effect charge carrier mobility in OTFTs regardless of composition. Lap shear adhesion strength tests show that all blend films exhibit adhesive properties with adhesion values ranging from 0.05 to 4.30 MPa. With relatively consistent mobility and the presence of adhesive properties at different compositions, blends of conjugated and adhesive polymers can lead to next‐generation organic transistors for stable 3D stacking and waterproof adhesive sensors. [ABSTRACT FROM AUTHOR]

The Argentinean quarantine is among the strictest and longest quarantines in the world. To determine if a worsening pattern on mental health would emerge with a prolonged quarantine duration, a longitudinal analysis pertaining to the lengthy mandatory Argentinean quarantine was conducted. To examine depression and anxiety changes in college students, as a function of quarantine duration, demographic and health-related factors, during successive time cuts of the lengthy mandatory quarantine in Argentina. We used a longitudinal design, N = 1492 college students. For the first measurement, successive samplings were carried out across quarantine sub-periods of up to 106-days duration. The follow-up was one month later. Particularly women, young, and having a history of mental disorder and suicidal behavior, were more depressed and anxious under mandatory restrictive quarantine conditions. Repeated measures of both depression and anxiety scores remained constantly high during the more restrictive quarantine sub-periods of up to 13 and 53-days duration, and decreased during the less restrictive quarantine sub-period of up to 106-days duration, but with small effect sizes (0.10–0.08). Restrictive quarantine has negative effects on mental health outcomes. Partial spontaneous remissions of depression and anxiety symptoms may be expected with further quarantine relaxations. [ABSTRACT FROM AUTHOR]

Within the literature on legal scholarship, academics have studied citation practices. For example, scholars have examined which authors, journals, and articles are most cited. But no one has examined which parts of articles scholars cite. Understanding which parts of articles scholars cite is not only intrinsically interesting, but also could inform how authors structure articles. This Note presents the results of a unique, hand-coded dataset of thousands of pinpoint citations. In brief: Authors are more likely to cite the beginning of articles but split their remaining citations roughly evenly. This pattern holds across flagship journals of variously ranked law schools and articles of varying length, but it is less pronounced for self-citation. While cynical explanations—that cite-worthy content is concentrated at the beginning, or authors tend not to thoroughly read the articles they cite—of the data is possible, a better explanation serves as a modest rebuttal to certain criticisms of legal scholarship. [ABSTRACT FROM AUTHOR]

This review summarizes the current understanding of the role of plasma membrane transporters in regulating intracellular inorganic phosphate ([Pi]In) in mammals. Pi influx is mediated by SLC34 and SLC20 Na+-Pi cotransporters. In non-epithelial cells other than erythrocytes, Pi influx via SLC20 transporters PiT1 and/or PiT2 is balanced by efflux through XPR1 (xenotropic and polytropic retrovirus receptor 1). Two new pathways for mammalian Pi transport regulation have been described recently: 1) in the presence of adequate Pi, cells continuously internalize and degrade PiT1. Pi starvation causes recycling of PiT1 from early endosomes to the plasma membrane and thereby increases the capacity for Pi influx; and 2) binding of inositol pyrophosphate InsP8 to the SPX domain of XPR1 increases Pi efflux. InsP8 is degraded by a phosphatase that is strongly inhibited by Pi. Therefore, an increase in [Pi]In decreases InsP8 degradation, increases InsP8 binding to SPX, and increases Pi efflux, completing a feedback loop for [Pi]In homeostasis. Published data on [Pi]In by magnetic resonance spectroscopy indicate that the steady state [Pi]In of skeletal muscle, heart, and brain is normally in the range of 1-5 mM, but it is not yet known whether PiT1 recycling or XPR1 activation by InsP8 contributes to Pi homeostasis in these organs. Data on [Pi]In in cultured cells are variable and suggest that some cells can regulate [Pi] better than others, following a change in [Pi]Ex. More measurements of [Pi]In, influx, and efflux are needed to determine how closely, and how rapidly, mammalian [Pi]In is regulated during either hyper-or hypophosphatemia. [ABSTRACT FROM AUTHOR]

Background: Surgery is a cornerstone of breast cancer management. Prior to surgery, a wire marker is placed at the site of the tumor, to enable the surgeon to accurately localize the lesion during later surgery. This procedure can generate considerable anxiety for many patients. We investigated the value of conversational hypnosis (CH) in reducing anxiety in patients undergoing preoperative wire placement under radiographic control. Methods: Randomized, multicentre study in 7 centers in France. Inclusion criteria were patients aged >18 years with an Eastern Cooperative Oncology Group performance status =2, scheduled to undergo preoperative wire placement in one or several breast lesions. Patients were randomized in a 1:1 ratio, stratified by center to undergo preoperative wire placement with or without the use of CH by a radiological technician trained in the CH technique. The primary endpoint was the percentage of patients with an anxiety score = 6 on a visual analog scale ranging from 0 (absence of anxiety) to 10 (maximal anxiety). Secondary endpoints were pain score, perceived duration reported by the patient, technician satisfaction with their relationship with the patient, and ease of marker insertion reported by the radiologist. Semi-structured interviews were performed with patients to assess their perception of the marker placement procedure. Results: The trial was prematurely interrupted for futility after a planned interim analysis after accrual of 167 patients, i.e., half the planned sample size. Prior to marker placement, 29.3% (n = 24) of patients in the control group had an anxiety score = 6, versus 42.3% (n = 33) in the CH group (p = 0.08). After marker placement, the change of anxiety score was not significantly different between groups (11.0% (n = 9) versus 14.3% (n = 11), p = 0.615). There was no significant difference in any of the secondary endpoints. In the interviews, patients from both groups frequently spoke of a feeling of trust. Conclusion: This study failed to show a benefit of conversational hypnosis on anxiety in patients undergoing marker placement prior to surgery for breast cancer. The fact that some caregivers had learned this personalized therapeutic communication technique may have had a positive impact on the whole caregiving team. [ABSTRACT FROM AUTHOR]

ADV6209, a new formulation of midazolam with the addition of γ-cyclodextrin for oral use, has recently been licensed as the first pediatric sedative in the European Union. We compared the clinical efficacy of ADV6209 to the standard formulation of midazolam in premedication to reduce anxiety in children before anesthesia induction in a randomized, double-blinded controlled trial. Eighty children (ASA I/II; age: 2–8 years) scheduled for elective surgery were randomized to receive 0.25 mg kg−1 of either conventional midazolam or ADV6209. Assessment tools included the modified Yale Preoperative Anxiety Scale-Short Form (mYPAS-SF) as well as scores for oral acceptance of the premedication and facemask acceptance during inhalational anesthesia induction. Mann–Whitney U and Pearson's chi-square tests were used for comparisons of outcome parameters. The primary outcome parameter of the study (mYPAS-SF anxiety score 30 min after the drug administration) did not reveal any significant intergroup difference between the ADV6209 group and the conventional midazolam group. Both drugs revealed their efficacy in reducing anxiety and in providing adequate sedation. The premedication dose was accepted by all children in the ADV6209 but rejected by 15% in the conventional midazolam group (p = 0.037). Acceptance of facemask placement was not found to differ significantly. No adverse events related to the study medications were noted. ADV6209 was better orally accepted than the conventional midazolam preparation and proved its efficacy in reducing preoperative anxiety. This clinically interesting preparation may alleviate the premedication process of 2−8 year-old children and obviates off-label drug use. [ABSTRACT FROM AUTHOR]

This letter introduces a database of Room Impulse Responses (RIRs) measured in seven different rooms for multizone sound field reproduction research in various acoustic environments. A circular array of 60 loudspeakers was installed in each room, with two microphone arrays placed sequentially in five different zones inside the loudspeaker array. A total of 260 400 RIRs were measured to establish the database. As a demonstration application of the database for multizone sound field reproduction, simulations were performed on the pressure matching and acoustic contrast control methods to investigate how a system optimized with the RIRs measured in one room would perform in other rooms. [ABSTRACT FROM AUTHOR]

Stroke and death remain risks of surgical aortic valve replacement (SAVR). Preoperative cognitive screeners repeatedly show that reduced scores predict postoperative outcome, but less is known about comprehensive neuropsychological measures predicting risk. This study had two aims: 1) investigate whether preoperative cognitive measures predicted postoperative clinical stroke/transient ischemic attack (TIA) and mortality in older adults undergoing SAVR, and 2) identify the best predictors within a comprehensive cognitive protocol. A total of 165 participants aged 65 + with moderate-to-severe aortic stenosis completed a comprehensive cognitive test battery preoperatively. Postoperative stroke evaluations were conducted by trained stroke neurologists preoperatively and postoperatively, and mortality outcomes were obtained by report and records. Logistic regressions were conducted to evaluate preoperative cognitive predictors of clinical stroke/TIA within 1 week of surgery and mortality within 1 year of surgery. Multivariate models showed measures of delayed verbal memory recall (OR = 0.86; 95% CI 0.74–0.99) and visuospatial skills (OR = 0.95; 95% CI 0.90–1.01) predicted clinical stroke/TIA within 1 week of surgery, R2 =.41, p <.001, ƒ2 =.69. Measures of naming ability (OR = 0.88; 95% CI 0.80–0.96), verbal memory recall (OR = 1.23; 95% CI 0.99–1.51), visual memory recall (OR = 0.90; 95% CI 0.80–1.00), medical comorbidities (OR = 1.71; 95% CI 1.22–2.65), and sex (OR = 2.39; 95% CI 0.90–7.04) were significant predictors of death within 1 year of surgery, R2 =.68, p <.001, ƒ2 = 2.12. Preoperative cognitive measures reflecting temporal and parietal lobe functions predicted postoperative clinical stroke/TIA within 1 week of SAVR and mortality within 1 year of SAVR. As such, cognitive measures may offer objective and timely indicators of preoperative health, specifically vulnerabilities in cerebral hypoperfusion, which may inform intervention and/or intensive postoperative monitoring and follow-up after SAVR. [ABSTRACT FROM AUTHOR]

Sunlight as the most abundant renewable energy holds the promise to make our society sustainable. However, due to its low power density and intermittence, efficient conversion and storage of solar energy as a clean fuel are crucial. Apart from solar fuel synthesis, sunlight can also be used to drive other reactions including organic conversion and air/water purification. Given such potential of photocatalysis, the past few decades have seen a surge in the discovery of photocatalysts. However, the current photocatalytic efficiency is still very moderate. To address this challenge, it is important to understand fundamental factors that dominate the efficiency of a photocatalytic process to enable the rational design and development of photocatalytic systems. Many recent studies highlighted transient absorption spectroscopy (TAS) and time-resolved infrared (TRIR) spectroscopy as powerful approaches to characterise charge carrier dynamics and reaction pathways to elucidate the reasons behind low photocatalytic efficiencies, and to rationalise photocatalytic activities exhibited by closely related materials. Accordingly, as a fast-moving area, the past decade has witnessed an explosion in reports on charge carrier dynamics and reaction mechanisms on a wide range of photocatalytic materials. This critical review will discuss the application of TAS and TRIR in a wide range of heterogeneous photocatalytic systems, demonstrating the variety of ways in which these techniques can be used to understand the correlation between materials design, charge carrier behaviour, and photocatalytic activity. Finally, it provides a comprehensive outlook for potential developments in the area of time-resolved spectroscopies with an aim to provide design strategies for photocatalysts. [ABSTRACT FROM AUTHOR]

Density functional theory based calculations were carried out to study electronic properties of transition metal elements doped into silicon carbide monolayers. The slab model SiC after doping with several 3d and 4d transition metals were analyzed to investigate the structural, electronic properties, and catalytic activity of the materials. The electronic properties of the materials after doping and adsorption were analyzed in detail in terms of density of states and band diagrams to get insights into the mechanism involved. The energy profiling was carried out by placing the mono‐iodide at different possible sites on the slabs to find the favorable adsorption sites. The thorough study suggested that Zr, Nb, Mo, Cr doped SiC slabs exhibited improved catalytic activity in comparison to Pt doped SiC based CE. [ABSTRACT FROM AUTHOR]

This article examines the egalitarian convictions and doctrines of the Reverend James O'Kelly and how his belief in church autonomy led to one of the earliest schisms in the Methodist Episcopal Church. Although O'Kelly would attempt to frame his conflict with the Methodist Church and Francis Asbury as a theological dispute, an examination of O'Kelly's beliefs reveal that he was an individual profoundly influenced by the democratic rhetoric and ideals of his era, which ultimately came to fruition in the American Revolution. As a veteran of that conflict, O'Kelly adopted many of the principles espoused in the Revolution and viewed both individuals and churches as autonomous and capable of self‐governance. His inherent distrust of hierarchical authority would eventually lead O'Kelly and several of his followers to leave the Methodist Episcopal Church in 1792 to found a separate denomination based on his convictions. This analysis builds on prior scholarship that portrays the "O'Kelly Schism" in the Methodist Episcopal Church as less of a doctrinal dispute, and more of a controversy over the nature of church government, sovereignty, and individual rights in the early American Republic. [ABSTRACT FROM AUTHOR]