Enhanced thermophilic high-solids anaerobic digestion of organic fraction of municipal solid waste with spatial separation from conductive materials in a single reactor volume.

Despite benefits such as lower water and working volume requirements, thermophilic high solids anaerobic digestion (THSAD) often fails due to the rapid build-up of volatile fatty acids (VFAs) and the associated drop in pH. Use of conductive materials (CM) can promote THSAD through stimulation of direct interspecies electron transfer (DIET), while the need for their constant dosing due to poor separation from effluent impairs economic feasibility. This study used an approach of spatially separating magnetite and granular activated carbon (GAC) from the organic fraction of municipal solid waste (OFMSW) in a single reactor for THSAD. GAC and magnetite addition could both mitigate the severe inhibition of methanogenesis after VFAs build-up to ∼28-30 g/L, while negligible methane production was observed in the control group. The highest methane yield (286 mL CH4/g volatile solids (VS)) was achieved in magnetite-added reactors, while the highest maximum CH4 production rates (26.38 mL CH4/g VS/d) and lowest lag-phase (2.83 days) were obtained in GAC-added reactors. The enrichment of GAC and magnetite biofilms with various syntrophic and potentially electroactive microbial groups (Ruminiclostridium 1, Clostridia MBA03, Defluviitoga, Lentimicrobiaceae) in different relative abundances indicates the existence of specific preferences of these groups for the nature of CM. According to predicted basic metabolic functions, CM can enhance cellular processes and signals, lipid transport and metabolism, and methane metabolism, resulting in improved methane production. Rearrangement of metabolic pathways, formation of pili-like structures, enrichment of biofilms with electroactive groups and a significant improvement in THSAD performance was attributed to the enhancement of the DIET pathway. Promising results obtained in this work due to the spatial separation of the bulk OFMSW and CM can be useful for modeling larger-scale THSAD systems with better recovery of CM and cost-effectiveness.

Regulation of Charge Transfer Pathway in Ag-ZnIn2S4 Nanowires for Visible Photodynamic Therapy on Candida Albicans Infections.

Photodynamic therapy (PDT) is receiving extensive attention as an antimicrobial strategy that does not cause drug resistance by reactive oxygen species (ROS). Herein, hierarchical Ag-ZnIn2S4 (Ag-ZIS) core-shell nanowires are synthesized by in situ Metal-Organic Framework derived method for efficient PDT of Candida albicans (C. albicans). The core-shell structure enables spatial synergy strategy to regulate the charge transfer pathway under visible light excitation, in which the Ag nanowires are like the highway for the photogenerated electrons. The enhanced charge carrier separation efficiency greatly increased the chances for the generation of ROS. As expected, the optimized Ag-ZIS nanowires exhibit excellent performance for inactivation of C. albicans under visible light irradiation (λ ≥ 420 nm, 15 min), and the effective sterilization concentration is as high as 107CFU mL-1. Moreover, in vivo infection experiments suggested that the PDT effect of Ag-ZIS nanowires on the mouse wound healing is better than that of the clinical Ketoconazole drug. The PDT antifungal mechanism of Ag-ZIS nanowires is also investigated, and superoxide anion is found to be the predominant active species to causes C. albicans damage. This work provides a new perspective for designing novel interface structures to regulate charge transfer to achieve efficient PDT antifungal therapy.

Hollow Spherical Pd/CdS/NiS with Carrier Spatial Separation for Photocatalytic Hydrogen Generation.

Inspired by the unique properties of the three-dimensional hollow nanostructures in the field of photocatalysis, as well as the combination of co-catalyst, porous hollow spherical Pd/CdS/NiS photocatalysts are prepared by stepwise synthesis. The results show that the Schottky junction between Pd and CdS accelerates the transport of photogenerated electrons, while a p-n junction between NiS and CdS traps the photogenerated holes. As co-catalysts, the Pd nanoparticles and the NiS are loaded inside and outside the hollow CdS shell layer, respectively, which combines with the particular characteristic of the hollow structure, resulting in a spatial carrier separation effect. Under the synergy of the dual co-catalyst loading and hollow structure, the Pd/CdS/NiS has favorable stability. Its H2 production under visible light is significantly increased to 3804.6 µmol/g/h, representing 33.4 times more than that of pure CdS. The apparent quantum efficiency is 0.24% at 420 nm. A feasible bridge for the development of efficient photocatalysts is offered by this work.

Biomimetic Photocatalytic System Designed by Spatially Separated Cocatalysts on Z-scheme Heterojunction with Identified Charge-transfer Processes for Boosting Removal of U(VI).

Designing highly efficient photocatalysts with rapid migration of photogenerated charges and surface reaction kinetics for the photocatalytic removal of uranium (U(VI)) from uranium mine wastewater remains a significant challenge. Inspired by natural photosynthesis, a biomimetic photocatalytic system is assembled by designing a novel hollow nanosphere MnOx @TiO2 @CdS@Au (MTCA) with loading MnOx and Au nano particles (Au NPs) cocatalysts on the inner and outer surfaces of the TiO2 @CdS. The spatially separated cocatalysts efficiently drive the photogenerated charges to migrate in opposite directions, while the Z-scheme heterogeneous shell further separates the interfacial charges. Theoretical calculation identifies multiple consecutive forward charge transfers without charge recombination within MTCA. Thus, MTCA could efficiently remove 99.61% of U(VI) after 15 min of simulated sunlight irradiation within 3 mmol L-1 NaHCO3 with 0.231 min-1 of the reduction rate constant, outperforming most previously reported photocatalysts. MTCA further significantly removes 91.83% of U(VI) from the natural uranium mining wastewater under sunlight irradiation. This study provides a novel approach to designing an ideal biomimetic photocatalyst for remediating environmental pollution.

Segmented two-dimensional liquid chromatography. Proof of concept study.

The separation in liquid chromatography is defined either by the space domain where it proceeds until the least retained analyte reaches the outlet of the column or by the time when individual analytes elute out of the column. These two approaches lead to the four possible combinations of two-dimensional liquid chromatography with online space x time coupling being the least experimentally feasible. Here, we show the development of a novel two-dimensional liquid chromatography method combining separation defined by space and the conventional elution-based separation. First-dimension column consisted of four capillary segments coupled serially via two-position six-port valves allowing an online and comprehensive transfer of analytes from the first to the second dimension. After initial experiments using homemade monolithic capillary columns, we tested commercially available columns in both dimensions. We ended with the combination of packed capillary columns in the first dimension and monolithic capillary column in the second dimension. We used a reversed-phase retention mechanism in the first spatial dimension, while HILIC was in the second, time-based dimension. We also developed a theoretical model to describe the proposed two-dimensional separation that was further confirmed by utilizing both an isocratic and gradient elution in the second dimension. Finally, we applied our experimental setup to separate neurotransmitters contained in human urine.

Checkpoint control in meiotic prophase: Idiosyncratic demands require unique characteristics.

Chromosomal transactions such as replication, recombination and segregation are monitored by cell cycle checkpoint cascades. These checkpoints ensure the proper execution of processes that are needed for faithful genome inheritance from one cell to the next, and across generations. In meiotic prophase, a specialized checkpoint monitors defining events of meiosis: programmed DNA break formation, followed by dedicated repair through recombination based on interhomolog (IH) crossovers. This checkpoint shares molecular characteristics with canonical DNA damage checkpoints active during somatic cell cycles. However, idiosyncratic requirements of meiotic prophase have introduced unique features in this signaling cascade. In this review, we discuss the unique features of the meiotic prophase checkpoint. While being related to canonical DNA damage checkpoint cascades, the meiotic prophase checkpoint also shows similarities with the spindle assembly checkpoint (SAC) that guards chromosome segregation. We highlight these emerging similarities in the signaling logic of the checkpoints that govern meiotic prophase and chromosome segregation, and how thinking of these similarities can help us better understand meiotic prophase control. We also discuss work showing that, when aberrantly expressed, components of the meiotic prophase checkpoint might alter DNA repair fidelity and chromosome segregation in cancer cells. Considering checkpoint function in light of demands imposed by the special characteristics of meiotic prophase helps us understand checkpoint integration into the meiotic cell cycle machinery.

Spatial Separation of Cocatalysts on Z-Scheme Organic/Inorganic Heterostructure Hollow Spheres for Enhanced Photocatalytic H2 Evolution and In-Depth Analysis of the Charge-Transfer Mechanism.

A Z-scheme heterojunction with spatially separated cocatalysts is proposed for overcoming fundamental issues in photocatalytic water splitting, such as inefficient light absorption, charge recombination, and sluggish reaction kinetics. For efficient light absorption and interfacial charge separation, Z-scheme organic/inorganic heterojunction photocatalysts are synthesized by firmly immobilizing ultrathin g-C3 N4 on the surface of TiO2 hollow spheres via electrostatic interactions. Additionally, two cocatalysts, Pt and IrOx , are spatially separated along the Z-scheme charge-transfer pathway to enhance surface charge separation and reaction kinetics. The as-prepared Pt/g-C3 N4 /TiO2 /IrOx (PCTI) hollow sphere photocatalyst exhibits an exceptional H2 evolution rate of 8.15 mmol h-1 g-1 and a remarkable apparent quantum yield of 24.3% at 330 nm in the presence of 0.5 wt% Pt and 1.2 wt% IrOx cocatalysts on g-C3 N4 and TiO2 , respectively. Photoassisted Kelvin probe force microscopy is used to systematically analyze the Z-scheme charge-transfer mechanism within PCTI. Furthermore, the benefits of spatially separating cocatalysts in the PCTI system are methodically investigated in comparison to randomly depositing them. This work adequately demonstrates that the combination of a Z-scheme heterojunction and spatially separated cocatalysts can be a promising strategy for designing high-performance photocatalytic platforms for solar fuel production.

Investigating Accessibility of Hospitals in Cold Regions: A Case Study of Harbin in China.

OBJECTIVE: The objective of this study is to explore healthcare resource accessibility in Harbin, a typical city in a cold region in China. BACKGROUND: Recently, investments in the construction of medical resources have been increasing annually in China, and consequently, the allocation of these resources has improved. Snow and ice on surfaces in China's cold regions have certain effects on the traffic capacity of urban roads, leading to a great difference in the accessibility of medical resources in winter and summer. METHODS: The basic spatial data, including spatial road data, medical facility data, and population distribution data, are analyzed using geographic information system. Then, a spatial barrier model is used to measure healthcare accessibility based on geographic and population weighting; we explore the accessibility of hospitals under the influence of weather by defining a novel distance attenuation function. Finally, the accessibility of medical institutions in the study area is explored by analyzing data about the related separation factors. RESULTS: It was found that the spatial distribution of medical resources was not equal, and the dominant resources were concentrated in the city center. Some regions are always in an advantageous position regardless of traffic conditions. In contrast, in areas far from the city center, the accessibility of medical resources significantly decreases in winter. CONCLUSIONS: These results will help optimize the layout of medical institutions and improve medical equality and propose strategies for the optimization of the accessibility of urban medical institutions in cold regions of China.

Assessing and Modeling Spatial Release From Listening Effort in Listeners With Normal Hearing: Reference Ranges and Effects of Noise Direction and Age.

Listening to speech in noisy environments is challenging and effortful. Factors like the signal-to-noise ratio (SNR), the spatial separation between target speech and noise interferer(s), and possibly also the listener's age might influence perceived listening effort (LE). This study measured and modeled the effect of the spatial separation of target speech and interfering stationary speech-shaped noise on the perceived LE and its relation to the age of the listeners. Reference ranges for the relationship between subjectively perceived LE and SNR for different noise azimuths were established. For this purpose, 70 listeners with normal hearing and from three age groups rated the perceived LE using the Adaptive Categorical Listening Effort Scaling method (ACALES, Krueger et al., 2017a) with speech from the front and noise from 0°, 90°, 135°, or 180° azimuth. Based on these data, the spatial release from listening effort (SRLE) was calculated. The noise azimuth had a strong effect on SRLE, with the highest release for 135°. The binaural speech intelligibility model (BSIM2020, Hauth et al., 2020) predicted SRLE very well at negative SNRs, but overestimated for positive SNRs. No significant effect of age was found on the respective subjective ratings. Therefore, the reference ranges were determined independently of age. These reference ranges can be used for the classification of LE measurements. However, when the increase of the perceived LE with SNR was analyzed, a significant age difference was found between the listeners of the youngest and oldest group when considering the upper range of the LE function.

Optimal Progressive Pitch for OneWeb Constellation with Seamless Coverage.

Large-scale broadband low earth orbit (LEO) satellite systems have become a possibility due to decreased launch costs and rapidly evolving technology. Preventing huge LEO satellite constellations from interfering with the geostationary earth orbit (GSO) satellite system, progressive pitch is a technique to avoid interference with the GSO satellite system that allows the LEO satellite system to maintain a certain angle of separation from the GSO satellite system. Aside from interference avoidance, there is also a need to ensure seamless coverage of the LEO constellation and to optimize the overall transmission capacity of the LEO satellite as much as possible, making it extremely complex to design an effective progressive pitch plan. This paper models an inline interference event and seamless coverage and builds an optimization problem by maximizing transmission capacity. This paper reformulates the problem and designs a genetic algorithm to solve it. From the simulation results, the strategy can avoid harmful interference to the GSO satellite system and ensure the seamless coverage of the LEO constellation, and the satellite transmission capacity is also maximized.

Cu2-x Sx Capped AuCu Nanostars for Efficient Plasmonic Photothermal Tumor Treatment in the Second Near-Infrared Window.

Plasmonic nanohybrids are promising photo energy conversion materials in photoelectronics and biomedicine, due to their unique surface plasmon resonance (SPR). Au and Cu2-x Sx nanostructures with strong SPR in the near-infrared (NIR) spectral region are classic plasmonic systems used to convert NIR photons into heat for photothermal therapy (PTT). The rational design of the Au/Cu2-x Sx nanohybrids is expected to induce better photothermal conversion; however, the construction of such hybrids via wet-chemistry methods with a well-controlled interfacial structure is still challenging. Here, the synthesis of an AuCu Star/Cu2-x Sx nanohybrid is reported, where the Cu2-x Sx components are selectively grown on the AuCu nanostar tips to form "caps". The spatial formation of the Cu2-x Sx caps on star tips is mainly governed by surfactant concentration, tip curvature, and experimental manipulation. The nanohybrids show low cytotoxicity and superior photothermal conversion efficiency, enabling robust PTT to kill cancer cells in the second NIR window. Numerical simulation reveals that the coupling of Cu2-x Sx on nanostar tips generates strong interfacial electric field, improving photothermal conversion. Moreover, the spatial separation structure favors the continuous flow of hot charge carriers to produce active radicals, further promoting the tumor treatment effect.

Co-culturing microbial consortia: approaches for applications in biomanufacturing and bioprocessing.

The application of microbial co-cultures is now recognized in the fields of biotechnology, ecology, and medicine. Understanding the biological interactions that govern the association of microorganisms would shape the way in which artificial/synthetic co-cultures or consortia are developed. The ability to accurately predict and control cell-to-cell interactions fully would be a significant enabler in synthetic biology. Co-culturing method development holds the key to strategically engineer environments in which the co-cultured microorganism can be monitored. Various approaches have been employed which aim to emulate the natural environment and gain access to the untapped natural resources emerging from cross-talk between partners. Amongst these methods are the use of a communal liquid medium for growth, use of a solid-liquid interface, membrane separation, spatial separation, and use of microfluidics systems. Maximizing the information content of interactions monitored is one of the major challenges that needs to be addressed by these designs. This review critically evaluates the significance and drawbacks of the co-culturing approaches used to this day in biotechnological applications, relevant to biomanufacturing. It is recommended that experimental results for a co-cultured species should be validated with different co-culture approaches due to variations in interactions that could exist as a result of the culturing method selected.

Common Brain Substrates Underlying Auditory Speech Priming and Perceived Spatial Separation.

Under a "cocktail party" environment, listeners can utilize prior knowledge of the content and voice of the target speech [i.e., auditory speech priming (ASP)] and perceived spatial separation to improve recognition of the target speech among masking speech. Previous studies suggest that these two unmasking cues are not processed independently. However, it is unclear whether the unmasking effects of these two cues are supported by common neural bases. In the current study, we aimed to first confirm that ASP and perceived spatial separation contribute to the improvement of speech recognition interactively in a multitalker condition and further investigate whether there exist intersectant brain substrates underlying both unmasking effects, by introducing these two unmasking cues in a unified paradigm and using functional magnetic resonance imaging. The results showed that neural activations by the unmasking effects of ASP and perceived separation partly overlapped in brain areas: the left pars triangularis (TriIFG) and orbitalis of the inferior frontal gyrus, left inferior parietal lobule, left supramarginal gyrus, and bilateral putamen, all of which are involved in the sensorimotor integration and the speech production. The activations of the left TriIFG were correlated with behavioral improvements caused by ASP and perceived separation. Meanwhile, ASP and perceived separation also enhanced the functional connectivity between the left IFG and brain areas related to the suppression of distractive speech signals: the anterior cingulate cortex and the left middle frontal gyrus, respectively. Therefore, these findings suggest that the motor representation of speech is important for both the unmasking effects of ASP and perceived separation and highlight the critical role of the left IFG in these unmasking effects in "cocktail party" environments.

Effects of spatial separation with better- ear listening on N1-P2 complex.

OBJECTIVE: The purpose of this study was to determine better- ear listening effect on spatial separation with the N1-P2 complex. METHODS: Twenty individuals with normal hearing participated in this study. The speech stimulus /ba/ was presented in front of the participant (0°). Continuous Speech Noise (5 dB signal-to-noise ratio) was presented either in front of the participant (0°), left-side (-90°), or right-side (+90°). N1- P2 complex has been recorded in quiet and three noisy conditions. RESULTS: There was a remarkable effect of noise direction on N1, P2 latencies. When the noise was separated from the stimulus, N1 and P2 latency increased in terms of when noise was co-located with the stimulus. There was no statistically significant difference in N1-P2 amplitudes between the stimulus-only and co-located condition. N1-P2 amplitude was increased when the noise came from the sides, according to the stimulus-only and co-located conditions. CONCLUSION: These findings demonstrate that the latency shifts on N1-P2 complex explain cortical mechanisms of spatial separation in better-ear listening.

Negative emotions in the target speaker's voice enhance speech recognition under "cocktail-party" environments.

Under a "cocktail-party" environment with simultaneous multiple talkers, recognition of target speech is effectively improved by a number of perceptually unmasking cues. It remains unclear whether emotions embedded in the target-speaker's voice can either improve speech perception alone or interact with other cues facilitating speech perception against a masker background. This study used two target-speaker voices with different emotional valences to examine whether recognition of target speech is modulated by the emotional valence when the target speech and the maskers were perceptually co-located or separated. The results showed that both the speech recognition against the masker background and the separation-induced unmasking effect were higher for the target speaker with a negatively emotional voice than for the target speaker with a positively emotional voice. Moreover, when the negative voice was fear conditioned, the target-speech recognition was further improved against speech informational masking. These results suggested that the emotionally vocal unmasking cue interacts significantly with the perceived spatial-separation unmasking cue, facilitating the unmasking effect against a masking background. Thus, emotional features embedded in the target-speaker's vocal timbre are also useful for unmasking the target speech in "cocktail-party" environments.

Emitting/Sensitizing Ions Spatially Separated Lanthanide Nanocrystals for Visualizing Tumors Simultaneously through Up- and Down-Conversion Near-Infrared II Luminescence In Vivo.

Near-infrared lights have received increasing attention regarding imaging applications owing to their large tissue penetration depth, high spatial resolution, and outstanding signal-to-noise ratio, particularly those falling in the second near-infrared window (NIR II) of biological tissues. Rare earth nanoparticles containing Er3+ ions are promising candidates to show up-conversion luminescence in the first near-infrared window (NIR I) and down-conversion luminescence in NIR II as well. However, synthesizing particles with small size and high NIR II luminescence quantum yield (QY) remains challenging. Er3+ ions are herein innovatively combined with Yb3+ ions in a NaErF4 @NaYbF4 core/shell manner instead of being codoped into NaLnF4 matrices, to maximize the concentration of Er3+ in the emitting core. After further surface coating, NaErF4 @NaYbF4 @NaYF4 core/shell/shell particles are obtained. Spectroscopy studies are carried out to show the synergistic impacts of the intermediate NaYbF4 layer and the outer NaYF4 shell. Finally, NaErF4 @NaYbF4 @NaYF4 nanoparticles of 30 nm with NIR II luminescence QY up to 18.7% at room temperature are obtained. After covalently attaching folic acid on the particle surface, tumor-specific nanoprobes are obtained for simultaneously visualizing both subcutaneous and intraperitoneal tumor xenografts in vivo. The ultrahigh QY of down-conversion emission also allows for visualization of the biodistribution of folate receptors.

Construction of M-BiVO4/T-BiVO4 isotype heterojunction for enhanced photocatalytic degradation of Norfloxacine and Oxygen evolution reaction.

To conquer the issues of poor compatibility, confined intimate contact and limited improvement of charge anti-recombination process of a traditional heterojunction formed by interfacing of two different semiconductors, a simplistic strategy has been espoused for the fabrication of isotype heterojunction flanked with two dissimilar crystal phases of a single semiconducting material. Herein, we account the fabrication of an in-situ formed M-BiVO4/T-BiVO4 (MT-BiVO4) isotype heterojunction by a simple co-precipitation method followed by altering the calcinations temperatures. The physico-chemical properties of the fabricated MT-BiVO4 isotype hetrojunctions were analyzed by using X-ray diffraction (XRD), Field emission scanning electron microscopy (FESEM), Transmission electron microscopy (TEM), X-ray photoelectron spectroscopy (XPS) and UV-Visible Diffuse reflectance spectroscopy (UV-Vis DRS) techniques. The FESEM image of MT-BiVO4 photodeposited by Au and MnOx particles was provided strong evidence for the spatial separation of photogenerated charge carriers between M and T phase of BiVO4 in an isotype heterojunction. The interfacing of T-BiVO4 with M-BiVO4 in an isotype heterojunction affords the well-built close contact between them was confirmed by the High resolution transmission electron microscopy (HRTEM) analysis. The photocatalytic reactions of all the prepared MT-BiVO4 isotype heterojunctions were examined by monitoring the degradation of Norfloxacine and oxygen evolution reaction under visible light irradiation. The optimized 65% MT-BiVO4 isotype heterojunction discloses higher photocatalytic activity around 91% of Norfloxacine degradation in 150 min and 808 µmol of O2 evolution in 2 h under visible light irradiation. On the other hand, the photoelectrochemical measurements reveals that the optimized 65% MT-BiVO4 isotype heterojunction exhibits superior photocurrent i.e. 584 µA/cm2 which is approximately 5.1 and 25.3 times higher than the neat T-BiVO4 and M-BiVO4, and these results are well consistent with the photocatalytic activities. The higher PEC and photocatalytic activities are due to the well-built close contact, superior compatibility and matching band structure between T-BiVO4 and M-BiVO4, which provides strapping driving force for the efficient enhancement of charge separation process. The Electrochemical impedance spectroscopy (EIS), photoluminescence (PL), photoelectrochemical (PEC) and bode analysis confirms the effectual diminish of charge recombination process in MT-BiVO4 isotype heterojunction relative to the neat materials. The chronoamperometric analysis authenticated that the isotype heterojunctions are more stable than the neat materials.

Theoretical insight on hybrid nanocomposites of graphene quantum dot and carbazole-carbazole dyes as an efficient sensitizer of DSSC.

The feasibility of the hybrid nanocomposites of the graphene quantum dot (GQD) and carbazole-carbazole dyes as the efficient sensitizer of dye-sensitized solar cells (DSSC) is investigated. By using the first principles density functional theory (DFT), we fully optimize the geometrical structures of GQD, the carbazole-carbazole dyes, and their hybrid nanocomposites. The harmonic frequency analysis is used to confirm the energy stability of the optimized structures. The optical absorptions of the structures are calculated with the time-dependent DFT (TDDFT). Using the I-/I3- electrolyte and the conduction band minimum of TiO2 electrode as a sample, we examine the feasibility of the nanocomposites as the sensitizer of DSSC with the charge spatial separation and the molecular orbital energy levels of the nanocomposites. The results demonstrate all the considered nanocomposites have suitable energy levels of the frontier orbitals and significantly charge spatial separation. TDDFT results show the oscillator strengths of all nanocomposites demonstrate the obvious enhancement in the visible light region. Moreover, the appropriate open-circuit voltage value, the larger light-harvesting efficiency, and larger driving force are also identified for these nanocomposites. Therefore, the nanocomposites could be the more promising candidates of sensitizer for DSSC in comparison with the separate carbazole-carbazole dyes.

Both Val158Met Polymorphism of Catechol-O-Methyltransferase Gene and Menstrual Cycle Affect Prepulse Inhibition but Not Attentional Modulation of Prepulse Inhibition in Younger-Adult Females.

Prepulse inhibition (PPI) can be modulated by both the Val158Met (rs4680) polymorphism of the Catechol-O-Methyltransferase (COMT) gene and the menstrual-cycle-related hormone fluctuations, each of which affects the subcortical/cortical dopamine metabolism. PPI can also be modulated by attention. The attentional modulation of PPI (AMPPI) is sensitive to psychoses. Whether the Val158Met polymorphism affects the AMPPI in female adults at different menstrual-cycle phases is unknown. This study examined whether AMPPI and/or PPI are affected by the Val158Met polymorphism in 177 younger-adult females whose menstrual cycles were mutually different across the menstruation, proliferative, or secretory phases. The AMPPI was evaluated by comparing PPI under the condition of the auditory precedence-effect-induced perceptual spatial separation between the prepulse stimulus and a masking noise (PPIPSS) against that under the condition of the precedence-effect-induced perceptual spatial co-location (PPIPSC). The results showed that both the menstrual cycle and the COMT Val158Met polymorphism affected both PPIPSC and PPIPSS, but not the AMPPI (difference between PPIPSS and PPIPSC). Moreover, throughout the menstrual cycle, both PPIPSC and PPIPSS decreased monotonously in Val/Val-carrier participants. However, the decreasing pattern was not overserved in either Met/Met-carrier or Met/Val-carrier participants. Thus, in healthy younger-adult females, PPIPSC and PPIPSS, but not the AMPPI, is vulnerable to changes of ovarian hormones, and the COMT Val158Met polymorphism also has a modulating effect on this menstrual-cycle-dependent PPI variation. In contrast, the AMPPI seems to be more steadily trait-based, less vulnerable to ovarian hormone fluctuations, and may be useful in assisting the diagnosis of schizophrenia in female adults.

Effectiveness of architectural separation of septic and aseptic operating theatres for improving process quality and patient outcomes: a systematic review.

BACKGROUND: Architectural division of aseptic and septic operating theatres is a distinct structural feature of surgical departments in Germany. Internationally, hygienists and microbiologists mainly recommend functional separation (i.e. aseptic procedures first) without calling for separate operating floors and rooms. However, patients with severe musculoskeletal infections (e.g. joint empyema, spondylodiscitis, deep implant-associated infections) may benefit from the permanent availability of septic operating capacities without delay caused by an ongoing aseptic surgical program. A systematic literature review on the influence of a structural separation of septic and aseptic operating theatres on process and/or outcome quality has not yet been conducted. METHODS: Systematic literature search in PubMed MEDLINE, Ovid Embase, CINAHL and the Cochrane Library, screening of referenced citations, and assessment of grey literature. RESULTS: A total of 572 articles were found through the systematic literature search. No head-to-head studies (neither randomised, quasi-randomised nor observational) were identified which examined the impact of structural separation of septic and aseptic operating theatres on process and/or outcome quality. CONCLUSIONS: This review did not identify evidence in favour nor against architectural separation of septic or aseptic operating theatre. Specifically, there is no evidence of a harmful effect of architectural separation. Unless prospective studies, ideally randomised trials, will be available, it is unjustified to call for abolishing established hospital structures. Future investigations must address patient-centered endpoints, surgical site infections, process quality and hospital economy. SYSTEMATIC REVIEW REGISTRATION: PROSPERO (International prospective register of systematic reviews): CRD42018086568.