Nursing Student Experiences with the Mental Health Population: A Scoping Review of Qualitative and Quantitative Evidence.

Nursing students must increasingly deliver quality care to the psychiatric mental health population during their educational experiences and as graduate nurses. This review examines experiences and adds practical knowledge on the development of teaching strategies for nursing programs, supporting nurse educators, future new nurses, and nurse leaders in psychiatric mental health nursing. Fourteen studies from the CINAHL, PsycInfo, Medline, PubMed, and Web of Science databases were included. Two themes emerged: mental health nursing modality experiences and student perspectives. Rigorous scientific studies are needed highlighting the influence and effectiveness of psychiatric-behavioral and mental health nursing clinical education.

A high throughput bispecific antibody discovery pipeline.

Bispecific antibodies (BsAbs) represent an emerging class of immunotherapy, but inefficiency in the current discovery has limited their broad clinical availability. Here we report a high throughput, agnostic, single-cell-based functional screening pipeline, comprising molecular and cell engineering for efficient generation of BsAb library cells, followed by functional interrogation at the single-cell level to identify and sort positive clones and downstream sequence identification and functionality characterization. Using a CD19xCD3 bispecific T cell engager (BiTE) as a model, we demonstrate that our single-cell platform possesses a high throughput screening efficiency of up to one and a half million variant library cells per run and can isolate rare functional clones at a low abundance of 0.008%. Using a complex CD19xCD3 BiTE-expressing cell library with approximately 22,300 unique variants comprising combinatorially varied scFvs, connecting linkers and VL/VH orientations, we have identified 98 unique clones, including extremely rare ones (~ 0.001% abundance). We also discovered BiTEs that exhibit novel properties and insights to design variable preferences for functionality. We expect our single-cell platform to not only increase the discovery efficiency of new immunotherapeutics, but also enable identifying generalizable design principles based on an in-depth understanding of the inter-relationships between sequence, structure, and function.

Theranostics application of tumor-initiating cell probe TiY in non-small cell lung cancer.

Background: Tumor-initiating cells (TIC) often elude conventional cancer treatment, which results in metastasis and cancer relapse. Recently, studies have begun to focus on the TIC population in tumors to provide better therapeutic options. Previously, we have reported the successful development of a TIC-specific probe TiY with the binding target as vimentin. While a low concentration of TiY showed a TIC visualization, at a high concentration, TiY induced selective toxicity onto TIC in vitro. In this study, we aim to assess TiY's applicability in theranostics purposes, from in vivo visualization to therapeutic effect toward TIC, in cancer mouse models. Methods: We performed cell experiments with the TIC line model derived from resected primary non-small cell lung cancer (NSCLC) patient tumor. The animal model studies were conducted in mice of NSCLC patient-derived xenograft (PDX). TiY was intravenously delivered into the mice models at different concentrations to assess its in vivo TIC-selective staining and therapeutic effect. Results: We demonstrated the TIC-selective identification and therapeutic effect of TiY in animal models. TiY treatment induced a significant ablation of the TIC population in the tumor, and further molecular study elucidated that the mechanism of TiY is through vimentin dynamics in TIC. Conclusion: The results underscore the applicability of TiY for cancer treatment by selectively targeting soluble vimentin in TIC.

Low-volume filling of microplate wells using vibration.

Smaller fluid samples can offer higher sensitivity under analysis and allow more samples from a sparse specimen. However, for a microplate well there is a minimum volume requirement arising from the need for the fluid/air interface to make contact only on the walls of the well, a condition which allows high-quality undistorted optical imaging due to the minimum curvature of this interface. In this work, mechanical vibration is investigated as a method to significantly decrease this minimum volume requirement. Furthermore, low-frequency excitation is shown to be ideal for handling multiple wells (such as in a microplate) simultaneously.

Pembrolizumab as a novel therapeutic option for patients with refractory thymic epithelial tumor: A case report.

BACKGROUND: Thymic epithelial carcinomas are rare and have a poor prognosis. Treatment of thymic epithelial carcinoma is multimodal and includes surgery, post-operative radiation therapy, adjuvant and neoadjuvant chemotherapy, or exclusive chemotherapy based on disease resectability. However, there is currently no standard treatment regimen for metastatic and recurrent thymic carcinoma. CASE SUMMARY: A 45-year-old Caucasian male, with no past medical history, presented with hepatalgia and a cervical mass. A computed tomography (CT) scan showed multiple suspect lesions in the lungs, liver, and anterior mediastinum associated with mediastinal and cervical adenopathy. CT-guided percutaneous biopsies of the liver lesions and anterior mediastinal mass were performed, confirming the histopathology of thymic epithelial carcinoma. Management consisted of several chemotherapy regimens and radiation therapy, administered between April 2016 and December 2018. The patient achieved complete metabolic response. Fluorodeoxyglucose positron emission tomography/CT performed in June 2019 showed disease relapse, with reappearance of a large hypermetabolic hepatic mass and involvement of mediastinal and axillary lymph nodes. Intravenous pembrolizumab (200 mg, every 3 wk) was administered after two prior systemic therapies. The patient's response to treatment was last documented on March 5, 2020. CONCLUSION: Pembrolizumab was successful in treatment of a patient with programmed death-ligand 1-negative metastatic thymic carcinoma, pretreated with chemotherapy.

Iptycenes in supramolecular and materials chemistry.

Iptycenes, including triptycene as the smallest member, are rigid molecules with shapes that lead them to form open structures with substantial "free volume". There is a great deal of excitement in the application of these molecules to supramolecular chemistry, where researchers have taken advantage of their unique properties to construct new molecules and materials, including molecular machines, novel liquid crystals, and porous polymers for chemical sensing. This tutorial review highlights the application of iptycenes to the supramolecular chemistry of crystal engineering, host-guest complexes, molecular machines, polymers, and liquid crystals.

Rapid bacterial detection and antibiotic susceptibility testing in whole blood using one-step, high throughput blood digital PCR.

Sepsis due to antimicrobial resistant pathogens is a major health problem worldwide. The inability to rapidly detect and thus treat bacteria with appropriate agents in the early stages of infections leads to excess morbidity, mortality, and healthcare costs. Here we report a rapid diagnostic platform that integrates a novel one-step blood droplet digital PCR assay and a high throughput 3D particle counter system with potential to perform bacterial identification and antibiotic susceptibility profiling directly from whole blood specimens, without requiring culture and sample processing steps. Using CTX-M-9 family ESBLs as a model system, we demonstrated that our technology can simultaneously achieve unprecedented high sensitivity (10 CFU per ml) and rapid sample-to-answer assay time (one hour). In head-to-head studies, by contrast, real time PCR and BioRad ddPCR only exhibited a limit of detection of 1000 CFU per ml and 50-100 CFU per ml, respectively. In a blinded test inoculating clinical isolates into whole blood, we demonstrated 100% sensitivity and specificity in identifying pathogens carrying a particular resistance gene. We further demonstrated that our technology can be broadly applicable for targeted detection of a wide range of antibiotic resistant genes found in both Gram-positive (vanA, nuc, and mecA) and Gram-negative bacteria, including ESBLs (blaCTX-M-1 and blaCTX-M-2 families) and CREs (blaOXA-48 and blaKPC), as well as bacterial speciation (E. coli and Klebsiella spp.) and pan-bacterial detection, without requiring blood culture or sample processing. Our rapid diagnostic technology holds great potential in directing early, appropriate therapy and improved antibiotic stewardship in combating bloodstream infections and antibiotic resistance.

Highly stable keto-enamine salicylideneanilines.

[reaction: see text] Highly stable NH salicylideneanilines have been prepared by reaction of 1,3,5-triformylphloroglucinol with aniline derivatives. The NH form was confirmed by X-ray crystallographic data, as well as by NMR studies. A convenient one-step synthesis of triformylphloroglucinol is also reported.

Towards a self-assembled honeycomb structure via diaminotriptycene metal complexes.

We illustrate a new approach toward the synthesis of a porous supramolecular honeycomb based on triptycene. A coordination polymer has been prepared where the triptycene groups are linked through triptycenesemiquinonediimine platinum complexes, but the product is disordered rather than the intended honeycomb structure. A model platinum complex and its (15)N-labeled isotopomer have been prepared and characterized.

Catalysis using gold nanoparticles decorated on nanocrystalline cellulose.

A novel nanocomposite was prepared by deposition of carbonate-stabilized Au nanoparticles (AuNPs) onto the surface of poly(diallyldimethyl ammonium chloride) (PDDA)-coated carboxylated nanocrystalline cellulose (NCC). The hybrid material possessed AuNPs (1.45% by weight) with an average diameter of 2.95 ± 0.06 nm. The catalytic activity of AuNP/PDDA/NCC for reducing 4-nitrophenol to 4-aminophenol was compared to other Au-supported composites. An activation energy of 69.2 kJ mol(-1) was obtained for the reaction. Indeed, the reaction rate constant k of (5.1 ± 0.2) × 10(-3) s(-1) was comparable to the benchmark literature value obtained using AuNPs (<5 nm in diameter) decorated on a network of crystalline cellulose fibers. Our strategy promotes the use of natural resources to prepare reusable hybrid inorganic-organic materials for important reactions with facilitated product isolation/purification.

Applications of functionalized and nanoparticle-modified nanocrystalline cellulose.

Nanocrystalline cellulose (NCC), a rod-shaped nanoscale material with exceptional strength and physicochemical properties, can be prepared from inexpensive renewable biomass. Besides its potential use as a reinforcing agent for industrial biocomposites, pristine NCC exhibits low toxicity and poses no serious environmental concerns, providing impetus for its use in bioapplications. Here, we review recent developments in the use of modified NCC for emerging bioapplications, specifically enzyme immobilization, antimicrobial and medical materials, green catalysis, biosensing and controlled drug delivery. We focus on the modification of NCC with chemical functionalities and inorganic nanoparticles, reviewing practical considerations such as reusability, toxicity and scale-up capability.

Synthesis of furfural from xylose by heterogeneous and reusable nafion catalysts.

Nafion 117 has been proven as a robust and reusable heterogeneous catalyst for the dehydration of 9.1 % (w/w) xylose in dimethyl sulfoxide (DMSO) to yield 60 % furfural in 2 h at 150 °C. The catalytic high activity promoted shorter reaction times to limit the formation of side-products which otherwise would lead to decreased yields. Within the allowable operating temperature range of Nafion (125 to 175 °C), the reaction was kinetically controlled. In corroboration with AFM and SEM imaging, ATR-FTIR confirmed that the Nafion catalytic activity remained unchanged after 15 repeated uses. With excellent chemical and thermal stability under the conditions for xylose dehydration compared to existing solid acid catalysts, this reusable Nafion system could be a step towards the more economical production of furfural from renewable biomass, an intermediate chemical for the preparation of value-added chemicals.

Bimetallic Schiff base complexes: models for conjugated shape-persistent metallopolymers.

New Schiff base ligands with two metal binding sites have been prepared. Copper and zinc complexes of the ligands, which serve as models for rigid, conjugated metallopolymers, were synthesized and characterized. The copper complexes display only weak intramolecular antiferromagnetic interactions, suggesting that the polymer structure is not useful for developing magnetic materials. Preliminary investigations of the novel polymers, including the preparation of a conjugated zinc-containing polymer, are reported.

Zinc carboxylate cluster formation in conjugated metallomacrocycles: evidence for templation.

A new [3 + 3] Schiff base macrocycle incorporating three N2O2 salphen-type binding sites and peripheral neopentyloxy substituents has been prepared. The incorporation of Zn2+ ions into this and related conjugated Schiff base macrocycles has been studied by NMR spectroscopy, mass spectrometry, and X-ray diffraction. When reacted with 7 equiv of zinc acetate, the macrocycles template the formation of heptanuclear complexes. Two tetranuclear Zn2+ complexes that are plausible intermediates in the assembly of the heptanuclear complexes have been isolated and structurally characterized. These reactive intermediates are promising substrates for the synthesis of polynuclear, mixed-metal clusters. We also demonstrate that this chemistry may be generalized to other bridging carboxylate ligands, such as methacrylate.

Synthesis and structural investigation of new triptycene-based ligands: en route to shape-persistent dendrimers and macrocycles with large free volume.

Triptycene was used to build a series of ligands containing pyrazine groups for use in forming coordination frameworks and as model compounds toward target shape-persistent dendrimers and macrocycles. The phenylenediamine precursors are formed by controlled double nitration/reduction of triptycene, followed by condensation with triptycenyl o-quinone to form the ligands. Solid-state structures show that the ligands favor packing in layered structures with intermolecular pi stacking. Increasing the length of the wings still allows for effective packing, but increasing the number of pyrazine groups or adding more triptycenyl moieties reduces packing efficiency. To demonstrate the potential of these molecules to function as ligands, a coordination complex of 15 with copper(I) iodide was obtained and found to form dimers that pack into a layered arrangement.

Robust non-interpenetrating coordination frameworks from new shape-persistent building blocks.

New shape-persistent ligands derived from triptycene were synthesized, and reaction with copper iodide results in the assembly of non-interpenetrating coordination frameworks with hydrophobic void spaces. These structures are thermally stable and display reversible solvent adsorption, and 1H NMR experiments show that they can be used to remove benzene from water.

Heptametallic bowl-shaped complexes derived from conjugated Schiff-base macrocycles: synthesis, characterization, and X-ray crystal structures.

The reaction of chelating conjugated macrocycles 1a-c with Zn(OAc)2 gives bowl-shaped heptanuclear Zn complexes featuring Zn in tetrahedral, octahedral, and square-pyramidal geometries. Crystallographic and NMR results indicate that vacant Zn coordination sites within the bowl may be accessed, suggesting that these coordination complexes may be used as mimics for Zn fingers and carbonic anhydrase.

N-salicylideneanilines: tautomers for formation of hydrogen-bonded capsules, clefts, and chains.

[structure: see text] The synthesis, characterization, and solid-state structures of new salicylaldimines are reported. Bis(N-salicylideneaniline)s (BSANs) and tris(N-salicylideneaniline)s (TSANs) are sterically encumbered compounds featuring a central six-membered ring in the keto-enamine tautomer. When extended with additional functional groups, these molecules may form hydrogen-bonded capsules, clefts, and extended structures. A TSAN with N-(t)()BOC-o-phenylenediamine groups has been structurally investigated. The complementary hydrogen-bonding motif in this molecule leads it to form dimers in solution and in the solid state. A BSAN with N-(t)()BOC-o-phenylenediamine substituents forms a hydrogen-bonded cleft in solution but forms an extended hydrogen-bonded ladder assembly of cofacial dimers in the solid state. When N-(t)()BOC-1,8-naphthalenediamine was utilized to extend the cleft, an unusual perimidine structure was obtained with the central core in the enol tautomer. In addition, ab initio calculations have been used to support the assignment of the keto-enamine or enol-imine tautomers of the BSANs and TSANs and to predict tautomerization in related BSANs and TSANs.

Scope and limitations of the base-catalyzed phospha-peterson P=C bond-forming reaction.

Phosphaalkenes (MesP=CRR': R = R' = Ph (1a); R = R' = 4-FC6H4 (1b); R = Ph, R' = 4-FC6H4 (1c); R = R' = 4-OMeC6H4 (1d); R = Ph, R' = 4-OMeC6H4 (1e); R = Ph, R' = 2-pyridyl (1f)) are prepared from the reaction of MesP(SiMe3)2 and O=CRR' in the presence of a trace of KOH or NaOH. The base-catalyzed phospha-Peterson reaction is quantitated by NMR spectroscopy, and isolated yields of phosphaalkene between 40 and 70% are obtained after vacuum distillation and/or recrystallization. The asymmetrically substituted phosphaalkenes (1c, 1e, 1f) form as 1:1 mixtures of E and Z isomers; however, X-ray crystallography reveals that the E isomers crystallize preferentially. Interestingly, E-1e and E-1f readily isomerize in solution in the dark, although the rate of isomerization is much faster when samples are exposed to light. X-ray crystal structures of 1b, E-1e, and E-1f reveal that the P=C bond lengths (average of 1.70 A) are in the long end of the range typically found in phosphaalkenes (1.61-1.71 A). Attempts to prepare isolable P-adamantyl phosphaalkenes following this route were unsuccessful. Although AdP=CPh2 (2a) is detected by 31P NMR spectroscopy, attempts to isolate this species afforded the 1,2-diphosphetane (AdPCPh2)2 (3a), which was characterized by X-ray crystallography.