Viologen-based solution-processable ionic porous polymers for electrochromic applications.

Electrochromic porous thin films are promising for applications in smart windows and energy-efficient optical displays. However, their generally poor processing ability and excessive processing times remain grand challenges. Herein, we report the design and convenient synthesis of core-altered N-arylated viologens with aldehyde groups (πV-CHO) as new building blocks to prepare soluble, viologen-embedded ionic porous polymers. We also demonstrate that these polymers can be easily solution-processed by drop-coating to fabricate high-quality electrochromic films with tunable optoelectronic properties in a cost-effective fashion. The prepared films exhibit excellent electrochromic performance, including a low driving voltage (1.2-1.4 V), fast switching times (0.8-1.7 s), great coloration efficiency (73-268 cm2 C-1), remarkably high optical contrast up to 95.6%, long cycling stability, and tunable oxidation and reduction colors. This work sheds important light on a new molecular engineering approach to produce redox-active polymers with combined properties of intrinsic porosity, reversible and tunable redox activity, and solution processability. This provides the materials with an inherently broad utility in a variety of electrochemical devices for energy storage, sensors, and electronic applications.

Patisiran exposure in early pregnancy: a case report.

We describe here the first case of exposure to patisiran treatment, a small interfering RNA molecule, during early pregnancy of a 36-year-old woman with symptomatic hereditary transthyretin-related amyloidosis. There were no major complications during pregnancy and delivery, except for a postpartum hemorrhage due to uterine atony. Vitamin A levels had to be closely monitored during pregnancy, and vitamin A substitution adapted accordingly. There was no sign of minor or major congenital abnormalities of the baby. One month after delivery, the patient showed slight clinical and electrophysiological signs of neuropathy progression due to patisiran treatment withdrawal. Patisiran infusions were resumed 3 months after delivery. Due to the unknown teratogenic potential of patisiran, the risk of neuropathy worsening associated with withholding treatment must of course be weighed against a potential teratogenic risk of treatment during pregnancy. Vitamin A levels need to be closely assessed, and substitution must be adapted accordingly, to avoid embryofetal adverse outcome due to vitamin A deficiency or toxicity.

Neural mechanisms underlying interindividual differences in intergenerational sustainable behavior.

Intergenerational sustainability is a pressing challenge, which is exacerbated by the fact that the current generation must make sacrifices today to ensure the well-being of future generations. There are large interindividual differences in intergenerational sustainable behavior. However, the neural mechanisms underlying these interindividual differences have remained unexplored. Here, we combined fMRI with a consequential intergenerational sustainability paradigm in a sample of 72 healthy students. Specifically, we analyzed task-dependent functional activity and connectivity during intergenerational sustainable decision-making, focusing on the state-like neurophysiological processes giving rise to behavioral heterogeneity in sustainability. We found that differences in neural communication within and between the mentalizing (TPJ/DMPFC) and cognitive control (ACC/DLPFC) network are related to interindividual differences in intergenerational sustainable behavior. Specifically, the stronger the functional connectivity within and between these networks during decision-making, the more individuals behaved intergenerationally sustainably. Corroborated by mediation analyses, these findings suggest that differences in the engagement of perspective-taking and self-control processes underly interindividual differences in intergenerational sustainable behavior. By answering recent calls for leveraging behavioral and neuroscience for sustainability research, we hope to contribute to interdisciplinary efforts to advance the understanding of interindividual differences in intergenerational sustainability.

Modified Viologen- and Carbonylpyridinium-Based Electrodes for Organic Batteries.

Efficient electrochemical energy storage has been identified as one of the most pressing needs for a sustainable energy economy. Inorganic battery materials have traditionally been the center of attention, with the current state-of-the-art device being the lithium-ion battery. Recent pursuits have led to organic materials for their beneficial chemistry and properties, but suitable materials for organic batteries are still few and far between. This Spotlight on Applications highlights two intriguing pyridinium-based organic materials, modified viologens and carbonylpyridiniums, that have both been successfully employed in electrode materials for solid-state Li-ion-type organic batteries (LOBs). We first provide an overview of the inherent electronic properties of each building block and how they can effectively be modified while maintaining or enhancing their desirable electrochemical properties for practical applications. We then describe a range of different material designs for a battery context and their application in various organic device settings, with some examples showing competitive performance with traditional Li-ion batteries.

Not So Innocent After All: Interfacial Chemistry Determines Charge-Transport Efficiency in Single-Molecule Junctions.

Most studies in molecular electronics focus on altering the molecular wire backbone to tune the electrical properties of the whole junction. However, it is often overlooked that the chemical structure of the groups anchoring the molecule to the metallic electrodes influences the electronic structure of the whole system and, therefore, its conductance. We synthesised electron-accepting dithienophosphole oxide derivatives and fabricated their single-molecule junctions. We found that the anchor group has a dramatic effect on charge-transport efficiency: in our case, electron-deficient 4-pyridyl contacts suppress conductance, while electron-rich 4-thioanisole termini promote efficient transport. Our calculations show that this is due to minute changes in charge distribution, probed at the electrode interface. Our findings provide a framework for efficient molecular junction design, especially valuable for compounds with strong electron withdrawing/donating backbones.

Probing the Impact of Solvent on the Strength of Lewis Acids via Fluorescent Lewis Adducts.

Various methods have been developed to measure the strength of a Lewis acid. A major challenge for these measurements lies in the complexity that arises from variable solvent interactions and perturbations of Lewis acids as their reaction environment changes. Herein, we investigate the impact of solvent effects on Lewis acids for the first time as measured by the fluorescent Lewis adduct (FLA) method. The binding of a Lewis acid in various solvents reveals a measurable dichotomy between both polarity and donor ability of the solvent. While not strictly separable, we observe that the influence of solvent polarity on Lewis acid unit (LAU) values is distinctly opposite to the influence of donor ability. This dichotomy was confirmed by titration data, illustrating that solvation effects can be appropriately and precisely gauged by the FLA method.

Infectious Endocarditis of a Heterotopic Caval Valved Stent.

Right-sided infective endocarditis (IE) accounts for 5% to 10% of all IE cases. Compared with left-sided IE, it is more often associated with intravenous drug abuse and intracardiac devices, whereas the latter has become more prevalent in recent decades. The authors report the first case of IE in a heterotopic caval valved stent used for treating torrential tricuspid regurgitation. (Level of Difficulty: Advanced.).

Development of the P-Arylation of Dithieno[3,2-b : 2',3'-d]phosphole with Aryl Iodonium Salts.

P-Arylation of dithieno[3,2-b : 2',3'-d]phosphole toward cationic phenyl phospholium species using diaryliodonium reagents was explored. Multiple conditions were tested to optimize the reaction, including variation of solvent, temperature, stoichiometry, time, and aryliodonium species employed. Initial use of diphenyliodonium chloride led to an unexpected dithienophosphole Cu(I) chloride complex that was characterized crystallographically. Alternatively, the use of diphenyliodonium hexafluorophosphate in ethanol under microwave conditions led to the successful isolation of the P-arylated target. The phenyl dithienophospholium species exhibits blue luminescence with a quantum yield of 100 % in solution that is considerably red-shifted in the solid state. The photophysics and solid-state organization of the new species were compared with those of a related methyl congener, showing distinct differences that are assigned to the nature of the carbon-based substituent at the phosphorus center, which was also confirmed by DFT calculations, and the supramolecular organization in the solid state.

Exploring the Lewis Acidity and Reactivity of Neutral Pentacoordinate Dithienophospholes.

A series of luminescent, neutral pentacoordinate dithieno[3,2-b:2',3'-d]phosphole compounds was synthesized by [4+1] cycloaddition of o-quinones with the corresponding trivalent phospholes. The electronic and geometrical modification of the π-conjugated scaffold implemented here impacts the aggregation behavior of the species in solution. It proved successful in generating species with improved Lewis acidity of the phosphorus center that was then leveraged for small-molecule activation. Hydride abstraction from an external substrate involving the hypervalent species is followed by an intriguing P-mediated umpolung from the hydride to a proton and supports the catalytic potential of this class of main-group Lewis acids for organic chemistry. This study is a comprehensive investigation into various methods, including electronic, chemical, geometric modifications (and sometimes combinations of these approaches) to systematically improve the Lewis acidity of neutral and stable main-group Lewis acids with practical value for a range of chemical transformations.

Unique Phosphorus-Based Avenues for the Tuning of Functional Materials.

ConspectusRecent ground-breaking advances in synthetic chemistry have transformed main-group molecules from simple laboratory curiosities into powerful materials for a range of applications in all realms of life. Electron-accepting or -deficient materials, in particular, have been the focus of development since their generally limited availability and stability have been major hurdles in establishing new practical applications. In addition to the general requirements for the design of these materials, a deeper understanding of their inherent electronics and molecular interactions is a requirement for the successful expansion of their utility. Previously, the incorporation of electron-deficient main-group elements, such as boron, into a conjugated organic framework was considered to be an effective route toward the synthesis of high-performing electron-accepting materials. However, challenging conditions such as the need for bulky substituents for kinetic stabilization, air-free and moisture-sensitive synthesis, and restricted storage abilities have led to the investigation of other elements across the periodic table to be used in a similar vein. Lately, heavier main-group elements such as Si, Ge, P, As, Sb, Bi, S, Se, and Te have also proven to be advantageous for electron-accepting materials as they exhibit polarizable molecular orbitals that are easily accessible to electrons or nucleophiles. This has laid the foundation for materials chemistry research on a variety of applications, including optoelectronic devices such as OLEDs, organic photovoltaics, energy storage such as in batteries and capacitors, fluorescent sensors with both biological and physiological applications, organocatalysis and synthesis, and many more. Among the main-group-element-based materials, organophosphorus species are privileged as their frontier orbitals are easily altered by chemical modification or/and structural and geometrical manipulations at the phosphorus center itself, without the need for kinetic stabilization, or through electronic modification of the conjugated system. The five-membered phosphorus-based heterocycle, phosphole, is a particularly interesting motif in this context, and extensive studies on the corresponding materials have uncovered the rich fundamentals of the σ*-π* interaction that imparts intriguing accepting properties while sustaining morphological and physiological stability for utilization in real-life scenarios. Moreover, beyond the σ*-π* interaction in phospholes that is key to many of their acceptor properties as a material, the use of phosphorus also gives rise to easily accessible, low-lying antibonding orbitals. They pave the way for Lewis acid phosphorus species that, despite being considered to be electron-rich species in general, open up several possibilities for intriguing chemical reactivity through hypervalency. Herein, we representatively discuss some recent advancements through the various approaches that leverage the unique structures and electronics of organophosphorus species toward the design of materials with outstanding electronic, chemical, and structural properties and reactivities for the functional material world.

Multimodal Magnetic Resonance Imaging Depicts Widespread and Subregion Specific Anomalies in the Thalamus of Early-Psychosis and Chronic Schizophrenia Patients.

BACKGROUND AND HYPOTHESIS: Although the thalamus has a central role in schizophrenia pathophysiology, contributing to sensory, cognitive, and sleep alterations, the nature and dynamics of the alterations occurring within this structure remain largely elusive. Using a multimodal magnetic resonance imaging (MRI) approach, we examined whether anomalies: (1) differ across thalamic subregions/nuclei, (2) are already present in the early phase of psychosis (EP), and (3) worsen in chronic schizophrenia (SCHZ). STUDY DESIGN: T1-weighted and diffusion-weighted images were analyzed to estimate gray matter concentration (GMC) and microstructural parameters obtained from the spherical mean technique (intra-neurite volume fraction [VFINTRA)], intra-neurite diffusivity [DIFFINTRA], extra-neurite mean diffusivity [MDEXTRA], extra-neurite transversal diffusivity [TDEXTRA]) within 7 thalamic subregions. RESULTS: Compared to age-matched controls, the thalamus of EP patients displays previously unreported widespread microstructural alterations (VFINTRA decrease, TDEXTRA increase) that are associated with similar alterations in the whole brain white matter, suggesting altered integrity of white matter fiber tracts in the thalamus. In both patient groups, we also observed more localized and heterogenous changes (either GMC decrease, MDEXTRA increase, or DIFFINTRA decrease) in mediodorsal, posterior, and ventral anterior parts of the thalamus in both patient groups, suggesting that the nature of the alterations varies across subregions. GMC and DIFFINTRA in the whole thalamus correlate with global functioning, while DIFFINTRA in the subregion encompassing the medial pulvinar is significantly associated with negative symptoms in SCHZ. CONCLUSION: Our data reveals both widespread and more localized thalamic anomalies that are already present in the early phase of psychosis.

Interindividual differences in intergenerational sustainable behavior are associated with cortical thickness of the dorsomedial and dorsolateral prefrontal cortex.

Intergenerational sustainability requires people of the present generation to make sacrifices today to benefit others of future generations (e.g. mitigating climate change, reducing public debt). Individuals vary greatly in their intergenerational sustainability, and the cognitive and neural sources of these interindividual differences are not yet well understood. We here combined neuroscientific and behavioral methods by assessing interindividual differences in cortical thickness and by using a common-pool resource paradigm with intergenerational contingencies. This enabled us to look for objective, stable, and trait-like neural markers of interindividual differences in consequential intergenerational behavior. We found that individuals behaving sustainably (vs. unsustainably) were marked by greater cortical thickness of the dorsomedial and dorsolateral prefrontal cortex. Given that these brain areas are involved in perspective-taking and self-control and supported by mediation analyses, we speculate that greater cortical thickness of these brain areas better enable individuals to take the perspective of future generations and to resist temptations to maximize personal benefits that incur costs for future generations. By meeting recent calls for the contribution of neuroscience to sustainability research, it is our hope that the present study advances the transdisciplinary understanding of interindividual differences in intergenerational sustainability.

Efficiency of Sidestream Nitritation for Modern Two-Stage Activated Sludge Plants.

The operational costs of wastewater treatment plants (WWTPs) are mainly driven by electric power consumption, making the energy-efficient operation an all-time present target for engineers and operators. A well known approach to reduce the demand for purchased electricity is the operation of an anaerobic sludge stabilisation process. Although anaerobic digesters make it possible to recover large quantities of energy-rich methane gas, additional strategies are required to handle the increased internal return flow of nitrogen, which arises with the sludge dewatering effluent (SDE). SDE treatment increases the oxygen demand and in turn the energy required for aeration. In this study, different SDE treatment processes were compared with regard to the treatment in mainstream, sidestream nitritation, as well as nitritation combined with anammox for two-stage and single-stage WWTPs. Although SDE treatment in sidestream nitritation was found to have no effect on the energy demand of single-stage WWTPs, this concept allows the treatment capacity in the activated sludge tank to be raised, while contributing to a high nitrogen removal under carbon limitation. In contrast, SDE sidestream treatment showed great potential for saving energy at two-stage WWTPs, whereby sidestream nitritation and the further treatment in the first stage was found to be the most efficient concept, with a savings of approx. 11% of the aeration energy.

Canakinumab in patients with COVID-19 and type 2 diabetes - A multicentre, randomised, double-blind, placebo-controlled trial.

Background: Patients with type 2 diabetes and obesity have chronic activation of the innate immune system possibly contributing to the higher risk of hyperinflammatory response to SARS-CoV2 and severe COVID-19 observed in this population. We tested whether interleukin-1ß (IL-1ß) blockade using canakinumab improves clinical outcome. Methods: CanCovDia was a multicenter, randomised, double-blind, placebo-controlled trial to assess the efficacy of canakinumab plus standard-of-care compared with placebo plus standard-of-care in patients with type 2 diabetes and a BMI > 25 kg/m2 hospitalised with SARS-CoV2 infection in seven tertiary-hospitals in Switzerland. Patients were randomly assigned 1:1 to a single intravenous dose of canakinumab (body weight adapted dose of 450-750 mg) or placebo. Canakinumab and placebo were compared based on an unmatched win-ratio approach based on length of survival, ventilation, ICU stay and hospitalization at day 29. This study is registered with ClinicalTrials.gov, NCT04510493. Findings: Between October 17, 2020, and May 12, 2021, 116 patients were randomly assigned with 58 in each group. One participant dropped out in each group for the primary analysis. At the time of randomization, 85 patients (74·6 %) were treated with dexamethasone. The win-ratio of canakinumab vs placebo was 1·08 (95 % CI 0·69-1·69; p = 0·72). During four weeks, in the canakinumab vs placebo group 4 (7·0%) vs 7 (12·3%) participants died, 11 (20·0 %) vs 16 (28·1%) patients were on ICU, 12 (23·5 %) vs 11 (21·6%) were hospitalised for more than 3 weeks, respectively. Median ventilation time at four weeks in the canakinumab vs placebo group was 10 [IQR 6.0, 16.5] and 16 days [IQR 14.0, 23.0], respectively. There was no statistically significant difference in HbA1c after four weeks despite a lower number of anti-diabetes drug administered in patients treated with canakinumab. Finally, high-sensitive CRP and IL-6 was lowered by canakinumab. Serious adverse events were reported in 13 patients (11·4%) in each group. Interpretation: In patients with type 2 diabetes who were hospitalised with COVID-19, treatment with canakinumab in addition to standard-of-care did not result in a statistically significant improvement of the primary composite outcome. Patients treated with canakinumab required significantly less anti-diabetes drugs to achieve similar glycaemic control. Canakinumab was associated with a prolonged reduction of systemic inflammation. Funding: Swiss National Science Foundation grant #198415 and University of Basel. Novartis supplied study medication.

Sex-Related Differences in Patient Selection for and Outcomes after Pace and Ablate for Refractory Atrial Fibrillation: Insights from a Large Multicenter Cohort.

Background: A pace and ablate strategy may be performed in refractory atrial fibrillation with rapid ventricular response. Objective: We aimed to assess sex-related differences in patient selection and clinical outcomes after pace and ablate. Methods: In a retrospective multicentre study, patients undergoing AV junction ablation were studied. Sex-related differences in baseline characteristics, all-cause mortality, heart failure (HF) hospitalizations, and device-related complications were assessed. Results: Overall, 513 patients underwent AV junction ablation (median age 75 years, 50% men). At baseline, men were younger (72 vs. 78 years, p < 0.001), more frequently had non-paroxysmal AF (82% vs. 72%, p = 0.006), had a lower LVEF (35% vs. 55%, p < 0.001) and more frequently had cardiac resynchronization therapy (75% vs. 25%, p < 0.001). Interventional complications were rare in both groups (1.2% vs. 1.6%, p = 0.72). Patients were followed for a median of 42 months in survivors (IQR 22−62). After 4 years of follow-up, the combined endpoint of all-cause death or HF hospitalization occurred more often in men (38% vs. 27%, p = 0.008). The same was observed for HF hospitalizations (22% vs. 11%, p = 0.021) and all-cause death (28% vs. 21%, p = 0.017). Sex category remained an independent predictor of death or HF hospitalization after adjustment for age, LVEF and type of stimulation. Lead-related complications, infections, and upgrade to ICD or CRT occurred in 2.1%, 0.2% and 3.5% of patients, respectively. Conclusions: Pace and ablate is safe with a need for subsequent device-related re-interventions in 5.8% over 4 years. We found significant sex-related differences in patient selection, and women had a more favourable clinical course after AV junction ablation.

Tailored Solvatochromic NIR Phosphorus-Chromophores via Selective P-N and P-C Chemistry in P-Heteropines.

Herein we report selective P-C and P-N chemistry as a new synthetic tool for constructing phosphorus (P)-chromophores with rich chemical structures. Our studies reveal that isomeric structures significantly influence the chemical structure and electronic communication of P-heteropines, which results in efficient tunability of the photophysical properties. In particular, isomeric P-chromophores with a protic N-H (indole) are also capable of participating in intramolecular H bonding, offering a new strategy to access a near-infrared chromophore.

Mentalizing with the future: Electrical stimulation of the right TPJ increases sustainable decision-making.

While many people acknowledge the urgency to drastically change our consumption patterns to mitigate climate change, most people fail to live sustainably. We hypothesized that a lack of sustainability stems from insufficient intergenerational mentalizing (i.e., taking the perspective of people in the future). To causally test our hypothesis, we applied high-definition transcranial direct current stimulation (HD-tDCS) to the temporo-parietal junction (TPJ). We tested participants twice (receiving stimulation at the TPJ or the vertex as control), while they engaged in a behavioral economic paradigm measuring sustainable decision-making, even if sustainability was costly. Indeed, excitatory anodal HD-tDCS increased sustainable decision-making, while inhibitory cathodal HD-tDCS had no effect. These finding cannot be explained by changes in participants' fairness norms or their estimation of how other people would behave. Shedding light on the neural basis of sustainability, our results could inspire targeted interventions tackling the TPJ and give neuroscientific support to theories on how to construct public campaigns addressing sustainability issues.

Who initiates punishment, who joins punishment? Disentangling types of third-party punishers by neural traits.

The act of punishing unfair behavior by unaffected observers (i.e., third-party punishment) is a crucial factor in the functioning of human societies. In everyday life, we see different types of individuals who punish. While some individuals initiate costly punishment against an unfair person independently of what other observers do (independent punishers), others condition their punishment engagement on the presence of another person who punishes (conditional punishers). Still others do not want to partake in any sort of punishment (nonpunishers). Although these distinct behavioral types have a divergent impact on human society, the sources of heterogeneity are poorly understood. We present novel laboratory evidence on the existence of these three types. We use anatomical brain characteristics in combination with stated motives to characterize these types. Findings revealed that independent punishers have larger gray matter volume in the right temporo-parietal junction compared to conditional punishers and nonpunishers, an area involved in social cognition. Conditional punishers are characterized by larger gray matter volume in the right dorsolateral prefrontal cortex, a brain area known to be involved in behavioral control and strategic reasoning, compared to independent punishers and nonpunishers. Finally, both independent punishers and nonpunishers are characterized by larger gray matter volume in an area involved in the processing of social and monetary rewards, that is, the bilateral caudate. By using a neural trait approach, we were able to differentiate these three types clearly based on their neural signatures, allowing us to shed light on the underlying psychological mechanisms.