Facilitating Atom Probe Tomography of 2D MXene Films by In Situ Sputtering.

2D materials are emerging as promising nanomaterials for applications in energy storage and catalysis. In the wet chemical synthesis of MXenes, these 2D transition metal carbides and nitrides are terminated with a variety of functional groups, and cations such as Li+ are often used to intercalate into the structure to obtain exfoliated nanosheets. Given the various elements involved in their synthesis, it is crucial to determine the detailed chemical composition of the final product, in order to better assess and understand the relationships between composition and properties of these materials. To facilitate atom probe tomography analysis of these materials, a revised specimen preparation method is presented in this study. A colloidal Ti3C2Tz MXene solution was processed into an additive-free free-standing film and specimens were prepared using a dual beam scanning electron microscope/focused ion beam. To mechanically stabilize the fragile specimens, they were coated using an in situ sputtering technique. As various 2D material inks can be processed into such free-standing films, the presented approach is pivotal for enabling atom probe analysis of other 2D materials.

Near-Atomic-Scale Perspective on the Oxidation of Ti3 C2 Tx MXenes: Insights from Atom Probe Tomography.

MXenes are a family of 2D transition metal carbides and nitrides with remarkable properties, bearing great potential for energy storage and catalysis applications. However, their oxidation behavior is not yet fully understood, and there are still open questions regarding the spatial distribution and precise quantification of surface terminations, intercalated ions, and possible uncontrolled impurities incorporated during synthesis and processing. Here, atom probe tomography (APT) analysis of as-synthesized Ti3 C2 Tx MXenes reveals the presence of alkali (Li, Na) and halogen (Cl, F) elements as well as unetched Al. Following oxidation of the colloidal solution of MXenes, it is observed that the alkalis are enriched in TiO2 nanowires. Although these elements are tolerated through the incorporation by wet chemical synthesis, they are often overlooked when the activity of these materials is considered, particularly during catalytic testing. This work demonstrates how the capability of APT to image these elements in 3D at the near-atomic scale can help to better understand the activity and degradation of MXenes, in order to guide their synthesis for superior functional properties.

Exploring the Redox Properties of Ce1-xUxO2±Î´ (x ≤ 0.5) Oxides for Energy Applications.

The Ce-U-O system, forming a solid solution in the fluorite structure, has gained much attention due to its unique properties. Mixed fluorite oxide powders of Ce1-xUxO2±Î´ compositions were found to be particularly active for H2 production through thermochemical water splitting. In the present work, we explore the reduction-oxidation properties of the mixed oxides with x = 0.1, 0.25, and 0.5. We report a particularly high oxygen storage capacity (OSC) for x ≥ 0.25 and show that the oxygen extracted from these mixed oxides is of a different origin than that extracted from CeO2. While in ceria, oxygen is extracted from the tetrahedral sites, leading to the formation of oxygen vacancies, the extracted oxygen in Ce1-xUxO2±Î´ (x ≥ 0.25) is essentially excess oxygen in the fluorite lattice (which spontaneously penetrates the oxide under ambient or oxidative conditions). This property, which is clearly related to the change in the valency of the U cations, is apparently responsible for the higher OSC and the lower activation energy for oxygen extraction from the mixed oxides compared to ceria. The mixed oxide powders are shown to be structurally stable, retaining their fluorite structure following reduction under Ar-5%H2 or oxidation in air until 1000 °C. The presented results provide new insights into the Ce-U-O system which may be exploited for future technical applications, as a catalyst for thermochemical water splitting, or as a solid electrolyte in solid oxide fuel cells.

Unidirectional rotation of micromotors on water powered by pH-controlled disassembly of chiral molecular crystals.

Biological and synthetic molecular motors, fueled by various physical and chemical means, can perform asymmetric linear and rotary motions that are inherently related to their asymmetric shapes. Here, we describe silver-organic micro-complexes of random shapes that exhibit macroscopic unidirectional rotation on water surface through the asymmetric release of cinchonine or cinchonidine chiral molecules from their crystallites asymmetrically adsorbed on the complex surfaces. Computational modeling indicates that the motor rotation is driven by a pH-controlled asymmetric jet-like Coulombic ejection of chiral molecules upon their protonation in water. The motor is capable of towing very large cargo, and its rotation can be accelerated by adding reducing agents to the water.

Psychiatric Boarding in Emergency Departments and the COVID-19 First Wave: The New Hampshire Response.

The COVID-19 pandemic forced unprecedented challenges for emergency department operations during the spring of 2020. Before the COVID-19 pandemic, psychiatric boarding in emergency departments required a substantial amount of staffing and administrative resources. This case study describes one state's efforts to rapidly decrease psychiatric boarding by 93% in 2 weeks with a multipronged approach, and simultaneously minimal effects observed on outcome measures of psychiatric hospital readmissions and suicide rates. Lessons learned are discussed regarding workflow adaptations and leadership implications.

Carbon-Nitride Popcorn-A Novel Catalyst Prepared by Self-Propagating Combustion of Nitrogen-Rich Triazenes.

The interest in development of non-graphitic polymeric carbon nitrides (PCNs), with various C-to-N ratios, having tunable electronic, optical, and chemical properties is rapidly increasing. Here the first self-propagating combustion synthesis methodology for the facile preparation of novel porous PCN materials (PCN3-PCN7) using new nitrogen-rich triazene-based precursors is reported. This methodology is found to be highly precursor dependent, where variations in the terminal functional groups in the newly designed precursors (compounds 3-7) lead to different combustion behaviors, and morphologies of the resulted PCNs. The foam-type highly porous PCN5, generated from self-propagating combustion of 5 is comprehensively characterized and shows a C-to-N ratio of 0.67 (C3 N4.45 ). Thermal analyses of PCN5 formulations with ammonium perchlorate (AP) reveal that PCN5 has an excellent catalytic activity in the thermal decomposition of AP. This catalytic activity of PCN5 is further evaluated in a closer-to-application scenario, showing an increase of 18% in the burn rate of AP-Al-HTPB (with 2 wt% of PCN5) solid composite propellant. The newly developed template- and additive-free self-propagating combustion synthetic methodology using specially designed nitrogen-rich precursors should provide a novel platform for the preparation of non-graphitic PCNs with a variety of building block chemistries, morphologies, and properties suitable for a broad range of technologies.

Clinical and economic outcomes associated with respiratory syncytial virus vaccination in older adults in the United States.

BACKGROUND: Respiratory syncytial virus (RSV) is an important cause of lower respiratory infections and hospitalizations among older adults. We aimed to estimate the potential clinical benefits and economic value of RSV vaccination of older adults in the United States (US). METHODS: We developed an economic model using a decision-tree framework to capture outcomes associated with RSV infections in US adults aged ≥ 60 years occurring during one RSV season for a hypothetical vaccine versus no vaccine. Two co-base-case epidemiology sources were selected from a targeted review of the US literature: a landmark study capturing all RSV infections and a contemporary study reporting medically attended RSV that also distinguishes mild from moderate-to-severe disease. Both base-case analyses used recent data on mortality risk in the year after RSV hospitalizations. Direct medical costs and quality-adjusted life-years (QALYs) lost per case were obtained from the literature and publicly available sources. Model outcomes included the population-level clinical and economic RSV disease burden among older adults, potential vaccine-avoidable disease burden, and the potential value-based price of a vaccine from a third-party payer perspective. RESULTS: Our two base-case analyses estimated that a vaccine with 50% efficacy and coverage matching that of influenza vaccination would prevent 43,700-81,500 RSV hospitalizations and 8,000-14,900 RSV-attributable deaths per RSV season, resulting in 1,800-3,900 fewer QALYs lost and avoiding $557-$1,024 million. Value-based prices for the co-base-case analyses were $152-$299 per vaccination at a willingness to pay of $100,000/QALY gained. Sensitivity analyses found that the economic value of vaccination was most sensitive to RSV incidence and increased posthospitalization mortality risks. CONCLUSIONS: Despite variability and gaps in the epidemiology literature, this study highlights the potential value of RSV vaccination for older adults in the US. Our analysis provides contemporary estimates of the population-level RSV disease burden and insights into the economic value drivers for RSV vaccination.

Familial "Diplegic" Migraine - Description of a Family With a Novel CACNA1A Mutation.

OBJECTIVE: To characterize phenotypes of a novel CACNA1A mutation causing familial hemiplegic migraine type 1. BACKGROUND: Familial hemiplegic migraine is a rare monogenic form of migraine associated with attacks of fully reversible unilateral motor weakness. We now report a novel CACNA1A gene mutation associated with fully reversible bilateral motor weakness (diplegia). METHODS: The proband underwent genotyping which identified a novel CACNA1A missense mutation (c.622 [isoform 1] G > A [p.Gly208Arg]). To characterize phenotypes associated with this novel mutation, the proband and 8 of her similarly affected family members underwent a semi-structured interview. RESULTS: All 9 subjects who were interviewed met ICHD-3 phenotypic diagnostic criteria for FHM, including reporting attacks with reversible unilateral motor weakness. Additionally, 7 of 9 subjects reported attacks including reversible motor weakness affecting both sides of the body simultaneously. CONCLUSIONS: We describe a novel CACNA1A mutation associated with migraine attacks including reversible diplegia.

Light and complex 3D MoS2/graphene heterostructures as efficient catalysts for the hydrogen evolution reaction.

Multi-component 3D porous structures are highly promising hierarchical materials for numerous applications. Herein we show that atomic-layer deposition (ALD) of MoS2 on graphene foams with variable pore size is a promising methodology to prepare complex 3D heterostructures to be used as electrocatalysts for the hydrogen evolution reaction (HER). The effect of MoS2 crystallinity is studied and a trade-off between the high density of defects naturally presented in amorphous MoS2 coatings and the highly crystalline phase obtained after annealing at 800 °C is established. Specifically, an optimal annealing at 500 °C is shown to yield improved catalytic performance with an overpotential of 180 mV, a low Tafel slope of 47 mV dec-1, and a high exchange current of 17 µA cm-2. The ALD deposition is highly conformal, and thus advantageous when coating 3D porous structures with small pore sizes, as required for real-world applications. This approach is enabled by conformal thin film deposition on porous structures with controlled crystallinity by tuning the annealing temperature. The results presented here therefore serve as an effective and general platform for the design of chemically and structurally tunable, binder-free, complex, lightweight, and highly efficient 3D porous heterostructures to be used for catalysis, energy storage, composite materials, sensors, water treatment, and more.

Catalytic Enhancement of CO Oxidation on LaFeO3 Regulated by Ruddlesden-Popper Stacking Faults.

The influence of planar defects, in the form of stacking faults, within perovskite oxides on catalytic activity has received little attention because controlling stacking-fault densities presents a major synthetic challenge. Furthermore, stacking faults in ceramics are not thought to appreciably impact surface chemistry, which partly explains why their direct effect on catalysis is generally ignored. Here, we show that Ruddlesden-Popper (RP) stacking faults in otherwise stoichiometric LaFeO3 can be broadly controlled by modulating the ceramic synthesis route. Electronic structure calculations along with electron microscopy and spectroscopy show that energetically favorable RP faults occur both near the surface and in bunches and enhance CO oxidation kinetics. Density functional theory (DFT) + U shows that subsurface RP faults strengthen the adsorption and co-adsorption of CO, O, and O2, which could lower the apparent activation energy of CO oxidation on faulted catalysts compared to that on their pristine counterparts. Our work suggests that planar defects should be considered a new and useful feature in hierarchal nanoscale design of future catalysts.

Tunable Molecular-Scale Materials for Catalyzing the Low-Overpotential Electrochemical Conversion of CO2.

Electrochemical CO2 reduction provides a clean and viable alternative for mitigating the environmental aspects of global greenhouse gas emissions. To date, the simultaneous goals of CO2 reduction at high selectivity and activity have yet to be achieved. Here, the importance of engineering both sides of the electrode-electrolyte interface as a rational strategy for achieving this milestone is highlighted. An emphasis is placed on researchers contributing to the design of solid electrodes based on metal-organic frameworks (MOFs) and electrolytes based on room-temperature ionic liquids (RTILs). Future research geared toward optimizing the electrode-electrolyte interface for efficient and selective CO2 reduction can be achieved by understanding the structure of newly designed RTILs at the electrified interface, as well as structure-activity relationships in highly tunable MOF platforms.

Role of 2D and 3D defects on the reduction of LaNiO3 nanoparticles for catalysis.

Solid phase crystallization offers an attractive route to synthesize Ni nanoparticles on a La2O3 support. These materials have shown great promise as catalysts for methane oxidation and similar reactions. Synthesis is achieved by the reduction of a LaNiO3 (LNO) precursor at high temperatures, but the reduction pathway can follow a variety of routes. Optimization of catalytic properties such as the long-term stability has been held back by a lack of understanding of the factors impacting the reduction pathway, and its strong influence on the structure of the resulting Ni/La2O3 catalyst. Here we show the first evidence of the importance of extended structural defects in the LNO precursor material (2D stacking faults and 3D inclusions) for determining the reaction pathway and therefore the properties of the final catalyst. Here we compare the crystallization of LNO nanoparticles via two different pathways using in-situ STEM, in-situ synchrotron XRD, and DFT electronic structure calculations. Control of extended defects is shown to be a key microstructure component for improving catalyst lifetimes.

Are coral reefs victims of their own past success?

As one of the most prolific and widespread reef builders, the staghorn coral Acropora holds a disproportionately large role in how coral reefs will respond to accelerating anthropogenic change. We show that although Acropora has a diverse history extended over the past 50 million years, it was not a dominant reef builder until the onset of high-amplitude glacioeustatic sea-level fluctuations 1.8 million years ago. High growth rates and propagation by fragmentation have favored staghorn corals since this time. In contrast, staghorn corals are among the most vulnerable corals to anthropogenic stressors, with marked global loss of abundance worldwide. The continued decline in staghorn coral abundance and the mounting challenges from both local stress and climate change will limit the coral reefs' ability to provide ecosystem services.

Prevalence and correlates of oral human papillomavirus infection among healthy males and females in Lima, Peru.

PURPOSE: The incidence of human papillomavirus (HPV) associated head and neck cancers (HNCs) have been increasing in Peru. However, the burden of oral HPV infection in Peru has not been assessed. The objective of this cross-sectional study was to estimate the prevalence and correlates of oral HPV infection in a population-based sample from males and females from Lima, Peru. METHODS: Between January 2010 and June 2011, a population-based sample of 1099 individuals between the ages of 10 and 85 from a low-income neighbourhood in Lima, Peru was identified through random household sampling. Information on demographic, sexual behaviours, reproductive factors and oral hygiene were collected using interviewer-administered questionnaires. Oral rinse specimens were collected from each participant, and these specimens were genotyped using the Roche Linear Array assay. ORs were used to assess differences in the prevalence of any oral HPV and any high-risk oral HPV infection by demographic factors, sexual practices and oral hygiene among individuals 15+ years of age. RESULTS: The prevalence of any HPV and any high-risk HPV (HR-HPV) was 6.8% and 2.0%, respectively. The three most common types were HPV 55 (3.4%), HPV 6 (1.5%) and HPV 16 (1.1%). Male sex (aOR, 2.21; 95% CI 1.22 to 4.03) was associated with any HPV infection after adjustment. CONCLUSIONS: The prevalence of oral HPV in this study was similar to estimates observed in the USA. Higher prevalence of oral infections in males was consistent with a male predominance of HPV-associated HNCs and may signal a sex-specific aetiology in the natural history of infection.

Robust carbon dioxide reduction on molybdenum disulphide edges.

Electrochemical reduction of carbon dioxide has been recognized as an efficient way to convert carbon dioxide to energy-rich products. Noble metals (for example, gold and silver) have been demonstrated to reduce carbon dioxide at moderate rates and low overpotentials. Nevertheless, the development of inexpensive systems with an efficient carbon dioxide reduction capability remains a challenge. Here we identify molybdenum disulphide as a promising cost-effective substitute for noble metal catalysts. We uncover that molybdenum disulphide shows superior carbon dioxide reduction performance compared with the noble metals with a high current density and low overpotential (54 mV) in an ionic liquid. Scanning transmission electron microscopy analysis and first principle modelling reveal that the molybdenum-terminated edges of molybdenum disulphide are mainly responsible for its catalytic performance due to their metallic character and a high d-electron density. This is further experimentally supported by the carbon dioxide reduction performance of vertically aligned molybdenum disulphide.

Ionic liquid-mediated selective conversion of CO2 to CO at low overpotentials.

Electroreduction of carbon dioxide (CO(2))--a key component of artificial photosynthesis--has largely been stymied by the impractically high overpotentials necessary to drive the process. We report an electrocatalytic system that reduces CO(2) to carbon monoxide (CO) at overpotentials below 0.2 volt. The system relies on an ionic liquid electrolyte to lower the energy of the (CO(2))(-) intermediate, most likely by complexation, and thereby lower the initial reduction barrier. The silver cathode then catalyzes formation of the final products. Formation of gaseous CO is first observed at an applied voltage of 1.5 volts, just slightly above the minimum (i.e., equilibrium) voltage of 1.33 volts. The system continued producing CO for at least 7 hours at Faradaic efficiencies greater than 96%.

Microgels as stimuli-responsive stabilizers for emulsions.

Temperature- and pH-sensitive microgels from cross-linked poly(N-isopropylacrylamide)-co-methacrylic acid are utilized for emulsion stabilization. The pH- and temperature-dependent stability of the prepared emulsion was characterized. Stable emulsions are obtained at high pH and room temperature. Emulsions with polar oils, like 1-octanol, can be broken by either addition of acid or an increase of temperature, whereas emulsions with unpolar oils do not break upon these stimuli. However, complete phase separation, independent of oil polarity, can be achieved by successive acid addition and heating. This procedure also offers a way to recover and recycle the microgel from the sample. Interfacial dilatational rheology data correlate with the stimuli sensitivity of the emulsion, and a strong dependence of the interfacial elastic and loss moduli on pH and temperature was found. The influence of the preparation method on the type of emulsion is demonstrated. The mean droplet size of the emulsions is characterized by means of flow particle image analysis. The type of emulsion [water in oil (w/o) or oil in water (o/w)] depends on the preparation technique as well as on the microgel content. Emulsification with high shear rates allows preparation of both w/o and o/w emulsions, whereas with low shear rates o/w emulsions are the preferred type. The emulsions are stable at high pH and low temperature, but instable at low pH and high temperature. Therefore, we conclude that poly(N-isopropylacrylamide)-co-methacrylic acid microgels can be used as stimuli-sensitive stabilizers for emulsions. This offers a new and unique way to control emulsion stability.

Diverse staghorn corals (Acropora) in high-latitude Eocene assemblages: implications for the evolution of modern diversity patterns of reef corals.

Acropora is the most diverse genus of reef-building corals in the world today. It occurs in all three major oceans; it is restricted to latitudes 31 degrees N-31 degrees S, where most coral reefs occur, and reaches greatest diversity in the central Indo-Pacific. As an exemplar genus, the long-term history of Acropora has implications for the evolution and origins of present day biodiversity patterns of reef corals and for predicting their response to future climate change. Diversification of Acropora was thought to have occurred in the central Indo-Pacific within the previous two million years. We examined Eocene fossils from southern England and northern France and found evidence that precursors of up to nine of 20 currently recognized Acropora species groups existed 49-34 Myr, at palaeolatitudes far higher than current limits, to 51 degrees N. We propose that pre-existing diversity contributed to later rapid speciation in this important functional group of corals.