Dual stimulation with iTBS-cTBS treatment in postpartum obsessive-compulsive disorder: a case report.

AIM OF THE STUDY: This study aimed to present a case of intermittent theta-burst stimulation (iTBS) and continuous theta-burst stimulation (cTBS) dual stimulation for the treatment of postpartum obsessive-compulsive disorder (OCD). The objective was to provide a referenceable therapy in cases where medication and psychotherapy treatment are not preferred or contraindicated. This case further emphasized the importance of non-invasive neuromodulation techniques in improving the condition of postpartum OCD patients. MATERIALS AND METHODS: A 32-year-old female was diagnosed with OCD 2 months after delivery. The patient refused to take medication and psychotherapy due to concerns that it would interfere with the infant's breastfeeding. Subsequently, a 2-week combined iTBS and cTBS treatment was carried out. The patient's obsessive-compulsive symptoms, anxiety, and depression improved. There were no significant adverse effects during the treatment, and the treatment effect remained 2 weeks after the end of the treatment. CONCLUSION: This clinical case provides evidence that the combined iTBS and cTBS treatment can potentially effectively alleviate obsessive-compulsive symptoms in the short term. Notably, this therapeutic approach may offer a promising solution for postpartum OCD patients, as it addresses practical concerns such as medication safety for breastfeeding mothers and the specific needs of this population. To further establish the efficacy of this combined therapy, future randomized controlled trials with large samples and long-term follow-up are warranted to validate its therapeutic potential.

Electrochemical Hydrophobic Tri-layer Interface Rendered Mechanically Graded Solid Electrolyte Interface for Stable Zinc Metal Anode.

The aqueous zinc-ion battery is promising as grid scale energy storage device, but hindered by the instable electrode/electrolyte interface. Herein, we report the lean-water ionic liquid electrolyte for aqueous zinc metal batteries. The lean-water ionic liquid electrolyte creates the hydrophobic tri-layer interface assembled by first two layers of hydrophobic OTF- and EMIM+ and third layer of loosely attached water, beyond the classical Gouy-Chapman-Stern theory based electrochemical double layer. By taking advantage of the hydrophobic tri-layer interface, the lean-water ionic liquid electrolyte enables a wide electrochemical working window (2.93 V) with relatively high zinc ion conductivity (17.3 mS/cm). Furthermore, the anion crowding interface facilitates the OTF- decomposition chemistry to create the mechanically graded solid electrolyte interface layer to simultaneously suppress the dendrite formation and maintain the mechanical stability. In this way, the lean-water based ionic liquid electrolyte realizes the ultralong cyclability of over 10000 cycles at 20 A/g and at practical condition of N/P ratio of 1.5, the cumulated areal capacity reach 1.8 Ah/cm2 , which outperforms the state-of-the-art zinc metal battery performance. Our work highlights the importance of the stable electrode/electrolyte interface stability, which would be practical for building high energy grid scale zinc-ion battery.

Fluoride-Rich, Organic-Inorganic Gradient Interphase Enabled by Sacrificial Solvation Shells for Reversible Zinc Metal Batteries.

Zinc metal batteries are strongly hindered by water corrosion, as solvated zinc ions would bring the active water molecules to the electrode/electrolyte interface constantly. Herein, we report a sacrificial solvation shell to repel active water molecules from the electrode/electrolyte interface and assist in forming a fluoride-rich, organic-inorganic gradient solid electrolyte interface (SEI) layer. The simultaneous sacrificial process of methanol and Zn(CF3SO3)2 results in the gradient SEI layer with an organic-rich surface (CH2OC- and C5 product) and an inorganic-rich (ZnF2) bottom, which combines the merits of fast ion diffusion and high flexibility. As a result, the methanol additive enables corrosion-free zinc stripping/plating on copper foils for 300 cycles with an average coulombic efficiency of 99.5%, a record high cumulative plating capacity of 10 A h/cm2 at 40 mA/cm2 in Zn/Zn symmetrical batteries. More importantly, at an ultralow N/P ratio of 2, the practical VO2//20 µm thick Zn plate full batteries with a high areal capacity of 4.7 mAh/cm2 stably operate for over 250 cycles, establishing their promising application for grid-scale energy storage devices. Furthermore, directly utilizing the 20 µm thick Zn for the commercial-level areal capacity (4.7 mAh/cm2) full zinc battery in our work would simplify the manufacturing process and boost the development of the commercial zinc battery for stationary storage.

Proton Storage in Metallic H1.75MoO3 Nanobelts through the Grotthuss Mechanism.

The proton, as the cationic form of the lightest element-H, is regarded as most ideal charge carrier in "rocking chair" batteries. However, current research on proton batteries is still at its infancy, and they usually deliver low capacity and suffer from severe acidic corrosion. Herein, electrochemically activated metallic H1.75MoO3 nanobelts are developed as a stable electrode for proton storage. The electrochemically pre-intercalated protons not only bond directly with the terminal O3 site via strong O-H bonds but also interact with the oxygens within the adjacent layers through hydrogen bonding, forming a hydrogen-bonding network in H1.75MoO3 nanobelts and enabling a diffusion-free Grotthuss mechanism as a result of its ultralow activation energy of ∼0.02 eV. To the best of our knowledge, this is the first reported inorganic electrode exhibiting Grotthuss mechanism-based proton storage. Additionally, the proton intercalation into MoO3 with formation of H1.75MoO3 induces strong Jahn-Teller electron-phonon coupling, rendering a metallic state. As a consequence, the H1.75MoO3 shows an outstanding fast charging performance and maintains a capacity of 111 mAh/g at 2500 C, largely outperforming the state-of-art battery electrodes. More importantly, a symmetric proton ion full cell based on H1.75MoO3 was assembled and delivered an energy density of 14.7 Wh/kg at an ultrahigh power density of 12.7 kW/kg, which outperforms those of fast charging supercapacitors and lead-acid batteries.

Cytoreductive prostatectomy improves survival outcomes in patients with oligometastases: a systematic meta-analysis.

BACKGROUND: Whether cytoreductive prostatectomy (CRP) should be performed in patients with oligometastatic prostate cancer (OPC) remains controversial. The goal of this systematic meta-analysis was to assess the efficacy of CRP as a treatment for OPC. METHODS: This systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. Data sources included publications in the PubMed, Embase, the Cochrane Library, EBSCO, and Web of Science (SCI) databases as of May 2022. Eligible articles included prospective studies comparing the efficacy of CRP to a lack of CRP in patients with OPC. RESULTS: In total, 10 publications incorporating 888 patients were analyzed. Tumor-reducing prostatectomy was found to have no significant effect on long-term or short-term OS [OR = 2.26, 95% CI (0.97, 5.28), P = 0.06] and [OR = 1.73, 95% CI (0.83, 3.58), P = 0.14], but it significantly improved patient long-term or short-term CSS [OR = 1.77, 95% CI (1.01, 310), P = 0.04] and [OR = 2.71, 95% CI (1.72, 4.29), P < 0.0001] and PFS [OR = 1.93, 95% CI (1.25, 2.97), P = 0.003]. CONCLUSION: These results suggest that cytoreductive prostatectomy can confer survival benefits to OPC patients. TRIAL REGISTRATION: INPLASY protocol 202260017 https://doi.org/10.37766/inplasy2022.6.0017 .

Phosphorus Enhanced Intermolecular Interactions of SnO2 and Graphene as an Ultrastable Lithium Battery Anode.

SnO2 suffers from fast capacity fading in lithium-ion batteries due to large volume expansion as well as unstable solid electrolyte interphase. Herein, the design and synthesis of phosphorus bridging SnO2 and graphene through covalent bonding are demonstrated to achieve a robust structure. In this unique structure, the phosphorus is able to covalently "bridge" graphene and tin oxide nanocrystal through PC and SnOP bonding, respectively, and act as a buffer layer to keep the structure stable during charging-discharging. As a result, when applied as a lithium battery anode, SnO2 @P@GO shows very stable performance and retains 95% of 2nd capacity onward after 700 cycles. Such unique structural design opens up new avenues for the rational design of other high-capacity materials for lithium battery, and as a proof-of-concept, creates new opportunities in the synthesis of advanced functional materials for high-performance energy storage devices.

SnO2 Quantum Dots@Graphene Oxide as a High-Rate and Long-Life Anode Material for Lithium-Ion Batteries.

Tin-based electrode s offer high theoretical capacities in lithium ion batteries, but further commercialization is strongly hindered by the poor cycling stability. An in situ reduction method is developed to synthesize SnO2 quantum dots@graphene oxide. This approach is achieved by the oxidation of Sn(2+) and the reduction of the graphene oxide. At 2 A g(-1), a capacity retention of 86% is obtained even after 2000 cycles.

Manganese oxide/carbon yolk-shell nanorod anodes for high capacity lithium batteries.

Transition metal oxides have attracted much interest for their high energy density in lithium batteries. However, the fast capacity fading and the low power density still limit their practical implementation. In order to overcome these challenges, one-dimensional yolk-shell nanorods have been successfully constructed using manganese oxide as an example through a facile two-step sol-gel coating method. Dopamine and tetraethoxysilane are used as precursors to obtain uniform polymer coating and silica layer followed by converting into carbon shell and hollow space, respectively. As anode material for lithium batteries, the manganese oxide/carbon yolk-shell nanorod electrode has a reversible capacity of 660 mAh/g for initial cycle at 100 mA/g and exhibits excellent cyclability with a capacity of 634 mAh/g after 900 cycles at a current density of 500 mA/g. An enhanced capacity is observed during the long-term cycling process, which may be attributed to the structural integrity, the stability of solid electrolyte interphase layer, and the electrochemical actuation of the yolk-shell nanorod structure. The results demonstrate that the manganese oxide is well utilized with the one-dimensional yolk-shell structure, which represents an efficient way to realize excellent performance for practical applications.

Interwoven three-dimensional architecture of cobalt oxide nanobrush-graphene@Ni(x)Co(2x)(OH)(6x) for high-performance supercapacitors.

Development of pseudocapacitor electrode materials with high comprehensive electrochemical performance, such as high capacitance, superior reversibility, excellent stability, and good rate capability at the high mass loading level, still is a tremendous challenge. To our knowledge, few works could successfully achieve the above comprehensive electrochemical performance simultaneously. Here we design and synthesize one interwoven three-dimensional (3D) architecture of cobalt oxide nanobrush-graphene@Ni(x)Co(2x)(OH)(6x) (CNG@NCH) electrode with high comprehensive electrochemical performance: high specific capacitance (2550 F g(-1) and 5.1 F cm(-2)), good rate capability (82.98% capacitance retention at 20 A g(-1) vs 1 A g(-1)), superior reversibility, and cycling stability (92.70% capacitance retention after 5000 cycles at 20 A g(-1)), which successfully overcomes the tremendous challenge for pseudocapacitor electrode materials. The asymmetric supercapacitor of CNG@NCH//reduced-graphene-oxide-film exhibits good rate capability (74.85% capacitance retention at 10 A g(-1) vs 0.5 A g(-1)) and high energy density (78.75 Wh kg(-1) at a power density of 473 W kg(-1)). The design of this interwoven 3D frame architecture can offer a new and appropriate idea for obtaining high comprehensive performance electrode materials in the energy storage field.

Integrated SnO2 nanorod array with polypyrrole coverage for high-rate and long-life lithium batteries.

Conversion/alloying reactions, in which more lithium ions are involved, are severely handicapped by the dramatic volume changes. A facile and versatile strategy has been developed for integrating the SnO2 nanorod array in the PPy nanofilm for providing a flexible confinement for anchoring each nanorod and maintaining the entire structural integrity and providing sustainable contact; therefore, exhibiting much more stable cycling stability (701 mA h g(-1) after 300 cycles) and better high-rate capability (512 mA h g(-1) at 3 A g(-1)) when compared with the core-shell SnO2-PPy NA.

The protective effect of S-adenosylmethionine on chronic adolescent stress-induced depression-like behaviors by regulating gut microbiota.

The efficacy and tolerability of current antidepressants for adolescent depression are inadequate. S-adenosylmethionine (SAMe), known for its effectiveness and minimal side effects in adult depression, remains unstudied in adolescents. This study explored the potential of SAMe to address depression-like behaviors in juvenile rats induced by chronic unpredictable mild stress (CUMS), with a focus on gut microbiome interactions. Adolescent male Wistar rats were subjected to a 4-week CUMS regimen and received daily intraperitoneal injections of 300 mg/kg SAMe. Behavioral assessments included the sucrose preference test, elevated plus maze test, open field test, and Y-maze test. Histopathological changes of the hippocampus and colon were observed by Nissl staining and hematoxylin and eosin staining, respectively. Gut microbiome composition was analyzed using Accurate 16S absolute quantification sequencing. The results showed that SAMe significantly improved behavioral outcomes, reduced histopathological damages in hippocampal neurons and colon tissues, and modulated the gut microbiota of depressed rats. It favorably altered the ratio of Bacteroidetes to Firmicutes, decreased the absolute abundance of Deferribacteres, and adjusted levels of key microbial genera associated with depression-like behaviors. These results suggested that SAMe could effectively counter depression-like behaviors in CUMS-exposed adolescent rats by mitigating hippocampal neuronal and colon damage and modulating the gut microbiota. This supports SAMe as a viable and tolerable treatment option for adolescent depression, highlighting the importance of the gut-brain axis in therapeutic strategies.

Effect of Sc spatial distribution on the electronic and ferroelectric properties of AlScN.

While aluminum scandium nitride based ferroelectric materials have shown significant promise for non-volatile memory applications, difficulties relating challenges in device performance, such as electrical leakage, to structural characteristics motivate improved understanding of the fundamental structure-property relationship. Spinodal decomposition has been reported in this material system, consistent with our observation of compositional segregation in AlScN films grown by reactive sputter epitaxy. To better understand the effects of spatially non-uniform Sc concentrations, the electronic and ferroelectric (FE) properties of AlScN as a function of Sc distribution are studied using density functional theory (DFT). We explore the impact of Sc-rich atomic planes in wurtzite AlScN with Sc concentration ranging from 0 to 44 at% through a supercell approach. We find that while spontaneous polarization decreases with Sc concentration (∼133 to 102 µC cm-2), periodic Sc-rich planar clusters slow this effect, suggesting that phase segregation counters the effects of increasing Sc composition. Furthermore, the FE switching barrier per formula unit (f.u.) as a function of composition exhibits a local maximum of 0.60 eV f.u.-1 at 25% Sc concentration in the presence of Sc-rich planes but decreases monotonically (0.51 to 0.28 eV f.u.-1) if Sc is uniformly distributed, suggesting that the spatial distribution of Sc plays an important role in the optoelectronic properties of the material by changing the energy landscape. Sc clustering also decreases the bandgap of the material. This study shows that the structural complexity arising from spatial composition modulation provides tunability of ferroelectric properties in AlScN ferroelectrics.

Dynamic Behavior of Spatially Confined Sn Clusters and Its Application in Highly Efficient Sodium Storage with High Initial Coulombic Efficiency.

Advanced battery electrodes require a cautious design of microscale particles with built-in nanoscale features to exploit the advantages of both micro- and nano-particles relative to their performance attributes. Herein, the dynamic behavior of nanosized Sn clusters and their host pores in carbon nanofiber) during sodiation and desodiation is revealed using a state-of-the-art 3D electron microscopic reconstruction technique. For the first time, the anomalous expansion of Sn clusters after desodiation is observed owing to the aggregation of clusters/single atoms. Pore connectivity is retained despite the anomalous expansion, suggesting inhibition of solid electrolyte interface formation in the sub-2-nm pores. Taking advantage of the built-in nanoconfinement feature, the CNF film with nanometer-sized interconnected pores hosting Sn clusters (≈2 nm) enables high utilization (95% at a high rate of 1 A g-1) of Sn active sites while maintaining an improved initial Coulombic efficiency of 87%. The findings provide insights into electrochemical reactions in a confined space and a guiding principle in electrode design for battery applications.

Ice-Crystal-Templated "Accordion-Like" Cellulose Nanofiber/MXene Composite Aerogels for Sensitive Wearable Pressure Sensors.

Exfoliated MXene nanosheets are integrated with cellulose nanofibers (CNFs) to form composite aerogels with high electric conductivity. The combination of CNFs and MXene nanosheets forms a unique "accordion-like" hierarchical architecture with MXene-CNF pillared layers through ice-crystal templating. Benefiting from the special "layer-strut" structure, the MXene/CNF composite aerogels have low density (50 mg/cm3), excellent compressibility and recoverability, as well as superior fatigue resistance (up to 1000 cycles). When being used as a piezoresistive sensor, the composite aerogel exhibits high sensitivity upon different strains, stable sensing performance with various compressive frequencies, broad detection range, and quick responsiveness (0.48 s). Moreover, the piezoresistive sensors are shown to have an excellent real-time sensing ability for human motions such as swallowing, arm bending, walking, and running. The composite aerogels also have a low environmental impact with the natural biodegradability of CNFs. The designed composite aerogels can serve as a promising sensing material for developing next-generation sustainable and wearable electronic devices.

Advances in the Current Understanding of the Mechanisms Governing the Acquisition of Castration-Resistant Prostate Cancer.

Despite aggressive treatment and androgen-deprivation therapy, most prostate cancer patients ultimately develop castration-resistant prostate cancer (CRPC), which is associated with high mortality rates. However, the mechanisms governing the development of CRPC are poorly understood, and androgen receptor (AR) signaling has been shown to be important in CRPC through AR gene mutations, gene overexpression, co-regulatory factors, AR shear variants, and androgen resynthesis. A growing number of non-AR pathways have also been shown to influence the CRPC progression, including the Wnt and Hh pathways. Moreover, non-coding RNAs have been identified as important regulators of the CRPC pathogenesis. The present review provides an overview of the relevant literature pertaining to the mechanisms governing the molecular acquisition of castration resistance in prostate cancer, providing a foundation for future, targeted therapeutic efforts.

Lignin-containing cellulose nanofibers made with microwave-aid green solvent treatment for magnetic fluid stabilization.

Lignin-containing cellulose nanofibers (LCNFs), prepared from energy cane bagasse (ECB) using microwave-assisted natural deep eutectic solvent (MW-NADES) pretreatment combined with microfluidization, are utilized as stabilizing agents for magnetic particles (MNPs) in magnetorheological fluids (MRFs). The as-prepared LCNFs helped suspend negatively charged MNPs in MRFs effectively due to the presence of physically entangled network of LCNFs and the electrostatic repulsion between LCNFs and MNPs. Consequently, the presence of LCNFs increased the viscosity, yield stress and dynamic moduli of MRFs within the entire magnetic field range (0-1 T). Moreover, the as-developed LCNF-MRFs exhibited superior magnetorheological properties, i.e., widely controllable viscosity, yield stress and dynamic moduli, rapid magnetic response, good reversibility and outstanding cycling stability. This work demonstrates the sustainable, ultrafast production of LCNFs from cellulosic biomass using MW-NADES for MRF stabilization, paving the way for the development of high-performance, and eco-friendly MRFs.

Material Optimization Engineering toward xLiFePO4·yLi3V2(PO4)3 Composites in Application-Oriented Li-Ion Batteries.

The development of LiFePO4 (LFP) in high-power energy storage devices is hampered by its slow Li-ion diffusion kinetics. Constructing the composite electrode materials with vanadium substitution is a scientific endeavor to boost LFP's power capacity. Herein, a series of xLiFePO4·yLi3V2(PO4)3 (xLFP·yLVP) composites were fabricated using a simple spray-drying approach. We propose that 5LFP·LVP is the optimal choice for Li-ion battery promotion, owning to its excellent Li-ion storage capacity (material energy density of 413.6 W·h·kg-1), strong machining capability (compacted density of 1.82 g·cm-3) and lower raw material cost consumption. Furthermore, the 5LFP·LVP||LTO Li-ion pouch cell also presents prominent energy storage capability. After 300 cycles of a constant current test at 400 mA, 75% of the initial capacity (379.1 mA·h) is achieved, with around 100% of Coulombic efficiency. A capacity retention of 60.3% is displayed for the 300th cycle when discharging at 1200 mA, with the capacity fading by 0.15% per cycle. This prototype provides a valid and scientific attempt to accelerate the development of xLFP·yLVP composites in application-oriented Li-ion batteries.

Synergic Effect of Dendrite-Free and Zinc Gating in Lignin-Containing Cellulose Nanofibers-MXene Layer Enabling Long-Cycle-Life Zinc Metal Batteries.

Uncontrollable zinc dendrite growth and parasitic reactions have greatly hindered the development of high energy and long life rechargeable aqueous zinc-ion batteries. Herein, the synergic effect of a bifunctional lignin-containing cellulose nanofiber (LCNF)-MXene (LM) layer to stabilize the interface of zinc anode is reported. On one hand, the LCNF provides enough strength (43.7 MPa) at relative low porosity (52.2%) to enable the diffusion limited dendrite suppression, while, on the other hand, the MXene serves as a zinc gating layer, facilitating the zinc ion mobility, restricting the active water/anions from degradation in the electrode/electrolyte interface, and epitaxially guiding zinc deposition along (002) plane. Benefiting from the synergic effect of diffusion limited dendrite suppression and zinc gate, the LM layer enabled a high coulombic efficiency (CE) of 98.9% with a low overpotential of 43.1 mV at 1 mA cm-2 in Zn//Cu asymmetric cells. More importantly, Zn//MnO2 full cells with the LM layer achieve a high-capacity retention of 90.0% for over 1000 cycles at 1 A g-1 , much higher than the full cell without the protective layer (73.9% over 500 cycles). The work provides a new insight in designing a dendrite-free zinc anode for long-cycle-life batteries.

Sulfur-Deficient Porous SnS2-x Microflowers as Superior Anode for Alkaline Ion Batteries.

SnS2 as a high energy anode material has attracted extensive research interest recently. However, the fast capacity decay and low rate performance in alkaline-ion batteries associated with repeated volume variation and low electrical conductivity plague them from practical application. Herein, we propose a facile method to solve this problem by synthesizing porous SnS2 microflowers with in-situ formed sulfur vacancies. The flexible porous nanosheets in the three-dimensional flower-like nanostructure provide facile strain relaxation to avoid stress concentration during the volume changes. Rich sulfur vacancies and porous structure enable the fast and efficient electron transport. The porous SnS2-x microflowers exhibit outstanding performance for lithium ion battery in terms of high capacity (1375 mAh g-1 at 100 mA g-1) and outstanding rate capability (827 mA h g-1 at high rate of 2 A g-1). For sodium ion battery, a high capacity (~522 mAh g-1) can be achieved at 5 A g-1 after 200 cycles for SnS2-x microflowers. The rational design in nanostructures, as well as the chemical compositions, might create new opportunities in designing the new architecture for highly efficient energy storage devices.

Mo2N nanobelt cathodes for efficient hydrogen production in microbial electrolysis cells with shaped biofilm microbiome.

High cost platinum (Pt) catalysts limit the application of microbial electrolysis cells (MECs) for hydrogen (H2) production. Here, inexpensive and efficient Mo2N nanobelt cathodes were prepared using an ethanol method with minimized catalyst and binder loadings. The chronopotentiometry tests demonstrated that the Mo2N nanobelt cathodes had similar catalytic activities for H2 evolution compared to that of Pt/C (10 wt%). The H2 production rates (0.39 vs. 0.37 m3-H2/m3/d), coulombic efficiencies (90% vs. 77%), and overall hydrogen recovery (74% vs. 70%) of MECs with the Mo2N nanobelt cathodes were also comparable to those with Pt/C cathodes. However, the cost of Mo2N nanobelt catalyst ($ 31/m2) was much less than that of Pt/C catalysts ($ 1930/m2). Furthermore, the biofilm microbiomes at electrodes were studied using the PacBio sequencing of full-length 16S rRNA gene. It indicated Stenotrophomonas nitritireducens as a putative electroactive bacterium dominating the anode biofilm microbiomes. The majority of dominant species in the Mo2N and Pt/C cathode communities belonged to Stenotrophomonas nitritireducens, Stenotrophomonas maltophilia, and Comamonas testosterone. The dominant populations in the cathode biofilms were shaped by the cathode materials. This study demonstrated Mo2N nanobelt catalyst as an alternative to Pt catalyst for H2 production in MECs.