Contributions of London Dispersion Forces to Solution-Phase Association Processes.

ConspectusDespite their ubiquity and early discovery, London dispersion forces are often overlooked. This is due, in part, to the difficulty in assessing their contributions to molecular and polymeric structure, stability, properties, and reactivities. However, recent advances in modeling have revealed that dispersion interactions play an important role in many important chemical and biological processes. Experimental confirmation of their impact in solution has been challenging, leading to controversies about their relative importance.In the course of studying noncovalent interactions using molecular devices, our understanding and appreciation for the importance of dispersion interactions have evolved. This Account follows this intellectual journey by using examples from the literature. The goals are twofold: to describe recent advances in understanding the interaction and to provide guidance to researchers studying weak noncovalent interactions. However, first, the experimental methods for measuring the effects of dispersion interactions and the strategies for isolating their influence are described. These include the design of molecular devices to measure these weak noncovalent interactions and the strategies to disentangle the solvation, solvophobic, and dispersion components of the resulting equilibria.The literature examples are organized around five fundamental questions. (1) Do dispersion interactions have a measurable effect on solution equilibria? (2) To what extent do solvents attenuate or compensate for dispersion interactions? (3) To what extent do the solvation and solvophobic terms influence the dispersion equilibria? (4) Can we predict whether a system will form attractive dispersion or repulsive steric interactions? (5) Can the dispersion term be isolated and interrogated? We were often surprised by the answers to these questions. In each case, we describe how the systems were designed to address these questions and discuss possible interpretations of the results.While dispersion interactions in solution were weak (usually <1 kcal/mol), their influence on complexation and conformational equilibria can be observed and measured. This underscores the significance of these interactions in molecular recognition, coordination chemistry, reaction design, and catalysis. The solvent components of the dispersion equilibria can also be significant. Therefore, the isolation of the dispersion contributions from the solvation and solvophobic effects represents an ongoing challenge. The experimental studies also provide important benchmarks and offer valuable insights to help refine the next generation of computational solvent models.

Soy-fortelin: A ghrelin sensitivity-enhancing peptide that stimulates food intake in aged mice.

Ghrelin sensitivity is known to decrease with aging in mice and humans, and the decrease contributes to anorexia with aging. In this study, we discovered novel ghrelin sensitivity-enhancing peptides. Ghrelin sensitivity was evaluated by examining whether dipeptide samples enhanced the calcium response to ghrelin in the growth hormone secretagogue receptor-transfected cell line. First, dipeptides were screened using a 336-dipeptide library and we revealed that Ser-Tyr (SY) potentiated ghrelin sensitivity in particular. Based on the structure-activity relationship determined using the dipeptide library and comprehensive analysis of peptides in the chymotrypsin digest of soy ß-conglycinin (ß-CG), which enhanced ghrelin sensitivity, candidate peptides were narrowed down. Among the chemosynthesized peptides, we discovered that an undecapeptide, SLVNNDDRDSY, corresponding to ß-CGα(267-277), stimulated ghrelin sensitivity in vitro. This peptide enhanced the orexigenic activity of ghrelin in C57BL/6 mice and stimulated food intake. Thus, we demonstrated that SLVNNDDRDSY stimulated ghrelin sensitivity in vitro and in vivo and named it "soy-fortelin". Moreover, orally administered soy-fortelin had a similar but smaller effect in the young C57BL/6 mice, whereas it strongly stimulated food intake in 2-year-old aged mice that exhibited high blood ghrelin levels and low ghrelin sensitivity. In conclusion, we discovered soy-fortelin as a novel peptide that enhances ghrelin sensitivity in vivo and in vitro and increases food intake in young and aged ghrelin-resistant mice. Soy-fortelin is the first food-derived peptide reported to enhance ghrelin sensitivity.

Microporosity and Catalytic Activity for Hydrodesulfurization of Pharmacosiderite Mo4P3O16 Synthesized at a Moderate Temperature.

Pharmacosiderite Mo4P3O16 (Pharma-MoPO) consists of [Mo4O4] cubane unit and [PO4] tetrahedral to form an open framework with a microporous structure similar to that of LTA-type zeolite. Although attractive applications are expected due to its microporous structure and redox-active components, its physicochemical properties have been poorly investigated due to the specificity of its synthesis, which requires a high hydrothermal synthesis temperature of 360 °C. In this study, we succeeded in synthesizing Pharma-MoPO by hydrothermal synthesis at 230 °C, which can be applied using a commercially available autoclave by changing the metal source. Through the study of the solids and liquids obtained after hydrothermal syntheses, the formation process of Pharma-MoPO under our studied synthesis conditions was proposed. Advanced characterizations provided detailed structural information on Pharma-MoPO, including the location site of a countercation NH4+. Pharma-MoPO could adsorb CO2 with the amount close to the number of cages without removing NH4+. Pharma-MoPO exhibited stable catalytic activity for the hydrodesulfurization of thiophene while maintaining its crystal structure, except for the introduction of sulfide by replacing lattice oxygens. Pharmacosiderite Mo4P3O16 was successfully obtained by hydrothermal synthesis at a moderate temperature, and its microporosity for CO2 adsorption and catalytic properties for hydrodesulfurization were discovered.

Empirical Model of Solvophobic Interactions in Organic Solvents.

An empirical model was developed to predict organic solvophobic effects using N-phenylimide molecular balances functionalized with non-polar alkyl groups. Solution studies and X-ray crystallography confirmed intramolecular alkyl-alkyl interactions in their folded conformers. The structural modularity of the balances allowed systematic variation of alkyl group lengths. Control balances were instrumental in isolating weak organic solvophobic effects by eliminating framework solvent-solute effects. A 19 F NMR label enabled analysis across 46 deuterated and non-deuterated solvent systems. Linear correlations were observed between organic solvophobic effects and solvent cohesive energy density (ced) as well as changes in solvent-accessible surface areas (SASA). Using these empirical relationships, a model was constructed to predict organic solvophobic interaction energy per unit area for any organic solvent with known ced values. The predicted interaction energies aligned with recent organic solvophobic measurements and literature values for the hydrophobic effect on non-polar surfaces confirmed the model's accuracy and utility.

Interstitial Carbon Dopant in Palladium-Gold Alloy Boosting the Catalytic Performance in Vinyl Acetate Monomer Synthesis.

Vinyl acetate monomer (VAM), an important chemical intermediate in industry, is produced by the well-established commercial process of acetoxylation of ethylene with Pd-Au/SiO2 and a KOAc promoter. No paper has since decades defined the true effects of Au and KOAc, despite numerous attempts to clarify them. The role of subsurface carbon as a catalyst booster for enhanced catalytic performance in VAM synthesis was found by us for the first time. X-ray diffraction and X-ray absorption fine structure studies revealed that carbon atoms spontaneously doped into the Pd-Au alloy lattice while maintaining the alloy's size, metallic state, and alloy composition. Additionally, during the process, the KOAc addition dramatically raised the equilibrium carbide fraction. Because of the high carbide fraction, KOAc/Pd0.8Au0.2/SiO2 had a 5.6-fold higher formation rate (89.0% selectivity) than Pd0.8Au0.2/SiO2 (69.2% selectivity) due to high carbide fraction. Surprisingly, kinetic and theoretical analyses showed that the coupling of acetate and ethylene, which is a rate-determining step, is effectively promoted by the synergistic contributions of Au (electronic/geometric effects) and interstitial carbon (electronic effect). Additionally, the synergy inhibits ethylene dehydrogenation, which ultimately slows the formation of CO2. The contentious debates about the roles of Au and KOAc in the acetoxylation of ethylene have been resolved thanks to experimental and theoretical insights into the roles of Pd-Au formation, Au/Pd ratio, and interstitial carbon atoms. These insights also open the door for the logical design of catalysts with desirable catalytic performance.

Dynamic Behavior of Intermediate Adsorbates to Control Activity and Product Selectivity in Heterogeneous Catalysis: Methanol Decomposition on Pt/TiO2(110).

Dynamic behavior of intermediate adsorbates, such as diffusion, spillover, and reverse spillover, has a strong influence on the catalytic performance in oxide-supported metal catalysts. However, it is challenging to elucidate how the intermediate adsorbates move on the catalyst surface and find active sites to give the corresponding products. In this study, the effect of the dynamic behavior of methoxy intermediate on methanol decomposition on a Pt/TiO2(110) surface has been clarified by combination of scanning tunneling microscopy (STM), temperature-programmed desorption (TPD), and density functional theory (DFT) calculations. The methoxy intermediates were formed by the dissociative adsorption of methanol molecules on Pt nanoparticles at room temperature followed by spillover to the TiO2(110) support surface. TPD results showed that the methoxy intermediates were thermally decomposed at >350 K on the Pt sites to produce CO (dehydrogenation) and CH4 (C-O bond scission). A decrease of the Pt nanoparticle density lowered the activity for the decomposition reaction and increased the selectivity toward CH4, which indicates that the reaction is controlled by diffusion and reverse spillover of the methoxy intermediates. Time-lapse STM imaging and DFT calculations revealed that the methoxy intermediates migrate on the five-fold coordinated Ti (Ti5c) sites along the [001] or [11¯0] direction with the aid of hydrogen adatoms bonded to the bridging oxygens (Obr) and can move over the entire surface to seek and find active Pt sites. This work offers an in-depth understanding of the important role of intermediate adsorbate migration in the control of the catalytic performance in oxide-supported metal catalysts.

Molybdenum Oxide Constructed by {Mo6O21}6- Pentagonal Unit Assembly and Its Redox Properties.

Molybdenum oxides are widely used in various fields due to their electronic and structural characteristics. These materials can generate lattice oxygen defects by reduction treatments, which sometimes play central roles in various applications. However, little has been understood about their properties since it is difficult to increase the amount of lattice oxygen defects due to the crystal structure changes in most cases. Here, we report a new class of high-dimensionally structured Mo oxide (HDS-MoOx) constructed by the random assembly of {Mo6O21}6- pentagonal units (PUs). Since the PU is a stable structural unit, the structural network based on the PU hardly caused structural changes to make the lattice oxygen defects vanish. Consequently, HDS-MoOx could generate a substantial amount of lattice oxygen defects, and their amount was controllable, at least in the range of MoO2.64-MoO3.00. HDS-MoOx was more redox active than typical Mo oxide (α-MoO3) and demonstrated an oxidation ability for gas-phase isopropanol oxidation under the reaction conditions, whereas α-MoO3 affords no oxidation products.

Continuous Unsteady-State De-NOx System via Tandem Water-Gas Shift, NH3 Synthesis, and NH3-SCR under Periodic Lean/Rich Conditions.

The development of urea-free and platinum group metal (PGM)-free catalytic systems for automotive emission control is a challenging task. Herein, we report a new de-NOx system using cyclic feeds of rich and lean gas mixtures with PGM-free catalysts. Initial catalyst screening tests showed that Cu/CeO2 with 5 wt % Cu loading was the most suitable for the water-gas shift reaction (WGS, CO + H2O → CO2 + H2), followed by the selective NH3 synthesis by the NO + H2 reaction. The unsteady-state system under alternating feeds of rich (0.1% NO + 0.5% CO + 1% H2O) and lean (0.1% NO + 2% O2 + 1% H2O) gas mixtures over a mixture of Cu/CeO2 and Cr-exchanged mordenite (CrMOR) showed higher NOx conversion than the steady-state (0.1% NO + 0.35% CO + 0.6% O2 + 1% H2O) reaction between 200 and 500 °C. The de-NOx mechanism under periodical rich/lean conditions was studied by operando infrared (IR) experiments. In the rich period, the WGS reaction on the Cu/CeO2 catalyst yield H2, which reduces NO to NH3 on the Cu/CeO2 catalyst. NH3 is then captured by the Brønsted acid sites of CrMOR. In the subsequent lean period, the adsorbed NH3 acts as a reductant for the selective catalytic reduction of NOx catalyzed by the Cr sites of CrMOR. This study demonstrates a new urea-free and PGM-free catalytic system that can provide an alternative de-NOx technology for automotive catalysis under periodic rich/lean conditions.

Mechanism of NH3-SCR over P/CeO2 Catalysts Investigated by Operando Spectroscopies.

This study reports a comprehensive investigation into the active sites and reaction mechanism for the selective catalytic reduction of NO by NH3 (NH3-SCR) over phosphate-loaded ceria (P/CeO2). Catalyst characterization and density functional theory calculations reveal that H3PO4 and H2P2O6 species are the dominant phosphate species on the P/CeO2 catalysts under the experimental conditions. The reduction/oxidation half-cycles (RHC/OHC) were investigated using in situ X-ray absorption near-edge structure for Ce L3-edge, ultraviolet-visible, and infrared (IR) spectroscopies together with online analysis of outlet products (operando spectroscopy). The Ce4+(OH-) species, possibly adjacent to the phosphate species, are reduced by NO + NH3 to produce N2, H2O, and Ce3+ species (RHC). The Ce3+ species is reoxidized by aqueous O2 (OHC). The results from IR spectroscopy suggest that the RHC initiates with the reaction between NO and Ce4+(OH-) to yield Ce3+ and gaseous HONO, which then react with NH3 to produce N2 and H2O via NH4NO2 intermediates.

An automated reaction route mapping for the reaction of NO and active species on Ag4 clusters in zeolites.

A computational investigation of the catalytic reaction on multinuclear sites is very challenging. Here, using an automated reaction route mapping method, the single-component artificial force induced reaction (SC-AFIR) algorithm, the catalytic reaction of NO and OH/OOH species over the Ag42+ cluster in a zeolite is investigated. The results of the reaction route mapping for H2 + O2 reveal that OH and OOH species are formed over the Ag42+ cluster via an activation barrier lower than that of OH formation from H2O dissociation. Then, reaction route mapping is performed to examine the reactivity of the OH and OOH species with NO molecules over the Ag42+ cluster, resulting in the facile reaction path of HONO formation. With the aid of the automated reaction route mapping, the promotion effect of H2 addition on the SCR reaction was computationally proposed (boosting the formation of OH and OOH species). In addition, the present study emphasizes that automated reaction route mapping is a powerful tool to elucidate the complicated reaction pathway on multi-nuclear clusters.

In- and Ga-oxo clusters/hydrides in zeolites: speciation and catalysis for light-alkane activations/transformations.

Metal-exchanged zeolites have great potential to form unique active metal species and develop their catalysis by promoting small molecules such as light alkanes. Ga-exchanged zeolites have attracted attention as promising heterogeneous catalysts for dehydrogenative light-alkane transformations. The speciation of active Ga species in reduced and oxidized Ga-exchanged zeolites and their reaction mechanisms have been discussed in several studies based on experimental and theoretical investigations. In contrast, studies on In-exchanged zeolites have been far less explored, and thus active In-species have rarely been investigated. In this perspective, we summarized our investigations on In- and Ga-exchanged zeolites for light-alkane transformations. Our research group reported the formation of In-oxo clusters using the O2 treatment of In-CHA and their potential for the partial oxidation of CH4 (POM) at room temperature. We also observed the formation of In-hydrides in CHA zeolites during the preparation through reductive solid-state ion-exchange (RSSIE) and revealed their catalysis for non-oxidative C2H6 dehydrogenation (EDH). Their detailed structures and reaction mechanisms are discussed in combination with spectroscopic, kinetic, and theoretical studies. Furthermore, comparative studies on the formation of Ga-oxo clusters for POM at room temperature and the controlled formation of Ga-hydrides for selective EDH were conducted. The obtained results and insights are comprehensively discussed, including the relationship between the local structure of the active In/Ga species and reaction selectivity, as well as the influence of different zeolite frameworks on the formation of active species.

Surface Engineering of Titania Boosts Electroassisted Propane Dehydrogenation at Low Temperature.

Electric field catalysis using surface proton conduction, in which proton hopping and collision on the reactant are promoted by external electricity, is a promising approach to break the thermodynamic equilibrium limitation in endothermic propane dehydrogenation (PDH). This study proposes a catalyst design concept for more efficient electroassisted PDH at low temperature. Sm was doped into the anatase TiO2 surface to increase surface proton density by charge compensation. Pt-In alloy was deposited on the Sm-doped TiO2 for more favorable proton collision and selective propylene formation. The catalytic activity in electroassisted PDH drastically increased by doping an appropriate amount of Sm (1 mol % to Ti) where the highest propylene yield of 19.3 % was obtained at 300 °C where the thermodynamic equilibrium yield was only 0.5 %. Results show that surface proton enrichment boosts alkane dehydrogenation at low temperature.

Pnictogen Interactions with Nitrogen Acceptors.

Stabilizing nitrogen pnictogen bond interactions were measured using molecular rotors. Intramolecular C=O⋅⋅⋅N interactions were formed in the bond rotation transition states which lowered the rotational barriers and increased the rates of rotation, as measured by EXSY NMR. The pnictogen interaction energies show a very strong correlation with the positive electrostatic potential on nitrogen, which was consistent with a strong electrostatic component. In contrast, the NBO perturbation and pyramidalization analyses show no correlation, suggesting that the orbital-orbital component is minor. The strongest C=O⋅⋅⋅N pnictogen interactions were comparable to C=O⋅⋅⋅C=O interactions and were stronger than C=O⋅⋅⋅Ph interactions, when measured using the same N-phenylimide rotor system. The ability of the nitrogen pnictogen interactions to stabilize transition states and enhance kinetic processes demonstrates their potential in catalysis and reaction design.

Super Mg2+ Conductivity around 10-3 S cm-1 Observed in a Porous Metal-Organic Framework.

We first report a solid-state crystalline "Mg2+ conductor" showing a superionic conductivity of around 10-3 S cm-1 at ambient temperature, which was obtained using the pores of a metal-organic framework (MOF), MIL-101, as ion-conducting pathways. The MOF, MIL-101⊃{Mg(TFSI)2}1.6 (TFSI- = bis(trifluoromethanesulfonyl)imide), containing Mg2+ inside its pores, showed a superionic conductivity of 1.9 × 10-3 S cm-1 at room temperature (RT) (25 °C) under the optimal guest vapor (MeCN), which is the highest value among all Mg2+-containing crystalline compounds. The Mg2+ conductivity in the MOF was estimated to be 0.8 × 10-3 S cm-1 at RT, by determining the transport number of Mg2+ (tMg2+ = 0.41), which is the level as high as practical use for secondary battery. Measurements of adsorption isotherms, pressure dependence of ionic conductivity, and in situ Fourier transform infrared measurements revealed that the "super Mg2+ conductivity" is caused by the efficient migration of the Mg2+ carrier with the help of adsorbed guest molecules.

High-Entropy Intermetallics Serve Ultrastable Single-Atom Pt for Propane Dehydrogenation.

Propane dehydrogenation has been a promising propylene production process that can compensate for the increasing global demand for propylene. However, Pt-based catalysts with high stability at ≥600 °C have barely been reported because the catalysts typically result in short catalyst life owing to side reactions and coke formation. Herein, we report a new class of heterogeneous catalysts using high-entropy intermetallics (HEIs). Pt-Pt ensembles, which cause side reactions, are entirely diluted by the component inert metals in PtGe-type HEIs. The resultant HEI (PtCoCu) (GeGaSn)/Ca-SiO2 exhibited an outstandingly high catalytic stability, even at 600 °C (kd-1 = τ = 4146 h = 173 d), and almost no deactivation of the catalyst was observed for 2 months for the first time. Detailed experimental studies and theoretical calculations demonstrated that the combination of the site-isolation and entropy effects upon multi-metallization of PtGe drastically enhanced the desorption of propylene and the thermal stability, eventually suppressing the side reactions even at high reaction temperatures.

Oxidation Catalysis over Solid-State Keggin-Type Phosphomolybdic Acid with Oxygen Defects.

Keggin-type phosphomolybdic acid (PMo12O40), treated with pyridine (Py), forms a crystalline material (PyPMo-HT) following heat treatment under an inert gas flow at ∼420 °C. Although this material is known to have attractive catalytic properties for gas-phase oxidation, the origin of this catalytic activity requires clarification. In this study, we investigated the crystal structure of PyPMo-HT. PyPMo-HT comprises a one-dimensional array of Keggin units and pyridinium cations (HPy), with an HPy/Keggin unit ratio of ∼1.0. Two oxygen atoms were removed from the Keggin unit during crystal structure transformation, which resulted in an electron being localized on the Mo atom in close contact with the adjacent Keggin unit. Upon the introduction of molecular oxygen, electron transfer from this Mo atom resulted in the formation of an electrophilic oxygen species that bridged two Keggin units. The electrophilic oxygen species acted as a catalytically active oxygen species, as confirmed by the selective oxidation of propylene. PyPMo-HT showed excellent catalytic activity for the selective oxidation of methacrolein, with the methacrylic acid yield being superior to that obtained with PMo12O40 and comparable to that obtained with an industrial Keggin-type polyoxometalate (POM) catalyst. The oxidation catalysis observed over PyPMo-HT provides a deeper understanding of POM-based industrial catalytic processes.

The reducibility and oxidation states of oxide-supported rhenium: experimental and theoretical investigations.

The activity and stability of supported metal catalysts, which exhibit high efficiency and activity, are significantly influenced by the interactions between the metal and the support, that is, metal-support interactions (MSIs). Here, we report an investigation of the MSIs between supported rhenium (Re) and oxide supports such as TiO2, SiO2, Al2O3, MgO, V2O5, and ZrO2 using experimental and computational approaches. The reducibility of the Re species was found to strongly depend on the oxide support. Experimental studies including temperature-programmed reduction by H2 as well as Re L3- and L1-edge X-ray absorption near edge structure (XANES) analysis revealed that the valency of the Re species started to decrease upon H2 reduction in the 200-400 °C range, except for Re on MgO, where the shift occurred at temperatures above 500 °C. The dependence of the Re L3- and L1-edge XANES spectra of the oxide-supported Re catalysts on the size of Re was also examined.

Early specialized palliative care for patients with metastatic lung cancer receiving chemotherapy: a feasibility study of a nurse-led screening-triggered programme.

BACKGROUND: Strategies to implement early specialized palliative care have not yet been established. The present study investigated the feasibility of a nurse-led, screening-triggered early specialized palliative care intervention programme and obtained data to design a randomized controlled trial. METHODS: Patients with metastatic lung cancer undergoing first-line platinum-based chemotherapy were eligible. The intervention consisted of (1) a questionnaire-based screening programme and (2) advanced-level nurse counselling and care coordination with interdisciplinary team approach. The primary endpoint was the completion rate of the assessment questionnaire after the second course of first-line chemotherapy (T2). Secondary endpoints included changes in Functional Assessment of Cancer Therapy-Lung scores, depression and anxiety rates based on the Patient Health Questionnaire 9 and the Hospital Anxiety and Depression Scale, and the contents of specialized palliative care. RESULTS: A total of 50 patients were enrolled between August 2012 and March 2014. Median age was 66 years (range, 40-78 year) and 84% were male. A total of 38 patients had stage IV non-small cell lung carcinoma and 12 had extensive disease small-cell lung carcinoma. The completion rate was 70% (95% confidence interval 56.0-81.0). The median duration between baseline and T2 was 53 days. Improvement from baseline were observed at T2 in Functional Assessment of Cancer Therapy-Lung scores (86.0 ± 18.1 vs 94.9 ± 18.2, P = 0.057), depression (16.0 vs 5.7%; P = 0.26) and anxiety (32.0 vs 22.9%; P = 0.65); however, these results were not statistically significant. CONCLUSIONS: This early specialized palliative care intervention is feasible and could be useful in improving patients' quality of life. The present results justify the initiation of a randomized control trial.

Prevention of delirium with agitation by yokukansan in older adults after cancer surgery.

OBJECTIVE: Preventing postoperative delirium with agitation is vital in the older population. We examined the preventive effect of yokukansan on postoperative delirium with agitation in older adult patients undergoing highly invasive cancer resection. METHODS: We performed a secondary per-protocol analysis of 149 patients' data from a previous clinical trial. Patients underwent scheduled yokukansan or placebo intervention 4-8 days presurgery and delirium assessment postoperatively. Delirium with agitation in patients aged ≥75 years was assessed using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and the Japanese version of the Delirium Rating Scale-Revised-98. We assessed odds ratios for yokukansan (TJ-54) compared with placebo for the manifestation of postoperative delirium with agitation across patients of all ages (n = 149) and those aged ≥65 years (n = 82) and ≥ 75 years (n = 21) using logistic regression. RESULTS: Delirium with agitation manifested in 3/14 and 5/7 patients in the TJ-54 and placebo groups, respectively, among those aged ≥75 years. The odds ratio for yokukansan vs. placebo was 0.11 (95% confidence interval: 0.01-0.87). An age and TJ-54 interaction effect was detected in patients with delirium with agitation. No intergroup differences were observed in patients aged ≥65 years or across all ages for delirium with agitation. CONCLUSIONS: This is the first study investigating the preventive effect of yokukansan on postoperative delirium with agitation in older adults. Yokukansan may alleviate workforce burdens in older adults caused by postoperative delirium with agitation following highly invasive cancer resection.

A feasibility study of a peer discussion group intervention for patients with pancreatobiliary cancer and their caregivers.

OBJECTIVES: The purpose of this feasibility study was to examine the impacts of a peer discussion group intervention called "the pancreatobiliary cancer salon" on psychological distress among patients with pancreatobiliary cancer and their caregivers. METHODS: We recruited patients with pancreatic or biliary tract cancer and their caregivers. We conducted a within-group pre-post comparison study. Participants were grouped by the type of cancer and treatment. Each group consisted of four to five patients or caregivers. Hospital staff members facilitated group discussions where participants freely talked for 1 h. We evaluated participants' psychological condition using the Profile of Mood States (POMS) and their impressions of the pancreatobiliary cancer salon. RESULTS: We analyzed data from 42 patients and 27 caregivers who joined the salon for the first time. Thirty-five patients (83.3%) had pancreatic cancer. Thirty-one patients (71.4%) had unresectable pancreatobiliary cancer and 14 patients (33.3%) were being treated with second-line or third-line chemotherapy at the time of the survey. Twenty-two patients (52.4%) participated in the salon within 6 months after diagnosis. Most participating caregivers were the patient's spouse/partner (51.9%) or child (34.6%). Both patients and caregivers experienced high levels of satisfaction with the pancreatobiliary cancer salon. Both patients and caregivers had significantly lower psychological distress as assessed by POMS after the salon. SIGNIFICANCE OF RESULTS: A peer discussion group intervention might be well-received and has potential to benefit for patients with pancreatobiliary cancer and their caregivers.