Deterministic Formation and Growth of Dendritic Crystals of Attractive Colloids.

Dendrites are ubiquitous crystals produced in supersaturated solutions and supercooled melts, but considerably less is known about their formation and growth kinetics. Here, the key factors are explored that dictate dendrite formation and growth, utilizing experimental colloidal models in which the particles act as molecules with Mie potential. Depletion attraction is employed to colloids and manipulate their strength to control supersaturation. Dendrites are predominantly produced under conditions of low supersaturation, where the separation between crystals is large due to slow nucleation. The dendrites do not emerge directly from nuclei. Instead, isotropic grains, initially produced from nuclei, morph into polygons. Arms then sprout from the vertices of these polygons, eventually giving rise to dendrites. Triggering this polygon-to-dendrite transformation requires a high diffusional flux. This necessitates a prolonged diffusion time to maintain a steep concentration gradient in the surrounding environment even after the transformation from circular grains to polygons.

Regioselective Growth of Colloidal Crystals Induced by Depletion Attraction.

Colloidal crystals display photonic stopbands that generate reflective structural colors. While micropatterning offers significant value for various applications, the resolution is somewhat limited for conventional top-down approaches. In this work, a simple, single-step bottom-up approach is introduced to produce photonic micropatterns through depletion-mediated regioselective growth of colloidal crystals. Lithographically-featured micropatterns with planar surfaces and nano-needle arrays as substrates are employed. Heterogeneous nucleation is drastically suppressed on nano-needle arrays due to minimal particle-to-needles overlap of excluded volumes, while it is promoted on planar surfaces with large particle-to-plane volume overlap, enabling regioselective growth of colloidal crystals. This strategy allows high-resolution micropatterning of colloidal photonic crystals, with a minimum feature size as small as 10 µm. Stopband positions, or structural colors, are controllable through concentration and depletant and salt, as well as particle size. Notably, secondary colors can be created through structural color mixing by simultaneously crystallizing two different particle sizes into their own crystal grains, resulting in two distinct reflectance peaks at controlled wavelengths. The simple and highly reproducible method for regioselective colloidal crystallization provides a general route for designing elaborate photonic micropatterns suitable for various applications.

Light-enhanced molecular polarity enabling multispectral color-cognitive memristor for neuromorphic visual system.

An optoelectronic synapse having a multispectral color-discriminating ability is an essential prerequisite to emulate the human retina for realizing a neuromorphic visual system. Several studies based on the three-terminal transistor architecture have shown its feasibility; however, its implementation with a two-terminal memristor architecture, advantageous to achieving high integration density as a simple crossbar array for an ultra-high-resolution vision chip, remains a challenge. Furthermore, regardless of the architecture, it requires specific material combinations to exhibit the photo-synaptic functionalities, and thus its integration into various systems is limited. Here, we suggest an approach that can universally introduce a color-discriminating synaptic functionality into a two-terminal memristor irrespective of the kinds of switching medium. This is possible by simply introducing the molecular interlayer with long-lasting photo-enhanced dipoles that can adjust the resistance of the memristor at the light-irradiation. We also propose the molecular design principle that can afford this feature. The optoelectronic synapse array having a color-discriminating functionality is confirmed to improve the inference accuracy of the convolutional neural network for the colorful image recognition tasks through a visual pre-processing. Additionally, the wavelength-dependent optoelectronic synapse can also be leveraged in the design of a light-programmable reservoir computing system.

Structural Color Mixing in Microcapsules through Exclusive Crystallization of Binary and Ternary Colloids.

Colloidal crystals are designed as photonic microparticles for various applications. However, conventional microparticles generally have only one stopband from a single lattice constant, which restricts the range of colors and optical codes available. Here, photonic microcapsules are created that contain two or three distinct crystalline grains, resulting in dual or triple stopbands that offer a wider range of colors through structural color mixing. To produce distinct colloidal crystallites from binary or ternary colloidal mixtures, the interparticle interaction is manipulated using depletion forces in double-emulsion droplets. Aqueous dispersions of binary or ternary colloidal mixtures in the innermost droplet are gently concentrated in the presence of a depletant and salt by imposing hypertonic conditions. Different-sized particles crystallize into their own crystals rather than forming random glassy alloys to minimize free energy. The average size of the crystalline grains can be adjusted with osmotic pressure, and the relative ratio of distinct grains can be controlled with the mixing ratio of particles. The resulting microcapsules with small grains and high surface coverage are almost optically isotropic and exhibit highly-saturated mixed structural colors and multiple reflectance peaks. The mixed color and reflectance spectrum are controllable with the selection of particle sizes and mixing ratios.

Risk factors of menopause after allogeneic hematopoietic cell transplantation in premenopausal adult women.

OBJECTIVES: Allogeneic hematopoietic stem-cell transplantation (HCT) is the only curative option for most hematologic malignancies. However, HSCT can cause early menopause and various complications in premenopausal women. Therefore, we aimed to investigate risk factors predicting early menopause and its clinical implications among survivors post HCT. METHODS: We retrospectively analyzed 30 adult women who had received HCT at premenopausal status between 2015 and 2018. We excluded patients who had received autologous stem cell transplantation, had relapsed, or died of any cause within 2 years of HCT. RESULTS: The median age at HCT was 41.6 years (range, 22-53). Post-HCT menopause was identified in 90% of myeloablative conditioning (MAC) HCT and 55% of reduced-intensity conditioning (RIC) HCT (p = .101). In the multivariate analysis, the post-HCT menopausal risk was 21 times higher in a MAC regimen containing 4 days of busulfan (p = .016) and 9.3 times higher in RIC regimens containing 2-3 days of busulfan (p = .033) than that of non-busulfan-based conditioning regimens. CONCLUSIONS: Higher busulfan dose in conditioning regimens is the most significant risk factor affecting post-HCT early menopause. Considering our data, we need to decide on conditioning regimens and individualized fertility counseling before HCT for premenopausal women.

Centrifugation-Assisted Growth of Single-Crystalline Grains in Microcapsules.

Colloidal crystals have been tailored in a format of microspheres to use them as a building block to construct macroscopic photonic surfaces. However, the polycrystalline grains grown from the spherical surface usually exhibit low reflectivity. Although single-crystalline microspheres have been produced, it is difficult to control the crystal orientation. Here, we design spherical microcapsules with density anisotropy that contain single-crystalline grains along the heavy side. The microcapsules spontaneously align to have a heavy side down under the action of gravity and display a bright and uniform reflection color from the entire surface of the grains. Key to the success is the use of gentle centrifugal force to initiate nucleation and grow single-crystalline grains from the heavy side through depletion attraction. The microcapsules have density anisotropy due to the heterogeneity of the shell thickness, which causes them to self-align under centrifugation. At the same time, particles are accumulated on the heavy side, which produces many tiny grains on the heavy side immediately after the centrifugation. With controlled depletion attraction among particles, only a few grains survive during postincubation through Ostwald ripening, and one or a few giant single-crystalline grains are finally produced along the heavy side of each microcapsule.

Terahertz radiation from propagating acoustic phonons based on deformation potential coupling.

We report on new THz electromagnetic emission mechanism from deformational coupling of acoustic (AC) phonons with electrons in the propagation medium of non-polar Si. The epicenters of the AC phonon pulses are the surface and interface of a GaP transducer layer whose thickness (d) is varied in nanoscale from 16 to 45 nm. The propagating AC pulses locally modulate the bandgap, which in turn generates a train of electric field pulses, inducing an abrupt drift motion at the depletion edge of Si. The fairly time-delayed THz bursts, centered at different times (t1T H z, t2T H z, and t3T H z), are concurrently emitted only when a series of AC pulses reach the point of the depletion edge of Si, even without any piezoelectricity. The analysis on the observed peak emission amplitudes is consistent with calculations based on the combined effects of mobile charge carrier density and AC-phonon-induced local deformation, which recapitulates the role of deformational potential coupling in THz wave emission in a formulatively distinct manner from piezoelectric counterpart.

Direct Determination of the Phase Diagram of a Depletion-Mediated Colloidal System.

Depletion is one widely used potential to modulate colloidal interaction because it enables the production of a wide variety of crystalline and glassy phases of spherical and shape-tailored colloids. The attractive depletion potential gives rise to qualitatively new behavior. However, depletion-mediated phase behaviors have never been systematically investigated experimentally regarding pair potentials for aqueous suspensions. In this work, we implement three distinct phases of fluid, crystal, and glass by adjusting the concentrations of depletant and salt in the aqueous suspension of polystyrene particles. To define the phase boundary between the fluid and crystal, we calculate pair potential with a superposition of van der Waals, electrostatic, and depletion interactions. Two unknown parameters in the pair potential─the concentration of ionic impurities and the ratio of the molar concentration of depletant to osmolarity─are experimentally determined from sets of reflectance spectra. The interparticle spacing in the crystalline phase is extracted from the peak wavelength originating from Bragg diffraction, which corresponds to the interparticle separation at energy minimum in the pair potential. The boundary between the fluid and crystal is well defined with the depth of the energy well of 3kBT. By contrast, the onset of glass formation is better characterized by not the well depth but the assembly rate, which is estimated from the slope of the pair potential from force balance. Glasses are produced as the speed exceeds 300 µm/s. That is, crystals are produced by enthalpy gain overwhelming entropy loss, whereas glasses are kinetically produced due to fast jamming.

Efficient Photon Extraction in Top-Emission Organic Light-Emitting Devices Based on Ampicillin Microstructures.

The desire to enhance the efficiency of organic light-emitting devices (OLEDs) has driven to the investigation of advanced materials with fascinating properties. In this work, the efficiency of top-emission OLEDs (TEOLEDs) is enhanced by introducing ampicillin microstructures (Amp-MSs) with dual phases (α-/ß-phase) that induce photoluminescence (PL) and electroluminescence (EL). Moreover, Amp-MSs can adjust the charge balance by Fermi level (EF ) alignment, thereby decreasing the leakage current. The decrease in the wave-guided modes can enhance the light outcoupling through optical scattering. The resulting TEOLED demonstrates a record-high external quantum efficiency (EQE) (maximum: 68.7% and average: 63.4% at spectroradiometer; maximum: 44.8% and average: 42.6% at integrating sphere) with a wider color gamut (118%) owing to the redshift of the spectrum by J-aggregation. Deconvolution of the EL intensities is performed to clarify the contribution of Amp-MSs to the device EQE enhancement (optical scattering by Amp-MSs: 17.0%, PL by radiative energy transfer: 9.1%, and EL by J-aggregated excitons: 4.6%). The proposed TEOLED outperforms the existing frameworks in terms of device efficiency.

The Role of the Graphene Oxide (GO) and Reduced Graphene Oxide (RGO) Intermediate Layer in CZTSSe Thin-Film Solar Cells.

Cu2ZnSn(S,Se)4 (CZTSSe) solar cells with low cost and eco-friendly characteristics are attractive as future sources of electricity generation, but low conversion efficiency remains an issue. To improve conversion efficiency, a method of inserting intermediate layers between the CZTSSe absorber film and the Mo back contact is used to suppress the formation of MoSe2 and decomposition of CZTSSe. Among the candidates for the intermediate layer, graphene oxide (GO) and reduced GO have excellent properties, including high-charge mobility and low processing cost. Depending on the type of GO, the solar cell parameters, such as fill factor (FF), were enhanced. Thus, the conversion efficiency of 6.3% was achieved using the chemically reduced GO intermediate layer with significantly improved FF.

Understanding the effect of nonmetallic impurities in regenerated cathode materials for lithium-ion battery recycling by tracking down impurity elements.

The regeneration of cathode materials would be the highest value-added direction in lithium-ion battery (LIB) recycling research. Li[NixMnyCoz]O2 (NMC) is regenerated from actual industrial scale LIB leachate and purified leachate to investigate the precipitation behavior of impurities, which include potentially toxic elements, such as F, Cl, and S. Regenerated precursors from the actual leachate, purified precursors, and a control sample are synthesized using the hydroxide co-precipitation method. Additionally, simulated precursors from simulated leachate are prepared in order to separate the effects of nonmetallic elements from the effects of metallic elements. The structure and electrochemical properties of the regenerated precursors and the corresponding cathode materials are examined. We first detect the presence of a significant amount of nonmetal elements, such as F as well as well-known metal elements, which include Al, Cu, and Fe, in the regenerated NMC. The concept of yield of precipitation (YOP) is introduced to assess the precipitation behavior of each element during the co-precipitation of the precursors. According to the concentration and YOP in the leachate and the precursors, six metal and three nonmetal elements are categorized. This categorization of impurity elements will certainly provide the LIB recycling industry with a valuable quality control guide.

Photonic Microbeads Templated by Oil-in-Oil Emulsion Droplets for High Saturation of Structural Colors.

Photonic microbeads containing crystalline colloidal arrays are promising as a key component of structural-color inks for various applications including printings, paintings, and cosmetics. However, structural colors from microbeads usually have low color saturation and the production of the beads requires delicate and time-consuming protocols. Herein, elastic photonic microbeads are designed with enhanced color saturation through facile photocuring of oil-in-oil emulsion droplets. Dispersions of highly-concentrated silica particles in elastomer precursors are microfluidically emulsified into immiscible oil to produce monodisperse droplets. The silica particles spontaneously form crystalline arrays in the entire volume of the droplets due to interparticle repulsion which is unperturbed by the diffusion of the surrounding oil whereas weakened for oil-in-water droplets. The crystalline arrays are permanently stabilized by photopolymerization of the precursor, forming elastic photonic microbeads. The microbeads are transferred into the refractive-index-matched biocompatible oil. The high crystallinity of colloidal arrays increases the reflectivity at stopband and the index matching reduces incoherent scattering at the surface of the microbeads, enhancing color saturation. The colors can be adjusted by mixing two distinctly colored microbeads. Also, low stiffness and high elasticity reduce foreign-body sensation and enhance fluidity, potentially serving as pragmatic structural colorants for photonic inks.

The Effect of Excessive Sulfate in the Li-Ion Battery Leachate on the Properties of Resynthesized Li[Ni1/3Co1/3Mn1/3]O2.

In order to examine the effect of excessive sulfate in the leachate of spent Li-ion batteries (LIBs), LiNi1/3Co1/3Mn1/3O2 (pristine NCM) and sulfate-containing LiNi1/3Co1/3Mn1/3O2 (NCMS) are prepared by a co-precipitation method. The crystal structures, morphology, surface species, and electrochemical performances of both cathode active materials are studied by scanning electron microscopy (SEM), X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), and charge-discharge tests. The XRD patterns and XPS results identify the presence of sulfate groups on the surface of NCMS. While pristine NCM exhibits a very dense surface in SEM images, NCMS has a relatively porous surface, which could be attributed to the sulfate impurities that hinder the growth of primary particles. The charge-discharge tests show that discharge capacities of NCMS at C-rates, which range from 0.1 to 5 C, are slightly decreased compared to pristine NCM. In dQ/dV plots, pristine NCM and NCMS have the same redox overvoltage regardless of discharge C-rates. The omnipresent sulfate due to the sulfuric acid leaching of spent LIBs has a minimal effect on resynthesized NCM cathode active materials as long as their precursors are adequately washed.

Utilizing the Intrinsic Thermal Instability of Swedenborgite Structured YBaCo4O7+δ as an Opportunity for Material Engineering in Lithium-Ion Batteries by Er and Ga Co-Doping Processes.

We firstly introduce Er and Ga co-doped swedenborgite-structured YBaCo4O7+δ (YBC) as a cathode-active material in lithium-ion batteries (LIBs), aiming at converting the phase instability of YBC at high temperatures into a strategic way of enhancing the structural stability of layered cathode-active materials. Our recent publication reported that Y0.8Er0.2BaCo3.2Ga0.8O7+δ (YEBCG) showed excellent phase stability compared to YBC in a fuel cell operating condition. By contrast, the feasibility of the LiCoO2 (LCO) phase, which is derived from swedenborgite-structured YBC-based materials, as a LIB cathode-active material is investigated and the effects of co-doping with the Er and Ga ions on the structural and electrochemical properties of Li-intercalated YBC are systemically studied. The intrinsic swedenborgite structure of YBC-based materials with tetrahedrally coordinated Co2+/Co3+ are partially transformed into octahedrally coordinated Co3+, resulting in the formation of an LCO layered structure with a space group of R-3m that can work as a Li-ion migration path. Li-intercalated YEBCG (Li[YEBCG]) shows effective suppression of structural phase transition during cycling, leading to the enhancement of LIB performance in Coulombic efficiency, capacity retention, and rate capability. The galvanostatic intermittent titration technique, cyclic voltammetry and electrochemical impedance spectroscopy are performed to elucidate the enhanced phase stability of Li[YEBCG].

Effect of Residual Trace Amounts of Fe and Al in Li[Ni1/3Mn1/3Co1/3]O2 Cathode Active Material for the Sustainable Recycling of Lithium-Ion Batteries.

As the explosive growth of the electric vehicle market leads to an increase in spent lithium-ion batteries (LIBs), the disposal of LIBs has also made headlines. In this study, we synthesized the cathode active materials Li[Ni1/3Mn1/3Co1/3]O2 (NMC) and Li[Ni1/3Mn1/3Co1/3Fe0.0005Al0.0005]O2 (NMCFA) via hydroxide co-precipitation and calcination processes, which simulate the resynthesis of NMC in leachate containing trace amounts of iron and aluminum from spent LIBs. The effects of iron and aluminum on the physicochemical and electrochemical properties were investigated and compared with NMC. Trace amounts of iron and aluminum do not affect the morphology, the formation of O3-type layered structures, or the redox peak. On the other hand, the rate capability of NMCFA shows high discharge capacities at 7 C (110 mAh g-1) and 10 C (74 mAh g-1), comparable to the values for NMC at 5 C (111 mAh g-1) and 7 C (79 mAh g-1), respectively, due to the widened interslab thickness of NMCFA which facilitates the movement of lithium ions in a 2D channel. Therefore, iron and aluminum, which are usually considered as impurities in the recycling of LIBs, could be used as doping elements for enhancing the electrochemical performance of resynthesized cathode active materials.

Elastic Photonic Microcapsules Containing Colloidal Crystallites as Building Blocks for Macroscopic Photonic Surfaces.

Colloidal crystals develop structural colors through wavelength-selective diffraction. Recently, a granular format of colloidal crystals has emerged as building blocks to construct macroscopic photonic surfaces or architectures with high reconfigurability through the secondary assembly. Here, we design elastic photonic microcapsules containing colloidal crystallites along the inner wall as a building block. Water-in-oil-in-water double-emulsion templates are microfluidically prepared to have an aqueous dispersion of polystyrene particles in the inner droplet and polydimethylsiloxane prepolymers in the shell. Colloidal particles are enriched in the presence of depletant and salt by osmotic compression, with the crystallization at the inner interface by depletion attraction. The number of nucleation sites depends on the rate of the enrichment, which enables control over the size and surface coverage of the crystallites with osmotic conditions. The enrichment is ceased by transferring the droplets into an isotonic solution, and the oil shell is cured to form an elastic membrane. As the elastic microcapsules have a large void in the core, they are deformable without structural damage in the crystallites. Therefore, the microcapsules can be closely packed to form macroscopic surfaces while achieving a high quality of structural colors with a collection of crystallites aligned along the flattened membrane.

Late complications and quality of life assessment for survivors receiving allogeneic hematopoietic stem cell transplantation.

PURPOSE: The survival rates of patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT) have improved. However, HSCT can induce significant long-term complications. Therefore, we investigated the late complications and risk factors for quality of life (QOL) post-HSCT. METHODS: We retrospectively analyzed 67 adult survivors over 2 years after HSCT between 2015 and 2018 at Ulsan University Hospital, Ulsan, Korea. The survey data including FACT-BMT, Hospital Anxiety and Depression Scale, and NCCN Distress Thermometer were collected as patient-reported outcomes using a tablet PC during a routine practice of survivorship clinic. RESULTS: The median age was 46 years. The most common symptom was fatigue (80.6%). Younger age (< 60 years), acute lymphoblastic leukemia (ALL), chronic graft-versus-host disease (GVHD), and immunosuppressant use were significantly associated with worse QOL and depression. Additionally, younger survivors (< 60 years) showed significantly more fatigue and anxiety compared with elderly survivors (≥ 60 years). Female sex was significantly associated with lower physical well-being and higher distress than male sex. CONCLUSION: Younger patients (< 60 years), female, ALL, chronic GVHD, and continuous immunosuppressant use were significant risk factors for worse QOL and depression. Hence, creating a more active survivorship care plan after HSCT, specifically for these patients, is required.

Applying Bayesian cognitive models to decisions to drive after drinking.

BACKGROUND AND AIMS: Despite widespread negative perceptions, the prevalence of alcohol-impaired driving (AID) in the United States remains unacceptably high. This study used a novel decision task to evaluate whether individuals considered both ride service cost and alcohol consumption level when deciding whether or not to drive, and whether the resulting strategy was associated with engagement in AID. DESIGN: A two-sample study, where sample 1 developed a novel AID decision task to classify participants by decision strategy. Sample 2 was used to cross-validate the task and examine whether decision strategy classifications were predictive of prior reported AID behavior. SETTING: A laboratory setting at the University of Missouri, USA. PARTICIPANTS: Sample 1 included 38 student participants from introductory psychology classes at the University of Missouri. Sample 2 included 67 young adult participants recruited from the local community. MEASUREMENTS: We developed a decision task that presented hypothetical drinking scenarios that varied in quantity of alcohol consumption (one to six drinks) and the cost of a ride service ($5-25). We applied a Bayesian computational model to classify choices as consistent with either: integrating both ride cost and consumption level (compensatory) or considering only consumption level (non-compensatory) when making hypothetical AID decisions. In sample 2, we assessed established AID risk factors (sex, recent alcohol consumption, perceived safe limit) and recent (past 3 months) engagement in AID. FINDINGS: In sample 1, the majority of participants were classified as using decision strategies consistent with either a compensatory or non-compensatory process. Results from sample 2 replicated the overall classification rate and demonstrated that participants who used a compensatory strategy were more likely to report recent AID, even after accounting for study covariates. CONCLUSIONS: In a hypothetical alcohol-impaired driving (AID) decision task, individuals who considered both consumption level and ride service cost were more likely to report recent AID than those who made decisions based entirely on consumption level.

Treatment outcome and prognostic factors of Korean patients with chronic lymphocytic leukemia: a multicenter retrospective study.

BACKGROUND/AIMS: Compared with Western countries, chronic lymphocytic leukemia (CLL) rarely occurs in Asia and has different clinical characteristics. Thus, we aimed to evaluate the clinical characteristics, treatment outcomes, and prognostic significance of Korean patients with CLL. METHODS: We retrospectively analyzed 90 patients with CLL who had received chemotherapy at 6 centers in Korea between 2000 and 2012. RESULTS: Compared with Western patients with CLL, Korean patients with CLL express lambda (42.0%) and atypical markers such as CD22 and FMC7 (76.7% and 40.0%, respectively) more frequently. First-line chemotherapy regimens included chlorambucil (n = 43), fludarabine and cyclophosphamide (FC) (n = 20), fludarabine (n = 13), rituximab-FC (n = 4). The remaining patients were treated with other various regimens (n = 10). The 5-year overall survival (OS) and progression-free survival (PFS) rates were 79.3% and 28.1%, respectively. Multivariate analyses showed that hyperleukocytosis (≥ 100 × 103/µL), extranodal involvement, and the Binet C stage were significant negative prognostic factors for OS (hazard ratio [HR] 4.75, p = 0.039; HR 21.6, p = 0.002; and HR 4.35, p = 0.034, respectively). Cytogenetic abnormalities including complex karyotypes (≥ 3), del(11q), and del(17) had a significantly adverse impact on both OS and PFS (p < 0.001 and p = 0.010, respectively). CONCLUSION: Initial hyperleukocytosis, extranodal involvement, complex karyotype, del(17) and del(11q) need to be considered in the risk stratification system for CLL.

Changes in Psychological Anxiety and Physiological Stress Hormones in Korea National Shooters.

Psychological anxiety and physiological stress hormone management is closely related to an athlete's performance, especially in shooting competitions. Thus, we aimed to investigate the changes in saliva stress hormones according to anxiety scores of Korean elite shooters immediately before a shooting competition. Seventy-two Korean national shooting athletes (Rifle = 62, Pistol = 8, Shotgun = 2) were recruited for the present study. The physiological stress hormones were assessed based on cortisol and immunoglobulin A level in saliva. The psychological stress was assessed based on Beck Anxiety Inventory (BAI) questionnaire. Cortisol concentration and cortisol secretion rate were significant higher in severe anxiety group. Secretory immunoglobulin A (SIgA) concentration and SIgA secretion rate did not significant different in among the groups. A positive correlation was found between BAI score and cortisol concentration. These findings provide preliminary evidence indicating that psychological anxiety affects physiological stress and therefore may have a negative effect on athletes' performance. Thus, research is needed to develop a strategy to reduce physiological stress in these athletes.