Patient Perspectives on Living With Severe Prurigo Nodularis.

Importance: Because of a paucity of qualitative research on prurigo nodularis (PN), the symptoms and impacts of PN that are most important to patients are poorly understood. Objective: To explore patients' perspectives on their PN symptoms and to understand the impacts of the condition. Design, Setting, and Participants: One-on-one qualitative telephone interviews were held with English-speaking US adults aged 18 years or older with a confirmed diagnosis of PN, severe pruritus, and moderate to severe sleep disturbance. Participants were recruited via patient associations, patient panels, and social media posts. Interviews took place between September 10, 2020, and March 16, 2021. Main Outcomes and Measures: The main symptoms of PN and their impacts on quality of life were identified by content analysis of deidentified interview transcripts. Results: A total of 21 adults with PN (mean [SD] age, 53.1 [11.8] years; 15 [71%] female; 2 African American or Black patients [10%], 1 Asian patient [5%], and 18 White patients [86%]; of these, 1 patient [ 5%] had Hispanic or Latino ethnicity) participated in the interviews. All participants reported itch, pain associated with PN, bleeding or scabbing, and dry skin. Other frequently reported symptoms included lumps or bumps (95%), having a crust on the skin (95%), burning (90%), stinging (90%), lesions or sores (86%), skin discoloration (86%), and raw skin (81%). Of the 17 participants who indicated what their worst symptoms were, 15 (88%) identified itching as the worst or 1 of the worst symptoms. The most frequently reported impacts of PN for quality of life were changes in sleep (100%), daily life (100%), feelings or mood (95%), relationships (95%), social life (81%), and work or school (71%). Overall, the worst impact of PN was its association with impaired feelings or mood. Conclusions and Relevance: This qualitative study suggests the importance of itching, sleep disturbance, and other symptoms and impacts of PN. This information can be used to guide end point selection in clinical trials and to inform patient-centric decision-making in clinical practice.

Vibration Energy Conversion Power Supply Based on the Piezoelectric Thin Film Planar Array.

Vibration energy harvesting has received much attention as a new type of power solution for low-power micro/nano-devices. However, VEH (vibration energy harvester) based on PVDF (polyvinylidene fluoride) piezoelectric materials have a low output power and energy conversation efficiency due to the relatively low piezoelectric constant, coupling coefficient, and dielectric constant. For this reason, we design a vibration energy conversion power supply, which consists of a VEH with a PVDF piezoelectric thin film planar array vibration structure and an energy harvesting circuit for regulating the electric energy of multiple sources. Furthermore, our solution was validated by simulations of structural dynamics in COMSOL and equivalent circuits model in Multisim. From the circuitry simulation results, the output current and the charging period increase and decrease, doubling, respectively, for each doubling of the number of array groups of films. Moreover, the solid mechanics simulation results show that the planar array structure makes the phase and amplitude of the input vibration waves as consistent as possible so that the same theoretical enhancement effect of the circuitry model is achieved. An identical experimental test was implemented with vibration conditions of 75 Hz-2.198 g. The fabricated harvester quickly charged the 22 V-0.022 F ultracapacitor bank to 5 V in 24 min. The maximum open circuit voltage and output power, respectively, were 10.4 V and 0.304 mW. This maximum charging power was 11.69 times higher than that of a single film. This special power supply can replace batteries to power low-power electronics deployed in vibrating environments, thus reducing the maintenance costs of equipment and environmental pollution rates.

Triplet Excited States Modulated by Push-Pull Substituents in Monocyclometalated Iridium(III) Photosensitizers.

A series of novel monocyclometalated [Ir(tpy)(btp)Cl]+ complexes (Ir2-Ir5) were synthesized using 2,2':6',2″-terpyridine (tpy) and 2-(2-pyridyl)benzo[b]thiophene (btp) ligands, as well as their derivatives bearing electron-donating tert-butyl (t-Bu) and electron-withdrawing trifluoromethyl (CF3) groups. Ir2-Ir5 exhibited visible-light absorption stronger than that of the known complex [Ir(tpy)(ppy)Cl]+ (Ir1; ppy = 2-phenylpyridine). Spectroscopic and computational studies revealed that two triplet states were involved in the excited-state dynamics. One is a weakly emissive and short-lived ligand to ligand charge-transfer (LLCT) state originating from the charge transfer from the btp to the tpy ligand. The other is a highly emissive and long-lived ligand-centered (LC) state localized on the btp ligand. Interestingly, the excited state dominant with 3LLCT was completely changed to the 3LC state upon the introduction of substituents on both the tpy and btp ligands. For instance, the excited state of the parent complex Ir2 was weakly emissive (Φ = 2%) and short-lived (τ = 110 ns) in CH2Cl2; conversely, Ir5, fully furnished with t-Bu and CF3 groups, displayed intense phosphorescence with a prolonged lifetime (τ = 14 µs). This difference became increasingly prominent when the solvent was changed to aqueous CH3CN, most probably due to the 3LLCT stabilization. The predominant excited-state nature was switchable between the 3LLCT and 3LC states depending on the substituents employed; this was demonstrated through investigations of Ir3 and Ir4, bearing either the t-Bu or the CF3 group, where the complexes exhibited properties intermediate between those of Ir2 and Ir5. All of the Ir(III) complexes were tested as photosensitizers in photocatalytic H2 evolution over a Co molecular catalyst, and Ir5 outperformed the others, including Ir1, due to improvement in the following key properties: visible-light-absorption ability, excited-state lifetime, and reductive power of the one-electron-reduced species against the catalyst.

Impact of Substituents on Excited-State and Photosensitizing Properties in Cationic Iridium(III) Complexes with Ligands of Coumarin 6.

A series of bis-cyclometalated cationic iridium (Ir) complexes were synthesized employing two coumarin 6 ligands and a 2,2'-bipyridine (bpy) with various substituents as new sensitizers, realizing both features of strong visible-light absorption and long-lived excited state. Complexes 2-4, with electron-donating methyl and methoxy groups, absorbed visible light strongly (ε: 126 000-132 000 M(-1) cm(-1)) and exhibited room-temperature phosphorescence with remarkably long lifetimes (21-23 µs) in dichloromethane. In contrast, the excited state of prototype complex 1 without any substituents was short-lived, particularly in highly polar acetonitrile. Phosphorescence of complex 5 with the strong electron-withdrawing CF3 groups was too weak to be detected at room temperature even in less polar dichloromethane. The triplet energies of their coumarin ligand-centered ((3)LC) phosphorescent states were almost invariable, demonstrating that selective tuning of the excited-state lifetime is possible through this "simple chemical modification of the bpy ligand" (we name it the "SCMB" method). The spectroscopic and computational investigations in this study suggest that a potential source of the nonradiative deactivation is a triplet ligand-to-ligand charge-transfer state ((3)LLCT state, coumarin 6 → bpy) and lead us to conclude that the energy level of this dark (3)LLCT state, as well as its thermal population, is largely dependent on the substituents and solvent polarity. In addition, the significant difference in excited-state lifetime was reflected in the photosensitizing ability of complexes 1-5 in visible-light-driven hydrogen generation using sodium ascorbate and a cobalt(III) diglyoxime complex as an electron donor and a water-reduction catalyst, respectively. This study suggests that the SCMB method should be generally effective in controlling the excited state of other bis-cyclometalated cationic Ir(III) complexes.