Factors Associated With Physician Empowerment and Well-being at an Academic Medical Center.

OBJECTIVE: This study reports an institutional approach to rapidly measure burnout and gather physicians' opinions on workplace factors that empower well-being. METHODS: In July 2017, physicians at Vanderbilt University Medical Center were invited to participate in a two-question survey measuring self-reported burnout and providing an opportunity to describe structures that empower well-being. Free-text responses were analyzed and a linear regression model assessed factors associated with well-being. RESULTS: A total of 1135 physicians responded (43.3% response rate) with a mean well-being score of 56 (scale 0 to 100). Higher scores were associated with clinical fellow status (P = 0.002), male sex (P = 0.008), less allocation of time to clinical care (P < 0.001), and not commenting on "leadership" and "autonomy" in the free-text response. CONCLUSIONS: Brief surveys collecting perspectives on well-being can help employers identify high-risk groups and provide a roadmap for institutional change.

Luminescent Solar Concentrators Based on Energy Transfer from an Aggregation-Induced Emitter Conjugated Polymer.

Luminescent solar concentrators (LSCs) are solar-harvesting devices fabricated from a transparent waveguide that is doped or coated with lumophores. Despite their potential for architectural integration, the optical efficiency of LSCs is often limited by incomplete harvesting of solar radiation and aggregation-caused quenching (ACQ) of lumophores in the solid state. Here, we demonstrate a multilumophore LSC design that circumvents these challenges through a combination of nonradiative Förster resonance energy transfer (FRET) and aggregation-induced emission (AIE). The LSC incorporates a green-emitting poly(tetraphenylethylene), p-O-TPE, as an energy donor and a red-emitting perylene bisimide molecular dye (PDI-Sil) as the energy acceptor, within an organic-inorganic hybrid diureasil waveguide. Steady-state photoluminescence studies demonstrate the diureasil host induced AIE from the p-O-PTE donor polymer, leading to a high photoluminescence quantum yield (PLQY) of ∼45% and a large Stokes shift of ∼150 nm. Covalent grafting of the PDI-Sil acceptor to the siliceous domains of the diureasil waveguide also inhibits nonradiative losses by preventing molecular aggregation. Due to the excellent spectral overlap, FRET was shown to occur from p-O-TPE to PDI-Sil, which increased with acceptor concentration. As a result, the final LSC (4.5 cm × 4.5 cm × 0.3 cm) with an optimized donor-acceptor ratio (1:1 by wt %) exhibited an internal photon efficiency of 20%, demonstrating a viable design for LSCs utilizing an AIE-based FRET approach to improve the solar-harvesting performance.

Effect of the structure of cholesterol-based tethered bilayer lipid membranes on ionophore activity.

Tethered bilayer lipid membranes (tBLM) are formed on 1) pure tether lipid triethyleneoxythiol cholesterol (EO(3)C) or on 2) mixed self-assembled monolayers (SAMs) of EO(3)C and 6-mercaptohexanol (6MH). While EO(3)C is required to form a tBLM with high resistivity, 6MH dilutes the cholesterol content in the lower leaflet of the bilayer forming ionic reservoirs required for submembrane hydration. Here we show that these ionic reservoirs are required for ion transport through gramicidin or valinomycin, most likely due to the thermodynamic requirements of ions to be solvated once transported through the membrane. Unexpectedly, electrochemical impedance spectroscopy (EIS) shows an increase of capacitance upon addition of gramicidin, while addition of valinomycin decreases the membrane resistance in the presence of K(+) ions. We hypothesise that this is due to previously reported phase separation of EO(3)C and 6MH on the surface. This results in ionic reservoirs on the nanometre scale, which are not fully accounted for by the equivalent circuits used to describe the system.