Achieved Weight Gain and Return to Work After Intervention With Traditional Japanese Acupuncture for Avoidant Restrictive Food Intake Disorder: A Case Report.

Avoidant restrictive food intake disorder (ARFID) is newly established as a category of eating disorder (ED). Acupuncture is one treatment option for ED. However, no cases of acupuncture treatment of ARFID have been reported. A 28-year-old female presented with reduced food intake and weight, abdominal bloating, abnormal sense of taste, and tongue pain. Her body weight (BW) had been around 50 kg until four years previously. Three years before, her symptoms occurred, and her BW decreased to 36.5 kg after experiencing excessive mental stress at her workplace. She was diagnosed with ARFID by a psychosomatic physician and tended to refuse her prescribed antipsychotic drugs. She was treated weekly with the Hokushin-kai style, a traditional Japanese acupuncture, and the moxibustion method. After one month, the patient felt somewhat better and returned to work once a week for the first time in two years. Four months later, her BW started to increase. After 10 months, her BW had increased to 48 kg. Her acupuncture treatment continues. This case suggests acupuncture as an optional treatment for ARFID. Further studies, such as a combination of medications and acupuncture, would be desirable.

Feeble Single-Atom Pd Catalysts for H2 Production from Formic Acid.

Single-atom catalysts are thought to be the pinnacle of catalysis. However, for many reactions, their suitability has yet to be unequivocally proven. Here, we demonstrate why single Pd atoms (PdSA) are not catalytically ideal for generating H2 from formic acid as a H2 carrier. We loaded PdSA on three silica substrates, mesoporous silicas functionalized with thiol, amine, and dithiocarbamate functional groups. The Pd catalytic activity on amino-functionalized silica (SiO2-NH2/PdSA) was far higher than that of the thiol-based catalysts (SiO2-S-PdSA and SiO2-NHCS2-PdSA), while the single-atom stability of SiO2-NH2/PdSA against aggregation after the first catalytic cycle was the weakest. In this case, Pd aggregation boosted the reaction yield. Our experiments and calculations demonstrate that PdSA in SiO2-NH2/PdSA loosely binds with amine groups. This leads to a limited charge transfer from Pd to the amine groups and causes high aggregability and catalytic activity. According to the density functional calculations, the loose binding between Pd and N causes most of Pd's 4d electrons in amino-functionalized SiO2 to remain close to the Fermi level and labile for catalysis. However, PdSA chemically binds to the thiol group, resulting in strong hybridization between Pd and S, pulling Pd's 4d states deeper into the conduction band and away from the Fermi level. Consequently, fewer 4d electrons were available for catalysis.

Operando Nanomechanical Mapping of Amorphous Silicon Thin Film Electrodes in All-Solid-State Lithium-Ion Battery Configuration during Electrochemical Lithiation and Delithiation.

An operando bimodal atomic force microscopy system was constructed to perform nanomechanical mapping of an amorphous Si thin film electrode deposited on a Li6.6La3Zr1.6Ta0.4O12 solid electrolyte sheet during electrochemical lithiation/delithiation. The evolution of Young's modulus maps of the Si electrode was successfully tracked as a function of apparent Li content x in lithium silicide (LixSi) simultaneously with real-time surface topography observation. At the initial stage of lithiation, the average modulus steeply decreased due to the generation of LixSi from intrinsic Si, followed by a moderate modulus reduction until the electrode capacity reached 3300 mAh g-1 (Li content x = 3.46). In the following delithiation, the gradual recovery of the average modulus of LixSi was observed up to 1467 mAh g-1 (Li content x = 1.54) at which delithiation stopped due to the significant volume change induced by phase transformation of LixSi.

Co-sintering process of LiCoO2 cathodes and NASICON-type LATP solid electrolytes studied by X-ray diffraction and X-ray absorption near edge structure.

The composites of a high-capacity cathode material in lithium-ion batteries, LiCoO2 (LCO) and an oxide-based solid electrolyte, Li1.3Al0.3Ti1.7(PO4)3 (LATP), were sintered at various temperatures and their reaction products were subsequently identified by X-ray diffraction (XRD) and X-ray absorption near edge structure (XANES). Rietveld analysis of XRD and the linear combination fitting of XANES showed that the reaction of LCO and LATP proceeds via three major steps; from 300 °C to 500 °C, LCO and LATP react with each other to form Co3O4, amorphous TiO2 and Li3PO4; from 500 °C at which crystalline LCO is completely decomposed, LATP reacts not only with remaining amorphous/low crystalline LCO but also with Co3O4 to form LiCoPO4 and TiO2; from 700 °C to 750 °C, Co3O4 and TiO2 react with each other to form CoTiO3. The final products at 900 °C are LiCoPO4, CoTiO3, TiO2, and Li3PO4.

Electrochemical Lithiation and Delithiation in Amorphous Si Thin Film Electrodes Studied by Operando X-ray Photoelectron Spectroscopy.

The electrochemical lithiation/delithiation in amorphous Si thin film electrodes deposited on a L6.6La3Zr1.6Ta0.4O12 are dynamically analyzed by operando X-ray photoelectron spectroscopy. In the initial lithiation, the Si 2p peak corresponding to bulk Si0 significantly shifts to a lower binding energy due to the formation of LixSi and then monotonically with increasing capacity, i.e., the Li content x in LixSi. When the lithiation stops at capacity of 2200 mAh g-1 (x = ∼2.3), the peak recovers monotonically to a higher binding energy throughout the successive delithiation. When Li is inserted into LixSi up to 3400 mAh g-1 (x = 3.5), however, the peak drastically shifts in the capacity range of 1520-1920 mAh g-1 (x = 1.6-2.0) in the successive delithiation. This shift is attributed to the phase transition of crystalline Li15Si4 formed in the preceding lithiation to the amorphous phase. The mechanism of initial lithiation/delithiation at each step is summarized on the basis of the state of charge, Li content x in LixSi, and positions of XPS peaks.

Long-term course of early onset developmental and epileptic encephalopathy associated with 2q24.3 microduplication.

Copy number variations (CNVs) have been related to developmental and epileptic encephalopathy (DEE). The 2q24.3 region includes a cluster of genes for voltage-gated sodium channels (SCN) and CNVs in this region cause DEE. However, the long-term course of DEE with a 2q24.3 duplication has not been described. A 20-year-old female developed epileptic encephalopathy in early infancy that was resistant to various antiseizure medications. Her seizures disappeared after starting vitamin B6 therapy. Therefore, her epilepsy was considered pyridoxine-dependent epilepsy. At 16 years old, whole exome sequencing revealed a 2q24.3 microduplication including SCN1A, SCN2A, SCN3A, SCN7A, and SCN9A. Quantitative PCR detected an increased copy number of 1.3 Mb on 2q24.3 involving these genes, but no gene mutation accounting for pyridoxine-dependent epilepsy. Considering that with this duplication she was reported to be seizure-free after infancy, she was able to be off antiseizure medications including vitamin B6. Our case involvingdrug-resistant epilepsy in early infancy had no recurrent seizures during long-term follow up. Detecting CNVs using whole exome sequencing data was useful to identify a 2q24.3 duplication unassociated with pyridoxine-dependent epilepsy, leading to cessation of unnecessary medications.

Transvenous Radiofrequency Ablation of Adrenal Gland: Experimental Study.

PURPOSE: The aim was to evaluate a flexible device for transvenous adrenal gland radiofrequency ablation in vitro and in an in vivo animal model. MATERIALS AND METHODS: A flexible radiofrequency-tip catheter with an inner-cooling mechanism and a guidewire lumen was made. Then, using a polyvinyl alcohol gel model, the ablation diameter was evaluated and how much energy to deliver in vivo was determined. Finally, transvenous radiofrequency ablation of the left adrenal glands of two pigs was performed, delivering 5000 or 7000 J in a single dose to each. The ablation effects were also assessed by histological examination of hematoxylin-eosin-stained sections. RESULTS: The mean ablation diameters in the gel model were 20.2 and 21.9 mm in the short axis and 15 and 20 mm in the long axis for 5000 or 7000 J, respectively. The device was inserted into porcine left adrenal vein with no complications. The mean ablation diameters were 10 mm in the shorter axis (whole thickness of porcine left adrenal gland) in the porcine model for 7000 J. Transient increases in blood pressure and heart rate occurred during ablation. Histologically, the adrenal gland showed severe necrosis at ablated area. There was venous congestion upstream in a non-ablated area, and thermal damage to surrounding organs was not observed. CONCLUSIONS: A flexible radiofrequency-tip catheter could be inserted successfully into the left adrenal vein. The left adrenal gland was entirely ablated without any thermal damage to surrounding organs. We suggest transvenous adrenal ablation has potential as a therapeutic option for primary aldosteronism.

Preparation of ordered nanohole array structures by anodization of prepatterned Cu, Zn, and Ni.

Anodic porous oxides with ordered nanohole array structures were prepared by the formation of concave arrays on the surface of Cu, Zn, and Ni substrates and the subsequent anodization of the prepatterned substrates. The concave arrays on the surface of the substrate were formed by Ar ion milling using an alumina mask. Although the anodization of Cu, Zn, and Ni substrates without prepatterning generates spongelike porous structures, ordered arrays of cylindrical nanoholes were obtained by the anodization of prepatterned substrates. The interpore distance of the obtained nanohole arrays was controlled by changing the period of the concave arrays. Crystallized ordered nanohole arrays of Cu2O, ZnO, and NiO were also obtained by heat treatment. The obtained anodic porous oxide with ordered nanohole array structures can be used for various applications such as photocatalysts, solar cells, and sensors.

Nanosized and metastable molybdenum oxides as negative electrode materials for durable high-energy aqueous Li-ion batteries.

The development of inherently safe energy devices is a key challenge, and aqueous Li-ion batteries draw large attention for this purpose. Due to the narrow electrochemical stable potential window of aqueous electrolytes, the energy density and the selection of negative electrode materials are significantly limited. For achieving durable and high-energy aqueous Li-ion batteries, the development of negative electrode materials exhibiting a large capacity and low potential without triggering decomposition of water is crucial. Herein, a type of a negative electrode material (i.e., Li x Nb2/7Mo3/7O2) is proposed for high-energy aqueous Li-ion batteries. Li x Nb2/7Mo3/7O2 delivers a large capacity of ∼170 mA ⋅ h ⋅ g-1 with a low operating potential range of 1.9 to 2.8 versus Li/Li+ in 21 m lithium bis(trifluoromethanesulfonyl)amide (LiTFSA) aqueous electrolyte. A full cell consisting of Li1.05Mn1.95O4/Li9/7Nb2/7Mo3/7O2 presents high energy density of 107 W ⋅ h ⋅ kg-1 as the maximum value in 21 m LiTFSA aqueous electrolyte, and 73% in capacity retention is achieved after 2,000 cycles. Furthermore, hard X-ray photoelectron spectroscopy study reveals that a protective surface layer is formed at the surface of the negative electrode, by which the high-energy and durable aqueous batteries are realized with Li x Nb2/7Mo3/7O2 This work combines a high capacity with a safe negative electrode material through delivering the Mo-based oxide with unique nanosized and metastable characters.

Reactions of the Li2MnO3 Cathode in an All-Solid-State Thin-Film Battery during Cycling.

We evaluated the structural change of the cathode material Li2MnO3 that was deposited as an epitaxial film with an (001) orientation in an all-solid-state battery. We developed an in situ surface X-ray diffraction (XRD) technique, where X-rays are incident at a very low grazing angle of 0.1°. An X-ray with wavelength of 0.82518 Å penetrated an ∼2 µm-thick amorphous Li3PO4 solid-state electrolyte and ∼1 µm-thick metal Li anode on the Li2MnO3 cathode. Experiments revealed a structural change to a high-capacity (activated) phase that proceeded gradually and continuously with cycling. The activated phase barely showed any capacity fading. First-principles calculations suggested that the activated phase has O1 stacking, which is attained by first delithiating to an intermediate phase with O3 stacking and tetrahedral Li. This intermediate phase has a low Li migration barrier path in the [001] direction, but further delithiation causes an energetically favorable and irreversible transition to the O1 phase. We propose a mechanism of structural change with cycling: charging to a high voltage at a sufficiently low Li concentration typically induces irreversible transition to a phase detrimental to cycling that could, but not necessarily, be accompanied by the dissolution of Mn and/or the release of O into the electrolyte, while a gradual irreversible transition to an activated phase happens at a similar Li concentration under a lower voltage.

Solvent-Dependent Adsorption of Perfluorosulfonated Ionomers on a Pt(111) Surface Using Atomic Force Microscopy.

The adsorption behavior of perfluorosulfonated ionomers (PFSIs) on a Pt(111) surface in various solvents is investigated by in situ atomic force microscopy (AFM) and discussed on the basis of aggregation of PFSIs in the liquid phase. The AFM images show that, in an aqueous solution of PFSI (0.1 wt % Nafion + 99.9 wt % water), PFSI aggregates with a lateral size of 20-200 nm adsorb on the Pt(111) surface. In a PFSI solution containing a small amount of 1-propanol (0.1 wt % Nafion + 99.5 wt % water + 0.4 wt % 1-propanol), however, slightly smaller aggregates adsorb on the Pt(111) surface. Such solvent-dependent sizes of adsorbed aggregates are in reasonable agreement with apparent hydrodynamic radii of PFSIs in the corresponding solutions determined by dynamic light scattering (DLS) while assuming the formation of spherical aggregation. Interestingly, a step-terrace structure characteristic to a clean Pt(111) surface is observed in a propanol-rich PFSI solution (0.1 wt % Nafion + 44.45 wt % water + 55.45 wt % 1-propanol) but X-ray photoelectron spectroscopy clearly indicates the existence of fluorocarbon species at the Pt(111) surface, suggesting the formation of a smooth adsorbed layer of PFSIs in a lying down configuration. Absence of any features assignable to aggregates in DLS data suggests well-dispersion of PFSIs in such propanol-rich solution without aggregations. Thus, the adsorbed structure of PFSIs at Pt surfaces can be controlled by tuning the composition of mixed solvent, which affects the aggregation of PFSI in the liquid phase.

Anomalously Slow Conformational Change Dynamics of Polar Groups Anchored to Hydrophobic Surfaces in Aqueous Media.

Water molecules within a thin hydration layer, spontaneously generated on hydrophobic protein surfaces, are reported to form a poorly dynamic network structure. However, how such a water network affects the conformational change dynamics of polar groups has never been explored, although such polar groups play a critical role in protein-protein and protein-ligand interactions. In the present work, we utilized as model protein surfaces a series of self-assembled monolayers (SAMs) appended with polar (Fmoc) or ionic (FITC) fluorescent head groups that were tethered via a 1.5-nm-long flexible oligoether chain to a hydrophobic silicon wafer surface, which was densely covered with paraffinic chains. We found that, not only in deionized water but also in aqueous buffer, these oligoether-appended head groups at ambient temperatures both displayed an anomalously slow conformational change, which required ∼10 h to reach a thermodynamically equilibrated state. We suppose that these behaviors reflect the poorly dynamic and low-permittivity natures of the thin hydration layer.

In Situ Observation of Lithiation and Delithiation Reactions of a Silicon Thin Film Electrode for All-Solid-State Lithium-Ion Batteries by X-ray Photoelectron Spectroscopy.

In situ X-ray photoelectron spectroscopy is applied to electrochemical lithiation/delithiation processes of an amorphous Si electrode sputter-deposited on a Li6.6La3Zr1.6Ta0.4O12 solid electrolyte. After the first lithiation, a broad Li peak appears at the Si surface, and peaks corresponding to bulk Si and Si suboxide significantly shift to lower binding energy. The appearance of the Li peak and shift of the Si peaks confirm the formation of lithium-silicide and lithium-silicates due to the lithiation of Si and native suboxide. The composition of lithium-silicide is estimated to be Li3.44Si by quantitative analysis of electrochemical response and photoelectron spectra. Peak fitting analysis shows the formation of Li2O and Li2CO3 due to side reactions. Upon the following delithiation, the peak corresponding to Li3.44Si phase shifts back to higher binding energy to form Li0.15Si phase, while lithium-silicates, Li2O, and Li2CO3 remained as irreversible species. Thus, electrochemical reactions accompanied with lithiation/delithiation processes are successfully observed.

Dopamine stimulation of the septum enhances exercise efficiency during complicated treadmill running in mice.

We aimed to identify the neurotransmitters and brain regions involved in exercise efficiency in mice during continuous complicated exercises. Male C57BL/6J mice practiced treadmill running with intermittent obstacles on a treadmill for 8 days. Oxygen uptake (VO2) during treadmill running was measured as exercise efficiency. After obstacle exercise training, the VO2 measured during treadmill running with obstacles decreased significantly. Obstacle exercise-induced c-Fos expressions and dopamine turnover (DOPAC/dopamine) in the septum after obstacle exercise training were significantly higher than that before training. The dopamine turnover was correlated with exercise efficiency on the 3rd day after exercise training. Furthermore, the training effect on exercise efficiency was significantly decreased by injection of dopamine receptor antagonists into the septum and was associated with decreased c-Fos expressions in the septum and hippocampus of the mice. These results suggest that dopaminergic function in the septum is involved in exercise efficiency during continuous complicated exercises.

A Patient with KL-6 Elevation with Anti-TNFα Who Could Receive Long-Term Use without Interstitial Pneumonia after Class Switch of Anti-TNFα.

A 40-year-old man with refractory ulcerative colitis (UC) was treated with tumor necrosis factor α inhibitor (anti-TNFα), infliximab. One month later, the chest computed tomography and laboratory test showed noninfectious interstitial lung disease (ILD) and elevation of serum Krebs von den Lungen-6 (KL-6). Fortunately, ILD disappeared after the discontinuation with anti-TNFα. Two and a half years after his first UC treatment, he was treated again with another anti-TNFα, adalimumab, for relapse and he had a second ILD. This course suggested anti-TNFα induced ILD. The characteristics of anti-TNFα-induced ILD in inflammatory bowel disease (IBD) are not well understood. We summarized and investigated the characteristics of such patients based on a literature review including 15 cases. It suggested that anti-TNFα-induced ILD in IBD might be rare and tends to have a better outcome compared with ILD in rheumatoid arthritis.

Semiconductor-Based Photoelectrochemical Conversion of Carbon Dioxide: Stepping Towards Artificial Photosynthesis.

The photoelectrochemical (PEC) carbon dioxide reduction process stands out as a promising avenue for the conversion of solar energy into chemical feedstocks, among various methods available for carbon dioxide mitigation. Semiconductors derived from cheap and abundant elements are interesting candidates for catalysis. Whether employed as intrinsic semiconductors or hybridized with metallic cocatalysts, biocatalysts, and metal molecular complexes, semiconductor photocathodes exhibit good performance and low overpotential during carbon dioxide reduction. Apart from focusing on carbon dioxide reduction materials and chemistry, PEC cells towards standalone devices that use photohybrid electrodes or solar cells have also been a hot topic in recent research. An overview of the state-of-the-art progress in PEC carbon dioxide reduction is presented and a deep understanding of the catalysts of carbon dioxide reduction is also given.

Highly-conducting molecular circuits based on antiaromaticity.

Aromaticity is a fundamental concept in chemistry. It is described by Hückel's rule that states that a cyclic planar π-system is aromatic when it shares 4n+2 π-electrons and antiaromatic when it possesses 4n π-electrons. Antiaromatic compounds are predicted to exhibit remarkable charge transport properties and high redox activities. However, it has so far only been possible to measure compounds with reduced aromaticity but not antiaromatic species due to their energetic instability. Here, we address these issues by investigating the single-molecule charge transport properties of a genuinely antiaromatic compound, showing that antiaromaticity results in an order of magnitude increase in conductance compared with the aromatic counterpart. Single-molecule current-voltage measurements and ab initio transport calculations reveal that this results from a reduced energy gap and a frontier molecular resonance closer to the Fermi level in the antiaromatic species. The conductance of the antiaromatic complex is further modulated electrochemically, demonstrating its potential as a high-conductance transistor.

Design of Low Pt Concentration Electrocatalyst Surfaces with High Oxygen Reduction Reaction Activity Promoted by Formation of a Heterogeneous Interface between Pt and CeO(x) Nanowire.

Pt-CeO(x) nanowire (NW)/C electrocatalysts for the improvement of oxygen reduction reaction (ORR) activity on Pt were prepared by a combined process involving precipitation and coimpregnation. A low, 5 wt % Pt-loaded CeO(x) NW/C electrocatalyst, pretreated by an optimized electrochemical conditioning process, exhibited high ORR activity over a commercially available 20 wt % Pt/C electrocatalyst although the ORR activity observed for a 5 wt % Pt-loaded CeO(x) nanoparticle (NP)/C was similar to that of 20 wt % Pt/C. To investigate the role of a CeO(x) NW promotor on the enhancement of ORR activity on Pt, the Pt-CeO(x) NW interface was characterized by using hard X-ray photoelectron spectroscopy (HXPS), transmission electron microscopy (TEM), and electron energy loss spectroscopy (EELS). Microanalytical data obtained by these methods were discussed in relation to atomistic simulation performed on the interface structures. The combined techniques of HXPS, TEM-EELS, and atomistic simulation indicate that the Pt-CeO(x) NW interface in the electrocatalyst contains two different defect clusters: Frenkel defect clusters (i.e., 2Pt(i)(••) - 4O(i)″ - 4V(o)(••) - V(Ce)″″) formed in the surface around the Pt-CeO(x) NW interface and Schottky defect clusters (i.e., (Pt(Ce)″ - 2V(O)(••) - 2Ce(Ce)') and (Pt(Ce)″ - V(O)(••))) which appear in the bulk of the Pt-CeO(x) NW interface similarly to Pt-CeO(x) NP/C. It is concluded that the formation of both Frenkel defect clusters and Schottky defect clusters at the Pt-CeO(x) NW heterointerface contributes to the promotion of ORR activity and permits the use of lower Pt-loadings in these electrocatalysts.

Ionic interactions. Subnanoscale hydrophobic modulation of salt bridges in aqueous media.

Polar interactions such as electrostatic forces and hydrogen bonds play an essential role in biological molecular recognition. On a protein surface, polar interactions occur mostly in a hydrophobic environment because nonpolar amino acid residues cover ~75% of the protein surface. We report that ionic interactions on a hydrophobic surface are modulated by their subnanoscale distance to the surface. We developed a series of ionic head groups-appended self-assembled monolayers with C2, C6, C8, and C12 space-filling alkyl chains, which capture a dendritic guest via the formation of multiple salt bridges. The guest release upon protonolysis is progressively suppressed when its distance from the background hydrophobe changes from 1.2 (C2) to 0.2 (C12) nanometers, with an increase in salt bridge strength of ~3.9 kilocalories per mole.