"Hay que seguir en la lucha": An FQHC's Community Health Action Approach to Promoting Latinx Immigrants' Individual and Community Resilience.

Latinx immigrants have poorer access to health care, compared to non-Latinx Whites. Federally-Qualified Health Centers (FQHCs) provide clinical and community programing to address their clients' health needs. One mechanism by which FQHC's may strengthen Latinx immigrant well-being is by promoting their individual and community resilience. We partnered with La Clínica del Pueblo (La Clínica), an FQHC serving Latinx immigrants in Washington, DC and Prince George's County, Maryland. We conducted in-depth interviews in Spanish with 30 La Clínica clients to explore the daily adversities they faced, how they coped, and how La Clínica helped them cope. We conducted thematic analysis using Dedoose software. All participants were from Central America; 37% were undocumented. Participants were 18-78 years old, 70% cis-females, 23% cis-males (10% gay men), and 7% transgender. 57% reported a serious health issue, including diabetes. Participants identified three main adversities: immigration legal status, language, and isolation/depression. Residents of Prince George's, compared to DC, as well as sexual/gender minorities, reported more barriers to accessing health care. Sources of individual resilience for participants included fighting to improve their children's lives, relying on supportive networks, and using La Clínica as a safety net to overcome health access barriers. Sources of community resilience included La Clínica's safe spaces, support groups, referrals to outside legal service providers, and health promoter training. Latinx immigrants face multiple daily adversities, but we find evidence that La Clínica's community health action approach promotes their resilience. We offer a conceptual model for how FQHCs can foster resilience and strengthen immigrant health.

Nanostructured Ir-supported on Ti4O7 as a cost-effective anode for proton exchange membrane (PEM) electrolyzers.

PEM water electrolysis has recently emerged as one of the most promising technologies for large H2 production from a temporal surplus of renewable electricity; yet it is expensive, partly due to the use of large amounts of Ir present in the anode. Here we report the development and characterization of a cost-effective catalyst, which consists of metallic Ir nanoparticles supported on commercial Ti4O7. The catalyst is synthesized by reducing IrCl3 with NaBH4 in a suspension containing Ti4O7, cetyltrimethylammonium bromide (CTAB) and anhydrous ethanol. No thermal treatment was applied afterwards in order to preserve the high conductivity of Ti4O7 and the metallic properties of Ir. Electron microscopy images show an uniform distribution of mostly single Ir particles covering the electro-ceramic support, although some agglomerates are still present. X-ray diffraction (XRD) analysis reveals a cubic face centered structure of Ir nanoparticles with a crystallite size of ca. 1.8 nm. According to X-ray photoelectron spectroscopy (XPS), the ratio of metallic Ir and Ir-oxide, identified as Ir(3+), is 3 : 1 after the removal of surface contamination. Other surface properties such as primary particle size distribution and surface potential were determined by atomic force microscopy (AFM). Cyclic and linear voltammetric measurements were conducted to study the electrochemical surface and kinetics of Ir-black and Ir/Ti4O7. The developed catalyst outperforms the commercial Ir-black in terms of mass activity for the oxygen evolution reaction (OER) in acid medium by a factor of four, measured at 0.25 V overpotential and room temperature. In general, the Ir/Ti4O7 catalyst exhibits improved kinetics and higher turnover frequency (TOF) compared to Ir-black. The developed Ir/Ti4O7 catalyst allows reducing the precious metal loading in the anode of a PEM electrolyzer by taking advantage of the use of an electro-ceramic support.

Nanosized IrO(x)-Ir Catalyst with Relevant Activity for Anodes of Proton Exchange Membrane Electrolysis Produced by a Cost-Effective Procedure.

We have developed a highly active nanostructured iridium catalyst for anodes of proton exchange membrane (PEM) electrolysis. Clusters of nanosized crystallites are obtained by reducing surfactant-stabilized IrCl3 in water-free conditions. The catalyst shows a five-fold higher activity towards oxygen evolution reaction (OER) than commercial Ir-black. The improved kinetics of the catalyst are reflected in the high performance of the PEM electrolyzer (1 mg(Ir) cm(-2)), showing an unparalleled low overpotential and negligible degradation. Our results demonstrate that this enhancement cannot be only attributed to increased surface area, but rather to the ligand effect and low coordinate sites resulting in a high turnover frequency (TOF). The catalyst developed herein sets a benchmark and a strategy for the development of ultra-low loading catalyst layers for PEM electrolysis.

AFM as an analysis tool for high-capacity sulfur cathodes for Li-S batteries.

In this work, material-sensitive atomic force microscopy (AFM) techniques were used to analyse the cathodes of lithium-sulfur batteries. A comparison of their nanoscale electrical, electrochemical, and morphological properties was performed with samples prepared by either suspension-spraying or doctor-blade coating with different binders. Morphological studies of the cathodes before and after the electrochemical tests were performed by using AFM and scanning electron microscopy (SEM). The cathodes that contained polyvinylidene fluoride (PVDF) and were prepared by spray-coating exhibited a superior stability of the morphology and the electric network associated with the capacity and cycling stability of these batteries. A reduction of the conductive area determined by conductive AFM was found to correlate to the battery capacity loss for all cathodes. X-ray diffraction (XRD) measurements of Li2S exposed to ambient air showed that insulating Li2S hydrolyses to insulating LiOH. This validates the significance of electrical ex-situ AFM analysis after cycling. Conductive tapping mode AFM indicated the existence of large carbon-coated sulfur particles. Based on the analytical findings, the first results of an optimized cathode showed a much improved discharge capacity of 800 mA·g(sulfur)(-1) after 43 cycles.

Effect of nano- and micro-roughness on adhesion of bioinspired micropatterned surfaces.

In this work, the adhesion of biomimetic polydimethylsiloxane (PDMS) pillar arrays with mushroom-shaped tips was studied on nano- and micro-rough surfaces and compared to unpatterned controls. The adhesion strength on nano-rough surfaces invariably decreased with increasing roughness, but pillar arrays retained higher adhesion strengths than unpatterned controls in all cases. The results were analyzed with a model that focuses on the effect on adhesion of depressions in a rough surface. The model fits the data very well, suggesting that the pull-off strength for patterned PDMS is controlled by the deepest dimple-like feature on the rough surface. The lower pull-off strength for unpatterned PDMS may be explained by the initiation of the pull-off process at the edge of the probe, where significant stress concentrates. With micro-rough surfaces, pillar arrays showed maximum adhesion with a certain intermediate roughness, while unpatterned controls did not show any measurable adhesion. This effect can be explained by the inability of micropatterned surfaces to conform to very fine and very large surface asperities.