Identifying profiles of stroke patients benefitting from additional training: a latent class analysis approach.

OBJECTIVE: To identify profiles of stroke patient benefitting from additional training, using latent class analysis. DESIGN: Retrospective observational study. PATIENTS: Patients with stroke (n = 6,875) admitted to 42 recovery rehabilitation units in Japan between January 2005 and March 2016 who were registered in the Japan Association of Rehabilitation Database. METHODS: The main outcome measure was the difference in Functional Independence Measure (FIM) scores between admission and discharge (referred to as "gain"). The effect of additional training, categorized as usual care (no additional training), self-exercise, training with hospital staff, or both exercise (combining self-exercise and training with hospital staff), was assessed through multiple regression analyses of latent classes. RESULTS: Applying inclusion and exclusion criteria, 1185 patients were classified into 7 latent classes based on their admission characteristics (class size n = 82 (7%) to n = 226 (19%)). Patients with class 2 characteristics (right hemiparesis and modified dependence in the motor-FIM and cognitive-FIM) had positive FIM gain with additional training (95% confidence interval (95% CI) 0.49-3.29; p < 0.01). One-way analysis of variance revealed that training with hospital staff (95% CI 0.07-16.94; p < 0.05) and both exercises (95% CI 5.38-15.13; p < 0.01) led to a significantly higher mean FIM gain than after usual care. CONCLUSION: Additional training in patients with stroke with right hemiparesis and modified dependence in activities of daily living was shown to improve activities of daily living. Training with hospital staff combined with self-exercise is a promising rehabilitation strategy for these patients.

Aquatic Functional Liquid Crystals: Design, Functionalization, and Molecular Simulation.

Aquatic functional liquid crystals, which are ordered molecular assemblies that work in water environment, are described in this review. Aquatic functional liquid crystals are liquid-crystalline (LC) materials interacting water molecules or aquatic environment. They include aquatic lyotropic liquid crystals and LC based materials that have aquatic interfaces, for example, nanoporous water treatment membranes that are solids preserving LC order. They can remove ions and viruses with nano- and subnano-porous structures. Columnar, smectic, bicontinuous LC structures are used for fabrication of these 1D, 2D, 3D materials. Design and functionalization of aquatic LC sensors based on aqueous/LC interfaces are also described. The ordering transitions of liquid crystals induced by molecular recognition at the aqueous interfaces provide distinct optical responses. Molecular orientation and dynamic behavior of these aquatic functional LC materials are studied by molecular dynamics simulations. The molecular interactions of LC materials and water are key of these investigations. New insights into aquatic functional LC materials contribute to the fields of environment, healthcare, and biotechnology.

Cost-effectiveness of occupational therapy for older adults: a protocol for an updated systematic review.

INTRODUCTION: The ageing populations in developed countries are a global concern, with increasing numbers of older adults facing physical, cognitive and psychological challenges, resulting in reduced quality of life and higher healthcare costs. Healthcare expenditure worldwide has been on the rise, especially among older adults, emphasising the importance of enabling independent living while reducing healthcare costs. Occupational therapy holds promising outcomes in promoting functional independence and enhancing the quality of life for older adults, but research on its cost-effectiveness remains limited. This systematic review aims to evaluate the recent evidence on the cost-effectiveness of occupational therapy interventions for older adults from a pragmatic perspective. METHODS AND ANALYSIS: This systematic review will cover full economic evaluations, including cost-effectiveness, cost-utility and cost-benefit analyses, by reviewing randomised and cluster randomised controlled trials. The participants will be aged over 65 years without disease or disability restrictions. Primary outcomes will be assessed using functional status and quality-of-life assessments. Studies published before July 2023 will be searched in PubMed, Web of Science and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases, with no language restrictions. ETHICS AND DISSEMINATION: Ethical approval is not required for this literature-based systematic review. The study's findings will update the evaluation of occupational therapy's cost-effectiveness in older adults and will be made public by publishing them in scholarly journals. PROSPERO REGISTRATION NUMBER: CRD42023453558.

Self-Assembly of Peptide-Conjugated Forklike Mesogens at Aqueous/Liquid Crystalline Interfaces: Molecular Design for Ordering Transition Induced by Specific Binding of Biomolecules.

Self-assembly of functional liquid crystals provides a powerful approach to the development of stimuli-responsive materials and interfaces. Here, we have designed and synthesized bioconjugated amphiphilic dendritic mesogens containing arginine-glycine-aspartic acid (RGD) peptide sequence to develop new biofunctional aqueous/liquid crystalline interfaces. We have found that the RGD peptide-conjugated forklike mesogens induce the homeotropic alignment of liquid crystals at the aqueous interfaces, leading to distinct optical changes caused by the specific binding of the target proteins. In contrast, no response to the target protein is observed for the interfaces prepared with the RGD peptide-conjugated single mesogen. Molecular insights into the orientation and stimuli-responsiveness of the bioconjugated mesogens at the interfaces are obtained based on measurements of the Langmuir films and self-assembled properties of these molecules. These results demonstrate that the number of rodlike cores of the bioconjugated mesogens affects the monolayer structures formed at the aqueous interface as well as the liquid crystalline properties. We propose a new molecular design of bioconjugated mesogens to couple biomolecular interactions at the aqueous interfaces with the ordering transition of the liquid crystals. These materials have the potential to tailor the responsiveness of liquid crystalline interfaces for biomolecular sensing.

Reentrant 2D Nanostructured Liquid Crystals by Competition between Molecular Packing and Conformation: Potential Design for Multistep Switching of Ionic Conductivity.

The front cover artwork is provided by Takashi Kato at the University of Tokyo. The image shows three assembled structures of smectic liquid crystals that show reentrant behavior. Read the full text of the Research Article at 10.1002/cphc.202200927.

Reentrant 2D Nanostructured Liquid Crystals by Competition between Molecular Packing and Conformation: Potential Design for Multistep Switching of Ionic Conductivity.

Reentrant phenomena in soft matter and biosystems have attracted considerable attention because their properties are closely related to high functionality. Here, we report a combined experimental and computational study on the self-assembly and reentrant behavior of a single-component thermotropic smectic liquid crystal toward the realization of dynamically functional materials. We have designed and synthesized a mesogenic molecule consisting of an alicyclic trans,trans-bicyclohexyl mesogen and a polar cyclic carbonate group connected by a flexible tetra(oxyethylene) spacer. The molecule exhibits an unprecedented sequence of layered smectic phases, in the order: smectic A-smectic B-reentrant smectic A. Electron density profiles and large-scale molecular dynamics simulations indicate that competition between the stacking of bicyclohexyl mesogens and the conformational flexibility of tetra(oxyethylene) chains induces this unusual reentrant behavior. Ion-conductive reentrant liquid-crystalline materials have been developed, which undergo the multistep conductivity changes in response to temperature. The reentrant liquid crystals have potential as new mesogenic materials exhibiting switching functions.

Efficient photocatalytic degradation of emerging ciprofloxacin under visible light irradiation using BiOBr/carbon quantum dot/saponite composite.

The use of visible-driven photocatalysts has fascinated attention as a capable and sustainable approach for wastewater remediation. In this work, BiOBr/carbon quantum dot (CQDs)/saponite composites (CQDs/Clay@BiOBr) were fabricated via hydrothermally using two different CQDs/Clay precursors (in-situ synthesis (IS) and physical mixing (PM)). The obtained products were characterized, and the photocatalytic performances of the prepared samples were evaluated in the photocatalytic decomposition of emerging ciprofloxacin (CIP) pharmaceutical waste. The highest CIP mineralization performance was achieved when a combination of BiOBr and CQDs/Clay (IS) with the appropriate proportion because the strong adhesion between CQDs and clay generate a great heterojunction in the composite. The stronger interaction of CQDs and better distribution of CQDs on the surface of clay in the CQDs/Clay (IS) enhanced the interaction of BiOBr and CQDs, and avoided the re-agglomeration of excess of CQDs on surface of BiOBr which reduce the active surface to receive the light and react with CIP. The ultrafast degradation rate of the optimized CQDs/Clay@BiOBr composite was better compared to others. The significant improvement in the CIP degradation efficiency of the CQDs/Clay@BiOBr composite was attributed to the excellent separation and transportation of photogenerated electrons and holes, as confirmed by photoluminescence, photocurrent density, and electrochemical impedance spectroscopy results. Moreover, the photocatalytic degradation mechanism of CIP in the CQDs/Clay@BiOBr composite was proposed based on the electronic states of each material in the composite and on a scavenger test. Thus, the proposed CQDs/Clay@BiOBr composite can be employed as a potential visible-light-driven photocatalyst for the decomposition of organic contaminants in wastewater.

One-step solvent-free synthesis of carbon dot-based layered composites exhibiting color-tunable photoluminescence.

We here report a practical and green approach to the development of luminescent composites through in situ solvent-free formation of carbon dots on layered inorganic compounds. The composites exhibit higher solid-state photoluminescence than those prepared by mixing of synthesized carbon dots and layered clay minerals. Tuning of the emission color of the composites has also been achieved by the addition of small molecules into phloroglucinol as starting materials for carbonization. The carbon dots synthesized in clay compounds in the solvent-free conditions are well-dispersed to obtain homogeneous composites. Furthermore, we have demonstrated that highly luminescent carbon dots are formed by carbonization in the presence of layered inorganic compounds. The one-step solvent-free approach presented in this work may allow not only facile, economical, and sustainable production of nanostructured carbon dot-based composites but also improvement of their luminescence properties.

Advanced Functional Liquid Crystals.

Liquid crystals have been intensively studied as functional materials. Recently, integration of various disciplines has led to new directions in the design of functional liquid-crystalline materials in the fields of energy, water, photonics, actuation, sensing, and biotechnology. Here, recent advances in functional liquid crystals based on polymers, supramolecular complexes, gels, colloids, and inorganic-based hybrids are reviewed, from design strategies to functionalization of these materials and interfaces. New insights into liquid crystals provided by significant progress in advanced measurements and computational simulations, which enhance new design and functionalization of liquid-crystalline materials, are also discussed.

Self-healing and shape memory functions exhibited by supramolecular liquid-crystalline networks formed by combination of hydrogen bonding interactions and coordination bonding.

We here report a new approach to develop self-healing shape memory supramolecular liquid-crystalline (LC) networks through self-assembly of molecular building blocks via combination of hydrogen bonding and coordination bonding. We have designed and synthesized supramolecular LC polymers and networks based on the complexation of a forklike mesogenic ligand with Ag+ ions and carboxylic acids. Unidirectionally aligned fibers and free-standing films forming layered LC nanostructures have been obtained for the supramolecular LC networks. We have found that hybrid supramolecular LC networks formed through metal-ligand interactions and hydrogen bonding exhibit both self-healing properties and shape memory functions, while hydrogen-bonded LC networks only show self-healing properties. The combination of hydrogen bonds and metal-ligand interactions allows the tuning of intermolecular interactions and self-assembled structures, leading to the formation of the dynamic supramolecular LC materials. The new material design presented here has potential for the development of smart LC materials and functional LC membranes with tunable responsiveness.

Reassessment of early 131I inhalation doses by the Fukushima nuclear accident based on atmospheric 137Cs and 131I/137Cs observation data and multi-ensemble of atmospheric transport and deposition models.

The Fukushima Dai-ichi Nuclear Power Plant accidents following the March 11, 2011 Tohoku earthquake, and subsequent tsunami released radioactive materials into the atmosphere and caused significant public health concerns, particularly thyroid cancers in children. However, the lack of measurement data for atmospheric concentrations of 131I has caused persistent and widespread uncertainty. This study estimated the maximum potential thyroid doses of inhaled 131I in the early post-accident phase between March 12 and 23, 2011 by using the hourly measured data of the 137Cs concentrations at 101 suspended particulate matter (SPM) monitoring sites, a new multi-model ensemble (MME) method of simulating 137Cs concentrations using two Atmospheric Transport and Deposition Models (ATDMs), the 131I/137Cs ratio obtained from measurement data analysis, and the internal exposure model. Based on the measurements, the maximum potential thyroid doses were estimated at 3.1-160 mSv at 5 sites in the Fukushima-Hamadori area for 1-year-old children assumed to remain outdoors, whereas they were less than 4.3 mSv at the other sites in the base case of the 131I/137Cs ratio. The spatial distribution of the maximum potential of early inhalation doses was estimated by using the MME and measurements. The inhalation thyroid doses in the evacuation scenarios were compared to the estimates reported by previous studies. The results of the present study were almost congruent with the outcomes of previous investigations except for thyroid doses contributed by highly contaminated plumes on March 12 and 15. The sensitivity analysis for the 131I/137Cs ratio indicated that these plumes carried the potential to significantly increase the thyroid doses of residents.

Functional Liquid Crystals towards the Next Generation of Materials.

Since the discovery of the liquid-crystalline state in 1888, liquid crystal science has made great advances through fusion with various technologies and disciplines. Recently, new molecular design strategies and new self-assembled structures have been developed as a result of the progress made in synthetic procedures and characterization techniques. Since these liquid crystals exhibit new functions and properties derived from their nanostructures and alignment, a variety of new functions for liquid crystals, such as transport for energy applications, separation for environmental applications, chromism, sensing, electrooptical effects, actuation, and templating have been proposed. This Review presents recent advances of liquid crystals that should contribute to the next generation of materials.

Self-Assembly of Giant Spherical Liquid-Crystalline Complexes and Formation of Nanostructured Dynamic Gels that Exhibit Self-Healing Properties.

Supramolecular self-assembly of 24 forklike mesogenic ligands and 12 transition metal ions led to the formation of giant spherical coordination complexes that exhibit liquid-crystalline (LC) phases. Self-healing LC supramolecular gels were also obtained through the introduction of these LC nanostructured supramolecular giant spherical complexes into dynamic covalent networks formed by cross-linkers and bifunctional polymers. The giant spherical structures of the PdII complexes with 72 rodlike moieties on the periphery were characterized by NMR, diffusion-ordered NMR spectroscopy, and mass spectrometry. These complexes are stable and exhibit lyotropic LC behavior, while the mesogenic ligands show thermotropic LC properties. The self-assembled LC structures of the spherical complexes can be tuned by the length of the rodlike moieties.

Improved thin-layer electrolysis cell for ion transfer at the liquid|liquid interface using a conducting polymer-coated electrode.

This article reviews the development of a thin-layer electrolysis cell with both a thin aqueous phase and a thin organic phase for ion transfer at the liquid|liquid interface for the absolute determination of a redox-inactive ion. In particular, an improvement of the cell performance by using a conducting polymer-coated electrode in the organic phase is discussed. The applicability of the thin-layer electrolysis cell to the absolute determination of redox-inactive ions using the flow-injection method or stripping method is also described.

Variations in bile tolerance among Lactococcus lactis strains derived from different sources.

Lactococcus lactis subsp. lactis has been isolated from the intestines of marine fish and is a candidate probiotic for aquaculture. In order to use the bacterium as a probiotic, properties such as bile tolerance need to be assessed. Here, we compared bile tolerance in L. lactis strains derived from different sources. Three L. lactis subsp. lactis strains from marine fish (MFL), freshwater fish (FFL), and cheese starter (CSL) were used along with an Lactococcus lactis subsp. cremoris strain from cheese starter (CSC). The four strains were grown under various culture conditions: deMan-Rogosa-Sharpe (MRS) broth containing bile salts/acids, MRS agar containing oxgall, and phosphate-buffered saline (PBS) containing fish bile. Survival/growth of the strains in the presence of sodium cholate and sodium deoxycholate varied in the order MFL, CSL > CSC > FFL; in the presence of sodium taurocholate, the order was MFL > CSL > CSC > FFL. In liquid media containing various concentrations of oxgall, survival of the strains was observed in the order MFL > CSL > FFL and CSC. The survival of MFL was not affected by bile collected from the goldfish (Carassius auratus subsp. auratus) or the puffer fish (Takifugu niphobles), although the other strains showed significant inhibition of growth. It is a novel and beneficial finding that MFL has the highest resistance to bile acid.