10 research outputs found

    The Effects of Embedded Dipoles in Aromatic Self-Assembled Monolayers

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    Using a representative model system, here electronic and structural properties of aromatic self-assembled monolayers (SAMs) are described that contain an embedded, dipolar group. As polar unit, pyrimidine is used, with its orientation in the molecular backbone and, consequently, the direction of the embedded dipole moment being varied. The electronic and structural properties of these embedded-dipole SAMs are thoroughly analyzed using a number of complementary characterization techniques combined with quantum-mechanical modeling. It is shown that such mid-chain-substituted monolayers are highly interesting from both fundamental and application viewpoints, as the dipolar groups are found to induce a potential discontinuity inside the monolayer, electrostatically shifting the core-level energies in the regions above and below the dipoles relative to one another. These SAMs also allow for tuning the substrate work function in a controlled manner independent of the docking chemistry and, most importantly, without modifying the SAM-ambient interface

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Air Division Staff

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    This paper describes the observation of asymmetric conductance in the form of differing ratios of current density (J) as a function of voltage (vertical bar V vertical bar) in tunneling junctions comprising self-assembled monolayers on gold using eutectic Ga-In as a top contact. Mono-layers comprising compounds with nearly identical physical and electronic properties show opposite directions of this asymmetry. We tested the statistical significance of the effect and ascribed it to the collective action of embedded dipoles arising from pyrimidyl groups that are arranged parallel or antiparallel to the transport direction. We ascribe the effect to the bias-induced (de) localization of the frontier states that mitigate transport

    Transition voltages respond to synthetic reorientation of embedded dipoles in self-assembled monolayers

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    We studied the influence of embedded dipole moments in self-assembled monolayers (SAMs) formed on template stripped Au surfaces with liquid eutectic Ga-In alloy as a top electrode. We designed three molecules based on a p-terphenyl structure in which the central aromatic ring is either phenyl or a dipole-inducing pyrimidyl in one of two different orientations. All three form well defined SAMs with similar thickness, packing density and tilt angle, with dipole moments embedded in the SAM, isolated from either interface. The magnitude of the current density is dominated by the tunneling distance and is not affected by the presence of dipole moments; however, transition voltages (V-T) show a clear linear correlation with the shift in the work function of Au induced by the collective action of the embedded dipoles. This observation demonstrates that V-T can be manipulated synthetically, without altering either the interfaces or electrodes and that trends in V-T can be related to experimental observables on the SAMs before installing the top contact. Calculated projected density of states of the SAMs on Au surfaces that relate HOMO-derived states to V-T further show that energy level alignment within an assembled junction can be predicted and adjusted by embedding dipoles in a SAM without altering any other properties of the junction. We therefore suggest that trends in V-T can be used analogously to beta in systems for which length-dependence is physically or experimentally inaccessible

    Highly oriented and polyoxometalate-incorporating surface-attached metal-organic frameworks for efficient dye adsorption and water oxidation

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    We present a facile protocol for the controlled growth of highly oriented and polyoxometalate-incorporating HKUST-1 SURMOFs. Combining the spin-coating technique with alcohol-vapour induced growth, film thickness, crystallite orientation and crystal size can be precisely tuned. The SURMOFs exhibit excellent abilities in selective adsorption of cationic dyes and water oxidation.11Nsciescopu

    Promoting Effect of Protecting Group on the Structure and Morphology of Self-Assembled Monolayers: Terphenylylethanethioactate on Au(111)

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    Taking self-assembled monolayers (SAMs) of 4,4′-terphenylyl-substituted ethanethioacetate (TP2-SAc) on Au(111) as a test system, we studied the effect of the protecting group on the structure and morphology of this monolayer. The films were prepared at both room (298 K) and elevated (333 K) temperature, at either the presence or absence of a deprotecting agent, viz., triethylamine. The presence of the protecting group resulted in distinctly different crystallographic structure, described by the (2√3 × 4) rect unit cell, in all SAMs studied as compared to the case of the nonprotected analogue. The molecules within this unit cell were arranged in a herringbone fashion as could be observed by variation of the scan direction during the image acquisition by scanning tunneling microscopy. Most important and in contrast to previous studies of similar systems, the presence of the protecting group led to significant improvement of the SAM morphology in the case of preparation at 333 K, resulting in formation of comparably large domains with dimensions exceeding 100 nm. The effect of the deprotecting agent was found to be small when preparing at 298 K and hardly perceptible at 333 K. Determination of the reaction kinetics gave evidence of a completely different reaction mechanism for the thioacetate as compared to the thiol, which presumably is responsible for the observed differences

    Amplified cross-linking efficiency of self-assembled monolayers through targeted dissociative electron attachment for the production of carbon nanomembranes

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    Koch S, Kaiser CD, Penner P, et al. Amplified cross-linking efficiency of self-assembled monolayers through targeted dissociative electron attachment for the production of carbon nanomembranes. BEILSTEIN JOURNAL OF NANOTECHNOLOGY. 2017;8:2562-2571.The determination of the negative ion yield of 2'-chloro-1,1'-biphenyl (2-Cl-BP), 2'-bromo-1,1'-biphenyl (2-Br-BP) and 2'-iodo-1,1'- biphenyl (2-I-BP) upon dissociative electron attachment (DEA) at an electron energy of 0 eV revealed cross section values that were more than ten times higher for iodide loss from 2-I-BP than for the other halogenides from the respective biphenyls (BPs). Comparison with dissociative ionization mass spectra shows that the ratio of the efficiency of electron impact ionization induced fragmentation of 2-I-BP, 2-Br-BP, and 2-Cl-BP amounts to approximately 1:0.7:0.6. Inspired by these results, self-assembled monolayers (SAMs) of the respective biphenyl-4-thiols, 2-Cl-BPT, 2-Br-BPT, 2-I-BPT as well as BPT, were grown on a Au(111) substrate and exposed to 50 eV electrons. The effect of electron irradiation was investigated by X-ray photoelectron spectroscopy (XPS), to determine whether the high relative DEA cross section for iodide loss from 2-I-BPT as compared to 2-Br-BP and 2-Cl-BP is reflected in the cross-linking efficiency of SAMs made from these materials. Such sensitization could reduce the electron dose needed for the cross-linking process and may thus lead to a significantly faster conversion of the respective SAMs into carbon nanomembranes (CNMs) without the need for an increased current density. XPS data support the notation that DEA sensitization may be used to achieve more efficient electron-induced cross-linking of SAMs, revealing more than ten times faster cross-linking of 2-I-BPT SAMs compared to those made from the other halogenated biphenyls or from native BPT at the same current density. Furthermore, the transfer of a freestanding membrane onto a TEM grid and the subsequent investigation by helium ion microscopy (HIM) verified the existence of a mechanically stable CNM created from 2-I-BPT after exposure to an electron dose as low as 1.8 mC/cm(2). In contrast, SAMs made from BPT, 2-Cl-BPT and 2-Br-BPT did not form stable CNMs after a significantly higher electron dose of 9 mC/cm(2)
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