MODIFI: protocol for randomised feasibility study of eye-movement desensitisation and reprocessing therapy (EMDR) for functional neurological disorder (FND)

INTRODUCTION: Functional neurological disorder (FND) refers to an involuntary loss of control over and/or aberrant perception of the body. Common presenting symptoms are functional (non-epileptic) seizures, and functional motor disorder, for example, walking difficulties, weakness or tremor. Greater access to effective treatments would lead to reduced distress and disability; and reduce unnecessary healthcare costs.This study will examine eye-movement desensitisation and reprocessing therapy (EMDR) as a treatment for FND. EMDR is an evidence-based treatment for post-traumatic stress disorder (PTSD), but its use for other conditions is growing. An FND-specific EMDR protocol will be tested, and if the intervention proves feasible with promising clinical outcomes, progression to a substantive study could take place. METHODS AND ANALYSIS: Fifty adult patients diagnosed with FND will be recruited. It will be a single-blind randomised controlled trial with two arms: EMDR (plus standard neuropsychiatric care; NPC) and standard NPC. The two groups will be compared at baseline (T0), 3 months (T1), 6 months (T2) and 9 months (T3). Measures of feasibility include safety, recruitment, retention, treatment adherence and acceptability. Clinical outcome measures will assess health-related functioning/quality of life, ratings of FND symptoms and severity, depression, anxiety, PTSD, dissociation, service utilisation and other costs. Improvement and satisfaction ratings will also be assessed. Feasibility outcomes will be summarised using descriptive statistics. Exploratory analyses using (linear/logistic) mixed-effect models will examine the rate of change in the groups' clinical outcome measures across the four time-points.After the intervention period, a sample of participants, and clinicians, will be invited to attend semistructured interviews. The interviews will be analysed using reflexive thematic analysis. ETHICS AND DISSEMINATION: This study has been approved by the NHS West Midlands-Edgbaston Research Ethics Committee. Study findings will be published in open access peer-reviewed journals, presented at conferences, and communicated to participants and other relevant stakeholders. TRIAL REGISTRATION: NCT05455450 (www.gov)

MODIFI: protocol for randomised feasibility study of eye-movement desensitisation and reprocessing therapy (EMDR) for functional neurological disorder (FND).

INTRODUCTION: Functional neurological disorder (FND) refers to an involuntary loss of control over and/or aberrant perception of the body. Common presenting symptoms are functional (non-epileptic) seizures, and functional motor disorder, for example, walking difficulties, weakness or tremor. Greater access to effective treatments would lead to reduced distress and disability; and reduce unnecessary healthcare costs.This study will examine eye-movement desensitisation and reprocessing therapy (EMDR) as a treatment for FND. EMDR is an evidence-based treatment for post-traumatic stress disorder (PTSD), but its use for other conditions is growing. An FND-specific EMDR protocol will be tested, and if the intervention proves feasible with promising clinical outcomes, progression to a substantive study could take place. METHODS AND ANALYSIS: Fifty adult patients diagnosed with FND will be recruited. It will be a single-blind randomised controlled trial with two arms: EMDR (plus standard neuropsychiatric care; NPC) and standard NPC. The two groups will be compared at baseline (T0), 3 months (T1), 6 months (T2) and 9 months (T3). Measures of feasibility include safety, recruitment, retention, treatment adherence and acceptability. Clinical outcome measures will assess health-related functioning/quality of life, ratings of FND symptoms and severity, depression, anxiety, PTSD, dissociation, service utilisation and other costs. Improvement and satisfaction ratings will also be assessed. Feasibility outcomes will be summarised using descriptive statistics. Exploratory analyses using (linear/logistic) mixed-effect models will examine the rate of change in the groups' clinical outcome measures across the four time-points.After the intervention period, a sample of participants, and clinicians, will be invited to attend semistructured interviews. The interviews will be analysed using reflexive thematic analysis. ETHICS AND DISSEMINATION: This study has been approved by the NHS West Midlands-Edgbaston Research Ethics Committee. Study findings will be published in open access peer-reviewed journals, presented at conferences, and communicated to participants and other relevant stakeholders. TRIAL REGISTRATION: NCT05455450 (www. CLINICALTRIALS: gov)

Exploring AuRh Nanoalloys: A Computational Perspective on the Formation and Physical Properties

We studied the formation of AuRh nanoalloys (between 20–150 atoms) in the gas phase by means of Molecular Dynamics (MD) calculations, exploring three possible formation processes: one-by-one growth, coalescence, and nanodroplets annealing. As a general trend, we recover a predominance of Rh@Au core-shell ordering over other chemical configurations. We identify new structural motifs with enhanced thermal stabilities. The physical features of those selected systems were studied at the Density Functional Theory (DFT) level, revealing profound correlations between the nanoalloys morphology and properties. Surprisingly, the arrangement of the inner Rh core seems to play a dominant role on nanoclusters’ physical features like the HOMO-LUMO gap and magnetic moment. Strong charge separations are recovered within the nanoalloys suggesting the existence of charge-transfer transitions

Study of the rate-determining step of Rh catalyzed CO2 reduction: Insight on the hydrogen assisted molecular dissociation

In the context of climate change mitigation, CO2 methanation is an important option for the production of synthetic carbon-neutral fuels and for atmospheric CO2 recycling. While being highly exothermic, this reaction is kinetically unfavorable, requiring a catalyst to be efficiently activated. Recently Rh nanoparticles gained attention as effective photocatalyst, but the rate-determining step of this reaction on Rh surface has not been characterized yet. In this work, Density Functional Theory and Nudged Elastic Band calculations were performed to study the Rh-catalyzed rate-determining step of the CO2 methanation, which concerns the hydrogen assisted cleavage of the CO* molecule and subsequent formation of CH* and O* (* marks adsorbed species), passing through the CHO* key intermediate. The configurations of the various adsorbates on the Rh (100) surface were investigated and the reaction mechanism was studied exploiting different exchange-correlation functionals (PBE, RPBE) and the PBE+U technique. The methanation rate-determining step consists of two subprocesses which subsequently generate and dissociate the CHO* species. The energetics and the dynamics of such processes are extensively studied and described. Interestingly, PBE and PBE+U calculated activation barriers are in good agreement with the available experimental data, while RPBE largely overestimate the CHO* dissociation barrier

Atomistic insight into the aggregation of [Au25(SR)18]: Q nanoclusters

Atomically precise nanoclusters have been proven to give solid state aggregates with intriguing optical properties. However, the mechanism that regulates this aggregation remains unclear. Here, the aggregation of two Au25 nanoclusters in solution is investigated through enhanced sampling molecular dynamics simulations. To understand how the free energy of the systems depends on the nanocluster features, calculations were performed on three nanocluster pairs which differ in charge states and substituent nature and dimension. Our results show that the choice of the ligands heavily affects the free energy profile of the systems when the structures are nearby and, in some cases, the formation of a dimeric phase is observed. This phase is particularly stable in long-chain substituted nanoclusters, where the long alkane chains can generate bundles and the gold cores are closer compared to the short-chain ligands. We found a remarkable agreement between our calculations and the literature-available solid-state structures, especially for the orientation of the interacting nanoclusters. Moreover, some of the dimeric structures are prodromal to the formation of the aurophilic intercluster bond observed in the crystal structures, meaning that the dimer can act as a precursor and can drive the whole crystallization mechanism toward the formation of stable crystal species

Executive Function in Children with and without DCD

Copyright © The Authors 2022. Developmental Coordination Disorder (DCD) is a specific learning difficulty related to the development of motor control and coordination skills. It has been reported that children with DCD also have difficulties with Executive Function (EF). EF is a set of skills relating to the monitoring and planning of behaviour that includes Working Memory, Mental Flexibility and Inhibition. Evidence suggests that performance-based tasks and questionnaires assess different aspects of EF skills. The aim of this study was a novel investigation to examine the EF performance of children with DCD using a combination of standardized performance tasks of EF, and parent and teacher questionnaires to provide a broader understanding of difficulties in this area. Twenty-five children with DCD aged 6-10 years, plus 25 age and gender matched typically developing (TD) children completed the Intelligence and Development Scales for Children and Adolescents 2nd Edition (IDS-2) EF component, and all parents completed the Behaviour Rating Inventory of Executive Function 2nd Edition (BRIEF-2). Teachers for 16 children with DCD, and 13 TD children also completed the Teacher BRIEF-2. Compared to TD peers children with DCD had poorer performance on the IDS-2 EF tasks that had a focus on Inhibition and Mental Flexibility. Children with DCD had poorer scores on all areas of the BRIEF-2 Parent questionnaire, and 6 out of 8 areas assessed on the BRIEF-2 Teacher questionnaire. Children with DCD have difficulties with EF, apparent on standardised performance tasks and questionnaires. However, group differences were not found across all measures. Although all children with DCD displayed difficulty on some EF measures, individual variation demonstrates the importance of routine assessment using a range of measures. Further work is needed to better understand the status/role of EF difficulties in DCD and links between the EF and motor difficulties

Enhancing Tungsten Oxide Gasochromism with Noble Metal Nanoparticles: The Importance of the Interface

Crystalline tungsten trioxide (WO3) thin films covered by noble metal (gold and platinum) nanoparticles are synthesized via wet chemistry and used as optical sensors for gaseous hydrogen. Sensing performances are strongly influenced by the catalyst used, with platinum (Pt) resulting as best. Surprisingly, it is found that gold (Au) can provide remarkable sensing activity that tuned out to be strongly dependent on the nanoparticle size: devices sensitized with smaller nanoparticles display better H-2 sensing performance. Computational insight based on density functional theory calculations suggested that this can be related to processes occurring specifically at the Au nanoparticle-WO3 interface (whose extent is in fact dependent on the nanoparticle size), where the hydrogen dissociative adsorption turns out to be possible. While both experiments and calculations single out Pt as better than Au for sensing, the present work reveals how an exquisitely nanoscopic effect can yield unexpected sensing performance for Au on WO3, and how these performances can be tuned by controlling the nanoscale features of the system