Moving Forward Together: Establishing an Actionable Pedagogical Approach to Ableism-Aware Medical Education.

As a form of discrimination, ableism impacts access to and the experience of clinical care for patients with disabilities as well as the daily experiences of learners and clinicians with disabilities. Ableist beliefs and practices conflict with physicians' professional responsibilities and legal obligations to provide care that is nondiscriminatory and accessible. An actionable pedagogical approach within medical education is needed to prepare a physician workforce that is able to meaningfully identify and mitigate ableism at all levels of the health care system.

Evaluation of a same-metal PCB-based three-electrode system impedance studies using potassium ferricyanide.

We report for the first time the successful acquisition of electrochemical impedance spectroscopy data using an unconventional same-metal PCB-based three-electrode system. Conventional three-electrode systems primarily require expensive and bulky electrodes, and a high volume of analytes to conduct electrochemical impedance spectroscopy studies. The miniaturized PCB-based three-electrode system used in this work requires only trace amounts of analytes in the order of 10-20 μL owing to the design of the electrode sensor.

Implant dynamics, inner structure, and their impact on drug release of in situ forming implants uncovered through CT imaging.

In situ forming implants (ISFIs) composed of biodegradable polymers and biocompatible solvents are generally designed for sustained drug release. In this study, a non-invasive computed tomography (CT) imaging approach is used to achieve real time imaging of ISFIs in vivo and in vitro using leuprolide acetate in situ forming implant as a model drug product. The process of implant formation, inner structure change and their impact on drug release were elucidated.

Ionic nanoporous membranes from self-assembled liquid crystalline brush-like imidazolium triblock copolymers.

There is a need to generate mechanically and thermally robust ionic nanoporous membranes for separation and fuel cell applications. Herein, we report a general approach to the preparation of ionic nanoporous membranes through custom synthesis, self-assembly, and subsequent chemical manipulations of ionic brush block copolymers. We synthesized polynorbornene-based triblock copolymers containing imidazolium cations balanced by counter anions in the central block, side-chain liquid crystalline units, and sidechain polylactide end blocks.

Enhanced Sodium Ion Batteries' Performance: Optimal Strategies on Electrolytes for Different Carbon-based Anodes.

Carbon-based materials have emerged as promising anodes for sodium-ion batteries (SIBs) due to the merits of cost-effectiveness and renewability. However, the unsatisfactory performance has hindered the commercialization of SIBs. During the past decades, tremendous attention has been put into enhancing the electrochemical performance of carbon-based anodes from the perspective of improving the compatibility of electrolytes and electrodes.

Highly Conductive and Reusable Cellulose Hydrogels for Supercapacitor Applications.

We report Na-Alginate-based hydrogels with high ionic conductivity and water content fabrication using poly (3,4-ethylene dioxythiophene) (PEDOT): poly (4-styrene sulfonic acid) (PSS) and a hydrogel matrix based on dimethyl sulfoxide (DMSO). DMSO was incorporated within the PEDOT:PSS hydrogel. A hydrogel with higher conductivity was created through the in-situ synthesis of intra-Na-Alginate, which was then improved upon by HSO treatment.

Natural Solid-State Hydrogel Electrolytes Based on 3D Pure Cotton/Graphene for Supercapacitor Application.

A conductive cotton hydrogel with graphene and ions can come into contact with electrodes in solid electrolytes at the molecular level, leading to a more efficient electrochemical process in supercapacitors. The inherently soft nature of cotton mixed with hydrogel provides superior flexibility of the electrolyte, which benefits the devices in gaining high flexibility. Herein, we report on the current progress in solid-state hydrogel electrolytes based on 3D pure cotton/graphene and present an overview of the future direction of research.

Novel same-metal three electrode system for cyclic voltammetry studies.

Conventional three-electrode systems used in electrochemical measurement demand time-consuming and maintenance intensive procedures to enable accurate and repeatable electrochemical measurements. Traditionally, different metal configurations are used to establish the electrochemical gradient required to acquire the redox activity, and vary between different electrochemical measurement platforms. However, in this work, we report using the same metal (gold) for the counter, working and reference electrodes fabricated on a miniaturized printed circuit board (PCB) for a much simpler design.

Poly (Vinyl Alcohol)/Agar Hydrogel Electrolytes Based Flexible All-in-One Supercapacitors with Conducting Polyaniline/Polypyrrole Electrodes.

The major components of supercapacitor are electrodes and electrolytes which are fabricated using various materials and methods. Hydrogel is one such material that is used in supercapacitors as electrodes and electrolytes or both. Hydrogels are usually described as a soft and porous network of polymer materials that can swell in water because of the hydrophilic nature of its polymer chains, compriseng a 3D structure.

Self-assembled materials from cellulose nanocrystals conjugated with a thermotropic liquid crystalline moiety.

Manipulating molecular and supramolecular interactions within cellulose nanocrystals (CNCs) to introduce different levels of assemblies combined with multiple functionalities is required for the development of degradable smart materials from renewable resources. To attain hierarchical structures and stimuli-responsive properties, a new class of liquid crystalline cellulosic hybrid materials is synthesized. Herein, main-chain rigid-rod-like oxidized cellulose (CNC-COOH) is prepared from a Cellulose Whatman filter paper (Cellulose W.

Going Virtual: A Virtual Summer Physical Medicine and Rehabilitation Externship Experience for Medical Students.

Opportunities for early medical student exposure to the field of physical medicine and rehabilitation (PM&R) are desirable for promoting the field as a career choice and are useful for introducing students to the care of people with disabilities. The COVID-19 pandemic disrupted medical education and caused the cancellation of many in-person clinical programs, including the Medical Student Summer Clinical Externship in PM&R supported by the Association of Academic Physiatrists. This article describes the process by which an in-person summer clinical externship program was effectively converted into a Virtual PM&R Experience using a combination of independent assignments and small-group sessions.

Modification of DSSC Based on Polymer Composite Gel Electrolyte with Copper Oxide Nanochain by Shape Effect.

Solvent evaporation and leakage of liquid electrolytes that restrict the practicality of dye-sensitized solar cells (DSSCs) motivate the quest for the development of stable and ionic conductive electrolyte. Gel polymer electrolyte (GPE) fits the criteria, but it still suffers from low efficiency due to insufficient segmental motion within the electrolytes. Therefore, incorporating metal oxide nanofiller is one of the approaches to enhance the performance of electrolytes due to the presence of cross-linking centers that can be coordinated with the polymer segments.

Dynamic magnetic field alignment and polarized emission of semiconductor nanoplatelets in a liquid crystal polymer.

Reconfigurable arrays of 2D nanomaterials are essential for the realization of switchable and intelligent material systems. Using liquid crystals (LCs) as a medium represents a promising approach, in principle, to enable such control. In practice, however, this approach is hampered by the difficulty of achieving stable dispersions of nanomaterials.

Cholesteric mesophase based 1D photonic materials from self-assembly of liquid crystalline block and random terpolymers containing chromonic molecules.

We describe the influence of competing self-organizing phenomena on the formation of cholesteric mesophase in liquid crystalline brush block terpolymers (LCBBTs) and liquid crystalline random brush terpolymers (LCRBTs) containing chromonic molecules. A library of LCBBTs and LCRBTs are synthesized using ring-opening metathesis polymerization (ROMP) of norbornene side-chain functionalized monomers comprising cholesteryl mesogen (NBCh), chromonic xanthenone (NBXan), and poly(ethylene glycol) (NBMPEG). Compression molded films of LCRBTs containing chromonic molecules display multilevel hierarchical structure in which cholesteric mesophase co-exists with π-π stacking of the chromonic mesophase along with PEG microphase segregated domains.

Fast Photoswitchable Order-Disorder Transitions in Liquid-Crystalline Block Co-oligomers.

Optically driven ordering transitions are rarely observed in macromolecular systems, often because of kinetic limitations. Here, we report a series of block co-oligomers (BCOs) that rapidly order and disorder at room temperature in response to optical illumination, and the absence thereof. The system is a triblock where rigid azobenzene (Azo) mesogens are attached to each end of a flexible siloxane chain.

Rhodamine-Installed Polynorbornenes: Molecular Design, Structure, and Stimuli-Responsive Properties.

The synthesis of a number of tailored architectures of rhodamine dye-norbornene conjugate monomers and corresponding homopolymers derived from them is described. The impact of the monomer architecture on the mechanochromic, photochromic, and thermochromic properties of rhodamine-modified polynorbornenes is reported. Color changes were caused by the reversible interconversion between the "open" and "closed" spirolactam form of the covalently attached dye.

Stabilization and X-ray Attenuation of PEGylated Cholesterol/Polycaprolactone-Based Perfluorooctyl Bromide Nanocapsules for CT Imaging.

Contrast-enhanced X-ray computed tomography plays an important role in cancer imaging and disease progression monitoring. Imaging using radiopaque nanoparticle platforms can provide insights on the likelihood of nanoparticle accumulation and can enable image-guided therapies. Perfluorooctyl bromide (PFOB)-loaded nanocapsules designed for this purpose were stabilized using an in-house synthesized PEGylated polycaprolactone-based copolymer (PEG-b-PCL(Ch)) and compared with commercial polycaprolactone employing a Quality-by-Design approach.

Now Is the Time: A Primer on How to Be a Disability Education Champion in Your Medical School.

One in four noninstitutionalized adults in the United States lives with a disability. People with disabilities have frequent interactions with the medical community and the healthcare system yet experience disparities in access and outcomes. The Association of American Medical Colleges has included disability in its definition of diversity as one of the aspects of patient care that may affect health equity.

Multidisciplinary inpatient rehabilitation for Functional Movement Disorders: A prospective study with long term follow up.

Introduction: Functional Movement Disorders (FMDs) are challenging to treat. We assessed the effect of multidisciplinary inpatient rehabilitation, involving motor retraining, psychotherapy and psychotropic medication on FMD patient function and maintenance of improvement after one year.

Methods: FMD patients in a movement disorders clinic were referred for inpatient rehabilitation.

Overcoming Wnt-β-catenin dependent anticancer therapy resistance in leukaemia stem cells.

Leukaemia stem cells (LSCs) underlie cancer therapy resistance but targeting these cells remains difficult. The Wnt-β-catenin and PI3K-Akt pathways cooperate to promote tumorigenesis and resistance to therapy. In a mouse model in which both pathways are activated in stem and progenitor cells, LSCs expanded under chemotherapy-induced stress.

Influence of the method of preparation on the characteristics and performance of cholesterol-based polymeric nanoparticles for redox-triggered release of doxorubicin in tumor cells.

Immature manufacturing and sub-optimal control of quality attributes hinder the effective translation of nanoformulations for cancer treatment, being partially responsible for the scarce number of products on the market. The effect of the method of preparation on the performance of complex formulations such as bio-responsive nanomedicines needs further understanding. In this study, we investigated the the influence of the method of preparation on the characteristics and bio-responsiveness of doxorubicin-loaded redox-sensitive nanoparticles (DOX-SS-NPs), formed by a biocompatible cholesterol-based amphiphilic block copolymer (PC5MA-SS-PEO).

Enhancing the Efficiency of a Dye-Sensitized Solar Cell Based on a Metal Oxide Nanocomposite Gel Polymer Electrolyte.

To overcome the critical limitations of liquid-electrolyte-based dye-sensitized solar cells, quasi-solid-state electrolytes have been explored as a means of addressing long-term device stability, albeit with comparatively low ionic conductivities and device performances. Although metal oxide additives have been shown to augment ionic conductivity, their propensity to aggregate into large crystalline particles upon high-heat annealing hinders their full potential in quasi-solid-state electrolytes. In this work, sonochemical processing has been successfully applied to generate fine CoO nanoparticles that are highly dispersible in a PAN:P(VP--VAc) polymer-blended gel electrolyte, even after calcination.

Cytochrome c-poly(acrylic acid) conjugates with improved peroxidase turnover number.

Cytochrome c-poly(acrylic acid) (cyt c-PAA) conjugates with 34-fold enchancement in peroxidase turnover number (kcat) are reported. Cyt c-PAA conjugates were prepared by carbodiimide coupling. PAA with molecular weight (Mw) ranging from 1.

Enhanced Intrafibrillar Mineralization of Collagen Fibrils Induced by Brushlike Polymers.

Biomimetic mineralization of collagen fibrils is an essential process because the mineralized collagen fibers constitute the basic building block of natural bone. To overcome the limited availability and high cost of the noncollagenous proteins (NCPs) that regulate the mineralization process of collagen, commercially available analogues were developed to replicate sequestration and templating functions of NCPs. The use of branched polymers in intrafibrillar mineralization applications has never been explored.

A Modular Approach for Interlocking Enzymes in Whatman Paper.

A potentially universal approach is presented for enzyme attachment to cellulose that significantly enhances enzyme stability while retaining high activity, and involves no chemical functionalization of cellulose. Bovine serum albumin (BSA) was interlocked in cellulose to form a protein-friendly surface (named BSA-Paper), while also providing COOH and NH groups for subsequent attachment of enzymes. The desired enzyme is then mixed with additional BSA and interlocked on BSA-Paper.