Emerging Xene-Based Single-Atom Catalysts: Theory, Synthesis, and Catalytic Applications.

In recent years, the emergence of novel 2D monoelemental materials (Xenes), e.g., graphdiyne, borophene, phosphorene, antimonene, bismuthene, and stanene, has exhibited unprecedented potentials for their versatile applications as well as addressing new discoveries in fundamental science. Owing to their unique physicochemical, optical, and electronic properties, emerging Xenes have been regarded as promising candidates in the community of single-atom catalysts (SACs) as single-atom active sites or support matrixes for significant improvement in intrinsic activity and selectivity. In order to comprehensively understand the relationships between the structure and property of Xene-based SACs, this review represents a comprehensive summary from theoretical predictions to experimental investigations. Firstly, theoretical calculations regarding both the anchoring of Xene-based single-atom active sites on versatile support matrixes and doping/substituting heteroatoms at Xene-based support matrixes are briefly summarized. Secondly, controlled synthesis and precise characterization are presented for Xene-based SACs. Finally, current challenges and future opportunities for the development of Xene-based SACs are highlighted.

Construction of Reinforced Self-Cleaning and Efficient Photothermal PDMS@GDY@Cu Sponges toward Anticorrosion and Antibacterial Applications.

Copper (Cu)-based materials are widely used in many fields from industry to life, including marine, medical apparatus and instruments, and microelectronic devices owing to their superior thermal, electrical, and mechanical properties. However, the interaction of copper with aggressive and fouling liquids under normal circumstances easily brings about severe bacterial accumulation, resulting in undesirable functionality degeneration and bacterial infections. In this contribution, we reported a novel copper-based sponge, polydimethylsiloxane (PDMS)@graphdiyne (GDY)@Cu, constructed by in situ synthesis of GDY on a commercial Cu sponge, followed by the modification of PDMS. The as-fabricated PDMS@GDY@Cu sponge not only possesses excellent self-cleaning activity against the pollution of daily drinks and dirt due to an improved static contact angle (~136°), but also display a remarkably enhanced anticorrosion performance, attributed to intimate coverage of chemically stable GDY and PDMS on the Cu sponge. Based on high photothermal effect of GDY, the PDMS@GDY@Cu sponge also displays significantly improved antibacterial activities under irradiation. In addition, due to excellent chemical stability of PDMS and GDY, self-cleaning behavior and photothermal-assisted antibacterial performance are well maintained after long-term attack of bacteria. These results demonstrate that GDY-based functional coatings hold great promises in the protection of copper devices under harsh conditions.

Recent Progress in Interface Engineering of Nanostructures for Photoelectrochemical Energy Harvesting Applications.

With rapid and continuous consumption of nonrenewable energy, solar energy can be utilized to meet the energy requirement and mitigate environmental issues in the future. To attain a sustainable society with an energy mix predominately dependent on solar energy, photoelectrochemical (PEC) device, in which semiconductor nanostructure-based photocatalysts play important roles, is considered to be one of the most promising candidates to realize the sufficient utilization of solar energy in a low-cost, green, and environmentally friendly manner. Interface engineering of semiconductor nanostructures has been qualified in the efficient improvement of PEC performances including three basic steps, i.e., light absorption, charge transfer/separation, and surface catalytic reaction. In this review, recently developed interface engineering of semiconductor nanostructures for direct and high-efficiency conversion of sunlight into available forms (e.g., chemical fuels and electric power) are summarized in terms of their atomic constitution and morphology, electronic structure and promising potential for PEC applications. Extensive efforts toward the development of high-performance PEC applications (e.g., PEC water splitting, PEC photodetection, PEC catalysis, PEC degradation and PEC biosensors) are also presented and appraised. Last but not least, a brief summary and personal insights on the challenges and future directions in the community of next-generation PEC devices are also provided.

2D MXene Ti3C2T x nanosheets in the development of a mechanically enhanced and efficient antibacterial dental resin composite.

The bacterial accumulation at the margins of dental resin composites is a main cause of secondary caries, which may further lead to prosthodontic failure. In this regard, this study for the first time incorporated 2D MXene Ti3C2Tx nanosheets (NSs) into epoxy resin at different mass ratios (0, 0.5, 1.0, and 2.0 wt%) by solution blending and direct curing for dental applications. Compared to the pure resin, the as-fabricated MXene/resin composite not only exhibited improved mechanical and abrasive results but also displayed gradually improved antibacterial activity with MXene loading which was further enhanced by illumination in natural light due to the high photothermal efficiency of MXene. In addition, the cytotoxicity result demonstrated that the MXene-modified resin did not cause severe damage to normal cells. This novel MXene/resin nanocomposite could pave the way for new designs for high-performance, multifunctional nanocomposites to effectively protect dental health in daily life.

Prevalence of Hyperacusis in the General and Special Populations: A Scoping Review.

Objectives: To study the prevalence of hyperacusis in the general population and the special population, and to determine the effect of population differences on hyperacusis. Methods: The two authors followed a scoping review methodology and screened nearly 30 years of English literature in Pubmed, Web of Science, OVID, and EBSCO. Then, the extracted results of each study were discussed in groups and subgroups. Results: The authors selected 42 pieces of scientific literature that met the requirements, studying a total of 34,796 subjects, including the general population (28,425 subjects), the special occupation population (2,746 subjects), and the patients with concomitant diseases (5,093 subjects). The prevalence was 0.2-17.2% in the general population, 3.8-67% in the special occupation population, and 4.7-95% in the patients with special diseases. It was found that in the general population, the high prevalence occurs in adolescents and older adults. The prevalence of hyperacusis in women is significantly higher than in men. In people with hearing disorders, the prevalence of hyperacusis is significantly higher than in people with normal hearing. Various diseases (such as Williams syndrome, tinnitus, and autism), as well as various occupations (musicians, music students, teachers, and others), have been found to be high risk factors for hyperacusis. Conclusion: The high prevalence of hyperacusis and the large differences between reported prevalence in different studies deserves our great attention. Additionally, in order to increase the comparability of the studies, a standardized set of criteria are needed to study the prevalence of hyperacusis.

Effect of educational counseling alone on people with tinnitus: Meta-analysis of randomized controlled trials.

OBJECTIVE: To review and meta-analyze the efficacy of educational counseling alone in tinnitus. METHODS: We collected randomized controlled trials (RCTs) adhered to PRISMA guidelines. Analyzed the effect of educational counseling alone versus other forms of therapy (psychological or combination) with RevMan 5.3. RESULTS: In nine trials, 582 patients receiving educational counseling alone and 759 patients receiving other psychological or combination therapies. During the 3-6 months follow-up, there was no significant difference in the tinnitus recovery rate between these two groups (OR 0.62, 95% CI 0.34-1.16, P = 0.14; I2 = 71%, P = 0.00, random-effects model). The tinnitus symptom severity rates were also similar during 1-12 months follow-up (mean difference, 3.59, 95% CI -0.56-7.74, P = 0.09) with heterogeneity among studies (I2 = 74%, P = 0.00; random-effects model). Sensitivity analysis indicated that a single trial containing almost 40% of the patients was the cause of heterogeneity. There was no significant change in tinnitus loudness at the 3 months follow-up (OR 0.84, 95% CI 0.42-1.66, P = 0.61), with no significant heterogeneity (I2 = 0%, P = 0.60). CONCLUSION: Educational counseling alone helps to improve tinnitus and related problems, and has the same effect as other psychological or combination therapies. PRACTICE IMPLICATIONS: The results of the current analysis may help to develop evidence-based cost-effective treatment(s) for tinnitus, which will be minimally burdensome for the patients.

Patient education in sudden sensorineural hearing loss: Knowledge, attitude/belief, and practice findings among otolaryngologists and otologists in China.

OBJECTIVE: To examine patient education knowledge, attitude/belief, and practices (KABP) among specialists who manage sudden sensorineural hearing loss (SSNHL). METHODS: A cross-sectional study design was employed wherein semi-structured interviews were conducted at a 2017 otorhinolaryngology meeting. In this survey, we asked the respondents about their perspectives regarding the imparting of SSNHL patient education. RESULTS: The sample consisted of 84 physicians from 23 cities in Sichuan province. Three quarters of the respondents felt SSNHL patient education was necessary. Notably, 67.9% of the respondents believed that patient education could improve treatment. Half of the respondents provided culturally tailored education (based on US guidelines) inclusive of traditional Chinese medicine (TCM) notions of lifestyle adjustments. Internet platforms were an emerging preference for education delivery mode. Only 47.4% of participants reported being satisfied with their current patient education offerings, and these activities were regarded as needing improvement. CONCLUSION: This study captured the perspectives of otorhinolaryngologists and otologists in China regarding the imparting of SSNHL patient education. The results of this survey should support Chinese physician's implementation of SSNHL patient education. PRACTICE IMPLICATIONS: Findings obtained with the present survey may be employed to support the importance of SSNHL patient education in China.

Pre- and post-operative application of acoustic rhinometry in children with otitis media with effusion and with or without adenoid hypertrophy-a retrospective analysis.

BACKGROUND: There is no standardized scheme for preoperative evaluation of adenoid hypertrophy or a consensus on surgical indications for adenoidectomy in children with otitis media with effusion (OME), especially for young children intolerant to nasal endoscopic assessment. The aim of this study was to evaluate the efficacy and reliability of acoustic rhinometry (AR) in evaluating benefits from adenoidectomy in children with OME. METHOD: Children with OME who were scheduled for surgical intervention were reviewed and AR tests performed preoperatively and postoperatively. The patients were divided into two groups based on the surgical strategy (Group I: tympanostomy tube placement alone; Group II: tympanostomy tube placement plus adenoidectomy). Correlation and regression analyses were performed to assess the relationship between findings of AR and nasal endoscopy. AR parameters including minimal nasal cross-sectional area (MCA), and nasopharyngeal volume (NPV), as well as scores of subjective symptoms were obtained to evaluate the utility of AR pre- and post-surgery. RESULTS: Sixty-five children aged 4-10 years who met the inclusion criteria were included. No significant differences in gender or age distribution were observed between Group I and Group II. MCA, as well as NPV significantly decreased in Group II when compared with Group I (p = 0.000). A significant inverse correlation was observed between NPV and choanal obstruction ratio in both groups I (r = -0.625, p < 0.001) and II (r = -0.570, p < 0.001). A significant difference between preoperative and postoperative NPV and subjective symptom scores was observed in group II after adenoidectomy (p = 0.000). CONCLUSION: AR parameters showed a good clinical correlation with findings of nasal endoscopy and thus may be useful for evaluating candidacy for surgical adenoidectomy among children with OME, especially in whom preoperative nasal endoscopic examination is not feasible. Additionally, AR can reveal the changes occurring within the nasopharyngeal passage before and after adenoidectomy.