Nanoenergetic Composites with Fluoropolymers: Transition from Powders to Structures.

Over the years, nanoenergetic materials have attracted enormous research interest due to their overall better combustion characteristics compared to their micron-sized counterparts. Aluminum, boron, and their respective alloys are the most extensively studied nanoenergetic materials. The majority of the research work related to this topic is confined to the respective powders. However, for practical applications, the powders need to be consolidated into reactive structures. Processing the nanoenergetic materials with polymeric binders to prepare structured composites is a possible route for the conversion of powders to structures. Most of the binders, including the energetic ones, when mixed with nanoenergetic materials even in small quantities, adversely affects the ignitability and combustion performance of the corresponding composites. The passivating effect induced by the polymeric binder is considered unfavorable for ignitability. Fluoropolymers, with their ability to induce pre-ignition reactions with the nascent oxide shell around aluminum and boron, are recognized to sustain the ignitability of the composites. Initial research efforts have been focused on surface functionalizing approaches using fluoropolymers to activate them further for energy release, and to improve the safety and storage properties. With the combined advent of more advanced chemistry and manufacturing techniques, fluoropolymers are recently being investigated as binders to process nanoenergetic materials to reactive structures. This review focuses on the major research developments in this area that have significantly assisted in the transitioning of nanoenergetic powders to structures using fluoropolymers as binders.

Cancer Supportive and Survivorship Care in Singapore: Current Challenges and Future Outlook.

Despite being a relatively young nation, Singapore has established itself as a leading multifaceted medical hub, both regionally and globally. Although Singapore continues to pursue excellence in oncology care, cancer supportive care and survivorship care remain in the infancy stage. In an effort to advance this important aspect of oncology care in Singapore, the first cancer supportive and survivorship care forum was held in December 2016, involving 74 oncology practitioners. The primary goals of this forum were to raise awareness of the importance of cancer supportive and survivorship care and to provide a platform for oncology practitioners of diverse backgrounds to converge and address the challenges associated with the delivery of cancer supportive and survivorship care in Singapore. Key challenges identified during this forum included, but were not limited to, care fragmentation in an oncologist-centric model of care, poor integration of allied health and rehabilitation services, passive engagement of community partners, lack of specialized skill sets and knowledge in supportive and survivorship care, and patient-related barriers such as poor health literacy. The survivorship care model commonly used in Singapore places an imbalanced emphasis on surveillance for cancer recurrence and second primary cancers, with little attention given to the supportive and survivorship needs of the survivors. In summary, these challenges set the stage for the development and use of a more survivor-centric model, one that focuses not only on cancer surveillance, but also on the broad and unique physical and psychosocial needs of survivors of cancer in Singapore.

Desymmetrization of Achiral Heterobicyclic Alkenes through Catalytic Asymmetric Hydrophosphination.

Asymmetric addition of diarylphosphines to oxa- and azabicyclic alkenes proceeded in the presence of a chiral phosphapalladacycle catalyst and a mild acid at room temperature to give exclusively the enantioenriched addition products in excellent yields and good selectivities. Three new chiral carbon centers were generated stereoselectively by the catalytic hydrophosphination reaction.

Synthesis of Highly Substituted Pyridines through Copper-Catalyzed Condensation of Oximes and α,ß-Unsaturated Imines.

A copper-catalyzed condensation reaction of oxime acetates and α,ß-unsaturated ketimines to give pyridine derivatives is reported. The reaction features mild conditions, high functional-group compatibility, and high regioselectivity with respect to unsymmetrical oxime acetates, thus allowing the preparation of a wide range of polysubstituted pyridines, many of which are not readily accessible by conventional condensation methods.

Burnout, psychological morbidity and use of coping mechanisms among palliative care practitioners: A multi-centre cross-sectional study.

BACKGROUND: The prevalence of burnout, psychological morbidity and the use of coping mechanisms among palliative care practitioners in Singapore have not been studied. AIM: We aimed to study the prevalence of burnout and psychological morbidity among palliative care practitioners in Singapore and its associations with demographic and workplace factors as well as the use of coping mechanisms. DESIGN: This was a multi-centre, cross-sectional study of all the palliative care providers within the public healthcare sector in Singapore. SETTING/PARTICIPANTS: The study was conducted in hospital palliative care services, home hospice and inpatient hospices in Singapore. The participants were doctors, nurses and social workers. RESULTS: The prevalence of burnout among respondents in our study was 91 of 273 (33.3%) and psychological morbidity was 77 (28.2%). Working >60 h per week was significantly associated with burnout (odds ratio: 9.02, 95% confidence interval: 2.3-35.8, p = 0.002) and psychological morbidity (odds ratio: 7.21, 95% confidence interval: 1.8-28.8, p = 0.005). Home hospice care practitioners (41.5%) were more at risk of developing psychological morbidity compared to hospital-based palliative care (17.5%) or hospice inpatient care (26.0%) (p = 0.007). Coping mechanisms like physical well-being, clinical variety, setting boundaries, transcendental (meditation and quiet reflection), passion for one's work, realistic expectations, remembering patients and organisational activities were associated with less burnout. CONCLUSION: Our results reveal that burnout and psychological morbidity are significant in the palliative care community and demonstrate a need to look at managing long working hours and promoting the use of coping mechanisms to reduce burnout and psychological morbidity.