On the Moral Acceptability of Physician‐Assisted Dying for Non‐Autonomous Psychiatric Patients

Several authors have recently suggested that the suffering caused by mental illness could provide moral grounds for physician‐assisted dying. Yet they typically require that psychiatric‐assisted dying could come to question in the cases of autonomous, or rational, psychiatric patients only. Given that also non‐autonomous psychiatric patients can sometimes suffer unbearably, this limitation appears questionable. In this article, I maintain that restricting psychiatric‐assisted dying to autonomous, or rational, psychiatric patients would not be compatible with endorsing certain end‐of‐life practices commonly accepted in current medical ethics and law, practices often referred to as ‘passive euthanasia’.     

Pediatricians’ Own Weight: Self‐perception,Misclassification, and Ease of Counseling

Objectives: Pediatricians underdiagnose overweight and feel ineffective at counseling. Given the relationship between physicians’ health and health habits and counseling behaviors, we sought to determine the 1) percentage of pediatricians who are overweight; 2) accuracy of pediatricians’ own weight status classification; and 3) relationship between weight self‐perception and perceived ease of obesity counseling. Research Methods and Procedures: This study was a cross‐sectional, mail survey of North Carolina pediatricians that queried about their weight status and ease of counseling. Accuracy of pediatricians’ self‐classification of weight status was compared with BMIs derived from self‐reported height and weight. Using logistic regression, controlling for potential confounding variables, we examined the association between weight perception and ease of counseling. Results: The unadjusted response rate was 62%, and the adjusted response rate was 71% (n = 355). Nearly one‐half (49%) of overweight pediatricians did not identify themselves as such. Men had greater adjusted odds of misclassifying overweight than women [odds ratio (OR), 3.61; 95% confidence interval (CI) = 1.81, 7.21]. Self‐classified “thin” pediatricians had nearly six times the odds of reporting more counseling difficulty as a result of their weight than “average” weight pediatricians (OR = 5.69; 95% CI = 2.30, 14.1), and self‐identified “overweight” pediatricians reported nearly four times as great counseling difficulty as “average” weight physicians (OR = 3.84; 95% CI = 1.11, 13.3), after adjustment for self‐reported BMI weight status and other potential confounders. Discussion: The roles that physician weight misclassification and self‐perception potentially play in influencing rates of obesity counseling warrant further research.     

Two kinds of physician‐assisted death

I argue that the concept ‘physician‐assisted suicide’ covers two procedures that should be distinguished: giving someone access to humane means to end his own life, and taking co‐responsibility for the safe and effective execution of that plan. In the first section I explain the distinction, in the following sections I show why it is important. To begin with I argue that we should expect the laws that permit these two kinds of ‘assistance’ to be different in their justificatory structure. Laws that permit giving access only presuppose that the right to self‐determination implies a right to suicide, but laws that permit doctors to take co‐responsibility may have to appeal to a principle of mercy or beneficence. Actually this difference in justificatory structure can to some extent be found in existing regulatory systems, though far from consistently. Finally I argue that if one recognizes a right to suicide, as Oregon and other American states implicitly do, and as the European Court of Human Rights has recently done explicitly, one is committed to permit the first kind of ‘assistance’ under some conditions.     

Liquid Crystallinity as a Self‐Assembly Motif for High‐Efficiency,Solution‐Processed,Solid‐State Singlet Fission Materials

Solution and solution‐deposited thin films of the discotic liquid crystalline electron acceptor–donor–acceptor (A‐D‐A) p‐type organic semiconductor FHBC(TDPP)₂, synthesized by coupling thienyl substituted diketopyrrolopyrrole (TDPP) onto a fluorenyl substituted hexa‐peri‐hexabenzocoronene (FHBC) core, are examined by ultrafast and nanosecond transient absorption spectroscopy, and time‐resolved photoluminescence studies to examine their ability to support singlet fission (SF). Grazing incidence wide‐angle X‐ray (GIWAX) studies indicate that as‐cast thin films of FHBC(TDPP)₂ are “amorphous,” while hexagonal packed discotic liquid crystalline films evolve during thermal annealing. SF in as‐cast thin films is observed with an ≈150% triplet generation yield. Thermally annealing the thin films improves SF yields up to 170%. The as‐cast thin films show no long‐range order, indicating a new class of SF material where the requirement for local order and strong near neighbor coupling has been removed. Generation of long‐lived triplets (µs) suggests that these materials may also be suitable for inclusion in organic solar cells to enhance performance.     

Phosphorene as Cathode Material for High‐Voltage,Anti‐Self‐Discharge Zinc Ion Hybrid Capacitors

Output voltage and self‐discharge rate are two important performance indices for supercapacitors, which have long been overlooked, though these play a very significant role in their practical application. Here, a zinc anode is used to construct a zinc ion hybrid capacitor. Expanded operating voltage of the hybrid capacitor is obtained with novel electrolytes. In addition, significantly improved anti‐self‐discharge ability is achieved. The phosphorene‐based zinc ion capacitor exploiting a “water in salt” electrolyte with a working potential can reach 2.2 V, delivering 214.3 F g^?1 after 5000 cycles. The operating voltage is further extended to 2.5 V through the use of an organic solvent as the electrolyte; the solvent is prepared by adding 0.2 m ZnCl₂ into the tetraethylammonium tetrafluoroborate in propylene carbonate (Et₄NBF₄/PC) solvent, and it exhibits 105.9 F g^?1 even after 9500 cycles. More importantly, the phosphorene‐based capacitors possess excellent anti‐self‐discharge performance. The capacitors retain 76.16% of capacitance after resting for 300 h. The practical application of the zinc ion capacitor is demonstrated through a flexible paper‐based printed microcapacitor. It is believed that the developed zinc ion capacitor can effectively resolve the severe self‐discharge problem of supercapacitors. Moreover, high‐voltage zinc ion capacitors provide more opportunities for the application of supercapacitors.     

Triblock‐Terpolymer‐Directed Self‐Assembly of Mesoporous TiO2: High‐Performance Photoanodes for Solid‐State Dye‐Sensitized Solar Cells

A new self‐assembly platform for the fast and straightforward synthesis of bicontinuous, mesoporous TiO₂ films is presented, based on the triblock terpolymer poly(isoprene ‐ b ‐ styrene ‐ b ‐ ethylene oxide). This new materials route allows the co‐assembly of the metal oxide as a fully interconnected minority phase, which results in a highly porous photoanode with strong advantages over the state‐of‐the‐art nanoparticle‐based photoanodes employed in solid‐state dye‐sensitized solar cells. Devices fabricated through this triblock terpolymer route exhibit a high availability of sub‐bandgap states distributed in a narrow and low enough energy band, which maximizes photoinduced charge generation from a state‐of‐the‐art organic dye, C220. As a consequence, the co‐assembled mesoporous metal oxide system outperformed the conventional nanoparticle‐based electrodes fabricated and tested under the same conditions, exhibiting solar power‐conversion efficiencies of over 5%.     

Triboelectric Nanogenerator for Sustainable Wastewater Treatment via a Self‐Powered Electrochemical Process

By harvesting the flowing kinetic energy of water using a rotating triboelectric nanogenerator (R‐TENG), this study demonstrates a self‐powered wastewater treatment system that simultaneously removes rhodamine B (RhB) and copper ions through an advanced electrochemical unit. With the electricity generated by R‐TENG, the removal efficiency (RE) of RhB can reach the vicinity of 100% within just 15 min when the initial concentration of RhB is around 100 ppm at optimized conditions. The removal efficiency of copper ions can reach 97.3% after 3 h within an initial concentration of 150 ppm at an optimized condition. Importantly, a better performance and higher treating efficiency are found by using the pulsed output of R‐TENG than those using direct current (DC) supply for pollutant removal when consuming equal amount of energy. The recovered copper layer on the cathode through R‐TENG is much denser, more uniform, and with smaller grain size (d = 20 nm) than those produced by DC process, which also hints at very promising applications of the R‐TENG in electroplating industry. In light of the merits such as easy portability, low cost, and effectiveness, this R‐TENG‐based self‐powered electrochemical system holds great potential in wastewater treatment and electroplating industry.     

Treatment of Morbid Obesity in Low‐income Adolescents: Effects of Parental Self‐monitoring

Objective: This study examined the extent to which consistency of self‐monitoring by participants and their parents was related to weight control over an initial period of 3 months within the context of a treatment program for morbidly obese low‐income minority adolescents. Research Methods and Procedures: Eighty‐three obese adolescents (mean age, 13.0 years; 51% boys; 92% African American; mean BMI, 43.0 kg/m²; mean BMI z‐score, 6.0) and at least one parent participated in a long‐term treatment program that included a very‐low‐fat dietary focus, weekly group cognitive‐behavior therapy, monthly nutrition education classes, a 12‐week physical therapy class, and medical monitoring. Results: Participants who self‐monitored on the majority of days compared with those who did not self‐monitor at all or who self‐monitored infrequently attended more sessions and generally lost more weight over the first 3 months. Although parents signed behavioral contracts committing to self‐monitor their own eating and exercising over the first month, only 12% did so. Nonetheless, participants whose parents self‐monitored were much more likely to self‐monitor consistently and lose weight during the first 3 months. Discussion: These results indicate that self‐monitoring is a cornerstone of successful weight control even for morbidly obese low‐income minority adolescents; targeting consistency of self‐monitoring among these high‐risk weight controllers and their parents should be just as important as it is for more affluent and less overweight adolescents.     

Multifunctional Solar Waterways: Plasma‐Enabled Self‐Cleaning Nanoarchitectures for Energy‐Efficient Desalination

Evaporating seawater and separating salt from water is one of the most promising solutions for global water scarcity. State‐of‐the‐art water desalination devices combining solar harvesting and heat localization for evaporation using nanomaterials still suffer from several issues in energy efficiency, long‐term performance, salt fouling, light blocking, and clean water collection in real‐world applications. To address these issues, this work devises plasma‐enabled multifunctional all‐carbon nanoarchitectures with on‐surface waterways formed by nitrogen‐doped hydrophilic graphene nanopetals (N‐fGPs) seamlessly integrated onto the external surface of hydrophobic self‐assembled graphene foam (sGF). The N‐fGPs simultaneously transport water and salt ions, absorb sunlight, serve as evaporation surfaces, then capture the salts, followed by self‐cleaning. The sGF ensures effective thermal insulation and enhanced heat localization, contributing to high solar‐vapor efficiency of 88.6 ± 2.1%. Seamless connection between N‐fGPs and sGF and self‐cleaning of N‐fGP structures by redissolution of the captured salts in the waterways lead to long‐term stability over 240 h of continuous operation in real seawater without performance degradation, and a high daily evaporation yield of 15.76 kg m^?2. By eliminating sunlight blocking and guiding condensed vapor, a high clean water collection ratio of 83.5% is achieved. The multiple functionalities make the current nanoarchitectures promising as multipurpose advanced energy materials.     

Self‐association of TPR domains: Lessons learned from a designed,consensus‐based TPR oligomer

The tetratricopeptide repeat (TPR) motif is a protein–protein interaction module that acts as an organizing centre for complexes regulating a multitude of biological processes. Despite accumulating evidence for the formation of TPR oligomers as an additional level of regulation there is a lack of structural and solution data explaining TPR self‐association. In the present work we characterize the trimeric TPR‐containing protein YbgF, which is linked to the Tol system in Gram‐negative bacteria. By subtracting previously identified TPR consensus residues required for stability of the fold from residues conserved across YbgF homologs, we identified residues involved in oligomerization of the C‐terminal YbgF TPR domain. Crafting these residues, which are located in loop regions between TPR motifs, onto the monomeric consensus TPR protein CTPR3 induced the formation of oligomers. The crystal structure of this engineered oligomer shows an asymmetric trimer where stacking interactions between the introduced tyrosines and displacement of the C‐terminal hydrophilic capping helix, present in most TPR domains, are key to oligomerization. Asymmetric trimerization of the YbgF TPR domain and CTPR3Y3 leads to the formation of higher order oligomers both in the crystal and in solution. However, such open‐ended self‐association does not occur in full‐length YbgF suggesting that the protein's N‐terminal coiled‐coil domain restricts further oligomerization. This interpretation is borne out in experiments where the coiled‐coil domain of YbgF was engineered onto the N‐terminus of CTPR3Y3 and shown to block self‐association beyond trimerization. Our study lays the foundations for understanding the structural basis for TPR domain self‐association and how such self‐association can be regulated in TPR domain‐containing proteins. Proteins 2010. © 2010 Wiley‐Liss, Inc.     

Mechanically Asymmetrical Triboelectric Nanogenerator for Self‐Powered Monitoring of In Vivo Microscale Weak Movement

Although much effort has been put in the studies of weak in vivo microscale movements due to its importance, the real‐time, long‐time, and accurate monitoring is still a great challenge because of the complexity of the in vivo environment. Here, a new type of mechanically asymmetrical triboelectric nanogenerator with ultrashort working distance and high anti‐interference ability is developed to accurately and real‐timely monitor the microscopically weak movement of intestinal motility at low frequencies even around 0.3 Hz. The intestinal status after the glucose absorption, and physiological states in different times also have been monitored successfully in the complex in vivo environment with many kinds of interference and noises. This work gives a new self‐powered, long‐time and in vivo technical way for the real‐timely gastrointestinal motility monitoring, and contributes to the detection of every kind of gentle movements in various complex bio‐systems.     

Fam60a defines a variant Sin3a‐Hdac complex in embryonic stem cells required for self‐renewal

Sin3a is the central scaffold protein of the prototypical Hdac1/2 chromatin repressor complex, crucially required during early embryonic development for the growth of pluripotent cells of the inner cell mass. Here, we compare the composition of the Sin3a‐Hdac complex between pluripotent embryonic stem (ES) and differentiated cells by establishing a method that couples two independent endogenous immunoprecipitations with quantitative mass spectrometry. We define the precise composition of the Sin3a complex in multiple cell types and identify the Fam60a subunit as a key defining feature of a variant Sin3a complex present in ES cells, which also contains Ogt and Tet1. Fam60a binds on H3K4me3‐positive promoters in ES cells, together with Ogt, Tet1 and Sin3a, and is essential to maintain the complex on chromatin. Finally, we show that depletion of Fam60a phenocopies the loss of Sin3a, leading to reduced proliferation, an extended G1‐phase and the deregulation of lineage genes. Taken together, Fam60a is an essential core subunit of a variant Sin3a complex in ES cells that is required to promote rapid proliferation and prevent unscheduled differentiation.     

Self‐Assemble and In Situ Formation of Ni1−xFexPS3 Nanomosaic‐Decorated MXene Hybrids for Overall Water Splitting

Herein, the authors present the development of novel 0D–2D nanohybrids consisting of a nickel‐based bimetal phosphorus trisulfide (Ni_1?xFe_xPS₃) nanomosaic that decorates on the surface of MXene nanosheets (denoted as NFPS@MXene). The nanohybrids are obtained through a facile self‐assemble process of transition metal layered double hydroxide (TMLDH) on MXene surface; followed by a low temperature in situ solid‐state reaction step. By tuning the Ni:Fe ratio, the as‐synthesized NFPS@MXene nanohybrids exhibit excellent activities when tested as electrocatalysts for overall water splitting. Particularly, with the initial Ni:Fe ratio of 7:3, the obtained Ni_0.7Fe_0.3PS₃@MXene nanohybrid reveals low overpotential (282 mV) and Tafel slope (36.5 mV dec^?1) for oxygen evolution reaction (OER) in 1 m KOH solution. Meanwhile, the Ni_0.9Fe_0.1PS₃@MXene shows low overpotential (196 mV) for the hydrogen evolution reaction (HER) in 1 m KOH solution. When integrated for overall water splitting, the Ni_0.7Fe_0.3PS₃@MXene || Ni_0.9Fe_0.1PS₃@MXene couple shows a low onset potential of 1.42 V and needs only 1.65 V to reach a current density of 10 mA cm^?2, which is better than the all noble metal IrO₂ || Pt/C electrocatalyst (1.71 mV@10 mA cm^?2). Given the chemical versatility of Ni_1?xFe_xPS₃ and the convenient self‐assemble process, the nanohybrids demonstrated in this work are promising for energy conversion applications.     

High‐Performance Lithium‐Sulfur Batteries with a Self‐Supported, 3D Li2S‐Doped Graphene Aerogel Cathodes

Lithium‐sulfur (Li‐S) batteries are being considered as the next‐generation high‐energy‐storage system due to their high theoretical energy density. However, the use of a lithium‐metal anode poses serious safety concerns due to lithium dendrite formation, which causes short‐circuiting, and possible explosions of the cell. One feasible way to address this issue is to pair a fully lithiated lithium sulfide (Li₂S) cathode with lithium metal‐free anodes. However, bulk Li₂S particles face the challenges of having a large activation barrier during the initial charge, low active‐material utilization, poor electrical conductivity, and fast capacity fade, preventing their practical utility. Here, the development of a self‐supported, high capacity, long‐life cathode material is presented for Li‐S batteries by coating Li₂S onto doped graphene aerogels via a simple liquid infiltration–evaporation coating method. The resultant cathodes are able to lower the initial charge voltage barrier and attain a high specific capacity, good rate capability, and excellent cycling stability. The improved performance can be attributed to the (i) cross‐linked, porous graphene network enabling fast electron/ion transfer, (ii) coated Li₂S on graphene with high utilization and a reduced energy barrier, and (iii) doped heteroatoms with a strong binding affinity toward Li₂S/lithium polysulfides with reduced polysulfide dissolution based on first‐principles calculations.     

Self‐sterility of eggs induced by exogenous and endogenous protease in the solitary ascidian,Halocynthia roretzi

The unfertilized eggs (UFE) of the solitary ascidian, Halocynthia roretzi, which are released naturally, are strictly self‐sterile. However, ovarian eggs isolated after spawning, which are expected to develop into UFE on the following day, are self‐fertile. Some exogenous proteases‐trypsin, chymotrypsin, papain and elastase‐induced self‐sterility in the self‐fertile ovarian eggs within an hour in vitro. The establishment of self‐sterility by the exogenous protease did not require the synthesis of new protein, or the participation of follicle cells. Some of the ovarian eggs were able to differentiate into self‐sterile eggs spontaneously in vitro. The protein synthesis inhibitors puromycin and cycloheximide had no effect on the spontaneous establishment of self‐sterility. However, several protease inhibitors such as leupeptin, soybean trypsin inhibitor (SBTI) and antipain, did inhibit the spontaneous establishment of self‐sterility. The possible participation of trypsin‐like protease in the establishment of self‐sterility in the ovary is discussed. Mol. Reprod. Dev. 52:99–106, 1999. © 1999 Wiley‐Liss, Inc.     

Self‐Efficacy as a Predictor of Weight Change in African‐American Women

Objective: Although self‐efficacy has received increasing attention for its role in weight loss, there is less research examining this relationship in minority samples. The purpose of this study was to determine whether self‐efficacy for weight loss was predictive of weight change in a sample of African‐American women. Research Methods and Procedures: Subjects were 106 overweight or obese, low‐income African‐American women participating in a weight management intervention that involved either personalized monthly sessions with their primary care physician or standard care. Weight and self‐efficacy for weight loss were assessed at baseline and at the end of the 6‐month treatment. Results: For subjects in the personalized intervention, baseline self‐efficacy was predictive of subsequent weight change, such that higher levels of self‐efficacy before treatment were associated with less weight loss. In contrast, improvements in self‐efficacy during treatment were associated with greater weight loss for the personalized intervention group. Discussion: Results suggest high self‐efficacy for weight loss before treatment may be detrimental to success, whereas treatments that improve participants’ self‐efficacy may result in greater weight loss. High pretreatment self‐efficacy may be indicative of overconfidence or lack of experience with the difficulties associated with weight loss efforts. Whereas replication is needed, our results suggest that self‐efficacy is an important variable to consider when implementing weight loss interventions.     

Directed Self‐Assembly of MOF‐Derived Nanoparticles toward Hierarchical Structures for Enhanced Catalytic Activity in CO Oxidation

The controllable self‐assembly of nanomaterials remains a great challenge in nanotechnological applications, especially for the hierarchical structure with high complexity. Herein, by taking the advantage of highly dispersed metal nodes and mild thermal stability of metal‐organic frameworks (MOFs), the self‐assembly of nanoparticles is directed from MOFs to construct CuO hierarchical structures, which have an inherited octahedral framework consisting of the microspheres, nanowires, and polyhedrons, respectively. Unlike the conventional self‐assembly in a solution media (such as solvent and molten solid), the assembly in this work is the first demonstration through a solution‐free approach. Moreover, compared to the general MOF‐derived CuO octahedron, the assembled hierarchical CuO structure exhibits much enhanced catalytic activity in CO oxidation thanks to the exposure of more active sites during the assembly.