Effects of a Low‐intensity Intervention That Prescribed a Low‐carbohydrate vs. a Low‐fat Diet in Obese,Diabetic Participants

Low‐carbohydrate diets have been associated with significant reductions in weight and HbA_1c in obese, diabetic participants who received high‐intensity lifestyle modification for 6 or 12 months. This investigation sought to determine whether comparable results to those of short‐term, intensive interventions could be achieved over a 24‐month study period using a low‐intensity intervention that approximates what is feasible in outpatient practice. A total of 144 obese, diabetic participants were randomly assigned to a low‐carbohydrate diet (<30 g/day) or to a low fat diet (≤30% of calories from fat with a deficit of 500 kcal/day). Participants were provided weekly group nutrition education sessions for the first month, and monthly sessions thereafter through the end of 24 months. Weight, HbA_1c, glucose, and lipids were measured at baseline and 6, 12, and 24 months. Of the 144 enrolled participants, 68 returned for the month 24 assessment visit. Weights were retrieved from electronic medical records for an additional 57 participants (total, 125 participants) at month 24. All participants with a baseline measurement and at least one of the three other measurements were included in the mixed‐model analyses (n = 138). The low‐intensity intervention resulted in modest weight loss in both groups at month 24. At this time, participants in the low‐carbohydrate group lost 1.5 kg, compared to 0.2 kg in the low‐fat group (P = 0.147). Lipids, glycemic indexes, and dietary intake did not differ between groups at month 24 (or at months 6 or 12) (ClinicalTrials.gov number, NCT00108459).     

A Sodium‐Ion Battery with a Low‐Cost Cross‐Linked Gel‐Polymer Electrolyte

The design of a sodium‐ion rechargeable battery with an antimony anode, a Na₃V₂(PO₄)₃ cathode, and a low‐cost composite gel‐polymer electrolyte based on cross‐linked poly(methyl methacrylate) is reported. The application of an antimony anode, on replacement of the sodium metal that is commonly used in sodium‐ion half‐cells, reduces significantly the interfacial resistance and charge transfer resistance of a sodium‐ion battery, which enables a smaller polarization for a sodium‐ion full‐cell Sb/Na₃V₂(PO₄)₃ running at relatively high charge and discharge rates. The incorporation of the gel‐polymer electrolyte is beneficial to maintain stable interfaces between the electrolyte and the electrodes of the sodium‐ion battery at elevated temperature. When running at 60 °C, the sodium‐ion full‐cell Sb/Na₃V₂(PO₄)₃ with the gel‐polymer electrolyte exhibits superior cycling stability compared to a battery with the conventional liquid electrolyte.     

Cost‐Effectiveness of a Low‐Carbohydrate Diet and a Standard Diet in Severe Obesity

Objective: Low‐carbohydrate diets have become a popular alternative to standard diets for weight loss. Our aim was to compare the cost‐effectiveness of these two diets. Research Methods and Procedures: The patient population included 129 severely obese subjects (BMI = 42.9) from a randomized trial; participants had a high prevalence of diabetes or metabolic syndrome. We compared within‐trial costs, quality‐adjusted life years (QALYs), and the incremental cost‐effectiveness ratio (CER) for the two study groups. We imputed missing values for QALYs. The CER was bootstrapped to derive 95% confidence intervals and to define acceptability cut‐offs. We took a societal perspective for our analysis. Results: Total costs during the one year of the trial were $6742 ± 6675 and $6249 ± 5100 for the low‐carbohydrate and standard groups, respectively (p = 0.78). Participants experienced 0.64 ± 0.02 and 0.61 ± 0.02 QALYs during the one year of the study, respectively (p = 0.17 for difference). The point estimate of the incremental CER was $?1225/QALY (i.e., the low‐carbohydrate diet dominated the standard diet). However, in the bootstrap analysis, the wide spread of CERs caused the 95% confidence interval to be undefined. The probabilities that the low‐carbohydrate diet was acceptable, using cut‐offs of $50, 000/QALY, $100, 000/QALY, and $150, 000/QALY, were 72.4% 78.6%, and 79.8%, respectively. Discussion: The low‐carbohydrate diet was not more cost‐effective for weight loss than the standard diet in the patient population studied. Larger studies are needed to better assess the cost‐effectiveness of dietary therapies for weight loss.     

Center‐Size as a Predictor of Weight‐Loss Outcome in Multicenter Trials Including a Low‐Calorie Diet

It has not been studied yet whether factors such as the number of subjects recruited by specialized centers for multicenter trials may influence weight loss during a low‐calorie diet (LCD). This study aimed at determining whether the number of recruited subjects per center might predict relative weight loss. This is a post hoc analysis of an existing database: 701 obese subjects (77% women, 23% men, mean BMI: 38.9 kg/m²) were enrolled at 22 sites (4–85 subjects/site) in five countries to follow a LCD providing 800–1,000 kcal/day during 8 weeks. The main outcome measure was the percentage weight loss after the 8‐week LCD. Mean weight loss differed significantly between participating centers (5.8–11.8% of the initial weight; P < 0.001). There was a significant positive correlation between relative weight loss and the number of recruited subjects per center (r = 0.38; P < 0.001). In a multiple stepwise regression analysis, the number of recruited subjects per center appeared to be the main predictive factor of weight loss (R² = 0.07; P < 0.001). As the number of participants within each center is clustered, we applied a hierarchical model to model the average weight loss vs. the number of participants included at each center. This model allows to predict that for 10 extra patients in a center, the average weight loss would increase by 0.5%. This is the first study suggesting that the number of recruited subjects per center may impact weight loss, and could therefore be considered as a new predictor for weight loss that is independent from the individual.     

Young Adults' Performance in a Low‐Intensity Weight Loss Campaign

Young adults (YA) are underrepresented in behavioral weight loss programs and achieve poorer outcomes than older adults (OA). There has been a call to develop programs specifically targeting this age group. This study examined the performance of YA enrolled in a low‐intensity, team‐based weight loss campaign and compared their outcomes to OA to determine the utility of such an approach for weight loss in this population. Shape Up Rhode Island (SURI) 2009 was a 12‐week online team‐based weight loss and exercise competition (N = 6,795, 81% female, 94% white, age = 44.7 ± 11.2, BMI = 29.4 ± 5.9). YA was defined as 18–35 years and OA as >35 years; YA and OA were compared on enrollment, retention, weight loss, and change in steps. A total of 1,562 YA enrolled and 715 completed the program. Fewer YA completed compared with OA (46 vs. 62%, P < 0.001). However, among completers, YA achieved greater percent weight loss (‐4.5 ± 4.0 vs. ?3.8 ± 3.2%) and greater daily step change (+1,578.2 ± 3,877.2 vs. +1,342.2 ± 3,645.7) than OA (P's < 0.001). Further, more YA completers achieved a ≥5% weight loss (40 vs. 29%, P < 0.001). Findings were consistent in the overweight/obese (OW/OB) subsample, and using ≤25 years of age as the cut off for YA. Weight losses among YA in this low‐intensity weight loss campaign were quite promising, with over 700 YA completing the program and on average achieving a 4.5% weight loss. Indeed, the potential public health impact of such an approach is substantial; future efforts to develop programs for this age group may benefit from using a low‐intensity, team‐based approach.     

Morphology Related Photodegradation of Low‐Band‐Gap Polymer Blends

The morphology related photodegradation of low band‐gap polymer blends is investigated using optical microscopy and scanning probe microscopy. Poly[2,6‐(4,4‐bis‐(2‐ethylhexyl)‐4H‐cyclopenta[2,1‐b;3,4‐b′]dithiophene)‐alt‐4,7(2,1,3‐benzothiadiazole)] (C‐PCPDTBT):[6,6]‐phenyl C61‐butyric acid methyl ester (PCBM) blend films without and with ODT, as well as poly[(4,40‐bis(2‐ethylhexyl)dithieno[3,2‐b:20,30‐d]silole)‐2,6‐diylalt‐(2,1,3‐benzothiadiazole)‐4,7‐diyl] (Si‐PCPDTBT):PCBM blend films exposed to a focused 632.8 nm laser under ambient condition with and without inert gas protection are studied. The photodegradation of the polymer starts in the vicinity of the PCBM molecules (first sphere degradation), which effectively blocks the electron transfer processes. Stern‐Volmer type kinetics are observed in the C‐PCPDTBT:PCBM blend with ODT, which indicates that only a small number of photo‐oxidized monomer units act as quenchers of the C‐PCPDTBT polymer luminescence. Furthermore, in addition to the permanent damage of the polymer molecules, as witnessed from their Raman intensity decrease, the polymer photoluminescence demonstrates partial reversible recovery when inert gas protection is resumed, indicating the involvement of temporary polymer/O₂‐charge transfer complexes in the photodegradation process.     

Low‐coherent optical diffraction tomography by angle‐scanning illumination

Temporally low‐coherent optical diffraction tomography (ODT) is proposed and demonstrated based on angle‐scanning Mach‐Zehnder interferometry. Using a digital micromirror device based on diffractive tilting, the full‐field interference of incoherent light is successfully maintained during every angle‐scanning sequences. Further, current ODT reconstruction principles for temporally incoherent illuminations are thoroughly reviewed and developed. Several limitations of incoherent illumination are also discussed, such as the nondispersive assumption, optical sectioning capacity and illumination angle limitation. Using the proposed setup and reconstruction algorithms, low‐coherent ODT imaging of plastic microspheres, human red blood cells and rat pheochromocytoma cells is experimentally demonstrated.      

Highly‐Tunable Nickel Cobalt Oxide as a Low‐Temperature P‐Type Contact in Organic Photovoltaic Devices

We report on the investigation of nickel cobalt oxide (Ni_xCo_3?xO₄) thin films grown by pulsed laser deposition as hole‐transport interlayers (HTL) in organic photovoltaic (OPV) devices. Films of 7 nm thickness were grown under various oxygen deposition pressures (pO₂) in the range of 2–200 mTorr. We explore both bulk and surface properties of these thin films. The workfunction (?) for each of the films was statistically similar (～4.7 eV), regardless of pO₂. There was not a strong dependence of the power conversion efficiency (η) on the conductivities of the HTLs varying between 0.009 ‐ 10 S/cm. The observed differences in OPV efficiencies (ranging from 1.16 to 2.46%) were correlated to the near surface chemical composition of the Ni_xCo_3?xO₄ HTL, as observed by differences in the relative surface hydroxyl concentration. The critical role of the near‐surface composition of the HTL at the HTL/organic interface was further explored by modifying the hydroxyl concentration using an oxygen plasma treatment. This treatment mitigated the impact of surface hydroxyl coverage, demonstrating either identical or increased values for ? and η, regardless of initial pO₂ in the creation of the Ni_xCo_3?xO₄ HTL. To further explore this we also employed a phosphonic acid surface modification agent on the HTL, increasing ? to 5.2 eV producing the best η value of 3.4%, equivalent to the PEDOT:PSS control devices. These results indicate that nickel cobalt oxide is a promising p‐type oxide for carrier‐selective interlayers in organic solar cells; however, for this to be fully realized the specific surface chemistry at the oxide/polymer interface must be controlled to increase ? and optimize device performance.     

Loss Mechanisms in Thick‐Film Low‐Bandgap Polymer Solar Cells

Polymer bulk heterojunction solar cells based on low bandgap polymer:fullerene blends are promising for next generation low‐cost photovoltaics. While these solution‐processed solar cells are compatible with large‐scale roll‐to‐roll processing, active layers used for typical laboratory‐scale devices are too thin to ensure high manufacturing yields. Furthermore, due to the limited light absorption and optical interference within the thin active layer, the external quantum efficiencies (EQEs) of bulk heterojunction polymer solar cells are severely limited. In order to produce polymer solar cells with high yields, efficient solar cells with a thick active layer must be demonstrated. In this work, the performance of thick‐film solar cells employing the low‐bandgap polymer poly(dithienogermole‐thienopyrrolodione) (PDTG‐TPD) was demonstrated. Power conversion efficiencies over 8.0% were obtained for devices with an active layer thickness of 200 nm, illustrating the potential of this polymer for large‐scale manufacturing. Although an average EQE > 65% was obtained for devices with active layer thicknesses > 200 nm, the cell performance could not be maintained due to a reduction in fill factor. By comparing our results for PDTG‐TPD solar cells with similar P3HT‐based devices, we investigated the loss mechanisms associated with the limited device performance observed for thick‐film low‐bandgap polymer solar cells.     

Low‐photobleaching line‐scanning confocal microscopy using dual inclined beams

Confocal microscopy is an indispensable tool for biological imaging due to its high resolution and optical sectioning capability. However, its slow imaging speed and severe photobleaching have largely prevented further applications. Here, we present dual inclined beam line‐scanning (LS) confocal microscopy. The reduced excitation intensity of our imaging method enabled a 2‐fold longer observation time of fluorescence compared to traditional LS microscopy while maintaining a good sectioning capability and single‐molecule sensitivity. We characterized the performance of our method and applied it to subcellular imaging and three‐dimensional single‐molecule RNA imaging in mammalian cells.      

Low‐density lipoprotein receptor‐related protein 6 regulates alternative pre‐mRNA splicing

Low‐density lipoprotein receptor‐related protein 6 (LRP6) serves as a Wnt coreceptor. Although Wnt/LRP6 signalling is best known for the β‐catenin‐dependent regulation of target genes in tissue development and homeostasis, emerging evidence demonstrates the biological aspects of LRP6 beyond a Wnt coreceptor. Whether LRP6 modulates tissue development in a Wnt/β‐catenin signalling‐independent manner remains unknown. Using a model of striated muscle development, we observed that LRP6 was almost undetectable in proliferating myoblasts, whereas its expression gradually increased in the nucleus of myodifferentiating cells. During myodifferentiation, LRP6 modulated the muscle‐specific splicing of integrin‐β1D and consequent myotube maturation independently of the β‐catenin‐dependent Wnt signalling. Furthermore, we identified that the carboxy‐terminal serine‐rich region in LRP6 bond to the adenine‐rich sequence within alternative exon D (AED) of integrin‐β1 pre‐mRNA, and therefore, elicited AED inclusion when the spliceosome was recruited to the splice site. The interaction of LRP6 with the adenine‐rich sequence was sufficient to overcome AED exclusion by a splicing repressor, polypyrimidine tract binding protein‐1. Besides the integrin‐β1, deep RNA sequencing in different types of cells revealed that the LRP6‐mediated splicing regulation was widespread. Thus, our findings implicate LRP6 as a potential regulator for alternative pre‐mRNA splicing.     

Hybrid Dye‐Titania Nanoparticles for Superior Low‐Temperature Dye‐Sensitized Solar Cells

In this work, a new strategy to design low‐temperature (≤200 °C) sintered dye‐sensitized solar cells (lt‐DSSC) is reported to enhance charge collection efficiencies (η_coll), photoconversion efficiencies (η), and stabilities under continuous operation conditions. Realization of lt‐DSSC is enabled by the integration of hybrid nanoparticles based on TiO₂‐Ru(II) complex (TiO₂_Ru_IS)—obtained by in situ bottom‐up construction of Ru(II) N3 dye‐sensitized titania—into the photoelectrode. Incentives for the use of TiO₂_Ru_IS are i) dye stability due to its integration into the TiO₂ anatase network and ii) enhanced charge collection yield due to its significant resistance toward electron recombination with electrolytes. It is demonstrated that devices with single‐layer photoelectrodes featuring blends of P25 and TiO₂_Ru_IS give rise to a 60% η_coll relative to a 46% η_coll for devices with P25‐based photoelectrodes. Responsible for this trend is a better charge transport and a reduced electron recombination. When using a multilayered photoelectrode architecture with a top layer based only on TiO₂_Ru_IS, devices with an even higher η_coll (74%) featuring a η of around 8.75% and stabilities of 600 h are achieved. This represents the highest values reported for lt‐DSSC to date.     

Size‐Dependent Charge Transfer in Blends of PbS Quantum Dots with a Low‐Gap Silicon‐Bridged Copolymer

The photophysics of bulk heterojunctions of a high‐performance, low‐gap silicon‐bridged dithiophene polymer with oleic acid capped PbS quantum dots (QDs) are studied to assess the material potential for light harvesting in the visible‐ and IR‐light ranges. By employing a wide range of nanocrystal sizes, systematic dependences of electron and hole transfer on quantum‐dot size are established for the first time on a low‐gap polymer–dot system. The studied system exhibits type II band offsets for dot sizes up to ca. 4 nm, whch allow fast hole transfer from the quantum dots to the polymer that competes favorably with the intrinsic QD recombination. Electron transfer from the polymer is also observed although it is less competitive with the fast polymer exciton recombination for most QD sizes studied. The incorporation of a fullerene derivative provides efficient electron‐quenching sites that improve interfacial polymer‐exciton dissociation in ternary polymer–fullerene–QD blends. The study indicates that programmable band offsets that allow both electron and hole extraction can be produced for efficient light harvesting based on this low‐gap polymer‐PbS QD composite.     

Hour‐by‐Hour Analysis for Increased Accuracy of Greenhouse Gas Emissions for a Low‐Energy Condominium Design

The seasonal and hourly variation of electricity grid emissions and building operational energy use are generally not accounted for in carbon footprint analyses of buildings. This work presents a technique for and results of such an analysis and quantifies the errors that can be encountered when these variations are not appropriately addressed. The study consists of an hour‐by‐hour analysis of the energy used by four different variations of a five‐story condominium building, with a gross floor area of approximately 9,290 square meters (m²), planned for construction in Markham, Ontario, Canada. The results of the case studied indicate that failure to account for variation can, for example, cause a 4% error in the carbon footprint of a building where ground source heat pumps are used and a 6% and 8% error in accounting for the carbon savings of wind and photovoltaic systems, respectively. After the building envelope was enhanced and sources of alternative energy were incorporated, the embodied greenhouse gas (GHG) emissions were more than 50% of the building's operational emissions. This work illustrates the importance of short‐time‐scale GHG analysis for buildings.