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Synthetic Applications of Carpino’s Hydrazine 卡皮诺联氨的合成应用
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-04 DOI: 10.1021/acs.accounts.5c00647
Chonghe Zhang, , , Maximilian Joost, , , Robert J. Gilliard Jr.*, , and , Christopher C. Cummins*, 

Reactive intermediates are valuable and intriguing in synthetic chemistry, but their high reactivity often makes them challenging to handle. Therefore, developing strategies to generate these species in a mild and controlled manner is crucial. One effective approach involves embedding the reactive intermediate within a molecular scaffold. Upon gentle heating, the scaffold undergoes fragmentation, liberating the desired intermediate. Ideally, the resulting byproducts are inert and do not participate in the subsequent reaction. Carpino’s hydrazine, H2N2A (A = C14H10 or anthracene), thus serves as an excellent scaffold candidate. By attaching a functional group of interest (E) to the hydrazine, the resulting compound EN2A is expected to undergo fragmentation, releasing E, dinitrogen (N2), and anthracene.

In this account, we describe our efforts to develop a series of molecular precursors featuring the composition EN2A (E = C, CH2, SO, RLB, and R2B). These precursors are expected to be capable of releasing a single carbon atom, methylene, sulfur monoxide, borylene, and boryl anion, respectively. Interestingly, the fragmentation behavior of these hydrazine-based precursors is highly dependent on the substituents at nitrogen. For CN2A, H2CN2A, and OSN2A, the precursors are stable at room temperature. Meanwhile, for (RLB)N2A, and (R2B)N2A, the precursors are transient intermediate and undergo anthracene extrusion even at low temperatures.

While the initial goal was to generate reactive species E, many cases have shown that free intermediates are not necessarily required for group transfer reactions. Instead, the hydrazine precursors often facilitate group transfer through highly selective, associative mechanisms (Type A). Additionally, the diazo intermediates formed via primary fragmentation are of particular interest, as they display reactivity analogous to diazoalkanes (R2CN2) or organic azides (RN3, Type B). Notably, although hydrazine precursors, diazo intermediates, and low-valent species all participate in group transfer reactions, they exhibit distinct electronic structures. Consequently, their reactivity patterns and selectivity vary significantly, underscoring the diverse chemical space accessible through this versatile platform.

We believe that continued development of Carpino’s hydrazine derivatives holds significant potential for uncovering new reactive intermediates and gaining deeper mechanistic insights. Moreover, the reactivity demonstrated with boron may be extended to other main group elements, potentially enabling access to a broader class of compounds featuring terminal N2 complexes.

反应性中间体在合成化学中是有价值和有趣的,但它们的高反应性往往使它们难以处理。因此,制定策略以温和和可控的方式产生这些物种是至关重要的。一种有效的方法是将反应中间体嵌入分子支架中。在温和的加热下,支架经历破碎,释放出所需的中间体。理想情况下,生成的副产物是惰性的,不参与随后的反应。因此,Carpino的联氨H2N2A (A = C14H10或蒽)是一个很好的支架候选者。通过将感兴趣的官能团(E)连接到肼上,得到的化合物EN2A预计会发生断裂,释放E、二氮(N2)和蒽。
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引用次数: 0
Decoding Photoelectrochemical Systems: Molecular Design and Charge Dynamics in Energy Conversion and Storage 解码光电化学系统:能量转换与储存中的分子设计与电荷动力学
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-04 DOI: 10.1021/acs.accounts.5c00596
Vaibhav Namdev Kale, , , Rahul Anil Borse, , , Xiang Zhang, , and , Yaobing Wang*, 

Photoelectrochemical (PEC) systems are among the most promising solar-to-electrochemical energy conversion and storage technologies and are uniquely positioned to address global energy demand and environmental sustainability. Mimicking the essential functions of natural photosynthesis, including light harvesting, catalytic water oxidation, CO2 reduction, and energy storage, requires materials that integrate efficient photon capture with rapid charge transport and robust catalytic activity. However, conventional photoelectrochemical materials are limited by the incomplete utilization of the solar spectrum and rapid charge recombination, leading to a narrowed redox potential window and compromised overall conversion efficiency. In this context, organic molecular PEC materials offer distinct advantages through their tunable, well-defined structures, enabling precise control over their electronic properties, redox behavior, and broad-spectrum light utilization. Integrating electron donor–acceptor (D–A) frameworks with redox-active or catalytic units into porous assemblies establishes spatially organized pathways for charge separation and catalytic transformation, although such a molecular-level design remains in its early stages. The central challenge lies in translating these structure–function insights into design principles that deliver multifunctional materials capable of controlled charge modulation, long-range electron transfer, and adaptive catalysis, thereby advancing the realization of complete artificial photosynthesis.

In this Account, we begin with decoding PEC systems through the design principles of molecular materials, emphasizing how molecular-level modifications influence key performance metrics. The main concept of developing molecular materials through molecular engineering for artificial photosynthesis, centered on PEC energy conversion and storage, is presented in this Account. It focuses on the state-of-the-art construction of efficient D–A structures by tuning functional groups and incorporating single and dual metals, with charge dynamics regulated by thermodynamic and kinetic processes. Advances and challenges in molecular engineering are highlighted, emphasizing that designing efficient D–A architectures requires the appropriate selection of molecular functional groups, tailored structures, and optimized properties, which are crucial for regulating long-lived charge separation states and driving diverse redox reactions in PEC systems. We outline best practices for designing and assembling coupled D–A architectures, highlighting our research contributions and the broader progress in solar-to-electrochemical energy conversion and storage during the past decade. The discussion further explores coupled/decoupled strategies, which offer solutions to challenges associated with solar-driven CO2 splitting (for CO and O2 generation), N2 reduction (for NH3 synthesis), a

光电化学(PEC)系统是最有前途的太阳能-电化学能量转换和存储技术之一,在解决全球能源需求和环境可持续性方面具有独特的优势。模拟自然光合作用的基本功能,包括光收集,催化水氧化,二氧化碳还原和能量储存,需要将有效的光子捕获与快速电荷传输和强大的催化活性相结合的材料。然而,传统的光电化学材料受到不完全利用太阳光谱和快速电荷重组的限制,导致氧化还原电位窗口狭窄,降低了整体转换效率。在这种情况下,有机分子PEC材料通过其可调的、定义明确的结构提供了独特的优势,能够精确控制其电子特性、氧化还原行为和广谱光利用。将电子供体-受体(D-A)框架与氧化还原活性或催化单元整合到多孔组件中,建立了电荷分离和催化转化的空间组织途径,尽管这种分子水平的设计仍处于早期阶段。核心挑战在于将这些结构-功能见解转化为设计原则,从而提供能够控制电荷调制,远程电子转移和自适应催化的多功能材料,从而推进完全人工光合作用的实现。
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引用次数: 0
Guanidine-Amide-Based Chiral Organocatalysts and Ligands for Asymmetric Catalysis 胍胺类手性有机催化剂及不对称催化配体
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-04 DOI: 10.1021/acs.accounts.5c00662
Shunxi Dong, , , Xiaoming Feng, , and , Xiaohua Liu*, 

Guanidine exhibits both similarities and differences compared to amines, endowing it with unique catalytic properties. The synthesis of chiral guanidine organocatalysts has garnered significant interest, focusing on three primary guanidine backbones: bicyclic, monocyclic, and open-chain structures. Acyclic guanidines, while more synthetically accessible than their cyclic counterparts, present challenges due to their flexible conformations and multiple substitution patterns. Moreover, the potential of chiral guanidine ligands in metal complex catalysis remains largely underexplored.

Our research group has been actively exploring chiral guanidine-amide-based asymmetric catalysis since 2009. The design strategy for these catalysts is rooted in the bifunctional capabilities of amino acids, which are easily functionalized into acyclic guanidine amides. These compounds incorporate new Brønsted base units and hydrogen bond donors. The readily tunable structure of guanidine amides allows five forms, including monoguanidine amide (GA), bisguanidine and its hemisalt (GB), guanidine sulfonamide (GC), hybrid guanidine amide–pyridine (GD), and quaternary guanidinium salt (QG). The applications of these compounds in asymmetric catalysis can be driven into four modes based on the role of guanidines: organocatalysis, organo-metal synergistic catalysis, guanidine/transition metal complex catalysis, and phase-transfer catalysis. First, as bifunctional organocatalysts through base/H-bond activation, guanidine derivatives have demonstrated exceptional diastereo- and enantioselectivity in a wide range of reactions including polar addition and cascades, cyclization, substitution, and insertion, etc. In these cases, abundant and labile H-bond interactions from both guanidine and amides account for the high diastereo- and enantioselectivity. Second, the combination of chiral guanidines with achiral dirhodium salts enabled synergistic catalysis to activate the reaction partners simultaneously, where the guanidine unit is disclosed as a proton shuttle or a chalcogen bond acceptor. Third, the copper complexes of guanidine amides and hybrid guanidines could promote both polar and radical reactions. The unique performance of these new catalysts lies in either bifunctional catalysis via a combination of metal coordination and H-bond assistance or rich electronic and coordination properties to leverage the redox ability of the catalytic species. In addition, the quaternary guanidinium salt has emerged as an effective bifunctional phase-transfer catalyst for tackling the challenging enantioselectivity issue in asymmetric α-aromatization of arynes.

In this Account, we recount the development of a series of chiral guanidine-amide-based organocatalysts and ligands derived from amino acids. Their applications are meticulously selected from a diverse array of asymmetric reactions, highlighting the evolution of their structures, f

胍类化合物与胺类化合物既有相似之处,又有不同之处,具有独特的催化性能。手性胍类有机催化剂的合成引起了人们极大的兴趣,主要集中在三种主要的胍类骨架:双环、单环和开链结构。无环胍虽然比其环类化合物更容易合成,但由于其灵活的构象和多种取代模式而面临挑战。此外,手性胍配体在金属配合物催化中的潜力仍未充分开发。
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引用次数: 0
Assembly-Driven Chemistry of Magnetic Nanoparticles: From Structural Design to Biomedical Applications 磁性纳米颗粒的组装驱动化学:从结构设计到生物医学应用
IF 18.3 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-04 DOI: 10.1021/acs.accounts.5c00614
Qiyue Wang, Yuehao Gan, Fangyuan Li, Daishun Ling
Tailored magnetic nanoparticles (MNPs) have emerged as powerful tools in biomedical imaging, offering enhanced sensitivity, specificity, spatial resolution, and multifunctionality. Their unique physicochemical properties also open promising avenues for therapeutic applications. Continued innovation in MNP design is critical to fully exploit advanced imaging platforms─including high-field magnetic resonance imaging (MRI), magnetic particle imaging (MPI), and multimodal imaging systems─for early diagnosis and precision therapy. However, conventional strategies centered on tuning particle size, shape, composition, and crystallinity offer only limited control over intrinsic microscopic parameters such as magnetic moment orientation, defect structure, and electronic activity, which fundamentally govern imaging performance. This limitation has created a persistent bottleneck in the development of high-performance MNPs. Assembly driven chemical design offers a multiscale design paradigm that spans atomic, interfacial, and nanoscale levels. By inducing emergent collective behaviors not present in individual building blocks, this strategy significantly broadens the design space for optimizing MNP functionality.
定制磁性纳米颗粒(MNPs)已成为生物医学成像的强大工具,具有增强的灵敏度、特异性、空间分辨率和多功能性。它们独特的物理化学性质也为治疗应用开辟了有希望的途径。MNP设计的持续创新对于充分利用先进的成像平台(包括高场磁共振成像(MRI)、磁颗粒成像(MPI)和多模态成像系统)进行早期诊断和精确治疗至关重要。然而,传统的策略集中在调整颗粒大小、形状、组成和结晶度上,只能有限地控制内在的微观参数,如磁矩方向、缺陷结构和电子活性,这些参数从根本上控制着成像性能。这一限制为高性能MNPs的开发带来了持续的瓶颈。装配驱动的化学设计提供了一种跨越原子、界面和纳米级的多尺度设计范式。通过诱导个体构建块中不存在的突发集体行为,该策略显著拓宽了优化MNP功能的设计空间。
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引用次数: 0
Transient Emulsions: A New Paradigm for Dynamic Colloidal Assembly 瞬态乳剂:动态胶体组装的新范例
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-03 DOI: 10.1021/acs.accounts.5c00657
An Cao, , , Dilong Liu*, , , Yue Li*, , and , Yadong Yin*, 
<p >Emulsions formed by dispersing one liquid into another immiscible liquid have been a cornerstone of colloid science for over a century. Conventional emulsions are stabilized by surfactants, which reduce interfacial tension from the range of 30–50 mN/m to 1–10 mN/m, allowing droplets to persist against coalescence. Despite their broad industrial relevance, these systems are fundamentally constrained by their interfacial nature: high-energy input is required to generate small, uniform droplets; surfactants may alter physicochemical properties and introduce toxicity; and droplet morphology is largely restricted to isotropic, spherical shapes. Moreover, Ostwald ripening and droplet coalescence, driven by Laplace pressure differences, inevitably lead to thermodynamic instability. These constraints underscore the need for new emulsification paradigms beyond the classical surfactant-stabilized model.</p><p >Transient emulsions are based on partially miscible liquid pairs such as water and 1-butanol. In these systems, mutual diffusion at the droplet interface generates a blurred transition miscible layer rather than a sharp phase boundary. As a consequence, interfacial tension approaches zero, fundamentally altering the behavior of emulsified droplets and imparting distinctive features: (i) ultrashort lifetime, (ii) absence of surfactants, and (iii) spontaneous emulsification under weak energy perturbation. Notably, the lack of strong interfacial constraints enables transient emulsions to undergo asymmetric deformations that are inaccessible to conventional emulsions.</p><p >These unique properties open up a new frontier for dynamic, out-of-equilibrium processes, particularly in the self-assembly of colloidal nanoparticles. Transient emulsions offer a versatile platform for constructing colloidal superstructures that would otherwise be unattainable. Three key advances have been demonstrated: <b>(1) rapid, surfactant-free assembly</b>, enabling plasmonic superstructures to form within seconds; <b>(2) uniform superstructuring across multiple scales</b>, achieved through template-confined emulsification; and <b>(3) asymmetric superstructuring</b>, facilitated by new hollowing mechanisms in transient aerosol emulsions. Together, these advances establish transient emulsions as a unique vehicle for controlling structure, symmetry, and dynamics in colloidal assemblies.</p><p >Beyond fundamental insights, transient emulsions have enabled the development of superstructures with new functionalities and applications. Gold microsphere arrays fabricated by emulsion-directed assembly combined with nanosecond laser irradiation enable ultrastable anisotropic conductive bonding, offering a compelling alternative to conventional metal–polymer core–shell microspheres for anisotropic conductive films in micro-LED packaging. Silica-based hemispherical superstructures function as detachable microlenses with tunable magnification, enhancing numerical aperture and photon th
一个多世纪以来,将一种液体分散到另一种不相混的液体中形成的乳液一直是胶体科学的基石。传统的乳液可以通过表面活性剂来稳定,表面活性剂可以将界面张力从30-50 mN/m降低到1-10 mN/m,从而使液滴在聚结过程中保持不变。尽管具有广泛的工业意义,但这些系统从根本上受到其界面性质的限制:需要高能输入才能产生小而均匀的液滴;表面活性剂可能改变物理化学性质并引入毒性;液滴的形态很大程度上局限于各向同性的球形。此外,在拉普拉斯压差的驱动下,奥斯特瓦尔德成熟和液滴聚并不可避免地导致热力学不稳定。这些限制强调了对超越经典表面活性剂稳定模型的新型乳化范式的需求。
{"title":"Transient Emulsions: A New Paradigm for Dynamic Colloidal Assembly","authors":"An Cao,&nbsp;, ,&nbsp;Dilong Liu*,&nbsp;, ,&nbsp;Yue Li*,&nbsp;, and ,&nbsp;Yadong Yin*,&nbsp;","doi":"10.1021/acs.accounts.5c00657","DOIUrl":"10.1021/acs.accounts.5c00657","url":null,"abstract":"&lt;p &gt;Emulsions formed by dispersing one liquid into another immiscible liquid have been a cornerstone of colloid science for over a century. Conventional emulsions are stabilized by surfactants, which reduce interfacial tension from the range of 30–50 mN/m to 1–10 mN/m, allowing droplets to persist against coalescence. Despite their broad industrial relevance, these systems are fundamentally constrained by their interfacial nature: high-energy input is required to generate small, uniform droplets; surfactants may alter physicochemical properties and introduce toxicity; and droplet morphology is largely restricted to isotropic, spherical shapes. Moreover, Ostwald ripening and droplet coalescence, driven by Laplace pressure differences, inevitably lead to thermodynamic instability. These constraints underscore the need for new emulsification paradigms beyond the classical surfactant-stabilized model.&lt;/p&gt;&lt;p &gt;Transient emulsions are based on partially miscible liquid pairs such as water and 1-butanol. In these systems, mutual diffusion at the droplet interface generates a blurred transition miscible layer rather than a sharp phase boundary. As a consequence, interfacial tension approaches zero, fundamentally altering the behavior of emulsified droplets and imparting distinctive features: (i) ultrashort lifetime, (ii) absence of surfactants, and (iii) spontaneous emulsification under weak energy perturbation. Notably, the lack of strong interfacial constraints enables transient emulsions to undergo asymmetric deformations that are inaccessible to conventional emulsions.&lt;/p&gt;&lt;p &gt;These unique properties open up a new frontier for dynamic, out-of-equilibrium processes, particularly in the self-assembly of colloidal nanoparticles. Transient emulsions offer a versatile platform for constructing colloidal superstructures that would otherwise be unattainable. Three key advances have been demonstrated: &lt;b&gt;(1) rapid, surfactant-free assembly&lt;/b&gt;, enabling plasmonic superstructures to form within seconds; &lt;b&gt;(2) uniform superstructuring across multiple scales&lt;/b&gt;, achieved through template-confined emulsification; and &lt;b&gt;(3) asymmetric superstructuring&lt;/b&gt;, facilitated by new hollowing mechanisms in transient aerosol emulsions. Together, these advances establish transient emulsions as a unique vehicle for controlling structure, symmetry, and dynamics in colloidal assemblies.&lt;/p&gt;&lt;p &gt;Beyond fundamental insights, transient emulsions have enabled the development of superstructures with new functionalities and applications. Gold microsphere arrays fabricated by emulsion-directed assembly combined with nanosecond laser irradiation enable ultrastable anisotropic conductive bonding, offering a compelling alternative to conventional metal–polymer core–shell microspheres for anisotropic conductive films in micro-LED packaging. Silica-based hemispherical superstructures function as detachable microlenses with tunable magnification, enhancing numerical aperture and photon th","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":"58 22","pages":"3451–3462"},"PeriodicalIF":17.7,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145434725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Isolated Congenital Anosmia: Case Report and Literature Review. 孤立性先天性嗅觉缺失:病例报告和文献复习。
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-01 Epub Date: 2022-08-05 DOI: 10.1177/01455613221111496
Naif H Alotaibi, May Alrashed, Mohammed K Drad, Leen Abu-Safieh, Abdulaziz A Almobarak, Batoul Baz, Raed A Farzan, Mohanned S Alsuhaibani, Yazeed Al-Alsheikh

Isolated congenital anosmia (ICA) is a rare entity worldwide with poorly understood genetic variation. The diagnosis of ICA is made by exclusion of acquired causes of anosmia. Additionally, magnetic resonance imaging in ICA is essential for diagnosis, as it shows reduced or absent development of olfactory bulbs and shallow olfactory sulci. Here, we present the case of a 21-year-old man who presented to our clinic with complete anosmia since birth. The patient's history was negative for acquired causes of anosmia, and the physical examinations of the ears, nose, throat, head, and neck were all not remarkable. Smell testing revealed complete anosmia. The CT imaging was unremarkable; however, magnetic resonance imaging of the anterior brain and olfactory region showed bilaterally absent olfactory bulbs and olfactory tracts, with a shallow olfactory groove. The patient was then subjected to whole exome sequencing. Bioinformatics analysis was performed on the 37 genes associated with olfactory dysfunction, in which a missense variant was identified in the HS6ST1(NM_004807.3) gene was identified, which insilico tools predicted to be likely pathogenic. The results of this patient's genetic analysis add to the possible genetic culprits reported in ICA cases. Additional genetic analyses are required to validate mutations and understand the heterogeneity of disease representation.

孤立性先天性嗅觉缺失(ICA)是世界范围内一种罕见的遗传变异。ICA的诊断是排除嗅觉缺失的后天原因。此外,ICA的磁共振成像对诊断至关重要,因为它显示嗅球和浅嗅沟的发育减少或缺失。在这里,我们介绍一个21岁的男性病例,他从出生起就患有完全性嗅觉缺失。患者的病史为获得性嗅觉缺失阴性,耳朵、鼻子、喉咙、头部和颈部的体格检查均不显著。嗅觉测试显示完全嗅觉缺失。CT表现不明显;然而,大脑前部和嗅觉区域的磁共振成像显示双侧嗅球和嗅束缺失,嗅槽较浅。然后对患者进行全外显子组测序。对37个与嗅觉功能障碍相关的基因进行了生物信息学分析,其中在HS6ST1(NM_004807.3)基因中发现了一个错义变体,Insico工具预测其可能具有致病性。这名患者的基因分析结果增加了ICA病例中可能的基因罪魁祸首。需要额外的基因分析来验证突变并了解疾病表现的异质性。
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引用次数: 0
Team-based visits within Swedish child healthcare services: a national cross-sectional study. 瑞典儿童医疗保健服务中的团队访问:一项全国横断面研究。
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-01 Epub Date: 2021-08-11 DOI: 10.1080/13561820.2021.1902960
Ulrika Svea Nygren, Ylva Tindberg, Leif Eriksson, Hans Eriksson, Håkan Sandberg, Lena Nordgren

Complex healthcare needs can be met through effective interprofessional collaboration. Since 2014, Swedish Child Healthcare Services (CHS) include universal team-based visits with a nurse and a physician who perform such visits at the age of 4 weeks, 6 months, 12 months, and 2.5 to 3 years, as well as targeted team-based visits to address additional needs. The aim of this study was to describe the prevalence of team-based visits in the Swedish CHS and possible associations between team-based visits and contextual factors that may affect its implementation. A national cross-sectional survey was conducted using a web-based questionnaire distributed to all reachable nurses, physicians, and psychologists (n =3,552) engaged in the CHS. Data were analyzed using descriptive statistics and binary and multivariate logistic regressions. The response rate was 32%. Team-based visits were reported by 82% of the respondents. For nurses and physicians, the most frequent indication was specific ages, while for psychologists it was to provide parental support. Respondents working at Family Centers were more likely to perform team-based visits in general, at 2.5 to 3 years and in case of additional needs, compared to respondents working at Child Health Centers (CHC) and other workplaces. In conclusion, team-based visits are well implemented, but the pattern differs depending on the contextual factors. Targeted team-based visits and team-based visits at the age of 2.5 to 3 years are most unequally implemented.

通过有效的跨专业合作,可以满足复杂的医疗保健需求。自 2014 年起,瑞典儿童医疗保健服务(CHS)包括由一名护士和一名医生在儿童 4 周岁、6 个月、12 个月和 2.5 至 3 岁时进行的普遍团队访问,以及为满足额外需求而进行的有针对性的团队访问。这项研究的目的是描述瑞典儿童保健服务中团队探访的普遍程度,以及团队探访与可能影响其实施的环境因素之间可能存在的关联。研究采用网络问卷的形式进行了一项全国性横断面调查,调查对象包括所有可联系到的瑞典保健服务机构的护士、医生和心理学家(n = 3,552)。采用描述性统计、二元和多元逻辑回归对数据进行了分析。回复率为 32%。82%的受访者报告了团队访问。对于护士和医生来说,最常见的指征是特定年龄,而对于心理学家来说,指征是提供家长支持。与在儿童健康中心(CHC)和其他工作场所工作的受访者相比,在家庭中心工作的受访者更有可能在一般情况下、2.5 至 3 岁以及有额外需求时进行团队探访。总之,以团队为基础的访视得到了很好的实施,但其模式因环境因素而异。有针对性的团队访视和 2.5-3 岁的团队访视实施情况最不均衡。
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引用次数: 0
Implementation of child mental health service improvement plans in four low- and middle-income countries: stakeholders' perspectives. 在四个中低收入国家实施儿童心理健康服务改进计划:利益相关者的观点。
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-01 Epub Date: 2021-10-17 DOI: 10.1080/13561820.2021.1982881
Seyda Eruyar, Sadiyya Haffejee, E S Anderson, Panos Vostanis

Children in low- and middle-income countries (LMIC) have high levels of unmet mental health needs, especially in disadvantaged communities. To address this gap, we developed a child mental health service improvement programme. This was co-facilitated using interprofessional principles and values in four countries, South Africa, Kenya, Turkey and Brazil. Eighteen stakeholders from different professions were interviewed after six months on their perspectives on enabling factors and challenges they faced in implementing service plans. Participants valued the holistic case management approach and scaled service model that underpinned the service plans. Emerging themes on participants' priorities related to service user participation, integrated care, and different levels of capacity-building. We propose that an integrated care model in LMIC contexts can maximize available resources, engage families and mobilize communities. Implementation requires concurrent actions at micro-, meso- and macro-level.

中低收入国家(LMIC)的儿童,尤其是贫困社区的儿童,有大量的心理健康需求未得到满足。为了弥补这一差距,我们制定了一项儿童心理健康服务改进计划。在南非、肯尼亚、土耳其和巴西这四个国家,我们利用跨专业原则和价值观共同推动了这一计划。六个月后,我们对来自不同专业的 18 名利益相关者进行了访谈,了解他们对有利因素的看法以及在实施服务计划过程中面临的挑战。参与者对作为服务计划基础的整体个案管理方法和规模化服务模式给予了高度评价。参与者优先考虑的主题涉及服务使用者的参与、综合护理以及不同程度的能力建设。我们建议,在低收入和中等收入国家采用综合护理模式可以最大限度地利用现有资源、吸引家庭参与并动员社区。实施该模式需要在微观、中观和宏观层面同时采取行动。
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引用次数: 0
New Perspective on Hodgkin's Lymphoma of the Nasopharynx: Case Report With Review of the Literature. 鼻咽霍奇金淋巴瘤的新视角:病例报告与文献综述。
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-01 Epub Date: 2022-07-11 DOI: 10.1177/01455613221113804
Qinzhan Ren, Wei Wei, Ruxiang Zhang, Yan Qi, Zhenlin Wang

Nasopharyngeal Hodgkin's lymphoma is a rare disorder. We describe a case of a 24-year-old male with Hodgkin's lymphoma (HL) primarily originating from the nasopharynx. He presented with symptoms including snoring and bilateral nasal congestion. After evaluation, endoscopic surgery was performed. Surprisingly, the pathological result proved to be classic HL. Postoperative MRI showed that the tumor was completely resected, and PET-CT was further examined. No lesions were found in other places. Shortly thereafter, the patient was transferred to the hematology department for chemotherapy, and the patient was followed up for 5 months without tumor recurrence. As new problems have been detected in medical management, it is vital to put the HL of the nasopharynx into a new perspective.

鼻咽霍奇金淋巴瘤是一种罕见疾病。我们描述了一例 24 岁男性霍奇金淋巴瘤(HL)患者的病例,该淋巴瘤主要起源于鼻咽部。他的症状包括打鼾和双侧鼻塞。经过评估后,他接受了内窥镜手术。令人惊讶的是,病理结果证明是典型的 HL。术后核磁共振成像显示肿瘤已被完全切除,PET-CT也进行了进一步检查。其他部位未发现病变。此后不久,患者转入血液科接受化疗,随访 5 个月,肿瘤未复发。由于在医疗管理中发现了新问题,因此以新的视角看待鼻咽部的 HL 至关重要。
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引用次数: 0
Factors associated with interprofessional engagement in debriefing following pediatric simulation-based team training. 儿科模拟团队培训后跨专业参与汇报的相关因素。
IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2025-11-01 Epub Date: 2021-06-17 DOI: 10.1080/13561820.2021.1928027
Richard Byrnes, Micheline Chipman, Zachary Priest, Christine Schreiber, Justin Michaud, Tracie Barbour, Michael Ferguson, Wendy Craig, Leah Mallory

Simulation offers a high fidelity modality to deliver and study team-based interprofessional education. Debriefing the following simulated scenarios is a critical component of this training. Little data exist to inform best practices to optimize interprofessional engagement during debriefing. This pilot study analyzed interprofessional debriefing events following 20 pediatric simulation-based team trainings to identify associations between modifiable factors and learner engagement. Reviewers observed a total of 236 learners, using a previously published tool to assess learner engagement. Data related to the scenario, debriefing, learners, and facilitators were collected. Spearman's correlation was used to analyze the association between factors of interest and average learner engagement scores for each debriefing event. Mean engagement did not differ between physicians and nurses, but was lower for other professionals. Average learner engagement was inversely related to learner group size, but not to the proportion of learners in each profession. Oral participation differed significantly between professions for both learners and co-facilitators, with physicians speaking more in both groups. Students of all professions had lower engagement and spoke less frequently. This study identifies several modifiable factors, including total group size, learner level, and facilitator behavior that were associated with interprofessional engagement during debriefing following simulation-based team training.

模拟为开展和研究以团队为基础的跨专业教育提供了一种高保真模式。对模拟情景进行汇报是这一培训的重要组成部分。在汇报过程中,几乎没有数据可以为优化跨专业参与的最佳实践提供参考。这项试验性研究分析了 20 次儿科模拟团队培训后的专业间汇报事件,以确定可修改因素与学员参与度之间的关联。评审人员共观察了 236 名学员,并使用之前发布的工具来评估学员的参与度。他们收集了与情景模拟、汇报、学员和主持人相关的数据。斯皮尔曼相关性用于分析每个汇报活动中相关因素与学员参与度平均分之间的关联。医生和护士的平均参与度没有差异,但其他专业人员的参与度较低。学员的平均参与度与学员小组的规模成反比,但与每个专业的学员比例无关。不同专业的学员和共同主持人的口头参与度差异很大,医生在两个小组中的发言都较多。所有专业的学生参与度都较低,发言频率也较低。本研究确定了几个可调整的因素,包括小组总人数、学员水平和主持人的行为,这些因素与模拟团队培训后汇报时的跨专业参与度有关。
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Accounts of Chemical Research
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