Tetracycline Removal through the Synergy of Catalysis and Photocatalysis by Novel NaYF4:Yb,Tm@TiO2-Acetylacetone Hybrid Core-Shell Structures

Novel hybrid core-shell structures, in which up-converting (UC) NaYF₄:Yb,Tm core converts near-infrared (NIR) to visible (Vis) light via multiphoton up-conversion processes, while anatase TiO₂-acetylacetonate (TiO₂-Acac) shell ensures absorption of the Vis light through direct injection of excited electrons from the highest-occupied-molecular-orbital (HOMO) of Acac into the TiO₂ conduction band (CB), were successfully synthesized by a two-step wet chemical route. Synthesized NaYF₄:Yb,Tm@TiO₂-Acac powders were characterized by X-ray powder diffraction, thermogravimetric analysis, scanning and transmission electron microscopy, diffuse-reflectance spectroscopy, Fourier transform infrared spectroscopy, and photoluminescence emission measurement. Tetracycline, as a model drug, was used to investigate the photocatalytic efficiencies of the core-shell structures under irradiation of reduced power Vis and NIR spectra. It was shown that the removal of tetracycline is accompanied by the formation of intermediates, which formed immediately after bringing the drug into contact with the novel hybrid core-shell structures. As a result, ~80% of tetracycline is removed from the solution after 6 h.

Biopsychosocial Aspects in Individuals with Acute and Chronic Rotator Cuff Related Shoulder Pain: Classification Based on a Decision Tree Analysis

Biopsychosocial aspects seem to influence the clinical condition of rotator cuff related shoulder pain (RCRSP). However, traditional bivariate and linear analyses may not be sufficiently robust to capture the complex relationships among these aspects. This study determined which biopsychosocial aspects would better classify individuals with acute and chronic RCRSP and described how these aspects interact to create biopsychosocial phenotypes in individuals with acute and chronic RCRSP. Individuals with acute (<six months of pain, n = 15) and chronic (≥six months of pain, n = 38) RCRSP were included. Sociodemographic data, biological data related to general clinical health status, to shoulder clinical condition and to sensory function, and psychosocial data were collected. Outcomes were compared between groups and a decision tree was used to classify the individuals with acute and chronic RCRSP into different phenotypes hierarchically organized in nodes. Only conditioned pain modulation was different between the groups. However, the tree combined six biopsychosocial aspects to identify seven distinct phenotypes in individuals with RCRSP: three phenotypes of individuals with acute, and four with chronic RCRSP. While the majority of the individuals with chronic RCRSP have no other previous painful complaint besides the shoulder pain and low efficiency of endogenous pain modulation with no signs of biomechanical related pain, individuals with acute RCRSP are more likely to have preserved endogenous pain modulation and unilateral pain with signs of kinesiophobia.

0942 Alternating Leg Muscle Activation and Hypnagogic Foot Tremor in Children: Comparative Study of Polysomnographic and Clinico-Demographic Variables

Introduction

The clinical and polysomnographic meaning of the Alternating Leg Muscle Activation (ALMA) and Hypnagogic Foot Tremor (HFT) patterns in children is not known.

Methods

A descriptive study was carried out to identify the prevalence and polysomnographic characteristics of ALMA and HFT sequences in a sample of 122 children sequentially admitted in the sleep laboratory, with the analysis of clinical and demographic characteristics of the ALMA/HFT group in relation to a comparison group without this condition, paired by age and gender.

Results

Sample prevalence was 14.8% for any HFT/ALMA event, 13.1% for ALMA and 10.7% for HFT. In the HFT/ALMA group, the mean age was 8 years old (2-12 years old), 66.7% of males. Obstructive Sleep Apnea was observed in 75% of children, but HFT / ALMA sequences only occasionally occurred in association with respiratory events. The use of medications with monoaminergic activity was associated with the occurrence of HFT/ALMA, p=0,019. There was higher N1 sleep content in the HFT / ALMA group, p=0,0301. There was no significant difference between both groups regarding the other clinical-demographic or polysomnographic parameters analyzed. Autonomic activation represented by heart rate fluctuations often occurred in association with the HFT / ALMA sequences, irrespective of the occurrence of arousals, awakenings, other motor or respiratory events.

Conclusion

HFT / ALMA is a frequent condition in children that are referred to the sleep lab.The stereotypy of the HFT / ALMA series suggests that their origin might be motor central pattern generators, which are potentially influenced by substances with monoaminergic effect. The finding of higher superficial sleep content in children with HFT / ALMA may indicate greater susceptibility to alteration of pediatric sleep architecture by such subtle motor events. The possibility of clinical consequences and cardiovascular diseases should be considered in relation to the association of HFT / ALMA with observed autonomic activation.

Support

None.