Dyadic perspective is scarce in existing advance directive (AD) literature. Particularly, the significance of one's own and/or one's partner's cognitive function on AD remains unknown. This study investigates the relationship of cognitive function and other factors with AD completion within the spousal context.
 
  Data from the Health and Retirement Study (2014-2015) were used. Older heterosexual couples (age ≥65) married for 10+ years were asked if they had a living will and/or appointed a durable power of attorney for healthcare (DPAHC). Structural Equation Models examined the actor and partner effects of sociodemographic, health, and couple-level characteristics on wife's and husband's AD, respectively.
 
  Moderate spousal interdependence was observed in living will (Kappa coefficient, k =0.60) and DPAHC (k=0.53).  https://www.selleckchem.com/products/msa-2.html  Older age and higher education were related to both spouses having AD. Less household wealth and being racial/ethnic minority were associated with a lower probability of having AD. Notable genderth AD among older adults.Current practice in IBD is to classify patients based on clinical signs and symptoms and provide treatments accordingly. However, the response of IBD patients to available treatments is highly variable, highlighting clinically significant heterogeneity among patients. Thus, more accurate patient stratification is urgently needed to more effectively target therapeutic interventions to specific patients. Here, we review the degree of heterogeneity in IBD discussing how the microbiota, genetics, and immune system may contribute to the variation among patients. We highlight how molecular heterogeneity may relate to clinical phenotype, but in other situations may be independent of clinical phenotype, encouraging future studies to fill the gaps. Finally, we discuss novel stratification methodologies as a foundation for precision medicine, in particular a novel stratification strategy based on conserved genes across species. All of these dimensions of heterogeneity have potential to provide strategies for patient stratification and move IBD practice towards personalized medicine.  .Examination of total emission and circularly polarised luminescence (CPL) spectra of three 9-coordinate Eu(iii) complexes with well-defined speciation shows that the ligand fields of these C3 symmetric complexes are extremely sensitive to solvent polarity, even when solvent is not present in the first coordination sphere. The energies, intensities, and (for CPL) the sign of some transitions vary with solvent polarity. These observations are rationalised by analysis of the factors that control total and circularly polarised emission, and have important implications for design of responsive luminescent Ln(iii) probes.Theory and simulations predict that colloidal particles with short-range attractive and long-range repulsive interactions form periodic microphases if there is a proper balance between the attractive and repulsive contributions. However, the experimental identification of such structures has remained elusive to date. Using molecular dynamics simulations, we investigate the phase behaviour of a model system that stabilizes a cluster-crystal, a cylindrical and a lamellar phase at low temperatures. Besides the transition from the fluid to the periodic microphases, we also observe the internal freezing of the clusters at a lower temperature. Finally, our study indicates that, for the chosen model parameters, the three periodic microphases are kinetically accessible from the fluid phase.Electrode materials are very important for the performance of supercapacitors (SCs). Therefore, preparation of hybrid electrode materials is an effective way to develop high-performance SCs. We firstly design and prepare metal organic framework (MOF) derived carbon nanotubes as the core skeleton to support the shell of a nickel gallium layered hydroxide nanosheet (NiGa-LDH). MOF derived carbon nanomaterials have high conductivity and a large specific surface area, which can promote electron transfer and improve the agglomeration of LDH. The deposited LDH can provide high specific capacitance and the layered structure can further enhance the reaction site. The NiGa-LDH@CNT-500@CC has an excellent specific capacitance of 2580 F g-1 at 1 A g-1 and a high capacitance retention rate of 83.3% at 5 A g-1 due to the synergistic effect of two materials. The assembled NiGa-LDH@CNT-500@CC//carbon NS asymmetric supercapacitor (ASC) has an operating voltage of 1.6 V and a high energy density of 52 W h kg-1 at a power density of 952 W kg-1. Therefore, the core-shell structure composed of LDH and carbon nanomaterials provides an effective way for the design of high-performance electrodes.Using first-principles calculations, we identify a robust R30° reconstruction of a Si3 trimer bilayer on the Si(111) surface with a La coverage of 2/3 monolayer. Each surface unit cell contains two Si3 trimers and two La atoms, where the upper Si3 trimer is located just above the lower one with a rotation of about 60°, while two La atoms with different heights are distributed between the Si3 trimers and located on the T4 top site of the Si(111) surface, forming a honeycomb-like network structure. We find that the two La atoms have different valence states, La2+ and La3+, respectively. The high structural stability is attributed to the lower La atom saturating all the three dangling bonds of the upper Si3 trimer, while the higher La atom compensates two electrons to the lower Si3 trimer. The electronic band structure and band-decomposed charge density distribution show a semiconducting characteristic with a small surface band gap of 42 meV. Moreover, simulated STM images show a good structural match with the recent experimental observations.Metallenes, atomically thin layers composed primarily of under-coordinated metal atoms, have emerged as the newest members in the family of 2D nanomaterials. Furthermore, the remarkable physicochemical properties associated with metallenes coupled with the ease of applying chemical modifications result in exciting opportunities towards catalyst engineering for electrochemical conversions. Especially in recent years, interest around metallenes has grown, evidenced by the surge in available literature. As such, it is imperative to review the findings and present directions for the future. In this review, we highlight the techniques available for deriving metallenes and further discuss the modification strategies commonly employed in devising metallenes to better suit applications in electrocatalysis. We provide a rational understanding of how each strategy drives performance enhancements and present gaps in the knowledge, necessary for further advancements in the field.