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High-entropy pyrochlore iridates A2Ir2O7 with multiple trivalent A cations were synthesized. The parent ternary A2Ir2O7 displays a variety of electronic phases depending on the size of A cations; Pr2Ir2O7 with a large A cation shows semimetallic behavior down to low temperatures, whereas A2Ir2O7 with smaller A cations, such as Nd2Ir2O7 and Eu2Ir2O7, displays a (semi)metal to magnetic insulator transition as a function of temperature. By further reducing the A cation size, smaller than Y3+, A2Ir2O7 becomes a Mott insulator, and long-range magnetic order takes place below room temperature. The metal–insulator transition and magnetic ordering turned out to be robust against strong disorder induced by the mixing of more than five A-cations in the high-entropy A2Ir2O7. The transition temperatures were found to scale with the average ionic radius of multiple A-cations. In contrast, high-entropy A2Ir2O7 including Bi3+ exhibits metallic behavior down to 2 K, which is likely associated with the presence of oxygen vacancies as in the parent Bi2Ir2O7. Although these indicate that the overall electronic structure of A2Ir2O7 remains intact in the presence of high-entropy configuration at the A-site, the transport properties suggest that fine details of the band structure may be modulated by local distortion. Strong disorder at the A-site of complex oxides may be exploited as a tool to control electronic properties. [ABSTRACT FROM AUTHOR]

We report on a new polymorph of silver antimonate AgSbO 3 discovered with the use of high-pressure high-temperature synthesis at 16 GPa and 1380 °C. The crystal structure is determined from X-ray powder diffraction, and we find this new high-pressure phase crystallizes in monoclinic space group C 2/ c with the following values: a = 8.4570(3) Å, b = 9.8752(3) Å, c = 8.9291(3) Å, β = 91.1750(12)°, and V = 745.56(4) Å 3 . We synthesized the high-pressure (16 GPa) AgSbO 3 phase from the ilmenite phase as a precursor. This high-pressure monoclinic AgSbO 3 consists of a three-dimensional network of corner- and edge-sharing SbO 6 octahedra with channels along the c -direction containing Ag atoms. We also synthesize AgSbO 3 in the defect pyrochlore phase at 4 GPa from the same ilmenite precursor and compare the Raman spectra and the cation-anion bonding of all three AgSbO 3 phases. The absence of a cubic perovskite form of AgSbO 3 even at pressures of ≤16 GPa is likely due to the covalency of the Sb-O bonds and the moderate electronegativity of Ag + . Hybridization of Ag d and O p orbitals results in a variation of Ag-O distances that correlates with the band gap, which is in qualitative agreement with the density of states around the Fermi level from our density functional calculations. We compare AgSbO 3 with other ABX 3 compounds to elucidate the dependence of the structure on the constituent atoms.

Objectives: Tonsillectomy is the most common operation performed by otolaryngologists in the UK, despite this we have a poor understanding of the post-operative recovery. We aimed to investigate post-operative bleeding and pain following paediatric tonsillectomy using a patient diary., Design: Prospective observational cohort study., Setting: Multi-centre study involving 12 secondary and tertiary otolaryngology units across the North of England. Patients were recruited from 1st March 2020 to 30th June 2022. Multilevel ordered logistic regression model statistics were performed., Participants: Children (≥4 years, ≤16 years) undergoing tonsillectomy (with or without adenoidectomy) for benign pathology., Main Outcome Measures: Frequency and severity of post-operative bleeding. Intensity and pattern of post-operative pain., Results: In total 297 children were recruited, with 91 (30.6%) diaries eligible for analysis. Post-operative bleeding occurred in 44% of children. Most frequently blood in the saliva was reported (82.9%). Increasing age significantly increased bleeding odds by 17% per year (p = .001). Bleeding frequency decreased with higher surgeon grade (p = .003) and when performing intracapsular coblation tonsillectomy (p = .02) compared with other techniques. Lower age and intracapsular coblation tonsillectomy, against other techniques, significantly reduced rates of pain post-operatively (p < .0001 and p = .0008)., Conclusion: A high level of low-level post-operative bleeding was observed. Pain scores remained high for 5 days post-operatively then gradually reduce to normal by day 13. Intracapsular coblation tonsillectomy appears to be superior to all other techniques in terms of reducing post-operative bleeding and pain. These findings should be used to guide patients in the consent process to inform them of the expected nature of post-surgical recovery., (© 2023 The Authors. Clinical Otolaryngology published by John Wiley & Sons Ltd.)

Abstract: Addiction is a highly misunderstood and stigmatized chronic illness frequently encountered by health care providers during routine medical care. People with substance use disorders, in particular, face extraordinary stigma and bias when interacting with health care providers, including nurses. Stigma associated with addiction contributes to health inequities and is recognized as a significant barrier to people seeking and receiving necessary health care. Since patients often spend the most time with nurses in the clinical setting, nurses are ideally positioned to address addiction stigma. However, many nurses lack knowledge about addiction, stigma, and the impact of the words they use, whether in conversation or in clinical documentation. This article reviews the consequences of addiction stigma (labeling, stereotyping, or discrimination) and the steps nurses can take to reduce biases related to substance use. A case scenario based on our experience will be used to guide a discussion of opportunities for nurses to intervene and improve care., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)