Robotic parathyroidectomy is a feasible technique for primary hyperparathyroidism.

PURPOSE: Focused parathyroidectomy is the gold standard treatment modality for primary hyperparathyroidism, which allows accurate preoperative localization. Robotic parathyroidectomy has emerged as a feasible procedure for focused parathyroidectomy. This study aimed to report the experiences of gasless robotic transaxillary parathyroidectomy for primary hyperparathyroidism in a single center. METHODS: We assessed the data obtained from patients who underwent gasless robotic parathyroidectomy with the transaxillary approach between December 2013 and August 2022 and were diagnosed with primary hyperparathyroidism at our institute. The data included clinical, biochemical, and pathological features and operation time. RESULTS: Of the 12 patients, 11 were women and one was a man. The median age of the patients was 44.5 years (range: 15-65 years). The median preoperative maximum mass diameters on ultrasonography and neck computed tomography were 1.2 ± 0.5 and 1.1 ± 0.6 cm, respectively. The median size of the postoperative maximum mass diameter in gross pathology was 1.3 ± 0.4 cm. The location of the enlarged parathyroid was left superior in five patients, right inferior in four, left inferior in three, and no right superior in one. In the final pathological examination, all cases were parathyroid adenomas. Only one case experienced a postoperative bleeding complication. At six months from surgery, average of an axillary scar length was 5.85 cm, and an average width was 0.21 cm. The mean operative time was 113 ± 48 min. The mean robot docking and console times were 9 ± 5 and 47 ± 52 min, respectively. CONCLUSIONS: Robotic transaxillary parathyroidectomy is a feasible technique in select patients with primary hyperparathyroidism and preoperatively localized disease. The gasless robotic transaxillary approach provides procedural safety as well as superior cosmetic results without a neck scar.

Large-scale transfer of Ag nanowires from PET to PC film using a roll-to-roll UV lamination process for a capacitive touch sensor.

Demand for flexible transparent sensors for futuristic cars is increasing since such sensors can enhance the freedom of design and aesthetic value in the interior of cars. Herein, we propose a unique roll-to-roll UV lamination process that can expedite large-scale Ag nanowire (AgNW) transfer for a flexible capacitive sensor, using a photocurable resin composed of an epoxy acrylate oligomer, a reactive monomer (1,6-hexanediol diacrylate), and a photoinitiator (1-hydroxycyclohexyl phenyl ketone). The acryl groups in the resin were rapidly crosslinked by UV irradiation, which facilitated the AgNWs transfer from a PET to a PC substrate with the speed of 1050 cm2 min-1 and enhanced the adhesion between the AgNWs and the PC substrate. Systematic experiments were performed to determine optimal fabrication parameters with respect to the UV dose, lamination pressure, and laser dicing conditions. At the optimal fabrication conditions, the sheet resistance of AgNWs on a PC film (PC-AgNW) was as small as 36.79 Ω sq-1, which was only 3.17% deviation from that on a PET film (PET-AgNW). Furthermore, the optical transmittance of the PC-AgNW exceeded 88% over the visible range, and it was greater than that of the PET-AgNW. Notably, the sheet resistance of the PC-AgNW was almost constant after 50 taping and peeling cycles, indicating remarkable adhesion to the substrate. Furthermore, a capacitive touch sensor was fabricated using the PC-AgNW, and its switching signals were presented with and without finger touch.

Preparation of high-quality YAG:Ce3+ ceramic phosphor by high-frequency induction heated press sintering methods.

This study investigates the characteristics of a ceramic phosphor (CP) for the converter of a high-power laser diode-based automobile headlamp synthesized by high-frequency induction heated press (HFP) sintering. The CP prepared by an HFP method exhibits remarkable optical properties that are comparable to spark plasma sintering. The effects of post-treatment process for controlling residual pores, as well as sintering temperature, sintering pressure and heating rate for optimization of the HFP sintering method, were studied. The HFP sintering process can be widely used in ceramics and lighting fields because it is designed relatively low cost compared to other techniques and exhibits excellent productivity.

Classification between Normal and Cancerous Human Urothelial Cells by Using Micro-Dimensional Electrochemical Impedance Spectroscopy Combined with Machine Learning.

Although the high incidence and recurrence rates of urothelial cancer of the bladder (UCB) are heavy burdens, a noninvasive tool for effectively detecting UCB as an alternative to voided urine cytology, which has low sensitivity, is yet to be reported. Herein, we propose an intelligent discrimination method between normal (SV-HUC-1) and cancerous (TCCSUP) urothelial cells by using a combination of micro-dimensional electrochemical impedance spectroscopy (µEIS) with machine learning (ML) for a noninvasive and high-accuracy UCB diagnostic tool. We developed a unique valved flow cytometry, equipped with a pneumatic valve to increase sensitivity without cell clogging. Since contact between a cell and electrodes is tight with a high volume fraction, the electric field can be effectively confined to the cell. This enables the proposed sensor to highly discriminate different cell types at frequencies of 10, 50, 100, 500 kHz, and 1 MHz. A total of 236 impedance spectra were applied to six ML models, and systematic comparisons of the ML models were carried out. The hyperparameters were estimated by conducting a grid search or Bayesian optimization. Among the ML models, random forest strongly discriminated between SV-HUC-1 and TCCSUP, with an accuracy of 91.7%, sensitivity of 92.9%, precision of 92.9%, specificity of 90%, and F1-score of 93.8%.

Cu(In,Ga)Se2 Solar Cells Integrated with Subwavelength Structured Cover Glass Fabricated by One-Step Self-Masked Etching.

We report an anti-reflective cover glass for Cu(In,Ga)Se2 (CIGS) thin film solar cells. Subwavelength structures (SWSs) were fabricated on top of a cover glass using one-step self-masked etching. The etching method resulted in dense whiskers with high aspect ratio. The produced structure exhibited excellent anti-reflective properties over a broad wavelength range, from the ultraviolet to the near infrared. Compared to a flat-surface glass, the average transmittance of the glass integrated with the SWSs improved from 92.4% to 95.2%. When the cover glass integrated with the SWSs was mounted onto the top of a CIGS device, the short-circuit current and the efficiency of the solar cell were enhanced by 4.38 and 6%, respectively, compared with a CIGS solar cell without cover glass.

Luminescent down-shifting CsPbBr3 perovskite nanocrystals for flexible Cu(In,Ga)Se2 solar cells.

To overcome the parasitic absorption of ultraviolet (UV) light in the transparent conductive oxide (TCO) layer of flexible Cu(In,Ga)Se2 (CIGS) thin film solar cells, a CsPbBr3 perovskite nanocrystal based luminescent down-shifting (LDS) layer was integrated on CIGS solar cells fabricated on a stainless steel foil. The CsPbBr3 perovskite nanocrystal absorbs solar irradiation at wavelengths shorter than 520 nm and emits photons at a wavelength of 532 nm. These down-shifted photons pass the TCO layer without parasitic absorption and are absorbed in the CIGS absorber layer where they generate photocurrent. By minimizing the parasitic absorption in the TCO layer, the external quantum efficiency (EQE) of the CIGS solar cell with the CsPbBr3 perovskite nanocrystal layer is highly improved in the UV wavelength range between 300 and 390 nm. Additionally, in the wavelength range between 500 and 1100 nm, the EQE is improved since the surface reflectance of the CIGS device with the CsPbBr3 perovskite LDS layer was reduced. This is because the CsPbBr3 perovskite nanocrystal layer, which has an effective refractive index of 1.82 at a wavelength of 800 nm, reduces the large refractive index mismatch between air (nair = 1.00) and the TCO layer (nZnO = 1.96 at a wavelength of 800 nm). Both the short circuit current density and power conversion efficiency of the flexible CIGS solar cell integrated with the CsPbBr3 perovskite are improved by 4.5% compared with the conventional CIGS solar cell without the CsPbBr3 perovskite LDS layer.

Ultrawide Spectral Response of CIGS Solar Cells Integrated with Luminescent Down-Shifting Quantum Dots.

Conventional Cu(In1-x,Gax)Se2 (CIGS) solar cells exhibit poor spectral response due to parasitic light absorption in the window and buffer layers at the short wavelength range between 300 and 520 nm. In this study, the CdSe/CdZnS core/shell quantum dots (QDs) acting as a luminescent down-shifting (LDS) layer were inserted between the MgF2 antireflection coating and the window layer of the CIGS solar cell to improve light harvesting in the short wavelength range. The LDS layer absorbs photons in the short wavelength range and re-emits photons in the 609 nm range, which are transmitted through the window and buffer layer and absorbed in the CIGS layer. The average external quantum efficiency in the parasitic light absorption region (300-520 nm) was enhanced by 51%. The resulting short circuit current density of 34.04 mA/cm2 and power conversion efficiency of 14.29% of the CIGS solar cell with the CdSe/CdZnS QDs were improved by 4.35 and 3.85%, respectively, compared with those of the conventional solar cells without QDs.