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1.
Adv Mater ; : e2411015, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39350462

RESUMEN

The potential of hybrid perovskite/organic solar cells (HSCs) is increasingly recognized owing to their advantageous characteristics, including straightforward fabrication, broad-spectrum photon absorption, and minimal open-circuit voltage (VOC) loss. Nonetheless, a key bottleneck for efficiency improvement is the energy level mismatch at the perovskite/bulk-heterojunction (BHJ) interface, leading to charge accumulation. In this study, it is demonstrated that introducing a uniform sub-nanometer dipole layer formed of B3PyMPM onto the perovskite surface effectively reduces the 0.24 eV energy band offset between the perovskite and the donor of BHJ. This strategic modification suppresses the charge recombination loss, resulting in a noticeable 30 mV increase in the VOC and a balanced carrier transport, accompanied by a 5.0% increase in the fill factor. Consequently, HSCs that achieve power conversion efficiency of 24.0% is developed, a new record for Pb-based HSCs with a remarkable increase in the short-circuit current of 4.9 mA cm-2, attributed to enhanced near-infrared photon harvesting.

2.
Angew Chem Int Ed Engl ; : e202408615, 2024 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-39405444

RESUMEN

Various analogues of the alkylsilylacetylene group are frequently used as auxiliary groups to enhance the solubility and stability of the acene dimer core, widely used as platforms to investigate intramolecular singlet fission (iSF) mechanisms. However, while in the 2,2'-linked dimers they are primarily auxiliary groups, these are essential fragments of the bridging units in 6,6'/5,5'-linked dimers, the two preferred choices for dimerization. The starkly different iSF dynamics observed in the two variants raise the question of what role the acetylene bridges play. Here, we systematically designed a set of (oligo-)para-phenylene bridged 2,2'-linked pentacene dimers with an additional acetylene fragment in the bridging unit to mimic the structure of 6,6'-linked dimers. Contrasting the results with previously reported analogous 2,2'-linked and 6,6'-linked pentacene dimers reveals that the acetylene bridges contribute to significant conformational freedom. This effect provides a mechanism to promote spin evolution within the triplet pair to achieve free triplets but also offers new parasitic pathways for triplet-pair recombination, revealing that this structural motif can be both a boon and a nuisance. Additionally, our analysis reveals that these bridges directly modify the electronic states, highlighting significant pitfalls of the standard chromophore-bridge-chromophore framework used to design and interpret photophysics of iSF materials.

3.
Artículo en Inglés | MEDLINE | ID: mdl-39172607

RESUMEN

Most 360 virtual reality (VR) contents have been developed without considering that users could be affected by VR sickness. Accordingly, users' viewing safety has been steadily highlighted as a critical problem in the VR market. In this study, we investigate a novel VR sickness mitigation framework based on human visual characteristics for the rendered VR content. First, we build a large-scale 360 VR content database termed VRSP360 (VR Sickness and Presence 360) dedicated to the analysis of VR sickness and thoroughly conduct eye-tracking experiments to measure human perception. In the experiment, we observe that the users' gaze distribution is highly center-biased when they experience excessive VR sickness. From this observation, we design a foveated filtering framework that limits high-frequency textures in the peripheral view to mitigate VR sickness. Particularly, given the human visual system's (HVS) non-uniform resolution with respect to the fovea, we also adopt the foveation-based filtering method using the trade-off between sickness mitigation and presence conservation, which reduces any loss in perceptual quality despite the filtering. We further demonstrate that our framework can effectively compress visual information by applying foveated compression. In addition, we develop two metrics (visual texture index and perceptual information index) to measure the effective preservation of user-perceived information despite the filtration of peripheral vision textures by our proposed mitigation method. Through rigorous subjective evaluation on both original content and its VR-sickness-mitigated version, we demonstrate that the proposed framework successfully mitigates VR sickness with a reduction rate of  âˆ¼ 19% on the proposed dataset.

4.
Nat Chem ; 16(10): 1680-1686, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38898214

RESUMEN

The functional properties of organic semiconductors are defined by the interplay between optically bright and dark states. Organic devices require rapid conversion between these bright and dark manifolds for maximum efficiency, and one way to achieve this is through multiexciton generation (S1→1TT). The dark state 1TT is typically generated from bright S1 after optical excitation; however, the mechanistic details are hotly debated. Here we report a 1TT generation pathway in which it can be coherently photoexcited, without any involvement of bright S1. Using <10-fs transient absorption spectroscopy and pumping sub-resonantly, 1TT is directly generated from the ground state. Applying this method to a range of pentacene dimers and thin films of various aggregation types, we determine the critical material properties that enable this forbidden pathway. Through a strikingly simple technique, this result opens the door for new mechanistic insights into 1TT and other dark states in organic materials.

5.
J Am Chem Soc ; 146(15): 10833-10846, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38578848

RESUMEN

Multiexciton in singlet exciton fission represents a critical quantum state with significant implications for both solar cell applications and quantum information science. Two distinct fields of interest explore contrasting phenomena associated with the geminate triplet pair: one focusing on the persistence of long-lived correlation and the other emphasizing efficient decorrelation. Despite the pivotal nature of multiexciton processes, a comprehensive understanding of their dependence on the structural and spin properties of materials is currently lacking in experimental realizations. To address this gap in knowledge, molecular engineering was employed to modify the TIPS-tetracene structures, enabling an investigation of the structure-property relationships in spin-related multiexciton processes. In lieu of the time-resolved electron paramagnetic resonance technique, two time-resolved magneto-optical spectroscopies were implemented for quantitative analysis of spin-dependent multiexciton dynamics. The utilization of absorption and fluorescence signals as complementary optical readouts, in the presence of a magnetic field, provided crucial insights into geminate triplet pair dynamics. These insights encompassed the duration of multiexciton correlation and the involvement of the spin state in multiexciton decorrelation. Furthermore, simulations based on our kinetic models suggested a role for quintet dilution in multiexciton dynamics, surpassing the singlet dilution principle established by the Merrifield model. The integration of intricate model structures and time-resolved magneto-optical spectroscopies served to explicitly elucidate the interplay between structural and spin properties in multiexciton processes. This comprehensive approach not only contributes to the fundamental understanding of these processes but also aligns with and reinforces previous experimental studies of solid states and theoretical assessments.

6.
Mater Horiz ; 11(6): 1484-1494, 2024 Mar 18.
Artículo en Inglés | MEDLINE | ID: mdl-38224142

RESUMEN

The attention to materials with hot exciton channel and triplet-triplet fusion (TTF) mediated high-lying reverse intersystem crossing (hRISC) has been raised for their ability to convert non-emissive 'dark' triplets into radiative singlet excitons. This spin conversion process results in high exciton utilization efficiency (EUE) that exceeds the theoretical limits. Notably, it is known that such spin conversion processes from the high-lying excited triplet to the singlet state are facilitated by the orthogonal orbital transition effect governed by the El-Sayed's rule. In this study, an anthracene derivative with indenoquinoline substituent 7,7-dimethyl-9-(10-(4-(naphthalen-1-yl)phenyl)anthracen-9-yl)-7H-indeno[1,2-f]quinoline (2MIQ-NPA) was synthesized and analyzed to investigate whether the hRISC process occurs in these molecules, even when the El-Sayed's rule is not followed. The hRISC channels of the emitter were fully unraveled through DFT calculations and experiments, which were quantitatively subdivided using transient electroluminescence measurements. The results showed that 2MIQ-NPA, which does not follow the El-Sayed's rule and has a relatively strong spin-orbit coupling matrix element of 0.116 cm-1 between the high-lying triplet state of T4 and the lowest singlet state of S1, effectively converted triplet excitons into singlet excitons with an EUE of 64.3%, contributed by a direct hot exciton channel of 19.2% and a TTF-mediated hot exciton channel of 15.1%. Despite the low outcoupling efficiency, the non-doped device with 2MIQ-NPA achieved an excellent device performance with an external quantum efficiency of 7.0%.

7.
Nanomaterials (Basel) ; 14(2)2024 Jan 17.
Artículo en Inglés | MEDLINE | ID: mdl-38251172

RESUMEN

This study investigated the effect of temperature on the aspect-ratio etching of SiO2 in CF4/H2/Ar plasma using patterned samples of a 200 nm trench in a low-temperature reactive-ion etching system. Lower temperatures resulted in higher etch rates and aspect ratios for SiO2. However, the plasma property was constant with the chuck temperature, indicated by the line intensity ratio from optical emission spectroscopy monitoring of the plasma. The variables obtained from the characterization of the etched profile for the 200 nm trench after etching were analyzed as a function of temperature. A reduction in the necking ratio affected the etch rate and aspect ratio of SiO2. The etching mechanism of the aspect ratio etching of SiO2 was discussed based on the results of the surface composition at necking via energy-dispersive X-ray spectroscopy with temperature. The results suggested that the neutral species reaching the etch front of SiO2 had a low sticking coefficient. The bowing ratio decreased with lowering temperature, indicating the presence of directional ions during etching. Therefore, a lower temperature for the aspect ratio etching of SiO2 could achieve a faster etch rate and a higher aspect ratio of SiO2 via the reduction of necking than higher temperatures.

8.
J Am Chem Soc ; 145(38): 20883-20896, 2023 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-37705333

RESUMEN

Covalent dimers, particularly pentacenes, are the dominant platform for developing a mechanistic understanding of intramolecular singlet fission (iSF). Numerous studies have demonstrated that a photoexcited singlet state in these structures can rapidly and efficiently undergo exciton multiplication to form a correlated pair of triplets within a single molecule, with potential applications from photovoltaics to quantum information science. One of the most significant barriers limiting such dimers is the fast recombination of the triplet pair, which prevents spatial separation and the formation of long-lived triplet states. There is an ever-growing need to develop general synthetic strategies to control the evolution of triplets following iSF and enhance their lifetime. Here, we rationally tune the dihedral angle and interchromophore separation between pairs of pentacenes in a systematic series of bridging units to facilitate triplet separation. Through a combination of transient optical and spin-resonance techniques, we demonstrate that torsion within the linker provides a simple synthetic handle to tune the fine balance between through-bond and through-space interchromophore couplings that steer iSF. We show that the full iSF pathway from femtosecond to microsecond timescales is tuned through the static coupling set by molecular design and structural fluctuations that can be biased through steric control. Our approach highlights a straightforward design principle to generate paramagnetic spin pair states with higher yields.

9.
Angew Chem Int Ed Engl ; 62(33): e202302591, 2023 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-37117156

RESUMEN

We report a new strategy in which a thiolate-protected Ag25 nanocluster can be doped with open d-shell group 8 (Ru, Os) and 9 (Ir) metals by forming metal hydride (RuH2 , OsH2 , IrH) superatoms with a closed d-shell. Structural analyses using various experimental and theoretical methods revealed that the Ag25 nanoclusters were co-doped with the open d-shell metal and hydride species to produce superatom-in-superatom nanoclusters, establishing a novel superatom doping phenomenon for open d-shell metals. The synthesized superatom-in-superatom nanoclusters exhibited dopant-dependent photoluminescence (PL) properties. Comparative PL lifetime studies of the Ag25 nanoclusters doped with 8-10 group metals revealed that both radiative and nonradiative processes were significantly dependent on the dopant. The former is strongly correlated with the electron affinity of the metal dopant, whereas the latter is governed predominantly by the kernel structure changed upon the doping of the metal hydride(s).

10.
Artículo en Inglés | MEDLINE | ID: mdl-37022427

RESUMEN

Image inpainting methods leverage the similarity of adjacent pixels to create alternative content. However, as the invisible region becomes larger, the pixels completed in the deeper hole are difficult to infer from the surrounding pixel signal, which is more prone to visual artifacts. To help fill this void, we adopt an alternative progressive hole-filling scheme that hierarchically fills the corrupted region in the feature and image spaces. This technique allows us to utilize reliable contextual information of the surrounding pixels, even for large hole samples, and then gradually complete the details as the resolution increases. For a more realistic representation of the completed region, we devise a pixel-wise dense detector. By distinguishing each pixel as whether it is a masked region or not, and passing the gradient to all resolutions, the generator further enhances the potential quality of the compositing. Furthermore, the completed images at different resolutions are then merged using a proposed structure transfer module (STM) that incorporates fine-grained local and coarse-grained global interactions. In this new mechanism, each completed image at the different resolutions attends its closest composition at fine granularity adjacent image and thus can capture the global continuity by interacting both short- and long-range dependencies. By comparing our solutions qualitatively and quantitatively with state-of-the-art methods, we conclude that our model exhibits a significantly improved visual quality, even in the case of large holes.

11.
Sensors (Basel) ; 23(5)2023 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-36904779

RESUMEN

Mobile edge computing has been proposed as a solution for solving the latency problem of traditional cloud computing. In particular, mobile edge computing is needed in areas such as autonomous driving, which requires large amounts of data to be processed without latency for safety. Indoor autonomous driving is attracting attention as one of the mobile edge computing services. Furthermore, it relies on its sensors for location recognition because indoor autonomous driving cannot use a GPS device, as is the case with outdoor driving. However, while the autonomous vehicle is being driven, the real-time processing of external events and the correction of errors are required for safety. Furthermore, an efficient autonomous driving system is required because it is a mobile environment with resource constraints. This study proposes neural network models as a machine-learning method for autonomous driving in an indoor environment. The neural network model predicts the most appropriate driving command for the current location based on the range data measured with the LiDAR sensor. We designed six neural network models to be evaluated according to the number of input data points. In addition, we made an autonomous vehicle based on the Raspberry Pi for driving and learning and an indoor circular driving track for collecting data and performance evaluation. Finally, we evaluated six neural network models in terms of confusion matrix, response time, battery consumption, and driving command accuracy. In addition, when neural network learning was applied, the effect of the number of inputs was confirmed in the usage of resources. The result will influence the choice of an appropriate neural network model for an indoor autonomous vehicle.

12.
IEEE Trans Pattern Anal Mach Intell ; 45(2): 1781-1797, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-35377839

RESUMEN

Predicting a 3D pose directly from a monocular image is a challenging problem. Most pose estimation methods proposed in recent years have shown 'quantitatively' good results (below  âˆ¼ 50mm). However, these methods remain 'perceptually' flawed because their performance is only measured via a simple distance metric. Although this fact is well understood, the reliance on 'quantitative' information implies that the development of 3D pose estimation methods has been slowed down. To address this issue, we first propose a perceptual Pose SIMilarity (PSIM) metric, by assuming that human perception (HP) is highly adapted to extracting structural information from a given signal. Second, we present a perceptually robust 3D pose estimation framework: Temporal Propagating Long Short-Term Memory networks (TP-LSTMs). Toward this, we analyze the information-theory-based spatio-temporal posture correlations, including joint interdependency, temporal consistency, and HP. The experimental results clearly show that the proposed PSIM metric achieves a superior correlation with users' subjective opinions than conventional pose metrics. Furthermore, we demonstrate the significant quantitative and perceptual performance improvements of TP-LSTMs compared to existing state-of-the-art methods.


Asunto(s)
Algoritmos , Postura , Humanos
13.
Artículo en Inglés | MEDLINE | ID: mdl-36374893

RESUMEN

Single-image 3-D reconstruction has long been a challenging problem. Recent deep learning approaches have been introduced to this 3-D area, but the ability to generate point clouds still remains limited due to inefficient and expensive 3-D representations, the dependency between the output and the number of model parameters, or the lack of a suitable computing operation. In this article, we present a novel deep-learning-based method to reconstruct a point cloud of an object from a single still image. The proposed method can be decomposed into two steps: feature fusion and deformation. The first step extracts both global and point-specific shape features from a 2-D object image, and then injects them into a randomly generated point cloud. In the second step, which is deformation, we introduce a new layer termed as GraphX that considers the interrelationship between points like common graph convolutions but operates on unordered sets. The framework can be applicable to realistic image data with background as we optionally learn a mask branch to segment objects from input images. To complement the quality of point clouds, we further propose an objective function to control the point uniformity. In addition, we introduce different variants of GraphX that cover from best performance to best memory budget. Moreover, the proposed model can generate an arbitrary-sized point cloud, which is the first deep method to do so. Extensive experiments demonstrate that we outperform the existing models and set a new height for different performance metrics in single-image 3-D reconstruction.

14.
Nat Commun ; 13(1): 5244, 2022 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-36068233

RESUMEN

Harvesting long-lived free triplets in high yields by utilizing organic singlet fission materials can be the cornerstone for increasing photovoltaic efficiencies potentially. However, except for polyacenes, which are the most studied systems in the singlet fission field, spin-entangled correlated triplet pairs and free triplets born through singlet fission are relatively poorly characterized. By utilizing transient absorption and photoluminescence spectroscopy in supramolecular aggregate thin films consisting of Hamilton-receptor-substituted diketopyrrolopyrrole derivatives, we show that photoexcitation gives rise to the formation of spin-0 correlated triplet pair 1(TT) from the lower Frenkel exciton state. The existence of 1(TT) is proved through faint Herzberg-Teller emission that is enabled by vibronic coupling and correlated with an artifact-free triplet-state photoinduced absorption in the near-infrared. Surprisingly, transient electron paramagnetic resonance reveals that long-lived triplets are produced through classical intersystem crossing instead of 1(TT) dissociation, with the two pathways in competition. Moreover, comparison of the triplet-formation dynamics in J-like and H-like thin films with the same energetics reveals that spin-orbit coupling mediated intersystem crossing persists in both. However, 1(TT) only forms in the J-like film, pinpointing the huge impact of intermolecular coupling geometry on singlet fission dynamics.

15.
J Am Chem Soc ; 144(34): 15539-15548, 2022 Aug 31.
Artículo en Inglés | MEDLINE | ID: mdl-35951363

RESUMEN

Perylene bisimides (PBIs) have received great attention in their applicability to optoelectronics. Especially, symmetry-breaking charge separation (SB-CS) in PBIs has been investigated to mimic the efficient light capturing and charge generation in natural light-harvesting systems. However, unlike ultrafast CS dynamics in donor-acceptor heterojunction materials, ultrafast SB-CS in a stacked homodimer has still been challenging due to excimer formation in the absence of rigidifying surroundings such as a special pair in the natural systems. Herein, we present the detailed mechanism of ultrafast photoinduced SB-CS occurring in a 1,7-bis(N-pyrrolidinyl) PBI dimer within a cyclophane. Through narrow-band and broad-band transient absorption spectroscopy, we demonstrate that ultrafast SB-CS in the dimer is enabled by the combination of (1) vibrationally coherent charge-transfer resonance-enhanced excimer formation and (2) breakdown of adiabaticity (formation of SB-CS diabats) in the excimer state via structural and solvent fluctuation. Quantum chemical calculations also underpin that the participation of strong electron-donating substituents in overall vibrational modes plays a crucial role in triggering the ultrafast SB-CS. Therefore, our work provides an alternative route to facilitate ultrafast SB-CS in PBIs and thereby establishes a novel strategy for the design of optoelectronic materials.

16.
Gels ; 8(2)2022 Jan 24.
Artículo en Inglés | MEDLINE | ID: mdl-35200458

RESUMEN

Carbon nanotubes (CNTs), having either metallic or semiconducting properties depending on their chirality, are advanced materials that can be used for different devices and materials (e.g., fuel cells, transistors, solar cells, reinforced materials, and medical materials) due to their excellent electrical conductivity, mechanical strength, and thermal conductivity. Single-walled CNTs (SWNTs) have received special attention due to their outstanding electrical and optical properties; however, the inability to selectively synthesize specific types of CNTs has been a major obstacle for their commercialization. Therefore, researchers have studied different methods for the separation of SWNTs based on their electrical and optical properties. Gel chromatography methods enable the large-scale separation of metallic/semiconducting (m/s) SWNTs and single-chirality SWNTs with specific bandgaps. The core principle of gel chromatography-based SWNT separation is the interaction between the SWNTs and gels, which depends on the unique electrical properties of the former. Controlled pore glass, silica gel, agarose-based gel, and allyl dextran-based gel have been exploited as mediums for gel chromatography. In this paper, the interaction between SWNTs and gels and the different gel chromatography-based SWNT separation technologies are introduced. This paper can serve as a reference for researchers who plan to separate SWNTs with gel chromatography.

17.
Adv Sci (Weinh) ; 9(19): e2200004, 2022 07.
Artículo en Inglés | MEDLINE | ID: mdl-35156332

RESUMEN

Exploration of novel biaryls consisting of two polycyclic aromatic hydrocarbon (PAH) units can be an important strategy toward further developments of organic materials with unique properties. In this study, 5,5'-bibenzo[rst]pentaphene (BBPP) with two benzo[rst]pentaphene (BPP) units is synthesized in an efficient and versatile approach, and its structure is unambiguously elucidated by X-ray crystallography. BBPP exhibits axial chirality, and the (M)- and (P)-enantiomers are resolved by chiral high-performance liquid chromatography and studied by circular dichroism spectroscopy. These enantiomers have a relatively high isomerization barrier of 43.6 kcal mol-1 calculated by density functional theory. The monomer BPP and dimer BBPP are characterized by UV-vis absorption and fluorescence spectroscopy, cyclic voltammetry, and femtosecond transient absorption spectroscopy. The results indicate that both BPP and BBPP fluoresce from a formally dark S1 electronic state that is enabled by Herzberg-Teller intensity borrowing from a neighboring bright S2 state. While BPP exhibits a relatively low photoluminescence quantum yield (PLQY), BBPP exhibits a significantly enhanced PLQY due to a greater S2 intensity borrowing. Moreover, symmetry-breaking charge transfer in BBPP is demonstrated by spectroscopic investigations in solvents of different polarity. This suggests high potential for singlet fission in such π-extended biaryls through appropriate molecular design.


Asunto(s)
Hidrocarburos Policíclicos Aromáticos , Cristalografía por Rayos X , Hidrocarburos Policíclicos Aromáticos/química , Solventes
18.
Angew Chem Int Ed Engl ; 61(13): e202114474, 2022 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-35075813

RESUMEN

In π-conjugated organic photovoltaic materials, an excimer state has been generally regarded as a trap state which hinders efficient excitation energy transport. But despite wide investigations of the excimer for overcoming the undesirable energy loss, the understanding of the relationship between the structure of the excimer in stacked organic compounds and its properties remains elusive. Here, we present the landscape of structural dynamics from the excimer formation to its relaxation in a co-facially stacked archetypical perylene bisimide folda-dimer using ultrafast time-domain Raman spectroscopy. We directly captured vibrational snapshots illustrating the ultrafast structural evolution triggering the excimer formation along the interchromophore coordinate on the complex excited-state potential surfaces and following evolution into a relaxed excimer state. Not only does this work showcase the ultrafast structural dynamics necessary for the excimer formation and control of excimer characteristics but also provides important criteria for designing the π-conjugated organic molecules.

19.
IEEE Trans Neural Netw Learn Syst ; 33(2): 554-566, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-33079678

RESUMEN

In a virtual reality (VR) environment, where visual stimuli predominate over other stimuli, the user experiences cybersickness because the balance of the body collapses due to self-motion. Accordingly, the VR experience is accompanied by unavoidable sickness referred to as visually induced motion sickness (VIMS). In this article, our primary purpose is to simultaneously estimate the VIMS score by referring to the content and calculate the temporally induced VIMS sensitivity. To seek our goals, we propose a novel architecture composed of two consecutive networks: 1) neurological representation and 2) spatiotemporal representation. In the first stage, the network imitates and learns the neurological mechanism of motion sickness. In the second stage, the significant feature of the spatial and temporal domains is expressed over the generated frames. After the training procedure, our model can calculate VIMS sensitivity for each frame of the VR content by using the weakly supervised approach for unannotated temporal VIMS scores. Furthermore, we release a massive VR content database. In the experiments, the proposed framework demonstrates excellent performance for VIMS score prediction compared with existing methods, including feature engineering and deep learning-based approaches. Furthermore, we propose a way to visualize the cognitive response to visual stimuli and demonstrate that the induced sickness tends to be activated in a similar tendency, as done in clinical studies.


Asunto(s)
Mareo por Movimiento , Realidad Virtual , Humanos , Mareo por Movimiento/etiología , Mareo por Movimiento/psicología , Redes Neurales de la Computación
20.
Medicina (Kaunas) ; 57(8)2021 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-34440950

RESUMEN

Background and Objectives: The current options for acute pain control of vertebral compression fracture include hard brace, vertebroplasty, early surgery, and analgesic injection. We hypothesize that the gray ramus communicans nerve block (GRNB) controls the acute pain experienced during vertebral compression fractures. This study assessed the time course of pain control after injection and evaluated the risk factors affecting pain control failure. Materials and methods: Sixty-three patients (24 male, 66.19 ± 15.17 y) with a thoracolumbar vertebral fracture at the T10-L5 spine, who presented to our hospital from November 2018 to October 2019, were included in this retrospective cohort study. GRNB was performed within 1 week of the trauma. The patients were followed up on days 3, 14, 30, 90, and 180 and assessed with the serial visual analog scale (VAS, resting and motion), Oswestry Low Back Disability (ODI) questionnaire, and Roland-Morris Disability Questionnaire (RDQ). The failure group was defined by the need for an additional block or cement injection after a single GRNB. The failure group's risk factors, such as body mass index, initial thoracolumbar injury classification and severity score, Kummel's disease, age, bone marrow density (BMD), and underlying disease, were analyzed. Results: The motion VAS score improved from preoperative to three months post-procedure, but the resting VAS was affected by the procedure for only three days. The quality of life index improved at postoperative six months. A lower BMD was the only risk that affected treatment failure in the logistic regression analysis (p = 0.0038). Conclusion: The effect of GRNB was maintained even at three months after trauma based on motion VAS results. The only risk factor identified for GRNB failure was lower BMD.


Asunto(s)
Dolor Agudo , Fracturas por Compresión , Bloqueo Nervioso , Fracturas Osteoporóticas , Fracturas de la Columna Vertebral , Fracturas por Compresión/complicaciones , Fracturas por Compresión/cirugía , Humanos , Masculino , Fracturas Osteoporóticas/cirugía , Calidad de Vida , Estudios Retrospectivos , Fracturas de la Columna Vertebral/complicaciones , Fracturas de la Columna Vertebral/cirugía , Resultado del Tratamiento
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