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1.
Artigo em Inglês | MEDLINE | ID: mdl-39368107

RESUMO

We investigate the irreversible adsorption of poly(3-hexylthiophene) (P3HT) polymer thin films on silicon dioxide/silicon (SiO2/Si) substrates during thermal annealing at a temperature below the melting temperature (Tm) but far above the glass transition temperature (Tg), i.e., Tg ≪ T = 170 °C < Tm, and its effect on their crystalline ordering and charge transport properties. It was found that short-time annealing enhances the molecular ordering of P3HT films, while prolonged thermal annealing gradually disrupts the crystalline structures and reduces the overall crystallinity of the film. Concurrently, thermal annealing at this temperature facilitates the slow irreversible adsorption of P3HT chains at the polymer-solid interface, resulting in the formation of a 1.7 Rg-thick (∼18 nm thick) adsorbed layer on SiO2/Si substrates that is fully amorphous and contains a large fraction of loosely adsorbed chains. We postulate that such irreversible adsorption is responsible for the reduced crystalline packing of P3HT at the polymer-solid interface at Tg ≪ T < Tm, which further disrupts the molecular ordering of the entire 46 nm thick P3HT film by a long-range perturbation effect. Electrical measurements using an organic field-effect transistor (OFET) device reveal that the enhanced charge carrier mobility of P3HT films correlates with an optimized annealing time at Tg ≪ T < Tm, which achieves a balance between maximizing molecular ordering and minimizing the impact of irreversible chain adsorption. These findings provide new insights into the underlying mechanism of thermal annealing in tailoring the structure and property of conjugated polymer thin films prepared on solid substrates.

2.
Artigo em Inglês | MEDLINE | ID: mdl-39365986

RESUMO

We present four-dimensional (4D) scanning transmission electron microscopy (STEM) analysis to obtain a high level of detail regarding the nanoscale ordering within largely disordered organic semiconducting polymers. Understanding nanoscale molecular ordering in semiconducting polymers is crucial due to its connection to the materials' important properties. However, acquiring such information in a spatially localized manner has been limited by the lack of a nanoscale experimental probe, weak signal from ordering, and radiation damage to the sample. By collecting nanodiffraction patterns with a high dynamic range pixelated detector, we acquired statistically robust, high signal-to-noise ratio diffraction patterns from semiconducting organic materials, including poly(3-hexylthiophene-2,5-diyl) (P3HT), P3HT/[6,6]-phenyl C61 butyric acid methyl ester, and indacenodithiophene-co-benzothiadiazole (IDTBT), which largely have disordered structures. Real-space images of the ordered domains were reconstructed from the 4D-STEM data set for a variety of scattering vectors and in-plane angles to capture the different molecular stacking distances and their in-plane orientation. These were then analyzed to obtain the average size of the ordered domains within the sample. Such measurements were arranged in a two-dimensional (2D) histogram, which showed a direct relationship between the type and size of molecular ordering. Complementary analyses, such as intensity variance and angular correlation, were applied to obtain ordering and symmetry information. These analyses enabled us to directly characterize the alkyl and π-π stacking of P3HT, as well as the fullerene domains caused by donor segregation in the P3HT sample. Furthermore, the analysis also captured changes in the P3HT domains when the fullerenes are incorporated. Lastly, IDTBT showed a much lesser degree of ordering without much disinclination between the domains within the 2D histogram. The 4D-STEM analysis that we report here unveils new details of molecular ordering that can be used to optimize the properties of this important class of materials.

3.
Angew Chem Int Ed Engl ; : e202417218, 2024 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-39377738

RESUMO

Photoexcited energy migration is prone to causing luminescence quenching in Mn2+ luminescent materials, presenting a formidable challenge for optoelectronic applications. Although various strategies and mechanisms have been proposed to mitigate this issue, the role of spin alignment between adjacent Mn2+ ions has remained largely unexamined. In this study, we have elucidated the influence of spin alignment on energy migration within the one-dimensional Mn2+-metal halide compound (CH3)4NMnCl3 (TMMC) through variable-temperature photoluminescence (PL) and magnetic-optical spectroscopy. This investigation was conducted with reference to (CH6N3)2MnCl4 (GUA) with isolated [Mn3Cl12]6- trimers and Cd2+-doped TMMC. The spin order in TMMC below approximately 55 K is demonstrated by the disorder-order transition observed in the temperature-dependent magnetic susceptibility. This finding is further corroborated by the negligible shift in the temperature- and field-dependent emission peaks, a consequence of magnetic saturation. Our results indicate that the antiparallel spin alignment along the Mn2+ chain in TMMC effectively suppresses energy migration and multiphonon relaxation, thereby reducing nonradiative transitions and enhancing the photoluminescence quantum yield (PLQY).This research casts new light on the potential for developing high-performance Mn2+-doped phosphors for optoelectronic and spin-photonic applications, offering insights into the manipulation of spin and energy dynamics in these materials.

4.
Entropy (Basel) ; 26(10)2024 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-39451939

RESUMO

Quantum-inspired algorithms represent an important direction in modern software information technologies that use heuristic methods and approaches of quantum science. This work presents a quantum approach for document search, retrieval, and ranking based on the Bell-like test, which is well-known in quantum physics. We propose quantum probability theory in the hyperspace analog to language (HAL) framework exploiting a Hilbert space for word and document vector specification. The quantum approach allows for accounting for specific user preferences in different contexts. To verify the algorithm proposed, we use a dataset of synthetic advertising text documents from travel agencies generated by the OpenAI GPT-4 model. We show that the "entanglement" in two-word document search and retrieval can be recognized as the frequent occurrence of two words in incompatible query contexts. We have found that the user preferences and word ordering in the query play a significant role in relatively small sizes of the HAL window. The comparison with the cosine similarity metrics demonstrates the key advantages of our approach based on the user-enforced contextual and semantic relationships between words and not just their superficial occurrence in texts. Our approach to retrieving and ranking documents allows for the creation of new information search engines that require no resource-intensive deep machine learning algorithms.

5.
Fundam Res ; 4(5): 1235-1242, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39431143

RESUMO

Tailoring the degree of structural disorder in Ge-Sb-Te alloys is important for the development of non-volatile phase-change memory and neuro-inspired computing. Upon crystallization from the amorphous phase, these alloys form a cubic rocksalt-like structure with a high content of intrinsic vacancies. Further thermal annealing results in a gradual structural transition towards a layered structure and an insulator-to-metal transition. In this work, we elucidate the atomic-level details of the structural transition in crystalline GeSb2Te4 by in situ high-resolution transmission electron microscopy experiments and ab initio density functional theory calculations, providing a comprehensive real-time and real-space view of the vacancy ordering process. We also discuss the impact of vacancy ordering on altering the electronic and optical properties of GeSb2Te4, which is relevant to multilevel storage applications. The phase evolution paths in Ge-Sb-Te alloys and Sb2Te3 are illustrated using a summary diagram, which serves as a guide for designing phase-change memory devices.

6.
Cureus ; 16(9): e69862, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39435201

RESUMO

Background Blood transfusion services are crucial for modern medical care, particularly for surgical interventions, chronic diseases, pregnancy complications, and malignancies. There is an increasing demand for blood products in India; hence, optimizing resource utilization in blood banks is essential. This study aims to evaluate the crossmatch-to-transfusion (C/T) ratio as a tool for analyzing and optimizing the utilization of blood bank resources. The C/T ratio of the various clinical departments will also identify inefficiencies in blood ordering practice and plan corrective actions. Methods A retrospective observational study was conducted at the Blood Center of Saveetha Medical College and Research Center. Data were collected over a three-month period from November 1, 2023, to January 31, 2024. Information was collected from crossmatch request forms, crossmatch registers, issue registers, and digital medical records. The study included all crossmatch requests received within the study period. The C/T ratio was calculated department-wise, and the departments with high C/T ratios were identified. Results In the study, 1,861 packed red blood cell (RBC) units were crossmatched, of which 797 units were issued. The overall hospital C/T ratio was 2.33, which indicates excessive blood ordering. The Department of Obstetrics and Gynaecology had the highest C/T ratio of 5.14, followed by Oncology (3.09), Urology (2.9), General Surgery (2.26), and Orthopaedics (2.08). These high ratios showed significant overordering and underutilization of crossmatched blood units. Conclusion This study revealed that the C/T ratio in the hospital exceeded international standards, especially among surgical departments. This indicates a need for optimizing blood ordering practices to reduce unnecessary crossmatches, minimize wastage, and enhance resource management. Implementing strategies to correct the high C/T ratio and regular auditing can improve blood transfusion services and ensure efficient utilization of blood products.

7.
Clin Med Res ; 22(3): 123-126, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39438147

RESUMO

Objective: To determine the rates of simultaneous antinuclear antibodies (ANA) screening and extractable nuclear antigen (ENA) testing that do not follow recommendations.Design, Setting, and Participants: Retrospective cohort study of adult patients (≥18 years) with a HEp-2 ANA or ENA ordered in the Marshfield Clinic Health System.Main Outcome(s) and Measure(s): Counts of patients having simultaneous ANA and ENA laboratory testing or ENA testing without ANA screening. Relevant ENA positivity in ANA negative patients. Secondary measures included relative timing of ANA and ENA ordering, potential cost savings of unnecessary testing, and provider ordering characteristics including specialty and provider type.Results: Of 58,627 cohort patients, 39,155 (66.8%) were women, and the mean (SD) age at first laboratory testing was 48.7 (19.0) years. The negative ANA with positive ENA rate was 2%. Further stratification identified only 23 diagnosed autoimmune connective tissue diseases (AI-CTDs) in this 2%, with a resulting negative ANA with relevant positive ENA rate of 0.37%. Simultaneous ANA and ENA testing occurred in 8.3% of patients, and an ENA only was ordered in 24.2% of patients. The simultaneous or non-sequential ordering of ANA and ENA testing resulted in significant health care costs of $2,293,251.80 over 20,112 unique patients.Conclusions and Relevance: A significant percentage of providers do not follow recommendations to sequentially order ANA and ENA testing on patients with suspected AI-CTDs. Significant saving in health care spending without failure to diagnose AI-CTDs can be achieved if ANA testing is performed first, followed by ENA testing when suspecting AI-CTDs in patients.


Assuntos
Anticorpos Antinucleares , Humanos , Feminino , Masculino , Anticorpos Antinucleares/sangue , Estudos Retrospectivos , Pessoa de Meia-Idade , Adulto , Antígenos Nucleares/imunologia , Idoso , Doenças do Tecido Conjuntivo/diagnóstico , Doenças do Tecido Conjuntivo/economia , Doenças do Tecido Conjuntivo/sangue , Doenças Autoimunes/diagnóstico , Doenças Autoimunes/economia , Doenças Autoimunes/sangue , Fatores de Tempo
8.
Angew Chem Int Ed Engl ; : e202414370, 2024 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-39441561

RESUMO

Effective intratumoral drug penetration is pivotal for successful cancer treatment. However, due to the disrupted capillary networks and poor perfusion in solid tumors, there exist challenges to realize autonomous directional drug penetration and controlled drug release within the tumor. Considering the specificity of glucose within tumor tissue, we draw inspiration from nature and engineer asymmetrical hollow structures exhibiting chemotaxis towards high glucose levels. By incorporating multiple shells into these structures, we enhance the local chemical concentration gradients, thereby improving cellular uptake and precise targeting. The advantages of anisotropic hollow multishell structure (a-HoMS) can be reflected from the diffusion coefficient and directivity, which increase by 73.4% and 265% respectively compared to conventional isotropic hollow spheres, achieving the most linear movement while ensuring the speed of movement. Furthermore, the multi-level porosity and temporal-spatial order of a-HoMS enable sequential drug delivery that inhibits angiogenesis with inducing cell apoptosis. After the eradication of localized tumor cells, the a-HoMS can automatically migrate to the alive tumor cells under the glucose gradient, inducing another cycle of drug delivery and chemotaxis, resulting in excellent antitumor efficacy. These anisotropic HoMS demonstrate intelligence, adaptability, and precision in tumor therapy, providing valuable insights for programmable treatment within tissues.

9.
Front Psychiatry ; 15: 1458509, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39398959

RESUMO

The ability to maintain and manipulate sequential information in working memory, referred to as sequential working memory, plays a vital role in our daily life. While research has shown that methamphetamine abuse affects the neural substrates and the overall functioning of working memory, its specific impact on sequential working memory remains unclear. In this study, we asked 62 abstinent methamphetamine-dependent participants and 59 control participants to complete a digit ordering task in which they saw four digits one-by-one over time and subsequently rearranged them in ascending order. The four digits were presented either randomly in the experimental condition or in ascending order in the control condition. Results show that methamphetamine-dependent participants performed worse than the controls in the experimental condition in which sequential working memory was needed to complete the task, but not in the control condition in which only short-term memory was needed. This finding demonstrates that methamphetamine abuse impairs sequential working memory.

10.
ACS Nano ; 18(41): 28095-28103, 2024 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-39366920

RESUMO

Highly ordered liquid crystalline (LC) phases have important potential for organic electronics. We studied the molecular alignment and domain structure in a columnar LC thin film with nanometer resolution during in situ heating using four-dimensional scanning transmission electron microscopy (4D STEM). The initial disordered vapor-deposited LC glass thin film rapidly ordered at its glass transition temperature into a hexagonal columnar phase with small (<10 nm), well-aligned, planar domains (columns oriented parallel to the surface). Upon further heating, the domains coarsen via bulk diffusion, then the film crystallizes, then finally transforms back to an LC phase at an even higher temperature. The LC phase at high temperature shows straight columns of molecules, which we attribute to structure inherited from the intermediate crystalline phase. Nanoscale 4D STEM offers direct insight into the mechanisms of domain reorganization, and intermediate crystallization is a potential approach to manipulate orientational order and texture at the nano- to mesoscale in LC thin films.

11.
ACS Nano ; 18(41): 28070-28080, 2024 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-39370661

RESUMO

Advanced n-type organic electrochemical transistors (OECTs) play an important part in bioelectronics, facilitating the booming of complementary circuits-based biosensors. This necessitates the utilization of both n-type and p-type organic mixed ionic-electronic conductors (OMIECs) exhibiting a balanced performance. However, the observed subpar electron charge transport ability in most n-type OMIECs presents a significant challenge to the overall functionality of the circuits. In response to this issue, we achieve high-performance OMIECs by leveraging a series of fused electron-deficient monodisperse oligomers with mixed alkyl and glycol chains. Through molecular ordering manipulation by optimizing of their alkyl side chains, we attained a record-breaking OECT electron mobility of 0.62 cm2/(V s) and µC* of 63.2 F/(cm V s) for bgTNR-3DT with symmetrical alkyl chains. Notably, the bgTNR-3DT film also exhibits the highest structural ordering, smallest energetic disorder, and the lowest trap density among the series, potentially explaining its ideal charge transport property. Additionally, we demonstrate an organic inverter incorporating bgTNR-3DT OECTs with a gain above 30, showcasing the material's potential for constructing organic circuits. Our findings underscore the indispensable role of alkyl chain optimization in the evolution of prospective high performance OMIECs for constructing advanced organic complementary circuits.

12.
Adv Mater ; : e2406351, 2024 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-39233545

RESUMO

The compositional tunability of non-isovalent multicomponent chalcogenide thin films and the extent of atomic ordering of their crystal structure is key to the performance of many modern technologies. In contrast, the effects of ordering are rarely studied for quantum-confined materials, such as colloidal nanocrystals. In this paper, the possibilities around composition tunability and atomic ordering are explored in ultrasmall ternary and quaternary quantum dots, taking I-III-VI-group Cu-Zn-In-Se semiconductor as a case study. A quantitative synthesis for 3.3 nm quaternary chalcogenide nanocrystals is developed and shown that cation and cationic vacancy ordering can be achieved in these systems consisting of only 100s of atoms. Combining experiment and theoretical calculations, the relationship between structural ordering and optical properties of the materials are demonstrated. It is found that the arrangement and ordering of cationic sublattice plays an important role in the luminescent efficiency. Specifically, the concentration of Cu-vacancy couples in the nanocrystal correlates with luminescence quantum yield, while structure ordering increases the occurrence of such optically active Cu-vacancy units. On the flip side, the detrimental impact of cationic site disorder in I-III-VI nanocrystals can be mitigated by introducing a cation of intermediate valence, such as Zn (II).

13.
J Phys Condens Matter ; 36(50)2024 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-39310963

RESUMO

In a recent manuscript, Lawrence Brightet al(2023J. Phys.: Condens. Matter35175501) reported the resonant inelastic x-ray scattering spectra of U3O8, as well as UN. Their goal was to identify electronic multiplets associated with a 5f1configuration with ground state2F5/2. Complete active space self-consistent field with spin-orbit coupling (CASSCF-SOC) predicted that2F5/2transitions should be observable at 190 and 328 meV. However, these energies were not accessible in their experiment. They suggested that the recent inelastic neutron scattering results of Miskowiecet al(2021Phys. Rev.B103205101) could have been sensitive to these transitions. Here we show that transitions of this possible origin appear in that dataset near 198, 262, 362, and potentially 448 meV.

14.
Stud Health Technol Inform ; 318: 96-101, 2024 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-39320188

RESUMO

The "Emergency Department Pathology Order Support Tool" (ED-POST) is an electronic laboratory test ordering decision support tool that aims to decrease variation in test ordering practices. As part of a larger project on the co-design, development, and evaluation of ED-POST, this study aimed to explore the workflow nuances that might affect the intended use of the digital decision support tool. Semi-structured, in-depth interviews were conducted with 15 ED clinicians involved in the laboratory test ordering process across the development and evaluation phases of ED-POST. Participants identified the expanded role of registered nurses in test ordering and the practice of ordering tests that are outside the ED's scope as contextual characteristics that can affect the use and perceived utility of the proposed ED-POST tool. Reconciling "work-as-imagined" with "work-as-done" in the design and development of electronic interventions is important in achieving interventions to improve the safe and effective use of pathology tests.


Assuntos
Sistemas de Apoio a Decisões Clínicas , Sistemas de Registro de Ordens Médicas , Fluxo de Trabalho , Serviço Hospitalar de Emergência , Humanos
15.
Chem Pharm Bull (Tokyo) ; 72(9): 776-780, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39218701

RESUMO

Protein kinase CK2 type α (CK2α) inhibitors are expected to be a new anticancer drug and a treatment for nephritis. Virtual screening for CK2α inhibitors has been conducted and active compounds with various scaffolds have been obtained. Research on compound optimization is currently in progress for some of them with the aim of improving their activity. This process involves the combination of various computational chemistry methods and crystal analyses. In this review, case studies of structure-based compound designs that have efficiently improved the activity of screening hit compounds, including compounds with a thiadiazole ring and a purine scaffold, are introduced.


Assuntos
Caseína Quinase II , Desenho de Fármacos , Inibidores de Proteínas Quinases , Caseína Quinase II/antagonistas & inibidores , Caseína Quinase II/metabolismo , Caseína Quinase II/química , Inibidores de Proteínas Quinases/química , Inibidores de Proteínas Quinases/farmacologia , Humanos , Relação Estrutura-Atividade , Estrutura Molecular , Cristalografia por Raios X , Avaliação Pré-Clínica de Medicamentos , Química Computacional
16.
Small ; : e2407232, 2024 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-39344524

RESUMO

2D topological materials with magnetic ordering have become hot topics due to their nontrivial band topology and quantum states. In this work, the second-order topological states and evolution of linear band crossing are successfully predicted utilizing the effective k· p and tight binding models in the intrinsic ferromagnetic VI3 monolayer under various effective Hubble interaction Ueff. Upon inclusion of spin orbit coupling, a small bandgap (Eg-1) of 12.7 meV is opened with a Chern invariant C = -1 at Ueff = 0 eV. The Eg-1 undergoes a transition from the non-trivial state to trivial state at Ueff = 0.80 eV, accompanied by the appearance of Dirac cone. Remarkably, the increase of Ueff causes the band inversion and adjustment of crystal symmetry, resulting in two unreported coexisting topological bandgaps (Eg-2 and Eg-3). Furthermore, a gapless node-loop appears at Ueff = 1.06 eV and disappears at Ueff = 1.09 eV around Γ point. Moreover, for the first time, the existence of second-order topological states with quantized corner fractional charges (e/3) is also observed in the VI3 monolayer at Ueff ≥0.96 eV. These results make the VI3 monolayer a compelling candidate for exploring topological devices.

17.
Sci Rep ; 14(1): 18020, 2024 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-39098878

RESUMO

The crystal of [C(NH2)3]2Zn(SO4)2 guanidine zinc sulfate was grown and its structure, dilatometric, dielectric, elastic and piezoelectric properties were studied in a broad temperature range, covering the phase transition point. The crystal undergoes a continuous phase transition at 178 K from the room temperature tetragonal phase with a space group I 4 ¯ 2 d to the tetragonal low temperature phase with a space group I 4 ¯ . The structural X-ray studies allowed proposing molecular mechanism associated with the rearrangement in the configuration of N-H⋯O hydrogen bonds and reorientation of guanidine cations in the structure, leading to a change in the symmetry of the low temperature phase. Results of thermal expansion and dielectric studies are typical of a structural nonferroelectric continuous transition. Also measurement of piezoelectric and elastic properties revealed small anomalies at 178 K. Below the transition temperature, a new piezoelectric component, that is a ferroelastoelectric macroscopic order parameter, was found.

18.
Cogn Neurodyn ; 18(4): 1789-1797, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39104675

RESUMO

Criticality, observed during second-order phase transitions, is an emergent phenomenon. The brain operates near criticality where complex systems exhibit high correlations. As a system approaches criticality, it develops "domain"-like regions with competing phases and increased spatio-temporal correlations that diverge. The dynamics of these domains depend on the system's proximity to criticality. This study explores the differences in the proximity to criticality of Alzheimer's-afflicted and cognitively normal brains through the use of a spin-lattice model derived from resting-state fMRI data and investigates the type of criticality found in the human brain - whether it is of the Ising class or something more complex. The temporal correlations in both groups display a stretched exponential nature, indicating closer alignment with the criticality of the spin-glass class rather than the Ising class. Longer relaxation times observed in cognitively normal subjects suggest increased proximity to the phase boundary. The weak distinction observed in the spatial characteristics related to proximity to criticality might once more point to a spin-glass scenario, necessitating nuanced order parameters to distinguish between phase-ordering in Alzheimer's and cognitively normal brains.

19.
J Clin Microbiol ; 62(9): e0060524, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39162437

RESUMO

Given the cost and unclear clinical impact of metagenomic next-generation sequencing (mNGS), laboratory stewardship may improve utilization. This retrospective observational study examines mNGS results from two academic medical centers employing different stewardship approaches. Eighty mNGS orders [54 cerebrospinal fluid (CSF) and 26 plasma] were identified from 2019 to 2021 at the University of Washington (UW), which requires director-level approval for mNGS orders, and the University of Utah (Utah), which does not restrict ordering. The impact of mNGS results and the relationship to traditional microbiology orders were evaluated. Nineteen percent (10/54) of CSF and 65% (17/26) of plasma studies detected at least one organism. Compared to CSF results, plasma results more frequently identified clinically significant organisms (31% vs 7%) and pathogens not detected by traditional methods (12% vs 0%). Antibiotic management was more frequently impacted by plasma versus CSF results (31% vs 4%). These outcome measures were not statistically different between study sites. The number and cumulative cost of traditional microbiology tests at UW were greater than Utah for CSF mNGS testing (UW: 46 tests, $6,237; Utah: 26 tests, $2,812; P < 0.05) but similar for plasma mNGS (UW: 31 tests, $3,975; Utah: 21 tests, $2,715; P = 0.14). mNGS testing accounted for 30%-50% of the total microbiology costs. Improving the diagnostic performance of mNGS by stewardship remains challenging due to low positivity rates and difficulties assessing clinical impact. From a fiscal perspective, stewardship efforts should focus on reducing testing in low-yield populations given the high costs of mNGS relative to overall microbiology testing expenditures. IMPORTANCE: Metagenomic next-generation sequencing (mNGS) stewardship practices remain poorly standardized. This study aims to provide actionable insights for institutions that seek to reduce the unnecessary usage of mNGS. Importantly, we highlight that clinical impact remains challenging to measure without standardized guidelines, and we provide an actual cost estimate of microbiology expenditures on individuals undergoing mNGS.


Assuntos
Centros Médicos Acadêmicos , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Estudos Retrospectivos , Metagenômica/métodos , Gestão de Antimicrobianos , Utah , Antibacterianos/uso terapêutico , Antibacterianos/farmacologia
20.
Sensors (Basel) ; 24(16)2024 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-39205076

RESUMO

In this article, we propose a distributed synchronization solution to achieve decentralized coordination in a system of collaborative robots. This is done by leveraging cloud-based computing and 5G technology to exchange causal ordering messages between the robots, eliminating the need for centralized control entities or programmable logic controllers in the system. The proposed solution is described, mathematically formulated, implemented in software, and validated over realistic network conditions. Further, the performance of the decentralized solution via 5G technology is compared to that achieved with traditional coordinated/uncoordinated cabled control systems. The results indicate that the proposed decentralized solution leveraging cloud-based 5G wireless is scalable to systems of up to 10 collaborative robots with comparable efficiency to that from standard cabled systems. The proposed solution has direct application in the control of producer-consumer and automated assembly line robotic applications.

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