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The purpose of this study was to evaluate the performance of biodegradable polymer sirolimus and ascorbic acid eluting stent systems with four commercially available drug-eluting stents (DES). We investigated the characterization of mechanical properties by dimension, foreshortening, recoil, radial force, crossing profile, folding shape, trackability, and dislodgement force. Additionally, we identify the safety and efficacy evaluation through registry experiments. Each foreshortening and recoil of D + Storm® DES is 1.3 and 3.70%, which has better performance than other products. A post-marketing clinical study to evaluate the performance and safety of D + Storm® DES is ongoing in real-world clinical settings. Two hundred one patients were enrolled in this study and have now completed follow-up for up to 1 month. No major adverse cardiovascular event (MACE) occurred in any subjects, confirming the safety of D + Storm® DES in the clinical setting. An additional approximately 100 subjects will be enrolled in the study and the final safety profile will be assessed in 300 patients. In conclusion, this study reported the objective evaluation of DES performance and compared the mechanical responses of four types of DES available in the market. There is little difference between the four cardiovascular stents in terms of mechanical features, and it can help choose the most suitable stent in a specific clinical situation if those features are understood. Graphical abstract.
Assuntos
Doença da Artéria Coronariana , Stents Farmacológicos , Humanos , Sirolimo , Ácido Ascórbico , Resultado do Tratamento , Polímeros , Implantes Absorvíveis , Desenho de PróteseRESUMO
Bimetallic PtNi nanoparticles have been considered as a promising electrocatalyst for oxygen reduction reaction (ORR) in polymer electrolyte membrane fuel cells (PEMFCs) owing to their high catalytic activity. However, under typical fuel cell operating conditions, Ni atoms easily dissolve into the electrolyte, resulting in degradation of the catalyst and the membrane-electrode assembly (MEA). Here, we report gallium-doped PtNi octahedral nanoparticles on a carbon support (Ga-PtNi/C). The Ga-PtNi/C shows high ORR activity, marking an 11.7-fold improvement in the mass activity (1.24 A mgPt-1) and a 17.3-fold improvement in the specific activity (2.53 mA cm-2) compared to the commercial Pt/C (0.106 A mgPt-1 and 0.146 mA cm-2). Density functional theory calculations demonstrate that addition of Ga to octahedral PtNi can cause an increase in the oxygen intermediate binding energy, leading to the enhanced catalytic activity toward ORR. In a voltage-cycling test, the Ga-PtNi/C exhibits superior stability to PtNi/C and the commercial Pt/C, maintaining the initial Ni concentration and octahedral shape of the nanoparticles. Single cell using the Ga-PtNi/C exhibits higher initial performance and durability than those using the PtNi/C and the commercial Pt/C. The majority of the Ga-PtNi nanoparticles well maintain the octahedral shape without agglomeration after the single cell durability test (30,000 cycles). This work demonstrates that the octahedral Ga-PtNi/C can be utilized as a highly active and durable ORR catalyst in practical fuel cell applications.
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A p-type ternary logic device with a stack-channel structure is demonstrated using an organic p-type semiconductor, dinaphtho[2,3-b:2',3'-f]thieno[3,2-b]thiophene (DNTT). A photolithography-based patterning process is developed to fabricate scaled electronic devices with complex organic semiconductor channel structures. Two layers of thin DNTT with a separation layer are fabricated via the low-temperature deposition process, and for the first time, p-type ternary logic switching characteristics exhibiting zero differential conductance in the intermediate current state are demonstrated. The stability of the DNTT stack-channel ternary logic switch device is confirmed by implementing a resistive-load ternary logic inverter circuit.
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Understanding sources and processes affecting atmospheric mercury (Hg) are key to enabling targeted Hg managements under the Minamata Convention on Mercury. We employed stable isotopes (δ202Hg, Δ199Hg, Δ201Hg, Δ200Hg, Δ204Hg) and backward air trajectories to characterize sources and processes affecting total gaseous Hg (TGM) and particulate bound Hg (PBM) in a coastal city, South Korea, subjected to atmospheric Hg sources of a local steel manufacturing industry, coastal evasion from the East Sea, and long-distance transport from East Asian countries. Based on the simulated airmasses and the isotopic comparison with TGM characterized from other urban, remote, and coastal sites, TGM evaded from the coastal surface of the East Sea (warm seasons) and from the land surface in high latitude regions (cold seasons) act as important sources relative to local anthropogenic emissions at our study location. Conversely, a significant relationship between Δ199Hg and concentrations of PBM (r2 = 0.39, p < 0.05) and a seasonally uniform Δ199Hg/Δ201Hg slope (1.15), except for summer (0.26), suggest that PBM is generally sourced from local anthropogenic emissions and subjected to Hg2+ photo-reduction on particles. The striking isotopic similarity between our PBM (δ202Hg; -0.86 to 0.49 , Δ199Hg; -0.15 to 1.10 ) and those previously characterized along the coastal and offshore regions of the Northwest Pacific (δ202Hg; -0.78 to 1.1 , Δ199Hg; -0.22 to 0.47 ) infer that anthropogenically emitted PBM from East Asia and those processed in the coastal atmosphere serves as a regional isotopic end-member. The implementation of air pollution control devices can reduce local PBM, while regional and/or multilateral efforts are required to manage TGM evasion and transport. We also anticipate that the regional isotopic end-member can be used to quantify the relative influence of local anthropogenic Hg emissions and complex processes affecting PBM in East Asia and other coastal regions.
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Anti-ambipolar switch (AAS) devices at a narrow bias region are necessary to solve the intrinsic leakage current problem of ternary logic circuits. In this study, an AAS device with a very high peak-to-valley ratio (â¼106) and adjustable operating range characteristics was successfully demonstrated using a ZnO and dinaphtho[2,3-b:2',3'-f]thieno[3,2-b]thiophene heterojunction structure. The entire device integration was completed at a low thermal budget of less than 200 °C, which makes this AAS device compatible with monolithic 3D integration. A 1-trit ternary full adder designed with this AAS device exhibits excellent power-delay product performance (â¼122 aJ) with extremely low power (â¼0.15 µW, 7 times lower than the reference circuit) and lower device count than those of other ternary device candidates.
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P-type ternary switch devices are crucial elements for the practical implementation of complementary ternary circuits. This report demonstrates a p-type ternary device showing three distinct electrical output states with controllable threshold voltage values using a dual-channel dinaphtho[2,3-b:2',3'-f]thieno[3,2-b]-thiophene-graphene barristor structure. To obtain transfer characteristics with distinctively separated ternary states, novel structures called contact-resistive and contact-doping layers were developed. The feasibility of a complementary standard ternary inverter design around 1 V was demonstrated using the experimentally calibrated ternary device model.
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Zeolites are widely used for capturing radioactive Cs+ and Sr2+, but the important structural factors determining their performance have not been clearly understood. To investigate the structure-property relationship, we prepared thirteen zeolites with various structures and Si/Al ratios. Ion-exchange experiments revealed that Cs+ exhibited an enhanced affinity to zeolites with high Si/Al ratios, which could be explained by the dielectric theory. Notably, zeolites containing 8-membered ring (8MR) showed extra-high Cs+ selectivity. Structural analysis using X-ray diffraction proved that Cs+ with an ionic diameter of 3.6 Å was selectively coordinated within 8MR having a cavity diameter of 3.6-4.1 Å. Such unique size-selective Cs+ coordination is analogous to ion complexation by macrocyclic organic ligands (e.g., crown ethers). Divalent Sr2+ showed decreasing affinity to zeolites as the Si/Al ratio increased, because of the increasing average Al-Al distance distribution. Sr2+ exchange exhibited an insignificant dependence on zeolite structures due to its strong hydration, which inhibited close interaction with zeolite frameworks. In terms of kinetics, Sr2+ exchange was significantly slower than Cs+ exchange because of the bulkiness of hydrated Sr2+ ions. Therefore, the micropore channels with large apertures (e.g., 12-membered ring) were beneficial for achieving fast ion-exchange kinetics, especially in the case of Sr2+.
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A two-dimensional (2D) WOx/ZnO stack reveals a unique carrier transport behavior, which can be utilized as a novel device element to achieve a very high on/off ratio (>106) and an off current density lower than 1 nA cm-2. These unique behaviors are explained by a dynamic band alignment between WOx and ZnO, which can be actively modulated by a gate bias. The performance of FET utilizing the WOx/ZnO stack is comparable to those of other 2D heterojunction devices; however, it has a unique benefit in terms of process integration because of very low temperature process capability (T < 110 °C). The high on/off switching with extremely low off current density utilizing the dynamic band alignment modulation at the WOx/ZnO stack can be a very useful element for future device applications, especially in monolithic 3D integration or flexible electronics.
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A quantum confined transport based on a zinc oxide composite nanolayer that has conducting states with mobility edge quantization is proposed and was applied to develop multi-value logic transistors with stable intermediate states. A composite nanolayer with zinc oxide quantum dots embedded in amorphous zinc oxide domains generated quantized conducting states at the mobility edge, which we refer to as "mobility edge quantization". The unique quantized conducting state effectively restricted the occupied number of carriers due to its low density of states, which enable current saturation. Multi-value logic transistors were realized by applying a hybrid superlattice consisting of zinc oxide composite nanolayers and organic barriers as channels in the transistor. The superlattice channels produced multiple states due to current saturation of the quantized conducting state in the composite nanolayers. Our multi-value transistors exhibited excellent performance characteristics, stable and reliable operation with no current fluctuation, and adjustable multi-level states.
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Recently, Pt3M (M = Fe, Ni, Co, Cu, etc.) intermetallic compounds have been highlighted as promising candidates for oxygen reduction reaction (ORR) catalysts. In general, to form those intermetallic compounds, alloy phase nanoparticles are synthesized and then heat-treated at a high temperature. However, nanoparticles easily agglomerate during the heat treatment, resulting in a decrease in electrochemical surface area (ECSA). In this study, we synthesized Pt-Fe alloy nanoparticles and employed carbon coating to protect the nanoparticles from agglomeration during heat treatment. As a result, Pt3Fe L12 structure was obtained without agglomeration of the nanoparticles; the ECSA of Pt-Fe alloy and intermetallic Pt3Fe/C was 37.6 and 33.3 m2 gPt-1, respectively. Pt3Fe/C exhibited excellent mass activity (0.454 A mgPt-1) and stability with superior resistances to nanoparticle agglomeration and iron leaching. Density functional theory (DFT) calculation revealed that, owing to the higher dissolution potential of Fe atoms on the Pt3Fe surface than those on the Pt-Fe alloy, Pt3Fe/C had better stability than Pt-Fe/C. A single cell fabricated with Pt3Fe/C showed higher initial performance and superior durability, compared to that with commercial Pt/C. We suggest that Pt3M chemically ordered electrocatalysts are excellent candidates that may become the most active and durable ORR catalysts available.