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1.
Small ; 19(31): e2205957, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36610043

RESUMO

The discovery of carbon-based quantum dots (CQDs) has allowed opportunities for fluorescence bioimaging, tumor diagnosis and treatment, and photo-/electro-catalysis. Nevertheless, in the existing reviews related to the "bottom-up" approaches, attention is mainly paid to the applications of CQDs but not the formation mechanism of CQDs, which mainly derived from the high complexities during the synthesis of CQDs. Among the various synthetic methods, using small molecules as "building blocks", the development of a "bottom-up" approach has promoted the structural design, modulation of the photoluminescence properties, and control of the interfacial properties of CQDs. On the other hand, many works have demonstrated the "building blocks"-dependent properties of CQDs. In this review, from one of the most important variables, the relationships among intrinsic properties of "building blocks" and photoluminescence properties of CQDs are summarized. The topology, chirality, and free radical process are selected as descriptors for the intrinsic properties of "building blocks". This review focuses on the induction and summary of recent research results from the "bottom-up" process. Moreover, several empirical rules pertaining thereto are also proposed.

2.
Small ; 18(15): e2108090, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35142051

RESUMO

Two-dimensional (2D) CsPbI3 is developed to conquer the phase-stability problem of CsPbI3 by introducing bulky organic cations to produce a steric hindrance effect. However, organic cations also inevitably increase the formation energy and difficulty in crystallization kinetics regulation. Such poor crystallization process modulation of 2D CsPbI3 leads to disordered phase-arrangement, which impedes the transport of photo-generated carriers and worsens device performance. Herein, a type of C3 N quantum dots (QDs) with ordered carbon and nitrogen atoms to manipulate the crystallization process of 2D CsPbI3 for improving the crystallization pathway, phase-arrangement and morphology, is introduced. Combination analyses of theoretical simulation, morphology regulation and femtosecond transient absorption (fs-TA) characterization, show that the C3 N QDs induce the formation of electron-rich regions to adsorb bulky organic cations and provide nucleation sites to realize a bi-directional crystallization process. Meanwhile, the quality of 2D CsPbI3 film is improved with lower trap density, higher surface potential, and compact morphology. As a result, the power conversion efficiency (PCE) of the optimized device (n = 5) boosts to an ultra-high value of 15.63% with strengthened environmental stability. Moreover, the simple C3 N QDs insertion method shows good universality to other bulky organic cations of Ruddlesden-Popper and Dion-Jacobson, providing a good modulation strategy for other optoelectronic devices.

3.
Analyst ; 147(23): 5486-5494, 2022 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-36321989

RESUMO

In recent years, deep learning has been widely used in the field of Raman spectral classification. However, the majority of the training and test sets are generated by the same device (generally a portable Raman spectrometer), with little difference between them, and the trained model may not be directly applicable to other devices. In this study, we established a database of six cephalosporin Raman spectra and proposed a classification algorithm VGGNeXt for cephalosporin Raman spectra. VGGNeXt takes inspiration from ConvNeXt, borrows some tricks from Swin-T, and re-improves VGG. Training data were high-resolution spectra from a benchtop Raman spectrometer, and test data were low-resolution spectra from a portable Raman spectrometer. The impact of preprocessing and dataset size on algorithm accuracy was explored. The results show that our network outperforms other comparative algorithms in all cases. After preprocessing, the VGGNeXt model achieves 100% accuracy on both full and halved data sets, and 99.9% accuracy when there are only 10 data for each cephalosporin class. The results show that the experimental ideas and processing methods in this paper solve the problems of model transfer and instrument standardization to a certain extent, and the model has good robustness.


Assuntos
Cefalosporinas , Análise Espectral Raman , Análise Espectral Raman/métodos , Algoritmos
4.
Small ; 17(10): e2004867, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33511794

RESUMO

Those responsible for the development of sonosensitizers are faced with a dilemma between high sonosensitization efficacy and good biosecurity that limited the development of sonodynamic therapy (SDT). Herein, inspired by the intriguing therapeutic features of SDT and the potential catalytic activity of graphene quantum dots, the potential of N-doped graphene quantum dots (N-GQDs) to act as a sonosensitizer is demonstrated. The superior sonosensitization effect of N-GQDs is believed to be three to five times higher than that of traditional sonosensitizers (such as porphyrin, porphyrin Mn, porphyrin Zn, TiO2 , etc.). More importantly, the sonochemical mechanism of N-GQDs is revealed. Pyrrole N and pyridine N are believed to form catalytic centers in sonochemical processing of N-GQDs. This knowledge is important from the perspective of understanding the structure-dependent SDT enhancement of carbon nanostructure. Moreover, N-GQDs modified by folic acid (FA-N-GQDs) show a high marker rate for tumor cells (greater than 96%). Both in vitro and in vivo therapeutic results have exhibited high tumor inhibition efficiency (greater than 90%) of FA-N-GQDs as sonosensitizers while the oxidative stress response of tumor cells is activated through the PEX pathway and induced apoptosis via the p53 pathway.


Assuntos
Grafite , Pontos Quânticos , Piridinas , Pirróis , Espécies Reativas de Oxigênio
5.
Langmuir ; 37(1): 428-436, 2021 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-33356296

RESUMO

In recent years, one of the research directions of proton-exchange membrane fuel cells (PEMFCs) was to exploit efficient electrocatalysts for oxygen reduction reaction (ORR) instead of precious metals. In this study, on the basis of the density-functional theory (DFT) calculations, we designed a new type of single-atom ORR electrocatalyst by doping single iron atoms into the N-coordination cavity of the substrate graphite carbonitride (Fe/g-C3N4). The adsorption site and the adsorption energy of all the intermediates, the reaction energy barriers, potential energy surface, and Mulliken charges have been analyzed. The feasible ORR reaction paths and the most favorable ORR reaction mechanism were performed. Our calculation results prove that Fe/g-C3N4 is a potential electrocatalyst toward ORR. This work proposes a novel notion for the development of cathode materials in PEMFCs.

6.
Reprod Biomed Online ; 42(5): 973-982, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33785305

RESUMO

RESEARCH QUESTION: What are the correlations between male age, traditional semen parameters, sperm DNA fragmentation index (DFI) and high DNA stainability (HDS) in a sufficiently large sample size? DESIGN: Retrospective cohort study of 18,441 semen samples, with data divided into seven age groups according to male age: ≤25, 26-30, 31-35, 36-40, 41-45, 46-50 and ≥51 years. RESULTS: Age was negatively correlated with semen volume, total sperm count, motility and HDS, and positively correlated with sperm concentration and DFI (P < 0.001). After 35 years of age, semen volume and total sperm count began to decline. After 30 years of age, motility and HDS decreased consistently. Sperm concentration and DFI increased from 26-30 years of age. DFI was negatively correlated with sperm concentration, total sperm count, motility and normal morphology (P < 0.001) and positively correlated with semen volume and HDS (P < 0.001). HDS was negatively correlated with all parameters (P < 0.001) except semen volume (r = -0.013, P = 0.074) and DFI (r = 0.124, P < 0.001). Patients aged ≥40 years had higher DFI than those aged <40 years in the entire cohort, in the abnormal semen parameters cohort, and in the normal semen parameters cohort (OR 2.145, 2.042, 1.948, respectively, P < 0.001). The ≥40 years age group had a lower HDS than the <40 years age group in the entire cohort and abnormal semen parameters cohort (OR 0.719, 0.677, respectively, P < 0.001). CONCLUSIONS: Ageing is a negative effector of sperm quantity and quality, and routine sperm parameters have weak but significant correlations with sperm DNA/chromatin integrity.


Assuntos
Envelhecimento/patologia , Cromatina/patologia , Fragmentação do DNA , Análise do Sêmen/estatística & dados numéricos , Espermatozoides/patologia , Adolescente , Adulto , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
7.
J Org Chem ; 86(15): 10526-10535, 2021 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-34279941

RESUMO

Density functional theory (DFT) calculations were performed to investigate the mechanism of Pd(II)-catalyzed late-stage nondirected C(sp2)-H cyanation of toluene. We confirmed the resting state and catalytic active species of this stoichiometric reaction, and we calculated the full catalytic cycle to obtain a favorable reaction pathway. The DFT calculation results indicate that the morphology of the active species is essential for the observed concerted metalation/deprotonation step. Although C-H activation is reversible in principle, it is the regioselectivity- or product-determining step. Our calculation results show that the regioselectivity is not only influenced by the electron effects but also by the potential steric repulsion interactions between the substrates and the specific geometry of the catalyst. Interestingly, the transmetalation process involves the largest overall change in free energy; thus, transmetalation is defined as the rate-determining step and turnover-determining step.

8.
J Vasc Interv Radiol ; 32(10): 1470-1477.e1, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34352362

RESUMO

PURPOSE: To evaluate the efficacy and safety of placement of a modified microcoil for precise preoperative localization of solitary pulmonary nodules (SPNs) before video-assisted thoracoscopic surgery (VATS). MATERIALS AND METHODS: This prospective, single-arm, multicenter study included patients who underwent computed tomography (CT)-guided modified microcoil insertion prior to SPN resection by VATS between January 2018 and June 2018. The patient demographics, nodule characteristics, and histopathologic findings were recorded. The primary endpoints included efficacy and safety. RESULTS: A total of 96 patients (41 men and 55 women; mean age, 59.3 years ± 8.9) with 96 SPNs were eligible for enrolment in the study. The mean maximal transverse diameter of the nodules was 10.3 mm ± 5.2 (range, 8-20 mm). The mean time between CT-guided microcoil insertion and the start of the surgical procedure was 14.6 hours (range, 12-24 hours). The duration of the preoperative CT-guided microcoil localization procedure was 29 minutes ± 9 (range, 10-35 minutes), and the intraoperative fluoroscopy time was 0.7 minutes ± 0.7 (range, 0.5-3 minutes). The clinical success rate was 96.9% (93/96), and all nodules were successfully resected using VATS. One patient experienced asymptomatic pneumothorax, but there were no cases of pulmonary hemorrhage. CONCLUSIONS: SPN localization with the modified microcoil is feasible and safe. The modified microcoil can facilitate the thoracoscopic resection of SPNs.


Assuntos
Neoplasias Pulmonares , Nódulos Pulmonares Múltiplos , Nódulo Pulmonar Solitário , Feminino , Humanos , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/cirurgia , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Radiografia Intervencionista , Estudos Retrospectivos , Nódulo Pulmonar Solitário/diagnóstico por imagem , Nódulo Pulmonar Solitário/cirurgia , Cirurgia Torácica Vídeoassistida
9.
Sens Actuators B Chem ; 337: 129786, 2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-33753963

RESUMO

The rapid and sensitive diagnosis of the highly contagious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is one of the crucial issues at the outbreak of the ongoing global pandemic that has no valid cure. Here, we propose a SARS-CoV-2 antibody conjugated magnetic graphene quantum dots (GQDs)-based magnetic relaxation switch (MRSw) that specifically recognizes the SARS-CoV-2. The probe of MRSw can be directly mixed with the test sample in a fully sealed vial without sample pretreatment, which largely reduces the testers' risk of infection during the operation. The closed-tube one-step strategy to detect SARS-CoV-2 is developed with home-made ultra-low field nuclear magnetic resonance (ULF NMR) relaxometry working at 118 µT. The magnetic GQDs-based probe shows ultra-high sensitivity in the detection of SARS-CoV-2 due to its high magnetic relaxivity, and the limit of detection is optimized to 248 Particles mL‒1. Meanwhile, the detection time in ULF NMR system is only 2 min, which can significantly improve the efficiency of detection. In short, the magnetic GQDs-based MRSw coupled with ULF NMR can realize a rapid, safe, and sensitive detection of SARS-CoV-2.

10.
Small ; 16(48): e2004621, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33145929

RESUMO

Carbon-based quantum dots (CQDs), including spherical carbon dots and graphene quantum dots, are an emerging class of photoluminescent (PL) materials with unique properties. Great progress has been made in the design and fabrication of high-performance CQDs, however, the challenge of developing solid-state PL CQDs have aroused great interest among researchers. A clear PL mechanism is the basis for the development of high-performance solid-state CQDs for light emission and is also a prerequisite for the realization of multiple practical applications. However, the extremely complex structure of a CQD greatly limits the understanding of the solid-state PL mechanism of CQDs. So far, a variety of models have been proposed to explain the PL of solid-state CQDs, but they have not been unified. This review summarizes the current understanding of the solid-state PL of solid-state CQDs from the perspective of energy band theory and electronic transitions. In addition, the common strategies for realizing solid-state PL in CQDs are also summarized. Furthermore, the applications of CQDs in the fields of light-emitting devices, anti-counterfeiting, fingerprint detection, etc., are proposed. Finally, a brief outlook is given, highlighting current problems, and directions for development of solid-state PL of CQDs.

11.
Langmuir ; 35(3): 760-766, 2019 01 22.
Artigo em Inglês | MEDLINE | ID: mdl-30485105

RESUMO

Tunable photoluminescence performance of graphene quantum dots (GQDs) is one of the most important topics for the development of GQDs. In this paper, we report lattice-doped GQDs (boron-doped GQDs (B-GQDs) and phosphorus-doped GQDs (P-GQDs)). Because of the matched band structure, the fast energy transfer between blue-emitted B-GQDs (emission wavelength: 460 nm) and orange-emitted P-GQDs (emission wavelength: 630 nm) can induce an efficient fluorescence emission in P-GQDs once B-GQDs are excited under the optimal excitation wavelength of 460 nm. Moreover, with the effective energy transfer, the quantum yield of P-GQDs increased to 0.48, which is much higher than that of pure P-GQDs. We also demonstrated the potentials of this system for fluorescent bioimaging in vitro.

12.
Nanotechnology ; 30(37): 375703, 2019 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-31163404

RESUMO

Upconversion nanoparticle (UCNP)-based luminescence resonance energy transfer (LRET) systems are a powerful tool widely used to detect organic molecules or metal ions because of their simplicity and high sensitivity. The sandwich structure NaYF4:Er3+,Yb3+@NaYF4@NH2 UCNPs, as a highly selective and sensitive aqueous probe for detecting nitroaromatics, has been designed and prepared by a cothermolysis method and modified with polyetherimide to acquire amine groups on the surface of the core/shell UCNPs. The detection principle of nitroaromatics is based on LRET, which forms the Meisnheimer complex between the electron-deficient cyclobenzene of nitroaromatics and the electron-rich amino group on the surface of the sandwich structure UCNPs. As a consequence, nitroaromatics can be brought into close proximity to the sandwich structure UCNPs. With the increase of nitroaromatics (2,4,6-trinitrophenol and 2,4,6-trinitrotoluene) concentrations, the sandwich structure NaYF4:Er3+,Yb3+@NaYF4@NH2 UCNPs display a dramatic luminescent quenching effect at 407 nm and 540 nm under 980 nm excitation. The luminescent quenching intensity of the sandwich structure UCNPs is linearly correlated to the concentration of the nitroaromatics. The detection limit of 2,4,6-trinitrophenol (TNP) and 2,4,6-trinitrotoluene (TNT) are 0.78 and 0.77 ng ml-1, respectively. Therefore, the sandwich structure of NaYF4:Er3+,Yb3+@NaYF4@NH2 UCNPs can act as a valuable probe to detect nitroaromatics in public safety and security conditions.

13.
Langmuir ; 34(1): 250-258, 2018 01 09.
Artigo em Inglês | MEDLINE | ID: mdl-29249142

RESUMO

The controllable and efficient electrochemical preparation of highly crystalline graphene quantum dots (GQDs) in an aqueous system is still challenging. Here, we developed a weak electrolyte-based (typically an ammonia solution) electrochemical method to enhance the oxidation and cutting process and therefore achieve a high yield of GQDs. The yield of GQDs (3-8 nm) is 28%, approximately 28 times higher than the yield of GQDs prepared by other strong electrolytes. The whole preparation process can be accomplished within 2 h because of the effective free radical oxidation process and the suppressed intercalation-induced exfoliation in weakly ionized aqueous electrolytes. The GQDs also showed excellent crystallinity which is obviously better than the crystallinity of GQDs obtained via bottom-up approaches. Moreover, amino-functionalization of GQDs can be realized by manipulating the electrolyte concentration. We further demonstrate that the proposed method can also be expanded to other weak electrolytes (such as HF and H2S) and different anode precursor materials (such as graphene/graphite papers, carbon fibers, and carbon nanotubes).

14.
Pediatr Int ; 60(7): 618-625, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29663621

RESUMO

BACKGROUND: Children born to HIV-infected mothers are at risk for neurodevelopmental delay. Little is known about the neurodevelopmental outcomes of infants and toddlers born to HIV-positive mothers but who were not themselves infected by HIV, especially in poor rural areas. This study was conducted to compare developmental outcomes between young children who were HIV exposed but uninfected (HEU), and their HIV unexposed and uninfected (HUU) peers in rural Yunnan, China. METHODS: A total of 250 HEU children aged 6-36 months and 250 HUU children matched for age, gender and residency were recruited from rural Yunnan, China. Neurodevelopmental outcomes were measured using Bayley Scales of Infant and Toddler Development-Third Edition (Bayley III). Multivariate analysis was performed to adjust for potential confounding effects of caregiver demographic data, maternal health status, birth outcome and children's health status. RESULTS: HIV exposed but uninfected children had significantly lower composite scores in Bayley III assessment than HUU children (in the cognitive domain: 90.34 vs 92.75, P<0.05; in the adaptive behavior domain: 77.04 vs 80.80, P< 0.05). On stepwise logistic regression analysis, HIV exposure (OR, 1.45; 95%CI: 1.04-1.98) and child malnutrition (OR, 1.67; 95%CI: 1.09-2.23) were risk factors for below-average cognition development. Mother's low education and child anemia were significant risk factors for below-average motor and adaptive behavior development. CONCLUSION: Perinatal HIV infection may have a negative impact on neurodevelopment in young children. Other factors such as mother's education and child nutrition status may play important roles in child neurodevelopment, especially in resource-poor areas. Further studies are needed to examine the long-term effect of perinatal HIV infection on later childhood neurodevelopment.


Assuntos
Desenvolvimento Infantil , Infecções por HIV/complicações , Transtornos do Neurodesenvolvimento/epidemiologia , Complicações Infecciosas na Gravidez/epidemiologia , Transtornos da Nutrição Infantil/complicações , Transtornos da Nutrição Infantil/epidemiologia , Pré-Escolar , China/epidemiologia , Feminino , Humanos , Lactente , Masculino , Saúde Materna/estatística & dados numéricos , Mães , Transtornos do Neurodesenvolvimento/etiologia , Testes Neuropsicológicos , Gravidez , Efeitos Tardios da Exposição Pré-Natal , Fatores de Risco , População Rural
15.
Langmuir ; 33(4): 913-919, 2017 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-28061027

RESUMO

A thorough investigation of the oxidation mechanism of sp2-sp3 hybrid carbon materials is helpful for the morphological trimming of graphene. Here, porous graphene (PGN) was obtained via a free radical oxidation process. We further demonstrated the difference between traditional and free radical oxidation processes in sp2-sp3 hybrid carbon materials. The sp3 part of graphene oxide was oxidized first, and well-crystallized sp2 domains were reserved, which is different from the oxidation mechanism in a traditional approach. The obtained PGN shows excellent performance in the design of PGN-based detectable molecule separation or other biomedical applications.

16.
Nanotechnology ; 28(24): 245202, 2017 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-28319039

RESUMO

Graphene quantum dots (GQDs) have received much research attention, because of their useful structure and optical absorption/emission. We report the tunable amplified spontaneous emission (ASE) in GQD-doped cholesteric liquid crystal (CLC), which to the best of our knowledge has not been previously observed. The GQDs are uniformly dispersed with a weight ratio of 0.5 wt.% in CLC. Under optical excitation, typical ASE is triggered in the system at pump energies greater than 1.25 mJ cm-2. The emission peak at the long wavelength edge of the photonic bandgap shifts from 662 to 669 nm, as the working temperature is increased from 50 to 90 °C. The preparation of the combined GQDs and CLC is simple and low-cost, and the resulting material is photostable and non-toxic. Combining the GQD gain material with the self-assembled CLC resonator has potential in the fabrication of ASE source and laser devices.

17.
Analyst ; 141(3): 1052-9, 2016 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-26730814

RESUMO

The graphene quantum dot based fluorescent probe community needs unambiguous evidence about the control on the ion selectivity. In this paper, polyethylene glycol modified N-doped graphene quantum dots (PN-GQDs) were synthesized by alkylation reaction between graphene quantum dots and organic halides. We demonstrate the tunable selectivity and sensitivity by controlling the supramolecular recognition through the length and the end group size of the polyether chain on PN-GQDs. The relationship formulae between the selectivity/detection limit and polyether chains are experimentally deduced. The polyether chain length determines the interaction between the PN-GQDs and ions with different ratios of charge to radius, which in turn leads to a good selectivity control. Meanwhile the detection limit shows an exponential growth with the size of end groups of the polyether chain. The PN-GQDs can be used as ultrasensitive and selective fluorescent probes for Li(+), Na(+), K(+), Mg(2+), Ca(2+) and Sr(2+), respectively.


Assuntos
Grafite/química , Metais Alcalinos/química , Nitrogênio/química , Polietilenoglicóis/química , Pontos Quânticos/química , Alquilação , Fenômenos Ópticos
18.
Talanta ; 275: 126138, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-38677164

RESUMO

Raman spectroscopy is a general and non-destructive detection technique that can obtain detailed information of the chemical structure of materials. In the past, when using chemometric algorithms to analyze the Raman spectra of mixtures, the challenges of complex spectral overlap and noise often limited the accurate identification of components. The emergence of deep learning has introduced a novel approach to qualitative analysis of mixed Raman spectra. In this paper, we propose a deep learning-based Raman spectroscopy qualitative analysis algorithm (RST) by borrowing the ideas of convolutional neural network and Transformer. By transforming the Raman spectrum into 64 word vectors, the contribution weights of each word vector to the components are obtained. For the 75 spectral data used for validation, the positive identification rate can reach 100.00 %, the recall rate can reach 99.3 %, the average identification score can reach 9.51, and it is applicable to the fields of Raman and surface-enhanced Raman spectroscopy. Furthermore, compared with traditional CNN models, RST has excellent accuracy and robustness in identifying components in complex mixtures. The model's interpretability has been enhanced, aiding in a deeper understanding of spectroscopic learning patterns for future analysis of more complex mixtures.

19.
Nanomaterials (Basel) ; 14(9)2024 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-38727399

RESUMO

Graphene has achieved mass production via various preparative routes and demonstrated its uniqueness in many application fields for its intrinsically high electron mobility and thermal conductivity. However, graphene faces limitations in assembling macroscopic structures because of its hydrophobic property. Therefore, balancing high crystal quality and good aqueous dispersibility is of great importance in practical applications. Herein, we propose a tape-wrapping strategy to electrochemically fabricate water-dispersible graphene (w-Gr) with both excellent dispersibility (~4.5 mg/mL, stable over 2 months), and well-preserved crystalline structure. A large production rate (4.5 mg/min, six times faster than previous electrochemical methods), high yield (65.4% ≤5 atomic layers) and good processability are demonstrated. A mechanism investigation indicates that the rational design of anode configuration to ensure proper oxidation, deep exfoliation and unobstructed mass transfer is responsible for the high efficiency of this strategy. This simple yet efficient electrochemical method is expected to promote the scalable preparation and applications of graphene.

20.
Diagn Interv Radiol ; 2024 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-38293897

RESUMO

PURPOSE: Computed tomography (CT)-based body composition parameters and the hepatic venous pressure gradient (HVPG) are key characteristics in patients with liver cirrhosis. The present study aims to explore the correlation between CT-based body composition parameters and HVPG, as well as the difference in HVPG between patients with and patients without sarcopenia. METHODS: A literature search for studies reporting the correlation between HVPG and CT-based body composition parameters published in English up to August 2023 in four databases, Embase, MEDLINE (via PubMed), Web of Science, and Cochrane Library, was conducted. The correlation coefficient between HVPG and CT-based body composition parameters was the primary outcome, and the difference in the HVPG value between the sarcopenia and non-sarcopenia groups was the secondary outcome. A meta-analysis was conducted using a random-effects models. The methodologic quality was assessed using the Quality Assessment of Diagnostic Studies instrument. RESULTS: A total of 652 articles were identified, of which nine studies (n = 1,569) met the eligibility criteria. Among them, seven studies reported the primary outcome via the muscle index, five via the skeletal muscle index (SMI), two via the psoas-muscle-related index (PRI), and three via two adipose tissue indexes. A total of five studies reported the secondary outcome: four via SMI and one via PRI. No evidence of a significant correlation was determined between the various body composition parameters and the HVPG value, either in the muscle index or the adipose tissue index. Higher HVPG values were observed in patients with sarcopenia than in patients without sarcopenia [pooled standardized mean difference (SMD): 0.628 (-0.350, 1.606), P < 0.001; I2 = 92.8%; P < 0.001] when an Asian sarcopenia definition was adopted. In contrast, when a Western cut-off value was applied, the HVPG value was higher in patients without sarcopenia than in patients with sarcopenia [pooled SMD: -0.201 (-0.366, -0.037), P = 0.016; I2 = 0.00%; P = 0.785]. CONCLUSION: No sufficient evidence regarding a correlation between the CT-based body composition and HVPG value was discovered. The difference in the HVPG value between the sarcopenia and non-sarcopenia groups was likely dependent on the sarcopenic cut-off value.

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