RESUMO
Objective: To assess the effectiveness and safety of non-surgical management for six heterotopic interstitial pregnancies.Material and methods: We retrospectively analyzed the data of six women diagnosed with heterotopic interstitial pregnancies who underwent non-surgical treatment at the CHA Bundang Medical Center between January 2007 and December 2017. Three heterotopic interstitial pregnancies were treated with sono-guided potassium chloride (KCl) injections. Two cases were managed expectantly. One heterotopic quadruplet pregnancy with twin, left interstitial, and tubal pregnancy was treated by sono-guided KCl injection and laparoscopic left salpingectomy. Complications and outcomes were measured.Results: Three cases were treated with sono-guided KCl injection and the intrauterine pregnancy continued to term. Intrauterine pregnancies were vaginally delivered without complications. One case that was treated expectantly was delivered at full term, while the other case resulted in spontaneous abortion. Quadruplet heterotopic pregnancy was successfully managed with sono-guided KCl injection and laparoscopic salpingectomy. Intrauterine twin pregnancy was successfully delivered by elective cesarean section at 37 + 0 weeks of gestation with healthy babies. Conclusions: KCl injection under ultrasonographic guidance could be a safer and more effective treatment option than surgical treatment in hemodynamically stable patients with fetal cardiac activity in interstitial pregnancy. Expectant management could be an option for patients with no fetal cardiac activity.
Assuntos
Laparoscopia , Gravidez Heterotópica , Gravidez Intersticial , Cesárea , Feminino , Humanos , Gravidez , Estudos RetrospectivosRESUMO
PURPOSE: To prevent perinatal morbidity and mortality of high-order multiple pregnancy (HOMP), multifetal pregnancy reduction (MPR) is offered to some patients. In this study, we investigated whether twin pregnancies derived from MPRs carry a higher adverse obstetrical outcome compared to non-reduced control group of twins. METHODS: We retrospectively analyzed the data from HOMPs on which transvaginal ER (n = 153) at a mean gestational age of 7.6 weeks or transabdominal FR (n = 59) at a mean gestational age of 12.4 weeks was performed between December 2006 and January 2018. The risk of each procedure was evaluated by comparing obstetrical outcome with that of a control population of 157 non-reduced twins conceived by infertility treatment. RESULTS: The mean gestational ages at delivery were 35.2 weeks in the ER group, 35.7 weeks in the FR group, and 34.1 weeks in the control group (P = NS). Compared with those in the control group, the ER group had higher miscarriage (1.3% vs. 6.5%; P = 0.047; OR 0.21; 95% CI 0.45-0.898) and higher overall fetal loss (3.8% vs. 14.4%; P = 0.003; OR 0.24; 95% CI 0.09-0.60) rates. Differently compared with those in the control group, the FR group had no statistical difference in miscarriage (2.5% vs. 1.7%; P=NS) and overall fetal loss (3.8% vs. 6.8%; P=NS) rates. CONCLUSIONS: Compared with the control group, ER in twins had a higher miscarriage and fetal loss rate, whereas FR in twins was similar to the control group. So, the FR procedure is overall a better and safer approach of MPR in reducing morbidity and mortality in HOMPs.
Assuntos
Redução de Gravidez Multifetal/métodos , Adulto , Feminino , Humanos , Gravidez , Resultado da Gravidez , Gravidez de Gêmeos , Cuidado Pré-Natal , Estudos RetrospectivosRESUMO
The adsorption of 1-dodecanethiol at room temperature and at 75 °C on submicron cuprous and cupric oxide particles suspended in ethanol has been investigated by X-ray photoelectron spectroscopy (XPS), Raman spectroscopy, and transmission electron microscopy. Thiol adsorption occurs in all cases via Cu-S bond formation, with partial dissolution of CuO at 75 °C and formation of a copper-thiolate complex replacement layer. Regardless of temperature, the surface of the CuO particles is essentially completely reduced to either Cu2O or metallic copper, as evidenced by loss of the characteristic Cu(2+) XPS features of dried powder samples. Companion ultrahigh-vacuum studies have been performed by dosing clean, oxygen-dosed, and ozone-treated single crystal Cu(111) with methanethiol (MT) gas at room temperature. In the latter case, the surface corresponds to CuO/Cu(111). XPS confirms MT adsorption in all cases, with an S 2p peak binding energy of 162.9 ± 0.1 eV, consistent with methanethiolate adsorption. Heating of MT-covered Cu(111) and oxygen-dosed Cu(111) leads to decomposition/desorption of the MT by 100 °C and formation of copper sulfide with an S 2p binding energy of 161.8 eV. Dosing CuO/Cu(111) with 50-200 L of MT leads to only partial reduction/removal of the CuO surface layers prior to methanethiolate adsorption. This is confirmed by ultraviolet photoelectron spectroscopy (UPS), which measures the occupied states near the Fermi level. For both the colloidal CuO and single crystal CuO/Cu(111) studies, the reduction of the Cu(2+) surface is believed to occur by formation and desorption of the corresponding dithiol prior to thiolate adsorption.
RESUMO
An integrated cellulose polymer concentrator/single-walled carbon nanotube (SWCNT) sensing system is demonstrated to detect benzene, toluene, and xylenes (BTX) vapors. The sensing system consists of functionalized cellulose as a selective concentrator disposed directly on top of a conductive SWCNT sensing layer. Functionalized cellulose concentrator (top layer) selectively adsorbs the target analyte and delivers the concentrated analyte as near as possible to the SWCNT sensing layer (bottom layer), which enables the simultaneous concentrating and sensing within a few seconds. The selectivity can be achieved by functionalizing cellulose acetate with a pentafluorophenylacetyl selector that interacts strongly with the target BTX analytes. A new design of the integrated cellulose concentrator/SWCNT sensing system allows high sensitivity with limits of detection for benzene, toluene, and m-xylene vapors of 55 ppm, 19 ppm, and 14 ppm, respectively, selectivity, and fast responses (<10 s to reach equilibrium), exhibiting the potential ability for on-site, real-time sensing applications. The sensing mechanism involves the selective adsorption of analytes in the concentrator film, which in turn mediates changes in the electronic potentials at the polymer-SWCNT interface and potentially changes in the tunneling barriers between nanotubes.
RESUMO
In this paper, a method for optimizing the mixing ratio of filler coke and binder for high-strength carbon-carbon composites is proposed. Particle size distribution, specific surface area, and true density were analyzed to characterize the filler properties. The optimum binder mixing ratio was experimentally determined based on the filler properties. As the filler particle size was decreased, a higher binder mixing ratio was required to enhance the mechanical strength of the composite. When the d50 particle size of the filler was 62.13 and 27.10 µm, the required binder mixing ratios were 25 and 30 vol.%, respectively. From this result, the interaction index, which quantifies the interaction between the coke and binder during carbonization, was deduced. The interaction index had a higher correlation coefficient with the compressive strength than that of the porosity. Therefore, the interaction index can be used in predicting the mechanical strength of carbon blocks and optimizing their binder mixing ratios. Furthermore, as it is calculated from the carbonization of blocks without additional analysis, the interaction index can be easily used in industrial applications.
RESUMO
We investigate the reassembly techniques for utilizing fine graphite particles, smaller than 5 µm, as high-efficiency, high-rate anode materials for lithium-ion batteries. Fine graphite particles of two sizes (0.4-1.2 µm and 5 µm) are utilized, and the mixing ratio of the two particles is varied to control the porosity of the assembled graphite. The packing characteristics of the assembled graphite change based on the mixing ratio of the two types of fine graphite particles, forming assembled graphite with varying porosities. The open porosity of the manufactured assembled graphite samples ranges from 0.94% to 3.55%, while the closed porosity ranges from 21.41% to 26.51%. All the assembled graphite shows improved electrochemical characteristics properties compared with anodes composed solely of fine graphite particles without granulation. The sample assembled by mixing 1.2 µm and 5 µm graphite at a 60:40 ratio exhibits the lowest total porosity (27.45%). Moreover, it exhibits a 92.3% initial Coulombic efficiency (a 4.7% improvement over fine graphite particles) and a capacity of 163.4 mAh/g at a 5C-rate (a 1.9-fold improvement over fine graphite particles).
RESUMO
The drive toward miniaturization of enzyme-based bioelectronics established a need for three-dimensional (3D) microstructured electrodes, which are difficult to implement using conventional manufacturing processes. Additive manufacturing coupled with electroless metal plating enables the production of 3D conductive microarchitectures with high surface area for potential applications in such devices. However, interfacial delamination between the metal layer and the polymer structure is a major reliability concern, which leads to device performance degradation and eventually device failure. This work demonstrates a method to produce a highly conductive and robust metal layer on a 3D printed polymer microstructure with strong adhesion by introducing an interfacial adhesion layer. Prior to 3D printing, multifunctional acrylate monomers with alkoxysilane (-Si-(OCH3)3) were synthesized via the thiol-Michael addition reaction between pentaerythritol tetraacrylate (PETA) and 3-mercaptopropyltrimethoxysilane (MPTMS) with a 1:1 stoichiometric ratio. Alkoxysilane functionality remains intact during photopolymerization in a projection micro-stereolithography (PµSLA) system and is utilized for the sol-gel reaction with MPTMS during postfunctionalization of the 3D printed microstructure to build an interfacial adhesion layer. This leads to the implementation of abundant thiol functional groups on the surface of the 3D printed microstructure, which can act as a strong binding site for gold during electroless plating to improve interfacial adhesion. The 3D conductive microelectrode prepared by this technique exhibited excellent conductivity of 2.2 × 107 S/m (53% of bulk gold) with strong adhesion between a gold layer and a polymer structure even after harsh sonication and an adhesion tape test. As a proof-of-concept, we examined the 3D gold diamond lattice microelectrode modified with glucose oxidase as a bioanode for a single enzymatic biofuel cell. The lattice-structured enzymatic electrode with high catalytic surface area was able to generate a current density of 2.5 µA/cm2 at 0.35 V, which is an about 10 times increase in current output compared to a cube-shaped microelectrode.
RESUMO
This study evaluated the effect of pitch coating on graphite anode materials used in lithium-ion batteries and investigated the mechanism whereby pitch coating improves the electrochemical properties. The FG (flake graphite) and pitch were mixed in weight ratios of 95:5-80:20. The mixture was pressed and prepared into a block form. Additionally, heat treatment was performed at 900 °C for 1 h and pulverized in the size range of 10-25 µm. The results showed that the particles of uniform pitch-coated graphite became more spherical. However, when the pitch is added excessively, pitch aggregation occurs rather than a thicker coating, indicating a nonuniform particle shape. Pitch has a randomly oriented structure and a small crystal size. Therefore, pitch serves as a lithium-ion diffusion pathway, resulting in an improved rate of performance. Notably, the uniform pitch-coated graphite exhibited an outstanding rate of performance owing to the relieving of particle orientation in the electrode rolling process. During the rolling process, the particles are oriented perpendicular to the lithium-ion diffusion pathway, making it difficult for the lithium ions to diffuse. Adding an excessive amount of pitch was found to deteriorate the rate of performance. Pitch aggregation increased the interfacial resistance by forming a heterogeneous surface.
RESUMO
The development of conductive inks is required to enable additive manufacturing of electronic components and devices. A gold nanoparticle (AuNP) ink is of particular interest due to its high electrical conductivity, chemical stability, and biocompatibility. However, a printed AuNP film suffers from thermally induced microcracks and pores that lead to the poor integrity of a printed electronic component and electrical failure under external mechanical deformation, hence limiting its application for flexible electronics. Here, we employ a multifunctional thiol as a cohesion enhancer in the AuNP ink to prevent the formation of microcracks and pores by mediating the cohesion of AuNPs via strong interaction between the thiol groups and the gold surface. The inkjet-printed AuNP electrode exhibits an electrical conductivity of 3.0 × 106 S/m and stable electrical properties under repeated cycles (>1000) of mechanical deformation even for a single printed layer and in a salt-rich phosphate-buffered saline solution, offering exciting potential for applications in flexible and 3D electronics as well as in bioelectronics and healthcare devices.
RESUMO
Inkjet printed organic thin films are being used for a variety of electronic and sensor applications with advantages that include ease of fabrication and reproducibility. Construction and use of a low-cost photometer based on a light-emitting diode (LED) light source and a photodiode detector are described. The photometer attaches to the exit of the printer with the transparent substrate onto which the film is printed passing between the LED and photodiode. By measuring the output voltage of the detector, the transmittance and absorbance of the inkjet printed film can be calculated in real-time. Since absorbance is linearly proportional to thickness in the Beer-Lambert regime, the thickness of the film may be monitored and controlled by varying the number of passes through the printer. Use of the photometer is demonstrated for inkjet printed films of monolayer-protected colloidal gold nanoparticles that function as chemical vapor sensors. The photometer may find applications in both research and quality control related to the manufacture of organic electronic devices and sensors and enables "feedback-controlled" inkjet printing.
Assuntos
Fotometria/instrumentação , Impressão/instrumentação , Absorção , Impedância Elétrica , Eletrônica/instrumentação , Eletrônica/métodos , Desenho de Equipamento , Compostos de Ouro , Nanopartículas Metálicas , Fotometria/métodos , Impressão/métodos , Fatores de Tempo , Raios UltravioletaRESUMO
Monolayer-protected gold nanoparticle films generally swell and increase their electrical resistance when exposed to organic vapors. Films of gold nanoparticles protected by 1H,1H,2H,2H-perfluorodecanethiol (PFDT) exhibit an anomalous response in which the resistance decreases for all vapors investigated. Electron microscopy illustrates that the PFDT-functionalized gold nanoparticles are hexagonally ordered with an interparticle separation of 3 nm. Quartz crystal microbalance measurements confirm substantial mass uptake, but the relatively large interparticle separation and insulating properties of the gold particles lead to a porous film whose electrical resistance is strongly influenced by changes in the relative permittivity and reversible, vapor-induced changes in film morphology.
RESUMO
A simple method for encapsulating zinc oxide nanoparticles within an organic matrix is described that consists of dispersing them in an ethanolic solution, adding an organothiol, and stirring while heating. Electron microscopy, photoemission, Raman spectroscopy, and thermal gravimetric analyses demonstrate that partial dissolution of the oxide occurs, accompanied by encapsulation within a matrix consisting of a 1:2 zinc/thiol complex. Using this methodology, it is possible to surround ZnO within diverse matrices, including fluorescent ones. The process is demonstrated for 1-dodecanethiol (DDT) and fluorescent 2-naphthalenethiol (NPT). For DDT, ZnO nanorods become surrounded by a layer of the zinc-thiol complex that is greater than 100 A thick. In the case of NPT, significantly greater dissolution of the ZnO occurs, with the encapsulated rods taking on a spherical geometry, as evidenced by electron microscopy.