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1.
Nanomaterials (Basel) ; 14(15)2024 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-39120351

RESUMO

In this study, fully aromatic polyether sulfones were developed, bearing blue, yellow, and orange-red π-conjugated semiconducting units. Carbazole-, anthracene-, and benzothiadiazole-based fluorophores are copolymerized with a diphenylsulfone moiety. A diphenylpyridine comonomer was additionally utilized, acting as both a solubilizing unit and a weak blue fluorescent group. Using this rationale, fluorescent polyarylethers with high molecular weights, up to 70 kDa, were developed, showing film formation ability and high thermal stability, while preserving excellent solubility in common organic, nonvolatile, and nonchlorinated solvents. Fine-tuning of the emission color was achieved through subtle changes of the comonomers' type and ratio. Single-chromophore-bearing copolymers emitted in the blue or the yellow region of the visible spectrum, while the dual-chromophore-bearing terpolymers emitted throughout the visible spectrum, resulting in white light emission. Solutions of 20 wt% in polar aprotic solvents at ambient conditions allowed the deposition of fluorescent copolyethers and printing from non-chlorinated solvents. All polyethers were evaluated for their structural and optoelectronic properties, and selected copolymers were successfully used in the emitting layer (EML) of organic light-emitting diode (OLED) devices, using either rigid or flexible substrates. Remarkable color stability was displayed in all cases for up to 15 V of bias voltage. The Commission Internationale de L'Eclairage (CIE) of the fabricated devices is located in the blue (0.16, 0.16), yellow (0.44, 0.50), or white region of the visible spectrum (0.33, 0.38) with minimal changes according to the ratio of the comonomers. The versatile methodology toward semiconducting polyethersulfones for polymer light-emitting diodes (PLEDs) developed herein led to the scaled-up production of luminescent polymers of up to 25 g of high-molecular-weight single batches, demonstrating the effectiveness of this approach as a straightforward tool to facilitate the synthesis of flexible and printable EMLs for large-area PLED coverage.

2.
Angew Chem Int Ed Engl ; 62(19): e202300529, 2023 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-36892571

RESUMO

Nowadays numerous thermally activated delayed fluorescence (TADF) polymers have been developed for PLEDs to realize high device performance and tunable emission colors. However, they often possess a strong concentration dependence on their luminescence including aggregation-caused quenching (ACQ) and aggregation-induced emission (AIE). Herein, we first report a nearly concentration-independent TADF polymer based on the strategy of polymerized TADF small molecules. It is found that when a donor-acceptor-donor (D-A-D) type TADF small molecule is polymerized through its long-axis direction, the triplet state is distributed along the polymeric backbone to effectively suppress the unwanted concentration quenching. Unlike the short-axis one with an ACQ effect, the photoluminescent quantum yield (PLQY) of the resultant long-axis polymer remains almost unchanged with the increasing doping concentration. Accordingly, a promising external quantum efficiency (EQE) up to 20 % is successfully achieved in a whole doping control window of 5-100 wt. %.

3.
ACS Appl Mater Interfaces ; 15(3): 4257-4266, 2023 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-36633305

RESUMO

Conjugated polymers featuring thermally activated delayed fluorescence (TADF) attract tremendous attention in both academic and industry communities due to their easy solution processing for fabricating large-area and low-cost high-performance polymer light-emitting diodes (PLEDs). However, current nondoped solution-processed PLEDs frequently encounter significant efficiency roll-offs and unreasonably high operating voltages at high brightness, especially for red-emitting polymers. Herein, we design hyperbranched conjugated polymers (HCPs) with D-A-D type TADF characteristics for high-performance red-emitting PLEDs. Multiple intramolecular charge transfer (ICT) channels induced by quasi-equivalent donors of the TADF core strongly boost the reverse intersystem crossing (RISC) process and singlet excitons radiative transition. Coupling with the efficient energy transfer process generated by structure advantages of HCPs, the strongly electron-withdrawing oxygen atoms located on the TADF cores further accelerate hole transportation from the host chains to the TADF cores. Under a rational regulation of the TADF core ratio, the related nondoped red-emitting device performs an outstanding performance with an EQEmax of 8.39% and exhibits no roll-off while the luminance is less than 100 cd/m2 and only 3.3% decrease at 500 cd/m2. Simultaneously, the EQE can maintain 7.4% under 1000 cd/m2. Furthermore, the corresponding nondoped device exhibits a low turn-on voltage of around 2.5 V and achieves a luminance of 500 cd/m2 at 3.5 V and even 1000 cd/m2 at 3.9 V. To our knowledge, this is the best performance among all nondoped red PLEDs with high brightness obtained at low operating voltage.

4.
Radiol Case Rep ; 17(10): 3587-3590, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35923344

RESUMO

Rasmussen's encephalitis (RE) is a relatively rare chronic inflammatory neurological disease that usually only affects one hemisphere of the brain. It primarily affects children under the age of 10, although it can also affect teens and adults, causing drug-resistant seizures, progressive hemiparesis, and dementia. RE presents as a challenging diagnosis with MRI as the cornerstone of the evaluation and nuclear imaging as a complementary tool. We'd like to present a case of a 12-year-old girl who was diagnosed with RE after an MRI. In this study, we examine the diagnostic criteria, differential diagnoses, and issues that underpin the diagnostic challenge in great detail.

5.
Front Neurol ; 13: 840247, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35370885

RESUMO

Objective: To investigate the association between lateralized periodic discharge (LPD) amplitude and seizure risk on an individual level in patients with structural brain abnormality. Methods: Retrospective case-control study of patients with structural brain abnormality undergoing continuous EEG monitoring was performed. We included 10 patients with LPDs and seizures as cases and 10 controls, patients with LPDs without seizure. Analysis was performed with a mixed-effects model with primary outcome measure of number of seizures per 8-h EEG epoch with fixed effects being variables of interest and random effect being subject ID. Results: Epochs with seizures showed a higher absolute amplitude (corrected p = 0.04) and a higher relative amplitude (corrected p = 0.04) of LPDs. Additionally, the number of seizures was higher in epochs that had LPDs with plus features (uncorrected p = 0.002) and LPDs with higher relative amplitude (uncorrected p = 0.005). Conclusion: Higher LPD amplitude is associated with increased risk of seizures on an individual patient level. A decreasing amplitude is suggestive of decreasing seizure risk, and may in fact be suggestive of decreasing ictal character of LPDs.

6.
Polymers (Basel) ; 13(1)2020 Dec 28.
Artigo em Inglês | MEDLINE | ID: mdl-33379190

RESUMO

Among solution-processable techniques, inkjet printing is a potential method for manufacturing low-cost and high-resolution polymer organic light-emitting diodes (PLEDs) for displays/solid-state lighting applications. Herein, we demonstrate use of the inkjet printed cesium carbonate (Cs2CO3) film as an electron injection interlayer. We have elaborated the Cs2CO3 ink using an alcohol-based solvent for the industrial-grade printhead. The printed Cs2CO3 layer morphology was investigated by means of an optical microscope and an atomic force microscope. The PLEDs based on emissive polymer (Super Yellow) with printed Cs2CO3 interlayer show a remarkable current efficiency and luminance compared to the PLEDs made without the Cs2CO3 layer. Such results suggest that the Cs2CO3 is a promising material for the formulation of the electron injecting inkjet inks. The possibility of inkjet printing of an efficient electron injecting layer enables in situ patterning of PLEDs' emission area. Such a simple and flexible technique can be applied for a wide range of applications such as signage, pictograms, advertising, smart packaging, etc.

7.
Epilepsy Res ; 166: 106429, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32693360

RESUMO

Periodic lateralized epileptiform discharges (PLEDs) or lateralized periodic discharges (LPDs) are a well-known variant of pathological EEG activity. However, the mechanisms underpinning the appearance of this pattern are not completely understood. The heterogeneity of the features derived from LPDs patterns, and the wide range of pathological conditions in which they occur, raise a question about the unifying mechanisms underlying these phenomena. This paper reassesses the current opinion surrounding LPDs which considers glutamate excitotoxicity to be the primary pathophysiological basis, and the penumbral region to be the main morphological substrate. Arguments in favour of this hypothesis are presented, with interpretations supported by evidence from recent literature involving clinical and experimental data. Presently, no single hypothesis places considerable emphasis on the pathochemical properties of LPDs, which are implicitly meaningful towards better understanding of the clinical significance of this pattern.


Assuntos
Encéfalo/fisiopatologia , Eletroencefalografia/métodos , Epilepsia/fisiopatologia , Periodicidade , Animais , Eletroencefalografia/tendências , Epilepsia/diagnóstico , Lateralidade Funcional/fisiologia , Humanos
8.
ACS Appl Mater Interfaces ; 11(28): 25351-25357, 2019 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-31259510

RESUMO

For efficient electron injection, a method to control the work functions (WFs) of ZnO electrodes in organic light-emitting devices (OLEDs) is reported in this study. First, ZnO was modified by doping of tetraalkylammonium salts (TRAX) into polyethylenimine ethoxylated (PEIE) for the WF control. Tetrabutylammonium salts (TBAX), where X = chloride, bromide, iodide, acetate, thiocyanate, and tetrafluoroborate anions, were doped into PEIE. A WF of nondoped PEIE-modified ZnO was 3.65 eV, whereas TBAX-doped PEIE-modified ZnO exhibited WFs ranging from 3.52 to 3.00 eV depending on the anion. TBAX salts exhibited different electron-donating capabilities depending on the anion, and the doping of TBAX with a large electron-donating capability exhibited a large WF reduction effect. In addition, tetraethyl- and tetrahexylammonium chlorides were doped into PEIE. PEIE doped with TRACl containing long alkyl chains exhibited a large WF reduction effect due to its low electron-accepting capabilities. In addition, the WF reduction mechanism was considered by the depth direction analysis of the PEIE:TBAX films. Finally, the ZnO/PEIE:TRAX bilayers were applied as electron injection layers in poly[2-methoxy-5-(2-ethylhexyloxy)-1,4-phenylenevinylene] emissive-layer-based OLEDs with an inverted structure. The ZnO/PEIE:TBAX devices with low WFs exhibited low driving voltages.

9.
Handb Clin Neurol ; 161: 109-119, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31307595

RESUMO

Stroke constitutes the third most common cause of death and the leading cause of acquired neurologic handicap. During ischemic stroke, very early after the onset of the focal perfusion deficit, excitotoxicity triggers a number of events that can further contribute to tissue death. Such events include peri-infarct depolarizations and spreading depolarizations (SDs) within the ischemic penumbra. SDs spread slowly through continuous gray matter at a typical velocity of 2-5mm/min. SDs exacerbate neuronal injury through prolonged ionic breakdown and SD-related hypoperfusion (spreading ischemia). Scalp EEG alone is not yet sufficient to reliably diagnose SDs. Hyperexcitability occurs in parallel, both in the acute and chronic phases of stroke. Stroke is a common cause of new-onset epileptic seizures after middle age and is the leading cause of symptomatic epilepsy in adults. The last part of this chapter is dedicated to noninvasive neurophysiologic techniques that can be used to promote stroke rehabilitation. These techniques mainly include repetitive transcranial magnetic stimulation and tDCS. These approaches are based on the concept of interhemispheric rivalry and aim at modulating the imbalance of cortical activities between both hemispheres resulting from stroke.


Assuntos
Acidente Vascular Cerebral/fisiopatologia , Animais , Humanos , Reabilitação do Acidente Vascular Cerebral/métodos
10.
Clin Neurophysiol ; 130(8): 1320-1328, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31185363

RESUMO

OBJECTIVE: To report intraoperative periodic focal epileptiform discharges (PFEDs) during awake craniotomy using high-density electrocorticography (HD-ECoG). METHODS: We retrospectively analyzed 81 patients undergoing awake craniotomy between 9/29/2016 and 7/5/2018. Intraoperative HD-ECoG was performed with direct electrocortical stimulation (DECS) for functional brain mapping. Real-time interpretation was performed and compared to scalp EEG when performed. Perioperative seizures, surgical complications, and characteristics of PFEDs were assessed. RESULTS: 69/81 patients (mean age 48.5 years) underwent awake surgery; 55 operated for brain tumor, 11 for epilepsy and 3 for cavernomas. A focal abnormality on brain MRI was present in 63/69 (91.3%) patients. 43/69 (62.3%) patients had seizures preoperatively, 4/69 (5.7%) had seizures during DECS. PFEDs were identified in 11 patients (15.9%); 2 on depth recording and 9 during intraoperative HD-ECoG. 32 patients (46.3%) had preoperative EEG. HD-ECoG detected more epileptiform discharges (EDs) than standard EEG (32/43; 74.4% vs 9/32; 28.1%) (p = <0.001). Of 9/43 patients with PFEDs on HD-ECoG, 7 patients also had scalp EEG but only one case had EDs (p = 0.02), and 0/32 had periodic EDs. CONCLUSIONS: Intraoperative PFEDs are novel, highly focal EDs approximating a single gyrus. In patients with brain tumors, PFEDs did not demonstrate a relationship to pre-operative seizures though has similarities to other common waveforms in patients with epilepsy. SIGNIFICANCE: PFEDs expand our understanding of the interictal-ictal continuum and highlight improved temporo-spatial information obtained from increasing sensor density during intracranial EEG recording.


Assuntos
Ondas Encefálicas , Eletrocorticografia/métodos , Epilepsia/fisiopatologia , Complicações Intraoperatórias/fisiopatologia , Monitorização Neurofisiológica Intraoperatória/métodos , Adolescente , Adulto , Idoso , Neoplasias Encefálicas/cirurgia , Craniotomia/efeitos adversos , Epilepsia/etiologia , Feminino , Humanos , Complicações Intraoperatórias/etiologia , Masculino , Pessoa de Meia-Idade
11.
ACS Appl Mater Interfaces ; 11(20): 18730-18738, 2019 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-31059224

RESUMO

Three classes of red phosphorescent polymers (PF-H- x, PF-DPO- x, and PF-DPA- x, where x denotes the mole content of Ir complex) have been designed and synthesized, where the C∧N ligand of the tethered dopant bis(2,4-diphenylquinolyl)iridium(acetylacetonate) is substituted by hydrogen (H), diphenylphosphine oxide (DPO), and diphenylamine (DPA), respectively. It is found that the electron-withdrawing DPO group can lower the lowest unoccupied molecular orbital (LUMO) level of the phosphor, whereas the electron-donating DPA group leads to an upshifted highest occupied molecular orbital (HOMO) level of the phosphor. Following a sequence of PF-DPA- x, PF-H- x, and PF-DPO- x, the electron trap depth between dopant and host is gradually up from 0.43 to 1.01 eV, and the hole trap depth is correspondingly down from 0.74 to 0.46 eV. As a result, PF-DPO- x achieves the most balanced charge transport in the emitting layer among these polymers, revealing a record-high luminous efficiency (LE) of 10.3 cd/A and Commission Internationale de L'Eclairage (CIE) coordinates of (0.62, 0.33) on the basis of the simple single-layer device structure. Compared with PF-H- x (3.8 cd/A) and PF-DPA- x (1.2 cd/A) containing the same Ir content, the significantly improved performance indicates that trap-assisted charge balance is a promising strategy to optimize the device efficiency of red phosphorescent polymers.

12.
Epilepsy Behav Case Rep ; 11: 26-30, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30603610

RESUMO

AIM: We describe a case of mesial temporal extraventricular neurocytoma (mtEVN) in a 23-year-old male presenting with drug-resistant seizures and review the literature on this rare tumor. METHODS: A PubMed search was queried using the MeSH term "neurocytoma" and key search terms "extraventricular", "temporal", and "epilepsy". Titles and abstracts were screened for temporal neurocytomas. References were reviewed to identify further studies. RESULTS: Twenty case reports were selected comparing the presentation, radiological, histopathological, and surgical outcomes of neocortex temporal EVNs (ntEVN) and mtEVNs. CONCLUSION: Gross total resection of mtEVNs under intraoperative electrocorticography monitoring typically affords an excellent prognosis and successful seizure control.

13.
ACS Appl Mater Interfaces ; 10(44): 38287-38293, 2018 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-30298717

RESUMO

Here, we have carried out a spectroscopic investigation on the operational organic light-emitting diodes (OLEDs) to determine the role of emission layer thickness on the optoelectronic performance of OLEDs based on a poly(9,9-dioctylfluorene- alt-benzothiadiazole) (F8BT) copolymer system. Our study shows that delayed fluorescence (DF) via triplet-triplet annihilation (TTA) contributes significantly to boost the OLED efficiency through its fractional contribution. Interestingly, we note that DF contribution varies as a function of the emissive layer thickness. From the time-resolved electroluminescence (TREL) and triplet absorption (under electrical excitation) studies, we have seen that the emissive layer thickness controls triplet exciton generation and decay processes. From TREL, we have also shown that singlet-triplet annihilation (STA) is the dominant fluorescence quenching mechanism in bulk of the emissive layer, whereas thinner devices have significant exciton quenching at the interface of the injection layer/F8BT. The strength of STA differs in thin versus thick samples, which has been correlated with the spectral & spatial overlap integral of singlet and triplet states. Hence, STA strength and triplet population density are critical parameters for an explanation of high efficiency in unusually thick F8BT OLEDs.

14.
ACS Appl Mater Interfaces ; 10(11): 9612-9619, 2018 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-29480008

RESUMO

Poly(9,9-dioctylfluorene) (PFO) has attracted significant interests owing to its versatility in electronic devices. However, changes in its optical properties caused by its various phases and the formation of oxidation defects limit the application of PFO in light-emitting diodes (LEDs). We investigated the effects of the addition of Triton X-100 (hereinafter shortened as TX) in poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) to induce interlayer diffusion between PEDOT:PSS and PFO to enhance the stability of the PFO phase and suppress its oxidation. Photoluminescence (PL) measurement on PFO/TX-mixed PEDOT:PSS layers revealed that, upon increasing the concentration of TX in the PEDOT:PSS layer, the ß phase of PFO could be suppressed in favor of the glassy phase and the wide PL emission centered at 535 nm caused by ketone defects formed by oxidation was decreased considerably. LEDs were then fabricated using PFO as an emission layer, TX-mixed PEDOT:PSS as hole-transport layer, and zinc oxide (ZnO) nanorods as electron-transport layer. As the TX concentration reached 3 wt %, the devices exhibited dramatic increases in current densities, which were attributed to the enhanced hole injection due to TX addition, along with a shift in the dominant emission wavelength from a green electroluminescence (EL) emission centered at 518 nm to a blue EL emission centered at 448 nm. The addition of TX in PEDOT:PSS induced a better hole injection in the PFO layer, and through interlayer diffusion, stabilized the glassy phase of PFO and limited the formation of oxidation defects.

15.
Neurodiagn J ; 57(3): 234-239, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28898175

RESUMO

Patients can have more than one neurological problem, and sorting out acute from chronic disease can be challenging. The authors report a middle-aged patient who presented with ataxia, right hemiparesis, and abnormal nystagmus. Magnetic resonance imaging (MRI) showed a Chiari and an arachnoid cyst with brainstem compression that appeared to explain his abnormal examination. Shortly after admission, he was noted to have intermittent abnormal behavior and confusion. History from family revealed significant acute and chronic psychiatric problems that appeared to explain his abnormal mental status; this delayed the diagnosis of intermittent complex partial seizures. The multitude of various symptoms resulted in a delay of the final diagnosis of Creutzfeldt-Jakob disease (CJD), which in retrospect explained the entire new physical examination, seizures, and mental status changes.


Assuntos
Malformação de Arnold-Chiari , Síndrome de Creutzfeldt-Jakob , Cistos Aracnóideos/complicações , Cistos Aracnóideos/diagnóstico por imagem , Cistos Aracnóideos/patologia , Cistos Aracnóideos/fisiopatologia , Malformação de Arnold-Chiari/complicações , Malformação de Arnold-Chiari/diagnóstico por imagem , Malformação de Arnold-Chiari/patologia , Malformação de Arnold-Chiari/fisiopatologia , Confusão/etiologia , Síndrome de Creutzfeldt-Jakob/complicações , Síndrome de Creutzfeldt-Jakob/diagnóstico por imagem , Síndrome de Creutzfeldt-Jakob/patologia , Síndrome de Creutzfeldt-Jakob/fisiopatologia , Diagnóstico Diferencial , Eletroencefalografia , Evolução Fatal , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Agitação Psicomotora/etiologia
16.
Adv Mater ; 29(22)2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28394455

RESUMO

A method to print two materials of different functionality during the same printing step is presented. In printed electronics, devices are built layer by layer and conventionally only one type of material is deposited in one pass. Here, the challenges involving printing of two emissive materials to form polymer light-emitting diodes (PLEDs) that emit light of different wavelengths without any significant changes in the device characteristics are described. The surface-energy-patterning technique is utilized to print materials in regions of interest. This technique proves beneficial in reducing the amount of ink used during blade coating and improving the reproducibility of printed films. A variety of colors (green, red, and near-infrared) are demonstrated and characterized. This is the first known attempt to print multiple materials by blade coating. These devices are further used in conjunction with a commercially available photodiode to perform blood oxygenation measurements on the wrist, where common accessories are worn. Prior to actual application, the threshold conditions for each color are discussed, in order to acquire a stable and reproducible photoplethysmogram (PPG) signal. Finally, based on the conditions, PPG and oxygenation measurements are successfully performed on the wrist with green and red PLEDs.

17.
Neurol Int ; 9(1): 6933, 2017 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-28286626

RESUMO

Drug-induced burst suppression (DIBS) is bihemispheric and bisymmetric in adults and older children. However, asymmetric DIBS may occur if a pathological process is affecting one hemisphere only or both hemispheres disproportionately. The usual suspect is a destructive lesion; an irritative or epileptogenic lesion is usually not invoked to explain DIBS asymmetry. We report the case of a 66-year-old woman with new-onset seizures who was found to have a hemorrhagic cavernoma and periodic lateralized epileptiform discharges (PLEDs) in the right temporal region. After levetiracetam and before anesthetic antiepileptic drugs (AEDs) were administered, the electroencephalogram (EEG) showed continuous PLEDs over the right hemisphere with maximum voltage in the posterior temporal region. Focal electrographic seizures also occurred occasionally in the same location. Propofol resulted in bihemispheric, but not in bisymmetric, DIBS. Remnants or fragments of PLEDs that survived anesthesia increased the amplitude and complexity of the bursts in the right hemisphere leading to asymmetric DIBS. Phenytoin, lacosamide, ketamine, midazolam, and topiramate were administered at various times in the course of EEG monitoring, resulting in suppression of seizures but not of PLEDs. Ketamine and midazolam reduced the rate, amplitude, and complexity of PLEDs but only after producing substantial attenuation of all burst components. When all anesthetics were discontinued, the EEG reverted to the original preanesthesia pattern with continuous non-fragmented PLEDs. The fact that PLEDs can survive anesthesia and affect DIBS symmetry is a testament to the robustness of the neurodynamic processes underlying PLEDs.

18.
Epileptic Disord ; 18(4): 440-446, 2016 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-27818370

RESUMO

It is unclear which patients with PLEDs will have associated seizures and therefore will need to be treated aggressively with antiepileptic medications. We present a prospective observational study of ten consecutive non-anoxic patients with PLEDs based on continuous 24-hour EEG monitoring. According to the EEG, five of the patients had seizures associated with PLEDs and five had PLEDs but no seizures. The aetiology included: neoplasm (n=1), cortical dysplasia (n=1), acute head trauma (n=1), encephalomalacia related to healed abscess (n=1), intra-parenchymal haemorrhage (n=1), and no structural lesion (n=5). All patients underwent brain MRI using diffusion-weighted imaging (DWI). We found that the five patients who had seizures with PLEDs on continuous EEG had restricted diffusion on DWI. In contrast, the five patients who had PLEDs but no seizures on continuous EEG did not show a restricted diffusion pattern on DWI. We will continue to prospectively assess DWI findings in this group of patients and encourage other centres to also review similar data. If our observation is replicated, this would indicate that restricted diffusion on brain MRI may be a useful marker to identify patients with PLEDs on their EEG who are likely to have associated seizures.


Assuntos
Imagem de Difusão por Ressonância Magnética/métodos , Fenômenos Eletrofisiológicos , Convulsões/diagnóstico , Eletroencefalografia , Humanos , Convulsões/diagnóstico por imagem
19.
Epilepsy Res ; 120: 55-64, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26719998

RESUMO

OBJECTIVE: Incidence and localization of cortical and thalamic peri-ictal diffusion-weighted imaging (DWI) abnormalities were investigated in patients with status epilepticus (SE). Clinical characteristics and EEG features were compared between patients with and without peri-ictal regional DWI restriction. Such correlations are important to improve the understanding of causes and significance of peri-ictal DWI restriction. METHODS: We retrospectively investigated 69 SE-patients treated in our emergency department in whom SE was confirmed by EEG and MRI including DWI was performed. RESULTS: 19/69 patients presented with peri-ictal DWI restriction: 18/19 with cortical restriction, 13 of them with additional thalamic restriction, and 1/19 with thalamic restriction only. 17/69 patients had DWI restrictions related to other pathologies, so that a possible overlap with peri-ictal DWI restriction could not be determined. In 33/69 patients no peri-ictal DWI restriction was detected. In contrast to SE-patients without DWI restriction, those with peri-ictal DWI restriction always presented with regional/unilateral epileptiform discharges (p<0.001). The EEG of SE-patients with peri-ictal DWI restriction was predominated by circumscribed periodic lateralized epileptiform discharges (PLEDs) (p<0.001) and by repetitive seizure patterns (p=0.009), while PLEDs occurred infrequently and EEG patterns were more variable in extent in patients without DWI restriction. Patients with peri-ictal diffusion had more often a quantitative disorder of consciousness (p=0.05) compared to patients without peri-ictal DWI restriction. No significant differences were found concerning age of patients, preceding generalized tonic-clonic seizures, and mortality. SIGNIFICANCE: Patients with peri-ictal DWI restriction presented with a rather uniform EEG pattern characterized by circumscribed PLEDs possibly resulting from local cortical metabolic disturbances and with intermittent seizure patterns. The frequently observed quantitative disorder of consciousness despite circumscribed EEG patterns could be related to epileptic activity in the temporal lobe and cortico-thalamic synchronization. The higher percentage of bilateral status patterns and subcortical lesions in patients without peri-ictal DWI restrictions suggest a different pathomechanism.


Assuntos
Encéfalo/patologia , Encéfalo/fisiopatologia , Estado Epiléptico/patologia , Estado Epiléptico/fisiopatologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Imagem de Difusão por Ressonância Magnética , Eletroencefalografia , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Estado Epiléptico/mortalidade
20.
Polymers (Basel) ; 8(2)2016 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-30979138

RESUMO

Light emission properties of a fluorene cross-conjugated polymer (PF⁻1) based on the monomer 4,7-bis[2-(9,9-dimethyl)fluorenyl] benzo[1,2,5]thiadiazole are reported. This polymer exhibits solubility at high concentrations, good processability into thin solid films of good quality and a broad emission band with a fluorescence quantum yield of approximately 1. Based on these features, in this paper we implemented the use of PF⁻1 as an active layer in polymer light-emitting diodes (PLEDs) and as a laser gain medium in solution. To get insight on the conducting properties of PF⁻1, two different electron injectors, poly [(9,9-bis(3'-(N,N-dimethylamino) propyl)-2,7-fluorene)-alt-2,7-(9,9⁻dioctylfluorene)] (PFN) and lithium fluoride (LiF), were used in a simple PLED architecture. PLEDs with the PFN film were found to exhibit better performance with a maximum luminous efficiency of 40 cd/A, a turn-on voltage (Von) of approximately 4.5 V and a luminance maximum of 878 cd/m² at 5.5 V, with a current density of 20 A/m². For the lasing properties of PF⁻1, we found a lasing threshold of around 75 µJ and a tunability of 20 nm. These values are comparable with those of rhodamine 6G, a well-known laser dye.

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