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1.
Langmuir ; 39(4): 1495-1506, 2023 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-36637970

RESUMO

Near-infrared (NIR)-emitting ZnGa2O4:Cr3+ (ZGO) persistent luminescent nanoparticles (PLNPs) have recently attracted considerable attention for diverse optical applications. The widespread use and promising potential of ZGO material in different applications arise from its prolonged post-excitation emission (several minutes to hours) that eliminates the need for continuous in situ excitation and the possibility of its excitation in different spectral regions (X-rays and UV-vis). However, the lack of precise control over particle size/distribution and its poor water dispersibility and/or limited colloidal stability required for certain biological applications are the major bottlenecks that limit its practical applications. To address these fundamental limitations, herein, we have prepared oleic acid (OA)-stabilized ZGO PLNPs with controlled size (7-12 nm, depending on the type of alcohol used in synthesis) and monodispersity. A further increase in size (8-21 nm), with a concomitant increase in persistent luminescence, could be achieved using a seed-mediated approach, employing the as-prepared ZGO PLNPs from the first synthesis as the seed and growing layers of the same material by adding fresh precursors. To remove their surface oleate groups and make the nanoparticles hydrophilic, two surface modification strategies were evaluated: modification with only poly(acrylic acid) (PAA) as the hydrophilic capping agent and modification with either PAA or cysteamine (Cys) as the hydrophilic capping agent in conjunction with BF4- as the intermediate surface modifier. The latter surface modifications involving BF4- conferred long-term (60 days and longer) colloidal stability to the nanoparticles in aqueous media, which is related to their favorable ζ potential values. The proposed generalized strategy could be used to prepare different kinds of surface-functionalized PLNPs with control of size, hydrophilicity, and colloidal stability and enhanced/prolonged persistent luminescence for diverse potential applications.

2.
J Phys Chem A ; 123(34): 7374-7383, 2019 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-31386369

RESUMO

Ultrafast transient absorption spectroscopy, NOESY-NMR, and EPR spectroscopy shed light on how π-π stacking interactions combined with electrostatic interactions can be used to form stable ion-pair complexes between pyrylium and tetraarylborate ions in which the interaction of the π-delocalized clouds promotes the observation of new radiative processes and also electron transfer processes excitation using visible light. The results exhibit a striking combination of properties, chemical stability and photophysical and photochemical events, that make these ion-pair complexes as a step toward the realization of chromophore/luminescent materials and also their use as a new monophotoinitiator system in radical polymerization reactions.

3.
J Nanosci Nanotechnol ; 19(7): 3772-3776, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-30764933

RESUMO

The diagnostics of the autoimmune hemolytic anemia (AIHA), a rare disease caused by autoantibody-induced hemolysis, is still prone to false positives for it is based on visual observation in the so-called Direct Coombs test. In this study, we developed a specific IgG hemolysis immunosensor produced with layer-by-layer (LbL) films containing a monoclonal antibody against human immunoglobulin (mAbIMUG) deposited along with a layer of silk fibroin (SF) derived from Bombyx mori cocoons. Adsorption of mAbIMUG on a SF layer was confirmed by the fluorescence emission band at 326 nm. Immunosensors were prepared with LbL films deposited on interdigitated gold electrodes for impedance spectroscopy and on screen printed carbon electrodes for electrochemical measurements. When the SF/mAbIMUGLbL film was exposed to healthy red blood cells (RBCs), no cell binding was observed by the optical microscopy images. In addition, no major changes were observed in the signals of the square wave voltammogram and in the impedance spectra. In contrast, the electrochemical signal was significantly increased and the dielectric loss curve shifted for the sensing units containing RBCs with the antibody attached on the surface ("sick cells"). Furthermore, cell attachment was so strong that optical images still showed covered electrodes even after washing in PBS buffer. The detection with two distinct methods seems promising for an effective diagnosis of AIHA.


Assuntos
Anemia Hemolítica Autoimune , Técnicas Biossensoriais , Fibroínas , Anticorpos Monoclonais , Humanos , Imunoensaio
4.
Nanotechnology ; 26(33): 335604, 2015 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-26222799

RESUMO

Ordered mesoporous, highly luminescent SiO2 particles have been synthesized by spray pyrolysis from solutions containing tetraethylorthosilicate (TEOS), Eu(NO3)3.6H2O, and cetyltrimethylammonium bromide (CTAB) as structure-directing agents. The 1,10-phenantroline (Phen) molecules were coordinated in a post-synthesis step by a simple wet impregnation method. In addition, other matrices were also prepared by the encapsulation of europium complex Eu(fod)3 (where fod = 6,6,7,7,8,8,8-heptafluoro-2,2-dimethyl-3,5-octanedionato) into mesoporous silica, and then the Phen molecules were encapsulated by different impregnation steps, after which the luminescence properties were investigated. The obtained materials were characterized by scanning electron microscopy (SEM), transmission electron microscopy (TEM), powder x-ray diffraction (XRD) and Fourier transform infrared (FTIR) spectroscopy. Powders with polydisperse spherical grains were obtained, displaying an ordered hexagonal array of mesochannels. Luminescence results revealed that Phen molecules had been successfully coordinated as an additional ligand in the Eu(fod)3 complex into the channels of the mesoporous particles without disrupting the structure.

6.
Nanoscale ; 16(12): 6286-6295, 2024 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-38451238

RESUMO

This study delves into the photoluminescent characteristics of solid-state hybrid carbon dots/LAPONITE® (CDLP). These hybrid materials were synthesized using the hydrothermal method with a precise pH control set at 8.5. The LAPONITE® structure remains intact without structural collapse, and we detected the possible deposition of carbon dots (CDs) aggregates on the clay mineral's edges. The use of different concentrations of citric acid (10-, 6-, 2- and 1-times weight/weight of LAPONITE® mass, maintaining the 1 : 1 molar ratio with ethylenediamine) during synthesis results in different CDs concentrations in CDLP-A (low precursors concentration) and CDLP-D (high concentration) with an amorphous structure and average size around 2.8-3.0 nm. The CDLP displayed visible photoluminescence emission in aqueous and powder, which the last underwent quenching according to lifetimes and quantum yield measurements. Low-temperature measurements revealed an enhancement of the non-radiative pathways induced by aggregation. Energy transfer modelling based on Förster-Dexter suggests an approximate mean distance of 9.5 nm between clusters of CDs.

7.
Nanoscale ; 16(14): 7248, 2024 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-38525560

RESUMO

Correction for 'Carbon dots on LAPONITE® hybrid nanocomposites: solid-state emission and inter-aggregate energy transfer' by Bruno S. D. Onishi et al., Nanoscale, 2024, https://doi.org/10.1039/d3nr06336d.

8.
Nanoscale Adv ; 6(5): 1486-1496, 2024 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-38419868

RESUMO

Luminescent nanoparticles have shown great potential for thermal sensing in bio-applications. Nonetheless, these materials lack water dispersibility that can be overcome by modifying their surface properties with water dispersible molecules such as cysteine. Herein, we employ LiYF4:Er3+/Yb3+ upconverting nanoparticles (UCNPs) capped with oleate or modified with cysteine dispersed in cyclohexane or in water, respectively, as thermal probes. Upconversion emission was used to sense temperature with a relative thermal sensitivity of ∼1.24% K-1 (at 300 K) and a temperature uncertainty of 0.8 K for the oleate capped and of 0.5 K for cysteine modified NPs. To study the effect of the cysteine modification in the heat transfer processes, the thermal conductivity of the nanofluids was determined, yielding 0.123(6) W m-1 K-1 for the oleate capped UCNPs dispersed in cyclohexane and 0.50(7) W m-1 K-1 for the cysteine modified UCNPs dispersed in water. Moreover, through the heating curves, the nanofluids' thermal resistances were estimated, showing that the cysteine modification partially prevents heat transfer.

9.
ACS Omega ; 9(29): 31855-31863, 2024 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-39072077

RESUMO

Biopolymers such as carboxymethyl cellulose and hyaluronic acid are alternative substrates for conformable organic light-emitting diodes (OLEDs). However, drawbacks such as mechanical stress susceptibility can hinder the device's performance under stretched conditions. To overcome these limitations, herein, we developed a nanocomposite based on CMC/HA (carboxymethyl cellulose/hyaluronic acid) and synthetic Laponite, intending to improve the mechanical strength without compromising the film flexibility and transparency (transmittance >80%; 380-700 nm) as substrates for conformable OLEDs. From XRD, FTIR, CP-MAS NMR, and TGA/DTG characterization techniques, it was possible to conclude the presence of Laponite randomly dispersed between the polymer chains. CMC/HA with 5% (w/w) Laponite, CMC/HA 5, presented a higher tensile strength (370.6 MPa) and comparable Young's modulus (51.0 ± 1.2 MPa) in comparison to the nanocomposites and pristine films, indicating a better candidate for the device's substrates. To produce the OLED, the multilayer structure ITO/MoO3/NPB/TCTA:Ir(ppy)3/TPBi:Ir(ppy)3/BPhen/LiF was deposited onto the CMC/HA 5 substrate. The OLEDs fabricated using CMC/HA 5 substrates showed higher luminance (12 kcd/m2) and irradiance (0.9 mW/cm2) values when compared with those based on commercial bacterial cellulose. However, the same device presented a lower efficiency (3.2 cd/A) due to a higher current density. Moreover, the OLED fabricated onto the Laponite-modified biopolymer presented reproducible behavior when submitted to continuous bending stress. Thus, CMC/HA 5 demonstrates potential as a transparent conductor substrate for biopolymer-based OLEDs with comparable performance to commercial bacterial cellulose features.

10.
Langmuir ; 29(11): 3829-34, 2013 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-23414139

RESUMO

The peptide NS5A-1 (PPLLESWKDPDYVPPWHG), derived from hepatitis C virus (HCV) NS5A protein, was immobilized into layer-by-layer (LbL) silk fibroin (SF) films. Deposition was monitored by UV-vis absorption measurements at each bilayer deposited. The interaction SF/peptide film induced secondary structure in NS5A-1 as indicated by fluorescence and circular dichroism (CD) measurements. Voltammetric sensor (SF/NS5A-1) properties were observed when the composite film was tested in the presence of anti-HCV. The peptide-silk fibroin interaction studied here showed new architectures for immunosensors based on antigenic peptides and SF as a suitable immobilization matrix.


Assuntos
Antígenos/química , Técnicas Biossensoriais/métodos , Fibroínas/química , Proteínas Imobilizadas/química , Nanoestruturas/química , Fragmentos de Peptídeos/química , Proteínas não Estruturais Virais/química , Sequência de Aminoácidos , Animais , Antígenos/imunologia , Proteínas Imobilizadas/imunologia , Dados de Sequência Molecular , Fragmentos de Peptídeos/imunologia
11.
Langmuir ; 29(19): 5878-88, 2013 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-23586677

RESUMO

A new highly luminescent europium complex with the formula [Eu(TTA)3(Bpy-Si)], where TTA stands for the thenoyltrifluoroacetone, (C4H3S)COCH2COCF3, chelating ligand and Bpy-Si, Bpy-CH2NH(CH2)3Si(OEt)3, is an organosilyldipyridine ligand displaying a triethoxysilyl group as a grafting function has been synthesized and fully characterized. This bifunctional complex has been grafted onto the surface of dense silica nanoparticles (NPs) and on mesoporous silica microparticles as well. The covalent bonding of [Eu(TTA)3(Bpy-Si)] inside uniform Stöber silica nanoparticles was also achieved. The general methodology proposed could be applied to any silica matrix, allowed high grafting ratios that overcome chelate release and the tendency to agglomerate. Luminescent silica-based nanoparticles SiO2-[Eu(TTA)3(Bpy-Si)], with a diameter of 28 ± 2 nm, were successfully tested as a luminescent labels for the imaging of Pseudomonas aeruginosa biofilms. They were also functionalized by a specific monoclonal antibody and subsequently employed for the selective imaging of Escherichia coli bacteria.


Assuntos
Biofilmes/crescimento & desenvolvimento , Escherichia coli/crescimento & desenvolvimento , Nanopartículas/química , Compostos Organometálicos/química , Pseudomonas aeruginosa/crescimento & desenvolvimento , Dióxido de Silício/química , Európio/química , Luminescência , Compostos Organometálicos/síntese química , Compostos de Organossilício/química , Tamanho da Partícula , Propriedades de Superfície
12.
Biomacromolecules ; 14(8): 2667-74, 2013 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-23782026

RESUMO

Natural rubber (NR) is a renewable polymer with a wide range of applications, which is constantly tailored, further increasing its utilizations. The tensile strength is one of its most important properties susceptible of being enhanced by the simple incorporation of nanofibers. The preparation and characterization of natural-rubber based nanocomposites reinforced with bacterial cellulose (BC) and bacterial cellulose coated with polystyrene (BCPS), yielded high performance materials. The nanocomposites were prepared by a simple and green process, and characterized by tensile tests, dynamical mechanical analysis (DMA), scanning electron microscopy (SEM), and swelling experiments. The effect of the nanofiber content on morphology, static, and dynamic mechanical properties was also investigated. The results showed an increase in the mechanical properties, such as Young's modulus and tensile strength, even with modest nanofiber loadings.


Assuntos
Celulose/química , Nanofibras/química , Borracha/química , Adsorção , Módulo de Elasticidade , Química Verde , Nanocompostos/química , Polimerização , Polissacarídeos Bacterianos/química , Poliestirenos/química , Espectroscopia de Infravermelho com Transformada de Fourier , Propriedades de Superfície , Resistência à Tração , Termogravimetria , Tolueno/química
13.
Chem Mater ; 35(17): 7229-7238, 2023 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-37719033

RESUMO

The unique tunable properties of glasses make them versatile materials for developing numerous state-of-the-art optical technologies. To design new optical glasses with tailored properties, an extensive understanding of the intricate correlation between their chemical composition and physical properties is mandatory. By harnessing this knowledge, the full potential of vitreous matrices can be unlocked, driving advancements in the field of optical sensors. We herein demonstrate the feasibility of using fluoride phosphate glasses co-doped with trivalent praseodymium (Pr3+) and ytterbium (Yb3+) ions for temperature sensing over a broad range of temperatures. These glasses possess high chemical and thermal stability, working as luminescent primary thermometers that rely on the thermally coupled levels of Pr3+ that eliminate the need for recurring calibration procedures. The prepared glasses exhibit a relative thermal sensitivity and uncertainty at a temperature of 1.0% K-1 and 0.5 K, respectively, making them highly competitive with the existing luminescent thermometers. Our findings highlight that Pr3+-containing materials are promising for developing cost-effective and accurate temperature probes, taking advantage of the unique versatility of these vitreous matrices to design the next generation of photonic technologies.

14.
Langmuir ; 28(8): 3962-71, 2012 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-22273517

RESUMO

Europium-doped lanthanide oxide RE(2)O(3):Eu(3+) (RE = Y or Gd) luminescent beads, with a spherical shape and a diameter of 150 ± 15 nm, have been modified by reaction with 3-aminopropyltriethoxysilane (APTES), in order to introduce reactive amine groups at their surfaces. The direct silanation has resulted in the formation of a nanometric layer at the surface of the beads, with an optimum grafting rate of 0.055 ± 0.005 mol APTES/mol RE(2)O(3). Fourier transform infrared (FTIR) and X-ray photoelectron (XPS) spectroscopies confirmed the condensation of an organosilane layer, made of cross-linked -O-Si-O-Si- and of groups -O-Si-R (with R = (CH(2))(3)NH(2) or O-Et). Titration of the accessible amine groups has been performed by simultaneously measuring the luminescence of grafted fluorescein isothiocyanate and that of core particles: there are about 2.3 × 10(4) (2.8 × 10(4)) -NH(2) per Y(2)O(3):Eu(3+) (Gd(2)O(3):Eu(3+)) bead. The isoelectronic point was shifted by one pH unit after APTES modification. The surface modification by APTES at least preserved (for Gd(2)O(3):Eu(3+)) or improved (for Y(2)O(3):Eu(3+)) the red emission of the beads.


Assuntos
Európio/química , Elementos da Série dos Lantanídeos/química , Luminescência , Silanos/química , Propilaminas , Espectroscopia de Infravermelho com Transformada de Fourier
15.
J Fluoresc ; 22(6): 1633-8, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22843254

RESUMO

We demonstrate the potential application of silver-pectin nanoparticles on photodynamic therapy, on a solution-base platform. Photodynamic therapy is a medical technique which uses a combination of photosensitizing drugs and light to induce selective damage on the target tissue, by electronically excited and highly reactive singlet state of oxygen. Metal enhanced singlet oxygen generation in riboflavin water solution with silver-pectin nanoparticles was observed and quantified. Here 13 nm silver nanospheres enclosed by a pectin layer were synthesized and it interaction with riboflavin molecule was analyzed. Pectin, a complex carbohydrate found in plants primary cell walls, was used to increase the biocompatibility of the silver nanoparticles and to improve metal enhanced singlet oxygen generation (28.5 %) and metal-enhanced fluorescence (30.7 %) processes at room temperature. The singlet oxygen sensor fluorescent green reagent was used to quantify the enhancement of the riboflavin singlet oxygen production induced by the silver colloid. We report a 1.7-fold increase of riboflavin emission and a 1.8-fold enhancement of singlet oxygen production.


Assuntos
Nanopartículas Metálicas/química , Pectinas/química , Fármacos Fotossensibilizantes/farmacologia , Prata/química , Oxigênio Singlete/metabolismo , Materiais Biocompatíveis/química , Tamanho da Partícula , Fotoquimioterapia , Fármacos Fotossensibilizantes/química , Riboflavina/química , Riboflavina/farmacologia , Espectrometria de Fluorescência , Espectrofotometria Ultravioleta
16.
ACS Appl Mater Interfaces ; 14(33): 38311-38319, 2022 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-35969002

RESUMO

Whereas lanthanide-based upconverting particles are promising candidates for several micro- and nanothermometry applications, understanding spatially varying effects related to their internal dynamics and interactions with the environment near the surface remains challenging. To separate the bulk from the surface response, this work proposes and performs hyperspectral sample-scanning experiments to obtain spatially resolved thermometric measurements on single microparticles of NaYF4: Yb3+,Er3+. Our results showed that the particle's thermometric response depends on the excitation laser incidence position, which may directly affect the temperature readout. Furthermore, it was noticed that even minor temperature changes (<1 K) caused by room temperature variations at the spectrometer CCD sensor used to record the luminescence signal may significantly modify the measurements. This work also provides some suggestions for building 2D thermal maps that shall be helpful for understanding surface-related effects in micro- and nanothermometers using hyperspectral techniques. Therefore, the results presented herein may impact applications of lanthanide-based nanothermometers, as in the understanding of energy-transfer processes inside systems such as nanoelectronic devices or living cells.

17.
Polymers (Basel) ; 14(24)2022 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-36559705

RESUMO

In recent years, nanoparticulate materials have aroused interest in the field of organic electronics due to their high versatility which increases the efficiency of devices. In this work, four different stable conformations based on the organic semiconductors P3HT and PC71BM were synthesized using the nanoprecipitation method, including blend and core-shell nanoparticles. All nanoparticles were obtained free of surfactants and in aqueous suspensions following the line of ecologically correct routes. The structural and optoelectronic properties of the nanoparticles were investigated by dynamic light scattering (DLS), transmission electron microscopy (TEM), scanning electron microscopy (SEM), UV-visible absorption spectroscopy and UV-visible photoluminescence (PL). Even in aqueous media, the blend and core-shell nanoparticles exhibited a greater light absorption capacity, and these conformations proved to be effective in the process of dissociation of excitons that occurs at the P3HT donor/PC71BM acceptor interface. With all these characteristics and allied to the fact that the nanoparticles are surfactant-free aqueous suspensions, this work paves the way for the use of these colloids as a photoactive layer of organic photovoltaic devices that interface with biological systems.

18.
Biomater Adv ; 134: 112676, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35599099

RESUMO

Low-cost sensors to detect cancer biomarkers with high sensitivity and selectivity are essential for early diagnosis. Herein, an immunosensor was developed to detect the cancer biomarker p53 antigen in MCF7 lysates using electrical impedance spectroscopy. Interdigitated electrodes were screen printed on bacterial nanocellulose substrates, then coated with a matrix of layer-by-layer films of chitosan and chondroitin sulfate onto which a layer of anti-p53 antibodies was adsorbed. The immunosensing performance was optimized with a 3-bilayer matrix, with detection of p53 in MCF7 cell lysates at concentrations between 0.01 and 1000 Ucell. mL-1, and detection limit of 0.16 Ucell mL-1. The effective buildup of the immunosensor on bacterial nanocellulose was confirmed with polarization-modulated infrared reflection absorption spectroscopy (PM-IRRAS) and surface energy analysis. In spite of the high sensitivity, full selectivity with distinction of the p53-containing cell lysates and possible interferents required treating the data with a supervised machine learning approach based on decision trees. This allowed the creation of a multidimensional calibration space with 11 dimensions (frequencies used to generate decision tree rules), with which the classification of the p53-containing samples can be explained.


Assuntos
Técnicas Biossensoriais , Neoplasias , Biomarcadores Tumorais/análise , Espectroscopia Dielétrica , Eletrodos , Imunoensaio
19.
Front Bioeng Biotechnol ; 9: 617328, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33859978

RESUMO

Photonic materials featuring simultaneous iridescence and light emission are an attractive alternative for designing novel optical devices. The luminescence study of a new optical material that integrates light emission and iridescence through liquid crystal self-assembly of cellulose nanocrystal-template silica approach is herein presented. These materials containing Rhodamine 6G were obtained as freestanding composite films with a chiral nematic organization. The scanning electron microscopy confirms that the cellulose nanocrystal film structure comprises multi-domain Bragg reflectors and the optical properties of these films can be tuned through changes in the relative content of silica/cellulose nanocrystals. Moreover, the incorporation of the light-emitting compound allows a complementary control of the optical properties. Overall, such findings demonstrated that the photonic structure plays the role of direction-dependent inner-filter, causing selective suppression of the light emitted with angle-dependent detection.

20.
Talanta ; 219: 121241, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-32887132

RESUMO

Venous thromboembolism (VTE) is a serious clinical condition which early and accurate diagnosis may contribute to the reduction of associated morbidity and mortality. VTE occurs when a blood clot (thrombus) blocks the vein blood flow causing deep vein thrombosis (DVT) and, when it migrates to the lungs, it may clog the pulmonary arteries characterizing pulmonary embolism (PE). Analysis using fibrin degradation products or D-dimer and coagulation factor VIII may assist early diagnosis of VTE. Thus, two immunosensors were built using layer-by-layer (LbL) films technique, one containing the anti-D-dimer immobilized on polyethylene imine (PEI) and another the anti-FVIII on silk fibroin (SF). Immunosensor response, the antigen-antibody specific interaction, was investigated using cyclic voltammetry. When immunosensors, PEI/anti-D-dimer and SF/anti-FVIII, were exposed to antigens, D-dimer and Factor VIII, the voltammograms area and current were significantly increased with increasing specific antigen concentration. The specific interaction was confirmed with control experiments, electrodes containing only PEI or SF, that no significant changes in the voltammogram responses were observed and principal component analysis confirmed these results. The films formation and response were verified using scanning electronic microscopy (SEM). The developed immunosensor seems to be a promising and effective early complementary exam to assist in the VTE diagnosis, through the combined response of two biomarkers very sensible.


Assuntos
Técnicas Biossensoriais , Fator VIII , Produtos de Degradação da Fibrina e do Fibrinogênio , Tromboembolia Venosa , Biomarcadores , Eletroquímica , Humanos , Imunoensaio , Valor Preditivo dos Testes , Tromboembolia Venosa/diagnóstico
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