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1.
J Am Chem Soc ; 146(12): 8464-8471, 2024 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-38483268

RESUMO

One-dimensional (1D) high-entropy compounds (HECs) with subnano diameters are highly attractive because long-range electron delocalization may occur along the high-entropy atomic chain, which results in extraordinary properties. Nevertheless, synthesizing such 1D HECs presents a substantial challenge, and the physicochemical attributes of these novel structures remain ambiguous. Herein, we developed a comelting-filling-freezing-modification (co-MFFM) method for synthesizing 1D high-entropy metal phosphide (HEP) by simultaneously encapsulating various metal cations within single-walled carbon nanotubes (SWCNTs) followed with a phosphorization process. The resulting 1D HEP nanowires confined within SWCNTs exhibit crucial features, including an ultrafine, high-entropy, and amorphous structure, along with a core-shell arrangement. The SWCNT as a shell could donate π electrons to 1D HEP for enhanced electron delocalization and protect 1D HEP as an atomically single-layered protective covering, thus boosting high electrocatalytic activity and stability. Moreover, the co-MFFM method demonstrates scalability for mass production and displays universal applicability to the synthesis of various 1D HECs.

2.
Angew Chem Int Ed Engl ; 63(29): e202404568, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-38696242

RESUMO

Few-atom metal clusters (FAMCs) exhibit superior performance in catalyzing complex molecular transformations due to their special spatial environments and electronic states, compared to single-atom catalysts (SACs). However, achieving the efficient and accurate synthesis of FAMCs while avoiding the formation of other species, such as nanoparticles and SACs, still remains challenges. Herein, we report a two-step strategy for synthesis of few-atom platinum (Pt) clusters by predeposition of zinc single-atom-glue (Zn1) on MgO nanosheets (Ptn-Zn1/MgO), where FAMCs can be obtained over a wide range of Pt contents (0.09 to 1.45 wt %). Zn atoms can act as Lewis acidic sites to allow electron transfer between Zn and Pt through bridging O atoms, which play a crucial role in the formation and stabilization of few-atom Pt clusters. Ptn-Zn1/MgO exhibited a high selectivity of 93 % for anti-Markovnikov alkene hydrosilylation. Moreover, an excellent activity with a turnover frequency of up to 1.6×104 h-1 can be achieved, exceeding most of the reported Pt SACs. Further theoretical studies revealed that the Pt atoms in Ptn-Zn1/MgO possess moderate steric hindrance, which enables high selectivity and activity for hydrosilylation. This work presents some guidelines for utilizing atomic-scale species to increase the synthesis efficiency and precision of FAMCs.

3.
Angew Chem Int Ed Engl ; 63(30): e202316755, 2024 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-38739420

RESUMO

The hydrazine oxidation-assisted H2 evolution method promises low-input and input-free hydrogen production. However, developing high-performance catalysts for hydrazine oxidation (HzOR) and hydrogen evolution (HER) is challenging. Here, we introduce a bifunctional electrocatalyst α-MoC/N-C/RuNSA, merging ruthenium (Ru) nanoclusters (NCs) and single atoms (SA) into cubic α-MoC nanoparticles-decorated N-doped carbon (α-MoC/N-C) nanowires, through electrodeposition. The composite showcases exceptional activity for both HzOR and HER, requiring -80 mV and -9 mV respectively to reach 10 mA cm-2. Theoretical and experimental insights confirm the importance of two Ru species for bifunctionality: NCs enhance the conductivity, and its coexistence with SA balances the H ad/desorption for HER and facilitates the initial dehydrogenation during the HzOR. In the overall hydrazine splitting (OHzS) system, α-MoC/N-C/RuNSA excels as both anode and cathode materials, achieving 10 mA cm-2 at just 64 mV. The zinc hydrazine (Zn-Hz) battery assembled with α-MoC/N-C/RuNSA cathode and Zn foil anode can exhibit 97.3 % energy efficiency, as well as temporary separation of hydrogen gas during the discharge process. Therefore, integrating Zn-Hz with OHzS system enables self-powered H2 evolution, even in hydrazine sewage. Overall, the amalgamation of NCs with SA achieves diverse catalytic activities for yielding multifold hydrogen gas through advanced cell-integrated-electrolyzer system.

4.
Phys Chem Chem Phys ; 25(19): 13320-13324, 2023 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-37133917

RESUMO

The phase stability and superconductivity of lutetium polyhydrides under pressure were systematically explored via particle swarm optimization. Several lutetium hydrides, such as LuH, LuH3, LuH4, LuH6, LuH8, and LuH12, were found to be dynamically and thermodynamically stable. Combined with the electronic properties, there are a large number of H-s states and low density of Lu-f states at the Fermi level, leading to superconductivity. The phonon spectrum and electron-phonon coupling interaction are considered to calculate the superconducting critical temperature (Tc) of stable lutetium hydrides at high pressure. The new predicted cubic LuH12 has the highest Tc value of 187.2 K at 400 GPa in all the stable LuHn compounds, which was estimated by directly solving the Eliashberg equation. The calculated results provide insights into the design of new superconducting hydrides under pressure.

5.
Phys Chem Chem Phys ; 24(17): 10079-10084, 2022 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-35416197

RESUMO

Unique multicenter bonding in boron-rich materials leads to the formation of complicated structures and intriguing properties. ScB6, as a sister compound, possibly possesses high hardness and superconducting critical temperature in this family under ambient pressure. Here, phase transitions, chemical bonding states and electronic properties of ScB6 at high pressure are uncovered using particle swarm optimization (PSO) combined with first-principles calculations. The phase sequence of P21/m → C2/m → Cmcm for ScB6 has been identified under high pressure. Interestingly, the evolution of a boron framework is from a graphene-like layer to a planar B4 ring, B6 and B7 cycle, and non-planar B8 cycle, which interconnect a graphene-like network. These phases of ScB6 are expected to be hard materials due to the excellent mechanical behaviors by the mechanical property calculations. Although the metallic features of the three phases reduce their hardness, the further electron-phonon coupling calculations indicate that the three phases of ScB6 are superconducting phases under high pressures.

6.
J Opt Soc Am A Opt Image Sci Vis ; 39(12): 2282-2290, 2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36520747

RESUMO

Compressive hyperspectral images often suffer from various noises and artifacts, which severely degrade the imaging quality and limit subsequent applications. In this paper, we present a refinement method for compressive hyperspectral data cubes based on self-fusion of the raw data cubes, which can effectively reduce various noises and improve the spatial and spectral details of the data cubes. To verify the universality, flexibility, and extensibility of the self-fusion refinement (SFR) method, a series of specific simulations and practical experiments were conducted, and SFR processing was performed through different fusion algorithms. The visual and quantitative assessments of the results demonstrate that, in terms of noise reduction and spatial-spectral detail restoration, the SFR method generally is much better than other typical denoising methods for hyperspectral data cubes. The results also indicate that the denoising effects of SFR greatly depend on the fusion algorithm used, and SFR implemented by joint bilateral filtering (JBF) performs better than SRF by guided filtering (GF) or a Markov random field (MRF). The proposed SFR method can significantly improve the quality of a compressive hyperspectral data cube in terms of noise reduction, artifact removal, and spatial and spectral detail improvement, which will further benefit subsequent hyperspectral applications.

7.
Small ; 17(6): e2007264, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33470516

RESUMO

Developing a rapid and low cost approach to access atomically dispersed metal catalysts (ADMCs) supported by carbon is important but still challenging. Here, an electric flash strategy using high voltage for the rapid fabrication of carbon-supported ADMCs within 1 min is reported. Continuous plasma arc results in nitrogen-doped carbon ultrathin nanosheets, while an intermittent spark pulse constructs carbon hollow nanospheres via blasting effect, and both structures are decorated with atomically dispersed cobalt. The latter catalyst shows a half-wave potential of 0.887 V versus RHE (47 mV higher than commercial Pt/C) in an oxygen reduction reaction (ORR) in alkaline media. The authors' work paves the way to rapid synthesis of carbon-supported ADMCs at both low cost and mass production.

8.
Angew Chem Int Ed Engl ; 60(42): 22722-22728, 2021 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-34402159

RESUMO

Designing and modulating the local structure of metal sites is the key to gain the unique selectivity and high activity of single metal site catalysts. Herein, we report strain engineering of curved single atomic iron-nitrogen sites to boost electrocatalytic activity. First, a helical carbon structure with abundant high-curvature surface is realized by carbonization of helical polypyrrole that is templated from self-assembled chiral surfactants. The high-curvature surface introduces compressive strain on the supported Fe-N4 sites. Consequently, the curved Fe-N4 sites with 1.5 % compressed Fe-N bonds exhibit downshifted d-band center than the planar sites. Such a change can weaken the bonding strength between the oxygenated intermediates and metal sites, resulting a much smaller energy barrier for oxygen reduction. Catalytic tests further demonstrate that a kinetic current density of 7.922 mA cm-2 at 0.9 V vs. RHE is obtained in alkaline media for curved Fe-N4 sites, which is 31 times higher than that for planar ones. Our findings shed light on modulating the local three-dimensional structure of single metal sites and boosting the catalytic activity via strain engineering.

9.
Sensors (Basel) ; 20(12)2020 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-32580315

RESUMO

It is very challenging to design the capacity-approaching labeling schemes for large constellations, such as 32-QAM, in delayed bit-interleaved coded modulation (DBICM). In this paper, we investigate the labeling design for 32-QAM DBICM with various numbers of bits delayed by one time slot. In particular, we aim to obtain the labeling schemes with a high DBICM channel capacity by searching the possible labeling schemes. To reduce the search space of the candidate labeling schemes, we propose the criteria that are necessary for good labeling. Based on the proposed criteria, a three-step search algorithm is proposed to obtain the candidate labeling efficiently. Numerical results demonstrate that the DBICM with our proposed labeling scheme can approach the capacity of 32-QAM within 0.015 dB at an information rate greater than 2.5 bits/symbol.

10.
Angew Chem Int Ed Engl ; 59(46): 20465-20469, 2020 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-32715586

RESUMO

Herein, we report a negative pressure pyrolysis to access dense single metal sites (Co, Fe, Ni etc.) with high accessibility dispersed on three-dimensional (3D) graphene frameworks (GFs), during which the differential pressure between inside and outside of metal-organic frameworks (MOFs) promotes the cleavage of the derived carbon layers and gradual expansion of mesopores. In situ transmission electron microscopy and Brunauer-Emmett-Teller tests reveal that the formed 3D GFs possess an enhanced mesoporosity and external surface area, which greatly favor the mass transport and utilization of metal sites. This contributes to an excellent oxygen reduction reaction (ORR) activity (half-wave potential of 0.901 V vs. RHE). Theoretical calculations verify that selective carbon cleavage near Co centers can efficiently lower the overall ORR theoretical overpotential in comparison with intact atomic configuration.

11.
Molecules ; 23(9)2018 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-30149636

RESUMO

Reacting aroyl chlorides with an equivalent of potassium selenocyanate, followed by treating with an equivalent of 1,2,4-tri-tert-butylaniline at room temperature, resulted in the expected selenoureas and unusual diselenazoles. The selenation of selenourea by Woollins Reagent gave a new selenoformamide. Nucleophilic addition of selenoureas with acyl bromides led to the formation of new carbamimidoselenoates rather than the expected 1,3-selenazoles. The novel compounds prepared were characterised spectroscopically and crystallographically.


Assuntos
Compostos Organosselênicos/química , Ureia/análogos & derivados , Cristalografia por Raios X , Ligação de Hidrogênio , Modelos Moleculares , Estrutura Molecular , Compostos Organosselênicos/síntese química , Relação Estrutura-Atividade , Ureia/síntese química , Ureia/química
12.
Molecules ; 22(10)2017 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-28994745

RESUMO

A new one-pot preparative route was developed to synthesize novel organophosphorus-sulfur heterocycles via the reaction of the four-membered ring thionation reagent [2,4-diferrocenyl-1,3,2,4-diathiadiphosphetane 2,4-disulfide (FcLR, a ferrocene analogue of Lawesson's reagent)] and alkenyl/aryl-diols and I2 (or SOCl2) in the presence of triethylamine. Therefore, a series of five- to ten-membered heterocycles bearing an O-P(S)-O or an O-P(S)-S-S-P(S)-O linkage were synthesized. The synthesis features a novel application of the multicomponent reaction, providing an efficient and environmentally benign method for the preparation of the unusual phosphorus-sulfur heterocycles. Seven representative X-ray structures confirm the formation of these heterocycles.


Assuntos
Compostos Heterocíclicos/síntese química , Fósforo/química , Enxofre/química , Cristalização , Etilaminas/química , Espectroscopia de Ressonância Magnética/métodos , Espectrometria de Massas/métodos , Metalocenos/química , Estrutura Molecular , Compostos Organotiofosforados/química , Oxirredução
13.
Chemistry ; 22(23): 7782-91, 2016 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-27112964

RESUMO

The development of new methodology for the preparation of functional macrocycles with practical applications is an important research area in macromolecular science. In this study, we report a new one-pot route for the synthesis of a series of macro-heterocycles by incorporating two phosphorus atoms and two chalcogen atoms and two oxygen atoms (double OP(S)SCn or OP(Se)SeCn scaffolds). The three-component condensation reactions of 2,4-diferrocenyl-1,3,2,4-diathiadiphosphetane 2,4-disulfide (FcLR, a ferrocene analogue of Lawesson's reagent) or 2,4-bis(4-methoxyphenyl)-1,3,2,4-dithiadiphosphetane 2,4-disulfide (LR, Lawesson's reagent), or 2,4-diphenyl-1,3,2,4-diselenadiphosphetane 2,4-diselenide (WR, Woollins' reagent), disodium alkenyl-diols, and dihalogenated alkanes are performed, giving rise to soluble and air or moisture-stable macrocycles in good-to-excellent yields (up to 92 %). This is the first systemically preparative and readily scalable example of one-pot ring opening/ring extending reaction of three-components to prepare phosphorus-chalcogen containing macrocycles. We also provide a systematic crystallographic study.

14.
J Org Chem ; 81(10): 4210-25, 2016 05 20.
Artigo em Inglês | MEDLINE | ID: mdl-27135838

RESUMO

A new preparative route was developed to synthesize new phosphorus-sulfur [SP(═S)S moiety]-containing macrocycles via a one-pot and three-component domino reaction of four-membered ring thionation reagents such as 2,4-bis(4-methoxyphenyl)-1,3,2,4-dithiadiphosphetane 2,4-disulfide (LR, Lawesson's reagent) and 2,4-diferrocenyl-1,3,2,4-diathiadiphosphetane 2,4-disulfide (FcLR, a ferrocene analogue of Lawesson's reagent) and alkyldithiols(aryldithols) and dihaloalkanes in the presence of sodium hydride. Therefore, a series of 12- to 18-membered macrocycles incorporating two phosphorus and six sulfur atoms were synthesized. The synthesis features a novel application of the multicomponent reaction, providing an efficient route to the preparation of the new phosphorus-sulfur-containing macrocycles. Seven representative X-ray structures confirm the formation of these macrocycles and show the presence of a number of the intramolecular C-H···S hydrogen bonding, intermolecular C-H···S, C-H···Cl, and Cl···Cl short contacts and π-stacking interactions in their 3D network structures.

15.
Molecules ; 22(1)2016 Dec 29.
Artigo em Inglês | MEDLINE | ID: mdl-28036080

RESUMO

The synthesis and X-ray single crystal structures of a series of new 4-substituted-1,3-selenazol-2-amines is reported. The efficient preparation of these compounds was carried out by two-component cyclization of the selenoureas with equimolar amounts of α-haloketones. The selenoureas were obtained from the reaction of Woollins' reagent with cyanamides, followed by hydrolysis with water. All new compounds have been characterized by IR spectroscopy, multi-NMR (¹H, 13C, 77Se) spectroscopy, accurate mass measurement and single crystal X-ray structure analysis.


Assuntos
Aminas/química , Aminas/síntese química , Cristalografia por Raios X , Cetonas/química , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Estrutura Molecular , Compostos Organosselênicos/química , Ureia/análogos & derivados , Ureia/química
16.
Molecules ; 20(7): 12175-97, 2015 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-26151115

RESUMO

A series of novel ferrocenyl- and aryl-phosphonofluorodithioic salts, adducts, and esters has been prepared. The reaction of 2,4-diferrocenyl-1,3,2,4-diathiadiphosphetane 2,4-disulfide {[FcP(µ-S)S]2, FcLR} with dry KF or tetrabutylammonium fluoride (TBAF) led to the corresponding potassium and tetrabutylammonium salts of ferrocenyldithiofluorophosphinic acids. Treating potassium ferrocenyldithiofluorophosphinic acid with an equimolar amount of tetraphenylphosphonium chloride readily yielded the corresponding organic adducts, and with mono- and di-halogenated alkanes generated a series of the corresponding esters of ferrocenylphosphonofluoridodithioates. Similarly, using 1,3-epithionaphtho[1,8-cd][1,2,6] oxadiphosphinine 1,3-disulfide or Belleau's Reagent in place of FcLR resulted in the corresponding novel salts, adducts, and ester derivatives. All new compounds have been characterized by means of multi-NMR (1H, 13C, 31P, 19F) spectroscopy and accurate mass measurement in conjunction with single crystal X-ray crystallography of four structures.


Assuntos
Compostos Ferrosos/química , Flúor/química , Fósforo/química , Enxofre/química , Ésteres , Metalocenos , Sais
17.
Beilstein J Org Chem ; 11: 1494-502, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26425206

RESUMO

Pyridine promotes dediazoniation of aryldiazonium tetrafluoroborates. The formed aryl radicals were trapped with B2pin2, iodine, or tetrahydrofuran to afford boronic esters, iodobenzenes and benzenes, respectively. The application to the synthesis of (pentafluorosulfanyl)phenylboronic esters, iodo(pentafluorosulfanyl)benzenes and (pentafluorosulfanyl)benzene is shown.

18.
J Org Chem ; 79(9): 3876-86, 2014 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-24678675

RESUMO

A series of new 2,4-diaryl-1,3-chalcogen azoles having pentafluorosulfanyl SF5 functional groups has been prepared by means of the two-component cyclization of the selenoamide or thioamide with α-bromoketones. The selenoamides or thioamides were obtained from the reaction of Woollins' reagent or Lawesson's reagent with 4-pentafluorosulfanylbenzonitrile, followed by hydrolysis with water. All new compounds were characterized by (1)H, (13)C, (77)Se, (19)F NMR spectroscopy, and accurate mass measurement. X-ray crystal structure analysis of the selenoamide, thioamide, and 2,4-diarylpentafluorosulfanyl-1,3-chalcogen azoles reveal that the selenoamide and thioamide have very similar structural features along with similar intermolecular interactions such as the π-π stacking and the weak N-H···E (E = S or Se) hydrogen bonding. The 2,4-diarylpentafluorosulfanyl-1,3-chalcogen azoles show the newly formed five-membered N(1)-C(2)-E(3)-C(4)-C(5) ring is either perfectly planar (and coplanar with two peripheral aryl ring planes) or near-planar. The π-π intermolecular interactions and the weak C-H···π and C-H···X (X = Br, F, O) hydrogen bonding are discussed in the cases of 2,4-diarylpentafluorosulfanyl-1,3-chalcogen azoles.

19.
Kaohsiung J Med Sci ; 40(2): 139-149, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37916742

RESUMO

Airway mucous cell metaplasia and mucous hypersecretion is one of the key characteristic pathophysiological status of chronic obstructive pulmonary disease (COPD). micro(mi)RNAs are acknowledged as non-encoding RNA molecules playing important roles in gene expression regulation. In this study, we searched the Gene Expression Omnibus (GEO) database for the differentially expressed miRNAs between COPD and non-COPD controls with bioinformatics analysis. Finally, we focused on miR-513a-5p and investigated the potential mechanism by which miR-513a-5p regulates airway mucous hypersecretion and goblet cell metaplasia. A dual-luciferase reporter assay was then showing that miR-513a-5p targeted the 3'-UTR of TFR1 and inhibited its expression in vitro. In vivo transfection demonstrated that TFR1 downregulation partially blocked MUC5AC hypersecretion and goblet cell hyperplasia in COPD model rats. In vitro study, CSE increased the intracellular expression and secretion of MUC5AC by BEAS-2B branchial epithelial cells in the BEAS-2B cell and THP-1 cell coculture system. Coculture with either miR-513a-5p mimic-pretreated or TFR1-deficient THP-1 cells attenuated intracellular MUC5AC expression in BEAS-2B cells exposed to CSE. ELISA demonstrated that transfection of TFR1 siRNA or pretreatment with miR-513a-5p mimic reduced the secretion of inflammatory factors that are responsible for airway goblet cell hyperplasia, such as IL-1ß, IL-13, and IL-17, by THP-1 cells after CSE stimulation. Our findings supported that miR-513a-5p/TFR1 signaling axis might activate macrophages as well as promote airway inflammation and airway mucous cell hyperplasia in COPD.


Assuntos
MicroRNAs , Doença Pulmonar Obstrutiva Crônica , Ratos , Animais , Células Caliciformes/metabolismo , Hiperplasia/genética , MicroRNAs/genética , MicroRNAs/metabolismo , Doença Pulmonar Obstrutiva Crônica/genética , Doença Pulmonar Obstrutiva Crônica/metabolismo , Metaplasia
20.
BMJ Open ; 14(7): e078461, 2024 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-39019626

RESUMO

OBJECTIVES: To assess the impact of a patient-based self-assessed fatigue intervention aimed at promoting early postoperative ambulation. DESIGN: Prospective randomised controlled trial. SETTING: Single-centre, conducted at the Obstetrics and Gynaecology Department of the Xiangyang Central Hospital, China. PARTICIPANTS: Eligible were adult patients undergoing elective gynaecologic oncologic surgery. INTERVENTIONS: The intervention group utilised a modified Borg Rating of Perceived Experience (RPE) scale for self-assessment of fatigue levels. The control group followed fixed-activity distance guidelines postoperatively. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the self-reported the time to first flatus postoperatively. Secondary outcomes encompassed the time to first defecation, incidence of moderate-to-severe abdominal distention, ileus, postambulation adverse events (nausea, vomiting and dizziness), patient satisfaction with early ambulation instructions, compliance with early ambulation and average hospital costs and length of stay. RESULTS: Between June 2021 and October 2022, 552 patients were enrolled. The self-assessed fatigue intervention group demonstrated non-inferior the time to first flatus compared with the fixed-activity distance assessment group (25.59±14.59 hours vs 26.10±14.19 hours, pnon-inferiority<0.001). Compliance with activity was higher in the intervention group (49.40% vs 36.02%, p<0.001), although it did not reach 50%. The intervention group also exhibited significantly higher mean hospital costs, length of stay and incidence of moderate-to-severe abdominal distention (p<0.001). CONCLUSIONS: The self-assessed fatigue intervention for early postoperative ambulation in gynaecologic oncology patients shows promise as an effective strategy; however, compliance is suboptimal. An intervention based on mandatory, yet reasonable, fixed-activity distance may represent the most viable current approach. Further research is warranted to confirm these findings. TRIAL REGISTRATION NUMBER: CTR2100046035.


Assuntos
Deambulação Precoce , Fadiga , Neoplasias dos Genitais Femininos , Procedimentos Cirúrgicos em Ginecologia , Complicações Pós-Operatórias , Humanos , Feminino , Fadiga/etiologia , Pessoa de Meia-Idade , Neoplasias dos Genitais Femininos/cirurgia , Estudos Prospectivos , Adulto , Idoso , Satisfação do Paciente , China , Autoavaliação (Psicologia)
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