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1.
Small ; 20(30): e2309780, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38433392

RESUMO

The conventional sea water desalination technologies are not yet adopted worldwide, especially in the third world countries due to their high capital cost as well as large energy requirement. To solve this issue in a sustainable way an interfacial solar water evaporation device is designed and proposed in this article using the branches of Prunus serrulata (PB). The PB has abundant microchannels and shows excellent photothermal conversion capability after carbonization. Moreover, the easy access to raw materials and the facile fabrication process makes the solar water evaporating device very cost effective for seawater desalination application. Experiments show that in the presence of the fabricated evaporator the evaporation rate of water can reach 3.5 kg m-2 h-1 under 1 sun, which is superior to many similar experimental devices. In addition, its advantages, such as effective sewage purification capability, low cost, and environmental friendliness, make this evaporator highly competitive in the extensive promotion of this technology and can be considered as a new sustainable solution for seawater desalination with great application potential and prospects.

2.
Nano Lett ; 23(17): 8241-8248, 2023 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-37594857

RESUMO

Next-generation mid-infrared (MIR) imaging chips demand free-cooling capability and high-level integration. The rising two-dimensional (2D) semimetals with excellent infrared (IR) photoresponses are compliant with these requirements. However, challenges remain in scalable growth and substrate-dependence for on-chip integration. Here, we demonstrate the inch-level 2D palladium ditelluride (PdTe2) Dirac semimetal using a low-temperature self-stitched epitaxy (SSE) approach. The low formation energy between two precursors facilitates low-temperature multiple-point nucleation (∼300 °C), growing up, and merging, resulting in self-stitching of PdTe2 domains into a continuous film, which is highly compatible with back-end-of-line (BEOL) technology. The uncooled on-chip PdTe2/Si Schottky junction-based photodetector exhibits an ultrabroadband photoresponse of up to 10.6 µm with a large specific detectivity. Furthermore, the highly integrated device array demonstrates high-resolution room-temperature imaging capability, and the device can serve as an optical data receiver for IR optical communication. This study paves the way toward low-temperature growth of 2D semimetals for uncooled MIR sensing.

3.
Angew Chem Int Ed Engl ; 63(31): e202405756, 2024 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-38721710

RESUMO

Although oxygen vacancies (Ovs) have been intensively studied in single semiconductor photocatalysts, exploration of intrinsic mechanisms and in-depth understanding of Ovs in S-scheme heterojunction photocatalysts are still limited. Herein, a novel S-scheme photocatalyst made from WO3-Ov/In2S3 with Ovs at the heterointerface is rationally designed. The microscopic environment and local electronic structure of the S-scheme heterointerface are well optimized by Ovs. Femtosecond transient absorption spectroscopy (fs-TAS) reveals that Ovs trigger additional charge movement routes and therefore increase charge separation efficiency. In addition, Ovs have a synergistic effect on the thermodynamic and kinetic parameters of S-scheme photocatalysts. As a result, the optimal photocatalytic performance is significantly improved, surpassing that of single component WO3-Ov and In2S3 (by 35.5 and 3.9 times, respectively), as well as WO3/In2S3 heterojunction. This work provides new insight into regulating the photogenerated carrier dynamics at the heterointerface and also helps design highly efficient S-scheme photocatalysts.

4.
Langmuir ; 38(43): 13187-13194, 2022 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-36255348

RESUMO

Interfacial solar steam generation (ISSG) is considered as an excellent seawater desalination technology because of its electricity-independent nature, low cost, and portability. However, improving the water evaporation efficiency, simplifying the fabrication process, and reducing the overall cost of the evaporator are still challenging. Here, an efficient and sustainable solar water evaporator is fabricated with carbonized ginkgo biloba leaves as the structural basis of photothermal materials. The combination of the abundant capillary channels in ginkgo leaves paired with polyacrylamide (PAM) hydrogel accelerates water transportation and solar-driven evaporation. The fabricated evaporator shows excellent photothermal conversion capability and evaporates water at 2.39 kg m-2 h-1 under 1 sun irradiation. In addition, the device exhibits remarkable stability in simulated seawater and can effectively realize seawater desalination or sewage treatment. As a result, the system is promising for future highly efficient solar evaporation due to its environmental protection and low cost.


Assuntos
Energia Solar , Purificação da Água , Água , Luz Solar , Vapor
5.
Nanotechnology ; 32(5): 055201, 2021 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-33059334

RESUMO

In-plane anisotropic two-dimensional (2D) materials have gained considerable interest in the field of research, due to having the potential of being used in different device applications. Recently, among these 2D materials, group 10 transition metal dichalcogenides (TMDs) pentagonal Palladium diselenide (PdSe2) is utilized in various sections of researches like nanoelectronics, thermoelectric, spintronics, optoelectronics, and ultrafast photonics, owing to its high air stability and broad absorption spectrum properties. In this paper, it is demonstrated that by utilizing this novel 2D layered PdSe2 material as a saturable absorber (SA) in an EDF laser system, it is possible to obtain switchable laser pulse generation modes. At first, the Q-switching operation mode is attained at a threshold pump power of 56.8 mW at 1564 nm, where the modulation range of pulse duration and repetition rate is 18.5 µs-2.0 µs and 16.4 kHz-57.0 kHz, respectively. Afterward, the laser pulse generation mode is switched to the mode-locked state at a pump power of 63.1 mW (threshold value) by changing the polarization condition inside the laser cavity, and this phenomenon persists until the maximum pump power of 230.4 mW. For this mode-locking operation, the achieved pulse duration is 766 fs, corresponding to the central wavelength and 3 dB bandwidth of 1566 nm and 4.16 nm, respectively. Finally, it is illustrated that PdSe2 exhibits a modulation depth of 7.01%, which substantiates the high nonlinearity of the material. To the best of the authors' knowledge, this is the first time of switchable modes for laser pulse generation are achieved by using this PdSe2 SA. Therefore, this work will encourage the research community to carry out further studies with this PdSe2 material in the future.

6.
Phys Rev Lett ; 125(25): 258001, 2020 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-33416386

RESUMO

Particle dynamics in supercooled liquids are often dominated by stringlike motions in which lines of particles perform activated hops cooperatively. The structural features triggering these motions, crucial in understanding glassy dynamics, remain highly controversial. We experimentally study microscopic particle dynamics in colloidal glass formers at high packing fractions. With a small polydispersity leading to glass-crystal coexistence, a void in the form of a vacancy in the crystal can diffuse reversibly into the glass and further induces stringlike motions. In the glass, a void takes the form of a quasivoid consisting of a few neighboring free volumes and is transported by the stringlike motions it induces. In fully glassy systems with a large polydispersity, similar quasivoid actions are observed. The mobile particles cluster into stringlike or compact geometries, but the compact ones can be further broken down into connected sequences of strings, establishing their general importance.

7.
Small ; 15(45): e1904507, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31532888

RESUMO

The improvement of activity of electrocatalysts lies in the increment of the density of active sites or the enhancement of intrinsic activity of each active site. A common strategy to realize dual active sites is the use of bimetal compound catalysts, where each metal atom contributes one active site. In this work, a new concept is presented to realize dual active sites with tunable electron densities in monometal compound catalysts. Dual Co2+ tetrahedral (Co2+ (Td )) and Co3+ octahedral (Co3+ (Oh )) coordination active sites are developed and adjustable electron densities on the Co2+ (Td ) and Co3+ (Oh ) are further achieved by phosphorus incorporation (P-Co9 S8 ). The experimental results and density functional theory calculations show that the nonmetal P doping can systematically modulate charge density of Co2+ (Td ) and Co3+ (Oh ) in P-Co9 S8 and simultaneously improve the electrical conductivity of Co9 S8 , which substantially enhances oxygen evolution reaction performance of P-Co9 S8 .

8.
Nanotechnology ; 30(46): 465704, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31323655

RESUMO

Indium selenide (In2Se3) has attracted tremendous attention due to its favorable electronic features, broad tunable bandgap, high stability and other attractive properties. However, its further applications for nonlinear optics have not yet been fully explored. In this work, we demonstrate that few-layer α-In2Se3 nanosheets exhibit strong saturable absorption properties over a wide wavelength range covering 800, 1064 and 1550 nm. The few-layer α-In2Se3 nanosheets used for this experiment are fabricated via a simple ultrasonic exfoliation in liquid. Stable ultrafast mode-locking laser pulses are obtained from both ytterbium-doped and erbium-doped fiber laser systems operating at 1064 and 1550 nm, respectively. A pulse duration as short as 215 fs was achieved in the Er-doped fiber laser system. Stable output pulses over 6 h of operation were obtained in both laser systems. The pulse energy and peak power of the laser output pulses were increased by reducing the In2Se3 thickness. These results indicate that α-In2Se3 nanosheets with low layer numbers are promising candidates for broad ultrafast photonics devices, such as optical switchers, Q-switchers and mode lockers.

9.
Opt Express ; 26(10): 13055-13060, 2018 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-29801338

RESUMO

Numerous studies have been conducted to explore the performance of two-dimensional (2D) layered nano-materials based saturable absorber (SA) for pulsed laser applications. However, fabricating materials in nanoscale requires complicated preparation processes, high energy consumption, and high expertise. Hence, the study of pulsed laser performance based on the saturable absorber prepared by layered materials with bulk-micro size have gained a great attention. Platinum disulfide (PtS2), which is newly developed group 10 2D layered materials, offers great potential for the laser photonic applications owing to its high carrier mobility, broadly tunable natural bandgap energy, and stability. In this work, the first passively Q-switched Erbium (Er) doped fiber laser is demonstrated with an operational wavelength of 1568.8 nm by using PtS2 microflakes saturable absorber, fabricated by a simple liquid exfoliation in N-Methyl-2-pyrrolidone (NMP) and then incorporated into polyvinyl alcohol (PVA) polymer thin film. A stable Q-switched laser operation is achieved by using this PtS2-SA within a fiber laser ring cavity. The maximum average output power is obtained as 1.1 mW, corresponding to the repetition rate of 24.6 kHz, the pulse duration of 4.2 µs, and single pulse energy of 45.6 nJ. These results open up new applications of this novel PtS2 layered material.

10.
Opt Lett ; 42(17): 3335-3338, 2017 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-28957098

RESUMO

Polycrystalline 2D layered molybdenum disulfide (MoS2) films were synthesized via a thermal decomposition method. The MoS2/Si heterostructures were constructed in situ by synthesis MoS2 on plane Si substrates. Such MoS2/Si heterostructures exhibited high sensitivity to light illumination with wavelengths ranging from the deep ultraviolet to the near infrared. Photoresponse analysis reveals that a high responsivity of 23.1 A/W, a specific detectivity of 1.63×1012 Jones, and a fast response speed of 21.6/65.5 µs were achieved. Notably, the MoS2/Si heterojunction photodetector could operate with excellent stability and repeatability over a wide frequency range up to 150 kHz. The high performance could be attributed to the high-quality heterojunction between MoS2 and Si obtained by the in situ fabrication process. Such high performance with broadband response suggests that MoS2/Si heterostructures could have great potential in optoelectronic applications.

11.
Nanotechnology ; 27(41): 414005, 2016 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-27607761

RESUMO

Due to the matching surface energy, WS2 quantum dots (QDs) can be obtained through direct liquid exfoliation in N-methyl-2-pyrrolidone rather than an ethanol and water mixture. Ultra-small WS2 QDs with a diameter of 2.4 nm are fabricated by an ultrasound method followed by high speed centrifugation up to 10 000 rpm. An excellent nonlinear optical (NLO) property of the WS2 QD/ polymethylmethacrylate (PMMA) composite for the nanosecond pulsed laser at both 532 and 1064 nm has been measured. Results illustrate the lower onset thresholds (F ON ), lower optical limiting thresholds (F OL ), and higher two-photon absorption coefficient (ß) with respect to a higher concentration of embedded WS2 QDs into the PMMA solid state matrix for both 532 and 1064 nm.

12.
Angew Chem Int Ed Engl ; 55(40): 12356-60, 2016 09 26.
Artigo em Inglês | MEDLINE | ID: mdl-27377449

RESUMO

We report a new mechanistic strategy for controlling and modifying the photon emission of lanthanides in a core-shell nanostructure by using interfacial energy transfer. By taking advantage of this mechanism with Gd(3+) as the energy donor, we have realized efficient up- and down-converted emissions from a series of lanthanide emitters (Eu(3+) , Tb(3+) , Dy(3+) , and Sm(3+) ) in these core-shell nanoparticles, which do not need a migratory host sublattice. Moreover, we have demonstrated that the Gd(3+) -mediated interfacial energy transfer, in contrast to energy migration, is the leading process contributing to the photon emission of lanthanide dopants for the NaGdF4 @NaGdF4 core-shell system. Our finding suggests a new direction for research into better control of energy transfer at the nanometer length scale, which would help to stimulate new concepts for designing and improving photon emission of the lanthanide-based luminescent materials.

13.
Opt Express ; 23(4): 4839-46, 2015 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-25836518

RESUMO

A simple methyl-terminated (-CH(3)) surface passivation approach has been employed to enhance the performance of the bilayer graphene/Si nanohole array (BLG/SiNH array) Schottky junction based self-powered near infrared photodetector (SPNIRPD). The as-fabricated SPNIRPD exhibits high sensitivity to light at near infrared region at zero bias voltage. The I(light)/I(dark) ratio measured is 1.43 × 10(7), which is more than an order of magnitude improvement compared with the sample without passivation (~6.4 × 10(5)). Its corresponding responsivity and detectivity are 0.328 AW(-1) and 6.03 × 10(13) cmHz(1/2)W(-1), respectively. The demonstrated results have confirmed the high-performance SPNIRPD compared with the photo-detectors of similar type and its great potential application in future optoelectronic devices.

14.
Opt Express ; 23(4): 4880-6, 2015 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-25836523

RESUMO

Passive mode locked laser is typically achieved by the Semiconductor Saturable absorber Mirror, SESAM, saturable absorber, which is produced by expensive and complicated metal organic chemical vapor deposition method. Carbon based single wall carbon nanotube (SWCNT), saturable absorber, is a promising material which is capable to produce stable passive mode-locking in the high power laser cavity over a wide operational wavelength range. This study has successfully demonstrated the high power mode locking laser system operating at 1 micron by using SWCNT based absorbers fabricated by dip coating method. The proposed fabrication method is practical, simple and cost effective for fabricating SWCNT saturable absorber. The demonstrated high power Nd:YVO(4) mode-locked laser operating at 1064nm have maximum output power up to 2.7W,with the 167MHz repetition rate and 3.1 ps pulse duration, respectively. The calculated output pulse energy and peak power are 16.1nJ and 5.2kW, respectively.

15.
Am J Geriatr Psychiatry ; 23(6): 607-14, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25154547

RESUMO

OBJECTIVE: Sequelae of traumatic brain injury (TBI) include depression, which could exacerbate the poorer cognitive and functional recovery experienced by older adults. The objective of this study was to estimate incidence rates of depression after hospital discharge for TBI among Medicare beneficiaries aged at least 65 years, quantify the increase in risk of depression after TBI, and evaluate risk factors for incident depression post-TBI. METHODS: Using a retrospective analysis, the authors studied Medicare beneficiaries at least 65 years old hospitalized for TBI during 2006 to 2010 who survived to hospital discharge and had no documented diagnosis of depression before the study period (N = 67,347). RESULTS: The annualized incidence rate of depression per 1,000 beneficiaries was 62.8 (95% confidence interval [CI]: 61.6, 64.1) pre-TBI and 123.9 (95% CI: 121.6, 126.2) post-TBI. Annualized incidence rates were highest immediately after hospital discharge and declined over the 12 months post-TBI. TBI increased the risk of incident depression in men (hazard ratio: 1.95; 95% CI: 1.84, 2.06; Wald χ(2) = 511.4, df = 1, p <0.001) and in women (hazard ratio: 1.69; 95% CI: 1.62, 1.77; Wald χ(2) = 589.3, df = 1, p <0.001). The strongest predictor of depression post-TBI for both men and women was discharge to a skilled nursing facility (men: odds ratio, 1.91; 95% CI, 1.77, 2.06; Wald χ(2) = 277.1, df = 1, p <0.001; women: odds ratio, 1.72; 95% CI, 1.63, 1.83; Wald χ(2) = 324.2, df = 1, p <0.001). CONCLUSION: TBI significantly increased the risk of depression among older adults, especially among men and those discharged to a skilled nursing facility. Results from this study will help increase awareness of the risk of depression post-TBI among older adults.


Assuntos
Lesões Encefálicas/epidemiologia , Depressão/epidemiologia , Alta do Paciente/estatística & dados numéricos , Instituições de Cuidados Especializados de Enfermagem/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Lesões Encefálicas/complicações , Depressão/etiologia , Feminino , Humanos , Masculino , Medicare/estatística & dados numéricos , Fatores de Risco , Fatores Sexuais , Estados Unidos/epidemiologia
16.
Opt Express ; 22(17): 20948-53, 2014 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-25321295

RESUMO

For typical optical fiber system, an external lens accessory set is required to adjust the optical path of output light, which however is limited by the fixed parameter of the lens accessory setup. Considering spherical aberration in the imaging process and its small focusable spot size, a complicated lens combination is required to compensate the aberration. This paper has demonstrated a unique method to fabricate liquid-core lensed fibers by filling water and NOA61 respectively into hollow Teflon AF fibers and silicate fiber, the radius of curvature of the liquid lens can be controlled by adjusting the applied voltage on the core liquid and even parabolic shape lens can be produced with enough applied voltage. The experiment has successfully demonstrated a variation of focal length from 0.628 mm to 0.111 mm responding to the change of applied voltage from 0V to 3.2KV (L = 2mm) for the Teflon AF fiber, as well as a variation of focal length from 0.274 mm to 0.08 mm responding to the change of applied voltage from 0V to 3KV (L = 2mm) for the silicate fiber. Further simulation shows that the focused spot size can be reduced to 2 µm by adjusting the refractive index and fiber geometry. Solid state parabolic lensed fiber can be produced after NOA61 is solidified by the UV curing.

17.
Opt Lett ; 39(21): 6265-8, 2014 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-25361330

RESUMO

Near-infrared to ultraviolet multiphoton upconversion photoluminescence in ultrasmall Tm3+/Yb3+-codoped CaF2 nanocrystals (∼6.7 nm in size) was observed and further significantly enhanced by growing an active shell of NaYF4:Yb3+. Owing to the active shell, the lanthanide emitters inside the core are effectively prevented from the surface quenchers, and the excitation energy is absorbed more efficiently via the additional luminescence sensitizer Yb3+ embedded in the shell. The details of underlying physics were investigated and discussed. The results present a good ultrasmall luminescent material system for achieving efficient multiphoton upconversion, which shows great potential in versatile industrial and biological applications.


Assuntos
Fluoreto de Cálcio/química , Medições Luminescentes , Nanopartículas , Tamanho da Partícula , Fótons , Raios Ultravioleta , Túlio/química , Itérbio/química
18.
Pulm Circ ; 14(3): e12415, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39157055

RESUMO

Selexipag is an oral selective agonist of the prostacyclin receptor approved to treat adults with pulmonary arterial hypertension (PAH). Selexipag is initiated at a dose of 200 µg twice daily (bid) and usually titrated up by 200 µg bid weekly (per label) or more slowly (e.g., every other week in real-world clinical practice) to the highest tolerated individualized dose (ID) ranging from 200 to 1600 µg bid. In the Phase 3 GRIPHON trial, selexipag delayed disease progression and reduced risk of PAH-related hospitalization compared with placebo; the effect was consistent across three prespecified ID groups: low (200-400 µg bid), medium (600-1000 µg bid), and high (1200-1600 µg bid). This study evaluated patient outcomes across selexipag dose ranges in real-world practice. Data were analyzed from 1186 US adult patients with PAH on selexipag from the Komodo closed-claims database (2015‒2022). Of these, 634 (53.5%) patients completed titration and reached their selexipag ID (43.8% high ID, 29.8% medium ID, 26.3% low ID). Subsequently, 72.4% of patients in the low ID group had dose adjustments compared with 61.9% (medium ID) and 34.5% (high ID; standardized mean difference 0.63). There were no significant differences in patient outcomes, i,e, persistence (time to discontinuation) and risk of all-cause and PAH-related hospitalization across ID groups. The findings in this diverse, real-world population of patients with PAH reinforced an individualized approach to the dosing scheme to maximize benefit-risk and achieve the highest tolerated dose with selexipag similar to findings from the GRIPHON trial and other studies.

19.
Clinicoecon Outcomes Res ; 16: 447-459, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38831921

RESUMO

Purpose: Pulmonary arterial hypertension (PAH) is a rare and progressive pulmonary vascular disease that can result in right heart failure and death. Oral prostacyclins play an important role in the management of intermediate-low risk PAH. This targeted literature review (TLR) aimed to identify and compare evidence supporting use of oral prostacyclin pathway agents (PPAs: selexipag and oral treprostinil) in intermediate-low risk PAH. Methods: A targeted literature review was conducted. Literature databases (MEDLINE, Embase, and Cochrane reviews) were searched for studies describing clinical practice and treatment outcomes for oral treprostinil and selexipag globally, published in English (2012 to 2022). Electronic searches were supplemented by manual-searches of targeted conferences (2020 to 2022), and reference lists of identified publications were reviewed. One reviewer assessed studies for eligibility. Results: In total, 95 publications met inclusion criteria: 47 full-text articles (selexipag n = 22; oral treprostinil n = 16; selexipag and oral treprostinil n = 9) and 48 conference materials. Selexipag and oral treprostinil target the prostacyclin pathway differently; their label-supporting trials had different primary endpoints (disease progression and hospitalization vs exercise capacity and disease progression), differing baseline therapy (0, 1 or 2 vs 0 or 1 baseline treatments), titration duration and dosing (personalized dose capped at 1600 ug twice daily (BID) vs increasing doses over time with no maximum dose), respectively. While both oral PPAs have demonstrated reduced risk of disease progression, only selexipag showed reduction in hospitalization rates. Oral PPAs have been shown to reduce healthcare costs in real-world clinical practice. This difference is reflected in labeled indications. Conclusion: Given differences in trial- and real-world outcomes, number of prior therapies, and dosing, personalizing the choice of oral PPA is critical to maximizing the benefit for individual patients.


PAH is a condition that causes heart failure. It is important to take medicines to slow down this process. For people with early disease, there are some medicines that can be taken as a tablet rather than as an injection to slow down disease progression. The differences between two of the tablet options ­ selexipag and oral treprostinil, are unclear. We reviewed publications describing how, when and why these medicines are used and how well they work, to improve our understanding of the value of these medicines to people with PAH.

20.
Diagn Cytopathol ; 2024 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-39138853

RESUMO

INTRODUCTION: Claudin-4 has been described as a highly sensitive immunocytochemical marker for detection of metastatic carcinoma cells in effusion cytology specimens. This study aims to challenge the performance of claudin-4 in different types of malignancies and low cellularity specimens, by comparison with other markers in a large cohort of carcinomatous effusion specimens. METHODOLOGY: Cell block preparations from peritoneal and pleural fluid specimens were retrieved, with malignant (carcinoma) diagnoses confirmed by review of hospital diagnosis code and pathology reports. Claudin-4, BerEP4, CEA, and MOC31 immunocytochemistry were performed and scored by expression proportion and intensity. Tumor cellularity was assessed for subgroup analysis of low cellularity specimens. RESULTS: Totally 147 specimens (70 pleural, 77 peritoneal) of 68 lung, 62 breast, 9 gynecological, and 7 gastrointestinal carcinomas were retrieved. The average proportion expression of claudin-4 was highest (89.6%, vs. CEA 40.5%, BerEp4 18.6%, MOC31 16.8%) and the percentage of strong expression was highest for claudin-4 (72.1%). Expression levels of claudin-4 were consistently higher than other markers in subgroups of all primary sites. The difference was more significant for low cellularity specimens. High (≥50%) proportion expression was seen for 96.61% of cases for claudin-4 (vs. BerEp4 8.77%, CEA 46.55%, MOC31 8.77%, p < 0.001). These factors contributed to a low concordance between claudin-4 and BerEp4, CEA and MOC31 (K = 0.010-0.043). CONCLUSION: Claudin-4 is more sensitive than CEA, BerEp4 and MOC31, suitable for low cellularity specimens of most types of metastatic carcinoma and is a robust immunocytochemical marker for carcinoma that can be used solitarily.

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