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Moreover, few seconds of irradiation were necessary to collect the required statistics. These preliminary results indicate that a telescope of UFSDs could achieve in a short time the accuracy required for the clinical application and therefore encourage further investigations towards the improvement and the optimization of the present prototype.Ever-growing efforts have been devoted to developing cost-effective and earth-abundant electrocatalysts with high-performance in biosensing and energy energy conversion. In this work, amorphous nickel-phosphorus (Ni-P) nanoparticles anchoring on Ni foam (Ni-P/NF) were prepared through a facile electroless deposition approach. The morphology and composition were characterized by scanning electron microscopy, x-ray diffraction and x-ray photoelectron spectroscopy. As an integrated anode, Ni-P/NF exhibits high performance towards glucose electrochemical sensing, with a high sensitivity of 13.89 mA mM-1 cm-2, a low detection limit of 1 µM, a wide detection ranges from 2 µM to 0.54 mM, and a quick response ( less then 10 s), as well as good selectivity and reliability for real sample analysis in human serum. In addition to electrocatalytic glucose oxidation, Ni-P/NF shows remarkable catalytic activity towards oxygen evolution reaction (OER) in alkaline solution and it only needs an overpotential of 360 mV to afford 50 mA cm-2. Moreover, Ni-P/NF shows excellent durability under alkaline OER condition. All these results demonstrate Ni-P/NF as highly efficient integrated anode in both biosensing and energy conversion.
Patients with the novel coronavirus disease (COVID-19) often have airway secretions that severely compromise ventilation. This study investigates electrical impedance tomography (EIT) monitoring of a therapeutic bronchoalveolar lavage (BAL) in a patient with COVID-19.
A patient with COVID-19 developed acute respiratory distress syndrome requiring mechanical ventilation. He received regional BAL to remove mucus in the small airways (20 ml × 5). Regional ventilation changes before BAL, 30 min after and in the following days, were monitored with EIT.
Regional ventilation worsened shortly after BAL and improved in the following days. The improvement of the oxygenation did not exactly match the ventilation improvement, which indicated a possible ventilation/perfusion mismatch.
Therapeutic BAL might improve regional ventilation for COVID-19 and EIT could be a useful tool at the bedside to monitor the ventilation treatment of COVID-19.
Therapeutic BAL might improve regional ventilation for COVID-19 and EIT could be a useful tool at the bedside to monitor the ventilation treatment of COVID-19.Dual-energy computed tomography (DECT) has shown a great potential for lowering range uncertainties, which is necessary for truly leveraging the Bragg peak in proton therapy. However, analytical stopping-power-ratio (SPR) estimation methods have limitations in resolving the influence from the beam-hardening artifact, i.e. CT number variation of the same object scanned under different imaging conditions, such as different patient size and location in the field-of-view (FOV). We present a convolutional neural network (CNN)-based framework to estimate proton SPR that accounts for patient geometry variation and addresses CT number variation. The proposed framework was tested on both prostate and head-and-neck (HN) patient datasets. Simulated CT images were used in order to have a well-defined ground-truth SPR for evaluation. Two training scenarios were evaluated training with patient CT images (ideal scenario) and training with computational phantoms (realistic scenario). For the training in ideal scenario, compurapy by incorporating individual patient geometry information.Large-size luminescent solar concentrators (LSCs), which act as a complement to silicon-based photovoltaic (Si-PV) systems, still suffer from low power conversion efficiency (PCE). How to improve the performance of LSCs, especially large ones, is currently a hot research topic. Traditional LSCs have only a single transmission mode of fluorescence from the luminescent materials to the Si-PV, but here we introduce a new idea to improve the absorption of Si-PV by employing dual transmission modes of both fluorescence and scattering light. To prepare LSCs with dual mode transmission, Si-PV systems are coupled around the edges of a light-harvesting slice, which is prepared by ultraviolet light-induced polymerization of methyl methacrylate (MMA) solution containing both luminescent CsPbBr3 and TiO2 nanocrystals (NCs). When the sun light or incident light is coupled into the light-harvesting slice, CsPbBr3 NCs can convert the incident light into fluorescence, and then partly transmit to Si-PV at the edges, where the light is finally converted into electrical energy. Besides the traditional fluorescence transmission mode, the addition of TiO2 brings another transmission mode, namely the scattering of incident light to Si-PV, leading to an increase in PCE. In comparison to that of pure CsPbBr3-based LSCs without the addition of TiO2 (0.97%), the PCE of TiO2-doped LSCs with a large size of 20 cm × 20 cm is improved to 1.82%. The maximal PCE appears for LSCs with a size of 5 cm × 5 cm, reaching 2.62%. The reported method of dual transmission modes is a new alternative way to improve the performance of LSC devices, which does not need to change the optical properties of luminescent materials. Moreover, the production process is simple, low-cost and suitable for preparing large area LSCs, further promoting the application of LSCs.The application of ordered Ge quantum dots (QDs) is limited by the indirect bandgap and the large size. Here, a structure of hollow nanopillars (HNPs) is proposed to grow small ordered Ge QDs using molecular beam epitaxy by suppressing the expansion of the central holes (CHs) during degassing and inhibiting the lateral growth of Ge QDs, the growth mechanisms are explained by the evolution of surface morphology and the surface chemical potential distribution. The width of Ge QDs in CHs mainly depends on the diameter of HNPs and has little relationship to the diameter of CHs. The small ordered Ge QDs with a mean base diameter of 47.1 nm and a period of 1 μm are grown under high growth temperature (580 °C). The size, shape, height, and period of HNPs are all shown to affect the growth of Ge QDs in CHs. Hence, HNPs provide us with more controllable parameters than pits to control the shape, location, and size of Ge QDs.
The National Surgical Quality Improvement Program (NSQIP) and National Readmissions Database (NRD) are two widely used databases for research studies. However, they may not provide generalizable information in regard to individual institutions. Therefore, the objective of the present study was to evaluate 30-day readmissions following anterior cervical discectomy and fusion (ACDF) and posterior lumbar fusion (PLF) procedures by using these two national databases and an institutional cohort.
The NSQIP and NRD were queried for patients undergoing elective ACDF and PLF, with the addition of an institutional cohort. The outcome of interest was 30-day readmissions following ACDF and PLF, which were unplanned and related to the index procedure. Subsequently, univariable and multivariable analyses were conducted to determine the predictors of 30-day readmissions by using both databases and the institutional cohort.
Among all identified risk factors, only hypertension was found to be a common risk factor betweeg ACDF and PLF. The higher quantity of significant predictors found in the national databases may suggest that looking at single-institution series for such analyses may result in underestimation of important variables affecting patient outcomes, and that big data may be helpful in addressing this concern.
Paresis of the C5 nerve is a well-recognized complication of cervical spine surgery. Numerous studies have investigated its incidence and possible causes, but the specific pattern and character of neurological deficits, time course, and relationship to preoperative cord signal changes remain incompletely understood.
Records of patients undergoing cervical decompressive surgery for spondylosis, disc herniation, or ossification of the longitudinal ligament, including the C4-5 level, were reviewed from a 15-year period, identifying C5 palsy cases. Data collected included age, sex, diabetes and smoking statuses, body mass index, surgical levels, approach, presence of increased cord signal intensity, and modified Japanese Orthopaedic Association (mJOA) scores. Narrative descriptions of the patterns and findings on neurological examination were reviewed, and complications were noted. The minimum follow-up requirement for the study was 12 months.
Of 642 patients who underwent cervical decompressive surgery, 18ve root dysfunction appears in a delayed fashion, is predominantly a motor deficit, and weakness is frequently appreciated in the biceps and triceps muscles in addition to the deltoid muscle. Preoperative cord signal change/myelomalacia at C4-5 was a significant risk factor. No patient had a detectable deficit in the immediate postoperative period or changes in intraoperative neuromonitoring status. Neurological recovery to at least that of grade 4/5 occurred in nearly 90% of the patients.
Acute subdural hematoma (ASDH) is a major cause of mortality and morbidity after traumatic brain injury (TBI). Surgical evacuation is the mainstay of treatment in patients with altered neurological status or significant mass effect. Nevertheless, concerns regarding surgical indication still persist. Given that clinicians often make therapeutic decisions on the basis of their prognosis assessment, to accurately evaluate the prognosis is of great significance. Unfortunately, there is a lack of specific and reliable prognostic models. In addition, the interdependence of certain well-known predictive variables usually employed to guide surgical decision-making in ASDH has been proven. Because gray matter and white matter are highly susceptible to secondary insults during the early phase after TBI, the authors aimed to assess the extent of these secondary insults with a brain parenchyma densitometric quantitative CT analysis and to evaluate its prognostic capacity.
The authors performed a retrospective analysifferences were detected along the supratentorial region, but were greater at the high convexity level. Moreover, these HU differences were far more marked at the cortical parenchyma. It was also detected that these differences were more prone to ischemic and/or edematous insults than to hyperemic changes. Age was significantly correlated with the side-to-side HU differences in patients with unfavorable outcome.
The densitometric analysis is a promising prognostic tool in patients diagnosed with ASDH. The supplementary prognostic information provided by the densitometric analysis should be evaluated in future studies.
The densitometric analysis is a promising prognostic tool in patients diagnosed with ASDH. The supplementary prognostic information provided by the densitometric analysis should be evaluated in future studies.
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