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可视化血液疾病临床病案库在内科学实践教学中的应用研究
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作者 沈恺 曹乐 +5 位作者 杨晨露 帅晓 谢莉萍 徐娟 杨云帆 吴俣 《中国医学教育技术》 2023年第2期166-170,共5页
目的探讨可视化血液疾病临床病案库的建设及其在内科学实践教学中的应用价值。方法选择2021年4—7月在四川大学华西医院血液内科见习的临床五年制医学生40人作为研究对象。将研究对象随机分为试验组和对照组,每组20人。对照组采用传统... 目的探讨可视化血液疾病临床病案库的建设及其在内科学实践教学中的应用价值。方法选择2021年4—7月在四川大学华西医院血液内科见习的临床五年制医学生40人作为研究对象。将研究对象随机分为试验组和对照组,每组20人。对照组采用传统教学手段,试验组采用可视化病案进行模拟教学。比较两组教学效果及满意度。结果试验组学生病案分析考试成绩为(85.65±6.89)分,对照组为(79.75±7.37)分,差异具有统计学意义(P<0.05)。问卷调查结果显示,试验组学生在教学理念(85%vs 50%)、提升学习兴趣(80%vs 45%)、提升主动学习能力(85%vs 50%)、提升临床思维能力(80%vs 50%)、拓宽临床视野(85%vs 55%)等方面的认同度高于对照组(P<0.05)。结论通过建设创新性的可视化血液疾病临床病案库,将抽象的理论知识融入具体、形象、立体的临床病案中进行模拟实践教学,可以激发学生学习的主动性,提高其学习兴趣,深化其对知识的理解,以及培养学生的形象思维和创新性思维,拓宽其临床知识面和思维水平,有利于对临床医师的全面培养。 展开更多
关键词 血液疾病 可视化 病案库 模拟教学
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基于金融专业课程群联动的课程思政教学体系建设探究
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作者 帅霄 于恩锋 《科教文汇》 2023年第10期138-141,共4页
课程思政是落实立德树人根本任务的重要举措,将德育元素融入专业课程有利于高校全员全程全方位育人。文章通过对课程思政教学现状的梳理,分析了基于课程群的金融专业课程思政教学体系建设的必要性,并从教师思政意识建设、专业课程群建... 课程思政是落实立德树人根本任务的重要举措,将德育元素融入专业课程有利于高校全员全程全方位育人。文章通过对课程思政教学现状的梳理,分析了基于课程群的金融专业课程思政教学体系建设的必要性,并从教师思政意识建设、专业课程群建设和课程群思政联动教学支撑体系建设三个方面对金融专业课程思政教学体系建设进行探究,并探究联动教学支撑体系的建设,需建立分模块案例库、创新教师教学方式、构建思政融合的教学考核体系。旨在为金融专业课程思政改革提供可借鉴的实践路径,使课程思政发挥更好的育人效果。 展开更多
关键词 课程思政 课程群 金融专业 教学研究 高校
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PoQ-Consensus Based Private Electricity Consumption Forecasting via Federated Learning
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作者 Yiqun Zhu Shuxian Sun +3 位作者 Chunyu Liu Xinyi Tian Jingyi He shuai xiao 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第9期3285-3297,共13页
With the rapid development of artificial intelligence and computer technology,grid corporations have also begun to move towards comprehensive intelligence and informatization.However,data-based informatization can bri... With the rapid development of artificial intelligence and computer technology,grid corporations have also begun to move towards comprehensive intelligence and informatization.However,data-based informatization can bring about the risk of privacy exposure of fine-grained information such as electricity consumption data.The modeling of electricity consumption data can help grid corporations to have a more thorough understanding of users’needs and their habits,providing better services for users.Nevertheless,users’electricity consumption data is sensitive and private.In order to achieve highly efficient analysis of massive private electricity consumption data without direct access,a blockchain-based federated learning method is proposed for users’electricity consumption forecasting in this paper.Specifically,a blockchain systemis established based on a proof of quality(PoQ)consensus mechanism,and a multilayer hybrid directional long short-term memory(MHD-LSTM)network model is trained for users’electricity consumption forecasting via the federal learning method.In this way,the model of the MHD-LSTM network is able to avoid suffering from severe security problems and can only share the network parameters without exchanging raw electricity consumption data,which is decentralized,secure and reliable.The experimental result shows that the proposed method has both effectiveness and high-accuracy under the premise of electricity consumption data’s privacy preservation,and can achieve better performance when compared to traditional long short-term memory(LSTM)and bidirectional LSTM(BLSTM). 展开更多
关键词 Blockchain consensus mechanism federated learning electricity consumption forecasting privacy preservation
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Multi-AUV Inspection for Process Monitoring of Underwater Oil Transportation
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作者 Jingyi He Jiabao Wen +1 位作者 shuai xiao Jiachen Yang 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2023年第3期828-830,共3页
Dear Editor,This letter presents an inspection method for process monitoring of underwater oil transportation via multiple autonomous underwater vehicles(AUV).To improve the adaptability of our method in practice,we i... Dear Editor,This letter presents an inspection method for process monitoring of underwater oil transportation via multiple autonomous underwater vehicles(AUV).To improve the adaptability of our method in practice,we introduce the dynamic complex ocean current data to the previously mentioned case by using regional ocean modeling system(ROMS)for the first time. 展开更多
关键词 UNDERWATER mentioned AUTONOMOUS
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Impact of bariatric surgery on glucose and lipid metabolism and liver and kidney function in food-induced obese diabetic rats
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作者 Hong Long Lei Zhao +4 位作者 Zhong-Sheng xiao Shu-Xiang Li Qiu-Lin Huang shuai xiao Liang-Liang Wu 《World Journal of Diabetes》 SCIE 2023年第8期1249-1258,共10页
BACKGROUND Obesity usually causes diabetes mellitus(DM)and is a serious danger to human health.Type 2 DM(T2DM)mostly occurs along with obesity.Foodborne obesityinduced DM is caused by an excessive long-term diet and s... BACKGROUND Obesity usually causes diabetes mellitus(DM)and is a serious danger to human health.Type 2 DM(T2DM)mostly occurs along with obesity.Foodborne obesityinduced DM is caused by an excessive long-term diet and surplus energy.Bariatric surgery can improve the symptoms of T2DM in some obese patients.But different types of bariatric surgery may have different effects.AIM To investigate the effect of bariatric surgery on glucose and lipid metabolism and liver and kidney function in rats.METHODS Male Sprague-Dawley rats aged 6-8 wk underwent Roux-en-Y gastric bypass surgery(RYGB),sleeve gastrectomy(SG),or gastric banding(GB).Glucose and insulin tolerance tests,analyses of biochemical parameters,histological examination,western blot,and quantitative real-time polymerase chain reaction were conducted.RESULTS In comparison to the sham operation group,the RYGB,SG,and GB groups had decreased body weight and food intake,reduced glucose intolerance and insulin insensitivity,downregulated biochemical parameters,alleviated morphological changes in the liver and kidneys,and decreased levels of protein kinase Cβ/P66shc.The effect in the RYGB group was better than that in the SG and GB groups.CONCLUSION These results suggest that RYGB,SG and GB may be helpful for the treatment of foodborne obesity-induced DM. 展开更多
关键词 Diabetes mellitus OBESITY Bariatric surgeries Liver and kidney function
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靶向CD19嵌合抗原受体T细胞(C-CAR011)治疗复发难治B细胞非霍奇金淋巴瘤 被引量:4
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作者 龚帅格 王甫珏 +7 位作者 王烁婷 郑沁 帅晓 马洪兵 张丽 陈心传 吴俣 贾永前 《中国实验血液学杂志》 CAS CSCD 北大核心 2021年第4期1141-1147,共7页
目的:评价靶向CD19嵌合抗原受体T细胞注射液C-CAR011治疗复发或难治性B细胞非霍奇金淋巴瘤(R/R B-NHL)患者的安全性和有效性。方法:入选的R/R B-NHL患者,予淋巴细胞清除术及CD19 CART输注治疗(C-CAR011 5.0×10^(6)/kg)后,随访至CD1... 目的:评价靶向CD19嵌合抗原受体T细胞注射液C-CAR011治疗复发或难治性B细胞非霍奇金淋巴瘤(R/R B-NHL)患者的安全性和有效性。方法:入选的R/R B-NHL患者,予淋巴细胞清除术及CD19 CART输注治疗(C-CAR011 5.0×10^(6)/kg)后,随访至CD19 CART治疗后1年。主要研究终点是安全性;次要研究终点包括第4周、12周、6个月与12个月患者的总缓解率(ORR)、无疾病进展(PFS)、缓解持续时间(DOR)的情况,以及第12周、第6和12个月的总生存期(OS)。结果:6例R/R B-NHL受试者接受C-CAR011治疗及随访,中位年龄为46.5(37-62)岁,男女比例为1∶1,5例患者为弥漫大B细胞淋巴瘤(DLBCL),1例患者为滤泡淋巴瘤(FL)。治疗后主要不良反应为血液学毒性(发生率100%,均为3-4级),细胞因子释放综合征(CRS)(发生率66.7%,1-3级),神经毒性(发生率16.7%,3级),均可控且可逆。在4、12周和6、12个月获得OR的患者分别有3例、3例、1例和1例,有3例患者最佳疗效为完全缓解(CR),其中1例在1年评估时仍保持CR。中位PFS为178(91-> 365) d。曾经获得缓解的3例患者的DOR分别为150、154 d和12个月以上。患者的OS率在第12周、6个月和12个月时分别为100%、100%和83.3%,而中位OS未达到。结论:C-CAR011可安全的用于R/R B-NHL,且可在部分患者中获得长期持续疗效(研究注册号:NCT03483688)。 展开更多
关键词 CD19 CART 非霍奇金淋巴瘤 安全性 有效性
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不同剂量柔红霉素诱导化疗65岁以下原发初治急性髓系白血病患者的疗效分析
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作者 龚帅格 王甫珏 +7 位作者 王烁婷 郑沁 帅晓 马洪兵 张丽 陈心传 吴俣 贾永前 《中国实验血液学杂志》 CAS CSCD 北大核心 2021年第4期1071-1079,共9页
目的:比较不同剂量柔红霉素联合标准剂量阿糖胞苷诱导化疗原发初治急性髓系白血病(AML)患者的疗效和安全性。方法:回顾性分析2017年1月-2019年6月86例于本院住院且采用DA方案化疗的65岁以下原发初治AML患者的临床资料及预后,根据第一个... 目的:比较不同剂量柔红霉素联合标准剂量阿糖胞苷诱导化疗原发初治急性髓系白血病(AML)患者的疗效和安全性。方法:回顾性分析2017年1月-2019年6月86例于本院住院且采用DA方案化疗的65岁以下原发初治AML患者的临床资料及预后,根据第一个诱导疗程使用的柔红霉素剂量将患者分为2组:增强剂量[75mg/(m^(2)·d)]组(35例)和标准剂量[60 mg/(m^(2)·d)]组(51例)。分析不同剂量柔红霉素对AML患者完全缓解(CR)率和微小残留阴性的完全缓解(MRD-CR)率、无复发生存(RFS)时间、总生存(OS)时间以及不良反应的影响。结果:所有AML患者的中位随访时间为15个月。增强剂量组患者的CR率显著高于标准剂量组(88.5%vs64.7%,P=0.029),MRD-CR率亦高于标准剂量组(71.4%vs 41.2%,P=0.008)。增强剂量组预计2年RFS率明显高于标准剂量组(68.4%vs 38.5%,P=0.015),但预计2年OS率差异无统计学意义(77.1%vs 66.7%,P=0.059),3-4级不良反应无明显差异。增强剂量的柔红霉素可延长FLT3-ITD-AML患者的RFS(13个月vs未达到,P=0.022)和OS(23个月vs未达到,P=0.029)。结论:增强剂量柔红霉素可以增加原发初治AML患者的缓解率和缓解深度,延长患者的RFS而不增加不良反应。 展开更多
关键词 急性髓系白血病 柔红霉素 完全缓解率 不良反应
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Study on the value of serum miR-106b for the early diagnosis of hepatocellular carcinoma 被引量:9
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作者 Bao-Min Shi Wen Lu +3 位作者 Kun Ji Yu-Feng Wang shuai xiao Xiu-Yan Wang 《World Journal of Gastroenterology》 SCIE CAS 2017年第20期3713-3720,共8页
AIM To investigate the short-term outcomes and risk factors indicating postoperative death of patients with lesions adjacent to the hepatocaval confluence.METHODS We retrospectively analyzed 54 consecutive patients wh... AIM To investigate the short-term outcomes and risk factors indicating postoperative death of patients with lesions adjacent to the hepatocaval confluence.METHODS We retrospectively analyzed 54 consecutive patients who underwent hepatectomy combined with inferior vena cava(IVC)and/or hepatic vein reconstruction(HVR)from January 2012 to January 2016 at our liver surgery center.The patients were divided into5 groups according to the range of IVC and hepatic vein involvement.The patient details,indications for surgery,operative techniques,intra-and postoperative outcomes were compared among the 5 groups.Univariate and multivariate analyses were performed to explore factors predictive of overall operative death.RESULTS IVC replacement was carried out in 37(68.5%)patients and HVR in 17(31.5%)patients.Type I2H2 had the longest operative blood loss,operative duration and overall liver ischemic time(all,p<0.05).Three patients of Type I3H1 with totally occluded IVC did not need IVC reconstruction.Total postoperative morbidity rate was40.7%(22 patients)and the operative mortality rate was 16.7%(9 patients).Factors predictive of operative death included IVC replacement(p=0.048),duration of liver ischemia(p=0.005)and preoperative liver function being Child-pugh B(p=0.025). CONCLUSION IVC replacement,duration of liver ischemia and preoperative poor liver function were risk factors predictive of postoperative death.We should be cautious about IVC replacement,especially in Type I2H2.For Type I3H1,it was unnecessary to replace IVC when the collateral circulation was established. 展开更多
关键词 MiR-106b Hepatocellular 巨鸟曲线 随机的采样调查
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Protecting the trust and credibility of data by tracking forgery trace based on GANs
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作者 shuai xiao Jiachen Yang Zhihan Lv 《Digital Communications and Networks》 SCIE CSCD 2022年第6期877-884,共8页
With the advent of the 5G Internet of Things era,communication and social interaction in our daily life have changed a lot,and a large amount of social data is transmitted to the Internet.At the same time,with the rap... With the advent of the 5G Internet of Things era,communication and social interaction in our daily life have changed a lot,and a large amount of social data is transmitted to the Internet.At the same time,with the rapid development of deep forgery technology,a new generation of social data trust crisis has also followed.Therefore,how to ensure the trust and credibility of social data in the 5G Internet of Things era is an urgent problem to be solved.This paper proposes a new method for forgery detection based on GANs.We first discover the hidden gradient information in the grayscale image of the forged image and use this gradient information to guide the generation of forged traces.In the classifier,we replace the traditional binary loss with the focal loss that can focus on difficult-to-classify samples,which can achieve accurate classification when the real and fake samples are unbalanced.Experimental results show that the proposed method can achieve high accuracy on the DeeperForensics dataset and with the highest accuracy is 98%. 展开更多
关键词 Forgery detection Trace generation Social data Privacy protection
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肿瘤治疗相关骨髓增生异常综合征和急性髓系白血病的临床特征及预后
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作者 徐旭升 丁虹 +14 位作者 张昕 廖益 李赫 刘钦瑜 刘家卓 张丽 黄杰 龚玉萍 马洪兵 向兵 代阳 侯理 帅晓 牛挺 吴俣 《中华血液学杂志》 CAS CSCD 北大核心 2023年第9期742-748,共7页
目的探讨肿瘤治疗相关骨髓增生异常综合征和急性髓系白血病(t-MDS/AML)的临床特征、分子生物学特点、疗效以及预后。方法回顾性分析2010年1月至2023年4月四川大学华西医院86例肿瘤t-MDS/AML患者临床资料,分析肿瘤t-MDS/AML患者的临床特... 目的探讨肿瘤治疗相关骨髓增生异常综合征和急性髓系白血病(t-MDS/AML)的临床特征、分子生物学特点、疗效以及预后。方法回顾性分析2010年1月至2023年4月四川大学华西医院86例肿瘤t-MDS/AML患者临床资料,分析肿瘤t-MDS/AML患者的临床特征、分子生物学特点、治疗及其生存情况。结果研究共纳入86例肿瘤t-MDS/AML患者,原发肿瘤类型主要包括乳腺癌(27.9%)、肠癌(17.4%)、淋巴瘤(12.8%)、肺癌(11.6%)。t-AML患者67例,其中M01例、M16例、M227例、M39例、M412例、M510例、M61例、M71例。62例患者可进行遗传学分层,20例(29.9%)低危组患者中位总生存(OS)时间为36(95%CI 22~52)个月;10例(14.9%)中危组患者中位OS时间为6(95%CI 3~9)个月;32例(47.8%)高危患者中位OS时间为8(95%CI 1~15)个月。非低危组t-AML患者中位OS时间为8(95%CI 3~13)个月,明显短于低危组(χ^(2)=13.856,P<0.001);非急性早幼粒细胞白血病(APL)的t-AML低危组患者中位OS时间为27(95%CI 18~36)个月,长于非低危组(Breslow,χ^(2)=5.534,P=0.019),尤其早期OS率差异显著。9例APL病例均按照原发初治APL诱导维持治疗,中位OS时间未达到,1、2、3年OS率分别为100.0%、(75.0±6.2)%、(75.0±6.2)%。58例非APL的t-AML患者中,52例(89.7%)接受化疗,首次诱导化疗完全缓解16例(30.8%)。非APL的t-AML患者的1、2、3年OS率分别为(42.0±6.6)%、(22.9±5.7)%、(13.4±4.7)%。经化疗达到骨髓缓解的患者中位OS时间显著长于未能缓解的患者24(95%CI 18~30)个月对6(95%CI 3~9)个月,(χ^(2)=6.087,P=0.014)。13例患者使用含维奈克拉方案化疗骨髓CR 7例(53.8%),中位OS时间为12(95%CI 9~15)个月,和不含维奈克拉方案化疗对比差异无统计学意义(χ^(2)=2.343,P=0.126)。19例t-MDS患者中,1、2、3年OS率分别为(46.8±11.6)%、(17.5±9.1)%、(11.7±9.1)%,中位OS时间为12(95%CI 7~17)个月,与t-AML相比差异无统计学意义(χ^(2)=0.656,P=0.418)。结论临床上t-MDS/AML的原发肿瘤为乳腺癌、肠癌等较为常见,具有较高的不良遗传学风险。其中APL患者的诱导缓解率高、长期预后较好,非APL患者缓解率低且预后不良。 展开更多
关键词 肿瘤 治疗相关急性髓系白血病 骨髓增生异常综合征
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B-lymphoid tyrosine kinase-mediated FAM83A phosphorylation elevates pancreatic tumorigenesis through interacting with β-catenin
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作者 Cefan Zhou xiaoting Zhu +19 位作者 Nanxi Liu Xueying Dong Xuewen Zhang Huili Huang Yu Tang Shicheng Liu Mengyu Hu Ming Wang xiaoling Deng Shi Li Rui Zhang Yuan Huang Hao Lyu shuai xiao Sang Luo Declan William Ali Marek Michalak Xing-Zhen Chen Zhentian Wang Jingfeng Tang 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2023年第3期1251-1268,共18页
Abnormal activation of Wnt/β-catenin-mediated transcription is closely associated with the malignancy of pancreatic cancer.Family with sequence similarity 83 member A(FAM83A)was shown recently to have oncogenic effec... Abnormal activation of Wnt/β-catenin-mediated transcription is closely associated with the malignancy of pancreatic cancer.Family with sequence similarity 83 member A(FAM83A)was shown recently to have oncogenic effects in a variety of cancer types,but the biological roles and molecular mechanisms of FAM83A in pancreatic cancer need further investigation.Here,we newly discovered that FAM83A binds directly toβ-catenin and inhibits the assembly of the cytoplasmic destruction complex thus inhibiting the subsequent phosphorylation and degradation.FAM83A is mainly phosphorylated by the SRC non-receptor kinase family member BLK(B-lymphoid tyrosine kinase)at tyrosine 138 residue within the DUF1669 domain that mediates the FAM83A-β-catenin interaction.Moreover,FAM83A tyrosine 138 phosphorylation enhances oncogenic Wnt/β-catenin-mediated transcription through promotingβ-catenin-TCF4 interaction and showed an elevated nucleus translocation,which inhibits the recruitment of histone deacetylases by TCF4.We also showed that FAM83A is a direct downstream target of Wnt/β-catenin signaling and correlates with the levels of Wnt target genes in human clinical pancreatic cancer tissues.Notably,the inhibitory peptides that target the FAM83A-β-catenin interaction significantly suppressed pancreatic cancer growth and metastasis in vitro and in vivo.Our results revealed that blocking the FAM83A cascade signaling defines a therapeutic target in human pancreatic cancer. 展开更多
关键词 FAM83A ELEVATED PHOSPHORYLATION
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基于有限元-时域分段自适应算法的围岩衬砌耦合渐进分析
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作者 肖帅 杨海天 冉春江 《固体力学学报》 CAS CSCD 北大核心 2020年第4期352-365,共14页
以开挖时间、一衬时间、二衬时间划分时间区段,考虑围岩与衬砌为弹性/粘弹性介质,将围岩的"位移/应力释放不完全"、开挖等影响模拟为载荷的渐进释放,提出一个有限元-时域分段自适应算法,求解围岩衬砌耦合问题,并通过数值算例... 以开挖时间、一衬时间、二衬时间划分时间区段,考虑围岩与衬砌为弹性/粘弹性介质,将围岩的"位移/应力释放不完全"、开挖等影响模拟为载荷的渐进释放,提出一个有限元-时域分段自适应算法,求解围岩衬砌耦合问题,并通过数值算例对算法进行了验证.所提方法给出了各时间区段的关联条件;可更准确描述各变量随时间的变化;同时将原时空耦合问题转化为一系列空间问题,并利用有限元方法递推求解;当步长变化时可通过自适应计算保证稳定的计算精度.此外,还建立了一个载荷渐进参数的反问题数值求解模型,并给出了相关算例. 展开更多
关键词 围岩衬砌 耦合分析 渐进荷载 时域自适应算法 有限元
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Anti-biofouling NH_(3) gas sensor based on reentrant thorny ZnO/graphene hybrid nanowalls 被引量:1
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作者 Tian Hang Jiangming Wu +8 位作者 shuai xiao Baohong Li Hongbo Li Chengduan Yang Cheng Yang Ning Hu Yonghang Xu Yu Zhang Xi Xie 《Microsystems & Nanoengineering》 EI CSCD 2020年第1期706-716,共11页
Since toxic gas leakage may cause ecological environmental problems and even life-threatening damage,effective monitoring of toxic gas is of great importance and subject to increasing demand.However,complicated enviro... Since toxic gas leakage may cause ecological environmental problems and even life-threatening damage,effective monitoring of toxic gas is of great importance and subject to increasing demand.However,complicated environmental factors,as well as various coexisting interferences can easily affect the sensitivity and selectivity of gas sensors,hindering their performance.Recent reports have successfully demonstrated the development of hierarchical nanostructures with desirable self-cleaning properties,yet gas sensors that can resist contamination have rarely been realized.Here,we developed a reentrant thorny ZnO/graphene hybrid nanowall structure that simultaneously repels liquid contamination and possesses NH_(3) gas sensing properties.The unique reentrant and hierarchical structure,featuring an interconnected vertical graphene nanowall framework with numerous ZnO nanospikes branched on the top nanowall,is highly repellent to liquids,even biofluids with low surface tension.The hierarchical structure consisting of gas sensing graphene and ZnO can be successfully applied as an NH_(3) gas sensor at room temperature,exhibiting not only excellent sensitivity,selectivity,and repeatability,but also outstanding stability even after bacterial contamination.This study provides a versatile method for fabricating reentrant and hierarchical structures with excellent liquid repellency,and offers a promising method for designing reliable gas sensors with anti-biofouling properties. 展开更多
关键词 FOULING walls VERSATILE
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