BACKGROUND: Monochorionic twin pregnancies complicated by severe twin to twin transfusion syndrome at midgestation can be treated by either serial amnioreduction(removal of large volumes of amniotic fluid) or selectiv...BACKGROUND: Monochorionic twin pregnancies complicated by severe twin to twin transfusion syndrome at midgestation can be treated by either serial amnioreduction(removal of large volumes of amniotic fluid) or selective fetoscopic laser coagulation of the communicating vessels on the chorionic plate. We conducted a randomized trial to compare the efficacy and safety of these two treatments. METHODS: Pregnant women with severe twin to twin transfusion syndrome before 26 weeks of gestation were randomly assigned to laser therapy or amnioreduction. We assessed perinatal survival of at least one twin (a prespecified primary outcome),survival of at least one twin at six months of age, and survival without neurologic complications at six months of age on the basis of the number of pregnancies or the number of fetuses or infants, as appropriate. RESULTS:The study was concluded early, after 72 women had been assigned to the laser group and 70 to the amnioreduction group, because a planned interim analysis demonstrated a significant benefit in the laser group. As compared with the amnioreduction group, the laser group had a higher likelihood of the survival of at least one twin to 28 days of age (76 percent vs. 56 percent; relative risk of the death of both fetuses, 0.63; 95 percent confidence interval, 0.25to 0.93; P=0.009) and 6 months of age (P=0.002). Infants in the laser group also had a lower incidence of cystic periventricular leukomalacia (6 percent vs. 14 percent,P=0.02) and were more likely to be free of neurologic complications at six months of age (52 percent vs. 31 percent, P=0.003). CONCLUSIONS: Endoscopic laser coagulation of anastomoses is a more effective first linetreatment than serial amnioreduction for severe twin totwin transfusion syndrome diagnosed before 26 weeks of gestation.展开更多
The Nd-doped TiO2 thin films with higher hydrophilic and photocatalytic activities were prepared on glass slides by an acid-catalyzed sol？gel method. The effects of Nd doping on crystalline phase, surface composition...The Nd-doped TiO2 thin films with higher hydrophilic and photocatalytic activities were prepared on glass slides by an acid-catalyzed sol？gel method. The effects of Nd doping on crystalline phase, surface composition and optical property were investigated by means of techniques such as X-ray diffraction （XRD）, scanning electron microscopy （SEM）, transmission electron microscopy （TEM）, Fourier transform infrared spectroscopy （FT-IR）, optical contact angle tester and UV-Vis spectroscopy. The results show that Nd doping obviously influences the hydrophilic and photocatalytic activities of TiO2thin films. Nd doping could cause the TiO2 lattice distortion, inhibit phase transition from anatase to rutile, cause red shift of the absorption spectrum edge, produce hydroxyl radicals （·OH）, and accelerate surface hydroxylation, which result in a significant improvement in the hydrophilicity and photoreactivity of Nd-doped TiO2 thin films. When the content of Nd is 0.1% （mass fraction）, TiO2 thin films achieve the smallest grain size （about 15 nm）, and the hydrophilic and photocatalytic activities of TiO2 thin film reach the maximum, the contact angle is only 8.1°, and 92% of methylene blue is finally degraded. Moreover, the modification mechanism of Nd doping was also discussed.展开更多
Neodymium doping titania was loaded to silicon dioxide to prepare Nd/TiO2-SiO2 by sol-gel method and Nd/TiO2-SiO2 was characterized by X-ray diffractometry （XRD）, scanning electron microscopy （SEM）, Fourier transf...Neodymium doping titania was loaded to silicon dioxide to prepare Nd/TiO2-SiO2 by sol-gel method and Nd/TiO2-SiO2 was characterized by X-ray diffractometry （XRD）, scanning electron microscopy （SEM）, Fourier transform-infrared spectroscopy （FT-IR） and diffuse reflectance spectra （DRS）. Photocatalytic activities of Nd/TiO2-SiO2 with different neodymium contents were evaluated by degradation of methyl orange. The light absorption of Nd/TiO2-SiO2 increased with increasing doping neodymium in a visible light range of 388-619 nm, and Nd doping was in favor of decreasing the recombination of photo-generated electrons with holes. Nd and SiO2 improved the photocatalytic activity of TiO2. The optimal molar fraction of Nd to Ti was 0.1%, and the optimum calcination temperature was 600 ℃. The highest degradation rate of methyl orange was 82.9% after irradiation for 1 h.展开更多
Erbium-doped BaTiO3 films on LaNiO3/Si substrates were fabricated by sol-gel method. The crystalline structure, morphologies and upconversion （UC） luminescence properties of films were respectively investigated by X...Erbium-doped BaTiO3 films on LaNiO3/Si substrates were fabricated by sol-gel method. The crystalline structure, morphologies and upconversion （UC） luminescence properties of films were respectively investigated by X-ray diffraction （XRD）, atomic force microcopy （AFM） and photoluminescence （PL）. The results indicate that both of the microstructure and luminescence are found to be dependent on Er^3＋ substituting sites. The samples with A-site substitution have smaller lattice constants, larger grains and smoother surface than those with B-site substitution. The photoluminescence spectra show that both of the samples have two stronger green emission bands centered at 528 and 548 nm and a weak red emission band centered at 673 nm, which correspond to the relaxation of Er^3＋ from ^2H11/2, ^4S3/2, and ^4F9/2 levels to the ground level ^4I15/2, respectively. Compared with B-site doped films, A-site doped films have a stronger integrated intensity of green emissions and a weaker relative intensity of red emissions. The differences could be explained by the crystalline quality and cross relaxation （CR） process.展开更多
文摘BACKGROUND: Monochorionic twin pregnancies complicated by severe twin to twin transfusion syndrome at midgestation can be treated by either serial amnioreduction(removal of large volumes of amniotic fluid) or selective fetoscopic laser coagulation of the communicating vessels on the chorionic plate. We conducted a randomized trial to compare the efficacy and safety of these two treatments. METHODS: Pregnant women with severe twin to twin transfusion syndrome before 26 weeks of gestation were randomly assigned to laser therapy or amnioreduction. We assessed perinatal survival of at least one twin (a prespecified primary outcome),survival of at least one twin at six months of age, and survival without neurologic complications at six months of age on the basis of the number of pregnancies or the number of fetuses or infants, as appropriate. RESULTS:The study was concluded early, after 72 women had been assigned to the laser group and 70 to the amnioreduction group, because a planned interim analysis demonstrated a significant benefit in the laser group. As compared with the amnioreduction group, the laser group had a higher likelihood of the survival of at least one twin to 28 days of age (76 percent vs. 56 percent; relative risk of the death of both fetuses, 0.63; 95 percent confidence interval, 0.25to 0.93; P=0.009) and 6 months of age (P=0.002). Infants in the laser group also had a lower incidence of cystic periventricular leukomalacia (6 percent vs. 14 percent,P=0.02) and were more likely to be free of neurologic complications at six months of age (52 percent vs. 31 percent, P=0.003). CONCLUSIONS: Endoscopic laser coagulation of anastomoses is a more effective first linetreatment than serial amnioreduction for severe twin totwin transfusion syndrome diagnosed before 26 weeks of gestation.
基金Projects(51162022,21201098)supported by the National Natural Science Foundation of ChinaProject(GJJ14126)supported by Jiangxi Provincial Education Department,ChinaProject(2012019)supported by the Test Foundation of Nanchang University,China
文摘The Nd-doped TiO2 thin films with higher hydrophilic and photocatalytic activities were prepared on glass slides by an acid-catalyzed sol？gel method. The effects of Nd doping on crystalline phase, surface composition and optical property were investigated by means of techniques such as X-ray diffraction （XRD）, scanning electron microscopy （SEM）, transmission electron microscopy （TEM）, Fourier transform infrared spectroscopy （FT-IR）, optical contact angle tester and UV-Vis spectroscopy. The results show that Nd doping obviously influences the hydrophilic and photocatalytic activities of TiO2thin films. Nd doping could cause the TiO2 lattice distortion, inhibit phase transition from anatase to rutile, cause red shift of the absorption spectrum edge, produce hydroxyl radicals （·OH）, and accelerate surface hydroxylation, which result in a significant improvement in the hydrophilicity and photoreactivity of Nd-doped TiO2 thin films. When the content of Nd is 0.1% （mass fraction）, TiO2 thin films achieve the smallest grain size （about 15 nm）, and the hydrophilic and photocatalytic activities of TiO2 thin film reach the maximum, the contact angle is only 8.1°, and 92% of methylene blue is finally degraded. Moreover, the modification mechanism of Nd doping was also discussed.
基金Project(2009B010100001) supported by the Key Academic Program of the 3rd Phase "211 Project" of South China Agricultural University, ChinaProject(2007B030103019) supported by Guangdong Science and Technology Development Foundation, China
文摘Neodymium doping titania was loaded to silicon dioxide to prepare Nd/TiO2-SiO2 by sol-gel method and Nd/TiO2-SiO2 was characterized by X-ray diffractometry （XRD）, scanning electron microscopy （SEM）, Fourier transform-infrared spectroscopy （FT-IR） and diffuse reflectance spectra （DRS）. Photocatalytic activities of Nd/TiO2-SiO2 with different neodymium contents were evaluated by degradation of methyl orange. The light absorption of Nd/TiO2-SiO2 increased with increasing doping neodymium in a visible light range of 388-619 nm, and Nd doping was in favor of decreasing the recombination of photo-generated electrons with holes. Nd and SiO2 improved the photocatalytic activity of TiO2. The optimal molar fraction of Nd to Ti was 0.1%, and the optimum calcination temperature was 600 ℃. The highest degradation rate of methyl orange was 82.9% after irradiation for 1 h.
基金Project (2009AA035002) supported by the High-tech Research and Development Program of China
文摘Erbium-doped BaTiO3 films on LaNiO3/Si substrates were fabricated by sol-gel method. The crystalline structure, morphologies and upconversion （UC） luminescence properties of films were respectively investigated by X-ray diffraction （XRD）, atomic force microcopy （AFM） and photoluminescence （PL）. The results indicate that both of the microstructure and luminescence are found to be dependent on Er^3＋ substituting sites. The samples with A-site substitution have smaller lattice constants, larger grains and smoother surface than those with B-site substitution. The photoluminescence spectra show that both of the samples have two stronger green emission bands centered at 528 and 548 nm and a weak red emission band centered at 673 nm, which correspond to the relaxation of Er^3＋ from ^2H11/2, ^4S3/2, and ^4F9/2 levels to the ground level ^4I15/2, respectively. Compared with B-site doped films, A-site doped films have a stronger integrated intensity of green emissions and a weaker relative intensity of red emissions. The differences could be explained by the crystalline quality and cross relaxation （CR） process.
