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Fluorescence of europium activated by molecular-like silver clusters for the detection of alkaline phosphatase activity. 用于检测碱性磷酸酶活性的分子样银簇激活的铕荧光。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-16 DOI: 10.1016/j.talanta.2024.126892
Chen-Xi Zhao, Xiao-Xia Li, Yang Shu

Alkaline phosphatase (ALP) is abnormally expressed in some cancers and promotes the growth, metastasis, and invasion of cancer cells. The detection of ALP is of great significance for both pathological study and clinical detection. In this work, a europium (Eu)-based fluorescence detection sensor was prepared in a mild reaction condition. LaF3:Eu nanoparticles was mixed with ethylene imine polymer (PEI) and Ag+ ions. PEI was used as stabilizer and reducing agent, and Ag+ ions were reduced as molecular-like silver clusters (ML-Ag NCs). The fluorescence of LaF3:Eu nanoparticles was enhanced by ML-Ag NCs through energy transfer. When ascorbic acid 2-phosphate (AAP) was hydrolyzed to ascorbic acid (AA) in the presence of ALP, AA reduced Ag+ ions to silver nanoparticles (Ag NPs) and quenched the fluorescence of LaF3:Eu/PEI/Ag. The activity of ALP was detected by measuring the fluorescence intensity of Eu3+ at 618 nm. In the concentration range from 2.0 to 16.0 U/L, the fluorescence intensity ratio ((F0-F)/F0) had a linear relationship with the logarithm of ALP concentration. The limit of detection (LOD) was 1.3 U/L. Moreover, the ALP activity was detected successfully in cancer cells by this method. The sensing platform has application potential in the detection of ALP activity in biological systems.

碱性磷酸酶(ALP)在某些癌症中表达异常,会促进癌细胞的生长、转移和侵袭。检测 ALP 对病理研究和临床检测都具有重要意义。本研究在温和的反应条件下制备了一种基于铕(Eu)的荧光检测传感器。LaF3:Eu 纳米粒子与乙烯亚胺聚合物(PEI)和 Ag+ 离子混合。PEI 用作稳定剂和还原剂,Ag+ 离子被还原成分子样银簇(ML-Ag NCs)。通过能量转移,ML-Ag NCs 增强了 LaF3:Eu 纳米粒子的荧光。当抗坏血酸 2-磷酸(AAP)在 ALP 存在下水解为抗坏血酸(AA)时,AA 将 Ag+ 离子还原为银纳米颗粒(Ag NPs),并淬灭了 LaF3:Eu/PEI/Ag 的荧光。通过测量 618 纳米波长处 Eu3+ 的荧光强度来检测 ALP 的活性。在 2.0 至 16.0 U/L 的浓度范围内,荧光强度比((F0-F)/F0)与 ALP 浓度的对数呈线性关系。检测限(LOD)为 1.3 U/L。此外,该方法还能成功检测出癌细胞中的 ALP 活性。该传感平台在检测生物系统中的 ALP 活性方面具有应用潜力。
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引用次数: 0
Multipath collaboration-based signal amplification on Z-scheme In2O3/g-C3N4 heterojunction photoelectrode for sensitive photoelectrochemical immunoassay. 在 Z 型 In2O3/g-C3N4 异质结光电电极上进行基于多径协作的信号放大,用于灵敏的光电化学免疫分析。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-23 DOI: 10.1016/j.talanta.2024.126935
Yuxiang Dong, Weisa Wang, Cheng Guo, Jialin Wang, Dan Li, Changqing Ye

The ideal photoelectrode and efficient signaling strategy are pivotal to achieve sensitive photoelectrochemical (PEC) analysis. Here, a multipath collaborative signal amplification-based PEC immunosensor was constructed for the ultrasensitive detection of cytokeratin 19 fragment 21-1. Specifically, the photoelectrode fabricated by Z-scheme In2O3/g-C3N4 heterojunction showed enhanced photocurrent intensity in response to visible light. Meanwhile, the signal probe, horseradish peroxidase functionalized dopamine-melanin nanosphere@Au nanoparticles (HRP-Dpa-melanin NS@AuNPs), were introduced into the system. When the target exists, the signal probe can induce multiple quenching of the photocurrent due to the competition of light absorption, steric hindrance and HRP-mediated biocatalytic precipitation, which effectively inhibit light, electron donor, and electron access to the photoelectrode. The fabricated immunosensor exhibits a wide linear range from 1.0 × 10-3 - 1.0 × 102 ng mL-1 with the detection limit of 0.35 pg mL-1 (S/N = 3) for cytokeratin 19 fragment 21-1 detection. The study enhances sensitivity for PEC detection by utilizing the superior Z-scheme heterojunction photoelectrode, providing a valuable method that combines multiple signal pathways for a synergistic effect in bioanalysis.

理想的光电电极和高效的信号策略是实现灵敏的光电化学(PEC)分析的关键。本文构建了一种基于多路径协同信号放大的 PEC 免疫传感器,用于超灵敏检测细胞角蛋白 19 片段 21-1。具体来说,由 Z 型 In2O3/g-C3N4 异质结制成的光电极在可见光下显示出更强的光电流强度。同时,将信号探针--辣根过氧化物酶功能化多巴胺-美兰宁纳米球@金纳米粒子(HRP-Dpa-美兰宁 NS@AuNPs)引入该系统。当目标物存在时,由于光吸收、立体阻碍和 HRP 介导的生物催化沉淀的竞争,信号探针可诱导光电流的多重淬灭,从而有效抑制光、电子供体和电子进入光电极。所制备的免疫传感器在 1.0 × 10-3 - 1.0 × 102 ng mL-1 范围内具有较宽的线性,细胞角蛋白 19 片段 21-1 的检测限为 0.35 pg mL-1 (S/N = 3)。该研究通过利用卓越的 Z 型异质结光电电极提高了 PEC 检测的灵敏度,提供了一种结合多种信号途径的有价值的方法,从而在生物分析中产生协同效应。
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引用次数: 0
Novel electrochemiluminescence platform utilizing AuNPs@Uio-66-NH2 bridged luminescent substrates and aptamers for the detection of pesticide residues in Chinese herbal medicines. 利用 AuNPs@Uio-66-NH2 桥接发光底物和适配体的新型电化学发光平台检测中药材中的农药残留。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-20 DOI: 10.1016/j.talanta.2024.126924
Chengqiang Li, Haifang Wang, Jiashuai Sun, Peisen Li, Jiwei Dong, Jingcheng Huang, Haowei Dong, Lingjun Geng, Zhiping Yu, Pengwei Zhang, Wei Chen, Yemin Guo, Xia Sun

A large number of Chinese herbal medicines (CHMs) are included in daily recipes, but their pesticide residues have aroused more and more concerns. In this paper, an electrochemiluminescence aptasensor was constructed for the trace detection of acetamiprid (ACE) in Angelica sinensis and Lycium barbarum. Possessing a large specific surface area, UiO-66 was modified with amino groups to improve biocompatibility, and the addition of AuNPs allowed UiO-66-NH2 to catalyze the formation of excited states of luminescent molecules (TPrA; Ru(bpy)32+), and AuNPs@UiO-66-NH2 was used to bridge the aptamer (Au-S) and luminescent substrate (peptide bond). The conventional luminescent reagent Ru(bpy)32+ was doped with multi-walled carbon nanotubes (MWCNTs) to obtain a more powerful and stable light signal. After optimizing the experimental parameters, the aptasensor could give results in 10 min with a detection range from 1×10-2-1×104 nM and a lower limit of detection (LOD) of 0.8 pM. The LOD of the study was at least one order of magnitude lower than that of the fluorescence detection method. Furthermore, the accuracy of the aptasensor was validated for spiked recovery experiments.

大量中药材被列入日常食谱,但其农药残留问题日益引起人们的关注。本文构建了一种电化学发光适配传感器,用于痕量检测当归和枸杞中的啶虫脒(ACE)。UiO-66 具有较大的比表面积,用氨基修饰可提高其生物相容性,加入 AuNPs 可使 UiO-66-NH2 催化发光分子(TPrA⁎;Ru(py)32+⁎)激发态的形成,AuNPs@UiO-66-NH2 则用于连接适配体(Au-S)和发光底物(肽键)。在传统的发光试剂 Ru(bpy)32+ 中掺杂了多壁碳纳米管(MWCNTs),以获得更强更稳定的光信号。优化实验参数后,该传感器可在 10 分钟内得到结果,检测范围为 1×10-2-1×104 nM,检测下限(LOD)为 0.8 pM。该研究的检测下限比荧光检测方法至少低一个数量级。此外,在加标回收实验中也验证了该传感器的准确性。
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引用次数: 0
Signal processing for miniature mass spectrometer based on LSTM-EEMD feature digging. 基于 LSTM-EEMD 特征挖掘的微型质谱仪信号处理。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-23 DOI: 10.1016/j.talanta.2024.126904
Chenrui Zhan, Zisheng Ju, Binrui Xie, Jiwen Chen, Qiang Ma, Ming Li

Miniature mass spectrometers exhibit immense application potential in on-site detection due to their small size and low cost. However, their detection accuracy is severely affected by factors such as sample pre-processing and environmental conditions. In this study, we propose a data processing method based on long short-term memory-ensemble empirical mode decomposition (LSTM-EEMD) to improve the quality of on-site detection data from miniature mass spectrometers. The EEMD method can clearly decompose the different physical feature components in the small-scale spectrometer signals, while the LSTM method can adaptively learn the internal feature relationships of the signals. Thus, by combining the two, the parameters for the EEMD signal reconstruction can be optimized in an adaptive manner, obtaining the optimized coefficients. Compared to the previous EEMD feature enhancement approach, the LSTM-EEMD method not only significantly improves the coefficient of determination (R2) and relative standard deviation (RSD) of the data, enhancing the linear range, but also achieves fully adaptive processing throughout the workflow, greatly boosting the efficiency. By leveraging a miniature mass spectrometer, data for N-acetyl-l-aspartic acid (NAA), 2-Hydroxyglutarate (2-HG), and γ-Aminobutyric acid (GABA) in actual blood samples have been obtained. The experimental results demonstrate that the LSTM-EEMD method can markedly enhance the accuracy and usability of the biological sample data in practical testing, providing new perspectives and possibilities for research and applications in the relevant domain.

微型质谱仪由于体积小、成本低,在现场检测方面具有巨大的应用潜力。然而,其检测精度受到样品预处理和环境条件等因素的严重影响。在本研究中,我们提出了一种基于长短期记忆-集合经验模式分解(LSTM-EEMD)的数据处理方法,以提高微型质谱仪现场检测数据的质量。EEMD 方法可以清晰地分解小型质谱仪信号中的不同物理特征成分,而 LSTM 方法则可以自适应地学习信号的内部特征关系。因此,将二者结合起来,可以自适应地优化 EEMD 信号重构的参数,从而得到优化的系数。与之前的 EEMD 特征增强方法相比,LSTM-EEMD 方法不仅显著提高了数据的决定系数(R2)和相对标准偏差(RSD),增强了线性范围,而且在整个工作流程中实现了全自适应处理,大大提高了效率。利用微型质谱仪,获得了实际血液样本中 N-乙酰基-天冬氨酸(NAA)、2-羟基戊二酸(2-HG)和γ-氨基丁酸(GABA)的数据。实验结果表明,LSTM-EEMD 方法能显著提高生物样本数据在实际测试中的准确性和可用性,为相关领域的研究和应用提供了新的视角和可能性。
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引用次数: 0
A spatial hue smartphone-based colorimetric detection and discrimination of carmine and carminic acid in food products based on differential adsorptivity. 基于空间色调的智能手机比色法检测和鉴别食品中的胭脂红和胭脂虫酸,以差分吸附力为基础。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.1016/j.talanta.2024.127053
Aya A Abdella, Eman A Elshenawy

A novel, portable, disposable, affordable, and environmentally friendly paper-based analytical device (PAD) was designed for on-site determination of carmine and carminic acid. This platform utilized paper test strips with a chitosan coating as an adsorption layer, which was characterized using scanning electron microscope, energy-dispersive X-ray analysis, and water contact angle measurement. Carmine and carminic acid could be efficiently adsorbed on chitosan-coated paper test strips, producing distinct colors that could be captured using a smartphone camera without the need for an elution step. Notably, by utilizing the Hue component of the HSL model, it was possible to differentiate between carmine and carminic acid, confirming their presence in a sample. Furthermore, the color saturation intensity changed in a concentration-dependent manner, allowing for the determination of carmine and carminic acid concentrations in the ranges of 200-800 μg/mL and 20-100 μg/mL, respectively. Additionally, the created test strip could be used to measure the percentage of carminic acid in the presence of carmine. The developed PAD enabled the quantification of carmine in various food samples without the need for reagents or complex equipment. The environmental impact of this method was found to be positive based on assessments using GAPI and AGREE tools.

设计了一种新型、便携、一次性、经济实惠且环保的纸基分析装置(PAD),用于现场测定胭脂红和胭脂虫酸。该平台利用带有壳聚糖涂层的纸质试纸作为吸附层,并利用扫描电子显微镜、能量色散 X 射线分析和水接触角测量对其进行了表征。涂有壳聚糖的纸质试纸可以有效地吸附肉豆蔻红和肉豆蔻酸,并产生独特的颜色,使用智能手机摄像头即可捕捉到这些颜色,而无需洗脱步骤。值得注意的是,通过利用 HSL 模型的色调成分,可以区分胭脂红和胭脂虫酸,从而确认样品中是否存在这两种物质。此外,颜色饱和度的变化与浓度有关,因此可以分别测定 200-800 μg/mL 和 20-100 μg/mL 的胭脂红和胭脂虫酸浓度。此外,该试纸还可用于测量胭脂虫红存在时胭脂虫红酸的百分比。所开发的 PAD 无需试剂或复杂的设备,即可定量检测各种食品样品中的胭脂红。根据使用 GAPI 和 AGREE 工具进行的评估,发现这种方法对环境的影响是积极的。
{"title":"A spatial hue smartphone-based colorimetric detection and discrimination of carmine and carminic acid in food products based on differential adsorptivity.","authors":"Aya A Abdella, Eman A Elshenawy","doi":"10.1016/j.talanta.2024.127053","DOIUrl":"10.1016/j.talanta.2024.127053","url":null,"abstract":"<p><p>A novel, portable, disposable, affordable, and environmentally friendly paper-based analytical device (PAD) was designed for on-site determination of carmine and carminic acid. This platform utilized paper test strips with a chitosan coating as an adsorption layer, which was characterized using scanning electron microscope, energy-dispersive X-ray analysis, and water contact angle measurement. Carmine and carminic acid could be efficiently adsorbed on chitosan-coated paper test strips, producing distinct colors that could be captured using a smartphone camera without the need for an elution step. Notably, by utilizing the Hue component of the HSL model, it was possible to differentiate between carmine and carminic acid, confirming their presence in a sample. Furthermore, the color saturation intensity changed in a concentration-dependent manner, allowing for the determination of carmine and carminic acid concentrations in the ranges of 200-800 μg/mL and 20-100 μg/mL, respectively. Additionally, the created test strip could be used to measure the percentage of carminic acid in the presence of carmine. The developed PAD enabled the quantification of carmine in various food samples without the need for reagents or complex equipment. The environmental impact of this method was found to be positive based on assessments using GAPI and AGREE tools.</p>","PeriodicalId":435,"journal":{"name":"Talanta","volume":"282 ","pages":"127053"},"PeriodicalIF":5.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of an untargeted DNA adductomics method by ultra-high performance liquid chromatography coupled to high-resolution mass spectrometry. 利用超高效液相色谱法和高分辨质谱法开发非靶向 DNA 加合物组学方法。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-10-05 DOI: 10.1016/j.talanta.2024.126985
Giorgia La Barbera, Marshal Spenser Shuler, Søren Hammershøj Beck, Per Holger Ibsen, Lars Joachim Lindberg, John Gásdal Karstensen, Lars Ove Dragsted

Genotoxicants originating from inflammation, diet, and environment can covalently modify DNA, possibly initiating the process of carcinogenesis. DNA adducts have been known for long, but the old methods allowed to target only a few known DNA adducts at a time, not providing a global picture of the "DNA adductome". DNA adductomics is a new research field, aiming to screen for unknown DNA adducts by high resolution mass spectrometry (HRMS). However, DNA adductomics presents several analytical challenges such as the need for high sensitivity and for the development of effective screening approaches to identify novel DNA adducts. In this work, a sensitive untargeted DNA adductomics method was developed by using ultra-high performance liquid chromatography (UHPLC) coupled via an ESI source to a quadrupole-time of flight mass spectrometric instrumentation. Mobile phases with ammonium bicarbonate gave the best signal enhancement. The MS capillary voltage, cone voltage, and detector voltage had most effect on the response of the DNA adducts. A low adsorption vial was selected for reducing analyte loss. Hybrid surface-coated analytical columns were tested for reducing adsorption of the DNA adducts. The optimized method was applied to analyse DNA adducts in calf thymus, cat colon, and human colon DNA by performing a MSE acquisition (all-ion fragmentation acquisition) and screening for the loss of deoxyribose and the nucleobase fragment ions. Fifty-four DNA adducts were tentatively identified, hereof 38 never reported before. This is the first untargeted DNA adductomics study on human colon tissue, and one of the few untargeted DNA adductomics studies in the literature reporting the identification of such a high number of unknowns. This demonstrates promising results for the application of this sensitive method in future human studies for investigating novel potential cancer-causing factors.

源于炎症、饮食和环境的基因毒性物质可对 DNA 进行共价修饰,从而可能引发致癌过程。人们对 DNA 加合物的了解由来已久,但以往的方法一次只能针对几种已知的 DNA 加合物,无法提供 "DNA 加合物组 "的全貌。DNA 加合物组学是一个新的研究领域,旨在通过高分辨质谱(HRMS)筛选未知的 DNA 加合物。然而,DNA加合物组学面临着一些分析挑战,如需要高灵敏度和开发有效的筛选方法来识别新型DNA加合物。本研究采用超高效液相色谱(UHPLC),通过ESI源与四极杆飞行时间质谱仪联用,开发了一种灵敏的非靶向DNA加合物组学方法。碳酸氢铵流动相的信号增强效果最佳。质谱毛细管电压、锥体电压和检测器电压对 DNA 加合物的反应影响最大。为减少分析物的损失,选择了低吸附瓶。测试了混合表面涂层分析柱,以减少 DNA 加合物的吸附。将优化后的方法应用于分析小牛胸腺、猫结肠和人类结肠 DNA 中的 DNA 加合物,方法是进行 MSE 采集(全离子碎片采集)并筛选脱氧核糖和核碱基碎片离子的损失。初步鉴定出 54 种 DNA 加合物,其中 38 种以前从未报道过。这是首次对人体结肠组织进行的非靶向DNA加合物组学研究,也是文献中少数几项非靶向DNA加合物组学研究之一,报告了如此多未知加合物的鉴定结果。这表明,在未来的人体研究中应用这种灵敏的方法来调查新的潜在致癌因素前景广阔。
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引用次数: 0
A one-pot isothermal Fluorogenic Mango II arrays-based assay for label-free detection of miRNA. 基于等温荧光芒果 II 阵列的单次无标记检测 miRNA 方法。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-19 DOI: 10.1016/j.talanta.2024.126920
Zan Gong, Panpan Yuan, Yuqing Gan, Xi Long, Zhiwei Deng, Yalan Tang, Yanjing Yang, Shian Zhong

The capability to detect a small number of miRNAs in clinical samples with simplicity, selectivity, and sensitivity is immensely valuable, yet it remains a daunting task. Here, we described a novel Mango II aptamers-based sensor for the one-pot, sensitive and specific detection of miRNAs. Target miRNA-initiated mediated catalyzed hairpin assembly (CHA) would allow for the production of plenty of DNA duplexes and the formation of the complete T7 promoter, motivating the rolling circle transcription (RCT). Then, the subsequent RCT process efficiently generates a huge number of repeating RNA Mango II aptamers, brightened by the incorporation of fluorescent dye TO1-B for miRNA quantification, realizing label-free and high signal-to-background ratio. Moreover, this assay possesses a remarkable ability to confer high selectivity, enabling the distinction of miRNAs among family members with mere 1- or 2- nucleotide (nt) differences. By employing the proposed assay, we have successfully achieved a sensitive evaluation of miR-21 content in diverse cell lines and clinical serum samples. This offers a versatile approach for the sensitive assay of miRNA biomarkers in molecular diagnosis.

以简单、选择性和灵敏度检测临床样本中少量 miRNA 的能力具有极大的价值,但这仍然是一项艰巨的任务。在这里,我们介绍了一种基于芒果 II 合体的新型传感器,它能对 miRNA 进行一次性、灵敏而特异的检测。由目标 miRNA 引发的催化发夹组装(CHA)可产生大量 DNA 双链并形成完整的 T7 启动子,从而推动滚圆转录(RCT)。随后的 RCT 过程有效地生成了大量重复的 RNA 芒果 II 合体,并通过加入荧光染料 TO1-B 进行 miRNA 定量,实现了无标记和高信噪比。此外,这种检测方法还具有显著的高选择性,能够区分仅有 1 或 2 个核苷酸(nt)差异的 miRNA 家族成员。通过采用所提出的检测方法,我们成功地实现了对不同细胞系和临床血清样本中 miR-21 含量的灵敏评估。这为分子诊断中敏感地检测 miRNA 生物标记物提供了一种多功能方法。
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引用次数: 0
Determination of 4-n-butylresorcinol by fluorescence derivatization based on dopamine. 基于多巴胺的荧光衍生法测定 4-正丁基间苯二酚。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-20 DOI: 10.1016/j.talanta.2024.126909
Qing Liu, Si Chen, Yiming Nie, Qian Li, Fang Chen

4-n-butylresorcinol (4nBR) is a frequently utilized as whitening ingredients in skincare cosmetics. Compared with other whitening ingredients, it can effectively inhibit tyrosinase with lower toxicity and superior inhibition efficacy. Under alkaline conditions, an induced oxidative coupling reaction can occur between 4nBR and dopamine (DA) to generate strong fluorescent substance azamonardine with an intense emission band centering at 476 nm when excited at 440 nm. This phenomenon can be used to establish a fluorescence analysis method for 4nBR. The results indicated that the linear range of the method was 1.0-24.0 nmol L-1, and the detection limit was as low as 0.25 nmol L-1. The method showed high sensitivity, good selectivity, mild experimental conditions and low cost. The proposed method was successfully used to detect 4nBR in cosmetics, and the results were consistent with those of HPLC. The spiking recoveries were between 98.2% and 108 %.

4-正丁基间苯二酚(4nBR)是护肤化妆品中常用的美白成分。与其他美白成分相比,它能有效抑制酪氨酸酶,毒性较低,抑制效果显著。在碱性条件下,4nBR 与多巴胺(DA)之间会发生诱导氧化偶联反应,生成强荧光物质氮杂萘啶,在 440 纳米波长下激发时,以 476 纳米波长为中心形成一条强发射带。这一现象可用于建立 4nBR 的荧光分析方法。结果表明,该方法的线性范围为1.0-24.0 nmol L-1,检出限低至0.25 nmol L-1。该方法灵敏度高、选择性好、实验条件温和、成本低。该方法成功用于化妆品中4nBR的检测,结果与高效液相色谱法一致。加标回收率为98.2%~108%。
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引用次数: 0
Palliative Care Consultation in the Intensive Care Unit Reduces Hospital Costs: A Cost-Analysis. 重症监护室的姑息治疗咨询降低了医院成本:成本分析。
IF 16.4 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-01-01 Epub Date: 2022-04-26 DOI: 10.1177/08258597221095986
Tong Han Chung, Linh K Nguyen, Lincy S Lal, J Michael Swint, Yen-Chi L Le, Kathleen R Hanley, Efrain Siller, Cheryl M Chanaud

Background: Palliative care aims to improve or maintain quality of life for patients with life-limiting or life-threatening diseases. Limited research shows that palliative care is associated with reduced intensive care unit length of stay and use of high-cost resources.

Methods: This was an observational, non-experimental comparison group study on all patients 18 years or older admitted to any intensive care unit (ICU) at Memorial Hermann - Texas Medical Center for 7 to 30 days from August 2013 to December 2015. Length of stay (LOS) and hospital costs were compared between the treatment group of patients with palliative care in the ICU and the control group of patients with usual care in the ICU. To adjust for confounding of the palliative care consultation on LOS and hospital cost, an inverse probability of treatment weighted method was conducted. Generalized linear models using gamma distribution and log link were estimated. All costs were converted to 2015 US dollars.

Results: Mean LOS was 13 days and mean total hospital costs were USD 58,378. In adjusted and weighted analysis, LOS for the treatment group was 8% longer compared to the control group. The mean total hospital cost was estimated to decrease by 21% for the treatment group versus the control group. We found a reduction of USD 33,783 in hospital costs per patient who died in the hospital and reduction of USD 9113 per patient discharged alive.

Conclusion: Palliative care consultation was associated with a reduction in the total cost of hospital care for patients with life-limiting or life-threatening diseases.

背景姑息治疗旨在改善或维持限制生命或危及生命的疾病患者的生活质量。有限的研究表明,姑息治疗与减少重症监护室的住院时间和使用高成本资源有关。方法本研究是一项观察性、非实验性对照组研究,对象为2013年8月至2015年12月在赫尔曼纪念得克萨斯医疗中心任何重症监护室(ICU)入住7至30天的所有18岁或以上患者。比较了在ICU接受姑息治疗的患者治疗组和在ICU接受常规治疗的患者对照组的住院时间(LOS)和住院费用。为了调整姑息治疗咨询对服务水平和住院费用的混淆,采用了治疗加权逆概率法。使用伽马分布和对数链接对广义线性模型进行了估计。所有费用均转换为2015年美元。结果平均LOS为13天,平均总住院费用为58378美元。在调整和加权分析中,治疗组的LOS比对照组长8%。与对照组相比,治疗组的平均总住院费用估计减少了21%。我们发现,每位在医院死亡的患者的住院费用减少了33783美元,每位活着出院的患者的费用减少了9113美元。结论姑息治疗咨询与降低限制生命或危及生命的疾病患者的医院护理总成本有关。
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引用次数: 0
Clinical Practice Guidelines on Palliative Sedation Around the World: A Systematic Review. 全球姑息镇静临床实践指南:系统回顾。
IF 16.4 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-01-01 Epub Date: 2022-11-28 DOI: 10.1177/08258597221138674
Martyna Tomczyk, Cécile Jaques, Ralf J Jox

Objective: The principal aim of this study was to identify, systematically and transparently, clinical practice guidelines (CPGs) on palliative sedation from around the world. Methods: A systematic search was performed using 5 databases, grey literature search tools, citation tracking, and contact with palliative care experts across the world. Current CPGs accredited by an international, national, or regional authority, published in English, German, French, or Italian, were subjected to content analysis. Results: In total, 35 CPGs from 14 countries and 1 international CPG were included in the analysis. The CPGs had diverse formal characteristics. Their thematic scope was difficult to analyze and compare because of differences in the terms and definitions of palliative sedation in those texts. We identified 3 main situations: (1) CPGs with a fully explicit thematic scope; (2) CPGs with a partially explicit thematic scope; and (3) CPGs without an explicit thematic scope. Several CPGs explicitly stated what forms of sedation were excluded from the text. However, this presentation was often confusing. Conclusion: Our review provides several pieces of information that could guide international reflections in this field, and be used to develop or update CPGs at all levels. Efforts should be made to clarify the thematic scope of each CPG on palliative sedation, in order to generate an understanding of the forms of this therapy addressed in the text.

研究目的本研究的主要目的是以系统和透明的方式确定世界各地有关姑息镇静的临床实践指南(CPG)。方法: 使用 5 个数据库和工具包进行了系统检索:利用 5 个数据库、灰色文献检索工具、引文追踪以及与全球姑息治疗专家的联系进行了系统性检索。对目前由国际、国家或地区权威机构认可的、以英语、德语、法语或意大利语出版的 CPG 进行了内容分析。结果:共有来自 14 个国家的 35 份 CPG 和 1 份国际 CPG 纳入分析。这些国家方案指南具有不同的形式特征。由于这些文本中有关姑息镇静的术语和定义存在差异,因此很难对它们的主题范围进行分析和比较。我们确定了三种主要情况:(1) 主题范围完全明确的 CPG;(2) 主题范围部分明确的 CPG;(3) 主题范围不明确的 CPG。有几份 CPG 明确说明了文中不包括哪些镇静方式。然而,这种表述往往令人困惑。结论:我们的综述提供了一些信息,可指导国际社会在这一领域的思考,并可用于制定或更新各级 CPG。应努力澄清每份 CPG 中有关姑息镇静的主题范围,以便让人们了解文中涉及的这种疗法的形式。
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