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Highly selective ethanol vapour sensing materials for a new generation of gas sensors based on molecularly imprinted polymers. 基于分子印迹聚合物的新一代气体传感器的高选择性乙醇蒸汽传感材料。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-18 DOI: 10.1016/j.talanta.2024.126902
Todd Cowen, Sotirios Grammatikos, Michael Cheffena

A simple gas sensor consisting of a molecularly imprinted polymer-carbon nanotube composite cast onto a screen-printed electrode has been developed with extremely high selectivity for ethanol vapour over methanol vapour. Ethanol gas sensors typically display selectivity for ethanol over methanol in the range 2-4 times, while the mean ratio of ethanol to methanol response observed with the described device was 672. This selectivity was achieved under ambient conditions. Additionally, the molecularly imprinted polymer was produced using reagents previously applied in the development of a device selective for methanol, with only the template being changed. This demonstrates the versatility of molecular imprinting and provides a foundation for their greater integration into future gas sensors.

我们开发出了一种简单的气体传感器,由分子印迹聚合物-碳纳米管复合材料浇铸在丝网印刷电极上组成,对乙醇蒸气的选择性极高。乙醇气体传感器对乙醇和甲醇的选择性通常在 2-4 倍之间,而使用所述装置观察到的乙醇和甲醇反应的平均比率为 672。这种选择性是在环境条件下实现的。此外,分子印迹聚合物是利用以前用于开发甲醇选择性装置的试剂生产的,只改变了模板。这证明了分子印迹技术的多功能性,并为其进一步融入未来的气体传感器奠定了基础。
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引用次数: 0
Paper-based multicolor sensor for on-site quantitative detection of organophosphate pesticides based on acetylcholinesterase-mediated paper-based Au3+-etching of gold nanobipyramids and CIELab color space. 基于乙酰胆碱酯酶介导的纸基 Au3+-蚀刻金纳米双锥体和 CIELab 色彩空间的有机磷农药现场定量检测纸基多色传感器。
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.2024.126925
Feng Zhang, Yu Gao, Enxi Ren, Ling Fang, Weijuan Yang, Liaoyuan Zhang, Zongwen Wang

On-site quantitative detection of organophosphorus pesticides (OPs) is crucial for safeguarding food and public safety. This study presents a novel acetylcholinesterase (AChE)-mediated paper-based Au3+-etching of gold nanobipyramids (AuNBPs) system. The system employs a long-term storable AuNBPs-deposited nylon membrane embedded within a portable and temperature-controlled paper-based analytical device. This system, coupled with a colorimeter-based quantitative method, enables the development of a practical paper-based multicolor sensor (PMS) for on-site quantitative detection of three common OPs (paraoxon, dichlorvos, and trichlorfon). In the absence of OPs, AChE hydrolyzes acetylthiocholine to thiocholine, which reduces Au3+ to Au+. The presence of OPs inhibits AChE activity, thereby preserving Au3+ to etch AuNBPs on nylon membranes, accompanied by multicolor changes. These color changes can be simply quantified by measuring the a∗ parameter of the CIELab color space using a portable colorimeter. Under optimal conditions, the PMS displayed eight OPs-corresponding color changes with a minimum detectable concentration of 1.0-10 μg/L (visual observation) and limits of detection of 0.8-7.2 μg/L (colorimeter) and 0.2-3.4 μg/L (UV-vis spectrometry). The PMS successfully determined the OPs in vegetable and rice samples with recoveries of 89.0-109 % and RSDs (n = 5) of <6 %. These results were consistent with those obtained using the HPLC-MS method. The PMS demonstrates excellent portability, AuNBPs stability, detection sensitivity, and reproducibility, making it a promising tool for the on-site quantitative detection of OPs residues in food. Furthermore, the paper-based etching system coupled with the colorimeter-based quantitative method provides a valuable reference to develop practical PMSs for various targets in diverse fields.

现场定量检测有机磷农药(OPs)对保障食品和公共安全至关重要。本研究提出了一种新型乙酰胆碱酯酶(AChE)介导的纸基 Au3+ 蚀刻金纳米双金字塔(AuNBPs)系统。该系统采用了一种可长期保存的 AuNBPs 沉积尼龙膜,嵌入到一个便携式温控纸基分析装置中。该系统与基于色度计的定量方法相结合,开发出一种实用的纸质多色传感器(PMS),用于现场定量检测三种常见的 OPs(对硫磷、敌敌畏和敌百虫)。在没有 OPs 的情况下,AChE 会将乙酰硫代胆碱水解为硫代胆碱,从而将 Au3+ 还原为 Au+。OPs 的存在抑制了 AChE 的活性,从而保留了 Au3+,使其能够蚀刻尼龙膜上的 AuNBPs,并伴随着多种颜色的变化。这些颜色变化可通过使用便携式色度计测量 CIELab 色彩空间的 a∗ 参数进行简单量化。在最佳条件下,PMS 显示了八种 OPs 对应的颜色变化,最低检测浓度为 1.0-10 μg/L(目测),检测限为 0.8-7.2 μg/L(色度计)和 0.2-3.4 μg/L(紫外-可见光谱法)。PMS 成功地测定了蔬菜和大米样品中的 OPs,回收率为 89.0-109%,RSD(n = 5)为
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引用次数: 0
Preparation of hapten and monoclonal antibody of hesperetin and establishment of enzyme-linked immunosorbent assay. 制备七叶皂苷及单克隆抗体并建立酶联免疫吸附试验。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-18 DOI: 10.1016/j.talanta.2024.126912
Yifan Liu, Zihui Jin, Di Sun, Bo Xu, Tianyu Lan, Qiyang Zhao, Yue He, Jing Li, Yongliang Cui, Yaohai Zhang

Hesperetin is the aglycone of hesperidin and is widely found in the Rutaceae plants and herbal medicines. It exhibits antioxidant, detoxifying, anti-inflammatory, and antimicrobial properties, similar to hesperidin. It has also shown potential in the regulation of certain diseases. In order to detect hesperetin in complex matrix samples such as citrus and herbal, we developed an anti-hesperetin monoclonal antibody and established an indirect competitive enzyme-linked immunosorbent assay (icELISA). The half maximal inhibitory concentration (IC50) was determined to be 2.03 ng/mL, the detection range was 0.39-12.73 ng/mL. In practical sample testing, the concentration of hesperidin measured by icELISA is consistent with the result of UPLC-MS/MS, and the correlation coefficient (R2) is 0.97. These results showed that the established method has good accuracy, reproducibility and broad application prospects, and can be used for the detection of hesperetin in complex matrix samples (such as citrus and herbal samples).

橙皮甙是橙皮素的苷元,广泛存在于芸香科植物和草药中。它具有与橙皮甙类似的抗氧化、解毒、消炎和抗菌特性。它还具有调节某些疾病的潜力。为了检测柑橘和中草药等复杂基质样品中的橙皮素,我们开发了一种抗橙皮素单克隆抗体,并建立了一种间接竞争性酶联免疫吸附试验(icELISA)。经测定,半最大抑制浓度(IC50)为 2.03 ng/mL,检测范围为 0.39-12.73 ng/mL。在实际样品检测中,icELISA法测定的橙皮甙浓度与UPLC-MS/MS法测定的结果一致,相关系数(R2)为0.97。这些结果表明所建立的方法具有良好的准确性、重现性和广阔的应用前景,可用于复杂基质样品(如柑橘和中草药样品)中橙皮素的检测。
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引用次数: 0
Study of cell migration trajectory on two-dimensional continuous stiffness gradient surface edited by grayscale photopolymerization. 灰度光聚合编辑的二维连续刚度梯度表面上的细胞迁移轨迹研究
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.2024.126899
Kin Fong Lei, Kuo-Cheng Bai, Ping-Ching Pai

In native tissues, cells encounter a diverse range of stiffness, which can significantly affect their behavior and function. The ability of cells to sense and respond to these mechanical cues is essential for various physiological processes, including cell migration. Cell migration is a complex process influenced by multiple factors, with substrate stiffness emerging as a critical determinant. This study developed a technique to edit the stiffness of polyacrylamide (PAA) hydrogel substrates by adjusting the grayscale level of a photomask during photopolymerization. By analyzing cell morphologies on the hydrogel, we confirmed the development of a single PAA hydrogel substrate with continuous stiffness gradients. This method was used to explore the correlation between substrate stiffness and cell migration dynamics. The study found that cells typically migrated from softer to stiffer surfaces. When the cells initially located on stiffer surfaces, they were able to travel longer distances. Additionally, a continuous 2D stiffness gradient surface was fabricated to explore how cells migrate on smoother versus steeper stiffness gradients. The results showed that cells tended to migrate more readily on smoother stiffness gradient surfaces compared to steeper ones. This study provides valuable insights into cell migration dynamics on substrates with varying stiffness gradients. The results underscore the importance of the mechanical environment in cancer cell migration and offer promising directions for developing interventions to prevent cancer spread.

在原生组织中,细胞会遇到各种不同的硬度,这会极大地影响细胞的行为和功能。细胞感知和响应这些机械信号的能力对于包括细胞迁移在内的各种生理过程至关重要。细胞迁移是一个受多种因素影响的复杂过程,其中基质硬度是一个关键的决定因素。本研究开发了一种技术,通过在光聚合过程中调整光罩的灰度级来编辑聚丙烯酰胺(PAA)水凝胶基底的硬度。通过分析水凝胶上的细胞形态,我们证实了单一 PAA 水凝胶基底具有连续的硬度梯度。这种方法用于探索基底硬度与细胞迁移动力学之间的相关性。研究发现,细胞通常会从较软的表面向较硬的表面迁移。当细胞最初位于较硬的表面时,它们能够移动更长的距离。此外,研究人员还制作了一个连续的二维硬度梯度表面,以探索细胞如何在较平滑与较陡峭的硬度梯度上迁移。结果表明,与较陡的硬度梯度表面相比,细胞往往更容易在较平滑的硬度梯度表面上迁移。这项研究为了解细胞在不同硬度梯度基底上的迁移动态提供了宝贵的见解。研究结果强调了机械环境在癌细胞迁移中的重要性,并为开发预防癌症扩散的干预措施提供了很好的方向。
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引用次数: 0
Target-promoted activation of DNAzyme walker for in situ assembly of hemin/G-quadruplex nanowires enable ultrasensitive and label-free electrochemical myocardial microRNA assay. 靶标促进激活 DNAzyme walker 以原位组装 hemin/G-quadruplex 纳米线,从而实现超灵敏和无标记的电化学心肌 microRNA 检测。
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.2024.126923
Tengteng Shan, Lingrong Cui, Huimin Zhang, Kaiqin Li, Jianmei Yang, Yan Zhao, Yun Xiang, Ruo Yuan

The concentration elevation of myocardial microRNA (miRNA) biomarker is associated with the pathogenic process of acute myocardial infarction (AMI), and sensitive quantification of myocardial miRNA biomarker plays an important role for early AMI diagnosis and its treatment. In response, this work describes an ultrasensitive and non-label electrochemical biosensor for the assay of myocardial miRNA based on cascade signal amplifications integrated by DNAzyme walker and hemin/G-quadruplex nanowires. The DNAzyme walker is activated by presence of target miRNAs to move along the electrode surface to cyclically cleave the substrate hairpins to release G-quadruplex segments, which further trigger the in situ formation of many hemin/G-quadruplex nanowires. The large amounts of hemin intercalated into the DNA nanowires subsequently generate drastically magnified electrochemical current signals for highly sensitive label-free assay of myocardial miRNAs down to 15.7 fM within dynamic range of 100 fM to 10 nM. Such a biosensor also has high selectivity and can monitor myocardial miRNAs in diluted serums at low levels, providing a sensitive and reliable platform for diagnosing infarct-associated cardiovascular diseases.

心肌microRNA(miRNA)生物标志物浓度的升高与急性心肌梗死(AMI)的发病过程有关,而心肌miRNA生物标志物的灵敏定量对于AMI的早期诊断和治疗具有重要作用。为此,这项工作描述了一种超灵敏、无标记的电化学生物传感器,用于检测心肌 miRNA,该传感器基于 DNA 酶步行器和 hemin/G-quadruplex 纳米线集成的级联信号放大。目标 miRNA 的存在激活了 DNA 酶步行器,使其沿着电极表面移动,循环裂解底物发夹,释放出 G-四链段,进一步触发许多 hemin/G-quadruplex 纳米线的原位形成。插入 DNA 纳米线的大量海明随后会产生急剧放大的电化学电流信号,从而在 100 fM 至 10 nM 的动态范围内对低至 15.7 fM 的心肌 miRNA 进行高灵敏度的无标记检测。这种生物传感器还具有高选择性,可监测稀释血清中低水平的心肌 miRNA,为诊断梗死相关心血管疾病提供了一个灵敏可靠的平台。
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引用次数: 0
Amino-rich silicon quantum dots as efficient activator with intrinsic chemiluminescence for the detection of peroxydisulfate. 富含氨基的硅量子点作为高效活化剂,具有内在化学发光功能,可用于过硫酸盐的检测。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-09-22 DOI: 10.1016/j.talanta.2024.126931
Dayang Zhao, Hui Gong, Houjing Liu

The specific detection of peroxydisulfate (S2O82-, PDS) is significant and challenging due to the rapid development of PDS-related technologies and their widespread application in multiple fields. However, traditional analytical methods are mainly based on their strong oxidizing properties, making it difficult to simultaneously achieve specific identification and high sensitivity for PDS detection in complex water environments. Here, we purposely prepared amino-rich SiQDs (N-SiQDs) as an effective catalyst and introduced H2O2 acts as a co-reactant for PDS activation and determination with strong intrinsic chemiluminescence (CL) emission. High yield of reactive active oxygen (mainly O2˙- and ˙OH) were generated during CL process, which trigger electron-hole annihilation between the N-SiQDs˙+ and N-SiQDs˙- accounted for extraordinary CL emission. On this basis, a new CL assay for PDS detection was fabricated with broad linear range of 5 × 10-7M-5 × 10-5 M and low detection limit (3.2 × 10-7 M). Due to the absence of SO4˙- involvement during CL emission, the sensing platform is sensitive enough, satisfactory selectivity and does not respond to transition-metal ions and inorganic anions that have interferences in the PDS CL sensors reported before. This work not only deepens insight into the mechanisms of nanomaterials assisted PDS activation but also provides a new perspective on the modified metal-free QDs CL probe for chemical species detection.

由于过硫酸盐(S2O82-,PDS)相关技术的快速发展及其在多个领域的广泛应用,对其进行特异性检测具有重要意义和挑战性。然而,传统的分析方法主要基于其强氧化性,很难同时实现在复杂水环境中特异性识别和高灵敏度检测 PDS。在此,我们特意制备了富含氨基的 SiQDs(N-SiQDs)作为有效催化剂,并引入 H2O2 作为共反应物,以强本征化学发光(CL)来活化和测定 PDS。CL过程中产生了大量活性氧(主要是O2˙-和˙OH),引发了N-SiQDs˙+和N-SiQDs˙-之间的电子-空穴湮灭,从而产生了非凡的CL发射。在此基础上,制备了一种用于检测 PDS 的新型 CL 检测器,其线性范围为 5 × 10-7M-5 × 10-5 M,检测限低(3.2 × 10-7 M)。由于在 CL 发射过程中没有 SO4˙-的参与,该传感平台具有足够的灵敏度和令人满意的选择性,并且不会对过渡金属离子和无机阴离子产生反应,而这些离子在之前报道的 PDS CL 传感器中具有干扰作用。这项工作不仅深化了对纳米材料辅助 PDS 激活机制的认识,而且为改性无金属 QDs CL 探针检测化学物种提供了新的视角。
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引用次数: 0
The Association Between Timely Documentation of Advance Care Planning, Hospital Care Consumption and Place of Death: A Retrospective Cohort Study. 及时记录预先护理计划、医院护理消耗和死亡地点之间的关系:回顾性队列研究
IF 16.4 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI: 10.1177/08258597241275355
Carolien Burghout, Lenny M W Nahar-van Venrooij, Carin C D van der Rijt, Sascha R Bolt, Tineke J Smilde, Eveline J M Wouters

Objectives: (1) To describe ACPT implementation frequency in practice. (2) To assess associations of ACPT documentation with a) hospital care consumption, including systemic anti-tumor treatment in the last month(s) of life, and b) match between preferred and actual place of death, among oncology patients. Methods: A retrospective cohort study was performed. Data concerning ACPT documentation, hospital care consumption, and preferred and actual place of death were extracted from electronic patient records. Patients with completely documented ACPT (cACPT) and no ACPT were compared using multivariable logistic regression analyses. Results: ACPT was implemented in 64.5% (n = 793) of all deceased patients (n = 1230). In 17.6% (n = 216), preferred place of care or death was documented at least three months before death (cACPT). A cACPT was not associated with systemic anti-tumor treatment (Adjusted OR (AOR): 0.976; 95% CI: 0.642-1.483), but patients with cACPT had fewer diagnostic tests (AOR: 0.518; CI: 0.298-0.903) and less contacts with hospital disciplines (AOR: 0.545; CI: 0.338-0.877). In patients with cACPT, a match between preferred and actual place of death was found for 83% of the patients for whom the relevant information was available (n = 117/n = 141). In patients without ACPT, this information was mostly missing. Conclusion: Although the ACPT was implemented in two thirds of patients, timely documentation of preferred place of care or death is often missing. Yet, timely documentation of these preferences may promote out-hospital-death and save hospital care consumption.

目标:(1)描述 ACPT 在实践中的实施频率。(2) 评估 ACPT 文件与以下两方面的关系:a)住院治疗消耗,包括生命最后一个月的全身抗肿瘤治疗;b)肿瘤患者首选死亡地点与实际死亡地点的匹配。研究方法进行了一项回顾性队列研究。研究人员从电子病历中提取了有关 ACPT 记录、医院护理消耗、首选死亡地点和实际死亡地点的数据。使用多变量逻辑回归分析比较了有完整 ACPT(cACPT)记录的患者和没有 ACPT 的患者。结果在所有死亡患者(1230 人)中,64.5%(793 人)实施了 ACPT。17.6%的患者(n = 216)在死亡前至少三个月记录了首选护理或死亡地点(cACPT)。cACPT 与全身抗肿瘤治疗无关(调整后 OR (AOR):0.976;95% CI:0.642-1.483),但 cACPT 患者的诊断测试较少(AOR:0.518;CI:0.298-0.903),与医院各学科的接触也较少(AOR:0.545;CI:0.338-0.877)。在 cACPT 患者中,83% 的患者(n = 117/n = 141)的首选死亡地点与实际死亡地点相吻合。而在没有 ACPT 的患者中,这一信息大多缺失。结论:虽然有三分之二的患者实施了 ACPT,但往往没有及时记录首选护理地点或死亡地点。然而,及时记录这些偏好可能会促进院外死亡并节省医院护理消耗。
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引用次数: 0
Synergistic engineering of heterostructure and oxygen vacancy in cobalt hydroxide/aluminum oxyhydroxide as bifunctional electrocatalysts for urea-assisted hydrogen production. 氢氧化钴/氧氢氧化铝中异质结构和氧空位的协同工程,作为尿素辅助制氢的双功能电催化剂。
IF 9.4 1区 化学 Q1 CHEMISTRY, PHYSICAL Pub Date : 2025-01-01 Epub Date: 2024-08-08 DOI: 10.1016/j.jcis.2024.07.239
Minglei Yan, Junjie Zhang, Cong Wang, Lang Gao, Wengang Liu, Jiahao Zhang, Chunquan Liu, Zhiwei Lu, Lijun Yang, Chenglu Jiang, Yang Zhao

Designing inexpensive, high-efficiency and durable bifunctional catalysts for urea oxidation reaction (UOR) and hydrogen evolution reaction (HER) is an encouraging tactic to produce hydrogen with reduced energy expenditure. Herein, oxygen vacancy-rich cobalt hydroxide/aluminum oxyhydroxide heterostructure on nickel foam (denoted as Co(OH)2/AlOOH/NF-100) has been fabricated using one step hydrothermal process. Theoretical calculation and experimental results indicate the electrons transfer from Co(OH)2 to highly active AlOOH results in the interfacial charge redistribution and optimization of electronic structure. Abundant oxygen vacancies in the heterostructure could improve the conductivity and simultaneously serve as the active sites for catalytic reaction. Consequently, the optimal Co(OH)2/AlOOH/NF-100 demonstrates excellent electrocatalytic performance for HER (62.9 mV@10 mA cm-2) and UOR (1.36 V@10 mA cm-2) due to the synergy between heterointerface and oxygen vacancies. Additionally, the in situ electrochemical impedance spectrum (EIS) for UOR suggests that the heterostructured catalyst exhibits rapid reaction kinetics, mass transfer and current response. Importantly, the urea-assisted electrolysis composed of the Co(OH)2/AlOOH/NF-100 manifests a low cell voltage (1.48 V @ 10 mA cm-2) in 1 M KOH containing 0.5 M urea. This work presents a promising avenue to the development of HER/UOR bifunctional electrocatalysts.

设计用于尿素氧化反应(UOR)和氢气进化反应(HER)的廉价、高效、耐用的双功能催化剂,是减少能源消耗生产氢气的一个令人鼓舞的策略。在此,我们采用一步水热法在泡沫镍上制备了富氧空位氢氧化钴/氧氢氧化铝异质结构(记为 Co(OH)2/AlOOH/NF-100)。理论计算和实验结果表明,电子从 Co(OH)2 转移到高活性的 AlOOH 会导致界面电荷的重新分配和电子结构的优化。异质结构中丰富的氧空位可以提高导电性,同时成为催化反应的活性位点。因此,由于异质界面和氧空位之间的协同作用,最佳的 Co(OH)2/AlOOH/NF-100 对 HER(62.9 mV@10 mA cm-2)和 UOR(1.36 V@10 mA cm-2)具有优异的电催化性能。此外,UOR 的原位电化学阻抗谱(EIS)表明,异质结构催化剂具有快速的反应动力学、传质和电流响应。重要的是,由 Co(OH)2/AlOOH/NF-100 组成的尿素辅助电解在含有 0.5 M 尿素的 1 M KOH 中表现出较低的电池电压(1.48 V @ 10 mA cm-2)。这项工作为开发 HER/UOR 双功能电催化剂提供了一条前景广阔的途径。
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引用次数: 0
The Impact of Palliative Care Consultation on Aggressive Medical Interventions in End-of-life Among Patients with Metastatic Breast Cancer: Insights from the U.S. National Patient Sample. 姑息治疗咨询对转移性乳腺癌患者临终前积极医疗干预的影响:来自美国全国患者样本的启示。
IF 16.4 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-01-01 Epub Date: 2024-05-15 DOI: 10.1177/08258597241253933
Zidong Zhang, Alexandria Lovell, Divya S Subramaniam, Leslie Hinyard

Background: Advancement in treatment has led to prolonged survival and a rising number of women living with metastatic breast cancer (MBC) in the United States. Due to its high symptom burden, it is recommended that palliative care be integrated into the standard care to help improve quality of life. However, little is known about the use of palliative care among MBC patients in the nation.

Objectives: To determine utilization of palliative care consult (PCC) after metastasis and the influence of PCC on healthcare utilization in the end of life among women living with MBC in the US.

Methods: This retrospective cohort study examined a national electronic health record database to quantify the PCC use after metastasis diagnosis until death and the associations of PCC with Emergency Department (ED), Intensive Care Unit (ICU), and chemotherapies in the end-of-life women (age ≥ 18 years) living with MBC.

Results: From a cohort of 2615 deceased MBC patients, 37% received PCC in the last 6 months of life. Patients who had received PCC in the end-of-life were more likely to be hospitalized, admitted to ED and ICU, and receive chemotherapies in the last 60 days before death. However, patients who had received end-of-life PCC had less hospital and ED visits and received less chemotherapies after PCC initiated.

Conclusion: While PCC can reduce end-of-life aggressive interventions, it was underutilized among patients with MBC in the end-of-life. A myriad of clinical and patient factors may still challenge timely consultation. We urge for future endeavors in developing strategies to remove barriers in the implementation, especially earlier in the disease course, to assure timely PC treatments and reduce discomfort amid aggressive interventions for MBC.

背景:治疗方法的进步延长了患者的生存期,美国患转移性乳腺癌(MBC)的妇女人数也在不断增加。由于其症状负担较重,建议将姑息治疗纳入标准治疗中,以帮助改善生活质量。然而,人们对美国 MBC 患者使用姑息治疗的情况知之甚少:目的:确定美国 MBC 女性患者在癌症转移后使用姑息治疗咨询(PCC)的情况,以及 PCC 对生命末期使用医疗服务的影响:这项回顾性队列研究检查了一个全国性电子健康记录数据库,以量化确诊转移后至死亡前姑息治疗咨询的使用情况,以及姑息治疗咨询与急诊科(ED)、重症监护室(ICU)和化疗的关联:在2615名已故乳腺癌患者中,37%的患者在生命的最后6个月接受了PCC治疗。在临终前接受PCC治疗的患者更有可能住院、住进急诊室和重症监护室,并在死前最后60天接受化疗。然而,在临终前接受过PCC治疗的患者在开始接受PCC治疗后,住院和急诊室就诊次数较少,接受化疗的次数也较少:结论:虽然临终前化疗可减少临终时的积极干预,但在临终前接受过临终前化疗的乳腺癌患者中,该疗法的使用率并不高。各种临床和患者因素仍可能对及时就诊构成挑战。我们敦促今后努力制定策略,消除实施过程中的障碍,尤其是在病程早期,以确保及时进行 PC 治疗,减少 MBC 患者在积极干预过程中的不适。
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引用次数: 0
A ring resonators optical sensor for multiple biomarkers detection. 用于检测多种生物标记物的环形谐振器光学传感器。
IF 5.6 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2025-01-01 Epub Date: 2024-10-11 DOI: 10.1016/j.talanta.2024.127035
Rachele Favaretto, Niccolò Ardoino, Georg Pucker, Nicola Bellotto, Mattia Mancinelli, Gioele Piccoli, Martino Bernard, Lia Vanzetti, Cristina Potrich, Lorenzo Lunelli, Cecilia Pederzolli, Carlo Guardiani, Laura Pasquardini

In the recent years, the number of Point-Of-Care-Tests (POCTs) available for clinical diagnostic has steadily increased. POCTs provide a near-patient testing with the potential to generate a result quickly so that appropriate treatment can be implemented, leading to improved clinical outcomes compared to traditional laboratory testing. Technological advances, such as miniaturization of sensors and improved instrumentation, have revolutionized POCTs, enabling the development of smaller and more accurate devices. In this context, it has also gained increasing importance the screening of various analytes simultaneously to increase specificity and improve the characterization of the disease. This study is aimed at developing and characterizing a photonic integrated circuit for multiple markers detection, which represents the functional core towards a full developed POCT device for clinical pathology applications. The photonic sensor, based on microring resonators (MRRs), is functionalized by immobilizing specific antibodies on a copolymer layer deposited on the MRR's surfaces. Surface chemical techniques were employed to analyse the surface chemical characteristics while fluorescence microscopy was involved to analyse the resulting bioreceptor surface density. The photonic sensor is characterized for the parallel detection of two biomarkers, the C-Reactive Protein (CRP) and the Creatine-Kinase-MB (CK-MB). The analyte-antibody binding curves were obtained both in buffer and in filtered un-diluted artificial saliva showing promising results both in terms of sensitivity, with limit of detection (LOD) of 103 pM for CRP and 140 pM for CK-MB, and in terms of specificity. These encouraging results let the assembly of a highly sensitive POC device for molecular diagnostics.

近年来,可用于临床诊断的护理点检测(POCT)的数量稳步增加。与传统的实验室检测相比,POCT 可提供就近检测,并能迅速得出结果,以便实施适当的治疗,从而改善临床疗效。传感器的微型化和仪器的改进等技术进步给 POCT 带来了革命性的变化,使更小更精确的设备得以开发。在这种情况下,同时筛查各种分析物以提高特异性和改善疾病特征也变得越来越重要。本研究旨在开发和鉴定一种用于多种标记物检测的光子集成电路,它代表了临床病理学应用中全面开发 POCT 设备的功能核心。该光子传感器基于微孔谐振器(MRR),通过将特定抗体固定在沉积在 MRR 表面的共聚物层上实现功能化。利用表面化学技术分析表面化学特性,同时利用荧光显微镜分析由此产生的生物受体表面密度。光子传感器的特点是可同时检测两种生物标记物:C-反应蛋白(CRP)和肌酸激酶-MB(CK-MB)。在缓冲液和过滤后未稀释的人工唾液中都获得了分析物-抗体结合曲线,显示出良好的灵敏度(CRP 的检测限 (LOD) 为 103 pM,CK-MB 为 140 pM)和特异性。这些令人鼓舞的结果为组装高灵敏度的分子诊断 POC 设备提供了条件。
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