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An update of serial interval estimates for COVID-19: a meta-analysis COVID-19序列间隔估计的更新:一项荟萃分析
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022017
J. Jusot
Background: Serial interval (SI) is one of the most important parameter for COVID-19 modelling purposes as it is related to the reproduction rate of the infection. The first meta-analysis of serial interval were performed with a range of uncertainty in the estimate. This meta-analysis aimed to reduce the uncertainty estimates by assessing publications over a longer period. Methods: A literature search was performed for articles published between 1st December 2019 and 15th February 2022. It retrieved 117 eligible studies containing some 80 for 90 serial interval estimates. A random effects model was used. Heterogeneity was checked. To detect a publication bias, a funnel plot was performed using an Egger’s test. Results: For alpha variant, the serial interval was estimated at 5.17 days (95% CI = 4.87 – 5.47) with a significant heterogeneity (I2 = 97.1%). The meta-analysis did not exhibit evident publication bias (Egger’s test = −0.55, p = 0.58). The meta-analysis allowed for reducing uncertainty in estimating the serial interval, although subgroup analysis did not reduce it sufficiently and showed that studies using a gamma distribution of serial intervals exhibited the highest estimate of 5.6 days. Compared to the other variants of concern, alpha serial interval estimate was bigger than delta, 4.07 days, and omicron, 3.06 days. Conclusion: The meta-analysis was carried out as a real-time monitoring of this parameter to make a choice and a rapid assessment of the control measures implemented, and the effectiveness of the vaccination campaign. The meta-analysis was unable to provide a suitable estimate of serial intervals for COVID-19 modelling purposes although its uncertainty was reduced. Furthermore, serial intervals estimate for alpha variant was close to earlier reports and lower than previous publications, respectively. Another limitation is, that meta-analysis of COVID pandemic studies in principle contains and produces itself a significant source of heterogeneity.
背景:序列间隔(SI)是COVID-19建模中最重要的参数之一,因为它与感染的繁殖率有关。序列区间的第一次荟萃分析在估计的不确定性范围内进行。本荟萃分析旨在通过评估较长时期的出版物来减少不确定性估计。方法:检索2019年12月1日至2022年2月15日发表的文献。它检索了117项符合条件的研究,其中包括90个序列区间估计中的80个。采用随机效应模型。检验异质性。为检测发表偏倚,采用Egger检验绘制漏斗图。结果:对于α变异,序列间隔估计为5.17天(95% CI = 4.87 - 5.47),具有显著的异质性(I2 = 97.1%)。meta分析未显示明显的发表偏倚(Egger检验= - 0.55,p = 0.58)。meta分析允许减少估计序列间隔的不确定性,尽管亚组分析并没有充分减少不确定性,并且表明使用序列间隔的伽玛分布的研究显示出5.6天的最高估计。与其他关注变量相比,alpha序列间隔估计大于delta(4.07天)和omicron(3.06天)。结论:通过对该参数的实时监测进行meta分析,可以对所采取的控制措施和疫苗接种活动的效果进行选择和快速评估。该荟萃分析无法为COVID-19建模提供合适的序列间隔估计,尽管其不确定性降低了。此外,α变量的序列间隔估计分别接近于早期报告和低于以前的出版物。另一个限制是,对COVID大流行研究的荟萃分析原则上包含并产生了一个重要的异质性来源。
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引用次数: 2
The change in Beethoven’s music composition: Is there a role of his mental distress? 贝多芬音乐创作的变化:他的精神痛苦是否起了作用?
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022015
J. Jusot
Background: During his life, Beethoven faced a lot of personal problems and diseases that could lead to a prolonged period of serious mental disorder. The aim of this work is to study the link between the distribution of pitch frequencies observed in 101 movements of 32 sonatas and four periods of his compositional style. Methods: The 32 sonatas for piano were chosen because they were composed during the three periods usually considered to reflect Beethoven’s career. A hierarchical generalized additive model was performed to regress the frequency of pitches with Musical Instrument Digital Interface (MIDI) pitches, periods of composition, degrees, rests, and length of the sonata’s movements. Results: The median frequency of pitches was higher during Beethoven’s time of mental distress. This period appeared as transitory between the bright Promethean period and the fullness of the final Ethereal period. This change in the expression of Beethoven’s creativity could well have played the role of a self-therapy. Conclusion: From this singular account of Beethoven’s history of mental problems and his way of dealing with them, it could be concluded that the stimulation of their musical creativity could be beneficial for psychiatrically patients with mental health issues. It also suggests that some mechanisms such as the application of hysteresis to cognitive function at a time of mental distress, may indicate new research avenues in the treatment of mental diseases.
背景:在他的一生中,贝多芬面临着许多个人问题和疾病,这些问题和疾病可能导致长期严重的精神障碍。这项工作的目的是研究在32首奏鸣曲的101个乐章中观察到的音高频率分布与他的四个作曲风格之间的联系。方法:选择32首钢琴奏鸣曲,因为它们创作于通常被认为是反映贝多芬职业生涯的三个时期。采用层次广义加性模型对奏鸣曲的音高频率与乐器数字接口(MIDI)音高、作曲周期、度、休止符和乐章长度进行回归。结果:贝多芬处于精神痛苦状态时,音高的中位数频率较高。这一时期在普罗米修斯的辉煌时期和最后的圆满的空灵时期之间是短暂的。贝多芬在表达创造力方面的这种变化很可能起到了自我治疗的作用。结论:从贝多芬精神问题的历史和他处理这些问题的方式中,我们可以得出这样的结论:刺激他们的音乐创造力可能对有精神健康问题的精神病患者有益。它还表明,一些机制,如在精神痛苦时将迟滞应用于认知功能,可能为精神疾病的治疗提供新的研究途径。
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引用次数: 1
Conditional independence and predictive copula 条件独立与预测联结
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022022
V. González-López, Vinícius Litvinoff Justus
In this paper, we address the concept of conditional independence between two random variables X and Y given the entity Θ. We identify the impact of conditional independence on the analytic form of the predictive 2-copula between X and Y. We obtain a representation of the predictive 2-copula between X and Y in terms of functions associated with the copulas between X and Θ and between Y and Θ. Through the concept of infinite exchangeable sequences we amplify the validity of our results, obtaining the predictive 2-copula between two variables in terms of the copula between only one of these variables and the quantity Θ.
在本文中,我们讨论了给定实体Θ的两个随机变量X和Y之间的条件独立性的概念。我们确定了条件独立性对X和Y之间的预测2-联结的解析形式的影响。我们得到了X和Y之间的预测2-联结在X和Θ之间以及Y和Θ之间的关联函数的表示。通过无限交换序列的概念,我们扩大了我们的结果的有效性,得到了两个变量之间的预测2-耦合关系,其中只有一个变量与数量Θ之间的耦合关系。
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引用次数: 0
Meta-analysis in a time of pandemic 大流行时期的元分析
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022016
C. Lederer, M. Daumer, R. Gosselin, I. Jamall, B. Brücher
Christian Lederer, Martin Daumer, Romain-Daniel Gosselin, Ijaz S. Jamall, and Björn L.D.M. Brücher 1 Sylvia Lawry Centre for Multiple Sclerosis Research e.V. – The Human Motion Institute, Munich, Germany Theodor-Billroth-Akademie , Germany, USA 3 INCORE, International Consortium of Research Excellence of the Theodor-Billroth-Academy , Germany, USA Precision Medicine Unit, Lausanne University Hospital, Chemin des Roches 1a/1b CH-1010 Lausanne, Switzerland Risk-Based Decisions Inc., Sacramento, CA, USA Department of Surgery, Carl-Thiem-Klinikum, Cottbus, Germany
Christian Lederer, Martin Daumer, roman - daniel Gosselin, Ijaz S. Jamall和Björn L.D.M. br 1 Sylvia Lawry多发性硬化症研究中心e.V -人体运动研究所,德国慕尼黑西奥多-比尔罗斯学院,德国,美国3 INCORE,西奥多-比尔罗斯学院国际卓越研究联盟,德国,美国洛桑大学医院,Chemin des Roches 1a/1b CH-1010洛桑,瑞士,萨克拉曼多,Risk-Based Decisions Inc.CA,美国外科,Carl-Thiem-Klinikum, Cottbus,德国
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引用次数: 0
Quantification of electrosurgery-related critical events during laparoscopic cholecystectomy – a prospective experimental study among surgical novices 腹腔镜胆囊切除术中电切相关关键事件的量化——一项针对外科新手的前瞻性实验研究
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022001
J. Rolinger, Nils Model, K. Jansen, Madeleine Knöll, Patrick Beyersdorffer, W. Kunert, S. Axt, A. Kirschniak, P. Wilhelm
Uncontrolled movement of instruments in laparoscopic surgery can lead to inadvertent tissue damage, particularly when the dissecting or electrosurgical instrument is located outside the field of view of the laparoscopic camera. The incidence and relevance of such events are currently unknown. The present work aims to identify and quantify potentially dangerous situations using the example of laparoscopic cholecystectomy (LC). Twenty-four final year medical students were prompted to each perform four consecutive LC attempts on a well-established box trainer in a surgical training environment following a standardized protocol in a porcine model. The following situation was defined as a critical event (CE): the dissecting instrument was inadvertently located outside the laparoscopic camera’s field of view. Simultaneous activation of the electrosurgical unit was defined as a highly critical event (hCE). Primary endpoint was the incidence of CEs. While performing 96 LCs, 2895 CEs were observed. Of these, 1059 (36.6%) were hCEs. The median number of CEs per LC was 20.5 (range: 1–125; IQR: 33) and the median number of hCEs per LC was 8.0 (range: 0–54, IQR: 10). Mean total operation time was 34.7 min (range: 15.6–62.5 min, IQR: 14.3 min). Our study demonstrates the significance of CEs as a potential risk factor for collateral damage during LC. Further studies are needed to investigate the occurrence of CE in clinical practice, not just for laparoscopic cholecystectomy but also for other procedures. Systematic training of future surgeons as well as technical solutions address this safety issue.
腹腔镜手术中器械的不受控制的运动可能导致无意的组织损伤,特别是当解剖或电手术器械位于腹腔镜摄像机视野之外时。这些事件的发生率和相关性目前尚不清楚。目前的工作旨在识别和量化使用腹腔镜胆囊切除术(LC)的例子潜在的危险情况。24名最后一年级的医学生被要求在一个完善的盒子训练器上按照猪模型的标准化协议在外科训练环境中进行四次连续的LC尝试。以下情况被定义为关键事件(CE):解剖器械不慎位于腹腔镜摄像机视野之外。同时激活电外科单元被定义为高度临界事件(hCE)。主要终点是ce的发生率。在执行96个lc时,观察到2895个ce。其中,hce 1059例(36.6%)。每个LC的ce中位数为20.5(范围:1-125;IQR: 33),每个LC的hce中位数为8.0(范围:0-54,IQR: 10)。平均总手术时间34.7 min(范围:15.6 ~ 62.5 min, IQR: 14.3 min)。我们的研究证明了ce作为LC期间附带损害的潜在危险因素的重要性。需要进一步的研究来调查CE在临床实践中的发生,不仅是在腹腔镜胆囊切除术中,而且在其他手术中。对未来外科医生的系统培训以及技术解决方案解决了这一安全问题。
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引用次数: 1
Optomagnetic Imaging Spectroscopy (OMIS) for in situ detection of bacteria in blood – feasibility study 光磁成像光谱法(OMIS)原位检测血液中细菌的可行性研究
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022008
Brittany Garry, Nikola Stoiljkovic, Zorana Jovic, R. Pavlovic, D. Getnet, S. Demons, Stuart D. Tyner, D. Zurawski, B. Swierczewski, D. Koruga, A. G. Bobrov, V. Antonic
Introduction: Sepsis is one of the leading causes of death in military and civilian hospitals. Rapid identification of involved pathogens is a key step for appropriate diagnosis, treatment and ultimately survival. Current diagnostics tools are either very bulky and not deployment ready, or require a long time to provide results. Given these obstacles, new solutions are urgently needed. Optomagnetic Imaging Spectroscopy (OMIS) is novel technology successfully used for the detection of cancer cells and viruses. OMIS has high sensitivity due to recording the unpaired and paired electrons of sample material. Furthermore, machine learning that uses the algorithms random forest (RF) classifier and artificial neural network (ANN) is integrated into the technology to enhance detection. Here we evaluated the feasibility of OMIS for the detection of bacteria in blood. Methods: We used commercially available human blood spiked with a defined concentration multidrug resistant Staphylococcus aureus derived from a clinical isolate. Final concentrations of bacteria of 1 × 106, 1 × 105 and 1 × 104 CFU/mL corresponding to High (H), Medium (M) and Low (L) concentrations respectively. A total of 240 samples (60 samples per concentration as well as 60 samples of sterile blood (N)) was imaged, and the data were analyzed using random forest classifier and artificial neural network. Images for the training set and validation sets were separately obtained and used for comparison against true positive values (confirmatory plating on the nutrient agar). Results: The average score of classification samples in the correct category (N, L, M, H) one-by-one was 94% for the ANN algorithm, while for the RF algorithm accuracy was 93% (average means that three times different 40 samples (of 240 samples) were chosen, and each prediction test had different sample mixtures). The closeness of the two values of accuracy strongly indicates that the input data (interaction of light with paired and unpaired electrons) and output data (classification N, L, M, H concentration of bacteria) are correlated.
败血症是军队和民用医院的主要死亡原因之一。快速识别相关病原体是适当诊断、治疗和最终存活的关键步骤。当前的诊断工具要么非常笨重,无法部署,要么需要很长时间才能提供结果。鉴于这些障碍,迫切需要新的解决办法。光磁成像光谱(OMIS)是一种成功用于检测癌细胞和病毒的新技术。由于能记录样品材料的非成对电子和成对电子,OMIS具有很高的灵敏度。此外,该技术还将使用随机森林(RF)分类器和人工神经网络(ANN)算法的机器学习集成到该技术中,以增强检测。在此,我们评估了OMIS检测血液中细菌的可行性。方法:我们使用市售的人血中加入了来自临床分离物的确定浓度的耐多药金黄色葡萄球菌。高(H)、中(M)、低(L)浓度下细菌终浓度分别为1 × 106、1 × 105、1 × 104 CFU/mL。共采集240份样本(每浓度60份,无菌血(N) 60份)进行成像,采用随机森林分类器和人工神经网络对数据进行分析。分别获得训练集和验证集的图像,并用于与真阳性值进行比较(在营养琼脂上进行验证电镀)。结果:ANN算法每一个正确类别(N, L, M, H)的分类样本的平均得分为94%,而RF算法的准确率为93%(平均意味着在240个样本中选择了3次不同的40个样本,每次预测测试的样本混合物不同)。两个精度值的接近强烈表明输入数据(光与成对和未成对电子的相互作用)和输出数据(细菌的N、L、M、H浓度分类)是相关的。
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引用次数: 0
Initiative on #4openScienceStandsForUkraine scientists and students #4开放科学倡议为乌克兰科学家和学生提供支持
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022007
B. Brücher, B. Brembs, D. Bartsch, R. Przygodzki, R. Gosselin, Marijan Slak Rupnik, V. Calu, C. Birkenmaier, Oliver Hayden, Annette Schmidt, N. Elias, Hubert J Stein, Cesar Restrepo, R. Pliquett, Björn Petersen, Arkadiusz Spychalla, David H. Nguyen, L. L. Santos, Amir Szold, M. Tez, F. Roviello, Paolo Macri, V. Loroch, M. A. Scherer, B. Pasche, K. Polom, S. Wesarg, E. Matevossian, B. Zilberstein, Kryvoruchko Ia, J. M. Correia da Costa, G. Nigri, V. Weissig, Sergio Ralon, M. Kermansaravi, Raúl Oleas, M. Seno, Michael Baum, J. Voskuil, Y. Mintz, S. Rödiger, Gudrun Schueler, H. Kühn, P. Delrio, G. Wallner, A. Rivkind, P. Nieminen, David G Armstrong, Martin P Schlegel, M. Daumer, V. Ööpik, Raimund JC Araujo, J. F. Lapeña, Raymond Perkins, G. Anogianakis, J. Salber, R. Tenne, I. Jamall
1 Theodor-Billroth-Academy , Germany, USA 2 INCORE, International Consortium of Research Excellence of the Theodor-Billroth-Academy , Germany, USA Department of Surgery, Carl-Thiem-Klinikum, Cottbus, Germany Neurogenetics, Institute of Zoology, University of Regensburg, Regensburg, Germany Department 4, Genetic Engineering and other Biotechnological Processes, Federal Office of Consumer Protection and Food Safety,
2 INCORE, Theodor-Billroth-Academy国际卓越研究联盟,德国,美国外科学系,Carl-Thiem-Klinikum, Cottbus,德国雷根斯堡大学动物研究所,德国,雷根斯堡,德国,神经遗传学,基因工程和其他生物技术过程,联邦消费者保护和食品安全办公室,
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引用次数: 1
Rampant proteolysis at the intersection of therapy-induced hypoalbuminemia and acute pancreatitis 在治疗诱导的低白蛋白血症和急性胰腺炎的交叉点猖獗的蛋白水解
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022011
Sarah-Ellen Leonard, P. Kenis, Ray C. Perkins
Protease inhibition is the intended mechanism of action for drugs across a broad range of diseases: cancer, cardiovascular and stroke, diabetes mellitus, macular degeneration and Alzheimer’s. Treatment for fungal and multiple viral infections, including Sars-Cov-2, also relies upon inhibition of pathogen-specific proteases. This work examines the non-therapeutic proteolytic activity of one such drug, nelfinavir (tradename VIRACEPT™), approved as an inhibitor of HIV protease, the largest, “biotech launch” in history at the time of its introduction. Methods are described in the companion manuscript [Leonard et al. (2022), 4open 5, 11]. These methods are not only suitable for examination of on-target activity but also of off-target activity. Herein, it is demonstrated that nelfinavir is active both as an inhibitor and as a promoter of proteolysis of key blood proteins. Observations are readily connected to known drug induction of acute pancreatitis and attendant hypoalbuminemia. The benefits of expanding molecular-level, early-stage, off-target/off-substrate activity drug candidate evaluation become apparent. Finally, the reality of drug-induced disease places new demands on existing clinical procedures, namely that side effects be approached as symptoms of an induced disease.
蛋白酶抑制是药物在多种疾病中的预期作用机制:癌症、心血管和中风、糖尿病、黄斑变性和阿尔茨海默氏症。真菌和多种病毒感染(包括Sars-Cov-2)的治疗也依赖于抑制病原体特异性蛋白酶。这项工作考察了一种此类药物奈非那韦(商品名VIRACEPT™)的非治疗性蛋白水解活性,奈非那韦被批准为HIV蛋白酶抑制剂,这是有史以来最大的“生物技术发布”。方法描述在合著的手稿中[Leonard et al. (2022), 4open 5,11]。这些方法不仅适用于靶上活性的检测,也适用于靶外活性的检测。在这里,它被证明奈非那韦作为一种抑制剂和促进关键血液蛋白的蛋白质水解活性。观察结果很容易与已知的药物诱导急性胰腺炎和伴随的低白蛋白血症联系起来。扩大分子水平,早期,脱靶/脱底物活性候选药物评估的好处变得明显。最后,药物诱发疾病的现实对现有的临床程序提出了新的要求,即将副作用视为诱发疾病的症状。
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引用次数: 1
Trifunctional fluorescent manganese ferrite nanoparticles for hyperthermia therapy, cell probing and drug delivery 三功能荧光铁酸锰纳米颗粒用于热疗、细胞探测和药物递送
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022018
Madhuri Mandal Goswami, Debarati De
Here we have reported a new protocol for drug delivery from hollow sphere manganese ferrite nanoparticles (HMF NPs). The crystalline structure of HMF NPs is obtained from XRD measurement and the morphological and elemental analysis are obtained from FESEM & TEM measurements. Here the HMF NPs are properly designed for delivery of dopamine (DA) as anticancer drug to cancer site. The DA polymerizes to a giant molecule polydopamine (PDA) inside hollow HMF in presence of TRIS buffer at pH (8.5) and a composite, HMF-PDA is formed. Being giant molecule polydopamine remain stable inside the hollow particles, but when these HMF-PDA come in contact of low pH i.e. pH 5 (cancer cells pH), free DA starts to be released. At hyperthermic temperature (45 °C) release enhances compare to physiological temperature (37 °C). The DA release studies are monitored by UV-visible absorption spectroscopy with progress of time at different temperatures and pH. It has been observed that HMF-PDA has fluorescent property whereas DA has no such effects. So, incorporation of PDA inside HMF and tagging of HMF-PDA with cancer cells can also be monitored by fluorescence imaging. Hence, we have successfully synthesized trifunctional HMF-PDA composite which can serve three purposes like cancer cell probing by fluorescence imaging, hyperthermia therapy and drug delivery by magnetic field and pH trigger method.
在这里,我们报道了一种新的方案,从空心球铁酸锰纳米颗粒(HMF NPs)给药。通过x射线衍射(XRD)和透射电镜(TEM)对HMF纳米颗粒进行了形貌和元素分析。在这里,HMF NPs被适当地设计用于将多巴胺(DA)作为抗癌药物递送到癌症部位。在pH(8.5)下,在TRIS缓冲液存在下,DA在中空HMF内聚合成大分子聚多巴胺(PDA),形成复合材料HMF-PDA。作为大分子聚多巴胺在中空颗粒内保持稳定,但当这些HMF-PDA接触到低pH值,即pH 5(癌细胞pH)时,游离DA开始释放。与生理温度(37°C)相比,高温温度(45°C)下的释放增强。在不同温度和ph下,用紫外-可见吸收光谱法随时间的推移监测了DA的释放。发现HMF-PDA具有荧光特性,而DA没有荧光特性。因此,通过荧光成像也可以监测到PDA在HMF内的掺入以及HMF-PDA与癌细胞的标记。因此,我们成功地合成了三功能HMF-PDA复合材料,该复合材料可用于荧光成像探测癌细胞、热疗治疗和磁场和pH触发法给药三种用途。
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引用次数: 1
Synthesis and characterization of Inorganic Nanoparticles Luminophores for Environmental Remediation 环境修复用无机纳米发光团的合成与表征
Pub Date : 2022-01-01 DOI: 10.1051/fopen/2022021
Abdul Aziz Shaikh, Souhardya Bera, Swastik Paul, Shibsankar Mondal, Ankit Saha, Subhasish Roy
Inorganic Nanoparticle Luminophores have been the focus of ongoing research because of their special characteristics as they approach nanoscale from bulk nature. Besides, their application remains highly diverse compared to bulk zero-valent metals. In this research work, facile and economical borohydride reduction of ferric chloride was undertaken to study the kinetics of phenol photodegradation under simulated sunlight conditions. Further, photoluminescence study was undertaken to calculate the lowest energy transition of our synthesized sample. The synthesized NPs were analyzed using XRD. SEM and TEM data showed the presence of an interconnected network of nanospheresof uniform morphology in the particle range of 20–60 nm, with formation of long-chain of aggregates-characteristic of mixed valent iron oxides, which predominates on a rapidly oxidizing nZVI particle system. The photodegradation studies showed a promising result, degrading nearly the complete concentration of phenol within 24 hours. PL study reported the lowest energy transition at 1.72 eV which alternatively confirms its application as a photocatalyst in diverse fields of wastewater remediation.
无机纳米粒子发光团由于其特殊的特性而成为当前研究的焦点。此外,与散装零价金属相比,它们的应用仍然高度多样化。在模拟光照条件下,采用简便经济的氯化铁硼氢化物还原法研究苯酚的光降解动力学。进一步进行了光致发光研究,计算了合成样品的最低能量跃迁。用XRD对合成的NPs进行了分析。SEM和TEM数据表明,在20 ~ 60 nm的颗粒范围内,形成了一个相互连接的、形态均匀的纳米球网络,并形成了长链聚集物,这是混合价铁氧化物的特征,在快速氧化的nZVI颗粒体系中占主导地位。光降解研究显示了一个有希望的结果,在24小时内降解了几乎全部浓度的苯酚。PL研究报告了最低的能量转换为1.72 eV,这也证实了它作为光催化剂在废水修复的各个领域中的应用。
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引用次数: 1
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