297 research outputs found

    Photocatalytic properties of tin oxide and antimony-doped tin oxide nanoparticles

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    For the first time it is shown that N-doped SnO2 nanoparticles photocatalyze directly the polymerization of the C=C bonds of (meth)acrylates under visible light illumination. These radical polymerizations also occur when these particles are doped with Sb and when the surfaces of these particles are grafted with methacrylate (MPS) groups. During irradiation with visible or UV light the position and/or intensity of the plasmon band absorption of these nanoparticles are always changed, suggesting that the polymerization starts by the transfer of an electron from the conduction band of the particle to the (meth)acrylate C=C bond. By using illumination wavelengths with a very narrow band width we determined the influence of the incident wavelength of light, the Sb- and N-doping, and the methacrylate (MPS) surface grafting on the quantum efficiencies for the initiating radical formation (F) and on the polymer and particle network formation. The results are explained by describing the effects of Sb-doping, N-doping, and/or methacrylate surface grafting on the band gaps, energy level distributions, and surface group reactivities of these nanoparticles. N-doped (MPS grafted) SnO2 (Sb = 0%) nanoparticles are new attractive photocatalysts under visible as well as UV illumination

    Photocatalysed (Meth)acrylate Polymerization by (Antimony-Doped) Tin Oxide Nanoparticles and Photoconduction of Their Crosslinked Polymer Nanoparticle Composites

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    In the absence of another (photo)radical initiator Sb:SnO 2 nanoparticles (0 ≤ Sb ≤ 13 at %) photocatalyze during irradiation with UV light the radical polymerization of (meth)acrylate monomers. When cured hard and transparent (>98%) films with a low haze (<1%) are required, when these particles are grafted in advance with 3-methacryloxypropyltrimethoxysilane (MPS) and doped with Sb. Public knowledge about the photocatalytic properties of Sb:SnO 2 nanoparticles is hardly available. Therefore, the influence of particle concentration, surface groups, and Sb doping on the rate of C=C (meth)acrylate bond polymerization was determined with aid of real-time FT-IR spectroscopy. By using a wavelength of irradiation with a narrow bandgab (315 ± 5 nm) the influence of these factors on the quantum yield (Φ) and on polymer and particle network structure formation was determined. It is shown that Sb doping and MPS grafting of the particles lowers Φ. MPS grafting of the particles also influences the structure of the polymer network formed. Without Sb doping of these particles unwanted, photocatalytic side reactions occur. It is also shown that cured MPS-Sb:SnO 2 /(meth)acrylate nanocomposites have photoconduction properties even when the particle concentration is as low as 1 vol.%. The results suggest that the Sb:SnO 2 (Sb > 0 at %) nanoparticles can be attractive fillers for other photocatalytic applications photorefractive materials, optoelectronic devices and sensors

    Treatment of stage I seminoma: is it time to change your practice?

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    At the plenary session of the 2008 annual meeting of the American Society of Clinical Oncology, updated results were presented from a large randomized phase III trial comparing adjuvant radiation therapy (RT) and one cycle of Carboplatin for the adjuvant treatment of Stage I seminoma. Results of this Medical Research Council (MRC) trial led its investigators to conclude that one cycle of carboplatin was equivalent in safety and efficacy and less toxic than RT. In this editorial, the trial's design, statistics, toxicity, and length of follow-up are discussed within the context of historical treatments of this disease. With a 1.3% increase in relapse rate (5.3% with carboplatin vs. 4.0% with radiation), a 3% or greater increase in relapse rate could not be excluded, the primary endpoint of the study. A decrease in second testicular germ cell tumors was observed, but was equivalent to the increase in relapse rate. Acute toxicity was generally less with carboplatin. However, the extent of late toxicity, including late second neoplasms, cannot be evaluated because of the short median follow-up. Carboplatin is not yet a standard of care. Surveillance-based strategies, including risk-adapted policies that limit RT to patients with the greatest likelihood of relapse remain prudent at this time

    [Long-term complications following treatment of testicular cancer and Hodgkin lymphoma].

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    Patients who were treated in the past with radiotherapy or chemotherapy for testicular cancer or Hodgkin lymphoma are at risk of new malignancies and cardiovascular disease on the long run. Two patient groups who were diagnosed in various hospitals in the Netherlands as having testicular cancer and Hodgkin lymphoma in the period 1965-1995 have survived for a mean period of almost 20 years by now. Both patient groups have higher risks of a new malignancy or cardiovascular disease following radiotherapy and/or chemotherapy than the general population or patients treated without or with less intensive radiotherapy or chemotherapy. As recovery of Hodgkin lymphoma is only achieved by a more intensive treatment approach than the treatment approach for testicular cancer, the risks of a new malignancy or cardiovascular disease are considerably higher among survivors of Hodgkin lymphoma than among survivors of testicular cancer. In both patient groups the long-term risks of new malignancies and cardiovascular disease are still raised in both patient groups up to 25 years after treatment. Because of the relatively high risks of late treatment complications, recommendations for follow-up for survivors of testicular cancer and Hodgkin lymphoma are necessary.</p

    Nationwide standardization of minimally invasive right hemicolectomy for colon cancer and development and validation of a video-based competency assessment tool (the Right study)

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    BACKGROUND: Substantial variation exists when performing a minimally invasive right hemicolectomy (MIRH) due to disparities in training, expertise and differences in implementation of innovations. This study aimed to achieve national consensus on an optimal and standardized MIRH technique for colon cancer and to develop and validate a video-based competency assessment tool (CAT) for MIRH. METHOD: Statements covering all elements of MIRH were formulated. Subsequently, the Delphi technique was used to reach consensus on a standardized MIRH among 76 colorectal surgeons from 43 different centres. A CAT was developed based on the Delphi results. Nine surgeons assessed the same 12 unedited full-length videos using the CAT, allowing evaluation of the intraclass correlation coefficient (ICC). RESULTS: After three Delphi rounds, consensus (≥80% agreement) was achieved on 23 of the 24 statements. Consensus statements included the use of low intra-abdominal pressure, detailed anatomical outline how to perform complete mesocolic excision with central vascular ligation, the creation of an intracorporeal anastomosis, and specimen extraction through a Pfannenstiel incision using a wound protector. The CAT included seven consecutive steps to measure competency of the MIRH and showed high consistency among surgeons with an overall ICC of 0.923. CONCLUSION: Nationwide consensus on a standardized and optimized technique of MIRH was reached. The CAT developed showed excellent interrater reliability. These achievements are crucial steps to an ongoing nationwide quality improvement project (the Right study).</p

    Nationwide standardization of minimally invasive right hemicolectomy for colon cancer and development and validation of a video-based competency assessment tool (the Right study)

    Get PDF
    BACKGROUND: Substantial variation exists when performing a minimally invasive right hemicolectomy (MIRH) due to disparities in training, expertise and differences in implementation of innovations. This study aimed to achieve national consensus on an optimal and standardized MIRH technique for colon cancer and to develop and validate a video-based competency assessment tool (CAT) for MIRH. METHOD: Statements covering all elements of MIRH were formulated. Subsequently, the Delphi technique was used to reach consensus on a standardized MIRH among 76 colorectal surgeons from 43 different centres. A CAT was developed based on the Delphi results. Nine surgeons assessed the same 12 unedited full-length videos using the CAT, allowing evaluation of the intraclass correlation coefficient (ICC). RESULTS: After three Delphi rounds, consensus (≥80% agreement) was achieved on 23 of the 24 statements. Consensus statements included the use of low intra-abdominal pressure, detailed anatomical outline how to perform complete mesocolic excision with central vascular ligation, the creation of an intracorporeal anastomosis, and specimen extraction through a Pfannenstiel incision using a wound protector. The CAT included seven consecutive steps to measure competency of the MIRH and showed high consistency among surgeons with an overall ICC of 0.923. CONCLUSION: Nationwide consensus on a standardized and optimized technique of MIRH was reached. The CAT developed showed excellent interrater reliability. These achievements are crucial steps to an ongoing nationwide quality improvement project (the Right study).</p
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