23 research outputs found

    Endoscopic submucosal dissection for early esophageal adenocarcinoma: low rates of metastases in mucosal cancers with poor differentiation

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    Background and aims Endoscopic resection (ER) is accepted as standard treatment for intramucosal esophageal adenocarcinoma (EAC) with well or moderate differentiation. Poor differentiation (PD) is judged as a risk factor for lymph node metastasis (LNM) and surgery is recommended. However, the evidence for this recommendation is weak. Study aim was to analyze the clinical course of patients after ER of EAC with PD. Patients and methods Patients undergoing endoscopic submucosal dissection for EAC were included from 16 German centers. Inclusion criteria were PD in the resection specimen, R0 resection and endoscopic follow-up. Primary outcome was the metastasis rate during follow-up. Analysis was performed retrospectively in a prospectively collected database. Results 25 patients with PD as single risk factor (group A) and 15 patients with PD and additional risk factors (submucosal invasion and/or lymphovascular invasion) were included. The metastasis rate was was 1/25 (4.0%; 95%CI 0.4-17.2) in group A and 3/15 (20.0%; 95%CI 6.0-44.4%) in group B, respectively (p=0.293). The rate of EAC-associated deaths was 1/25 (4%; 95%CI 0.4-17.2%) versus 3/15 (20%; 95%CI 6.0-44.4%) in group B (p=0.293) while the overall death rate was 7/25 (28.0%; 95%CI 13.5-47.3%) versus 3/15 (20%; 95%CI 6.0-44.4%) (p=0.715). Median follow-up was 30 months (IQR 15-53). Conclusions During long-term follow-up the risk of metastasis is low after ER of mucosal EAC with PD as single risk factor. A conservative approach seems justified in this small patient group. However, the treatment strategy has to be determined on an individualized basis until further prospective data are available

    (Metallo)porphyrins for potential materials science applications

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    The bottom-up approach to replace existing devices by molecular-based systems is a subject that attracts permanently increasing interest. Molecular-based devices offer not only to miniaturize the device further, but also to benefit from advanced functionalities of deposited molecules. Furthermore, the molecules itself can be tailored to allow via their self-assembly the potential fabrication of devices with an application potential, which is still unforeseeable at this time. Herein, we review efforts to use discrete (metallo)porphyrins for the formation of (sub)monolayers by surface-confined polymerization, of monolayers formed by supramolecular recognition and of thin films formed by sublimation techniques. Selected physical properties of these systems are reported as well. The application potential of those ensembles of (metallo)porphyrins in materials science is discussed

    TiO<sub>2</sub> Nanowire Array Memristive Devices Emulating Functionalities of Biological Synapses

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    Memristors are deemed to be the electrical twin to biological synapses. They enable emulation of human memory functionalities such as learning, memorizing, and forgetting. The present hydrothermally grown titanium dioxide nanowire array memristive devices have shown to be able to mimic synaptic behaviors. As well as spike‐rate dependent plasticity, excitatory postsynaptic currents, and paired pulse facilitation, high endurance, and on/off ratios for the nanowire arrays are presented. Decay fitting of postsynaptic currents with Kohlrausch's equation shows lifetimes of few milliseconds up to several hundred seconds, offering the possibility of a short‐term to long‐term memory transition. Furthermore, a strong dependence of the lifetime of the signals on the frequency and amplitude of the stimulation pulses is observed.publishe

    Curing perovskites : A way towards control of crystallinity and improved stability

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    Power conversion efficiencies of lead halide perovskite solar cells have rapidly increased in the decade since their emergence, reaching 25% this year. However, reliable film uniformity and device stability remain hard to achieve and often require precise compliance with complicated protocols, which hampers upscaling towards industrial applications. Here, we explore the potential of an alternative route towards high-quality perovskite films: The reaction between a preexisting perovskite film and methylamine (MA) gas has been shown to possess the striking ability to both improve lm morphology and increase grain size drastically, boosting device performance. This promising post-deposition treatment could provide the means to decouple film quality from the initial deposition process, thus promising to facilitate upscaling and lowering production costs. Furthermore, such MA gas treatments show great promise regarding the stability of fabricated devices, as they open up the opportunity to reduce or even eliminate the adverse role of grain boundaries in film degradation.publishe

    Complementary switching in single Nb<sub>3</sub>O<sub>7</sub>(OH) nanowires

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    Single nanowires and networks are considered as promising candidates for miniaturized memristive devices for brain-inspired systems. Moreover, single crystalline nanostructures are useful model systems to gain a deeper understanding in the involved switching mechanism of the investigated material. Here, we report on hydrothermally grown single crystalline Nb3O7(OH) nanowires showing a complementary resistive switching (CRS) behavior. The CRS characteristics can be related to an oxygen vacancy migration at the electrode/metal hydroxide interface. Therefore, an oxygen plasma treatment is used to reduce the oxygen vacancy content, resulting in a total reduction of the device conductivity. Furthermore, temporal resolved current–voltage measurements demonstrate the dependence of the destructive readout process of the resistance states on the voltage amplitude and polarity.publishe

    Synthesis, spectroscopic characterization and thermogravimetric analysis of two series of substituted (metallo)tetraphenylporphyrins

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    Subsequent treatment of H2TPP(CO2H)4 (tetra(p-carboxylic acid phenyl)porphyrin, 1) with an excess of oxalyl chloride and HNR2 afforded H2TPP(C(O)NR2)4 (R = Me, 2; iPr, 3) with yields exceeding 80%. The porphyrins 2 and 3 could be converted to the corresponding metalloporphyrins MTPP(C(O)NR2)4 (R = Me/iPr for M = Zn (2a, 3a); Cu (2b, 3b); Ni (2c, 3c); Co (2d, 3d)) by the addition of 3 equiv of anhydrous MCl2 (M = Zn, Cu, Ni, Co) to dimethylformamide solutions of 2 and 3 at elevated temperatures. Metalloporphyrins 2a–d and 3a–d were obtained in yields exceeding 60% and have been, as well as 2 and 3, characterized by elemental analysis, electrospray ionization mass spectrometry (ESIMS) and IR and UV–vis spectroscopy. Porphyrins 2, 2a–d and 3, 3a–d are not suitable for organic molecular beam deposition (OMBD), which is attributed to their comparatively low thermal stability as determined by thermogravimetric analysis (TG) of selected representatives
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