Simulation education utilizing phantom and angle reference guide in pulmonary nodule CT localization.

Objective: The incidence of sub-centimeter pulmonary nodules has been increasing along with the use of low-dose computed tomography (LDCT) as a screening tool for early lung cancer detection. In our institution, pulmonary nodule computed tomography-guided localization (PNCL) is performed preoperatively with the laser angle guided assembly (LAGA), an angle reference device. This study aims to investigate the efficacy of postgraduate education in a phantom simulation of PNCL, with or without LAGA. Setting design: This prospective study was conducted in an academic hospital in Taiwan. Seven thoracic surgery residents and three experienced senior physicians were recruited to perform PNCL using a phantom simulation, with or without LAGA, for five nodules each and complete a questionnaire. Performance data were collected. χ2 tests, Mann-Whitney U test, univariate and multivariate linear regression were used for statistical analyses. Results: The confidence level increased from median 7[range 1, 9] to 8, range [6,9] (p = 0.001) before and after the simulation education course. The scores of enhanced PNCL ability and course satisfaction were as high as 8 [5,9], and 9 [7,9]. LAGA enabled broader puncture angles (with 27.5° [0°,80°]; without 14° [0°, 80°], p = 0.003), a lower puncture frequency (with 1 [1,4]; without 2 [1,5], p < 0.001), and a smaller angle deviation (with 3°[ 0°,8°]; without 5°[ 0°,19°], p = 0.002). Pleural depth in millimeters was associated with increased puncture frequency (0.019[0,010,0.028]) and procedure time (0.071'[ 0.018,0.123']. The PNCL-experienced physicians performed the procedure in less time (-2.854'[-4.646',1.061']. The traverse direction toward the mediastinum diminished the frequency (toward 1[ 1,3]; away 1 [1,5], p = 0.003) and time (toward 7.5'[2',18]'; away 9'[ 3',31'], p = 0.027). The learning curve did not improve procedure performance after ten PNCL simulation rounds. Conclusions: The phantom PNCL simulation education course increased the confidence level, enhanced residents' skill acquisition, and promoted learning satisfaction. The angle reference device helped improve the outcomes of the puncture frequency and reduced angle deviation.

Photodecomposition of pharmaceuticals and personal care products using P25 modified with Ag nanoparticles in the presence of natural organic matter.

The presence of pharmaceuticals and personal care products (PPCPs) in water remains a concern due to their potential threat to environmental and human health. Advanced oxidation processes (AOPs) have been receiving attention in water treatment studies to remove PPCPs. However, most studies have been focused on pure water containing a limited number of substances. In this study, the photocatalytic efficiency of commercially available titanium dioxide nanoparticles (P25) and P25 modified by silver nanoparticles (Ag-P25) were compared for their ability to degrade 23 target PPCPs (2 µg L-1) in realistic water matrices containing natural organic matter (Suwanee River NOM, 6.12 mg L-1). The experiments were completed under ultraviolet-light emitting diode (UV-LED) illumination at 365 and 405 nm wavelengths, with the latter representing visible light exposure. Under 365 nm UV-LED treatment, 99% of the PPCPs were removed using both P25 and Ag-P25 photocatalysts within 180 min of the treatment duration. The number of PPCPs removed dropped to 57% and 53% for P25 and Ag-P25 respectively under the 405 nm UV-LED irradiation. Dissolved organic carbon (DOC) and UV absorbance at 254 nm (UV254) measured at the end of the experiment indicated that the aromatic fraction of NOM was preferentially removed from the water matrix. Also, Ag-P25 was more effective in DOC removal than P25. The relationships of removal rate constants with physico-chemical properties of the substances were also determined. The molecular weight and charge were strongly associated with removal, with the former and the latter being positively and negatively correlated with the rate constants. The results of this work indicate that Ag-P25 is a promising photocatalyst to degrade persistent substances such as PPCPs and NOM even if they are present in a complex water matrix. The properties of individual substances can also be employed as an indication of their removal using this technology.

Carbon Black-Doped Anatase TiO2 Nanorods for Solar Light-Induced Photocatalytic Degradation of Methylene Blue.

In this work, C-doped TiO2 nanorods were synthesized through doping carbon black into hydrothermally synthesized solid-state TiO2 nanowires (NWs) via calcination. The effects of carbon content on the morphology, phase structure, crystal structure, and photocatalytic property under both UV and solar light by the degradation of methylene blue (MB) were explored. Besides, the photoelectrochemical property of C-TiO2 was systematically studied to illustrate the solar light degradation mechanism. After doping with C, TiO2 NWs were reduced into nanorods and the surface became rough with dispersed particles. Results showed that C has successfully entered the TiO2 lattice, resulting in the lattice distortion, reduction of band gap, and the formation of C-Ti-O, which expands TiO2 to solar light activation. Comparing with P25 and anatase TiO2 NWs, doping with carbon black showed much higher UV light and solar light photocatalytic activity. The photocatalytic activity was characterized via the degradation of MB, showing that K ap was 0.0328 min-1 under solar light, while 0.1634 min-1 under UV irradiation. The main free radicals involved in methylene blue degradation are H+ and OH•-. Doping with carbon black led to the reduction of photocurrent in a long-term operation, while C-doping reduced the electron-hole recombination and enhanced the carrier migration.

Phase transformation of TiO2 nanoparticles by femtosecond laser ablation in aqueous solutions and deposition on conductive substrates.

Titanium dioxide (TiO2) is a wide bandgap semiconductor that is chemically stable, non-toxic, and economical compared to other semiconductors and has been implemented in a wide range of applications such as photocatalysis, photovoltaics, and memristors. In this work we studied the femtosecond laser ablation of titanium dioxide powders (P25) dispersed either in water or deposited onto a fluoride-doped tin oxide (FTO) substrate. The process was used as a route to induce the phase-transformation of TiO2 nanoparticles which was governed by laser parameters such as ablation time and power. It was observed that upon increase of the ablation time of TiO2 dispersion in water a bandgap widening occurred, leading to the possibility of bandgap engineering of TiO2 using controlled laser parameter profiles.

Photocatalytic decomposition of selected estrogens and their estrogenic activity by UV-LED irradiated TiO2 immobilized on porous titanium sheets via thermal-chemical oxidation.

The removal of endocrine disrupting compounds (EDCs) remains a big challenge in water treatment. Risks associated with these compounds are not clearly defined and it is important that the water industry has additional options to increase the resiliency of water treatment systems. Titanium dioxide (TiO2) has potential applications for the removal of EDCs from water. TiO2 has been immobilized on supports using a variety of synthesis methods to increase its feasibility for water treatment. In this study, we immobilized TiO2 through the thermal-chemical oxidation of porous titania sheets. The efficiency of the material to degrade target EDCs under UV-LED irradiation was examined under a wide range of pH conditions. A yeast-estrogen screen assay was used to complement chemical analysis in assessing removal efficiency. All compounds but 17ß-estradiol were degraded and followed a pseudo first-order kinetics at all pH conditions tested, with pH 4 and pH 11 showing the most and the least efficient treatments respectively. In addition, the total estrogenic activity was substantially reduced even with the inefficient degradation of 17ß-estradiol. Additional studies will be required to optimize different treatment conditions, UV-LED configurations, and membrane fouling mitigation measures to make this technology a more viable option for water treatment.

Photocatalytic decomposition of organic micropollutants using immobilized TiO2 having different isoelectric points.

Organic micropollutants found in the environment are a diverse group of compounds that includes pharmaceuticals, personal care products, and endocrine disruptors. Their presence in the aquatic environment continues to be a concern as the risk they pose towards both the environment and human health is still inconclusive. Removal of these compounds from water and wastewater is difficult to achieve and often incomplete, but UV-TiO2 is a promising treatment approach. In this study, the efficiency of titanium dioxide (TiO2) immobilized on porous supports were tested for treatment of target pharmaceuticals and their metabolites under UV-LED exposure, a potential low energy and cost effective alternative to conventional UV lamps. Immobilization was completed using two different methods: (1) dip coating of TiO2 onto quartz fiber filters (QFT) or (2) thermal-chemical oxidation of porous titanium sheets (PTT). Comparison against experimental controls (dark QFT, dark PTT, and photolysis using UV-LED only) showed that UV-LED/PTT and UV-LED/QFT treatments have the potential to reduce the concentrations of the target compounds. However, the treatments were found to be selective, such that individual pharmaceuticals were removed well using QFT and PTT but not both. The complementary treatment behavior is likely driven by electrostatic interactions of charged compounds with the membranes. QFT membranes are negatively charged at the experimental pH (4.5-5) while PTT membranes are positively charged. As a result, cationic compounds interact more with QFT while anionic compounds with PTT. Neutral compounds, however, were found to be recalcitrant under any treatment conditions suggesting that ionic interactions were important for reactions to occur. This behavior can be advantageous if specificity is required. The behavior of pharmaceutical metabolites is similar to the parent compounds. However, isomeric metabolites of atorvastatin with functional groups in para and ortho configurations behave differently, suggesting that the positioning of functional groups can have an impact in their interaction with the immobilized TiO2. It was also apparent that PTT can be reused after cleaning by heat treatment. Overall, these newly synthesized membrane materials have potential applications for treatment of trace organic contaminants in water.

Single-step synthesis of graphene quantum dots by femtosecond laser ablation of graphene oxide dispersions.

In the last few years, graphene quantum dots (GQDs) have attracted the attention of many research groups for their outstanding properties, which include low toxicity, chemical stability and photoluminescence. One of the challenges of GQD synthesis is finding a single-step, cheap and sustainable approach for synthesizing these promising nanomaterials. In this study, we demonstrate that femtosecond laser ablation of graphene oxide (GO) dispersions could be employed as a facile and environmentally friendly synthesis method for GQDs. With the proper control of laser ablation parameters, such as ablation time and laser power, it is possible to produce GQDs with average sizes of 2-5 nm, emitting a blue luminescence at 410 nm. We tested the feasibility of the synthesized GQDs as materials for electronic devices by aerosol-jet printing of an ink that is a mixture of water dispersion of laser synthesized GQDs and silver nanoparticle dispersion, which resulted in lower resistivity of the final printed patterns. Preliminary results showed that femtosecond laser synthesized GQDs can be mixed with silver nanoparticle dispersion to fabricate a hybrid material, which can be employed in printing electronic devices by either printing patterns that are more conductive and/or reducing costs of the ink by decreasing the concentration of silver nanoparticles (AgNPs) in the ink.