Surveillance after surgery for pancreatic cancer: a global scoping review of guidelines and a nordic Survey of contemporary practice.

OBJECTIVES: Most patients with pancreatic cancer who have undergone surgical resection eventually develop disease recurrence. |This study aimed to investigate whether there is evidence to support routine surveillance after pancreatic cancer surgery, with a secondary aim of analyzing the implementation of surveillance strategies in the Nordic countries. MATERIALS AND METHODS: A scoping review was conducted to identify clinical practice guidelines globally and research studies relating to surveillance after pancreatic cancer resection. This was followed by a survey among 20 pancreatic units from four Nordic countries to assess their current practice of follow-up for operated patients. RESULTS: Altogether 16 clinical practice guidelines and 17 research studies were included. The guidelines provided inconsistent recommendations regarding postoperative surveillance of pancreatic cancer. The clinical research data were mainly based on retrospective cohort studies with low level of evidence and lead-time bias was not addressed. Active surveillance was recommended in Sweden and Denmark, but not in Norway beyond the post-operative/adjuvant period. Finland had no national recommendations for surveillance. The Nordic survey revealed a wide variation in reported practice among the different units. About 75% (15 of 20 units) performed routine postoperative surveillance. Routine CA 19-9 testing was used by 80% and routine CT by 67% as part of surveillance. About 73% of centers continued follow-up until 5 years postoperatively. CONCLUSION: Evidence for routine long-term (i.e. 5 years) surveillance after pancreatic cancer surgery remains limited. Most pancreatic units in the Nordic countries conduct regular follow-up, but protocols vary.

Aluminum Alloy Anode with Various Iron Content Influencing the Performance of Aluminum-Ion Batteries.

Considerable research has been devoted to the development of cathode materials for Al-ion batteries, but challenges remain regarding the behavior of aluminum anodes. Inert oxide (Al2O3) film on Al surfaces presents a barrier to electrochemical activity. The structure of the oxide film needs to be weakened to facilitate ion transfer during electrochemical activity. This study addresses oxide film challenges by studying Al alloy anodes with different iron content. The results reveal that using an anode of 99% Al 1% Fe in a cell increases the cycling lifetime by 48%, compared to a 99.99% Al anode. The improvement observed with the 99% Al 1% Fe anode is attributed to its fractional surface area corrosion being about 12% larger than that of a 99.99% Al anode. This is coupled to precipitation of a higher number of Al3Fe particles, which are evenly scattered in the Al matrix of 99% Al 1% Fe. These Al3Fe particles constitute weak spots in the oxide film for the electrolyte to attack, and access to fresh Al. The addition of iron to an Al anode thus offers a cheap and easy route for targeting the oxide passivating film challenge in Al-ion batteries.

Advances in Inorganic Nanomaterials for Triboelectric Nanogenerators.

Triboelectric nanogenerators (TENGs) that utilize triboelectrification and electrostatic induction to convert mechanical energy to electricity have attracted increasing interest in the last 10 years. As a universal physical phenomenon, triboelectrification can occur between any two surfaces that experience physical contact and separation regardless of the type of material. For this reason, many materials, including both organic and inorganic materials, have been studied in TENGs with different purposes. Although organic polymers are mainly used as triboelectric materials in TENGs, the application of inorganic nanomaterials has also been intensively studied because of their unique dielectric, electric, piezoelectric, and optical properties, which can improve the performance of TENGs. A review of how inorganic nanomaterials are used in TENGs would help researchers gain an overview of the progress in this area. Here, we present a review to summarize how inorganic nanomaterials are utilized in TENGs based on the roles, types, and characteristics of the nanomaterials.

A review of the advances in composites/nanocomposites for triboelectric nanogenerators.

Material development is essential when studying triboelectric nanogenerators (TENGs). This importance is because the performance of TENGs is highly dependent on the properties of the utilized triboelectric materials. To obtain more specific properties, composites have been developed that combine the features of their components. According to Google Scholar, 55% of published papers related to triboelectric nanogenerators have utilized or mentioned composites. This number is 34.5% if one searches with the keyword nanocomposites instead of composites. The importance of composites is because they can exhibit new dielectric properties, better mechanical strength, enhanced charge affinities, etc. Therefore, the development of new composites has great importance in TENG studies. In this paper, we review the production of nanocomposites, the types of nanocomposites, and their application in TENG studies. This review gives an overview of how nanocomposites boost the performance of TENGs and provides guidance for future studies.

Treatment of NiMoO4/nanographite nanocomposite electrodes using flexible graphite substrate for aqueous hybrid supercapacitors.

The cycling performance of supercapacitors sometimes becomes limited when electrode materials slough off during frequent charge-discharge cycles, due to weak bonding between the active material and the current collector. In this work, a flexible graphite foil substrate was successfully used as the current collector for supercapacitor electrodes. Graphite foil substrates were treated in different ways with different acid concentrations and temperatures before being coated with an active material (NiMoO4/nanographite). The electrode treated with HNO3 (65%) and H2SO4 (95%) in a 1:1 ratio at 24°C gave better electrochemical performance than did electrodes treated in other ways. This electrode had capacitances of 441 and 184 Fg-1 at current densities of 0.5 and 10 Ag-1, respectively, with a good rate capability over the current densities of the other treated electrodes. SEM observation of the electrodes revealed that NiMoO4 with a morphology of nanorods 100-120 nm long was properly accommodated on the graphite surface during the charge-discharge process. It also showed that treatment with high-concentration acid created an appropriately porous and rough surface on the graphite, enhancing the adhesion of NiMoO4/nanographite and boosting the electrochemical performance.

Highly Stable Cycling of Silicon-Nanographite Aerogel-Based Anode for Lithium-Ion Batteries.

Silicon anodes are considered as promising electrode materials for next-generation high capacity lithium-ion batteries (LIBs). However, the capacity fading due to the large volume changes (∼300%) of silicon particles during the charge-discharge cycles is still a bottleneck. The volume changes of silicon lead to a fracture of the silicon particles, resulting in recurrent formation of a solid electrolyte interface (SEI) layer, leading to poor capacity retention and short cycle life. Nanometer-scaled silicon particles are the favorable anode material to reduce some of the problems related to the volume changes, but problems related to SEI layer formation still need to be addressed. Herein, we address these issues by developing a composite anode material comprising silicon nanoparticles and nanographite. The method developed is simple, cost-efficient, and based on an aerogel process. The electrodes produced by this aerogel fabrication route formed a stable SEI layer and showed high specific capacity and improved cyclability even at high current rates. The capacity retentions were 92 and 72% of the initial specific capacity at the 171st and the 500th cycle, respectively.

Cellulose-Based Fully Green Triboelectric Nanogenerators with Output Power Density of 300 W m-2.

Triboelectric nanogenerators (TENGs) have attracted increasing attention because of their excellent energy conversion efficiency, the diverse choice of materials, and their broad applications in energy harvesting devices and self-powered sensors. New materials have been explored, including green materials, but their performances have not yet reached the level of that for fluoropolymers. Here, a high-performance, fully green TENG (FG-TENG) using cellulose-based tribolayers is reported. It is shown that the FG-TENG has an output power density of above 300 W m-2 , which is a new record for green-material-based TENGs. The high performance of the FG-TENG is due to the high positive charge density of the regenerated cellulose. The FG-TENG is stable after more than 30 000 cycles of operations in humidity of 30%-84%. This work demonstrates that high-performance TENGs can be made using natural green materials for a broad range of applications.

Influence of Substrate in Roll-to-roll Coated Nanographite Electrodes for Metal-free Supercapacitors.

Due to the high electric conductivity and large surface area of nanographites, such as graphene and graphite nanoplatlets, these materials have gained a large interest for use in energy storage devices. However, due to the thin flake geometry, the viscosity of aqueous suspensions containing these materials is high even at low solids contents. This together with the use of high viscosity bio-based binders makes it challenging to coat in a roll-to-roll process with sufficient coating thickness. Electrode materials for commercial energy storage devices are often suspended by organic solvents at high solids contents and coated onto metal foils used as current-collectors. Another interesting approach is to coat the electrode onto the separator, to enable large-scale production of flat cell stacks. Here, we demonstrate an alternative, water-based approach that utilize slot-die coating to coat aqueous nanographite suspension with nanocellulose binder onto the paper separator, and onto the current collector as reference, in aqueous metal-free supercapacitors. The results show that the difference in device equivalent series resistance (ESR) due to interfacial resistance between electrode and current collector was much lower than expected and thus similar or lower compared to other studies with a aqueous supercapacitors. This indicates that electrode coated paper separator substrates could be a promising approach and a possible route for manufacturing of low-cost, environmentally friendly and metal-free energy storage devices.

Structure, Performance, and Application of BiFeO3 Nanomaterials.

Multiferroic nanomaterials have attracted great interest due to simultaneous two or more properties such as ferroelectricity, ferromagnetism, and ferroelasticity, which can promise a broad application in multifunctional, low-power consumption, environmentally friendly devices. Bismuth ferrite (BiFeO3, BFO) exhibits both (anti)ferromagnetic and ferroelectric properties at room temperature. Thus, it has played an increasingly important role in multiferroic system. In this review, we systematically discussed the developments of BFO nanomaterials including morphology, structures, properties, and potential applications in multiferroic devices with novel functions. Even the opportunities and challenges were all analyzed and summarized. We hope this review can act as an updating and encourage more researchers to push on the development of BFO nanomaterials in the future.

Silicon-Nanographite Aerogel-Based Anodes for High Performance Lithium Ion Batteries.

To increase the energy storage density of lithium-ion batteries, silicon anodes have been explored due to their high capacity. One of the main challenges for silicon anodes are large volume variations during the lithiation processes. Recently, several high-performance schemes have been demonstrated with increased life cycles utilizing nanomaterials such as nanoparticles, nanowires, and thin films. However, a method that allows the large-scale production of silicon anodes remains to be demonstrated. Herein, we address this question by suggesting new scalable nanomaterial-based anodes. Si nanoparticles were grown on nanographite flakes by aerogel fabrication route from Si powder and nanographite mixture using polyvinyl alcohol (PVA). This silicon-nanographite aerogel electrode has stable specific capacity even at high current rates and exhibit good cyclic stability. The specific capacity is 455 mAh g-1 for 200th cycles with a coulombic efficiency of 97% at a current density 100 mA g-1.

Gold and ZnO-Based Metal-Semiconductor Network for Highly Sensitive Room-Temperature Gas Sensing.

Metal-semiconductor junctions and interfaces have been studied for many years due to their importance in applications such as semiconductor electronics and solar cells. However, semiconductor-metal networks are less studied because there is a lack of effective methods to fabricate such structures. Here, we report a novel Au-ZnO-based metal-semiconductor (M-S)n network in which ZnO nanowires were grown horizontally on gold particles and extended to reach the neighboring particles, forming an (M-S)n network. The (M-S)n network was further used as a gas sensor for sensing ethanol and acetone gases. The results show that the (M-S)n network is sensitive to ethanol (28.1 ppm) and acetone (22.3 ppm) gases and has the capacity to recognize the two gases based on differences in the saturation time. This study provides a method for producing a new type of metal-semiconductor network structure and demonstrates its application in gas sensing.

Effects of geometry on large-scale tube-shear exfoliation of graphite to multilayer graphene and nanographite in water.

Industrially scalable methods for the production of graphene and other nanographites are needed to achieve cost-efficient commercial products. At present, there are several available routes for the production of these materials but few allow large-scale manufacturing and environmentally friendly low-cost solvents are rarely used. We have previously demonstrated a scalable and low-cost industrial route to produce nanographites by tube-shearing in water suspensions. However, for a deeper understanding of the exfoliation mechanism, how and where the actual exfoliation occurs must be known. This study investigates the effect of shear zone geometry, straight and helical coil tubes, on this system based on both numerical simulation and experimental data. The results show that the helical coil tube achieves a more efficient exfoliation with smaller and thinner flakes than the straight version. Furthermore, only the local wall shear stress in the turbulent flow is sufficient for exfoliation since the laminar flow contribution is well below the needed range, indicating that exfoliation occurs at the tube walls. This explains the exfoliation mechanism of water-based tube-shear exfoliation, which is needed to achieve scaling to industrial levels of few-layer graphene with known and consequent quality.

Frequency and voltage response of a wind-driven fluttering triboelectric nanogenerator.

Triboelectric nanogenerators (TENG:s) are used as efficient energy transducers in energy harvesting converting mechanical energy into electrical energy. Wind is an abundant source of mechanical energy but how should a good triboelectric wind harvester be designed? We have built and studied a TENG driven by air flow in a table-top sized wind tunnel. Our TENG constitutes of a plastic film of size 10 cm × 2 cm which is fluttering between two copper electrodes generating enough power to light up a battery of LED:s. We measured the voltage and frequency of fluttering at different wind speeds from zero up to 8 m/s for three electrode distances 6 mm, 10 mm and 14 mm. We found that the frequency increases linearly with the wind speed with a cutoff at some low speed. Power was generated already at 1.6 m/s. We seem to be able to explain the observed frequency dependence on wind speed by assuming excitation of the film into different harmonics in response to von Kármán vortices. We also find that the voltage increase linearly with frequency. We anticipate that TENG:s of this design could be useful both as generators and speed sensors because they work at low air speeds.

Laser-Etched Stretchable Graphene-Polymer Composite Array for Sensitive Strain and Viscosity Sensors.

The ability to control surface wettability and liquid spreading on textured surfaces is of interest for extensive applications. Soft materials have prominent advantages for producing the smart coatings with multiple functions for strain sensing. Here, we report a simple method to prepare flexible hydrophobic smart coatings using graphene-polymer films. Arrays of individual patterns in the films were created by laser engraving and controlled the contact angle of small drops by pinning the contact lines in a horizontal tensile range of 0-200%. By means of experiments and model, we demonstrate that the ductility of drops is relied on the height-to-spacing ratio of the individual pattern and the intrinsic contact angle. Moreover, the change of drop size was utilized to measure the applied strain and liquid viscosity, enabling a strain sensitivity as high as 1068 µm2/%. The proposed laser-etched stretchable graphene-polymer composite has potential applications in DNA microarrays, biological assays, soft robots, and so on.

Selective laser sintering of inkjet-printed silver nanoparticle inks on paper substrates to achieve highly conductive patterns.

Development of cost-effective and environmentally friendly manufacturing methods will enable important advances for the production of large-scale flexible electronics. Laser processing has shown to be a promising candidate that offers a fast and non-destructive way to produce highly conductive patterns on flexible substrates such as plastics. However, an emerging option with a lower environmental impact is instead the use of cellulose-based flexible substrates, such as paper. In this work we investigate the use of laser sintering of silver nanoparticle inks, which were inkjet-printed on three different types of paper. Patterns with a high conductivity could be manufactured where a special care was taken to prevent the substrates from damage by the intense laser light. We found that the best results was obtained for a photopaper, with a conductivity of 1.63 ∗ 107 S/m corresponding to nearly 26% of the bulk silver conductivity. In addition, we demonstrate laser sintering to fabricate a fully functional near field communication tag printed on a photopaper. Our results can have an important bearing for the development of cost-effective and environmentally friendly production methods for flexible electronics on a large scale.

Schottky model for triboelectric temperature dependence.

The triboelectric effect, charging by contact, is the working principle in a device called a triboelectric nanogenerator. They are used as efficient energy transducers in energy harvesting. In such generators the charging of surfaces at contact is followed by a separation of the surfaces increasing the electrical energy which can subsequently be used. Different materials have different triboelectric potentials leading to charging at contact. The temperature dependence of the charging has just recently been studied: the triboelectric effect is decreasing with temperature for a generator of Al-PTFE-Cu. Here, we suggest a mechanism to explain this effect assuming ion transfer using a two-level Schottky model where the two levels corresponds to the two surfaces. The difference in binding energy for ions on the two surfaces then enters the formula for charging. We fit the triboelectric power density as a function of temperature obtained from a two-level Schottky model to measured data for nanogenerators made of Al-PTFE-Cu found in three references. We obtain an average separation energy corresponding to a temperature of 365 K which is of the right magnitude for physically adsorbed atoms. We anticipate that this model could be used for many types of triboelectric nanogenerators.

Photoconductivity of acid exfoliated and flash-light-processed MoS2 films.

MoS2 has been studied intensively during recent years as a semiconducting material in several fields, including optoelectronics, for applications such as solar cells and phototransistors. The photoresponse mechanisms of MoS2 have been discussed but are not fully understood, especially the phenomenon in which the photocurrent slowly increases. Here, we report on a study of the photoresponse flash-light-processed MoS2 films of different thicknesses and areas. The photoresponse of such films under different light intensities and bias voltages was measured, showing significant current changes with a quick response followed by a slow one upon exposure to pulsed light. Our in-depth study suggested that the slow response was due to the photothermal effect that heats the MoS2; this hypothesis was supported by the resistivity change at different temperatures. The results obtained from MoS2 films with various thicknesses indicated that the minority-carrier diffusion length was 1.36 µm. This study explained the mechanism of the slow response of the MoS2 film and determined the effective thickness of MoS2 for a photoresponse to occur. The method used here for fabricating MoS2 films could be used for fabricating optoelectronic devices due to its simplicity.

Escherichia coli Bacteria Develop Adaptive Resistance to Antibacterial ZnO Nanoparticles.

Antibacterial agents based on nanoparticles (NPs) have many important applications, e.g., for the textile industry, surface disinfection, wound dressing, water treatment, and food preservation. Because of their prevalent use it is important to understand whether bacteria could develop resistance to such antibacterial NPs similarly to the resistance that bacteria are known to develop to antibiotics. Here, it is reported that Escherichia coli (E. coli) develops adaptive resistance to antibacterial ZnO NPs after several days' exposure to the NPs. But, in contrast to antibiotics-resistance, the observed resistance to ZnO NPs is not stable-after several days without exposure to the NPs, the bacteria regain their sensitivity to the NPs' antibacterial properties. Based on the analyses it is suggested that the observed resistance is caused by changes in the shape of the bacteria and the expressions of membrane proteins. The findings provide insights into the response of bacteria to antibacterial NPs, which is important to elucidate for designing and evaluating the risk of applications based on antibacterial NPs.

Sintering Inhibition of Silver Nanoparticle Films via AgCl Nanocrystal Formation.

Electrically conductive films are key components in most printed and flexible electronics applications. For the solution processing of conductive films, inks containing silver nanoparticles (AgNPs) remain important because of their relatively easy processing and generally low resistivity after a sintering procedure. Because the commonly used, moderate sintering temperatures of 150-300 °C are still too high for most low-cost flexible substrates, expanding the knowledge of surface-ink interactions that affect the sintering temperature is desirable. It is known that chloride ions can assist the sintering of AgNP films by displacing capping agents on the surfaces of AgNPs. However, very little is known about other possible Cl-AgNP interactions that affect the resistivity and no interaction having the opposite effect (sintering inhibition) has been identified before. Here we identify such a Cl-AgNP interaction giving sintering inhibition and find that the mechanism involves the formation of AgCl nanocrystals within the AgNP film. The AgCl formation was observed after inkjet-printing of AgNP inks with polyvinylpyrrolidone (PVP) as the capping agent onto papers with quick-absorbing coatings containing 0.3 wt % KCl. Our findings show that chloride can have opposite roles during sintering, either assisting or inhibiting the sintering depending on the prevalence of AgCl formation. The prevalence of AgCl formation depends on the absorption properties and the capping agent.

Metal-free supercapacitor with aqueous electrolyte and low-cost carbon materials.

Electric double-layer capacitors (EDLCs) or supercapacitors (SCs) are fast energy storage devices with high pulse efficiency and superior cyclability, which makes them useful in various applications including electronics, vehicles and grids. Aqueous SCs are considered to be more environmentally friendly than those based on organic electrolytes. Because of the corrosive nature of the aqueous environment, however, expensive electrochemically stable materials are needed for the current collectors and electrodes in aqueous SCs. This results in high costs for a given energy-storage capacity. To address this, we developed a novel low-cost aqueous SC using graphite foil as the current collector and a mix of graphene, nanographite, simple water-purification carbons and nanocellulose as electrodes. The electrodes were coated directly onto the graphite foil by using casting frames and the SCs were assembled in a pouch cell design. With this approach, we achieved a material cost reduction of greater than 90% while maintaining approximately one-half of the specific capacitance of a commercial unit, thus demonstrating that the proposed SC can be an environmentally friendly, low-cost alternative to conventional SCs.