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Recycling of mixed cathode lithium-ion batteries for electric vehicles: Current status and future outlook 被引量:34
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作者 Tyler Or storm WDGourley +2 位作者 Karthikeyan Kaliyappan Aiping Yu Zhongwei Chen 《Carbon Energy》 CAS 2020年第1期6-43,共38页
Worldwide trends in mobile electrification,largely driven by the popularity of electric vehicles(EVs)will skyrocket demands for lithium-ion battery(LIB)production.As such,up to four million metric tons of LIB waste fr... Worldwide trends in mobile electrification,largely driven by the popularity of electric vehicles(EVs)will skyrocket demands for lithium-ion battery(LIB)production.As such,up to four million metric tons of LIB waste from EV battery packs could be generated from 2015 to 2040.LIB recycling directly addresses concerns over longterm economic strains due to the uneven geographic distribution of resources(especially for Co and Li)and environmental issues associated with both landfilling and raw material extraction.However,LIB recycling infrastructure has not been widely adopted,and current facilities are mostly focused on Co recovery for economic gains.This incentive will decline due to shifting market trends from LiCoO2 toward cobalt-deficient and mixed-metal cathodes(eg,LiNi1/3Mn1/3Co1/3O2).Thus,this review covers recycling strategies to recover metals in mixed-metal LIB cathodes and comingled scrap comprising different chemistries.As such,hydrometallurgical processes can meet this criterion,while also requiring a low environmental footprint and energy consumption compared to pyrometallurgy.Following pretreatment to separate the cathode from other battery components,the active material is dissolved entirely by reductive acid leaching.A complex leachate is generated,comprising cathode metals(Li+,Ni2+,Mn2+,and Co2+)and impurities(Fe3+,Al3+,and Cu2+)from the current collectors and battery casing,which can be separated and purified using a series of selective precipitation and/or solvent extraction steps.Alternatively,the cathode can be resynthesized directly from the leachate. 展开更多
关键词 acid leaching comingled LIB scrap HYDROMETALLURGY NMC selective precipitation solvent extraction
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Endoscopic ultrasound-guided techniques for diagnosing pancreatic mass lesions: Can we do better? 被引量:12
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作者 Andrew C storm Linda S Lee 《World Journal of Gastroenterology》 SCIE CAS 2016年第39期8658-8669,共12页
The diagnostic approach to a possible pancreatic mass lesion relies first upon various non-invasive imaging modalities, including computed tomography, ultrasound, and magnetic resonance imaging techniques. Once a susp... The diagnostic approach to a possible pancreatic mass lesion relies first upon various non-invasive imaging modalities, including computed tomography, ultrasound, and magnetic resonance imaging techniques. Once a suspect lesion has been identified, tissue acquisition for characterization of the lesion is often paramount in developing an individualized therapeutic approach. Given the high prevalence and mortality associated with pancreatic cancer, an ideal approach to diagnosing pancreatic mass lesions would be safe, highly sensitive, and reproducible across various practice settings. Tools, in addition to radiologic imaging, currently employed in the initial evaluation of a patient with a pancreatic mass lesion include serum tumor markers, endoscopic retrograde cholangiopancreatography, and endoscopic ultrasound-guided fine needle aspiration(EUS-FNA). EUS-FNA has grown to become the gold standard in tissue diagnosis of pancreatic lesions. 展开更多
关键词 Endoscopic ultrasound Fine needle aspiration Pancreatic cancer Pancreatic mass ENDOSCOPY
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丹麦农业生产中的肥料使用及其对中国的启示 被引量:7
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作者 许英杰 Keld storm 《中国农学通报》 CSCD 北大核心 2010年第16期180-183,共4页
现代农业中大量使用的化肥在提高作物产量的同时,也带来了一些负面影响如土壤肥力下降、土壤板结等。文章综述了丹麦先进的肥料使用和管理方面的经验。丹麦政府通过根据作物需要制定N的允许施用量和P、K的推荐施用量、对肥料的施用季节... 现代农业中大量使用的化肥在提高作物产量的同时,也带来了一些负面影响如土壤肥力下降、土壤板结等。文章综述了丹麦先进的肥料使用和管理方面的经验。丹麦政府通过根据作物需要制定N的允许施用量和P、K的推荐施用量、对肥料的施用季节和施肥方式进行规定、根据土壤检测的结果和作物产量调整营养元素施用量等措施较好地避免了化肥污染问题,这些先进的经验为中国解决化肥污染问题提供了借鉴。作者提出中国在农业生产过程中应从限制化肥使用量、提高农民知识水平、提倡增施有机肥、改进施肥方式等方面避免对环境的污染。 展开更多
关键词 肥料 污染 丹麦 经验
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Hydrocephalus Secondary to Intraventricular Myxopapillary Ependymoma: Case Report
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作者 Juan Carlos Ayala-Alvarez Onyekachi Emmanuel Anyagwa +8 位作者 Fátima Gabriela Macías-Ortiz Oluwatoyin Adalia Dairo Courtney storm Truebody Reza Badrnejad Aishwarya Bhuta Shashwat Sandeep Phade Srushti Kishor Jamdar Mostafa Yassin Vismaja Vijayan 《World Journal of Neuroscience》 CAS 2024年第3期85-91,共7页
Ependymomas are a somewhat diverse category of glial tumors that often develop from the lining of the brain’s ventricles, or the spinal cord’s central canal. They make up 5% of all neuroepithelial tumors, 10% of pae... Ependymomas are a somewhat diverse category of glial tumors that often develop from the lining of the brain’s ventricles, or the spinal cord’s central canal. They make up 5% of all neuroepithelial tumors, 10% of paediatric brain tumors, and up to 33% of brain tumors in children under the age of three. Hydrocephalus is one of the complications, and it can be identified as progressive macrocephaly or increasing head circumference crossing percentiles, nausea, vomiting, poor appetite, irritability, and regression of developmental milestones. 展开更多
关键词 HYDROCEPHALUS Myxopapillary Ependymoma (MPE) PAEDIATRICS NEUROSURGERY GLIOMA Intracranial Hypertension
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Multi-modal investigation of the bone micro- and ultrastructure, and elemental distribution in the presence of Mg-xGd screws at mid-term healing stages
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作者 Kamila Iskhakova Hanna Cwieka +20 位作者 Svenja Meers Heike Helmholz Anton Davydok Malte storm Ivo Matteo Baltruschat Silvia Galli Daniel Pröfrock Olga Will Mirko Gerle Timo Damm Sandra Sefa Weilue He Keith MacRenaris Malte Soujon Felix Beckmann Julian Moosmann Thomas O'Hallaran Roger J.Guillory II D.C.Florian Wieland Berit Zeller-Plumhoff Regine Willumeit-Römer 《Bioactive Materials》 SCIE CSCD 2024年第11期657-671,共15页
Magnesium(Mg)–based alloys are becoming attractive materials for medical applications as temporary bone implants for support of fracture healing,e.g.as a suture anchor.Due to their mechanical properties and biocompat... Magnesium(Mg)–based alloys are becoming attractive materials for medical applications as temporary bone implants for support of fracture healing,e.g.as a suture anchor.Due to their mechanical properties and biocompatibility,they may replace titanium or stainless-steel implants,commonly used in orthopedic field.Nevertheless,patient safety has to be assured by finding a long-term balance between metal degradation,osseointegration,bone ultrastructure adaptation and element distribution in organs.In order to determine the implant behavior and its influence on bone and tissues,we investigated two Mg alloys with gadolinium contents of 5 and 10 wt percent in comparison to permanent materials titanium and polyether ether ketone.The implants were present in rat tibia for 10,20 and 32 weeks before sacrifice of the animal.Synchrotron radiation-based micro computed tomography enables the distinction of features like residual metal,degradation layer and bone structure.Additionally,X-ray diffraction and X-ray fluorescence yield information on parameters describing the bone ultrastructure and elemental composition at the bone-to-implant interface.Finally,with element specific mass spectrometry,the elements and their accumulation in the main organs and tissues are traced.The results show that Mg-xGd implants degrade in vivo under the formation of a stable degradation layer with bone remodeling similar to that of Ti after 10 weeks.No accumulation of Mg and Gd was observed in selected organs,except for the interfacial bone after 8 months of healing.Thus,we confirm that Mg-5Gd and Mg-10Gd are suitable material choices for bone implants. 展开更多
关键词 Biodegradable implants Bone ultrastructure Degradation Mg-based alloys
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Particle elasticity influences polymeric artificial antigen presenting cell effectiveness in vivo via CD8+T cell activation,macrophage uptake,and the protein corona
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作者 Savannah E.Est-Witte Sydney R.Shannon +16 位作者 Dennis H.Gong Kaitlyn G.Calabresi Jawaun J.Harris Kaitlyn storm Edwin J.Yoo Ariel Isser Vivek P.Jani Natalie K.Livingston Mary O.Omotoso Kelly Rhodes Elana Ben-Akiva Randall A.Meyer Zoe T.Hsieh Simone Sidoli Stephany Y.Tzeng Jonathan P.Schneck Jordan J.Green 《Nano Research》 SCIE EI CSCD 2024年第10期9052-9064,共13页
Adoptive cell therapy(ACT)is an immunotherapy strategy for cancer that has seen widespread clinical success.During ACT,patient-derived lymphocytes are stimulated with the antigen of interest ex vivo,proliferated,then ... Adoptive cell therapy(ACT)is an immunotherapy strategy for cancer that has seen widespread clinical success.During ACT,patient-derived lymphocytes are stimulated with the antigen of interest ex vivo,proliferated,then returned to the patient to initiate an antigen-specific antitumor response.While effective,this process is resource-intensive and logistically impossible for many patients.Particulate artificial antigen presenting cells(aAPCs)offer a potential“off-the-shelf”alternative to ex vivo ACT.While particulate aAPCs perform well in vitro,they have had limited success in vivo due to poor bioavailability after injection.Barriers to bioavailability include rapid clearance,unfavorable biodistribution,and inadequate interactions with CD8+T cells at sites of interest.Biomaterial properties such as elasticity have been shown to vastly impact the bioavailability and particle-cell interactions,but this has yet to be investigated in the context of aAPCs for in vivo T-cell stimulation.Previous literature likewise indicates that biomaterial properties,especially elasticity,can modulate T-cell activation in vitro.With the goal of creating a more biomimetic,next-generation particulate aAPC,we developed a poly(ethylene)glycol hydrogel particle platform with tunable elasticity to investigate the impact of elasticity on antigen-specific T cell activation for in vivo adoptive transfer.Using this knowledge,we were able to gain more precise control over in vivo T cell activation and investigate possible mechanisms including the effects of aAPC elasticity on T cell binding,macrophage uptake,and the protein corona. 展开更多
关键词 adoptive cell therapy artificial antigen presenting cells particle drug delivery ELASTICITY protein corona poly(ethylene glycol)
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Selective ablation of type 3 adenylyl cyclase in somatostatin-positive interneurons produces anxiety-and depression-like behaviors in mice 被引量:3
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作者 Xiao-Yu Yang Zhao-Liang Ma +2 位作者 Daniel R storm Hong Cao Yu-Qiu Zhang 《World Journal of Psychiatry》 SCIE 2021年第2期35-49,共15页
BACKGROUND Major depressive disorder(MDD)is a highly disabling psychiatric syndrome associated with deficits of specific subpopulations of cortical GABAergic interneurons;however,the underlying molecular mechanism rem... BACKGROUND Major depressive disorder(MDD)is a highly disabling psychiatric syndrome associated with deficits of specific subpopulations of cortical GABAergic interneurons;however,the underlying molecular mechanism remains unknown.Type 3 adenylyl cyclase(ADCY3,AC3),which is important for neuronal excitability,has been implicated in MDD in a genome-wide association study in humans.Moreover,a study reported that ablation of AC3 in mice caused similar symptoms as MDD patients.AIM To determine if disruption of the AC3 gene in different subtypes of GABAergic interneurons of mice causes depression-like behaviors.METHODS Using immunohistochemistry,we investigated the expression of AC3 in two major subtypes GABAergic interneurons:Somatostatin-positive(SST+)and parvalbumin-positive(PV+)neurons.Genetic manipulations were used to selectively disrupt AC3 expression in SST+or PV+interneurons.A series of behavior tests including rotarod test,open field test(OFT),elevated plus maze test(EPM),forced swimming test(FST),and tail suspension test(TST)were used to evaluate the motor ability,anxiety-and depression-like behaviors,respectively.RESULTS Our results indicate that approximately 90.41%of SST+and 91.22%of PV+interneurons express AC3.After ablation of AC3 in SST+interneurons,the mice spent comparable time in the center area in OFT,but significantly less time in the open arms and low frequency of entries to the open arms in EPM.Furthermore,these mice showed prolonged immobility in FST and more freezing in TST.However,there were no significant changes in these behaviors after specific disruption of AC3 in PV+interneurons.CONCLUSION This study indicates that ablation of AC3 in SST+interneurons of mice increases anxiety-and depression-like behaviors in mice,supporting the general hypothesis that decreased AC3 activity may play a role in human depression. 展开更多
关键词 Type 3 adenylyl cyclase SOMATOSTATIN PARVALBUMIN ANXIETY Depression MICE
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Percutaneous transluminal angioplasty balloons for endoscopic ultrasound-guided pancreatic duct interventions 被引量:3
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作者 Jad P AbiMansour Barham K Abu Dayyeh +6 位作者 Michael J Levy Andrew C storm John A Martin Bret T Petersen Ryan J Law Mark D Topazian Vinay Chandrasekhara 《World Journal of Gastrointestinal Endoscopy》 2022年第8期487-494,共8页
BACKGROUND Endoscopic ultrasound(EUS)-guided main pancreatic duct(PD)access may be used when conventional endoscopic retrograde cholangiopancreatography(ERCP)techniques fail.The use of a percutaneous transluminal angi... BACKGROUND Endoscopic ultrasound(EUS)-guided main pancreatic duct(PD)access may be used when conventional endoscopic retrograde cholangiopancreatography(ERCP)techniques fail.The use of a percutaneous transluminal angioplasty balloon(PTAB),originally developed for vascular interventions,can be used to facilitate transmural(e.g.,transgastric)PD access and to dilate high-grade pancreatic strictures.AIM To describe the technique,efficacy,and safety of PTABs for EUS-guided PD interventions.METHODS Patients who underwent EUS with use of a PTAB from March 2011 to August 2021 were retrospectively identified from a tertiary care medical center supply database.PTABs included 3-4 French angioplasty catheters with 3-4 mm balloons designed to use over a 0.018-inch guidewire.The primary outcome was technical success.Secondary outcomes included incidence of adverse events(AEs)and need for early reintervention.RESULTS A total of 23 patients were identified(48%female,mean age 55.8 years).Chronic pancreatitis was the underlying etiology in 13(56.5%)patients,surgically altered anatomy(SAA)with stricture in 7(30.4%),and SAA with post-operative leak in 3(13.0%).Technical success was achieved in 20(87%)cases.Overall AE rate was 26%(n=6).All AEs were mild and included 1 pancreatic duct leak,2 cases of post-procedure pancreatitis,and 3 admissions for post-procedural pain.No patients required early re-intervention.CONCLUSION EUS-guided use of PTABs for PD access and/or stricture management is feasible with an acceptable safety profile and can be considered in patients when conventional ERCP cannulation fails. 展开更多
关键词 Dilating balloon Pancreatic duct intervention Chronic pancreatitis Anastomotic stricture
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优化机组性能从磨煤机开始——通过改进磨煤机的性能来提升发电机组的能效 被引量:1
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作者 Dick storm Stephen K.storm 《流程工业》 2008年第9期39-41,共3页
Storm Technology公司的经验已经证明,维护可控制变量对机组热耗率有着很大程度的影响,这些变量绝大多数涉及炉膛的“燃烧器区段”。事实上,在发电厂运行自己可能的最低热耗率时,燃烧风流、磨煤机、燃料管路平衡、燃烧器和空气预热... Storm Technology公司的经验已经证明,维护可控制变量对机组热耗率有着很大程度的影响,这些变量绝大多数涉及炉膛的“燃烧器区段”。事实上,在发电厂运行自己可能的最低热耗率时,燃烧风流、磨煤机、燃料管路平衡、燃烧器和空气预热器均将得到最优化。 展开更多
关键词 发电机组 磨煤机 机组性能 最优化 Technology公司 能效 空气预热器 燃烧器
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Stakeholder analysis of the governance framework of a national SDI dataset-whose needs are met in the buildings and address register of the Netherlands? 被引量:2
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作者 Serena Coetzee Martijn Odijk +2 位作者 Bastiaan van Loenen Janette storm Jantien Stoter 《International Journal of Digital Earth》 SCIE 2020年第3期355-373,共19页
National spatial data infrastructures are key to achieving the Digital Earth vision.In many cases,national datasets are integrated from local datasets created and maintained by municipalities.Examples are address,buil... National spatial data infrastructures are key to achieving the Digital Earth vision.In many cases,national datasets are integrated from local datasets created and maintained by municipalities.Examples are address,building and topographic information.Integration of local datasets may result in a dataset satisfying the needs of users of national datasets,but is it productive for those who create and maintain the data?This article presents a stakeholder analysis of the Basisregistratie Adressen en Gebouwen(BAG),a collection of base information about addresses and buildings in the Netherlands.The information is captured and maintained by municipalities and integrated into a national base register by Kadaster,the Cadastre,Land Registry and Mapping Agency of the Netherlands.The stakeholder analysis identifies organisations involved in the BAG governance framework,describes their interests,rights,ownerships and responsibilities in the BAG,and maps the relationships between them.Analysis results indicate that Kadaster and the municipalities have the highest relative importance in the governance framework of the BAG.The study reveals challenges of setting up a governance framework that maintains the delicate balance between the interests of all stakeholders.The results provide guidance for SDI role players setting up governance frameworks for national or global datasets. 展开更多
关键词 Address data data governance spatial data infrastructure SDI stakeholder analysis Netherlands
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新闻剪辑阅读新闻集锦,提升词汇能力
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作者 storm Gifford 徐佩仪(译) 《空中英语教室(高级版.彭蒙惠英语)》 2021年第6期34-36,47,48,共5页
研究显示,聆听莫扎特的作品会让癫痫患者减少发作聆听莫扎特的作品不再只是愉悦的消遣,或许还能改善健康水平。在一份值得注意的研究中,研究人员提出,聆听这位奥地利作曲家作品的癫痫患者,相较于没有听的患者,发作次数有减少的倾向。
关键词 新闻集锦 癫痫患者 词汇能力 发作次数 莫扎特 消遣 奥地利 聆听
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Evaluating the morphology of the degradation layer of pure magnesium via 3D imaging at resolutions below 40 nm 被引量:1
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作者 Berit Zeller-Plumhoff Daniel Laipple +7 位作者 Hanna Slominska Kamila Iskhakova Elena Longo Alexander Hermann Silja Flenner Imke Greving Malte storm Regine Willumeit-Romer 《Bioactive Materials》 SCIE 2021年第12期4368-4376,共9页
Magnesium is attractive for the application as a temporary bone implant due to its inherent biodegradability,non-toxicity and suitable mechanical properties.The degradation process of magnesium in physiological enviro... Magnesium is attractive for the application as a temporary bone implant due to its inherent biodegradability,non-toxicity and suitable mechanical properties.The degradation process of magnesium in physiological environments is complex and is thought to be a diffusion-limited transport problem.We use a multi-scale imaging approach using micro computed tomography and transmission X-ray microscopy(TXM)at resolutions below 40 nm.Thus,we are able to evaluate the nanoporosity of the degradation layer and infer its impact on the degradation process of pure magnesium in two physiological solutions.Magnesium samples were degraded in simulated body fluid(SBF)or Dulbecco’s modified Eagle’s medium(DMEM)with 10%fetal bovine serum(FBS)for one to four weeks.TXM reveals the three-dimensional interconnected pore network within the degradation layer for both solutions.The pore network morphology and degradation layer composition are similar for all samples.By contrast,the degradation layer thickness in samples degraded in SBF was significantly higher and more inhomogeneous than in DMEM+10%FBS.Distinct features could be observed within the degradation layer of samples degraded in SBF,suggesting the formation of microgalvanic cells,which are not present in samples degraded in DMEM+10%FBS.The results suggest that the nanoporosity of the degradation layer and the resulting ion diffusion processes therein have a limited influence on the overall degradation process.This indicates that the influence of organic components on the dampening of the degradation rate by the suppression of microgalvanic degradation is much greater in the present study. 展开更多
关键词 Magnesium degradation POROSITY Transmission X-ray microscopy 3D imaging
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A Comparative Study of the Effect of Gold Seed Particle Preparation Method on Nanowire Growth 被引量:1
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作者 Maria E.Messing Karla Hillerich +4 位作者 Jessica Bolinsson Kristian storm Jonas Johansson Kimberly A.Dick Knut Deppert 《Nano Research》 SCIE EI CSCD 2010年第7期506-519,共14页
Highly controlled particle-assisted growth of semiconductor nanowires has been performed for many years,and a number of novel nanowire-based devices have been demonstrated.Full control of the epitaxial growth is requi... Highly controlled particle-assisted growth of semiconductor nanowires has been performed for many years,and a number of novel nanowire-based devices have been demonstrated.Full control of the epitaxial growth is required to optimize the performance of devices,and gold seed particles are known to provide the most controlled growth.Successful nanowire growth from gold particles generated and deposited by various different methods has been reported,but no investigation has yet been performed to compare the effects of gold particle generation and deposition methods on nanowire growth.In this article we present a direct comparative study of the effect of the gold particle creation and deposition methods on nanowire growth characteristics and nanowire crystal structure,and investigate the limitations of the different generation and deposition methods used. 展开更多
关键词 Nanowire growth nanoparticles GOLD EPITAXY electron microscopy
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Near-UV electroluminescence in unipolar-doped, bipolar-tunneling GaN/AlN heterostructures 被引量:1
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作者 Tyler A Growden Weidong Zhang +3 位作者 Elliott R Brown David F storm David J Meyer Paul R Berger 《Light(Science & Applications)》 SCIE EI CAS CSCD 2017年第1期168-174,共7页
Cross-gap light emission is reported in n-type unipolar GaN/AlN double-barrier heterostructure diodes at room temperature.Three different designs were grown on semi-insulating bulk GaN substrates using molecular beam ... Cross-gap light emission is reported in n-type unipolar GaN/AlN double-barrier heterostructure diodes at room temperature.Three different designs were grown on semi-insulating bulk GaN substrates using molecular beam epitaxy(MBE).All samples displayed a single electroluminescent spectral peak at 360 nm with full-width at half-maximum(FWHM)values no greater than 16 nm and an external quantum efficiency(EQE)of≈0.0074%at 18.8 mA.In contrast to traditional GaN light emitters,p-type doping and p-contacts are completely avoided,and instead,holes are created in the GaN on the emitter side of the tunneling structure by direct interband(that is,Zener)tunneling from the valence band to the conduction band on the collector side.The Zener tunneling is enhanced by the high electric fields(~5×106 V cm^(−1))created by the notably large polarization-induced sheet charge at the interfaces between the AlN and GaN. 展开更多
关键词 AlN GaN HETEROSTRUCTURE Near-UV light emission UNIPOLAR Zener tunneling
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Simulation Experiments of Land Surface Physical Processes and Ecological Effect over Different Underlying Surface 被引量:1
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作者 LIU Shu-hua~(1,2), JIANG Hao-yu, HU Fei~2 LIU Hui-zhi~2 LIANG Fu-ming~1, WANG Jiang-hua~1(1. Group of Atmosphere Boundary Layer and turbulence, Ministry Laboratory of storm and Drought Flood Damage, Department of Atmospheric Sciences the School of Physics Peking University, Beijing 100871, China 2. State Key Laboratories of Atmosphere Physics and Chemistry, Institute of Atmospheric Physics, Chinese Academy of Science, Beijing 100029, China) 《地球科学进展》 CAS CSCD 2004年第S1期15-20,共6页
Based on the existing Land Surface Physical Process Models(Deardorff, Dickinson, LIU, Noilhan, Seller, ZHAO), a Comprehensive Land Surface Physical Process Model (CLSPPM) is developed by considering the different phys... Based on the existing Land Surface Physical Process Models(Deardorff, Dickinson, LIU, Noilhan, Seller, ZHAO), a Comprehensive Land Surface Physical Process Model (CLSPPM) is developed by considering the different physical processes of the earth's surface-vegetation-atmosphere system more completely. Compared with SiB and BATS, which are famous for their detailed parameterizations of physical variables, this simplified model is more convenient and saves much more computation time. Though simple, the feas... 展开更多
关键词 Comprehensive land surface Physical process model (CLSPPM) Simulation experiment Land surface physical process Ecological effect.
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Safety of direct endoscopic necrosectomy in patients with gastric varices 被引量:1
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作者 Andrew C storm Christopher C Thompson 《World Journal of Gastrointestinal Endoscopy》 CAS 2016年第10期402-408,共7页
AIM: To determine the feasibility and safety of transgastric direct endoscopic necrosectomy(DEN) in patients with walled-off necrosis(WON) and gastric varices. METHODS: A single center retrospective study of consecuti... AIM: To determine the feasibility and safety of transgastric direct endoscopic necrosectomy(DEN) in patients with walled-off necrosis(WON) and gastric varices. METHODS: A single center retrospective study of consecutive DEN for WON was performed from 2012 to 2015. All DEN cases with gastric fundal varices noted on endoscopy, computed tomography(CT) or magnetic resonance imaging(MRI) during the admission for DEN were collected for analysis. In all cases, external urethral sphincter(EUS) with doppler was used to exclude the presence of intervening gastric varices or other vascular structures prior to 19 gauge fine-needle aspiration(FNA) needle access into the cavity. The tract was serially dilated to 20 mm and was entered with an endoscope for DEN. Pigtail stents were placed to facilitate drainage of the cavity. Procedure details were recorded. Comprehensive chart review was performed to evaluate for complications and WON recurrence. RESULTS: Fifteen patients who underwent DEN for WON had gastric varices at the time of their procedure. All patients had an INR < 1.5 and platelets > 50. Of these patients, 11 had splenic vein thrombosis and 2 had portal vein thrombosis. Two patients had isolated gastric varices, type 1 and the remaining 13 had > 5 mm gastric submucosal varices on imaging by CT, MRI or EUS. No procedures were terminated without completing the DEN for any reason. One patient had self-limited intraprocedural bleeding related to balloon dilation of the tract. Two patients experienced delayed bleeding at 2 and 5 d post-op respectively. One required no therapy or intervention and the other received 1unit transfusion and had an EGD which revealed no active bleeding. Resolution rate of WON was 100%(after up to 2 additional DEN in one patient) and no patients required interventional radiology or surgical interventions. CONCLUSION: In patients with WON and gastric varices, DEN using EUS and doppler guidance may be performed safely. Successful resolution of WON does not appear to be compromised by the presence o 展开更多
关键词 NECROSECTOMY Pancreatic NECROSIS Endoscopy NECROTIZING pancreatitis Gastric VARICES VARICES Walled OFF NECROSIS Walled-off NECROSIS Gastrointestinal hemorrhage ENDOSCOPIC ultrasound
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磨煤机精调四大步骤——恢复和改善磨煤机的性能
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作者 Richard E (Dick) storm 《流程工业》 2009年第23期41-43,共3页
磨煤机的吞吐量取决于给定煤种所想要达到的煤粉细度。但是,在磨煤机达不到标准而导致煤粉细度下降时,就会导致NOx量的增加并造成许多炉膛问题。能够增加磨煤机生产能力且使成本最低的方案就是在下一次大修时对一些关键尺寸和关键公... 磨煤机的吞吐量取决于给定煤种所想要达到的煤粉细度。但是,在磨煤机达不到标准而导致煤粉细度下降时,就会导致NOx量的增加并造成许多炉膛问题。能够增加磨煤机生产能力且使成本最低的方案就是在下一次大修时对一些关键尺寸和关键公差更加注意。 展开更多
关键词 磨煤机 性能 精调 煤粉细度 关键尺寸 生产能力 吞吐量 NOx
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用于风切变力检测的2微米相干光源
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作者 storm,ME 王新菊 《光电子技术与信息》 1991年第5期25-27,共3页
关键词 飞机 风切变力 测量 相干光源 激光
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Chest radiological finding of COVID-19 in patients with and without diabetes mellitus:Differences in imaging finding
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作者 Sunay Gangadharan storm Parker Fahad Wali Ahmed 《World Journal of Radiology》 2022年第1期13-18,共6页
The pandemic of novel coronavirus disease 2019(COVID-19)is caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Diabetes mellitus is a risk factor for developing severe illness and a leading cause of ... The pandemic of novel coronavirus disease 2019(COVID-19)is caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Diabetes mellitus is a risk factor for developing severe illness and a leading cause of death in patients with COVID-19.Diabetes can precipitate hyperglycaemic emergencies and cause prolonged hospital admissions.Insulin resistance is thought to cause endothelial dysfunction,alveolar capillary micro-angiopathy and interstitial lung fibrosis through pro-inflammatory pathways.Autopsy studies have also demonstrated the presence of microvascular thrombi in affected sections of lung,which may be associated with diabetes.Chest imaging using x-ray(CXR)and computed tomography(CT)of chest is used to diagnose,assess disease progression and severity in COVID-19.This article reviews current literature regarding chest imaging findings in patients with diabetes affected by COVID-19.A literature search was performed on PubMed.Patients with diabetes infected with SARSCoV-2 are likely to have more severe infective changes on CXR and CT chest imaging.Severity of airspace consolidation on CXR is associated with higher mortality,particularly in the presence of co-morbidities such as ischaemic heart disease.Poorly controlled diabetes is associated with more severe acute lung injury on CT.However,no association has been identified between poorlycontrolled diabetes and the incidence of pulmonary thromboembolism in patients with COVID-19. 展开更多
关键词 Diabetes mellitus COVID-19 Chest X-Ray Chest imaging using x-ray Computed tomography of chest
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米西·富兰克林:新一代游泳女王驾到
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作者 Hannah storm Betty 《疯狂英语(新悦读)》 2016年第8期18-21,共4页
米西·富兰克林,人送外号“女飞鱼”,1995年出生在美国加利福尼亚。从小就爱泡在水中的米西曾说:“比起待在陆地上,我更喜欢在水里。”正是这份热爱造就了米西的成功。
关键词 富兰克林 女王 游泳 加利福尼亚
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