Hybrid nanocomposites with enhanced microwave absorption properties have been designed by growing CuS nanoflakes on magnetically decorated graphene, and the effect of special nanostructures on microwave absorption properties has been investigated. The structure of the nanocomposites was characterized by Fourier transform infrared spectra (FTIR), X-ray diffraction (XRD), Raman spectroscopy, X-ray photoelectron spectroscopy (XPS), field emission scanning electron microscope (FESEM), transmission electron microscope (TEM), N2 adsorption-desorption, and vibrating sample magnetometer (VSM). The influence of cetyltrimethylammonium bromide (CTAB) on the morphology of CuS nanoflakes was also investigated. A possible formation process of the nanocomposites and the mechanism of microwave absorption were explained in detail. As an absorber, the nanocomposites with a filler loading of 20 wt % exhibited enhanced microwave absorption properties due to the special nanostructures, extra void space, and synergistic effect. The maximum reflection loss can reach -54.5 dB at 11.4 GHz, and the absorption bandwidths exceeding -10 dB are 4.5 GHz with a thickness of 2.5 mm, which can be adjusted by the thickness. The results indicate that the hybrid nanocomposites with enhanced microwave absorption properties and lightweight have a promising future in decreasing electromagnetic wave irradiation.
Protective ileostomy and colostomy are performed in patients undergoing low anterior resection with a high leakage risk. We aimed to compare surgical, medical, and daily care complications between these 2 ostomies in order to make individual choice. Methods: Patients who underwent low anterior resection for rectal tumors with protective stomas between January 2011 and September 2018 were enrolled. Stoma-related complications were prospectively recorded by wound, ostomy, and continence nurses. The cancer stage and treatment data were obtained from the Taiwan Cancer Database of our Big Data Center. Other demographic data were collected retrospectively from medical notes. The complications after stoma creation and after the stoma reversal were compared. Results: There were 176 patients with protective colostomy and 234 with protective ileostomy. Protective ileostomy had higher proportions of high output from the stoma for 2 consecutive days than protective colostomy (11.1% vs. 0%, P < 0.001). Protective colostomy resulted in more stoma retraction than protective ileostomy (21.6% vs. 9.4%, P = 0.001).Female sex, open operation, ileostomy, and carrying stoma more than 4 months were also significantly associated with a higher risk of stoma-related complications during diversion. The incidence of complication after stoma reversal did not differ between colostomy group and ileostomy group (24.3% vs. 20.9%, P = 0.542). Conclusion: We suggest avoiding colostomy in patients who are female and potential prolong diversion when stoma retraction is a concern. Otherwise, ileostomy should be avoided for patients with impaired renal function. Wise selection and flexibility are more important than using one type of stoma routinely.
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