22 results on '"Adrien Robin"'
Search Results
2. Comprehensive assessment of physiological responses in women during the ESA dry immersion VIVALDI microgravity simulation
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Adrien Robin, Angelique Van Ombergen, Claire Laurens, Audrey Bergouignan, Laurence Vico, Marie-Thérèse Linossier, Anne Pavy-Le Traon, Marc Kermorgant, Angèle Chopard, Guillaume Py, David Andrew Green, Michael Tipton, Alexander Choukér, Pierre Denise, Hervé Normand, Stéphane Blanc, Chantal Simon, Elisabeth Rosnet, Françoise Larcher, Peter Fernandez, Isabelle de Glisezinski, Dominique Larrouy, Isabelle Harant-Farrugia, Inês Antunes, Guillemette Gauquelin-Koch, Marie-Pierre Bareille, Rebecca Billette De Villemeur, Marc-Antoine Custaud, and Nastassia Navasiolava
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Science - Abstract
Abstract Astronauts in microgravity experience multi-system deconditioning, impacting their inflight efficiency and inducing dysfunctions upon return to Earth gravity. To fill the sex gap of knowledge in the health impact of spaceflights, we simulate microgravity with a 5-day dry immersion in 18 healthy women (ClinicalTrials.gov Identifier: NCT05043974). Here we show that dry immersion rapidly induces a sedentarily-like metabolism shift mimicking the beginning of a metabolic syndrome with a drop in glucose tolerance, an increase in the atherogenic index of plasma, and an impaired lipid profile. Bone remodeling markers suggest a decreased bone formation coupled with an increased bone resorption. Fluid shifts and muscular unloading participate to a marked cardiovascular and sensorimotor deconditioning with decreased orthostatic tolerance, aerobic capacity, and postural balance. Collected datasets provide a comprehensive multi-systemic assessment of dry immersion effects in women and pave the way for future sex-based evaluations of countermeasures.
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- 2023
- Full Text
- View/download PDF
3. A dry immersion model of microgravity modulates platelet phenotype, miRNA signature, and circulating plasma protein biomarker profile
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Laura Twomey, Nastassia Navasiolava, Adrien Robin, Marie-Pierre Bareille, Guillemette Gauquelin-Koch, Arnaud Beck, Françoise Larcher, Gerardene Meade-Murphy, Sinead Sheridan, Patricia B. Maguire, Michael Harrison, Bernard Degryse, Niall M. Moyna, Claude Gharib, Marc-Antoine Custaud, and Ronan P. Murphy
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Medicine ,Science - Abstract
Abstract Ground based research modalities of microgravity have been proposed as innovative methods to investigate the aetiology of chronic age-related conditions such as cardiovascular disease. Dry Immersion (DI), has been effectively used to interrogate the sequelae of physical inactivity (PI) and microgravity on multiple physiological systems. Herein we look at the causa et effectus of 3-day DI on platelet phenotype, and correlate with both miRomic and circulating biomarker expression. The miRomic profile of platelets is reflective of phenotype, which itself is sensitive and malleable to the exposome, undergoing responsive transitions in order to fulfil platelets role in thrombosis and haemostasis. Heterogeneous platelet subpopulations circulate at any given time, with varying degrees of sensitivity to activation. Employing a DI model, we investigate the effect of acute PI on platelet function in 12 healthy males. 3-day DI resulted in a significant increase in platelet count, plateletcrit, platelet adhesion, aggregation, and a modest elevation of platelet reactivity index (PRI). We identified 15 protein biomarkers and 22 miRNA whose expression levels were altered after DI. A 3-day DI model of microgravity/physical inactivity induced a prothrombotic platelet phenotype with an unique platelet miRNA signature, increased platelet count and plateletcrit. This correlated with a unique circulating protein biomarker signature. Taken together, these findings highlight platelets as sensitive adaptive sentinels and functional biomarkers of epigenetic drift within the cardiovascular compartment.
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- 2021
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- View/download PDF
4. Running vs. resistance exercise to counteract deconditioning induced by 90-day head-down bedrest
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Adrien Robin, Linjie Wang, Marc-Antoine Custaud, Jiexin Liu, Min Yuan, Zhili Li, Jean-Christophe Lloret, Shujuan Liu, Xiaoqian Dai, Jianfeng Zhang, Ke Lv, Wenjiong Li, Guillemette Gauquelin-Koch, Huijuan Wang, Kai Li, Xiaotao Li, Lina Qu, Nastassia Navasiolava, and Yinghui Li
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maximal working capacity ,countermeasure ,microgravity ,HDBR ,cardiovascular deconditioning ,orthostatic tolerance ,Physiology ,QP1-981 - Abstract
Spaceflight is associated with enhanced inactivity, resulting in muscular and cardiovascular deconditioning. Although physical exercise is commonly used as a countermeasure, separate applications of running and resistive exercise modalities have never been directly compared during long-term bedrest. This study aimed to compare the effectiveness of two exercise countermeasure programs, running and resistance training, applied separately, for counteracting cardiovascular deconditioning induced by 90-day head-down bedrest (HDBR). Maximal oxygen uptake (V˙O2max), orthostatic tolerance, continuous ECG and blood pressure (BP), body composition, and leg circumferences were measured in the control group (CON: n = 8), running exercise group (RUN: n = 7), and resistive exercise group (RES: n = 7). After HDBR, the decrease in V˙O2max was prevented by RUN countermeasure and limited by RES countermeasure (−26% in CON p < 0.05, −15% in RES p < 0.05, and −4% in RUN ns). Subjects demonstrated surprisingly modest orthostatic tolerance decrease for different groups, including controls. Lean mass loss was limited by RES and RUN protocols (−10% in CON vs. −5% to 6% in RES and RUN). Both countermeasures prevented the loss in thigh circumference (−7% in CON p < 0.05, −2% in RES ns, and −0.6% in RUN ns) and limited loss in calf circumference (−10% in CON vs. −7% in RES vs. −5% in RUN). Day–night variations in systolic BP were preserved during HDBR. Decrease in V˙O2max positively correlated with decrease in thigh (r = 0.54 and p = 0.009) and calf (r = 0.52 and p = 0.012) circumferences. During this 90-day strict HDBR, running exercise successfully preserved V˙O2max, and resistance exercise limited its decline. Both countermeasures limited loss in global lean mass and leg circumferences. The V˙O2max reduction seems to be conditioned more by muscular than by cardiovascular parameters.
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- 2022
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5. Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures
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Nastassia Navasiolava, Ming Yuan, Ronan Murphy, Adrien Robin, Mickael Coupé, Linjie Wang, Asmaa Alameddine, Guillemette Gauquelin-Koch, Claude Gharib, Yinghui Li, and Marc-Antoine Custaud
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vascular deconditioning ,endothelium ,vascular remodeling ,vascular risk ,prevention ,shear stress ,Physiology ,QP1-981 - Abstract
Weightlessness and physical inactivity have deleterious cardiovascular effects. The space environment and its ground-based models offer conditions to study the cardiovascular effects of physical inactivity in the absence of other vascular risk factors, particularly at the macro- and microcirculatory levels. However, the mechanisms involved in vascular dysfunction and remodeling are not sufficiently studied in the context of weightlessness and its analogs including models of physical inactivity. Here, we summarize vascular and microvascular changes induced by space flight and observed in models of microgravity and physical inactivity and review the effects of prophylactic strategies (i.e., countermeasures) on vascular and microvascular function. We discuss physical (e.g., exercise, vibration, lower body negative pressure, and artificial gravity) and nutritional/pharmacological (e.g., caloric restriction, resveratrol, and other vegetal extracts) countermeasures. Currently, exercise countermeasure appears to be the most effective to protect vascular function. Although pharmacological countermeasures are not currently considered to fight vascular changes due to microgravity, nutritional countermeasures are very promising. Dietary supplements/natural health products, especially plant extracts, should be extensively studied. The best prophylactic strategy is likely a combination of countermeasures that are effective not only at the cardiovascular level but also for the organism as a whole, but this strategy remains to be determined.
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- 2020
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6. DI-5-CUFFS: Venoconstrictive Thigh Cuffs Limit Body Fluid Changes but Not Orthostatic Intolerance Induced by a 5-Day Dry Immersion
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Adrien Robin, Aline Auvinet, Bernard Degryse, Ronan Murphy, Marie-Pierre Bareille, Arnaud Beck, Claude Gharib, Guillemette Gauquelin-Koch, Aude Daviet, Françoise Larcher, Marc-Antoine Custaud, and Nastassia Navasiolava
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simulated microgravity ,thigh cuffs ,countermeasure ,fluid shift ,volemia ,bio-impedance ,Physiology ,QP1-981 - Abstract
Venoconstrictive thigh cuffs are used by cosmonauts to ameliorate symptoms associated with cephalad fluid shift. A ground simulation of microgravity, using the dry immersion (DI) model, was performed to assess the effects of thigh cuffs on body fluid changes and dynamics, as well as on cardiovascular deconditioning. Eighteen healthy men (25–43 years), randomly divided into two groups, (1) control group or (2) group with thigh cuffs worn 10 h/day, underwent 5-day DI. Cardiovascular responses to orthostatic challenge were evaluated using the lower body negative pressure (LBNP) test; body fluid changes were assessed by bio-impedance and hormonal assay; plasma volume evolution was estimated using hemoglobin-hematocrit; subjective tolerance was assessed by questionnaires. DI induced a decrease in plasma volume of 15–20%. Reduction in total body water of 3–6% stabilized toward the third day of DI. This reduction was derived mostly from the extracellular compartment. During the acute phase of DI, thigh cuffs limited the decrease in renin and the increase in N-terminal prohormone of brain natriuretic peptide (NT-proBNP), the loss in total body water, and tended to limit the loss in calf volume, extracellular volume and plasma volume. At the later stable phase of DI, a moderate protective effect of thigh cuffs remained evident on the body fluids. Orthostatic tolerance time dropped after DI without significant difference between groups. Thigh cuff countermeasure slowed down and limited the loss of body water and tended to limit plasma loss induced by DI. These observed physiological responses persisted during periods when thigh cuffs were removed. However, thigh cuffs did not counteract decreased tolerance to orthostatic challenge.
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- 2020
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7. Spinal changes after 5-day dry immersion as shown by magnetic resonance imaging (DI-5-CUFFS)
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Adrien Robin, Nastassia Navasiolava, Guillemette Gauquelin-Koch, Claude Gharib, Marc-Antoine Custaud, and Loïc Treffel
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Male ,Lumbar Vertebrae ,Physiology ,Back Pain ,Physiology (medical) ,Immersion ,Lumbosacral Region ,Humans ,Intervertebral Disc ,Magnetic Resonance Imaging - Abstract
Astronauts frequently report microgravity-induced back pain, which is generally more pronounced in the beginning of a spaceflight. The dry immersion (DI) model reproduces the early effects of microgravity in terms of global support unloading and fluid shift, both of which are involved in back pain pathogenesis. Here, we assessed spinal changes induced by exposure to 5 days of strict DI in 18 healthy men (25–43-yr old) with ( n = 9) or without ( n = 9) thigh cuffs countermeasure. Intervertebral disk (IVD) height, spinal cord position, and apparent diffusion coefficient (ADC; reflecting global water motion) were measured using magnetic resonance imaging before and after DI. After DI, IVD height increased in thoracic (+3.3 ± 0.8 mm; C7–T12) and lumbar (+4.5 ± 0.4 mm; T12–L5) regions but not in the cervical region (C2–C7) of the spine. An increase in ADC after DI was observed at the L1 (∼6% increase, from 3.2 to 3.4 × 10−3 mm2/s; P < 0.001) and L2 (∼3% increase, from 3.4 to 3.5 × 10−3 mm2/s; P = 0.005) levels. There was no effect of thigh cuffs on spinal parameters. This change in IVD after DI follows the same “gradient” pattern of height increase from the cervical to the lumbar region as observed after bed rest and spaceflight. The increase in ADC at L1 level positively correlated with reported back pain. These findings emphasize the utility of the DI model for studying early spinal changes observed in microgravity.
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- 2022
8. A dry immersion model of microgravity modulates platelet phenotype, miRNA signature, and circulating plasma protein biomarker profile
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Guillemette Gauquelin-Koch, Niall M. Moyna, Nastassia Navasiolava, Françoise Larcher, Patricia B. Maguire, Arnaud Beck, Laura Twomey, Bernard Degryse, Ronan P. Murphy, Adrien Robin, Marie-Pierre Bareille, Sinead Sheridan, Gerardene Meade-Murphy, Marc-Antoine Custaud, Michael Harrison, and Claude Gharib
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Proteomics ,Adult ,Blood Platelets ,Male ,Science ,030204 cardiovascular system & hematology ,Models, Biological ,Article ,Non-coding RNAs ,03 medical and health sciences ,0302 clinical medicine ,microRNA ,Humans ,Platelet ,Epigenetics ,030304 developmental biology ,Hemostasis ,0303 health sciences ,Multidisciplinary ,Weightlessness ,Microarray analysis techniques ,Chemistry ,Microarray analysis ,Thrombosis ,Blood Proteins ,Phenotype ,Blood proteins ,MicroRNAs ,Mechanisms of disease ,Cancer research ,Medicine ,Biomarker (medicine) ,Biomarkers - Abstract
Ground based research modalities of microgravity have been proposed as innovative methods to investigate the aetiology of chronic age-related conditions such as cardiovascular disease. Dry Immersion (DI), has been effectively used to interrogate the sequelae of physical inactivity (PI) and microgravity on multiple physiological systems. Herein we look at the causa et effectus of 3-day DI on platelet phenotype, and correlate with both miRomic and circulating biomarker expression. The miRomic profile of platelets is reflective of phenotype, which itself is sensitive and malleable to the exposome, undergoing responsive transitions in order to fulfil platelets role in thrombosis and haemostasis. Heterogeneous platelet subpopulations circulate at any given time, with varying degrees of sensitivity to activation. Employing a DI model, we investigate the effect of acute PI on platelet function in 12 healthy males. 3-day DI resulted in a significant increase in platelet count, plateletcrit, platelet adhesion, aggregation, and a modest elevation of platelet reactivity index (PRI). We identified 15 protein biomarkers and 22 miRNA whose expression levels were altered after DI. A 3-day DI model of microgravity/physical inactivity induced a prothrombotic platelet phenotype with an unique platelet miRNA signature, increased platelet count and plateletcrit. This correlated with a unique circulating protein biomarker signature. Taken together, these findings highlight platelets as sensitive adaptive sentinels and functional biomarkers of epigenetic drift within the cardiovascular compartment.
- Published
- 2021
9. Function, Proteomic and miRomic Study of a Dry Immersion Model of Microgravity implicates the Wnt/Dkk1/AXIN1 axis in Prothrombotic Platelet Phenotype
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Ronan P. Murphy, Marie-Pierre Bareille, Gerardene Meade-Murphy, Nastassia Navasiolava, Michael R. Harrison, Patricia B. Maguire, Niall M. Moyna, Adrien Robin, Sinead Sheridan, Marc-Antoine Custaud, Claude Gharib, Françoise Larcher, Guillemette Gauquelin-Koch, Arnaud Beck, Laura Twomey, and Bernard Degryse
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DKK1 ,Chemistry ,AXIN1 ,Wnt signaling pathway ,Immersion (virtual reality) ,Platelet ,Phenotype ,Function (biology) ,Cell biology - Abstract
Objective: Ground based research modalities of microgravity have been proposed as innovative methods to investigate the aetiology of chronic age-related conditions such as cardiovascular disease. Dry Immersion (DI), has been effectively used to interrogate the sequelae of physical inactivity (PI) and microgravity on multiple physiological systems. Herein we look at the causa et effectus of 3-day DI on platelet phenotype, and correlate with both miRomic and biomarker expression.Approach and Results: The miRomic profile of platelets is reflective of phenotype, which itself is sensitive and malleable to the exposome, undergoing responsive transitions in order to fulfil platelets role in thrombosis and haemostasis. Heterogeneous platelet subpopulations circulate at any given time, with varying degrees of sensitivity to activation. Employing a DI model, we investigate the effect of acute PI on platelet function in 12 healthy males. 3-day DI resulted in a significant increase in platelet count, plateletcrit, platelet adhesion, aggregation, and a modest elevation of platelet reactivity index (PRI). We identified 15 protein biomarkers whose expression levels were altered after DI. 22 “DI/PI” related miRNA were identified, of which five have potential targets in the Wnt pathway associated with platelet biogenesis and function. These findings are supported by increased circulating Axin1 and DKK1.Conclusions: Circulating biomarker and miRomic analysis implicates miRNA regulation of Wnt/Dkk1/AXIN1 axis in DI/PI induced primed platelet phenotype. Taken together, these findings highlight platelets as sensitive adaptive sentinels and functional biomarkers of epigenetic drift within the cardiovascular compartment.
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- 2021
10. Strongly Confined HgTe 2D Nanoplatelets as Narrow Near-Infrared Emitters
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Sandrine Ithurria, Nicolas Lequeux, Eva Izquierdo, Sean Keuleyan, Emmanuel Lhuillier, Adrien Robin, Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), University of Oregon [Eugene], Physico-chimie et dynamique des surfaces (INSP-E6), Institut des Nanosciences de Paris (INSP), Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS), Labex Matisse, and ANR-11-IDEX-0004,SUPER,Sorbonne Universités à Paris pour l'Enseignement et la Recherche(2011)
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Photoluminescence ,Band gap ,Chalcogenide ,near infrared ,cation exchange ,Quantum yield ,02 engineering and technology ,010402 general chemistry ,HgTe ,7. Clean energy ,01 natural sciences ,Biochemistry ,Catalysis ,chemistry.chemical_compound ,Colloid and Surface Chemistry ,2D ,business.industry ,Chemistry ,nanoplatelets ,Near-infrared spectroscopy ,[CHIM.MATE]Chemical Sciences/Material chemistry ,General Chemistry ,021001 nanoscience & nanotechnology ,0104 chemical sciences ,Wavelength ,Nanocrystal ,Topological insulator ,Optoelectronics ,0210 nano-technology ,business - Abstract
International audience; Two-dimensional colloidal nanoplatelets (NPLs), owing to the atomic-level control of their confined direction (i.e., no inhomogeneous broadening), have demonstrated improved photoluminescence (PL) line widths for cadmium chalcogenide-based nanocrystals. Here we use cation exchange to synthesize mercury chalcogenide NPLs. Appropriate control of reaction kinetics enables the 2D morphology of the NPLs to be maintained during the cation exchange. HgTe and HgSe NPLs have significantly improved optical features compared to existing materials with similar band gaps. The PL line width of HgTe NPLs (40 nm full width at half-maximum, centered at 880 nm) is a factor of 2 smaller than typical PbS nanocrystals (NCs) emitting at the same wavelength. The PL has a lifetime of 50 ns, almost 2 orders of magnitude shorter than small PbS colloidal quantum dots (CQDs), and a quantum yield of ∼10%, almost 2 orders of magnitude shorter than small PbS colloidal quantum dots (CQDs). These materials are promising for a large variety of applications spanning from telecommunications to the design of colloidal topological insulators.
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- 2016
11. 2D Colloidal Nanoplatelets based Optoelectronics
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Adrien Robin, Emmanuel Lhuillier, and Benoit Dubertret
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Materials science ,Passivation ,business.industry ,Graphene ,Mechanical Engineering ,Photoconductivity ,Photodetector ,Heterojunction ,02 engineering and technology ,010402 general chemistry ,021001 nanoscience & nanotechnology ,Condensed Matter Physics ,01 natural sciences ,0104 chemical sciences ,Photodiode ,law.invention ,Nanocrystal ,Mechanics of Materials ,law ,Electric field ,Optoelectronics ,General Materials Science ,0210 nano-technology ,business - Abstract
Two-Dimensional materials open up great prospects in photodetector applications owing to their sharp optical properties and the ability to combine them in layered heterostructures. Among this new class of materials, colloidal nanoplatelets (NPL) made of cadmium chalcogenides readily combine the thickness control at the atomic level together with the large scale production and ease of processing of colloidal materials. As a strategy to overcome the limited mobility inherent to nanocrystal based devices, the photocarrier lifetime is increased by building an electrolyte-gated phototransistor to passivate the electron traps. NPL can also be coupled with a graphene transport layer collecting the photogenerated charges, thus bypassing the transport bottleneck. We show that the charge transfer is driven by the large exciton binding energy of the NPL, which can be engineered by heterostructured NPL. This allows us to control the magnitude and the direction of the charge transfer to graphene. Eventually, we use nanotrench electrodes to decrease the transit time of the carriers, suppress the influence of film defects and provide an electric field large enough to overcome the large exciton binding energy of NPL.
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- 2016
12. Phototransport in colloidal nanoplatelets array
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Daniel O. Thomas, Sandrine Ithurria, Adrien Robin, Hervé Aubin, Jean-Francois Dayen, Benoit Dubertret, Emmanuel Lhuillier, lhuillier, emmanuel, Physico-chimie et dynamique des surfaces (INSP-E6), Institut des Nanosciences de Paris (INSP), Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Institut de Physique et Chimie des Matériaux de Strasbourg (IPCMS), Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS)-Matériaux et Nanosciences Grand-Est (MNGE), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS), Université de Strasbourg (UNISTRA)-Matériaux et nanosciences d'Alsace (FMNGE), Institut de Chimie du CNRS (INC)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut de Chimie du CNRS (INC)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, and Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)
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photodetection ,noise ,[CHIM.MATE] Chemical Sciences/Material chemistry ,Materials science ,Passivation ,nanoplatelets ,quantum dot ,Nanotechnology ,[CHIM.MATE]Chemical Sciences/Material chemistry ,Photodetection ,Condensed Matter Physics ,7. Clean energy ,Photodiode ,law.invention ,Colloid ,Nanocrystal ,law ,Quantum dot ,Particle ,semiconductor nanoparticles ,[PHYS.COND]Physics [physics]/Condensed Matter [cond-mat] ,Thin film ,electrolyte gating ,[PHYS.COND] Physics [physics]/Condensed Matter [cond-mat] - Abstract
Colloidal nanocrystals are promising materials for achieving low cost optoelectronic devices. In this paper, we focus on the transport and photo transport properties of 2D nanoplatelet thin films and their use for photodetection. We present evidence that improved performances relies on good trap passivation as well as overcoming the inherent large exciton binding energy of the 2D NPL. This can be achieved using a phototransistor configuration with transport at the single particle scale (© 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim)
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- 2015
13. Intraband transition in narrow band gap nanocrystals
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Nicolas Goubet, Adrien Robin, Clément Livache, Emmanuel Lhuillier, and Bertille Martinez
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Narrow band ,Materials science ,Condensed matter physics ,Nanocrystal - Published
- 2018
14. Nanoplatelets Bridging a Nanotrench: A New Architecture for Photodetectors with Increased Sensitivity
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Bernard Doudin, Emmanuel Lhuillier, Daniel O. Thomas, Jean-Francois Dayen, Adrien Robin, Benoit Dubertret, lhuillier, emmanuel, Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Institut de Physique et Chimie des Matériaux de Strasbourg (IPCMS), Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS)-Matériaux et Nanosciences Grand-Est (MNGE), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS), Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS)-Matériaux et nanosciences d'Alsace (FMNGE), Institut de Chimie du CNRS (INC)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut de Chimie du CNRS (INC)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, and Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)
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Materials science ,Exciton ,Photodetector ,Bioengineering ,Nanotechnology ,Photodetection ,law.invention ,Responsivity ,law ,General Materials Science ,semiconductor nanoparticles ,[PHYS.COND]Physics [physics]/Condensed Matter [cond-mat] ,photodetection ,[CHIM.MATE] Chemical Sciences/Material chemistry ,noise TOC ,Mechanical Engineering ,nanoplatelets ,Transistor ,quantum dot ,[CHIM.MATE]Chemical Sciences/Material chemistry ,General Chemistry ,Condensed Matter Physics ,Quantum dot ,Electrode ,electrolyte gating ,[PHYS.COND] Physics [physics]/Condensed Matter [cond-mat] ,Order of magnitude - Abstract
International audience; Interparticle charge hopping severely limits the integration of colloidal nanocrystals films for optoelectronic device applications. We propose here to overcome this problem by using high aspect ratio interconnects made of wide electrodes separated by a few tens of namometers, a distance matching the size of a single nanoplatelet. The semiconducting CdSe/CdS nanoplatelet coupling with such electrodes allows an efficient electron–hole pair dissociation despite the large binding energy of the exciton, resulting in optimal photoconductance responsivity. We report the highest responsivity obtained so far for CdSe colloidal material with values reaching kA·W–1, corresponding to eight decades of enhancement compared to usual micrometer-scaled architectures. In addition, a decrease of 1 order of magnitude of the current noise is observed, revealing the reduced influence of the surface traps on transport. The nanotrench geometry provides top access to ion gel electrolyte gating, allowing for a photoresponsive transistor with 104 on/off ratio. A simple analytical model reproduces the device behavior and underlines the key parameters related to its performance.
- Published
- 2015
15. Investigation of the Self-Doping Process in HgSe Nanocrystals
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Nicolas Goubet, Bertille Martinez, Clément Livache, Adrien Robin, Hongyue Wang, Hervé Aubin, Emmanuel Lhuillier, Benoit Dubertret, Sandrine Ithurria, Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Physico-chimie et dynamique des surfaces (INSP-E6), Institut des Nanosciences de Paris (INSP), Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS), and ANR-11-IDEX-0004,SUPER,Sorbonne Universités à Paris pour l'Enseignement et la Recherche(2011)
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Materials science ,Infrared ,self-doping ,Mid infrared ,Nanotechnology ,02 engineering and technology ,010402 general chemistry ,01 natural sciences ,nanocrystal ,colloidal quantum dot ,Optoelectronic materials ,Materials Chemistry ,self doping ,photoresponse ,Electrical and Electronic Engineering ,[PHYS.COND]Physics [physics]/Condensed Matter [cond-mat] ,business.industry ,Doping ,Surfaces and Interfaces ,[CHIM.MATE]Chemical Sciences/Material chemistry ,single particle ,021001 nanoscience & nanotechnology ,Condensed Matter Physics ,HgSe ,0104 chemical sciences ,Surfaces, Coatings and Films ,Electronic, Optical and Magnetic Materials ,Nanocrystal ,transport ,infrared ,Optoelectronics ,0210 nano-technology ,business ,electrolyte gating ,Doped nanocrystals - Abstract
International audience; Colloidal nanocrystals are an interesting platform for the design of low cost infrared optoelectronic materials. In addition to the conventionally observed interband features, doped nanocrystals present intraband transitions, which expand the possibilities for electronic spectrum engineering. In this paper, the recent results obtained in the field of mercury chalcogenides self-doped nanocrystals presenting absorption features in the mid infrared range are reviewed. In particular, the results relative to the synthesis, control of doping and transport properties of HgSe colloidal nanocrystals are discussed.
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- 2017
16. Intraband transition in self-doped narrow band gap colloidal quantum dots
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Hervé Aubin, Bertille Martinez, Xiang Zhen Xu, Hervé Cruguel, Adrien Robin, Sandrine Ithurria, Clément Livache, Sébastien Royer, Emmanuel Lhuillier, Physico-chimie et dynamique des surfaces (INSP-E6), Institut des Nanosciences de Paris (INSP), Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), and ANR-11-IDEX-0004,SUPER,Sorbonne Universités à Paris pour l'Enseignement et la Recherche(2011)
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Materials science ,Infrared ,Mid-IR ,self-doping ,02 engineering and technology ,Photodetection ,010402 general chemistry ,01 natural sciences ,Absorption ,nanocrystal ,Condensed Matter::Materials Science ,Condensed Matter::Superconductivity ,Doping ,Work function ,[PHYS.COND]Physics [physics]/Condensed Matter [cond-mat] ,Absorption (electromagnetic radiation) ,narrow band gap ,Condensed matter physics ,business.industry ,Quantum dots ,mid-infrared ,[CHIM.MATE]Chemical Sciences/Material chemistry ,021001 nanoscience & nanotechnology ,0104 chemical sciences ,Nanocrystals ,Nanocrystal ,Quantum dot ,Optoelectronics ,Condensed Matter::Strongly Correlated Electrons ,0210 nano-technology ,business ,Order of magnitude - Abstract
International audience; In this article we discuss the infrared properties of self-doped nanocrystals and in particular the case of HgSe. HgSe colloidal quantum dots have recently been reported for their tunable optical features all over the mid infrared from 3 to 20 μm. Their optical absorption is a combination of interband absorption at high energy and intraband absorption at low energy. The latter results from the self-doped character of HgSe. The origin of this self-doping is also discussed. We demonstrated that the doping results from the combination of the narrow band gap and high work function of HgSe, which leads to a reduction of the CQD by the water in the environment. In addition, we demonstrated that the doping density can be tuned over an order of magnitude thanks to the control of the capping ligands.
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- 2017
17. Surface Control of Doping in Self-Doped Nanocrystals
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Clément Livache, Sandrine Ithurria, Emmanuel Lhuillier, Emmanuelle Lacaze, Adrien Robin, Benoit Dubertret, Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Physico-chimie et dynamique des surfaces (INSP-E6), Institut des Nanosciences de Paris (INSP), Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS), Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), and ANR-11-IDEX-0004,SUPER,Sorbonne Universités à Paris pour l'Enseignement et la Recherche(2011)
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Materials science ,Infrared ,self-doping ,Photodetector ,02 engineering and technology ,Substrate (electronics) ,Electron ,Photodetection ,010402 general chemistry ,01 natural sciences ,General Materials Science ,photoresponse ,[PHYS.COND]Physics [physics]/Condensed Matter [cond-mat] ,Colloidal quantum dot ,business.industry ,Doping ,[CHIM.MATE]Chemical Sciences/Material chemistry ,021001 nanoscience & nanotechnology ,HgSe ,0104 chemical sciences ,Dipole ,Nanocrystal ,infrared ,Optoelectronics ,0210 nano-technology ,business ,electrolyte gating - Abstract
International audience; Self-doped nanocrystals raise great interest for infrared (IR) optoelectronics because their optical properties span from near to far IR. However, their integration for photodetection requires a fine understanding of the origin of their doping and also a way to control the magnitude of the doping. In this paper, we demonstrate that a fine control of the doping level between 0.1 and 2 electrons per dot is obtained through ligand exchange. The latter affects not only the interparticle coupling but also their optical properties because of the band-shift resulting from the presence of surface dipoles. We demonstrate that self-doping is a bulk process and that surface dipoles can control its magnitude. We additionally propose a model to quantify the dipole involved with each ligand. We eventually use the ligand design rule previously evidenced to build a near-infrared photodetector on a soft and transparent substrate. The latter significantly improves the performance compared to previously reported colloidal quantum dot-based photodetectors on plastic substrates operated in the telecom wavelength range.
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- 2016
18. Rapid rEcognition of COrticosteRoiD resistant or sensitive Sepsis (RECORDS): study protocol for a multicentre, placebo-controlled, biomarker-guided, adaptive Bayesian design basket trial
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Shidasp Siami, Charlène Le Moal, Thomas DAIX, Sylvie Chevret, Yonatan Perez, Constance Vuillard, Damien Roux, Jonathan Messika, Stephan Ehrmann, Jean-Pierre Quenot, Dalila Benzekri, Gwenhaël Colin, Thierry Boulain, Julie Mankikian, Laura Federici, Jean Reignier, Jean-Paul Mira, Marie-Ange Azais, Djillali Annane, Jean-Claude Lacherade, Grégoire Muller, Christine Lebert, Nicholas Heming, Arthur Bailly, Emmanuelle Mercier, Jean-Baptiste Lascarrou, Julio Badie, Louis-Marie Dumont, Gaetan Plantefeve, Francis Schneider, Patrice Tirot, Isabelle Vinatier, Mickael Landais, Michel Djibré, Bruno Francois, Alexandra Monnier, Francois Barbier, Ferhat Meziani, Hamid Merdji, Pascal Andreu, Julie Helms, Laetitia Bodet-Contentin, Nicolas Pichon, Noémie Zucman, Mehran Monchi, Xavier Monnet, Marie Labruyère, Denis Garot, Hassène Rahmani, Jérôme Fleuriet, Pierre-Louis Declerq, Adrien Robine, Fabrice Uhel, Charles Cerf, Gilles Troché, Alexandrou Antigoni, Annane Djillali, Arlt Birte, Badie Julio, Benghanem Sarah, Berdaguer Ferrari Fernando, Cerf Charles, Chelly Dagdia Zaineb, Chevret Sylvie, Colin Gwenhaël, Daniel Christel, Declercq Pierre-Louis, Delbove Agathe, Devillier Philippe, Fleuriet Jérome, François Bruno, Garchon Henri-Jean, Godot Véronique, Grassin-Delyle Stanislas, Grisolia Mathieu, Guitton Christophe, Helms Julie, Heming Nicholas, Herzog Marielle, Kamel Toufik, Kedad Zoubida, Lassalle Philippe, Lhermite Guillaume, Megarbane Bruno, Mekontso Dessap Armand, Mercier Emmanuelle, Meziani Ferhat, Mira Jean-Paul, Monchi Mehran, Monnet Xavier, Muller Grégoire, Quenot Jean-Pierre, Reignier Jean, Robine Adrien, Rottman Martin, Roux Anne-Laure, Schneider Francis, Siami Shidasp, Tissieres Pierre, Troché Gilles, Uhel Fabrice, Zeitouni Karine, Plantefève Gaëtan, Walid Darwiche, Antoine Guillon, Youenn Jouan, Annick Legras, Marlene Morisseau, Emmanuelle Rouve, Charlotte Salmon-Gandonniere, Raphael Clere-Jehl, Laure Stiel, Antoine Studer, Jean-Baptiste Roudaut, Marine Jacquier, Sophie Jacquier, Armelle Mathonnet, Mai-Anh Nai, Isabelle Runge, Sophie Tollec, Marc Amouretti, Pierre Moine, Paris Meng, Rania Bounab, Muriel-Sarah Fartoukh, Alexandre Elabbadi, Konstantinos Bachoumas, Remi Bernardon, Gauthier Blonz, Luc Desmedt, Brian Emonet, Maud Fiancette, Matthieu Henry, Julien Lorber, Laurent Martin-Lefevre, Caroline Pouplet, Aihem Yehia, Sarah Benghanem, Julien Charpentier, Clara Vigneron, Anne-Laure Fedou, Claire Mancia, Emmanuelle Begot, Philippe Vignon, Antoine Galy, Celine Gonzalez, Marine Goudelin, Bruno Evrard, Arnaud Desachy, Julien Vaidie, Guillaume Gilbert, Cedric Darreau, Benoit Derrien, Marjorie Saint-Martin, Nicolas Chudeau, Jean Christophe Callahan, Dominique Vivier, Pierre-Yves Olivier, Remy Marnai, Nicolas Sedillot, Xavier Tchenio, Yves Poncelin, Remi Bruyere, Grimaldi Lamiae, and Derridj Nawal
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Medicine - Abstract
Introduction Corticosteroids affect variably survival in sepsis trials, suggesting heterogeneity in patients’ response to corticosteroids. The RECORDS (Rapid rEcognition of COrticosteRoiD resistant or sensitive Sepsis) trial aimed at defining endotypes associated with adults with sepsis responsiveness to corticosteroids.Methods and analysis RECORDS, a multicentre, placebo-controlled, biomarker-guided, adaptive Bayesian design basket trial, will randomly assign to a biomarker stratum 1800 adults with community-acquired pneumonia, vasopressor-dependent sepsis, septic shock or acute respiratory distress syndrome. In each stratum, patients will be randomly assigned to receive a 7-day course of hydrocortisone and fludrocortisone or their placebos. Patients with COVID-19 will be treated with a 10-day standard course of dexamethasone and randomised to fludrocortisone or its placebo. Primary outcome will be 90-day death or persistent organ dysfunction. Large simulation study will be performed across a range of plausible scenarios to foresee power to detect a 5%–10% absolute difference with corticosteroids. We will assess subset-by-treatment interaction by estimating in a Bayesian framework two quantities: (1) measure of influence, relying on the value of the estimation of corticosteroids’ effect in each subset, and (2) measure of interaction.Ethics and dissemination The protocol was approved by the Ethics Committee (Comité de Protection des Personnes, Dijon, France), on 6 April 2020. Trial results will be disseminated at scientific conferences and results will be published in peer-reviewed journals.Trial registration number ClinicalTrials.gov Registry (NCT04280497).
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- 2023
- Full Text
- View/download PDF
19. Electrolyte-Gated Colloidal Nanoplatelets-Based Phototransistor and Its Use for Bicolor Detection
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Benoit Dubertret, Hervé Aubin, Adrien Robin, Emmanuel Lhuillier, Sandrine Ithurria, Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), and Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)
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Materials science ,Orders of magnitude (temperature) ,Photodetector ,Bioengineering ,Nanotechnology ,02 engineering and technology ,Electrolyte ,Photodetection ,electrolyte ,010402 general chemistry ,01 natural sciences ,law.invention ,law ,Nanosheets ,General Materials Science ,photodetector ,[PHYS.COND]Physics [physics]/Condensed Matter [cond-mat] ,[PHYS]Physics [physics] ,business.industry ,Mechanical Engineering ,Detector ,General Chemistry ,bicolor detector ,[CHIM.MATE]Chemical Sciences/Material chemistry ,021001 nanoscience & nanotechnology ,Condensed Matter Physics ,0104 chemical sciences ,Photodiode ,Nanocrystal ,Quantum dot ,Optoelectronics ,transistor ,0210 nano-technology ,business - Abstract
International audience; Colloidal nanocrystals are appealing candidates for low cost optoelectronic applications because they can combine the advantages of both organic materials, such as their easy processing, and the excellent performance of inorganic systems. Here, we report the use of two-dimensional colloidal nanoplatelets for photodetection. We show that the nanoplatelets photoresponse can be enhanced by two to three orders of magnitude when they are incorporated in an all solid electrolyte-gated phototransistor. We extend this technique to build the first colloidal quantum dot-based bicolor detector with a response switchable between the visible and near-IR.
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- 2014
20. Electrolyte-gated field effect transistor to probe the surface defects and morphology in films of thick CdSe colloidal nanoplatelets
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Brice Nadal, Benoit Dubertret, Sandrine Ithurria, Adrien Robin, Nicolas Lequeux, Silvia Pedetti, Gilles Patriarche, Emmanuel Lhuillier, Hadrien Heuclin, Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Nexdot, Laboratoire de photonique et de nanostructures (LPN), and Centre National de la Recherche Scientifique (CNRS)
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stoichiometry defects TOC ,Materials science ,Passivation ,Population ,General Physics and Astronomy ,Nanoparticle ,Nanotechnology ,General Materials Science ,[PHYS.COND]Physics [physics]/Condensed Matter [cond-mat] ,education ,Surface states ,education.field_of_study ,business.industry ,Nanoplatelets ,General Engineering ,Heterojunction ,heterostructure ,[CHIM.MATE]Chemical Sciences/Material chemistry ,core/shell ,Transmission electron microscopy ,Optoelectronics ,transistor ,Charge carrier ,Field-effect transistor ,business ,electrolyte gating - Abstract
International audience; The optical and optoelectronic properties of colloidal quantum dots strongly depend on the passivation of their surface. Surface states are however difficult to quantify using optical spectroscopy and techniques based on back gated field effect transistors are limited in the range of carrier density that can be probed, usually significantly below one charge carrier per particle. Here we show that electrolyte gating can be used to quantitatively analyze the increase of defects in a population of nanoparticles with increasing surface irregularities. We illustrate this method using CdSe nanoplatelets that are grown in their thickness using low temperature layer-by-layer method. Spectroscopic analysis of the samples confirm that the nanoplatelet thickness is controlled, on average, with atomic precision, but structural analysis with transmission electron microscopy shows that the number of surface defects increases with the nanoplatelet thickness. The amount of charge defects is probed quantitatively using electrolyte-gated field effect transistor (EFET). We observe that the threshold voltage of the EFET increases with the NPL thickness, in agreement with the structural analysis. All samples displayed n-type conduction with strong current modulation (subthreshold swing slope of 100 mV/decade and on/off ratio close to 107). We also point out that an efficient electrolyte gating of the film requires a fine control of the nanoparticle film morphology.
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- 2014
21. All 2D graphene-metal chalcogenides hybrid photodetector
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Adrien Robin, emmanuel lhuillier, Emiliano Pallecchi, Abdelkarim Ouerghi, Benoit Dubertret, Laboratoire de Physique et d'Etude des Matériaux (UMR 8213) (LPEM), Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris (ESPCI Paris), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Nexdot, Laboratoire de photonique et de nanostructures (LPN), Centre National de la Recherche Scientifique (CNRS), Institut d’Électronique, de Microélectronique et de Nanotechnologie - UMR 8520 (IEMN), and Centrale Lille-Institut supérieur de l'électronique et du numérique (ISEN)-Université de Valenciennes et du Hainaut-Cambrésis (UVHC)-Université de Lille-Centre National de la Recherche Scientifique (CNRS)-Université Polytechnique Hauts-de-France (UPHF)
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- 2014
22. The Artificial Kidney Initiation in Kidney Injury 2 (AKIKI2): study protocol for a randomized controlled trial
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Stéphane Gaudry, David Hajage, Laurent Martin-Lefevre, Guillaume Louis, Sébastien Moschietto, Dimitri Titeca-Beauport, Béatrice La Combe, Bertrand Pons, Nicolas de Prost, Sébastien Besset, Alain Combes, Adrien Robine, Marion Beuzelin, Julio Badie, Guillaume Chevrel, Jean Reignier, Julien Bohé, Elisabeth Coupez, Nicolas Chudeau, Saber Barbar, Christophe Vinsonneau, Jean-Marie Forel, Didier Thevenin, Eric Boulet, Karim Lakhal, Nadia Aissaoui, Steven Grange, Marc Leone, Guillaume Lacave, Saad Nseir, Florent Poirson, Julien Mayaux, Karim Asehnoune, Guillaume Geri, Kada Klouche, Guillaume Thiery, Laurent Argaud, Jean-Damien Ricard, Jean-Pierre Quenot, and Didier Dreyfuss
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Acute kidney injury ,Critical care ,Renal replacement therapy ,Treatment outcome ,Medicine (General) ,R5-920 - Abstract
Abstract Background The Artificial Kidney Initiation in Kidney Injury (AKIKI) trial showed that a delayed renal replacement therapy (RRT) strategy for severe acute kidney injury (AKI) in critically ill patients was safe and associated with major reduction in RRT initiation compared with an early strategy. The five criteria which mandated RRT initiation in the delayed arm were: severe hyperkalemia, severe acidosis, acute pulmonary edema due to fluid overload resulting in severe hypoxemia, serum urea concentration > 40 mmol/l and oliguria/anuria > 72 h. However, duration of anuria/oliguria and level of blood urea are still criteria open to debate. The objective of the study is to compare the delayed strategy used in AKIKI (now termed “standard”) with another in which RRT is further delayed for a longer period (termed “delayed strategy”). Methods/design This is a prospective, multicenter, open-label, two-arm randomized trial. The study is composed of two stages (observational and randomization stages). At any time, the occurrence of a potentially severe condition (severe hyperkalemia, severe metabolic or mixed acidosis, acute pulmonary edema due to fluid overload resulting in severe hypoxemia) suggests immediate RRT initiation. Patients receiving (or who have received) intravenously administered catecholamines and/or invasive mechanical ventilation and presenting with AKI stage 3 of the KDIGO classification and with no potentially severe condition are included in the observational stage. Patients presenting a serum urea concentration > 40 mmol/l and/or an oliguria/anuria for more than 72 h are randomly allocated to a standard (RRT is initiated within 12 h) or a delayed RRT strategy (RRT is initiated only if an above-mentioned potentially severe condition occurs or if the serum urea concentration reaches 50 mmol/l). The primary outcome will be the number of RRT-free days at day 28. One interim analysis is planned. It is expected to include 810 patients in the observational stage and to randomize 270 subjects. Discussion The AKIKI2 study should improve the knowledge of RRT initiation criteria in critically ill patients. The potential reduction in RRT use allowed by a delayed RRT strategy might be associated with less invasive care and decreased costs. Enrollment is ongoing. Inclusions are expected to be completed by November 2019. Trial registration ClinicalTrials.gov, ID: NCT03396757. Registered on 11 January 2018.
- Published
- 2019
- Full Text
- View/download PDF
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