Point-of-care testing(POCT)refers to a category of diagnostic tests that are performed at or near to the site of the patients(also called bedside testing)and is capable of obtaining accurate results in a short time by...Point-of-care testing(POCT)refers to a category of diagnostic tests that are performed at or near to the site of the patients(also called bedside testing)and is capable of obtaining accurate results in a short time by using portable diagnostic devices,avoiding sending samples to the medical laboratories.It has been extensively explored for diagnosing and monitoring patients’diseases and health conditions with the assistance of development in biochemistry and microfluidics.Microfluidic paper-based analytical devices(μPADs)have gained dramatic popularity in POCT because of their simplicity,user-friendly,fast and accurate result reading and low cost.SeveralμPADs have been successfully commercialized and received excellent feedback during the past several decades.This review briefly discusses the main types ofμPADs,preparation methods and their detection principles,followed by a few representative examples.The future perspectives of the development inμPADs are also provided.展开更多
Nickel(II)as one of the primary categories of heavy metals can lead to serious health problems if achieving the critical levels in the water.Thus,it is vital to propose a stable,reliable,and economical approach for de...Nickel(II)as one of the primary categories of heavy metals can lead to serious health problems if achieving the critical levels in the water.Thus,it is vital to propose a stable,reliable,and economical approach for detecting Ni ions.The microfluidic paper-based analytical devices(µPADs)are potential candidates for the detection of water quality parameters including pH,heavy ions,nitrite and so on.However,it suffers from a huge error caused by the environment and artificial mistakes.In this study,we proposed an improved technique route to increase the stability and reliability of microfluidic paper-based analytical devices.The main technique points include a stable light source,a matched camera,improved reliability of the devices,and effective calculated methods.Finally,we established 15 standard curves that could be used to detect nickel ions and obtained uniform colorimetric results with reliability and repeatability.With those improvements,the relative errors for the five types of real water samples from the Zhongshan industrial parks were reduced to 0.26%,14.78%,24.20%,50.29%and 3.53%,respectively.These results were conducive to exploring this technique for the detection of nickel ions in wastewater from the Zhongshan industrial parks.The results demonstrated that the above technique route is promising for the detection of other heavy metal ions in industrial effluent.展开更多
Wearable devices have received tremendous interests in human sweat analysis in the past few years.However,the widely used polymeric substrates and the layer-by-layer stacking structures greatly influence the cost-effi...Wearable devices have received tremendous interests in human sweat analysis in the past few years.However,the widely used polymeric substrates and the layer-by-layer stacking structures greatly influence the cost-efficiency,conformability and breathability of the devices,further hindering their practical applications.Herein,we report a facile and low-cost strategy for the fabrication of a skin-friendly thread/paper-based wearable system consisting of a sweat reservoir and a multi-sensing component for simultaneous in situ analysis of sweat pH and lactate.In the system,hydrophilic silk thread serves as the micro-channel to guide the liquid flow.Filter papers were functionalized to prepare colorimetric sensors for lactate and pH.The smartphone-based quantitative analysis shows that the sensors are sensitive and reliable.Although pH may interfere the lactate detection,the pH detected simultaneously could be employed to correct the measured data for the achievement of a precise lactate level.After being integrated with a hydrophobic arm guard,the system was successfully used for the on-body measurement of pH and lactate in the sweats secreted from the volunteers.This low-cost,easy-to-fabricate,light-weight and flexible thread/paper-based microfluidic sensing device may hold great potentials as a wearable system in human sweat analysis and point-of-care diagnostics.展开更多
Paper-based microchips have different advantages,such as better biocompatibility,simple production,and easy handling,making them promising candidates for clinical diagnosis and other fields.This study describes ametho...Paper-based microchips have different advantages,such as better biocompatibility,simple production,and easy handling,making them promising candidates for clinical diagnosis and other fields.This study describes amethod developed to fabricate modular three-dimensional(3D)paper-based microfluidic chips based on projection-based 3D printing(PBP)technology.A series of two-dimensional(2D)paper-based microfluidic modules was designed and fabricated.After evaluating the effect of exposure time on the accuracy of the flow channel,the resolution of this channel was experimentally analyzed.Furthermore,several 3D paper-based microfluidic chips were assembled based on the 2D ones using different methods,with good channel connectivity.Scaffold-based 2D and hydrogel-based 3D cell culture systems based on 3D paper-based microfluidic chips were verified to be feasible.Furthermore,by combining extrusion 3D bioprinting technology and the proposed 3D paper-based microfluidic chips,multiorgan microfluidic chips were established by directly printing 3D hydrogel structures on 3D paperbased microfluidic chips,confirming that the prepared modular 3D paper-based microfluidic chip is potentially applicable in various biomedical applications.展开更多
BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different tre...BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.AIM To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation(RPH).METHODS A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group(n=50)and the treatment group(n=50)by rolling the dice.The procedure for prolapse and hemorrhoids(PPH)was adopted in the control group,while polidocanol foam injection+RPH was adopted in the treatment group.The therapeutic effects,operation time,wound healing time,hospital stay,pain situation(24 hours post-operative pain score,first defecation pain score),quality of life(QOL),incidence of complications(post-operative hemorrhage,edema,infection),incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.RESULTS Compared with the control group,the total effective rate of treatment group was higher,and the difference was significant(P<0.05).The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group(P<0.05).The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group(P<0.05).After surgery,the QOL scores of the two groups decreased,with the treatment group having higher scores than that of the control group(P<0.05).Compared with the control group,the incidence of postoperative complications in the treatment group was lower,and the difference was significant(P<0.05);However,there was no significant difference in the incidence of postoperative bleeding between the two groups(P>0.05);There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups(P>0.05).CONCLUSION For patients with mixed hemorrhoids,the therapeutic effect achieved by using polidocanol injection combined with RPH was better.The wounds of the patients healed faster,the postoperative pain was milder,QOL improved,and the incidence of complications was lower,and the short-term and long-term prognosis was good.展开更多
BACKGROUND Intraoperative determination of resection margin and adequate residual liver parenchyma are the key points of hepatectomy for the treatment of liver tumors.Intraoperative ultrasound and indocyanine green fl...BACKGROUND Intraoperative determination of resection margin and adequate residual liver parenchyma are the key points of hepatectomy for the treatment of liver tumors.Intraoperative ultrasound and indocyanine green fluorescence navigation are the most commonly used methods at present,but the technical barriers limit their promotion.AIM To evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.METHODS From September 2020 to January 2022,8 patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocar-cinoma,and gastric cancer liver metastasis were included in this study.All patients underwent 3D-LAST in precise resection of liver tumors.RESULTS All patients(8/8,100%)underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.CONCLUSION In conclusion,the 3D-LAST is a safe and effective new method for liver intraop-erative navigation,which is practical and easy to promote.Core Tip:The aim of this study is to evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.Eight patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocarcinoma,and gastric cancer liver metastasis underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.In conclusion,the 3D-LAST is a safe and effective new method for liver intraoperative navigation,which is practical and easy to promote.INTRODUCTION Hepatectomy is widely used for the treatment of liver tumors.In recent decades,the concept and practice of hepatectomy have developed from irregular,regular and anatomical to the current precise resection.Necessary assistive technologies have enabled these advances.Intraoperative ultrasound(IOUS)localization and indocyanine green(ICG)fluorescence imaging guidance are two frequently-used approaches for laparoscopic hepatectomy[1,2].IOUS is an invaluable auxiliary means widely accepted in surgery for real-time diagnostic information to determine resection range and navigate the surgical path[3].However,the major limitation of IOUS is the time cost during the procedure for paging the sono-graphers and the difficulty of deciphering two dimensional images[4].ICG is a non-toxic water-soluble fluorophore that reveals fluorescence under the near-infrared spectrum[5].Since liver tissue penetration is limited to 5 to 10 mm,that restricted the visualization of deeper tumors by ICG excitation,thereby interfering with its application in laparoscopic hepatectomy[6].IOUS and ICG navigation require specific technical equipment,making implementation difficult in many centers.And these techniques will significantly increase the operation time.Three-dimensional(3D)visualization involves extracting features and producing volumetric images based on computed tomography(CT)through a computer postprocessing technique.This tool offers a reasonable approach to the clinical decision for the potential to display the complex internal anatomy in an intuitive and stereoscopic manner[7].In the past few decades,applying 3D simulation software for liver volume calculation,virtual simulation surgery,portal hypertension monitor,and surgical navigation has proven to be safe and effective[8].Therefore,we propose a new method to find obvious anatomical markers and calculate the resection range according to 3D positioning before operation.During the operation,the scope of resection was delineated with silk thread,and resection was performed.This is a new practical approach,which we named as 3D location approach with silk thread(3D-LAST).RESULTS During the study period from September 2020 to January 2022,5 patients with hepatocellular carcinoma,1 patient with intrahepatic cholangiocarcinoma,1 patient with hilar cholangiocarcinoma,and 1 patient with gastric cancer liver metastasis were assessed for liver resection.There were 5 males and 3 females.The mean age of these patients was 54.3±10.2 years(34-66 years).Preoperative 3D positioning was conducted and the scope of resection was delineated with a surgical suture successfully performed in all 8 patients without complications.The treatment results of these 8 patients are shown in Table 1.The 90-day operative mortality was zero.Complications worse than Dindo-Clavien IIIa was not observed at a mean follow-up time of 8.7 months(4-16 months),there was no evidence of tumor recurrence or extrahepatic metastasis.At the time of reporting,the patients are all alive and lead normal lives.We take one patient as an example,58-year-old male,who found a liver lesion 10 months after gastric cancer surgery.Enhanced CT showed that the lesion was located in the liver S5,about 1.5 cm in diameter,and considered metastatic lesions.We performed 3D-LAST guided hepatectomy on this patient(Figure 1).Other representative 3D-LAST surgical procedures are shown in Figure 2.展开更多
In petroleum extraction,the sealing surfaces of bolted joints are susceptible to damage due to the high-temperature and high-pressure conditions in wellbores.This damage adversely affects sealing performance,consequen...In petroleum extraction,the sealing surfaces of bolted joints are susceptible to damage due to the high-temperature and high-pressure conditions in wellbores.This damage adversely affects sealing performance,consequently leading to the failure and damage of threaded connections.In severe cases,it can result in considerable economic losses and trigger safety accidents.The sealing performance of special bolted joints holds crucial importance for production efficiency,output,equipment lifespan,and cost control.Enhancing the sealing perfor-mance of threaded connections can have a positive impact on industrial production and environmental protection.The existing research on American Petroleum Institute threaded joints has been thorough and has obtained a series of excellent results.However,the research on the sealing damage mechanism of threaded connections under complex well conditions lacks sufficient depth and that on new sealing technology is scarce.This study proposes a half-size evaluation test to address the abovementioned problem.Based on this test,an investigation into the sealing performance of threaded connections under high-temperature,cyclic loading,and high-temperature creep conditions is conducted.This study uses a combined approach of finite element methods and experiments to investigate the impact of different makeup torques on the sealing performance of premium threaded connections(PTCs).The results of the half-size evaluation test indicate that temperature notably influences the sealing performance of threaded connections.The continuous action of high temperatures causes contact pressure and sealing performance to decrease,and sealing contact pressure increases after cooling.Finite element and test results show that for a certain joint A,the greater the torque,the higher the critical sealing pressure of the thread,and the better the sealing performance.The research on the sealing damage mechanism of PTCs provides a scientific basis and theoretical guidance for the further optimization and development of PTCs.展开更多
When one steps inside Caoxian’s Youai Cloud Warehouse,a livestreaming base dedicated to hanfu,it feels less like a clothing warehouse and more like a time capsule.Thousands of intricately embroidered garments line th...When one steps inside Caoxian’s Youai Cloud Warehouse,a livestreaming base dedicated to hanfu,it feels less like a clothing warehouse and more like a time capsule.Thousands of intricately embroidered garments line the racks-from elegant horse-face skirts to modernised editions of traditional Chinese clothing.展开更多
As the global textile market continues to expand, demand for sewing threads-a critical auxiliary material-is rising. In recent years, automotive interiors, smart outdoor equipment, and medical and ecofriendly products...As the global textile market continues to expand, demand for sewing threads-a critical auxiliary material-is rising. In recent years, automotive interiors, smart outdoor equipment, and medical and ecofriendly products have emerged as new growth engines for the textile industry. This has propelled specialized niche markets for sewing threads designed for these applications, revealing significant and undeniable potential.展开更多
Convenient,rapid,and accurate detection of cardiac troponin I(cTnI)is crucial in early diagnosis of acute myocardial infarction(AMI).A paper-based electrochemical immunosensor is a promising choice in this field,becau...Convenient,rapid,and accurate detection of cardiac troponin I(cTnI)is crucial in early diagnosis of acute myocardial infarction(AMI).A paper-based electrochemical immunosensor is a promising choice in this field,because of the flexibility,porosity,and cost-efficacy of the paper.However,paper is poor in electronic conductivity and surface functionality.Herein,we report a paper-based electrochemical immunosensor for the label-free detection of cTnI with the working electrode modified by MXene(Ti_(3)C_(2))nanosheets.In order to immobilize the bio-receptor(anti-cTnI)on the MXene-modified working electrode,the MXene nanosheets were functionalized by aminosilane,and the functionalized MXene was immobilized onto the surface of the working electrode through Nafion.The large surface area of the MXene nanosheets facilitates the immobilization of antibodies,and the excellent conductivity facilitates the electron transfer between the electrochemical species and the underlying electrode surface.As a result,the paper-based immunosensor could detect cTnI within a wide range of 5-100 ng/mL with a detection limit of 0.58 ng/mL.The immunosensor also shows outstanding selectivity and good repeatability.Our MXene-modified paper-based electrochemical immunosensor enables fast and sensitive detection of cTnI,which may be used in real-time and cost-efficient monitoring of AMI diseases in clinics.展开更多
Supercapacitors are favored by researchers because of their high power density,especially with the acceleration of people’s life rhythm.However,their energy density,especially from the point of view of the whole ener...Supercapacitors are favored by researchers because of their high power density,especially with the acceleration of people’s life rhythm.However,their energy density,especially from the point of view of the whole energy storage device,is far lower than that of commercial batteries.In this work,a kind of customizable full paper-based supercapacitor device with excellent self-healing ability is fabricated by simple and low-cost screen printing,electropolymerization and dip coating methods.The resultant separatorfree supercapacitor device exhibits both ultrahigh gravimetric and areal specific energy(power)densities of 39 Wh kg^(-1)(69 k W kg^(-1))and 692μWh cm^(-2)(236 m W cm^(-2)),achieving excellent supercapacitor performance.Notably,the addition of vitrimers endows the whole device with outstanding self-healing properties,which is helpful for enhancing the adaptability of the device to the environment.In addition,this kind of paper-based device also displays good photothermal and electromagnetic shielding performances.These striking features make paper matrix composites attractive in the fields of supercapacitors,medical photothermal treatment and electromagnetic shielding.展开更多
It is well established that paper-based separators display short-circuit risk in lithium-ion batteries due to their intrinsic micron-sized pores.In this research,we have adjusted pore structure of paper by fiber swell...It is well established that paper-based separators display short-circuit risk in lithium-ion batteries due to their intrinsic micron-sized pores.In this research,we have adjusted pore structure of paper by fiber swelling in liquid electrolyte.Specifically,the paper-based separator is prepared by propionylated sisal fibers through a wet papermaking process.Scanning electron microscope(SEM)and multi-range X-ray nano-computed tomography(CT)images display strong swelling of modified fibers after electrolyte absorption,which can effectively decrease the pore size of separator.Due to the high electrolyte uptake(817 wt%),paper-based separator exhibits ionic conductivity of 2.93 mS cm^(-1).^(7)Li solid-state NMR spectroscopy and Gaussian simulation reveal that the formation of local high Li^(+)ion concentration in the separator and its low absorption energy with Li^(+) ion(62.2 kcal mol^(-1))is conducive to the ionic transportation.In particular,the assembled Li/separator/LiFePO_(4) cell displays wide electrochemical stability window(5.2 V)and excellent cycle performance(capacity retention of 96.6%after 100 cycles at 0.5C)due to the reduced side reactions as well as enhanced electrolyte absorption and retention capacity by propionylation.Our proposed strategy will provide a novel perspective to design high-performance biobased separators to boost the development of clean and sustainable energy economy.展开更多
Paper devices have recently attracted considerable attention as a class of cost-effective cell culture substrates for various biomedical applications.The paper biomaterial can be used to partially mimic the in vivo ce...Paper devices have recently attracted considerable attention as a class of cost-effective cell culture substrates for various biomedical applications.The paper biomaterial can be used to partially mimic the in vivo cell microenvironments mainly due to its natural three-dimensional characteristic.The paper-based devices provide precise control over their structures as well as cell distributions,allowing recapitulation of certain interactions between the cells and the extracellular matrix.These features have shown great potential for the development of normal and diseased human tissue models.In this review,we discuss the fabrication of paper-based devices for in vitro tissue modeling,as well as the applications of these devices toward drug screening and personalized medicine.It is believed that paper as a biomaterial will play an essential role in the field of tissue model engineering due to its unique performances,such as good biocompatibility,eco-friendliness,cost-effectiveness,and amenability to various biodesign and manufacturing needs.展开更多
In this paper,we presented a novel strategy to employ a plantderived carbohydrate polymer,i.e.,cellulose,to prepare a hydrophobic composite.Cellulose was used as a scaffold,and ethylene-propylene side by side(ES)fiber...In this paper,we presented a novel strategy to employ a plantderived carbohydrate polymer,i.e.,cellulose,to prepare a hydrophobic composite.Cellulose was used as a scaffold,and ethylene-propylene side by side(ES)fiber was thermally melted and then coated on the cellulose surface to achieve hydrophobicity.Experimental results revealed that the thermocoating ES fibers greatly increased the water contact angle of the cellulose scaffold from 25°to 153°while simultaneously enhanced the wet tensile strength of the composite approximately 6.7-fold(drying temperature of 170℃)compared with the pure cellulose paper.In particular,compared with other related research,the prepared cellulose-based composite possessed excellent hydrophobicity and superior mechanical strength,which introduces a new chemical engineering approach to prepare hydrophobic cellulose-based functional materials.展开更多
文摘Point-of-care testing(POCT)refers to a category of diagnostic tests that are performed at or near to the site of the patients(also called bedside testing)and is capable of obtaining accurate results in a short time by using portable diagnostic devices,avoiding sending samples to the medical laboratories.It has been extensively explored for diagnosing and monitoring patients’diseases and health conditions with the assistance of development in biochemistry and microfluidics.Microfluidic paper-based analytical devices(μPADs)have gained dramatic popularity in POCT because of their simplicity,user-friendly,fast and accurate result reading and low cost.SeveralμPADs have been successfully commercialized and received excellent feedback during the past several decades.This review briefly discusses the main types ofμPADs,preparation methods and their detection principles,followed by a few representative examples.The future perspectives of the development inμPADs are also provided.
基金funded by the Beijing Natural Science Foundation[Grant No.Z210006]the National Natural Science Foundation of China[Grant No.62275061].
文摘Nickel(II)as one of the primary categories of heavy metals can lead to serious health problems if achieving the critical levels in the water.Thus,it is vital to propose a stable,reliable,and economical approach for detecting Ni ions.The microfluidic paper-based analytical devices(µPADs)are potential candidates for the detection of water quality parameters including pH,heavy ions,nitrite and so on.However,it suffers from a huge error caused by the environment and artificial mistakes.In this study,we proposed an improved technique route to increase the stability and reliability of microfluidic paper-based analytical devices.The main technique points include a stable light source,a matched camera,improved reliability of the devices,and effective calculated methods.Finally,we established 15 standard curves that could be used to detect nickel ions and obtained uniform colorimetric results with reliability and repeatability.With those improvements,the relative errors for the five types of real water samples from the Zhongshan industrial parks were reduced to 0.26%,14.78%,24.20%,50.29%and 3.53%,respectively.These results were conducive to exploring this technique for the detection of nickel ions in wastewater from the Zhongshan industrial parks.The results demonstrated that the above technique route is promising for the detection of other heavy metal ions in industrial effluent.
基金supported by Chongqing Natural Science Foundation(cstc2019jcyj-msxmX0314)Fundamental Research Funds for the Central Universities(XDJK2019B002)Chongqing Engineering Research Center for Micro-Nano Biomedical Materials and Devices.
文摘Wearable devices have received tremendous interests in human sweat analysis in the past few years.However,the widely used polymeric substrates and the layer-by-layer stacking structures greatly influence the cost-efficiency,conformability and breathability of the devices,further hindering their practical applications.Herein,we report a facile and low-cost strategy for the fabrication of a skin-friendly thread/paper-based wearable system consisting of a sweat reservoir and a multi-sensing component for simultaneous in situ analysis of sweat pH and lactate.In the system,hydrophilic silk thread serves as the micro-channel to guide the liquid flow.Filter papers were functionalized to prepare colorimetric sensors for lactate and pH.The smartphone-based quantitative analysis shows that the sensors are sensitive and reliable.Although pH may interfere the lactate detection,the pH detected simultaneously could be employed to correct the measured data for the achievement of a precise lactate level.After being integrated with a hydrophobic arm guard,the system was successfully used for the on-body measurement of pH and lactate in the sweats secreted from the volunteers.This low-cost,easy-to-fabricate,light-weight and flexible thread/paper-based microfluidic sensing device may hold great potentials as a wearable system in human sweat analysis and point-of-care diagnostics.
基金sponsored by the National Natural Science Foundation of China(No.52235007,YH)the Science Fund for Creative Research Groups of the National Natural Science Foundation of China(No.T2121004,YH)+3 种基金the NationalNatural Science Foundation of China(No.52305300,MJX)the Fellowship of China Postdoctoral Science Foundation(No.2022M722826,MJX)the National Natural Science Foundation of China(No.82203602,JW)the Zhejiang Provincial Natural Science Foundation of China(No.LQ22H160020,JW)。
文摘Paper-based microchips have different advantages,such as better biocompatibility,simple production,and easy handling,making them promising candidates for clinical diagnosis and other fields.This study describes amethod developed to fabricate modular three-dimensional(3D)paper-based microfluidic chips based on projection-based 3D printing(PBP)technology.A series of two-dimensional(2D)paper-based microfluidic modules was designed and fabricated.After evaluating the effect of exposure time on the accuracy of the flow channel,the resolution of this channel was experimentally analyzed.Furthermore,several 3D paper-based microfluidic chips were assembled based on the 2D ones using different methods,with good channel connectivity.Scaffold-based 2D and hydrogel-based 3D cell culture systems based on 3D paper-based microfluidic chips were verified to be feasible.Furthermore,by combining extrusion 3D bioprinting technology and the proposed 3D paper-based microfluidic chips,multiorgan microfluidic chips were established by directly printing 3D hydrogel structures on 3D paperbased microfluidic chips,confirming that the prepared modular 3D paper-based microfluidic chip is potentially applicable in various biomedical applications.
文摘BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.AIM To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation(RPH).METHODS A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group(n=50)and the treatment group(n=50)by rolling the dice.The procedure for prolapse and hemorrhoids(PPH)was adopted in the control group,while polidocanol foam injection+RPH was adopted in the treatment group.The therapeutic effects,operation time,wound healing time,hospital stay,pain situation(24 hours post-operative pain score,first defecation pain score),quality of life(QOL),incidence of complications(post-operative hemorrhage,edema,infection),incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.RESULTS Compared with the control group,the total effective rate of treatment group was higher,and the difference was significant(P<0.05).The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group(P<0.05).The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group(P<0.05).After surgery,the QOL scores of the two groups decreased,with the treatment group having higher scores than that of the control group(P<0.05).Compared with the control group,the incidence of postoperative complications in the treatment group was lower,and the difference was significant(P<0.05);However,there was no significant difference in the incidence of postoperative bleeding between the two groups(P>0.05);There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups(P>0.05).CONCLUSION For patients with mixed hemorrhoids,the therapeutic effect achieved by using polidocanol injection combined with RPH was better.The wounds of the patients healed faster,the postoperative pain was milder,QOL improved,and the incidence of complications was lower,and the short-term and long-term prognosis was good.
文摘BACKGROUND Intraoperative determination of resection margin and adequate residual liver parenchyma are the key points of hepatectomy for the treatment of liver tumors.Intraoperative ultrasound and indocyanine green fluorescence navigation are the most commonly used methods at present,but the technical barriers limit their promotion.AIM To evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.METHODS From September 2020 to January 2022,8 patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocar-cinoma,and gastric cancer liver metastasis were included in this study.All patients underwent 3D-LAST in precise resection of liver tumors.RESULTS All patients(8/8,100%)underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.CONCLUSION In conclusion,the 3D-LAST is a safe and effective new method for liver intraop-erative navigation,which is practical and easy to promote.Core Tip:The aim of this study is to evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.Eight patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocarcinoma,and gastric cancer liver metastasis underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.In conclusion,the 3D-LAST is a safe and effective new method for liver intraoperative navigation,which is practical and easy to promote.INTRODUCTION Hepatectomy is widely used for the treatment of liver tumors.In recent decades,the concept and practice of hepatectomy have developed from irregular,regular and anatomical to the current precise resection.Necessary assistive technologies have enabled these advances.Intraoperative ultrasound(IOUS)localization and indocyanine green(ICG)fluorescence imaging guidance are two frequently-used approaches for laparoscopic hepatectomy[1,2].IOUS is an invaluable auxiliary means widely accepted in surgery for real-time diagnostic information to determine resection range and navigate the surgical path[3].However,the major limitation of IOUS is the time cost during the procedure for paging the sono-graphers and the difficulty of deciphering two dimensional images[4].ICG is a non-toxic water-soluble fluorophore that reveals fluorescence under the near-infrared spectrum[5].Since liver tissue penetration is limited to 5 to 10 mm,that restricted the visualization of deeper tumors by ICG excitation,thereby interfering with its application in laparoscopic hepatectomy[6].IOUS and ICG navigation require specific technical equipment,making implementation difficult in many centers.And these techniques will significantly increase the operation time.Three-dimensional(3D)visualization involves extracting features and producing volumetric images based on computed tomography(CT)through a computer postprocessing technique.This tool offers a reasonable approach to the clinical decision for the potential to display the complex internal anatomy in an intuitive and stereoscopic manner[7].In the past few decades,applying 3D simulation software for liver volume calculation,virtual simulation surgery,portal hypertension monitor,and surgical navigation has proven to be safe and effective[8].Therefore,we propose a new method to find obvious anatomical markers and calculate the resection range according to 3D positioning before operation.During the operation,the scope of resection was delineated with silk thread,and resection was performed.This is a new practical approach,which we named as 3D location approach with silk thread(3D-LAST).RESULTS During the study period from September 2020 to January 2022,5 patients with hepatocellular carcinoma,1 patient with intrahepatic cholangiocarcinoma,1 patient with hilar cholangiocarcinoma,and 1 patient with gastric cancer liver metastasis were assessed for liver resection.There were 5 males and 3 females.The mean age of these patients was 54.3±10.2 years(34-66 years).Preoperative 3D positioning was conducted and the scope of resection was delineated with a surgical suture successfully performed in all 8 patients without complications.The treatment results of these 8 patients are shown in Table 1.The 90-day operative mortality was zero.Complications worse than Dindo-Clavien IIIa was not observed at a mean follow-up time of 8.7 months(4-16 months),there was no evidence of tumor recurrence or extrahepatic metastasis.At the time of reporting,the patients are all alive and lead normal lives.We take one patient as an example,58-year-old male,who found a liver lesion 10 months after gastric cancer surgery.Enhanced CT showed that the lesion was located in the liver S5,about 1.5 cm in diameter,and considered metastatic lesions.We performed 3D-LAST guided hepatectomy on this patient(Figure 1).Other representative 3D-LAST surgical procedures are shown in Figure 2.
文摘In petroleum extraction,the sealing surfaces of bolted joints are susceptible to damage due to the high-temperature and high-pressure conditions in wellbores.This damage adversely affects sealing performance,consequently leading to the failure and damage of threaded connections.In severe cases,it can result in considerable economic losses and trigger safety accidents.The sealing performance of special bolted joints holds crucial importance for production efficiency,output,equipment lifespan,and cost control.Enhancing the sealing perfor-mance of threaded connections can have a positive impact on industrial production and environmental protection.The existing research on American Petroleum Institute threaded joints has been thorough and has obtained a series of excellent results.However,the research on the sealing damage mechanism of threaded connections under complex well conditions lacks sufficient depth and that on new sealing technology is scarce.This study proposes a half-size evaluation test to address the abovementioned problem.Based on this test,an investigation into the sealing performance of threaded connections under high-temperature,cyclic loading,and high-temperature creep conditions is conducted.This study uses a combined approach of finite element methods and experiments to investigate the impact of different makeup torques on the sealing performance of premium threaded connections(PTCs).The results of the half-size evaluation test indicate that temperature notably influences the sealing performance of threaded connections.The continuous action of high temperatures causes contact pressure and sealing performance to decrease,and sealing contact pressure increases after cooling.Finite element and test results show that for a certain joint A,the greater the torque,the higher the critical sealing pressure of the thread,and the better the sealing performance.The research on the sealing damage mechanism of PTCs provides a scientific basis and theoretical guidance for the further optimization and development of PTCs.
文摘When one steps inside Caoxian’s Youai Cloud Warehouse,a livestreaming base dedicated to hanfu,it feels less like a clothing warehouse and more like a time capsule.Thousands of intricately embroidered garments line the racks-from elegant horse-face skirts to modernised editions of traditional Chinese clothing.
文摘As the global textile market continues to expand, demand for sewing threads-a critical auxiliary material-is rising. In recent years, automotive interiors, smart outdoor equipment, and medical and ecofriendly products have emerged as new growth engines for the textile industry. This has propelled specialized niche markets for sewing threads designed for these applications, revealing significant and undeniable potential.
基金financially supported by the National Key R&D Program of China(2017YFA0204700)the Joint Research Funds of Department of Science&Technology of Shaanxi Province and Northwestern Polytechnical University(2020GXLH-Z-021)+1 种基金the China-Sweden Joint Mobility Project(51811530018)the Fundamental Research Funds for the Central Universities.
文摘Convenient,rapid,and accurate detection of cardiac troponin I(cTnI)is crucial in early diagnosis of acute myocardial infarction(AMI).A paper-based electrochemical immunosensor is a promising choice in this field,because of the flexibility,porosity,and cost-efficacy of the paper.However,paper is poor in electronic conductivity and surface functionality.Herein,we report a paper-based electrochemical immunosensor for the label-free detection of cTnI with the working electrode modified by MXene(Ti_(3)C_(2))nanosheets.In order to immobilize the bio-receptor(anti-cTnI)on the MXene-modified working electrode,the MXene nanosheets were functionalized by aminosilane,and the functionalized MXene was immobilized onto the surface of the working electrode through Nafion.The large surface area of the MXene nanosheets facilitates the immobilization of antibodies,and the excellent conductivity facilitates the electron transfer between the electrochemical species and the underlying electrode surface.As a result,the paper-based immunosensor could detect cTnI within a wide range of 5-100 ng/mL with a detection limit of 0.58 ng/mL.The immunosensor also shows outstanding selectivity and good repeatability.Our MXene-modified paper-based electrochemical immunosensor enables fast and sensitive detection of cTnI,which may be used in real-time and cost-efficient monitoring of AMI diseases in clinics.
基金financially supported by the National Natural Science Foundation of China(No.22078184)the China Postdoctoral Science Foundation(No.2019M653853XB)+6 种基金the Natural Science Foundation of Shaanxi Province(No.2020JQ-729)the Key Projects of Collaborative Innovation Center of Shaanxi Provincial Department of Educationthe Opening Project of Guangxi Key Laboratory of Clean Pulp&Papermaking and Pollution Control(No.2019KF21)the Natural Science Advance Research Foundation of Shaanxi University of Science and Technology(No.2018QNBJ-03)the National Demonstration Center for Experimental Light Chemistry Engineering Education(No.2018QGSJ02-13)the Jiangxi Qingyue Technology Co.,Ltd(No.210200122)the Biomass Chemistry and Materials Academician Workstation Project in SUST(No.134090002)。
文摘Supercapacitors are favored by researchers because of their high power density,especially with the acceleration of people’s life rhythm.However,their energy density,especially from the point of view of the whole energy storage device,is far lower than that of commercial batteries.In this work,a kind of customizable full paper-based supercapacitor device with excellent self-healing ability is fabricated by simple and low-cost screen printing,electropolymerization and dip coating methods.The resultant separatorfree supercapacitor device exhibits both ultrahigh gravimetric and areal specific energy(power)densities of 39 Wh kg^(-1)(69 k W kg^(-1))and 692μWh cm^(-2)(236 m W cm^(-2)),achieving excellent supercapacitor performance.Notably,the addition of vitrimers endows the whole device with outstanding self-healing properties,which is helpful for enhancing the adaptability of the device to the environment.In addition,this kind of paper-based device also displays good photothermal and electromagnetic shielding performances.These striking features make paper matrix composites attractive in the fields of supercapacitors,medical photothermal treatment and electromagnetic shielding.
基金supported by the Natural Science Foundation of Guangxi Province(2018GXNSFBA138027)the Scientific Research Foundation of Guangxi University(XGZ170232)the National Enterprise Technology Center of Guangxi Bossco Environmental Protection Technology Co.,Ltd(202100033)。
文摘It is well established that paper-based separators display short-circuit risk in lithium-ion batteries due to their intrinsic micron-sized pores.In this research,we have adjusted pore structure of paper by fiber swelling in liquid electrolyte.Specifically,the paper-based separator is prepared by propionylated sisal fibers through a wet papermaking process.Scanning electron microscope(SEM)and multi-range X-ray nano-computed tomography(CT)images display strong swelling of modified fibers after electrolyte absorption,which can effectively decrease the pore size of separator.Due to the high electrolyte uptake(817 wt%),paper-based separator exhibits ionic conductivity of 2.93 mS cm^(-1).^(7)Li solid-state NMR spectroscopy and Gaussian simulation reveal that the formation of local high Li^(+)ion concentration in the separator and its low absorption energy with Li^(+) ion(62.2 kcal mol^(-1))is conducive to the ionic transportation.In particular,the assembled Li/separator/LiFePO_(4) cell displays wide electrochemical stability window(5.2 V)and excellent cycle performance(capacity retention of 96.6%after 100 cycles at 0.5C)due to the reduced side reactions as well as enhanced electrolyte absorption and retention capacity by propionylation.Our proposed strategy will provide a novel perspective to design high-performance biobased separators to boost the development of clean and sustainable energy economy.
基金This work was supported by the National Institutes of Health(R00CA201603,R21EB025270,R21EB026175,R01EB028143)the Brigham Research Institute.
文摘Paper devices have recently attracted considerable attention as a class of cost-effective cell culture substrates for various biomedical applications.The paper biomaterial can be used to partially mimic the in vivo cell microenvironments mainly due to its natural three-dimensional characteristic.The paper-based devices provide precise control over their structures as well as cell distributions,allowing recapitulation of certain interactions between the cells and the extracellular matrix.These features have shown great potential for the development of normal and diseased human tissue models.In this review,we discuss the fabrication of paper-based devices for in vitro tissue modeling,as well as the applications of these devices toward drug screening and personalized medicine.It is believed that paper as a biomaterial will play an essential role in the field of tissue model engineering due to its unique performances,such as good biocompatibility,eco-friendliness,cost-effectiveness,and amenability to various biodesign and manufacturing needs.
基金supported by Natural Science Foundation of China(No.31770624 and No.21978029)National Key R&D Program of China(No.2018YFD0400703)+2 种基金Natural Science Foundation of Liaoning(No.20170540069)the Program for Liaoning Excellent Talents in University(LR2016058)Liaoning Million Talents Program(201945).
文摘In this paper,we presented a novel strategy to employ a plantderived carbohydrate polymer,i.e.,cellulose,to prepare a hydrophobic composite.Cellulose was used as a scaffold,and ethylene-propylene side by side(ES)fiber was thermally melted and then coated on the cellulose surface to achieve hydrophobicity.Experimental results revealed that the thermocoating ES fibers greatly increased the water contact angle of the cellulose scaffold from 25°to 153°while simultaneously enhanced the wet tensile strength of the composite approximately 6.7-fold(drying temperature of 170℃)compared with the pure cellulose paper.In particular,compared with other related research,the prepared cellulose-based composite possessed excellent hydrophobicity and superior mechanical strength,which introduces a new chemical engineering approach to prepare hydrophobic cellulose-based functional materials.
