Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and...Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and treatment efficiencies,presenting new clinical challenges.Therefore,a comprehensive and systematic description of the key clinical aspects of clear aligner treatment is essential to enhance treatment efficacy and facilitate the advancement and wide adoption of this new technique.This expert consensus discusses case selection and grading of treatment difficulty,principle of clear aligner therapy,clinical procedures and potential complications,which are crucial to the clinical success of clear aligner treatment.展开更多
Maxillary protrusion combined with mandibular retraction is a highly prevalent but extremely complex maxillofacial deformity that can have a serious negative impact on patients’facial aesthetics and mental health.The...Maxillary protrusion combined with mandibular retraction is a highly prevalent but extremely complex maxillofacial deformity that can have a serious negative impact on patients’facial aesthetics and mental health.The traditional orthodontic treatment strategy often involves extracting 4 first premolars and conventional fixed techniques,combined with mini-implant screws,to retract the anterior teeth and improve facial protrusion.In recent years,an invisible orthodontic technique,without brackets,has become increasingly popular.However,while an invisible aligner has been used in some cases with reasonable results,there remain significant challenges in achieving a perfect outcome.This case report presents an adolescent patient with bimaxillary protrusion and mandibular retrognathia.Based on the characteristics of the invisible aligners and the growth characteristics of the adolescent’s teeth and jawbone,we designed precise three-dimensional tooth movement and corresponding resistance/over-correction for each tooth,while utilizing the patient’s jawbone growth potential to promote rapid development of the mandible,accurately and efficiently correcting bimaxillary protrusion and skeletal mandibular retrognathia.The patient’s facial aesthetics,especially the lateral morphology,have been greatly improved,and various aesthetic indicators have also shown significant changes,and to the patient’s great benefit,invasive mini-implant screws were not used during the treatment.This case highlights the advantages of using invisible aligners in adolescent maxillary protrusion combined with mandibular retraction patients.Furthermore,comprehensive and accurate design combined with good application of growth potential can also enable invisible orthodontic technology to achieve perfect treatment effects in tooth extractions,providing clinical guidance for orthodontists.展开更多
The aim of this study was to evaluate and compare the colour stabilities of three types of orthodontic clear aligners exposed to staining agents in vitro. Sixty clear orthodontic aligners produced by three manufacture...The aim of this study was to evaluate and compare the colour stabilities of three types of orthodontic clear aligners exposed to staining agents in vitro. Sixty clear orthodontic aligners produced by three manufacturers （Invisalign, Angelalign, and Smartee） were immersed in three staining solutions （coffee, black tea, and red wine） and one control solution （distilled water）. After 12-h and 7-day immersions, the aligners were washed in an ultrasonic cleaner and measured with a colourimeter. The colour changes （△E＊） were calculated on the basis of the Commission Internationale de I＇Eclairage L＊a＊b＊ colour system （CIE L＊a＊b＊）, and the results were then converted into National Bureau of Standards （NBS） units. Fourier transformation infrared （FT-IR） spectroscopy and scanning electron microscopy （SEM） were conducted to observe the molecular and morphologic alterations to the aligner surfaces, respectively. The three types of aligners exhibited slight colour changes after 12 h of staining, with the exception of the Invisalign aligners stained with coffee. The Invisalign aligners exhibited significantly higher AE＊ values （ranging from 0.30 to 27.81） than those of the Angelalign and Smartee aligners （AE＊ values ranging from 0.33 to 1.89 and 0.32 to 1.61, respectively, P〈O.05）. IFT-IR analysis confirmed that the polymer-based structure of aligners did not exhibit significant chemical differences before and after the immersions. The SEM results revealed different surface alterations to the three types of aligner materials after the 7-day staining. The three types of aesthetic orthodontic appliances exhibited colour stability after the 12-h immersion, with the exception of the Invisalign aligners stained by coffee. The Invisalign aligners were more prone than the Angelalign and Smartee aligners to pigmentation. Aligner materials may be improved by considering aesthetic colour stability properties.展开更多
This study was aimed at analysing the mechanical characteristics of different mandibular extraction modes using a clear aligner.Three experimental schemes of different extraction patterns were designed to treat mandib...This study was aimed at analysing the mechanical characteristics of different mandibular extraction modes using a clear aligner.Three experimental schemes of different extraction patterns were designed to treat mandibular crowding,including extraction of one mandibular central incisor,bilateral first premolars,and bilateral second premolars.The stress distribution during the space closing was analysed using the finite element method.When a central incisor was extracted,a significant retraction force was found in the anterior region,in line with the design expectation.The posterior teeth,which were designed to move mesially,acted as anchorage for anterior retraction,and were subjected to a mesial force.The anterior teeth were retracted when the bilateral first premolars were extracted.The lateral incisors and canines were subjected to a significant distal force and moment,while the central incisors and canines were subjected to lingual forces and moments.Additionally,the canines were subjected to a non-designated intruding force.The molars were designed to move mesially when the bilateral second premolars were extracted.All molars were subjected to a significant mesial force,while the lingual force on the front teeth was slight.The bilateral second molars were subjected to non-design mesial moment and extrusive force.The bilateral first molars were subjected to a non-designated mesial moment,and the bilateral first premolars on both sides were subjected to non-designated intrusive force and distal moment.When one incisor was extracted,attachments on the anterior teeth had a controlling effect on the tooth axis,but the anterior teeth still tended to tilt.When the bilateral first premolars were extracted,the anterior teeth showed a tendency for lingual inclination.The risk of distal inclination of the canines and lingual inclination of the central incisor increased.When the bilateral second premolars were extracted and the posterior teeth were designed to move mesially,the teeth on both sides of the extraction sites showed an obvious bowing effect.展开更多
With the increasing demand for beauty and health,clear aligners(CAs)have been widely applied among patients with malocclusion.However,patients treated with CAs also face some potential complications,such as deminerali...With the increasing demand for beauty and health,clear aligners(CAs)have been widely applied among patients with malocclusion.However,patients treated with CAs also face some potential complications,such as demineralization,dental caries,and periodontal diseases.In addition,some patients have additional needs to improve their quality of life,such as bleaching teeth.In order to prevent or solve these problems,the modification of CAs is a promising method because their extensive long-term contact with tooth surfaces makes them ideal devices for implementing adjuvant medical functions.In this review,we discuss various advanced CAs with medical functions based on the clinical needs of patients.As far as we know,the additional functions of CAs mainly include antibacterial,remineralization,whitening,and accelerating tooth movement.These functions are achieved by two major pathways,the combination of CAs with drugs/biomaterials and increasing the capacity or affinity of drugs.In addition,we discuss the current limitations of in vitro experiments which are designed to explore the effectiveness and properties of novel CAs,and the challenges of bringing a multifunctional appliance from proposal to clinical application.At the end of this review,we provide insights into the broader prospects for the improvement of CAs.展开更多
BACKGROUND In an era leaning toward a personalized alignment of total knee arthroplasty,coronal plane alignment of the knee(CPAK)phenotypes for each population are studied;furthermore,other possible variables affectin...BACKGROUND In an era leaning toward a personalized alignment of total knee arthroplasty,coronal plane alignment of the knee(CPAK)phenotypes for each population are studied;furthermore,other possible variables affecting the alignment,such as ankle joint alignment,should be considered.AIM To determine CPAK distribution in the North African(Egyptian)population with knee osteoarthritis and to assess ankle joint line orientation(AJLO)adaptations across different CPAK types.METHODS A cross-sectional study was conducted on patients with primary knee osteoarthritis and normal ankle joints.Radiographic parameters included the mechanical lateral distal femoral angle,medial proximal tibial angle,and the derived calculations of joint line obliquity(JLO)and arithmetic hip-knee-ankle angle(aHKA).The tibial plafond horizontal angle(TPHA)was used for AJLO assessment,where 0°is neutral(type N),<0°is varus(type A),and>0°is valgus(type B).The nine CPAK types were further divided into 27 subtypes after incorporating the three AJLO types.RESULTS A total of 527 patients(1054 knees)were included for CPAK classification,and 435 patients(870 knees and ankles)for AJLO assessment.The mean age was 57.2±7.8 years,with 79.5%females.Most knees(76.4%)demonstrated varus alignment(mean aHKA was-5.51°±4.84°)and apex distal JLO(55.3%)(mean JLO was 176.43°±4.53°).CPAK types I(44.3%),IV(28.6%),and II(10%)were the most common.Regarding AJLO,70.2%of ankles exhibited varus orientation(mean TPHA was-5.21°±6.45°).The most frequent combined subtypes were CPAK type I-A(33.7%),IV-A(21.5%),and I-N(6.9%).A significant positive correlation was found between the TPHA and aHKA(r=0.40,P<0.001).CONCLUSION In this North African cohort,varus knee alignment with apex distal JLO and varus AJLO predominated.CPAK types I,IV,and II were the most common types,while subtypes I-A,IV-A,and I-N were commonly occurring after incorporating AJLO types;furthermore,the AJLO was significantly correlated to aHKA.展开更多
Surface passivation via two-dimensional(2D)perovskite has emerged as a promising strategy to enhance the performance of perovskite solar cells(PSCs)due to the effective compensation of interfacial states.However,the i...Surface passivation via two-dimensional(2D)perovskite has emerged as a promising strategy to enhance the performance of perovskite solar cells(PSCs)due to the effective compensation of interfacial states.However,the in situ grown 2D perovskite passivation layers typically comprise a mixture of multiple dimensionalities at the interface,where band alignment has only been portrayed qualitatively and empirically.Herein,the interface states for precisely phase-tailored 2D perovskite passivated PSCs are quantitatively investigated.In comparison to traditional passivation molecules,2D perovskite layers based on 4-trifluoromethyl-phenylethylammonium iodide(CF3PEAI)exhibit an increased work function,introducing desirable downward band bending to eliminate the Schottky Barrier.Furthermore,precisely phase-tailored 2D layers could modulate the interface trap density and energetics.The n=1 film delivers optimal performance with a hole extraction efficiency of 95.1%.The optimized n-i-p PSCs in the two-step method significantly improve PCE to 25.40%,along with enhanced photostability and negligible hysteresis.It highlights that tailoring in the composition and phase distribution of the 2D perovskite layer could modulate the interface states at the 2D/3D interface.展开更多
The high-quality assembly of Large Aircraft Components(LACs)is essential in modern aviation manufacturing.Numerical control locators are employed for the posture adjustment of LAC,yet the system's multi-input mult...The high-quality assembly of Large Aircraft Components(LACs)is essential in modern aviation manufacturing.Numerical control locators are employed for the posture adjustment of LAC,yet the system's multi-input multi-output,nonlinearity,and strong coupling presents significant challenges.The substantial internal force generated during the adjustment process can potentially damage the LAC and degrade the assembly quality.Hence,a workspace-based hybrid force position control scheme was developed to achieve high quality assembly with high-precision and lower internal force.Firstly,an offline workspace analysis with inherent geometric characteristics to form time-varying posture error constraint.Then,the posture error is integrated into the online position axis control to ensure tracking the ideal posture,while the force control axis compensates for posture deviation by minimizing internal force,thereby achieving high precision and low internal force.Finally,the effectiveness was demonstrated through experiments.The root mean square errors of orientation and position are 104 rad and 0.1 mm,respectively.A reduction in internal force can range from 10.96%to 57.4%compared to the traditional method.Key points'max position error is decreased from 0.32 mm to 0.18 mm,satisfying the 0.5 mm tolerance.Therefore,the proposed method will help promote the development of high-performance manufacturing.展开更多
Root rot is a prevalent soil-borne fungal disease in citrus.Citron C-05(Citrus medica)stands out as a germplasm within Citrus spp.due to its complete resistance to citrus canker and favorable characteristics such as s...Root rot is a prevalent soil-borne fungal disease in citrus.Citron C-05(Citrus medica)stands out as a germplasm within Citrus spp.due to its complete resistance to citrus canker and favorable characteristics such as single embryo and easy rooting.However,Citron C-05 was found to be highly susceptible to root rot during cultivation,with the specific pathogens previously unknown.In this study,four candidate fungal species were isolated from Citron C-05 roots.Sequence analysis of ITS,EF-1a,RPB1,and RPB2 identified two Fusarium solani strains,Rr-2 and Rr-4,as the candidates causing root rot in Citron C-05.Resistance tests showed these two pathogens increased root damage rate from 10.30%to 35.69%in Citron C-05,sour orange(Citrus aurantium),sweet orange(Citrus sinensis)and pummelo(Citrus grandis).F.solani exhibited the weak pathogenicity towards trifoliate orange(Poncirus trifoliata).DAB staining revealed none of reddish-brown precipitation in the four susceptible citrus germplasm after infection with F.solani,while trifoliate orange exhibited significant H2O2 accumulation.Trypan blue staining indicated increased cell death in the four susceptible citrus germplasm following infection with these two pathogens but not in trifoliate orange.These findings provide a comprehensive understanding of citrus root rot and support future research on the mechanisms of root rot resistance in citrus.展开更多
In multi-modal emotion recognition,excessive reliance on historical context often impedes the detection of emotional shifts,while modality heterogeneity and unimodal noise limit recognition performance.Existing method...In multi-modal emotion recognition,excessive reliance on historical context often impedes the detection of emotional shifts,while modality heterogeneity and unimodal noise limit recognition performance.Existing methods struggle to dynamically adjust cross-modal complementary strength to optimize fusion quality and lack effective mechanisms to model the dynamic evolution of emotions.To address these issues,we propose a multi-level dynamic gating and emotion transfer framework for multi-modal emotion recognition.A dynamic gating mechanism is applied across unimodal encoding,cross-modal alignment,and emotion transfer modeling,substantially improving noise robustness and feature alignment.First,we construct a unimodal encoder based on gated recurrent units and feature-selection gating to suppress intra-modal noise and enhance contextual representation.Second,we design a gated-attention crossmodal encoder that dynamically calibrates the complementary contributions of visual and audio modalities to the dominant textual features and eliminates redundant information.Finally,we introduce a gated enhanced emotion transfer module that explicitly models the temporal dependence of emotional evolution in dialogues via transfer gating and optimizes continuity modeling with a comparative learning loss.Experimental results demonstrate that the proposed method outperforms state-of-the-art models on the public MELD and IEMOCAP datasets.展开更多
Objective:Deep learning is employed increasingly in Gastroenterology(GI)endoscopy computer-aided diagnostics for polyp segmentation and multi-class disease detection.In the real world,implementation requires high accu...Objective:Deep learning is employed increasingly in Gastroenterology(GI)endoscopy computer-aided diagnostics for polyp segmentation and multi-class disease detection.In the real world,implementation requires high accuracy,therapeutically relevant explanations,strong calibration,domain generalization,and efficiency.Current Convolutional Neural Network(CNN)and transformer models compromise border precision and global context,generate attention maps that fail to align with expert reasoning,deteriorate during cross-center changes,and exhibit inadequate calibration,hence diminishing clinical trust.Methods:HMA-DER is a hierarchical multi-attention architecture that uses dilation-enhanced residual blocks and an explainability-aware Cognitive Alignment Score(CAS)regularizer to directly align attribution maps with reasoning signals from experts.The framework has additions that make it more resilient and a way to test for accuracy,macro-averaged F1 score,Area Under the Receiver Operating Characteristic Curve(AUROC),calibration(Expected Calibration Error(ECE),Brier Score),explainability(CAS,insertion/deletion AUC),cross-dataset transfer,and throughput.Results:HMA-DER gets Dice Similarity Coefficient scores of 89.5%and 86.0%on Kvasir-SEG and CVC-ClinicDB,beating the strongest baseline by+1.9 and+1.7 points.It gets 86.4%and 85.3%macro-F1 and 94.0%and 93.4%AUROC on HyperKvasir and GastroVision,which is better than the baseline by+1.4/+1.6macro-F1 and+1.2/+1.1AUROC.Ablation study shows that hierarchical attention gives the highest(+3.0),followed by CAS regularization(+2–3),dilatation(+1.5–2.0),and residual connections(+2–3).Cross-dataset validation demonstrates competitive zero-shot transfer(e.g.,KS→CVC Dice 82.7%),whereas multi-dataset training diminishes the domain gap,yielding an 88.1%primary-metric average.HMA-DER’s mixed-precision inference can handle 155 pictures per second,which helps with calibration.Conclusion:HMA-DER strikes a compromise between accuracy,explainability,robustness,and efficiency for the use of reliable GI computer-aided diagnosis in real-world clinical settings.展开更多
Kesterite Cu_(2)ZnSn(S,Se)_(4)(CZTSSe)solar cells suffer from significant open-circuit voltage(V_(OC))deficits due to severe interfacial and bulk recombination,restricting their power conversion efficiency(PCE)far bel...Kesterite Cu_(2)ZnSn(S,Se)_(4)(CZTSSe)solar cells suffer from significant open-circuit voltage(V_(OC))deficits due to severe interfacial and bulk recombination,restricting their power conversion efficiency(PCE)far below the ShockleyQueisser limit.This work proposes a low-temperature annealing strategy during ITO sputtering(SA)to synergistically address these challenges.The temperature applied during ITO sputtering not only improves the crystallinity,carrier concentration,and optical transmittance of the ITO layer but also promotes the diffusion of In from ITO into both CdS and CZTSSe layers.Consequently,lattice matching at the CZTSSe/CdS interface is optimized,enabling epitaxial growth.And a favorable ITO/In:CdS/In&Cd:CZTSSe structure with optimal band alignment is obtained.As a result,a champion device with a PCE of 1_(4).29%was achieved.The SA-treating also enabled the CZTSSe solar cells to achieve the highest V_(OC)reported to date,exceeding 590 mV.This underscores the essential role of SA processing in optimizing interface engineering and suppressing defects,thus promoting the development of low-cost,high-performance kesterite photovoltaics.展开更多
Recent progress in inverted perovskite solar cells(i PSCs)highlights the critical role of interface engineering between the charge transport layer and perovskite.Self-assembled monolayers(SAM)on transparent conductive...Recent progress in inverted perovskite solar cells(i PSCs)highlights the critical role of interface engineering between the charge transport layer and perovskite.Self-assembled monolayers(SAM)on transparent conductive oxide electrodes serve effectively as hole transport layers,though challenges such as energy mismatches and surface inhomogeneities remain.Here,a blended self-assembled monolayer of(2-(9H-carbazol-9-yl)ethyl)phosphonic acid(2PACz)and(4-(3,6-Dimethyl-9H-carbazol-9-yl)butyl)phosphonic acid(Me-4PACz)is developed,offering improved surface potential uniformity and interfacial energy alignment compared to individual SAMs.Interactions between the SAMs and ionic species are investigated with simulation analysis conducted,revealing the elimination of interfacial energy barriers through precise energy-level tuning.This strategy enables wide-bandgap(1.67 e V)perovskite solar cells with inverted structures with over 24%efficiency,an open-circuit voltage(V_(oc))of 1.268 V,and a certified fill factor(FF)of 86.8%,leading to a certified efficiency of 23.42%.The approach also enables high-efficiency semi-transparent devices and a mechanically stacked four-terminal perovskite/silicon tandem solar cell reaching 30.97%efficiency.展开更多
Hainan FTP will boost alignment with international rules in China’s opening up The Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening up and greater engageme...Hainan FTP will boost alignment with international rules in China’s opening up The Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening up and greater engagement in economic globalisation.Following years of exploration,the policy framework for the Hainan FTP has come into being,and the recent launch of island-wide special customs operations marks an important transition-from institutional design to full implementation.展开更多
The malalignment of teeth is treated classically by metal braces with alloy wires,which has an unfavorable influence on the patients appearance during the treatment.With the development of digitization,computer simula...The malalignment of teeth is treated classically by metal braces with alloy wires,which has an unfavorable influence on the patients appearance during the treatment.With the development of digitization,computer simulation and three-dimensional(3D)printing technology,herein,a modern treatment was tried using clear polymeric aligners,which were fabricated by molding polyurethane films via thermoforming on the 3D-printed personalized dental models.The key parameters of photocurable 3D printing of dental models and the mechanical properties of the clear aligner film material were examined.The precision of a 3D-printed dental model mainly relied on characteristics of photocurable resin,the resolution of light source and the exposure condition,which determined the eventual shape of the molded clear aligner and thus the orthodontic treatment efficacy.The biocompatibility of the polyurethane filmmaterial was confirmed through cytotoxicity and hemolysis tests in vitro.Following a series of 3D-printed personalized dental models and finite element analysis to predict and plan the fabrication and orthodontic processes,corresponding clear aligners were fabricated and applied in animal experiments,which proved the efficacy and biocompatibility in vivo.Clinical treatments of 120 orthodontic cases were finally carried out with success,which highlights the advantage of the clear aligners as an esthetic,compatible and efficient appliance.展开更多
This study aimed to explore the optimal invisible orthodontic force system during the en-mass distalization of two maxillary molars to minimize the side effect of anchorage loss by changing the direction of the applic...This study aimed to explore the optimal invisible orthodontic force system during the en-mass distalization of two maxillary molars to minimize the side effect of anchorage loss by changing the direction of the application of the orthodontic force system.A high bio-fidelity 3D finite element model including maxilla,periodontal ligament,dentition,clear aligner,3D anchorage attachment and mini-implant was established.Different lengths of lateral hooks of 3D-printed anchorage attachments and mini-implant positions into the palatal alveolus were considered.A 200 g distal force was applied to the lateral hooks of different horizontal lengths(3.26 mm,6.52 mm and 9.78 mm)with the mini-implant as the application point.Using ABAQUS software,orthodontic tooth movements under 12 different clinical treatment designs were analyzed and calculated.The 3D anchorage attachment enhanced the anchorage of anterior teeth and alleviated the tipping/extrusion of premolars.In contrast to without clear aligners,length of the lateral hook had a negligible effect on both mesial tipping and buccal tipping with clear aligners,which could then be ignored.The change in mesial tipping was less and nearly remained constant despite of the different heights of the mini-implant.The 3D anchorage attachment assisted clear aligner can avoid the side effects of anterior tooth proclination caused by insufficient anchorage.The length of the lateral hook,and height of the mini-implant in this invisible orthodontic force system hardly affects the tooth movement of anchorage units.Clear aligners can effectively control the rotation and tipping of anchorage units caused by 3D anchorage attachment.展开更多
Autografting is the gold standard for surgical repair of nerve defects>5 mm in length;however,autografting is associated with potential complications at the nerve donor site.As an alternative,nerve guidance conduit...Autografting is the gold standard for surgical repair of nerve defects>5 mm in length;however,autografting is associated with potential complications at the nerve donor site.As an alternative,nerve guidance conduits may be used.The ideal conduit should be flexible,resistant to kinks and lumen collapse,and provide physical cues to guide nerve regeneration.We designed a novel flexible conduit using electrospinning technology to create fibers on the innermost surface of the nerve guidance conduit and employed melt spinning to align them.Subsequently,we prepared disordered electrospun fibers outside the aligned fibers and helical melt-spun fibers on the outer wall of the electrospun fiber lumen.The presence of aligned fibers on the inner surface can promote the extension of nerve cells along the fibers.The helical melt-spun fibers on the outer surface can enhance resistance to kinking and compression and provide stability.Our novel conduit promoted nerve regeneration and functional recovery in a rat sciatic nerve defect model,suggesting that it has potential for clinical use in human nerve injuries.展开更多
文摘Clear aligner treatment is a novel technique in current orthodontic practice.Distinct from traditional fixed orthodontic appliances,clear aligners have different material features and biomechanical characteristics and treatment efficiencies,presenting new clinical challenges.Therefore,a comprehensive and systematic description of the key clinical aspects of clear aligner treatment is essential to enhance treatment efficacy and facilitate the advancement and wide adoption of this new technique.This expert consensus discusses case selection and grading of treatment difficulty,principle of clear aligner therapy,clinical procedures and potential complications,which are crucial to the clinical success of clear aligner treatment.
基金supported by grants from the Interdisciplinary Program of Wuhan National High Magnetic Field Center(No.WHMFC202207)China Oral Health Foundation(No.A2023-009).
文摘Maxillary protrusion combined with mandibular retraction is a highly prevalent but extremely complex maxillofacial deformity that can have a serious negative impact on patients’facial aesthetics and mental health.The traditional orthodontic treatment strategy often involves extracting 4 first premolars and conventional fixed techniques,combined with mini-implant screws,to retract the anterior teeth and improve facial protrusion.In recent years,an invisible orthodontic technique,without brackets,has become increasingly popular.However,while an invisible aligner has been used in some cases with reasonable results,there remain significant challenges in achieving a perfect outcome.This case report presents an adolescent patient with bimaxillary protrusion and mandibular retrognathia.Based on the characteristics of the invisible aligners and the growth characteristics of the adolescent’s teeth and jawbone,we designed precise three-dimensional tooth movement and corresponding resistance/over-correction for each tooth,while utilizing the patient’s jawbone growth potential to promote rapid development of the mandible,accurately and efficiently correcting bimaxillary protrusion and skeletal mandibular retrognathia.The patient’s facial aesthetics,especially the lateral morphology,have been greatly improved,and various aesthetic indicators have also shown significant changes,and to the patient’s great benefit,invasive mini-implant screws were not used during the treatment.This case highlights the advantages of using invisible aligners in adolescent maxillary protrusion combined with mandibular retraction patients.Furthermore,comprehensive and accurate design combined with good application of growth potential can also enable invisible orthodontic technology to achieve perfect treatment effects in tooth extractions,providing clinical guidance for orthodontists.
基金funded by the Orthodontic National Key Clinical Specialty Construction Program of Chinathe West China Hospital of Stomatology Sichuan Universitysupported by grants from the National Natural Science Foundation of China (Grant No. 31470904 and 81470722)
文摘The aim of this study was to evaluate and compare the colour stabilities of three types of orthodontic clear aligners exposed to staining agents in vitro. Sixty clear orthodontic aligners produced by three manufacturers （Invisalign, Angelalign, and Smartee） were immersed in three staining solutions （coffee, black tea, and red wine） and one control solution （distilled water）. After 12-h and 7-day immersions, the aligners were washed in an ultrasonic cleaner and measured with a colourimeter. The colour changes （△E＊） were calculated on the basis of the Commission Internationale de I＇Eclairage L＊a＊b＊ colour system （CIE L＊a＊b＊）, and the results were then converted into National Bureau of Standards （NBS） units. Fourier transformation infrared （FT-IR） spectroscopy and scanning electron microscopy （SEM） were conducted to observe the molecular and morphologic alterations to the aligner surfaces, respectively. The three types of aligners exhibited slight colour changes after 12 h of staining, with the exception of the Invisalign aligners stained with coffee. The Invisalign aligners exhibited significantly higher AE＊ values （ranging from 0.30 to 27.81） than those of the Angelalign and Smartee aligners （AE＊ values ranging from 0.33 to 1.89 and 0.32 to 1.61, respectively, P〈O.05）. IFT-IR analysis confirmed that the polymer-based structure of aligners did not exhibit significant chemical differences before and after the immersions. The SEM results revealed different surface alterations to the three types of aligner materials after the 7-day staining. The three types of aesthetic orthodontic appliances exhibited colour stability after the 12-h immersion, with the exception of the Invisalign aligners stained by coffee. The Invisalign aligners were more prone than the Angelalign and Smartee aligners to pigmentation. Aligner materials may be improved by considering aesthetic colour stability properties.
基金the Clinical Research Program of Ninth People’s Hospital affiliated to Shanghai Jiao Tong University School of Medicine(No.JYLJ-10)。
文摘This study was aimed at analysing the mechanical characteristics of different mandibular extraction modes using a clear aligner.Three experimental schemes of different extraction patterns were designed to treat mandibular crowding,including extraction of one mandibular central incisor,bilateral first premolars,and bilateral second premolars.The stress distribution during the space closing was analysed using the finite element method.When a central incisor was extracted,a significant retraction force was found in the anterior region,in line with the design expectation.The posterior teeth,which were designed to move mesially,acted as anchorage for anterior retraction,and were subjected to a mesial force.The anterior teeth were retracted when the bilateral first premolars were extracted.The lateral incisors and canines were subjected to a significant distal force and moment,while the central incisors and canines were subjected to lingual forces and moments.Additionally,the canines were subjected to a non-designated intruding force.The molars were designed to move mesially when the bilateral second premolars were extracted.All molars were subjected to a significant mesial force,while the lingual force on the front teeth was slight.The bilateral second molars were subjected to non-design mesial moment and extrusive force.The bilateral first molars were subjected to a non-designated mesial moment,and the bilateral first premolars on both sides were subjected to non-designated intrusive force and distal moment.When one incisor was extracted,attachments on the anterior teeth had a controlling effect on the tooth axis,but the anterior teeth still tended to tilt.When the bilateral first premolars were extracted,the anterior teeth showed a tendency for lingual inclination.The risk of distal inclination of the canines and lingual inclination of the central incisor increased.When the bilateral second premolars were extracted and the posterior teeth were designed to move mesially,the teeth on both sides of the extraction sites showed an obvious bowing effect.
基金supported by Postdoctoral Science Foundation of China(Nos.2018M630883 and 2019T120688)Hubei Province Chinese Medicine Research Project(No.ZY2023Q015)Natural Science Foundation of Hubei Province(No.2023AFB665)。
文摘With the increasing demand for beauty and health,clear aligners(CAs)have been widely applied among patients with malocclusion.However,patients treated with CAs also face some potential complications,such as demineralization,dental caries,and periodontal diseases.In addition,some patients have additional needs to improve their quality of life,such as bleaching teeth.In order to prevent or solve these problems,the modification of CAs is a promising method because their extensive long-term contact with tooth surfaces makes them ideal devices for implementing adjuvant medical functions.In this review,we discuss various advanced CAs with medical functions based on the clinical needs of patients.As far as we know,the additional functions of CAs mainly include antibacterial,remineralization,whitening,and accelerating tooth movement.These functions are achieved by two major pathways,the combination of CAs with drugs/biomaterials and increasing the capacity or affinity of drugs.In addition,we discuss the current limitations of in vitro experiments which are designed to explore the effectiveness and properties of novel CAs,and the challenges of bringing a multifunctional appliance from proposal to clinical application.At the end of this review,we provide insights into the broader prospects for the improvement of CAs.
基金approved by Institutional Review Board of Faculty of Medicine in Assiut University,No.04-2024-300470.
文摘BACKGROUND In an era leaning toward a personalized alignment of total knee arthroplasty,coronal plane alignment of the knee(CPAK)phenotypes for each population are studied;furthermore,other possible variables affecting the alignment,such as ankle joint alignment,should be considered.AIM To determine CPAK distribution in the North African(Egyptian)population with knee osteoarthritis and to assess ankle joint line orientation(AJLO)adaptations across different CPAK types.METHODS A cross-sectional study was conducted on patients with primary knee osteoarthritis and normal ankle joints.Radiographic parameters included the mechanical lateral distal femoral angle,medial proximal tibial angle,and the derived calculations of joint line obliquity(JLO)and arithmetic hip-knee-ankle angle(aHKA).The tibial plafond horizontal angle(TPHA)was used for AJLO assessment,where 0°is neutral(type N),<0°is varus(type A),and>0°is valgus(type B).The nine CPAK types were further divided into 27 subtypes after incorporating the three AJLO types.RESULTS A total of 527 patients(1054 knees)were included for CPAK classification,and 435 patients(870 knees and ankles)for AJLO assessment.The mean age was 57.2±7.8 years,with 79.5%females.Most knees(76.4%)demonstrated varus alignment(mean aHKA was-5.51°±4.84°)and apex distal JLO(55.3%)(mean JLO was 176.43°±4.53°).CPAK types I(44.3%),IV(28.6%),and II(10%)were the most common.Regarding AJLO,70.2%of ankles exhibited varus orientation(mean TPHA was-5.21°±6.45°).The most frequent combined subtypes were CPAK type I-A(33.7%),IV-A(21.5%),and I-N(6.9%).A significant positive correlation was found between the TPHA and aHKA(r=0.40,P<0.001).CONCLUSION In this North African cohort,varus knee alignment with apex distal JLO and varus AJLO predominated.CPAK types I,IV,and II were the most common types,while subtypes I-A,IV-A,and I-N were commonly occurring after incorporating AJLO types;furthermore,the AJLO was significantly correlated to aHKA.
基金supported by the National Natural Science Foundation of China(Nos.62304111,62304110,22579136)the National Key Research and Development Program of China(2024YFE0201800)+6 种基金the China Postdoctoral Science Foundation(No.2024M761492)the Project of State Key Laboratory of Organic Electronics and Information Displays(Nos.GDX2022010009,GZR2023010046)the Natural Science Research Start-up Foundation of Recruiting Talents of Nanjing University of Posts and Telecommunications(No.NY223053)the Science and Technology Project of Jiangsu(Science and Technology Cooperation Project of HongKong,Macao and Taiwan,No.BZ2023059)Shaanxi Fundamental Science Research Project for Mathematics and Physics(No.22jSY015)Young Talent Fund of Xi'an Association for Science and Technology(No.959202313020)Guangdong Provincial Key Laboratory of Semiconductor Optoelectronic Materials and Intelligent Photonic Systems(No.2023B1212010003).
文摘Surface passivation via two-dimensional(2D)perovskite has emerged as a promising strategy to enhance the performance of perovskite solar cells(PSCs)due to the effective compensation of interfacial states.However,the in situ grown 2D perovskite passivation layers typically comprise a mixture of multiple dimensionalities at the interface,where band alignment has only been portrayed qualitatively and empirically.Herein,the interface states for precisely phase-tailored 2D perovskite passivated PSCs are quantitatively investigated.In comparison to traditional passivation molecules,2D perovskite layers based on 4-trifluoromethyl-phenylethylammonium iodide(CF3PEAI)exhibit an increased work function,introducing desirable downward band bending to eliminate the Schottky Barrier.Furthermore,precisely phase-tailored 2D layers could modulate the interface trap density and energetics.The n=1 film delivers optimal performance with a hole extraction efficiency of 95.1%.The optimized n-i-p PSCs in the two-step method significantly improve PCE to 25.40%,along with enhanced photostability and negligible hysteresis.It highlights that tailoring in the composition and phase distribution of the 2D perovskite layer could modulate the interface states at the 2D/3D interface.
基金co-supported by the National Natural Science Foundation of China(No.52125504)the Liaoning Revitalization Talents Program(No.XLYC2202017)Dalian Support Policy Project for Innovation of Technological Talents(No.2023RG001)。
文摘The high-quality assembly of Large Aircraft Components(LACs)is essential in modern aviation manufacturing.Numerical control locators are employed for the posture adjustment of LAC,yet the system's multi-input multi-output,nonlinearity,and strong coupling presents significant challenges.The substantial internal force generated during the adjustment process can potentially damage the LAC and degrade the assembly quality.Hence,a workspace-based hybrid force position control scheme was developed to achieve high quality assembly with high-precision and lower internal force.Firstly,an offline workspace analysis with inherent geometric characteristics to form time-varying posture error constraint.Then,the posture error is integrated into the online position axis control to ensure tracking the ideal posture,while the force control axis compensates for posture deviation by minimizing internal force,thereby achieving high precision and low internal force.Finally,the effectiveness was demonstrated through experiments.The root mean square errors of orientation and position are 104 rad and 0.1 mm,respectively.A reduction in internal force can range from 10.96%to 57.4%compared to the traditional method.Key points'max position error is decreased from 0.32 mm to 0.18 mm,satisfying the 0.5 mm tolerance.Therefore,the proposed method will help promote the development of high-performance manufacturing.
基金supported by Joint Funds of the National Natural Science Foundation of China(Grant No.U21A20228).
文摘Root rot is a prevalent soil-borne fungal disease in citrus.Citron C-05(Citrus medica)stands out as a germplasm within Citrus spp.due to its complete resistance to citrus canker and favorable characteristics such as single embryo and easy rooting.However,Citron C-05 was found to be highly susceptible to root rot during cultivation,with the specific pathogens previously unknown.In this study,four candidate fungal species were isolated from Citron C-05 roots.Sequence analysis of ITS,EF-1a,RPB1,and RPB2 identified two Fusarium solani strains,Rr-2 and Rr-4,as the candidates causing root rot in Citron C-05.Resistance tests showed these two pathogens increased root damage rate from 10.30%to 35.69%in Citron C-05,sour orange(Citrus aurantium),sweet orange(Citrus sinensis)and pummelo(Citrus grandis).F.solani exhibited the weak pathogenicity towards trifoliate orange(Poncirus trifoliata).DAB staining revealed none of reddish-brown precipitation in the four susceptible citrus germplasm after infection with F.solani,while trifoliate orange exhibited significant H2O2 accumulation.Trypan blue staining indicated increased cell death in the four susceptible citrus germplasm following infection with these two pathogens but not in trifoliate orange.These findings provide a comprehensive understanding of citrus root rot and support future research on the mechanisms of root rot resistance in citrus.
基金funded by“the Fanying Special Program of the National Natural Science Foundation of China,grant number 62341307”“the Scientific research project of Jiangxi Provincial Department of Education,grant number GJJ200839”“theDoctoral startup fund of JiangxiUniversity of Technology,grant number 205200100402”.
文摘In multi-modal emotion recognition,excessive reliance on historical context often impedes the detection of emotional shifts,while modality heterogeneity and unimodal noise limit recognition performance.Existing methods struggle to dynamically adjust cross-modal complementary strength to optimize fusion quality and lack effective mechanisms to model the dynamic evolution of emotions.To address these issues,we propose a multi-level dynamic gating and emotion transfer framework for multi-modal emotion recognition.A dynamic gating mechanism is applied across unimodal encoding,cross-modal alignment,and emotion transfer modeling,substantially improving noise robustness and feature alignment.First,we construct a unimodal encoder based on gated recurrent units and feature-selection gating to suppress intra-modal noise and enhance contextual representation.Second,we design a gated-attention crossmodal encoder that dynamically calibrates the complementary contributions of visual and audio modalities to the dominant textual features and eliminates redundant information.Finally,we introduce a gated enhanced emotion transfer module that explicitly models the temporal dependence of emotional evolution in dialogues via transfer gating and optimizes continuity modeling with a comparative learning loss.Experimental results demonstrate that the proposed method outperforms state-of-the-art models on the public MELD and IEMOCAP datasets.
文摘Objective:Deep learning is employed increasingly in Gastroenterology(GI)endoscopy computer-aided diagnostics for polyp segmentation and multi-class disease detection.In the real world,implementation requires high accuracy,therapeutically relevant explanations,strong calibration,domain generalization,and efficiency.Current Convolutional Neural Network(CNN)and transformer models compromise border precision and global context,generate attention maps that fail to align with expert reasoning,deteriorate during cross-center changes,and exhibit inadequate calibration,hence diminishing clinical trust.Methods:HMA-DER is a hierarchical multi-attention architecture that uses dilation-enhanced residual blocks and an explainability-aware Cognitive Alignment Score(CAS)regularizer to directly align attribution maps with reasoning signals from experts.The framework has additions that make it more resilient and a way to test for accuracy,macro-averaged F1 score,Area Under the Receiver Operating Characteristic Curve(AUROC),calibration(Expected Calibration Error(ECE),Brier Score),explainability(CAS,insertion/deletion AUC),cross-dataset transfer,and throughput.Results:HMA-DER gets Dice Similarity Coefficient scores of 89.5%and 86.0%on Kvasir-SEG and CVC-ClinicDB,beating the strongest baseline by+1.9 and+1.7 points.It gets 86.4%and 85.3%macro-F1 and 94.0%and 93.4%AUROC on HyperKvasir and GastroVision,which is better than the baseline by+1.4/+1.6macro-F1 and+1.2/+1.1AUROC.Ablation study shows that hierarchical attention gives the highest(+3.0),followed by CAS regularization(+2–3),dilatation(+1.5–2.0),and residual connections(+2–3).Cross-dataset validation demonstrates competitive zero-shot transfer(e.g.,KS→CVC Dice 82.7%),whereas multi-dataset training diminishes the domain gap,yielding an 88.1%primary-metric average.HMA-DER’s mixed-precision inference can handle 155 pictures per second,which helps with calibration.Conclusion:HMA-DER strikes a compromise between accuracy,explainability,robustness,and efficiency for the use of reliable GI computer-aided diagnosis in real-world clinical settings.
基金supported by the National Key Research and Development Program of China(2024YFB4205000)the National Natural Science Foundation of China(52525405,62504071,and 52572217)+1 种基金the Natural Science Foundation of Henan Province(252300421255 and242300420313)the Key Research Projects of Higher Education Institutions in Henan Province(24A430003)。
文摘Kesterite Cu_(2)ZnSn(S,Se)_(4)(CZTSSe)solar cells suffer from significant open-circuit voltage(V_(OC))deficits due to severe interfacial and bulk recombination,restricting their power conversion efficiency(PCE)far below the ShockleyQueisser limit.This work proposes a low-temperature annealing strategy during ITO sputtering(SA)to synergistically address these challenges.The temperature applied during ITO sputtering not only improves the crystallinity,carrier concentration,and optical transmittance of the ITO layer but also promotes the diffusion of In from ITO into both CdS and CZTSSe layers.Consequently,lattice matching at the CZTSSe/CdS interface is optimized,enabling epitaxial growth.And a favorable ITO/In:CdS/In&Cd:CZTSSe structure with optimal band alignment is obtained.As a result,a champion device with a PCE of 1_(4).29%was achieved.The SA-treating also enabled the CZTSSe solar cells to achieve the highest V_(OC)reported to date,exceeding 590 mV.This underscores the essential role of SA processing in optimizing interface engineering and suppressing defects,thus promoting the development of low-cost,high-performance kesterite photovoltaics.
文摘Recent progress in inverted perovskite solar cells(i PSCs)highlights the critical role of interface engineering between the charge transport layer and perovskite.Self-assembled monolayers(SAM)on transparent conductive oxide electrodes serve effectively as hole transport layers,though challenges such as energy mismatches and surface inhomogeneities remain.Here,a blended self-assembled monolayer of(2-(9H-carbazol-9-yl)ethyl)phosphonic acid(2PACz)and(4-(3,6-Dimethyl-9H-carbazol-9-yl)butyl)phosphonic acid(Me-4PACz)is developed,offering improved surface potential uniformity and interfacial energy alignment compared to individual SAMs.Interactions between the SAMs and ionic species are investigated with simulation analysis conducted,revealing the elimination of interfacial energy barriers through precise energy-level tuning.This strategy enables wide-bandgap(1.67 e V)perovskite solar cells with inverted structures with over 24%efficiency,an open-circuit voltage(V_(oc))of 1.268 V,and a certified fill factor(FF)of 86.8%,leading to a certified efficiency of 23.42%.The approach also enables high-efficiency semi-transparent devices and a mechanically stacked four-terminal perovskite/silicon tandem solar cell reaching 30.97%efficiency.
文摘Hainan FTP will boost alignment with international rules in China’s opening up The Hainan Free Trade Port(FTP)represents a significant step forward in China’s pursuit of high-standard opening up and greater engagement in economic globalisation.Following years of exploration,the policy framework for the Hainan FTP has come into being,and the recent launch of island-wide special customs operations marks an important transition-from institutional design to full implementation.
基金supports from NSF of China(grants No.52130302,21961160721)National Key R&D Program of China(grant No.2016YFC1100300)。
文摘The malalignment of teeth is treated classically by metal braces with alloy wires,which has an unfavorable influence on the patients appearance during the treatment.With the development of digitization,computer simulation and three-dimensional(3D)printing technology,herein,a modern treatment was tried using clear polymeric aligners,which were fabricated by molding polyurethane films via thermoforming on the 3D-printed personalized dental models.The key parameters of photocurable 3D printing of dental models and the mechanical properties of the clear aligner film material were examined.The precision of a 3D-printed dental model mainly relied on characteristics of photocurable resin,the resolution of light source and the exposure condition,which determined the eventual shape of the molded clear aligner and thus the orthodontic treatment efficacy.The biocompatibility of the polyurethane filmmaterial was confirmed through cytotoxicity and hemolysis tests in vitro.Following a series of 3D-printed personalized dental models and finite element analysis to predict and plan the fabrication and orthodontic processes,corresponding clear aligners were fabricated and applied in animal experiments,which proved the efficacy and biocompatibility in vivo.Clinical treatments of 120 orthodontic cases were finally carried out with success,which highlights the advantage of the clear aligners as an esthetic,compatible and efficient appliance.
基金This work was supported by the National Natural Science Foundation of China(Grant No.12072055,11872135,U20A20390,U22A20314)Natural Science Foundation of Beijing(Grant No.L212063)+3 种基金the Fundamental Research Funds for the Central Universities,the 111 Project(No.B13003)the National Research Program of China(Grant No.2022YFC2504200)Orthodontic research project of youth clinical research fund of Chinese Stomatological Association(Grant No.CSA-O2020-07)Municipal graduate tutor team construction project(dstd201903).
文摘This study aimed to explore the optimal invisible orthodontic force system during the en-mass distalization of two maxillary molars to minimize the side effect of anchorage loss by changing the direction of the application of the orthodontic force system.A high bio-fidelity 3D finite element model including maxilla,periodontal ligament,dentition,clear aligner,3D anchorage attachment and mini-implant was established.Different lengths of lateral hooks of 3D-printed anchorage attachments and mini-implant positions into the palatal alveolus were considered.A 200 g distal force was applied to the lateral hooks of different horizontal lengths(3.26 mm,6.52 mm and 9.78 mm)with the mini-implant as the application point.Using ABAQUS software,orthodontic tooth movements under 12 different clinical treatment designs were analyzed and calculated.The 3D anchorage attachment enhanced the anchorage of anterior teeth and alleviated the tipping/extrusion of premolars.In contrast to without clear aligners,length of the lateral hook had a negligible effect on both mesial tipping and buccal tipping with clear aligners,which could then be ignored.The change in mesial tipping was less and nearly remained constant despite of the different heights of the mini-implant.The 3D anchorage attachment assisted clear aligner can avoid the side effects of anterior tooth proclination caused by insufficient anchorage.The length of the lateral hook,and height of the mini-implant in this invisible orthodontic force system hardly affects the tooth movement of anchorage units.Clear aligners can effectively control the rotation and tipping of anchorage units caused by 3D anchorage attachment.
基金supported by the National Natural Science Foundation of China,No.82202718the Natural Science Foundation of Beijing,No.L212050the China Postdoctoral Science Foundation,Nos.2019M664007,2021T140793(all to ZL)。
文摘Autografting is the gold standard for surgical repair of nerve defects>5 mm in length;however,autografting is associated with potential complications at the nerve donor site.As an alternative,nerve guidance conduits may be used.The ideal conduit should be flexible,resistant to kinks and lumen collapse,and provide physical cues to guide nerve regeneration.We designed a novel flexible conduit using electrospinning technology to create fibers on the innermost surface of the nerve guidance conduit and employed melt spinning to align them.Subsequently,we prepared disordered electrospun fibers outside the aligned fibers and helical melt-spun fibers on the outer wall of the electrospun fiber lumen.The presence of aligned fibers on the inner surface can promote the extension of nerve cells along the fibers.The helical melt-spun fibers on the outer surface can enhance resistance to kinking and compression and provide stability.Our novel conduit promoted nerve regeneration and functional recovery in a rat sciatic nerve defect model,suggesting that it has potential for clinical use in human nerve injuries.
