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Flexible large strain sensors are an ideal choice for monitoring human motion, but the current use of flexible strain gauges is hindered by the need for external power sources and long-term operation requirements. Fiber-based sensors, due to their high flexibility, excellent breathability, and the ease with which they can be embedded into everyday clothing, have the potential to become a novel type of wearable electronic device. This paper proposes a flexible self-powered strain sensing material based on the electromagnetic induction effect, composed of a uniform mixture of Ecoflex and Nd2Fe14B, which has good skin-friendliness and high stretchability of over 100%. The voltage output of the magnetoelectric composite fiber remains stable over 5000 stretch-release cycles, reaching up to 969 µV. Based on this novel sensing material, a remote smart car control scheme for a human-machine interaction system was designed, enabling real-time gesture interaction.
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OBJECTIVE: The purpose of the study is to develop a prognosis nomogram for esophageal squamous cell carcinoma (ESCC) patients with radical resection and to identify patients who may benefit from postoperative adjuvant radiotherapy/chemoradiotherapy through survival risk stratification. METHODS: We retrospectively enrolled patients who underwent esophagectomy in the First Affiliated Hospital of Nanjing Medical University from July 2015 to June 2017. Patients with stage I-III esophageal squamous cell carcinoma who received radical R0 resection with or without postoperative adjuvant radiotherapy/chemoradiotherapy were included. Further, patients were randomly allocated into two groups (training and validation cohorts) with a distribution ratio of 7:3. The prognosis nomogram was constructed based on independent factors determined by univariate and multivariate Cox analyses. The area under the receiver operating characteristic curve (AUC) and calibration curve were adopted to evaluate the discriminative ability and reliability of the nomogram. The accuracy and clinical practicability were respectively assessed by C-index values and decision curve analysis (DCA), and further contrasted the nomogram model and the eighth edition of the American Joint Committee on Cancer (AJCC) TNM staging system. In addition, survival risk stratification was further performed according to the nomogram, and the effect of postoperative adjuvant therapy on each risk group was appraised by the Kaplan-Meier survival analysis. RESULTS: A total of 399 patients with esophageal squamous cell carcinoma were recruited in this study, including the training cohort (n = 280) and the validation cohort (n = 119). The nomogram-related AUC values ââfor 1, 3, and 5-year OS were 0.900, 0.795, and 0.802, respectively, and 0.800, 0.865, 0.829 in the validation cohort, respectively. The slope of the calibration curve for both cohorts was close to 1, indicating good consistency. The C-index value of the nomogram was 0.769, which was higher than that of the AJCC 8th TNM staging system by 0.061 (p < 0.001). Based on the prognosis nomogram, patients were stratified into three risk groups (low, medium, and high), and there were obvious differences in prognosis among the groups (p < 0.001). Furthermore, postoperative adjuvant therapy has been shown to enhance the 5-year survival rate by over 15% among patients classified as medium- and high-risk. CONCLUSION: The constructed nomogram as developed resulted in accurate and effective prediction performance in survival outcomes for patients with stage I-III esophageal squamous cell carcinoma who underwent radical R0 resection, which is superior to the AJCC 8th TNM staging system. The survival risk stratification had potential clinical application to guide further personalized adjuvant therapy.
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Neoplasias Esofágicas , Carcinoma de Células Escamosas de Esófago , Esofagectomía , Nomogramas , Humanos , Femenino , Masculino , Persona de Mediana Edad , Carcinoma de Células Escamosas de Esófago/terapia , Carcinoma de Células Escamosas de Esófago/mortalidad , Carcinoma de Células Escamosas de Esófago/patología , Carcinoma de Células Escamosas de Esófago/cirugía , Neoplasias Esofágicas/mortalidad , Neoplasias Esofágicas/terapia , Neoplasias Esofágicas/patología , Neoplasias Esofágicas/cirugía , Estudios Retrospectivos , Pronóstico , Anciano , Medición de Riesgo/métodos , Radioterapia Adyuvante , Estadificación de Neoplasias , Quimioradioterapia Adyuvante/métodos , Curva ROC , Estimación de Kaplan-Meier , AdultoRESUMEN
Comparison of the structural features and catalytic performance of bimetallic nanocatalysts will help to develop a unified understanding of structure-reaction relationships. The single-molecule fluorescence technique was utilized to reveal the differences in catalytic kinetics among PtRu bimetallic nanocatalysts and Pt and Ru monometallic nanocatalysts at the single particle level. The results show that bimetallic nanocatalysts have higher apparent rate constants and desorption rate constants relative to monometallic nanocatalysts, which leads to their higher catalytic activity. At the single particle level, bimetallic nanocatalysts have a wider distribution of apparent rate constants, suggesting that bimetallic nanocatalysts have higher activity heterogeneity relative to monometallic nanocatalysts. By investigating the relationship between the reaction rate and the rate of dynamic activity fluctuations, it was found that spontaneous surface restructuring and reaction-induced surface restructuring of nanoparticles occurred. The surface of bimetallic nanoparticles restructured faster, which made the bimetallic nanocatalysts more active. These findings provide new insights into the design of highly active bimetallic nanocatalysts.
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Phase engineering is a critical strategy in electrocatalysis, as it allows for the modulation of electronic, geometric, and chemical properties to directly influence the catalytic performance. Despite its potential, phase engineering remains particularly challenging in thermodynamically stable perovskites, especially in a 2D structure constraint. Herein, we report phase engineering in 2D LaNiO3 perovskite using the strongly non-equilibrium microwave shock method. This approach enables the synthesis of conventional hexagonal and unconventional trigonal and cubic phases in LaNiO3 by inducing selective phase transitions at designed temperatures, followed by rapid quenching to allow precise phase control while preserving the 2D porous structure. These phase transitions induce structural distortions in the [LaO]+ layers and the hybridization between Ni 3d and O 2p states, modifying local charge distribution and enhancing electron transport during the six-electron urea oxidation process (UOR). The cubic LaNiO3 offers optimal electron transport and active site accessibility due to its high structural symmetry and open interlayer spacing, resulting in a low onset potential of 1.27â V and a Tafel slope of 33.1â mV dec-1 for UOR, outperforming most current catalysts. Our strategy features high designability in phase engineering, enabling various electrocatalysts to harness the power of unconventional phases.
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How to precisely control and efficiently utilize the physical processes such as high temperature, high pressure, and shockwaves during the collapse of cavitation bubbles is a focal concern in the field of cavitation applications. The viscosity change of the liquid will affect the bubble dynamics in turn, and further affect the precise control of intensity of cavitation field. This study used high-speed photography technology and schlieren optical path system to observe the spatiotemporal evolution of shockwaves in liquid with different viscosities. It was found that as the viscosity of the liquid increased, the wave front of the collapse shockwave of the cavitation bubble gradually thickened. Furthermore, a high-frequency pressure testing system was used to quantitatively analyze the influence of viscosity on the intensity of the shockwave. It was found that the pressure peak of the shockwave in different viscous liquid was proportional to Lb (L represented the distance between the center of bubble and the sensor measuring point), and the larger the viscosity was, the smaller the value of b was. Through in-depth analysis, it was found that as the viscosity of the liquid increased, the proportion of the shockwave energy of first bubble collapse to the maximal mechanical energy of bubble gradually decreased. The proportion of the mechanical energy of rebounding bubble to the maximal mechanical energy of bubble gradually increased. These new findings have an important theoretical significance for the efficient utilization of ultrasonic cavitation.
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Recent advances in wearable electronics have enabled the development of sweat sensors providing valuable information for healthcare monitoring. However, the limitations of sweat sensors are excessive dependence on external detection systems, the impossible to real-time visual signal transmission, and inadequate perspiration management. Herein, a single- and double-layer interwoven fabric (SDIF) is designed to achieve indicators of color visualization with an output of electrical signal and energy supply. After absorption of electrolyte, the SDIF can be rapidly activated, connected with the concentration, infiltrated volume, and environmental parameters, and the variational color of SDIF can provide visual indicators. The one tissue cycle of SDIF with three-weft intervals maintains a stable output voltage of ≈1.0 V, conducted by twisting, folding, dynamic bending, and reusing. Moreover, serial tissue cycles can be woven into large fabrics by connecting in series and parallel configurations for energy supply. The developed SDIF with an interweaving structural design using industrial-producible weaving technology provides the functionality of sweat adsorption and transportation, monitoring by recognition of color, and electrical signals to improve perspiration management.
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Depleting fossil energy sources and conventional polluting power generation pose a threat to sustainable development. Hydroelectricity generation from ubiquitous and spontaneous phase transitions between liquid and gaseous water has been considered a promising strategy for mitigating the energy crisis. Fibrous materials with unique flexibility, processability, multifunctionality, and practicability have been widely applied for fibrous materials-based hydroelectricity generation (FHG). In this review, the power generation mechanisms, design principles, and electricity enhancement factors of FHG are first introduced. Then, the fabrication strategies and characteristics of varied constructions including 1D fiber, 1D yarn, 2D fabric, 2D membrane, 3D fibrous framework, and 3D fibrous gel are demonstrated. Afterward, the advanced functions of FHG during water harvesting, proton dissociation, ion separation, and charge accumulation processes are analyzed in detail. Moreover, the potential applications including power supply, energy storage, electrical sensor, and information expression are also discussed. Finally, some existing challenges are considered and prospects for future development are sincerely proposed.
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The integration of solar interfacial evaporation and power generation offers a sustainable solution to address water and electricity scarcity. Although water-power cogeneration schemes are proposed, the existing schemes lack scalability, flexibility, convenience, and stability. These limitations severely limit their future industrial applications. In this study, we prepared a hybrid fabric composed of basalt fibers and cotton yarns with asymmetric structure using textile weaving technology. The cotton yarn in lower layer of fabric facilitates water transport, while the basalt fibers in upper layer enable thermal localization and water supply balancing. The carbon black is deposited on top layer by flame burning to facilitate photothermal conversion. The fabric exhibits a high evaporation rate of 1.52 kg m-2 h-1, which is 3.6 times that of pure water, and an efficiency of 88.06% under 1 kW m-2 light intensity. After assembly with a thermoelectric module, the hybrid system achieves a maximum output power density of 66.73 mW m-2. By exploiting the scalability of fabric, large-scale desalination and power production can be achieved in outdoor environments. This study demonstrates the seamless integration of fabric-based solar evaporation and waste heat-to-energy technologies, thereby providing new avenues for the development of scalable and stable water-power cogeneration systems.
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The conventional oil-absorbing materials utilized for addressing oil and organic solvent pollution are plagued by the issue of secondary pollution. In this study, biodegradable porous polylactic acid (PLA) fiber materials were prepared using centrifugal spinning technology, with PLA and polyvinyl butyral (PVB) as raw materials. PVB was utilized as a pore-forming agent to fabricate multi-layered porous PLA fiber materials. When the content of PVB in the spinning solution was 14 %, the porous PLA fibers exhibited the maximum specific surface area of 60.7 m2/g and a porosity of up to 85.4 %, interior of the fiber contained numerous mesopores. Additionally, the porous PLA fibers demonstrated excellent superhydrophobic oil absorption properties, with a water static contact angle of 137.8° and oil or organic solvent absorption capacities ranging from 10 to 17.7 g/g. Furthermore, porous PLA fiber materials exhibited outstanding biodegradability, with a degradation mass loss rate of 42.3-45.1 %. Therefore, superhydrophobic and oleophilic biomass-based PLA fiber materials prepared in centrifugal spinning show promising applications in the recovery of organic solvents and oily substances.
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Interacciones Hidrofóbicas e Hidrofílicas , Poliésteres , Solventes , Poliésteres/química , Solventes/química , Porosidad , Biodegradación AmbientalRESUMEN
To address the carbonate problem in the alkaline electrochemical CO2 reduction reaction (CO2RR), more attention has been paid to the CO2RR conducted in acidic electrolytes. The pH stability of such an acidic electrolyte is vital to make sure that the conclusion made in the so-called acidic CO2RR is reliable. Herein, based on reported model electrocatalysts for acidic CO2RR, by monitoring the varying of pH and alkali cation (K+) concentration along with the CO2RR performance in initially acidic electrolyte solution (K2SO4 with pH = 3.5), we unveil their remarkable CO2RR performance along with the rapid pH increase up to 9.5 in the cathode chamber and decrease down to 2.4 in the anode chamber due to the diffusion of K+ along with protons through the proton exchange membrane from the anode to the cathode chamber. We further reveal the rapid collapse of their CO2RR performance in a constant acid solution. This means that some previously reported "remarkable acidic CO2RR performances" actually originate from the alkaline rather than acidic electrolyte, and the conclusions made in such work need to be reconsidered. We also summarize the actual relationship between the CO2RR performance and catholyte pH in widely used Bi- and Sn-based catalysts. This work provides deeper insights into the stability of acidity and the pH effect on electrocatalysts for the CO2RR.
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OBJECTIVE: The early response to concurrent chemoradiotherapy in patients with locally advanced nasopharyngeal carcinoma (LA-NPC) is closely correlated with prognosis. In this study, we aimed to predict early response using a combined model that combines sub-regional radiomics features from multi-sequence MRI with clinically relevant factors. METHODS: A total of 104 patients with LA-NPC were randomly divided into training and test cohorts at a ratio of 3:1. Radiomic features were extracted from subregions within the tumor area using the K-means clustering method, and feature selection was performed using LASSO regression. Four models were established: a radiomics model, a clinical model, an Intratumor Heterogeneity (ITH) score-based model and a combined model that integrates the ITH score with clinical factors. The predictive performance of these models was evaluated using receiver operating characteristic (ROC) curves, calibration curves, and decision curve analysis (DCA). RESULTS: Among the models, the combined model incorporating the ITH score and clinical factors exhibited the highest predictive performance in the test cohort (AUC=0.838). Additionally, the models based on ITH score showed superior prognostic value in both the training cohort (AUC=0.888) and the test cohort (AUC=0.833). CONCLUSION: The combined model that integrates the ITH score with clinical factors exhibited superior performance in predicting early response following concurrent chemoradiotherapy in patients with LA-NPC.
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Imagen por Resonancia Magnética , Carcinoma Nasofaríngeo , Neoplasias Nasofaríngeas , Humanos , Masculino , Femenino , Imagen por Resonancia Magnética/métodos , Carcinoma Nasofaríngeo/diagnóstico por imagen , Carcinoma Nasofaríngeo/terapia , Carcinoma Nasofaríngeo/patología , Persona de Mediana Edad , Neoplasias Nasofaríngeas/diagnóstico por imagen , Neoplasias Nasofaríngeas/terapia , Neoplasias Nasofaríngeas/patología , Adulto , Quimioradioterapia/métodos , Anciano , Pronóstico , Resultado del Tratamiento , Curva ROCRESUMEN
Chitin has garnered significant attention due to its renewable, biocompatibility and biodegradability, while its practical application seriously hindered as the functionality of chitin itself can no longer meet people's increasing requirements for materials. Here, an effective method is successfully built for high-performance chitin fibers fabrication through a multi-step strategy that involved chemical pre-crosslinking, followed by wet-twisting and wet-stretching techniques, combined with physical cross-linking. The as-prepared chitin fiber exhibited a smooth surface, adjustable diameter, and mechanical strong properties (144.6 MPa). More importantly, functional chitin fiber with magnetic or conductive abilities can be easily obtained by spraying Fe3O4 particles or Ag nanowire on the chemical pre-crosslinking chitin gel film before stretching and twisting. The doped functional inorganic particles exist in a continuous ribbon structure in the fiber reduced the decrease in material strength caused by uneven particles dispersion, resulting 88.4 % of stress and 91.6 % of strain retention. This work not only bestow invaluable insights into the fabrication of functional chitin fibers but also provide a novel approach to solve the problem of poor compatibility between organic and inorganic composite materials.
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Quitina , Quitina/química , Materiales Biocompatibles/química , Fenómenos Mecánicos , Nanocables/químicaRESUMEN
Tissue engineered heart valves (TEHVs) demonstrates the potential for tissue growth and remodel, offering particular benefit for pediatric patients. A significant challenge in designing functional TEHV lies in replicating the anisotropic mechanical properties of native valve leaflets. To establish a biomimetic TEHV model, we employed melt-electrowriting (MEW) technology to fabricate an anisotropic PCL scaffold. By integrating the anisotropic MEW-PCL scaffold with bioactive hydrogels (GelMA/ChsMA), we successfully crafted an elastic scaffold with tunable mechanical properties closely mirroring the structure and mechanical characteristics of natural heart valves. This scaffold not only supports the growth of valvular interstitial cells (VICs) within a 3D culture but also fosters the remodeling of extracellular matrix of VICs. The in vitro experiments demonstrated that the introduction of ChsMA improved the hemocompatibility and endothelialization of TEHV scaffold. The in vivo experiments revealed that, compared to their non-hydrogel counterparts, the PCL-GelMA/ChsMA scaffold, when implanted into SD rats, significantly suppressed immune reactions and calcification. In comparison with the PCL scaffold, the PCL-GelMA/ChsMA scaffold exhibited higher bioactivity and superior biocompatibility. The amalgamation of MEW technology and biomimetic design approaches provides a new paradigm for manufacturing scaffolds with highly controllable microstructures, biocompatibility, and anisotropic mechanical properties required for the fabrication of TEHVs.
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Válvulas Cardíacas , Hidrogeles , Ratas Sprague-Dawley , Ingeniería de Tejidos , Andamios del Tejido , Ingeniería de Tejidos/métodos , Animales , Andamios del Tejido/química , Anisotropía , Ratas , Hidrogeles/química , Materiales Biocompatibles/química , Prótesis Valvulares Cardíacas , Poliésteres/química , Células Cultivadas , Humanos , Matriz Extracelular/química , MasculinoRESUMEN
Solar-driven interfacial evaporation is an emerging desalination technology that can potentially relieve the freshwater scarcity issue. To obtain high and continuous evaporation rates for all-weather, chemically engineered structural materials have been widely explored for simultaneous photothermal and electrothermal conversion. However, many previously reported fabrication processes involve poor integration and considerable energy loss. Herein, a scalable photo-electro-thermal textile is proposed to enable high efficiency, long-term salt rejection, and solar-driven desalination. Specifically, the photo-electro-thermal yarns with a core (commercial electric wire)-shell (polypyrrole-decorated Tencel) structure realize the integration of electrothermal and photothermal conversion. The wrapping eccentricity of 1.53 mm and pitch of 3 T cm-1 for the electric wire are rationally regulated to achieve a high surface temperature of over 52 °C at a 3 V DC input. As a result, exceptional and stable evaporation rates of 5.57 kg m-2 h-1 (pure water) and 4.89 kg m-2 h-1 (3.5 wt.% brine) under 1 kW m-2·radiation with a 3 V input voltage are realized. Practical application shows that the textiles can achieve high water collection of over 46 kg m-2 d-1 over the whole day of operation. The constructed photo-electro-thermal textile-based evaporator provides an effective method for commercial and scalable photo-electro-thermal conversion to achieve high-performance and salt-resistant solar-driven desalination.
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OBJECTIVE: The aim of this study is to evaluate the efficacy and cost-effectiveness of various induction chemotherapy (IC) regimens as first-line treatment for Locoregionally advanced nasopharyngeal carcinoma (LA-NPC), aiming to provide clinicians and patients with informed insights to aid in treatment decision-making. PATIENTS AND METHODS: We conducted a network meta-analysis (NMA) and cost-effectiveness analysis (CEA) based on data from 10 clinical trials investigating IC regimens for the treatment of LA-NPC. A Bayesian NMA was performed, with the primary outcomes being hazard ratios (HRs) for disease-free survival (DFS) and overall survival (OS). To model the disease progression of LA-NPC, we developed a dynamic partitioned survival model consisting of three disease states: progression-free survival (PFS), progression disease (PD), and death. The model was run on a 3-week cycle for a research period of 10 years, with quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratios (ICERs) serving as outcome measures. RESULTS: According to the surface under the cumulative ranking curve (SUCRA) estimates derived from the NMA, TPC and TP, as IC regimens, appear to exhibit superior efficacy compared to other treatment modalities. In terms of CEA, concurrent chemoradiotherapy (CCRT), TPF + CCRT, and GP + CCRT were found to be dominated (more costs and less QALYs). Comparatively, TPC + CCRT emerged as a cost-effective option with an ICER of $1260.57/QALY when compared to PF + CCRT. However, TP + CCRT demonstrated even greater cost-effectiveness than TPC + CCRT, with an associated increase in costs of $3300.83 and an increment of 0.1578 QALYs per patient compared to TPC + CCRT, resulting in an ICER of $20917.62/QALY. CONCLUSION: Based on considerations of efficacy and cost-effectiveness, the TP + CCRT treatment regimen may emerge as the most favorable first-line therapeutic approach for patients with LA-NPC.
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Análisis Costo-Beneficio , Quimioterapia de Inducción , Carcinoma Nasofaríngeo , Neoplasias Nasofaríngeas , Metaanálisis en Red , Humanos , Carcinoma Nasofaríngeo/tratamiento farmacológico , Carcinoma Nasofaríngeo/economía , Carcinoma Nasofaríngeo/mortalidad , Quimioterapia de Inducción/economía , Quimioterapia de Inducción/métodos , Neoplasias Nasofaríngeas/tratamiento farmacológico , Neoplasias Nasofaríngeas/economía , Años de Vida Ajustados por Calidad de Vida , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Protocolos de Quimioterapia Combinada Antineoplásica/economía , Análisis de Costo-EfectividadRESUMEN
Genome-wide association study (GWAS) is a powerful tool to identify genomic loci underlying complex traits. However, the application in natural populations comes with challenges, especially power loss due to population stratification. Here, we introduce a bivariate analysis approach to a GWAS dataset of Arabidopsis thaliana. We demonstrate the efficiency of dual-phenotype analysis to uncover hidden genetic loci masked by population structure via a series of simulations. In real data analysis, a common allele, strongly confounded with population structure, is discovered to be associated with late flowering and slow maturation of the plant. The discovered genetic effect on flowering time is further replicated in independent datasets. Using Mendelian randomization analysis based on summary statistics from our GWAS and expression QTL scans, we predicted and replicated a candidate gene AT1G11560 that potentially causes this association. Further analysis indicates that this locus is co-selected with flowering-time-related genes. The discovered pleiotropic genotype-phenotype map provides new insights into understanding the genetic correlation of complex traits.
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Arabidopsis , Flores , Estudio de Asociación del Genoma Completo , Fenotipo , Sitios de Carácter Cuantitativo , Arabidopsis/genética , Estudio de Asociación del Genoma Completo/métodos , Flores/genética , Polimorfismo de Nucleótido Simple , Genotipo , Modelos Genéticos , Genética de Población , Simulación por Computador , Alelos , Genoma de Planta , Análisis de la Aleatorización MendelianaRESUMEN
The current standard treatment for locally advanced squamous cell carcinoma of the head and neck (LASCCHN) comprises concurrent radiotherapy (CRT) alongside platinum-based chemotherapy. However, innovative therapeutic alternatives are being evaluated in phase II/III randomized trials. This study employed a Bayesian network meta-analysis (NMA) using fixed effects to provide both direct and indirect comparisons of all existing treatment modalities for unresectable LASCCHN. METHODS: We referenced randomized controlled trials (RCTs) from January 2000 to July 2023 by extensively reviewing PubMed, EMBASE, and Web of Science databases, adhering to the Cochrane methodology. Relevant data, including summary estimates of overall survival (OS) and progression-free survival (PFS), were extracted from these selected studies and recorded in a predefined database sheet. Subsequently, we conducted a random effects network meta-analysis using a Bayesian framework. RESULTS: Based on the Surface Under the Cumulative Ranking (SUCRA) values, the league table organizes the various treatments for OS in the following order: IC + RT&MTT, MTT-CRT, IC + CRT&MTT, CRT, IC + CRT, MTT-RT, IC + MTT-RT, and RT. In a similar order, the treatments rank as follows according to the league table: IC + CRT&MTT, MTT-CRT, IC + CRT, IC + RT&MTT, CRT, IC + MTT-RT, MTT-RT, and RT. Notably, none of these treatments showed significant advantages over concurrent chemoradiotherapy. CONCLUSION: Despite concurrent chemoradiotherapy being the prevailing treatment for LASCCHN, our findings suggest the potential for improved outcomes when concurrent chemoradiotherapy is combined with targeted therapy or induction chemotherapy.
The current standard treatment for advanced head and neck cancer involves combining radiation therapy with chemotherapy. However, there are ongoing trials exploring alternative therapies. In this study, we conducted a comprehensive analysis of existing treatments using a statistical method called network meta-analysis. Our analysis included data from randomized controlled trials published between January 2000 and July 2023. We focused on overall survival and progression-free survival as key outcome measures. The results of our analysis showed that none of the alternative treatments demonstrated significant advantages over the standard concurrent chemoradiotherapy. Nevertheless, there is potential for improved outcomes when targeted therapy or induction chemotherapy is combined with concurrent chemoradiotherapy.
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Neoplasias de Cabeza y Cuello , Metaanálisis en Red , Carcinoma de Células Escamosas de Cabeza y Cuello , Humanos , Carcinoma de Células Escamosas de Cabeza y Cuello/terapia , Carcinoma de Células Escamosas de Cabeza y Cuello/mortalidad , Carcinoma de Células Escamosas de Cabeza y Cuello/patología , Neoplasias de Cabeza y Cuello/terapia , Neoplasias de Cabeza y Cuello/mortalidad , Neoplasias de Cabeza y Cuello/patología , Quimioradioterapia/métodos , Teorema de Bayes , Ensayos Clínicos Controlados Aleatorios como Asunto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéuticoRESUMEN
Although electronic textiles that can detect external stimuli show great promise for fire rescue, existing firefighting clothing is still scarce for simultaneously integrating reliable early fire warning and real-time motion sensing, hardly providing intelligent personal protection under complex high-temperature conditions. Herein, we introduce an "all-in-one" hierarchically sandwiched fabric (HSF) sensor with a simultaneous temperature and pressure stimulus response for developing intelligent personal protection. A cross-arranged structure design has been proposed to tackle the serious mutual interference challenge during multimode sensing using two separate sets of core-sheath composite yarns and arrayed graphene-coated aerogels. The functional design of the HSF sensor not only possesses wide-range temperature sensing from 25 to 400 °C without pressure disturbance but also enables highly sensitive pressure response with good thermal adaptability (up to 400 °C) and wide pressure detection range (up to 120 kPa). As a proof of concept, we integrate large-scalable HSF sensors onto conventional firefighting clothing for passive/active fire warning and also detecting spatial pressure and temperature distribution when a firefighter is exposed to high-temperature flames, which may provide a useful design strategy for the application of intelligent firefighting protective clothing.
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Presión , Temperatura , Textiles , Textiles/análisis , Humanos , Incendios , Bomberos , Ropa de Protección , Grafito/química , Dispositivos Electrónicos VestiblesRESUMEN
The exceptional biocompatibility and adaptability of hydrogels have garnered significant interest in the biomedical field for the fabrication of biomedical devices. However, conventional synthetic hydrogels still exhibit relatively weak and fragile properties. Drawing inspiration from the photosynthesis process, we developed a facile approach to achieve a harmonious combination of superior mechanical properties and efficient preparation of silk fibroin hydrogel through photo-cross-linking technology, accomplished within 60 s. The utilization of riboflavin and H2O2 enabled a sustainable cyclic photo-cross-linking reaction, facilitating the transformation from tyrosine to dityrosine and ultimately contributing to the formation of highly cross-linked hydrogels. These photo-cross-linking hydrogels exhibited excellent elasticity and restorability even after undergoing 1000 cycles of compression. Importantly, our findings presented that hydrogel-encapsulated adipose stem cells possess the ability to stimulate cell proliferation along with stem cell stemness. This was evidenced by the continuous high expression levels of OCT4 and SOX2 over 21 days. Additionally, the utilization of photo-cross-linking hydrogels can be extended to various material molding platforms, including microneedles, microcarriers, and bone screws. Consequently, this study offered a significant approach to fabricating biomedical hydrogels capable of facilitating real-time cell delivery, thereby introducing an innovative avenue for designing silk devices with exceptional machinability and adaptability in biomedical applications.