Vancomycin-encapsulated hydrogel loaded microarc-oxidized 3D-printed porous Ti6Al4V implant for infected bone defects: Reconstruction, anti-infection, and osseointegration.

Infected bone defect is a formidable clinical challenge. Conventional approaches to prevention and treatment for infected bone defects are unsatisfactory. The key elements of the treatment are bone defect reconstruction, anti-infection, and osteogenesis. Conventional treatment methods remain unsatisfactory owing to the absence of composite integrating materials with anti-infective, and osteogenic activities as well as proper mechanical strength at the same time. In this study, we fabricated a vancomycin-encapsulated hydrogel with bacteria-responsive release properties combined with a shaved porous (submicron-micron) three-dimensional-printed Ti6Al4V implant. The implant surface, modified with submicron-sized pores through microarc oxidation (MAO), showed enhanced osteogenic activity and integrated well with the hydrogel drug release system, enabling sustained vancomycin release. In vitro experiments underscored the commendable antibacterial ability, biosafety, and osteoinductive potential. Effective antibacterial and osteogenic abilities of the implant were further demonstrated in vivo in infected rabbit bone defects. These results showed that the vancomycin-encapsulated hydrogel-loaded microarc-oxidized 3D-printed porous Ti6Al4V can repair the infected bone defects with satisfactory anti-infection and osseointegration effects.

Bioactive Nb2C MXene-Functionalized Hydrogel with Microenvironment Remodeling and Enhanced Neurogenesis to Promote Skeletal Muscle Regeneration and Functional Restoration.

The complete structure-functional repair of volumetric muscle loss (VML) remains a giant challenge and biomedical hydrogels to remodel microenvironment and enhance neurogenesis have appeared to be a promising direction. However, the current hydrogels for VML repair hardly achieve these two goals simultaneously due to their insufficient functionality and the challenge in high-cost of bioactive factors. In this study, a facile strategy using Nb2C MXene-functionalized hydrogel (OPTN) as a bioactive scaffold is proposed to promote VML repair with skeletal muscle regeneration and functional restoration. In vitro experiments show that OPTN scaffold can effectively scavenge reactive oxygen species (ROS), guide macrophages polarization toward M2 phenotype, and resist bacterial infection, providing a favorable microenvironment for myoblasts proliferation as well as the endothelial cells proliferation, migration, and tube formation. More importantly, OPTN scaffold with electroactive feature remarkably boosts myoblasts differentiation and mesenchymal stem cells neural differentiation. Animal experiments further confirm that OPTN scaffold can achieve a prominent structure-functional VML repair by attenuating ROS levels, alleviating inflammation, reducing fibrosis, and facilitating angiogenesis, newborn myotube formation, and neurogenesis. Collectively, this study provides a highly promising and effective strategy for the structure-functional VML repair through designing bioactive multifunctional hydrogel with microenvironment remodeling and enhanced neurogenesis.

Hierarchical Magnetic Carbon Nanoflowers for Ultra-Efficient Electromagnetic Wave Absorption.

Porous carbon nanomaterials are widely applied in the electromagnetic wave absorption (EMWA) field. Among them, an emerging flower-like carbon nanomaterial, termed carbon nanoflowers (CNFs), has attracted tremendous research attention due to their unique hierarchical flower-like structure. However, the design of flower-like carbon nanomaterials with different magnetic cores for EMWA has rarely been reported. Herein, a general template method is proposed to achieve a set of high-quality magnetic CNFs, namely Co@Void@CNFs, CoNi@CNFs, and Ni@CNFs. The prepared magnetic CNFs have highly accessible surface area and internal space, rich heteroatom content, multi-scale pore system, and uniform and highly dispersed magnetic nanoparticles, as a result, deliver superior EMWA performance. Specifically, when the thickness is 2.6 mm, the Co@Void@CNFs exhibit a maximum refection loss (RLmax) of -56.6 dB and an effective absorption bandwidth (EAB) from 8.0 to 12.1 GHz covering the whole X band. The CoNi@CNFs have an RLmax of up to -57.6 dB and a wide EAB of 5.6 GHz at just 1.9 mm. For the Ni@CNFs, possess an ultra-broad EAB of 6.1 GHz, covering the entire Ku band at 2.0 mm. Overall, the hierarchical magnetic carbon nanoflowers proposed here offer new insights toward realizing multifunctional integrated carbon nanomaterials for EMWA.

Global Burden of Ischemic Heart Disease from 2022 to 2050: Projections of Incidence, Prevalence, Deaths, and Disability-Adjusted Life Years.

AIMS: Ischemic heart disease (IHD) has been a significant public health issue worldwide. This study aims to predict the global burden of IHD in a timely and comprehensive manner. METHODS AND RESULTS: Incidence, prevalence, deaths, and disability-adjusted life years (DALYs) for IHD from 1990 to 2021 were derived from the Global Burden of Disease 2021 database and three models (linear, exponential, and Poisson regression) were used to estimate their trends over time at the global, regional, and national levels by age, sex, and country groups, with the gross domestic product per capita was applied to adjust the model. The model results revealed that the global burden of IHD is expected to increase continuously by 2050. By 2050, global IHD incidence, prevalence, deaths, and DALYs are projected to reach 67.3 million, 510 million, 16 million, and 302 million, respectively, which represents an increase of 116%, 106%, 80%, and 62% from 2021. Moreover, the results showed that regions with lower socio-demographic index (SDI) bore a greater burden of IHD than those with higher SDI, with men having a higher burden of IHD than women. People over 70 years old account for a major part of the burden of IHD, and premature death of IHD is also becoming more serious. CONCLUSION: The global burden of IHD will increase further by 2050, potentially due to population aging and economic disparities. Hence, it is necessary to strengthen the prevention of IHD and formulate targeted strategies according to different SDI regions and special populations.

Step by step and combined supporting technique with allowable deformation + limiting shape for soft rock roadway.

Aiming at the difficult problems of the large deformation in weakly cemented soft rock roadways, the reasons of large deformation are analyzed for roadways in Hongqingliang coal mine. On this basis, the principle of step by step combined support technology based on allowable deformation + limiting shape for weakly cemented soft rock roadway is proposed, and the optimal support parameters of step by step combined technology are determined by FLAC3D. Step by step combined support technology includes the primary support of anchor bolt + anchor cable + initial shotcrete and the secondary support of U-shaped steel shed + filling flexible material behind shed + control of key parts. The comparative analysis on the site shows that the deformation rate and final deformation amount of the surrounding rock after the step by step combined support are less than those of the primary support, and the deformation of the surrounding rock can be controlled effectively after the secondary support is added. Step by step combined support is superior to the traditional bolt + anchor cable combined repair in terms of economy and efficiency. The optimal construction period of each working procedure of the step by step combined technology is 28 days after the completion of the first support, and the step by step combined support based on allowable deformation + limiting shape is an effective way to control the surrounding rock of soft rock roadway.

Doped Porous Carbon Spheres with Controllable Vesicle Structure: Preparation and the Effects of Pore Size on Electromagnetic Wave Absorption Properties.

This work reports on the preparation of uniform vesicle-structural carbon spheres doped with heteroatoms of N, P, and S, with the pore sizes strictly controlled by the hard templates of monodisperse submicron SiO2 spheres. The uniformly doped vesicular carbon microspheres are obtained in three steps: Stöber hydrolysis for the SiO2; in situ polymerization for the immobilization; and alkaline etching after carbonization. The size of the vesicles can be easily adjusted by regulating the particle size of the submicron SiO2 spheres, which has a significant effect on its electromagnetic wave (EMW) absorption performance. Compared with microspheres with pore sizes of 180 and 480 nm, when the vesicle aperture is 327 nm, with only 5.5 wt.% filling load and 1.9 mm thickness, the material shows the best EMW absorption behavior with the effective absorption bandwidth (EAB) covers the entire Ku band (6.32 GHz) and the minimum reflection loss (RLmin) of -36.10 dB, suggesting the optimized pore size of the microspheres can significantly improve the overall impedance matching of the material and achieve broadband wave absorption. This work paves the way for the enhancement of EMW absorption properties of porous material by optimizing the pore size of uniform apertures while maintaining their composition.

Circular RNA CircFOXO3 Functions as a Competitive Endogenous RNA for Acid-Sensing Ion Channel Subunit 1 Mediating Oxeiptosis in Nucleus Pulposus.

Oxeiptosis is a reactive oxygen species (ROS)-induced pathway of cell death. The involvement of circular RNAs (circRNAs) has been confirmed in the incidence and progression of intervertebral disc degeneration (IVDD). However, whether oxeiptosis occurs in IVDD and how circRNAs regulate oxeiptosis is still unclear. In this study, we discovered that oxeiptosis could be induced in nucleus pulposus cells (NPCs), and circFOXO3 was significantly upregulated after oxeiptosis induction. Transfection using circFOXO3 small interfering RNA (siRNA) significantly inhibited oxeiptosis in NPCs. Mechanistically, circFOXO3 upregulated acid-sensing ion channel subunit 1 (ASIC1) expression by functioning as a molecular sponge for miR-185-3p and miR-939-5p. Subsequent rescue experiments validated that circFOXO3 could regulate oxeiptosis in NPCs via the miR-185-3p/miR-939-5p-ASIC1 axis. Further research on ASIC1 functions indicated that this regulation was achieved by affecting the Calcium ion (Ca2+) influx mediated by ASIC1. A mouse IVDD model was established, and silencing circFOXO3 in vivo was found to inhibit IVDD development and the activation of the oxeiptosis-related pathway. Overall, circFOXO3 is one of the factors contributing to the progression of IVDD by mediating oxeiptosis.

S-NiSe/HG Nanocomposites with Balanced Dielectric Loss Encapsulated in Room-Temperature Self-Healing Polyurethane for Microwave Absorption and Corrosion Protection.

Exploring anticorrosion electromagnetic wave (EMW) absorbing materials in harsh conditions remains a challenge. Herein, S-NiSe/HG nanocomposites encapsulated in room-temperature self-healing polyurethane (S-NiSe/HG/SPU) were exploited as superior anticorrosion EMW absorbing materials. A dual-defect engineering collaborative Schottky interface construction endows S-NiSe/HG with a high vacancy concentration, abundant defects, and moderate conductivity. These structural merits synergistically balance dielectric loss by enhancing dipole-interface polarization loss and optimizing conduction loss. As a result, S-NiSe/HG demonstrates the optimal EMW absorption performance with a minimum reflection loss (RLmin) of -54.8 dB and an adequate absorption bandwidth (EAB) of 7.1 GHz. Besides, S-NiSe/HG/SPU combines the maze effect of S-NiSe/HG with the active repair capability of SPU, thereby providing long-term corrosion resistance for the Mg alloy. Even under corrosion for 10 days, S-NiSe/HG/SPU affords a low corrosion current density (1.3 × 10-5 A) and high charge transfer resistance (3796 Ω cm2). Overall, this work provides valuable insights for in-depth exploration of dielectric loss and development of multifunctional EMW-absorbing materials.

Short-and long-term outcomes of one-stage versus two-stage gastrectomy for perforated gastric cancer: a multicenter retrospective propensity score-matched study.

OBJECTIVE: There is no scientific consensus about the treatment of perforated gastric cancer (PGC). Therefore, the aim of this study was to investigate which is the better treatment option for PGC between the single-stage and two-stage strategies. METHODS: All 81 PGC patients from 13 medical institutions were retrospectively enrolled in this study. The PGC patients who underwent R0 gastrectomy were divided into one-stage surgery and two-stage surgery groups. The clinicopathological characteristics of the two groups were compared, and 415 regular gastric cancer patients without perforation were randomly selected as a control. The propensity score matching (PSM) method was used to find matched regular GC patients with similar clinicopathological parameters. The OS (overall survival) and the number harvested lymph nodes from PGC patients and regular GC patients were compared. RESULTS: Compared with PGC patients who underwent one-stage surgery, those who underwent two-stage surgery harvested significantly more lymph nodes [31(27, 38) vs 17 (12, 24), P < 0.001], required less blood transfusion [0 (0, 100) vs 200 (0, 800), P = 0.034], had a shorter ICU stay [0 (0, 1.5) vs 3 (0, 3), P = 0.009], and had a significantly better OS (Median OS: 45 months vs 11 months, P = 0.007). Compared with propensity score-matched regular GC patients without perforation, PGC patients who underwent one-stage gastrectomy had a poorer quality of lymphadenectomy [17 (12, 24) vs 29 (21, 37), P < 0.001] and suffered a worse OS (Median OS: 18 months vs 30 months, P = 0.024). Conversely, two-stage gastrectomy can achieve a comparable quality of lymphadenectomy (P = 0.506) and a similar OS (P = 0.096) compared to propensity score-matched regular GC patients. CONCLUSIONS: For PGC patients in poor condition, two-stage treatment is a better option when D2 radical gastrectomy cannot be achieved in emergency surgery, based on our findings that two-stage gastrectomy could provide PGC patients with a better quality of lymphadenectomy and a better OS.

Advances in natural polysaccharides for gold recovery from e-waste: Recent developments in preparation with structural features.

The increasing demand for gold because of its high market price and its wide use in the electronic industry has attracted interest in gold recovery from electronic waste (e-waste). Gold is being dumped as solid e-waste which contains gold concentrations ten times higher than gold ores. Adsorption is a widely used approach for extracting gold from e-waste due to its simplicity, low cost, high efficiency, and reusability of adsorbent material. Natural polysaccharides received increased attention due to their natural abundance, multi-functionality, biodegradability, and nontoxicity. In this review, a brief history, and advancements in this technology were evaluated with recent developments in the preparation and mechanism advancements of natural polysaccharides for efficient gold recovery. Moreover, we have discussed some bifunctional modified polysaccharides with detailed gold adsorption mechanisms. The modified adsorbent materials developed from polysaccharides coupled with inorganic/organic functional groups would demonstrate an efficient technology for the development of new bio-based materials for efficient gold recovery from e-waste. Also, future views are recommended for highlighting the direction to achieve fast and effective gold recovery from e-waste in a friendly and sustainable manner.

Effect of Crystal Transformation on the Intrinsic Defects and the Microwave Absorption Performance of Mo2 TiC2 Tx /RGO Microspheres.

The nitrides and carbides of transition metals are highly favored due to their excellent physical and chemical properties, among which MXene is a hot research topic for microwave absorption. Herein, the controlled preparation of 3D Mo2 TiC2 Tx -based microspheres toward microwave absorption is reported for the first time. With the merits of the performances of both reduced graphite oxide (RGO) and MXene sufficiently considered, the influence of carbonization temperature on the internal crystal structure and the effective microwave-material interaction surface of the prepared Mo2 TiC2 Tx /RGO is systematically investigated. The structure-activity relationships relating the apparent morphology and crystal structure to the microwave absorption performance are deeply explored, and the wave absorption mechanism is put forward as well. The results show that the Mo2 TiC2 Tx /RGO-700 product obtained after heating treatment at 700 °C exhibits excellent microwave absorption performance, with the RLmin being up to -55.1 dB@2.1 mm@13.8 GHz, and the corresponding effective absorption bandwidth covering 5.7 GHz. The outstanding microwave absorption characteristics are attributed to the appropriate impedance matching, high specific surface area, rich intrinsic defects, desirable conductivity, and strong multipolarization capabilities. This work enriches the types of MXene-based composite absorbers and provides a new strategy for controlled preparation of high-performance 3D composite absorbers.

Quantitative investigation of surfactant monolayer bending tendency at an oil-polar solvent interface using DPD modeling and artificial neural networks.

The bending tendency of a surfactant monolayer at an interface is critical in determining the type of emulsion formed and the proximity of the emulsion system to its equilibrium state. Despite its importance, the influence of interaction and surfactant structure on the bending tendency has not been quantitatively investigated. In this study, we develop and validate an artificial neural network (ANN) model based on the torque densities from dissipative particle dynamics (DPD) simulations to address this gap. With the validated ANN model, the relationship between surfactant monolayer bending tendency and all the interaction parameters, oil size, and surfactant structure (size and tail branching) was derived, from which the significance of each factor was ranked. With this ANN model, both the relationship and factor analysis can be instantly investigated without further DPD modeling. Furthermore, we expand the study to surfactant-oil-polar solvent (SOP) systems by varying the interaction parameters between polar solvents (PP). Our finding indicates that the interaction between polar solvents plays an important role in determining the bending tendency of surfactant monolayers; weaker intermolecular attraction between polar solvents makes surfactants tend to bend toward the oil phase (tend to form oil in polar solvent emulsion). Factor analysis reveals that increasing the repulsion between head-head (HH) or head-oil (HO) makes the model surfactants more polar-solvophilic, while increasing the repulsion between polar solvent-head (PH), tail-tail (TT) or oil-oil (OO) makes the model surfactants more lipophilic. The ANN model effectively reproduces the dependence of surfactant monolayer bending tendency on oil size, consistent with experimental observations, the larger the oil size, the higher the bending tendency toward the oil phase. The most intriguing insight derived from the ANN model here is that the effect of branching in the lipophilic tail will be enhanced by factors that make surfactants behave more lipophilic in a surfactant-oil-polar solvent (SOP) system, for rather polar-solvophilic surfactants, the effect of tail branching is negligible.

Preparation of MoS2/MXene/NC Porous Composite Microspheres with Wrinkled Surface and Their Microwave Absorption Performances.

In this paper, a MoS2/MXene/N-doped carbon (NC) porous composite microsphere with a wrinkled surface was designed and constructed. Lithium fluoride exfoliation and lithium-ion etching fabricated two types of 2D assembly elements, MXene (Ti3C2Tx) and MoS2 nanosheets. The two nanosheets were self-assembled by an ultrasonic spray technique with high-temperature reduction, and MoS2/MXene microspheres with 3Dwrinkled shapes were obtained. The coating of the surface NC layer was achieved by the carbonization of a polydopamine (PDA) precursor formed by the self-polymerization of dopamine. The amount of PDA coating and raw material ratio significantly affect the microstructure and electromagnetic wave absorption performance. The optimal MXene to MoS2 mass ratio is 5:1, and the optimal coating time and filler amount are 8 h and 40%. MoS2/MXene/NC composite microspheres exhibit excellent absorption performance with low reflection losses (RLmin) of -52.9 dB at 6.4 GHz and high adequate absorption bandwidths of 5.2 GHz. By adjusting the thickness of the absorber, the full coverage of the C-Ku band (4-18 GHz) can be achieved. As a new composite absorber, it has significant potential applications.

Fabrication of Graphdiyne/Graphene Composite Microsphere with Wrinkled Surface via Ultrasonic Spray Compounding and its Microwave Absorption Properties.

Advanced carbon materials are constantly being used in the field of microwave absorption. Herein, in order to enrich the variety and expand the application fields of graphdiyne (GDY), the wrinkled graphene (RGO) nanosheet coated and embedded with GDY porous microspheres (RGO/GDY) are prepared by GDY synthesis, ultrasonic spray, and pyrolysis. The study finds that RGO and GDY have effective synergistic effects. The suitable pores and composition, conductive network formed by overlapping 0D and 2D materials, special surface and internal morphology design, and high-temperature activation process make RGO/GDY exhibit excellent impedance matching and attenuation capabilities. Under the best amount of GDY (20 mg), the particle sizes of the microspheres (≈6 µm), and filler content (27.5%), the minimum reflection loss (RLmin ) is -58 dB@8.3 GHz, and the corresponding matching thickness is 2.7 mm. The effective absorption bandwidth is 4.3 GHz as the thickness is 1.9 mm. By adjusting the thickness, the absorber can completely absorb microwaves of all the C, X, and Ku bands. The microwave absorbing mechanisms are elucidated. GDY materials are first applied to the field of microwave absorption, enhancing the absorption performance of RGO/GDY. It provides a new way to manufacture electromagnetic wave absorbers with satisfactory performance.

Impact of Diffuse Idiopathic Skeletal Hyperostosis on Clinico-Radiological Profiles and Prognosis for Thoracic Ossification of Ligamentum Flavum-Myelopathy: A Propensity-Matched Monocentric Analysis.

Background: Diffuse idiopathic skeletal hyperostosis (DISH) has been evaluated as a potential risk factor of poor surgical outcomes for lumbar spinal stenosis, whereas the influence of DISH on neuroimaging characteristics and postoperative prognosis of patients with thoracic myelopathy has not been established. Therefore, this study aimed to shed light on this issue. Methods: A monocentric study enrolled 167 eligible patients with thoracic ossification of ligamentum flavum (TOLF), who were followed up for at least 2 years. Clinico-radiological parameters and surgical outcomes were compared between the DISH+ and DISH− groups before and after propensity matching. Subgroup analysis was conducted to compare the functional outcomes between mild DISH (M-DISH) and moderately severe DISH (MS-DISH) groups. Results: Fifty-eight patients were diagnosed as DISH, and its prevalence was 34.7%. Patients with DISH presented with older age, more males, taller stature, heavier weight, more commonly diffuse-type TOLF (p < 0.05). The DISH group showed significantly worse recovery rate (RR) at the final follow-up before and after propensity matching (p < 0.01), and slightly lower preoperative VAS, higher postoperative VAS and lower VAS reduction, despite not reaching the significant differences. Subgroup analysis demonstrated that the M-DISH group was associated with the lower mJOA score (p = 0.01) and RR at the final follow-up (p = 0.001), and tended to present higher preoperative VAS than the MS-DISH group. Conclusions: DISH has a significant predisposition to the elderly males with diffuse-type TOLF. Although the presence of M-DISH might bring about a suboptimal surgical outcome, both DISH and non-DISH patients experienced good neurological function improvements and pain relief through thoracic posterior decompression.

Deciphering Obesity-Related Gene Clusters Unearths SOCS3 Immune Infiltrates and 5mC/m6A Modifiers in Ossification of Ligamentum Flavum Pathogenesis.

Background: Ossification of ligamentum flavum (OLF) is an insidious and debilitating heterotopic ossifying disease with etiological heterogeneity and undefined pathogenesis. Obese individuals predispose to OLF, whereas the underlying connections between obesity phenotype and OLF pathomechanism are not fully understood. Therefore, this study aims to explore distinct obesity-related genes and their functional signatures in OLF. Methods: The transcriptome sequencing data related to OLF were downloaded from the GSE106253 in the Gene Expression Omnibus (GEO) database. The obesity-related differentially expressed genes (ORDEGs) in OLF were screened, and functional and pathway enrichment analysis were applied for these genes. Furthermore, protein-protein interactions (PPI), module analysis, transcription factor enrichment analysis (TFEA), and experiment validation were used to identify hub ORDEGs. The immune infiltration landscape in OLF was depicted, and correlation analysis between core gene SOCS3 and OLF-related infiltrating immune cells (OIICs) as well as 5mC/m6A modifiers in OLF was constructed. Results: Ninety-nine ORDEGs were preliminarily identified, and functional annotations showed these genes were mainly involved in metabolism, inflammation, and immune-related biological functions and pathways. Integrative bioinformatic algorithms determined a crucial gene cluster associated with inflammatory/immune responses, such as TNF signaling pathway, JAK-STAT signaling pathway, and regulation of interferon-gamma-mediated signaling. Eight hub ORDEGs were validated, including 6 down-regulated genes (SOCS3, PPARG, ICAM-1, CCL2, MYC, and NT5E) and 2 up-regulated genes (PTGS2 and VEGFA). Furthermore, 14 differential OIICs were identified by ssGSEA and xCell, and SOCS3 was overlapped to be the core gene, which was associated with multiple immune infiltrates (dendritic cells, macrophage, and T cells) and six m6A modifiers as well as four 5mC regulators in OLF. Reduced SOCS3 and FTO expression and up-regulated DNMT1 level in OLF were validated by Western blotting. Conclusion: This study deciphered immune/inflammatory signatures of obesity-related gene clusters for the first time, and defined SOCS3 as one core gene. The crosstalk between 5mC/m6A methylation may be a key mediator of SOCS3 expression and immune infiltration. These findings will provide more insights into molecular mechanisms and therapeutic targets of obesity-related OLF.

Access to tetracoordinate boron-doped polycyclic aromatic hydrocarbons with delayed fluorescence and aggregation-induced emission under mild conditions.

Boron-doped polycyclic aromatic hydrocarbons (PAHs) have attracted ongoing attention in the field of optoelectronic materials due to their unique optical and redox properties. To investigate the effect of tetracoordinate boron in PAHs bearing N-heterocycles (indole and carbazole), a facile approach to four-coordinate boron-doped PAHs was developed, which does not require elevated temperature and pre-synthesized functionalized boron reactants. Five tetracoordinate boron-doped PAHs (NBNN-1-NBNN-5) were synthesized with different functional groups. Two of them (NBNN-1 and NBNN-2) could further undergo oxidative coupling reactions to form fused off-plane tetracoordinate boron-doped PAHs NBNN-1f and NBNN-2f. The investigation of photophysical properties showed that the UV/vis absorption and fluorescence emission are significantly red-shifted compared to those of the three-coordinate boron-doped counterparts. In addition, the emission of NBNN-1-NBNN-3 consisted of prompt fluorescence and delayed fluorescence. The compounds NBNN-1f and NBNN-2f showed aggregation-induced emission.

Banner cloud sign: a novel method for the diagnosis of dural ossification in patients with thoracic ossification of the ligamentum flavum.

PURPOSE: Dural ossification (DO) is common in patients with ossification of the ligamentum flavum (OLF) and is the leading cause of dural tears. However, the methods used for DO diagnosis are limited. The purpose of this study was to propose a novel CT-based imaging sign, Banner cloud sign (BCs), and clarify its clinical characteristics and correlations with DO. METHODS: 57 OLF patients who underwent thoracic spine decompression surgery in our single-center between January- and October-2018 were recruited and divided into two groups based on the presence of DO. Patient demographics and radiographic data were analyzed. Hematoxylin-eosin staining and micro-CT were used to detect the micro-morphological changes of DO. The diagnostic value of BCs for DO was assessed by sensitivity and specificity. RESULTS: 12 patients with a total of 19 segments were diagnosed as DO. The incidence of DO was 21.1% (12/57) in OLF patients and 9.5% (19/200) in OLF segments. Patients with DO had a shorter disease duration and a higher incidence of cerebrospinal fluid leakage than those without DO. Hematoxylin-eosin staining and micro-CT showed that the dura mater was ossified and fused with ossified ligamentum flavum, and diffusion along the dura mater, like a banner cloud flying on the mountain. The sensitivity and specificity of BCs in DO diagnosis were 78.9 and 90.6%, respectively. CONCLUSION: BCs can vividly and intuitively describe the imaging features of DO and has high diagnostic accuracy. It could be a promising and valuable method for the diagnosis of DO.

Estimating Preferred Alkane Carbon Numbers of Nonionic Surfactants in Normalized Hydrophilic-Lipophilic Deviation Theory from Dissipative Particle Dynamics Modeling.

The preferred alkane carbon number (PACN) in the normalized hydrophilic-lipophilic deviation (HLDN) theory is a numerical parameter and a transferable scale to characterize the amphiphilicity of surfactants, which is usually measured experimentally using the fish diagram or phase inversion temperature (PIT) methods, and the experimental measurement can only be applied to existing surfactants. Here, for the first time, we propose a procedure to estimate the PACN of CiEj nonionic surfactants directly from dissipative particle dynamics (DPD) simulation. The procedure leverages the method of moment concept to quantitatively evaluate the bending tendency of nonionic surfactant monolayers by calculating the torque density. Seven nonionic surfactants, CiEj (C6E2, C6E3, C8E3, C8E4, C10E4, C12E4, and C12E5), with known PACNs are modeled. Two surfactants, C10E4 and C6E2, were first selected to train and test the interaction parameters, and the relationship between interaction parameters and torque density was mapped for the C10E4-octane-water system using the artificial neural network (ANN) fitting approach to derive the interaction parameters giving zero torque density, then the interaction parameters were tested in the C6E2-dodecane-water system to get the final tuned interaction parameters for PACN estimation. With this procedure, we reproduce the PACN values and their trend of seven nonionic surfactants with reasonable accuracy, which opens the door for quantitative comparison of surfactant amphiphilicity and surfactant classification in silico using the PACN as a transferrable scale.

AUTOMATIC DETECTION AND GRADING OF DIABETIC MACULAR EDEMA BASED ON A DEEP NEURAL NETWORK.

PURPOSE: To solve the problem of automatic grading of macular edema in retinal images in a more stable and reliable way and reduce the workload of ophthalmologists, an automatic detection and grading method of diabetic macular edema based on a deep neural network is proposed. METHODS: The enhanced green channels of fundus images are input into the YOLO network for training and testing. Diabetic macular edema is graded according to the distance of the macula and hard exudate. We used multiscale feature fusion to form more comprehensive features on different grain images to improve the effect of hard exudate detection. We adopted K-means++ algorithm to cluster anchor box size and use loss of the original network to guide the regression of hard exudate bounding box and improve the regression accuracy of anchor boxes. We increased the diversity of samples for sample training by data augmentation, including cropping, flipping, and rotating of fundus images, so that each batch of training data can better represent the distribution of samples. RESULTS: The detection accuracy of the proposed method can reach 96% on the MESSIDOR data set. The detection rates of hard exudate with high, median, and low probability are 100%, 79.12%, and 60.40%, respectively. CONCLUSION: The proposed method exhibits a very good detection stability on healthy and diseased fundus images.