Risk factors and healing factors for pharyngocutaneous fistula after total laryngectomy for laryngeal cancer: An epidemiological study.

To analyse the risk factors and healing factors of pharyngocutaneous fistula (PCF) in patients with laryngeal cancer after total laryngectomy, and to explore the relevant epidemiology. A retrospective analysis was conducted on laryngeal cancer patients who underwent total laryngectomy in our hospital from January 2010 to December 2022. The 349 patients included in the study were divided into a PCF group of 79 and a non-PCF group of 270. Perform one-way analysis of variance and multivariate logistic analysis on various data of patients included in the statistics, and analyse the risk factors and healing factors of PCF. Smoking, history of radiation therapy for laryngeal cancer, history of chemotherapy for laryngeal cancer, tumour location (larynx, pharynx, oesophagus), preoperative albumin, postoperative proteinaemia, <99 haemoglobin, postoperative haemoglobin, postoperative C-reactive protein (CRP) level are the risk factors for PCF. Also, radiation therapy and postoperative proteinaemia were the main reasons for preventing PCF healing. Smoking history, laryngeal cancer, radiation therapy, albumin, haemoglobin and CRP are risk factors for postoperative PCF after total laryngectomy, while radiation therapy and postoperative hypoalbuminaemia are key factors affecting PCF healing.

From Short Circuit to Completed Circuit: Conductive Hydrogel Facilitating Oral Wound Healing.

The primary challenges posed by oral mucosal diseases are their high incidence and the difficulty in managing symptoms. Inspired by the ability of bioelectricity to activate cells, accelerate metabolism, and enhance immunity, a conductive polyacrylamide/sodium alginate crosslinked hydrogel composite containing reduced graphene oxide (PAA-SA@rGO) is developed. This composite possesses antibacterial, anti-inflammatory, and antioxidant properties, serving as a bridge to turn the "short circuit" of the injured site into a "completed circuit," thereby prompting fibroblasts in proximity to the wound site to secrete growth factors and expedite tissue regeneration. Simultaneously, the PAA-SA@rGO hydrogel effectively seals wounds to form a barrier, exhibits antibacterial and anti-inflammatory properties, and prevents foreign bacterial invasion. As the electric field of the wound is rebuilt and repaired by the PAA-SA@rGO hydrogel, a 5 × 5 mm2 wound in the full-thickness buccal mucosa of rats can be expeditiously mended within mere 7 days. The theoretical calculations indicate that the PAA-SA@rGO hydrogel can aggregate and express SOX2, PITX1, and PITX2 at the wound site, which has a promoting effect on rapid wound healing. Importantly, this PAA-SA@rGO hydrogel has a fast curative effect and only needs to be applied for the first three days, which significantly improves patient satisfaction during treatment.

A Strategy Inspired by the Cicada Shedding Its Skin for Synthesizing the Natural Material NaFe3 S5 ·2H2 O.

Sulfide minerals hold significant importance in both fundamental science and industrial advancement. However, certain natural sulfide minerals, such as NaFe3 S5 ·2H2 O (NFS), pose great challenges for exploitation and synthesis due to their high susceptibility to oxidation. To date, no successful precedent exists for synthesizing NFS. Here, a novel approach to synthesizing low-cost and pollution-free NFS with high stability using the high-pressure hydrothermal method based solely on knowledge of its chemical formula is presented. Moreover, an innovative strategy inspired by the cicada's molting process to develop unstable natural materials is proposed. The mechanical, thermal, optical, electrochemical, and magnetic properties of the NFS are thoroughly investigated. The storage of lithium, sodium, and potassium ions is primarily concentrated in the gap between (0 0 1) crystal planes. Additionally, as a catalyst for hydrogen evolution reaction (HER) at 10 mA cm-2 , micron-sized NFS exhibits an excellent overpotential of 6.5 mV at 90 °C, surpassing those of reported HER catalysts of similar size. This research bridges the gap in the sulfide mineral family, overcomes limitations of the high-pressure hydrothermal method, and paves the way for future synthesis of natural minerals, lunar minerals, and Martian minerals.

Advanced Composites Inspired by Biological Structures and Functions in Nature: Architecture Design, Strengthening Mechanisms, and Mechanical-Functional Responses.

The natural design and coupling of biological structures are the root of realizing the high strength, toughness, and unique functional properties of biomaterials. Advanced architecture design is applied to many materials, including metal materials, inorganic nonmetallic materials, polymer materials, and so on. To improve the performance of advanced materials, the designed architecture can be enhanced by bionics of biological structure, optimization of structural parameters, and coupling of multiple types of structures. Herein, the progress of structural materials is reviewed, the strengthening mechanisms of different types of structures are highlighted, and the impact of architecture design on the performance of advanced materials is discussed. Architecture design can improve the properties of materials at the micro level, such as mechanical, electrical, and thermal conductivity. The synergistic effect of structure makes traditional materials move toward advanced functional materials, thus enriching the macroproperties of materials. Finally, the challenges and opportunities of structural innovation of advanced materials in improving material properties are discussed.

Polyurethane-P2S5 composite-based solid-state electrolyte assists low polarization and high stability all-solid-state lithium-ion batteries.

Block copolymer electrolytes represented by polyurethane (PU) have become the forefront field of organic solid-state electrolytes for high-performance lithium-metal batteries due to their superb mechanical properties. However, due to the existence of mechanical hard segments, discontinuous ion transition at the electrolyte-electrode contact is inevitable, which leads to a series of problems such as terrible polarization phenomena, poor cycle stability and inadequate capacity retention. Here, we propose a new strategy to improve the chemical stability and interaction of electrolyte-electrode by modulating soft segments, which successfully reduces the polarization phenomenon. Then a new composite polymer solid electrolyte based on block copolymer PU (abbr. SPE) was prepared by ion-conduct segment modification using P2S5 with high lithium-ion affinity, and the ion conductivity of the SPE reached 7.4 × 10-4 S cm-1 (25 °C) and 4.3 × 10-3 S cm-1 (80 °C) respectively. The assembled LFP|SPE|Li displays a high specific capacity and stable charging/discharging platforms. Besides, an excellent retention capacity of 90% is obtained after 2000 cycles at 5C, and the lithium symmetric battery exhibits no significant polarization over 750 h. This work provides a viable strategy to suppress the polarization phenomenon to develop new block copolymer electrolytes with long cycle stability and high capacity retention.

Design and Mechanism of a Self-Powered and Disintegration-Reorganization-Regeneration Power Supply with Cold Resistance.

Up to now, power supplies designed based on the electrochemical reaction principle have had unavoidable defects, in that a complete redox reaction must be formed inside the power supply to operate normally, which makes it unable to be reconstructed and regenerated. Hence, the design and interpretation of this self-powered and disintegration-reorganization-regeneration power supply are generally considered to be almost insurmountable obstacles to haunt both experimenters and theorists. Herein, a self-powered and disintegration-reorganization-regeneration power supply with relatively stable discharge for 8.3 h is realized by the principle of ion-selective diffusion, which regenerates by radical polymerization. Additionally, the mechanism is investigated systematically by molecular dynamics simulation, and this power supply with a variety of self-powered and disintegration-reorganization-regeneration units can discharge continuously at freezing temperatures and variable temperature (0-25 °C). As a hypothetical model, a self-powered and deformable arch bridge with disintegration and reorganization is fabricated. In the future, this power supply is expected to be applied in prosthetic limbs, bionic skins, implantable power supplies, mobile phones, portable computers, wearable devices, etc. Moreover, with the improvement of the stability and discharge life, it could promote major revolutionary breakthroughs in the fields of intelligent industrial automation, smart buildings, intelligent transportation systems, intelligent power systems, etc.

Emission tuning of highly efficient quaternary Ag-Cu-Ga-Se/ZnSe quantum dots for white light-emitting diodes.

With the blooming development of zero-dimensional nanomaterials, I-III-VI alloying quantum dots (QDs) with outstanding photoelectrical properties have emerged to attract much attention as promising environmentally-friendly substitutions for conventional binary Cd-based QDs. In this work, a facile one-pot method was introduced to synthesize unreported quaternary Ag-Cu-Ga-Se/ZnSe (ACGSe/ZnSe) QDs. A relatively high photoluminescence quantum yield (PL QY) of 71.9% and a tunable emission from 510 to 620 nm were successfully achieved. We explored the roles of alloying compositions in ACGSe/ZnSe QDs, inferring that increased Ag proportion would not only lower the Vdefect level which leads to the blue shift of emission, but also slow the ZnSe shelling process owing to the larger lattice distortion. At last, the white light-emitting diodes (WLEDs) were fabricated with ACGSe/ZnSe QDs as the conversion layer, indicating that the as-prepared QDs are a promising candidate for further applications.

Novel Solid-State Sodium-Ion Battery with Wide Band Gap NaTi2(PO4)3 Nanocrystal Electrolyte.

NaTi2(PO4)3 (NTP), a well-known anode material, could be used as a solid wide-band gap electrolyte. Herein, a novel solid-state sodium-ion battery (SSIB) with the thickness of electrolyte up to the millimeter level is proposed. The results of the difference in charge density investigated by the first-principles calculations imply that using the NTP nanocrystals as electrolytes to transport sodium ions is feasible. Moreover, the SSIB exhibits a high initial discharge capacity of 3250 mAh g-1 at the current density of 50 mA g-1. As compared with other previously reported SSIBs, our results are better than those reported and suggest that the NTP nanocrystals have potential application in SSIBs as solid electrolytes.

High-Voltage Cathode α-Fe2O3 Nanoceramics for Rechargeable Sodium-Ion Batteries.

Previously, α-Fe2O3 nanocrystals are recognized as anode materials owing to their high capacity and multiple properties. Now, this work provides high-voltage α-Fe2O3 nanoceramics cathodes fabricated by the solvothermal and calcination processes for sodium-ion batteries (SIBs). Then, their structure and electrical conductivity were investigated by the first-principles calculations. Also, the SIB with the α-Fe2O3 nanoceramics cathode exhibits a high initial charge-specific capacity of 692.5 mA h g-1 from 2.0 to 4.5 V at a current density of 25 mA g-1. After 800 cycles, the discharge capacity is still 201.8 mA h g-1, well exceeding the one associated with the present-state high-voltage SIB. Furthermore, the effect of the porous structure of the α-Fe2O3 nanoceramics on sodium ion transport and cyclability is investigated. This reveals that α-Fe2O3 nanoceramics will be a remarkably promising low-cost and pollution-free high-voltage cathode candidate for high-voltage SIBs.

Optical and Morphological Properties of Single-Phased and Dual-Emissive InP/ZnS Quantum Dots via Transition Metallic and Inorganic Ions.

Single-phased and dual-emissive nanocrystals with broad emission are attractive fluorescent materials for optoelectronic devices due to their unique properties. Until now, the effect of different metallic cations and inorganic anions on III-V group quantum dots (QDs) concerning luminescence features and crystalline growth has been less explored. In this work, dual-emissive InP/ZnS QDs single-doped with transition-metal compounds (Cu2+, Ag+, or Mn2+) are synthesized to compare their optical and morphological properties. The corresponding doping concentrations to realize dual emission with comparative intensity for Cu, Ag, and Mn are 0.8, 6, and 80%, which vary greatly and might be attributed to different precursor reactivities. As for the morphological and internal structures, transmission electron microscopy (TEM) images indicate that transition-metal ions have no obvious effect on the morphological properties and a higher concentration of chloride anions binding with an In-rich interface could conduce to a homogeneous distribution and triangular growth through the comparison of different metal chlorides as precursors. X-ray photoelectron spectroscopy (XPS) results further demonstrate that the high-resolution In 3d spectrum of Mn-doped InP/ZnS QDs with MnCl2 is mainly dominated by In-P bonds, indicating fewer intermediate chemical states. These results concerning well-defined InP/ZnS QDs could promote more diverse insight into surface chemistry and help to better understand the growth mechanism, thus making it possible to regulate InP/ZnS QDs into desired formats for different practical applications like white light-emitting diodes (LEDs).

49.25% efficient cyan emissive sulfur dots via a microwave-assisted route.

Cyan emissive sulfur dots with a record high photoluminescence (PL) quantum yield of 49.25% have been successfully prepared via a microwave-assisted top-down route. The PL enhancement induced by electrostatic repulsion of sulfite groups and steric hindrance of polyethylene glycol 400 (PEG-400) were investigated for the first time.

Facile Synthesis and Optical Properties of CsPbX3/ZIF-8 Composites for Wide-Color-Gamut Display.

All-inorganic CsPbX3 (X = Cl, Br, and I) perovskite quantum dots (QDs), an emerging type of luminescent materials, have drawn extensive attention in recent years. However, the amelioration of their stability is becoming a critical issue. Herein, we present a facile and efficient approach to prepare novel perovskite QDs/metal-organic frameworks (CsPbX3/ZIF-8) composites under ambient-atmospheric conditions. The obtained composites exhibit better properties including high photoluminescence (PL) quantum yields (QYs) (41.2% for green and 34.8% for red), narrow-band emission (20 nm for green and 31 nm for red), and enhanced stability in comparison to bare QDs. Furthermore, their application in a remote-type white-light-emitting device was explored and a wide color gamut (~137% of the National Television System Committee standard) was achieved, verifying that these novel luminescent composites have great prospect in backlight display application.