Tuning thermal and graphitization behaviors of lignin via complexation with transition metal ions for the synthesis of multilayer graphene-based materials.

Thermal conversion of kraft lignin, an abundant renewable aromatic substrate, into advanced carbon materials including graphitic carbon and multilayer/turbostratic graphene has recently attracted great interest. Our innovative catalytic upgrading approach integrated with molecular cracking and welding (MCW) enables mass production of lignin-derived multilayer graphene-based materials. To understand the critical role of metal catalysts in the synthesis of multilayer graphene, this study was focused on investigating the effects of transition metals (i.e., molybdenum (Mo), nickel (Ni), copper (Cu), and iron (Fe)) on thermal and graphitization behaviors of lignin. During the preparation of metal-lignin (M-lignin) complexes, Fenton-like reactions were observed with the formation of Fe- and Cu-lignin complexes, while Ni ions strongly interacted with oxygen-containing surface functional groups of lignin and Mo oxyanions weakly interacted with lignin through ionic bonding. Different chelation mechanisms of transition metal ions with lignin influenced the stabilization, graphitization, and MCW steps involved in thermal upgrading. The M-lignin complex behaviors in each of the three steps were characterized. It was found that multilayer graphene-based materials with nanoplatelets can be obtained from the Fe-lignin complex via MCW operation at 1000 °C under methane (CH4). Raman spectra indicated that Fe- and Ni-lignin complexes experienced a higher degree of graphitization than Cu- and Mo-lignin complexes during thermal treatment.

Feasibility and safety of Stanford A aortic dissection complete endovascular repair system in a porcine model.

BACKGROUND: Acute type A aortic dissection (ATAAD) is a catastrophic disease with high morbidity and mortality. Although open surgery is still the gold standard for the treatment of ATAAD, some patients, with advanced age and multiple comorbidities, can only receive medical management alone. Nowadays, thoracic aortic endovascular repair (TEVAR) provides a potential treatment option for the patient with ATAAD, but traditional stent grafts (SGs), which are not designed for the ATAAD, are inapplicable to the unique anatomy of the aortic arch. Therefore, we innovatively created the BRIDGE system (Chuangxin Medical, Shenzhen, China), a complete endovascular reconstruction system designed to treat ATAAD. This study aimed to evaluate the feasibility and safety of the novel Stanford A aortic dissection complete endovascular reconstruction system in a porcine model. METHOD: The BRIDGE system consists of the type A stent system and the type C stent system. Between November 2020 and March 2021, three white swine were utilized in the study. The BRIDGE system was deployed via the transcatheter approach under angiographic guidance. The swine(n = 3) treated with our system were evaluated using angiography before sacrifice 1-month after implantation, which was followed by gross specimen evaluation and histological examination of harvested tissues. RESULT: The acute procedure success rate was 100% (3/3). The immediate post-procedural angiography showed that both type A SGs and type C SGs were deployed in satisfactory locations, with patency of the supra-aortic trunk and no endoleak. The cumulative mortality of 30-day was 0% without any adverse events. No device migration or leakage was observed angiographically, before sacrifice. The gross observation confirmed a type A SG covered part of the entry of anonyma. Favorable endothelialization, no thrombogenesis, and slight inflammatory infiltration of the tissues around the device were confirmed by microscopic examinations in all pigs. CONCLUSION: It was feasible and secure to use Stanford A aortic dissection complete endovascular reconstruction system to implement a transcatheter endovascular repair in a porcine model. With this novel system, treating acute type A aortic dissection may be more efficient and secure in human.

Release of Particulate Lead from Four Lead Corrosion Products in Drinking Water: A Laboratory Study Coupled with Microscopic Observations and Computational Fluid Dynamics.

Particulate lead resulting from the detachment of lead corrosion products (LCPs) contributes significantly to lead contamination in drinking water. Since LCPs formed under different water chemistry possesses different crystal structures, their hydrodynamic behaviors could be significantly different in flowing water. In this study, flushing experiments and microscopic observations were employed to investigate the release of cerussite (PbCO3), hydrocerussite (Pb3(CO3)2(OH)2), chloropyromorphite (Pb5(PO4)3Cl), and lead dioxide (scrutinyite α-PbO2/plattnerite ß-PbO2), the four LCPs commonly found in the drinking water distribution system. Under the same flow rate, particulate lead release showed the following trend: lead dioxide > cerussite ∼ chloropyromorphite > hydrocerussite. In the range of 1-10 L/min, a higher flow rate enhanced the release of cerussite, chloropyromorphite, and lead dioxide, while the release of hydrocerussite was not significantly affected, likely due to its platelike crystal structure that reduced the shear force exerted by the flowing water. The detachments of visible cerussite and chloropyromorphite particles were captured using a digital microscope at flow rates of 8.0 and 8.2 L/min, and the shear forces causing their detachments were determined to be 5.8 × 10-11 and 3.1 × 10-10 N, respectively, using computational fluid dynamics (CFD). Our study demonstrated that crystal structure could be an important factor affecting the detachment of LCPs and CFD could be a useful tool to characterize their hydrodynamic behaviors.

Advanced nanocellulose-based gas barrier materials: Present status and prospects.

Nanocellulose based gas barrier materials have become an increasingly important subject, since it is a widespread environmentally friendly natural polymer. Previous studies have shown that super-high gas barrier can be achieved with pure and hierarchical nanocellulose films fabricated through simple suspension or layer-by-layer technique either by itself or incorporating with other polymers or nanoparticles. Improved gas barrier properties were observed for nanocellulose-reinforced composites, where nanocellulose partially impermeable nanoparticles decreased gas permeability effectively. However, for nanocellulose-based materials, the higher gas barrier performance is jeopardized by water absorption and shape deformation under high humidity conditions which is a challenge for maintaining properties in material applications. Thus, numerous investigations have been done to solve the problem of water absorption in nanocellulose-based materials. In this literature review, gas barrier properties of pure, layer-by-layer and composite nanocellulose films are investigated. The possible theoretical gas barrier mechanisms are described, and the prospects for nanocellulose-based materials are discussed.

The Effect of Cellulose Nanocrystal Suspension Treatment on Suspension Viscosity and Casted Film Property.

Cellulose nanocrystals (CNCs) have attracted significant interest in different industrial sectors. Many applications have been developed and more are being explored. Pre-treatment of the suspension plays a critical role for different applications. In this study, different pre-treatment methods, including homogenization, ultrasonication, and mixing with a magnetic stirrer were applied to a CNC suspension. After treatment, the rheological behaviors of the treated CNC suspensions were characterized using a rotational viscometer. The treated suspensions were then used to cast films for characterization by ultraviolet-visible (UV-Vis) and Fourier transform near-infrared spectroscopy (FT-NIR). All the CNC suspensions demonstrated a shear thinning phenomena. Homogenization or ultrasonication significantly decreased the suspension viscosity compared with the suspension mixed by a magnetic stirrer. The viscosity of CNC suspension changed with time after treatment and settlement of treated CNC suspensions in room conditions increased the viscosity dramatically with time. Different UV and visible light interferences were observed for the CNC films generated from suspensions treated by different methods. The degree of crystallinity of the CNC films evaluated by FT-NIR showed that the film from suspension treated by homogenization and ultrasonication has the highest degree of crystallinity. Pre-treatments of CNC suspension affected the suspension viscosities and formed film properties.

Macrophage-Laden Gold Nanoflowers Embedded with Ultrasmall Iron Oxide Nanoparticles for Enhanced Dual-Mode CT/MR Imaging of Tumors.

The design of multimodal imaging nanoplatforms with improved tumor accumulation represents a major trend in the current development of precision nanomedicine. To this end, we report herein the preparation of macrophage (MA)-laden gold nanoflowers (NFs) embedded with ultrasmall iron oxide nanoparticles (USIO NPs) for enhanced dual-mode computed tomography (CT) and magnetic resonance (MR) imaging of tumors. In this work, generation 5 poly(amidoamine) (G5 PAMAM) dendrimer-stabilized gold (Au) NPs were conjugated with sodium citrate-stabilized USIO NPs to form hybrid seed particles for the subsequent growth of Au nanoflowers (NFs). Afterwards, the remaining terminal amines of dendrimers were acetylated to form the dendrimer-stabilized Fe3O4/Au NFs (for short, Fe3O4/Au DSNFs). The acquired Fe3O4/Au DSNFs possess an average size around 90 nm, display a high r1 relaxivity (1.22 mM-1 s-1), and exhibit good colloidal stability and cytocompatibility. The created hybrid DSNFs can be loaded within MAs without producing any toxicity to the cells. Through the mediation of MAs with a tumor homing and immune evasion property, the Fe3O4/Au DSNFs can be delivered to tumors more efficiently than those without MAs after intravenous injection, thus significantly improving the MR/CT imaging performance of tumors. The developed MA-mediated delivery system may hold great promise for enhanced tumor delivery of other contrast agents or nanomedicines for precision cancer nanomedicine applications.

Low-Molecular-Weight Poly(ethylenimine) Nanogels Loaded with Ultrasmall Iron Oxide Nanoparticles for T1-Weighted MR Imaging-Guided Gene Therapy of Sarcoma.

Cancer metastasis is still a major obstacle in clinical cancer therapy and a paramount cause of cancer deaths. Designing multifunctional nanoplatforms with an enhanced diagnostic sensitivity and anti-metastasis efficiency against tumors represents a major trend in current cancer management. Herein, we report the preparation of low-molecular-weight poly(ethylenimine) (PEI)-poly(ethylene glycol) (PEG) nanogels (NGs) loaded with transforming growth factor-ß1 (TGF-ß1) siRNA and ultrasmall iron oxide nanoparticles (Fe3O4 NPs) for gene therapy and T1-weighted magnetic resonance (MR) imaging of tumors and tumor metastasis in a mouse sarcoma model. In this work, ultrasmall Fe3O4 NPs stabilized by sodium citrate were first prepared and then mixed with PEI (800 Da) and PEG (400 Da)-diacrylate as a cross-linker to form Fe3O4/PEI-PEG NGs with an average size of 76.3 nm via an inverse microemulsion method. The developed hybrid NGs display good cytocompatibility and enhanced MR imaging performance (r1 relaxivity = 1.0346 mM-1 s-1). The Fe3O4/PEI-PEG NGs can be further used to compact TGF-ß1 siRNA through electrostatic interaction and efficiently deliver siRNA to cancer cells and a tumor model to silence the TGF-ß1 gene, which inhibits the growth and invasion of cancer cell in vitro significantly, as well as the growth of a subcutaneous sarcoma tumor model and lung metastasis in vivo. The designed hybrid NG-ultrasmall iron oxide NPs may be extended for the delivery of other drugs or genes for theranostics of different biological systems.

Adoptive cellular immunotherapy of tumors via effective CpG delivery to dendritic cells using dendrimer-entrapped gold nanoparticles as a gene vector.

The major obstacle that hinders current cancer immunotherapies is the development of an effective approach to promote a proper immune response for effective tumor killing through activated T cells. Herein, we report an effective T cell-based tumor immunotherapy approach through nonviral delivery of a cytosine-guanine (CpG) oligonucleotide using dendrimer-entrapped gold nanoparticles (Au DENPs). In our work, Au DENPs partially decorated with methoxy polyethylene glycol (mPEG) were synthesized and characterized to be used as a vector for CpG delivery to bone marrow-derived dendritic cells (BMDCs). The BMDCs matured via CpG delivery were used to activate T cells for adoptive immunotherapy of cancer cells. We show that the developed PEGylated Au DENPs are able to effectively transfect CpG leading to the maturation of BMDCs that can be used to activate T cells for subsequent adoptive immunotherapy of cancer cells in vitro and a xenografted melanoma tumor model in vivo after intravenous injection. Importantly, the developed approach to genetically engineer BMDCs enables a triggered adaptive immune response and memory of T cells, which can be beneficial for effective inhibition of tumor metastasis and recurrence. The developed nonviral gene delivery approach using Au DENPs as a vector for T cell-based immunotherapy can be applied to different cancer types.

Polyethylenimine Nanogels Incorporated with Ultrasmall Iron Oxide Nanoparticles and Doxorubicin for MR Imaging-Guided Chemotherapy of Tumors.

Development of versatile nanoplatforms for cancer theranostics remains a hot topic in the area of nanomedicine. We report here a general approach to create polyethylenimine (PEI)-based hybrid nanogels (NGs) incorporated with ultrasmall iron oxide (Fe3O4) nanoparticles (NPs) and doxorubicin for T1-weighted MR imaging-guided chemotherapy of tumors. In this study, PEI NGs were first prepared using an inverse emulsion approach along with Michael addition reaction to cross-link the NGs, modified with citric acid-stabilized ultrasmall Fe3O4 NPs through 1-ethyl-3-(3-(dimethylamino)propyl) carbodiimide hydrochloride (EDC) coupling, and physically loaded with anticancer drug doxorubicin (DOX). The formed hybrid NGs possess good water dispersibility and colloidal stability, excellent DOX loading efficiency (51.4%), pH-dependent release profile of DOX with an accelerated release rate under acidic pH, and much higher r1 relaxivity (2.29 mM-1 s-1) than free ultrasmall Fe3O4 NPs (1.15 mM-1 s-1). In addition, in contrast to the drug-free NGs that possess good cytocompatibility, the DOX-loaded hybrid NGs display appreciable therapeutic activity and can be taken up by cancer cells in vitro. With these properties, the developed hybrid NGs enabled effective inhibition of tumor growth under the guidance of T1-weighted MR imaging. The developed hybrid NGs may be applied as a versatile nanoplatform for MR imaging-guided chemotherapy of tumors.

Fluid upstream shear stress of rabbit aortic stenosis inhibits neointimal hyperplasia by promoting endothelization after balloon injury.

BACKGROUND: Atherosclerosis is associated with disturbed blood flow characterized by low and oscillatory shear stress (SS), however, few study directly links SS to neointimal hyperplasia in animal model. This study was focused on the effects of changed SS upon the neointimal hyperplasia which responded to balloon injury in a novel rabbit model with partially-constricted abdominal aorta. METHODS: We established a rabbit model subjected to partial abdominal aortic constriction with a cylinder-shaped cannula as a model of disturbed flow, which was similar to the hemodynamic features of stenosis caused by atherosclerosis plaque. Further, balloon injury was performed to investigate the relationship between SS and neointimal hyperplasia. Four weeks later, the abdominal aorta was assessed with digital subtraction angiography (DSA) and intravascular ultrasound (IVUS). The vascular sections were embedded in paraffin blocks for morphometric analysis to evaluate neointimal hyperplasia, and anti-CD31 immunohistochemical staining was for endothelialization ratio. RESULTS: In upstream the stenosis, the changed SS leads to neointimal hyperplasia compared with normal SS (11,729 ± 1205 vs 8418 ± 737, P = 0.023). However, the upstream SS of the stenosis can promote vascular re-endothelialization after balloon injury compared with normal SS, verified by endothelialization ratio (0.36 ± 0.03 vs 0.32 ± 0.03, P = 0.017), thereby attenuate neointimal hyperplasia (64,851 ± 3995 vs 68,335 ± 3867, P = 0.018). CONCLUSION: The upstream SS of stenosis, not downstream SS, inhibits the neointimal hyperplasia after balloon injury by promoting vascular re-endothelializtion.

The effect of range of motion after single-level discover cervical artificial disk replacement.

STUDY DESIGN: A biomechanical study of cervical artificial disk replacement (CADR). OBJECTIVE: This study aimed to investigate the range of motion (ROM) of the treated segment, the ROM of the adjacent segments, the global ROM in the sagittal plane, and the total neck ROM in the 3 cardinal planes after single-level Discover CADR. SUMMARY OF BACKGROUND DATA: CADR could theoretically preserve the motion function of the treated segment without affecting the adjacent segments significantly. Although previous studies have reported excellent clinical outcomes and ROM of the treated segment after CADR, few studies have focused on the ROM of the adjacent segments, the global ROM, and the total neck motion. METHODS: C5/6 Discover CADR was performed in 58 patients (37 male and 21 female) between September 2008 and September 2010. Anteroposterior, lateral, and flexion-extension lateral radiographies were performed before operation and at the 1-year follow-up. Clinical parameters, including the Japanese orthopedic association score, the neck disability index, and the visual analogue scale, were evaluated. The ROM of the treated segment (C5/6) and the adjacent segments (C4/5 and C6/7) and the global ROM (C2/7) were measured by radiography. To evaluate the total neck ROM, the cervical ROM device was advocated. Preoperative and postoperative data were compared using the paired t test. RESULTS: The Japanese orthopedic association score was 14.3 at the 1-year follow-up as compared with the preoperative score of 8.7. Other scoring systems had improved postoperatively, including the neck disability index from 85.1 to 68.6 and the visual analogue scale from 7.8 to 3.3. Compared with the preoperative ROM, the postoperative ROM increased by 3.0 degrees (27.0%) in C5/6, 1.3 degrees (13.7%) in C4/5, and 1.8 degrees (17.6%) in C6/7. The postoperative global ROM also increased by 6.7 degrees (15.2%) compared with preoperative global data. Compared with the preoperative total neck motion, the postoperative total neck motion increased by 8.3 degrees (9.3%) in the sagittal plane and 6.1 degrees (7.7%) in the coronal plane. There was an insignificant increase of 0.8 degrees (0.6%) in the horizontal plane. CONCLUSIONS: This study demonstrated that the single-level Discover CADR increased the ROM of the treated segment and the adjacent segments. There was also an increase in the global ROM and the total neck motion in the sagittal and the coronal planes, although there was no significant difference in the horizontal plane before and after operation.

Influence of drying method on the surface energy of cellulose nanofibrils determined by inverse gas chromatography.

Research and development of the renewable nanomaterial cellulose nanofibrils (CNFs) has received considerable attention. The effect of drying on the surface energy of CNFs was investigated. Samples of nanofibrillated cellulose (NFC) and cellulose nanocrystals (CNC) were each subjected to four separate drying methods: air-drying, freeze-drying, spray-drying, and supercritical-drying. The surface morphology of the dried CNFs was examined using a scanning electron microscope. The surface energy of the dried CNFs was determined using inverse gas chromatography at infinite dilution and column temperatures: 30, 40, 50, 55, and 60 °C. Surface energy measurements of supercritical-dried NFCs were performed also at column temperatures: 70, 75, and 80 °C. Different drying methods produced CNFs with different morphologies which in turn significantly influenced their surface energy. Supercritical-drying resulted in NFCs having a dispersion component of surface energy of 98.3±5.8 mJ/m(2) at 30 °C. The dispersion component of surface energy of freeze-dried NFCs (44.3±0.4 mJ/m(2) at 30 °C) and CNCs (46.5±0.9 mJ/m(2) at 30 °C) were the lowest among all the CNFs. The pre-freezing treatment during the freeze-drying process is hypothesized to have a major impact on the dispersion component of surface energy of the CNFs. The acid and base parameters of all the dried CNFs were amphoteric (acidic and basic) although predominantly basic in nature.

The effect of multilevel anterior cervical fusion on neck motion.

BACKGROUND: Anterior cervical decompression and fusion (ACDF) procedures are successful in treating multilevel cervical radiculopathy and cervical myelopathy. It was reported that this procedure would result in a loss of cervical range of motion. However, few studies have focused on the exact impact of multilevel (more than 3 levels) ACDF on cervical range of motion. METHODS: 29 patients underwent a 3-level or 4-level ACDF. In all the patients, preoperative active cervical ROM measurement was performed, and postoperative measurement was performed at 1-year follow-up by a CROM device. The pre- and postoperative data were compared to each other using paired t tests (α = 0.05). RESULTS: The patients had significantly less ROM after the surgery in all planes of motion. Major reduction was observed in flexion (39.5%), left and right lateral flexion (25.7 and 25.9%), with relatively minor impact on extension (18.3%), left and right rotation (14.0 and 14.4%) observed. In the three cardinal planes, major reduction was observed in the sagittal plane (28.2%) and coronal plane (25.8%), while minor impact observed in the horizontal plane (14.1%). CONCLUSIONS: The patients of cervical spondylotic myelopathy had an obvious reduction in active cervical ROM following multilevel ACDF. However, patients might not experience great difficulties in performing daily activities with regard to the loss of neck motion after fusion.

[Evaluate the effect of CO2 laser-assisted uvulopalatopharyngoplasty for obstructive sleep apnea-hypopnea syndrome].

OBJECTIVE: To seek the effect of CO2 laser-assisted uvulopalatopharyngoplasty (LAUP) of obstructive sleep apnea hypopnea syndrome (OSAHS). METHOD: Patients with OSAHS confirmed by polysomnography (PSG) were chosen. Ninety-six patients were completed PSG studies of more than 6 months after CO2 LAUP. RESULT: The 96 patients' follow-up period was 6 months, 29 cases were cured; 34 cases had notable effects; 13 cases had effects; 20 cases had no effects. The effective rate was 79.17% (76/96). CONCLUSION: Application CO2 LAUP is a safe and effective treatment method for OSAHS.

[Gene expression profiles in human nasal polyps studied by DNA microarray].

OBJECTIVE: To explore the changes in gene expressions in the human nasal polyp. METHOD: A 14500 gerie DNA microarray (Affymetrix) was used to examine gene expressions in 6 NP samples, 6 normal mucosal samples. The differentially expressed genes were identified and subjected to realtime PCR analysis. RESULTS: The differentially expressed genes mostly involved in cytokines, adhesion genes about complements and their receptors, immune transcription regulatory molecules, signal transduction, differentially expressed genes including IL-8, RGS1, GRK4, CCL20, uteroglobin. The results of IL-8, RGS1 Real-time PCR of were consistent with that of gene chip analysis. CONCLUSION: Microarray expression profile of NP samples is differential. RGS1 may play an important role in cell signal transduction, IL-8 may involve in occurrence of nasal polyps by inducing cells releasing inflammatory factors.

[Clinical significance of tracheotomy in children's burns].

OBJECTIVE: To discuss the indications, timing and related issues of tracheotomy in burn together with inhalation injury in children. METHOD: In 45 cases, 12 cases were done in general anesthesia, while 33 cases were done in local anesthesia. Analysis the characters in children anastomosis, the essentials in the operation and timing of pulling out the tracheal cannulas. RESULT: Forty-five cases were under tracheotomy in 1-48 hours after burn in which 16 cases were in urgency. Forty-three cases cured (95.65%) while 2 cases died. CONCLUSION: Tracheotomy in early stage could be a good treatment for burns with inhalation injury children. This is the most important clinical significance of increasing success rate, decreasing complication in respiratory tract and decreasing death rate.

[Clinical anatomy study of olfaction correlative nerves].

OBJECTIVE: To find out the relation of the olfactory nerves, the optic nerve, and the nasal sinuses. Provide anatomic data for not to damnify olfactory nerves in the surgery. METHOD: To measure the olfactory nerves, the olfactory bulb, and olfactory tract on 16 adult cadaveric specimens, and observe the relation of the olfactory nerves, the optic nerve,and the nasal sinuses. RESULT: Length of the olfactory tract was (29.32 +/- 2.11) mm, width of the olfactory tract was (3.36 +/- 0.83) mm. The distance from the midpoint of the olfactory tract to the midline of the skull was (5.48 +/- 1.02) mm. The angle between olfactory tract and midline of the skull was (21.32 +/- 3.28) degrees. Length of the olfactory bulb was (10.43 +/- 2.35) mm, width of the olfactory bulb was (5.12 +/- 0.62) mm. 27/32 olfactory tracts were border upon with sphenoid sinus and ethmoid sinus, 3/32 olfactory tracts were border upon with ethmoid sinus, 2/32 olfactory tracts were border upon with frontal sinus. All olfactory tracts crossed the optic nerve at the internal meatus of optic nerve canal. The olfactory bulb and ethmoid bulb were on equal line. CONCLUSION: Almost all olfactory tracts were lied in the inboard of the orbital cavity, protect the roof of the nasal sinus to avoid damnify the olfactory nerves. It is easy to pull out the olfactory nerves when raising the cerebra in the operation of anterior cranial fossae.

A locus for congenital preauricular fistula maps to chromosome 8q11.1-q13.3.

The incidence of congenital preauricular fistula (CPF) is >1.1% in both Chinese and Caucasians, but it is even higher in Blacks. We mapped the locus for CPF to chromosome 8q11.1-q13.3 by linkage analysis of a family composed of 7 affected and 11 nonaffected members. The two-point LOD score was 2.40, shown by markers D8S285 and D8S1113 at a recombination fraction (theta) of 0.00. Results from three other markers (D8S1110, D8S260, and D8S1136) in the same region further support the linkage. Haplotype analysis for this family confined the locus to within an interval of approximately 26.7 cM, flanked by markers D8S532 and D8S279. A LOD score of <3 is likely due to the limitation of family size.