A Compact-Sized Fully Self-Powered Wireless Flowmeter Based on Triboelectric Discharge.

Flow sensing exhibits significant potential for monitoring, controlling, and optimizing processes in industries, resource management, and environmental protection. However, achieving wireless real-time and omnidirectional sensing of gas/liquid flow on a simple, self-contained device without external power support has remained a formidable challenge. In this study, a compact-sized, fully self-powered wireless sensing flowmeter (CSWF) is introduced with a small size diameter of down to less than 50 mm, which can transmit real-time and omnidirectional wireless signals, as driven by a rotating triboelectric nanogenerator (R-TENG). The R-TENG triggers the breakdown discharge of a gas discharge tube (GDT), which enables flow rate wireless sensing through emitted electromagnetic waves. Importantly, the performance of the CSWF is not affected by the R-TENG's varied output, while the transmission distance is greater than 10 m. Real-time wireless remote monitoring of wind speed and water flow rate is successfully demonstrated. This research introduces an approach to achieve a wireless, self-powered environmental monitoring system with a diverse range of potential applications, including prolonged meteorological observations, marine environment monitoring, early warning systems for natural disasters, and remote ecosystem monitoring.

High-performance self-desalination powered by triboelectric-electromagnetic hybrid nanogenerator.

Freshwater is an essential resource in today's world, and how to produce freshwater with low or even zero power consumption is a major challenge. Here, a desalination system powered by a triboelectric-electromagnetic hybrid nanogenerator (TEHG) is presented, which can utilize the water's own energy to remove the salt ions from itself, demonstrating a new concept of "self-desalination". At a relatively low rotation speed of 150 rpm, the system can dilute NaCl brine from 4000 ppm to 145 ppm with a high salt removal rate of 147.1 µg cm-2 min-1 and a freshwater productivity of up to 31.1 L m-2 h-1. The actual seawater can also be treated with a total ion removal efficiency of 99.6 % and a freshwater productivity of 2.7 L m-2 h-1, which is superior to other renewable-energy-powered desalination systems. More importantly, fully self-powered desalination process can be realized by manual cranking and hydrokinetic energy impact, both of which are capable of treating 1000 ppm salt feed to the drinking water level. The TEHG-powered desalination system not only provides excellent desalination performance but also addresses the challenges of power consumption and limited capacity, which offers a completely new paradigm of "self-desalination".

Chronological adhesive cardiac patch for synchronous mechanophysiological monitoring and electrocoupling therapy.

With advances in tissue engineering and bioelectronics, flexible electronic hydrogels that allow conformal tissue integration, online precision diagnosis, and simultaneous tissue regeneration are expected to be the next-generation platform for the treatment of myocardial infarction. Here, we report a functionalized polyaniline-based chronological adhesive hydrogel patch (CAHP) that achieves spatiotemporally selective and conformal embedded integration with a moist and dynamic epicardium surface. Significantly, CAHP has high adhesion toughness, rapid self-healing ability, and enhanced electrochemical performance, facilitating sensitive sensing of cardiac mechanophysiology-mediated microdeformations and simultaneous improvement of myocardial fibrosis-induced electrophysiology. As a result, the flexible CAHP platform monitors diastolic-systolic amplitude and rhythm in the infarcted myocardium online while effectively inhibiting ventricular remodeling, promoting vascular regeneration, and improving electrophysiological function through electrocoupling therapy. Therefore, this diagnostic and therapeutic integration provides a promising monitorable treatment protocol for cardiac disease.

Bio-Inspired Instant Underwater Adhesive Hydrogel Sensors.

Underwater adhesion plays an essential role in soft electronics for the underwater interface. Although hydrogel-based electronics are of great interest, because of their versatility, water molecules prevent hydrogels from adhering to substrates, thus bottlenecking further applications. Herein, inspired by the barnacle proteins, MXene/PHMP hydrogels with strong repeatable underwater adhesion are developed through the random copolymerization of 2-phenoxyethyl acrylate, 2-methoxyethyl acrylate, and N-(2-hydroxyethyl) acrylamide with the presence of MXene nanosheets. The hydrogels are mechanically tough (elastic modulus of 32 kPa, fracture stress of 0.11 MPa), and 2-phenoxyethyl acrylate (PEA) with aromatic groups endows the hydrogel with nonswelling property and prevents water molecules from invading the adhesive interface, rendering the hydrogels an outstanding adhesive behavior toward various substrates (including glass, iron, polyethylene terephthalate (PET), porcine). Besides, dynamic physical interactions allow for instant and repeatable underwater adhesion. Furthermore, the MXene/PHMP hydrogels exhibit a high conductivity (0.016 S/m), fast responsiveness, and superior sensitivity as a strain sensor (gauge factor = 7.17 at 200%-500% strain) and pressure sensor (0.63 kPa-1 at 0-70 kPa). The underwater applications of bionic hydrogel-based sensors have been demonstrated, such as human motion, pressure sensing, and holding objects. It is anticipated that the instant and repeatable underwater adhesive hydrogel-based sensors extend the underwater applications of hydrogel electronics.

Bio-Inspired Antibacterial Hydrogel Adhesives with High Adhesion Strength.

Traditional adhesives such as cyanoacrylate glue are mostly solvent-based. They are facing the problem of insufficient adhesion to some substrates, and also from the drawback of volatilization and release of small organic molecules in the process of usage. Therefore, a novel adhesive with non-irritating, high adhesive strength, and antibacterial properties is highly required. In this study, a full physically crosslinked zwitterionic poly(betaine sulfonate methacrylate) (PSBMA) hydrogel is proposed. The physical crosslinking interactions endow the hydrogel with good self-healing properties. Furthermore, the pure physical crosslinking hydrogel can form PSBMA powder adhesive after lyophilization and return to the hydrogel state after hydration. The mechanical properties of PSBMA adhesive can be modulated via adjusting the solid content and initiator dosage. Following the cure process similar to that of snail mucus or insect exoskeletons in nature, the adhesion of the PSBMA adhesive is improved at least 100 times than its wet state. In addition, the PSBMA adhesive is easy to be removed due to the dissociation of cross-linked structures in saltwater environments. Moreover, PSBMA adhesive with antifouling properties can effectively prevent the adhesion of proteins and bacteria, which shows potential applications in the assembly of medical devices.

Treatment of Complicated Hepatic Alveolar Echinococcosis Disease With Suspicious Lymph Node Remote Metastasis Near the Inferior Vena Cava-Abdominal Aorta: A Case Report and Literature Review.

Echinococcosis is a human-animal parasitic disease caused by Echinococcosis tapeworm larvae in humans. From a global perspective, it is mainly prevalent in the mid-high latitudes of the Northern Hemisphere, and it is a widespread infectious disease. Its form, host and release areas are slightly different. In clinical practice, Echinococcus granulosus (hepatic cystic echinococcosis) is the most common. Its growth mode is swelling growth and its metastasis is more common in implanted metastasis; However, hepatic alveolar echinococcosis (HAE) is rare. It has been reported that HAE can metastasize through the blood or lymph nodes, and its invasive growth pattern is known as "carcinoma". At this time, it may be accompanied by invasion of the portal vein and inferior vena cava(IVC)or metastasis to distant organs outside the liver (such as lung, brain, lymph nodes). Most patients are in the middle or late stages, making treatment complicated. World Health Organization guidelines recommend radical resection of HAE; However, there is no consensus on lymph node dissection. To date, there have been no reports of cases of HAE accompanied by inferior vena cava-para-abdominal aortic suspected lymph node metastasis and infection. This article reports a clinical case of a complex HAE treated by the surgical method of "middle liver resection + abdominal enlarged lymph node resection + inferior vena cava repair", and histological examination was performed to illustrate the differences in microscopic pathology of alveolar echinococcosis invading the liver and lymph nodes at different magnifications. This article reviews the relevant literature on HAE and derives the latest treatment methods for HAE to provide a reference for future clinical cases of similar alveolar echinococcosis and maximize the benefits of patients.

Facile preparation of a thermosensitive and antibiofouling physically crosslinked hydrogel/powder for wound healing.

To improve the therapeutic effect of a hydrogel on damaged tissue, a series of hydroxybutyl chitosan (HBC) and poly(sulfobetaine methacrylate) (PSBMA) composite hydrogels (HBC-PSB) with thermosensitivity, self-healing, antibiofouling, and synergistic antibacterial activity are prepared by mechanical blending. The electrostatic interaction among PSBMA and hydrophobic association among HBC are the main drive force to form a full physically crosslinked hydrogel. HBC can avoid the aggregation and precipitation of PSBMA caused by intermolecular strong association. Meanwhile, the existence of the PSBMA network can promote the sol-gel transition of HBC. Due to the reversible physical crosslinking, the HBC-PSB hydrogel shows excellent self-healing behaviors, and can be stored as dry powder. Intriguingly, the composite hydrogel has good synergistic antibacterial performance via the anti-protein adhesion ability of the PSBMA network and bactericidal ability of the HBC network. Based on these results, a sidewall defect-cecum abrasion model and an infected full-thickness skin defect model are used to investigate the application of the prepared HBC-PSB hydrogel in postoperative anti-adhesion and healing of infected wounds, respectively. The results suggest that the HBC-PSB hydrogel can completely cover the irregular damaged tissue surface, moreover, it can effectively decrease the formation of postoperative adhesion and improve the healing speed of infected wounds via reducing the adhesion and growth of bacteria. Overall, we propose that the HBC-PSB hydrogel is a promising candidate in biomedical applications.

Analysis of the efficacy of microwave ablation in the treatment of early hepatic alveolar echinococcosis: A propensity score matching based study.

BACKGROUND: To explore the efficacy of microwave ablation (MWA) in the treatment of hepatic alveolar echinococcosis (HAE) with a diameter of ≤5 cm. METHOD: From June 2014 to January 2020, patients diagnosed with HAE were retrospectively analyzed. After balancing the confounding factors by propensity score matching (PSM) , the patients were divided into MWA group (n = 20) and radical operation group (n = 20) by 1:1 matching. The safety and effectiveness of MWA were assessed by comparing the differences between the two groups in terms of postoperative general laboratory indices, grading of postoperative complications, length of postoperative hospitalization, the outcome of treatment, and disease recurrence. RESULT: After PSM, all confounders were not statistically different (P>0.05) . Compared with the radical surgery group, patients in the MWA group had lower postoperative ALT and WBC elevations (P<0.001) , shorter postoperative hospital stay (P<0.001) ) , lower hospital costs (P<0.001) . The effective rate of the two groups was 100%. There was no statistical difference in the incidence of postoperative complications and recurrence rate (P>0.05). CONCLUSION: MWA is a safe and effective means of treating HAE ≤ 5 cm in diameter.

Preparation Strategies and Applications of MXene-Polymer Composites: A Review.

As a new member of the 2D material family, MXene integrates high metallic conductivity and hydrophilic property simultaneously. It shows tremendous potential in fields of energy storage, sensing, electromagnetic shielding, and so forth. Due to the abundant surface functional groups, the physical and chemical properties of MXene can be tuned by the formation of MXene-polymer composites. The introduction of polymers can expand the interlayer spacing, reduce the distance of ion/electron transport, improve the surface hydrophilicity, and thus guide the assembly of MXene-polymer structures. Herein, the preparation strategies of MXene-polymer composites including physical mixing, surface modification, such as anchoring through TiN and Ti-O-C bonds, bonding through esterification, grafting functional groups through TiOSi/TiOP bonds, photograft reaction, as well as in situ polymerization are highlighted. In addition, the possible mechanisms for each strategy are explained. Furthermore, the applications of MXene-polymer composites obtained by different preparation strategies are summarized. Finally, perspectives and challenges are presented for the designs of MXene-polymer composites.

Structural insight into multistage inhibition of CRISPR-Cas12a by AcrVA4.

Prokaryotes possess CRISPR-Cas systems to exclude parasitic predators, such as phages and mobile genetic elements (MGEs). These predators, in turn, encode anti-CRISPR (Acr) proteins to evade the CRISPR-Cas immunity. Recently, AcrVA4, an Acr protein inhibiting the CRISPR-Cas12a system, was shown to diminish Lachnospiraceae bacterium Cas12a (LbCas12a)-mediated genome editing in human cells, but the underlying mechanisms remain elusive. Here we report the cryo-EM structures of AcrVA4 bound to CRISPR RNA (crRNA)-loaded LbCas12a and found AcrVA4 could inhibit LbCas12a at several stages of the CRISPR-Cas working pathway, different from other characterized type I/II Acr inhibitors which target only 1 stage. First, it locks the conformation of the LbCas12a-crRNA complex to prevent target DNA-crRNA hybridization. Second, it interacts with the LbCas12a-crRNA-dsDNA complex to release the bound DNA before cleavage. Third, AcrVA4 binds the postcleavage LbCas12a complex to possibly block enzyme recycling. These findings highlight the multifunctionality of AcrVA4 and provide clues for developing regulatory genome-editing tools.