The Short-Term and Long-Term Outcomes of Laparoscopy-Assisted Proximal Gastrectomy with Double-Tract Reconstruction versus Laparoscopy-Assisted Total Gastrectomy with Roux-en-Y Reconstruction for Adenocarcinoma of the Esophagogastric Junction: A Multicenter Study Based on Propensity Score Matching Analysis.

Purpose: To compare the antireflux effect, long-term nutritional levels, and quality of life (QoL) between laparoscopy-assisted proximal gastrectomy with double-tract reconstruction (LPG-DTR) and laparoscopy-assisted total gastrectomy with Roux-en-Y reconstruction (LTG-RY) for adenocarcinoma of the esophagogastric junction (AEG). Methods: This multicenter retrospective cohort study collected clinicopathological and follow-up data of AEG patients from January 2016 to January 2021 at five high-volume surgery centers. The study included patients who underwent digestive tract reconstruction with LPG-DTR or LTG-RY after tumor resection. Propensity score matching (PSM) was utilized to minimize confounding factors. The comparison after PSM included postoperative complications, reflux esophagitis, long-term nutritional levels, and QoL. Results: A total of 151 consecutive patients underwent either LPG-DTR or LTG-RY. After PSM, 50 patients from each group were included in the analysis. The frequency of reflux esophagitis and Clavien-Dindo classification did not significantly differ between the two groups (P > 0.05). At 1 year after surgery, the LPG-DTR group showed significantly higher weight and hemoglobin levels than the LTG-RY group (P < 0.05). The overall postoperative Visick grade differed significantly between the groups (P < 0.05), but there was no significant difference in the proportion of patients with Visick≥III (P > 0.05). Conclusion: Both LPG-DTR and LTG-RY are safe and feasible methods for digestive tract reconstruction in patients with AEG. Both methods have similar antireflux effects and postoperative QoL. However, LPG-DTR resulted in superior nutritional levels compared to LTG-RY. Therefore, LPG-DTR is considered a relatively effective method for digestive tract reconstruction in AEG patients.

Clinical efficacy and pathological outcomes of transanal endoscopic intersphincteric resection for low rectal cancer.

BACKGROUND: Transanal endoscopic intersphincteric resection (ISR) surgery currently lacks sufficient clinical research and reporting. AIM: To investigate the clinical effectiveness of transanal endoscopic ISR, in order to promote the clinical application and development of this technique. METHODS: This study utilized a retrospective case series design. Clinical and pathological data of patients with lower rectal cancer who underwent transanal endoscopic ISR at the First Affiliated Hospital of Xiamen University between May 2018 and May 2023 were included. All patients underwent transanal endoscopic ISR as the surgical approach. We conducted this study to determine the perioperative recovery status, postoperative complications, and pathological specimen characteristics of this group of patients. RESULTS: This study included 45 eligible patients, with no perioperative mortalities. The overall incidence of early complications was 22.22%, with a rate of 4.44% for Clavien-Dindo grade ≥ III events. Two patients (4.4%) developed anastomotic leakage after surgery, including one case of grade A and one case of grade B. Postoperative pathological examination confirmed negative circumferential resection margins and distal resection margins in all patients. The mean distance between the tumor lower margin and distal resection margin was found to be 2.30 ± 0.62 cm. The transanal endoscopic ISR procedure consistently yielded high quality pathological specimens. CONCLUSION: Transanal endoscopic ISR is safe, feasible, and provides a clear anatomical view. It is associated with a low incidence of postoperative complications and favorable pathological outcomes, making it worth further research and application.

Transanal total mesorectal excision: single center study on risk factors for major complications.

Purpose: Transanal total mesorectal excision (TaTME) as a novel surgical approach for mid and low rectal cancer has gained significant research interest in recent years. The main objective of this study is to identify the risk factors associated with major complications after TaTME and evaluate the perioperative clinical outcomes. Methods: A retrospective analysis was performed on the clinical data of patients with mid-to-low rectal cancer who underwent TaTME surgery and were admitted to the First Affiliated Hospital of Xiamen University from January 2018 to May 2023. Univariate and multivariate regression methods were employed to analyze the risk factors influencing the occurrence of major complications (Clavien-Dindo III-V). Results: This study included a total of 179 eligible cases, with no perioperative deaths. The overall incidence of early complications was 25.1%, with a rate of 10.1% for mild complications and 15.0% for major complications. The postoperative anastomotic leakage rate within 30 days was 6.7%. Multivariate analysis demonstrated that male (P=0.030), pathological T ≥ 3 (P=0.018) and manual anastomosis (P=0.009) were independent risk factors for the development of major complications after surgery. Conclusion: In this study, the incidence of early complications and anastomotic leakage rate in TaTME were both relatively low. Male, pathological T stage ≥ 3 and manual anastomosis were independent risk factors for the occurrence of major complications in a cohort of patients with mid and low rectal cancer undergoing TaTME.

Spontaneous Separation of Immiscible Organic Droplets on Asymmetric Wedge Channels with Hierarchical Microchannels.

Spontaneous separation of immiscible organic droplets has substantial research implications for environmental protection and resource regeneration. Compared to the widely explored separation of oil-water mixtures, there are fewer reports on separating mixed organic droplets on open surfaces due to the low surface tension differences. Efficient separation of mixed organic liquids by exploiting the rapid spontaneous transport of droplets on open surfaces remains a challenge. Here, through the fusion of inspiration from the fast droplet transport capability of Sarracenia trichome and the asymmetric wedge channel structure of shorebird beaks, this work proposes a spine with hierarchical microchannels and wedge channels (SHMW). Due to the synergistic effect of capillary force and asymmetric Laplace force, the SHMW can rapidly separate mixed organic droplets into two pure phases without requiring additional energy. In particular, the self-spreading of the oil solution on the open channel surface is utilized to amplify the surface energy difference between two droplets, and SHMW achieves the pickup of oil droplets floating on the surface of the organic solution. The maximum separation efficiency on 3-SHMW can reach 99.63%, and it can also realize the antigravity separation of mixed organic droplets with a surface tension difference as low as 0.87 mN·m-1. Furthermore, SHMW performs controllable separation, oil droplet pickup, and continuous separation and collection of mixed organic droplets. It is expected that this cooperative structure composed of hierarchical microchannels and wedge channels will be realized in resource recovery or chemical reactions in industrial production processes.

Designing a slippery/superaerophobic hierarchical open channel for reliable and versatile underwater gas delivery.

Achieving long-term and stable gas manipulation in an aqueous environment is necessary to improve multiphase systems relating to gas/liquid interaction. Inspired by the Pitcher plant and the hummingbird beak, we report a slippery/superaerophobic (SLSO) hierarchical fluid channel for continuous, durable, and flexible gas transport. The immiscible lubricant layer inside the SLSO channel promotes one-year stability of gas transport, and the maximum flux of this open channel can reach 3000 mL h-1. Further integration of a CO2 capturing microchip demonstrates the availability and potential of this gas-manipulating interface, which should provide a valuable platform to develop advanced materials and devices.

Unidirectional Moisture Delivery via a Janus Photothermal Interface for Indoor Dehumidification: A Smart Roof.

Rational control of the humidity in specific environments plays an important role in green building, equipment protection, etc. A smart apparatus that can actively expel inner moisture and largely prevent outer liquid penetration can be highly desirable. Through the integration of the Janus interface with unidirectional liquid manipulation and the solar evaporating layer, here, a Janus solar dehumidifying interface (JSDI) is designed for the switchable moisture management of an indoor environment. By covering with the JSDI roof, the continuous elimination of inner water is achieved via outward condensate delivery and solar evaporation on sunny days. On rainy days, JSDI with a hydrophobic lower surface can largely hamper inward liquid leakage and then spontaneously drain the accumulated water via a siphoning structure. The real-world water evaporation rate via the JSDI is ≈0.38 kg m-2 h-1 on an autumn day, showing a promising function of in situ moisture expelling. In addition, the JSDI is made of natural materials that are easy to scale up with a cost of four dollars per square meter. It is envisioned that the JSDI may meet the wide requirements of indoor dehumidification and update the understanding of the integration of Janus interfaces and solar steam generation.

Designing Versatile Superhydrophilic Structures via an Alginate-Based Hydrophilic Plasticene.

The rational design of superhydrophilic materials with a controllable structure is a critical component in various applications, including solar steam generation, liquid spontaneous transport, etc. The arbitrary manipulation of the 2D, 3D, and hierarchical structures of superhydrophilic substrates is highly desirable for smart liquid manipulation in both research and application fields. To design versatile superhydrophilic interfaces with various structures, here we introduce a hydrophilic plasticene that possesses high flexibility, deformability, water absorption, and crosslinking capabilities. Through a pattern-pressing process with a specific template, 2D prior fast spreading of liquids at speeds up to 600 mm/s was achieved on the superhydrophilic surface with designed channels. Additionally, 3D superhydrophilic structures can be facilely designed by combining the hydrophilic plasticene with a 3D-printed template. The assembly of 3D superhydrophilic microstructure arrays were explored, providing a promising route to facilitate the continuous and spontaneous liquid transport. The further modification of superhydrophilic 3D structures with pyrrole can promote the applications of solar steam generation. The optimal evaporation rate of an as-prepared superhydrophilic evaporator reached ~1.60 kg·m-2·h-1 with a conversion efficiency of approximately 92.96%. Overall, we envision that the hydrophilic plasticene should satisfy a wide range of requirements for superhydrophilic structures and update our understanding of superhydrophilic materials in both fabrication and application.

On-Chip Liquid Manipulation via a Flexible Dual-Layered Channel Possessing Hydrophilic/Hydrophobic Dichotomy.

The hydrophilic/hydrophobic cooperative interface provides a smart platform to control liquid distribution and delivery. Through the fusion of flexibility and complex structure, we present a manipulable, open, and dual-layered liquid channel (MODLC) for on-demand mechanical control of fluid delivery. Driven by anisotropic Laplace pressure, the mechano-controllable asymmetric channel of MODLC can propel the directional slipping of liquid located between the paired tracks. Upon a single press, the longest transport distance can reach 10 cm with an average speed of ∼3 cm/s. The liquid on the MODLC can be immediately manipulated by pressing or dragging processes, and versatile liquid-manipulating processes on hierarchical MODLC chips have been achieved, including remote droplet magneto-control, continuous liquid distributor, and gas-producing chip. The flexible hydrophilic/hydrophobic interface and its assembly can extend the function and applications of the wettability-patterned interface, which should update our understanding of complex systems for sophisticated liquid transport.

Advances in Bioinspired Superhydrophobic Surfaces Made from Silicones: Fabrication and Application.

As research on superhydrophobic materials inspired by the self-cleaning and water-repellent properties of plants and animals in nature continues, the superhydrophobic preparation methods and the applications of superhydrophobic surfaces are widely reported. Silicones are preferred for the preparation of superhydrophobic materials because of their inherent hydrophobicity and strong processing ability. In the preparation of superhydrophobic materials, silicones can both form micro-/nano-structures with dehydration condensation and reduce the surface energy of the material surface because of their intrinsic hydrophobicity. The superhydrophobic layers of silicone substrates are characterized by simple and fast reactions, high-temperature resistance, UV resistance, and anti-aging. Although silicone superhydrophobic materials have the disadvantages of relatively low mechanical stability, this can be improved by the rational design of the material structure. Herein, we summarize the superhydrophobic surfaces made from silicone substrates, including the cross-linking processes of silicones through dehydration condensation and hydrosilation, and the surface hydrophobic modification by grafting hydrophobic silicones. The applications of silicone-based superhydrophobic surfaces have been introduced such as self-cleaning, corrosion resistance, oil-water separation, etc. This review article should provide an overview to the bioinspired superhydrophobic surfaces of silicone-based materials, and serve as inspiration for the development of polymer interfaces and colloid science.

Improved Liquid Collection on a Dual-Asymmetric Superhydrophilic Origami.

Manipulating fluid with an open channel provides a promising strategy to simplify the current systems. Nevertheless, spontaneous on-surface fluid transport with large flux, high speed, and long distance remains challenging. Inspired by scallop shells, here a shell-like superhydrophilic origami (S-SLO) with multiple-paratactic and dual-asymmetric channels is presented to improve fluid collection. The origami channel can capture various types of liquids, including droplets, flow, and steam, and then transport collected liquid unidirectionally. The S-SLO with 2 mm depth can reach maximum flux of 450 mL h-1 , which is five times the capacity of a flat patterned surface with similar dimension. To diversify the function of such interface, the SLO is further integrated with a superhydrophobic zirconium carbide/silicone coating for enhanced condensation via the collaboration of directional fluid manipulation and a radiative cooling layer. Compared with the unmodified parallel origami, the shell-like origami with a radiative cooling layer shows a 56% improvement in condensate efficiency as well as the directional liquid drainage. This work demonstrates a more accessible design for the optimization of on-surface fluid control, and the improved performance of liquid transport should extend the applications of bioinspired fluid-manipulating interfaces.

Fluid manipulation via multifunctional lubricant infused slippery surfaces: principle, design and applications.

Water-repellent interfaces with high performance have emerged as an indispensable platform for developing advanced materials and devices. Inspired by the pitcher plant, slippery liquid-infused porous surfaces (SLIPSs) with reliable hydrophobicity have proven to possess great potential for various applications in droplet and bubble manipulation, droplet energy harvesting, condensation, fog collection, anti-icing, and anti-biofouling due to their excellent properties such as persistent surface hydrophobicity, molecular smoothness, and fluidity. This review aims to introduce the development history of interaction between SLIPSs and fluids as well as the design principles, preparation methods, and various applications of some of the more typical SLIPSs. The fluid manipulation strategies of the slippery surfaces have been proposed including the wettability pattern, oriented micro-structure, and geometric gradient. At last, the application prospects of SLIPSs in various fields and the challenges in the design and fabrication of slippery surfaces are analyzed. We envision that this review can provide an overview of the fluid manipulating processes on slippery surfaces for researchers in both academic and industrial fields.

Synthesis of mono- and few-layered n-type WSe2 from solid state inorganic precursors.

Tuning the charge transport properties of two-dimensional transition metal dichalcogenides (TMDs) is pivotal to their future device integration in post-silicon technologies. To date, co-doping of TMDs during growth still proves to be challenging, and the synthesis of doped WSe2, an otherwise ambipolar material, has been mainly limited to p-doping. Here, we demonstrate the synthesis of high-quality n-type monolayered WSe2 flakes using a solid-state precursor for Se, zinc selenide. n-Type transport has been reported with prime electron mobilities of up to 10 cm2 V-1 s-1. We also demonstrate the tuneability of doping to p-type transport with hole mobilities of 50 cm2 V-1 s-1 after annealing in air. n-Doping has been attributed to the presence of Zn adatoms on the WSe2 flakes as revealed by X-ray photoelectron spectroscopy (XPS), spatially resolved time of flight secondary ion mass spectroscopy (SIMS) and angular dark-field scanning transmission electron microscopy (AD-STEM) characterization of WSe2 flakes. Monolayer WSe2 flakes exhibit a sharp photoluminescence (PL) peak at room temperature and highly uniform emission across the entire flake area, indicating a high degree of crystallinity of the material. This work provides new insight into the synthesis of TMDs with charge carrier control, to pave the way towards post-silicon electronics.

An interfacial floating tumbler with a penetrable structure and Janus wettability inspired by Pistia stratiotes.

Designing advanced interfacial materials is decisive to the improvement of multiphase systems. Inspired by the superior floatability of Pistia stratiotes, here we present a superhydrophobic/hydrophilic 3D Janus floater with a water managing ability. Its self-regulated floatation mechanism, as well as its water removal logic, should provide insight into the development of multifunctional interfacial carriers in the fields of micro-devices, solar evaporation, etc.

Nanoprodrug ratiometrically integrating autophagy inhibitor and genotoxic agent for treatment of triple-negative breast cancer.

Effective combination therapies are urgently needed to treat triple-negative breast cancer (TNBC), which is insensitive to the existing treatment regimens. However, the synergistic potency of traditional small-molecule combinations is limited in TNBC mainly due to mismatched molar ratios, inconsistent pharmacokinetics, and intratumoral accumulation of individual drugs. Here, we find that the autophagy inhibitor hydroxychloroquine (HCQ) and the topoisomerase I inhibitor 7-ethyl-10-hydroxycamptothecin (SN38) exhibit synergistic effects when the molar ratio reaches 5:1. We further develop a glutathione-responsive self-assembled combination nanoparticle (Combo NP) to integrate individual HCQ and SN38 polymeric prodrugs at the optimized ratio. In TNBC cells treated with Combo NP, HCQ-mediated autophagy blockage significantly enhances the DNA damage and apoptotic effect of SN38, manifesting synergistically cytotoxic effects of Combo NP. In vivo evaluations show that Combo NP maintains the molar ratio of HCQ to SN38 within the synergistic range in mouse blood circulation and intratumoral tissues. More importantly, Combo NP elicits superior therapeutic benefit in metastatic TNBC models, compared to free drug combination as well as single drug nanoparticles. Taken together, our engineered nanosystem highlights a nanoprodrug-based chemosensitizing approach for improving the therapeutic response to TNBC, addressing the major challenges of the current combination therapy.

Precise Cation Recognition in Two-Dimensional Nanofluidic Channels of Clay Membranes Imparted from Intrinsic Selectivity of Clays.

Various kinds of clays occur naturally and are accompanied by particular cations in their interlayer domains. Here we report the reassembled membranes with nanofluidic channel arrays by using the natural clays montmorillonite, mica, and vermiculite, which were imparted with the natural selectivity for realizing precise recognition and directional regulation of the naturally occurring interlayer cations. A typical surface-governed ionic transport behavior was observed in the clay nanofluidic channels. Through asymmetric structural modification, cationic current rectification was realized in montmorillonite channels that performed as a nanofluidic diode. Interestingly, in the mica nanofluidic channel, the K+ that was naturally occurring in the interlayer domain of mica showed a reciprocating motion and resulted in a periodically fluctuating current. Electrodialysis demonstrated that such a fluctuating current reflects a directional selectivity for K+, achieving at least a 6000 times permeation rate difference with Li+ ions. The specific selectivity for Li+/Mg2+ on vermiculite reached up to 856 times with similar cations by the current technique. As-obtained clay membranes possess application prospects in energy conversion, brine resource development, etc. Such a strategy can achieve the designed selectivity through systematic screening of the building blocks, thus imparting them with the inherent characteristics of natural clays, which provides an alternative solution to the present manufacture of selective membranes.

Designing Flexible but Tough Slippery Track for Underwater Gas Manipulation.

Lubricant-infused slippery surface exhibits a series of superior properties such as pressure tolerance, self-healing, oil-repellence, etc. Especially when being applied in an aqueous environment, the reliable bubble manipulating ability of slippery surface offers great opportunities to develop advanced systems in the field of gas transport, water splitting, etc. To improve the strength and the functionality of slippery surfaces, a sliced lubricant-infused slippery (SLIS) track is presented here, possessing both flexibility and toughness for underwater bubble manipulation. The rigid slippery slices with hydrophobic porous structure are linked by the liquid bridge of silicone oil, resulting in a continuous lubricant layer for bubble transfer. Taking advantage of this unique assembled structure, the in situ bubble controlling process, that is, pinning and moving, is achieved via the stretching/releasing of an elastic SLIS track. Besides, on the basis of the integrated design, a hypothesis of underwater gas mining is proved in the all-in-one process including the micro-bubble generation, bubble collection, and gas transport. The current design paves an avenue to reinforce the structure of slippery surfaces, and should promote the function of underwater bubble manipulation toward real-world applications.

Eco-friendly geopolymer prepared from solid wastes: A critical review.

Solid wastes are generated from human activities which could cause damage to the ecological environment and human beings. In recent years, there has been extensive research on solid wastes utilized as precursors, aggregates, fibers, etc. to prepare the geopolymers, which has invariably been a research hotspot. This review classifies the solid wastes utilized for geopolymers into three main categories: industrial waste, agricultural waste, and municipal waste. Accordingly, we systematically dissert solid wastes-based geopolymer from the perspectives of structure, properties, and application. The chemical composition, morphology, particle size, thermal conductivity, and other characteristics of solid wastes can trigger changes in the specific properties of geopolymers. On this account, solid wastes-based geopolymers have great potential in the domain of concrete, fireproof materials, impermeable materials, catalysts, adsorbents, and energy storage materials, etc. More importantly, geopolymers have obvious advantages in immobilizing heavy metals in solid wastes. Therefore, it can demonstrate geopolymer is a sustainable and environmentally friendly "green material". However, it still confronts the challenges of solid wastes utilized in geopolymer (technology, economy, administration). It requires the government, enterprises, and the public to work together for co-governance to accomplish industrialization and commercialization of solid wastes-based geopolymer.

Role of Montmorillonite, Kaolinite, or Illite in Pyrite Flotation: Differences in Clay Behavior Based on Their Structures.

It is widely acknowledged that clay minerals have detrimental effects on the process of flotation, but the mechanisms involved are still not fully understood. In this work, the effects of montmorillonite, kaolinite, and illite on pyrite flotation were investigated from the perspective of various structures of clay minerals. Flotation tests suggested that the detrimental effect of clay minerals on the flotation of pyrite increased as follows: montmorillonite > kaolinite > illite. With the help of rheology measurements, it was found that montmorillonite significantly increased pulp viscosity, which in turn substantially reduced pyrite recovery and grade. Scanning electron microscopy (SEM) images suggested that montmorillonite formed the "house-of-cards" structure by edge-to-edge and edge-to-face contact, while kaolinite and illite platelets were associated mainly in the face-to-face mode. In addition, it was clearly observed by SEM-energy dispersive spectrometry that montmorillonite and kaolinite coat on the pyrite surfaces, which would lower the surface hydrophobicity of pyrite. Kaolinite covered much larger area of pyrite surface than montmorillonite owing to the positive charge occurring at the exposed aluminum-oxygen octahedral sheet of kaolinite. Although illite has a similar 2:1 structure to montmorillonite, it showed little or no effect on pyrite flotation, which was attributed to its poor swelling nature. These findings shed light on the root cause of the adverse effect of clay minerals on pyrite flotation and are expected to provide theoretical guidance for mitigating the negative effects on flotation caused by clays.

Adsorption toward Cu(II) and inhibitory effect on bacterial growth occurring on molybdenum disulfide-montmorillonite hydrogel surface.

Novel molybdenum disulfide-montmorillonite (MoS2@2DMMT) hydrogels for Cu(II) removal and inhibition on bacterial growth were successfully prepared. MoS2 was first in-situ growth onto 2DMMT platelet through hydrothermal method and then cross-linked with organic reagents to form hydrogels. The flower-like structure of synthesized MoS2 could be clearly observed in MoS2@2DMMT by SEM. The synthesized hydrogels possessed a three-dimensional macroporous structure, offering a free access for contaminants to get inside and combine with the active sites. Adsorption tests revealed that efficient Cu(II) removal (65.75 mg/g) could be achieved within a short time (30 min) at pH 5. The pseudo-second-order kinetics model and Langmuir isotherm model indicated the existence of chemisorption and monolayer absorption for Cu(II) onto MoS2@2DMMT hydrogels. Characterizations of EDS and XPS indicated that Cu(II) reacted with groups of carboxyl, hydroxyl and amidogen. Bacteriostatic tests revealed that almost a complete bacteriostatic was achieved with just small dosage (0.8 mg/mL) of MoS2@2DMMT hydrogels after the Cu(II) removal under the normal illumination. The mechanism was ascribed to the destructive effect of Cu(II) to the cytomembrane and the damage of reactive oxygen species (ROS) to the DNA. Such hydrogel not only provided insights for treating co-existing contaminates, but also guides for designing novel polymer materials from two-dimensional (2D) nano-materials.

High-performance two-dimensional montmorillonite supported-poly(acrylamide-co-acrylic acid) hydrogel for dye removal.

High-performance two-dimensional montmorillonite supported-poly (acrylamide-co-acrylic acid) hydrogel for dye removal was investigated. Montmorillonite cooperated with acrylamide and acrylic acid via polymerization, hydrogen-bond, amidation and electrostatic interactions to form the three-dimensional reticular-structured hydrogel with the free entrance for macromolecules. Adsorption tests revealed that the efficient removal (97%) for methylene blue at high concentration (200 mg/L) could be achieved via a small dose of hydrogel (0.5 g/L) within a short time (20 min). The excellent adsorption performance was profited from the electronegative surface and fully exposed reaction sites of two-dimensional montmorillonite, which could save the treatment cost and promote the removal effect compared with the conventional adsorbents. The adsorption process of methylene blue onto hydrogel could be fitted by both the pseudo-first-order and pseudo-second-order kinetics models, and the adsorption isotherm corresponded to the Sips model. The mechanism analysis based on Fourier transform infrared spectroscopy and X-ray photoelectron spectroscopy measurements illustrated that the reaction between carboxyl groups and methylene blue molecules as well as the cation-exchange enabled the hydrogel performing extraordinary adsorption efficiency.