Graphene composite paper synergized with micro/nanocellulose-fiber and silk fibroin for flexible strain sensor.

The fabrication of uniform and strong graphene-based conductive paper is challenging due to easy aggregation and poor film formability of graphene. Herein, on the basis of good dispersing effect of nanocellulose, high content graphene (50 wt%) composite paper with micro/nanocellulose fibers and silk fibroin (SF) was manufactured via simple casting method. The synergistic effects of cellulose microfibers (CMFs), cellulose nanofibers (CNFs) and SF result in the paper with ideal combination of flexibility, electrical conductivity and mechanical strength, where CNFs, CMFs and SF act as dispersing and film forming for GNPs, dimensional stability, and interfacial binding agents, respectively. Extraordinarily, by adding SF, graphene nanosheets are tightly coated on the surface of CMFs. The composite paper shows a tensile strength of 49.29 MPa, surface resistance of 39.0-42.1 Ω and good joints bend sensing performance. Additionally, it is found that CMFs can hinder the micro-cracks from propagating during the cyclic elbow bending test. The graphene-based conductive paper is helpful for the development of smart clothing wearable biosensing devices.

Synergetic Effect of α-ZrP Nanosheets and Nitrogen-Based Flame Retardants on Thermoplastic Polyurethane.

A supramolecular self-assembly method was used to prepare melamine cyanurate/α-ZrP nanosheets (MCA@α-ZrP) as a novel hybrid flame retardant for thermoplastic polyurethane (TPU). Microstructure characterization showed a uniform dispersion with strong interfacial strength of the MCA@α-ZrP hybrid within the TPU matrix, leading to simultaneous enhancements in both mechanical and fire-safety properties. The TPU/MCA@α-ZrP nanocomposite exhibited 43.1 and 47.0% increments in tensile strength and fracture energy, respectively. Thanks to the platelike structure of α-ZrP coupled with the dilution effect of MCA (releasing nonflammable gases), the hybrid MCA@α-ZrP reduced the peak heat release rate of TPU by 49.7% in comparison with 15.8 and 35.4% for TPU/MCA and TPU/ α-ZrP composites, respectively. The fire performance index of TPU is significantly promoted by 90% upon adding the MCA@α-ZrP hybrid. Additionally, LOI and UL-94 tests showed high flame-retarding characteristics for the MCA@α-ZrP hybrid. For example, LOI increased from 20.0% for neat TPU to 25.5% for the MCA@α-ZrP hybrid system, and it was rated V-1 from the UL-94 test. Furthermore, the smoke production and pyrolysis products were significantly suppressed by adding the MCA@α-ZrP hybrid into TPU. Interfacial hydrogen bonding, the dilution effect of MCA, forming a "labyrinth" layer, and catalytic action of α-ZrP nanosheets synergistically improved both the mechanical performance and flame retardancy of TPU nanocomposites. This work provides a new example of integrating traditional flame retardants with functional nanosheets to develop polymeric nanocomposites with high mechanical and fire-safety properties.

A high-performance porous flexible composite film sensor for tension monitoring.

Flexible, lightweight sensors with a wide strain-sensing range are showing increasing significance in structural health monitoring compared with conventional hard sensors, which typically have a small strain range, are heavyweight, and have a large volume. In this work, salt particle precipitation and mechanical coating methods are used to fabricate porous graphene nanoplatelet (GNP)/polydimethylsiloxane (PDMS) flexible sensors for tension monitoring in structural health applications. The signal transformation through the Back Propagation (BP) algorithm is integrated to provide monitoring data that are comparable with other sensors. The results reveal that the flexible sensors with a low content of GNPs (0.1-0.25 wt%) possess better flexibility, allowing tensile strains over 200% to be measured. In addition, due to the enhanced deformation capacity of the pore structures, they can achieve high sensitivity (1-1000) under 65% strain, and a fast response time (70 ms) under 10% strain at 60 mm min-1. They also show high performance in the fatigue test (20 000 cycles) under 5% strain, and can effectively respond to bending and torsion. In addition, the sensors show an obvious response to temperature. Overall, the prepared flexible composite sensors in this work have the advantages of a wide strain-sensing range, a full-coverage conductive network, and being lightweight, and show potential for structural health monitoring in the near future.

No correlation between acetylcholine receptor antibody concentration and individual clinical symptoms of myasthenia gravis: A systematic retrospective study involving 67 patients.

OBJECTIVE: To investigate the correlation between acetylcholine receptor antibodies (AChR-Ab) concentration levels and individualized clinical symptoms in patients with AChR myasthenia gravis (AChR-MG) in China. METHODS: ELISA was used to determine the concentration of AChR-Ab in patients with MG. The Myasthenia Gravis Foundation of America (MGFA) Clinical Classification, Quantitative Myasthenia Gravis (QMG) score, and MG-specific activities of daily living (MG-ADL) scoring systems were used to evaluate the clinical status of patients. Spearman correlation analysis was used to determine the correlation between the AChR-Ab concentration and clinical score. The changes in the antibody concentration and clinical score are shown in MGFA-antibody concentration-treatment plots. RESULTS: Autoantibody detection tests were performed in 67 patients, and their clinical scores were recorded. Forty-nine patients received immunosuppressive therapy, 17 patients received pyridostigmine only, and 1 patient under thymectomy without any medication. The AChR-Ab concentration correlated with the MGFA Classification in 5 (29.4%) patients in the pyridostigmine-only group and 15 (30.6%) patients in the immunosuppressive drug group. The changes in the MGFA Classification preceded the changes in the AChR-Ab concentration in 4 (23.5%) patients treated with pyridostigmine and 10 (20.4%) patients on immunosuppressive drugs. In patients on oral non-steroidal immunosuppressants, the AChR-Ab concentration changed by more than 50%, whereas the MGFA Classification did not increase. The AChR-Ab concentration decreased in 17/32 (53.1%) patients after thymectomy, and then increased, whereas the AChR-Ab concentration increased in 15/32 (46.9%) patients and the MGFA Classification decreased in 27/32 (81.8%) patients after thymectomy. The AChR-Ab concentration presented a slight correlation with the corresponding MGFA, QMG, and MG-ADL in patients with thymoma. DISCUSSION: In the Chinese AChR-MG population, the Changes in the AChR-Ab concentration in individuals with AChR-MG did not consistently correlate with the severity of clinical symptoms.

Thermal conductivity and mechanical performance of hexagonal boron nitride nanosheets-based epoxy adhesives.

Thermosets possess diverse physical and chemical properties and thus they are widely used in various applications such as electronic packaging, construction, and automotive industries. However, their poor thermal conductivity and weak mechanical performance jeopardize their continual spread in modern industry. In this study, boron nitride nanosheets (BNNSs) were employed to promote both mechanical and thermal properties of epoxy nanocomposites. BNNSs and their epoxy nanocomposites were fabricated usingin situsolvent ultrasonication andin situpolymerization, respectively. Thermal conductivity was enhanced by 153% increment in epoxy/BNNS nanocomposite at 7 wt% in comparison with neat epoxy. In parallel, Young's modulus, lap shear strength, fracture toughness (K1C) and energy release rate (G1C) increased by 69%, 31%, 122% and 118%, respectively at 1 wt% BNNSs. Moreover, fatigue life and strength of lap shear joints were significantly improved upon adding BNNSs. A numerical model of the single lap shear joint was developed to validate the accuracy of the material constants obtained. Epoxy/BNNS nanocomposites exhibited an outstanding mechanical performance as well as high thermal conductivity giving them merits to widen their applications in electronic and automotive industry.

Peripheral blood hsa-circRNA5333-4: A novel biomarker for myasthenia gravis.

In this study, the potential of specific Circular RNAs (circRNAs) as novel peripheral blood biomarkers for myasthenia gravis (MG) was explored. We analyzed circRNAs in the peripheral blood of three normal controls and three MG patients using RNA microarray. Candidate circRNAs were validated in three independent cohorts by Quantitative Real-time polymerase chain reaction (qPCR). Eleven differentially expressed circRNAs were initially identified and four were confirmed in the first independent cohort. Hsa_circ_0076490 and hsa-circ_5333-4 had the largest areas under the curve (AUCs) of the receiver operating characteristics (ROC) and were validated in the second cohort. In the third cohort, hsa-circRNA5333-4 had a larger AUC: 0.864 (95% confidence interval [CI] = 0.801-0.928, P < 0.001), a stronger correlation with the Quantitative Myasthenia Gravis Score (qMG): r = 0.505 (P < 0.001) and was correlated with gender and acetylcholine receptor antibody levels (P < 0.05). So hsa-circRNA5333-4 represents a novel biomarker for the diagnosis and monitoring of MG.

Multifunctional, durable and highly conductive graphene/sponge nanocomposites.

Porous functional materials play important roles in a wide variety of growing research and industrial fields. We herein report a simple, effective method to prepare porous functional graphene composites for multi-field applications. Graphene sheets were non-chemically modified by Triton®X-100, not only to maintain high structural integrity but to improve the dispersion of graphene on the pore surface of a sponge. It was found that a graphene/sponge nanocomposite at 0.79 wt.% demonstrated ideal electrical conductivity. The composite materials have high strain sensitivity, stable fatigue performance for 20 000 cycles, short response time of 0.401 s and fast response to temperature and pressure. In addition, the composites are effective in monitoring materials deformation and acoustic attenuation with a maximum absorption rate 67.78% and it can be used as electrodes for a supercapacitor with capacitance of 18.1 F g-1. Moreover, no expensive materials or complex equipment are required for the composite manufacturing process. This new methodology for the fabrication of multifunctional, durable and highly conductive graphene/sponge nanocomposites hold promise for many other applications.

Thermally and electrically conductive multifunctional sensor based on epoxy/graphene composite.

Flexible electronics is expected to be one of the most active research areas in the next decade. In this study, a mechanically strong and flexible epoxy/GnP composite film was fabricated having a percolation threshold of electrical conductivity at 1.08 vol% GnPs and high thermal conductivity as 1.07 W m-1 K-1 at 10 vol% GnPs. The composite film shows high mechanical performance: Young's modulus and tensile strength were improved by 1344% and 66.7%, respectively, at 10 vol%. The film demonstrated high sensitivity to various mechanical loads: (i) it has gauge factors of 2 at strain range 0%-7% and 6 at range 7%-10%; (ii) it gives good electrical response with bending and twisting angles up to 180°; and (iii) it displays a good compressive load response up to 2 N where the absolute value of electrical resistance change increased by 71%. Furthermore, the film showed an excellent reliability up to 5.5 × 103 cycles with minor zero-point error. Above 20 °C, the film solely acts as a temperature sensor; upon cyclic temperature testing, the film demonstrated a stable resistive response in the range of 30-75 °C with a temperature sensitivity coefficient of 0.0063 °C-1. This flexible composite film has remarkable properties that enable it to be used as a full-fledged sensor for universal applications in aerospace, automotive and civil engineering.

A novel MuSK cell-based myasthenia gravis diagnostic assay.

To improve the clinical diagnosis of neural autoimmune diseases, we developed an in-house muscle-specific kinase (MuSK) antibody cell-based assay (CBA) and compared its performance with RIA, ELISA, and other CBAs. Sera from patients with myasthenia gravis (MG) and other autoimmune diseases were analyzed. We found 46 (18.3%) MuSK-CBA Ab positive cases among 251 AChR-Ab negative cases [patients] and 4 (0.6%) MuSK-CBA Ab positive cases [among] the 624 AChR-Ab positive samples. Comparing these with available clinic assays, our highly specific CBA method is more sensitive than commercial ELISA and IFA(indirect immunofluorescence assay).