American society for metabolic and bariatric surgery: intra-operative care pathway for minimally invasive Roux-en-Y gastric bypass.

BACKGROUND: Clinical care pathways help guide and provide structure to clinicians and providers to improve healthcare delivery and quality. The Quality Improvement and Patient Safety Committee (QIPS) of the American Society for Metabolic and Bariatric Surgery (ASMBS) has previously published care pathways for the performance of laparoscopic sleeve gastrectomy (LSG) and pre-operative care of patients undergoing Roux-en-Y gastric bypass (RYGB). OBJECTIVE: This current RYGB care pathway was created to address intraoperative care, defined as care occurring on the day of surgery from the preoperative holding area, through the operating room, and into the postanesthesia care unit (PACU). METHODS: PubMed queries were performed from January 2001 to December 2019 and reviewed according to Level of Evidence regarding specific key questions developed by the committee. RESULTS: Evidence-based recommendations are made for care of patients undergoing RYGB including the pre-operative holding area, intra-operative management and performance of RYGB, and concurrent procedures. CONCLUSIONS: This document may provide guidance based on recent evidence to bariatric surgeons and providers for the intra-operative care for minimally invasive RYGB.

The neocortical infrastructure for language involves region-specific patterns of laminar gene expression.

The language network of the human brain has core components in the inferior frontal cortex and superior/middle temporal cortex, with left-hemisphere dominance in most people. Functional specialization and interconnectivity of these neocortical regions is likely to be reflected in their molecular and cellular profiles. Excitatory connections between cortical regions arise and innervate according to layer-specific patterns. Here, we generated a gene expression dataset from human postmortem cortical tissue samples from core language network regions, using spatial transcriptomics to discriminate gene expression across cortical layers. Integration of these data with existing single-cell expression data identified 56 genes that showed differences in laminar expression profiles between the frontal and temporal language cortex together with upregulation in layer II/III and/or layer V/VI excitatory neurons. Based on data from large-scale genome-wide screening in the population, DNA variants within these 56 genes showed set-level associations with interindividual variation in structural connectivity between the left-hemisphere frontal and temporal language cortex, and with the brain-related disorders dyslexia and schizophrenia which often involve affected language. These findings identify region-specific patterns of laminar gene expression as a feature of the brain's language network.

Performance comparison of flip-chip blue-light microLEDs with various passivation.

In this study, arrays of µLEDs in four different sizes (5 × 5 µm2, 10 × 10 µm2, 25 × 25 µm2, 50 × 50 µm2) were fabricated using a flip-chip bonding process. Two passivation processes were investigated with one involving a single layer of SiO2 deposited using plasma-enhanced chemical vapor deposition (PECVD) and the other incorporating Al2O3 deposited by atomic layer deposition (ALD) beneath the SiO2 layer. Owing to superior coverage and protection, the double-layers passivation process resulted in a three-order lower leakage current of µLEDs in the 5 µm chip-sized µLED arrays. Furthermore, higher light output power of µLEDs was observed in each chip-sized µLED array with double layers passivation. Particularly, the highest EQE value 21.9% of µLEDs array with 5 µm × 5 µm chip size was achieved with the double-layers passivation. The EQE value of µLEDs array was improved by 4.4 times by introducing the double-layers passivation as compared with that of µLEDs array with single layer passivation. Finally, more uniform light emission patterns were observed in the µLEDs with 5 µm × 5 µm chip size fabricated by double-layer passivation process using ImageJ software.

Amorphizing MnIn2S4 Atomic Layers Create an Asymmetrical InO1S5 Polarization Plane for Photocatalytic Ammonia Synthesis and CO2 Reduction.

Building a polarization center is an effective avenue to boost charge separation and molecular activation in photocatalysis. However, a limited number of polarization centers are usually created. Here, a polarization plane based on two-dimensional (2D) atomic layers is designed to maximize the surface polarization centers. The Mn in a 2D crystal lattice is etched from the MnIn2S4 atomic layers to build a consecutive symmetry-breaking structure of isolated InO1S5 sites. More charges aggregate around O, making the isolated InO1S5 sites highly polarized. Due to the formation of the InO1S5 polarization plane, an enormous polarized electric field is formed perpendicular to the 2D atomic layers and the carrier lifetime can be prolonged from 93.2 ps in MnIn2S4 to 1130 ps in amorphous MnxIn2Sy. Meantime, the formed large charge density gradient favors coupling and activation of small molecules. Benefiting from these features, a good NH3 photosynthesis performance (515.8 µmol g-1 h-1) can be realized over amorphous MnxIn2Sy, roughly 2.5 and 48.9 times higher than those of MnIn2S4 atomic layers and bulk MnIn2S4, respectively. The apparent quantum yields reach 5.4 and 3.3% at 380 and 400 nm, respectively. Meanwhile, a greatly improved CO2 reduction activity is also achieved over MnxIn2Sy. This strategy provides an accessible pathway for designing an asymmetrical polarization plane to motivate photocatalysis optimization.

Electron Transporting Polymeric Materials with Partial Quaternization for High-Performance Organic Solar Cells.

Efficient cathode interfacial layers (CILs) have become a crucial component of organic solar cells (OSCs). Charge extraction barriers, interfacial trap states, and significant transport resistance may be induced due to the unfavorable cathode interlayer, limiting the device performance. In this study, poly(4-vinylpyridine) is used as the CIL for OSCs, and a new type of CIL named P4VP-I is synthesized through the quaternization strategy. Compared to P4VP, P4VP-I CIL exhibits enhanced conductivity and optimized work function. OSCs employing the P4VP-I ETL demonstrate prolonged carrier lifetime, suppressed charge recombination, and achieve higher power conversion efficiencies (PCE) than the commonly used ETLs such as PFN-Br and Phen-NaDPO.

Comparative study of gastrointestinal tract size in three parent breeds for the production of dual-purpose organic chickens.

An alternative to culling male hatchlings of layers is breeding dual-purpose chickens. One breeding objective is the ability to digest low-quality feed. Certain measurements of the gastrointestinal tract may be useful indicators of this ability. The present study compared the gastrointestinal tract of adult hens of two layer-type breeds (White Rock (WR), New Hampshire (NH)) and the meat-type ÖTZ (Ökologische Tierzucht gGmbH) Bresse Gauloise (BR), used for the production of dual-purpose organic chickens. Flocks had the same housing and feeding conditions. At slaughter at 19 months, the body weight and gastrointestinal organs of 134 hens (51 WR, 55 NH and 28 BR) were measured. The muscle thickness of the proventriculus and ventriculus and the length and width of the duodenum, jejunoileum, caeca and colorectum were measured and variances between the groups were analysed using a one-factor covariance analysis. Significant differences between the breeds were found in total intestine length and the lengths and/or widths of single gastrointestinal segments. For example NH showed the highest mean total intestinal length and BR showed the lowest mean (NH: 186.73 cm, WR 185.86 cm, BR 157.91 cm; p = 0.001). To our knowledge, this is the first study comparing the gastrointestinal tract size of adult female layer- and meat-type chicken breeds kept under the same feeding and housing conditions. Given the possible relationship between intestinal length parameters and chicken performance, measurement of the gastrointestinal tract may be a simple, quick and inexpensive additional method to help select layer-, meat-type and dual-purpose chickens suitable for organic production when a selection process using genetic markers is not possible.

Cortical Layer-Dependent Signaling in Cognition: Three Computational Modes of the Canonical Circuit.

The cerebral cortex performs computations via numerous six-layer modules. The operational dynamics of these modules were studied primarily in early sensory cortices using bottom-up computation for response selectivity as a model, which has been recently revolutionized by genetic approaches in mice. However, cognitive processes such as recall and imagery require top-down generative computation. The question of whether the layered module operates similarly in top-down generative processing as in bottom-up sensory processing has become testable by advances in the layer identification of recorded neurons in behaving monkeys. This review examines recent advances in laminar signaling in these two computations, using predictive coding computation as a common reference, and shows that each of these computations recruits distinct laminar circuits, particularly in layer 5, depending on the cognitive demands. These findings highlight many open questions, including how different interareal feedback pathways, originating from and terminating at different layers, convey distinct functional signals.

Mechanocatalytic Hydrogen Generation in Centrosymmetric Barium Dititanate.

Novel phase of nano materials that break the traditional structural constraints are highly desirable, particularly in the field of mechanocatalysis, offering versatile applications ranging from energy to medical diagnosis and treatment. In this work, a distinct layered barium dititanate (BaTi2O5) nanocrystals using a pH-modulated hydrothermal method is successfully synthesized. These nanocrystals exhibit outstanding hydrogen generation capability (1160 µmol g-1 h-1 in pure water) and demonstrate remarkable performance in organic dye degradation using ultrasonication. The crystal structure of this newly discovered BaTi2O5 phase, is determined by a combination of synchrotron Powder Diffraction refinement and X-ray adsorption techniques, including X-ray Absorption Near Edge Structure (XANES) and Extended X-ray Absorption Fine Structure (EXAFS). Density Functional Theory calculations revealed that the newly-discovered BaTi2O5 phase demonstrates dipole moments along the z-axis, distributed in an antiparallel direction within a single unit cell. These inherent dipoles induce a surface polarization and a ferroelectric-flexoelectric response under mechanical stimuli when the materials go to nano dimension. With a band alignment well-suitable for hydrogen and reactive oxygen species generation, this BaTi2O5 phase demonstrates promising potential for Mechanocatalysis. The discovery of this distinct phase not only enriches the material candidates for mechanocatalysis but also provides valuable insights.

Numerical study of cavitation shock wave emission in the thin liquid layer by power ultrasonic vibratory machining.

In the field of power ultrasonic vibration processing, the thin liquid layer nestled between the tool head and the material serves as a hotbed for cavitation shock wave emissions that significantly affect the material's surface. The precise manipulation of these emissions presents a formidable challenge, stemming from a historical deficit in the quantitative analysis of both the ultrasonic enhancement effect and the shock wave intensity within this niche environment. Our study addresses this gap by innovatively modifying the Gilmore-Akulichev equation, laying the groundwork for a sophisticated bubble dynamics model and a pioneering shock wave propagation model tailored to the thin liquid layer domain. Firstly, our study investigated the ultrasound enhancement effect under various parameters of thin liquid layers, revealing an amplification of ultrasound pressure in the thin liquid layer area by up to 7.47 times. The mathematical model was solved using the sixth-order Runge-Kutta method to examine shock wave velocity and pressure under different conditions. our study identified that geometric parameters of the tool head, thin liquid layer thickness, ultrasonic frequency, and initial bubble radius all significantly influenced shock wave emission. At an ultrasonic frequency of 60 kHz, the shock wave pressure at the measurement point exhibited a brief decrease from 182.6 to 179.5 MPa during an increase. Furthermore, rapid attenuation of the shock wave was found within the range of R0-3R0 from the bubble wall. This research model aims to enhance power ultrasonic vibration processing technology, and provide theoretical support for applications in related fields.

Pioneers of cortical cytoarchitectonics: the forgotten contribution of Herbert Major.

The study of cortical cytoarchitectonics and the histology of the human cerebral cortex was pursued by many investigators in the second half of the nineteenth century, such as Jacob Lockhart Clarke, Theodor Meynert, and Vladimir Betz. Another of these pioneers, whose name has largely been lost to posterity, is considered here: Herbert Coddington Major (1850-1921). Working at the West Riding Asylum in Wakefield, United Kingdom, Major's thesis of 1875 described and illustrated six-layered cortical structure in both non-human primates and man, as well as "giant nerve cells" which corresponded to those cells previously described, but not illustrated, by Betz. Further journal publications by Major in 1876 and 1877 confirmed his finding of six cortical strata. However, Major's work was almost entirely neglected by his contemporaries, including his colleague and sometime pupil at the West Riding Asylum, William Bevan-Lewis (1847-1929), who later (1878) reported the presence of both pentalaminar and hexalaminar cortices. Bevan-Lewis's work was also later credited with the first illustration of Betz cells.

Tailoring barrier layers design for haute couture through X-ray microanalysis: Insights and guidelines.

Barrier layers against intermetallic diffusion are a fundamental part on engineering electroplated coatings as they improve the lifetime of goods reducing wastes and improving the sustainability of the production chain. This study aims to set a cost-effective methodology to characterize barrier systems by evaluating the effectiveness with a recent approach based on XRF and EDS and characterize the kinetic of diffusion processes with X-ray diffractometry. Several high fashion barrier systems were tested highlighting that anticorrosion systems are not automatically suited as barrier layers for intermetallic diffusion, as opposed to industrial practice. Investigations on gold coatings obtained varying the current density revealed a correlation between the activation energy of the diffusion process, roughness, and crystallite size.

Oral Films Printed with Green Propolis Ethanolic Extract.

Oral film (OF) research has intensified due to the effortless administration and advantages related to absorption in systemic circulation. Chitosan is one of the polymers widely used in the production of OFs; however, studies evaluating the maintenance of the active principles' activity are incipient. Propolis has been widely used as an active compound due to its different actions. Printing techniques to incorporate propolis in OFs prove to be efficient. The objective of the present study is to develop and characterize oral films based on chitosan and propolis using printing techniques and to evaluate the main activities of the extract incorporated into the polymeric matrix. The OFs were characterized in relation to the structure using scanning and atomic force electron microscopy; the mechanical properties, disintegration time, wettability, and stability of antioxidant activity were evaluated. The ethanolic extract of green propolis (GPEE) concentration influenced the properties of the OFs. The stability (phenolic compounds and antioxidant activity) was reduced in the first 20 days, and after this period, it remained constant.

Monitoring of the Homogeneity of Primer Layers for Ink Jet Printing on Polyester Fabrics by Hyperspectral Imaging.

Untreated polyester films and fibers can be hardly printed or coated, in particular if aqueous inks or lacquers have to be applied. Therefore, an adequate primer layer has to be applied first. A cationic polymer formulation based on poly(dimethylamine-co-epichlorohydrin-co-ethylenediamine) (PDEHED) was used as primer layer for digital printing on polyester fabrics. Because of the exceedingly high requirements on the homogeneity of such layers, hyperspectral imaging was used for qualitative and quantitative monitoring of the distribution of the primer layer on the textiles. Multivariate data analysis methods based on the PLS algorithm were applied for quantification of the NIR reflection spectra using gravimetry as a reference method. Optimization of the calibration method resulted in various models with prediction errors of about 1.2 g/m2. The prediction performance of the models was proven in external validations using independent samples. Moreover, a special ink jet printing technology was tested for application of the aqueous primer formulation itself. Since possible clogging of jet nozzles in the print head might lead to inhomogeneity in the coatings such as missing tracks, the potential of hyperspectral imaging to detect such defects was investigated. It was demonstrated that simulated missing tracks can be clearly detected. Consequently, hyperspectral imaging has been proven to be a powerful analytical tool for in-line monitoring of the quality of printability improvement layers and similar systems.

Thickness-dependent Relative Dielectric Constant of Organic Ultrathin Films.

In formulas employed for analysis of organic electronic devices, the relative dielectric constant value of the semiconductor organic films is often assumed rather than measured, even though it is a fundamental parameter for a correct interpretation. This is particularly true for ultrathin films made of discrete molecular layers. In this work, Spectroscopy Ellipsometry and Scanning Capacitance Microscopy were used to study thin films made of N,N'-bis(n-octyl)-x:y,dicyanoperylene-3,4:9,10-bis(dicarboximide). The relative dielectric constant presents a non-monotonic trend with thickness: it is equal to 2.1 for one molecular layer, saturating at 3.2 for increasing thickness. This maximum value, equivalent to the bulk one, occurs when the coverage is in between the third to the fourth layer. In this range, the growth switches from a Frank-Van der Merwe (2D growth) to a Volmer-Weber mode (3D growth); in addition, the molecular configuration assumes a bent/distorted geometry with respect to the initial edge-on one. These results establish a morphological dependence of the dielectric constant, especially in the vicinity of the substrate interface, that disappears at a certain distance from it.

Self-Assembled Molecular Layers as Interfacial Engineering Nanomaterials in Rechargeable Battery Applications.

Rechargeable batteries have transformed human lives and modern industry, ushering in new technological advancements such as mobile consumer electronics and electric vehicles. However, to fulfill escalating demands, it is crucial to address several critical issues including energy density, production cost, cycle life and durability, temperature sensitivity, and safety concerns is imperative. Recent research has shed light on the intricate relationship between these challenges and the chemical processes occurring at the electrode-electrolyte interface. Consequently, a novel approach has emerged, utilizing self-assembled molecular layers (SAMLs) of meticulously designed molecules as nanomaterials for interface engineering. This research provides a comprehensive overview of recent studies underscoring the significant roles played by SAML in rechargeable battery applications. It discusses the mechanisms and advantageous features arising from the incorporation of SAML. Moreover, it delineates the remaining challenges in SAML-based rechargeable battery research and technology, while also outlining future perspectives.

Transfer of High-Temperature-Sputtered BiFeO3 Thin Films onto Flexible Substrates Using α-MoO3 Layers.

Inducing external strains on highly oriented thin films transferred onto mechanically deformable substrates enables a drastic enhancement of their ferroelectric, magnetic, and electronic performances, which cannot be achieved in films on rigid single crystals. Herein, the growth and diffusion behaviors of BiFeO3 thin films grown at various temperatures is reported on α-MoO3 layers of different thicknesses using sputtering. When the BiFeO3 thin films are deposited at a high temperature, significant diffusion of Fe into α-MoO3 occurs, producing the Fe1.89Mo4.11O7 phase and suppressing the maintenance of the 2D structure of the α-MoO3 layers. Although lowering the deposition temperature alleviates the diffusion yielding the survival of the α-MoO3 layer, enabling exfoliation, the BiFeO3 is amorphous and the formation of the Fe1.89Mo4.11O7 phase cannot be suppressed at the crystallization temperature. High-temperature-grown BiFeO3 thin films are successfully transferred onto flexible substrates via mechanical exfoliation by introducing a blocking layer of Au and measured the ferroelectric properties of the transferred films.

A Density Functional Theory Study of the Physico-Chemical Properties of Alkali Metal Titanate Perovskites for Solar Cell Applications.

The urgent need to shift from non-renewable to renewable energy sources has caused widespread interest in photovoltaic technologies that allow us to harness readily available and sustainable solar energy. In the past decade, polymer solar cells (PSCs) and perovskite solar cells (Per-SCs) have gained attention owing to their low price and easy fabrication process. Charge transport layers (CTLs), transparent conductive electrodes (TCEs), and metallic top electrodes are important constituents of PSCs and Per-SCs, which affect the efficiency and stability of these cells. Owing to the disadvantages of current materials, including instability and high cost, the development of alternative materials has attracted significant attention. Owing to their more flexible physical and chemical characteristics, ternary oxides are considered to be appealing alternatives, where ATiO3 materials-a class of ternary perovskite oxides-have demonstrated considerable potential for applications in solar cells. Here, we have employed calculations based on the density functional theory to study the structural, optoelectronic, and magnetic properties of ATiO3 (A=Li, Na, K, Rb, and Cs) in different crystallographic phases to determine their potential as PSCs and Per-SCs materials. We have also determined thermal and elastic properties to evaluate their mechanical and thermal stability. Our calculations have revealed that KTiO3 and RbTiO3 possess similar electronic properties as half-metallic materials, while LiTiO3 and CsTiO3 are metallic. Semiconductor behavior with a direct band gap of 2.77 eV was observed for NaTiO3, and calculations of the optical and electronic properties predicted that NaTiO3 is the most appropriate candidate to be employed as a charge transfer layer (CTL) and bottom transparent conducting electrode (TCE) in PSCs and Per-SCs, owing to its transparency and large bandgap, whereas NaTiO3 also provided superior elastic and thermal properties. Among the metallic and half-metallic ATiO3 compounds, CsTiO3 and KTiO3 exhibited the most appropriate features for the top electrode and additional absorbent in the active layer, respectively, to enhance the performance and stability of these cells.

Demonstration of the Optical Isotropy of TiO2 Thin Films Prepared by the Sol-Gel Method.

Titanium dioxide (TiO2) thin films prepared by the sol-gel technique have been shown to be optically isotropic and, unlike the films obtained by competitive methods, do not exhibit measurable birefringence. A series of submicrometer-thin titanium dioxide films were prepared using the sol-gel technique and then thermally annealed at different temperatures. The samples were analyzed by spectroscopic ellipsometry using the Mueller matrix formalism, X-ray diffractometry and scanning electron microscopy. The conversion of amorphous titanium dioxide to polycrystalline anatase occurred at 400 °C or higher. Crystallites of a few percent of the film thickness were observed. Nevertheless, the crystallization process did not trigger the appearance of birefringence. These observations demonstrate that high-quality planar optical waveguides can be successfully fabricated on flexible substrates, in particular those composed of efficient polymers that can withstand the aforementioned temperatures.

Prediction of Geometric Dimensions of Deposited Layer Produced Using Laser-Arc Hybrid Additive Manufacturing.

Laser-arc hybrid additive manufacturing (LAHAM) holds substantial potential in industrial applications, yet ensuring dimensional accuracy remains a major challenge. Accurate prediction and effective control of the geometrical dimensions of the deposited layers are crucial for achieving this accuracy. The width and height of the deposited layers, key indicators of geometric dimensions, directly affect the forming precision. This study conducted experiments and in-depth analysis to investigate the influence of various process parameters on these dimensions and proposed a predictive model for accurate forecasting. It was found that the width of the deposited layers was positively correlated with laser power and arc current and negatively correlated with scanning speed, while the height was negatively correlated with laser power and scanning speed and positively with arc current. Quantitative analysis using the Taguchi method revealed that the arc current had the most significant impact on the dimensions of the deposited layers, followed by scanning speed, with laser power having the least effect. A predictive model based on extreme gradient boosting (XGBoost) was developed and optimized using particle swarm optimization (PSO) for tuning the number of leaf nodes, learning rate, and regularization coefficients, resulting in the PSO-XGBoost model. Compared to models enhanced with PSO-optimized support vector regression (SVR) and XGBoost, the PSO-XGBoost model exhibited higher accuracy, the smallest relative error, and performed better in terms of Mean Relative Error (MRE), Mean Square Error (MSE), and Coefficient of Determination R2 metrics. The high predictive accuracy and minimal error variability of the PSO-XGBoost model demonstrate its effectiveness in capturing the complex nonlinear relationships between process parameters and layer dimensions. This study provides valuable insights for controlling the geometric dimensions of the deposited layers in LAHAM.

Chemical Bath Deposited Antimony Oxide Thin Films for Efficient Perovskite Solar Cells.

The metal oxide electron transport layers (ETLs) of n-i-p perovskite solar cells (PSCs) are dominated by TiO2 and SnO2, while the efficacy of the other metal oxide ETLs still lags far behind. Herein, an emerging, economical, and environmentally friendly metal oxide, antimony oxide (Sb2Ox, x = 2.17), prepared by chemical bath deposition is reported as an alternative ETL for PSCs. The deposited Sb2Ox film is amorphous and very thin (∼10 nm) but conformal on rough fluorine-doped tin oxide substrates, showing matched energy levels, efficient electron extraction, and then reduced nonradiative recombination in PSCs. The champion PSC based on the Sb2Ox ETL delivers an impressive power conversion efficiency of 24.7% under one sun illumination, which represents the state-of-the-art performance of all metal oxide ETL-based PSCs. Additionally, the Sb2Ox-based devices show improved operational and thermal stability compared to their SnO2-based counterparts. Armed with these findings, we believe this work offers an optional ETL for perovskites-based optoelectronic devices.