Effect of the gut microbiota and their metabolites on postoperative intestinal motility and its underlying mechanisms.

Gut microbiota is closely related to human health and disease because, together with their metabolites, gut microbiota maintain normal intestinal peristalsis. The use of antibiotics or opioid anesthetics, or both, during surgical procedures can lead to dysbiosis and affect intestinal motility; however, the underlying mechanisms are not fully known. This review aims to discuss the effect of gut microbiota and their metabolites on postoperative intestinal motility, focusing on regulating the enteric nervous system, 5-hydroxytryptamine neurotransmitter, and aryl hydrocarbon receptor.

Human Body Mixed Motion Pattern Recognition Method Based on Multi-Source Feature Parameter Fusion.

Aiming at the requirement of rapid recognition of the wearer's gait stage in the process of intelligent hybrid control of an exoskeleton, this paper studies the human body mixed motion pattern recognition technology based on multi-source feature parameters. We obtain information on human lower extremity acceleration and plantar analyze the relationship between these parameters and gait cycle studying the motion state recognition method based on feature evaluation and neural network. Based on the actual requirements of exoskeleton per use, 15 common gait patterns were determined. Using this, the studies were carried out on the time domain, frequency domain, and energy feature extraction of multi-source lower extremity motion information. The distance-based feature screening method was used to extract the optimal features. Finally, based on the multi-layer BP (back propagation) neural network, a nonlinear mapping model between feature quantity and motion state was established. The experimental results showed that the recognition accuracy in single motion mode can reach up to 98.28%, while the recognition accuracy of the two groups of experiments in mixed motion mode was found to be 92.7% and 97.4%, respectively. The feasibility and effectiveness of the model were verified.

Magnetorheological Damper With Variable Displacement Permanent Magnet for Assisting the Transfer of Load in Lower Limb Exoskeleton.

Magnetorheological (MR) fluid exhibits the ability to modulate its shear state through variations in magnetic field intensity, and is widely used for applications requiring damping. Traditional MR dampers use the current in the coil to adjust the magnetic field strength, but the accumulated heat can cause the magnetic field strength to decay if it works for a long time. In order to deal with this shortcoming, a novel MR damper is proposed in this paper, which is based on a variable displacement permanent magnet to adjust the output resistance torque and applied to an exoskeleton joint for human load transfer assistance. A finite element model is used to determine the size parameters of the magnet and separator, so that the maximum output torque is optimal and the torque is uniformly distributed with the magnet displacement. The MR damper was characterized and calibrated on the experimental bench to make it controllable. The novel design enables the torque mass density of the MR damper to reach 8.83Nmm/g, the torque volume density to reach 48.7N/mm2, and has stability for long-term operation. Based on the torque control method proposed, a preliminary human experiment is conducted. The ground reaction force (GRF) data of the subjects is analyzed here, which represents the effect of load transfer to the exoskeleton. Compared with no exoskeleton, the GRF with exoskeleton is significantly reduced: the peak GRF in early stance phase is reduced by 24.14%, and in late stance phase is reduced by 19.77%. Based on our net load benefit (NLB) and net force benefit (NFB) evaluation indicators, the effectiveness of the proposed MR damper exoskeleton for human weight bearing assistance is established.

Parallel Elastic Self-Alignment Mechanism Enhances Energy Efficiency and Reduces Misalignment in a Powered Knee Exoskeleton.

OBJECTIVE: This paper aims to enhance exoskeleton compliance during locomotion assistance by reducing misalignment and to improve energy efficiency by overcoming the limitations posed by the bulky structure of powered rigid exoskeletons. METHODS: A novel compliant knee exoskeleton, featuring a parallel elastic self-alignment mechanism, has been developed and structurally optimized. The exoskeleton uses adaptive oscillators to determine the wearer's gait phase and provides real-time assistance to the knee joint. RESULTS: Bench tests demonstrate that the parallel elastic mechanism significantly reduces the driving torque of the knee exoskeleton. Performance evaluations reveal that, compared to a commercial orthosis, the root-mean-square of knee angle error, joint misalignment, and unexpected interaction forces are reduced by 16.5 ± 11.3%, 23.3 ± 4.9%, and 17.7 ± 1.3%, respectively. Gait intervention experiments show reductions in average and maximum muscle activity of the knee joint by 7.6 ± 4.9% and 23.2 ± 5.7%, respectively. Additionally, the exoskeleton decreases negative work performed by the knee joint and the total lower limb by 22.7% and 8.6%, respectively. CONCLUSION: The parallel elastic self-alignment mechanism effectively mitigates joint misalignment, while the parallel springs offer partial gravity compensation, thereby enhancing both the energy efficiency and locomotion assistance of the exoskeleton. SIGNIFICANCE: The parallel elastic self-alignment mechanism effectively addresses both misalignment and energy efficiency challenges in powered exoskeletons, providing valuable insights for future design improvements.

M2 macrophages independently promote beige adipogenesis via blocking adipocyte Ets1.

Adipose tissue macrophages can promote beige adipose thermogenesis by altering local sympathetic activity. Here, we perform sympathectomy in mice and further eradicate subcutaneous adipose macrophages and discover that these macrophages have a direct beige-promoting function that is independent of sympathetic system. We further identify adipocyte Ets1 as a vital mediator in this process. The anti-inflammatory M2 macrophages suppress Ets1 expression in adipocytes, transcriptionally activate mitochondrial biogenesis, as well as suppress mitochondrial clearance, thereby increasing the mitochondrial numbers and promoting the beiging process. Male adipocyte Ets1 knock-in mice are completely cold intolerant, whereas male mice lacking Ets1 in adipocytes show enhanced energy expenditure and are resistant to metabolic disorders caused by high-fat-diet. Our findings elucidate a direct communication between M2 macrophages and adipocytes, and uncover a function for Ets1 in responding to macrophages and negatively governing mitochondrial content and beige adipocyte formation.

Association between multiple coagulation-related factors and lymph node metastasis in patients with gastric cancer: A retrospective cohort study.

Background: Patients with tumors generally present with accompanying activation of the coagulation system, which may be related to tumor stage. To our knowledge, few studies have examined the activation of the coagulation system in reference to lymph node metastasis within gastric cancer. This study aimed to investigate the correlation between multiple coagulation-related factors and lymph node metastasis in patients with gastric cancer after excluding the influence of tumor T stage. Materials and methods: We retrospectively evaluated the relationship between lymph node metastasis and coagulation-related factors in 516 patients with T4a stage gastric cancer. We further analyzed influencing factors for lymph node metastasis and verified the predictive value of maximum amplitude (MA, a parameter of thromboelastography which is widely used to assess the strength of platelet-fibrinogen interaction in forming clots) in reference to lymph node metastasis. Results: Platelet counts (P=0.011), fibrinogen levels (P=0.002) and MA values (P=0.006) were statistically significantly higher in patients with T4a stage gastric cancer presenting with lymph node metastasis than in those without lymph node metastasis. Moreover, tumor N stage was statistically significantly and positively correlated with platelet count (P<0.001), fibrinogen level (P=0.003), MA value (P<0.001), and D-dimer level (P=0.010). The MA value was an independent factor for lymph node metastasis (ß=0.098, 95% CI: 1.020-1.193, P=0.014) and tumor N stage (ß=0.059, 95% CI: 0.015-0.104, P=0.009), and could be used to predict the presence of lymph node metastasis in patients with gastric cancer (sensitivity 0.477, specificity 0.783, P=0.006). The independent influencing factors for MA value mainly included platelet levels, fibrinogen levels, D-dimer and hemoglobin levels; we found no statistically significant correlations with tumor diameter, tumor area, and other evaluated factors. Conclusion: We conclude that MA value is an independent influencing factor for lymph node metastasis and tumor N stage in patients with T4a stage gastric cancer. The MA value has important value in predicting the presence or absence of lymph node metastasis in patients with gastric cancer. Clinical trial registration: http://www.chictr.org.cn, identifier ChiCTR2200064936.

Design and Experimental Evaluation of a Lower-Limb Exoskeleton for Assisting Workers With Motorized Tuning of Squat Heights.

This paper presents the E-LEG, a novel semi-passive lower-limb exoskeleton for worker squatting assistance, with motorized tuning of the assistive squatting height. Compared with other passive industrial exoskeletons for the lower-limbs, the E-LEG presents novel design features namely inertial sensor for measuring the tilt angle of thigh and the novel electromagnetic switch for adjusting squat height. These features could enhance the effectiveness of the system. In addition to the introduction to exoskeleton design, this paper also reports the systematic experimental evaluation of human subjects. With the assistance of different conditions, the variability of muscular activity was evaluated in long-term static squatting task. The set of metrics to evaluate the effect of the device included leg muscle activity, plantar pressure fluctuation, plantar pressure center fluctuation and gait angles. Results show that the exoskeleton can reduce the muscular activity of the user during squatting, and it will have little affect the normal gait of the user during walking. In this study, we found that the E-LEG exoskeleton has potential effectiveness in reducing the muscular strain on long-term continuous squatting activities.

Effect of phase behavior on the ethenolysis of ethyl oleate in compressed CO2.

How to enhance the reaction efficiency using greener methods is an important topic. In this work, the phase behavior of the reaction system of metathesis of ethyl oleate with ethene in compressed CO2 was studied at 308.15 and 323.15 K using the Peng-Robinson equation of state. The effect of the phase behavior on the reaction rate and equilibrium conversion was studied. It was demonstrated that addition of CO2 in the reaction system could increase the reaction rate and equilibrium conversion considerably at suitable conditions where the solubility of the reactant in the vapor phase was low, while the solubility of the products was very high. However, at the condition where the solubility of the reactant and products were all high, the reaction rate was much slower. The mechanism for this interesting phenomenon was discussed in detail.

New topic of supercritical fluids: local activity coefficients of supercritical solvent and cosolvent around solute.

The study of inhomogeneity in supercritical fluids (SCFs) is of great importance. In this work, we propose the concept of local activity coefficients in supercritical (SC) solutions, which link thermodynamics and inhomogeneity in SC systems. The local activity coefficients of CO(2)+acetonitrile+phenol blue and CO(2)+acetic acid+phenol blue systems are investigated at 308.15 K in critical region and outside critical region. To do this, the local compositions of CO(2)+acetonitrile and CO(2)+acetic acid mixed solvents around phenol blue are first estimated using UV-visible spectroscopy. Then it is considered that there exist bulk phase and local phase around phenol blue in the systems. The activity coefficients of CO(2) and the cosolvents (acetonitrile or acetic acid) in bulk phase are calculated using Peng-Robinson equation of state. The local activity coefficients of CO(2) and the cosolvents are then calculated on the basis of thermodynamic principles. It is demonstrated that in the critical region the local activity coefficients differ from bulk activity coefficients significantly and are sensitive to pressure. This can explain many unusual phenomena in SC systems in critical region thermodynamically.

Enhancing reaction rate of transesterification of glycerol monostearate and methanol by CO(2).

The effect of CO2 as a green additive on the reaction rate of transesterification of glycerol monostearate with methanol was studied at 333.15 and 343.15 K up to 10.5 MPa. It was demonstrated that addition of CO2 in the reaction system could increase the reaction rate significantly. The phase behavior of the CO2+methanol+ glycerol monostearate ternary system was also determined at 333.15 and 343.15 K. It is shown that addition of CO2 can enhance the miscibility of the reactant. The main reasons for the reaction rate enhancement are that CO2 can enhance the miscibility of the reactants, reduce the viscosity of the reaction mixture, and increase the diffusion coefficients of the reactants.