Synergistic Poly(lactic acid) Antibacterial Surface Combining Superhydrophobicity for Antiadhesion and Chlorophyll for Photodynamic Therapy.

The problem of nosocomial infections caused by bacterial growth on material surfaces is an urgent threat to public health. Although numerous materials and methods have been explored to fight against infections, the methods are complicated and the materials are slightly toxic. It is highly desirable to develop an antibacterial strategy that kills bacteria effectively without drug resistance and cytotoxicity. Herein, we present a synergistic antibacterial polylactic acid (PLA) surface with superhydrophobic antibacterial adhesion and photodynamic bactericidal activity. Initially, the surface displayed low-adhesion superhydrophobicity and resisted most bacterial adhesion. Furthermore, completely non-toxic chlorophyll possessed excellent photodynamic bactericidal properties under non-toxic visible light, which was incorporated into micro-/nanoscale PLA surfaces. We achieved efficient antibacterial activity using completely non-toxic materials and a facile non-solvent-induced phase separation process. This non-toxic, simple, good biocompatible, and no drug-resistant strategy has great advantages in combating bacterial infections.

Recent Progress in Type I Aggregation-Induced Emission Photosensitizers for Photodynamic Therapy.

In modern medicine, precision diagnosis and treatment using optical materials, such as fluorescence/photoacoustic imaging-guided photodynamic therapy (PDT), are becoming increasingly popular. Photosensitizers (PSs) are the most important component of PDT. Different from conventional PSs with planar molecular structures, which are susceptible to quenching effects caused by aggregation, the distinct advantages of AIE fluorogens open up new avenues for the development of image-guided PDT with improved treatment accuracy and efficacy in practical applications. It is critical that as much of the energy absorbed by optical materials is dissipated into the pathways required to maximize biomedical applications as possible. Intersystem crossing (ISC) represents a key step during the energy conversion process that determines many fundamental optical properties, such as increasing the efficiency of reactive oxygen species (ROS) production from PSs, thus enhancing PDT efficacy. Although some review articles have summarized the accomplishments of various optical materials in imaging and therapeutics, few of them have focused on how to improve the phototherapeutic applications, especially PDT, by adjusting the ISC process of organic optics materials. In this review, we emphasize the latest advances in the reasonable design of AIE-active PSs with type I photochemical mechanism for anticancer or antibacterial applications based on ISC modulation, as well as discuss the future prospects and challenges of them. In order to maximize the anticancer or antibacterial effects of type I AIE PSs, it is the aim of this review to offer advice for their design with the best energy conversion.

P-N Conversion in a Water-Ionic Liquid Binary System for Nonredox Thermocapacitive Converters.

An intriguing p-n conversion of thermoelectric property was observed in a water-ionic liquid ([EMIm][Ac]) binary system with precise control over water content. The highest p-type and n-type Seebeck coefficient were optimized at water-[EMIm][Ac] molar ratio of 2:1 and 4:1, respectively. DFT calculation illustrates that a configuration of solvent separation ion pairs is preferred at the water-[EMIm][Ac] molar ratio of 4:1, leading to the p-n conversion through weakening interaction between anion clusters and gold electrodes. Furthermore, p-n thermocapacitive converters were integrated to enhance the output Seebeck voltages. This work opens up new perspectives for harvesting low grade heat with the use of fluidic materials.

Semi-invasive wearable clinic: Solution-processed smart microneedle electronics for next-generation integrated diagnosis and treatment.

The integrated smart electronics for real-time monitoring and personalized therapy of disease-related analytes have been gradually gaining tremendous attention. However, human tissue barriers, including the skin barrier and brain-blood barrier, pose significant challenges for effective biomarker detection and drug delivery. Microneedle (MN) electronics present a promising solution to overcome these tissue barriers due to their semi-invasive structures, enabling effective drug delivery and target-analyte detection without compromising the tissue configuration. Furthermore, MNs can be fabricated through solution processing, facilitating large-scale manufacturing. This review provides a comprehensive summary of the recent three-year advancements in smart MNs development, categorized as follows. First, the solution-processed technology for MNs is introduced, with a focus on various printing technologies. Subsequently, smart MNs designed for sensing, drug delivery, and integrated systems combining diagnosis and treatment are separately summarized. Finally, the prospective and promising applications of next-generation MNs within mediated diagnosis and treatment systems are discussed.

Molecular Investigation and Preliminary Validation of Candidate Genes Associated with Neurological Damage in Heat Stroke.

Heat stroke (HS) is a severe medical condition characterized by a systemic inflammatory response that may precipitate multi-organ dysfunction, with a particular predilection for inducing profound central nervous system impairments. We aim to employ bioinformatics techniques for the retrieval and analysis of genes associated with heat stroke-induced neurological damage. We performed a comprehensive analysis of the GSE64778 dataset from the Sequence Read Archive, resulting in the identification of 1178 significantly differentially expressed genes (DEGs). We retrieved 2914 genes associated with heat stroke from the GeneCards database and 2377 genes associated with heat stroke from the Comparative Toxicogenomics Database (CTD). The intersection of the top 300 DEGs in the GSE64778 dataset intersected with the search results of GeneCards and CTD, yielding 25 final candidates for DEGs associated with heat stroke. Gene Ontology functional annotation results indicated that the target genes were mainly involved in apoptosis, stress response, and negative regulation of cellular processes and function in processes such as protein dimerization and protein binding. The Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis revealed a predominant enrichment of candidate target genes within the PI3K-AKT signaling pathway. Subsequent protein-protein interaction network analysis highlighted HSP90aa1 as a central gene, indicating its pivotal role by possessing the highest number of edges among the genes enriched in the PI3K-AKT signaling pathway. Quantitative reverse transcription-polymerase chain reaction analysis performed on blood samples from patients validated the expression of Hsp90aa1 in individuals exhibiting early neurological damage in HS, consistent with the findings from the mRNA bioinformatics analysis. Additionally, the bioinformatics analysis of the upstream microRNAs (miRNAs) regulating HSP90aa1 and the target miRNAs associated with candidate long non-coding RNAs (lncRNAs) identified three lncRNAs, eight miRNAs, and one mRNA in the regulatory network. The DIANA Tools database and algorithms were employed for pathway enrichment and correlation analysis, revealing a significant association between LOC102547734 and MIR-206-3p, with the latter being identified as a target binding site Moreover, the analysis unveiled a correlation between MIR-206-3p and HSP90aa1, implicating the latter as a potential target binding site within the regulatory network.

Diagnostic Significance of Combined Calcitoninogen, Platelet, and D-Dimer Assay in Severe Heatstroke: with Clinical Data Analysis of 70 Patients with Severe Heatstroke.

The significance of calcitoninogen detection among inpatients was discussed by analyzing the clinical characteristics of severe heatstroke (HS). HS patients who were admitted to the Second Hospital of Nantong University, Jiangsu Province, China, between July 1, 2015, and October 30, 2020, were reviewed. Patients' clinical characteristics and laboratory data were recorded, and they were divided into three groups, that is, a control group (heat cramps and heat exhaustion), an exertional HS (EHS) group, and a classical HS (CHS) group to compare the differences among them. Receiver operating characteristic (ROC) curves were plotted to evaluate patients' clinical utility. (1) The body temperatures in the EHS and CHS groups were significantly higher than in the control group (all p < 0.05). (2) The D-dimer (DD), procalcitonin (PCT), and Acute Physiology and Chronic Health Evaluation (APACHE) II score of the EHS group were significantly higher compared with the control and CHS groups (all p < 0.05); the platelets (PLT), C-reactive protein (CRP), blood sodium (Na), and intravenous glucose (GLU) of the EHS group were lower than in the control and CHS groups (all p < 0.05). (3) The ROC curve analysis showed the performance results for DD (area under the curve [AUC] 0.670, 95% confidence interval [CI] 0.547-0.777), PCT (AUC 0.705, 95% CI 0.584-0.808), and PLT (AUC 0.791, 95% CI 0.677-0.879). The sensitivity was 40.48%, 100%, and 73.81%, and the specificity was 96.43%, 32.14%, and 78.57%, respectively. Using three combined analyses, an elevated AUC of 0.838, 95% CI 0.731-0.916, with a sensitivity of 71.43% and a specificity of 85.71%, respectively, was revealed. Patients in the EHS group had higher DD, PCT, and APACHE II values, whereas PLT, CRP, Na, and GLU were reduced. The apparent decrease in the PLT, as well as the increase in PCT and DD values, could be considered as early sensitivity indicators of severe HS. A combined test of these three indicators presented significant diagnostic value for detecting severe cases of HS.

Relationship of widowhood with pulse pressure, fasting blood glucose, and mental health in older adults: a propensity matching score analysis.

Background: Transitioning from marriage to widowhood presents inevitable and significant challenges for many older adults. This study explored the impact of widowhood on a range of mental health outcomes, including pulse pressure and fasting blood glucose levels, among older adults in nursing homes. Methods: This cross-sectional study utilized cluster random sampling to recruit participants, with data analyzed from 388 older Chinese adults. Psychosocial traits were assessed using the Perceived Social Support from Family scale (PSS-Fa) for family support, the Generalized Anxiety Disorder 7-item scale (GAD-7) for anxiety symptoms, and the 9-item Patient Health Questionnaire (PHQ-9) for depressive symptoms and suicidal ideation. Propensity score matching (PSM) was employed to control for confounding factors. A multivariate linear regression analysis was performed to explore the relationship between widowhood, mental health outcomes, pulse pressure, and fasting blood glucose levels. Results: After applying PSM, the sample size was refined to 268 (N = 134 for both married and widowed groups) from the initial 388, excluding 120 unmatched cases. Widowed older adults were found to have notably lower family support (ß = -0.81, p = 0.002), increased depressive symptoms (ß = 1.04, p = 0.043), elevated pulse pressure (ß = 8.90, p < 0.001), and higher fasting blood glucose levels (ß = 3.22, p = 0.027). These associations exhibited greater beta values compared to pre-matching analysis. Conclusion: Our findings revealed that widowed participants had reduced family support, an increased risk of depressive symptoms, heightened pulse pressure, and elevated fasting blood glucose in comparison to their married counterparts. Interventions focusing on social support, mental health, and cardiovascular well-being could be advantageous for this at-risk group.

Thermoelectric Converters Based on Ionic Conductors.

Thermoelectric materials represent a new paradigm for harvesting low-grade heat, which would otherwise be dissipated to the environment uselessly. Relative to conventional thermoelectric materials generally composed of semiconductors or semi-metals, ionic thermoelectric materials are rising as an alternative choice which exhibit higher Seebeck coefficient and lower thermal conductivity. The ionic thermoelectric materials own a completely different thermoelectric conversion mechanism, in which the ions do not enter the electrode but rearrange on the electrode surface to generate a voltage difference between the hot and cold electrodes. This unique character has inspired worldwide interests on the design of ionic-type thermoelectric converters with attractive advantages of high flexibility, low cost, limited environmental pollution, and self-healing capability. Referring to the categories of ionic thermoelectric conversion, some representative ionic thermoelectric materials with their respective characteristics are summarized in this minireview. In addition, examples of applying ionic thermoelectric materials in supercapacitors, wearable devices, and fire warning system are also discussed. Insight into the challenges for the further development of ionic thermoelectric materials is finally provided.

Ultrafast Paper Thermometers Based on a Green Sensing Ink.

With the use of an ionic liquid as the ultrathermosensitive fluid, a paper thermometer is successfully developed with intrinsic ability of ultrafast response and high stability upon temperature change. The fluidic nature allows the ionic liquid to be easily deposited on paper by pen writing or inkjet printing, affording great promise for large-scale fabrication of low-cost paper sensors. Owing to the advantages of nonvolatilization, excellent continuity and deformability, the thermosensitive ink trapped within the cellulose fibers of paper matrix has no leakage or evaporation at open states, ensuring the excellent stability and repeatability of thermal sensing against arbitrary bending and folding operation. By shortening the heat exchange distance between ionic liquid and samples, it takes only 8 s for the thermometer to reach an electrical equilibrium at a given temperature. Moreover, the paper thermometer can be applied to remotely monitor temperature change with the combination of a wireless communication technology.

Polymer Swelling Induced Conductive Wrinkles for an Ultrasensitive Pressure Sensor.

Deposition of particular layers of solid materials on a swelling polymer leads to the formation of functional wrinkles after the release of polymer strain. Unlike traditional mechanical stretching, polymer swelling could introduce uniform wrinkle structures on complex substrates as a result of isotropic polymer elongation. In this work, conductive silver wrinkles are grown on an elastomer by combining polymer swelling with electroless deposition. By adjusting the cross-linking ratio of polymer substrate or deposition time, the amplitude and wavelength of wrinkles can be tuned to meet demands for ultrasensitive pressure sensors. The detectable pressure limit is successfully reached below 1.0 Pa.

A Self-Healing Electronic Sensor Based on Thermal-Sensitive Fluids.

A combination of liquid sensing materials and self-healing polymers is conceived for preparing electronic sensors that can be mended when they suffer damage. The leakage of ionic liquids at a breaking state is avoided with the help of the capillary effect. Photothermal conversion and magnetic-thermal conversion extend the sensing application. The successful development of self-healing sensors is promising for exploiting high-level electronic devices with long-term service.

Pen-Writing Polypyrrole Arrays on Paper for Versatile Cheap Sensors.

A simple and low-cost "pen-writing" method is exploited for integrating conducting polymer on cellulosic paper. The pen-written paper chip not only possesses excellent mechanical and electrical properties, but also serves as a versatile sensor, fulfilling several real-time and in situ detections for ammonia gas, thermal heating, and NIR light. The theoretical detection limit of ammonia gas can be as low as 1.2 ppm, which is a promising performance for industrial application. In addition, this "pen-writing" technique can be extended to generate wearable electrical textiles in a large scale.