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1.
Nature ; 628(8006): 84-92, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38538792

RESUMO

Wearable electronics with great breathability enable a comfortable wearing experience and facilitate continuous biosignal monitoring over extended periods1-3. However, current research on permeable electronics is predominantly at the stage of electrode and substrate development, which is far behind practical applications with comprehensive integration with diverse electronic components (for example, circuitry, electronics, encapsulation)4-8. Achieving permeability and multifunctionality in a singular, integrated wearable electronic system remains a formidable challenge. Here we present a general strategy for integrated moisture-permeable wearable electronics based on three-dimensional liquid diode (3D LD) configurations. By constructing spatially heterogeneous wettability, the 3D LD unidirectionally self-pumps the sweat from the skin to the outlet at a maximum flow rate of 11.6 ml cm-2 min-1, 4,000 times greater than the physiological sweat rate during exercise, presenting exceptional skin-friendliness, user comfort and stable signal-reading behaviour even under sweating conditions. A detachable design incorporating a replaceable vapour/sweat-discharging substrate enables the reuse of soft circuitry/electronics, increasing its sustainability and cost-effectiveness. We demonstrated this fundamental technology in both advanced skin-integrated electronics and textile-integrated electronics, highlighting its potential for scalable, user-friendly wearable devices.


Assuntos
Eletrônica , Dispositivos Eletrônicos Vestíveis , Pele , Têxteis , Eletrodos
2.
Chem Rev ; 124(4): 1535-1648, 2024 02 28.
Artigo em Inglês | MEDLINE | ID: mdl-38373392

RESUMO

Over the years, researchers have made significant strides in the development of novel flexible/stretchable and conductive materials, enabling the creation of cutting-edge electronic devices for wearable applications. Among these, porous conductive textiles (PCTs) have emerged as an ideal material platform for wearable electronics, owing to their light weight, flexibility, permeability, and wearing comfort. This Review aims to present a comprehensive overview of the progress and state of the art of utilizing PCTs for the design and fabrication of a wide variety of wearable electronic devices and their integrated wearable systems. To begin with, we elucidate how PCTs revolutionize the form factors of wearable electronics. We then discuss the preparation strategies of PCTs, in terms of the raw materials, fabrication processes, and key properties. Afterward, we provide detailed illustrations of how PCTs are used as basic building blocks to design and fabricate a wide variety of intrinsically flexible or stretchable devices, including sensors, actuators, therapeutic devices, energy-harvesting and storage devices, and displays. We further describe the techniques and strategies for wearable electronic systems either by hybridizing conventional off-the-shelf rigid electronic components with PCTs or by integrating multiple fibrous devices made of PCTs. Subsequently, we highlight some important wearable application scenarios in healthcare, sports and training, converging technologies, and professional specialists. At the end of the Review, we discuss the challenges and perspectives on future research directions and give overall conclusions. As the demand for more personalized and interconnected devices continues to grow, PCT-based wearables hold immense potential to redefine the landscape of wearable technology and reshape the way we live, work, and play.


Assuntos
Eletrônica , Dispositivos Eletrônicos Vestíveis , Porosidade , Têxteis , Condutividade Elétrica
3.
J Cell Physiol ; 239(5): e31250, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38477420

RESUMO

Parkinson's disease (PD) is the most prevalent neurodegenerative disorder. Neuroinflammation mediated by activated microglia and apoptosis of dopaminergic (DA) neurons in the midbrain are its primary pathological manifestations. Leucine-rich repeat protein kinase 2 (LRRK2) kinase has been observed to increase expression during neuroinflammation, however, the effect of LRRK2 on microglia activation remains poorly understood. In this study, we have established lipopolysaccharide (LPS) treated BV2 cells and 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) models for both in vivo and in vitro investigation. Our data in vivo reveal that LRRK2 can promote microglia activation by regulating ferroptosis and activating nuclear factor-κB. Inhibition of LRRK2 expression effectively suppressed the LPS-induced pro-inflammatory cytokines and facilitated the secretion of neuroprotective factors. Importantly, by co-overexpressing LRRK2 and glutathione peroxidase 4 (GPX4), we identified the system Xc-GSH-GPX4 pathway as a crucial component in LRRK2-mediated microglial ferroptosis and inflammatory responses. Using a microglial culture supernatant (MCS) transfer model, we found that inhibiting LRRK2 or downregulating ferroptosis in BV2 cells prevented SH-SY5Y cell apoptosis. Additionally, we observed abundant expression of LRRK2 and P-P65 in the midbrain, which was elevated in the MPTP-induced PD model, along with microglia activation. LRRK2 and P-P65 expression inhibition with PF-06447475 attenuated microglia activation in the nigrostriatal dense part of MPTP-treated mice. Based on our findings, it is evident that LRRK2 plays a critical role in promoting the neuroinflammatory response during the pathogenesis of PD by regulating the system Xc-GSH-GPX4 pathway. Taken together, our data highlights the potential research and therapeutic value of targeting LRRK2 to regulate neuroinflammatory response in PD through ferroptosis.


Assuntos
Ferroptose , Serina-Treonina Proteína Quinase-2 com Repetições Ricas em Leucina , Microglia , Doenças Neuroinflamatórias , Doença de Parkinson , Animais , Humanos , Masculino , Camundongos , 1-Metil-4-Fenil-1,2,3,6-Tetra-Hidropiridina/farmacologia , Linhagem Celular , Modelos Animais de Doenças , Neurônios Dopaminérgicos/metabolismo , Neurônios Dopaminérgicos/efeitos dos fármacos , Neurônios Dopaminérgicos/patologia , Ferroptose/efeitos dos fármacos , Serina-Treonina Proteína Quinase-2 com Repetições Ricas em Leucina/genética , Serina-Treonina Proteína Quinase-2 com Repetições Ricas em Leucina/metabolismo , Lipopolissacarídeos/farmacologia , Camundongos Endogâmicos C57BL , Microglia/metabolismo , Microglia/efeitos dos fármacos , Microglia/patologia , Doenças Neuroinflamatórias/metabolismo , Doenças Neuroinflamatórias/patologia , NF-kappa B/metabolismo , Doença de Parkinson/metabolismo , Doença de Parkinson/patologia , Doença de Parkinson/genética , Fosfolipídeo Hidroperóxido Glutationa Peroxidase/metabolismo , Fosfolipídeo Hidroperóxido Glutationa Peroxidase/genética , Transdução de Sinais , Pirimidinas/farmacologia , Pirróis/farmacologia
4.
J Pineal Res ; 76(5): e12987, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38975671

RESUMO

Sleep deprivation (SD) has been associated with a plethora of severe pathophysiological syndromes, including gut damage, which recently has been elucidated as an outcome of the accumulation of reactive oxygen species (ROS). However, the spatiotemporal analysis conducted in this study has intriguingly shown that specific events cause harmful damage to the gut, particularly to goblet cells, before the accumulation of lethal ROS. Transcriptomic and metabolomic analyses have identified significant enrichment of metabolites related to ferroptosis in mice suffering from SD. Further analysis revealed that melatonin could rescue the ferroptotic damage in mice by suppressing lipid peroxidation associated with ALOX15 signaling. ALOX15 knockout protected the mice from the serious damage caused by SD-associated ferroptosis. These findings suggest that melatonin and ferroptosis could be targets to prevent devastating gut damage in animals exposed to SD. To sum up, this study is the first report that proposes a noncanonical modulation in SD-induced gut damage via ferroptosis with a clearly elucidated mechanism and highlights the active role of melatonin as a potential target to maximally sustain the state during SD.


Assuntos
Ferroptose , Melatonina , Camundongos Knockout , Privação do Sono , Animais , Camundongos , Melatonina/metabolismo , Melatonina/farmacologia , Privação do Sono/metabolismo , Masculino , Espécies Reativas de Oxigênio/metabolismo , Camundongos Endogâmicos C57BL , Peroxidação de Lipídeos , Araquidonato 15-Lipoxigenase/metabolismo , Araquidonato 15-Lipoxigenase/genética , Araquidonato 12-Lipoxigenase
5.
Small ; 19(50): e2304353, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37620125

RESUMO

Fiber-shaped conductors with high electrical conductivity, stretchability, and durability have attracted increasing attention due to their potential for integration into arbitrary wearable forms. However, these fiber conductors still suffer from low reliability and short life span, particularly in harsh environments. Herein, a conductive, environment-tolerant, stretchable, and healable fiber conductor (CESH), which consists of a self-healable and stretchable organohydrogel fiber core, a conductive and buckled silver nanowire coating, and a self-healable and waterproof protective sheath, is reported. Such a multilayer core-sheath design not only offers high stretchability (≈2400%), high electrical conductivity (1.0 × 106 S m-1 ), outstanding self-healing ability and durability, but also possesses unprecedented tolerance in harsh environments including wide working temperature (-60-20 °C), arid (≈10 % RH (RH: room humidity)), and underwater conditions. As proof-of-concept demonstrations, CESHs are integrated into various wearable formats as interconnectors to steadily perform the electric function under different mechanical deformations and harsh conditions. Such a new type of multifunctional fiber conductors can bridge the gap in stretchable and self-healing fiber technologies by providing ultrastable electrical conductance and excellent environmental tolerance, which can greatly expand the range of applications for fiber conductors.

6.
Phys Chem Chem Phys ; 25(28): 18757-18765, 2023 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-37427559

RESUMO

Controlling the spatial morphology of the nanorods (NRs) in a polymer matrix and understanding the structure-property relationship are crucial for fabricating high-performance polymer nanocomposites (PNCs). By employing molecular dynamics simulations, we systematically studied the structural and mechanical properties of NR filled PNCs. The simulated results showed that the NRs gradually self-assembled into a three-dimensional (3D) network upon increasing the NR-NR interaction strength. The generated 3D NR network transferred loads along the NR backbone, differing from the well dispersed system which transfers loads between NRs and nearby polymer chains. Increase of the nanorod diameter or NR content further enhanced the PNCs by improving the NR network integrity. These findings provide insights into the reinforcement mechanism of NRs toward polymer matrices and provide guidance for designing PNCs with excellent mechanical performance.

7.
Nano Lett ; 22(23): 9327-9334, 2022 12 14.
Artigo em Inglês | MEDLINE | ID: mdl-36449360

RESUMO

Here we present an innovative, universal, scalable, and straightforward strategy for cultivating a resilient, flexible lithium-ion battery (LIB) based on the bacterial-based self-growing approach. The electrodes and separator layers are integrated intrinsically into one unity of sandwich bacterial cellulose integrated film (SBCIF), with various active material combinations and tailored mechanical properties. The flexible LIB thereof showcases prominent deformation tolerance and multistage foldability due to the unique self-generated wavy-like structure. The LTO|LFP (Li4Ti5O12 and LiFePO4) SBCIF-based flexible LIB demonstrates reliable long-term electrochemical stability with high flexibility, by exhibiting a high capacity retention (>95%) after 500 cycles at 1C/1C after experiencing a 10 000 bending/flattening treatment. The LTO|LFP SBCIF battery subjected to a simultaneous bending/flattening and cycling experiment shows an extraordinary capacity retention rate (>68%) after 200 cycles at 1C/1C. The biobased self-growing approach offers an exciting and promising pathway toward the tailored, integrated high-performance flexible LIBs.


Assuntos
Fontes de Energia Elétrica , Lítio , Íons , Eletrodos , Celulose
8.
Angew Chem Int Ed Engl ; 62(11): e202215802, 2023 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-36650422

RESUMO

The polysulfide (PS) dissolution and low conductivity of lithium sulfides (Li2 S) are generally considered the main reasons for limiting the reversible capacity of the lithium-sulfur (Li-S) system. However, as the inevitable intermediate between PSs and Li2 S, lithium disulfide (Li2 S2 ) evolutions are always overlooked. Herein, Li2 S2 evolutions are monitored from the operando measurements on the pouch cell level. Results indicate that Li2 S2 undergoes slow electrochemical reduction and chemical disproportionation simultaneously during the discharging process, leading to further PS dissolution and Li2 S generation without capacity contribution. Compared with the fully oxidized Li2 S, Li2 S2 still residues at the end of the charging state. Therefore, instead of the considered Li2 S and PSs, slow electrochemical conversions and side chemical reactions of Li2 S2 are the determining factors in limiting the sulfur utilization, corresponding to the poor reversible capacity of Li-S batteries.

9.
Anal Chem ; 94(48): 16738-16745, 2022 12 06.
Artigo em Inglês | MEDLINE | ID: mdl-36440702

RESUMO

We reported a straightforward and low-cost method to fabricate stretchable biofuel cells by using liquid metal-based metal-polymer conductors. The liquid-metal-based metal-polymer conductors had a conductivity of 2.7 × 105 S/m and a stretchability larger than 200%, giving the biofuel cell good conformability to the skin. The glucose biofuel cells (BFCs) yielded a maximum power density as 14.11 µW/cm2 at 0.31 V with 0.2 mM glucose, while the lactate BFCs reached 31.00 µW/cm2 at 0.51 V with 15 mM lactate. The results of 24 h short circuit current density showed that, with enough biofuel, this patch could be used over the course of an entire day for wearable sensors.


Assuntos
Fontes de Energia Bioelétrica , Polímeros , Condutividade Elétrica , Metais , Glucose , Lactatos
10.
Small ; 18(2): e2105308, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34741427

RESUMO

The ever-increasing development of flexible and wearable electronics has imposed unprecedented demand on flexible batteries of high energy density and excellent mechanical stability. Rechargeable lithium (Li) metal battery shows great advantages in terms of its high theoretical energy density. However, the use of Li metal anode for flexible batteries faces huge challenges in terms of its undesirable dendrite growth, poor mechanical flexibility, and slow fabrication speed. Here, a highly scalable Li-wicking strategy is reported that allows ultrafast fabrication of mechanically flexible and electrochemically stable Li metal anodes. Through the rational design of the interface and structure of the wicking host, the mean speed of Li-wicking reaches 10 m2 min-1 , which is 1000 to 100 000 fold faster than the reported electrochemical deposition or thermal infusion methods and meets the industrial fabrication speed. Importantly, the Li-wicking process results in a unique 3D Li metal structure, which not only offers remarkable flexibility but also suppresses the dendrite formation. Paring the Li metal anode with lithium-iron phosphate or sulfur cathode yields flexible full cells that possess a high charging rate (8.0 mA cm-2 ), high energy density (300-380 Wh kg-1 ), long cycling stability (over 550 cycles), and excellent mechanical robustness (500 bending cycles).


Assuntos
Eletrônica , Lítio , Ação Capilar , Eletrodos
11.
Nat Mater ; 20(6): 859-868, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33603185

RESUMO

Stretchable electronics find widespread uses in a variety of applications such as wearable electronics, on-skin electronics, soft robotics and bioelectronics. Stretchable electronic devices conventionally built with elastomeric thin films show a lack of permeability, which not only impedes wearing comfort and creates skin inflammation over long-term wearing but also limits the design form factors of device integration in the vertical direction. Here, we report a stretchable conductor that is fabricated by simply coating or printing liquid metal onto an electrospun elastomeric fibre mat. We call this stretchable conductor a liquid-metal fibre mat. Liquid metal hanging among the elastomeric fibres self-organizes into a laterally mesh-like and vertically buckled structure, which offers simultaneously high permeability, stretchability, conductivity and electrical stability. Furthermore, the liquid-metal fibre mat shows good biocompatibility and smart adaptiveness to omnidirectional stretching over 1,800% strain. We demonstrate the use of a liquid-metal fibre mat as a building block to realize highly permeable, multifunctional monolithic stretchable electronics.


Assuntos
Materiais Biocompatíveis , Elasticidade , Eletrônica , Metais , Permeabilidade
12.
Chem Rev ; 120(13): 6009-6047, 2020 07 08.
Artigo em Inglês | MEDLINE | ID: mdl-32319753

RESUMO

Dip-pen nanolithography (DPN) is a nanofabrication technique that can be used to directly write molecular patterns on substrates with high resolution and registration. Over the past two decades, DPN has evolved in its ability to transport molecular and material "inks" (e.g., alkanethiols, biological molecules like DNA, viruses, and proteins, polymers, and nanoparticles) to many surfaces in a high-throughput fashion, enabling the synthesis and study of complex chemical and biological structures. In addition, DPN has laid the foundation for a series of related scanning probe methodologies, for example, polymer pen lithography (PPL), scanning probe block copolymer lithography (SPBCL), and beam-pen lithography (BPL), which do not rely on cantilever tips. Structures prepared with these methodologies have been used to understand the consequences of miniaturization and open a door to new capabilities in catalysis, optics, biomedicine, and chemical synthesis, where, in sum, a process originally intended to compete with tools used by the semiconductor industry for rapid prototyping has transcended that application to advanced materials discovery. This review outlines the major DPN advances, the subsequent methods based on the technique, and the opportunities for future fundamental and technological exploration. Most importantly, it commemorates the 20th anniversary of the discovery of DPN.


Assuntos
DNA/química , Nanopartículas/química , Nanotecnologia , Polímeros/química , Teste de Materiais
13.
Chem Rev ; 120(4): 2049-2122, 2020 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-31961135

RESUMO

Solution-processed solar cells are appealing because of the low manufacturing cost, the good compatibility with flexible substrates, and the ease of large-scale fabrication. Whereas solution-processable active materials have been widely adopted for the fabrication of organic, dye-sensitized, and perovskite solar cells, vacuum-deposited transparent conducting oxides (TCOs) such as indium tin oxide, fluorine-doped tin oxide, and aluminum-doped tin oxide are still the most frequently used transparent electrodes (TEs) for solar cells. These TCOs not only significantly increase the manufacturing cost of the device, but also are too brittle for future flexible and wearable applications. Therefore, developing solution-processed TEs for solar cells is of great interest. This paper provides a detailed discussion on the recent development of solution-processed TEs, including the chemical synthesis of the electrode materials, the solution-based technologies for the electrode fabrication, the optical and electrical properties of the solution-processed TEs, and their applications on solar cells.

14.
J Am Chem Soc ; 143(41): 17292-17299, 2021 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-34613737

RESUMO

Crystal phase engineering of noble-metal-based alloy nanomaterials paves a new way to the rational synthesis of high-performance catalysts for various applications. However, the controlled preparation of noble-metal-based alloy nanomaterials with unconventional crystal phases still remains a great challenge due to their thermodynamically unstable nature. Herein, we develop a robust and general seeded method to synthesize PdCu alloy nanomaterials with unconventional hexagonal close-packed (hcp, 2H type) phase and also tunable Cu contents. Moreover, galvanic replacement of Cu by Pt can be further conducted to prepare unconventional trimetallic 2H-PdCuPt nanomaterials. Impressively, 2H-Pd67Cu33 nanoparticles possess a high mass activity of 0.87 A mg-1Pd at 0.9 V (vs reversible hydrogen electrode (RHE)) in electrochemical oxygen reduction reaction (ORR) under alkaline condition, which is 2.5 times that of the conventional face-centered cubic (fcc) Pd69Cu31 counterpart, revealing the important role of crystal phase on determining the ORR performance. After the incorporation of Pt, the obtained 2H-Pd71Cu22Pt7 catalyst shows a significantly enhanced mass activity of 1.92 A mg-1Pd+Pt at 0.9 V (vs RHE), which is 19.2 and 8.7 times those of commercial Pt/C and Pd/C, placing it among the best reported Pd-based ORR electrocatalysts under alkaline conditions.

15.
Small ; 17(2): e2004778, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33325649

RESUMO

Electron transporting layers (ETLs), required to be optically transparent in perovskite solar cells (PSCs) having regular structures, possess a determinant effect on electron extraction and collection. Metal oxides (e.g., TiO2 ) have overwhelmingly served as ETLs, but usually have low electron mobility (µe  < 10-2  cm2 V-1 s-1 ) not favorable for photovoltaic conversion. Here, metal oxides are replaced with metals (e.g., Ti with µe  ≈ 294 cm2 V-1 s-1 ) that are sculptured via glancing angle deposition to be a close-packed nanopillar array (NaPA), which vertically protrudes on a transparent electrode to obtain sufficient optical transmission for light harvesting in perovskite. Ti NaPAs, whose rough surfaces are passivated with 5 nm thick TiO2 (i.e., Ti NaPAs@TiO2 ) to suppress exciton recombination, lead to the champion power conversion efficiency (PCE) of 18.89% that is superior to that of MAPbI3 PSCs without Ti NaPAs@TiO2 or containing TiO2 NaPAs@TiO2 , owing to high surface wettability, high µe , and relatively low work function of Ti. Furthermore, Ti NaPAs@TiO2 effectively prevents the decomposition of MAPbI3 to achieve long-term shelf stability whereby 50-day aging only causes 15% PCE degradation. This work paves the way toward widening the material spectrum, from semiconductors to metals, to generate a diverse range of ETLs for producing efficient optoelectronic devices with long-term shelf stability.

16.
Small ; 17(41): e2102694, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34510709

RESUMO

Monolithic integration of nanostructured metalenses with broadband light transmission and good charge transport can simultaneously enhance the sensitivity, speed, and efficiency of photodetectors. The realization of built-in broadband metalenses in perovskite photodetectors, however, has been largely challenged by the limited choice of materials and the difficulty in nanofabrication. Here a new type of broadband-transmitting built-in TiO2 metalens (meta-TiO2 ) is devised, which is readily fabricated by one-step and lithograph-free glancing angle deposition. The meta-TiO2 , which comprises of sub-100 nm TiO2 nanopillars randomly spaced with a wide range of sub-wavelength distances in 5-200 nm, shows high transmittance of light in the wavelength range of 400-800 nm. The meta-TiO2 also serves as an efficient electron transporting layer to prevent the exciton recombination and facilitate the photoinduced electron extraction and transport. Replacing the conventional mesoporous TiO2 with the meta-TiO2 comprehensively leads to enhancing the detection speed by three orders of magnitude to a few hundred nanoseconds, improving the responsivity and detectivity by one order of magnitude to 0.5 A W-1 and 1013 Jones, respectively, and extending the linear dynamic range by 50% to 120 dB.

17.
Phys Chem Chem Phys ; 23(38): 21797-21807, 2021 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-34550123

RESUMO

Fully understanding the mechanism by which nanoparticles (NPs) strengthen polymer matrices is crucial for fabricating high-performance polymer nanocomposites (PNCs). Herein, coarse-grained molecular dynamics simulations were adopted to explicitly investigate the reinforcing effect of a NP network. Our results revealed that increasing the NP-NP interactions induced the self-assembly of NPs into a three-dimensional (3D) network that reinforced the polymer matrix. The reinforcing mechanism of NP-NP interactions was quite different from that of NP-polymer interactions. The latter promoted the orientation of polymer chains to transfer the external stress, while the former distributed the stress throughout the NP network. This work revealed the mechanism by which the NP network reinforced the polymer matrix at the molecular level and also provided guidelines for developing high performance PNCs via interfacial modification.

18.
Neural Plast ; 2021: 4762027, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34721568

RESUMO

Background: The relationship between the levodopa challenge test (LDCT) and postoperative subthalamic nucleus-deep brain stimulation (STN-DBS) benefits is controversial in patients with Parkinson's disease (PD). We aim to evaluate the value of total levodopa response (TLR) and symptom levodopa response (SLR) in predicting postoperative improvement in different PD motor subtypes. Methods: Studies were split into a training set (147 patients) and a validation set (304 patients). We retrospectively collected data from 147 patients who received the Unified Parkinson's Disease Rating Scale- (UPDRS-) III and the Parkinson's Disease Questionnaire- (PDQ-) 39 evaluation. Patients were classified into tremor-dominant (TD), akinetic-rigid-dominant (AR), and mixed (MX) groups. Clinically important difference (CID) was employed to dichotomize DBS effects. For patients in each subtype group from the training set, we used the correlation and receiver operator characteristic (ROC) curve analyses to explore the strength of their relations. Areas under the curve (AUCs) were calculated and compared through the DeLong test. Results developed from the training set were applied into the validation set to predict postoperative improvement in different PD motor subtypes. Results: In the validation cohort, TLR significantly correlated with postoperative motor (p < 0.001) and quality of life (QOL) (p < 0.001) improvement in the MX group. The AUC between TLR and UPDRS-III (TU) is 0.800. The AUC between TLR and PDQ-39 (TP) is 0.770. An associated criterion in both TU and TP is around 50%. In the AR group, strong correlation was only found in SLR and PDQ-39 (SP) (p < 0.001). And the AUC of SP is significantly larger than that in TLR and PDQ-39 (TP) (p = 0.034). An associated criterion in SP is around 37%. No significant correlation was found in the TD group. Conclusions: We provide a more accurate judgment for LDCT. TLR strongly correlated with postoperative UPDRS-III and PDQ-39 improvement in MX patients. A TLR > 50% may indicate a higher possibility of clinically meaningful benefits from STN-DBS comparing to medication only. SLR can well predict QOL improvement in AR patients. Similarly, a SLR > 37% may indicate a higher possibility of clinically significant benefits from STN-DBS. LDCT provides limited information for TD patients.


Assuntos
Antiparkinsonianos/administração & dosagem , Estimulação Encefálica Profunda/normas , Julgamento , Levodopa/administração & dosagem , Doença de Parkinson/terapia , Núcleo Subtalâmico/fisiologia , Idoso , Estudos de Coortes , Estimulação Encefálica Profunda/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/diagnóstico , Doença de Parkinson/tratamento farmacológico , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Estudos Retrospectivos , Resultado do Tratamento
19.
Neural Plast ; 2020: 2486065, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32802034

RESUMO

Objective: This study was aimed at identifying the potential outcome predictors, comparing the efficacy in patients with different tremor characteristics, and summarizing the adverse effect rates (AERs) of deep brain stimulation on the ventral intermediate nucleus (VIM-DBS) for essential tremor (ET). Methods: An extensive search of articles published to date in 2019 was conducted, and two main aspects were analyzed. Improvement was calculated as a percentage of change in any objective tremor rating scale (TRS) and analyzed by subgroup analyses of patients' tremor characteristics, laterality, and stimulation parameters. Furthermore, the AERs were analyzed as follows: the adverse effects (AEs) were classified as stimulation-related, surgical-related, or device-related effects. A simple regression analysis was used to identify the potential prognostic factors, and a two-sample mean-comparison test was used to verify the statistical significance of the subgroup analyses. Results: Forty-six articles involving 1714 patients were included in the meta-analysis. The pooled improvement in any objective TRS score was 61.3% (95% CI: 0.564-0.660) at the mean follow-up visit (20.0 ± 17.3 months). The midline and extremity symptoms showed consistent improvement (P = 0.440), and the results of the comparison of postural and kinetic tremor were the same (P = 0.219). In addition, the improvement in rest tremor was similar to that in action tremor (OR = 2.759, P = 0.120). In the simple regression analysis, the preoperative Fahn-Tolosa-Marin Tremor Rating Scale (FTM-TRS) scores and follow-up time were negatively correlated with the percentage change in any objective TRS score (P < 0.05). The most common adverse event was dysarthria (10.5%), which is a stimulation-related AE (23.6%), while the rates of the surgical-related and device-related AEs were 6.4% and 11.5%, respectively. Conclusion: VIM-DBS is an efficient and safe surgical method in ET, and the efficacy was not affected by the body distribution of tremor, age at surgery, and disease duration. Lower preoperative FTM-TRS scores likely indicate greater improvement, and the effect of VIM-DBS declines over time.


Assuntos
Estimulação Encefálica Profunda , Tremor Essencial/terapia , Tálamo/fisiopatologia , Estimulação Encefálica Profunda/efeitos adversos , Tremor Essencial/fisiopatologia , Feminino , Humanos , Masculino , Resultado do Tratamento
20.
Small ; 15(21): e1900564, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30977978

RESUMO

Dip-pen nanolithography (DPN) is a unique nanofabrication tool that can directly write a variety of molecular patterns on a surface with high resolution and excellent registration. Over the past 20 years, DPN has experienced a tremendous evolution in terms of applicable inks, a remarkable improvement in fabrication throughput, and the development of various derivative technologies. Among these developments, polymer pen lithography (PPL) is the most prominent one that provides a large-scale, high-throughput, low-cost tool for nanofabrication, which significantly extends DPN and beyond. These developments not only expand the scope of the wide field of scanning probe lithography, but also enable DPN and PPL as general approaches for the fabrication or study of nanostructures and nanomaterials. In this review, a focused summary and historical perspective of the technological development of DPN and its derivatives, with a focus on PPL, in one timeline, are provided and future opportunities for technological exploration in this field are proposed.

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