Mid-term Efficacy and Safety of Drug-coated Balloon versus Nitinol Bare Metal Stent for Primary Lesions in Femoropopliteal Artery Disease.

OBJECTIVES: To compare drug-coated balloon (DCB) and bare metal stent (BMS) for primary lesions in femoropopliteal artery disease in Chinese population and to make subgroup analysis between the groups. METHODS: Patients with primary lesions who underwent BMS or DCB treatment of a single tertiary vascular center were included and followed up for 24 months. Clinical and anatomic status were reported using the criteria recommended by the Society for Vascular Surgery. The primary endpoint included primary patency, clinically target limb revascularization, composite safety endpoint and all-cause death over 24 months assessed by Kaplan-Meier. Secondary endpoints included technical success rate and stent-related complications. RESULTS: A total of 284 patients with 324 limbs were pooled into analysis and most of the baseline characteristics did not show significant difference. A total of 74 in BMS group and 71 in DCB group were claudicants while 83 in BMS group and 56 in DCB group suffered from chronic limb threatening ischemia (CLTI). The mean cumulative lesion length was 18.7 ± 9.8cm in BMS group while 17.2 ± 10.3cm in DCB group. Kaplan-Meier estimates of primary patency were 75.3% and 80.9% for BMS and DCB groups at 12 months while decreased to 63.9% and 70.2% at 24 months (log-rank P = 0.167), respectively. Freedom from clinically driven target limb revascularization was 86.8% and 92.7% for BMS and DCB groups at 12 months while dropped to 82.5% and 85.9% at 24 months (log-rank P = 0.342). Estimates of primary patency between BMS and DCB group did not show significant difference on lesions with poor runoff (58.8% vs. 67.3%, log-rank P = 0.127), severe calcification (64.5% vs. 69.4%, log-rank P = 0.525) and popliteal artery involvement (59.3% vs. 60.3%, log-rank P = 0.695) at 24 months. The overall survival (92.6% for BMS, 90.3% for DCB, log-rank P = 0.391) and freedom from composite safety endpoint (79.3% for BMS, 79.2% for DCB, log-rank P = 0.941) showed no significant difference at 24 months. CONCLUSIONS: Over the 24 month follow-up, BMS and DCB showed equivalent efficacy and safety outcomes for primary femoropopliteal artery disease, which indicated the reduction of permanent metallic implant insertion might be possible.

Chiral Cellulose Nanocrystal Humidity-Responsive Iridescent Films with Glucan for Tuned Iridescence and Reinforced Mechanics.

The fabrication of biomimetic photonic materials with environmental stimuli-responsive functions from entirely biobased materials is becoming increasingly challenging with the growing demand for biodegradable materials. Herein, the effect of glucan with different molecular weights on the mechanical performance and tunable structural color of iridescent CNC composite films was investigated. The existence of glucan did not influence the self-assembly performance of CNCs, but rather led to an improvement in the mechanical performance, enabling cholesteric CNC composite films with an adjustable structural color. Simultaneously, the iridescent films showed a conspicuous redshift and enlarged initial pitch without obstruction of the chiral structure. In response to environmental humidity, the structural colors of the iridescent composite films can be changed by regulating their chiral nematic structure. In particular, the films demonstrate a reversible structural color change between blue and red at RH between 50 and 98%. The resulting biobased iridescent composite films have potential applications in decorative coating, optical and humidity sensing, and anticounterfeiting.

A novel process for efficient utilization of bamboo fiber resource in dissolving pulp production by fiber fractionation: Laboratory study and mill trials.

The rational use of bamboo to make dissolving pulp can offer up new opportunities for cellulose production, alleviating wood scarcity. Bamboo contains a high content of non-fiber cells, which presents technical challenges in dissolving pulp production by the conventional process. In this study, a process concept of separating hemicelluloses is presented by fiber fractionation and purification for cleaner production of bamboo dissolving pulp: bamboo kraft pulp was fractionated into long-fiber and short-fiber fractions. The cellulose-rich long-fiber fraction was converted to dissolving pulp by further purification treatment with acid hydrolysis and cold caustic extraction. The hemicellulose-rich short-fiber fraction was used for papermaking. The laboratory results were confirmed by those from mill trials. The combined pulp yield (dissolving pulp + paper-grade pulp) reached 49 %, which was significantly higher than that of the conventional pre-hydrolysis kraft pulping process. Furthermore, the quality of dissolving pulp was higher due to inherently higher cellulose content of long-fiber fraction.

Enzymatic treatment processes for the production of cellulose nanomaterials: A review.

Cellulose nanomaterials have attracted much attention in recent years because of their unique properties. Commercial or semi-commercial production of nanocellulose has been reported in recent years. Mechanical treatments for nanocellulose production are viable but highly energy-intensive. Chemical processes are well reported; however, these chemical processes are not only costly, but also cause environmental concerns and end-use related challenges. This review summarizes recent researches on enzymatic treatment of cellulose fibers for the production of cellulose nanomaterials, with focus on novel enzymatic processes with xylanase and lytic polysaccharide monooxygenases (LPMO) to enhance the efficacy of cellulase. Different enzymes are discussed, including endoglucanase, exoglucanase and xylanase, as well as LPMO, with emphasis on the accessibility and hydrolytic specificity of LPMO enzymes to cellulose fiber structures. LPMO acts in a synergistic way with cellulase to cause significant physical and chemical changes to the cellulose fiber cell-wall structures, which facilitate the nano-fibrillation of the fibers.

Water and oil-resistant paper materials based on sodium alginate/hydroxypropyl methylcellulose/polyvinyl butyral/nano-silica with biodegradable and high barrier properties.

Despite many technical challenges in the development of safe and environmentally friendly food packaging paper materials with excellent water and oil resistance using simple methods, producing paper-based functional materials using bio-based polymers is currently an important topic in the food packaging industry. In this study, novel water and oil-resistant coatings for the paper were developed through the combination of sodium alginate (SA), hydroxypropyl methylcellulose (HPMC), polyvinyl butyral (PVB), and hydrophobic silica nanoparticles (HSNPs). To impart oil-repellency to paper, SA and HPMC were first mixed uniformly and coated on the base paper, which was pre-treated with calcium chloride solution. A compact and tough coating layer was formed on paper due to the hydrogen bonding between SA and HPMC molecules, and the crosslinking between SA and Ca2+ ions in the base paper. High water resistance of the paper was achieved through the coating of PVB and HSNPs on top of the coating of SA/HPMC. The final coated paper demonstrated outstanding oil resistance (kit rating: 12/12), water resistance (Cobb value: 4.23 g/m2), low water vapor transmission rate (100 g/m2·24 h), and improved mechanical properties. This fluorine-free, and biodegradable barrier paper will find excellent applications in the food packaging industry.

Cellulose nanofibers as effective binders for activated biochar-derived high-performance supercapacitors.

Traditional hydrophobic binders can limit supercapacitors' performance by impeding ion accessibility. Herein, we demonstrate the potential of plant-derived environmentally friendly Cellulose Nanofibers (CNF) as binders for biochar (BN-Ac)-based supercapacitors. The CNF binder retains BN-Ac's micropores and improves wettability, while the Polyvinylidene Fluoride (PVDF) binder fills micropores and hinders ion-conductive pathways. The as-synthesized BN-Ac/CNF exhibits a capacitance of 268.4 F g-1 at 5 A g-1, which is 1.4 times higher than that of BN-Ac/PVDF. In addition, the energy density improves from 4.6 to 5.7 Wh kg-1 at 2.1 and 2.5 kW kg-1 power, respectively, for replacing PVDF with CNF. More importantly, BN-Ac/CNF shows outstanding capacitance retention of 96.2 % after 10,000 charge/discharge cycles. The improved wettability and reduced bulk electrolyte resistance by hydrophilic CNF binders are responsible for the electrode's high capacitance. Concurrently, this study showcases a facile strategy for improving supercapacitor performance and a green application of CNF in energy devices.

A multifunctional nanocellulose-based hydrogel for strain sensing and self-powering applications.

Ionic conductive hydrogel with multifunctional properties have shown promising application potential in various fields, including electronic skin, wearable devices and sensors. Herein, a highly stretchable (up to 2800% strain), tough, adhesive ionic conductive hydrogel are prepared using cationic nanocellulose (CCNC) to disperse/stabilize graphitic carbon nitride (g-C3N4), forming CCNC-g-C3N4 complexes and in situ radical polymerization process. The ionic interactions between CNCC and g-C3N4 acted as sacrificial bonds enabled highly stretchability of the hydrogel. The hydrogel showed high sensitivity (gauge factor≈5.6, 0-1.6% strain), enabling the detection of human body motion, speech and exhalation. Furthermore, the hydrogel based self-powered device can charge 2.2 µF capacitor up to 15 V from human motion. This multifunctional hydrogel presents potential applications in self-powered wearable electronics.

Fabrication of environmental humidity-responsive iridescent films with cellulose nanocrystal/polyols.

Herein, we fabricated flexible and humidity-sensitive composite films employing cellulose nanocrystal (CNC) and polyols, i.e., glycerol (G), xylitol (X) and sorbitol (S). The effects of polyols with different molecular weights on the structure, optical properties, mechanical strength and humidity response of the composite films were investigated. Notably, the CNC-S film exhibited obvious reversible colour changes from light green to red upon a relative humidity (RH) change from 30 % to 95 %. Moreover, it was found that the composite films had a large colour-change range, good reversibility (>10 cycles), and excellent stability (>10 weeks). Overall, the results demonstrated that the CNC-S composite film can be used as a functional material for the preparation of flexible humidity sensors for the detection of environmental humidity changes in agriculture, industry, and other fields.

Biopolymer Substrates in Buccal Drug Delivery: Current Status and Future Trend.

BACKGROUND: This paper provides a critical review of biopolymer-based substrates, especially the cellulose derivatives, for their application in buccal drug delivery. Drug delivery to the buccal mucous has the benefits of immobile muscle, abundant vascularization and rapid recovery, but not all the drugs can be administered through the buccal mucosa (e.g., macromolecular drugs), due to the low bioavailability caused by their large molecular size. This shortfall inspired the rapid development of drug-compounding technologies and the corresponding usage of biopolymer substrates. METHODS: Cellulose derivatives have been extensively developed for drug manufacturing to facilitate its delivery. We engaged in structured research of cellulose-based drug compounding technologies. We summarized the characteristic cellulose derivatives which have been used as the biocompatible substrates in buccal delivery systems. The discussion of potential use of the rapidly-developed nanocellulose (NC) is also notable in this paper. RESULTS: Seventy-eight papers were referenced in this perspective paper with the majority (sixty-five) published later than 2010. Forty-seven papers defined the buccal drug delivery systems and their substrates. Fifteen papers outlined the properties and applications of cellulose derivatives. Nanocellulose was introduced as a leading edge of nanomaterial with sixteen papers highlighted its adaptability in drug compounding for buccal delivery. CONCLUSION: The findings of this perspective paper proposed the potential use of cellulose derivatives, the typical kind of biopolymers, in the buccal drug delivery system for promoting the bioavailability of macromolecular drugs. Nanocellulose (NC) in particular was proposed as an innovative bio-binder/carrier for the controlled-release of drugs in buccal system.

Applications of Cellulose-based Materials in Sustained Drug Delivery Systems.

Bio-compatible, bio-degradable, and bio-available excipients are of critical interest for drug delivery systems. Cellulose and its derivative-based excipients have been well studied due to their green/natural and unique encapsulation/binding properties. They are often used in controlled/sustained drug delivery systems. In these applications, cellulose and its derivatives function generally can modify the solubility/gelling behavior of drugs, resulting in different mechanisms for controlling the release profiles of drugs. In this paper, the current knowledge in the structure and chemistry of conventional cellulose derivatives, and their applications in drug delivery systems are briefly reviewed. The development of innovative cellulose-based materials, including micro-cellulose (MC) and nano-cellulose (NC) in the applications of sustained drug delivery, is also discussed.

Cellulose nanocrystals (CNC) as carriers for a spirooxazine dye and its effect on photochromic efficiency.

Nanocrystalline cellulose (CNC) as a renewable/sustainable material, has received much attention. Herein we studied CNC as carriers for a hydrophobic spirooxazine (SO)-based dye, 1,3-dihydro-1,3,3-trimethylspiro[2H-indole-2,3'-[3H]naphtha[2,1-b][1,4]oxazine], which may have potential applications in reversible memory photo-devices, textiles, photo-sensitive paper coatings, and inkjet printing inks. Due to the high cost and water-insolubility of this dye, it is desirable to improve its coloration efficiency and water-dispersibility. The experimental approach was to use CNC as carriers for the SO dye, thus obtaining a stable photochromic dye in aqueous systems. Transmission electron microscope (TEM) observation confirmed that the SO dye adsorbed on the surface of the CNC, which functioned as carriers for the photochromic dye. An impregnation process was adopted to anchor the dye onto cellulosic paper. It was found that the use of CNC resulted in a significant improvement in the SO coloration efficiency. The color stability and fatigue resistance were also studied. The use of CNC as carriers for a hydrophobic compound, its enhancement of associated properties, and its subsequent application were demonstrated.

Using carboxylated nanocrystalline cellulose as an additive in cellulosic paper and poly (vinyl alcohol) fiber paper.

Specialty paper (e.g. cigarette paper and battery diaphragm paper) requires extremely high strength properties. The addition of strength agents plays an important role in increasing strength properties of paper. Nanocrystalline cellulose (NCC), or cellulose whiskers, has the potential to enhance the strength properties of paper via improving inter-fibers bonding. This paper was to determine the potential of using carboxylated nanocrystalline cellulose (CNCC) to improve the strength properties of paper made of cellulosic fiber or poly (vinyl alcohol) (PVA) fiber. The results indicated that the addition of CNCC can effectively improve the strength properties. At a CNCC dosage of 0.7%, the tear index and tensile index of the cellulosic paper reached the maximum of 12.8 mN m2/g and 100.7 Nm/g, respectively. More importantly, when increasing the CNCC dosage from 0.1 to 1.0%, the tear index and tensile index of PVA fiber paper were increased by 67.29%, 22.55%, respectively.

A combined process of activated carbon adsorption, ion exchange resin treatment and membrane concentration for recovery of dissolved organics in pre-hydrolysis liquor of the kraft-based dissolving pulp production process.

To recover dissolved organics in pre-hydrolysis liquor (PHL) of the kraft-based dissolving pulp production process, a new combined process concept of sequential steps of activated carbon adsorption, ion exchange resin treatment, and membrane concentration, was proposed. The removal of lignin in the PHL was achieved in the activated carbon adsorption step, which also facilitates the subsequent operations, such as the membrane filtration and ion exchange resin treatment. The ion exchange resin treatment resulted in the removal/concentration of acetic acid, which opens the door for acetic acid recovery. The membrane filtration is to recover/concentrate the dissolved sugars. The combined process resulted in the production of PHL-based concentrate with relatively high concentration of hemicellulosic sugars, i.e., 22.13%.

Interaction of a spirooxazine dye with latex and its photochromic efficiency on cellulosic paper.

Spirooxazine (SO) is a class of important photochromic dyes for many applications, such as anti-counterfeiting printing, reversible memory photo devices and optical switching elements in molecular electronics. Since these dyes are expensive, improving their coloration efficiency in response to photo stimuli is of practical importance. In this study, a spirooxazine dye, 1,3-dihydro-1,3,3-trimethylspiro[2H-indole-2,3'-[3H]naphtha[2,1-b][1,4]oxazine], was dispersed into the substrate of a polystyrene acrylic latex emulsion to obtain a stable photochromic dye loaded latex. The photochromic latex was then applied on cellulose paper, and its coloration efficiency was significantly higher than the control (without the latex). Transmission electron microscope (TEM) observation revealed that the spirooxazine dye was well dispersed into the matrix of the latex particles, which functioned as a carrier/dispersant for the photochromic dye. Other results, including color stability, and fatigue resistance, were also discussed.

Treatment of APMP pulping effluent based on aerobic fermentation with Aspergillus niger and post-coagulation/flocculation.

A novel two-stage biological/flocculation process was developed for treating the pulping effluent from the alkaline peroxide mechanical pulping (APMP) process. In the first biological stage, the aerobic fermentation by using Aspergillus niger can decrease the chemical oxygen demand (COD) by about 60% while producing about 7 g/l of solid biomass. In the second stage (post-coagulation/flocculation), the residual COD, turbidity and color, can be further decreased by using alum and polyacrylamide (PAM). The overall removal efficiencies of COD, color and turbidity from the APMP pulping effluent by the above two-stage biological-coagulation/flocculation process were 93%, 92% and 99%, respectively, under the conditions studied.