A Rare Case of Craniocervical Penetrating Injury by a Steel Bar.

RATIONALE: Non-missile penetrating injuries caused by foreign bodies, such as knives or sharp wood, are infrequent. We report a 49-year-old male suffering from severe craniocervical penetrating injury by a steel bar was successfully treated by surgery. CHIEF COMPLAINT: The male patient was a 49-year-old builder. Although working on the construction site, an approximately 60 cm steel bar penetrated the patient's brain vertically through the left top of the head presenting with unconsciousness and intermittent irritability. DIAGNOSIS: Computed tomography of the head showed the entrance and exit of the skull damaged by the steel bar. Three-dimensional reconstruction showed that the steel bar entered the skull from the posterior left coronal suture and penetrated the ipsilateral occipital bone, about 5 cm into the neck soft tissue. INTERVENTION: We successfully performed the operation and removed the steel bar. OUTCOMES: The patient was followed up for 5 years; muscle strength returned to normal. LESSONS: Penetrating injuries caused by steel bars are rare, which always cause severe intracranial injury combined with peripheral tissue injury, by sharing our experience in the treatment of this rare case, we hope to provide a reference for similar injuries in the future.

A multifunctional wearable sensor based on a graphene/inverse opal cellulose film for simultaneous, in situ monitoring of human motion and sweat.

A multifunctional, wearable sensor based on a reduced oxide graphene (rGO) film onto a porous inverse opal acetylcellulose (IOAC) film has been developed and can perform simultaneous, in situ monitoring of various human motions and ion concentrations in sweat. The rGO film is used as a strain-sensing layer for monitoring human motion via its resistance change, whereas the porous IOAC film is used as a flexible microstructured substrate not only for high sensitive motion sensing, but also for collection and analysis of ion concentrations in sweat by its simple colorimetric changes or reflection-peak shifts. Studies on humans demonstrated that the devices have excellent capability for monitoring various human motions, such as finger bending motion, wrist bending motion, head rotation motion and various small-scale motions of the throat. Simultaneous, in situ analysis of the ion concentration in sweat during these motions shows that the IOAC substrate can detect a wide range of NaCl concentrations in sweat from normal 30 to 680 mM under the conditions of severe dehydration. This investigation provides new horizons toward the design and fabrication of multifunctional, wearable health monitoring devices and the proposed wearable sensor shows promising applications in healthcare and preventive medicine.