Surgical resection and orbital iodine-125 brachytherapy for orbital malignancy: a novel treatment for orbital lymphoma.

OBJECTIVES: Orbital lymphoma is one of the most common adult orbital malignancies, accounting for approximately 10% of all orbital tumors. This study aimed to analyze the effects of surgical resection and orbital iodine-125 brachytherapy implantation for orbital lymphoma. PATIENTS AND METHODS: This was a retrospective study. Clinical data of 10 patients were collected from October 2016 to November 2018 and followed up to March 2022. Patients underwent the primary surgery for maximal safe removal of the tumor. After a pathologic diagnosis of a primary orbital lymphoma was established, iodine-125 seed tubes were designed based on the tumor size and invasion range, and direct vision was placed into the nasolacrimal canal or/and under the orbital periosteum around the resection cavity during the secondary surgery. Then, follow-up data, including the general situation, ocular condition, and tumor recurrence, were recorded. RESULTS: Of the 10 patients, the pathologic diagnoses included extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (6 cases), small lymphocytic lymphoma (1 case), mantle cell lymphoma (2 cases), and diffuse large B-cell lymphoma (1 case). The number of seeds implanted ranged from 16 to 40. The follow-up period ranged between 40 and 65 months. All patients in this study were alive and well had tumors that were completely controlled. No tumor recurrences or metastases occurred. Three patients had dry eye syndrome and two patients had abnormal facial sensation. No patient had radiodermatitis involving the skin around the eye, and no patient had radiation-related ophthalmopathy. CONCLUSIONS: Based on preliminary observations, iodine-125 brachytherapy implantation appeared to be a reasonable alternative to external irradiation for orbital lymphoma.

Screening diagnosis of executive dysfunction after ischemic stroke and the effects of transcranial magnetic stimulation: A prospective functional near-infrared spectroscopy study.

BACKGROUND: Post-ischemic stroke executive impairment (PISEI) is a serious obstacle for patients to returning to their society and is currently difficult to screen early and clinically ineffective. AIM: The aim of the study was to clarify whether functional near-infrared spectroscopy (fNIRS) can be used as a rapid screening tool for PISEI and to explore the efficacy of transcranial magnetic stimulation (TMS) in PISEI patients and the changes in brain function. METHODS: A single-blind, randomized controlled study design was used to detect hemodynamic differences by fNIIRS in 16 PISEI patients and 16 healthy subjects during the resting state and Stroop task, respectively. After 3 days, all subjects received a single TMS intervention and underwent simultaneous fNIRS testing for the Stroop task before and 3 days after the TMS intervention. RESULTS: PISEI patients had significantly higher HbO2 content in the left dorsolateral prefrontal cortex (DLPFC), the right pre-motor cortex (PMC) and the right primary sensorimotor cortex (SM1) during the Stroop task compared to the resting state (F = 141.966, p < 0.001), but significantly lower than healthy subjects (T = -3.413, p = 0.002). After TMS intervention, PISEI patients' time and error number scores on the Stroop test were significantly enhanced, and the functional activity of the above-mentioned brain regions was significantly more active than at baseline, while the strength of their functional connections with each other was markedly increased. CONCLUSIONS: fNIRS helped screen and diagnose PISEI. A single TMS session benefited PISEI patients with effects lasting 3 days, which may be attributed to activation of the left DLPFC, right PMC and right SM1 brain regions.

An effective formaldehyde gas sensor based on oxygen-rich three-dimensional graphene.

Three-dimensional (3D) graphene with a high specific surface area and excellent electrical conductivity holds extraordinary potential for molecular gas sensing. Gas molecules adsorbed onto graphene serve as electron donors, leading to an increase in conductivity. However, several challenges remain for 3D graphene-based gas sensors, such as slow response and long recovery time. Therefore, research interest remains in the promotion of the sensitivity of molecular gas detection. In this study, we fabricate oxygen plasma-treated 3D graphene for the high-performance gas sensing of formaldehyde. We synthesize large-area, high-quality, 3D graphene over Ni foam by chemical vapor deposition and obtain freestanding 3D graphene foam after Ni etching. We compare three types of strategies-non-treatment, oxygen plasma, and etching in HNO3solution-for the posttreatment of 3D graphene. Eventually, the strategy for oxygen plasma-treated 3D graphene exceeds expectations, which may highlight the general gas sensing based on chemiresistors.

Fe3O4 Nanoparticles on 3D Porous Carbon Skeleton Derived from Rape Pollen for High-Performance Li-Ion Capacitors.

Herein, a three-dimensional (3D) Fe3O4@C composite with hollow porous structure is prepared by simple solution method and calcination treatment with biomass waste rape pollen (RP) as a carbon source, which is served as an anode of Li-ion capacitor (LIC). The 3D interconnected porous structure and conductive networks facilitate the transfer of ion/electron and accommodate the volume changes of Fe3O4 during the electrochemical reaction process, which leads to the excellent performance of the Fe3O4@C composite electrode. The electrochemical analysis demonstrates that the hybrid LIC fabricated with Fe3O4@C as the anode and activated carbon (AC) as the cathode can operate at a voltage of 4.0 V and exhibit a high energy density of 140.6 Wh kg-1 at 200 W kg-1 (52.8 Wh kg-1 at 10 kW kg-1), along with excellent cycling stability, with a capacity retention of 83.3% over 6000 cycles. Hence, these encouraging results indicate that Fe3O4@C has great potential in developing advanced LICs electrode materials for the next generation of energy storage systems.

Study on Behavior of Steel Hoop Connections for Raw Bamboo Members.

Bamboo structures have various types of connections, such as bolting and lashing. One crucial issue in bamboo structures is that the connection with bolts and nails has a lower load-carrying capacity associated with the bamboo failure resulting from the bolt or nail invading them. This paper focuses on the connection for raw bamboo members with steel hoops (BHC), of which the two semi-circular steel hoops are fastened to the raw bamboo with high-strength bolts. The sliding friction is controlled by the interfacial pressure, which can be increased by tightening the bolts. A push-out experiment on thirty-six specimens was conducted considering the following two parameters: the different surface conditions of raw bamboo (with or without the epidermis) and the different interfacial pressure. The test results mainly showed the two failure modes of specimens under certain conditions: continuous longitudinal slip after the vertical load reached the peak; and the steel hoop stuck in the bamboo skin after a period of slip. It is found that the sliding friction was controlled by the interfacial pressure, and the difference in the anti-sliding capacity between the epidermal bamboo specimen and the non-epidermal bamboo specimen was magnified with the increase of interfacial pressure. The contact stress on the surface of bamboo is approximately uniformly distributed based on the finite element analyses. The interfacial pressure can be predicted by the torque value of the digital electronic torque wrench and the equations established by mechanical analysis, respectively. Moreover, the design formulae of bearing capacity for BHC under three guaranteed rates (50%, 95%, and 99.9%) were developed based on probability theory, while the fourth design formula was derived by regression analysis. The reliability indices of the four design formulae were up to 0.07, 1.44, 3.09, and 0.97, respectively, and the resistance partial coefficients were suggested accordingly.

Graphene Biodevices for Early Disease Diagnosis Based on Biomarker Detection.

The early diagnosis of diseases plays a vital role in healthcare and the extension of human life. Graphene-based biosensors have boosted the early diagnosis of diseases by detecting and monitoring related biomarkers, providing a better understanding of various physiological and pathological processes. They have generated tremendous interest, made significant advances, and offered promising application prospects. In this paper, we discuss the background of graphene and biosensors, including the properties and functionalization of graphene and biosensors. Second, the significant technologies adopted by biosensors are discussed, such as field-effect transistors and electrochemical and optical methods. Subsequently, we highlight biosensors for detecting various biomarkers, including ions, small molecules, macromolecules, viruses, bacteria, and living human cells. Finally, the opportunities and challenges of graphene-based biosensors and related broad research interests are discussed.

Applications of 2D-Layered Palladium Diselenide and Its van der Waals Heterostructures in Electronics and Optoelectronics.

The rapid development of two-dimensional (2D) transition-metal dichalcogenides has been possible owing to their special structures and remarkable properties. In particular, palladium diselenide (PdSe2) with a novel pentagonal structure and unique physical characteristics have recently attracted extensive research interest. Consequently, tremendous research progress has been achieved regarding the physics, chemistry, and electronics of PdSe2. Accordingly, in this review, we recapitulate and summarize the most recent research on PdSe2, including its structure, properties, synthesis, and applications. First, a mechanical exfoliation method to obtain PdSe2 nanosheets is introduced, and large-area synthesis strategies are explained with respect to chemical vapor deposition and metal selenization. Next, the electronic and optoelectronic properties of PdSe2 and related heterostructures, such as field-effect transistors, photodetectors, sensors, and thermoelectric devices, are discussed. Subsequently, the integration of systems into infrared image sensors on the basis of PdSe2 van der Waals heterostructures is explored. Finally, future opportunities are highlighted to serve as a general guide for physicists, chemists, materials scientists, and engineers. Therefore, this comprehensive review may shed light on the research conducted by the 2D material community.

Iodine-125 interstitial brachytherapy for malignant lacrimal sac tumours: an innovative technique.

OBJECTIVES: Primary malignant tumours of the lacrimal sac are rare, surgery and radiotherapy may induce substantial side effects for patients. Here, this article reports an innovative technique of interstitial brachytherapy developed for the treatment of malignant lacrimal sac tumours. PATIENTS AND METHODS: Four patients (male 3, female 1), with an average age of 52.7 years (range 41-72 years), were individually diagnosed with squamous cell carcinoma, adenocarcinoma, adenoid cystic carcinoma and lymphoma. All patients received Iodine-125 interstitial brachytherapy after surgical resection for malignant lacrimal sac tumours. Visual function examination (vision, intraocular tension, fundus photography, fluorescein angiography, and optical coherence tomography) and CT/MRI/PET-MRI were performed to look for signs of recurrent tumours or metastasis. RESULTS: Four patients were followed for an average of 28 months (range, 23-37 months). All patients were free from local disease. Their visual function was normal, and CT/MRI did not reveal any tumour recurrence. CONCLUSIONS: Iodine-125 interstitial brachytherapy can be used as an alternative to wide excision or exenteration of these tumours. There was good local control, reasonable maintenance of vision, and good cosmesis.

Fabrication of a Sensitive Strain and Pressure Sensor from Gold Nanoparticle-Assembled 3D-Interconnected Graphene Microchannel-Embedded PDMS.

Manufacture of uniform, sensitive, and durable microtextured sensing materials is one of the greatest challenges for pressure sensors and electronic skins. Reported in this article is a gold nanoparticle-assembled, 3D-interconnected, graphene microchannel-embedded PDMS (3D GMC-PDMS) film for strain and pressure sensors. The film consists of porous nickel foam with its inner walls coated by multilayer graphene. Embedding in PDMS with etching removal of the Ni yields a 3D GMC-PDMS. Coating the inner walls with Au nanoparticles yields an Au nanoparticle-assembled 3D GMC-PDMS (AuNPs-GMC-PDMS) film, which is useful as an ultrasensitive pressure and strain sensor. This sensor exhibits a wide detection range (∼50 kPa) and ultrahigh sensitivity of 5.37, 1.56, and 0.5 kPa-1 in the ranges of <1, 1-10, and 10-50 kPa, respectively. Its lower detection limit is 4.4 Pa, its response time is 20 ms, and its strain factor is up to 15. Comparison of a AuNPs-GMC-PDMS film with a 3D GMC-PDMS film reveals a sensitivity improvement of 40 times in the 0-1 kPa pressure range and a gauge factor of more than 4 times in the 0-30% tensile strain range. The device has broad applications as a traditional or wearable medical sensor.

Coexisting Single-Atomic Fe and Ni Sites on Hierarchically Ordered Porous Carbon as a Highly Efficient ORR Electrocatalyst.

The development of oxygen reduction reaction (ORR) electrocatalysts based on earth-abundant nonprecious materials is critically important for sustainable large-scale applications of fuel cells and metal-air batteries. Herein, a hetero-single-atom (h-SA) ORR electrocatalyst is presented, which has atomically dispersed Fe and Ni coanchored to a microsized nitrogen-doped graphitic carbon support with unique trimodal-porous structure configured by highly ordered macropores interconnected through mesopores. Extended X-ray absorption fine structure spectra confirm that Fe- and Ni-SAs are affixed to the carbon support via FeN4 and NiN4 coordination bonds. The resultant Fe/Ni h-SA electrocatalyst exhibits an outstanding ORR activity, outperforming SA electrocatalysts with only Fe- or Ni-SAs, and the benchmark Pt/C. The obtained experimental results indicate that the achieved outstanding ORR performance results from the synergetic enhancement induced by the coexisting FeN4 and NiN4 sites, and the superior mass-transfer capability promoted by the trimodal-porous-structured carbon support.

3D Porous Ti3C2 MXene/NiCo-MOF Composites for Enhanced Lithium Storage.

To improve Li storage capacity and the structural stability of Ti3C2 MXene-based electrode materials for lithium-ion batteries (LIBs), a facile strategy is developed to construct three-dimensional (3D) hierarchical porous Ti3C2/bimetal-organic framework (NiCo-MOF) nanoarchitectures as anodes for high-performance LIBs. 2D Ti3C2 nanosheets are coupled with NiCo-MOF nanoflakes induced by hydrogen bonds to form 3D Ti3C2/NiCo-MOF composite films through vacuum-assisted filtration technology. The morphology and electrochemical properties of Ti3C2/NiCo-MOF are influenced by the mass ratio of MOF to Ti3C2. Owing to the interconnected porous structures with a high specific surface area, rapid charge transfer process, and Li+ diffusion rate, the Ti3C2/NiCo-MOF-0.4 electrode delivers a high reversible capacity of 402 mAh g-1 at 0.1 A g-1 after 300 cycles; excellent rate performance (256 mAh g-1 at 1 A g-1); and long-term stability with a capacity retention of 85.7% even after 400 cycles at a high current density, much higher than pristine Ti3C2 MXene. The results highlight that Ti3C2/NiCo-MOF have great potential in the development of high-performance energy storage devices.

Hierarchical PANI/NiCo-LDH Core-Shell Composite Networks on Carbon Cloth for High Performance Asymmetric Supercapacitor.

In this work, a facile two-step strategy is adopted to construct hierarchical polyaniline/NiCo-layered double hydroxide (PANI/NiCo-LDH) core-shell composite nanofiber networks on carbon cloth (CC). Three-dimensional (3D) porous PANI nanofiber networks are firstly uniformly anchored on CC by in-situ oxidative polymerization, followed by growth of NiCo-LDH nanoflakes on the crosslinked PANI framework via electrochemical deposition. The morphology and electrochemical properties of PANI/NiCo-LDH composites are controlled by the deposition time of LDH. Benefiting from rapid electron transport and ion diffusion, the well-defined PANI/NiCo-LDH hierarchical composite with 200 s deposition of LDH delivers a large capacitance of 1845 F g-1 at 0.5 A g-1 and excellent cycling stability of 82% capacitance retention after 5000 cycles at a very high current density of 10.0 A g-1. Furthermore, an asymmetric supercapacitor (ASC) assembled with PANI/NiCo-LDH as a positive electrode and activated carbon (AC) as a negative electrode exhibits a high capacitance of 147.2 F g-1 in a potential range from 0 to 1.5 V and superior energy density of 46.0 Wh kg-1 at a power density of 351.6 W kg-1.

A Gradient Heterostructure Based on Tolerance Factor in High-Performance Perovskite Solar Cells with 0.84 Fill Factor.

A gradient heterosturcture is one of the basic methods to control the charge flow in perovskite solar cells (PSCs). However, a classical route for gradient heterosturctures is based on the diffusion technique, in which the guest ions gradually diffuse into the films from a concentrated source of dopants. The gradient heterosturcture is only accessible to the top side, and may be time consuming and costly. Here, the "intolerant" n-type heteroatoms (Sb3+ , In3+ ) with mismatched cation sizes and charge states can spontaneously enrich two sides of perovskite thin films. The dopants at specific sides can be extracted by a typical hole-transport layer. Theoretical calculations and experimental observations both indicate that the optimized charge management can be attributed to the tailored band structure and interfacial electronic hybridization, which promote charge separation and collection. The strategy enables the fabrication of PSCs with a spontaneous graded heterojunction showing high efficiency. A champion device based on Sb3+ doped film shows a stabilized power-conversion efficiency of 21.04% with a high fill factor of 0.84 and small hysteresis.

Metastatic retinoblastoma of the parotid and submandibular glands: a rare case report.

BACKGROUND: Retinoblastoma is the most common intraocular malignancy occurring in children. It can metastasize to the regional lymph nodes, central nervous system and distant organs usually the bones and bone marrow and very rarely to the soft tissue. Here, we report a case of unilateral retinoblastoma in a 4-year-old girl accompanied by a large metastasis of the parotid and submandibular glands that developed about 6 months previously and gradually increased in size 5 months after enucleation of the left eye. CASE PRESENTATION: A 4-year-old girl with a history of unilateral retinoblastoma presented with a large, painful and worsening mass (about 20 × 23 cm) of the left side of the neck. Following surgery, the orbital tumour was completely resected, and the large tumour invasion range in the left side of the neck was not resected completely. Histopathological examination revealed retinoblastoma of the orbit and the parotid and submandibular glands. After chemotherapy and additional local radiotherapy on the parotid and submandibular glands, the tumour was inactive and stable. CONCLUSIONS: Delayed detection and inappropriate management contribute to poor outcomes. Fundus examinations, education regarding the early signs of RB, and optimization of the therapeutic strategy for RB may play important roles in ocular health.

A Highly Flexible Supercapacitor Based on MnO2/RGO Nanosheets and Bacterial Cellulose-Filled Gel Electrolyte.

The flexible supercapacitors (SCs) of the conventional sandwich-type structure have poor flexibility due to the large thickness of the final entire device. Herein, we have fabricated a highly flexible asymmetric SC using manganese dioxide (MnO2) and reduced graphene oxide (RGO) nanosheet-piled hydrogel films and a novel bacterial cellulose (BC)-filled polyacrylic acid sodium salt-Na2SO4 (BC/PAAS-Na2SO4) neutral gel electrolyte. Apart from being environmentally friendly, this BC/PAAS-Na2SO4 gel electrolyte has high viscosity and a sticky property, which enables it to combine two electrodes together. Meanwhile, the intertangling of the filled BC in the gel electrolyte hinders the decrease of the viscosity with temperature, and forms a separator to prevent the two electrodes from short-circuiting. Using these materials, the total thickness of the fabricated device does not exceed 120 µm. This SC device demonstrates high flexibility, where bending and even rolling have no obvious effect on the electrochemical performance. In addition, owing to the asymmetric configuration, the cell voltage of this flexible SC has been extended to 1.8 V, and the energy density can reach up to 11.7 Wh kg-1 at the power density of 441 W kg-1. This SC also exhibits a good cycling stability, with a capacitance retention of 85.5% over 5000 cycles.

Construction of Hierarchical CuO/Cu2O@NiCo2S4 Nanowire Arrays on Copper Foam for High Performance Supercapacitor Electrodes.

Hierarchical copper oxide @ ternary nickel cobalt sulfide (CuO/Cu2O@NiCo2S4) core-shell nanowire arrays on Cu foam have been successfully constructed by a facile two-step strategy. Vertically aligned CuO/Cu2O nanowire arrays are firstly grown on Cu foam by one-step thermal oxidation of Cu foam, followed by electrodeposition of NiCo2S4 nanosheets on the surface of CuO/Cu2O nanowires to form the CuO/Cu2O@NiCo2S4 core-shell nanostructures. Structural and morphological characterizations indicate that the average thickness of the NiCo2S4 nanosheets is ~20 nm and the diameter of CuO/Cu2O core is ~50 nm. Electrochemical properties of the hierarchical composites as integrated binder-free electrodes for supercapacitor were evaluated by various electrochemical methods. The hierarchical composite electrodes could achieve ultrahigh specific capacitance of 3.186 F cm-2 at 10 mA cm-2, good rate capability (82.06% capacitance retention at the current density from 2 to 50 mA cm-2) and excellent cycling stability, with capacitance retention of 96.73% after 2000 cycles at 10 mA cm-2. These results demonstrate the significance of optimized design and fabrication of electrode materials with more sufficient electrolyte-electrode interface, robust structural integrity and fast ion/electron transfer.

Co3O4@CoS Core-Shell Nanosheets on Carbon Cloth for High Performance Supercapacitor Electrodes.

In this work, a two-step electrodeposition strategy is developed for the synthesis of core-shell Co3O4@CoS nanosheet arrays on carbon cloth (CC) for supercapacitor applications. Porous Co3O4 nanosheet arrays are first directly grown on CC by electrodeposition, followed by the coating of a thin layer of CoS on the surface of Co3O4 nanosheets via the secondary electrodeposition. The morphology control of the ternary composites can be easily achieved by altering the number of cyclic voltammetry (CV) cycles of CoS deposition. Electrochemical performance of the composite electrodes was evaluated by cyclic voltammetry, galvanostatic charge-discharge and electrochemical impedance spectroscopy techniques. The results demonstrate that the Co3O4@CoS/CC with 4 CV cycles of CoS deposition possesses the largest specific capacitance 887.5 F·g-1 at a scan rate of 10 mV·s-1 (764.2 F·g-1 at a current density of 1.0 A·g-1), and excellent cycling stability (78.1% capacitance retention) at high current density of 5.0 A·g-1 after 5000 cycles. The porous nanostructures on CC not only provide large accessible surface area for fast ions diffusion, electron transport and efficient utilization of active CoS and Co3O4, but also reduce the internal resistance of electrodes, which leads to superior electrochemical performance of Co3O4@CoS/CC composite at 4 cycles of CoS deposition.

Dual Tuning of Biomass-Derived Hierarchical Carbon Nanostructures for Supercapacitors: the Role of Balanced Meso/Microporosity and Graphene.

Rational design of advanced carbon nanomaterials with a balanced mesoporosity to microporosity is highly desirable for achieving high energy/power density for supercapacitors because the mesopore can allow better transport pathways for the solvated ions of larger than 1 nm. Inspired by the inherent meso/macroporous architecture and huge absorption ability to aqueous solution of auricularia biomass, we demonstrate a new biomass-derived synthesis process for the three-dimensional (3D) few-layered graphene nanosheets incorporated hierarchical porous carbon (GHPC) nanohybrids. The as-prepared GHPC nanohybrids possess a balanced mesoporosity to microporosity with much improved conductivity, which is highly desirable for achieving high energy/power density for supercapacitors. As we predicted, they delivered a high specific capacitance of 256 F g(-1) at 1 A g(-1) with excellent rate capability (120 F g(-1) at 50 A g(-1)) and long cycle life (92% capacity retention after 10000 cycles) for symmetric supercapacitors in 1 M H2SO4. Based on the as-obtained carbon materials, a flexible and all-solid-state supercapacitor was also assembled, which can be fully recharged within 10 s and able to light an LED even under bended state. Such excellent performance is at least comparable to the best reports in the literature for two-electrode configuration under aqueous systems.