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Ubiquitous anti-counterfeiting materials with a rapidly rising annual consumption (over 1010 m2) can pose a serious environmental burden. Biobased cellulosic materials with birefringence offer attractive sustainable alternatives, but their scalable solvent-free processing remain challenging. Here, a dynamic chemical modification strategy is proposed for multi-modal melt-processing of birefringent cellulosic materials for eco-friendly anti-counterfeiting. Relying on the thermal-activated dynamic covalent-locking of the spatial topological structure of preferred oriented cellulose, the strategy balances the contradiction between the strong confinement of long-range ordered structures and the molecular motility required for entropically-driven reconstruction. Equipped with customizable processing forms including mold-pressing, spinning, direct-ink-writing, and blade-coating, the materials exhibit a wide color gamut, self-healing efficiency (94.5%), recyclability, and biodegradability. Moreover, the diversified flexible elements facilitate scalable fabrication and compatibility with universal processing techniques, thereby enabling versatile and programmable anti-counterfeiting. The strategy is expected to provide references for multi-modal melt-processing of cellulose and promote sustainable innovation in the anti-counterfeiting industry.
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Photothermal CO2 conversion to ethanol offers a sustainable solution for achieving net-zero carbon management. However, serious carrier recombination and high C-C coupling energy barrier cause poor performance in ethanol generation. Here, we report a Cu/Cu2Se-Cu2O heterojunction-nanosheet array, showcasing a good ethanol yield under visible-near-infrared light without external heating. The Z-scheme Cu2Se-Cu2O heterostructure provides spatially separated sites for CO2 reduction and water oxidation with boosted carrier transport efficiency. The microreactors induced by Cu2Se nanosheets improve the local concentration of intermediates (CH3* and CO*), thereby promoting C-C coupling process. Photothermal effect of Cu2Se nanosheets elevates system's temperature to around 200 °C. Through synergizing electron and heat flows, we achieve an ethanol generation rate of 149.45 µmol g-1 h-1, with an electron selectivity of 48.75% and an apparent quantum yield of 0.286%. Our work can serve as inspiration for developing photothermal catalysts for CO2 conversion into multi-carbon chemicals using solar energy.
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Porous materials with ultrahigh specific strength are highly desirable for aerospace, automotive and construction applications. However, because of the harsh processing of metal foams and intrinsic low strength of polymer foams, both are difficult to meet the demand for scalable development of structural foams. Herein, we present a supramolecular metallic foam (SMF) enabled by core-shell nanostructured liquid metals connected with high-density metal-ligand coordination and hydrogen bonding interactions, which maintain fluid to avoid stress concentration during foam processing at subzero temperatures. The resulted SMFs exhibit ultrahigh specific strength of 489.68 kN m kg-1 (about 5 times and 56 times higher than aluminum foams and polyurethane foams) and specific modulus of 281.23 kN m kg-1 to withstand the repeated loading of a car, overturning the previous understanding of the difficulty to achieve ultrahigh mechanical properties in traditional polymeric or organic foams. More importantly, end-of-life SMFs can be reprocessed into value-added products (e.g., fibers and films) by facile water reprocessing due to the high-density interfacial supramolecular bonding. We envisage this work will not only pave the way for porous structural materials design but also show the sustainable solution to plastic environmental risks.
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The pressing demand for sustainable energy storage solutions has spurred the burgeoning development of aqueous zinc batteries. However, kinetics-sluggish Zn2+ as the dominant charge carriers in cathodes leads to suboptimal charge-storage capacity and durability of aqueous zinc batteries. Here, we discover that an ultrathin two-dimensional polyimine membrane, featured by dual ion-transport nanochannels and rich proton-conduction groups, facilitates rapid and selective proton passing. Subsequently, a distinctive electrochemistry transition shifting from sluggish Zn2+-dominated to fast-kinetics H+-dominated Faradic reactions is achieved for high-mass-loading cathodes by using the polyimine membrane as an interfacial coating. Notably, the NaV3O8·1.5H2O cathode (10 mg cm-2) with this interfacial coating exhibits an ultrahigh areal capacity of 4.5 mAh cm-2 and a state-of-the-art energy density of 33.8 Wh m-2, along with apparently enhanced cycling stability. Additionally, we showcase the applicability of the interfacial proton-selective coating to different cathodes and aqueous electrolytes, validating its universality for developing reliable aqueous batteries.
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DNA is highly immunogenic, both exogenous and endogenous DNA can activate the pathogen-associated molecular pattern (PAMP) and danger-associated molecular pattern (DAMP), respectively, and hence activate the evolutionarily conserved cGAS-STING pathway for inflammatory responses. The cGAS-STING signaling pathway plays a very important role in the pathogenesis and progression of neoplastic diseases. For cancer therapy, there are some discrepancies on whether cGAS-STING should be inhibited or activated. Deregulated cGAS-STING signaling pathway might be the origin and pathogenesis of tumor, understanding and modulating cGAS-STING signaling holds great promise for cancer therapy. In this review article, we discuss the molecular mechanisms underlying cGAS-STING deregulation, highlighting the tumor inhibiting and promoting roles and challenges with cGAS-STING agonists in the context of cancer therapies.
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Neoplasias , Nucleotidiltransferasas , Humanos , Nucleotidiltransferasas/genética , Transducción de Señal , ADN , Neoplasias/genética , Neoplasias/terapia , Inmunidad InnataRESUMEN
STUDY DESIGN: Cross-sectional and retrospective cohort study. OBJECTIVE: We investigated the effect of 3 types of short stature [partial growth hormone deficiency (GHD), GHD, and idiopathic short stature (ISS)] and recombinant human growth hormone (rhGH) therapy on scoliosis. SUMMARY OF BACKGROUND DATA: In short stature, rhGH is widely used and the concentration of growth hormone varies among types. The epidemiologic characteristics of scoliosis and the role of rhGH in scoliosis remain unclear. PATIENTS AND METHODS: A cross-sectional study was conducted among 3896 patients with short stature (partial GHD, GHD, and ISS), and a 1:1 age and sex-matched control group with preexisting whole-spine radiographs. The cohort study included 2605 subjects who underwent radiography more than twice to assess scoliosis development, progression, and the need for bracing and surgery. Adjusted logistic regression was used to assess differences in the prevalence of scoliosis among patients with partial GHD, GHD, ISS, and controls. The Kaplan-Meier method was used to analyze the time course of scoliosis development and progression. Cox regression was applied to assess the independent factors related to scoliosis development and progression. Mendelian randomization analyses were also performed. RESULTS: Compared with controls, patients with short stature had a higher incidence of scoliosis (34.47% in partial GHD, 31.85% in GHD, 32.94% in ISS vs . 8.83% in control, P < 0.001), a higher risk of scoliosis development [hazard ratio (HR) = 1.964 in partial GHD, P < 0.001; HR = 1.881 in GHD, P = 0.001; HR = 1.706 in ISS, P = 0.001), but not a higher risk of progression, brace, or surgery. Among the 3 types of short stature, there were no differences in the incidence, development, and progression of scoliosis or the need for bracing or surgery. RhGH treatment increased the risk of scoliosis development in each short-stature group (HR = 2.673 in partial GHD, P < 0.001; HR = 1.924 in GHD, P = 0.049; HR = 1.564 in ISS, P = 0.004). Vitamin D supplementation was protective against scoliosis development (HR = 0.456 in partial GHD, P = 0.003; HR = 0.42 in GHD, P = 0.013; HR = 0.838 in ISS, P = 0.257). CONCLUSIONS: More attention should be paid to the spinal curve in patients with partial GHD, GHD, or ISS. For short stature treated with rhGH, the risk of scoliosis development was increased. Vitamin D supplementation may be beneficial for prevention. LEVEL OF EVIDENCE: Level III.
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Enanismo Hipofisario , Hormona de Crecimiento Humana , Escoliosis , Humanos , Hormona de Crecimiento Humana/farmacología , Hormona del Crecimiento/farmacología , Estudios Transversales , Estudios de Cohortes , Estudios Retrospectivos , Vitamina D , EstaturaRESUMEN
Two-dimensional conjugated metal-organic frameworks (2D c-MOFs) are emerging as a unique subclass of layer-stacked crystalline coordination polymers that simultaneously possess porous and conductive properties, and have broad application potential in energy and electronic devices. However, to make the best use of the intrinsic electronic properties and structural features of 2D c-MOFs, the controlled synthesis of hierarchically nanostructured 2D c-MOFs with high crystallinity and customized morphologies is essential, which remains a great challenge. Herein, we present a template strategy to synthesize a library of 2D c-MOFs with controlled morphologies and dimensions via insulating MOFs-to-c-MOFs transformations. The resultant hierarchically nanostructured 2D c-MOFs feature intrinsic electrical conductivity and higher surface areas than the reported bulk-type 2D c-MOFs, which are beneficial for improved access to active sites and enhanced mass transport. As proof-of-concept applications, the hierarchically nanostructured 2D c-MOFs exhibit a superior performance for electrical properties related applications (hollow Cu-BHT nanocubes-based supercapacitor and Cu-HHB nanoflowers-based chemiresistive gas sensor), achieving over 225 % and 250 % improvement in specific capacity and response intensity over the corresponding bulk type c-MOFs, respectively.
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Developing tunable luminescent materials for high throughput information storage is highly desired following the explosive growth of global data. Although considerable success has been achieved, achieving programmable information encryption remains challenging due to current signal crosstalk problems. Here, we developed long-lived room-temperature phosphorescent organogels enabled by lanthanum-coordinated hydrogen-bonded organic framework nanofibers for time-resolved information programming. Via modulating coassembled lanthanum concentration and Förster resonance energy transfer efficiency, the lifetimes are prolonged and facilely manipulated (20-644 ms), realizing encoding space enlargement and multichannel data outputs. The aggregated strong interfacial supramolecular bonding endows organogels with excellent mechanical toughness (36.16 MJ m-2) and self-healing properties (95.7%), synergistically achieving photostability (97.6% lifetime retention in 10000 fatigue cycles) via suppressing nonradiative decays. This work presents a lifetime-gated information programmable strategy via lanthanum-coordination regulation that promisingly breaks through limitations of current responsive luminescent materials, opening unprecedented avenues for high-level information encryption and protection.
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Two-dimensional conjugated metal-organic frameworks (2D c-MOFs) have emerged as a new class of crystalline layered conducting materials that hold significant promise for applications in electronics and spintronics. However, current 2D c-MOFs are mainly made from organic planar ligands, whereas layered 2D c-MOFs constructed by curved or twisted ligands featuring novel orbital structures and electronic states remain less developed. Herein, we report a Cu-catecholate wavy 2D c-MOF (Cu3(HFcHBC)2) based on a fluorinated core-twisted contorted hexahydroxy-hexa-cata-hexabenzocoronene (HFcHBC) ligand. We show that the resulting film is composed of rod-like single crystals with lengths up to â¼4 µm. The crystal structure is resolved by high-resolution transmission electron microscopy (HRTEM) and continuous rotation electron diffraction (cRED), indicating a wavy honeycomb lattice with AA-eclipsed stacking. Cu3(HFcHBC)2 is predicted to be metallic based on theoretical calculation, while the crystalline film sample with numerous grain boundaries apparently exhibits semiconducting behavior at the macroscopic scale, characterized by obvious thermally activated conductivity. Temperature-dependent electrical conductivity measurements on the isolated single-crystal devices indeed demonstrate the metallic nature of Cu3(HFcHBC)2, with a very weak thermally activated transport behavior and a room-temperature conductivity of 5.2 S cm-1. Furthermore, the 2D c-MOFs can be utilized as potential electrode materials for energy storage, which display decent capacity (163.3 F g-1) and excellent cyclability in an aqueous 5 M LiCl electrolyte. Our work demonstrates that wavy 2D c-MOF using contorted ligands are capable of intrinsic metallic transport, marking the emergence of new conductive MOFs for electronic and energy applications.
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Glucocorticoids are commonly used in clinic but are also a double-edged sword. While treating tumors, they are reported to promote tumor growth and metastasis. To explore the role and elucidate the mechanism of dexamethasone in promoting tumor growth and metastasis, we detected the levels of cortisol and adrenocorticotropic hormone (ACTH) in peripheral blood of patients with gastric cancer, and immunohistochemical staining was used to detect the expression of ROR1 in the surgically resected gastric cancer samples. The levels of cortisol and ACTH in peripheral blood of patients with stage III and IV gastric cancer were higher than those of patients with stage I/II gastric cancer. Dexamethasone up-regulated the ROR1 level on gastric cancer cell lines in a concentration-dependent manner. Gastric cancer specimen with high ROR1 had higher rates of relapse and metastasis than gastric adenocarcinomas expressing low levels of ROR1.Gastric cancer patients with high expression of ROR1 had a short survival time. ROR1 was expressed by gastric cancer cell lines, but not on normal gastric epithelial cell line. Suppressing ROR1 in gastric cancer cell lines impaired their invasion, migration, scratch healing and clone formation ability in vitro and slowed down the tumor growth of MKN-45 cells in immunodeficient mice in vivo. Collectively, our study indicated that dexamethasone up-regulated ROR1 levels on gastric cancer cells. ROR1 participated in and mediated the role of dexamethasone in promoting gastric tumor growth, and blocking ROR1 can prevent the tumor growth.
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Neoplasias Gástricas , Animales , Ratones , Neoplasias Gástricas/patología , Línea Celular Tumoral , Glucocorticoides , Hidrocortisona , Recurrencia Local de Neoplasia , Proliferación Celular , Hormona Adrenocorticotrópica , Dexametasona , Regulación Neoplásica de la Expresión GénicaRESUMEN
Mechanically adaptive materials responsive to environmental stimuli through changing mechanical properties are highly attractive in intelligent devices. However, it is hard to regulate the mechanical properties of most mechanically adaptive materials in a facile way. Moreover, it remains a challenge to achieve mechano-regulable materials with mechanical properties ranging from high strength to extreme toughness. Here, inspired by the reversible nanofibril network structure of skeletal muscle to achieve muscle strength regulation, we present a mechano-regulable biopolymeric silk fibroin (SF) composite through regulating dynamic metal-ligand coordination bonds by using water molecules as competitive regulators. Efficient interfacial hydrogen bonds between tannic acid-tungsten disulfide nanohybrids and the SF matrix endow the composite with high mechanical strength and self-healing ability. The resulting composite exhibits 837-fold change in Young's modulus (5.77 ± 0.61 GPa to 6.89 ± 0.64 MPa) after water vapor triggering, high mechanical properties (72.5 ± 6.3 MPa), and excellent self-healing efficiency (nearly 100%). The proof-of-concept ultraconformable iontronic skin and smart actuators are demonstrated, thereby providing a direction for future self-adaptive smart device applications.
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Fibroínas , Materiales Inteligentes , Fibroínas/química , Ligandos , Seda/química , Vapor , Sulfuros , Taninos , Compuestos de TungstenoRESUMEN
Integration, being lightweight, and intelligence are important orientations for the future advancement of soft robots. However, existing soft robots are generally hydrogels or silicone rubber, which are inherently mechanically inferior and easily damaged and difficult to integrate functions. Here, inspired by nacre, an elastomer actuator with sulfonated graphene-based gradient nanostructures is constructed via supramolecular multiscale assembly. The resulting nanocomposite possesses an ultrahigh toughness of 141.19 MJ/m3 and high room-temperature self-healing efficiency (89%). The proof-of-concept robot is demonstrated to emphasize its maximum swimming speed of 2.67 body length per second, whose speed is comparable to that of plankton, representing the outperformance of most artificial soft robots. Furthermore, the robot can stably absorb pollutants and recover its robustness and functionality even when damaged. This study breaks the mutual exclusivity of functional execution and fast locomotions, and we anticipate that our nanostructural design will offer an effective extended path to other integrated robots that required multifunction integration.
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Nanoestructuras , Robótica , Elastómeros , Diseño de Equipo , NataciónRESUMEN
Animal skin is a huge source of inspiration when it comes to multifunctional sensing materials. Bioinspired sensors integrated with the intriguing performance of skin-like steady wide-range strain detection, real-time dynamic visual cues, and self-healing ability hold great promise for next-generation electronic skin materials. Here, inspired by the skins of a chameleon, cellulose nanocrystals (CNCs) liquid crystal skeleton is embedded into polymerizable deep eutectic solvent (PDES) via in situ polymerization to develop a skin-like elastomer. Benefiting from the elastic ionic conductive PDES matrix and dynamic interfacial hydrogen bonding, this strategy has broken through the limitations that CNCs-based cholesteric structure is fragile and its helical pitch is non-adjustable, endowing the resulting elastomer with strain-induced wide-range (0-500%) dynamic structural colors and excellent self-healing ability (78.9-90.7%). Furthermore, the resulting materials exhibit high stretch-ability (1163.7%), strain-sensing and self-adhesive abilities, which make them well-suitable for developing widely applicable and highly reliable flexible sensors. The proposed approach of constructing biomimetic skin-like materials with wide-range dynamic schemochrome is expected to extend new possibilities in diverse applications including anti-counterfeit labels, soft foldable displays, and wearable optical devices.
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Elastómeros , Dispositivos Electrónicos Vestibles , Animales , Celulosa/química , Disolventes Eutécticos Profundos , Hidrogeles/química , SolventesRESUMEN
Wearable electronic skin (e-skin) has provided a revolutionized way to intelligently sense environmental stimuli, which shows prospective applications in health monitoring, artificial intelligence and prosthetics fields. Drawn inspiration from biological skins, developing e-skin with multiple stimuli perception and self-healing abilities not only enrich their bionic multifunctionality, but also greatly improve their sensory performance and functional stability. In this review, we highlight recent important developments in the material structure design strategy to imitate the fascinating functionalities of biological skins, including molecular synthesis, physical structure design, and special biomimicry engineering. Moreover, their specific structure-property relationships, multifunctional application, and existing challenges are also critically analyzed with representative examples. Furthermore, a summary and perspective on future directions and challenges of biomimetic electronic skins regarding function construction will be briefly discussed. We believe that this review will provide valuable guidance for readers to fabricate superior e-skin materials or devices with skin-like multifunctionalities and disparate characteristics.
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Self-healing materials integrated with robust mechanical property and fascinating functions synchronously hold great prospects in many applications, but it still remains a grand challenge. Here, a bottom-up assembly method of preparing borate dynamic nanostructures (BDN) with controllable morphologies and interfacial crosslinks is proposed, from which a robust self-healing elastomer is fabricated. The BDN is optimized to construct dense and strong interfacial boronic easter crosslinks, endowing the elastomer with outstanding stretchability (2050%), high strength (17.9 MPa) as well as healing efficiency (77.1%). Moreover, the elastomer also exhibits pH stimulus-responsive fluorescence property and excellent functional repairability, enabling its potential application in intelligent material fields such as information encoding and encryption. This study demonstrates a general approach to produce self-healable functional materials with robust mechanical properties, and defines a rich platform for exploring various functional nanostructured materials.
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Elastómeros , Nanoestructuras , Boratos , Colorantes , Elastómeros/químicaRESUMEN
Conductive self-healing hydrogels (CSHs) that match the mechanical properties of biological tissues are highly desired for emerging wearable electronics. However, it is still a fundamental challenge to balance the trade-offs among the mechanical, electronic, and self-healing properties in CSHs. In this study, we presented supramolecular double-network (DN) CSHs by pre-infiltrating conductive polyaniline (PANI) precursor into the self-healable hydrophobic association poly(acrylic acid) (HAPAA) hydrogel matrix. The dynamic interfacial interactions between the HAPAA and PANI networks efficiently enhanced the mechanical performances of the HAPAA/PANI (PAAN) hydrogel and could compensate for the negative effect of the enhanced mechanical strength on self-healing. In addition, the interconnected PANI network endowed the PAAN hydrogel with high conductivity and excellent sensory performances. As such, the mechanical and electronic properties of the PAAN hydrogel were simultaneously enhanced significantly without compromising the self-healing performance of the HAPAA matrix, achieving balanced mechanical, electronic, and self-healing properties in the PAAN hydrogel. Lastly, proof-of-concept applications like human physiological monitoring electronics, flexible touch screens, and artificial electronic skin are successfully demonstrated using the PAAN hydrogel with the capability of restoring their electronic performances after the healing process. It is anticipated that such hydrogel network design can be extended into next-generation hydrogel electronics for human-machine-interfaces and soft robotics.
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Hidrogeles , Dispositivos Electrónicos Vestibles , Conductividad Eléctrica , Electrónica , Humanos , Monitoreo FisiológicoRESUMEN
In diabetes-induced intervertebral disc degeneration (Db-IVDD), senescence and apoptosis of nucleus pulposus cells (NPCs) are major contributing factors. Telomere attrition and telomerase downregulation are some of the main reasons for senescence and eventual apoptosis. The derivatives of the Chinese herb Astragalus membranaceus, Cycloastragenol (CAG) and Astragaloside IV (AG-IV), are reportedly effective telomerase activators against telomere shortening; however, their effect in Db-IVDD have not been explored. The present study simultaneously investigated the regulation of these derivatives on senescence, apoptosis, telomeres and telomerase a model of high-glucose (HG)-induced stress using rat primary NPCs. The NPCs were stimulated with HG (50 mM) to evoke HG-induced stress, and the effects of CAG and AG-IV were observed on: i) The expression level of senescence marker p16; ii) ß-Gal staining; iii) the expression levels of apoptosis markers cleaved-caspase 3 (c-C3), BAX and Bcl-2; iv) telomerase activation with telomerase reverse transcriptase (TERT) mRNA and protein expression, while telomere length was measured with reverse transcription-quantitative PCR. Cell proliferation was determined using the Cell Counting Kit-8 assay. Results demonstrated an upregulation in the expression levels of p16, c-C3 and BAX, and increased ß-Gal staining; while the expression level of Bcl-2 was downregulated in a concentration-dependent manner. Pre-treatment of the NPCs with CAG and AG-IV downregulated the protein expression levels of p16, c-C3 and BAX, and decreased the percentage of ß-Gal and FITC staining; while upregulating the Bcl-2 expression. These effects protected the cells from HG stress-induced senescence and apoptosis. HG also downregulated the expression profile of TERT and shortened the telomere length in a glucose concentration-dependent manner. While pretreatment with CAG and AG-IV upregulated TERT expression and ameliorated the telomere attrition. CAG and AG-IV also increased cell proliferation and improved cell morphology in HG conditions. Overall, these findings indicated that CAG and AG-IV suppressed HG stress-induced senescence and apoptosis, in addition to enhancing telomerase activation and lengthening of the Telomere. Therefore, CAG and AG-IV prolonged the replicative capability and longevity of the NPCs and they have the potential to be therapeutic agents in Db-IVDD.
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Here, we present a high performance uncooled near-infrared (NIR) detector comprising of a giga hertz (GHz) solidly mounted resonator (SMR) and gold nanorods (GNRs) arrays. By coupling the localized surface plasmon resonances of GNRs, the resonator system exhibits optimized optical response to vis-NIR region. Both simulation and experiments demonstrate the hybrid GNRs-SMR exhibit significantly enhanced optical responsive sensitivity of NIR, the tunable aspect ratios (AR) of GNRs enable resonator respond sensitively to selected light. Specially, taking advantage of the acoustofluidic effect of SMR, the GNRs can be controllably and precisely modified on the microchip surface in an ultra-short time, which addresses one of the most fundamental challenges in the localized functionalization of micro/nano scale surface. The presented work opens new directions in development of novel miniaturized, tunable NIR detector.
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Stimulus-responsive soft actuators show great potential in intelligent robot systems for their various virtues, such as arbitrary shape morphing, outstanding adaptability to environment, and multidegrees of freedom. However, it is extremely challenging to achieve a combination of excellent actuating performance and robust mechanical strength as well as self-healing property. Herein we report a near-infrared light-responsive soft actuator based on the synergistic effects of a crystalline physical cross-linked network and a hydrogen bonding supramolecular network. The actuator exhibits outstanding comprehensive performance including fast and reliable light-responsive behavior (bending angle over 90° within 1.6 s), robust mechanical strength (12.52 MPa), superfast self-healing speed (2 s), and satisfactory self-healing efficiency in both mechanical (87.68%) and actuating (99.50%) performance. In addition, it is convenient to fabricate and reconfigure the actuators by a mild-temperature molding strategy to acquire various three-dimensional structures, thus achieving diverse actuating locomotion. This work provides a powerful and facile strategy to prepare soft actuators with intriguing performance, allowing significant progress in broadening their practical application.
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The aim of this study was to investigate the prognostic value of neutrophils-to-lymphocyte ratio in peripheral blood (NLR) and in cancer nest (iNLR) in patients with esophageal squamous cell carcinoma (ESCC).Totally 103 patients with ESCC treated with surgical radical surgery in the Shuyang People's Hospital from February 2010 to November 2014 were collected retrospectively. Peripheral blood routine test and immunohistochemistry examination of carcinoma nest were mainly performed. Survival rates were analyzed with Kaplan-Meier curves. Univariate analysis and multivariate analysis were also performed to explore potential prognostic factors of ESCC.The median survival time after surgery of low NLR group and high NLR group were 48 months and 30 months, respectively. The difference of overall survival between the 2 groups was statistically significant (χâ=â7.435, Pâ=â.006). The median survival time after surgery of low iNLR group and high iNLR group were 37 months and 24.5 months, respectively. The difference between the 2 groups was also statistically significant (χâ=â33.640, Pâ=â.000). Univariate analysis showed influence factors of postoperative survival in patients with ESCC included tumor-node-metastasis staging, NLR, iNLR, and grade of NLR score + iNLR score (Pâ≤â.05). Multivariate analysis confirmed NLR, iNLR, and tumor-node-metastasis staging were independent influence factors of postoperative survival in patients with ESCC (Pâ≤â.05).High level of NLR and iNLR implies a poor prognosis of ESCC. The application of both NLR and iNLR could guide clinicians to take aggressive treatments for high risk population.