A Semi-Automatic Environmental Monitoring Device for Mercury and Cobalt Ion Detection.

A syringe-based, semi-automatic environmental monitoring device is developed for on-site detection of harmful heavy metal ions in water. This portable device consists of a spring-embedded syringe and a polydimethylsiloxane (PDMS) membrane-based flow regulator for semi-automatic fix-and-release fluidic valve actuation, and a paper-based analytical device (PAD) with two kinds of gold nanoclusters (AuNCs) for sensitive Hg2+ and Co2+ ion detection, respectively. The thickness of the elastic PDMS membrane can be adjusted to stabilize and modulate the flow rates generated by the pushing force provided by the spring attached to the plunger. Also, different spring constants can drastically alter the response time. People of all ages can extract the fix-volume sample solutions and then release them to automatically complete the detection process, ensuring high reliability and repeatability. The PAD comprises two layers of modified paper, and each layer is immobilized with bovine serum albumin-capped gold nanoclusters (R-AuNCs) and glutathione-capped gold clusters (G-AuNCs), respectively. The ligands functionalized on the surface of the AuNCs not only can fine-tune the optical properties of the nanoclusters but also enable specific and simultaneous detection of Hg2+ and Co2+ ions via metallophilic Au+ -Hg2+ interaction and the Co2+ -thiol complexation effect, respectively. The feasibility of the device for detecting heavy metal ions at low concentrations in various environmental water samples is demonstrated. The Hg2+ and Co2+ ions can be seen simultaneously within 20 min with detection limits as low as 1.76 nm and 0.27 µm, respectively, lower than those of the regulatory restrictions on water by the US Environmental Protection Agency and the European Union. we expect this sensitive, selective, portable, and easy-to-use device to be valid for on-site multiple heavy metal ion pollution screenings in resource-constrained settings.

Ultra-Stretchable Spiral Hybrid Conductive Fiber with 500%-Strain Electric Stability and Deformation-Independent Linear Temperature Response.

Stretchable configuration occupies priority in devising flexible conductors used in intelligent electronics and implantable sensors. While most conductive configurations cannot suppress electrical variations against extreme deformation and ignore inherent material characteristics. Herein, a spiral hybrid conductive fiber (SHCF) composed of aramid polymeric matrix and silver nanowires (AgNWs) coating is fabricated through shaping and dipping processes. The homochiral coiled configuration mimicked by plant tendrils not only enables its high elongation (958%), but also generates a superior deformation-insensitive effect to existing stretchable conductors. The resistance of SHCF maintains remarkable stability against extreme strain (500%), impact damage, air exposure (90 days), and cyclic bending (150 000 times). Moreover, the thermal-induced densification of AgNWs on SHCF achieves precise and linear temperature response toward a broad range (-20 to 100 °C). Its sensitivity further manifests high independence to tensile strain (0%-500%), allowing for flexible temperature monitoring of curved objects. Such unique strain-tolerant electrical stability and thermosensation hold broad prospects for SHCF in lossless power transferring and expeditious thermal analysis.

Flexible and Stretchable Elastomer Composites Based on Lightweight Liquid Metal Foam Spheres with Pod-like Contacts.

Liquid metal (LM) is increasingly employed as a conductive filler in soft and flexible elastomer composites owing to its favorable conductivity and liquid fluidity. However, the high density of LM inevitably increases the weight of composites, which brings limitations in large-area and weight-sensitive applications. This work reports a flexible and stretchable elastomer composite composed of pod-like contacting lightweight LM foam spheres and polydimethylsiloxane matrix (LMS/PDMS). The lightweight LMS reduces the amount of LM used in the preparation process while imparting good electrical conductivity and deformability to the composite. The different contact modes of LMS endow the final composites with diverse strain sensitivity. The mechanism of interfacial contact conduction between the LMS with different melting points has been systematically studied, and the result shows that the liquid-solid contact mode of LMS further improves the strain sensitivity of the composite. Moreover, the composite also has satisfactory electrothermal properties and the temperature can quickly reach 70 °C within 30 s, showing good applicability in electric heating. Finally, the composites containing LMS with different contact modes can be developed as multifunctional sensors to detect human activities, temperature variation, and even underwater vibration, demonstrating the great potential in next-generation sensors and electronics.

Pearls & Oy-sters: Status Epilepticus and Cerebral Edema From Hyperammonemia Due to Disseminated Ureaplasma and Mycoplasma Species.

Nonhepatic hyperammonemia syndrome is a rare cause of neurologic dysfunction and cerebral edema and has most commonly been reported in posttransplant patients. Only recently has opportunistic infection with Ureaplasma species and Mycoplasma hominis been found to be key to the pathogenesis. We describe the cases of 3 immunosuppressed patients who developed hyperammonemia syndrome with new-onset refractory status epilepticus and diffuse cerebral edema. PCR was positive for M hominis in 1 patient and Ureaplasma parvum in the other 2. Despite early diagnostic suspicion and aggressive management with empirical antibiotics, seizure control, hypertonic saline, and ammonia elimination, none of our patients survived this life-threatening infection. Nonhepatic hyperammonemia and new-onset seizures can be presenting features of disseminated Ureaplasma species and M hominis infections in posttransplant patients. Immunosuppression in the absence of organ transplantation is likely sufficient to trigger this entity, as was the case in our third patient. When suspected, empiric combination antibiotics should be used due to high likelihood of resistance. The diagnostic test of choice is PCR. Patients with hyperammonemia syndrome associated with these infections typically have a poor prognosis. Early recognition and aggressive multimodal interventions may be key to ameliorating the high mortality and severe neurologic sequelae from this entity.

Intrathecal Methotrexate Toxicity Resulting in Brain Death due to Generalized Cerebral Edema Case Report.

Intrathecal methotrexate (IT MTX) resulting in severe adverse events including life-threatening cerebral edema is not well described. We report a rare case of death in a 37-year-old BRCA1+ woman with metastatic triple-negative breast cancer status post mastectomy following administration of IT MTX for leptomeningeal carcinomatosis. Within the 24 hours after intraoperative IT MTX delivery, she developed neurologically devastating diffuse cerebral edema leading to uncal and cerebellar tonsillar herniation. This case report highlights a rare but devastating side effect of IT MTX.

Acute kidney injury-associated delirium: a review of clinical and pathophysiological mechanisms.

Acute kidney injury is a known clinical risk factor for delirium, an acute cognitive dysfunction that is commonly encountered in the critically ill population. In this comprehensive review of clinical and basic research studies, we detail the epidemiology, clinical implications, pathogenesis, and management strategies of patients with acute kidney injury-associated delirium. Specifically addressed are the pathological roles of endogenous toxin or drug accumulation, acute kidney injury-mediated neuroinflammation, and acute kidney injury-associated volume overload as discrete potential biological mechanisms of the condition. The optimization of clinical contributors and normalization of renal function are reviewed as pragmatic management strategies in addition to potential and emerging therapeutic approaches.

Interleukin-6 mediates delirium-like phenotypes in a murine model of urinary tract infection.

BACKGROUND: Urinary tract infection (UTI) is frequently implicated as a precipitant of delirium, which refers to an acute confusional state that is associated with high mortality, increased length of stay, and long-term cognitive decline. The pathogenesis of delirium is thought to involve cytokine-mediated neuronal dysfunction of the frontal cortex and hippocampus. We hypothesized that systemic IL-6 inhibition would mitigate delirium-like phenotypes in a mouse model of UTI. METHODS: C57/BL6 mice were randomized to either: (1) non-UTI control, (2) UTI, and (3) UTI + anti-IL-6 antibody. UTI was induced by transurethral inoculation of 1 × 108 Escherichia coli. Frontal cortex and hippocampus-mediated behaviors were evaluated using functional testing and corresponding structural changes were evaluated via quantification of neuronal cleaved caspase-3 (CC3) by immunohistochemistry and western blot. IL-6 in the brain and plasma were evaluated using immunohistochemistry, ELISA, and RT-PCR. RESULTS: Compared to non-UTI control mice, mice with UTI demonstrated significantly greater impairments in frontal and hippocampus-mediated behaviors, specifically increased thigmotaxis in Open Field (p < 0.05) and reduced spontaneous alternations in Y-maze (p < 0.01), while treatment of UTI mice with systemic anti-IL-6 fully reversed these functional impairments. These behavioral impairments correlated with frontal and hippocampal neuronal CC3 changes, with significantly increased frontal and hippocampal CC3 in UTI mice compared to non-UTI controls (p < 0.0001), and full reversal of UTI-induced CC3 neuronal changes following treatment with systemic anti-IL-6 antibody (p < 0.0001). Plasma IL-6 was significantly elevated in UTI mice compared to non-UTI controls (p < 0.01) and there were positive and significant correlations between plasma IL-6 and frontal CC3 (r2 = 0.5087/p = 0.0028) and frontal IL-6 and CC3 (r2 = 0.2653, p < 0.0001). CONCLUSIONS: These data provide evidence for a role for IL-6 in mediating delirium-like phenotypes in a mouse model of UTI. These findings provide pre-clinical justification for clinical investigations of IL-6 inhibitors to treat UTI-induced delirium.

A shape-deformable liquid-metal-filled magnetorheological plastomer sensor with a magnetic field "on-off" switch.

Flexible viscoelastic sensors have gained significant attention in wearable devices owing to their exceptional strain-dependent electrical resistance. Most of the strain sensors are elastic composites, thus the internal stress is often preserved during the deformation when they are attached to the uneven target. Therefore, there is a pressing need for viscoelastic composites with highly self-adapted electromechanical properties sensitive to multiexternal circumstances. This work reports a liquid-metal-filled magnetorheological plastomer (LMMRP) that shows a high response behavior to the external stimulus such as magnetic field, temperature, and force. The shape-deformable LMMRP can transform from an insulator to a conductor under applying a magnetic field, thus the further viscoelastic sensor possesses a magnetic field "on-off" switch effect. The microstructure-dependent magnetic/thermal/mechanical-electrical coupling characteristics are investigated, and several proof-of-concept sensor applications, such as magnetic control, environment recognition, and motion monitoring, are demonstrated. These LMMRP composites show a broad potential in flexible sensors and soft electronics.

Controlling Hydrogel Properties by the Cooperative Harvesting of the Components of Sunlight.

The utilization of the full spectrum of sunlight from ultraviolet to infrared to cooperatively control the properties of hydrogels is the key to developing efficient sunlight-responsive hydrogels, but there are significant challenges. The photoresponsive hydrogel developed here formed by azobenzene-containing polyzwitterionic chains possesses capabilities for simultaneously utilizing light from the ultraviolet to the infrared to cooperatively facilitate the gel-to-sol transitions. The ultraviolet and visible light can be converted into mechanical energy simultaneously to synergistically power the dynamic wagging of azobenzene groups, while the infrared light can be converted into kinetic energy of the zwitterionic groups to promote the wagging of the azobenzene groups. Cooperative action between the major components of sunlight can be applied to control a range of important properties of the hydrogel including wettability, adhesion, molecular release, self-healing, and mineralization. The work presented here demonstrates a novel strategy for harvesting all the major components of sunlight to control the properties of photoresponsive materials.

Simulation of the optimal diameter and wall thickness of hollow Fe3O4 microspheres in magnetorheological fluids.

This work reported a simulation study on the optimal diameter (D) and wall thickness (H) of hollow Fe3O4 microspheres to improve the magnetorheological (MR) effect. Modified formulae for the magnetic dipolar force, van der Waals force, and hydrodynamic drag force were employed in the simulation model. Typical evolution of shear stress and microstructures in steady shear flow was obtained. The shear stress-strain curve was divided into linear, fluctuant, and homeostasis regions, which were related to the inclination of particle chains and the lateral aggregation. For hollow Fe3O4 microspheres with different diameters and wall thicknesses, the shear stress curves collapsed onto a quadratic master curve. The best wall thickness was H = 0.39D for a 20 wt% MR fluid and H = 0.35D for a 40 wt% MR fluid, while the optimal diameter was D = 1000 nm and D = 100 nm, respectively. The maximum shear stress of the 40 wt% MR fluid was twice that of the 20 wt% MR fluid. The change of shear stress was due to the competition that results among the magnetic interaction, number of neighbors, tightness, and orientation of the particle chains. Simulated dimensionless viscosity data as a function of Mason number for various diameters, wall thicknesses, and weight fractions collapsed onto a single master curve. The simulated shear stress under both a magnetic field and shear rate sweep matched well with experiments.

Magnetic field dependent electro-conductivity of the graphite doped magnetorheological plastomers.

In this work we reported a novel graphite doped conductive magnetorheological plastomer (GMRP) with magnetic field dependent electro-conductivity. The conductivity of the GMRPs increased by increasing the content of the graphite particles, while it decreased with the graphite size. When the graphite content reached 15 wt%, the conductivity of GMRPs is approximately 10 000 times higher than the non-doped MRP. Because the iron particles in the GMRPs were magnetic, the conductivity of the GMRPs was magnetically sensitive. Upon applying a 780 mT magnetic field, the electric conductivity could increase about 1000 times larger than the one under zero magnetic field. A particle-particle resistance model was developed to investigate the influence of the magnetic field and graphite doping on the conductivity, and the fitting curve matched the experimental results very well. Finally, a magnetically controllable on-off switch based on GMRPs was proposed and its working mechanism was discussed.