Antibiofilm and antithrombotic hydrogel coating based on superhydrophilic zwitterionic carboxymethyl chitosan for blood-contacting devices.

Blood-contacting devices must be designed to minimize the risk of bloodstream-associated infections, thrombosis, and intimal lesions caused by surface friction. However, achieving effective prevention of both bloodstream-associated infections and thrombosis poses a challenge due to the conflicting nature of antibacterial and antithrombotic activities, specifically regarding electrostatic interactions. This study introduced a novel biocompatible hydrogel of sodium alginate and zwitterionic carboxymethyl chitosan (ZW@CMC) with antibacterial and antithrombotic activities for use in catheters. The ZW@CMC hydrogel demonstrates a superhydrophilic surface and good hygroscopic properties, which facilitate the formation of a stable hydration layer with low friction. The zwitterionic-functionalized CMC incorporates an additional negative sulfone group and increased negative charge density in the carboxyl group. This augmentation enhances electrostatic repulsion and facilitates the formation of hydration layer. This leads to exceptional prevention of blood clotting factor adhesion and inhibition of biofilm formation. Subsequently, the ZW@CMC hydrogel exhibited biocompatibility with tests of in vitro cytotoxicity, hemolysis, and catheter friction. Furthermore, in vivo tests of antithrombotic and systemic inflammation models with catheterization indicated that ZW@CMC has significant advantages for practical applications in cardiovascular-related and sepsis treatment. This study opens a new avenue for the development of chitosan-based multifunctional hydrogel for applications in blood-contacting devices.

Carbon-Based Nanomaterials for Catalytic Wastewater Treatment: A Review.

Carbon-based nanomaterials (CBM) have shown great potential for various environmental applications because of their physical and chemical properties. The unique hybridization properties of CBMs allow for the tailored manipulation of their structures and morphologies. However, owing to poor solar light absorption, and the rapid recombination of photogenerated electron-hole pairs, pristine carbon materials typically have unsatisfactory photocatalytic performances and practical applications. The main challenge in this field is the design of economical, environmentally friendly, and effective photocatalysts. Combining carbonaceous materials with carbonaceous semiconductors of different structures results in unique properties in carbon-based catalysts, which offers a promising approach to achieving efficient application. Here, we review the contribution of CBMs with different dimensions, to the catalytic removal of organic pollutants from wastewater by catalyzing the Fenton reaction and photocatalytic processes. This review, therefore, aims to provide an appropriate direction for empowering improvements in ongoing research work, which will boost future applications and contribute to overcoming the existing limitations in this field.

Wetting Property Modification of Al2O3 by Helium Ion Irradiation: Effects of Beam Energy and Fluence on Contact Angle.

In imparting wetting properties, a fabrication process without the addition of new compounds and deposition of coating layers would be the most desirable because it does not introduce additional complexities. Hence, the ion beam irradiation technique is used as it enables the chemistry of materials to be modified through simple adjustments of irradiation parameters such as the type of accelerated particles, beam energy, and fluence. In this study, the hydrophilicity of alumina surfaces was weakened by irradiating He ion beams of different energy levels (200 keV and 20 MeV). These transitions become more pronounced as the total beam fluence increases. In low-energy irradiation, the effect of irradiation is predominant near the surface, and hydrophilicity is weakened by the increase in carbon adsorption and suppression of dissociative adsorption of water molecules owing to the introduction of oxygen vacancies. In contrast, nuclear transmutations are induced by irradiation with high-energy beams. Consequently, fluorine is generated, and hydrophobic functional groups are formed on the surface. By varying the beam conditions, the wetting properties of the target ceramic can be controlled to the desired level, which is required in various industries, via appropriate adjustments of the beam parameters. In addition, the beam irradiation technique may be applicable to all ceramic materials, including lattice oxygen and alumina.

Influences of Absorbed Dose Rate on the Mechanical Properties and Fiber-Matrix Interaction of High-Density Polyethylene-Based Carbon Fiber Reinforced Thermoplastic Irradiated by Electron-Beam.

In this study, a high-density polyethylene (HDPE)-based carbon fiber-reinforced thermoplastic (CFRTP) was irradiated by an electron-beam. To assess the absorbed dose rate influence on its mechanical properties, the beam energy and absorbed dose were fixed, while the absorbed dose rates were varied. The tensile strength (TS) and Young's modulus (YM) were evaluated. The irradiated CFRTP TS increased at absorbed dose rates of up to 6.8 kGy/s and decreased at higher rates. YM showed no meaningful differences. For CFRTPs constituents, the carbon fiber (CF) TS gradually increased, while the HDPE TS decreased slightly as the absorbed dose rates increased. The OH intermolecular bond was strongly developed in irradiated CFRTP at low absorbed dose rates and gradually declined when increasing those rates. X-ray photoelectron spectroscopy analysis revealed that the oxygen content of irradiated CFRTPs decreased with increasing absorbed dose rate due to the shorter irradiation time at higher dose rates. In conclusion, from the TS viewpoint, opposite effects occurred when increasing the absorbed dose rate: a favorable increase in CF TS and adverse decline of attractive hydrogen bonding interactions between HDPE and CF for CFRTPs TS. Therefore, the irradiated CFRTP TS was maximized at an optimum absorbed dose rate of 6.8 kGy/s.

Hydrophilicity Improvement of Polymer Surfaces Induced by Simultaneous Nuclear Transmutation and Oxidation Effects Using High-Energy and Low-Fluence Helium Ion Beam Irradiation.

Two commodity polymers, polystyrene (PS) and high-density polyethylene (HDPE), were irradiated by high-energy He ion beams at low fluence to examine the wettability changes at different fluences. The water contact angles of the PS and HDPE surfaces were reduced from 78.3° to 46.7° and 81.5° to 58.5°, respectively, upon increasing the fluence from 0 to 1 × 1013 He2+/cm2 for irradiation durations ≤4 min. Surface analyses were performed to investigate these wettability changes. Surface texture evaluations via scanning electron and atomic force microscopies indicated non-remarkable changes by irradiation. However, the chemical structures of the irradiated polymer surfaces were notable. The high-energy He ions induced nuclear transmutation of C to N, leading to C-N bond formation in the polymer chains. Further, C-O and C=O bonds were formed during irradiation in air because of polymer oxidation. Finally, amide and ester groups were generated by irradiation. These polar groups improved hydrophilicity by increasing surface energies. Experiments with other polymers can further elucidate the correlation between polymer structure and surface wettability changes due to high-energy low-fluence He ion irradiation. This method can realize simple and effective utilization of commercial cyclotrons to tailor polymer surfaces without compromising surface texture and mechanical integrity.

Comprehensive stabilization mechanism of electron-beam irradiated polyacrylonitrile fibers to shorten the conventional thermal treatment.

An electron beam was irradiated on polyacrylonitrile (PAN) fibers prior to thermal stabilization. The electron-beam irradiation effectively shortened the thermal stabilization process by one fourth compared with the conventional thermal stabilization process. A comprehensive mechanistic study was conducted regarding this shortening of the thermal stabilization by electron-beam irradiation. Various species of chain radicals were produced in PAN fibers by electron-beam irradiation and existed for a relatively long duration, as observed by electron spin resonance spectroscopy. Subsequently, these radicals were gradually oxidized to peroxy radicals in the presence of oxygen under storage or heating. We found that these peroxy radicals (CO) enabled such an effective shortcut of thermal stabilization by acting as intermolecular cross-linking and partial aromatization points in the low temperature range (100-130 °C) and as earlier initiation seeds of successive cyclization reactions in the next temperature range (>130-140 °C) of thermal stabilization. Finally, even at a low irradiation dose (200 kGy), followed by a short heat treatment (230 °C for 30 min), the PAN fibers were sufficiently stabilized to produce carbon fibers with tensile strength and modulus of 2.3 and 216 GPa, respectively, after carbonization.

VBioindex: A Visual Tool to Estimate Biodiversity.

Biological diversity, also known as biodiversity, is an important criterion for measuring the value of an ecosystem. As biodiversity is closely related to human welfare and quality of life, many efforts to restore and maintain the biodiversity of species have been made by government agencies and non-governmental organizations, thereby drawing a substantial amount of international attention. In the fields of biological research, biodiversity is widely measured using traditional statistical indices such as the Shannon-Wiener index, species richness, evenness, and relative dominance of species. However, some biologists and ecologists have difficulty using these indices because they require advanced mathematical knowledge and computational techniques. Therefore, we developed VBioindex, a user-friendly program that is capable of measuring the Shannon-Wiener index, species richness, evenness, and relative dominance. VBioindex serves as an easy to use interface and visually represents the results in the form of a simple chart and in addition, VBioindex offers functions for long-term investigations of datasets using time-series analyses.

Clinical significance of achieving a flexion limitation with a tension band system in grade 1 degenerative spondylolisthesis: a minimum 5-year follow-up.

STUDY DESIGN: Retrospective clinical study. OBJECTIVE: To evaluate the effect of the limitation of flexion rotation clinically and radiologically after interspinous soft stabilization using a tension band system in grade 1 degenerative spondylolisthesis. SUMMARY OF BACKGROUND DATA: Although several studies have been published on the clinical effects of limiting rotatory motion using tension band systems, which mainly targets the limitation of flexion rather than that of extension, they were confined to the category of pedicle screw-based systems, revealing inconsistent long-term outcomes. METHODS: Sixty-one patients with a mean age of 60.6 years (range, 28-76 yr) who underwent interspinous soft stabilization after decompression for grade 1 degenerative spondylolisthesis with stenosis between 2002 and 2004 were analyzed. At follow-up, the patients were divided into 2 groups on the basis of their achievement or failure to achieve flexion limitation. The clinical and radiological findings were analyzed. A multiple linear regression analysis was performed to determine the prognostic factors for surgical outcomes. RESULTS: At a mean follow-up duration of 72.5 months (range, 61-82 mo), 51 patients were classified into the flexion-limited group and 10 into the flexion-unlimited group. Statistically significant improvements were noted only in the flexion-limited group in all clinical scores. In the flexion-unlimited group, there were significant deteriorations in flexion angle (P = 0.009), axial thickness of the ligamentum flavum (P = 0.013), and the foraminal cross-sectional area (P = 0.011), resulting in significant intergroup differences. The preoperative extension angle was identified as the most influential variable for the flexion limitation and the clinical outcomes. CONCLUSION: The effects of the limitation of flexion rotation achieved through interspinous soft stabilization using a tension band system after decompression were related to the prevention of late recurrent stenosis and resultant radicular pain caused by flexion instability. The extension potential at the index level was recognized as a major prognostic factor that can predict the flexion limitation and the clinical results. LEVEL OF EVIDENCE: 4.

Percutaneous endoscopic intra-annular subligamentous herniotomy for large central disc herniation: a technical case report.

STUDY DESIGN: Technical case report. OBJECTIVE: To describe the novel technique of percutaneous endoscopic herniotomy using a unilateral intra-annular subligamentous approach for the treatment of large centrally herniated discs. SUMMARY OF BACKGROUND DATA: Open discectomy for large central disc herniations may have poor long-term prognosis due to heavy loss of intervertebral disc tissue, segmental instability, and recurrence of pain. METHODS: Six consecutive patients who presented with back and leg pain, and/or weakness due to a large central disc herniation were treated using percutaneous endoscopic herniotomy with a unilateral intra-annular subligamentous approach. RESULTS: The patients experienced relief of symptoms and intervertebral disc spaces were well maintained. The annular defects were noted to be in the process of healing and recovery. CONCLUSION: Percutaneous endoscopic unilateral intra-annular subligamentous herniotomy was an effective and affordable minimally invasive procedure for patients with large central disc herniations, allowing preservation of nonpathological intradiscal tissue through a concentric outer-layer annular approach.

Hierarchical visible-light-response Ag/AgCl@TiO2 plasmonic photocatalysts for organic dye degradation.

A plasmonic photocatalyst of Ag/AgCl@TiO2 nanoparticles (NPs) was directly prepared by a one-step sonochemical method. Both Ag NPs and AgCl were co-deposited on TiO2 NPs to form Ag@TiO2 and Ag/AgCl@TiO2 using the method. Due to the localized surface plasmonic effects of Ag NPs, the visible-light absorbance of the Ag/AgCl@TiO2 photocatalyst was dramatically increased and the photocatalytic activity to decompose Rhodamine B was much improved under visible light. In addition, due to the advantages of the sonochemical approach, only a very small amount of Ag is required to obtain a high photocatalytic activity in the plasmonic catalyst. The mechanism for the enhancement of the visible-light-driven photocatalytic activities was also analyzed.

Sonochemical synthesis of Ag/AgCl nanocubes and their efficient visible-light-driven photocatalytic performance.

A novel one-step sonochemical approach to synthesize a plasmonic photocatalyst of AgCl nanocubes (ca. 115 nm in edge length) with a small amount of Ag metal species is presented. The nanoscale Ag/AgCl hybrid photocatalysts with cubic morphology are readily formed under ambient ultrasonic conditions and neither external heat treatment nor reducing agents are required. The size of the Ag/AgCl photocatalysts could be controlled by changing the concentrations of Ag(+) ions and polyvinylpyrrolidone molecules in precursor solutions. The compositions, microstructures, influencing factors, and possible growth mechanism of the Ag/AgCl hybrid nanocubes were systematically investigated. The Ag/AgCl photocatalysts show excellent photocatalytic performance for degradation of various dye molecules under visible light.

Improvement in the photoelectrochemical responses of PCBM/TiO2 electrode by electron irradiation.

The photoelectrochemical (PEC) responses of electron-irradiated 66-phenyl-C61-butyric acid methyl ester (PCBM)/TiO2 electrodes were evaluated in a PEC cell. By coating PCBM on TiO2 nanoparticle film, the light absorption of PCBM/TiO2 electrode has expanded to the visible light region and improved the PEC responses compared to bare TiO2 electrode. The PEC responses were further improved by irradiating an electron beam on PCBM/TiO2 electrodes. Compared to non-irradiated PCBM/TiO2 electrodes, electron irradiation increased the photocurrent density and the open-circuit potential of PEC cells by approximately 90% and approximately 36%, respectively at an optimum electron irradiation condition. The PEC responses are carefully evaluated correlating with the optical and electronic properties of electron-irradiated PCBM/TiO2 electrodes.

Factors affecting clinical outcomes in treating patients with grade 1 degenerative spondylolisthesis using interspinous soft stabilization with a tension band system: a minimum 5-year follow-up.

STUDY DESIGN: Retrospective clinical study. OBJECTIVE: To explore the factors influencing the clinical outcomes and motion-preserving stabilization after interspinous soft stabilization (ISS) with a tension band system for grade 1 degenerative spondylolisthesis (DS). SUMMARY OF BACKGROUND DATA: Despite increasing recognition of the benefits of dynamic stabilization systems for treating lumbar degenerative disorders, the factors affecting the clinical and radiological outcomes of these systems have rarely been identified. METHODS: Sixty-five patients (mean age, 60.3 years) who underwent ISS with a tension band system between 2002 and 2004 were analyzed. The mean follow-up period was 72.5 months. The patients were divided according to the postsurgical clinical improvements into the optimal (n = 44) and suboptimal groups (n = 21), and the radiological intergroup differences were analyzed. Multiple linear regression analysis was performed to determine the impact of the radiological factors on the clinical outcomes. RESULTS: Significant intergroup differences were observed on the follow-up clinical examination. Radiologically, total lumbar lordosis (TLL) and segmental lumbar lordosis (SLL) were significantly improved only in the optimal group, resulting in significant intergroup differences in TLL (P = 0.023), SLL (P = 0.001), and the L1 tilt (P = 0.002). All these measures were closely associated with postoperative segmental lumbar lordosis, which also was the most influential radiological variable for the clinical parameters. CONCLUSION: In the patients with grade 1 DS, the back pain relief and functional improvement following ISS were affected by the improvements in the sagittal spinal alignment through the achievement of segmental lumbar lordosis. ISS can be an alternative treatment to fusion surgery for grade 1 DS in patients who do not require fixation or reduction.

Tuning the electronic band structure of PCBM by electron irradiation.

Tuning the electronic band structures such as band-edge position and bandgap of organic semiconductors is crucial to maximize the performance of organic photovoltaic devices. We present a simple yet effective electron irradiation approach to tune the band structure of [6, 6]-phenyl-C61-butyric acid methyl ester (PCBM) that is the most widely used organic acceptor material. We have found that the lowest unoccupied molecular orbital (LUMO) level of PCBM up-shifts toward the vacuum energy level, while the highest occupied molecular orbital (HOMO) level down-shifts when PCBM is electron-irradiated. The shift of the HOMO and the LUMO levels increases as the irradiated electron fluence increases. Accordingly, the band-edge position and the bandgap of PCBM can be controlled by adjusting the electron fluence. Characterization of electron-irradiated PCBM reveals that the variation of the band structure is attributed to the molecular structural change of PCBM by electron irradiation.

Improved conversion efficiency of Ag2S quantum dot-sensitized solar cells based on TiO2 nanotubes with a ZnO recombination barrier layer.

We improve the conversion efficiency of Ag2S quantum dot (QD)-sensitized TiO2 nanotube-array electrodes by chemically depositing ZnO recombination barrier layer on plain TiO2 nanotube-array electrodes. The optical properties, structural properties, compositional analysis, and photoelectrochemistry properties of prepared electrodes have been investigated. It is found that for the prepared electrodes, with increasing the cycles of Ag2S deposition, the photocurrent density and the conversion efficiency increase. In addition, as compared to the Ag2S QD-sensitized TiO2 nanotube-array electrode without the ZnO layers, the conversion efficiency of the electrode with the ZnO layers increases significantly due to the formation of efficient recombination layer between the TiO2 nanotube array and electrolyte.

Fabrication of complete titania nanoporous structures via electrochemical anodization of Ti.

We present a novel method to fabricate complete and highly oriented anodic titanium oxide (ATO) nano-porous structures with uniform and parallel nanochannels. ATO nano-porous structures are fabricated by anodizing a Ti-foil in two different organic viscous electrolytes at room temperature using a two-step anodizing method. TiO2 nanotubes covered with a few nanometer thin nano-porous layer is produced when the first and the second anodization are carried out in the same electrolyte. However, a complete titania nano-porous (TNP) structures are obtained when the second anodization is conducted in a viscous electrolyte when compared to the first one. TNP structure was attributed to the suppression of F-rich layer dissolution between the cell boundaries in the viscous electrolyte. The structural morphologies were examined by field emission scanning electron microscope. The average pore diameter is approximately 70 nm, while the average inter-pore distance is approximately 130 nm. These TNP structures are useful to fabricate other nanostructure materials and nanodevices.

A novel route to large-scale and robust free-standing TiO2 nanotube membranes based on N2 gas blowing combined with methanol wetting.

We present a novel and straightforward approach to fabricate large-scale and robust free-standing TiO(2) nanotube (TNT) membranes. Simply by blowing N(2) gas onto as-anodized TNTs that are wetted with methanol, free-standing TNT membranes are produced. The approach also provides homogeneous and honeycomb-like Ti substrates after the detachment of TNT membranes. Through the second anodization of the honeycomb-like Ti substrates following the N(2) blowing, TNT membranes comprising hexagonally close-packed and regularly ordered TNTs with clear open ends can be achieved. Characterization of the free-standing TNT membranes using Raman spectroscopy and a high-resolution transmission electron microscope reveals that anatase TiO(2) and crystalline graphitic carbon are embedded in the bottom surface of the free-standing TNT membranes.

Improved conversion efficiency of CdS quantum dots-sensitized TiO2 nanotube array using ZnO energy barrier layer.

We report that the use of a chemically deposited ZnO energy barrier between a CdS quantum dot sensitizer and TiO(2) nanotubes (TNTs) can improve the efficiency of quantum dots-sensitized solar cells (QDSCs). The experimental results show that the formation of the ZnO layers over TNTs significantly improved the performances of the CdS QDSCs based on the TNTs electrodes. In particular, a maximum photoconversion efficiency of 4.6% was achieved for the CdS/ZnO/TNTs electrode under UV-visible light illumination, corresponding to an increase of 43.7% as compared to the CdS/TNTs electrode without the ZnO layers. The improved CdS QDSCs efficiency is attributed to the suppressed recombination of photoinjected electrons with redox ions from the electrolyte resulting from the ZnO energy barrier layers.

Sonication-assisted synthesis of CdS quantum-dot-sensitized TiO2 nanotube arrays with enhanced photoelectrochemical and photocatalytic activity.

A sonication-assisted sequential chemical bath deposition (S-CBD) approach is presented to uniformly decorate CdS quantum dots (QDs) on self-organized TiO2 nanotube arrays (TNTAs). This approach avoids the clogging of CdS QDs at the TiO2 nanotube mouth and promotes the deposition of CdS QDs into the nanotubes as well as on the tube walls. The photoelectrochemical and photocatalytic properties of the resulting CdS-decorated TNTAs were explored in detail. In comparison with a classical S-CBD approach, the sonication-assisted technique showed much enhancement in the photoelectrochemical and photocatalytic activities of the CdS QDs-sensitized TNTAs.

Spinopelvic alignment after interspinous soft stabilization with a tension band system in grade 1 degenerative lumbar spondylolisthesis.

STUDY DESIGN: Retrospective clinical study. OBJECTIVE: The purpose of this study was to examine the changes in spinopelvic alignment after interspinous soft stabilization (ISS) with a tension band system and to identify the lumbosacral parameters related to those changes and to determine their impact on the clinical outcomes compared with posterior lumbar interbody fusion (PLIF) in patients with low-grade degenerative spondylolisthesis (DS). SUMMARY OF BACKGROUND DATA: The sacropelvic morphometric changes after fusion surgery have received much research attention. However, few reports have addressed the issue after use of dynamic or soft stabilization systems. METHODS: From April 2001 to November 2003, 45 patients presenting with grade 1 DS with stenosis underwent either ISS with a tension band system (ISS group) or PLIF with pedicle screw fixation (PLIF group). The mean follow-up period was 76.8 months. Three pelvic parameters, the sacral slope (SS), pelvic tilt (PT), and pelvic incidence, were investigated to address the sacropelvic morphometric change. Clinical outcomes were assessed using the visual analog scale score, the Oswestry Disability Index, and the patient's satisfaction index. RESULTS: Both groups showed significant improvements in all of the clinical outcomes, with no significant differences between groups. In the ISS group, the SS increased and PT decreased, whereas in the PLIF group, the SS decreased and PT increased, resulting in pelvic anteversion and retroversion, respectively, with significant intergroup differences in SS and PT (SS: P = 0.047; PT: P = 0.01). The positive association of lumbar lordosis with SS (r = 0.448) and its negative association with PT (r = -0.674) in the respective groups indicate the influence of changes in lumbar lordosis on pelvic positional changes. Significant correlations between follow-up segmental lumbar lordosis and the visual analog scale score for leg pain (r = -0.685) and Oswestry Disability Index score (r = -0.425) were found in the ISS group alone. CONCLUSION: Segmental lordotic change after ISS with a tension band system was the possible decisive factor in the development of pelvic anteversion while maintaining sagittal lumbar balance; lack of lumbar lordosis led to compensatory pelvic retroversion in the PLIF group. Considering the comparable clinical results with PLIF surgery and the achievement of physiologic sagittal spinopelvic balance, the ISS procedure can be a feasible alternative to fusion surgery in patients with grade 1 DS with stenosis.