[Application and prospect of cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy in the treatment of peritoneal metastasis from colorectal cancer]

Colorectal cancer is one of the common malignant tumors in China, and its incidence is increasing with years. As the second most common metastatic site of colorectal cancer, peritoneum is difficult to diagnose early and with a poor prognosis. Systemic intravenous chemotherapy was used as the main treatment strategy for peritoneal metastasis in the past, but its systemic toxic and side effects were obvious, and it could not effectively control tumor progression. In recent years, the continuous development of surgical techniques, concepts, and equipment, as well as the introduction of new chemotherapy drugs and targeted drugs have significantly improved the quality of life and prognosis of patients with peritoneal metastasis of colorectal cancer. Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) can effectively eradicated the intraperitoneal free cancer cells and subclinical lesions, while reducing systemic side effects of chemotherapy drugs, and achieve the radical cure of the tumor at the macro and micro levels to the greatest extent. It has been used as the first-line treatment program for peritoneal metastasis of colorectal cancer at home and abroad. This article focuses on the analysis and summary of the survival efficacy, prognostic factor analysis, and chemotherapy safety of CRS+ HIPEC in the treatment of colorectal cancer peritoneal metastasis. The existing problems and controversies of HIPEC therapy are discussed simultaneously.

A high-performance brain switch based on code-modulated visual evoked potentials

OBJECTIVE

Asynchronous brain-computer interfaces (BCIs) are more practical and natural compared to synchronous BCIs. A brain switch is a standard asynchronous BCI, which can automatically detect the specified change of the brain and discriminate between the control state and the idle state. The current brain switches still face challenges on relatively long reaction time (RT) and high false positive rate (FPR).

APPROACH

In this paper, an online electroencephalography-based brain switch is designed to realize a fast reaction and keep long idle time (IDLE) without false positives (FPs) using code-modulated visual evoked potentials (c-VEPs). Two stimulation paradigms were designed and compared in the experiments: multi-code concatenate modulation (concatenation mode) and single-code periodic modulation (periodic mode). Using a task-related component analysis-based detection algorithm, EEG data can be decoded into a series of code indices. Brain states can be detected by a template matching approach with a sliding window on the output series.

MAIN RESULTS

The online experiments achieved an average RT of 1.49 seconds when the average IDLE for each FP was 68.57 minutes (1.46e-2 FP/min) or an average RT of 1.67 seconds without FPs.

SIGNIFICANCE

This study provides a practical c-VEP based brain switch system with both fast reaction and low FPR during idle state, which can be used in various BCI applications.

Analysis of Electromagnetic Interference and Shielding in the μLED Optrode Based on Finite Element Method

Monolithic integrated μLED optrode has promising applications in optogenetics due to their ability to achieve more optical channels in a smaller footprint. The current used to drive the μLED will cause electromagnetic interference (EMI) noise to the recording electrodes at a very close distance. Utilizing a grounded metal shielding layer between the active device and the electrode can potentially reduce the interference. In this paper, multi-dimensional μLED optrode models are set up according to the real device. By numerically analyzing the electromagnetic interference between the μLED and recording electrodes, several optimized shielding schemes are evaluated by simulations and experiments. Some important process and layout parameters that may influence the shielding effect are studied through the finite element method (FEM). Different circuit models based on the corresponding test environment are built to analyze the simulation and experiment results. A new PCB with a shielding layer has been designed and initially verified. The proposed novel computational model can analyze EMI quantitatively, which could facilitate the design of low-noise μLED optrode with reasonable shielding and packaging.

Optimizing spatial properties of a new checkerboard-like visual stimulus for user-friendly SSVEP-based BCIs

Objective.Low-frequency steady-state visual evoked potential (SSVEP)-based brain-computer interface (BCI) systems with high performance are prone to cause visual discomfort and fatigue. High-frequency SSVEP-based BCI systems can alleviate the discomfort, but always obtain lower performance. This study optimized the spatial properties of a proposed checkerboard-like visual stimulus toward high-performance and user-friendly SSVEP-based BCI systems.Approach.On the one hand, two checkerboard-like stimuli with distinct spatial contrasts (the black- and white-background) were designed to balance the tradeoff between BCI performance and user experience and compared with the traditional flickering stimulus. On the other hand, the impacts of the spatial frequency of the new checkerboard-like stimulus on the flicker perception and the intensity of the elicited SSVEP were clarified. The SSVEP-based BCI systems were implemented based on the checkerboard-like stimuli under low-frequency and high-frequency conditions. The user experience for each stimulation pattern was estimated by questionnaires for subjective evaluation.Main results.The comparison results indicate that the black-background checkerboard-like stimulus with an optimized spatial frequency achieved comparable performance and enhanced visual comfort compared with the flickering stimulus. Furthermore, the online nine-target BCI system using the black-background checkerboard-like stimuli achieved averaged information transfer rates of 124.0 ± 2.3 and 109.0 ± 20.4 bits min^-1with low-frequency and high-frequency stimulation respectively.Significance.The new checkerboard-like stimuli with optimized properties show superiority of system performance and user experience in implementing SSVEP-based BCI, which will promote its practical applications in communication and control.

A Modified Miniscope System for Simultaneous Electrophysiology and Calcium Imaging in vivo

The miniscope system is one of the calcium (Ca²⁺) imaging tools with small size and lightweight and can realize the deep-brain Ca²⁺ imaging not confined to the cerebral cortex. Combining Ca²⁺ imaging and electrophysiology recording has been an efficient method for extracting high temporal-spatial resolution signals in the brain. In this study, a particular electrode probe was developed and assembled on the imaging lens to modify the miniscope system. The electrode probe can be tightly integrated into the lens of the miniscope without increasing the volume, weight, and implantation complexity. In vivo tests verified that the proposed modified system has realized the simultaneous recording of Ca²⁺ signals and local field potential (LFP) signal in the hippocampus CA1 region of an adult mouse.

Rewritable PEDOT Film Based on Water-Writing and Electroerasing

Rewritable paper has greatly promoted the sustainable development of society. However, the hydrophilicity/lipophilicity of the poly(3,4-ethylenedioxythiophene) (PEDOT) film limits its application as the rewritable paper. Herein, we constructed a repeatable writing/erasing pattern on a PEDOT film (rewritable PEDOT paper) by combining wettability control, water-induced dedoping, and an electrochemical redox reaction. The treatment with a medium-polarity/high-volatility solvent (MP/HVS) adjusted the wettability of the PEDOT film (water contact angle increased from 6.5° to 146.2°), contributing to the formation of a hydrophobic writable substrate. The treatment with a high-polarity solvent (HPS) induced the dedoping of anions in the PEDOT chain, resulting in the film's color changed from blue to purple and serving as a writing process. The intrinsic electrochemical redox (elimination of color change by doping/dedoping of lithium ions in the PEDOT chain) of the PEDOT film enabled the erasing process. This writing/erasing process can be repeated at least 10 times. The patterned PEDOT film maintained excellent stability to standing diverse solvents (low-polarity solvent (LPS) and MP/HVS), high temperatures (350 °C), and irradiation of different light wavelengths (wavelengths of 365, 380, 460, 520, and 645 nm). Additionally, the conductivity of the PEDOT film was quantitatively measured (impedance: LPS, increased 8.84%; MP/HVS, decreased 6.67%; and HPS, increased 27.97%) by fabricating a micropatterned PEDOT electrode. This work will provide a method for the fabrication of PEDOT-based optoelectronic functional materials.

Research on Pt/NiOx/WO3-x:Ti/W Multijunction Memristors with Synaptic Learning and Memory Functions

Artificial synapses based on biological synapses represent a new idea in the field of artificial intelligence with future applications. Current two-terminal RRAM devices have developed tremendously due to the adjustable synaptic plasticity of artificial synapses. However, these devices still have some problems, such as current leakage and poor durability. Here, we demonstrate a Pt/NiO_x/WO_3-x:Ti/W memristor with a pn-type heterojunction and two metal-semiconductor contacts, which exhibits good rectification. Due to the change in the internal potential barrier, the devices possess multiconductance states under different pulse modulations and memory characteristics, similar to synapses. The rectification characteristics of the device exhibit stable enhancement and suppression behavior. Each device in the 10 × 10 cross array we constructed can be written correctly, which verifies that leakage current does not appear in the device. The structure proposed in this work has great significance for the integration of large-scale memristor cross arrays.

Route to Cost-Effective Fabrication of Wafer-Scale Nanostructure through Self-Priming Nanoimprint

Nanoimprint technology is powerful for fabricating nanostructures in a large area. However, expensive equipment, high cost, and complex process conditions hinder the application of nano-imprinting technology. Therefore, double-layer self-priming nanoimprint technology was proposed to fabricate ordered metal nanostructures uniformly on 4-inch soft and hard substrates without the aid of expensive instruments. Different nanostructure (gratings, nanoholes and nanoparticles) and different materials (metal and MoS2) were patterned, which shows wide application of double-layer self-priming nanoimprint technology. Moreover, by a double-layer system, the width and the height of metal can be adjusted through the photoresist thickness and developing condition, which provide a programmable way to fabricate different nanostructures using a single mold. The double-layer self-priming nanoimprint method can be applied in poor condition without equipment and be programmable in nanostructure parameters using a single mold, which reduces the cost of instruments and molds.

Wearable Contact Lens Sensor for Non-invasive Continuous Monitoring of Intraocular Pressure

Intraocular pressure (IOP) is an essential indicator of the diagnosis and treatment of glaucoma. IOP has an apparent physiological rhythm, and it often reaches its peak value at night. To avoid missing the peak value at night and sample the entire rhythm cycle, the continuous monitoring of IOP is urgently needed. A wearable contact lens IOP sensor based on a platinum (Pt) strain gauge is fabricated by the micro-electro-mechanical (MEMS) process. The structure and parameters of the strain gauge are optimized to improve the sensitivity and temperature stability. Tests on an eyeball model indicate that the IOP sensor has a high sensitivity of 289.5 μV/mmHg and excellent dynamic cycling performance at different speeds of IOP variation. The temperature drift coefficient of the sensor is 33.4 μV/°C. The non-invasive IOP sensor proposed in this report exhibits high sensitivity and satisfactory stability, promising a potential in continuous IOP monitoring.

A Cross-Session Dataset for Collaborative Brain-Computer Interfaces Based on Rapid Serial Visual Presentation

Brain-computer interfaces (BCIs) based on rapid serial visual presentation (RSVP) have been widely used to categorize target and non-target images. However, it is still a challenge to detect single-trial event related potentials (ERPs) from electroencephalography (EEG) signals. Besides, the variability of EEG signal over time may cause difficulties of calibration in long-term system use. Recently, collaborative BCIs have been proposed to improve the overall BCI performance by fusing brain activities acquired from multiple subjects. For both individual and collaborative BCIs, feature extraction and classification algorithms that can be transferred across sessions can significantly facilitate system calibration. Although open datasets are highly efficient for developing algorithms, currently there is still a lack of datasets for a collaborative RSVP-based BCI. This paper presents a cross-session EEG dataset of a collaborative RSVP-based BCI system from 14 subjects, who were divided into seven groups. In collaborative BCI experiments, two subjects did the same target image detection tasks synchronously. All subjects participated in the same experiment twice with an average interval of ∼23 days. The results in data evaluation indicate that adequate signal processing algorithms can greatly enhance the cross-session BCI performance in both individual and collaborative conditions. Besides, compared with individual BCIs, the collaborative methods that fuse information from multiple subjects obtain significantly improved BCI performance. This dataset can be used for developing more efficient algorithms to enhance performance and practicality of a collaborative RSVP-based BCI system.

First Report of Root Rot Caused by Dactylonectria torresensis on Bletilla striata (Baiji) in Yunnan, China

Bletilla striata (Thunb.) Rchb.f. (Orchidaceae family, known as Baiji in Chinese) is an endangered plant species with important medicinal value in China. Bletilla striata plants with symptoms of wilting, leaf yellowing and rotting on underground parts were found in Shizong (24.82822 N; 103.99084 E), Yunnan Province, China in July 2016. In the following years, this disease occurred and became prevalent when high temperature and high humidity prevailed in the fields from May to August. The incidence of the disease varied from 45 to 75%, with yield losses of 40 to 65% in different B. striata fields. To identify the causal agent of the disease, symptomatic vascular tissue fragments were soaked in 2% sodium hypochlorite for 2 min, rinsed twice with sterile distilled water, and then placed on 4% (w/v) potato dextrose agar (PDA) plates. The plates were incubated at 26°C in 12h light/dark for three days. Mycelia grown from the edges of the plant fragments were transferred to PDA plates and incubated at 26°C in 12h light/dark. After three days, hyphal tips were isolated from the edge of the colonies to PDA plates. Three hyphal-tip isolates from different plants were further studied. The colonies of these three isolates were dark red, with cottony mycelia of moderate density. Hyphae were transparent and branched. Numerous hyphae anastomosed frequently and formed hyphal coils. For further morphological analysis, sporulation was induced as described by Cabral et al. (2012) and Lombard et al. (2014). Macroconidia were abundant, 37.2 to 44.0 µm × 5.2 to 8.7 µm based on the measurement of 20 conidia from each isolate. Ascospores divided into two cells of equal size, ellipsoid to oblong-ellipsoid, 12.5 to 14.8 µm × 4.8 to 5.9 µm based on the measurement of 20 spores from each isolate. Conidiophores simple or complex, sporodochial. Simple conidiophores arising laterally or terminally from aerial mycelium, solitary to loosely aggregated, unbranched or sparsely brached, more or less cylindrical. These morphological characteristics were consistent with the description of Dactylonectria spp. by Cabral et al. (2012) and Lombard et al. (2014). From one isolate, the internal transcribed spacer (ITS) region of ribosomal DNA and the beta-tubulin (tub2) gene were amplified by polymerase chain reaction (PCR) using the primer pairs ITS1/ITS4 (White et al. 1990) and T1/Bt-2b (Cabral et al. 2012), respectively. PCR products were sequenced and deposited in GenBank with accession numbers MH458779 (ITS) and MH626485 (tub2). BLAST search revealed that both sequences showed 99 to 100% homology with the corresponding sequences of previously identified D. torresensis isolates. Specially, MH458779 shares 100% identity with the entire 463-base pair (bp) sequence of KP411806, the ITS sequence of a D. torresensis isolate identified from olive trees (Nigro et al. 2019); MH626485 shares 99% identity with the entire 320-bp sequence of KP411801, the tub2 sequence of the same olive tree isolate. In addition, the entire 609-bp sequence of MH626485 shares 99% identity with JF735478, the tub2 sequence of a D. torresensis isolate identified from grapevines (Cabral et al. 2012). To test the pathogenicity of the fungus, plants of B. striata in plastic pots filled with sterilized nursery soil were inoculated with each of the three isolates by placing a fungal-colonized wheat kernel adjacent to each health plant. Plants inoculated with noncolonized wheat kernels were used as controls. Plants in three pots (replicates), with one plant per pot, were inoculated by each isolate. The pots were maintained in a greenhouse with a 12h photoperiod at 25°C. Ten days after inoculation, black necrotic lesions identical to those observed in the field were evident on the roots of all inoculated plants. Using the same methods described above, fungi with identical morphologies as described above were isolated from lesions caused by each of the three isolates. The control plants remained healthy, and no fungus was re-isolated. This completed Koch's postulates. Based on the morphological characteristics and molecular identification, the pathogen was determined to be D. torresensis. To our knowledge, this is the first report of D. torresensis causing root rot of B. striata in Yunnan, China. It is important to further study the impacts of this new disease on B. striata production in China.

[Analysis of risk factors of severe postoperative complications in elderly patients with colorectal cancer aged over 80 years]

Objective: To investigate the risk factors of severe postoperative complications in elderly patients with colorectal cancer aged over 80 years old. Methods: A retrospective case-control study was conducted to collect and analyze the clinicopathological data of patients (≥80 years old) who underwent radical colorectal cancer surgery at department of Colorectal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College from January 2010 to December 2018. A total of 269 patients were included in the study, including 160 males and 109 females. The average age was 83 (80-94) years. Among them, the pathological TNM stage was 16 in stage I, 76 in stage II, 167 in stage III, and 10 in stage IV. According to Clavien-Dindo classification, the postoperative complications of grade III and above were defined as serious complications. To analyze the relationship between the patient's clinical data, such as general information, the surgeon's experience (whether to complete more than 500 radical colorectal cancer surgery), intraoperative conditions and the occurrence of severe complications. Univariate analysis was conducted with the chi-squared test. Multivariate logistic regression analysis was used for statistically significant variables in univariate analysis. Results: Of the 269 patients, 34 (12.6%) had severe complications after surgery. The incidence of postoperative complications ranged from high to low, respectively, for pulmonary infection (8/269,3.0%), intestinal obstruction (8/269, 3.0%) and anastomotic leakage (7/269, 2.6%). One patient died of pulmonary embolism and one patient died of multiple organ failure, with a perioperative mortality rate of 0.7% (2/269). On univariate analysis, the occurrence of severe postoperative complications was associated with age (χ(2)=8.181, P=0.004), American society of anesthesiologists grade (χ(2)=7.945, P=0.005), preoperative albumin level (χ(2)=9.088, P=0.003), operation experience (χ(2)=9.395, P=0.002). Multivariable logistic regression analysis showed that age ≥85 years old (OR=4.415, 95% CI: 1.702-11.453, P=0.080), preoperative albumin <35 g/L (OR=2.544, 95%CI: 1.083-5.974, P=0.032), and less-experieced group (OR=2.475, 95% CI:1.082-5.661, P=0.032) was independent risk factor for severe postoperative complications. The incidence of serious postoperative complications was similar in patients undergoing laparoscopy and laparotomy [10.1% (17/169) vs. 17.0% (17/100), χ(2)=2.741, P=0.098]. Conclusion: Adequate preoperative evaluation, appropriate perioperative nutritional support and experienced specialists are the key factors to ensure the successful perioperative period of elderly patients with colorectal cancer aged over 80 years old. In addition, more attention should be paid to the elderly patients aged ≥85 years.

Characteristics of High-Frequency SSVEPs Evoked by Visual Stimuli at Different Polar Angles

The mapping of visual space onto human striate cortex allows the location of stimuli to affect the scalp distributions of electroencephalogram (EEG). To clarify the relationship between the characteristics of elicited high-frequency steady-state visual evoked potentials (SSVEPs) and the polar angle of stimulus, this study divided the annulus into eight symmetrical annular sectors (i.e., octants) as separate visual stimuli. For both 30 Hz and 60 Hz, the response intensity and classification accuracy indicated that the annular sectors in the lower visual field evoked stronger responses than those in the upper visual field. This paper also evaluated the phase differences between SSVEPs at specific polar angles and found clear individual differences across subjects. These findings may lead to inspirations for the design of new space coding methods for the SSVEP-based brain-computer interfaces (BCIs).

Comparison of Pupil Size and Visual Evoked Potentials under 1-6Hz Visual Stimulation

In order to explore the effect of low frequency stimulation on pupil size and electroencephalogram (EEG), we presented subjects with 1-6Hz black-and-white-alternating flickering stimulus, and compared the differences of signal-to-noise ratio (SNR) and classification performance between pupil size and visual evoked potentials (VEPs). The results showed that the SNR of the pupillary response reached the highest at 1Hz (17.19± 0.10dB) and 100% accuracy was obtained at 1s data length, while the performance was poor at the stimulation frequency above 3Hz. In contrast, the SNR of VEPs reached the highest at 6Hz (18.57± 0.37dB), and the accuracy of all stimulus frequencies could reach 100%, with the minimum data length of 1.5s. This study lays a theoretical foundation for further implementation of a hybrid brain-computer interface (BCI) that integrates pupillometry and EEG.

A Four-Class Phase-Coded SSVEP BCI at 60Hz Using Refresh Rate

A four-class brain-computer interface (BCI) system based on steady-state visual evoked potentials (SSVEPs) was developed by presenting phase-coded 60Hz stimulations on a 240Hz LCD monitor. The task-related component analysis (TRCA) algorithm was used to detect SSVEPs with individual training data. In the BCI experiment with 10 subjects, the system achieved high classification accuracy of 94.50±6.70% and 92.71±7.56% in offline and online BCI experiments, resulting in information transfer rates (ITR) of 19.95±4.36 and 18.81±4.74 bpm, respectively. The behavioral tests on visual comfortableness and perception of flickering reveal that the proposed BCI system is very comfortable to use without any perception of flicker.

A Fast Brain Switch Based on Multi-Class Code-Modulated VEPs

To realize asynchronous control of a brain-computer interface (BCI) system, a fast brain switch with low false positive rate (FPR) is required. This paper proposed a brain switch based on code-modulated visual-evoked potential (c-VEP), in which seven 8-bit pseudorandom codes were used to modulate the electroencephalogram (EEG) signal. This study optimized and demonstrated the control strategy through an offline and an online experiments. By decoding the brain state continuously with the task-related component analysis (TRCA) algorithm, the brain switch achieved an average reaction time (RT) of 1.72 seconds and an average idle time of 183.53 seconds without false positive events in the online experiment.

Application of graphene nanowalls in an intraocular pressure sensor

Combining crack mechanism in GNWs with the stretchability of PDMS, a contact lens sensor exhibits excellent sensitivity to intraocular pressure.

Physical mechanism for the synapse behaviour of WTiOx-based memristors

Tungsten-based memristors possess many advantages as candidates for memristive devices, including gradual changes in resistance states and memorization and learning functions. However, most previous reports mainly focus on studying synaptic learning rules instead of analysing the internal mechanism that results in the exterior learning rules. Herein, we discuss stacked Au/WTiO_x/Au and Ti/WTiO_x/Au devices in which the function of the resistance switch is realized by the externally induced local migration of oxygen ions. The consecutively adjustable multilevel resistance of the Au/WTiO_x/Au device may be due to the variation in the barrier width and height in high oxygen vacancy concentrations. Additionally, the high and low resistance states of Ti/WTiO_x/Au devices are considered as a result of the connection and rupture of the conductive filaments at low concentrations of oxygen vacancies. The physical mechanism construction and state-full synapse development through the control of ion migration provide insight into the applications of oxide-based memristors in neuromorphic computation.

Exploring surface sensitivity of Rayleigh anomaly in metal/dielectric multilayer gratings

Biosensors based on Rayleigh anomaly (RA) in metal gratings exhibit impressive bulk refractive index (RI) sensitivity and narrow linewidth. However, the electric field enhancement extends far away from surface of the gratings, which limits the application on biosensor where the RI changes are restricted at the sensor interface. To overcome this shortcoming, a novel grating composed of a 8-layer Au/Al₂O₃ stack was optimized by numerical simulation. The electric field is limited in several hundreds of nanometers from surface. The surface sensitivity increases 10 times than that of Au gratings at the detection depth of less than 400 nm. The surface index sensitivity can be improved 5 times under oblique incidence than that under normal incidence when the thickness of cover media is 20 nm.

Novel small molecule IL-6 inhibitor suppresses autoreactive Th17 development and promotes Treg development

Multiple sclerosis (MS) is the leading cause of non-traumatic neurological disability in the United States in young adults, but current treatments are only partially effective, making it necessary to develop new, innovative therapeutic strategies. Myelin-specific interleukin (IL)-17-producing T helper type 17 (Th17) cells are a major subset of CD4 T effector cells (T_eff ) that play a critical role in mediating the development and progression of MS and its mouse model, experimental autoimmune encephalomyelitis (EAE), while regulatory T cells (T_reg ) CD4 T cells are beneficial for suppressing disease. The IL-6/signal transducer and activator of transcription 3 (STAT-3) signaling pathway is a key regulator of Th17 and T_reg cells by promoting Th17 development and suppressing T_reg development. Here we show that three novel small molecule IL-6 inhibitors, madindoline-5 (MDL-5), MDL-16 and MDL-101, significantly suppress IL-17 production in myelin-specific CD4 T cells in a dose-dependent manner in vitro. MDL-101 showed superior potency in suppressing IL-17 production compared to MDL-5 and MDL-16. Treatment of myelin-specific CD4 T cells with MDL-101 in vitro reduced their encephalitogenic potential following their subsequent adoptive transfer. Furthermore, MDL-101 significantly suppressed proliferation and IL-17 production of anti-CD3-activated effector/memory CD45RO⁺ CD4⁺ human CD4 T cells and promoted human T_reg development. Together, these data demonstrate that these novel small molecule IL-6 inhibitors have the potential to shift the T_eff  : T_reg balance, which may provide a novel therapeutic strategy for ameliorating disease progression in MS.