Clinical, imaging, and pathological characteristics of congenital infiltrating lipomatosis of the face

Congenital infiltrating lipomatosis of the face (CILF) is a rare congenital disease of the head and neck region. In this study, the cases of 20 patients diagnosed with CILF were reviewed retrospectively to analyse the characteristics of the disease. The symptoms, signs, and clinical progression were investigated. Radiological changes were analysed according to the distribution of the trigeminal nerve. The pathological features of the fatty facial lesions, jaw hyperplasia, and lingual lesions were further identified. All 20 patients demonstrated hemifacial hypertrophy at birth. None had a family history of the disease. Significant radiological features of CILF (prevalence ≥90%) included thickened buccal subcutaneous fat, palatal submucosal fat, and temporal subcutaneous fat, maxillary tuberosity heteroplasia, and fatty infiltration of the masseteric intermuscular space. With regard to the trigeminal nerve, the frontal branch region (CNV1) was rarely affected, while the maxillary (CNV2) and mandibular (CNV3) branch regions showed considerable changes. Pathologically, CILF was observed to be characterized by the infiltration of mature adipose tissue into the adjacent buccal soft tissue, osteal remodelling surrounded by sheets of mature lipocytes and supporting fibrovascular stroma, and lingual hamartoma. In summary, CILF exhibits distinct characteristics that are related to the regions controlled by the maxillary and mandibular branches of the trigeminal nerve, suggesting that CILF may be associated with early neural development.

Flame-retardant phytic acid-decorated thermoplastic starch/halloysite nanotube composite films with enhanced mechanical strength and excellent barrier properties

Thermoplastic starch (TPS), a green and fully biodegradable composite, is considered the most viable option for replacing petroleum-based polymers. However, the poor mechanical properties, high flammability and moisture absorption susceptibility of TPS severely restrict its large-scale applications. Through PA phosphorylation and blending with halloysite nanotubes (HNTs), phytic acid (PA)-phosphorylated HNT/TPS composite films (HNTPSFs) were fabricated with enhanced mechanical strength, excellent flame retardancy, and improved barrier properties. The introduction of HNTs substantially increased the mechanical properties (tensile strength increased 54.3 % and elongation at break decreased 37.0 %) of TPS films and reduced the diffusion of water vapor (decreased 34.1 %). Thermogravimetric analysis studies demonstrated that the HNTPSFs had exceptional thermal stability at their anticipated working temperatures. Furthermore, when the PA content in the composite films increased, the peak heat release rate, total heat release and fire growth index of the HNTPSFs all decreased substantially, demonstrating the improved flame retardancy of HNTPSFs. Hence, the synthesized fully biodegradable TPS composites show enormous potential in the field of renewable biopolymers.

High strength, self-healing sensitive ionogel sensor based on MXene/ionic liquid synergistic conductive network for human-motion detection

Ionogels with both high strength and high conductivity for wearable strain and pressure dual-mode sensors are needed for human motion and health monitoring. Here, multiple hydrogen bonds are introduced through imidazolidinyl urea (IU) as a chain extender to provide high mechanical and self-healing properties for the water-borne polyurethane (WPU). The MXene/ionic liquids synergistic conductive network provides excellent conductivity and also reduces the relative content of ionic liquids to maintain the mechanical properties of the ionogels. The mechanical strength of this ionogel reached 1.81-2.24 MPa and elongation at break reached 570-624%. It also has excellent conductivity (22.7-37.5 mS m-1), gauge factor (GF) (as a strain sensor, GF = 1.8), sensitivity (S) (as a press sensor, S1 = 29.8 kPa-1, S2 = 1.3 kPa-1), and fast response time (as a strain sensor = 185 ms; as a press sensor = 204 ms). The ionogel also exhibits rapid photothermal self-healing capabilities due to the inherent photothermal behavior of MXene. It can maintain good elasticity and conductivity at low temperatures. In addition, this ionogel is able to stretch for 1200 cycles without significant change in the relative change of resistance. The ionogel can be assembled as a strain sensor for monitoring human motion and as a pressure sensor array for obtaining pressure magnitude and position information.

Surface Engineering of Central Venous Catheters via Combination of Antibacterial Endothelium-Mimicking Function and Fibrinolytic Activity for Combating Blood Stream Infection and Thrombosis

Long-term blood-contacting devices (e.g., central venous catheters, CVCs) still face the highest incidence of blood stream infection and thrombosis in clinical application. To effectively address these complications, this work reports a dual-functional surface engineering strategy for CVCs by organic integration of endothelium-mimicking and fibrinolytic functions. In this proposal, a lysine (Lys)/Cu2+ -incorporated zwitterionic polymer coating (defined as PDA/Lys/Cu-SB) is designed and robustly fabricated onto commercial CVCs using a facile two-step process. Initially, adhesive ene-functionalized dopamine is covalently reacted with Lys and simultaneously coordinated with bactericidal Cu2+ ions, leading to the deposition of a PDA/Lys/Cu coating on CVCs through mussel foot protein inspired surface chemistry. Next, zwitterionic poly(sulfobetaine methacrylate) (pSB) brushes are grafted onto the PDA/Lys/Cu coating to endow lubricant and antifouling properties. In the final PDA/Lys/Cu-SB coating, endothelium-mimicking function is achieved by combining the catalytic generation of nitric oxide from the chelated Cu2+ with antifouling pSB brushes, which led to significant prevention of thrombosis, and bacterial infection in vivo. Furthermore, the immobilized Lys with fibrinolytic activity show remarkably enhanced long-term anti-thrombogenic properties as evidenced in vivo by demonstrating the capability to lyse nascent clots. Therefore, this developed strategy provides a promising solution for long-term blood-contacting devices to combat thrombosis and infection.

Genomic features of recombinant CHO clones arising from transposon-based and randomized integration

The use of transposase in cell line development (CLD) programs has experienced increased popularity over the past decade. However, few studies have described the mechanism of action and the genomic and phenotypic characteristics of clones derived from transposase. Additionally, how these traits impact long-term bioproduction is unknown. Here, we use chromosome painting, deep sequencing, and ddPCR to characterize the unique fingerprints associated with transposase-derived clones. Transposase reduces the cellular pool of transient vector as early as three days post transfection following transfection and expedites stable pool establishment by up to two weeks. Furthermore, recombinant DNA expression is significantly improved up to ∼3 fold along with a greater balance of antibody heavy and light chain transcripts, resulting in higher titers in transposase generated pools. Transposase derived pools contained an often innumerable number of integration sites, representing a vast increase in integration site diversity over randomly generated pools, which were bottlenecked at 1-3 integration sites per pool. These transposase mediated integrations typically occurred in clean singlets, free of genomic scars such as deletions, inversions, and other modifications associated with legacy transfection methods which exhibited higher copy numbers per integration site. Relative declines in gene expression occur with copy number increase in the randomly generated, but not the transposase derived clones. Furthermore, transposase-derived clones were more likely to exhibit enhanced a long term stability profile, including product quality attributes such as mannose-5. This improved stability may result from circumventing mechanisms associated with the silencing of tandem repeats. Thus, transposase-mediated approaches can provide multifaceted molecular and phenotypic advantages in cell line development when compared to legacy random-integration methods.

Baicalin alleviates silica-induced lung inflammation and fibrosis by inhibiting TLR4/NF-?B pathway in rats

Silicosis is an occupational lung disease caused by inhaling silica dust. The disease is characterized by early lung inflammation and late irreversible pulmonary fibrosis. Here we report the effect of Baicalin, a main flavonoid compound from the roots of Chinese herbal medicine Huang Qin on silicosis in a rat model. Results showed Baicalin (50 or 100 mg/kg/day) can mitigate the silica-induced lung inflammation and reduce the harm of alveolar structure and the blue region of collagen fibers in rat lung at 28 days after administration. At the same time, Baicalin also diminished the level of interleukin-1beta (IL-1beta, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha) and transforming growth factor-beta1 (TGF-beta1) in lung tissues. The protein expression of collagen I (Col-1), alpha-smooth muscle actin (alpha-SMA) and vimentin were down-regulated while E-cadherin (E-cad) was increased in Baicalin-treated rats. In addition, the Toll Like Receptor 4 (TLR4)/ nuclear factor kappaB (NF-kappaB) pathway was enabled at 28 days after silica infusion, and the treatment of Baicalin diminished the expression of TLR4 and NF-?B in the lungs of rat with silicosis. These results suggested that Baicalin inhibited the pulmonary inflammatory and fibrosis in a rat model of silicosis, which could be attributed to inhibition of the TLR4/NF-kappaB pathway.

Baicalin alleviates silica-induced lung inflammation and fibrosis by inhibiting TLR4/NF-?B pathway in rats

Silicosis is an occupational lung disease caused by inhaling silica dust. The disease is characterized by early lung inflammation and late irreversible pulmonary fibrosis. Here we report the effect of Baicalin, a main flavonoid compound from the roots of Chinese herbal medicine Huang Qin on silicosis in a rat model. Results showed Baicalin (50 or 100 mg/kg/day) can mitigate the silica-induced lung inflammation and reduce the harm of alveolar structure and the blue region of collagen fibers in rat lung at 28 days after administration. At the same time, Baicalin also diminished the level of interleukin-1beta (IL-1beta, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha) and transforming growth factor-beta1 (TGF-beta1) in lung tissues. The protein expression of collagen I (Col-1), alpha-smooth muscle actin (alpha-SMA) and vimentin were down-regulated while E-cadherin (E-cad) was increased in Baicalin-treated rats. In addition, the Toll Like Receptor 4 (TLR4)/ nuclear factor kappaB (NF-kappaB) pathway was enabled at 28 days after silica infusion, and the treatment of Baicalin diminished the expression of TLR4 and NF-?B in the lungs of rat with silicosis. These results suggested that Baicalin inhibited the pulmonary inflammatory and fibrosis in a rat model of silicosis, which could be attributed to inhibition of the TLR4/NF-kappaB pathway.

Research on Ecological Land Expansion: A Case Study of Haixing County of China

As China’s natural resource governance has turned to high-quality management, establishing reasonable and ecological land-use patterns is an effective means of promoting natural resource utilization and improving the quality of the ecological environment. Therefore, this study used ecological land as the expansion source to construct an ecological land-use pattern with the minimum cumulative resistance model in Haixing County, China, based on regional food security, ecological security, and construction land expansion patterns. This work also involved designing ecological corridors, radiation channels, strategic nodes, and other ecological components. The results demonstrate that (1) the ecological land source is 7976.93 hm2, accounting for 9.19% of the total area. It is mainly distributed in the southeast of the county, mainly in the river system and woodland; (2) the food security situation of Haixing County can be divided into four zones, most of which are agricultural adjustment areas, indicating that the ecological security of cultivated land in this area needs to be improved; (3) the ecological security level of Haixing County is divided into four areas, and the ideal safety zone accounts for the smallest area, indicating that the regional ecological situation is very unstable; (4) construction land expansion zone is divided into four parts. A suitable construction zone occupies the largest area and is mainly distributed around the current construction land; (5) the expansion of the ecological land-use pattern of Haixing County includes four zones, 15 ecological corridors, 12 radiation channels, and 35 strategic nodes, which is conducive to optimal land allocation from an ecological security perspective. This paper puts forward some suggestions for ecological protection and intensive urban development.

Flame-Retardant and Form-Stable Phase-Change Composites Based on Phytic Acid/ZnO-Decorated Surface-Carbonized Delignified Wood with Superior Solar-Thermal Conversion Efficiency and Improved Thermal Conductivity

In order to efficiently exploit solar-thermal energy, it is essential to develop form-stable phase-change material (PCM) composites simultaneously with superior solar-thermal storage efficiency, excellent flame retardancy, and improved thermal conductivity. Herein, phytic acid (PA)-modified, zinc oxide-deposited, and surface-carbonized delignified woods (PZCDWs) were constructed by alkaline boiling, PA modification, ZnO deposition, and surface carbonization. Then, novel form-stable PCMs (PZPCMs) with superior solar-thermal storage efficiency, excellent flame retardancy, and improved thermal conductivity were fabricated by impregnating n-docosane into PZCDWs under vacuum. The PZCDW aerogels can well support the n-docosane and overcome liquid leakage owing to their superior surface tension and strong capillary force. Differential scanning calorimetry results showed that PZPCMs possessed superior n-docosane encapsulation yield and high phase-change enthalpy (185.2-213.1 J/g). Decorating delignified wood by surface carbonization and ZnO deposition significantly improved the solar-thermal conversion efficiency (up to 86.2%) and thermal conductivity (193.3% increased) of PCM composites. Furthermore, with the introduction of PA into PZPCMs, the peak heat release rate and total heat release of the PCM composites decreased considerably, indicating the enhanced flame retardancy of PZPCMs. In conclusion, the novel renewable wood-based PCM composites demonstrate promising potential in solar energy harnessing and thermal modulation technologies.

The Distribution, Seasonal Abundance, and Environmental Factors Contributing to the Presence of the Asian Longhorned Tick (Haemaphysalis longicornis, Acari: Ixodidae) in Central Appalachian Virginia

Over the past decade, Haemaphysalis longicornis, the Asian longhorned tick, has undergone a geographic range expansion in the United States, from its historical range in east Asia. This tick has been characterized by its frequent parasitism of livestock, an ability to reproduce through parthenogenesis, and its ability to transmit a variety of vector-borne pathogens to livestock, wildlife, and human hosts in its native geographic range. Thus far in the United States, 17 states have reported H. longicornis populations, including 38 counties in Virginia. These numbers come from presence-absence reports provided to the U.S. Department of Agriculture, but little has been reported about this ticks' seasonality in Virginia or its habitat preferences. Our current study detected H. longicornis populations in seven of the nine surveyed counties in Virginia. Haemaphysalis longicornis were observed in multiple habitat types including mixed hardwood forests and pastures, with abundant H. longicornis populations detected at one particular pasture site in Wythe County. This study also attempted to investigate environmental conditions that may be of importance in predicting tick presence likelihood. While sample size limited the scope of these efforts, habitat type and climatic metrics were found to be important indicators of H. longicornis collection success and abundance for both the nymphal and larval life stages. This current study reports useful surveillance data for monitoring these tick populations as they become established in the western half of Virginia and provides insight into their current distribution and maintenance over a large study region.

Highly stretchable, self-healable, and self-adhesive ionogels with efficient antibacterial performances for a highly sensitive wearable strain sensor

Gel-based strain sensors with multi-functional outstanding properties have gained considerable attention. However, conventional gel sensors suffer from unsatisfactory mechanical properties and adhesion, and also a lack of self-healing and antibacterial ability. Herein, a multi-functional ionogel has been constructed based on Ag-Lignin nanoparticles (Ag-Lignin NPs), polyurethane (PU), and ionic liquids. The obtained ionogel exhibited excellent mechanical properties (tensile strength: 3.14 MPa, elongation at break: 1241%), and was conferred self-healing ability by introducing the disulfide bonds into the main chain (the best self-healing efficiency is 97.6%). The dynamic catechol redox system based on Ag-Lignin NPs endows the ionogel with repeatable and long-lasting adhesiveness. Besides, the obtained ionogel also presented favorable antibacterial and UV absorption properties. The sensor based on the ionogel possesses good and stable sensing performance. This study proposes a bright new strategy to fabricate multi-functional ionogel-based sensors exerting broad application prospects in the field of human movement and personalized physiological health monitoring.

D-Galactose-Induced Accelerated Aging Model on Auditory Cortical Neurons by Regulating Oxidative Stress and Apoptosis in Vitro

OBJECTIVES

Age-related hearing loss (ARHL) is much more prevalent with age, affecting not only peripheral but central auditory system. We have previously established an aging model of peripheral auditory system in vitro using cultured cochlear basilar membrane. However, there is no ideal accelerated aging model on central auditory system in vitro. To establish the aging model, auditory cortical neurons (ACNs) were primary cultured and treated with either vehicle or different doses of D-galactose (D-gal). We studied the effect of D-gal on ACNs by evaluating the hallmarks of aging, including cell proliferation, oxidative stress, mitochondrial function, and neuronal apoptosis. Compared with the control group, cell viability was significantly inhibited in the D-gal-treated group in a dose-dependent manner. The production of reactive oxygen species was strongly increased in the D-gal-treated group. Meanwhile, the level of 8-hydroxy-2'-deoxyguanosine, which is a biomarker of DNA oxidative damage, was even higher in the D-gal-treated group than that in the control group. Conversely, the levels of ATP and mitochondrial membrane potential were notably decreased in the D-gal-treated group contrast to that in the control group. Furthermore, the number of neuronal apoptosis in the D-gal-treated group, compared with that in the control group, was dramatically increased in a dose-dependent approach. Together, our results demonstrate that ACNs treated with D-gal in vitro display senescence characteristics by regulating oxidative stress and apoptosis, indicating accelerated aging model on ACNs are successfully established. And the model provides a promising approach for exploring underlying mechanisms of the ARHL.

Skin-conformal MXene-doped wearable sensors with self-adhesive, dual-mode sensing, and high sensitivity for human motions and wireless monitoring

Flexible sensors have attracted extensive attention due to their excellent flexibility, biocompatibility, and information acquisition accuracy. Therefore, it is desired to fabricate a flexible sensor with high toughness and sensitivity based on conductive hydrogels to monitor human movement. In this work, MXene-(Ti₃C₂T_x-)WPU/PAM dual-network hydrogels (PPM hydrogels) were successfully prepared. As the first network, waterborne polyurethane (WPU) plays the role of energy dissipation and enhancement. Polyacrylamide (PAM) and WPU polymer chains form interpenetrating networks (IPNs). MXene acts as a conductive material to enhance the conductivity and for nano enhancement. The PPM hydrogels exhibited excellent mechanical characteristics (tensile ratio >600%, tensile strength 639 kPa, 1000 stretching cycles, and self-recovery rate 93.7%). Moreover, based on these hydrogels, we fabricated flexible sensors. These sensors had high sensitivity and sensing durability, and could be assembled into a human body wireless monitoring device, which possesses great potential in facial micro-expression monitoring, all-around human motion detection, and wearable electronic products. In addition, these resulting hydrogels possessed outstanding reversible adhesion to various materials (human skin, wood, PDMS, etc.) and the maximum adhesion strength can reach 305.1 N m^-1 when exposed to a PDMS substrate. Therefore, PPM hydrogels could provide new inspiration for the development of wearable flexible sensors in the domain of human movements and personalized physiological health monitoring.

Predictive value of GRACE score combined with BNP and glycosylated hemoglobin for in-hospital cardiovascular events in patients with acute coronary syndrome after percutaneous coronary intervention

Purpose

To investigate the value of Global Registry of Acute Coronary Events (GRACE) score combined with B-type natriuretic peptide (BNP) and glycosylated hemoglobin (HbA1c) in predicting in-hospital major adverse cardiovascular events (MACE) in patients with acute coronary syndrome (ACS) after percutaneous coronary intervention (PCI).

Methods

A total of consecutive 675 patients with acute coronary syndrome (ACS) admitted to our hospital from June 2019 to June 2020, and finally, 319 patients treated with the percutaneous coronary intervenion (PCI) were enrolled. Major adverse cardiovascular events (MACE) during hospitalization included cardiac death, cardiogenic shock, congestive heart failure, recurrent ischemic chest pain and malignant arrhythmia. The area under the curve (AUC) was used to evaluate the predictive value of MACE during hospitalization.

Results

Among 319 patients, during hospitalization, 26 patients (8.15%) experienced the MACE. Compared to that of non-MACE group, there were more patients with previous history of heart failure (P<0.001), lower in-admission systolic and diastolic blood pressure (P all<0.05), and higher heart rate, GRACE score, BNP, and HbA1c levels in the MACE group (P all<0.05). Multivariate logistic regression analysis showed that history of heart failure (OR: 1.498, 95% CI: 1.144–2.249), GRACE score (OR: 1.040, 95% CI: 1.017–1.063), BNP (OR: 1.019, 95% CI: 1.012–1.026) and HbA1C (OR: 1.199, 95% CI: 1.043–1.378) were independent risk factors for MACE in patients with ACS after PCI (P all<0.05). The AUC of GRACE score for predicting MACE in ACS patients after PCI was 0.758, while the AUC of BNP and HbA1C was 0.838 and 0.788, respectively. When GRACE score combined with BNP and HbA1c, the AUC was increased to 0.876, which was significantly higher than the GRACE score alone (Z=4.142, P<0.001).

Conclusion

In this study, we reported for the first time, GRACE score combined with BNP and HbA1c significantly improved the predictive value of in-hospital MACE in ACS patients after PCI compared with traditional GRACE score, which can help clinicians identify high risk patients to improve their prognosis in the clinical practice.

Funding Acknowledgement

Type of funding sources: Public hospital(s). Main funding source(s): Young and middle-aged talents in the XPCC Science and Technology Project (2020CB012); Key Science and Technology Project of Shihezi (2019ZH09) ROC Curve

Recyclable, Self-Healing, and Flame-Retardant Solid-Solid Phase Change Materials Based on Thermally Reversible Cross-Links for Sustainable Thermal Energy Storage

Conventional polymeric phase change materials (PCMs) exhibit good shape stability, large energy storage density, and satisfactory chemical stability, but they cannot be recycled and self-healed due to their permanent cross-linking structure. Additionally, the high flammability of organic PCMs seriously restricts their applications for thermal energy storage (TES). Therefore, it is urgently required to explore PCM composites exhibiting superior recyclability, good self-healing capability, and excellent flame retardancy simultaneously. Herein, tri-maleimide end-capped cyclotriphosphazene flame retardant (TMCTP) was synthesized via the nucleophilic substitution between 1,3,5,2,4,6-triazatriphosphorine-2,2,4,4,6,6-hexachloride and N-(2-hydroxyethyl)maleimide. Then, novel dynamically cross-linked PCM composites (FPCMs) with superior recyclability, good self-healing capability, and excellent flame retardancy were fabricated by bonding PEG and TMCTP to polymeric skeleton via reversible furan/maleimide Diels-Alder (DA) reaction. TMCTP, which covalently and dynamically binding in the polymeric FPCMs, acted not only as an efficient flame retardant for reducing the flammability of PCM composites but also as dynamic cross-linking skeletons for thermally induced self-healing and recycling. Differential scanning calorimetry (DSC) analysis confirmed the reversible energy storage and release ability of FPCMs. Due to its reversible DA covalent bonds, the introduction of TMCTP endowed the FPCMs with considerably increased self-healing efficiency (up to 93.1%) and recyclability efficiency (94.6%). Moreover, with the introduction of TMCTP into FPCMs, the heat release rate (HRR) and total heat release (THR) significantly decreased, while the char residue and limiting oxygen index (LOI) value increased, confirming that the flame retardancy of FPCMs greatly improved. Hence, the synthesized FPCMs show enormous potential in TES applications.

Fabrication of MXene/PEI functionalized sodium alginate aerogel and its excellent adsorption behavior for Cr(VI) and Congo Red from aqueous solution

MXene/PEI modified sodium alginate aerogel (MPA) was facilely prepared by introducing polyethylenimine (PEI) and amino functionalized Ti₃C₂T_x into sodium alginate (SA) aerogel matrix through cross-linking reactions. Abundant active groups of PEI coupled with in situ reduction ability of MXene dramatically promoted the removal of Cr(VI), realizing the adsorption capacity of 538.97 mg/g. MPA also possessed an ultrahigh adsorption capacity (3568 mg/g) towards Congo Red (CR), ascribing to the strong electrostatic attraction and the synergetic effect of surface adsorption and intercalation adsorption. The Cr(VI) and CR adsorption mechanisms by MPA were further validated using X-ray photoelectron spectroscopy and Fourier transform infrared spectroscopy. Batch adsorption experiments were conducted to investigate pH impacts, kinetics, isotherms and thermodynamics. The results demonstrated that adsorption processes of both Cr(VI) and CR fitted felicitously with the Langmuir isotherm and the pseudo-second-order kinetic model. More importantly, having a double-network structure constructed by polymeric SA and PEI, the mechanical strength of the aerogel was significantly reinforced, which was easily recycled without secondary pollution and the capacity decreased few after five cycles. Furthermore, provided with outstanding antibacterial properties against S. aureus and E. coli, MPA can be extensively applied for the water treatment as a both highly efficient adsorbent and antimicrobial.

Constraints on Cosmic Strings Using Data from the Third Advanced LIGO-Virgo Observing Run

We search for gravitational-wave signals produced by cosmic strings in the Advanced LIGO and Virgo full O3 dataset. Search results are presented for gravitational waves produced by cosmic string loop features such as cusps, kinks, and, for the first time, kink-kink collisions. A template-based search for short-duration transient signals does not yield a detection. We also use the stochastic gravitational-wave background energy density upper limits derived from the O3 data to constrain the cosmic string tension Gμ as a function of the number of kinks, or the number of cusps, for two cosmic string loop distribution models. Additionally, we develop and test a third model that interpolates between these two models. Our results improve upon the previous LIGO-Virgo constraints on Gμ by 1 to 2 orders of magnitude depending on the model that is tested. In particular, for the one-loop distribution model, we set the most competitive constraints to date: Gμ≲4×10^{-15}. In the case of cosmic strings formed at the end of inflation in the context of grand unified theories, these results challenge simple inflationary models.

Constraints on Cosmic Strings Using Data from the Third Advanced LIGO-Virgo Observing Run

We search for gravitational-wave signals produced by cosmic strings in the Advanced LIGO and Virgo full O3 dataset. Search results are presented for gravitational waves produced by cosmic string loop features such as cusps, kinks, and, for the first time, kink-kink collisions. A template-based search for short-duration transient signals does not yield a detection. We also use the stochastic gravitational-wave background energy density upper limits derived from the O3 data to constrain the cosmic string tension Gμ as a function of the number of kinks, or the number of cusps, for two cosmic string loop distribution models. Additionally, we develop and test a third model that interpolates between these two models. Our results improve upon the previous LIGO-Virgo constraints on Gμ by 1 to 2 orders of magnitude depending on the model that is tested. In particular, for the one-loop distribution model, we set the most competitive constraints to date: Gμ≲4×10^{-15}. In the case of cosmic strings formed at the end of inflation in the context of grand unified theories, these results challenge simple inflationary models.

Highly Stretchable PU Ionogels with Self-Healing Capability for a Flexible Thermoelectric Generator

With the development of thermoelectric (TE) generator, the flexible, stretchable, self-healable, and wearable TE devices have aroused great interest. Therefore, we designed a self-healable and stretchable polyurethane (PU) ionogel, composed of polyurethane main chains with double bonds in the side, cross-linkers (BDB) and nonconjugated ionic liquids (EMIM:DCA). The PU ionogels with 30 wt % ILs have a high mechanical stretchability (300%), good tensile strength (1.61 MPa), and suitable Young's modulus (0.79 MPa). The proposed materials also exhibited an excellent ionic figure of merit (ZT_i) of 0.99 ± 0.3, as well as rapid self-healability in the absence of any external stimuli. The thermoelectric capability of PU ionogels kept stable under the severe condition (50% strain) and during self-healing process, which is rarely reported in recent studies. Furthermore, a stretchable and self-healable ionic thermoelectric capacitor device is also fabricated by the PU ionogels, which can efficiently convert heat into electricity.

The use of PacBio SMRT technology to explore the microbial network and fermentation characteristics of woody silage prepared with exogenous carbohydrate additives

AIMS

To effectively use woody plant resources to prepare silage for ruminants, Pacific Biosciences (PacBio) single-molecule real-time (SMRT) sequencing was applied to study the microbial network and fermentation characteristics of paper mulberry (PM) silage prepared with corn meal (CM) and rice bran (RB) as exogenous additives.

METHODS AND RESULTS

PM is rich in nutrients and contains more than 26% crude protein in dry matter. After ensiling, the microbial diversity and abundance in PM, CM and RB decreased due to the anaerobic environment and acidic conditions. The CM-treated PM silage accelerated the conversion of the dominant microbial community from harmful bacteria to lactic acid bacteria and promoted lactic acid fermentation. When RB was used to treat PM silage, Enterobacter and Clostridium species became the main bacterial community during ensiling, leading to butyric acid fermentation and protein decomposition. Compared with RB, CM increased the amount of fermentation substrates, changed the microbial community structure and affected metabolic pathways (global metabolism, carbohydrate metabolism and amino acid metabolism), which improved the flavour and quality of the PM silage.

CONCLUSIONS

The CM addition of improved the fermentation quality of PM silage, with PM + CM being the ideal combination. The SMRT sequencing technology could accurately obtain specific details of the microbial networks and fermentation characteristics. Our results indicate that PM can be used as a potential high-protein silage in animal production.

SIGNIFICANCE AND IMPACT OF THE STUDY

In tropics, the effective use of abundant natural biomass resources such as woody plants to prepare silage for feed preservation can solve the problem of restricting livestock production due to the shortage of feed in the dry season. SMRT sequencing technology was used to accurately analyze the microbial network and fermentation characteristics of woody silage prepared with CM as an exogenous additive to improve the fermentation quality of silage.

Role of the active cycle of breathing technique combined with phonophoresis for the treatment of patients with chronic obstructive pulmonary disease (COPD): study protocol for a preliminary randomized controlled trial

Background

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease characterized by coughing, the production of excess sputum, and dyspnea. Patients with excessively thick sputum may have frequent attacks or develop more serious disease. The guidelines recommend airway clearance for patients with excessive sputum who are hospitalized with COPD. The active cycle of breathing technique is the most common non-pharmacological airway clearance technique used by physiotherapists. However, the effectiveness of the technique is not always guaranteed. Active cycle of breathing techniques require the initial dilution of the sputum, usually by inhalation drugs, which may have limited effects. Recent studies have found that phonophoresis decreases inflammation, suggesting the potential of the combined usage of active cycle of breathing techniques and phonophoresis. Therefore, the aim of this study is to explore the effectiveness and safety of combining active cycle of breathing technique and phonophoresis in treating COPD patients.

Methods and analysis

We propose a single-blind randomized controlled trial using 75 hospitalized patients diagnosed with COPD with excessive sputum production. The patients will be divided into three groups. The intervention group will receive active cycle of breathing techniques combined with phonophoresis. The two comparison groups will be treated with active cycle of breathing techniques and phonophoresis, respectively. The program will be implemented daily for 1 week. The primary outcomes will be changes in sputum viscosity and production, lung function, and pulse oximetry. Secondary outcomes include the assessment of COPD and anxiety, measured by the COPD Assessment Test scale and the Anxiety Inventory for Respiratory Disease, respectively; self-satisfaction; the degree of cooperation; and the length of hospital stay. All outcome measures, with the exception of sputum production and additional secondary outcomes, will be assessed at the commencement of the study and after 1 week’s intervention. Analysis of variance will be used to investigate differences between the groups, and a p-value of less than 0.05 (two-tailed) will be considered statistically significant.

Discussion

This study introduces a combination of active cycle of breathing techniques and phonophoresis to explore the impact of these interventions on patients hospitalized with COPD. If this combined intervention is shown to be effective, it may prove to be a better treatment for patients with COPD.

Trial registration

The trial was registered prospectively on the Chinese Clinical Trial Registry on 24 December 2019.ClinicalTrials.gov ChiCTR1900028506. Registered on December 2019.

Preparation of fluorine-free superhydrophobic and wear-resistant cotton fabric with a UV curing reaction for self-cleaning and oil/water separation

A durable superhydrophobic, self-cleaning cotton fabric prepared with UV curing was prepared by a simple method and used for oil/water separation. Firstly, sulfhydryl silica nanoparticles on the fabric surface were prepared by the Stöber reaction (SiO₂-SH@cotton). Then, the side chain hydroxyl terminated PDMS was reacted with isocyanate to form an isocyanate terminated prepolymer. The prepolymer terminated by HEMA (vinyl-terminated PDMS (PIH)) was sprayed on the fabric surface, and then the superhydrophobic coating (SiO₂-S-PIH@cotton) was formed using UV curing. A series of characterization methods were used to demonstrate the properties of the modified cotton fabric. When the weight gain after PIH spraying was 1.8 wt%, the fabric reaches an optimal state (water contact angle (WCA) of 153° and a sliding angle of 7°). When used in an oil-water separation test, the highest separation efficiency reached 99.1%. In particular, the as-prepared fabric has excellent wear resistance. Compared with that before spraying, the superhydrophobicity of the as-prepared fabric has no obvious decrease after 300 cycles under 200 g of weight or after 100 cycles under 500 g of circular friction. This indicated that surface sprayed polymers have two functions: providing low surface tension and protecting the rough surface formed by silica particles. This process was time-saving, energy-saving, protected the environment, had a low material cost and a strong performance stability. It is hoped that this fabric can be used in the large-scale industrialization of oil-water separation.

Form-stable phase change composites based on nanofibrillated cellulose/polydopamine hybrid aerogels with extremely high energy storage density and improved photothermal conversion efficiency

Novel form-stable composite phase change materials were fabricated by impregnating n-octacosane into nanofibrillated cellulose/polydopamine hybrid aerogels.

GW190521: A Binary Black Hole Merger with a Total Mass of 150 M_{⊙}

On May 21, 2019 at 03:02:29 UTC Advanced LIGO and Advanced Virgo observed a short duration gravitational-wave signal, GW190521, with a three-detector network signal-to-noise ratio of 14.7, and an estimated false-alarm rate of 1 in 4900 yr using a search sensitive to generic transients. If GW190521 is from a quasicircular binary inspiral, then the detected signal is consistent with the merger of two black holes with masses of 85_{-14}^{+21}  M_{⊙} and 66_{-18}^{+17}  M_{⊙} (90% credible intervals). We infer that the primary black hole mass lies within the gap produced by (pulsational) pair-instability supernova processes, with only a 0.32% probability of being below 65  M_{⊙}. We calculate the mass of the remnant to be 142_{-16}^{+28}  M_{⊙}, which can be considered an intermediate mass black hole (IMBH). The luminosity distance of the source is 5.3_{-2.6}^{+2.4}  Gpc, corresponding to a redshift of 0.82_{-0.34}^{+0.28}. The inferred rate of mergers similar to GW190521 is 0.13_{-0.11}^{+0.30}  Gpc^{-3} yr^{-1}.

FRI0593 CORRELATION BETWEEN DISEASE ACTIVITY AND MENTAL HEALTH OF AS PATIENTS: A CROSS-SECTION STUDY WITH SELF-ASSESSMENTS BASED ON SMART SYSTEM OF DISEASE MANAGEMENT (SSDM) MOBILE TOOLS

Background:

WHO survey showed that the prevalence of anxiety and depression in Chinese population and Chinese patients with chronic diseases were between 3.1% - 4.2% and 3.1% - 7.3%, respectively. Ankylosing Spondylitis Disease Activity Score (ASDAS) and Hospital Anxiety and Depression Scale (HADS) are commonly used to evaluate AS patients’ disease activity and mental health. All those assessments were mainly performed by health professionals (HCPs) with paper questionnaire previously. SSDM is a novel smart disease management tool that allows patients to do self-assessments on ASDAS and HADS by mobile terminals.

Objectives:

To estimate the prevalence of anxiety and depression in Chinese patients with AS and to analyze the potential association between disease activity and mental health.

Methods:

Under the guidance and training by HCPs, AS patients downloaded SSDM and performed self-assessments bundle of ASDAS and HADS with SSDM. ASDAS<=1.3, 1.3-2.1, 2.1-3.5 and >3.5 are defined as inactive (IDA), moderate (MDA), high (HDA) and very high (VHDA) disease activity, respectively. ASDAS score <=1.3 represents inactive disease status and achievement of T2T. HADS score >=8 can be diagnosed with anxiety or depression.

Results:

From June 2016 to Jan 2020, 1,931 AS patients (1,118 male, 813 female) with a mean age of 34.09 ± 11.86 (12-82) years and the median disease duration of 2.61 years from 207 hospitals performed bundle self-assessments for 2,477 times in total. According to the HADS and ASDAS assessment results, the prevalence of anxiety and depression in all patients was 36.7% and 39.3% respectively, which was significantly higher than that in the WHO survey in Chinese population and chronic disease patients. The proportion of patients achieved and failed on T2T was 29% and 71%, respectively. The prevalence of anxiety (A) and depression (D) was 25% and 23% among T2T achievers; and 37% and 32% among T2T failures, respectively (pA<0.05, pD<0.05).

According to ASDAS, in IDA, MDA, HDA and VHDA subgroups, the prevalence of anxiety and depression was 27%, 36%, 41%, 52% and 29%, 38%, 45%, 56%, respectively. The correlation coefficients of anxiety (A) and depression (D) with ASDAS were rA=0.9908 and rD=0.9964. It suggested that with the increase of disease activity, the proportion of AS patients with anxiety and depression increased significantly. (Figure 1)

Figure 1.

The prevalence of anxiety and depression according to ASDAS.

Conclusion:

The prevalence of anxiety and depression in AS patients was significantly higher than that in the WHO survey in Chinese population and chronic disease patients. Higher prevalence of anxiety and depression were associated with higher levels of disease activity. SSDM is an effective mobile interface to monitor and study entanglement of disease activity and mental health in AS patients, which build a foundation for proactive interventions in future.

Acknowledgments:

Smart system of disease management (SSDM) was developed by Shanghai Gothic Internet Technology Co., Ltd.

Disclosure of Interests:

None declared

Physical Realization of Elastic Cloaking with a Polar Material

An elastic cloak is a coating material that can be applied to an arbitrary inclusion to make it indistinguishable from the background medium. Cloaking against elastic disturbances, in particular, has been demonstrated using several designs and gauges. None, however, tolerate the coexistence of normal and shear stresses due to a shortage of physical realization of transformation-invariant elastic materials. Here, we overcome this limitation to design and fabricate a new class of polar materials with a distribution of body torque that exhibits asymmetric stresses. A static cloak for full two-dimensional elasticity is thus constructed based on the transformation method. The proposed cloak is made of a functionally graded multilayered lattice embedded in an isotropic continuum background. While one layer is tailored to produce a target elastic behavior, the other layers impose a set of kinematic constraints equivalent to a distribution of body torque that breaks the stress symmetry. Experimental testing under static compressive and shear loads demonstrates encouraging cloaking performance in good agreement with our theoretical prediction. The work sets a precedent in the field of transformation elasticity and should find applications in mechanical stress shielding and stealth technologies.

Improving the flame retardancy of waterborne polyurethanes based on the synergistic effect of P-N flame retardants and a Schiff base

A novel reactive intumescent fire retardant hexa-[4-[(2-hydroxy-ethylimino)-methyl]-phenoxyl]-cyclotriphosphazene (HEPCP), containing both cyclotriphosphazene and Schiff base structures, is successfully prepared. The chemical structures of HEPCP and flame-retardant waterborne polyurethane (WPU) (FR-WPU) were characterized via³¹P, ¹H NMR and FT-IR. Thermogravimetric (TG) analysis showed that HEPCP exhibited excellent thermal stability and produced rich char residue under high temperature compared with the control sample. The Schiff base and cyclotriphosphazene had a synergistic effect on the WPU. Limiting oxygen index (LOI) values of up to 26.7% were recorded; the dripping behavior was simultaneously improved and achieved a V-1 rating in the UL-94 test by incorporating 0.5 wt% phosphorus. In contrast to the pure WPU, the peak heat release rate (pHRR) of the FR-WPU/HEPCP5 decreased by 43.8%. The char residues increased from 0.63% to 6.96%, and scanning electron microscopy (SEM) showed a relatively continuous and membranous substance, with few holes. The results of TGA-FIR, Py-GC/MS and SEM indicated that HEPCP displayed a fire-retardant mechanism in the condensed-phase. In addition, the thermomechanical behaviors and the mechanical properties indicated that both mechanical properties and T_gh increased.

A novel reactive intumescent fire retardant hexa-[4-[(2-hydroxy-ethylimino)-methyl]-phenoxyl]-cyclotriphosphazene (HEPCP), containing both cyclotriphosphazene and Schiff base structures, is successfully prepared.

[Prevalence and risk factors of ischemic stroke in rural areas of Liaoning province]

Objective: To explore the prevalence and risk factors of ischemic stroke in rural areas of Liaoning province. Methods: The study was a cross-sectional survey. From September 2017 to May 2018, a total of 10 926 rural residents aged ≥40 years were investigated in Chaoyang county, Lingyuan, Liaoyang county and Donggang city of Liaoning province. The investigation included questionnaire survey, physical examination and laboratory examination.Univariate and multivariate logistic regression models were used to analyze the risk factors of ischemic stroke. Results: The prevalence of ischemic stroke in the rural areas of Liaoning province was 5.51% (602/10 926), and the standardized prevalence rate was 4.04%. The standardized prevalence rate of male (5.05%) is higher than that of female (3.44%). The prevalence of ischemic stroke increased with age in both males (P<0.01) and females (P<0.01). Multivariate logistic regression analysis showed that age increase(compared with 40-49 years old group, 50-59 years old, OR=2.08, 95%CI 1.31-3.30, P=0.02; 60-69 years old, OR=3.90, 95%CI 2.51-6.05, P<0.01; 70-79 years old, OR=5.32, 95%CI 3.37-8.34, P<0.01; ≥80 years old, OR=3.64, 95%CI 2.00-6.62, P<0.01), male(OR=2.35, 95%CI 1.95-2.84, P<0.01),family history of stroke(OR=2.18, 95%CI 1.83-2.60, P<0.01),coronary heart disease (OR=2.01, 95%CI 1.52-2.66, P<0.01), hypertension (OR=2.82, 95%CI 2.21-3.60, P<0.01), diabetes mellitus (OR=1.36, 95%CI 1.11-1.67, P=0.03) and overweight/obese (OR=1.22, 95%CI 1.02-1.47, P=0.03) were the major risk factors of ischemic stroke. Conclusions: The prevalence of ischemic stroke in rural areas of Liaoning province is high. Age, male, family history of stroke, coronary heart disease, hypertension, diabetes mellitus, overweight/obesity are the risk factors of ischemic stroke in rural areas of Liaoning province.

Alkylated Nanofibrillated Cellulose/Carbon Nanotubes Aerogels Supported Form-Stable Phase Change Composites with Improved n-Alkanes Loading Capacity and Thermal Conductivity

The exploitation of phase change materials (PCMs) with excellent shape stability, considerable latent heat storage capacity, and superior thermal conductivity is essential for their applications in heat storage and thermal regulation. Here, form-stable composite PCMs based on n-octacosane, nanofibrillated cellulose (NFC), and carbon nanotubes (CNTs) were successfully obtained by impregnating n-octacosane into the alkylated NFC/CNTs hybrid aerogels. The three-dimensional interconnected porous aerogels could adequately support the melted n-octacosane and prevent the leakage problem due to strong capillary force and surface tension. After treatment with alkylated modification, the affinity between NFC/CNTs aerogels and n-alkanes was significantly improved, resulting in excellent shape stability, improved thermal reliability, and high n-alkanes loading capacity for the as-prepared composite PCMs. The differential scanning calorimetry analysis showed that composite PCMs based on the alkylated NFC/CNTs aerogels exhibited an extremely high phase change enthalpy ranging from 250.9 to 252.9 J/g. Furthermore, the thermal conductivity and photothermal conversion and storage efficiency of the synthesized PCMs were effectively enhanced by the introduction of CNTs. Thus, the synthesized composite PCMs exhibit considerable potential for practical application in heat storage and thermal regulation.

Prospects for observing and localizing gravitational-wave transients with Advanced LIGO, Advanced Virgo and KAGRA

We present our current best estimate of the plausible observing scenarios for the Advanced LIGO, Advanced Virgo and KAGRA gravitational-wave detectors over the next several years, with the intention of providing information to facilitate planning for multi-messenger astronomy with gravitational waves. We estimate the sensitivity of the network to transient gravitational-wave signals for the third (O3), fourth (O4) and fifth observing (O5) runs, including the planned upgrades of the Advanced LIGO and Advanced Virgo detectors. We study the capability of the network to determine the sky location of the source for gravitational-wave signals from the inspiral of binary systems of compact objects, that is binary neutron star, neutron star-black hole, and binary black hole systems. The ability to localize the sources is given as a sky-area probability, luminosity distance, and comoving volume. The median sky localization area (90% credible region) is expected to be a few hundreds of square degrees for all types of binary systems during O3 with the Advanced LIGO and Virgo (HLV) network. The median sky localization area will improve to a few tens of square degrees during O4 with the Advanced LIGO, Virgo, and KAGRA (HLVK) network. During O3, the median localization volume (90% credible region) is expected to be on the order of 10 5 , 10 6 , 10 7 Mpc 3 for binary neutron star, neutron star-black hole, and binary black hole systems, respectively. The localization volume in O4 is expected to be about a factor two smaller than in O3. We predict a detection count of 1 - 1 + 12 ( 10 - 10 + 52 ) for binary neutron star mergers, of 0 - 0 + 19 ( 1 - 1 + 91 ) for neutron star-black hole mergers, and 17 - 11 + 22 ( 79 - 44 + 89 ) for binary black hole mergers in a one-calendar-year observing run of the HLV network during O3 (HLVK network during O4). We evaluate sensitivity and localization expectations for unmodeled signal searches, including the search for intermediate mass black hole binary mergers.

Mechanically and thermo-driven self-healing polyurethane elastomeric composites using inorganic–organic hybrid material as crosslinker

Self-healable, recyclable, and robust polyurethane elastomeric composites by thermally driven Diels–Alder chemistry using inorganic–organic hybrid material as crosslinker.

High throughput, efficacious gene editing & genome surveillance in Chinese hamster ovary cells

Chinese hamster ovary (CHO) cells are a common tool utilized in bioproduction and directed genome engineering of CHO cells is of great interest to enhance recombinant cell lines. Until recently, this focus has been challenged by a lack of efficacious, high throughput, and low-cost gene editing modalities and screening methods. In this work, we demonstrate an improved method for gene editing in CHO cells using CRISPR RNPs and characterize the endpoints of Cas9 and ZFN mediated genetic engineering. Furthermore, we validate sequence decomposition as a cost effective, rapid, and accurate method for assessing mutants and eliminating non-clonal CHO populations using only capillary sequencing.

Search for Subsolar Mass Ultracompact Binaries in Advanced LIGO's Second Observing Run

We present a search for subsolar mass ultracompact objects in data obtained during Advanced LIGO's second observing run. In contrast to a previous search of Advanced LIGO data from the first observing run, this search includes the effects of component spin on the gravitational waveform. We identify no viable gravitational-wave candidates consistent with subsolar mass ultracompact binaries with at least one component between 0.2  M_{⊙}-1.0  M_{⊙}. We use the null result to constrain the binary merger rate of (0.2  M_{⊙}, 0.2  M_{⊙}) binaries to be less than 3.7×10^{5}  Gpc^{-3} yr^{-1} and the binary merger rate of (1.0  M_{⊙}, 1.0  M_{⊙}) binaries to be less than 5.2×10^{3}  Gpc^{-3} yr^{-1}. Subsolar mass ultracompact objects are not expected to form via known stellar evolution channels, though it has been suggested that primordial density fluctuations or particle dark matter with cooling mechanisms and/or nuclear interactions could form black holes with subsolar masses. Assuming a particular primordial black hole (PBH) formation model, we constrain a population of merging 0.2  M_{⊙} black holes to account for less than 16% of the dark matter density and a population of merging 1.0  M_{⊙} black holes to account for less than 2% of the dark matter density. We discuss how constraints on the merger rate and dark matter fraction may be extended to arbitrary black hole population models that predict subsolar mass binaries.