Programmable nanocomposites of cellulose nanocrystals and zwitterionic hydrogels for soft robotics

Stimuli-responsive hydrogels have garnered significant attention as a versatile class of soft actuators. Introducing anisotropic properties, and shape-change programmability to responsive hydrogels promises a host of opportunities in the development of soft robots. Herein we report the synthesis of pH-responsive hydrogel nanocomposites with predetermined microstructural anisotropy, shape-transformation, and self-healing. Our hydrogel nanocomposites are largely composed of zwitterionic monomers and asymmetric cellulose nanocrystals. While the zwitterionic nature of the network imparts both self-healing and cytocompatibility to our hydrogel nanocomposites, the shear-induced alignment of cellulose nanocrystals renders their anisotropic swelling and mechanical properties. Thanks to the self-healing properties, we utilized a cut-and-paste approach to program reversible, and complex deformation into our hydrogels. As a proof-of-concept, we demonstrated the transport of light cargo using tethered and untethered soft robots made from our hydrogels. We believe the proposed material system introduce a powerful toolbox for the development of future generations of biomedical soft robots.

Light-Fueled Hydrogel Actuators with Controlled Deformation and Photocatalytic Activity

Hydrogel actuators have shown great promise in underwater robotic applications as they can generate controllable shape transformations upon stimulation due to their ability to absorb and release water reversibly. Herein, a photoresponsive anisotropic hydrogel actuator is developed from poly(N-isopropylacrylamide) (PNIPAM) and gold-decorated carbon nitride (Au/g-C3 N4 ) nanoparticles. Carbon nitride nanoparticles endow hydrogel actuators with photocatalytic properties, while their reorientation and mobility driven by the electrical field provide anisotropic properties to the surrounding network. A variety of light-fueled soft robotic functionalities including controllable and programmable shape-change, gripping, and locomotion is elicited. A responsive flower-like photocatalytic reactor is also fabricated, for water splitting, which maximizes its energy-harvesting efficiency, that is, hydrogen generation rate of 1061.82 µmol g-1 h-1 , and the apparent quantum yield of 8.55% at 400 nm, by facing its light-receiving area adaptively towards the light. The synergy between photoactive and photocatalytic properties of this hydrogel portrays a new perspective for the design of underwater robotic and photocatalytic devices.

Effect of Interphase Properties on Isothermal and Non-isothermal Crystallization Behavior of Poly(lactic acid)/Acetylated Starch Blends

The effect of interphase properties on the crystallization behavior of blends of poly(lactic acid) (PLA)/acetylated starch (AS) with different degrees of substitution (DSs) was investigated. Under isothermal crystallization conditions, the rate of crystallization was higher for PLA/DS0.5 and lower for PLA/DS1.5 and PLA/DS2.5 when compared to PLA. In contrast, non-isothermal crystallization behavior indicated a slower rate of crystallization of PLA/DS0.5 and a faster rate of crystallization of PLA/DS1.5 and PLA/DS2.5 compared to PLA at the highest cooling rate (5 °C/min). The potential relationship between crystallization behavior and interphase properties and interphase thickness and formation of rigid amorphous fraction in the interphase, was investigated. The formation of a rigid amorphous fraction in PLA/DS1.5 and a thick interphase in PLA/DS2.5 prevented the formation of crystals on the dispersed phase and interrupted the crystallization under isothermal conditions. Hydrogen bonding in the PLA/DS1.5 blend and hydrophobic interactions in the PLA/DS2.5 blend may facilitate the crystallization at high cooling rates under non-isothermal conditions. Small-angle X-ray scattering analysis revealed the presence of a smaller lamellar structure in PLA/AS blends. The largest amorphous phase among blends was observed for the PLA/DS1.5 blend, which can be attributed to the hydrogen bonding in the interphase region of this blend.

Effect of Oil Phase Transition on the Stability of Pickering Emulsions Stabilized by Cellulose Nanocrystals

Emulsifier design is one of the key strategies in interfacial engineering for emulsion stability. In this study, cellulose nanocrystals (CNCs) were used as an interfacial stabilizer to improve the stability of coconut oil (CO)-in-water emulsions. A Pickering emulsion consisting of CO and water was optimized based on four parameters using the response surface methodology and the central composite design. The droplet coverage remained stable during the crystallization of the oil phase when the temperature was reduced below the melting temperature of CO. Fluorescent-labeled CNCs were used to monitor the partitioning of CNC at the O/W interface during the crystallization of CO. The Generation 6 polyamidoamine (G6 PAMAM) dendrimer covalently grafted on the surface of CNC was used as an intrinsic fluorescent dye. Since it displayed similar properties as the emulsifier, it could be used to monitor the CNC coverage on the oil droplets at various temperatures. The fluorescence micrographs showed that the emission of PAMAM CNCs at the O/W interface remained on both the liquid and solid CO droplets, confirming that oil crystallization did not affect the fluorescent CNC coverage on the oil droplets.

Interfacial Control of the Synthesis of Cellulose Nanocrystal Gold Nanoshells

Cellulose nanocrystal (CNC) gold nanoshell was prepared using a polymer-coated CNC as a template. A seed-mediated shell growth approach (ex situ) was employed, gold nanoparticles (AuNPs) of two sizes were prepared, and the effect of the size of AuNP on the shell quality (smoothness, evenness, and continuity) was elucidated. Additionally, a novel one-pot synthesis approach (in situ) was evaluated for the preparation of the gold nanoshell, where polymer-coated CNCs with adsorbed ascorbic acid were used to reduce Au ions to form a metallic gold shell on CNC. The surface coverage was manipulated by adding different amounts of plating solutions. The formation and morphology of gold nanoshells were evaluated by zeta potential measurements, dynamic light scattering, UV-vis spectroscopy, and transmission electron microscopy (TEM). The catalytic performance of the CNC-gold nanostructures for the reduction of 4-nitrophenol (4-NP) to 4-aminophenol (4-AP) was governed by the surface area of gold shells.

Prevalence of Helicobacter pylori infection in coronary artery disease and effect of its eradication on coronary lumen reduction after percutaneous coronary angioplasty

BACKGROUND

Gastric infection caused by Helicobacter pylori has recently been associated with increased risk of coronary artery disease.

AIM

To: 1) determine seroprevalence of Helicobacter pylori and its cytotoxin associated gene A in patients with/without coronary artery disease (group A), 2) assess influence of Helicobacter pylori eradication on coronary artery lumen reduction after percutaneous coronary angioplasty (group B) and 3) determine influence of Helicobacter pylori eradication on plasma cytokines, lipids and coagulation factors in patients subjected to percutaneous coronary angioplasty (group B).

PATIENTS AND METHODS

Group A included 100 patients with coronary artery disease (subgroup 1) and 100 patients without (subgroup II). For Helicobacter pylori seroprevalence, plasma anti-Helicobacter pylori and anti-cytotoxin associated gene A IgG were examined. Group B included 40 patients with significant single-vessel coronary arterial disease and Helicobacter pylori infection confirmed by 13C-urea breath test and serologically using anti-Helicobacter pylori and anti-cytotoxin associated gene A IgG. Six months after percutaneous coronary angioplasty and triple anti-Helicobacter pylori therapy, the Helicobacter pylori status reassessed by urea breath test was negative in all but two patients of subgroup I subjected to Helicobacter pylori therapy. Coronary angiography and laboratory tests were repeated in both subgroups of group B included in the trial and reduction in coronary artery lumen in these subgroups was compared to baseline after percutaneous coronary angioplasty considered as 100%.

RESULTS

Helicobacter pylori seropositivity reached 81.5% of coronary artery disease (subgroup I) and was significantly higher than that in controls without coronary artery disease (subgroup II) (51%), the odds ratio being 4.3 for Helicobacter pylori in coronary artery disease. Cytotoxin associated gene A IgG detection was also significantly higher (47.3%) in coronary artery disease than in controls (28%) giving the odds ratio about 2.3. Mean coronary artery lumen reduction in patients undergoing percutaneous coronary angioplasty + Helicobacter pylori eradication therapy (subgroup I) was significantly (p<0.05) smaller compared to percutaneous coronary angioplasty + placebo-treated subgroup II (22% vs 41%).

CONCLUSIONS

1) There is a significant link between coronary artery disease and infection with Helicobacter pylori, especially expressing CagA proteins, 2) Helicobacter pylori eradication significantly attenuates reduction in coronary artery lumen in coronary artery disease patients after percutaneous coronary angioplasty possibly by elimination of chronic inflammation and decline in proinflammatory cytokine release, and 3) Infection of Chlamydia pneumoniae in these percutaneous coronary angioplasty patients is not affected by eradication therapy.

Percutaneous dilatational tracheostomy: results and long-term outcome of critically ill patients following cardiac surgery

BACKGROUND

Tracheostomy is widely regarded as the method of choice for long-term airway control in critically ill patients. The advantages of tracheostomy have to be balanced against the surgical risks of conventional surgical tracheostomy. However, the alternative technique of percutaneous dilatational tracheostomy (PDT) has been associated with fewer procedure-related complications.

METHODS

The results of PDT following cardiac surgery were investigated in a prospective study (1/1995-9/1997). The procedure of Ciaglia (1985), a modified Seldinger technique, was performed under endoscopic guidance in 88 patients, 30 women and 58 men, with a mean age of 56.6+/-14.5 years.

RESULTS

PDT was successfully performed in all cases after a mean of 14.6+/-9.0 days of translaryngeal intubation. No serious procedural complications occurred; a minor hemorrhage occurred in 12 patients and a cuff defect in 2 patients. 49 patients (55.7%) were weaned from mechanical ventilation, and 45 patients (51.1%) were decannulated after a mean tracheostomy duration of 18.9+/-27.2 days. 38 patients died of their underlying disease while still being mechanically ventilated. A total of 20 postprocedural complications were observed in 15 patients: stomal infection (7), minor hemorrhage (4), tracheal stenosis (3), tube displacement (2), delayed wound healing (2), soft-tissue hemorrhage (1), and organ hemorrhage (1). During long-term follow-up a good functional and cosmetic result could be documented in the majority of 35 patients.

CONCLUSIONS

PDT can be performed safely in patients following cardiac surgery as a bedside technique with a low incidence of procedural and postprocedural complications and an acceptable functional and cosmetic long-term outcome. Further studies are needed to define the optimal timing of PDT after translaryngeal intubation.

Interactions between the oocyte and cumulus cells in the ovary of the B6.Y(TIR) sex-reversed female mouse

The XY (B6.Y(TIR)) sex-reversed female mouse is infertile, primarily because of the early death of its embryos. We have previously determined that the XY oocyte itself, not the surrounding somatic cells, is responsible for its failure in postfertilization development. In the present study, we assessed the ability of the XY oocyte to regulate granulosa cell differentiation and functions. Oocyte-cumulus complexes (OCC) were isolated from antral follicles and were cultured in the presence of FSH and testosterone. Microsurgical removal of oocytes prevented cumulus cell expansion and suppressed estradiol production while it promoted progesterone production. Coculture with denuded oocytes from either XX or XY ovaries restored cumulus expansion and the endocrine profile observed in intact OCC. Morphology of oocytes and OCC in the preantral and antral follicles in situ as well as after isolation was compared for XX and XY ovaries. The average area of XY oocytes was smaller by 20% only at the preantral stage, whereas the zona pellucida layer was thinner by 20% at all stages. Furthermore, the XY oocyte was found to be attached to fewer cumulus cells (60% of XX control) in antral follicles and isolated OCC. In conclusion, the XY oocyte develops the normal ability of regulating granulosa cell differentiation despite its inferiority with respect to some morphometric parameters when compared to the XX oocyte.