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Introduction 54% of patients with moderate-to-severe knee osteoarthritis (KOA) still reported persistent pain and functional loss after conservative treatment according to guidelines. As an emerging treatment, platelet-rich plasma (PRP) has been proven to significantly relieve pain and improve activity function in patients with mild-to-moderate KOA, either used alone or in combination with hyaluronic acid (HA). However, it is still unclear of its efficacy in moderate-to-severe KOA. This study aims to evaluate the clinical efficacy of PRP and the combination therapy of PRP and HA in patients with moderate-to-severe KOA and to explore the potential synergistic effect of PRP and HA.Methods and analysis This triple-blind randomised controlled trial will involve a total of 162 participants with moderate-to-severe KOA from two study centres. Participants will be allocated randomly into three groups: the HA group, the PRP group and the combination (PRP+HA) group and, respectively, receive HA (2.5 mL)+saline (3 mL)/PRP (3 mL)+saline (2.5 mL)/PRP (3 mL)+HA (2.5 mL) intra-articular injection each week for 4 consecutive weeks. All of the injections will be performed under the guidance of ultrasound. The primary outcome is the change of Western Ontario and McMaster Universities Osteoarthritis Index from baseline to 6 months, and secondary outcomes include the change of ultrasound images (suprapatellar bursa effusion and synovitis), Timed Up and Go test and 12-Item Short-Form Health Survey. All outcomes will be evaluated at baseline and 1-month, 3-month and 6-month follow-ups. Data will be analysed on intention-to-treat principles and a per-protocol basis.Ethics and dissemination This protocol was approved by the Medical Ethics Committee of the Third Affiliated Hospital of Sun Yat-sen University (reference number (2021)−02-231-02). The study results will be submitted to a peer-reviewed journal.Trial registration number ChiCTR2100050974.

At present, civil servant positions have become the main employment target of many college students in China, and there is a deep motivation behind this phenomenon. This research conducted an empirical study on college students in 2022 with 566 valid data by using the convenience sampling method. The occupational values scale, political efficacy scale, and the willingness to apply for civil servants scale were used. Descriptive statistical analysis, correlation analysis, and common method deviation were performed by SPSS 26.0 to test the reliability of each scale and the discriminant validity of variables. In addition, the structural equation model and bias-corrected bootstrap were used to explore the influence of occupational values on college students’ willingness to apply for civil servants and analyze the mediating role of political efficacy. The results show that: (1) The dimensions of career stability, prestige value, and public service motivation of occupational values have significant positive impacts on college students’ willingness to apply for civil servants, among which public service motivation has the most significant impact. (2) Occupational values have significant positive impacts on college students’ political efficacy. (3) Political efficacy has a significant positive impact on the college students’ willingness to apply for civil servants. (4) Political efficacy plays a partial mediating role in the transmission path of occupational values and willingness to apply for civil servants. These findings further clarify the logical relationship between occupational values and civil servants’ willingness, providing a theoretical basis and practical reference for college educators to implement college students’ career education.

Polyimide (PI) is one of the most dominant engineering plastics with excellent thermal, mechanical, chemical stability and dielectric performance. Further improving the versatility of PIs is of great significance, broadening their application prospects. Thus, integrating functional nanofillers can finely tune the individual characteristic to a certain extent as required by the function. Integrating the two complementary benefits, PI-based composites strongly expand applications, such as aerospace, microelectronic devices, separation membranes, catalysis, and sensors. Here, from the perspective of system science, the recent studies of PI-based composites for molecular design, manufacturing process, combination methods, and the relevant applications are reviewed, more relevantly on the mechanism underlying the phenomena. Additionally, a systematic summary of the current challenges and further directions for PI nanocomposites is presented. Hence, the review will pave the way for future studies.

A new series of colorless polyimides (CPIs) with outstanding thermal properties and mechanical properties were fabricated by the copolymerization of a novel dianhydride and 4,4′-(hexafluoroisopropylidene)diphthalic anhydride (6FDA) with 2,2′-bistrifluoromethyl benzidine (TFDB). The novel dianhydride, 10-oxo-9-phenyl-9-(trifluoromethyl)-9,10-dihydroanthracene-2,3,6,7-tetraacid dianhydride (3FPODA), possessed a rigid semi-alicyclic structure, –CF3 and phenyl side groups, and an active carbonyl group. Benefitting from the special structure of 3FPODA, the glass transition temperatures (Tg) of the new CPIs improved from 330 °C to 377 °C, the coefficient of thermal expansion (CTE) decreased from 46 ppm/K to 24 ppm/K, and the tensile strength (TS), tensile modulus (TM), and elongation at break (EB) increased from 84 MPa to 136 MPa, 3.2 GPa to 4.4 GPa, and 2.94% to 4.13% with the increasing amount of 3FPODA, respectively. Moreover, the active carbonyl group of the 3FPODA could enhance the CPI’s adhesive properties. These results render the new dianhydride 3FPODA an ideal candidate monomer for the fabrication of high-performance CPIs.

Window−film−integrated, near−infrared (NIR) absorption−based nanomaterials are of great interest in terms of numerous demands to reduce energy consumption, especially in buildings and vehicles. However, the question of how to effectively manage thermal energy generated from NIR harvesting in light−absorbing materials, rather than being wasted or causing negative effects, remains challenging. Herein, hollow copper sulfide (Cu2−xS) on colorless polyimide (PI) films, enabling them to be well−dispersed and robustly adhered, underwent in situ growth fabrication and were utilized as NIR−thermal−shielding and organic−pollutant−removal dual−function window films. Due to strong NIR absorbance, arising from the heavy hole−doping (copper cation deficiency), the Cu2−xS/PI composite film exhibited great promise for use in the filtration of the NIR spectrum. By monitoring Cu2−xS densities, its NIR−shielding efficiency reached 69.4%, with hundred−percent UV blocking and consistent performance within the reliability (85 °C/85%RH) tests over one week as well as 5000 bending cycles. The integration of the films into model cars and building windows exhibited excellent thermal−shielding performance upon exposure to direct sunlight. Moreover, benefiting from the distinctive distribution of Cu2−xS, the additional thermal energy (holes) generated in NIR absorption was successfully utilized. The densely surface−confined hollow structure of Cu2−xS on PI significantly endowed good formaldehyde catalytic capacity, with removal efficiency reaching approximately 72% within 60 min and a negligible decline after quartic reuse. These integration methodologies enable the promising fabrication of a high−performance, bifunctional window film combining thermal shielding and indoor organic pollutant removal.

Magnesium, the second most predominant intracellular cation, plays a crucial role in many physiological functions; magnesium-based biomaterials have been widely used in clinical application. In a variety of cancer types, the high intracellular concentration of magnesium contributes to cancer initiation and progression. Therefore, we initiated this study to investigate the likelihood of confounding magnesium with cancer therapy. In this study, the anti-tumor activity of magnesium and underlying mechanisms were assessed in bladder cancer both in vitro and in vivo. The results indicated that the proliferation of bladder cancer cells was inhibited by treatment with a high concentration of MgCl2 or MgSO4. The apoptosis, G0/G1 cell cycle arrest, autophagy, and ER stress were promoted following treatment with MgCl2. However, the migratory ability of MgCl2 treated cells was similar to that of control cells, as revealed by the trans-well assay. Besides, no significant difference was observed in the proportion of CD44 or CD133 positive cells between the control and MgCl2 treated cells. Thus, to improve the therapeutic effect of magnesium, VPA was used to treat cancer cells in combination with MgCl2. As expected, combination treatment with MgCl2 and VPA could markedly reduce proliferation, migration, and in vivo tumorigenicity of UC3 cells. Moreover, the Wnt signaling was down-regulated, and ERK signaling was activated in the cells treated with combination treatment. In conclusion, the accurate utilization of MgCl2 in targeting autophagy might be beneficial in cancer therapy. Although further studies are warranted, the combination treatment of MgCl2 with VPA is an effective strategy to improve the outcome of chemotherapy.

Rotational energy harvesting technology has attracted more and more attention recently. This paper presents a piezoelectric rotational energy harvester that can be mounted with an offset distance from the rotation center. The piezoelectric energy harvester is designed to be dynamically excited by the force due to gravity, which causes the piezoelectric cantilever beams in the harvester to vibrate periodically as the harvester rotates. A novel design of the harvester structure with a hollow mass is proposed and analyzed in this paper. Experiments were performed to investigate the design and analysis. A power output of 106~2308 μW can be achieved at the rotating frequencies of 0.79~14 Hz with a piezoelectric cantilever beam in the prototyped energy harvester. Results showed that the prototyped harvester can be mounted on a rotating wheel hub and output sufficient power in a wide frequency range for wireless monitoring sensors.

Abstract Background Neonatal alloimmune thrombocytopenia (NAIT), caused by maternal antibodies raised against alloantigens carried on foetal platelets, is a very common haematological abnormality in newborns worldwide. However, baseline data on NAIT in China are lacking. Therefore, this study seeks to explore the incidence of alloantibody against the human platelet antigen (HPA) in pregnant women and its associations with NAIT in China. Methods A multicentre, prospective cohort study design will be used, and 55,497 pregnant women will be recruited for the first screening of the anti-HPA antibody at 12 to 28 weeks of gestational age. Subjects who are positive in the first screening for the anti-HPA antibody will be included in the exposure group. Re-tests of the antibody titre, antigen-specificity and genotyping of HPA and HLA will be conducted during admission. A ratio of 1:1 paired individuals with the same ethnicity and parity but testing negative for the anti-HPA antibody will be randomly selected to be included in the non-exposure group. NAIT will be diagnosed in the newborns on day one of the birth. The HPA of the neonates in the exposure group will also be genotyped by sequencing. Associations of maternal HLA with the occurrence of the anti-HPA antibody and correlation of the severity of NAIT with the titre of the anti-HPA antibody will be further analysed. Discussion The study is expected to provide baseline data on NAIT in China. Besides, we hope to find out a population who expresses particular HLA molecules has significant higher risk of HPA alloimmunization in Chinese individuals. We also hope to find a Chinese-specific cut-off antibody titre for the prediction of the severity of NAIT and to provide a means to evaluate the necessity of antenatal treatment. Trial registration ClinicalTrials.gov: NCT02934906 (date registered: 13.10.2016).

We report about a flexible substrate incorporating surface-confined silver nanoparticles on transparent polyimide (PI). The incorporated silver nanoparticles (Ag NPs), which possessed excellent adhesive strength with the PI substrate, induced localized surface plasmon resonance and light scattering effects by changing the particle size and interparticle distance to promote light harvesting in the perovskite solar cells. Moreover, the reduced sheet resistance was beneficial for the charge extraction and transportation in the devices when high-conductivity poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS, PH1000) was deposited on the Ag NP-confined PI serving as a flexible bottom electrode. A power conversion efficiency of 10.41% was obtained for the flexible perovskite solar cells based on a Ag NP-confined PI substrate (the particle size of the Ag NPs was 25 nm mixed with 40 nm), which was obviously enhanced in all parameters. Especially, a 61% improvement existed in the short-circuit current density compared to that based on the bare PI substrates. It indicates that the substrate would be a promising candidate for the development of flexible electronics.

In this paper, an energy harvesting floor based on piezoelectric transducers is studied. A structure with multiple layers of piezoelectric beams is designed. Different striking frequencies are studied. Fourier transform is applied to analyze the frequency characteristic of the output voltage. Experiments are explored to find out the optimal external load resistance for maximum output power. The experimental results show that, with three piezoelectric transducers in a beam array, and a stroke of 4mm at the striking frequency of 1.263 Hz, the maximum output power is 733.5 μW. [ABSTRACT FROM AUTHOR]

Due to the development of dynamic flexible organic light-emitting diode displays, colorless polyimides (CPI) as the supporting or protecting optical films, are facing significant challenges due to the requirements of optical, mechanical, thermal, and chemical properties. Typical CPIs are derived from TFDB (2,2-bis(trifluoro-methyl)-4,4'-diaminobiphenyl)/6FDA (4,4'-(hexafluoroisopropylidene)diphthalic anhydride), which still need to be improved in both dimensional stability and optical performance. In this communication, a strong electron acceptor group, the sulfoxide bond, is first introduced into the TFDB block of CPI chains. Based on this introduction, the distribution of the electron cloud in the polymer chain is reconstructed under the strongly pulling electron effect, and the spatial conformation of the polymer chain is also affected by the rigid and twisted sulfoxide group. The influences on CPI's optical properties, especially the refractive index and the retardation, are studied and discussed in detail by experimental results and theoretical calculations. It is shown that the CPI with the sulfoxide group exhibits higher optical transparency, lower yellow index, phase retardation and coefficient of thermal expansion, which is an ideal material for CPI optical films. [ABSTRACT FROM AUTHOR]

The present study aimed to characterize the function and hemorheology of red blood cells (RBCs) recovered during liver transplantation surgery in patients with hepatitis B and decompensation. A total of 15 hepatitis B patients with decompensation who underwent liver transplantation surgery were included in the present study. Blood samples were recovered during the liver transplantation surgery using an Autologous Blood Recovery System. The morphology and structure of RBCs were characterized and compared between pre-operative and recovered blood samples. In addition, the physiological functions of RBCs were measured and compared between pre-operative and recovered blood samples. No significant differences in the morphological score, 2,3-diphosphoglycerate, Na+K+-ATPase, Ca2+-ATPase, Mg2+-ATPase, malondialdehyde and osmotic fragility were identified between RBCs in the pre-operative and recovered blood samples. The level of free hemoglobin in RBCs of the recovered blood samples was significantly higher than in the pre-operative blood samples (P<0.05). Mediumand high-shear blood viscosities in the recovered blood samples were significantly lower than those observed in the pre-operative blood samples (P<0.05). Casson viscosity in the recovered blood samples was significantly higher compared with the pre-operative blood samples. However, no significant differences (P>0.05) in the low-shear blood viscosity, plasma viscosity, relative blood viscosity, erythrocyte aggregation index or Casson yield stress were identified between recovered and pre-operative blood samples. These findings suggested that autologous blood transfusion in liver transplantation surgery in patients with hepatitis B and decompensation had no significant influence on the morphology, structure, function and hemorheology of RBCs. [ABSTRACT FROM AUTHOR]

Wnt signaling is critical in embryonic development and post-embryonic tissue homeostasis. The aim of the present study was to evaluate the expression levels of canonical Wnt signaling genes in porcine somatic cell nuclear transfer (SCNT) embryos. Quantitative polymerase chain reaction analysis was performed in porcine SCNT embryos, and the results indicated that the temporal expression patterns of canonical signaling genes were similar between in vivo and SCNT embryos from the 2-cell to the blastocyst stage. In addition, aberrant expression in a small number of Wnt signaling genes in SCNT embryos was identified. IWP2, an inhibitor of Wnt processing, was applied to the culture of SCNT embryos. The Wnt signaling pathway in the SCNT blastocysts may be inactivated via IWP2 treatment, reflecting the low expression levels of c-Myc and peroxisome proliferator-activated receptor d. Furthermore, blastocyst hatching was damaged by IWP2 treatment. These findings indicate that the canonical Wnt signaling pathway is important for SCNT embryo development. [ABSTRACT FROM AUTHOR]

Patients with cirrhosis used to be associated with frequent use of blood components because of their complex disorder of hemostasis and bleeding complications. Recent findings have indicated that patients with cirrhosis have a state of "rebalanced" or even procoagulant hemostasis and have questioned the prophylactic use of plasma. To evaluate the current status of plasma use in patients with cirrhosis, we conducted a retrospective survey in 11 tertiary-care hospitals in China from September 1 to October 31, 2013. All patients admitted with cirrhosis during the study period were included in the study. The survey collected information including patients' diagnostic and demographic data, clinical course including bleeding complications and invasive procedures, laboratory results, and plasma transfusion data. Among 1595 patients with cirrhosis admitted to the 11 hospitals, 236 (14.8%) patients received 1 or more plasma transfusions during the study period. The number of plasma transfusions is defined as the number of transfusion orders. A total of 1037 plasma transfusions were administered to these patients, with a mean of 4.4 transfusions per transfused patient, ranging from 1 to 22 transfusions per transfused patient. Most plasma transfusions (760/1037; 73.3%) were given to patients without bleeding, for treatment of coagulopathy either without planned invasive procedures (70.4%) or before invasive procedures (2.9%). The median dose of plasma transfusion was 3.8 mL/kg. The rate of plasma transfusion of participating hospitals varied from 5.3% to 31.8%. It is encouraging to see that in one teaching hospital, 85.7% plasma transfusions were given to patients with bleeding indication, showing a promising sign in appropriate transfusion. Prophylaxis or empirical plasma transfusion is still a common problem in managing patients with liver cirrhosis. Wide variations are found in plasma transfusion practice among hospitals. Effective measures to control and reduce empirical correction of abnormal coagulation tests through transfusing plasma should be strengthened urgently. [ABSTRACT FROM AUTHOR]