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Current UV-curable resins based on acrylate or methacrylate monomers are mostly derived from nonrenewable petroleum feedstocks, and the cured resins are not easily repairable or reprocessable due t...

Advanced protein-based nanomaterials and nanosystems (PNNS) have attracted considerable scientific interest in recent decades due to their potential in bio-applications. Nowadays, the constructed PNNS exhibit different properties for various special applications based on the characteristics of different proteins. Herein, in this review article, a systematic summary and discussion focusing on designing multi-functional PNNS are presented. The latest developments in unique synthesis strategies and detailed classification of PNNS are reviewed. The functions of proteins in PNNS for biomedical applications, such as targeting proteins, carriers, enzymes, and fluorescent indicators, are summarized. Finally, the challenges and forward-looking perspectives of PNNS research are provided.

Based on the big data analysis technology of small and medium-sized clothing e-commerce enterprises, this paper provides theoretical and practical methods for e-commerce enterprises to apply big data technology. The data sources come from questionnaires and online data grab. Through the Google online questionnaire survey, 252 valid questionnaires were received. Python is used to search valid reviews on Tmall and Internet with some keywords, and a total of 11,864 valid comments were obtained. We find that the reason why men buy clothes is as high as 68% because of the seasonal change, but only 31% of women buy clothes because of the seasonal change. The higher the average monthly income of women, the more attention is paid to whether the style of clothing design is suitable for themselves, and the more attention is paid to the service attitude of e-commerce enterprises. From decision tree analysis, the fit of clothing style is the most important factor affecting the shopping choice of customers. From the data of customer reviews, the most mentioned variables are clothing style, fashion, service attitude and price. The number of reviews and the sentiment analysis score on clothing style are all ranking first. The number of reviews and the sentiment analysis score on clothing fashion are all ranking second. We also proposes corresponding precision marketing strategies based on the results of big data analysis, such as gender recommendation strategies, personalized recommendation strategies, differentiated marketing strategies, enterprise training and clothing design strategies.

Smart materials, also known as intelligent materials, which are responsive to the external stimuli including heat, moisture, stress, pH, and magnetic fields, have found extensive applications in sensors, actuators, soft robots, medical devices and artificial muscles. Using three-dimensional (3D) printing techniques for fabrication of smart devices allows for complex designs and well-controlled manufacturing processes. 4D printing is attributed to the 3D printing of smart materials that can be significantly transformed over time. Herein the smart materials including hydrogels and polymeric nanocomposites used in 4D printing were reviewed and the fundamental mechanisms responsible for the functionalities were discussed in detail. In this report, 4D printing of smart systems and their applications in sensors, actuators and biomedical devices were reviewed to provide a deeper understanding of the current development and the future outlook.

We demonstrate an ultra-high range of threshold voltage modulation in pentacene transistors by iodine doping. Through diffusion control and thermal treatments, the transistor's threshold voltage can be tuned in a wide range of more than 100 V from enhance mode to deep depletion mode. The correlation between physical and electrical characteristics was investigated to elucidate the modulation mechanism. The results suggest an optimistic potential for pentacene transistors in high voltage device applications. The transistors in this research exhibit a high field effect mobility of ~0.18 cm2/Vs and on/off ratio ~105.

Human norovirus (NoV) is the leading cause of acute gastroenteritis and the rapid transmission of NoV renders infection control problematic. Our study aimed to investigate viral shedding in gastroenteritis in children caused by variants of emerging norovirus strains infections.We used RNA-dependent RNA polymerase (RdRp) sequencing to measure NoV genome copies in stool to understand the relationship between the clinical manifestations and viral shedding in hospitalized patients. The near full-length NoV genome sequence was amplified via reverse transcription-polymerase chain reaction (RT-PCR) and NoV recombination was analyzed using the Recombination Analysis Tool (RAT).From January 2015 to March 2018, 77 fecal specimens were collected from hospitalized pediatric patients with confirmed NoV gastroenteritis. The NoV genotypes were GII.4 (n = 22), non-GII.4 (n = 14), GII.4 Sydney (n = 21), and GII.P16-GII.2 (n = 20). Viral load increased from days 2 to 9 from the illness onset, resulting in an irregular plateau without peaks. After day 9, the viral load declined gradually and most viral shedding in feces ceased by day 15. The average viral load was highest in GII.4 Sydney followed by GII.P16-GII.2 infections and lowest in non-GII.4 infections. GII.4 unclassified infections showed the longest viral shedding time, followed by GII.4 Sydney infections, GII.P16-GII.2 recombinant infection resulted in the shortest duration. NoVs evolved to form a group of GII.P16-GII.2 variants during the 2017 to 2018 period.The viral load and shedding period and was different in variants of NoV infections in children. High mutation rate of emerging and re-emerging variants was observed to an enhanced epidemic risk rendering continuous surveillance.

Monitoring and characterization methods that provide performance tracking of hydrogen evolution reaction (HER) at the single-nanoparticle level can greatly advance our understanding of catalysts' structure and activity relationships. Electrochemiluminescence (ECL) microscopy is implemented for the first time to identify HER activities of single nanocatalysts and to provide a direction for further optimization. Here, we develop a novel ECL blinking technique at the single-nanoparticle level to directly monitor H2 nanobubbles generated from hollow carbon nitride nanospheres (HCNSs). The ECL ON and OFF mechanisms are identified being closely related to the generation, growth, and collapse of H2 nanobubbles. The power-law distributed durations of ON and OFF states demonstrate multiple catalytic sites with stochastic activities on a single HCNS. The power-law coefficients of ECL blinking increase with improved HER activities from modified HCNSs with other active HER catalysts. Besides, ECL blinking phenomenon provides an explanation for the low cathodic ECL efficiency of semiconductor nanomaterials.

Surface-enhanced Raman scattering (SERS) spectroscopy is a sensitive sensing technique. It is desirable to have an easy method to produce SERS-active substrate with reproducible and robust signals. We propose a simple method to fabricate SERS-active substrates with high structural homogeneity and signal reproducibility using electron beam (E-beam) lithography without the problematic photoresist (PR) lift-off process. The substrate was fabricated by using E-beam to define nanograting patterns on the photoresist and subsequently coat a layer of gold thin film on top of it. Efficient and stable SERS signals were observed on the substrates. In order to investigate the enhancement mechanism, we compared the signals from this substrate with those with photoresist lifted-off, which are essentially discontinuous gold stripes. While both structures showed significant grating-period-dependent fluorescence enhancement, no SERS signal was observed on the photoresist lifted-off gratings. Only transverse magnetic (TM)-polarized excitation exhibited strong enhancement, which revealed its plasmonic attribution. The fluorescence enhancement showed distinct periodic dependence for the two structures, which is due to the different enhancement mechanism. We demonstrate using this substrate for specific protein binding detection. Similar periodicity dependence was observed. Detailed theoretical and experimental studies were performed to investigate the observed phenomena. We conclude that the excitation of surface plasmon polaritons on the continuous gold thin film is essential for the stable and efficient SERS effects.

Although large-scale synthesis of layered two-dimensional (2D) transition metal dichalcogenides (TMDCs) has been made possible, mechanical exfoliation of layered van der Waals crystal is still indispensable as every new material research starts with exfoliated flakes. However, it is often a tedious task to find the flakes with desired thickness and sizes. We propose a method to determine the thickness of few-layer flakes and facilitate the fast searching of flakes with a specific thickness. By using hyperspectral wild field microscopy to acquire differential reflectance and transmittance spectra, we demonstrate unambiguous recognition of typical TMDCs and their thicknesses based on their excitonic resonance features in a single step. Distinct from Raman spectroscopy or atomic force microscopy, our method is non-destructive to the sample. By knowing the contrast between different layers, we developed an algorithm to automatically search for flakes of desired thickness in situ. We extended this method to measure tin dichalcogenides, such as SnS2 and SnSe2, which are indirect bandgap semiconductors regardless of the thickness. We observed distinct spectroscopic behaviors as compared with typical TMDCs. Layer-dependent excitonic features were manifested. Our method is ideal for automatic non-destructive optical inspection in mass production in the semiconductor industry.

Despite the development of vaccines in 2006, rotavirus is still a major cause of acute gastroenteritis worldwide. This study was performed to analyze the presence of circulating rotaviruses before and after the introduction of rotavirus vaccines to allow phylogenetic comparisons of vaccine strains in northern Taiwan. Rotavirus genotyping and sequencing of rotavirus VP7 and VP4 PCR products were performed by Reverse Transcriptase Polymerase Chain Reaction and DNA autosequencing. Phylogenies were constructed by the neighbor-joining and maximum-likelihood methods using CLUSTAL W software included in the MEGA software package (version 6.0). Between April 2004 and December 2012, a total of 101 rotavirus specimens from pediatric patients with acute gastroenteritis hospitalized in Chang Gung Children's Hospital were amplified, and their VP4 and VP7 sequences were determined. These 101 specimens consisted of 55 pre-vaccine strains (G1 [13, 23.6%], G2 [12, 21.8%], G3 [16, 29.1%], and G9 [14, 25.5%]) and 46 post-vaccine strains (G1 [25, 54.3%], G2 [12, 26.1%], G3 [5, 10.9%], and G9 [4, 8.7%]). The most common combination of the G and P types was G2P[4], accounting for 36% cases, followed by G9P[8] (25%), G1P[8] (20%), G3P[4] (15%), G3P[8] (10%), G1P[4] (5%), and G2P[8] (5%). Phylogenetic analysis showed that only the G1 and P[8] genotypes clustered in the same lineages with the rotavirus vaccine strains. Based on our results, the inclusion of G9, modified G2 and G3 with target lineages, and the combination G2P[4] and G9P[8] in the rotavirus vaccines in Taiwan is warranted as a vaccination strategy.

Photocatalytic formation of hydrocarbons using solar energy via artificial photosynthesis is a highly desirable renewable-energy source for replacing conventional fossil fuels. Using an l-cysteine-based hydrothermal process, here we synthesize a carbon-doped SnS2 (SnS2-C) metal dichalcogenide nanostructure, which exhibits a highly active and selective photocatalytic conversion of CO2 to hydrocarbons under visible-light. The interstitial carbon doping induced microstrain in the SnS2 lattice, resulting in different photophysical properties as compared with undoped SnS2. This SnS2-C photocatalyst significantly enhances the CO2 reduction activity under visible light, attaining a photochemical quantum efficiency of above 0.7%. The SnS2-C photocatalyst represents an important contribution towards high quantum efficiency artificial photosynthesis based on gas phase photocatalytic CO2 reduction under visible light, where the in situ carbon-doped SnS2 nanostructure improves the stability and the light harvesting and charge separation efficiency, and significantly enhances the photocatalytic activity. Photocatalytic reduction of CO2 to hydrocarbons is a promising route to both CO2 utilization and renewable fuel production. Here the authors identify that carbon-doped SnS2 possesses a high catalytic efficiency towards CO2 reduction owing to low photogenerated charge recombination rates.

We present a technique to efficiently identify the thickness and properties of typical 2D materials. By taking microscopic images at a series wavelengths, we obtain reflectance, transmittance and absorption spectra in a single step. We demonstrate using the setup to unambiguously determine the thickness of MoS2 flakes and their excitonic properties.

We control the nanoscale gaps on silver island films by different processing methods and investigate the surface-enhanced Raman scattering (SERS) efficiency on the films. We propose a facile technique to control the film morphology by substrate bending while keeping the evaporation rate constant. The films developed by our new method are compared to the films developed by traditional methods at various evaporation rates. The SERS signals generated on the samples prepared by the new method have similar strengths as the traditional methods. Substrate bending allows us to reduce the gap sizes while using a higher evaporation rate, hence the film can be developed in a shorter time. This cost-effective and time-efficient method is suitable for the mass production of large-area SERS sensors with good sensitivity. Scanning electron microscope images are analyzed to quantify the gap densities and widths to elucidate the relationship between the film morphology and the SERS intensity. While the gap size appears to be the major factor influencing the enhancement, the shape of the nano-island also seems to influence the SERS efficiency.

We present a smartphone optosensing platform (SOP) using a digital versatile disc (DVD) diffraction grating for rapid in-field detecting neurotoxins. The smartphone holder and sample holder were 3D printed for the SOP. A DVD grating is demonstrated for the first time in a low-cost miniature spectrometer on the SOP to quantify the concentrations of neurotoxins. The SOP is capable of detecting optical absorbance spectra within the entire visible spectral range from 400 to 700 nm with the spectral resolution of 0.2521 nm/pixel. We demonstrated the performance of the DVD grating compared with a commercial transmission grating on the SOP and a conventional microplate reader. Paraoxon, as the selected neurotoxin model, is assayed by two types of cholinesterase (ChE) on our SOP, respectively. Integrating a DVD grating in the SOP allows quantification of paraoxon in the range from 5 nM to 25 μM with the detection limit of 2.9 nM. In addition to the low assessed detection limit at medically relevant concentrations...

A novel ultra-sensitive liquid-level indicator using an etched chirped fiber Bragg grating is experimentally demonstrated with a sensitivity of 1.214 nm/mm for detecting tens of micro-meter liquid-level variation. The operation mechanism is based on the superposition wavelength-peak shift created by the overlap between the spectrum of the etched CFBG section immersed in the liquid and the spectrum of the rest of the grating in air. This sensor may be used to precisely measure the liquid-level variation in bio-hazardous systems or industrial containers that demand accurate interrogation of the amounts of the contents.

The majority of optical lenses have spherical surface profiles because they are convenient to fabricate. Replacing spherical optics with aspheric optics leads to smaller size, lighter weight, and less complicated optical systems with a superior imaging quality. However, fabrication of aspheric lenses is expensive and time-consuming. Here, we introduce a straightforward and low-cost casting method to fabricate polymeric aspheric lenses. An elastomeric ferrogel was formed into an aspherical profile by using a designed magnetic field and then was used as a mold. Different types of aspherical profiles from parabola to hyperbola can be formed with this method by tuning the magnetic field. A home-built Shack–Hartmann sensor was employed to characterize the cast polymeric lenses. The effects of magnetic field intensity, gradient of the magnetic field, and magnetic susceptibility of the ferrogel on the lens profiles were investigated. This technique can be used for rapid-forming polymeric aspherical lenses with different sizes and shapes.

We demonstrate a novel fiber-optic hydrophone by using a fiber Bragg grating as a sensing element for underwater acoustic wave detection. The effects of fiber diameter, fiber tension, film thickness, and film radii are investigated for optimal performance.

Smartphone optosensors with integrated optical components make mobile point-of-care (MPoC) diagnostics be done near patients’ side. It’ll especially have a significant impact on healthcare delivery in rural or remote areas. Current FDA-approved PoC devices achieving clinical level are still at high cost and not affordable in rural hospitals. We present a series of ultra low-cost smartphone optical sensing devices for mobile point-of-care diagnosis. Aiming different targeting analytes and sensing mechanisms, we developed custom required optical components for each smartphone optosensros. These optical devices include spectrum readers, colorimetric readers for microplate, lateral flow device readers, and chemiluminescence readers. By integrating our unique designed optical components into smartphone optosening platform, the anlaytes can be precisely detected. Clinical testing results show the clinical usability of our smartphone optosensors. Ultra low-cost portable smartphone optosensors are affordable for rural/remote doctors.

The recent advancement in smartphone technology has triggered a wide range of smartphone point-of-care (POC) technology especially for the application of biomedical diagnosis and environmental detections. Modern smartphones with powerful processors and the functional cameras have been considered as the best candidate for miniaturization of the analytical instruments. Smartphones integrated with micro fluidic chips or optical components are capable of detecting specific biomarkers, antigens or pathogens in situ. The merits of smartphone-based POC devices, including cost efficiency, on-site detection, instantly obtaining diagnostic results, and transmittable data, make it grooming in medical and environmental diagnosis, especially in remote areas and at home. Therefore, smartphone-based POC technology could achieve decentralizing laboratory tests which fastens turnaround time and let doctors timely treat patients. In this review, we focus on paper-based and liquidbased smartphone POC devices of recent years to overviews current advancements.

Background. Currently, there are many conventional instruments being applied to perform hepatic inflow control, the Pringle’s maneuver, distal to the hepatic hilum during hepatic resections. We wondered if a commonly used Insulok band can be added. Materials and Methods. Insulok band is a plastic tying device molded in one piece with an excellent cam-lock mechanism. We have applied releasable Insulok band to the Pringle’s maneuver in 10 partial hepatectomy cases, which are not suitable for application of Chang’s needle. After opening the lesser omentum, the band was passed through the Winslow foramen to the lesser sac, and the portal triad was occluded by locking the band. During the intermittent reperfusion period, this Insulok band allowed easy and fast control of hepatic inflow with its simple releasable locking device. Results. Single inflow block was used on 6 cases while repeated block on 4 cases for partial hepatectomy. The average ischemic time was 15.2 ± 8.2 minutes with an interval of 5 minutes. There was neither procedure-related morbidity nor mortality. No patient had developed postoperative hepatic failure or prolonged liver dysfunction. The efficacy of bleeding control was excellent and the average blood loss during Pringle’s maneuver was 6 ± 12.6 mL. Furthermore, locking and unlocking of the Insulok band each took only 5 seconds. Conclusion. Releasable Insulok band is a simpler, faster, cheaper, and safe alternative to the conventional methods for blocking hepatic inflow in Pringle’s maneuver, especially in those cases not suitable for using the Chang’s needle.

With the rapid development and proliferation of mobile devices with powerful computing power and the ability of integrating sensors into mobile devices, the potential impact of mobile health (mHealth) diagnostics on the public health is drawing researchers' attention. We developed a Smartphone Octo-channel Spectrometer (SOS) as a mHealth diagnostic tool. The SOS has nanoscale wavelength resolution, is self-illuminated from the smartphone itself, and is ultra-low cost (less than $20). A user interface controls the optical sensing parameters and precise alignment. After calibrating and testing the SOS by quantifying protein concentrations, we clinically validated the SOS by comparing the diagnostic performance of our device with that of a clinical spectrophotometer. About 180 serum samples from de-identified patients with 4 types of autoantibodies were blindly read the ELISA results. The accuracy of the SOS achieved 100% across the clinical reportable range compared with the FDA-approved instrument. Furthermore, the self-illuminated SOS only requires about half of the light intensity of the FDA-approved instrument to achieve clinical-level sensitivity. The low-energy-consumption and low-cost SOS enables point-of-care spectrophotometric sensing in low-resource areas, and can be integrated into point-of-care diagnostic systems for rapid multiplex readout and analysis at patient bedside or at home.

We present a novel two-dimensional fiber-optic inclinometer with high sensitivity by crisscrossing two etched chirped fiber Bragg gratings (CFBG) arrays. Each array is composed of two symmetrically-arranged CFBGs. By etching away most of the claddings of the CFBGs to expose the evanescent wave, the reflection spectra are highly sensitive to the surrounding index change. When we immerse only part of the CFBG in liquid, the effective index difference induces a superposition peak in the refection spectrum. By interrogating the peak wavelengths of the CFBGs, we can deduce the tilt angle and direction simultaneously. The inclinometer has a resolution of 0.003° in tilt angle measurement and 0.00187 rad in tilt direction measurement. Due to the unique sensing mechanism, the sensor is temperature insensitive. This sensor can be useful in long term continuous monitoring of inclination or in real-time feedback control of tilt angles, especially in harsh environments with violent temperature variation.

A systematic study is presented of the intensity-dependent nonlinear light scattering spectra of gold nanorods under resonant excitation of the longitudinal surface plasmon resonance (SPR). The spectra exhibit features due to coherent second and third harmonic generation as well as a broadband feature that has been previously attributed to multiphoton photoluminescence arising primarily from interband optical transitions in the gold. A detailed study of the spectral dependence of the scaling of the scattered light with excitation intensity shows unexpected scaling behavior of the coherent signals, which is quantitatively accounted for by optically induced damping of the SPR mode through a Fermi liquid model of the electronic scattering. The broadband feature is shown to arise not from luminescence, but from scattering of the second-order longitudinal SPR mode with the electron gas, where efficient excitation of the second order mode arises from an optical asymmetry of the nanorod. The electronic-temperature-dependent plasmon damping and the Fermi-Dirac distribution together determine the intensity dependence of the broadband emission, and the structure-dependent absorption spectrum determines the spectral shape through the fluctuation-dissipation theorem. Hence a complete self-consistent picture of both coherent and incoherent light scattering is obtained with a single set of physical parameters.

Liver-splitting techniques been previously developed for ex vivo and in situ cadaveric liver transplantation, and more recently for in situ living donor liver transplantation or liver partition with a portal vein ligation for a staged hepatectomy. We report a novel and simplified technique using a long curved needle to make whole-thickness mattress sutures along the division line of the remnant liver above the inferior vena cava to control bleeding, and then bloodlessly splitting the liver with scissors within 40 min in a case of a left lobectomy with metastases from breast cancer. The patient was uneventfully discharged on the fourth postoperative day. When a liver lobectomy or partition to enhance liver regeneration for a staged hepatectomy is necessary, this technique can be done straightforwardly without concern for the problems of venous return or congestion of the recipient or remnant donor liver. This technique is probably the simplest and fastest way for any surgeon and any facility.

Background: I have designed a Q-shape biliary diversion pancreaticoduodenectomy (PD) to prevent delayedhemorrhage in case of pancreaticojejunostomy (PJ) leakage. However, eliminating PJ leakage is the ultimate goal. A PJ anastomosis technique, irrespective of soft pancreatic texture or duct-size, has been found. Methods: Nine PDs were included. An end-to-side anastomosed proximal jejunal loop (30 cm), divided by a GIA stapler at its top and reapproximated using serosal sutures, was used for a choledochojejunostomy and PJs (4 fistulation, 2 duct-to-mucosa, 1 conventional and 2 whole-thickness mattress end-to-side sutures) at each divided loop. Finally, a gastro/duodenojejunostomy was made 30 cm distal to this looped jejunojejunostomy. Results: There was no mortality. One minor PJ leakage healed spontaneously. One major PJ leakage had a delayed-hemorrhage crisis salvaged by continuous normal saline irrigation to neutralize the pH condition for bile and pancreatic juice interaction. The clinical courses were surprisingly uneventful and without fear of leakage in two PJs using whole-thickness mattress sutures. Secure ties without tearing were possible in the soft pancreatic texture. Conclusion: Current evolutional strategies of biliary diversion reconstruction with whole-thickness-mattress PJ sutures plus normal saline irrigation can increase the safety of a pancreaticoduodenectomy by reducing PJ leakage and preventing the activation of pancreatic juice to eliminate a lethal delayed-hemorrhage.

Aim: Lapse from symptom onset to surgery has been traditionally used for the operation timing of cholecystectomy. However, intraoperative gallbladder (GB) inflammation status has never been studied to verify its justification.Methods: Meticulous intraoperative inflammation status of 260 consecutive laparoscopic cholecystectomy (LC) patients with symptomatic GB stone disease was prospectively graded (I-VI). Inflammation status in terms of lapse, incidence of difficult GB, complication and conversion rate from LC to open cholecystectomy was retrospectively analysed.Results: Various inflammation grades were non-significantly different in each lapse group irrespective of the lapse time. Severity is not always proportionally increased to the lapse time in every patient. One hundred seventeen patients (45%) had inflammations beyond the GB that reached Calot’s triangle or the hepatoduodenal ligament (Grade IV~VI): 64 (54.7%) were Grade V or VI and were defined as difficult GB. There were no statistically significant differences in terms of incidence of difficult GB, or conversion rate between the lapse groups. When divided into any two lapse groups, only the ≤ 3 and >3 days groups showed a significant difference (P=0.039) in the incidence of difficult GB. But the conversion rate was not significantly different (P=0.388).Conclusion: A majority of the patients were easily manageable despite the different lapse times. Less than onethird of the patients with difficult GB needed earlier LC to avert subsequent progression of dense fibrosis if delayed. Dichotomized lapse determination for LC without considering intraoperative inflammation status is not justified.

This study addresses a strategic design problem for bicycle sharing systems incorporating bicycle stock considerations. The problem is formulated as a hub location inventory model. The key design decisions considered are: the number and locations of bicycle stations in the system, the creation of bicycle lanes between bicycle stations, the selection of paths of users between origins and destinations, and the inventory levels of sharing bicycles to be held at the bicycle stations. The design decisions are made with consideration for both total cost and service levels (measured both by the availability rate for rental requests at the pick-up rental stations and coverage of the origins and destinations). The optimal design of this system requires an integrated view of the travel costs of users, bicycle inventory costs and facility costs of bicycle stations and bicycle lanes as well as service levels. The purpose of this study is to create a formal model that provides such an integrated view, and to develop methods for obtaining solutions for the design variables in practical situations. The complexity of the problem precludes the exact solution of the optimization problem for instances of realistic size, and so we propose a heuristic method for efficiently finding near-optimal solutions. In the test problem for which enumeration is possible, the heuristic solution is within 2% optimal. Finally, a numerical example is created to illustrate the model and proposed solution algorithm.

Current reported smartphone spectrometers are only used to monitor or measure one sample at a time. For the first time, we demonstrate a multichannel smartphone spectrometer (MSS) as an optical biosensor that can simultaneously optical sense multiple samples. In this work, we developed a novel method to achieve the multichannel optical spectral sensing with nanometer resolution on a smartphone. A 3D printed cradle held the smartphone integrated with optical components. This optical sensor performed accurate and reliable spectral measurements by optical intensity changes at specific wavelength or optical spectral shifts. A custom smartphone multi-view App was developed to control the optical sensing parameters and to align each sample to the corresponding channel. The captured images were converted to the transmission spectra in the visible wavelength range from 400nm to 700nm with the high resolution of 0.2521nm per pixel. We validated the performance of this MSS via measuring the concentrations of protein and immunoassaying a type of human cancer biomarker. Compared to the standard laboratory instrument, the results sufficiently showed that this MSS can achieve the comparative analysis detection limits, accuracy and sensitivity. We envision that this multichannel smartphone optical biosensor will be useful in high-throughput point-of-care diagnostics with its minimizing size, light weight, low cost and data transmission function.

We present a novel high-sensitivity dual-axis fiber inclinometer based on two etched chirped fiber Bragg gratings arrays capable of measuring the tilted angle and the direction of tilting simultaneously with a resolution of 0.02°.

Due to the explosive and growing size of the genome database, the discovery of gene has become one of the most computationally intensive tasks in bioinformatics. Many such systems have been developed to find genes; however, there is still some room to improve the prediction accuracy. This paper proposes a reinforcement learning model for a combination of gene predictions from existing gene-finding programs. The model learns the optimal policy for accepting the best predictions. The fitness of a policy is reinforced if the selected prediction at a nucleotide site correctly corresponds to the true annotation. The model searches for the optimal policy which maximizes the expected prediction accuracy over all nucleotide sites in the sequences. The experimental results demonstrate that the proposed model yields higher prediction accuracy than that obtained by the single best program.

BACKGROUND: Growth factor receptors such as epidermal growth factor receptor 1 and human epidermal growth receptor 2 (HER2) are overexpressed in certain cancer cells. Antibodies against these receptors (eg. cetuximab and transtuzumab [Herceptin]) have shown therapeutic value in cancer treatment. The existing methods for the quantification of these receptors in tumors involve immunohistochemistry or DNA quantification, both in extracted tissue samples. The goal of the study was to evaluate whether an optical fiber-based technique can be used to quantify the expression of multiple growth factor receptors simultaneously. METHODS: The authors examined HER2 expression using the monoclonal antibody trastuzumab as a targeting ligand to test their system. They conjugated trastuzumab to 2 different Alexa Fluor dyes with different excitation and emission wavelengths. Two of the dye conjugates were subsequently injected intravenously into mice bearing HER2-expressing subcutaneous tumors. An optical fiber was then inserted into the tumor through a 30-gauge needle, and using a single laser beam as the excitation source, the fluorescence emitted by the 2 conjugates was identified and quantified by 2-photon optical fiber fluorescence. RESULTS: The 2 conjugates bound to the HER2-expressing tumor competitively in a receptor-specific fashion, but they failed to bind to a similar cell tumor that did not express HER2. The concentration of the conjugate present in the tumor as determined by 2-photon optical fiber fluorescence was shown to serve as an index of the HER2 expression levels. CONCLUSIONS: These studies offer a minimally invasive technique for the quantification of tumor receptors simultaneously. Cancer 2012;. © 2011 American Cancer Society.

Acetaminophen (APAP) is a safe and effective analgesic and antipyretic when used at therapeutic levels. However, an acute or cumulative overdose can cause severe liver injury with the potential to progress to liver failure in humans and experimental animals. Much attention has been paid to the development of an antioxidant that protects against APAP-induced acute hepatic injury. Hence, we aimed to investigate the effect of sesame oil against after the onset of acute hepatic injury in APAP-overdosed rats.Male Wistar rats were first given 2 oral doses (1,000 mg/kg each) of APAP (at 0 and 24 hours) and then 1 oral dose of sesame oil (8 mL/kg at 24 hours).After 48 hours, APAP increased aspartate and alanine aminotransferase levels in the rats' serum and centrilobular necrosis in liver tissue. In addition, APAP significantly decreased the rats' glutathione levels and mitochondrial aconitase activity, but increased superoxide anion, hydroxyl radical, and lipid peroxidation levels. Oral sesame oil (8 mL/kg, given at 24 hours) reversed all APAP-altered parameters and protected the rats against APAP-induced acute liver injury.We hypothesize that sesame oil acts as a useful agent that maintains intracellular glutathione levels and inhibits reactive oxygen species, thereby protecting rats against after the onset of APAP-induced acute oxidative liver injury.

We sought to determine if necrosectomy can be omitted for complicated acute necrotizing pancreatitis (ANP). Since 1996, we prospectively performed retroperitoneal drainage by introducing a sump drain to the pancreatic head area via a small left flank incision without debridement and irrigation on 19 consecutive complicated ANP patients. We purposely delayed surgery until liquefaction of retroperitoneal tissue reached the left flank. Our patients had a mean Ranson's and APACHE II score of 5.9 (range, 4-8) and 20.1(range, 4-45), respectively. Sixteen available CT showed retroperitoneal liquefaction after 21.3 days (range, 14-26). Operations were delayed for 4.7 weeks (range, 1.3-9.0). No patient succumbed during this period. The indications were infected necrosis in 16 and severe abdominal pain/food intolerance in 3 patients. Average skin incision was 4.0 cm (range, 3-9). Fungi or bacteria were cultured in 15 patients (80.0%). The recovery courses were surprisingly uneventful. Oral intake began within 2.4 days (range, 1-5) and mean hospital stay (16 survivals) was 23.2 days (range, 4-120) after operation. Drains were completely removed 120.6 days (range, 60-250) later from these outpatients. One gastric perforation and one minor duodenal leak were the only procedure-related complications (10.5%). Three patients died (15.8%), although one had a healed ANP. In conclusion, this delay-until-liquefaction strategy without necrosectomy is an easy and effective treatment method.

Figure 1. A biliary diversion reconstruction method for a pancreaticoduodenectomy. This method diverts the bile flow using an independent, looped jejunal segment to prevent bile from activating pancreatic juice. Normal saline is being instilled via a nasogastric tube from the incisional wound fistula above the pancreaticojejunostomy for the pancreaticojejunostomy leakage induced intra-abdominal bleeding. Stopping pancreaticoduodenectomy-leakage-induced intractable intra-abdominal bleeding using normal saline irrigation: report of a case Yu-Chung Chang (changmdphd at yahoo dot com)Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University; Department of Surgery, Chung Shan Medical University Hospital, College of Medicine, Chung Shan Medical University, Taiwan Background : Intra-abdominal bleeding induced by a pancreaticojejunostomy (PJ) leakage after a pancreaticoduodenectomy (PD) is a lethal crisis. Transarterial embolization, endovascular stenting, and re-exploration are the standard treatments but have a high risk of mortality. No literature has been mentioned about the role of normal saline irrigation.

Objective: Recently, tissue polypeptide specific antigen (TPS) has been introduced as a cell proliferation marker. Little is known about its clinical significance in hepatocellular carcinoma (HCC). This study aimed to clarify serum TPS levels and tumor invasiveness of HCC. Methods: Serum TPS levels were determined with a monoclonal TPS IRMA assay in 69 patients with HCC. A correlation between serum TPS levels and clinical, biochemical, and pathological features was sought and compared with that of α-fetoprotein (AFP). In 57 healthy subjects, 56 patients with biopsy-proven chronic hepatitis and in 49 patients with liver cirrhosis, serum TPS levels were assayed and compared. Results: Serum TPS levels were significantly correlated with glutamic oxalacetic transaminase (p < 0.0001), glutamic pyruvic transaminase (p < 0.001), and lactate dehydrogenase (p = 0.027). There tended to be a positive relationship between serum TPS levels and tumor size, histological differentiation, capsular invasion, portal invasion, and clinical staging, although it did not reach statistical significance. A significant correlation, however, was observed between AFP and tumor size (p = 0.01), number (p = 0.042), histological grading (p = 0.028), portal invasion (p = 0.009), and clinical staging (p = 0.03). Patients with HCC had significantly higher TPS than healthy subjects (p < 0.001). However, there was substantial overlap between patients with HCC, chronic hepatitis, and liver cirrhosis. Conclusions: Our data suggest that serum TPS is not significantly related to tumor invasiveness in patients with HCC. Serum TPS levels are affected by the proliferative activity of the underlying chronic liver disease, which is frequently associated with HCC in Chinese patients. As a cell proliferation marker, serum TPS should be interpreted cautiously in the presence of chronic liver disease.

Since the first attempts at resecting parts of diseased livers in the late nineteenth century, hemorrhage has been the main obstacle for surgeons. One of the first hemostasis techniques in liver resection was liver suture. The idea of suturing the liver in order to perform resection was proposed by a team of Russian and Polish surgeons from Kharkiv University in today’s Ukraine. The liver suture became widely popular and has been used in various forms throughout the surgical world. Further into the twentieth century, it has lost much of its popularity; however, over more than 100 years of existence it has seen several peaks in interest. Currently, it is still being used by some liver surgeons as it is one of the cheapest ways of obtaining a bloodless liver parenchyma transection.

A novel method of repeated hepatic dearterialization was evaluated in five patients with multiple metastases from gastric cancer in both hepatic lobes. After gastrectomy with extensive lymph node dissection (R2/3), all patients underwent implantation of a vascular occluder around the hepatic artery. Cannulation of the hepatic artery was added for later chemotherapy. The hepatic artery was occluded repeatedly for 1 hour twice daily in combination with intrahepatic infusion of anticancer drugs for as long as possible. Three of five patients demonstrated marked tumour regression with unexpectedly long survival (16 months in two patients and one still alive at 15 months). Carcinoembryonic antigen (CEA) levels decreased to almost normal in four patients who had initially high levels. The present experiences seems to indicate that long survival can be hoped for in patients with advanced gastric cancer with unresectable liver metastases.

Bile duct injury (BDI) is the most serious iatrogenic complication during laparoscopic cholecystectomy (LC) and occurs easily in inexperienced surgeons since the position of common bile duct (CBD) and its related ductal junctions are hard to precisely identify in the hepatic anatomy during surgery. BDI can be devastating, leading to chronic morbidity, high mortality, and prolonged hospitalization. In addition, it is the most frequent injury resulting in litigation and the most likely injury associated with a successful medical malpractice claim against surgeons. This study introduces a novel method for conveniently and rapidly indicating the anatomical location of CBD during LC by the direct fiber-optic illumination of 532-nm diode-pumped solid state laser through a microstructured plastic optical fiber to avoid the wrong identification of CBD and the injury from mistakenly cutting the CBD that can lead to permanent and even life threatening consequences. Six porcine were used for preliminary intra-CBD illumination experiments via laparotomy and direct duodenal incision to insert the invented CBD illumination laser catheter with nonharmful but satisfactory visual optical density.

We report an ultracompact Mach-Zehnder index sensor with a device length of 438.6 μm using two micro-abrupt-tapers in a cladding-reduced strongly-guiding fiber based on a focused CO 2 laser beam. The cladding of strongly-guiding fiber is chemically etched before irradiated by a focused CO 2 laser beam. The index sensitivity is 600 nm/refractive index unit respectively at around 1.37 μm wavelength with a volume of 31.2 picoliter optical liquid trapping at one micro-abrupt-taper. A 72 picoliter glucose liquid with concentration of 200 mg/dL can lead to a red-shift of 0.8 nm at 1.3 μm.

Chang’s needle is a long needle for sewing the entire thickness of the liver tissue in one row using intermittent mattress sutures. In this fashion, all the intrahepatic inflows and backflows can be secured without using the traditional Pringle’s maneuver before starting a liver parenchyma transection. Alternatively, it can be applied to any specified regional inflows and backflows (Chang’s maneuver), under ultrasonographic guidance as well, for small tumor resection and to localize or minimize ischemia and reperfusion in the target area. When compared with Pringle’s maneuver or other kinds of inflow control, use of Chang’s maneuver allows maximal reduction of ischemic and reperfusion injuries, which will be beneficial to an already taxed cirrhotic liver. A straight needle cannot be used for tumors near or over the inferior vena cava. Currently, a curved needle is being developed to overcome such problems, as well as to secure inflow and backflow before laparoscopic liver transection. The advantages of using Chang’s needle for Chang’s maneuver are that it is simple and inexpensive, causes fewer hemorrhages and fewer ischemic and reperfusion injuries, requires less training, and incurs lower medical expenses.

The introduction of robots in health and wellbeing services could mean a great improvement in patients’ life, but also implies a huge change in hospital’s organization. This work introduces a empirical study that investigates the factors influencing the process of adoption of robots in hospitals. Interviews have been completed in a health organization leading this change. Learned lessons lead to define a balance of facilitators and barriers that should help to apply the innovation. This process has been completed from Kotter’s leading change approach, since it would be the roadmap for the whole procedure.

We report the use of a sensitive double-clad fiber (DCF) probe for remote cell flow velocity measurement by the means of two-photon excited fluorescence correlation spectroscopy (FCS). The ability to measure the flow velocities of labeled cells in whole blood has been demonstrated. A flow velocity of as high as 40 cm/s has been measured. The theoretical lower limit is the self-diffusion of the cell, which is almost zero compared to typical body fluid flow. Owing to the unique feature of two-photon excitation, we can monitor multiple fluorescent markers simultaneously. Therefore, using high brightness nanoparticles to generate the reference signal, we can calibrate the real time flow velocity or even calculate the average size of the cells under measurement. The ability to conduct in vivo flow velocity measurement with single cell resolution using the fiber probe would provide a unique way for disease diagnosis or surveillance after treatment.

Circulating tumor cells in the bloodstream are sensitive indicators for metastasis and disease prognosis. Circulating cells have usually been monitored via extraction from blood, and more recently in vivo using free-space optics; however, long-term intravital monitoring of rare circulating cells remains a major challenge. We demonstrate the application of a two-photon-fluorescence optical fiber probe for the detection of cells in whole blood and in vivo. A double-clad fiber was used to enhance the detection sensitivity. Two-channel detection was employed to enable simultaneous measurement of multiple fluorescent markers. Because the fiber probe circumvents scattering and absorption from whole blood, the detected signal strength from fluorescent cells was found to be similar in phosphate-buffered saline (PBS) and in whole blood. The detection efficiency of cells labeled with the membrane-binding dye 1,1'-dioctadecyl-3,3,3',3'-tetramethylindoldicarbocyanine, 4-chlorobenzenesulfonate (DiD) was demonstrated to be the same in PBS and in whole blood. A high detection efficiency of green fluorescent protein (GFP)-expressing cells in whole blood was also demonstrated. To characterize in vivo detection, DiD-labeled untransfected and GFP-transfected cells were injected into live mice, and the cell circulation dynamics was monitored in real time. The detection efficiency of GFP-expressing cells in vivo was consistent with that observed ex vivo in whole blood.

We have observed third-harmonic generation by single nanorods in solution and investigated its excitation polarization dependence. Our findings demonstrate the possibility of using third-harmonic signals for correlation spectroscopy, in contrast to conventional fluorescence correlation spectroscopy.

We demonstrate the use of a double-clad fiber probe to conduct two-photon excited flow cytometry in a live mouse. High detection efficiency of GFP-expressing cells is demonstrated, and the initial dynamics of injected circulating cells is observed.

The effect of cyclosporine on hepatic ischemia was investigated. Hepatic ischemia was produced for 90 min in mongrel dogs. Experimental dogs were divided into three groups as follows: group A (control group), group B (CsA pretreatment group), group C (CsA posttreatment group). CsA was administered at a dose of 10 mg/kg body weight/day for 3 days in the pre- or postoperative period. Survival rates were 61.5% in group A, 84.6% in group B, and 30.8% in group C. Enzymatic activity such as aspartate aminotransferase and lactate dehydrogenase was highest in group C, lowest in group B, and intermediate in group A. Opposite results were obtained for serum albumin concentrations. The mechanisms of the effect was investigated using a 60-min hepatic ischemia model. Serum levels of beta-glucosidase and beta-galactosidase in group B were lower than those in group A and group C. Electronmicroscopic specimens taken at 16 h after 60-min hepatic ischemia demonstrated that the extent of ischemic injury was mildest in group B. The present study demonstrated a beneficial effect on hepatic ischemia of CsA administered for 3 days prior to the ischemia. One of the mechanisms for this beneficial effect could be the stabilization of lysosomal membranes. These results suggest that CsA should be administered to a donor before organ harvesting for liver transplantation because of this beneficial effect.

Three cases of alpha fetoprotein producing early gastric cancer are presented. Liver metastases occurred in all patients shortly after curative gastrectomy and all died within two years. The incidence of liver metastasis was significantly higher than that in alpha fetoprotein negative early gastric carcinoma (p less than 0.001). The incidences of lymph node metastasis and invasion in lymph vessels and veins were also substantially higher in this group of patients. Two radical hepatic resections, including extended right lobectomy, were performed on one patient but the tumour recurred immediately.