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Plasma etching treatment is an effective strategy to improve the electrocatalytic activity, but the improvement mechanism is still unclear. In this work, a nitrogen-doped carbon nanotube-encased iron nanoparticles (Fe@NCNT) catalyst is synthesized as the model catalyst, followed by plasma etching treatment with different parameters. The electrocatalytic activity improvement mechanism of the plasma etching treatment is revealed by combining the physicochemical characterizations and electrochemical results. As a result, highly active metal-nitrogen species introduced by nitrogen plasma etching treatment are recognized as the main contribution to the improved electrocatalytic activity, and the defects induced by plasma etching treatment also contribute to the improvement of the electrocatalytic activity. In addition, the prepared catalyst also demonstrates superior ORR activity and stability than the commercial Pt/C catalyst., Competing Interests: The authors declare no conflicts of interest., (© 2023 The Authors. Exploration published by Henan University and John Wiley & Sons Australia, Ltd.)

Additive manufacturing, commonly known as 3D printing, allows decentralized drug fabrication of orally administered tablets. Microneedles are comparatively favorable for self-administered transdermal drug delivery with improved absorption and bioavailability. Due to the cross-scale geometric characteristics, 3D-printed microneedles face a significant trade-off between the feature resolution and production speed in conventional layer-wise deposition sequences. In this study, we introduce an economical and scalable direct ink drawing strategy to create drug-loaded microneedles. A freestanding microneedle is efficiently generated upon each pneumatic extrusion and controlled drawing process. Sharp tips of ∼5 μm are formed with submillimeter nozzles, representing 2 orders of magnitude improved resolution. As the key enabler of this fabrication strategy, the yield-stress fluid inks are formulated by simply filling silica nanoparticles into regular polymer solutions. The approach is compatible with various microneedles based on dissolvable, biodegradable, and nondegradable polymers. Various matrices are readily adopted to adjust the release behaviors of the drug-loaded microneedles. Successful fabrication of multifunctional patches with heterogeneously integrated microneedles allows the treatment of melanoma via synergistic photothermal therapy and combination chemotherapy. The personalized patches are designed for cancer severity to achieve high therapeutic efficacy with minimal side effects. The direct ink drawing reported here provides a facile and low-cost fabrication strategy for multifunctional microneedle patches for self-administering transdermal drug delivery.

The characterization of atherosclerotic plaques to predict their vulnerability to rupture remains a diagnostic challenge. Despite existing imaging modalities, none have proven their abilities to identify metabolically active oxidized low-density lipoprotein (oxLDL), a marker of plaque vulnerability. To this end, we developed a machine learning-directed electrochemical impedance spectroscopy (EIS) platform to analyze oxLDL-rich plaques, with immunohistology serving as the ground truth. We fabricated the EIS sensor by affixing a six-point microelectrode configuration onto a silicone balloon catheter and electroplating the surface with platinum black (PtB) to improve the charge transfer efficiency at the electrochemical interface. To demonstrate clinical translation, we deployed the EIS sensor to the coronary arteries of an explanted human heart from a patient undergoing heart transplant and interrogated the atherosclerotic lesions to reconstruct the 3D EIS profiles of oxLDL-rich atherosclerotic plaques in both right coronary and left descending coronary arteries. To establish effective generalization of our methods, we repeated the reconstruction and training process on the common carotid arteries of an unembalmed human cadaver specimen. Our findings indicated that our DenseNet model achieves the most reliable predictions for metabolically vulnerable plaque, yielding an accuracy of 92.59% after 100 epochs of training., Competing Interests: The authors declare no conflicts of interest., (© 2023 The Authors. Bioengineering & Translational Medicine published by Wiley Periodicals LLC on behalf of American Institute of Chemical Engineers.)

The current cardiac pacemakers are battery dependent, and the pacing leads are prone to introduce valve damage and infection, plus a complete pacemaker retrieval is needed for battery replacement. Despite the reported wireless bioelectronics to pace the epicardium, open-chest surgery (thoracotomy) is required to implant the device, and the procedure is invasive, requiring prolonged wound healing and health care burden. We hereby demonstrate a fully biocompatible wireless microelectronics with a self-assembled design that can be rolled into a lightweight microtubular pacemaker for intravascular implantation and pacing. The radio frequency was used to transfer energy to the microtubular pacemaker for electrical stimulation. We show that this pacemaker provides effective pacing to restore cardiac contraction from a nonbeating heart and have the capacity to perform overdrive pacing to augment blood circulation in an anesthetized pig model. Thus, this microtubular pacemaker paves the way for the minimally invasive implantation of leadless and battery-free microelectronics.

Electricity generation from body heat has garnered significant interest as a sustainable power source for wearable bioelectronics. In this work, we report stretchable n-type thermoelectric fibers based on the hybrid of Ti 3 C 2 T x MXene nanoflakes and polyurethane (MP) through a wet-spinning process. The proposed fibers are designed with a 3D interconnected porous network to achieve satisfactory electrical conductivity (σ), thermal conductivity (κ), and stretchability simultaneously. We systematically optimize the thermoelectric and mechanical traits of the MP fibers and the MP-60 (with 60 wt % MXene content) exhibits a high σ of 1.25 × 10 3 S m -1 , an n-type Seebeck coefficient of -8.3 μV K -1 , and a notably low κ of 0.19 W m -1 K -1 . Additionally, the MP-60 fibers possess great stretchability and mechanical strength with a tensile strain of 434% and a breaking stress of 11.8 MPa. Toward practical application, a textile thermoelectric generator is constructed based on the MP-60 fibers and achieves a voltage of 3.6 mV with a temperature gradient between the body skin and ambient environment, highlighting the enormous potential of low-grade body heat energy harvesting.

Photodynamic therapy and sonodynamic therapy are two highly promising modalities for cancer treatment. The latter holds an additional advantage in deep-tumor therapy owing to the deep penetration of the ultrasonic radiation. The therapeutic efficacy depends highly on the photo/ultrasound-responsive properties of the sensitizers as well as their tumor-localization property and pharmacokinetics. A novel nanosensitizer system based on a polymeric phthalocyanine (pPC-TK) is reported herein in which the phthalocyanine units are connected with cleavable thioketal linkers. Such polymer could self-assemble in water forming nanoparticles with a hydrodynamic diameter of 48 nm. The degradable and flexible thioketal linkers could effectively inhibit the π-π stacking of the phthalocyanine units, rendering the resulting nanoparticles an efficient generator of reactive oxygen species upon light or ultrasonic irradiation. The nanosensitizer could be internalized into cancer cells readily, inducing cell death by efficient photodynamic and sonodynamic effects. The potency is significantly higher than that of the monomeric phthalocyanine (PC-4COOH). The nanosensitizer could also effectively inhibit the growth of tumor in liver tumor-bearing mice by these two therapies without causing noticeable side effects. More importantly, it could also retard the growth of a deep-located orthotopic liver tumor in vivo by sonodynamic therapy., (© 2023 Wiley-VCH GmbH.)

Aggregation caused quenching (ACQ) effect can severely inhibit the application of hydrophobic photosensitizers (PSs) bearing planar and rigid structures. Most of the reported cases utilized random-coiled polymers for the in vivo delivery of PSs, which would inevitably aggravate ACQ effect due to the flexible chains. In this work, the role of polymers' secondary structures (especially α-helical conformation) in overcoming the PSs' aggregation is systemically investigated based on the design of α-helical polypeptides bearing tetraphenylporphyrin (TPP) side chains. Atomistic molecular dynamics simulation, fluorescence quantum yield, and reactive oxygen species (ROS) generation yield are evaluated to demonstrate that α-helical polypeptide backbones can significantly boost both fluorescence quantum yield and ROS by suppressing the π-π stacking interaction between TPP units. The enhanced in vitro and in vivo phototoxicity for helical polypeptides also reveal functions of secondary structures in inhibiting ACQ and improving the membrane activity. Successful in vivo photodynamic therapy (PDT) results in mice bearing H22 tumors showed great potentials for further clinical applications., (© 2023 Wiley-VCH GmbH.)

Self-healing is a bioinspired strategy to repair damaged conductors under repetitive wear and tear, thereby largely extending the life span of electronic devices. The self-healing process often demands external triggering conditions as the practical challenges for the widespread applications. Here, a compliant conductor with electrically self-healing capability is introduced by combining ultrahigh sensitivity to minor damages and reliable recovery from ultrahigh tensile deformations. Conductive features are created in a scalable and low-cost fabrication process comprising a copper layer on top of liquid metal microcapsules. The efficient rupture of microcapsules is triggered by structural damages in the copper layer under stress conditions as a result of the strong interfacial interactions. The liquid metal is selectively filled into the damaged site for the instantaneous restoration of the metallic conductivity. The unique healing mechanism is responsive to various structural degradations including microcracks under bending conditions and severe fractures upon large stretching. The compliant conductor demonstrates high conductivity of ∼12,000 S/cm, ultrahigh stretchability of up to 1,200% strain, an ultralow threshold to activate the healing actions, instantaneous electrical recovery in microseconds, and exceptional electromechanical durability. Successful implementations in a light emitting diode (LED) matrix display and a multifunctional electronic patch demonstrate the practical suitability of the electrically self-healing conductor in flexible and stretchable electronics. The developments provide a promising approach to improving the self-healing capability of compliant conductors.

SARS-CoV-2, the virus underlying COVID-19, has now been recognized to cause multiorgan disease with a systemic effect on the host. To effectively combat SARS-CoV-2 and the subsequent development of COVID-19, it is critical to detect, monitor, and model viral pathogenesis. In this review, we discuss recent advancements in microfluidics, organ-on-a-chip, and human stem cell-derived models to study SARS-CoV-2 infection in the physiological organ microenvironment, together with their limitations. Microfluidic-based detection methods have greatly enhanced the rapidity, accessibility, and sensitivity of viral detection from patient samples. Engineered organ-on-a-chip models that recapitulate in vivo physiology have been developed for many organ systems to study viral pathology. Human stem cell-derived models have been utilized not only to model viral tropism and pathogenesis in a physiologically relevant context but also to screen for effective therapeutic compounds. The combination of all these platforms, along with future advancements, may aid to identify potential targets and develop novel strategies to counteract COVID-19 pathogenesis., Competing Interests: Disclosures None.

Stretchable microsupercapacitors represent emerging miniaturized energy-storage devices for next-generation deformable electronics. Two-dimensional (2D) transition metal carbides (MXenes) are considered attractive electrode materials due to their metallic conductivity, hydrophilic surfaces, and excellent processability. Here, an ultrastretchable microsupercapacitor of interdigitated MXene microelectrodes with crumpled surface textures is created. The microsupercapacitor shows a series of attractive properties including a high specific capacitance of ≈185 mF cm -2 , ultrahigh stretchability up to 800% area strain, and ≈89.7% retention of the initial capacitance after 1000 stretch-relaxation cycles. In addition to static strains, the microsupercapacitor demonstrates robust mechanical properties to retain stable charging-discharging capability under dynamic stretching at different strain rates. A self-powering circuit system utilizes four microsupercapacitor packs to power a light-emitting diode (LED) array, which exhibits stable operations under large tensile strain and skin-attached wearable settings. The developments offer a generic design strategy to enhance the deformability of microsupercapacitors based on 2D nanomaterials., (© 2023 Wiley-VCH GmbH.)

Probiotics have several health benefits to the host. However, low pH in the stomach, various digestive enzymes and bile salts in the intestine threaten their viability and function. Thus, probiotics need to be protected during gastric transit to address challenges associated with low viability and impaired function. At present, probiotic delivery systems with different trigger mechanisms have been constructed to successfully introduce numerous high-viability probiotics to the intestine. On this basis, the application of non-targeted/targeted probiotic delivery systems in different gut microenvironment and the adjuvant therapeutic effect of probiotic delivery systems on other disease were discussed in detail. It is important to also note that most of the current studies in this area focused on non-targeted probiotic delivery systems. Moreover, changes in intestinal microenvironment under disease state and discontinuous distribution of disease site limit their development. Thus, emphasis were made on the optimization of non-targeted probiotic delivery systems and the necessity of designing more precisely targeted ones., Competing Interests: Declaration of Competing Interest The authors declare no conflict of interest in this paper., (Copyright © 2022. Published by Elsevier B.V.)

Heat treatment is an important processing technique related to milk quality and nutritional value in the dairy industry. In this study, changes in milk lipids in response to different heat treatments were comprehensively characterized using a lipidomic approach. Ultra-performance liquid chromatography coupled with quadrupole time-of-flight mass spectrometry (UPLC-Q-TOF-MS) were used to identify and quantify 29 classes and 788 different lipids. In general, heat treatment promoted milk lipid hydrolysis and oxidation; in particular, ultra-high temperature (UHT) treatment resulted in more phospholipid hydrolysis than did pasteurization and extended shelf-life (ESL) treatment. Heat treatment resulted in further lipid oxidation reactions and a reduction in the amount of mild oxidation products. Moreover, the levels of lysophospholipids and free fatty acids (including oxidized free fatty acids) can be used to distinguish UHT-treated milk. In turn, oxidized phosphatidylcholine, oxidized phosphatidylethanolamine, ether-linked phosphatidylethanolamine, diacylglycerol, triacylglycerol, and oxidized triacylglycerol can be used to differentiate raw, pasteurized, and ESL milk. These biomarkers can potentially be used in the dairy industry to monitor the degree and method of heat treatment of milk., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Direct photocatalytic CO 2 reduction from primary sources, such as flue gas and air, into fuels, is highly desired, but the thermodynamically favored O 2 reduction almost completely impedes this process. Herein, we report on the efficacy of a composite photocatalyst prepared by hyper-crosslinking porphyrin-based polymers on hollow TiO 2 surface and subsequent coordinating with Pd(II). Such composite exhibits high resistance against O 2 inhibition, leading to 12% conversion yield of CO 2 from air after 2-h UV-visible light irradiation. In contrast, the CO 2 reduction over Pd/TiO 2 without the polymer is severely inhibited by the presence of O 2 ( ≥ 0.2 %). This study presents a feasible strategy, building Pd(II) sites into CO 2 -adsorptive polymers on hollow TiO 2 surface, for realizing CO 2 reduction with H 2 O in an aerobic environment by the high CO 2 /O 2 adsorption selectivity of polymers and efficient charge separation for CO 2 reduction and H 2 O oxidation on Pd(II) sites and hollow TiO 2 , respectively., (© 2022. The Author(s).)

Background: In recent years, the clinical efficacy of spinal fusion (SF) or total disc arthroplasty (TDA) in the treatment of the degenerative lumbar disc disease is still controversial. The objective of this retrospective clinical trial was to investigate whether TDA was superior to the SF in the complication rates and clinical outcome scores., Methods: This retrospective research was based on the Strengthening the Reporting of Observational studies in Epidemiology checklist. Internal clinical data sets for 2014 to 2018 were acquired and consolidated with the approval of the Institutional Review Committee of Shaoxing Hospital of Zhejiang University. Inclusion criteria in this present research included: low back pain without or with the leg pain for more than one year; failure of conservative treatment planned for more than three months; age was 25 to 60 years old; followed up for at least one year. The main outcome measure was disability and pain measured via the Norwegian version of Oswestry disability index 2.0. The other clinical outcomes included Short-Form Health Survey, reoperations, duration of surgery, complications, hospital stay length, as well as the blood loss. The significance was set at 0.05 level with the confidence intervals of 95%. The software package of SPSS (version 21.0; SPSS Inc, Chicago, IL, USA) was applied for all the analyses of statistics., Results: The null hypothesis is that there is no significant difference in outcomes between TDA and SF in the treatment of degenerative lumbar disc disease., Trial Registration: This study protocol was registered in Research Registry (researchregistry5847).

Significant efforts have been devoted to develop efficient visible-light-driven photocatalysts for the conversion of CO 2 to chemical fuels. The photocatalytic efficiency for this transformation largely depends on CO 2 adsorption and diffusion. However, the CO 2 adsorption on the surface of photocatalysts is generally low due to their low specific surface area and the lack of matched pores. Here we report a well-defined porous hypercrosslinked polymer-TiO 2 -graphene composite structure with relatively high surface area i.e., 988 m 2  g -1 and CO 2 uptake capacity i.e., 12.87 wt%. This composite shows high photocatalytic performance especially for CH 4 production, i.e., 27.62 μmol g -1  h -1 , under mild reaction conditions without the use of sacrificial reagents or precious metal co-catalysts. The enhanced CO 2 reactivity can be ascribed to their improved CO 2 adsorption and diffusion, visible-light absorption, and photo-generated charge separation efficiency. This strategy provides new insights into the combination of microporous organic polymers with photocatalysts for solar-to-fuel conversion.

Highly porous carbonaceous nonprecious metal catalysts for the oxygen reduction reaction are prepared by carbonization of low-cost metalloporphyrin-based hyper-crosslinked polymers (MPH-X). With high surface area (2768 m 2  g -1 ), hierarchical porous structure, and high metal loading (9.97 wt %), the obtained hyperporous carbon MPH-Fe/C catalyst exhibits high oxygen reduction reaction (ORR) activity with a half-wave potential (0.816 V) that is comparable to the 0.819 V of commercial Pt/C. Stability tests reveal that MPH-Fe/C also exhibits outstanding long-term durability and methanol tolerance. Our findings may offer an alternative approach to produce nonprecious metal ORR catalysts on a large scale owing to the low-cost MPH-X precursors with diverse metal types., (© 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.)

Covalent triazine frameworks (CTFs) with aromatic triazine linkages have recently received increasing interest for various applications because of their rich nitrogen content and high chemical stability. Owing to the strong aromatic C=N bond and high chemical stability, only a few CTFs are crystalline, and most CTFs are amorphous. Herein we report a new general strategy to give highly crystalline CTFs by in situ formation of aldehyde monomers through the controlled oxidation of alcohols. This general strategy allows a series of crystalline CTFs with different monomers to be prepared, which are shown to have higher thermal stability and enhanced performance in photocatalysis as compared with the less crystalline or amorphous CTFs. This open-system approach is very simple and convenient, which presents a potential pathway to large-scale industrial production of crystalline CTFs., (© 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.)

In order to achieve efficient CO 2 capture, four novel microporous organic polymers, based on distinct polycyclic aromatic hydrocarbons such as fluoranthene, binaphthalene, naphthalene and phenanthrene, were successfully prepared by the solvent knitting method. N 2 sorption isotherms indicate that these polymers are predominately microporous with ultrahigh BET surface area i.e. , 1788 m 2 g -1 for fluoranthene-based Polymer 1, 1702 m 2 g -1 for binaphthalene-based Polymer 2 and objective CO 2 uptake capacity of 24.79 wt% and 20.19 wt% (273.15 K/1.00 bar) respectively. While compared with the former two polymers, though 1227 m 2 g -1 and 978 m 2 g -1 are moderate in surface area, however the naphthalene-based Polymer 3 and phenanthrene-based Polymer 4 still exhibit CO 2 adsorption of up to 17.44 wt% and 18.15 wt% respectively under the similar conditions. Moreover, the H 2 storage and CH 4 adsorption in these polymers can be 2.20 wt% (77.3 K/1.13 bar) and 2.79 wt% (273.15 K/1.00 bar). More significantly, the electron-rich PAHs are proved to be new building blocks that provide a wealth of chances to produce hypercrosslinked polymers with efficient gas adsorption capacity, which are greatly influenced by the porous nature of polymers. Given the merits including mild reaction conditions, low cost, high surface area, impressive gas absorption performance, high thermal stability, these polymers are considered to be promising candidates for CO 2 capture and energy storage under more practical conditions., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)