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Abstract The potential of using eco‐friendly thermoplastic polypropylene (PP)‐based insulation for high voltage direct current (HVDC) cable has been widely investigated but much less work on the PP‐based semiconducting screen (SC). Considering a long service life (>30 years) under high temperature and high electrical stress is required for typical HVDC cables, and investigations on the effect of antioxidant (AO) concentration and thermal oxidative stability, mechanical, and electrical properties of PP‐based SCs have been conducted. It has been demonstrated that an appropriate combination and amounts of AOs are critical for achieving high thermal stability and maintaining the mechanical properties of SC after ageing in a harsh environment (150°C, with Cu, in air, 7 days). Although higher amounts of space charges have been observed in SC/PP/SC samples with higher AO concentrations, the impact on space charge behaviours is less after ageing, suggesting that ageing (or operating at high temperature) leads to microstructure evolution in SC and can potentially mitigate space accumulation in PP‐based insulating materials.

Abstract Surface flashover is a devastating electronic avalanche along the gas–solid interface when a high electric field is applied, which is a potential issue that threatens the safe operations of advanced power electronic, electrical, and spacecraft applications. However, the underlying physical mechanisms for surface flashover development are still under investigation owing to the complex charge transport processes through the gas phase, solid phase, and gas–solid interface. In this study, the history of surface flashover theory in the last 50 years is introduced, and several key questions are reviewed from the perspective of the competing mechanisms of charge transport: the role of each phase in a surface flashover, the origin of surface charging, and effects of traps in solid on surface flashover. Then, some suggestions involve charge transport processes in each phase, and their correlations are put forward, and a predictable ‘charge transport competitive flashover model’ is proposed by clarifying the competing mechanisms of charge transport processes through multiple phases. This study summarises the history and hot topics of physical mechanisms of surface flashover proposed based on classic and recent progress and offers promising routes for developing a more precise surface flashover theory and improving surface flashover performances.

Abstract Objective Cisplatin forms the backbone of systemic chemotherapy treatment for oropharyngeal squamous cell carcinoma (OPSCC). The ideal cisplatin dosing regimen remains yet to be fully defined for achieving optimal efficacy and toxicity profiles in patients with comorbidity. Methods We retrospectively reviewed oncologic and toxicity data for patients with OPSCC treated at the Michael E. DeBakey Veterans Affairs Medical Center between 2000 and 2020 who initiated curative intent, definitive chemo‐radiation with one of three single agent regimens: high dose (HD) cisplatin, low dose (LD) cisplatin or cetuximab. Results Patients with HPV‐associated tumors and nonsmokers demonstrated improved overall and disease‐free survival along with locoregional and distant metastatic control regardless of chemotherapy regimen. Regardless of regimen selection, patients which received a cumulative cisplatin dose ≥200 mg/m2 had a lower rate of distant metastasis. The HD regimen resulted in a greater fraction (75% vs. 50%) of patients receiving a cumulative cisplatin dose ≥200 mg/m2 and a comparable measured toxicity burden compared to the LD regimen. Conclusions Both HD and LD cisplatin regimens can be safely delivered to a Veteran OPSCC patient population which should allow for straightforward application of conclusions drawn from completed and active clinical trials testing cisplatin regimens. Level of Evidence 4.

Not available.

Abstract High voltage direct current (HVDC) power transmission cable is critical for realising sustainability through renewable energy revolution. Eco‐friendly thermoplastic polypropylene (PP)‐based polymers/nanocomposites are regarded as promising candidates for replacing current thermoset crosslinked polyethylene (XLPE) cables. As an essential component of the extruded HVDC cable for improving conductor/insulation interface and suppressing charge injection to insulation at high DC electrical stresses, developing semiconducting (SC) screens that are compatible with PP‐based insulation is of similar importance but has not been well studied yet. This work aims at designing PP‐based semiconducting screens and investigating space charge behaviours of SC/PP/SC sandwich specimen to unfold the effect of semiconducting materials, bonding methods, applied DC electric field, and temperature on charge injection, accumulation, transportation, and dissipation in PP‐based insulation. Although conventional thermal, mechanical, and low field electrical characterisations demonstrated that all of the developed semiconducting materials meet the performance criteria of commercial semiconducting materials, their space charge and local electric field distribution varied significantly at high DC fields. Compared with the traditional non‐bonded configuration used at lab‐scale, charge injection was enhanced in hot‐pressed SC/PP/SC samples with tightly bonded interfaces, which better reflects the real situation in extruded cables. High temperature further intensified charge injections. Besides, our results also revealed that high temperature and electric field strongly influence charge mobilities and consequently their distribution and local electric field in PP‐based insulations.

Objective Although appendiceal cancer remains a rare gastrointestinal malignancy compared with colorectal cancer, incidence rates of appendiceal cancer have increased in the last two decades. Appendiceal and cecal adenocarcinomas have distinct genomic profiles, but chemotherapy protocols for these malignancies are the same and survival outcomes between them have not been compared extensively. To this end, we conducted a comparative survival analysis of appendiceal and cecal adenocarcinomas.Design Using the Surveillance, Epidemiology and End Results (SEER) database, we identified individuals ≥30 years of age with appendiceal or cecal adenocarcinoma from 1975 to 2016. Demographic, clinical and county-level socioeconomic data were extracted using SEER*Stat software. Survival was compared by Mantel-Haenszel log-rank test, and survival curves were generated using the Kaplan-Meier method. Relative HRs for death in the 5-year period following diagnosis were calculated using multivariable Cox regression analysis, adjusted for all other covariates. The significance level was set at p

Abstract The agglomeration causes a significant challenge to nanodielectrics. Identification of agglomerates in scanning electron microscopy (SEM) images is an important step of solving this issue. Motivated by the fast development of image recognition in computer vision, we propose a new approach for agglomerates identification in SEM images of nanodielectrics by semantic segmentation, which is more efficient and accurate than traditional methods. Three models based on convolutional neural networks are investigated in this work, namely pixel blocks classification network, full convolutional segmentation network employed with data augmentation and unsupervised self‐encoding network. All three networks can preliminarily identify agglomerates of spherical silica‐based blend polyethylene nanocomposites. The mean intersection over union (mIoU) of pixel blocks classification network is 0.843 and it takes 25 s to process an image. Full convolutional segmentation network only needs 0.059 s to process a sample, with a mIoU of 0.777. Unsupervised self‐encoding network can reach a mIoU of 0.747 at a speed of 5.806 s. According to the amount of data sets, and requirements for different speed and accuracy, three kinds of networks can be flexibly selected.

Chronic graft-versus-host disease (GvHD) treatment response is assessed using National Institutes of Health (NIH) Consensus Criteria in clinical trials, and by clinician assessment in routine practice. Patient-reported treatment response is central to the experience of chronic GvHD manifestations as well as treatment benefit and toxicity, but how they correlate with clinician- or NIH-responses has not been well-studied. We aimed to characterize 6-month patientreported response, determine associated chronic GvHD baseline organ features and changes, and evaluate which patientreported quality of life and chronic GvHD symptom burden measures correlated with patient-reported response. From two nationally representative Chronic GVHD Consortium prospective observational studies, 382 subjects were included in this analysis. Patient and clinician responses were categorized as improved (completely gone, very much better, moderately better, a little better) versus not improved (about the same, a little worse, moderately worse, very much worse). At six months, 270 (71%) patients perceived chronic GvHD improvement, while 112 (29%) perceived no improvement. Patient-reported response had limited correlation with either clinician-reported (kappa 0.37) or NIH chronic GvHD response criteria (kappa 0.18). Notably, patient-reported response at six months was significantly associated with subsequent failure-free survival. In multivariate analysis, NIH responses in eye, mouth, and lung had significant association with 6-month patient-reported response, as well as a change in Short Form 36 general health and role physical domains and Lee Symptom Score skin and eye changes. Based on these findings, patient-reported responses should be considered as an important complementary endpoint in chronic GvHD clinical trials and drug development.

Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease worldwide. Although previous studies have demonstrated that exercise independently reduces hepatic steatosis measured by imaging modalities in NAFLD, the effect of exercise on histological endpoints remains unclear. We aimed to conduct a systematic review of the independent effect of exercise on hepatic steatosis, steatohepatitis, and liver fibrosis as measured by histological assessment or non-invasive tests (NITs) in biopsy-proven NAFLD. A systematic literature search of PubMed, Embase, and Web of Science databases was performed using keywords related to exercise, NAFLD, and biopsy. Articles were selected based on the following inclusion criteria: (1) involved human subjects with biopsy-proven NAFLD, (2) analyzed the independent effect of exercise, (3) assessed changes in hepatic steatosis, steatohepatitis, or liver fibrosis via either histological evaluation or NITs, and (4) were original research studies. We identified a total of six studies that analyzed the independent effect of exercise on histological endpoints in biopsy-proven NAFLD. Two randomized controlled trials (RCTs) did not detect significant histological improvement following exercise interventions, while other non-randomized interventional studies showed that exercise reduces hepatocyte ballooning and liver fibrosis. In addition, five studies assessed NIT outcomes, collectively demonstrating that exercise improves hepatic steatosis measured by magnetic resonance imaging-based techniques but not serum biomarkers for steatohepatitis and liver fibrosis. Additional large RCTs and meta-analyses are warranted to investigate the independent effect of exercise on histological and clinical outcome endpoints in NAFLD.

This study aimed to evaluate the impact of Nystatin oral rinse on salivary and supragingival microbiota in adults with oral candidiasis and identify predictive factors related to individuals’ responses to Nystatin. The trial involved twenty participants who used 600,000 International Units/application of Nystatin oral rinse for seven days, four times a day, and were followed up at one week and three months after the rinse. The salivary and plaque microbiome of the participants were assessed via 16S rDNA amplicon sequencing. Overall, salivary and plaque microbiomes remained stable. However, among the participants (53 percent) who responded to Nystatin rinse (defined as free of oral Candida albicans post treatment), Veillonella emerged as a core genus alongside Streptococcus and Actinomyces in supragingival plaque at the 3-month follow-up. Furthermore, statistical models were fit to identify predictive factors of Nystatin rinse success (elimination of C. albicans) or failure (remaining C. albicans). The results revealed that an increased level of salivary Interferon (IFN)-γ-inducible protein (IP-10), also known as C-X-C motif chemokine ligand 10 (CXCL10), was an indicator of a failure of responding to Nystatin rinse. Future clinical trials are warranted to comprehensively assess the impact of antifungal treatment on the oral flora.

Abstract Polymer nanocomposites have attracted increased attention for use in the field of high‐voltage direct current (HVDC) cable insulation. To study the use of polymer nanocomposites for this purpose, 3D flower‐like MgO (flower‐MgO) particles with hierarchical surface morphology are first synthesised. Polypropylene (PP) was simultaneously mixed with styrene‐(ethylene‐co‐butylene)‐styrene triblock copolymer (SEBS) and flower‐MgO to obtain PP/SEBS/flower‐MgO composites. The microstructural, thermal, electrical, and mechanical properties of the obtained nanocomposites were then studied in detail. The results showed that flower‐MgO particles loaded at low concentration were well dispersed in the PP/SEBS matrix. The incorporation of flower‐MgO particles has been found to significantly suppress the injection of homocharges and strengthen the ability to release the charge, thus containing accumulation of the space charge. The DC breakdown strength of PP/SEBS/flower‐MgO composites was increased to 323 MV/m. Meanwhile, the tensile strength and elongation at break of the obtained composites was improved by loading 0.5 phr flower‐MgO because of the synergistic toughening effects of SEBS and MgO. The investigation demonstrates the immense potential to replace nonrecyclable cross‐linked polyethylene as an HVDC cable insulating material.

The Caenorhabditis elegans Gene Knockout Consortium is tasked with obtaining null mutations in each of the more than 20,000 open reading frames (ORFs) of this organism. To date, approximately 15,000 ORFs have associated putative null alleles. As there has been substantial success in using CRISPR/Cas9 in C. elegans, this appears to be the most promising technique to complete the task. To enhance the efficiency of using CRISPR/Cas9 to generate gene deletions in C. elegans we provide a web-based interface to access our database of guide RNAs (http://genome.sfu.ca/crispr). When coupled with previously developed selection vectors, optimization for homology arm length, and the use of purified Cas9 protein, we demonstrate a robust and effective protocol for generating deletions for this large-scale project. Debate and speculation in the larger scientific community concerning off-target effects due to non-specific Cas9 cutting has prompted us to investigate through whole genome sequencing the occurrence of single nucleotide variants and indels accompanying targeted deletions. We did not detect any off-site variants above the natural spontaneous mutation rate and therefore conclude that this modified protocol does not generate off-target events to any significant degree in C. elegans. We did, however, observe a number of non-specific alterations at the target site itself following the Cas9-induced double-strand break and offer a protocol for best practice quality control for such events.

The energy density of polymers for high temperature applications is still relatively low. Among them, polyimide (PI) is one of the most attractive matrixes because of its high thermal stability. Instead of the mono thermal imidization method to fabricate multilayer PI nanocomposites in the literature, a novel method was proposed herein to better control the multilayer morphology, which could help to further enhance the energy storage properties. The method's effect on the morphology especially on the interfaces between adjacent layers was studied, and then the mechanism of breakdown strength change was discussed by a proposed model based on bipolar charge transport. The sandwich-structured PI nanocomposites, composed of the middle polarization layer with high BaTiO3 (BT) content and the two outer insulation layers with low BT content, were fabricated. Enhanced breakdown field and discharged energy density of 550 kV/mm and 5.1 J/cm3 with the efficiency of about 70% were achieved, while keeping a high thermal stability (500 kV/mm and 3.9 J/cm3 at 100 °C). This work presents a promising polymer nanocomposite for energy storage capacitors especially in extreme temperature environments, and a new concept to fabricate multilayer dielectric composites.

High-voltage DC (HVDC) cables show more efficiency than high-voltage AC cables over the long distance power transmission and have attracted significant attention recently due to rapid developments in off-shore wind farm. Polypropylene laminated paper (PPLP) insulation based HVDC cables have provided a reliable operation for many years and are the highest voltage level in operation at the moment. In this study, the authors intend to understand the electrical performance of PPLP insulation system by examining space charge in detail, especially at the interfaces. It has been found that the interface between polypropylene and Kraft paper acts as trap for charge carriers, resulting in an optimal electric field distribution in PPLP insulation system. The optimal electric field distribution enhances overall electrical performance of PPLP insulation, including higher dc breakdown strength and lower electrical conductivity.

Background: Metabolic syndrome (MetS), the clustering of metabolic risk factors, is associated with cardiovascular disease risk. We sought to determine if dysregulation of the lipidome may contribute to metabolic risk factors. Methods: We measured 154 circulating lipid species in 658 participants from the Framingham Heart Study (FHS) using liquid chromatography-tandem mass spectrometry and tested for associations with obesity, dysglycemia, and dyslipidemia. Independent external validation was sought in three independent cohorts. Follow-up data from the FHS were used to test for lipid metabolites associated with longitudinal changes in metabolic risk factors. Results: Thirty-nine lipids were associated with obesity and eight with dysglycemia in the FHS. Of 32 lipids that were available for replication for obesity and six for dyslipidemia, 28 (88%) replicated for obesity and five (83%) for dysglycemia. Four lipids were associated with longitudinal changes in body mass index and four were associated with changes in fasting blood glucose in the FHS. Conclusions: We identified and replicated several novel lipid biomarkers of key metabolic traits. The lipid moieties identified in this study are involved in biological pathways of metabolic risk and can be explored for prognostic and therapeutic utility. Keywords: Metabolic risk, Metabolic syndrome, Cardiovascular disease, Dysglycemia, Dyslipidemia, Biomarker

Genetic variation can influence levels of disease-related plasma proteins and, thus, contribute to the pathogenesis of complex diseases. Here, the authors perform genome-wide QTL analysis for 71 plasma proteins to identify causal proteins for coronary heart disease and provide a molecular QTL browser.

Abstract Background Kruppel family member zinc binding protein 89 (ZBP-89), also known as ZNF148, regulates Bak expression via binding to GC-rich promoter domain. It is not clear if other GC-rich binding factors, such as Sp family members, can interact with ZBPp-89 on Bak expression. This study aims to elucidate the mechanism of Bak expression regulation by ZBP-89 and Sp proteins, based on in vitro experiment and The Cancer Genome Atlas (TCGA) hepatocellular carcinoma (HCC) data cohort. Methods We downloaded TCGA hepatocellular carcinoma (HCC) cohort data to analysis the association of Bak transcription level with ZBP-89 and Sp proteins transcription level. HCC cell lines and liver immortal non-tumour cell lines were used for mechanism study, including western blotting analysis, expression vector mediated gene expression and siRNA interference. Results Results showed that cancer tissues have higher Bak transcription level compared with adjacent non-cancer tissues. Bak transcription level was correlated with Sp1 and Sp3 expression level, while no correlation was found in ZBP-89 and Bak, neither Sp2 nor Sp4. Mithramycin A (MMA) induced Bak expression in a dose-dependent manner. Western blotting results showed Sp1 overexpression increased Bak expression both in liver immortal non-tumour cells and HCC cells. Interference Sp1 expression could inhibit Bak expression alone. ZBP-89 siRNA suppressed Bak expression even in the presence of MMA treatment and S1 overexpression. Additionally, Bak and Sp1 level were associated with HCC patient survival. Conclusions Bak expression required ZBP-89 and Sp1 cooperative regulation simultaneously.

In insulating liquid, a conductive particle becomes charged through the interaction with a conductor exposed to an applied field. Then, it migrates in the action of both electric field and fluid and causes the enhancement of local field when it is in proximity of the conductor with opposite polarity. The enhancement will lead to partial discharge (PD) and may even ignite full gap breakdown in special cases. This study reviews comprehensive researches relevant to these topics. In the first place, several theoretical methods about how to obtain the charges held by a conductive particle with known potential are introduced, so are experimental methods. Then, forces acting on the charged particle in liquid are classified, and its migration characteristics, as well as influential factors, are described. Subsequently, PD and breakdown mechanisms of liquid initiated by conductive particles are presented. The latter involves two cases: electric-field enhancement when the particle concentration is low and bridging phenomenon when it is high. At last, two important, but frequently ignored factors, i.e. dielectric barrier and oil flow, are highlighted, and the authors’ suggestions for future work are put forward.

In this paper, crosslinked polyethylene-polystyrene (XLPE-PS) composites with different degrees of crosslinking were fabricated by using different crosslinking agent contents and their direct current (DC) breakdown performance at 30~90 °C was investigated. Results show that with the increase of the degree of crosslinking, the crystallinity of XLPE-PS composites decreases gradually, but their DC breakdown strength demonstrates an increasing trend at 30~90 °C and the enhancement also increases with the rise of temperature. And as the degree of crosslinking increases, the elastic modulus of XLPE-PS composites is reduced and the loss tangent peak temperature decreases but the peak shifts to a lower value, which reveals the suppression of the relaxation process for crystallites. It is believed that high DC breakdown strength with good temperature stability for XLPE-PS composites with a larger degree of crosslinking is attributable to the presence of PS and suppression in the formation of crystallites due to crosslinking.

This paper deals with the reliability of the Pulsed Electro-Acoustic (PEA) technique in the case of a specimen containing an air layer. The first approach to this study has been proposed by the authors in previously published works. In these papers, the mathematical description, the PEA cell simulation model, and some experimental tests have been reported. In this work, a more accurate description of the acoustic wave behavior within the PEA cell and specimen with and without an air layer is given. Moreover, the comparison between simulation and experimental tests for both cases (specimen with and without air layer) allowed the validation of the previously developed PEA cell simulation model. The latter was previously validated only for a single layer specimen, here the good performances of the model have also been confirmed in the case of a multilayer specimen, also with an air layer. Experimental and simulation results show that the air layer acts as a barrier for the acoustic signal, due to the different acoustic impedance between the air and the solid dielectric material which constitute the specimen. Therefore, the aim of the present work is to demonstrate that in the case of a three-layers specimen, composed as dielectric-air-dielectric, the PEA cell is not able to provide the complete profile of the entire specimen under test.

Cross-linked polyethylene, commercially known as XLPE, is widely used as an insulating material in high voltage cables. However, space charge accumulation under the DC field is one of the most challenging problems in the further development of XLPE insulated cable. Due to the potential electrical degradation ageing process triggered by the accumulated space charges, the IEEE standard 1732 was established for measuring space charge in HVDC extruded cables as the qualification tests. Previous research has revealed that space charge originates from either charge injection at the electrodes or ionization of impurities presenting inside the bulk. In the light of this, this paper aims to simulate the accumulation of space charge in XLPE under DC stress. Space charge measurements have been carried on the fresh and degassed XLPE samples. A modified bipolar charge transport model, by considering the dissociation of impurities, has been employed to simulate the space charge behavior in XLPE. Compared with the experimental observations, the simulation results can reveal appropriate features of hetero charge formation. Both the calculated charge dynamics and field variation are consistent with the experiment results. The restrictions and potential improvements of this preliminary model are also discussed for its future application of XLPE cables.

Under operational conditions of high electric fields and elevated temperatures, the accumulation of space charges at multilayer insulation interfaces is often considered as an important factor affecting insulation performance. This study experimentally explored the influence of different thermal aging degrees (110 °C for 0, 720, 1600, 2100, and 2900 h) on physicochemical characteristics. The space charge dynamics in two-layered thermally aged PET-PET films were measured using the pulsed electro-acoustic (PEA) method and simulated on the basis of a one-dimensional modified bipolar charge transport model. The parameterization for key parameters involved in the model was analyzed through parameter sensitivity. Results indicated that the molecular structure, crystallinity, and dielectric spectra of the PET films are affected by thermal aging. The thermalization process also has noticeable effect on the surface state characteristics, which are characterized by deeper trap depth and larger trap density. Several experimental phenomena measured by the PEA method were observed on the basis of numerical simulation.

Background The discovery of novel and highly predictive biomarkers of cardiovascular disease (CVD) has the potential to improve risk‐stratification methods and may be informative regarding biological pathways contributing to disease. Methods and Results We used a discovery proteomic platform that targeted high‐value proteins for CVD to ascertain 85 circulating protein biomarkers in 3523 Framingham Heart Study participants (mean age, 62 years; 53% women). Using multivariable‐adjusted Cox models to account for clinical variables, we found 8 biomarkers associated with incident atherosclerotic CVD, 18 with incident heart failure, 38 with all‐cause mortality, and 35 with CVD death (false discovery rate, q

The epoxy resin was filled with nano-BN, surface treated, and untreated nano-SiO(2). Measurements of dielectric spectroscopy cover the range of frequency from 10^−2 to 10^5 Hz and will relate to the hydration of samples. It was observed from the results that permittivity of pure epoxy was strongly affected by the water absorptions and a bit of temperature. Then it will allow us to extract the influence of water absorption on dielectric properties and proposed a relatively reliable method by using Monte-Carlo simulation to estimate the average thickness of water shell or related relaxation peak of epoxy nanocomposites with spherical particles. At the end, the authors experimentally demonstrated the existence of two layer structure of water shell and concluded that surface treatment is able to reduce the water uptake, however, no obvious impact on modifying its effects on dielectric properties due to the limitation of thickness of tightly bonded layer. The ‘hydrophobic’ performance of BN nanocomposites is much better than silica ones, especially the no formation of water shell around the particles, and may be more suitable for application under environment with humidity.

Cable manufacturing industries are constantly trying to improve the electrical performance of power cables. During the years, it was found that one of the most relevant degradation factors influencing the cable lifetime is the presence of space charge in the insulation layer. To detect the accumulated charge, the pulsed electro-acoustic (PEA) method is the most used technique. Despite the wide use of the PEA cell, several issues are still present. In particular, the PEA output signal is strongly disturbed by the acoustic waves reflections within the PEA cell. This causes the distortion of the output signal and therefore the misinterpretation of the charge profiles. This, in turn, may result in an incorrect cable characterization from the space charge phenomenon point of view. In 2017, due to the proved degradation effect of the space charge accumulation phenomenon, the IEEE Std 1732 was developed. This standard describes the steps to be followed for the space charge measurement in cables specimens during pre-qualification or type tests. Therefore, cable manufacturing industries started to take a particular interest in these measures. In the light of this, the aim of the present work is to highlight that the enacted standard is not easily applicable since various problems are still present in the PEA method for cables. In particular, in this work, the effect of multiple reflected signals due to the different interfaces involved, but also the effect of the signal attenuation due to cable dielectric thickness, as well as the effect of the PEA cell ground electrode thickness in the output charge profile, are reported. These issues have been demonstrated by means of an experimental test carried out on a full-size cable in the Prysmian Group High Voltage laboratory. To better understand the PEA cell output signal formation, a PEA cell model was developed in a previous work and it has been experimentally validated here. In particular, simulations have been useful to highlight the effect of the reflection phenomena due to the PEA cell ground electrode thickness on the basis of the specimen under test features. Moreover, by analyzing the simulation results, it was possible to separate the main signal from the reflected waves and, in turn, to calculate the suitable ground electrode thickness for the cable specimen under test.

In this paper, we propose a method on improving direct current (DC) dielectric performance by designing a polystyrene (PS) pinning crosslinked polyethylene (XLPE) for the application of insulation materials on high voltage direct current (HVDC) extruded cable. Electrical experimental results show that the addition of PS (1–5 phr, parts per hundreds of resin) can significantly reduce DC conductivity and increase DC breakdown strength of XLPE in the test temperature range of 30–90 °C. Microstructure investigation shows PS distributed as particles could participate in the formation of a crosslinking network with the help of a crosslinking agent, thus forming a polymer pinning structure at the interface between XLPE and PS. It is believed that such a special design strengthens the structure of XLPE, which leads to the improved DC dielectric performance at elevated temperatures. Our findings may contribute a new solution for developing HVDC cable insulation materials.

Carbon nanotubes (CNTs) are long considered as a promising material for thermal applications. However, problems such as low volume CNT fraction abhorrent to practical applications have been raising the demand for novel architecture of this material. Here we demonstrate two fabrication methods, in which a self-assembly method for fabricating covalent-bonded CNT network (3D CNT) and another method for covalent-bonded C to CNTs (C@CNT) network, and presented both as a potential method to enhance thermal conductivity of CNT arrays. We utilized pulsed photothermal reflectance technique and using new four-layer heat conduction model based on the transmission-line theory to measure thermal conductivity of the samples. The 3D CNT with thermal conductivity of 21 W mK ^−1 and C@CNT with thermal conductivity of 26 W mK ^−1 turn out to be an excellent candidate for thermal interface material as the thermal conductivity increased by 40% and 70% respectively as compared to conventional CNT arrays. The improvement is attributed to the efficient thermal routines constructed between CNTs and secondary CNTs in 3D CNT and between C layer and CNTs in C@CNT. The other factor to improve thermal conductivity of the samples is decreasing air volume fraction in CNT arrays. Our fabrication methods provide a simple method but effective way to fabricate 3D CNT and C@CNT and extend the possibility of CNTs towards TIM application.

Electric field distribution in high voltage direct current (HVDC) cross-linked polyethylene (XLPE) cable at steady state is researched in this study. Under the condition that no cavity exists, equations describing the critical temperature difference for field reversal, and electric field distribution at steady state are proposed. When the cable with cavity is studied via the finite element analysis method, 2D and 3D model can be two possible choices. The comparison between these two models provides the reference for model selection so that the problem can be solved correctly. To study field enhancement by a single air-filled cavity at steady state, some possibly influenced factors are considered, including the cavity location, cavity size, cavity shape, temperature difference and material type. The equation describing field enhancement is given in the study.

In this study, an improved trapping/detrapping model was used to simulate the charge dynamics in cross-linked polyethylene peelings from different-year aged cables. Injection barrier of trapping parameters was estimated by the model fitted to experimental data for each type of sample. Moreover, dc breakdown tests were operated on those samples. It has been found that the dc breakdown strength of inner-layer samples is the lowest in cable sections with thicker insulation layer taken from high-voltage ac (HVAC) 220 kV service condition, whereas for the cable with thinner insulation from HVAC 110 kV, middle-layer samples have worst breakdown performance. This might be explained by the space charge issues under long-term HVAC condition. More importantly, a clear relationship between estimated model parameters, including injection barrier, trap depth and trap density, with the dc breakdown strength in each layer has been reported in this study.

BACKGROUND:Surgical tasks are performed in a sequence of steps, and technical skill evaluation includes assessing task flow efficiency. Our objective was to describe differences in task flow for expert and novice surgeons for a basic surgical task. METHODS:We used a hierarchical semantic vocabulary to decompose and annotate maneuvers and gestures for 135 instances of a surgeon's knot performed by 18 surgeons. We compared counts of maneuvers and gestures, and analyzed task flow by skill level. RESULTS:Experts used fewer gestures to perform the task (26.29; 95% CI = 25.21 to 27.38 for experts vs. 31.30; 95% CI = 29.05 to 33.55 for novices) and made fewer errors in gestures than novices (1.00; 95% CI = 0.61 to 1.39 vs. 2.84; 95% CI = 2.3 to 3.37). Transitions among maneuvers, and among gestures within each maneuver for expert trials were more predictable than novice trials. CONCLUSIONS:Activity segments and state flow transitions within a basic surgical task differ by surgical skill level, and can be used to provide targeted feedback to surgical trainees.

In the originally published version of this Article, financial support was not fully acknowledged. The sentence “KS was supported by the ‘Biomedical Research Program’ funds at Weill Cornell Medicine in Qatar, a program funded by the Qatar Foundation” has been added to the acknowledgement section in both the PDF and HTML versions of the Article.

Based on the existing acknowledgment that space charge modulates AC and DC breakdown of insulating materials, this investigation promotes the related investigation into the situations of more complex electrical stress, i.e., AC-DC combined voltages. Experimentally, the AC-DC breakdown characteristics of oil impregnated paper insulation were systematically investigated. The effects of pre-applied voltage waveform, AC component ratio, and sample thickness on AC-DC breakdown characteristics were analyzed. After that, based on an improved bipolar charge transport model, the space charge profiles and the space charge induced electric field distortion during AC-DC breakdown were numerically simulated to explain the differences in breakdown characteristics between the pre-applied AC and pre-applied DC methods under AC-DC combined voltages. It is concluded that large amounts of homo-charges are accumulated during AC-DC breakdown, which results in significantly distorted inner electric field, leading to variations of breakdown characteristics of oil impregnated paper insulation. Therefore, space charges under AC-DC combined voltages must be considered in the design of converter transformers. In addition, this investigation could provide supporting breakdown data for insulation design of converter transformers and could promote better understanding on the breakdown mechanism of insulating materials subjected to AC-DC combined voltages.

In November 2017, the first ±1100 kV high-voltage direct-current power transformer in the world, which was made by Siemens in Nurnberg, passed its type test. Meanwhile, in early 2017, a ±1000 kV ultra-high voltage (UHV) substation was officially put into operation in Tianjin, China. These examples illustrate that the era of UHV power transmission is coming. With the rapid increase in power transmission voltage, the performance requirements for the insulation of power transformers are getting higher and higher. The traditional mineral oils used inside power transformers as insulating and cooling agents are thus facing a serious challenge to meet these requirements. In this review, the basic properties of traditional mineral insulating oil are first introduced. Then, the variation of electrical properties such as breakdown strength, permittivity, and conductivity during transformer operation and aging is summarized. Next, the modification of mineral insulating oil is investigated with a focus on the influence of nanoparticles on the electrical properties of nano-modified insulating oil. Recent studies on the performance of mineral oil at molecular and atomic levels by molecular dynamics simulations are then described. Finally, future research hotspots and notable research topics are discussed.

The association between Down syndrome and gastrointestinal anomalies such as duodenal and esophageal atresia, tracheoesophageal fistulas, and Hirschsprung's disease is well documented. More recently, an association between Down syndrome and achalasia was reported. In this report, we describe a 48-year-old woman with a history of Down syndrome who presented with dysphagia. Work-up of the dysphagia showed not only achalasia but also a duodenal duplication. To our knowledge, there have been no reports of Down syndrome associated with duodenal duplication. Whether this finding is simply a coincidence or whether duodenal duplication is associated with Down syndrome will need to be determined with future studies.

This paper focuses on the space charge behavior in oil-paper insulation systems used in power transformers. It begins with the importance of understanding the space charge behavior in oil-paper insulation systems, followed by the introduction of the pulsed electrostatic technique (PEA). After that, the research progress on the space charge behavior of oil-paper insulation during the recent twenty years is critically reviewed. Some important aspects such as the environmental conditions and the acoustic wave recovery need to be addressed to acquire more accurate space charge measurement results. Some breakthroughs on the space charge behavior of oil-paper insulation materials by the research team at the University of Southampton are presented. Finally, future work on space charge measurement of oil-paper insulation materials is proposed.

Receptor-tyrosine-kinase-like orphan receptor 1 (ROR1) is expressed during embryogenesis and by certain leukemias, but not by normal adult tissues. Here we show that the neoplastic cells of many human breast cancers express the ROR1 protein and high-level expression of ROR1 in breast adenocarcinoma was associated with aggressive disease. Silencing expression of ROR1 in human breast cancer cell lines found to express this protein impaired their growth in vitro and also in immune-deficient mice. We found that ROR1 could interact with casein kinase 1 epsilon (CK1ε) to activate phosphoinositide 3-kinase-mediated AKT phosphorylation and cAMP-response-element-binding protein (CREB), which was associated with enhanced tumor-cell growth. Wnt5a, a ligand of ROR1, could induce ROR1-dependent signaling and enhance cell growth. This study demonstrates that ROR1 is expressed in human breast cancers and has biological and clinical significance, indicating that it may be a potential target for breast cancer therapy.