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Background: In the recent decade, there has been substantial progress in the technologies and philosophies associated with diagnosing and treating anterior cruciate ligament (ACL) injuries in China. The therapeutic efficacy of ACL reconstruction in re-establishing the stability of the knee joint has garnered widespread acknowledgment. However, the path toward standardizing diagnostic and treatment protocols remains to be further developed and refined. Objective: In this context, the Chinese Association of Orthopaedic Surgeons (CAOS) and the Chinese Society of Sports Medicine (CSSM) collaboratively developed an expert consensus on diagnosing and treating ACL injury, aiming to enhance medical quality through refining professional standards. Methods: The consensus drafting team invited experts across the Greater China region, including the mainland, Hong Kong, Macau, and Taiwan, to formulate and review the consensus using a modified Delphi method as a standardization approach. As members of the CSSM Lower Limb Study Group and the CAOS Arthroscopy and Sports Medicine Study Group, invited experts concentrated on two pivotal issues: “Graft Selection” and “Clinical Outcome Evaluation” during the second part of the consensus development. Results: This focused discussion ultimately led to a strong consensus on nine specific consensus terms. Conclusion: The consensus clearly states that ACL reconstruction has no definitive “gold standard” graft choice. Autografts have advantages in healing capability but are limited in availability and have potential donor site morbidities; allografts reduce surgical trauma but incur additional costs, and there are concerns about slow healing, quality control issues, and a higher failure rate in young athletes; synthetic ligaments allow for early rehabilitation and fast return to sport, but the surgery is technically demanding and incurs additional costs. When choosing a graft, one should comprehensively consider the graft's characteristics, the doctor's technical ability, and the patient's needs. When evaluating clinical outcomes, it is essential to ensure an adequate sample size and follow-up rate, and the research should include patient subjective scoring, joint function and stability, complications, surgical failure, and the return to sport results. Medium and long-term follow-ups should not overlook the assessment of knee osteoarthritis.

Abstract Background To comprehensively compare the effects of open Duhamel (OD), laparoscopic-assisted Duhamel (LD), transanal endorectal pull-through (TEPT), and laparoscopic-assisted endorectal pull-through (LEPT) in Hirschsprung disease. Methods PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang, and VIP were comprehensively searched up to August 4, 2022. The outcomes were operation-related indicators and complication-related indicators. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to evaluate the quality of evidence. Network plots, forest plots, league tables and rank probabilities were drawn for all outcomes. For measurement data, weighted mean differences (WMDs) and 95% credibility intervals (CrIs) were reported; for enumeration data, relative risks (RRs) and 95%CrIs were calculated. Results Sixty-two studies of 4781 patients were included, with 2039 TEPT patients, 1669 LEPT patients, 951 OD patients and 122 LD patients. Intraoperative blood loss in the OD group was more than that in the LEPT group (pooled WMD = 44.00, 95%CrI: 27.33, 60.94). Patients lost more blood during TEPT versus LEPT (pooled WMD = 13.08, 95%CrI: 1.80, 24.30). In terms of intraoperative blood loss, LEPT was most likely to be the optimal procedure (79.76%). Patients undergoing OD had significantly longer gastrointestinal function recovery time, as compared with those undergoing LEPT (pooled WMD = 30.39, 95%CrI: 16.08, 44.94). The TEPT group had significantly longer gastrointestinal function recovery time than the LEPT group (pooled WMD = 11.49, 95%CrI: 0.96, 22.05). LEPT was most likely to be the best operation regarding gastrointestinal function recovery time (98.28%). Longer hospital stay was observed in patients with OD versus LEPT (pooled WMD = 5.24, 95%CrI: 2.98, 7.47). Hospital stay in the TEPT group was significantly longer than that in the LEPT group (pooled WMD = 1.99, 95%CrI: 0.37, 3.58). LEPT had the highest possibility to be the most effective operation with respect to hospital stay. The significantly reduced incidence of complications was found in the LEPT group versus the LD group (pooled RR = 0.24, 95%CrI: 0.12, 0.48). Compared with LEPT, OD was associated with a significantly increased incidence of complications (pooled RR = 5.10, 95%CrI: 3.48, 7.45). Patients undergoing TEPT had a significantly greater incidence of complications than those undergoing LEPT (pooled RR = 1.98, 95%CrI: 1.63, 2.42). For complications, LEPT is most likely to have the best effect (99.99%). Compared with the LEPT group, the OD group had a significantly increased incidence of anastomotic leakage (pooled RR = 5.35, 95%CrI: 1.45, 27.68). LEPT had the highest likelihood to be the best operation regarding anastomotic leakage (63.57%). The incidence of infection in the OD group was significantly higher than that in the LEPT group (pooled RR = 4.52, 95%CrI: 2.45, 8.84). The TEPT group had a significantly increased incidence of infection than the LEPT group (pooled RR = 1.87, 95%CrI: 1.13, 3.18). LEPT is most likely to be the best operation concerning infection (66.32%). Compared with LEPT, OD was associated with a significantly higher incidence of soiling (pooled RR = 1.91, 95%CrI: 1.16, 3.17). Patients with LEPT had the greatest likelihood not to develop soiling (86.16%). In contrast to LD, LEPT was significantly more effective in reducing the incidence of constipation (pooled RR = 0.39, 95%CrI: 0.15, 0.97). LEPT was most likely not to result in constipation (97.81%). LEPT was associated with a significantly lower incidence of Hirschprung-associated enterocolitis (HAEC) than LD (pooled RR = 0.34, 95%CrI: 0.13, 0.85). The OD group had a significantly higher incidence of HAEC than the LEPT group (pooled RR = 2.29, 95%CrI: 1.31, 4.0). The incidence of HAEC was significantly greater in the TEPT group versus the LEPT group (pooled RR = 1.74, 95%CrI: 1.24, 2.45). LEPT was most likely to be the optimal operation in terms of HAEC (98.76%). Conclusion LEPT may be a superior operation to OD, LD and TEPT in improving operation condition and complications, which might serve as a reference for Hirschsprung disease treatment.

Abstract Background The prevalence and mortality of bladder cancer (BLCA) present a significant medical challenge. While the function of senescence-related genes in tumor development is recognized, their prognostic significance in BLCA has not been thoroughly explored. Methods BLCA transcriptome datasets were sourced from the TCGA and GEO repositories. Gene groupings were determined through differential gene expression and non-negative matrix factorization (NMF) methodologies. Key senescence-linked genes were isolated using singular and multivariate Cox regression analyses, combined with lasso regression. Validation was undertaken with GEO database information. Predictive models, or nomograms, were developed by merging risk metrics with clinical records, and their efficacy was gauged using ROC curve methodologies. The immune response’s dependency on the risk metric was assessed through the immune phenomenon score (IPS). Additionally, we estimated IC50 metrics for potential chemotherapeutic agents. Results Reviewing 406 neoplastic and 19 standard tissue specimens from the TCGA repository facilitated the bifurcation of subjects into two unique clusters (C1 and C2) according to senescence-related gene expression. After a stringent statistical evaluation, a set of ten pivotal genes was discerned and applied for risk stratification. Validity tests for the devised nomograms in forecasting 1, 3, and 5-year survival probabilities for BLCA patients were executed via ROC and calibration plots. IC50 estimations highlighted a heightened responsiveness in the low-risk category to agents like cisplatin, cyclopamine, and sorafenib. Conclusions In summation, our research emphasizes the prospective utility of risk assessments rooted in senescence-related gene signatures for enhancing BLCA clinical oversight.

Abstract Purpose This study aims to explore the emerging trends, dynamic development, and research hotspots of clustered regularly interspaced short palindromic repeats (CRISPR) technology associated with extracellular vesicles during the past 7 years and demonstrate them by visualization. Methods A total of 219 records related to CRISPR technology associated with extracellular vesicles from 2015 to 2022 in the Web of Science Core Collection (WoSCC) database were collected. R language, VOSviewer, CiteSpace, and GraphpadPrism software packages were used to analyze the history of this research, the general characteristics of the literature, and keywords. Finally, the hotspots and latest trends in CRISPR technology associated with extracellular vesicles are predicted. Results A total of 219 articles were collected for this study. The production of publications about CRISPR technology associated with extracellular vesicles has increased annually. Researchers from China, the USA, and Germany made the most important contributions to this trend, while RLUK Research Libraries UK offers the largest amount of literature in this field. Shenzhen University, Nanjing Medicine University, and Peking University exhibited the closest cooperation. Additionally, active topics burst during different periods, as identified according to 317 keywords belonging to 39 disciplines. Keywords were clustered into seven research subareas, namely exosome, nanovesicles, DNA, gene editing, gene therapy, cancer therapy, and endometrial stromal cells. The alluvial map of keywords reveals that the most enduring concepts are gene therapy, nanovesicles, etc., while the emerging keywords are genome, protein delivery, plasma, etc. Conclusions We reviewed 219 previous publications and conducted the first bibliometric study of CRISPR technology related to extracellular vesicles from 2015 to 2022. This comprehensive summary constructed a knowledge map and demonstrates the trends in this area. The current trends and potential hotpots for this topic are also identified, which will be a great help for researchers in the future.

Osteoarthritis (OA) is the most common disabling joint disease with no effective disease modifying drugs. Extracellular vesicles released by several types of mesenchymal stem cells could promote cartilage repair and ameliorate OA pathology in animal models, representing a novel therapeutic strategy. In this study, we demonstrated that extracellular vesicles derived from human umbilical cord mesenchymal stem cells (hUC-EVs) could maintain chondrocyte homeostasis and alleviate OA, and further revealed a novel molecular mechanism of this therapeutic effect. miR-223, which could directly bind with the 3′UTR of NLRP3 mRNA, was found to be a key miRNA for hUC-EVs to exert beneficial effects on inflammation inhibiting and cartilage protecting. For enhancing the effect on mitigating osteoarthritis, exogenous miR-223 was loaded into hUC-EVs by electroporation, and a collagen II-targeting peptide (WYRGRL) was modified onto the surface of hUC-EVs by genetic engineering to achieve a more targeted and efficient RNA delivery to the cartilage. The dual-engineered EVs showed a maximal effect on inhibiting the NLRP3 inflammasome activation and chondrocyte pyroptosis, and offered excellent results for the treatment of OA. This study provides a novel theoretical basis and a promising therapeutic strategy for the application of engineered extracellular vesicles in OA treatment.

The introduction of new internal fixation devices and arthroscopic techniques has led to significant changes in the surgical treatment of tibial eminence fractures (TEFs) in children. In recent years, arthroscopic surgery has arisen as the gold standard for the treatment of TEFs. This popularity of arthroscopic techniques has reduced surgical complications and improved patient prognosis. In this paper, we investigate the current situation of the use of arthroscopic fixation techniques for pediatric TEFs. We searched the PubMed database using the terms “arthroscopic treatment and tibial eminence,” “arthroscopic treatment and tibial spine,” “tibial eminence avulsion”, “tibial spine fracture”, with no limit on the year of publication. From these articles, we reviewed the use of various arthroscopic TEFs fixation techniques reported in the current literature. Overall, we found that the choice of fixation method seems to have no effect on clinical outcomes or imaging results. However, if an easy, strong fixation that is less prone to epiphyseal damage is desired, as a junior practitioner, the anchor technique should be mastered first, whereas for senior practitioners, a variety of fixation techniques for TEFs should be mastered, including anchors, sutures, and screws, so that personalized fixation can be achieved with the least amount of trauma, operative time, and complications. Higher quality studies are needed in the future to provide Useful evidence to determine the optimal fixation technique in terms of clinical outcomes, function, and complications.

Abstract PSA is a type of proto-oncogene that is specifically and highly expressed in embryonic and prostate cancer cells, but not expressed in normal prostate tissue cells. The specific expression of prostate-specific antigen (PSA) is found to be related with the conditional transcriptional regulation of its promoter. Clustered regularly interspaced short palindromic repeats (CRISPR)-dCas9-KRAB is a newly developed transcriptional regulatory system that inhibits gene expression by interupting the DNA transcription process. Induction of CRISPR-dCas9-KRAB expression through the PSA promoter may help feedback inhibition of cellular PSA gene expression via single guide RNA (sgRNA), thereby monitoring and suppressing the malignant state of tumor cells. In this study, we examined the transcriptional activity of the PSA promoter in different prostate cancer cells and normal prostate epithelial cells and determined that it is indeed a prostate cancer cell-specific promoter.Then we constructed the CRISPR-dCas9-KRAB system driven by the PSA promoter, which can inhibit PSA gene expression in the prostate cancer cells at the transcriptional level, and therefore supress the malignant growth and migration of prostate cancer cells and promote their apoptosis in vitro. This study provides a potentially effective anti-cancer strategy for gene therapy of prostate cancer.

The green production of nanocomposites holds great potential for the development of new materials. Graphene is an important class of carbon-based materials. Despite its high carrier mobility, it has low light absorption and is a zero-bandgap material. In order to tune the bandgap and improve the light absorption, S, N co-doped low-dimensional C/C nanocomposites with polymer and graphene oxide nanoribbons (the graphene oxide nanoribbons were prepared by open zipping of carbon nanotubes in a previous study) were synthesized by one-pot carbonization through dimensional-interface and phase-interface tailoring of nanocomposites in this paper. The resulting C/C nanocomposites were coated on untreated A4 printing paper and the optoelectronic properties were investigated. The results showed that the S, N co-doped C/C nanoribbon/carbon dot hybrid exhibited enhanced photocurrent signals of the typical 650, 808, 980, and 1064 nm light sources and rapid interfacial charge transfer compared to the N-doped counterpart. These results can be attributed to the introduction of lone electron pairs of S, N elements, resulting in more transition energy and the defect passivation of carbon materials. In addition, the nanocomposite also exhibited some electrical switching response to the applied strain. The photophysical and doping mechanisms are discussed. This study provides a facile and green chemical approach to prepare hybrid materials with external stimuli response and multifunctionality. It provides some valuable information for the design of C/C functional nanocomposites through dimensional-interface and phase-interface tailoring and the interdisciplinary applications.

Abstract Introduction Arthroscopic release is now the gold standard globally for gluteal muscle contracture (GMC) treatment. However, some patients fail to improve after the first operation and are forced to undergo a second operation. This study explores the essential role collagen fibers may play in muscle contracture in GMC. Methods From February 2010 to May 2018, 1041 hips of 543 GMC patients underwent arthroscopic release. Among them, 498 (91.7%) patients had bilateral GMC and were admitted to the retrospective cohort study. Pathological testing and type III collagen testing were used in contracture tissue studies. Single-cell RNA-sequencing analysis was applied to explore the role of fibroblasts in muscle repair. Results Compared with GMC II patients, GMC III patients displayed higher clinical symptoms (P

PurposeOlecranon fracture is considered intra-articular when there is obvious displacement or an irregular articular surface. Such fractures should be reduced and fixed via surgery. No clear indications regarding the surgical technique to be adopted exist. Therefore, this study aimed to compare the outcomes of tension band wiring (TBW) and Herbert screw fixations for olecranon fractures.MethodsWe retrospectively analyzed the clinical data of 29 children with olecranon fractures. They were divided into the tension band wiring and Herbert screw groups. We assessed early epiphyseal closure and maximum length of the ulna using radiography. Patients were clinically evaluated using the average QuickDASH score.ResultsBoth groups had good radiological outcomes. Herbert screws demonstrated advantages in terms of bleeding, operative time, intraoperative blood loss, surgery duration, and particularly the QuickDASH score (1.57 vs. 4.18, p

Abstract Adjusting the grain growth orientation may be a feasible way to improve the oxidation resistance. In this work, textured Ti3(SiAl)C2 ceramic was successfully fabricated via the spark plasma sintering technique. The crystal orientation and microstructure were investigated by XRD combined with EBSD. The oxidation behavior of textured Ti3(SiAl)C2 was investigated at 1000–1300 °C for 10 h. The results showed that the oxidation was significantly anisotropic and the surface parallel to the compression direction exhibited better oxidation resistance below 1200 °C. The improved oxidation resistance was primarily attributed to the formation of passivated Al2O3 scale by rapid out-diffusion of Al elements on the orientated (hko) planes in textured Ti3(SiAl)C2. The formation of oxide scales was strongly dependent on the crystallographic orientation of Ti3(SiAl)C2.

Dense HfCxN1−x carbonitride ceramics are very promising as potential ultra-high temperature ceramics (UHTCs) for application under extremely harsh environments. However, the thermophysical and mechanical properties of the HfCxN1−x carbonitrides have not been investigated clearly. The present work prepared HfCxN1−x (x = 0.3, 0.4, 0.5, 0.6, 0.7) ceramics at 1950 °C under 30 MPa in flowing Ar atmosphere by using hot pressing sintering method. The relative densities of the samples obtained reached above 96%. Thermal conductivity of the as-prepared HfCxN1−x carbonitrides ranged from 19 to 24 W m−1 K−1 at room temperature. The increased role of electrons in thermal conduction caused by both increasing nitrogen content and increasing temperature, resulted in improved thermal conductivity, varying from 32 to 39 W m−1 K−1. With increasing nitrogen content, the electrical conductivity also increased, ranging from 149 to 213 × 104 Ω−1 m−1. With the increase of nitrogen content, Hf-C covalent bonds are gradually replaced by Hf-N covalent bonds with lower bond strength, resulting in HfC0.7N0.3 exhibiting the highest room-temperature flexural strength and hardness, HfC0.3N0.7 exhibiting the highest fracture toughness. Their mechanical properties are greatly improved over the binary HfC and HfN. The high-temperature flexural strength of the HfC0.7N0.3 decreased from 324 MPa at 1000 °C, to 139 MPa at 1600 °C and 100 MPa at 2000 °C. Meanwhile, it was revealed that the high-temperature flexural strength decreased with increasing nitrogen content for the as-prepared HfCxN1−x carbonitrides, similar to the changing trend of room-temperature flexural strength. The HfC0.3N0.7 possessed high-temperature plasticity at 2000 °C, attributed to the ability of the coarser grain to produce numerous layer dislocations.

Abstract Background In the clinic, gluteal muscle contracture (GMC) causes pelvic structural changes, including acetabular retroversion. However, its causes and forms are not well understood. This study aimed to investigate and analyse the clinical significance of pelvic structural differences between GMC patients and healthy individuals. Methods As the GMC group, we identified 100 GMC patients who received treatment and met the inclusion criteria between January 2019 and January 2020. Control subjects were drawn from the hospital’s emergency trauma patients who had no history of pelvic or hip joint disease. All subjects underwent CT scans to measure their pelvic rotation, including the superior iliac angle (SIA), inferior iliac angle (IIA), and ischiopubic angle (IPA), and acetabular coverage, which includes anterior acetabular sector angle (AASA), posterior acetabular sector angle (PASA), horizontal acetabular sector angle (HASA), and superior acetabular sector angle (SASA). Results The SIA, IIA, IPA, and PASA of the GMC group were considerably smaller than those of the control group, while the AASA of the GMC group was higher, indicating a statistically significant difference (P 0.05); and the IIA had a positive correlation with both the SIA and IPA (r = 0.664, P

REBa2Cu3O7-x (REBCO) coated conductor has emerged as a promising material for the development of ultra-high-field (UHF) magnets. However, the presence of screening-current induced strain within this tape-shaped conductor impacts the operational stability of REBCO coils. We focused on the design of an all-superconducting 36 T / 40 mm UHF magnet, which included a 16 T insert magnet consisting of two nested REBCO coils. In this study, the screening-current induced strain in the 16 T magnet was numerically studied using the coupled electromagnetic-mechanical model, which considered the tilting angle of REBCO tapes and the strain dependency of the critical current. We calculated the screening-current induced strain of each pancake individually and compared these results with those calculated by the sequential model. According to the coupled model, the maximum hoop strain was 0.52%, relatively lower than that calculated by sequential model. The most dangerous pancake was estimated to be the outermost pancake of each coils. Additionally, we varied the critical current value of the REBCO tapes and studied the relationship between the critical current value and screening-current induced strain. This work provides a feasible way to calculate the screening-current effect in large-scale HTS magnets.

The regeneration of the articular cartilage defects is characterized by the improvement in the quality of the repaired tissue and the reduction in the potential development of perifocal osteoarthritis (OA). Usually, the injection of dexamethasone (Dex) in the OA joints slows down the progression of inflammation and relieves pain. However, the anti-inflammatory Dex injected in the joint cavity is rapidly cleared, leading to a poor therapeutic effect. Multifunctional hydrogels with simultaneous chondrogenic differentiation, antioxidative, and anti-inflammatory capacities may represent a promising solution. Therefore, in this work, a novel injectable hydrogel based on double cross-linking of Schiff base bonds and coordination of catechol-Fe was developed. The obtained hydrogel (Gel-DA/DOHA/DMON@Dex@Fe) possessed molding performance in situ, excellent mechanical strength, controllable biodegradability, the on-demand release of the drug, and biocompatibility. The hydrogel system stimulated the HIF-1α signaling pathway and suppressed inflammation thanks to the introduction of DMON@Fe, consequently facilitating chondrogenic differentiation. The synergistic anti-inflammatory effect together with the induction of chondrogenesis by Dex-loaded Gel-DA/DOHA/DMON@Fe hydrogel allowed the promotion of cartilage repair, as demonstrated by in vivo experiments. Hence, the proposed multifunctional scaffold provides a promising advancement in articular cartilage tissue engineering and may have great prospects in the prevention of OA.

Transfer zones are structural areas of faults interactions where fault motion or displacement can be transferred from one fault to another, regional strain maintains laterally constant. Transfer zones are widely developed in rift basins and have significance on hydrocarbon accumulation. In this review article, we attempt to summarize recent advances on the types, distance-displacement curves, evolutionary stages and controlling factors of transfer zones in rift basins and their effects on sedimentary systems, reservoir properties, trap formation and hydrocarbon migration. The formation of transfer zones is genetically related to the segmented growth of normal faults. Depending on the degree of interaction between these normal faults, transfer zones in rift basins could be divided into two types: soft-linked and hard-linked, which are further subdivided into transfer slope, oblique anticline, horst and transfer fault based on the combination patterns of normal faults. In general, the development of transfer zones experiences several stages including isolated normal faulting, transfer slope forming, complicating and breaking. During the interaction and growth of segmented normal faults, stress-strain and spatial array of faults, pre-existing basement structures, and mechanical conditions of rocks have a great influence on the location and development processes of transfer zones. A transfer zone is commonly considered as a pathway for conveying sediments from provenance to basin, and it hence exerts an essential control on the distribution of sandbodies. In addition, transfer zone is the area where stresses are concentrated, which facilitates the formation of various types of structural traps, and it is also a favorable conduit for hydrocarbon migration. Consequently, there exists great hydrocarbon potentials in transfer zones to which more attention should be given.

Abstract Introduction Circ_HECW2 plays a key role in lipopolysaccharide (LPS)‐induced signal transduction, which is critical in osteoarthritis (OA). Thus, we analyzed the role of Circ_HECW2 in osteoarthritis. Methods The expression of Circ_HECW2 and miR‐93 was examined using reverse‐transcription polymerase chain reaction. Cell apoptosis was evaluated using Annexin V‐FITC Apoptosis Detection Kit. Results Circ_HECW2 and miR‐93 were inversely correlated, with Circ_HECW2 upregulated and miR‐93 downregulated in OA and LPS‐induced chondrocytes. Circ_HECW2 overexpression inhibited miR‐93 expression and increased methylation of miR‐93 coding gene. Cell apoptosis analysis showed that Circ_HECW2 overexpression increased LPS‐induced chondrocyte apoptosis, while MiR‐93 overexpression reversed the effects of Circ_HECW2 on chondrocyte apoptosis. Conclusion In summary, our data revealed that the Circ_HECW2 is highly expressed in OA and might inhibit miR‐93 expression through methylation to affect LPS‐induced chondrocyte apoptosis.

Transformation into electric or photoelectric functional composite from non-conjugated polymers is a great challenge due to the presence of a large number of locative states. In this paper, carbon nanofiber was synthesized via hydrothermal carbonization utilizing carboxymethyl cellulose as a precursor, and the carbon nanofiber/Cu nanocomposite was constructed for defect passivation. The results indicated that the resulting nanocomposites exhibited good absorbance in visible light range and NIR (near-infrared). The photoconductive responses to typical weak visible light (650 nm et al.) and NIR (808, 980, and 1064 nm) were studied based on Au gap electrodes on flexible polymer substrates. The results exhibited that the nanocomposite’s solid thick film showed photocurrent-switching behaviors to visible light and NIR, the switch-ratio was depending on the wavelengths and power of incident lights. The positive and negative photoconductance responses phenomenon was observed in different compositions and changing excited wavelengths. Their photophysical mechanisms were discussed. This illustrated that the nanocomposites easily produce free electrons and holes via low power of incident light. Free electrons and holes could be utilized for different purposes in multi-disciplinary fields. It would be a potential application in broadband flexible photodetectors, artificial vision, simulating retina, and bio-imaging from visible light to NIR. This is a low-cost and green approach to obtain nanocomposite exhibiting good photocurrent response from the visible range to NIR.

Metamorphic rocks have almost no primary pore space, and their formation of large-scale reservoirs depends on fractures and related secondary pore space formed by tectonic and fluid activities. The BZ19-6 block in the Bozhong Sag, Bohai Bay Basin, is the largest and deepest buried basement condensate field of buried-hill in the world, and its reservoirs are characterized by strong heterogeneity. In this paper, we systematically summarize the characteristics of fracture development, explore the main factors controlling fracture development, establish a fracture development model and clarify the influence of fractures on reservoir quality by using core and microscopic thin section observations, physical property data, imaging logging data and 3D seismic data analysis. The results show that the major types of fractures in the study area are tectonic fractures and dissolution fractures. In particular, the tectonic fractures are widely developed, accounting for 71.7% of the total number of fractures. Migmatization controls the lithological distribution of Archean metamorphic rocks. The migmatitic granite, having the highest degree of migmatization, is the dominant lithology for fracture development because it is rich in brittle minerals, such as feldspar and quartz. Strong compressional orogeny occurred during Indosinian period when many fractures initially developed, which become dominant among the tectonic fractures. Compression-tension-compression multistage tectonic movements characterized the Yanshanian period. During this period, fractures of different degrees formed. The Himalayan period, critical for fracture reconstruction, reactivated the early fractures and promoted the positive influence of atmospheric freshwater and organic acids on fracture reconstruction. Fractures are distributed unevenly in the vertical direction, and fracture-intensive zones are the main development sites for favourable reservoirs because they enhance the porosity and permeability of Archean metamorphic rocks. It means that these fractures can provide effective storage space for oil and gas, which is key for the formation of large-scale reservoirs. In addition, fractures can provide migration channels for organic acids and atmospheric freshwater, which lead to later dissolution, and connect various dispersed dissolution pores to improve the effectiveness of reservoir space.

3D-printed bioscaffolds for the realization of individualized tissue regeneration remains challenging due to the limitation in terms of current biomaterial inks. Exploring a universal ink modifier to enhance the properties of the arbitrary inks for 3D printing of multi-functional scaffolds is therefore an alternative. Herein, a universally dispersible graphene oxide-based polyurethane (GO-PU) ink modifier with network structure constituting amphiphilic polyethylene glycol (PEG) and nanoscale GO (nGO) is presented for the first time. GO-PU can be stably dispersed in various organic and aqueous solutions for 24 h without obvious aggregation, far superior to pure nGO. The excellent printability of GO-PU is demonstrated to fabricate pure GO-PU and GO-PU modified composite scaffolds in which GO-PU is used as ink modifiers. The addition of GO-PU with 5% (ww%/wt%) contents into PLGA or PEGDA can not only improve their mechanical properties without decrease printability, but also endow the additional performances with the resulting scaffolds from the incorporated functional nGO segments, like photo-triggered release ability. In addition, the results of in vitro and in vivo toxicity tests confirmed that GO-PU is biocompatible, indicating that this facile and universal approach for introducing graphene materials into 3D-printed scaffolds is with a great potential for tissue regeneration.

Background Gluteal muscle contracture (GMC) may cause abnormal spinal alignment as well as hip and pelvic deformities. The spine-pelvis alignment of GMC patients is unclear. This study aimed to describe the spine-pelvis sagittal alignment in patients with GMC and to explore the impact of GMC on the pathogenesis of low back pain (LBP). Methods Radiological analysis was performed in 100 patients with GMC and 100 asymptomatic volunteers who acted as the control group. Sagittal parameters were measured by two independent raters and their averages were presented on lateral radiographs of the whole spine, including pelvic incidence (PI), sagittal vertical axis (SVA), pelvic tilt (PT), lumbar lordosis (LL), sacral slope (SS), thoracic kyphosis (TK), and the relationship between PI and LL (expressed as PI-LL). All cases were categorized into one of three classes based on the apex position of lumbar lordosis and were further divided into three groups by the PI value. The GMC and control parameters were compared and the correlations between the parameters in the GMC group were analysed. Results The PI value of the GMC group was significantly less than that of the control group (42.38 ± 10.90° vs 45.68 ± 7.49°, P < 0.05). There was no difference found between the key parameters (SVA, PT, and PI-LL), which correlated with outcomes in adult deformity. No differences of SS were found between the two groups (P > 0.05). The GMC group showed lower average LL (42.77 ± 10.97° vs 46.41 ± 9.07°) and TK (17.34 ± 9.50° vs 20.45 ± 8.02°) compared with the control group (P < 0.05). LL was correlated with PI, SS, PT, TK (P < 0.01) and SVA (P < 0.05). TK and SVA were not correlated with any parameters except LL and pairwise correlations were found among PI, SS, and PT. There were no differences found between the distributions of the lumbar lordosis apex of GMC and the control but the range of SS in apex groups 3 and 4 did differ. GMC patients had the most small-PI value (44%) while approximately 64% of asymptomatic individuals had a normal PI. Interobserver variability was sufficient for all parameters calculated by the intraclass correlation coefficient (ICC). Conclusions Gluteal muscle contracture causes a low PI which may contribute to low back pain. Patients with GMC present the same global sagittal spinal-pelvic balance as asymptomatic individuals due to a compensatory mechanism through excessive flat lumbar and thoracic curves. Future studies on the relationship between spinal-pelvic sagittal and coronal alignment and low back pain are needed to understand the mechanical forces involved in the onset of GMC.

Nanomaterials filled polymers system is a simple method to produce organic/inorganic hybrid with synergistic or complementary effects. The properties of nanocomposites strongly depend on the dispersion effects of nanomaterials in the polymer and their interfaces. The optimized interface of nanocomposites would decrease the barrier height between filler and polymer for charge transfer. To avoid aggregation of metal nanoparticles and improve interfacial charge transfer, Pt nanodots filled in the non-conjugated polymer was synthesized with an in situ method. The results exhibited that the absorbance of nanocomposite covered from the visible light region to NIR (near infrared). The photo-current responses to typical visible light and 808 nm NIR were studied based on Au gap electrodes on a flexible substrate. The results showed that the size of Pt nanoparticles was about 1–2 nm and had uniformly dispersed in the polymer matrix. The resulting nanocomposite exhibited photo-current switching behavior to weak visible light and NIR. Simultaneously, the nanocomposite also showed electrical switching responses to strain applied to a certain extent. Well-dispersion of Pt nanodots in the polymer is attributable to the in situ synthesis of metal nanodots, and photo-current switching behavior is due to interface optimization to decrease barrier height between metal filler and polymer. It provided a simple way to obtain organic/inorganic hybrid with external stimuli responses and multi-functionalities.

Abstract Background The transoral atlantoaxial reduction plate (TARP) is an effective advance in the treatment of atlantoaxial dislocation (AAD) and can enable the performance of anterior atlantoaxial release, reduction, decompression, and internal fixation in a one-stage operation. However, accurate transoral C2 pedicle insertion (C2TOPI) remains a challenge. The aim of this study is to develop a grouped patient-specific drill template (PDT) specifically for AAD with complete reduction and, furthermore, to compare its efficacy and accuracy in facilitating C2TOPI. Methods After CT scanning, ten cadaveric C2 specimens were randomly assigned to two groups (the PDT and freehand group). A grouped PDT specifically for AAD with complete reduction was designed and manufactured. C2TOPI was performed using the PDT or the fluoroscopy-guided freehand technique. Postoperative CT scans were subsequently performed to analyze the deviations at the centroid of the cross section at the midpoint of the pedicle. Screw position grades were also assessed in both groups. Results Compared to the freehand group, the PDT group had a significantly shorter surgery time (p 0.05); however, two unacceptable breaches (20%) occurred in the freehand group. Conclusion A specifically designed PDT could provide an accurate and easy-to-apply method for C2TOPI in AAD with complete reduction.

The guarantee of cell survival under hypoxic conditions and rapid vascularization is a key in tissue engineering strategies for treating bone defects. Our study aimed to establish the protective role of bone marrow mesenchymal stem cells (BMSCs) and human umbilical vein endothelial cells (HUVECs) in hypoxic conditions and realize rapid vascularization in bone defects. Resveratrol (Res), a non-flavonoid polyphenolic compound, and angiopoietin-2 (ANG2), a vascular activating factor, were applied to enhance BMSC and HUVEC survival, osteogenesis, and angiogenesis. The morphology, autophagy, viability, apoptosis, cycle, and osteogenic differentiation of BMSCs treated with Res were analyzed. The results indicated that Res could improve BMSC survival and differentiation via the autophagy pathway under hypoxic conditions. In addition, Res maintained HUVEC growth and proliferation in a hypoxic and ANG2 double-adverse environment via the autophagy pathway. To simulate a relatively hypoxic environment, small-aperture PEGDA/TCS hydrogels containing Res and ANG2 were prepared. BMSCs were cultured in the PEGDA/TCS scaffold and transplanted into a large tibial defect. CD31 immunofluorescence showed that the density and size of new blood vessels in the bone defect were significantly enhanced by ANG2 and Res at 8 weeks after surgery. H&E, Masson, and immunohistochemical staining results indicated that ANG2 combined with Res could promote new bone formation in defects. All these results suggested that Res combined with ANG2 may be a novel strategy for the targeted therapy of hypoxic bone defects with tissue engineering scaffolds.

Flexible perovskite solar cells (FPSCs) have shown great potential in the field of wearable power supply and integration with architectures in the future due to their advantages of high flexibility, light weight, portability, and compatibility with irregular electronic products. As a promising photovoltaic technology compatible with roll-to-roll manufacturing process, FPSCs have made significant progress in the past several years through composition engineering, interface modification, optimization of fabrication process, and exploitation of new charge transport materials. As a result, the light-to-electricity power conversion efficiency of FPSCs has exceeded 20% recently. In this mini review, the latest developments of FPSCs are systematically summarized and discussed, including the flexible substrates and electrodes, as well as the fabrication of high-quality perovskite films. Finally, a prospect on the massive manufacturing of FPSCs as well as the challenge is also discussed.

Objective To gain a greater understanding of anomalous insertions of the anterior horn of the medial meniscus through evaluation of a rare case and a review of the existing literature on medial meniscus malformations. Methods This report describes a 26-year-old man with an anomalous insertion of the anterior horn of the medial meniscus combined with symptomatic hypertrophy of the anterior horn and a synovial cyst. We also conducted a review of the existing literature on medial meniscus malformations using five major scholarly literature databases and search engines. Results The literature review revealed that the incidence of anomalous insertions of the anterior horn of the medial meniscus is 0.5% to 2.8%. Not all patients undergo surgical excision; some are only symptomatically treated. In our patient, the arthroscopic view was consistent with the imaging characteristics. No special operation was performed to treat the anomalous insertion. At the 18-month follow-up, the patient had no symptom recurrence and had returned to practicing sports. Conclusion The pain during hyperextension in our patient was caused by a cyst and anterior horn hypertrophy. If the symptoms in such cases are not caused by the anomalous insertion, no special treatment is needed.

The current study is to investigate the expression pattern and biological function of long non-coding RNA Focally gastric cancer-associated transcript3 (GACAT3) in bladder cancer. Real-time quantitative qPCR was used to detect the expression level of GACAT-3 in tumor tissues and paired normal tissues. Human bladder cancer T24 and 5637 cell lines were transiently transfected with specific CRISPR-Cas13 or negative control CRISPR-Cas13. Cell migration, proliferation, and apoptosis were measured by using wound healing assay CCK-8 assay and Caspase-3 ELISA assay, respectively. The expression changes of p21, Bax, and E-cadherin after knockdown of GACAT3 were detected by using Western blot. The results demonstrated that GACAT3 was up-regulated in bladder cancer tissues than that in the paired normal tissues. Inhibition of cell proliferation, increased apoptosis, and decreased motility were observed in T24 and 5637 cell lines transfected by CRISPR-Cas13 targeting GACAT3. Downregulation of GACAT3 increased p21, Bax, and E-cadherin expression and silencing these genes could eliminate the phenotypic changes induced by knockdown of GACAT3. A ceRNA mechanism for GACAT3 was also revealed. By using CRISPR-Cas13 biotechnology, we suggested that GACAT3 may be a novel target for diagnosis and treatment of bladder cancer.

When a vehicle passes over a bridge, it may jump on the bridge due to a damaged expansion joint. The sudden jump induces a heavy dynamic impact on the bridge and therefore damages the bridge deck and girder. The traditional dynamic amplification factor defined by the current bridge design code shows the amplification of the static effects on the bridge. However, it only concerns the stable moving load induced by the vehicle. The sudden vehicle impact due to a damaged expansion joint sometimes exceeds the allowable design load, so it is important to evaluate the dynamic impact in practice. In fact, the dynamic impact can be approximately considered as a contact force between a damped harmonic oscillator and a beam due to the bilateral symmetry of the vehicle; therefore, a model-based approach using the bridge midspan acceleration is proposed in this study to approximately evaluate the impact force, where it is assumed as an exponentially damped sine function. This is a typical parametric model-based inverse problem. The conjugate direction method is used to determine the unknown parameters and the initial values are determined by a simple global search method. Since only five parameters are included, the proposed method is simpler than the conventional basis function-based methods. Numerical simulations were conducted to validate the proposed method. Generally, the proposed method performs well to identify the dynamic impact. In particular, the displacement measured directly from the bridge is preferred since the displacement obtained from the acceleration has numerical errors; the measurement noise in the range of 1% to 5% shows a slight influence on the proposed method; and the error of frequencies and mode shapes greatly affects the proposed method, especially for the maximum force.

In this study, a novel assisted liquid−phase plasma electrolysis was developed to realize one−step synthesis of popcorn biomass−derived porous carbon/cobalt tetroxide (popcorn−carbon/Co3O4) composites, effectively improving the structural stability and conductivity of Co3O4. The phase structure, morphologies, chemical composition, and weight ratio of the as−prepared popcorn−carbon/Co3O4 composites were systematically analyzed. The results of X−ray diffraction (XRD), Raman spectrometer, Fourier infrared spectrometer (FTIR), X−ray photoelectron spectrometer (XPS), and thermogravimetry analyzer (TG) proved the synthesis of the popcorn−carbon/Co3O4 composites. Co3O4 nanoparticles were distributed relatively uniformly on the popcorn−carbon surface. The electrochemical properties of the popcorn−carbon/Co3O4 composite electrode materials were analyzed for exploring the influence of different Co/C ratios on the electrochemical properties of composites. The results showed that the popcorn−carbon/Co3O4 composite electrode materials prepared under 200:1 mass ratio of Co(NO3)2·6H2O and popcorn−carbon possessed a specific capacitance and specific capacity of almost 1264 F/g (594 C/g) at a current density of 1 A/g, exhibiting a better electrochemical property. The efficient, fast, and novel assisted liquid−phase plasma electrolysis provides a new method for the preparation of composite electrode materials on the supercapacitors.

Abstract Background This study aimed to develop patient-specific drill templates by computer numerical control or three-dimensional printing via two cortical bone trajectories (CBTs) and to evaluate their efficacies and accuracies in cervical anterior transpedicular insertion. Methods Preoperative CT images of 20 cadaveric cervical vertebrae (C3–C7) were obtained. After image processing, patient-specific drill templates were randomly assigned to be constructed via two CBTs (CBT0 and CBT0.7) and manufactured by two methods (computer numerical control and three-dimensional printing). Guided by patient-specific drill templates, 3.5-mm-diameter screws were inserted into the pedicles. Postoperative CT scans were performed to evaluate the screw deviation in the entry point and midpoint of the pedicle. The screw positions were also graded. Results Computer numerical control patient-specific drill templates had a significantly shorter manufacturing time compared to three-dimensional-printed patient-specific drill templates (p 0.05). There were no significant differences in screw positions (p = 0.3). However, three screw positions were in grade 3 in CBT0, while the others were in grade 1. Conclusions CBT0.7 appears to be a safe and feasible trajectory for cervical anterior transpedicular insertion. Bio-safe computer numerical control patient-specific drill templates can facilitate cervical anterior transpedicular insertion with good feasibility and accuracy.

Abstract Objective To evaluate the clinical and radiologic outcomes of meniscal allograft transplantation (MAT) using a modified bone plug technique. Methods We conducted a retrospective single-center study of 73 patients who underwent MAT between January 2007 and December 2013. The International Knee Documentation Committee (IKDC) score, Lysholm score, Tegner score, visual analogue scale (VAS), and physical examinations were retrospectively reviewed to measure clinical outcomes after MAT, and questionnaires regarding activity and factors were analyzed. Magnetic resonance imaging (MRI) was used to assess the cartilage status and meniscal extrusion. Results The mean follow-up was 37 months for 61 patients (65 knees), and 12 patients were lost to follow-up. The mean meniscal extrusion was 3.39 ± 0.90 mm, the relative percentage of extrusion (RPE) was 34.82% ± 12.71%, and arthrosis progression was observed in 8 of 61 cases (13.1%). The mean results for VAS, IKDC, and Lysholm scores were significantly improved after MAT (P 0.05). Thirty-eight (62.3%) patients were able to return to their previous level of activity, and 23 (37.7%) patients reached a mean 76.7% of the previous level of activity. Of the 23 patients reporting a decrease in activity, 10 reported a fear of reinjury as the primary factor limiting activity. The patient satisfaction rate in the study was 78.7%. Conclusion Our modified bone plug method with anatomical meniscal root reinsertion was an effective surgical method, and the majority of active patients with meniscal disorders returned to preinjury levels of activity.

Lead-free perovskites have received remarkable attention because of their nontoxicity, low-cost fabrication, and spectacular properties including controlled bandgap, long diffusion length of charge carrier, large absorption coefficient, and high photoluminescence quantum yield. Compared with the widely investigated polycrystals, single crystals have advantages of lower trap densities, longer diffusion length of carrier, and extended absorption spectrum due to the lack of grain boundaries, which facilitates their potential in different fields including photodetectors, solar cells, X-ray detectors, light-emitting diodes, and so on. Therefore, numerous research focusing on the novel properties, preparation methods, and remarkable progress in applications of lead-free perovskite single crystals (LFPSCs) has been extensively studied. In this review, the current advancements of LFPSCs are briefly summarized, including the synthesis approaches, compositional and interfacial engineering, and stability of several representative systems of LFPSCs as well as the reported practical applications. Finally, the critical challenges which limit the performance of LFPSCs, and their inspiring prospects for further developments are also discussed.

This article is a case report on a postpartum female who developed bone marrow edema (BME) following an ankle sprain. BME is characterized by an accumulation of fluid within the bone marrow and can be categorized as idiopathic or secondary. The prevalence of BME is not limited to specific demographics but shows a predilection for males aged 30-60 years. The etiology of BME is diverse and includes various conditions such as osteoarthritis, osteomyelitis, and stress fractures. Diagnosis typically involves physical examination and imaging techniques such as MRI. Treatment options for BME include rest, medication, physical therapy, and sometimes surgery. In this specific case, the patient's pregnancy and postpartum hormonal changes complicated her condition, and treatment involved personalized approaches to address both the metabolic imbalance and symptoms. The case highlights the need for a comprehensive differential diagnosis and tailored management strategies for pregnant or postpartum women with musculoskeletal complaints. [Extracted from the article]