Iontronic graphene tactile sensors (i‐GTS) composed of a top floating graphene electrode and an ionic liquid droplet pinned on a bottom graphene grid, which can dramatically enhance the performance ...of capacitive‐type tactile sensors, are presented. When mechanical stress is applied to the top floating electrode, the i‐GTS operates in one of the following three regimes: air–air, air–electric double layer (EDL) transition, or EDL–EDL. Once the top electrode contacts the ionic liquid in the i‐GTS, the spreading behavior of the ionic liquid causes a capacitance transition (from a few pF to over hundreds of pF). This is because EDLs are formed at the interfaces between the electrodes and the ionic liquid. In this case, the pressure sensitivity increases to ≈31.1 kPa−1 with a gentle touch. Under prolonged application of pressure, the capacitance increases gradually, mainly due to the contact line expansion of the ionic liquid bridge pinned on the graphene grid. The sensors exhibit outstanding properties (response and relaxation times below 80 ms, and stability over 300 cycles) while demonstrating ultimate signal‐to‐noise ratios in the array tests. The contact‐induced spreading behavior of the ionic liquid is the key for boosting the sensor performance.
Iontronic graphene tactile sensors represent a new class of high‐performance wearable sensory platforms that reflect not only an unprecedented level of pressure sensing capabilities but also novel sensing principles based on spreading of ions pinned on a graphene grid, which demonstrates a more advanced tactile interface for emerging human‐interactive technologies.
The implantation of good-quality embryos to the receptive endometrium is essential for successful live birth through in vitro fertilization (IVF). The higher the quality of embryos, the higher the ...live birth rate per cycle, and so efforts have been made to obtain as many high-quality embryos as possible after fertilization. In addition to an effective controlled ovarian stimulation process to obtain high-quality embryos, the composition of the embryo culture medium in direct contact with embryos in vitro is also important. During embryonic development, under the control of female sex hormones, the fallopian tubes and endometrium create a microenvironment that supplies the nutrients and substances necessary for embryos at each stage. During this process, the development of the embryo is finely regulated by signaling molecules, such as growth factors and cytokines secreted from the epithelial cells of the fallopian tube and uterine endometrium. The development of embryo culture media has continued since the first successful human birth through IVF in 1978. However, there are still limitations to mimicking a microenvironment similar to the reproductive organs of women suitable for embryo development in vitro. Efforts have been made to overcome the harsh in vitro culture environment and obtain high-quality embryos by adding various supplements, such as antioxidants and growth factors, to the embryo culture medium. Recently, there has been an increase in the number of studies on the effect of supplementation in different clinical situations such as old age, recurrent implantation failure (RIF), and unexplained infertility; in addition, anticipation of the potential benefits from individuation is rising. This article reviews the effects of representative supplements in culture media on embryo development.
The uniform growth of single-crystal graphene over wafer-scale areas remains a challenge in the commercial-level manufacturability of various electronic, photonic, mechanical, and other devices based ...on graphene. Here, we describe wafer-scale growth of wrinkle-free single-crystal monolayer graphene on silicon wafer using a hydrogen-terminated germanium buffer layer. The anisotropic twofold symmetry of the germanium (110) surface allowed unidirectional alignment of multiple seeds, which were merged to uniform single-crystal graphene with predefined orientation. Furthermore, the weak interaction between graphene and underlying hydrogen-terminated germanium surface enabled the facile etch-free dry transfer of graphene and the recycling of the germanium substrate for continual graphene growth.
The timing and indications for surgical intervention to prevent systemic embolism in infective endocarditis remain controversial. We conducted a trial to compare clinical outcomes of early surgery ...and conventional treatment in patients with infective endocarditis.
We randomly assigned patients with left-sided infective endocarditis, severe valve disease, and large vegetations to early surgery (37 patients) or conventional treatment (39). The primary end point was a composite of in-hospital death and embolic events that occurred within 6 weeks after randomization.
All the patients assigned to the early-surgery group underwent valve surgery within 48 hours after randomization, whereas 30 patients (77%) in the conventional-treatment group underwent surgery during the initial hospitalization (27 patients) or during follow-up (3). The primary end point occurred in 1 patient (3%) in the early-surgery group as compared with 9 (23%) in the conventional-treatment group (hazard ratio, 0.10; 95% confidence interval CI, 0.01 to 0.82; P=0.03). There was no significant difference in all-cause mortality at 6 months in the early-surgery and conventional-treatment groups (3% and 5%, respectively; hazard ratio, 0.51; 95% CI, 0.05 to 5.66; P=0.59). The rate of the composite end point of death from any cause, embolic events, or recurrence of infective endocarditis at 6 months was 3% in the early-surgery group and 28% in the conventional-treatment group (hazard ratio, 0.08; 95% CI, 0.01 to 0.65; P=0.02).
As compared with conventional treatment, early surgery in patients with infective endocarditis and large vegetations significantly reduced the composite end point of death from any cause and embolic events by effectively decreasing the risk of systemic embolism. (EASE ClinicalTrials.gov number, NCT00750373.).
Maritime autonomous surface ships (MASS) need to be sufficiently safe to gain commercial acceptance. Collision avoidance strategies in such MASS should comply with the International Regulations for ...Preventing Collision at the Sea (COLREGs). According to the COLREGs, collision risk assessment, which determines the optimal positioning and timing via all available means appropriate to the prevailing circumstances and conditions, is crucial to preventing collisions. However, existing collision risk assessment methods do not consider all vital factors in the COLREGs rules compliant collision avoidance. We propose a collision risk inference system for MASS that complies with COLREGs vital rules for collision avoidance as follows: (i) actions to avoid collision are defined according to the degree of danger, and a suitable response distance is determined; (ii) a collision risk index (CRI) according to the enlarged ship domain based on the designated response distance by each level is set; (iii) all vital factors of the COLREGs rules compliant collision avoidance are extracted as the data when the ship domain enlarged by each level is overlapped; (iv) the collision risk inference system is developed by learning extracted data via the adaptive neuro fuzzy inference system (ANFIS). In contrast to existing research, the proposed system considers all vital variables in the COLREGs rules compliant collision avoidance guidelines, thereby improving the timings and positionings of the potential collision warning. Consequently, it could secure more time for decision making to take necessary collision prevention action.
Co-intercalation reactions make graphite as promising anodes for sodium ion batteries, however, the high redox potentials significantly lower the energy density. Herein, we investigate the factors ...that influence the co-intercalation potential of graphite and find that the tuning of the voltage as large as 0.38 V is achievable by adjusting the relative stability of ternary graphite intercalation compounds and the solvent activity in electrolytes. The feasibility of graphite anode in sodium ion batteries is confirmed in conjunction with Na
VPO
F
cathodes by using the optimal electrolyte. The sodium ion battery delivers an improved voltage of 3.1 V, a high power density of 3863 W kg
, negligible temperature dependency of energy/power densities and an extremely low capacity fading rate of 0.007% per cycle over 1000 cycles, which are among the best thus far reported for sodium ion full cells, making it a competitive choice in large-scale energy storage systems.
The aims of this study were to demonstrate the trends in seropositivity and the eradication therapy rate for Helicobacter pylori (H. pylori) over an 18-year period in an asymptomatic Korean ...population and to explore the factors associated with H. pylori seropositivity and its eradication therapy. In total, 23,770 subjects (aged 17-97 years) from a health examination center participated in this cross-sectional study from January 2016 to June 2017. Questionnaires that included questions about the participants' H. pylori eradication therapy history were collected, and anti-H. pylori IgG antibodies were measured. Among the eligible subjects, the seroprevalence of H. pylori infection was 41.5%. The H. pylori eradication therapy rate increased continuously from 2005 (13.9%) to 2011 (19.3%) and then increased again until the first half of 2017 (23.5%) (P < 0.001). After exclusion of subjects with a history of gastric surgery, gastric cancer, H. pylori eradication therapy, or gastric symptoms, H. pylori seropositivity was 43.9% in 16,885 subjects, which was significantly lower than the seropositivities in 1998 (66.9%), 2005 (59.6%), and 2011 (54.4%). The risk factors associated with H. pylori seropositivity according to multivariable analysis were male sex (odds ratio (OR) 1.34, 95% confidence interval (CI): 1.23-1.46), medium educational level (OR 1.17, 95% CI: 1.05-1.31), medium household income level (OR 1.10, 95% CI: 1.03-1.19), and age of 60-69 years (OR 8.78, 95% CI: 6.41-11.85). The observed downward trend in H. pylori seroprevalence and increase in H. pylori eradication over the 18-year period will affect upper gastrointestinal disorders in South Korea.
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Recent discovery of high-concentration electrolyte systems has opened a new avenue toward the high-voltage, safe, and low-cost aqueous rechargeable batteries. However, the need for ...generally high-cost organic solutes in the high-concentration electrolyte has become another major obstacle. Herein, we revisited all the commonly used low-cost solutes for high-concentration system and discovered that the use of NaClO4 solute effectively results in a wide electrochemical stability window by suppressing water decomposition and induces stable solid-electrolyte interphase (SEI) layer formation without involving the reduction of salt anions. The SEI layer, composed of Na2CO3 and NaO compounds including NaOH, guarantees the excellent electrochemical storage stability of the full-cell composed of Na4Fe3(PO4)2(P2O7) cathode and NaTi2(PO4)3 anode for the extended period of time. This new class of electrolyte systems provides remarkable cycle stability and a coulombic efficiency of ∼99% at 1C for over 200 cycles, which outperforms the state-of-the-art super-concentrated systems based on NaCF3SO3.
We investigated the effects of nilotinib plus multiagent chemotherapy, followed by consolidation/maintenance or allogeneic hematopoietic cell transplantation (allo-HCT) for adult patients with newly ...diagnosed Philadelphia-positive (Ph-pos) acute lymphoblastic leukemia (ALL). Study subjects received induction treatment that comprised concurrent vincristine, daunorubicin, prednisolone, and nilotinib. After achieving complete hematologic remission (HCR), subjects received either 5 courses of consolidation, followed by 2-year maintenance with nilotinib, or allo-HCT. Minimal residual disease (MRD) was assessed at HCR, and every 3 months thereafter. The molecular responses (MRs) were defined as MR3 for BCR-ABL1/G6PDH ratios ≤10−3 and MR5 for ratios <10−5. Ninety evaluable subjects, ages 17 to 71 years, were enrolled in 17 centers. The HCR rate was 91%; 57 subjects received allo-HCT. The cumulative MR5 rate was 94%; the 2-year hematologic relapse-free survival (HRFS) rate was 72% for 82 subjects that achieved HCR, and the 2-year overall survival rate was 72%. Subjects that failed to achieve MR3 or MR5 were 9.1 times (P = .004) or 6.3 times (P = .001) more prone to hematologic relapse, respectively, than those that achieved MR3 or MR5. MRD statuses just before allo-HCT and at 3 months after allo-HCT were predictive of 2-year HRFS. Adverse events occurred mainly during induction, and most were reversible with dose reduction or transient interruption of nilotinib. The combination of nilotinib with high-dose cytotoxic drugs was feasible, and it effectively achieved high cumulative complete molecular remission and HRFS rates. The MRD status at early postremission time was predictive of the HRFS. This trial was registered at www.clinicaltrials.gov as #NCT00844298.
•Nilotinib plus multiagent chemotherapy was feasible and showed a comparable outcome to previous results with imatinib for Ph-pos ALL.•The achievement of deep MR with nilotinib at postremission correlated well with the clinical outcomes for Ph-pos ALL.
Graphene oxide and silver nanowires were bar coated onto PET substrates and then welded using an ultraviolet (UV)-assisted flash light irradiation process to achieve both high electrical conductivity ...and low haze. The irradiation process connected adjacent silver nanowires by welding, while simultaneously reducing the graphene oxide to graphene. This process was performed using a custom UV-assisted flash light welding system at room temperature under ambient conditions and was extremely rapid, with processing time of several milliseconds. The effects of varying the weight fractions of the silver nanowires and graphene oxide and of varying the UV-assisted flash light welding conditions (light energy and pulse duration) were investigated. The surface morphologies of the welded silver nanowire/graphene films were analyzed using scanning electron microscopy. Optical characterizations, including transmittance and haze measurements, were also conducted using a spectrophotometer. To test their resistance to oxidation, the welded silver nanowire/graphene films were subjected to high temperature in a furnace (100 °C), and their sheet resistances were measured every hour. The flash light welding process was found to yield silver nanowire/graphene films with high oxidation resistance, high conductivity (14.35 Ω·sq
–1
), high transmittance (93.46%), and low haze (0.9%). This material showed uniform temperature distribution when applied as a resistive heating film.