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1.
Sci Adv ; 9(6): eade0423, 2023 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-36763652

RESUMO

Biological compounds often provide clues to advance material designs. Replicating their molecular structure and functional motifs in artificial materials offers a blueprint for unprecedented functionalities. Here, we report a flexible biomimetic thermal sensing (BTS) polymer that is designed to emulate the ion transport dynamics of a plant cell wall component, pectin. Using a simple yet versatile synthetic procedure, we engineer the physicochemical properties of the polymer by inserting elastic fragments in a block copolymer architecture, making it flexible and stretchable. The thermal response of our flexible polymer outperforms current state-of-the-art temperature sensing materials, including vanadium oxide, by up to two orders of magnitude. Thermal sensors fabricated from these composites exhibit a sensitivity that exceeds 10 mK and operate stably between 15° and 55°C, even under repeated mechanical deformations. We demonstrate the use of our flexible BTS polymer in two-dimensional arrays for spatiotemporal temperature mapping and broadband infrared photodetection.

2.
Dig Liver Dis ; 49(10): 1110-1114, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28733179

RESUMO

INTRODUCTION: Crohn's Disease (CD) and Ulcerative Colitis (UC) are chronic, systemic Inflammatory Bowel Diseases (IBDs) that need a multidisciplinary approach involving not only different medical specialists but also qualified nurses. AIM: We evaluated the concordance between IBD-nurse and physician in computing Clinical Activity Scores in IBD-patients treated with biologics. METHODS: We enrolled all consecutive IBD-patients treated with biologics in two referral centers for IBD-care. For each patient, a gastroenterologist and a nurse blindly filled-out a form to assess the Harvey-Bradshaw Index (HBI) in CD or the partial MAYO score in UC. All data were recorded to assess the beyond chance agreement (concordance) using the k statistic. RESULTS: 87 patients were enrolled. The agreement in all patients by k value was substantial (66%), ranging from moderate to substantial (95% CI from 51% to 80%). The main reason of disagreement was about the scoring of remission versus mild activity, and that of mild versus moderate activity, both in CD and UC. For the HBI, the best agreement was for well-being on the previous day (k 62%) and the least one for abdominal mass (k 35%). CONCLUSIONS: Our study shows an acceptable strength of agreement among nurse and gastroenterologist in evaluating the disease activity of IBD-patients through the calculation of clinical scores.


Assuntos
Colite Ulcerativa , Doença de Crohn , Gastroenterologia , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem Hospitalar , Avaliação de Sintomas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Colite Ulcerativa/complicações , Doença de Crohn/complicações , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Projetos Piloto , Índice de Gravidade de Doença , Adulto Jovem
3.
Sci Robot ; 2(3)2017 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33157860

RESUMO

Artificial membranes that are sensitive to temperature are needed in robotics to augment interactions with humans and the environment and in bioengineering to improve prosthetic limbs. Existing flexible sensors achieved sensitivities of <100 millikelvin and large responsivity, albeit within narrow (<5 kelvin) temperature ranges. Other flexible devices, working in wider temperature ranges, exhibit orders of magnitude poorer responses. However, much more versatile and temperature-sensitive membranes are present in animals such as pit vipers, whose pit membranes have the highest sensitivity and responsivity in nature and are used to locate warm-blooded prey at distance. We show that pectin films mimic the sensing mechanism of pit membranes and parallel their record performances. These films map temperature on surfaces with a sensitivity of at least 10 millikelvin in a wide temperature range (45 kelvin), have very high responsivity, and detect warm bodies at distance. The produced material can be integrated as a layer in artificial skin platforms and boost their temperature sensitivity to reach the best biological performance.

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