Fabrication of Unidirectional Water Permeable PS/PET Composite Nanofibers Modified with Silver Nanoparticles via Electrospinning.

In this study, the composite nanofiber membranes (AgNPs-PS/PET) composed of hydrophobic polystyrene (PS) embedded with different additions of silver nanoparticles (AgNPs) and hydrophilic hydrolyzed polyethylene terephthalate (PET) were prepared via electrospinning technology to achieve the function of unidirectional water penetration. The addition of AgNO3 was at 0 wt%, 0.5 wt%, 1.0 wt% and 1.5 wt% as the variables. The surface morphology and structure of AgNPs-PS/PET composite nanofibers were characterized by scanning electron microscopy (SEM), x-ray energy dispersive spectroscopy (EDS) and transmission electron microscopy (TEM). The SEM image showed that the fibers of the composite materials were continuous and uniform as a result of electrospinning. The presence and content of Ag nanoparticles dispersed in the nanofibers were investigated using EDS and TEM. The contact angle (CA) was tested to illustrate the wettability of the composite nanofiber membranes using a static contact angle measuring instrument and the process of unidirectional water penetration was recorded. Meanwhile, the mechanism of unidirectional water penetration was analyzed. Moreover, the electrospinning solution's viscosity and conductivity were also investigated. Eventually, the optimal addition of AgNO3 (1.0 wt%) was confirmed and the prepared AgNPs-PS/PET composite nanofiber membranes were able to achieve the function of unidirectional water penetration. These membranes have the potential to be applied in smart textiles, unidirectional water collection and wound dressing.

Submassive hepatic necrosis distinguishes HBV-associated acute on chronic liver failure from cirrhotic patients with acute decompensation.

BACKGROUND & AIMS: Distinguishing between acute on chronic liver failure (ACLF) and decompensated liver cirrhosis is difficult due to a lack of pathological evidence. METHODS: A prospective single-center study investigated 174 patients undergoing liver transplantation due to acute decompensation of hepatitis B virus (HBV)-associated liver cirrhosis. Two groups were distinguished by the presence or absence of submassive hepatic necrosis (SMHN, defined as necrosis of 15-90% of the entire liver on explant). Core clinical features of ACLF were compared between these groups. Disease severity scoring systems were applied to describe liver function and organ failure. Serum cytokine profile assays, gene expression microarrays and immunohistochemical analyzes were used to study systemic and local inflammatory responses. RESULTS: SMHN was identified in 69 of 174 patients proven to have cirrhosis by histological means. Characteristic features of SMHN were extensive necrosis along terminal hepatic veins and spanning multiple adjacent cirrhotic nodules accompanied by various degrees of liver progenitor cell-derived regeneration, cholestasis, and ductular bilirubinostasis. Patients with SMHN presented with more severely impaired hepatic function, a higher prevalence of multiple organ failure (as indicated by higher CLIF-SOFA and SOFA scores) and a shorter interval between acute decompensation and liver transplantation than those without SMHN (p<0.01 for all parameters). Further analyzes based on serum cytokine profile assays, gene expression microarrays and immunohistochemical analyzes revealed higher levels of anti-inflammatory cytokines in patients with SMHN. CONCLUSIONS: SMHN is a critical histological feature of HBV-associated ACLF. Identification of a characteristic pathological feature strongly supports that ACLF is a separate entity in end-stage liver disease.