Bilateral intertrochanteric fractures in an elderly patient following high-energy trauma: a case report.

BACKGROUND: Cases of bilateral hip fractures are rare, and even more so are cases of bilateral intertrochanteric fractures. Common causes include trauma, internal diseases, and primary or secondary bone diseases. We report a case of bilateral intertrochanteric fractures in an elderly patient following a severe car accident, a scenario not extensively reported in existing literature. CASE PRESENTATION: We report on an 84-year-old male who suffered severe trauma from a car accident, resulting in multiple injuries and shock state, with pain and limited mobility in both hip joints. After examination and imaging studies, the patient was diagnosed with multiple injuries and bilateral intertrochanteric fractures. Following emergency resuscitation, he was admitted to the orthopedic ward. A pre-surgical multidisciplinary team (MDT) consultation was convened to optimize surgical conditions. The patient underwent successful one-stage bilateral intramedullary nailing. The patient was assisted to stand with a walker on the third day after surgery. Six months post-surgery, the patient resumed outdoor activities. CONCLUSION: Managing bilateral intertrochanteric fractures, particularly in the elderly with severe trauma, is notably challenging due to their rarity. However, a coordinated multidisciplinary approach and one-stage bilateral internal fixation can lead to effective treatment outcomes and favorable prognoses.

A Phase Canceling Technique to Improve SAW Duplexer Isolation.

Spectrum resources are becoming increasingly crowded, and the isolation interval between different systems is getting smaller and smaller. This puts forward higher requirements for the duplexer. The duplexer is an important part of the radio frequency front end, and the isolation requirement is becoming higher. This paper presents a phase canceling circuit to improve the performance of the duplexer to meet the requirement of the communication system for isolation. A phase canceling circuit is an effective method to enhance the isolation through use of a surface acoustic wave (SAW) on-chip circuit. It contains a duplexer and a branch. The branch is designed for diminishing the leakage signal of the duplexer. Compared with the leakage signal, the branch consists of two attenuators and a phase shifter to generate a signal which has equal extent and reverse phase. As a result, this method is capable of increasing the isolation of band 5 by 12 dB in the downlink frequency. Meanwhile, it neither affects other factors, such as insertion loss or return loss, nor increases the size of the chip. The phase canceling circuit is expected to promote the quality of duplexer to satisfy the strict requirements in 4G and 5G systems.

High-Entropy Perovskite Oxide: A New Opportunity for Developing Highly Active and Durable Air Electrode for Reversible Protonic Ceramic Electrochemical Cells.

Reversible proton ceramic electrochemical cell (R-PCEC) is regarded as the most promising energy conversion device, which can realize efficient mutual conversion of electrical and chemical energy and to solve the problem of large-scale energy storage. However, the development of robust electrodes with high catalytic activity is the main bottleneck for the commercialization of R-PCECs. Here, a novel type of high-entropy perovskite oxide consisting of six equimolar metals in the A-site, Pr1/6La1/6Nd1/6Ba1/6Sr1/6Ca1/6CoO3-δ (PLNBSCC), is reported as a high-performance bifunctional air electrode for R-PCEC. By harnessing the unique functionalities of multiple elements, high-entropy perovskite oxide can be anticipated to accelerate reaction rates in both fuel cell and electrolysis modes. Especially, an R-PCEC utilizing the PLNBSCC air electrode achieves exceptional electrochemical performances, demonstrating a peak power density of 1.21 W cm-2 for the fuel cell, while simultaneously obtaining an astonishing current density of - 1.95 A cm-2 at an electrolysis voltage of 1.3 V and a temperature of 600 °C. The significantly enhanced electrochemical performance and durability of the PLNBSCC air electrode is attributed mainly to the high electrons/ions conductivity, fast hydration reactivity and high configurational entropy. This research explores to a new avenue to develop optimally active and stable air electrodes for R-PCECs.

Chemical and Enzymatic Fiber Modification to Enhance the Mechanical Properties of CMC Composite Films.

Carboxymethyl cellulose (CMC) is a cellulose derivative that can be obtained from wood, bamboo, rattan, straw, and other cellulosic materials. CMC can be used to produce biofilms for many purposes, but the properties of these resulting films make them unsuitable for some applications. The effects of three kinds of plant fiber addition on CMC film properties was investigated using CMC derived from eucalyptus bark cellulose. Tensile strength (TS) and elongation at break (EB) of CMC/sodium alginate/glycerol composite films were 26.2 MPa and 7.35%, respectively. Tensile strength of CMC composite films substantially increased, reaching an optimum at 0.50 g of fiber. The enhancement due to industrial hemp hurd fiber on CMC composite films was more obvious. Pretreatment with hydrogen peroxide (H2O2) and glacial acetic acid (CH3COOH) produced films with a TS of 35.9 MPa and an EB of 1.61%. TS values with pectinase pretreated fiber films was 41.3 MPa and EB was 1.76%. TS of films pretreated with pectinase and hemicellulase was 45.2 MPa and EB was 4.18%. Chemical and enzymatic treatment both improved fiber crystallinity, but film tensile strength was improved to a greater extent by enzymatic treatment. Surface roughness and pyrolysis residue of the film increased after fiber addition, but Fourier transform infrared spectroscopy (FTIR), opacity, and water vapor transmission coefficients were largely unchanged. Adding fiber improved tensile strength of CMC/sodium alginate/glycerol composite films and broadened the application range of CMC composite films without adversely affecting film performance.

The Improved Properties of Carboxymethyl Bacterial Cellulose Films with Thickening and Plasticizing.

This study aims to improve the thermal stability and mechanical properties of carboxymethyl bacterial cellulose (CMBC) composite films. Experiments were conducted by preparing bacterial cellulose (BC) into CMBC, then parametrically mixing sodium alginate/starch/xanthan gum/gelatin and glycerin/sorbitol/PEG 400/PEG 6000 with CMBC to form the film. Scanning electron microscopy, X-ray diffractometry, infrared spectroscopy, mechanical tests, and thermogravimetric analysis showed that the composite films had better mechanical properties and thermal stability with the addition of 1.5% CMBC (% v/v), 1% sodium alginate, and 0.4% glycerin. Tensile strength was 38.13 MPa, the elongation at break was 13.4%, the kinematic viscosity of the film solution was 257.3 mm2/s, the opacity was 4.76 A/mm, the water vapor permeability was 11.85%, and the pyrolysis residue was 45%. The potential causes for the differences in the performance of the composite films were discussed and compared, leading to the conclusion that CMBC/Sodium alginate (SA)/glycerin (GL) had the best thermal stability and mechanical properties.

Antibacterial Films Made of Bacterial Cellulose.

Bacterial cellulose (BC) is naturally degradable, highly biocompatible, hydrophilic, and essentially non-toxic, making it potentially useful as a base for creating more sophisticated bio-based materials. BC is similar to plant-derived cellulose in terms of chemical composition and structure but has a number of important differences in microstructure that could provide some unique opportunities for use as a scaffold for other functions. In this study, bacterial cellulose was alkylated and then esterified to produce a carboxymethyl bacterial cellulose (CMBC) that was then used to produce six different composite films with potential antibacterial properties. The films were assessed for antibacterial activity against Staphylococcus aureus and Escherichia coli, pyrolysis characteristics using thermogravimetric analysis (TGA), microstructure using scanning electron microscopy (SEM), and mechanical properties. The addition of nano-silver (nano-Ag) markedly improved the antimicrobial activity of the films while also enhancing the physical and mechanical properties. The results indicate that the three-dimensional reticulated structure of the bacterial cellulose provides an excellent substrate for scaffolding other bioactive materials. Thus, the nano-BC was added into the CMBC/nano-Ag composites furthermore, and then the antibacterial and mechanical properties were improved 44% for E. coli, 59% for S. aureus, and 20% for tensile strength, respectively.

Preparation of Cellulose Nanoparticles from Foliage by Bio-Enzyme Methods.

There are vast reserves of foliage in nature, which is an inexhaustible precious resource. In this study, the chemical components of five foliage types (pine needles, black locust tree leaves, bamboo leaves, elm leaves and poplar leaves) were analyzed, including cellulose content, hemicellulose content, and lignin content. The bio-enzymatic method was then used to prepare cellulose nanoparticles (CNPs) from these five kinds of leaves, and the prepared CNPs were analyzed using TEM, FTIR, FESEM, and XRD. The results showed that the content of hemicellulose in bamboo leaves was the highest, and the lignin content in the other four leaves was the highest. The cellulose content in the five kinds of foliage was arranged from large to small as pine needles (20.5%), bamboo leaves (19.5%), black locust leaves (18.0%), elm leaves (17.6%), and poplar leaves (15.5%). TEM images showed that the CNPs prepared by the five kinds of foliage reached the nanometer level in width and the micrometer level in length; therefore, the CNPs prepared in this study belonged to cellulose nanofibers (CNFs). The results of FTIR and XRD showed that CNFs prepared by the enzyme treatment exhibited a typical crystalline structure of cellulose II. The degree of crystallinity (DOC) of CNFs prepared from pine needle, poplar leaves, and bamboo leaves are 78.46%, 77.39%, and 81.51%, respectively. FESEM results showed that the CNFs prepared from pine needles, poplar leaves and bamboo leaves by enzymatic method presents a three-dimensional (3D) network structure, and their widths are 31 nm, 36 nm, and 37 nm, respectively. This study provides a meaningful reference for broadening the use of foliage types and improving their added value.

Effects of Raw Material Source on the Properties of CMC Composite Films.

Sodium carboxymethyl cellulose (CMC) can be derived from a variety of cellulosic materials and is widely used in petroleum mining, construction, paper making, and packaging. CMCs can be derived from many sources with the final properties reflecting the characteristics of the original lignocellulosic matrix as well as the subsequent separation steps that affect the degree of carboxy methyl substitution on the cellulose hydroxyls. While a large percentage of CMCs is derived from wood pulp, many other plant sources may produce more attractive properties for specific applications. The effects of five plant sources on the resulting properties of CMC and CMC/sodium alginate/glycerol composite films were studied. The degree of substitution and resulting tensile strength in leaf-derived CMC was from 0.87 to 0.89 and from 15.81 to 16.35 MPa, respectively, while the degree of substitution and resulting tensile strength in wooden materials-derived CMC were from 1.08 to 1.17 and from 26.08 to 28.97 MPa, respectively. Thus, the degree of substitution and resulting tensile strength tended to be 20% lower in leaf-derived CMCs compared to those prepared from wood or bamboo. Microstructures of bamboo cellulose, bamboo CMC powder, and bamboo leaf CMC composites' films all differed from pine-derived material, but plant source had no noticeable effect on the X-ray diffraction characteristics, Fourier transform infrared spectroscopy spectra, or pyrolysis properties of CMC or composites films. The results highlighted the potential for using plant source as a tool for varying CMC properties for specific applications.

A Low Temperature Drifting Acoustic Wave Pressure Sensor with an Integrated Vacuum Cavity for Absolute Pressure Sensing.

In this paper we demonstrate a novel acoustic wave pressure sensor, based on an aluminum nitride (AlN) piezoelectric thin film. It contains an integrated vacuum cavity, which is micro-fabricated using a cavity silicon-on-insulator (SOI) wafer. This sensor can directly measure the absolute pressure without the help of an external package, and the vacuum cavity gives the sensor a very accurate reference pressure. Meanwhile, the presented pressure sensor is superior to previously reported acoustic wave pressure sensors in terms of the temperature drift. With the carefully designed dual temperature compensation structure, a very low temperature coefficient of frequency (TCF) is achieved. Experimental results show the sensor can measure the absolute pressure in the range of 0 to 0.4 MPa, while the temperature range is from 20 °C to 220 °C with a TCF of -14.4 ppm/°C. Such a TCF is only about half of that of previously reported works.

Influence of Cellulose Nanoparticles on Rheological Behavior of Oil Well Cement-Water Slurries.

Performance of hardened oil well cement (OWC) is largely determined by the rheological properties of the cement slurries. This work was carried out to investigate the effect of water- to-cement ratio (WCR) and cellulose nanoparticles (CNPs), including cellulose nanofibers (CNFs) and cellulose nanocrystals (CNCs), on rheology performance of OWC-based slurries using a Couette rotational viscometer coupled with rheological models. The yield stress and viscosity of neat OWC slurries had a decreasing trend with the increase of WCRs. The suspension became increased unstable with the increase of WCRs. The properties of CNPs, including rheological behaviors, surface properties and morphology, determine the rheological performance of CNP-OWC slurries. In comparison with CNC-OWC slurries, the gel strength, yield stress and viscosity of CNF-OWC slurries were higher as CNFs were more likely to form an entangled network. The gel strength, yield stress and viscosity of CNP-OWC slurries increased with reduced CNF size through regrinding and the proportion of CNFs in the mixture of CNFs and CNCs, respectively.