Clinical exploration of the international society of limb salvage classification of endoprosthetic failure using Henderson in the application of 3D-printed pelvic tumor prostheses.

Background: The use of 3D-printed pelvic prosthesis for postoperative reconstruction after pelvic tumor resection has become one of the primary reconstruction methods the incidence of complications related to postoperative prosthesis reconstruction is high. Drawing on the failure of the type of bone tumor reconstruction in Henderson,the occurrence of postoperative complications was explored to take advantage of the design improvement of the 3D-printed prosthesis of subsequent pelvic tumors. Methods: The data for patients who underwent 3D-printed pelvic tumor prostheses in the Department of Bone and Soft Tissue Surgery at the Affiliated Cancer Hospital of Guangxi Medical University from January 2019 to October 2022 were collected and analyzed. Results: The median follow-up time for all patients was 15.99 months (1.33-31.16 months). At the most recent follow-up,all patients were alive,with an average Musculoskeletal Tumor Society (MSTS) score of 21.46 (17 to 26 points). Local recurrence occurred in two cases (15.3%), metastasis in four cases (30.7%), and complications in 10 cases (76.9%). Early complications after surgery were primarily local wound fissure, deep tissue infection, and postoperative neuralgia. Later complications included loose dissolution of internal fixation, postoperative prosthetic dislocation, and postoperative gluteal middle muscle gait. Conclusion: 3D printing personalized design pelvic tumor prosthesis is an effective way to reconstruct, and designing pelvic 3D printed tumor prosthesis with the help of Henderson's bone tumor reconstruction failure concept may help bone tumor surgeons develop better pelvic tumor prosthesis.

Factors associated with follow-up attendance of patients with oral squamous cell carcinoma: A retrospective cohort study.

BACKGROUND: This study examined the postoperative follow-up attendance of oral squamous cell carcinoma (OSCC) patients, evaluated some of the factors associated with it, and assessed its relationship with early detection of postoperative disease progression. METHODS: An exploratory retrospective cohort study of 430 OSCC patients was conducted. We examined associations of follow-up attendance within the first year after surgery with selected demographic and clinical factors, and with early detection of disease progression. RESULTS: The mean number of follow-up visits within the first year after surgery was 3.9 out of the 12 recommended at our center; few patients were fully adherent. Age ≥70 years, unmarried status, high education level, and negative history of surgery for premalignant or malignant lesions from oral cavity or other sites were significantly associated with lower follow-up attendance. Greater follow-up attendance was significantly associated with early detection of disease progression during the first year after surgery (p = 0.025). CONCLUSIONS: Adherence to follow-up visits was poor. Several sociodemographic and clinical factors were related to follow-up attendance, greater follow-up attendance was significantly associated with early detection of disease progression, and these should be further explored in future research.

Extremely fast-charging lithium ion battery enabled by dual-gradient structure design.

Extremely fast-charging lithium-ion batteries are highly desirable to shorten the recharging time for electric vehicles, but it is hampered by the poor rate capability of graphite anodes. Here, we present a previously unreported particle size and electrode porosity dual-gradient structure design in the graphite anode for achieving extremely fast-charging lithium ion battery under strict electrode conditions. We develop a polymer binder-free slurry route to construct this previously unreported type particle size-porosity dual-gradient structure in the practical graphite anode showing the extremely fast-charging capability with 60% of recharge in 10 min. On the basis of dual-gradient graphite anode, we demonstrate extremely fast-charging lithium ion battery realizing 60% recharge in 6 min and high volumetric energy density of 701 Wh liter-1 at the high charging rate of 6 C.

Trace Doping of Multiple Elements Enables Stable Cycling of High Areal Capacity LiNi0.5 Mn1.5 O4 Cathode.

High-voltage spinel cobalt-free LiNi0.5 Mn1.5 O4 (LNMO) is one of the most promising cathode candidates for next-generation lithium-ion batteries (LIBs) due to its high specific capacity, high operating voltage, and low cost. However, inferior electronic conductivity, transition metal dissolution, and fast capacity degradation of LNMO, especially in high mass loading for high areal capacity, are the critical material challenges for its practical application. Herein, trace multiple Cr-Fe-Cu elements doping of LiNi0.45 Cr0.0167 Fe0.0167 Cu0.0167 Mn1.5 O4 (CFC0.5-LNMO) cathode is achieved by a blow-spinning strategy to exhibit very stable cycling at a practical level of areal capacity up to 3 mAh cm-2 . It is demonstrated that the Cu, Fe, and Cr doping into the LNMO lattice can suspend the Mn dissolution and improve the Li ion diffusivity and electronic conductivity of the LNMO host. As a result, the obtained CFC0.5-LNMO cathode exhibits an excellent rate performance (1.75 mAh cm-2 at 1C) and long cycling stability under an areal capacity of 3 mAh cm-2 (78% capacity retention over 300 cycles at 0.5C).

Pharmacological basis and new insights of deguelin concerning its anticancer effects.

Deguelin is a rotenoid of the flavonoid family, which can be extracted from Lonchocarpus, Derris, or Tephrosia. It possesses the inhibition of cancer cell proliferation by inducing apoptosis through regulating the phosphoinositide 3-kinase/protein kinase B (PI3K/Akt) signaling pathway, the NF-κB signaling pathway, the Wnt signaling pathway, the adenosine 5'-monophosphate (AMP)-activated protein kinase (AMPK) signaling pathway and epidermal growth factor receptor (EGFR) signaling, activating the p38 mitogen-activated protein kinase (MAPK) pathway, repression of Bmi1, targeting cyclooxygenase-2 (COX-2), targeting galectin-1, promotion of glycogen synthase kinase-3ß (GSK3ß)/FBW7-mediated Mcl-1 destabilization and targeting mitochondria via down-regulating Hexokinases II-mediated glycolysis, PUMA-mediation, which are some crucial molecules which modulate closely cancer cell growth and metastasis. Deguelin inhibits tumor cell propagation and malignant transformation through targeting angiogenesis, targeting lymphangiogenesis, targeting focal adhesion kinase (FAK), inhibiting the CtsZ/FAK signaling pathway, targeting epithelial-mesenchymal transition (EMT), the NF-κB signaling pathway, regulating NIMA-related kinase 2 (NEK2). In addition, deguelin possesses other biological activities, such as targeting cell cycle arrest, modulation of autophagy, inhibition of hedgehog pathway, inducing differentiation of mutated NPM1 acute myeloid leukemia etc. Therefore, deguelin is a promising chemopreventive agent for cancer therapy.

Blow-Spinning Enabled Precise Doping and Coating for Improving High-Voltage Lithium Cobalt Oxide Cathode Performance.

Lithium cobalt oxide (LiCoO2) possesses an attractive theoretical specific capacity (274 mAh g-1) and high discharge voltage (∼4.2 V vs Li+/Li). However, only a half of the theoretical capacity of LiCoO2 is available in commercialized lithium ion batteries because of the intrinsic structural instability and detrimental interface of LiCoO2 at the charging voltage over 4.2 V. Here, a facile blow-spinning synthetic method is developed to realize precise doping and simultaneous self-assembly coating of LiCoO2 particles, achieving a record performance among present LiCoO2 cathodes. Owing to the spatial confinement effect of microfibers fabricated by blow-spinning, homogeneously Mn and La doped in the LiCoO2 host and uniformly Li-Ti-O segregated at the LiCoO2 surface can be realized in every batch of samples. It is demonstrated that the Mn and La codoping can suspend the intrinsic instability and increase the Li+ diffusivity of the LiCoO2 host, and the Ti-based coating can stabilize the interface of LiCoO2 particles at the charging voltage up to 4.5 V. As a result, the obtained comodified LiCoO2 cathode shows the best rate performance (1.85 mAh cm-2 at 2C) and longest cycling stability under an areal capacity of 2.04 mAh cm-2 (83% capacity retention over 300 cycles at 0.3C), in comparison to previously reported LiCoO2 cathodes.

A Nacre-Inspired Separator Coating for Impact-Tolerant Lithium Batteries.

The commercial ceramic nanoparticle coated microporous polyolefin separators used in lithium batteries are still vulnerable under external impact, which may cause short circuits and consequently severe safety threats, because the protective ceramic nanoparticle coating layers on the separators are intrinsically brittle. Here, a nacre-inspired coating on the separator to improve the impact tolerance of lithium batteries is reported. Instead of a random structured ceramic nanoparticle layer, ion-conductive porous multilayers consisting of highly oriented aragonite platelets are coated on the separator. The nacre-inspired coating can sustain external impact by turning the violent localized stress into lower and more uniform stress due to the platelet sliding. A lithium-metal pouch cell using the aragonite platelet coated separator exhibits good cycling stability under external shock, which is in sharp contrast to the fast short circuit of a lithium-metal pouch cell using a commercial ceramic nanoparticle coated separator.

Chemically exfoliated boron nitride nanosheets form robust interfacial layers for stable solid-state Li metal batteries.

Two-dimensional (2D) boron nitride nanosheets (BNNSs) were chemically exfoliated from bulk boron nitride and coated onto the surface of a poly(ethylene oxide) (PEO)-based electrolyte through a dry-pressing transfer process. The fabricated BNNSs coating formed a robust interfacial layer to improve the chemical and mechanical stability of the PEO-based electrolyte, leading to the enhanced performance of solid-state Li metal batteries.

Bio-inspired low-tortuosity carbon host for high-performance lithium-metal anode.

Lithium metal is one of the most promising anode materials for high-energy-density Li batteries. However, low stability caused by dendrite growth and volume change during cycling hinders its practical application. Herein, we report an ingenious design of bio-inspired low-tortuosity carbon with tunable vertical micro-channels to be used as a host to incorporate nanosized Sn/Ni alloy nucleation sites, which can guide Li metal's plating/stripping and meanwhile accommodate the volume change. The pore sizes of the vertical channels of the carbon host can be regulated to investigate the structure-performance correlation. After compositing Li, the bio-inspired carbon host with the smallest pore size (∼14 µm) of vertical channels exhibits the lowest overpotential (∼18 mV at 1 mA cm-2), most stable tripping/plating voltage profiles, and best cycling stability (up to 500 cycles) in symmetrical cells. Notably, the carbon/Li composite anode is more rewarding than Li foil when coupled with LiFePO4 in full cells, exhibiting a much lower polarization effect, better rate capability and higher capacity retention (90.6% after 120 cycles). This novel bio-inspired design of a low-tortuosity carbon host with nanoalloy coatings may open a new avenue for fabricating advanced Li-metal batteries with high performance.

A fluorinated alloy-type interfacial layer enabled by metal fluoride nanoparticle modification for stabilizing Li metal anodes.

Using highly dispersed metal fluoride nanoparticles to construct a uniform fluorinated alloy type interfacial layer on the surface of Li metal anodes is realized by an ex situ solution chemical modification method. The fluorinated alloy-type interfacial layer can effectively inhibit the growth of undesirable Li dendrites while enhancing the performance of Li metal anodes.

Wood-Inspired High-Performance Ultrathick Bulk Battery Electrodes.

Ultrathick electrode design is a promising strategy to enhance the specific energy of Li-ion batteries (LIBs) without changing the underlying materials chemistry. However, the low Li-ion conductivity caused by ultralong Li-ion transport pathway in traditional random microstructured electrode heavily deteriorates the rate performance of ultrathick electrodes. Herein, inspired by the vertical microchannels in natural wood as the highway for water transport, the microstructures of wood are successfully duplicated into ultrathick bulk LiCoO2 (LCO) cathode via a sol-gel process to achieve the high areal capacity and excellent rate capability. The X-ray-based microtomography demonstrates that the uniform microchannels are built up throughout the whole wood-templated LCO cathode bringing in 1.5 times lower of tortuosity and ≈2 times higher of Li-ion conductivity compared to that of random structured LCO cathode. The fabricated wood-inspired LCO cathode delivers high areal capacity up to 22.7 mAh cm-2 (five times of the existing electrode) and achieves the dynamic stress test at such high areal capacity for the first time. The reported wood-inspired design will open a new avenue to adopt natural hierarchical structures to improve the performance of LIBs.

Large-Scale Syntheses of Zinc Sulfide⋠(Diethylenetriamine)0.5 Hybrids as Precursors for Sulfur Nanocomposite Cathodes.

Nanostructured metal sulfide-amine hybrid materials have attracted attention because of their unique properties and versatility as precursors for functional inorganic nanomaterials. However, large-scale synthesis of metal sulfide-amine hybrid nanomaterials is limited by hydrothermal and solvothermal preparative reaction conditions; consequently, incorporation of such materials into functional nanomaterials is hindered. An amine molecule-assisted refluxing method was used to synthesize highly uniform zinc sulfide⋅(diethylenetriamine)0.5 (ZnS⋅(DETA)0.5 ) hybrid nanosheets and nanobelts in a large scale. The obtained ZnS⋅(DETA)0.5 hybrid nanomaterials can be used as efficient precursors to fabricate functional ZnS nanomaterials and carbon encapsulated sulfur (S@C) nanocomposite cathodes for Li-S batteries.

Prawn Shell Derived Chitin Nanofiber Membranes as Advanced Sustainable Separators for Li/Na-Ion Batteries.

Separators, necessary components to isolate cathodes and anodes in Li/Na-ion batteries, are consumed in large amounts per year; thus, their sustainability is a concerning issue for renewable energy storage systems. However, the eco-efficient and environmentally friendly fabrication of separators with a high mechanical strength, excellent thermal stability, and good electrolyte wettability is still challenging. Herein, we reported the fabrication of a new type of separators for Li/Na-ion batteries through the self-assembly of eco-friendly chitin nanofibers derived from prawn shells. We demonstrated that the pore size in the chitin nanofiber membrane (CNM) separator can be tuned by adjusting the amount of pore generation agent (sodium dihydrogen citrate) in the self-assembly process of chitin nanofibers. By optimizing the pore size in CNM separators, the electrochemical performance of the LiFePO4/Li half-cell with a CNM separator is comparable to that with a commercialized polypropylene (PP) separator. More attractively, the CNM separator showed a much better performance in the LiFePO4/Li cell at 120 °C and Na3V2(PO4)3/Na cell than the PP separator. The proposed fabrication of separators by using natural raw materials will play a significant contribution to the sustainable development of renewable energy storage systems.