Stretchable conductors are the basic building blocks of advanced flexible electronic devices, such as flexible display, skin-like sensors, stretchable batteries, soft actuators and so forth. [1][2][3][4][5][6][7][8][9][10] They are used in a vast number of soft and stretchable devices developed in recent years, including biointerfacing electrodes, [11][12][13][14][15] transistors, [16][17][18] mechanical sensors, [19][20][21][22] energy devices [23][24][25][26] and many more. [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] To meet most application requirements, stretchable conductors need to remain conductive under tensile strain of more than 100%, and even more importantly, to show stable performance in terms of interfacial adhesion between conductive metal film and the supporting polymer substrate.[1] Current methods to achieve stretchable conductors generally fall into two categories. One involves a structural design strategy, where the conducting material is designed with specific structures/topographies including serpentines, [46][47][48][49][50][51][52] wrinkles, [53,54] meshes, [55][56][57][58] and microcracks. [59][60][61][62][63] The other strategy relies on intrinsic stretchability of Stretchable conductors are the basic units of advanced flexible electronic devices, such as skin-like sensors, stretchable batteries and soft actuators. Current fabrication strategies are mainly focused on the stretchability of the conductor with less emphasis on the huge mismatch of the conductive material and polymeric substrate, which results in stability issues during long-term use. Thermal-radiation-assisted metal encapsulation is reported to construct an interlocking layer between polydimethylsiloxane (PDMS) and gold by employing a semipolymerized PDMS substrate to encapsulate the gold clusters/atoms during thermal deposition. The stability of the stretchable conductor is significantly enhanced based on the interlocking effect of metal and polymer, with high interfacial adhesion (>2 MPa) and cyclic stability (>10 000 cycles). Also, the conductor exhibits superior properties such as high stretchability (>130%) and large active surface area (>5:1 effective surface area/geometrical area). It is noted that this method can be easily used to fabricate such a stretchable conductor in a wafer-scale format through a one-step process. As a proof of concept, both long-term implantation in an animal model to monitor intramuscular electric signals and on human skin for detection of biosignals are demonstrated. This design approach brings about a new perspective on the exploration of stretchable conductors for biomedical applications.

BackgroundSwallowing is a continuous process with substantive interdependencies among different muscles, and it plays a significant role in our daily life. The aim of this study was to propose a novel technique based on high-density surface electromyography (HD sEMG) for the evaluation of normal swallowing functions.MethodsA total of 96 electrodes were placed on the front neck to acquire myoelectric signals from 12 healthy subjects while they were performing different swallowing tasks. HD sEMG energy maps were constructed based on the root mean square values to visualize muscular activities during swallowing. The effects of different volumes, viscosities, and head postures on the normal swallowing process were systemically investigated by using the energy maps.ResultsThe results showed that the HD sEMG energy maps could provide detailed spatial and temporal properties of the muscle electrical activity, and visualize the muscle contractions that closely related to the swallowing function. The energy maps also showed that the swallowing time and effort was also explicitly affected by the volume and viscosity of the bolus. The concentration of the muscular activities shifted to the opposite side when the subjects turned their head to either side.ConclusionsThe proposed method could provide an alternative method to physiologically evaluate the dynamic characteristics of normal swallowing and had the advantage of providing a full picture of how different muscle activities cooperate in time and location. The findings from this study suggested that the HD sEMG technique might be a useful tool for fast screening and objective assessment of swallowing disorders or dysphagia.

Upper-limb amputation imposes significant burden on amputees thereby restricting them from fully exploring their environments during activities of daily living. The use of intelligent learning algorithm for electromyogram-pattern recognition (EMG-PR)-based control in upper-limb prostheses is considered as an important clinical option. Though the existing EMG-PR prostheses could discriminate multiple degrees of freedom (DOF) limb movements, their transition to clinically viable option is still being challenged by some confounding factors. Toward realizing a clinically viable multiple DOF prostheses, this paper first explored the principles and dynamics of the existing intelligently driven EMG-PR-based prostheses control scheme. Then, investigations on core issues including variation in muscle contraction force, electrode shift, and subject mobility affecting the existing EMG-PR prosthetic control scheme were reported. For instance, variation in muscle contraction force and subject mobility led to degradation in the performance of the EMG-PR controlled prostheses with approximately 17.00% and 8.98% error values, respectively, which are still challenging issues among others. Thus, this paper reports core issues and best practices with respect to intelligent EMG-PR controlled prosthesis, the major challenges in implementing adaptively robust control scheme and provides future research directions that may result in the clinical realization of intuitively dexterous multiple DOF EMG-PR-based prostheses in the near future.

Different substituents on stilbene-based oxime esters play an important role in the relationship between their structure and properties.

Rationale : Ferritin with unique hollow cavity is an emerging protein-based nanoplatform for anticancer-drug delivery, but the in vivo chemotherapeutic effectiveness is still unsatisfactory with such a monotherapy modality, which is urgently in need of improvement. Methods : Here a novel ferritin nanotheranostic with anticancer-drug doxorubicin encapsulated into its hollow interior and nanoradiosensitizer bismuth sulfide nanocrystals inlayed onto its polypeptide shell was synthesized for combinational therapeutic benefits. The formation mechanism of bismuth sulfide nanocrystals based on ferritin has been analyzed. The in vitro and in vivo treatment effects were carried out on HeLa cancer cells and tumor-bearing mice, respectively. The biocompatibility and excretion of the ferritin nanotheranostic have also been evaluated to guarantee their biosafety. Results : The polypeptide shell of ferritin provides nucleation sites for the bismuth sulfide nanocrystals through coordination interaction, and simultaneously inhibits the further growth of bismuth sulfide nanocrystals, rendering the bismuth sulfide nanocrystals like rivets inlaying onto the polypeptide firmly, which can not only strengthen the architectural stability of ferritin to prevent drug burst leakage during systemic circulation, but also act as excellent computed tomography contrast agents and nanoradiosensitizers for in vivo imaging-guided cancer combinational treatments. Conclusions : The design concept of inlaying bismuth sulfide nanocrystals onto the polypeptide shell of doxorubicin-encapsulated ferritin significantly inhibits the tumor growth and simultaneously further broadens the application of ferritin in nanomedicine.

Real-time detection of gait events can be applied as a reliable input to control drop foot correction devices and lower-limb prostheses. Among the different sensors used to acquire the signals associated with walking for gait event detection, the accelerometer is considered as a preferable sensor due to its convenience of use, small size, low cost, reliability, and low power consumption. Based on the acceleration signals, different algorithms have been proposed to detect toe off (TO) and heel strike (HS) gait events in previous studies. While these algorithms could achieve a relatively reasonable performance in gait event detection, they suffer from limitations such as poor real-time performance and are less reliable in the cases of up stair and down stair terrains. In this study, a new algorithm is proposed to detect the gait events on three walking terrains in real-time based on the analysis of acceleration jerk signals with a time-frequency method to obtain gait parameters, and then the determination of the peaks of jerk signals using peak heuristics. The performance of the newly proposed algorithm was evaluated with eight healthy subjects when they were walking on level ground, up stairs, and down stairs. Our experimental results showed that the mean F1 scores of the proposed algorithm were above 0.98 for HS event detection and 0.95 for TO event detection on the three terrains. This indicates that the current algorithm would be robust and accurate for gait event detection on different terrains. Findings from the current study suggest that the proposed method may be a preferable option in some applications such as drop foot correction devices and leg prostheses.

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The use of corticosteroids has been controversial in viral pneumonia. In most cases, application of methylprednisolone in severe and critical viral pneumonia patients can quickly alleviate the symptoms of dyspnea and prevent disease progression. However, some scholars have confirmed that corticosteroids delayed the body's clearance of the virus. In our retrospective non-randomized study, 34 patients under 50 years old and diagnosed with coronavirus disease 2019 (COVID-19) were included. According to the given methylprednisolone treatment (n = 18) or not (n = 16), they were separated into two groups. By comparing the clinical data we concluded that corticosteroids therapy can effectively release COVID-19 symptoms such as persistent fever and difficult in breathing, improve oxygenation, and prevent disease progression. However, it can prolong the negative conversion of nucleic acids.