Design Of Conduits Research Articles

Properties of Resorbable Conduits Based on Poly(L-lactide) Nanofibers and Chitosan Fibers for Peripheral Nerve Regeneration

Tubular conduits have been developed to regenerate peripheral nerves and repair defects with a diastase more than 3 cm. An optimal design of a conduit consists of a tube based on poly(L-lactide) nanofibers and chitosan composite fibers with chitin nanofibrils. In the study performed with in vivo model for motor dysfunction, nerve functional status has been assessed by means of the sciatic functional index. It has been shown that chitosan monofibers and chitosan composite fibers with chitin nanofibrils in the design of conduits can increase the regeneration rate of the sciatic nerve, the sciatic functional index is 76−83. The degree of nerve conduction recovery, determined by measuring the amplitude of the M response, is 46%. The developed conduit design imitates the oriented architecture of the nerve, facilitates electrical communication between the ends of the damaged nerve, and promotes increased rate of nerve regeneration and the direction of nerve growth.

Recent advances in biomaterial design for nerve guidance conduits: a narrative review

Researchers have made significant strides in developing biomaterials for nerve guiding conduits, exploring natural polymers like chitosan, collagen, and silk, along with synthetic counterparts such as silicone, poly(lactic-co-glycolic acid), polycaprolactone, and poly(L-lactic acid). Each material offers distinct benefits, necessitating further study for refinement. Diverse conduit designs, including hollow/non-porous, porous, grooved, multi-channel, and fiber/hydrogel-filled conduits, have been created. Multi-channel and aligned fiber designs stand out for providing effective topographical cues guiding axon formation. Various manufacturing methods, from solvent casting to three-dimensional printing techniques like electrohydrodynamic jet and digital light processing, enable scaffold manipulation. Positive outcomes in laboratory (in vitro) and live animal (in vivo) experiments indicate the effectiveness of biomaterial-based conduits in connecting nerve gaps and promoting regeneration. However, research remains predominantly in the preclinical phase, with challenges like inadequate mechanical characteristics and the absence of biological signals. Addressing these constraints requires material refinement and the introduction of biological functionality. Future prospects involve intelligent conduits using nanocomposite biomaterials, stem cells, controlled release of neurotrophic factors, and integration of electrical and optical stimulation. Comprehensive preclinical validation is crucial before clinical translation. Despite advancements, further study is essential to fully leverage biomaterials as nerve autograft substitutes, with multidisciplinary collaboration key to continued progress in this promising field. The main goal is to present a thorough overview of the most recent developments, cutting-edge research gaps, and future prospects in the engineering and design of biomaterial-based nerve guiding conduits for the repair of peripheral nerve injury.

Properties of Resorbable Conduits Based on Poly(L-Lactide) Nanofibers and Chitosan Fibers for Peripheral Nerve Regeneration.

New tubular conduits have been developed for the regeneration of peripheral nerves and the repair of defects that are larger than 3 cm. The conduits consist of a combination of poly(L-lactide) nanofibers and chitosan composite fibers with chitin nanofibrils. In vitro studies were conducted to assess the biocompatibility of the conduits using human embryonic bone marrow stromal cells (FetMSCs). The studies revealed good adhesion and differentiation of the cells on the conduits just one day after cultivation. Furthermore, an in vivo study was carried out to evaluate motor-coordination disorders using the sciatic nerve functional index (SFI) assessment. The presence of chitosan monofibers and chitosan composite fibers with chitin nanofibrils in the conduit design increased the regeneration rate of the sciatic nerve, with an SFI value ranging from 76 to 83. The degree of recovery of nerve conduction was measured by the amplitude of M-response, which showed a 46% improvement. The conduit design imitates the oriented architecture of the nerve, facilitates electrical communication between the damaged nerve's ends, and promotes the direction of nerve growth, thereby increasing the regeneration rate.

Conduit design with expanding diameter for enhanced flow

Conduits are commonly used for treating lesions in arteries and veins. The conventional stents are cylindrical in shape, which increases flow resistance with length. This study presents a design of stents and conduits where the conduit caliber expands gradually to reduce resistance while avoiding flow separation. Inflow was provided from a header tank at two different pressures (i.e., 10 and 25 mm Hg pressure) into a cylindrical or expanding conduit. The initial conduit calibers were 2-, 3-, 4-, and 5-mm and 160-, 310-, and 620-mm lengths in each case. The flow rates of expanding caliber conduits (at a rate of r4–6/cm where r is the initial conduit radius) were compared to traditional cylindrical conduits of constant radius. The expanded caliber yields a significantly increased flow of 16–55% for R4/L expansion, 9–44% for R5/L expansion, and 1–28% for R6/L expansion. Simulated flow models using computational fluid dynamics (CFD) were used to validate and expand the experimental findings. Flow separation was detected for certain simulations by flow pathlines and wall shear stress (WSS) calculations. The results showed that a caliber expansion rate of r6/cm is the optimal rate of expansion for most potential applications with minimum flow separation, lower resistance, and increased flow.

Optimal balancing of xylem efficiency and safety explains plant vulnerability to drought.

In vast areas of the world, forests and vegetation are water limited and plant survival depends on the ability to avoid catastrophic hydraulic failure. Therefore, it is remarkable that plants take hydraulic risks by operating at water potentials (ψ) that induce partial failure of the water conduits (xylem). Here we present an eco-evolutionary optimality principle for xylem conduit design that explains this phenomenon based on the hypothesis that conductive efficiency and safety are optimally co-adapted to the environment. The model explains the relationship between the tolerance to negative water potential (ψ50 ) and the environmentally dependent minimum ψ (ψmin ) across a large number of species, and along the xylem pathway within individuals of two species studied. The wider hydraulic safety margin in gymnosperms compared to angiosperms can be explained as an adaptation to a higher susceptibility to accumulation of embolism. The model provides a novel optimality-based perspective on the relationship between xylem safety and efficiency.

Bridging Gaps in Peripheral Nerves: From Current Strategies to Future Perspectives in Conduit Design.

In peripheral nerve injuries (PNI) with substance loss, where tensionless end-to-end suture is not achievable, the positioning of a graft is required. Available options include autografts (e.g., sural nerve, medial and lateral antebrachial cutaneous nerves, superficial branch of the radial nerve), allografts (Avance®; human origin), and hollow nerve conduits. There are eleven commercial hollow conduits approved for clinical, and they consist of devices made of a non-biodegradable synthetic polymer (polyvinyl alcohol), biodegradable synthetic polymers (poly(DL-lactide-ε-caprolactone); polyglycolic acid), and biodegradable natural polymers (collagen type I with/without glycosaminoglycan; chitosan; porcine small intestinal submucosa); different resorption times are available for resorbable guides, ranging from three months to four years. Unfortunately, anatomical/functional nerve regeneration requirements are not satisfied by any of the possible alternatives; to date, focusing on wall and/or inner lumen organization/functionalization seems to be the most promising strategy for next-generation device fabrication. Porous or grooved walls as well as multichannel lumens and luminal fillers are the most intriguing options, eventually also including the addition of cells (Schwann cells, bone marrow-derived, and adipose tissue derived stem cells) to support nerve regeneration. This review aims to describe common alternatives for severe PNI recovery with a highlight of future conduits.

The Canal Top Solar Power Generation Project

Abstract: Solar energy is one of the most abundant sources of renewable energy for the future. This solar energy can be uprooted by PV system. Negative environmental impact of reactionary energy consumption highlights the part of renewable energy sources and give them a unique occasion to grow and ameliorate. Among renewable energy sources solar energy attract further attention and numerous studies have concentrated on using solar energy for electricity generation. Then, in this study, solar energy technologies are reviewed to find out the stylish option for electricity generation. Using solar energy to induce electricity can be done either directly and laterally. In the direct system, PV modules are employed to convert solar irradiation into electricity. In the circular system, thermal energy is exercised employing concentrated solar power (CSP) shops similar as Linear Fresnel collectors and parabolic trough collectors. In this design electricity generation in Pune from solar energy by furnishing solar panels on top of conduit is bandied. And we prepare model for the design in Pune. We also bandied about the developments in Pune due to this solar power design and how the electricity is distributed in Pune and how the conduit water is used for agrarian purposes. This solar power generation from the top face of conduit design has several benefits similar as16.2 million units of power generated annually, 90 million liters of water is conserved annually, 25 acres of land conserved, lower algae growth in the conduit water, minimize evaporation from conduit, produce Eco-friendly power using solar panels as a cover and save land

Photoexcited wireless electrical stimulation elevates nerve cell growth

Electrical stimulation was restrained by an external power supply and wires, despite its ability to promote nerve cell growth. Bismuth sulfide (Bi2S3) offered a novel prospect for achieving wireless electrical stimulation due to its photoelectric effect. Herein, silver nanoparticles (Ag NPs) were in-situ grown on Bi2S3 surface (Ag/Bi2S3) and then mixed with poly-L-lactic acid (PLLA) powders to fabricate PLLA-Ag/Bi2S3 conduits. On the one hand, Bi2S3 would generate photocurrent under light excitation, forming a wireless electrical stimulation. On the other hand, Ag NPs would form localized electrical fields under light excitation to inhibit rapid electron-hole recombination of Bi2S3. Moreover, Ag NPs would act as electron mediators to accelerate electron transfer, further elevating photocurrent. Electrochemical tests and FDTD simulations revealed the localized electrical fields generated by Ag NPs acted on Bi2S3, resulting in a boosted electron-hole separation evidenced by a reduction in photoluminescence intensity. EIS measurements demonstrated a faster electron transfer occurred on Ag/Bi2S3. As a result, the photocurrent of PLLA-Ag/Bi2S3 increased from 0.26 to 1.03 μA as compared with PLLA-Bi2S3. The enhanced photocurrent effectively promoted cell differentiation by up-regulating Ca2+ influx and nerve growth-related protein SYN1 expression. This work suggested a promising countermeasure in the design of photocurrent stimulation conduits for nerve repair.

Self-snapping hydrogel-based electroactive microchannels as nerve guidance conduits.

Peripheral nerve regeneration with large defects needs innovative design of nerve guidance conduits (NGCs) which possess anisotropic guidance, electrical induction and right mechanical properties in one. Herein, we present, for the first time, facile fabrication and efficient neural differentiation guidance of anisotropic, conductive, self-snapping, hydrogel-based NGCs. The hydrogels were fabricated via crosslinking of graphitic carbon nitride (g-C3N4) upon exposure with blue light, incorporated with graphene oxide (GO). Incorporation of GO and in situ reduction greatly enhanced surface charges, while decayed light penetration endowed the hydrogel with an intriguing self-snapping feature by the virtue of a crosslinking gradient. The hydrogels were in the optimal mechanical stiffness range for peripheral nerve regeneration and supported normal viability and proliferation of neural cells. The PC12 ​cells differentiated on the electroactive g-C3N4 H/rGO3 (3 ​mg/mL GO loading) hydrogel presented 47% longer neurite length than that of the pristine g-C3N4 H hydrogel. Furthermore, the NGC with aligned microchannels was successfully fabricated using sacrificial melt electrowriting (MEW) moulding, the anisotropic microchannels of the 10 ​μm width showed optimal neurite guidance. Such anisotropic, electroactive, self-snapping NGCs may possess great potential for repairing peripheral nerve injuries.

Mechanical stimulation of a bioactive, functionalized PVDF-TrFE scaffold provides electrical signaling for nerve repair applications.

Traumatic nerve injuries have limited success in achieving full functional recovery, with current clinical solutions often including implementation of nerve grafts or the use of nerve conduits to guide damaged axons across injury gaps. In search of alternative, and complimentary solutions, piezoelectric biomaterials demonstrate immense potential for tissue engineering applications. Piezoelectric poly(vinylidene fluoride-triflouroethylene) (PVFD-TrFE) scaffolds can be harnessed to non-invasively stimulate and direct function of key peripheral nervous system (PNS) cells in regeneration strategies. In this study, electrospun PVDF-TrFE was characterized, fabricated into a 3D scaffold, and finally rendered bioactive with the incorporation of a cell-secreted, decellularized extracellular matrix (dECM). PVDF-TrFE scaffolds were characterized extensively for piezoelectric capacity, mechanical properties, and cell-material interactions with fibroblasts and Schwann cells. Through functionalization of PVDF-TrFE scaffolds with a native, cell-assembled dECM, the ability to promote cell adhesion and enhanced viability was also demonstrated. Additionally, incorporation of bioactive functionalization improved the assembly of key regenerative ECM proteins and regenerative growth factors. PVDF-TrFE scaffolds were then fabricated into a conduit design that retained key physical, chemical, and piezoelectric properties necessary for PNS repair. This work shows great promise for multi-cue, electrospun biomaterials for regeneration of the PNS in traumatic injury.

The impact of physical, biochemical, and electrical signaling on Schwann cell plasticity

Peripheral nervous system (PNS) injuries are an ongoing health care concern. While autografts and allografts are regarded as the current clinical standard for traumatic injury, there are inherent limitations that suggest alternative remedies should be considered for therapeutic purposes. In recent years, nerve guidance conduits (NGCs) have become increasingly popular as surgical repair devices, with a multitude of various natural and synthetic biomaterials offering potential to enhance the design of conduits or supplant existing technologies entirely. From a cellular perspective, it has become increasingly evident that Schwann cells (SCs), the primary glia of the PNS, are a predominant factor mediating nerve regeneration. Thus, the development of severe nerve trauma therapies requires a deep understanding of how SCs interact with their environment, and how SC microenvironmental cues may be engineered to enhance regeneration. Here we review the most recent advancements in biomaterials development and cell stimulation strategies, with a specific focus on how the microenvironment influences the behavior of SCs and can potentially lead to functional repair. We focus on microenvironmental cues that modulate SC morphology, proliferation, migration, and differentiation to alternative phenotypes. Promotion of regenerative phenotypic responses in SCs and other non-neuronal cells that can augment the regenerative capacity of multiple biomaterials is considered along with innovations and technologies for traumatic injury.

Influence of spiral flow on the hydraulic performance of a siphon outlet conduit in an axial flow pump system

In axial flow pump systems, not only are the flow rates typically large but the water leaving the guide vanes almost invariably possesses a residual rotation. Since such pumps often generate only low heads, the energy content of this residual rotation often has a notable influence on the hydraulic and economic performance of the outlet conduit. The hydraulic losses and flow fields associated with a specific siphon outlet conduit under different rotational speeds are herein studied both experimentally and using a 3D turbulent flow numerical simulation. In order to experimentally verify the simulation results, the hydraulic losses are measured and flow patterns are observed for a siphon outlet conduit with a series of different guide vanes. It is observed that as the rotational speed increases the hydraulic loss within this outlet conduit increases gradually until the rotation speed reaches 300 ; as the rotational speed surpasses this value, the hydraulic losses increase sharply. Yet surprisingly, residual swirl can have benefits, with the general trend being that larger rotational speeds are associated with a smaller vortex zones and a better flow field in the outlet conduit, an observation confirmed both numerically and experimentally. This research has considerable significance, both theoretically and practically, for the design of outlet conduits and guide vanes in axial flow pump system.

Improvement of sciatic nerve regeneration by multichannel nanofibrous membrane-embedded electro-conductive conduits functionalized with laminin

Multichannel structures in the design of nerve conduits offer potential advantages for regeneration of damaged nerves. However, lack of biochemical cues and electrical stimulation could hamper satisfactory nerve regeneration. The aim of this study was to simultaneously evaluate the effects of topographical, biological, and electrical cues on sciatic nerve regeneration. Accordingly, a series of multichannel nerve conduit was made using longitudinally-aligned laminin-coated poly (lactic-co-glycolic acid) (PLGA)/carbon nanotubes (CNT) nanofibers (NF, mean diameter: 455 ± 362 nm) in the lumen and randomly-oriented polycaprolactone (PCL) NF (mean diameter: 340 ± 200 nm) on the outer surface. In vitro studies revealed that the materials were nontoxic and able to promote cell attachment and proliferation on nanofibers and on fibrin gel. To determine the influence of laminin as biological and CNT as electrical cues on nerve regeneration, either of hollow PCL conduits, PLGA NF-embedded, PLGA/CNT NF-embedded or laminin-coated PLGA/CNT NF-embedded PCL conduits were implanted in rats. A new surgery method was utilized and results were compared with an autograft. The results of motor and sensory tests in addition to histopathological examination of the regenerated nerves demonstrated the formation of nerve fibers in laminin-coated PLGA/CNT NF-embedded PCL conduits. Results suggested that these conduits have the potential to improve sciatic nerve regeneration.Graphical abstract

Tuning of Magnetic Damping in Y3Fe5O12/Metal Bilayers for Spin-Wave Conduit Termination.

In this work, we investigate the structural and dynamic magnetic properties of yttrium iron garnet (YIG) films grown onto gadolinium gallium garnet (GGG) substrates with thin platinum, iridium, and gold spacer layers. Separation of the YIG film from the GGG substrate by a metal film strongly affects the crystalline structure of YIG and its magnetic damping. Despite the presence of structural defects, however, the YIG films exhibit a clear ferromagnetic resonance response. The ability to tune the magnetic damping without substantial changes to magnetization offers attractive prospects for the design of complex spin-wave conduits. We show that the insertion of a 1-nm-thick metal layer between YIG and GGG already increases the effective damping parameter enough to efficiently absorb spin waves. This bilayer structure can therefore be utilized for magnonic waveguide termination. Investigating the dispersionless propagation of spin-wave packets, we demonstrate that a damping unit consisting of the YIG/metal bilayers can dissipate incident spin-wave signals with reflection coefficient R < 0.1 at a distance comparable to the spatial width of the wave packet.

Stability Improvement Method for Embankment Dam with Respect to Conduit Cracks

In recent years, as the number of reservoir embankments constructed has increased, embankment failures due to cracks in aging conduits have also increased. In this study, a crack in a conduit was modeled based on the current conduit design model, and the risk of internal erosion was analyzed using a large-scale model test and three-dimensional deformation–seepage analysis. The results show that when cracks existed in the conduit, soil erosion and cavitation occurred near the crack area, which made the conduit extremely vulnerable to internal erosion. Herein, a model is proposed that can reduce internal erosion by applying a layer of sand and geotextiles on the upper part of the conduit located close to the downstream slope. In the proposed model, only partial erosion occurred inside the conduit, and no cavitation appeared near the crack in the conduit. The results suggest that internal erosion can be suppressed when the water pressure acting intensively on the crack in the conduit is dispersed by the drainage layer. To validate these results, the pore water pressure, seepage line, and hydraulic gradient were investigated to confirm the erosion phenomenon and reinforcement effect.

Numerical investigation of the structural response of a conduit buried within a soil slope

Buried conduits are commonly used for utility transportation around the world. Accordingly, to ensure the safe design and installation of conduits, it is important to understand soil-conduit interaction. This research paper presents a numerical investigation of the structural response of a conduit buried within a soil slope in response to applied surface pressure. Numerically simulated and analytically calculated soil-conduit interaction results have been employed in the study to analyze the effect of crest distance and burial depth of a conduit on: its deflection, shape deformation, developed sectional normal stress and bending moment. The structural response of the conduit buried within the soil slope was also compared to that of conduit buried under level ground. The results show that conduit buried within a soil slope experiences more structural deflection and sectional forces than conduit buried under level ground, unless crest distance and burial depth of the conduit exceed approximately 5Bc and 3Bc, respectively; where Bc represents the outer diameter of the conduit. By using the graphical illustrations, explained mechanisms and developed correlations presented in this paper, practicing engineers can ensure the efficient design and installation of conduits buried within soil slopes.

COMSOL Multiphysics\xae modelling of oxygen diffusion through a cellulose nanofibril conduit employed for peripheral nerve repair

BackgroundPeripheral nerve injury can cause significant impairment, and the current methods for facilitating repair, particularly over distances greater than approximately 1 mm, are not entirely effective. Allografts, autografts, and synthetic conduits are three of the most common surgical interventions for peripheral nerve repair; however, each has limitations including poor biocompatibility, adverse immune responses, and the need for successive surgeries. A potential new method for promoting peripheral nerve repair that addresses the shortcomings of current interventions is a biocompatible cellulose nanofibril (CNF) conduit that degrades in-vivo over time. Preliminary testing in multiple animal models has yielded positive results, but more information is needed regarding how the CNF conduit facilitates nutrient and gas flow.ResultsThe current work employs 3D modelling and analysis via COMSOL Multiphysics® to determine how the CNF conduit facilitates oxygen movement both radially through the conduit walls and axially along the length of the conduit. Various CNF wall permeabilities, conduit lengths, and nerve-to-conduit diameter ratios have been examined; all of which were shown to have an impact on the resultant oxygen profile within the conduit. When the walls of the CNF conduit were modeled to have significant oxygen permeability, oxygen diffusion across the conduit was shown to dominate relative to axial diffusion of oxygen along the length of the conduit, which was otherwise the controlling diffusion mechanism.ConclusionsThe results of this study suggest that there is a complex relationship between axial and radial diffusion as the properties of the conduit such as length, diameter, and permeability are altered and when investigating various locations within the model. At low wall permeabilities the axial diffusion is dominant for all configurations, while for higher wall permeabilities the radial diffusion became dominant for smaller diameters. The length of the conduit did not alter the mechanism of diffusion, but rather had an inverse relationship with the magnitude of the overall concentration profile. As such the modeling results may be employed to predict and control the amount and distribution of oxygenation throughout the conduit, and hence to guide experimental conduit design.

Nerve Guidance Conduits with Hierarchical Anisotropic Architecture for Peripheral Nerve Regeneration.

Nerve guidance conduits with multifunctional features could offer microenvironments for improved nerve regeneration and functional recovery. However, the challenge remains to optimize multiple cues in nerve conduit systems due to the interplay of these factors during fabrication. Here, a modular assembly for the fabrication of nerve conduits is utilized to address the goal of incorporating multifunctional guidance cues for nerve regeneration. Silk-based hollow conduits with suitable size and mechanical properties, along with silk nanofiber fillers with tunable hierarchical anisotropic architectures and microporous structures, are developed and assembled into conduits. These conduits supported improves nerve regeneration in terms of cell proliferation (Schwann and PC12 cells) and growth factor secretion (BDNF, brain-derived neurotrophic factor) in vitro, and the in vivo repair and functional recovery of rat sciatic nerve defects. Nerve regeneration using these new conduit designs is comparable to autografts, providing a path towards future clinical impact.

Biodegradable polyurethane nerve guide conduits with different moduli influence axon regeneration in transected peripheral nerve injury.

Nerve guide conduits (NGCs) can replace autogenous nerve grafting in the treatment of peripheral nerve system (PNS) injury. However, the modulus of polyurethane NGCs that affects the outcome of PNS repair has been rarely elucidated in vivo. In this study, we developed biodegradable waterborne polyurethane (BWPU) NGCs with an outer BWPU membrane and an inner three-dimensional scaffold structure. The mechanical properties of BWPU NGCs can be modified by adjusting the molar content of polyethylene glycol (PEG) in the soft segments within the BWPU. Two types of BWPU NGCs with different moduli were prepared, containing 17% and 25% PEG in BWPU (termed as BWPU 17 NGCs and BWPU 25 NGCs, respectively). In rat sciatic nerves with 10-mm transected injury, mechanically stronger BWPU 17 NGCs exhibited superior nerve repair, which was similar to that obtained by the current gold standard autograft implantation, whereas weaker BWPU 25 NGCs displayed an unsatisfactory effect. Histological results revealed that both BWPU NGCs had anti-inflammatory effects and altered the activation state of macrophages to M2 phenotypes to enhance PNS regeneration. The analysis of growth-associated protein 43 expression, which regulates axon growth, revealed that the mechanical properties of BWPU NGCs influence the outcome of PNS regeneration by affecting the formation and extension of axons. These findings suggest that the mechanical properties of NGCs could play a key role in regulating PNS repair and should be considered in future biomaterial NGC designs.

High-resolution combinatorial 3D printing of gelatin-based biomimetic triple-layered conduits for nerve tissue engineering

Peripheral nerve injury is a common clinical problem often requiring surgical nerve reconstruction. To this end, tissue-engineered conduit has been proved to be crucial for nerve reconstruction. Despite its progress in recent years, the design and fabrication of translational biomimetic nerve conduits is highly challenging. Therefore, this study aims to design and fabricate mechanically-tunable nerve conduits with biomimetic structural features of the human nerve suitable for nerve tissue engineering. Herein, we employed combinatorial approach comprising of electrohydrodynamic (EHD) jet printing, dip-coating, and electrospinning techniques for fabricating triple-layered conduits. The intricate structural details were achieved via high-resolution EHD jet printed PCL filaments with tunable directionality, as the innermost layer; followed by dip coating of gelatin hydrogels to form the middle layer, and lastly, wrapped with electrospun PCL nanofibers as an outer layer of the conduits. The mechanical properties, porosity, and biocompatibility of the fabricated conduits were studied and compared with control. The results of this study confirmed that the combinatorial approach has greater potential to fabricate mechanically-tunable triple-layered conduits with favorable neuronal precursor and vascular cell compatibility.