Grafting Strategy Research Articles

Recyclable Robust Plastic Scintillation Resin Achieving the Exceptional Separation and Detection of Technetium-99.

Rapid detection and absorption of 99TcO4 ⁻ contamination in the environment are critical due to its high radioactivity, long half-life, and significant environmental mobility. Resins have been demonstrated effective bifunctional properties for both the detection and separation of 99TcO4 ⁻. However, the poor stability of these compounds limits their practical application. Here, a chemical grafting strategy is presented to synthesize ultra-stable plastic scintillation resin, in which 4-vinylpyridine and divinylbenzene are cross-linked as matrix polymer to withstand extreme conditions and a fluorophore "shield" to convert beta radiation into detectable signals. As expected, the as-obtained resin exhibits a high adsorption capacity of 549.2 mg g⁻¹ for 99TcO4 ⁻ with a rapid kinetic response of just 10 min as well as superior selectivity at 1000 times excess of interfering ions and full reusability. Moreover, it showed remarkable stability under 800 kGy, 3.0 mol L-1 HNO3 or 2.5 L solution continuous leaching, consistently maintaining high separation and detection efficiency after recycling 10 times. This strategy paves a new way to develop stable resin for the rapid capture and accurate measurement of 99TcO4 ⁻, which owns great potential for practical application.

Coronary Connector Facilitated Total Endoscopic Coronary Artery Bypass: An Ex Vivo Feasibility Study.

Totally endoscopic coronary artery bypass (TECAB) procedures pose significant challenges, motivating the development of Octocon, an automated endoscopic connector designed for coronary anastomoses in off-pump and endoscopic settings. This feasibility study aimed to assess Octocon's functionality and maneuverability in closed-chest conditions during robot-assisted TECAB simulations. The Octocon deployment comprises a 3-step procedure. Initially, delicate self-aligning microstapling technology is used to attach connector halves to individual blood vessels. Subsequently, the connector halves are joined to accomplish the anastomosis process. TECAB conditions were simulated using a dedicated box housing ex vivo porcine hearts. The study, conducted by 3 experienced surgeons, investigated the feasibility and standardization potential of a robot-assisted procedure employing Octocon. It evaluated maneuverability in closed-chest conditions and assessed the effectiveness of grafting internal mammary artery segments to different heart regions using single graft, jump graft, and Y-graft constructions. The robot-assisted procedure, using 4 standard instruments, successfully completed all 3 steps in 18 anastomotic procedures. In 96% of cases, the procedural steps were accomplished on the first attempt. The feasibility of constructing jump graft and Y-graft geometries on both anterior and posterior heart walls was demonstrated. Furthermore, experiences affirmed the device's endoscopic user-friendliness, ease of teachability, reproducibility, and potential to achieve expedient, leak-free anastomoses. This ex vivo study confirmed Octocon's potential suitability and functionality for TECAB. The device can create diverse grafting strategies and achieve wide-open vascular connections on various heart regions, highlighting its potential in advancing minimally invasive, robot-assisted coronary procedures. These promising results justify further exploration for integration into clinical practice.

Charge transfer between layers of polymeric carbon nitride driven by surface grafting phosphotungstic polyanions toward efficient photocatalytic hydrogen evolution

It is a challenging issue to achieve efficient charge transfer between layers for the layered polymer photocatalysts, because the photogenerated carriers would prefer random migration within layers and thus have high reverse recombination rate due to their inherent anisotropy and high exciton binding energy. Herein, an innovative surface grafting strategy is developed to modify the layered polymeric carbon nitride (PCN) making use of phosphotungstic (PWO) polyanions. The surface coupling effect of PWO on PCN effectively improves reduction ability and utility rate of luminous energy through shifting the conduction band (CB) upward and broadening light absorption range to cover near infrared region up to 1000 nm, respectively. In especial, the strong electron-withdrawing effect of surface PWO moieties can reduce layer spacing to shorten electron transfer path and attract the photogenerated electrons transfer from PCN matrix to surface, thus conquering the charge transfer restriction between layers to improve the carrier separation efficiency. As a result, the photocatalytic hydrogen evolution (PHE) performance is dramatically enhanced. The optimal PWO-PCN-1% sample achieves an average PHE rate of 9.6 times that of PCN, stable operation for a total of 28 h on 7 cycles, and an AQY up to 22.3% at 400 nm. This contribution affords a viable modification avenue to overcome the limitation of charge transfer between layers for layered polymer photocatalysts.

Taste Disturbance After Endoscopic Tympanoplasty with Tragal Cartilage Graft and Improvement Strategies.

Objectives: To explore the risk factors of early postoperative taste disturbance (EPTD) after type I endoscopic tympanoplasty and operative modification strategies to improve taste disturbance. Methods: This was a controlled study. One hundred and twenty-four patients who underwent type I endoscopic tympanoplasty with tragal cartilage graft were separated evenly into control and modified groups. The full-thickness tragus cartilage graft was placed close to the bony annulus to ensure drum integrity in the control group, and in the modified group, the cartilage graft was not in contact with the posterior-superior bony annulus, and the inferior-posterior of the scutum. Univariate and multivariate models were used to analyze the possible factors affecting EPTD and the prognosis of taste recovery. Results: The incidence of EPTD was significantly lower in the modification group (24.19%) than in the control group (56.45%) (OR: 4.24, 95% CI: 1.93-9.33, P < .001). Surgical manipulation of the chorda tympani nerve resulted in a higher incidence of EPTD (OR: 2.43; 95% CI: 1.06-5.57, P = .035). The size of the graft did not affect taste disturbance. No difference in the taste recovery rate was observed between the control and test groups (Z = -1.57, P = .116) after 3 months. The recovery rate of patients with manipulated chorda tympani nerves was still lower than that of patients without at 3 months (Z = -2.74, P = .006). Conclusion: Modified surgery and reduced manipulation of the chorda tympani nerve effectively reduce EPTD. Manipulated chorda tympani nerves may have a persistent effect on taste recovery.

Swelling-assisted surface grafting strategy for multichannel antifouling membranes: Reconstruction of surface pore structure and applications in microalgae harvesting and blood purification

Membrane fouling remains a major challenge in membrane separation. The modification of hydrophilic membrane surfaces can mitigate irreversible fouling deposition, thereby improving antifouling properties. Effective surface modification strategies are essential techniques for developing highly efficient antifouling membranes. In this work, a swelling-assisted surface grafting strategy was proposed for multichannel antifouling membranes, where various lengths of polyvinylpyrrolidone (PVP) brushes were grafted on the surface of polysulfone membrane using reversible addition-fragmentation chain transfer polymerization. The successful grafting of PVP polymer brushes was confirmed using Fourier transform infrared spectrometer and X-ray Photoelectron Spectroscopy. Changes in membrane morphology and pore structure were observed via scanning electron microscope and atomic force microscope. During the grafting process, the amphiphilic macromolecules formed through grafting were selectively swelled by graft solvent, leading to the formation of mesopores in both the surface layer and sublayer of the membrane, which formed additional water transport channels. The introduction of hydrophilic polymer brushes and the change of pore structure significantly boosted the hydrophilicity and permeability of the membranes. As a result, the water contact angle decreased from 85° to 42°, accompanied by an approximate 3.24-fold increase in pure water flux (PWF). Due to superior hydrophilicity, modified membranes demonstrated exemplary performance in microalgae harvesting, boasting a microalgae retention rate nearing 100 % and low fouling resistance (2.12 × 1012 m−1). In algal filtration experiments, a confocal laser scanning microscope was employed to assess the activity of filtered algae on the membrane surface. The prepared membranes effectively maintained the bioactivity of algae while also achieving a high flux recovery rate (90.7 %) following filtration and cleaning. Furthermore, in blood cell compatibility tests, the modified membranes exhibited resistance to blood cell adhesion and sustained a low hemolysis rate (0.06 %). Overall, this strategy offers unique insights into the fabrication of antifouling surfaces and shows considerable promise for large-scale applications in microalgae harvesting and blood purification.

Covalently anchoring phosphorus nitride imide on carbon nanotubes for efficient electrochemical extraction of uranium

The electrochemical extraction technique is an emerging approach for the recovery of uranium. However, the ultra-high salinity and the coexistence of many competitive ions seriously reduce the electrochemical extraction performance of uranium. Phosphorus nitride imide (PN) demonstrates high efficiency and selectivity as a uranium adsorbent. However, its low conductivity adversely affects its electrochemical performance. In this work, the covalent grafting strategy has been employed to anchor PN onto carbon nanotubes (PN@CNT) toward efficient electrochemical extraction of uranium (EEU). CNTs not only serve as an optimal carrier for the dispersion of PN, but also establish a three-dimensional conductive network for PN, thereby facilitating the fixation and reduction of uranium ions. This ingenious structural design enables outstanding EEU performance: PN@CNT demonstrates an extremely high uranium adsorption capacity (1006.9 mg/g), excellent anti-interference and satisfactory cycle stability. PN@CNT reduced uranium-spiked groundwater from 5 mg/L to 15 μg L−1 within 12 h which meets the drinking water standard (30 μg L−1). This study offers a potential material for the EEU, while also serving as a reference for the development of electrodes in the electrochemical recovery of other heavy metals.

Sustainable chitin-derived elastomers via grafting strategy with tunable mechanical and adhesion properties

With increasing environmental awareness and the pursuit of sustainable development goals, environmentally friendly sustainable thermoplastic elastomers (TPEs) derived from natural resources are highly desired to replace traditional TPEs. However, preparing sustainable TPEs with high mechanical properties and multifunctionality from biobased feedstocks remains a significant challenge. In this work, a series of chitin-graft-poly(acrylamide-co-2-ethylhexyl acrylate) (Chitin-g-P(AM-co-EHA)) copolymers were synthesized through reversible addition-fragmentation chain transfer (RAFT) polymerization. The tensile strength of Chitin-g-P(AM-co-EHA) copolymers can be tuned over a wide range from 1.0 to 7.3 MPa by adjusting the chitin and PAM contents. Benefiting from the brush-like architecture, Chitin-g-P(AM-co-EHA) copolymer exhibits improved mechanical properties over its linear counterparts. Moreover, these Chitin-g-P(AM-co-EHA) copolymers show good adhesion performance on different substrates. The shear strength can achieve 7.5 MPa for Chitin0.8-PAM50, which is high enough for commercial applications. The combination of chitin and grafting strategy can promote the development of strong chitin-based sustainable elastomers. This approach can be further utilized to design novel high-performance biobased elastomers and adhesives derived from natural resources.

Grafting Strategy for the Distal Anastomosis in Composite Grafts Is Paramount

Grafting Strategy for the Distal Anastomosis in Composite Grafts Is Paramount

Sulfonic group modifying cobalt (II) phthalocyanine molecule to boost the polysulfide reaction kinetic for high-performance lithium sulfur battery

Metal phthalocyanine have been regarded as an effective additive to restrain the LiPS diffusion process in sulfur cathode to achieve high-performance Li-S battery. Herein, molecular engineering has been used to boost the LiPS adsorption and catalysis abilities of metal phthalocyanine distinctly through a simple sulfonic group grafting strategy. The derived CNT/s-CoPc/S cathode could deliver the initial discharge capacity of 679.8 mAh/g at 1.0 C and no obvious capacity fading even after 500 cycles. The satisfactory electrochemical performance indicates the promising application of CNT/s-CoPc composite as an efficient sulfur carrier. The research presents a successful modification method for the improvement of metal phthalocyanine based additive, contributing to their advancements in Li-S battery furtherly.

3D surface defect map for assessing buccolingual profile of single tooth gaps following alveolar ridge preservation.

A new, non-invasive approach suggests using single intraoral optical scanning to analyze the ridge profile of single-tooth gaps following alveolar ridge preservation in the absence of a baseline scan. This method involves creating a three-dimensional (3D) surface map to identify and assess contour changes and ridge profiles based on the adjacent teeth. The present study was designed as a cross-sectional pilot analysis on a convenience sample of patients undergoing alveolar ridge preservation. Intraoral optical scans were taken on 23 patients, capturing data from 30 edentulous sites. The digital models were then imported into an image analysis software for a 3D surface defect map analysis performed by one examiner. This analysis characterized the buccolingual profile of the single tooth gap relative to the adjacent teeth. 10 linear divergence points, spaced 0.5 mm apart in a corona-apical direction, were identified at the midfacial aspect of the sites. Based on these points the sites were plotted and grouped in three different buccolingual profiles (linear, concave, and convex). Clinical parameters including Keratinized mucosa Width (KMW), and soft tissue phenotype with Colorvue biotype probes were also recorded. Three different buccolingual patterns (linear, convex, and concave) were identified. Seven sites exhibited a linear profile, 10 sites displayed a concave shape, and 13 showed a convex profile. The linear profile had surface discrepancies similar to the neighboring teeth. In contrast, the convex profile revealed mid-buccal discrepancy localized only at the crestal aspect, while the concave had an extended divergence ranging from 1 to 5 mm below the soft tissue margin. Univariate and multiple logistic regression analyses did not reveal any statistically significant variables influencing profilometric analysis; however, when combining phenotype and KMW, thick phenotypes demonstrated a higher proportion of concavity (OR = 4.83) compared to thin ones, suggesting a significant trend. With every 1 mm of increase in KMW, the probability of showing a concavity decreased (p = 0.057). A 3D surface defect map represents a useful tool for objectively quantifying ridge defects and profiles by assessing profilometric and surface differences compared to adjacent dentition using a single intraoral scan. This method also indicates that KMW may play a critical role in preventing concavity defects. The 3D defect map can guide decision-making during soft tissue augmentation procedures by emphasizing the specific location of the defect and providing more detailed insights into its localization. These parameters can enable the tailoring of flap management and soft tissue grafting strategies to address the patient's individual needs.

Combining digital and legacy technologies: firm digital transformation strategies—evidence from Chinese manufacturing companies

The digital transformation of firms is a pervasive trend within the digital-based economy. Despite its inevitability, there is a continuing debate regarding the most effective methods for implementing such transformations. This study delineates four digital technology strategies—searching, enhancing, grafting, and integrating—within the theoretical framework that digital technology can strengthen an enterprise’s existing legacy technology. Using fuzzy qualitative comparative analysis, this study examines 76 Chinese high-tech manufacturing companies to uncover the configuration effects of technology distance, the type of technical search, and leadership perceptions on the adoption of these strategies. The empirical results reveal that the searching strategy is commonly employed in scenarios involving general technology, search breadth, and the perceived usefulness of the technology. The enhancing strategy is typically adopted when companies engage in extensive searches and perceive digital technology as easy to use. Moreover, the grafting strategy has emerged as the natural choice when there is a deep search for specific technologies coupled with a recognition of their usefulness. The integrating strategy becomes prominent when a company identifies a specific technology through both search breadth and search depth, acknowledging its usefulness and ease of use simultaneously. These findings offer valuable insights for managers aiming to select an effective digital technology strategy to facilitate successful transformation.

Highly precise strategy of polygalacturonic acid microcarriers functionalized with zwitterions and specific peptides for MSC screening

Microcarriers for large-scale cell culture have a broader prospect in cell screening compared with the traditional high cost, low efficiency, and cell damaging methods. However, the equal biological affinity to cells has hindered its application. Therefore, based on the antifouling strategy of zwitterionic polymer, we developed a cell-specific microcarrier (CSMC) for shielding non-target cells and capturing mesenchymal stem cells (MSCs), which has characteristics of high biocompatibility, low background noise and high precision. Briefly, [2-(methacryloyloxy) ethyl] dimethyl-(3-sulfopropyl) ammonium hydroxide and glycidyl methacrylate were grafted onto polygalacturonic acid, respectively. The former built a hydration layer through solvation to provide an excellent antifouling surface, while the latter provided active sites for the click reaction with sulfhydryl-modified cell-specific peptides, resulting in rapid immobilization of peptides. This method is applicable to the vast majority of polysaccharide materials. The accurate capture ratio of MSCs by CSMC in a mixed multicellular environment is >95 % and the proliferation rate of MSCs on microcarriers is satisfactory. In summary, this grafting strategy of bioactive components lays a foundation for the application of polysaccharide materials in the biomedical field, and the specific adhesive microcarriers also open up new ideas for the development of stem cell screening as well.

Current trends in digital replantation-a narrative review.

Digital replantation for traumatic amputation has become the standard of care with advances in microsurgical techniques and technology. While digital replantation has progressed significantly, there are still gaps in knowledge in many aspects. Some of the controversial topics in digital replantation include the indications and contraindications, anesthesia, number of vessel anastomoses, mechanism of injury, role of vein graft, distal fingertip replantation, and postoperative management. This article is a narrative review that discusses these controversies and current issues pertaining to digital replantation. PubMed, Web of Science, and Google scholar were searched using keywords relating to "digit replantation", "amputation", and "digital replant" with the following terms: "indications", "contraindications", "anaesthesia", "survival", "vessels", "mechanism of injury", "vein graft", "outcome", and "thrombophylaxis". Relevant articles pertaining to digital replantation and deemed by the authors as current or controversial were included. The reported survival rates of digital replantation are high. With the advancement of microsurgical techniques and technology, the boundaries of digital replantation continue to be pushed. Various methods have been described recently to improve the success rates of difficult replants, such as strategies for venous outflow and vein grafting. However, there are still aspects of digital replantation that remain unanswered, such as the number of veins to anastomose and the thromboprophylaxis regime. The review delves into controversial aspects of digital replantation, including contraindications, anesthesia, and postoperative management. Indications and contraindications will continue to evolve alongside advancements in microsurgical techniques and anesthesia. It highlights key factors influencing survival rates, such as the number of repaired vessels and the mechanism of injury. Finally, the review consolidates strategies for managing challenging digital replantations.

A Novel, Dual-Initiator, Continuous-Suspension Grafting Strategy for the Preparation of PP-g-AA-MAH Fibers to Remove of Indigo from Wastewater.

The indigo dye found in wastewater from printing and dyeing processes is potentially carcinogenic, teratogenic, and mutagenic, making it a serious threat to the health of animals, plants, and humans. Motivated by the growing need to remove indigo from wastewater, this study prepared novel fiber absorbents using melt-blow polypropylene (PP) melt as a matrix, as well as acrylic acid (AA) and maleic anhydride (MAH) as functional monomers. The modification conditions were studied to optimize the double-initiation, continuous-suspension grafting process, and then functional fibers were prepared by melt-blown spinning the modified PP. The results showed that the optimum modification conditions were as follows: a 3.5 wt% interfacial agent, 8 mg/L of dispersant, 80% monomer content, a 0.8 mass ratio of AA to MAH, a 1000 r/min stir speed, 3.5 wt% initiator DBPH grafting at 130 °C for 3 h, and 1 wt% initiator BPO grafting at 90 °C for 2 h. The highest grafting rate of the PP-g-AA-MAH was 31.2%, and the infrared spectrum and nuclear magnetic resonance spectroscopic analysis showed that AA and MAH were successfully grafted onto PP fiber. This modification strategy also made the fibers more hydrophilic. The adsorption capacity of the PP-g-AA-MAH fibers was highly dependent on pH, and the highest indigo adsorption capacity was 110.43 mg/g at pH 7. The fiber adsorption capacity for indigo increased rapidly before plateauing with increasing time or indigo concentration, and the experimental data were well described in a pseudo-second-order kinetic model and a Langmuir isothermal adsorption model. Most impressively, the modified fiber adsorption capacity for indigo remained as high as 91.22 mg/g after eight regeneration and reuse cycles. In summary, the PP-g-AA-MAH fibers, with excellent adsorption-desorption characteristics, could be readily regenerated and reused, and they are a promising material for the removal of indigo from wastewater.

Improving the performance and long-term durability of high-temperature PEMFCs: A polyvinylpyrrolidone grafting modification strategy of polybenzimidazole membrane

This study introduces an innovative approach to graft Polyvinylpyrrolidone (PVP) onto Polybenzimidazole (PBI) to synthesise Proton Exchange Membranes (PEMs) with high performance and durability. As a widely used hydrophilic polymer in industry, PVP can add numerous nitrogen-containing functional groups to the membrane to enhance its phosphoric acid (PA) binding ability. In this work, Polybenzimidazole-graft-polyvinylpyrrolidone (PVP-g-PBI) polymers with varying grafting degrees were synthesized and tested to investigate the impact of the grafting modification on the membrane's proton conductivity, thermal properties, and electrochemical performance. With the introduction of PVP side chains, the fuel cell showed enhanced PA uptake and substantial improvements in peak power density. Notably, PBI-g-PVP membranes with a grafting degree of 22.4 % achieved a peak power density enhancement up to 1312 mW cm⁻2 at 160 °C, a 59.6 % increase over pristine PBI membranes. Due to the increased PA binding sites in the membrane, the PBI-g-PVP PEMs exhibit better PA adsorption ability and long-term durability than pristine membranes. The accelerated stress test (AST) demonstrated that the PBI-g-PVP membranes maintain a peak power density of 1105 mW cm⁻2 after a 70-h test, equivalent to 183.9 % of the pristine PBI membrane. The improved fuel cell performance and durability of PBI-g-PVP PEMs underscore the potential of this grafting strategy.

Improving the Salt Tolerance of “Old Limachino Tomato” by Using a New Salt-Tolerant Rootstock

Salinity is a major constraint limiting the yield of tomatoes. However, grafting strategies may help to overcome the salt toxicity of this important horticultural species if appropriate rootstocks are identified. The present study aimed to test a new rootstock, JUPAFORT1, obtained by crossing the glycophyte Solanum lycopersicum (cv. Poncho Negro) with the halophyte wild-related species Solanum chilense to improve the salinity tolerance of the Chilean tomato landrace Old Limachino Tomato (OLT). Intact OLT plants were exposed to 0, 80, or 160 mM of NaCl for 21 days at the vegetative stage and compared with self-grafted (L/L) and Limachino plants grafted on JUPAFORT1 rootstock (L/R) under a completely randomized design. JUPAFORT1 increased OLT scion vigor in the absence of salt but did not significantly increase fresh weight under stress conditions. However, JUPAFORT1 confers to the scion an anisohydric behavior contrasting with the isohydric behavior of L and L/L plants as indicated by measurements of stomatal conductance; L/R plants were able to maintain their metabolic status despite a slight decrease in the leaf’s relative water content. JUPAFORT1 rootstock also enabled the maintenance of photosynthetic pigment concentrations in the scion in contrast to L and L/L plants, which exhibited a decrease in photosynthetic pigments under stress conditions. L/R plants encountered oxidative stress at the highest stress intensity (160 mM of NaCl) only, while L and L/L plants suffered from oxidative damage at a lower dose (80 mM of NaCl). L/R plants behaved as includer plants and did not sequester Na+ in the root system, in contrast to L and L/L, which behaved as excluder plants retaining Na+ in the root system to avoid its translocation to the shoots. The expression of genes coding for ion transporters (HKT1.1, HKT1.2, LKT1, SKOR, SOS2, and SOS3) in the root system was not modified by salinity in L/R. In contrast, their expression varied in response to salinity in L and L/L. Overall, L/R plants exhibited higher physiological stability than L/L or L plants in response to an increasing NaCl dose and did not require additional energy investment to trigger an adaptative response to salinity. This suggests that the constitutive salinity tolerance of the halophyte S. chilense was maintained in the interspecific rootstock. JUPAFORT1 issued from S. lycopersicum x S. chilense may thus improve salt-stress resilience in OLT tomatoes. Additional studies are required to identify the molecular components involved in the root-to-shoot signaling pathway in this promising material.

Effect of mechanochemistry on graphene dispersion and its application in improving the mechanical properties of engineered cementitious composites

To improve the dispersibility of graphene in cement-based materials and achieve better mechanical properties, this study proposes a novel and practical mechanochemical grafting strategy through ball milling technique. The polycarboxylate-based superplasticizer was successfully grafted on graphene, inducing both covalent and non-covalent modifications of the graphene surface simultaneously. The mechanochemistry method under different conditions, e.g., dry milling or wet milling, was investigated. The dispersion efficiency of prefabricated graphene was compared with traditional ultrasonic dispersion methods. The graphene prepared with these dispersion methods was then applied to prepare Engineered Cementitious Composites (ECC). The results indicated that the proposed mechanochemical methods can effectively reduce particle size, increase specific surface area, and introduce abundant functional groups, thereby improving the dispersibility of graphene. Especially under wet milling conditions, smaller and more dispersed particles could be produced. The addition of well dispersed graphene at 0.1 wt% in engineered cementitious composites (ECC) showed a 24.0 % increase in compressive strength, a 32.4 % increase in tensile strength, and a 66.9 % increase in ultimate tensile strain. This improvement is attributed to the a capability of graphene sheets processed by ball milling to impede the propagation of cracks within the cement matrix.

Optimal Strategies for Autologous Fat Grafting in Breast Augmentation and Reconstruction: A Systematic Review and Network Meta-Analysis.

Currently, cell-assisted lipotransfer (CAL) and platelet-rich plasma (PRP) -assisted lipotransfer have been used to overcome the low survival rate of conventional lipotransfer. However, there is still insufficient evidence to determine which technique is the best strategy for autologous fat grafting in breast cosmetic and reconstructive surgery. The present study aimed to compare the efficacy of traditional fat transplantation, CAL, and PRP-assisted lipotransfer. A systematic search was conducted in several databases including PUBMED, Web of Science, Cochrane, ClinicalTrials.gov, and EMBASE from January 21, 2024, to identify studies that met the inclusion criteria. Twelve studies were included after a rigorous selection process based on predefined criteria. Statistical analyses were conducted using R Ver. 4.0.5 with the netmeta and dmetar packages, employing a frequentist approach with a random-effects model. A network meta-analysis was performed to compare different fat graft procedures regarding fat survival rate and complication events. The review protocol was prospectively registered in PROSPERO (CRD42024501780). The results indicate that CAL and PRP-assisted lipotransfer are better than traditional fat grafts in terms of fat survival rate. And there is no significant difference in the incidence of postoperative complications between the CAL group, PRP group, and traditional group. Based on the results of network meta-analysis, it appears that both CAL and PRP-assisted lipotransfer have a higher fat survival rate for autologous fat grafting in breast augmentation and reconstruction. However, the transplantation strategy still needs to be analyzed based on actual conditions in clinical applications.

A novel splicing variant in ABCA1 in the first reported Hong Kong Chinese patient with high-density lipoprotein deficiency.

Low high-density lipoprotein cholesterol (HDL-C) is a risk factor for cardiovascular disease. Very low HDL-C levels (less than 20 mg/dL), however, were uncommonly seen and can be due to genetic defects involving the metabolic pathway of high-density lipoprotein (HDL). We encountered a 50-year-old Chinese man who was only noticed to have extremely low HDL-C levels after surviving recurrent episodes of myocardial infarction. Further workup revealed the undetectable level of apolipoprotein A-I, the absence of HDL on gel electrophoresis, and a novel heterozygous splicing variant in the ABCA1 gene, which was predicted to be pathogenic by in silico analysis. To the best of our knowledge, this is the first reported Hong Kong Chinese with ABCA1 deficiency and probable Tangier disease. The association of ABCA1 deficiency/Tangier disease and accelerated atherosclerosis is discussed. Clinicians should be aware of the differential diagnoses of very low HDL-C, which could be divided into genetic and acquired causes. Genetic low HDL syndromes include apoA-I deficiency, Tangier disease, and familial LCAT deficiency, each of which has characteristic clinical features and can be differentiated from the other further by apoA-I measurement, lipoprotein analysis, and genetic testing. Patients with ABCA1 deficiency and Tangier disease are at risk of premature coronary artery disease and should be aggressively screened and treated for cardiovascular risk factors and established cardiovascular diseases. Revascularization strategy and indications for coronary artery bypass grafting in patients with Tangier disease and coronary artery disease follow that as for patients without Tangier disease.

Environmentally-friendly solvent pulping and grafting strategies for better foamability of poly(lactic acid)/agricultural waste biocomposites

In this study, the foamability of poly (lactic acid) (PLA) through a continuous extrusion process was enhanced by using an agricultural waste, environmentally friendly pulping methods, and reactive compatibilization of the lignocellulosic filler with matrix in the extrusion flow field. Both applied solvent-pulping methods by using chemicals with low safety and toxicity risks were considerably successful in purifying the micron-sized cellulosic fibers of rice straw (RS). The interface of PLA matrix with RS pulp fibers was modified by applying reactive compatibilizers containing maleic anhydride (MA) and epoxy functional groups. Both compatibilizers had the ability to simultaneously react with the hydroxyl groups of RS pulp fibers and end groups of PLA chains during the melt-compounding process. As a result of RS pulping and PLA/RS pulp compatibilizing reactions, the processability of PLA in an extrusion foaming process was substantially enhanced, in a way that the void fraction and cell density of PLA foam increased more than seven and two times, respectively. The extruded lightweight all-green biocomposite foams can be applied in construction and packaging applications.