Prick Test Research Articles

Theory and Experiment on Rock-Cutter Interfacial Friction and Rock Mohr-Coulomb Parameter Estimations

Summary The Mohr-Coulomb (M-C) failure criteria is by far the most widely used model for granular materials (including rocks and soils) in many geotechnical industries due to its simplicity. Its parameters are conventionally obtained by performing a series of pressurized triaxial compression tests (TCTs). The peak stress from each confining pressure is plotted at a single point as the maximum vs. the minimum principal stresses. The M-C parameters are obtained by the best linear fitting through the failure envelope formed by the peak stress points of interest. The TCT is time-consuming, costly, and destructive. Is there an experiment that can provide the failure envelope with one single test, even at the atmospheric pressure? This seems impossible, at least has never been rigorously reported. In this work, we present our finding of such a test. The paper first provides the experimental setup and the theoretical solution for a hemispherical scratch test of a polycrystalline diamond cutter (PDC) at low rate of cut (ROC) and low depth of cut (DOC); the theoretical characteristic response of the test is identified and validated. Next, the formula for the rock-cutter interfacial coefficient of friction (COF) is derived, which provides a theoretical guide for the friction measurement for shaped cutters. Then, the nominal average drag and thrust stresses are evaluated, which are observed experimentally and then proved theoretically to behave in a linear relation, analogous to the M-C envelope from the TCTs. We also provide a first method that can self-consistently evaluate the M-C parameters for the crushed zone, which plays a very important role in rock cutting. By comparing the M-C results for three rocks at different loading conditions, good agreements under different scratch conditions are made against the M-C parameters for several rocks from the TCTs.

Study of the Nature of the Destruction of Coatings Based on the ZrN System Deposited on a Titanium Alloy Substrate

The fracture strength was compared in a scratch test of coatings based on the ZrN system with the introduction of Ti, Nb and Hf, which were deposited on a titanium alloy substrate. The coatings were deposited using Controlled Accelerated Arc (CAA-PVD) technology. In coatings that simultaneously include Zr and Ti, a nanolayer structure is formed, while in coatings without Ti, the formation of a monolithic single-layer structure is observed. The comparison was carried out according to two parameters: adhesion strength to the substrate and overall coating strength. The (Zr,Hf)N coating showed better resistance to destruction, but had worse adhesion to the substrate. As a result, although the coating is retained directly in the scribing groove, a large area of delamination and destruction is formed around the groove. The (Ti,Zr,Nb)N coating, with its somewhat lower strength, has a high adhesion to the substrate; no noticeable delamination is observed along the groove boundary. In this paper, not only is the fracture resistance of various coatings deposited on a titanium alloy substrate compared, but the nature of this fracture is also investigated depending on the composition of the coatings.

Using the Nintendo™ Wii to Improve Physical Function and Reduce the Risk of Falls in Older Adults: A Randomized Controlled Clinical Trial.

(1) Background: Numerous exercise programs that improve physical capacity and the risk of falls in older adults have been proposed with varying degrees of success. A novel approach may be to use a video game system that uses real-time force feedback to train older adults. The aim of this study was to evaluate the effects of a Nintendo™ Wii-based exercise program on physical function and risk of falls in older people. (2) Methods: This 12-week randomized controlled clinical trial involved 73 participants: 36 individuals participating in a control group (CG) and 37 in an experimental group (EG) participating in a combined program. Balance was measured using the Tinetti scale, flexibility was assessed with the back scratch test and the sit-and-reach test, and lower body strength was assessed with the 30 s chair stand-up test. (3) Results: The results of this study show significant improvements in balance, gait, flexibility, and strength of the lower limbs compared to a control group. (4) Conclusions: A Nintendo™ Wii-based exercise program for seniors produces improvements in the physical health of older adults. These improvements highlight the importance of integrating physical exercise through video games as an effective strategy to improve the general health and quality of life of older adults.

Clinical utility analysis of the Hoxb8 mast cell activation test for the diagnosis of peanut allergy.

Peanut allergy is among the most severe and common food allergies. The diagnosis has a significant impact on the quality of life for patients and their families. An effective management approach depends on accurate, safe, and easily implementable diagnostic methods. We previously developed a cell-based assay using Hoxb8 mast cells (Hoxb8 MCs) aimed at improving clinical allergy diagnosis. In this study, we assessed its diagnostic performance by measuring blinded sera from a prospectively enrolled and pre-validated peanut allergy cohort. Hoxb8 MCs were passively sensitized with sera from peanut-allergic and peanut tolerant children and adolescents (n = 112). Degranulation of Hoxb8 MCs was quantified upon stimulation with dose-titrated peanut extract by means of flow cytometry, using CD107a as activation marker. The results from the Hoxb8 mast cell activation test (Hoxb8 MAT) were compared to established diagnostic assays such as the skin prick test (SPT), specific IgE (sIgE) levels, and the basophil activation test (BAT). Additionally, serum samples from BAT nonresponders were assessed with the Hoxb8 MAT. Hoxb8 MAT displayed a robust dose-dependent activation to peanut extract, with a cutoff value of ≤5.2% CD107a positive cells. The diagnostic accuracy was highest at allergen concentrations ≥100 ng/mL, with an area under the receiver operating characteristic curve (AUROC) of 0.97, 93% sensitivity, and 96% specificity, outperforming traditional SPT and sIgE tests. When compared to BAT, Hoxb8 MAT exhibited comparable diagnostic efficacy. Moreover, sera from BAT nonresponders were accurately classified into allergics and nonallergics by the Hoxb8 MAT. The Hoxb8 MAT demonstrated a very good diagnostic precision in patients prospectively assessed for peanut allergy comparable to the fresh whole blood-based BAT. Additionally, it demonstrated its value for accurate classification of BAT nonresponders into allergic and nonallergic individuals. Further investigations into its utility in the routine clinical setting are warranted.

Hypersensitivity to erythritol in a 7-year-old boy

Hypersensitivity reactions to erythritol are rare, with an incidence of less than 1:1,000,000. In recent years, the widespread use of erythritol has increased significantly, which may result in an increase of the frequency of hypersensitivity reactions. We discuss the clinical features and the diagnostic process in a case of hypersensitivity to erythritol in a seven-year-old boy. The presented patient developed generalised urticaria, vomiting, weakness, and shortness of breath within minutes of eating a homemade cake containing erythritol. A few months later urticaria appeared on the boy’s face and trunk 30 minutes after eating a homemade cake containing maltitol. Skin prick tests and intradermal tests with erythritol were performed, yielding negative results. An oral challenge with erythritol, using increasing doses of 250 mg, 500 mg, and 1,000 mg every 30 minutes, was positive. It was recommended to eliminate sweeteners from the diet. It is important to remember about food additives when searching for the causative agents of anaphylactic reactions.

Empowering Pediatricians With Direct Penicillin Challenges: A Promising Delabeling Strategy.

Current literature supports a multidisciplinary approach to penicillin allergy delabeling. Our study aims to review the success rate of penicillin challenges performed at Walter Reed National Military Medical Center Allergy Clinic and assess the reaction rate associated with a direct oral challenge in low-risk patients. We conducted a retrospective review of the outcomes of pediatric penicillin challenges at the Walter Reed National Military Medical Center Allergy and Immunology clinic from June 2019 to May 2023. A total of 74 challenges were included in this study. Patients were initially screened to assess the date of reaction, nature of reaction, if the reaction was life-threatening, and if the patient was hospitalized or sought emergency medical care for the reported reaction. After completion of the screening questionnaire, a direct graded challenge was performed (without skin testing) if a patient's history was deemed low risk. Patients with a recent reaction or a history of multiple drug allergies were more likely to be directed to skin prick testing and intra-dermal testing with Pre-pen and Penicillin-G prior to challenge. All patients passed all challenges. Thus, there was a 100% pass rate for both direct challenges and skin test with oral challenges. Given the low rate of adverse events in this study, expansion of penicillin delabeling in the primary care setting should be considered in patients deemed to be at low risk. It is important for allergists to empower and educate their peers and push forward a movement to create a multidisciplinary approach to penicillin delabeling.

Effect of Ta on selective oxidation behavior and oxide film adhesion of alumina-forming austenitic alloys

The effects of Ta on the selective oxidation behavior and scale adhesion of Fe-45Ni-25Cr-4Al-1.5Nb-0.4C-xTa (x=0.6, 0.9, 1.2, 1.5 wt%) austenitic alloys at high temperature under low oxygen pressure were investigated. The FCC, MC-(Ta, Nb)C, M23C6 and B2-NiAl phases were found in the annealed alloy. Addition of Ta significantly promoted the formation of an external Al2O3 layer and inhibited growth of Cr2O3 and spinel at 850 °C under oxygen pressures of 10−18 atm and 10−24 atm. Similar oxidation behavior was observed in two-step oxidation process (650 °C for 8 hours and 1000 °C for 16 hours). Ta and Nb preferentially segregated at the interface between the oxide scale-matrix as well as grain boundary within the oxide scale during oxidation, and inhibited outward diffusion of Al and Cr. A large oxygen activity gradient was formed in the oxide film, resulting in the formation of columnar grains. Due to a significant decrease in oxygen activity at the front of the reaction, selective oxidation of alumina was promoted. Furthermore, the scratch test technique was used to quantify the adhesion of oxide scales. Peg-like structures formed by Ta and Nb positively influenced the adhesion properties of the oxide scale.

Reducing metastasis ability of gastric cancer cell line by targeting MMP16 using miR-193a-5p and 5-FU

PurposeCo-administration of microRNAs and chemotherapy drugs effectively treats several cancers. The current study sought to investigate the function of matrix metalloproteinase 16 (MMP16) and miR-193a-5p in the pathogenesis of gastric cancer (GC). Materials/methodsSixty-five surgical patients, 15 receiving 5-fluorouracil (5-FU), provided GC and adjacent non-cancerous tissue. Following that, qPCR was used to assess the expression levels of MMP16 and miR-193a-5p in GC cells. The impact of miR-193a-5p and 5-FU administration on MMP16 mRNA expression was evaluated using qRT-PCR and Western blotting. MTT and Scratch tests were also conducted to assess their effects on cell viability and migration. Moreover, a rescue experiment using an MTT assay was performed. Using flow cytometry, the apoptotic rate was calculated. Finally, it was evaluated how MMP16 and miR-193a-5p related to the clinicopathological characteristics of the patients. ResultsThe current study found that while MMP16 expression increased in GC patients (P ​< ​0.0001), miR-193a-5p expression significantly decreased (P ​< ​0.001). MMP16 down-regulation was another effect of miR-193a-5p replacement, particularly when 5-FU was added (P ​< ​0.01). In addition, this study found that miR-193a-5p, by concentrating on MMP16, decreased the migration of GC cells brought on by MMP16. In GC cell lines, miR-193 and 5-FU induce apoptosis, with the 5-FU being more pronounced when combined with mir-193, according to flow cytometry results. A strong correlation was also found between clinicopathological traits associated with MMP16 and miR-193a-5p. ConclusionsThese findings suggest that miR-193a-5p, in conjunction with 5-FU, down-regulates MMP16 in GC, where it suppresses tumor growth.

Exploring Water-Soluble South African Tulbaghia violacea Harv Extract as a Therapeutic Approach for Triple-Negative Breast Cancer Metastasis.

Triple-negative breast cancer (TNBC) accounts for approximately 20% of all breast cancer cases and is characterized by a lack of estrogen, progesterone, and human epidermal growth factor 2 receptors. Current targeted medicines have been unsuccessful due to this absence of hormone receptors. This study explored the efficacy of Tulbaghia violacea, a South African medicinal plant, for the treatment of TNBC metastasis. Extracts from T. violacea leaves were prepared using water and methanol. However, only the water-soluble extract showed anti-cancer activity and the effects of this water-soluble extract on cell adhesion, invasion, and migration, and its antioxidant activity were assessed using MCF-10A and MDA-MB-231 cells. The T. violacea extract that was soluble in water effectively decreased the movement and penetration of MDA-MB-231 cells through the basement membrane in scratch and invasion tests, while enhancing their attachment to a substance resembling an extracellular matrix. The sample showed mild-to-low antioxidant activity in the antioxidant assy. Nuclear magnetic resonance spectroscopy revealed 61 chemical components in the water-soluble extract, including DDMP, 1,2,4-triazine-3,5(2H,4H)-dione, vanillin, schisandrin, taurolidine, and α-pinene, which are known to have anti-cancer properties. An in-depth examination of the transcriptome showed alterations in genes linked to angiogenesis, metastasis, and proliferation post-treatment, with reduced activity in growth receptor signaling, angiogenesis, and cancer-related pathways, such as the Wnt, Notch, and PI3K pathways. These results indicate that T. violacea may be a beneficial source of lead chemicals for the development of potential therapeutic medicines that target TNBC metastasis. Additional studies are required to identify the precise bioactive chemical components responsible for the observed anti-cancer effects.

Genotoxic and Anti-Migratory Effects of Camptothecin Combined with Celastrol or Resveratrol in Metastatic and Stem-like Cells of Colon Cancer.

Background: Colorectal cancer is one of the leading and most lethal neoplasms. Standard chemotherapy is ineffective, especially in metastatic cancer, and does not target cancer stem cells. A promising approach to improve cancer treatment is the combination therapy of standard cytostatic drugs with natural compounds. Several plant-derived compounds have been proven to possess anticancer properties, including the induction of apoptosis and inhibition of cancer invasion. This study was focused on investigating in vitro the combination of camptothecin (CPT) with celastrol (CEL) or resveratrol (RSV) as a potential strategy to target metastatic (LOVO) and stem-like (LOVO/DX) colon cancer cells. Methods: The genotoxic effects that drive cancer cells into death-inducing pathways and the ability to inhibit the migratory properties of cancer cells were evaluated. The γH2AX+ assay and Fast-Halo Assay (FHA) were used to evaluate genotoxic effects, the annexin-V apoptosis assay to rate the level of apoptosis, and the scratch test to assess antimigratory capacity. Results: The results showed that both combinations CPT-CEL and CPT-RSV improve general genotoxicity of CPT alone on metastatic cells and CSCs. However, the assessment of specific double-stranded breaks (DSBs) indicated a better efficacy of the CPT-CEL combination on LOVO cells and CPT-RSV in LOVO/DX cells. Interestingly, the combinations CPT-CEL and CPT-RSV did not improve the pro-apoptotic effect of CPT alone, with both LOVO and LOVO/DX cells suggesting activation of different cell death mechanisms. Furthermore, it was found that the combinations of CPT-CEL and CPT-RSV improve the inhibitory effect of camptothecin on cell migration. Conclusions: These findings suggest the potential utility of combining camptothecin with celastrol or resveratrol in the treatment of colon cancer, including more aggressive forms of the disease. So far, no studies evaluating the effects of combinations of these compounds have been published in the available medical databases.

Risk factors associated with the incidence of asthma among adolescents in Ukraine

Background. Asthma is a common disease among children and adolescents. The purpose of this study was to describe the detailed characteristics of adolescents with asthma, identify risk factors associated with the development of asthma and to evaluate medical care for patients with asthma. Materials and methods. Asthma patients (n = 80) aged 12 to 18 years from the Allergology Department of the Kyiv City Children’s Clinical Hospital 2, the clinical base of the Department of Pediatrics 2 of the Bogomolets National Medical University, were included in the study. The control group consisted of 120 children without asthma. In the group of interviewed children, asthma was diagnosed based on clinical data and objective measurement of lung function. All children underwent spirometry and skin prick test with aeroallergens. During the clinical examination, weight and height were measured, and body mass index was calculated. The survey was conducted by a research doctor using a Google form. Results. Parents of 80 children with asthma were involved in our survey between September 2023 and May 2024. Asthma occurred more often in boys than in girls: odds ratio (OR) = 7.3 (95% confidence interval (CI) 3.84–14.16, P &lt; 0.0001). 31.25 % respondents reported a history of atopic dermatitis, 26.25 % had atopic dermatitis at the time of the study. Food allergy was detected in 25 % children. 48.75 % children had concomitant allergic rhinitis, of which 33.75 % had seasonal, 15 % had perennial. We found that children living in the city had asthma more often: OR = 7.3 (95% CI 3.26–16.62, P &lt; 0.0001). Having an older sibling was associated with a lower risk of asthma: OR = 3.6 (95% CI 1.86–6.92, P &lt; 0.0001). Also, we found that cat owners were significantly more likely not to have asthma: OR = 7.7 (95% CI 3.96–14.99, P &lt; 0.0001). Such data are most likely related to the refusal to own a cat due to the prevalence of cat allergy among children with asthma or at risk of cat allergy. We have not found a statistically significant difference in the group of children with asthma and in the control group in relation to the exposure to tobacco smoke in the atmosphere (passive smoking): OR = 1.4 (95% CI 0.79–2.59, P &gt; 0.05). Conclusions. Treatment of allergies and atopic conditions should be considered an important component of asthma treatment, which may affect the frequency and severity of the disease. In adolescents and adults, smoking cessation, in particular, as a factor in the impact of passive smoking on a sick child can also significantly reduce the number of hospitalizations. Confirming the diagnosis of asthma, demonstrating good inhaler technique, and emphasizing adherence to preventive therapies such as inhaled glucocorticosteroids can improve asthma control and reduce overreliance on short-acting bronchodilators.

Transplant-Acquired Food Allergy in Children.

Organ transplantation in children is a vital procedure for those with end-stage organ failure, but it has been linked to the development of post-transplant allergies, especially food allergies. This phenomenon, known as transplant-acquired food allergy (TAFA), is becoming increasingly recognized, though its mechanisms remain under investigation. Pediatric transplant recipients often require lifelong immunosuppressive therapy to prevent graft rejection, which can alter immune function and heighten the risk of allergic reactions. Our review aimed to gather the latest evidence on TAFA. We conducted a PubMed search from 25 June to 5 July 2024, using specific search terms, identifying 143 articles. After screening, 36 studies were included: 24 retrospective studies, 1 prospective study, 2 cross-sectional researches, and 9 case reports/series. Most studies focused on liver transplants in children. The prevalence of food allergies ranged from 3.3% to 54.3%. Tacrolimus, alongside corticosteroids, was the most commonly used immunosuppressive therapy. In addition to food allergies, some patients developed atopic dermatitis, asthma, and rhinitis. Allergic symptoms typically emerged within a year post-transplant, with common allergens including milk, eggs, fish, nuts, soy, wheat, and shellfish. Both IgE-mediated and non-IgE-mediated reactions were observed, with treatment often involving the removal of offending foods and the use of adrenaline when necessary. Consistent immunological monitoring, such as skin prick tests and IgE level assessments, is essential for early detection and management of allergies in these patients. Understanding the link between transplantation and allergy development is crucial for improving long-term outcomes for pediatric transplant recipients.

Oral Food Challenge in Children with Tree Nut and Peanut Allergy: The Predictive Value of Diagnostic Tests.

Food allergy (FA) affects approximately 6-8% of young children, with a peak prevalence at approximately one year of age. Tree nut and peanut allergies are among the main causes of anaphylaxis in the world. The gold standard for the diagnosis of FAs is the oral food challenge (OFC). Other diagnostic tests used in the clinical practice are skin prick tests (SPTs) and laboratory tests to measure out the presence of serum specific IgE (sIgE). In this narrative review, we collect the current evidence of the predictive value (PV) of SPTs and sIgE for the outcome of the OFCs. In literature, data are conflicting as to whether increasing sIgE concentration and wheal size in SPTs correlate with OFC outcomes. Most studies included in our review have shown that in vivo and in vitro tests may predict OFC outcomes with variable PV, but data are not conclusive; therefore, the OFC currently remains the gold standard for FA diagnosis.

A thermosensitive hydrogel for the sustained delivery of exosomes extracted from menstrual blood mesenchymal stem cells and frizzled antibody on triple-negative breast cancer cells in vitro

Due to the heterogeneity of triple-negative breast cancer (TNBC), conventional treatments usually respond poorly and effective targeted therapies for this type of cancer are rare. Wnt signaling plays an important role in breast cancer metastasis and proliferation, as shown by analyzes of gene expression profiling and genome-wide sequencing. In addition, the role of endometrial cells in regulating angiogenesis during the menstrual cycle as an angiostatic state associated with the end of the cycle has been well established. Therefore, exosomes of menstrual blood-derived stem cells (Exo-Mens) could play a role as effective inhibitors of tumor-induced angiogenesis. However, repeated administration and systemic toxicity are major problems with conventional drug delivery methods. To minimize these drawbacks and maximize the therapeutic benefits of the drugs, hydrogels provide convenient methods for drug delivery. The aim of this study was therefore to investigate the effects of hydrogels containing Exo-Mens and Frizzled antibodies (anti-FZ) on breast cancer cells. First, the optimization and characterization of the hydrogel were performed, then the cell lines (MDA-MB-231 and HUVEC) were studied in four groups: Hydrogel (control), Hydrogel with anti-FZ, Exo-Mens and FZ + Exo. First, the IC50 of anti-FZ and Exo-Mens was determined and the degradability and release pattern of the investigated groups were measured. Western blot (VEGF, HIF-1α) and qRT-PCR (VEGF, HIF-α and KDR) were performed for the HUVEC cell line and scratch tests, colony formation and apoptosis for the MDA-MB-231 cell line. In addition, invasion and migration were performed for both cell lines. Our results showed that the optimal hydrogel is a suitable option for sustained release of the studied groups. The loaded compounds could be released within 7 days. The angiogenic activity of dual anti-FZ and Exo-Mens within the hydrogel, showed a significant shift in the expression of pro-angiogenic genes and related proteins, including HIF-1α, VEGF-A and KDR, in the treated HUVECs. The hydrogel treatment groups were also able to reduce migration and invasion in both cell lines compared to the control group. In addition, a reduction in colony formation and an increase in apoptosis were observed, especially in the cancer cells exposed to anti-FZ. Angiogenesis as well as proliferation and invasion of tumor cells were inhibited by the developed hydrogel system containing anti-FZ, Exo-Mens and a combination of both with slow release.

Multifunctional carbomer based ferulic acid hydrogel promotes wound healing in radiation-induced skin injury by inactivating NLRP3 inflammasome

BackgroundRadiation-induced skin injury is a significant adverse reaction to radiotherapy. However, there is a lack of effective prevention and treatment methods for this complication. Ferulic acid (FA) has been identified as an effective anti-radiation agent. Conventional administrations of FA limit the reaching of it on skin. We aimed to develop a novel FA hydrogel to facilitate the use of FA in radiation-induced skin injury.MethodsWe cross-linked carbomer 940, a commonly used adjuvant, with FA at concentrations of 5%, 10%, and 15%. Sweep source optical coherence tomography system, a novel skin structure evaluation method, was applied to investigate the influence of FA on radiation-induced skin injury. Calcein-AM/PI staining, CCK8 assay, hemolysis test and scratch test were performed to investigate the biocompatibility of FA hydrogel. The reducibility of DPPH and ABTS radicals by FA hydrogel was also performed. HE staining, Masson staining, laser Doppler blood flow monitor, and OCT imaging system are used to evaluate the degree of skin tissue damage. Potential differentially expressed genes were screened via transcriptome analysis.ResultsGood biocompatibility and in vitro antioxidant ability of the FA hydrogels were observed. 10% FA hydrogel presented a better mechanical stability than 5% and 15% FA hydrogel. All three concentrations of FA remarkably promoted the recovery of radiation-induced skin injury by reducing inflammation, oxidative conidiation, skin blood flow, and accelerating skin tissue reconstruction, collagen deposition. FA hydrogel greatly inhibiting the levels of NLRP3, caspase-1, IL-18, pro-IL-1β and IL-1β in vivo and vitro levels through restraining the activation of NLRP3 inflammasome. Transcriptome analysis indicated that FA might regulate wound healing via targeting immune response, inflammatory response, cell migration, angiogenesis, hypoxia response, and cell matrix adhesion.ConclusionsThese findings suggest that the novel FA hydrogel is a promising therapeutic method for the prevention and treatment of radiation-induced skin injury patients.Graphical

A New Process for Efficient Non-Destructive Metal-Activated Composite Plating of Ni-P-Al2O3 on Titanium Base and Its Performance Research

A new high efficient and non-destructive mental activation process of electroless composite plating was proposed. The process utilized electromagnetic induction equipment to heat the titanium alloy substrate and used its energy to complete the activation process, which could successfully attach the nickel nanoparticles firmly to the surface of the titanium alloy; at the same time, the process pre-activated Al2O3 nanoparticles and added the activated nanoparticles to the plating solution. In the process of plating, the activated titanium substrate was used as the catalytic center of electroless nickel plating (ENP) for electroless composite plating. The new activation process avoided complicated traditional processes such as acid etching and zinc dipping. Such traditional processes require huge doses of chemicals, including various strong acids, so improper waste liquid treatment will cause harm to the environment. The important parameters of the process were optimized by orthogonal experiments. A scanning electron microscope (SEM), an X-ray photoelectron spectroscopy (XPS), an energy dispersive spectrometer (EDS), thermal shock experiments and friction and wear experiments were used to characterize and analyze the surface morphology, composition, binding force and friction coefficient of the coating, and analyze the coating quality by measuring the plating rate and the thickness of the coating. The results showed that the rate of electroless composite plating increased with the increase in Al2O3 nanoparticle concentration. When the concentration of Al2O3 nanoparticles reached 1.5 g/L, the ENP rate decreased with the increase in Al2O3 nanoparticle concentration. The adhesion of the sample was evaluated by the scratch test, which showed that the binding grade of the sample was 0, and the Vickers hardness was 688.5 HV. Results showed that the coating produced by this new process has excellent performance. Therefore, the process is an environmentally friendly and fast activation composite plating process.

Ultrasonic vibration-assisted femtosecond laser submerged ablation process for the preparation of titanium-based crack-free hydroxyapatite

Titanium alloy-based hydroxyapatite (HAp) coating materials are beneficial for reducing stress shielding and improving the biocompatibility of implants. However, the significant disparity in thermal conductivity between titanium alloy and hydroxyapatite results in the material being highly susceptible to cracking during preparation, which diminishes the mechanical properties of the material and predisposes the implant to aseptic loosening. To obtain coatings of HAp that are free of cracks, this study proposes a process method of ultrasonic-assisted femtosecond laser under-liquid ablation of a Ca/P solution to synthesize HAp by a one-step process and apply coatings on the surface of TC4 titanium alloy. The relationship between the laser process parameters and the resulting surface morphology, coating spatial distribution, elemental composition, chemical state of the elements, phase, coating thickness, coating bonding, friction coefficient, corrosion resistance and the number of cells was investigated through a series of analytical techniques, including high-speed photographic observation, scanning electron microscopy (SEM), X-ray Photoelectron Spectroscopy (XPS), energy-dispersive spectroscopy (EDS), X-ray diffraction (XRD), scratch testing, Tafel plot and cell adhesion assays. The findings demonstrate that titanium-based HAp coatings with a thickness of 42.5 μm, a bonding force of 55 N, a polarization resistance of 10 Ω.cm2, the absence of cracks defects, and notable bioactivity can be produced with ultrasonic-assisted submerged laser ablation in a highly concentrated Ca/P solution. The proposed method represents a novel approach to the preparation of multifunctionalized implants.

Home self-testing of complete blood counts in patients with breast cancer during chemotherapy: A proof-of-concept cohort study in e-oncology.

Before administration of myelosuppressive chemotherapy, complete blood counts (CBC) collected at the hospital/nursing stations are evaluated to avoid severe bone marrow suppression. This maintains disease fixation which often reduces their quality of life. This mixed-method study examined at home self-testing of CBC, the test quality, and the effects on patients' mental well-being. Patients with breast cancer receiving chemotherapy were recruited and trained to perform capillary finger prick CBC testing at home using the HemoScreen Point-of-Care instrument and to upload the test results to the hospital's IT system subsequently. A venous reference CBC sample was taken and tested at the hospital on the day of self-testing. Semi-structured interviews with open-ended components were performed to investigate the user experience and the impact of self-testing on the patients' everyday lives. Thirty-nine patients completed the self-testing education using the HemoScreen instrument. Eight patients withdrew, while the remaining 31 patients performed 161 home tests (2-11 tests per patient) over a 4-month period. The test results compared well with the venous reference CBCs except for platelet counts (correlation coefficient 0.26). Qualitative interviews with nine of the 31 patients emphasized that the patients were comfortable using the self-testing instrument and becoming an active partner in their own treatment. CBC self-testing at home produced clinically valid hemoglobin and white blood cell counts with the added benefit that the patients became active partners in their own treatment course, which was of great importance for the patients and increased their wellbeing.

Accurate Inspection and Super-Resolution Reconstruction for Additive Manufactured Defects Based on Stokes Vector Method and Deep Learning

Defects in additive manufacturing processes are closely related to the mechanical and physical properties of the components. However, the extreme conditions of high temperatures, intense light, and powder during the manufacturing process present significant challenges for defect detection. Additionally, the high reflectivity of metallic components can cause pixels in image sensors to become overexposed, resulting in the loss of many defect signals. Thus, this paper mainly focuses on proposing an accurate inspection and super-resolution reconstruction method for additive manufactured defects based on Stokes vector and deep learning, where the Stokes vectors, polarization degree, and polarization angles of the inspected defects are effectively utilized to suppress the high reflectivity of metallic surfaces, enhance the contrast of defect regions, and highlight the boundaries of defects. Furthermore, a modified SRGAN model designated SRGAN-H is presented by employing an additional convolutional layer and activation functions, including Harswish and Tanh, to accelerate the convergence of the SRGAN-H network and improve the reconstruction of the additive manufactured defect region. The experiment results demonstrated that the SRGAN-H model outperformed SRGAN and traditional SR reconstruction algorithms in terms of the images of Stokes vectors, polarization degree, and polarization angles. For the scratch and hole test sets, the PSNR values were 33.405 and 31.159, respectively, and the SSIM values were 0.890 and 0.896, respectively. These results reflect the effectiveness of the SRGAN-H model in super-resolution reconstruction of scratch and hole images. For the scratch and hole images chosen in this study, the PSNR values of SRGAN-H for single image super-resolution reconstruction ranged from 31.86786 to 43.82374, higher than the results obtained by the pre-improvement SRGAN algorithm.

Enhanced adhesion and corrosion resistance through the modulation of a metallic Ti underlayer thickness

In this investigation, TiCN/TiN thin solid film was selected as a protective coating and deposited onto AZ31 alloy through reactive magnetron sputtering. To mitigate the potential failure resulting from the significant physical disparity between the ceramic film and the metal substrate, a Ti thin film was employed as a base layer. Following the deposition process, an analysis was conducted on the structural features, residual stress, fracture morphology, adhesion strength, and corrosion characteristics of the film/substrate system utilizing X-ray diffraction, scanning electron microscopy, scratch testing, and electrochemical workstation. The findings indicate that the incorporation of a Ti metallic underlayer significantly improves the adhesion and corrosion resistance of the TiCN film. However, when the thickness of the Ti layer surpasses 0.37 μm (deposition of 15 min), it leads to the formation of a distinct columnar crystal microstructure, increased residual stress, and diminished adhesion and corrosion resistance. Additionally, this study delves into the corrosion failure mechanisms in a chloride environment and explains the principles of residual stress measurement through XRD.