A novel self-powered and flexible enzymatic biofuel cell (EBFC)-based aptasensor was developed for the sensitive and selective detection of 17 β-estradiol (E2). A flexible polyvinyl alcohol (PVA)-tannic acid‑carbon nanotube/reduced graphene oxide (PTCR) substrate was modified with gold nanoparticles (AuNPs) and thiolated aptamer 1 (Apt1) to yield Apt1@AuNPs/PTCR. A copper-based metal-organic framework (Cu-MOF) with peroxidase mimicking activity was employed to anchor glucose oxidase (GOD) and Apt2, forming the Cu-MOF@GOD/Apt2 tag. When E2 was recognized by Apt1, the anchored E2 quantitatively recognized Cu-MOF@GOD/Apt2 to create a Cu-MOF@GOD/Apt2-E2-Apt1 sandwich structure for glucose oxidation to generate electrical power. Increased E2 concentrations enhanced Cu-MOF@GOD/Apt2 capture and amplified the electrical signal. The electrical power increased linearly as the E2 concentration increased from 1.0 pM to 1.0 nM. The sensor was successfully applied to various food samples and blood serum detection. This work promoted the application of novel self-powered biosensors for food safety analysis.

The gyroid structure is a bio-inspired structure that was discovered in butterfly wings. The geometric design of the gyroid structure in butterfly wings offers a unique combination of strength and flexibility. This study investigated sandwich panels consisting of a 3D-printed gyroid structure core and carbon fiber-reinforced polymer (CFRP) facing skin. A filament fused fabrication 3D printer machine was used to print the gyroid cores with three different relative densities, namely 10%, 15%, and 20%. Polylactic acid (PLA) was used as the printing material for the gyroid. The gyroid structure was then sandwiched and joined by an epoxy resin between CFRP laminates. Polyurethane foam (PUF) was filled into the gyroid core to fill the cavity on the core for another set of samples. Flexural and compression tests were performed on the samples to investigate the mechanical behavior of the sandwiches. Moreover, the two-parameter Weibull distribution was used to evaluate the results statistically. As a result, the sandwich-specific facing stress and core shear strength from the three-point bending test of the composites increased with the increase in sandwich density. Core density controls the flexural characteristics of the sandwich. Adding PUF improves the deflection at the maximum stress and the sustained load after fracture of the sandwich. Compression strength, modulus, and energy absorbed by gyroid core sandwiches and their specific properties are higher than the PUF-filled gyroid core sandwiches at equal sandwich density.

As a typical biomarker of Alzheimer\'s disease, rapid and specific detection of tau protein can help improve the early diagnosis and prognosis of the disease. In this study, a simple sandwich electrochemical immunosensor was developed for rapid detection of tau protein. Primary monoclonal antibodies (mAb1) against the middle domain of tau protein (amino acids 189-195) were immobilized on the gold electrode surface through a self-assembled monolayer (SAM) of 3,3\'-dithiobis (sulfosuccinimidyl propionate) (DTSSP). Then the tau protein was captured through the specific adsorption between the antigen and the antibody, resulting in a change in the impedance. Secondary monoclonal antibodies (mAb2) against the N-terminal region of tau protein were used for further amplification of the binding reaction between mAb1 and tau protein. A linear correlation between the total change in impedance and the logarithm of tau concentration was found from 2 × 10-6 mg mL-1 to 2 × 10-3 mg mL-1, with a detection limit as low as 1 × 10-6 mg mL-1. No significant interference was observed from human serum albumin. Furthermore, the fabricated sandwich immunosensor successfully detected target tau protein in artificial cerebrospinal fluid (aCSF) samples, indicating good potential for clinical applications in the future.

This study focuses on improving the mechanical properties of sandwich composites by developing epoxy-based sandwich composite panels with hollow glass microspheres/nanoclay hybrid core and banana fiber facesheets for structural applications. The mechanical performance of sandwich composite panels made with hollow glass microspheres (HGM)/nanoclay hybrid core with banana fibers face-sheet composites panel is investigated in this work. The HGM content of the core was varied from 1 wt% to 3 wt% in the sandwich composites panel, while the nanoclay content of the core was varied from 1 wt% to 5 wt% in each of the HGM-filled series of the sandwich composite panel, these sandwich composite panels were fabricated using a conventional resin casting method. In this investigation, the mechanical, water absorption, and buoyancy behavior are thoroughly studied and the findings revealed better improvement at the sandwich composites with hybrid core formulation with banana fiber facesheets than the sandwich composites without hybrid core formulation. This demonstrates that banana fiber with epoxy resin has a limited amount of strength when used without a hybrid core but delivers better performance when HGM and clay particles are mixed as the hybrid core because of excellent interfacial adhesion between the hybrid core and the matrix. The improved mechanical properties could suggest that this material may be suitable for application in industries where sandwich structures that are lightweight with good mechanical properties are required. This study showed a new area of sandwich structure development by enhancing mechanical properties using hybrid core and banana fibers.

Developing highly sensitive and selective methods that incorporate specific recognition elements is crucial for detecting small molecules because of the limited availability of small molecule antibodies and the challenges in obtaining sensitive signals. In this study, a generalizable photoelectrochemical-colorimetric dual-mode sensing platform was constructed based on the synergistic effects of a molecularly imprinted polymer (MIP)-aptamer sandwich structure and nanoenzymes. The MIP functionalized peroxidase-like Fe3O4 (Fe3O4@MIPs) and alkaline phosphatase mimic Zr-MOF labeled aptamer (Zr-mof@Apt) were used as the recognition elements. By selectively accumulating dibutyl phthalate (DBP), a small molecule target model, on Fe3O4@MIPs, the formation of Zr-MOF@Apt-DBP- Fe3O4@MIPs sandwich structure was triggered. Fe3O4@MIPs oxidized TMB to form blue-colored oxTMB. However, upon selective accumulation of DBP, the catalytic activity of Fe3O4@MIPs was inhibited, resulting in a lighter color that was detectable by the colorimetric method. Additionally, Zr-mof@Apt effectively catalyzed the hydrolysis of L-Ascorbic acid 2-phosphate sesquimagnesium salt hydrate (AAPS), generating ascorbic acid (AA) that could neutralize the photogenerated holes to decrease the photocurrent signals for PEC sensing and reduce oxTMB for colorimetric testing. The dual-mode platform showed strong linearity for different concentrations of DBP from 1.0 pM to 10 μM (PEC) and 0.1 nM to 0.5 μM (colorimetry). The detection limits were 0.263 nM (PEC) and 30.1 nM (colorimetry) (S/N = 3), respectively. The integration of dual-signal measurement mode and sandwich recognition strategy provided a sensitive and accurate platform for the detection of small molecules.

UNASSIGNED: For patients who need laparoscopic radical gastrectomy, lymph node dissection (LND) and optimization of surgical procedures are particularly important. This study introduces the \"quadrant-sandwich\" method in clockwise modular D2 LND and evaluates the advantages and safety of this method.
UNASSIGNED: The clinical data of 108 laparoscopic total gastrectomy patients admitted to the Affiliated Cancer Hospital of Zhengzhou University from January 2019 to January 2022 were retrospectively analyzed. Based on the different LND processes, 55 patients were allocated to the observation group, which underwent clockwise modular LND using the \"quadrant-sandwich method\", and 53 patients were allocated to the control group, which underwent traditional LND. The effectiveness and safety of the approach in terms of operation time, blood loss, lymph node yield, postoperative recovery and postoperative complications were observed in the two groups.
UNASSIGNED: There was no statistical difference between the baseline data of the two groups. In relation to the surgery, the observation group had an operation time of 227.0±48.5 minutes, and intraoperative bleeding of 100.0 mL [inter-quartile range (IQR), 30.0-200.0 mL], while the control group had an operation time of 247±41.5 minutes, and intraoperative bleeding of 180.0 mL (IQR, 130.0-245.0 mL). There were statistically significant differences between the two groups in terms of the operation time and intraoperative bleeding (P=0.001, P=0.020). In relation to the LND, there were no statistically significant differences between the two groups in terms of the total number of lymph nodes in each division, and the number of positive lymph nodes. In relation to the post-operative results, there were no statistically significant differences between the two groups in terms of the post-operative pathological stage, first postoperative oral feeding, post-operative hospitalization time, and post-operative complications.
UNASSIGNED: Clockwise modular D2 LND using the \"quadrant-sandwich method\" is potentially safe and feasible in laparoscopic total gastrectomy. It not only ensures the thoroughness of the LND, but also ensures and efficient and fast surgical process, shortens the operation time, and reduces the amount of intraoperative bleeding.

When (4n +2) π-electrons are located in single planar ring, it conventionally qualifies as aromatic. According Hückel\'s rule, systems possessing ten π-electrons should be aromatic. Herein we report a series of D5h  Li6 E5 Li6 sandwich structures, representing the first global minima featuring ten π-electrons E5 10- ring (E=Si-Pb). However, these π-electrons localize as five π-lone-pairs rather than delocalized orbitals. The high symmetry structure achieved is a direct consequence of σ-aromaticity, particularly favored in elements from Si to Pb, resulting in a pronounced diatropic ring current flow that contributes to the enhanced stability of these systems.

OBJECTIVE: Parastomal hernia is the most common complication after stoma formation with an incidence that approaches 50% at 2 years postoperatively. In the last decade, different approaches of minimally invasive procedures have been proposed for the treatment of parastomal hernia. Nevertheless, the superiority of one technique over the others remains still unclear. Our objective was to update and systematically analyze current state of research concerning the postoperative outcomes of the four most prevalent minimally invasive techniques.
METHODS: A systematic literature search of three databases (Medline, Scopus, Google Scholar) was undertaken for articles published from January 2015 to November 2022. Fifteen studies from a previous meta-analysis on the topic were included.
RESULTS: Thirty-three studies incorporating 1289 total patients were deemed eligible for inclusion in the final analysis. The keyhole technique was associated with the highest incidence of postoperative complications and recurrences (31.3% and 24.1%, respectively), followed by the Sugarbaker technique (27.6% and 9%, respectively). Operative time was among the lowest in patients operated with the 3D mesh technique, while patients undergoing the keyhole technique experienced the shortest cumulative length of hospital stay (6 days).
CONCLUSIONS: Each technique demonstrates a unique profile of effectiveness offset by the propensity towards developing postoperative complications. While no conclusive evidence on the optimal technique exist to date, newer minimally invasive techniques show promising results, albeit based on limited data. The future of parastomal hernia repair seems to rely on a highly individualized approach, tailored to the distinctive characteristics of both the hernia and the patient.

This research focuses on exploring the potential of mycelium as a sustainable alternative to wood or solid foam in pultruded glass fiber-reinforced plastic (GFRP) sandwich profiles. The study evaluates the performance and the environmental sustainability potential of this composite by mechanical tests and life cycle assessment (LCA). Analysis and comparison of pultruded sandwich profiles with mycelium, polyurethane (PUR) foam and chipboard demonstrate that mycelium is competitive in terms of its performance and environmental impact. The LCA indicates that 88% of greenhouse gas emissions are attributed to mycelium production, with the heat pressing (laboratory scale) being the main culprit. When pultruded profiles with mycelium cores of densities 350 and 550 kg/m³ are produced using an oil-heated lab press, a global warming potential (GWP) of 5.74 and 9.10 kg CO2-eq. per functional unit was calculated, respectively. When using an electrically heated press, the GWP decreases to 1.50 and 1.78 kg CO2-eq. Compared to PUR foam, a reduction of 23% in GWP is possible. In order to leverage this potential, the material performance and the reproducibility of the properties must be further increased. Additionally, an adjustment of the manufacturing process with in situ mycelium deactivation during pultrusion could further reduce the energy consumption.

To compare clinical performance of resin composite posterior Class-II restorations placed with etch-and-rinse adhesive or open sandwich technique using glass-ionomer cement.
Data on Class II restorations placed by one dentist between 1990 and 2016 were collected from patient files, including caries risk, tooth related variables, applied materials and dates of last check-up visit and restoration placement. Open sandwich restorations were placed before 2001, while after 2001, a total-etch technique using etch-and-rinse 3-step adhesive was used when placing a Class II composite restoration. For statistical analysis, Kaplan-Meier statistics and a multilevel Cox-Regression was conducted (p < 0.05). Annual Failures Rates (AFR) were calculated.
675 Class II restorations were placed in 91 patients, 491 total-etch restorations (observation time 2-18 y), and 184 open sandwich restorations (observation time 19-29 y) showing AFRs at 15 years as 2.9 % for total-etch and 9.7 % for open sandwich restorations. Secondary caries as failure was equally distributed among the 2 groups and 27 % of the failures in the open sandwich group were due to proximal deterioration of glass-ionomer cement. The Cox-regression showed a significant higher risk for failure for the open sandwich technique compared to total-etch class-II composite restorations (HR = 2.9; p < 0.001).
Application of glass-ionomer cement using the open sandwich technique cannot be recommended for class-II restorations as being more complex and showing poorer clinical performance.