As key components of artificial afferent nervous systems,synaptic devices can mimic the physiological synaptic behaviors,which have attracted extensive attentions.Here,a flexible tribotronic artificial synapse(TAS)wit...As key components of artificial afferent nervous systems,synaptic devices can mimic the physiological synaptic behaviors,which have attracted extensive attentions.Here,a flexible tribotronic artificial synapse(TAS)with bioinspired neurosensory behavior is developed.The triboelectric potential generated by the external contact electrification is used as the ion-gel-gate voltage of the organic thin film transistor,which can tune the carriers transport through the migration/accumulation of ions.The TAS successfully demonstrates a series of synaptic behaviors by external stimuli,such as excitatory postsynaptic current,paired-pulse facilitation,and the hierarchical memory process from sensory memory to short-term memory and long-term memory.Moreover,the synaptic behaviors remained stable under the strain condition with a bending radius of 20 mm,and the TAS still exhibits excellent durability after 1000 bending cycles.Finally,Pavlovian conditioning has been successfully mimicked by applying force and vibration as food and bell,respectively.This work demonstrates a bioinspired flexible artificial synapse that will help to facilitate the development of artificial afferent nervous systems,which is great significance to the practical application of artificial limbs,robotics,and bionics in future.展开更多
Cutaneous nerve injury is the most common complication following foot and ankle surgery. However, clinical studies including long-term follow-up data after cutaneous nerve injury of the foot and ankle are lacking. In ...Cutaneous nerve injury is the most common complication following foot and ankle surgery. However, clinical studies including long-term follow-up data after cutaneous nerve injury of the foot and ankle are lacking. In the current retrospective study, we analyzed the clinical data of 279 patients who underwent foot and ankle surgery. Subjects who suffered from apparent paresthesia in the cutaneous sensory nerve area after surgery were included in the study. Pa- tients received oral vitamin B^2 and methylcobalamin. We examined final follow-up data of 17 patients, including seven with sural nerve injury, five with superficial peroneal nerve injury, and five with plantar medial cutaneous nerve injury. We assessed nerve sensory function using the Medical Research Council Scale. Follow-up immediately, at 6 weeks, 3, 6 and 9 months, and 1 year after surgery demonstrated that sensory function was gradually restored in most patients within 6 months. However, recovery was slow at 9 months. There was no significant difference in sensory function between 9 months and 1 year after surgery. Painful neuromas occurred in four patients at 9 months to 1 year. The results demonstrated that the recovery of sensory func- tion in patients with various cutaneous nerve injuries after foot and ankle surgery required at least 6 months.展开更多
Mucin-like glycoproteins have established roles in epithelial boundary protection and lubricative roles in some tissues.This mini-review illustrates alternative functional roles which rely on keratan sulphate and sial...Mucin-like glycoproteins have established roles in epithelial boundary protection and lubricative roles in some tissues.This mini-review illustrates alternative functional roles which rely on keratan sulphate and sialic acid modifications to mucin glycopolymers which convey charge properties suggestive of novel electroconductive properties not previously ascribed to these polymers.Many tumour cells express mucin-like glycopolymers modified with highly sulphated keratan sulphate and sialic which can be detected using diagnostic biosensors.The mucin-like keratan sulphate glycopolymer present in the ampullae of lorenzini is a remarkable sensory polymer which elasmobranch fish(sharks,rays,skate) use to detect weak electrical fields emitted through muscular activity of prey fish.Information on the proton gradients is conveyed to neuromast cells located at the base of the ampullae and mechanotransduced to neural networks.This ampullae keratan sulphate sensory gel is the most sensitive proton gradient detection polymer known in nature.This process is known as electrolocation,and allows the visualization of prey fish under conditions of low visibility.The bony fish have similar electroreceptors located along their lateral lines which consist of neuromast cells containing sensory hairs located within a cupula which contains a sensory gel polymer which detects distortions in fluid flow in channels within the lateral lines and signals are sent back to neural networks providing information on the environment around these fish.One species of dolphin,the Guiana dolphin,has electrosensory pits in its bill with similar roles to the ampullae but which have evolved from its vibrissal system.Only two terrestrial animals can undertake electrolocation,these are the Duck-billed platypus and long and short nosed Echidna.In this case the electrosensor is a highly evolved innervated mucous gland.The platypus has 40,000 electroreceptors around its bill through which it electrolocates food species.The platypus has poor eyesight,is a noctur展开更多
Background Labyrinthine fistula （LF） is a very common clinical complication mainly caused by middle ear cholesteatoma. Whether the presence of different degree LF caused by middle ear cholesteatoma aggravates neuros...Background Labyrinthine fistula （LF） is a very common clinical complication mainly caused by middle ear cholesteatoma. Whether the presence of different degree LF caused by middle ear cholesteatoma aggravates neurosensory hearing loss （NSHL） and what is the degree of the hearing loss caused by LF were still under controversial. This study aimed to investigate whether the LF degree is correlative with the age distribution, disease duration and hearing loss degree for cholesteatomatous patients. Methods The files of 143 patients with middle ear cholesteatoma were selected and reviewed in a retrospective study. Seventy-eight patients with LF were divided into three types according to the degree of destruction of labyrinth. Sixty-five patients without LF were randomly chosen for control. Then, we compared the clinical characteristics of patients with or without labyrinthine fistulae caused by middle ear cholesteatoma. Results According to the study, cholesteatomatous patients with LF were older and suffered longer disease duration than those without LF. Hearing loss is severe with high frequencies both in patients with and without LF. Moreover, inner ear impairment is correlative with the degree of destruction in labyrinth, and more severe destruction in labyrinth follow the more severe symptoms correlative with inner ear impairment. Conclusion Surgical intervention should be performed as early as possible for these cholesteatomatous patients.展开更多
基金supported by the National Natural Science Foundation of China(Grant Nos.51922023,61874011)the China Postdoctoral Science Foundation(Grant No.2021M703159)Fundamental Research Funds for the Central Universities(Grant No.E1EG6804).
文摘As key components of artificial afferent nervous systems,synaptic devices can mimic the physiological synaptic behaviors,which have attracted extensive attentions.Here,a flexible tribotronic artificial synapse(TAS)with bioinspired neurosensory behavior is developed.The triboelectric potential generated by the external contact electrification is used as the ion-gel-gate voltage of the organic thin film transistor,which can tune the carriers transport through the migration/accumulation of ions.The TAS successfully demonstrates a series of synaptic behaviors by external stimuli,such as excitatory postsynaptic current,paired-pulse facilitation,and the hierarchical memory process from sensory memory to short-term memory and long-term memory.Moreover,the synaptic behaviors remained stable under the strain condition with a bending radius of 20 mm,and the TAS still exhibits excellent durability after 1000 bending cycles.Finally,Pavlovian conditioning has been successfully mimicked by applying force and vibration as food and bell,respectively.This work demonstrates a bioinspired flexible artificial synapse that will help to facilitate the development of artificial afferent nervous systems,which is great significance to the practical application of artificial limbs,robotics,and bionics in future.
文摘Cutaneous nerve injury is the most common complication following foot and ankle surgery. However, clinical studies including long-term follow-up data after cutaneous nerve injury of the foot and ankle are lacking. In the current retrospective study, we analyzed the clinical data of 279 patients who underwent foot and ankle surgery. Subjects who suffered from apparent paresthesia in the cutaneous sensory nerve area after surgery were included in the study. Pa- tients received oral vitamin B^2 and methylcobalamin. We examined final follow-up data of 17 patients, including seven with sural nerve injury, five with superficial peroneal nerve injury, and five with plantar medial cutaneous nerve injury. We assessed nerve sensory function using the Medical Research Council Scale. Follow-up immediately, at 6 weeks, 3, 6 and 9 months, and 1 year after surgery demonstrated that sensory function was gradually restored in most patients within 6 months. However, recovery was slow at 9 months. There was no significant difference in sensory function between 9 months and 1 year after surgery. Painful neuromas occurred in four patients at 9 months to 1 year. The results demonstrated that the recovery of sensory func- tion in patients with various cutaneous nerve injuries after foot and ankle surgery required at least 6 months.
基金supported by the National Health and Medical Research Council Project,No.1004032
文摘Mucin-like glycoproteins have established roles in epithelial boundary protection and lubricative roles in some tissues.This mini-review illustrates alternative functional roles which rely on keratan sulphate and sialic acid modifications to mucin glycopolymers which convey charge properties suggestive of novel electroconductive properties not previously ascribed to these polymers.Many tumour cells express mucin-like glycopolymers modified with highly sulphated keratan sulphate and sialic which can be detected using diagnostic biosensors.The mucin-like keratan sulphate glycopolymer present in the ampullae of lorenzini is a remarkable sensory polymer which elasmobranch fish(sharks,rays,skate) use to detect weak electrical fields emitted through muscular activity of prey fish.Information on the proton gradients is conveyed to neuromast cells located at the base of the ampullae and mechanotransduced to neural networks.This ampullae keratan sulphate sensory gel is the most sensitive proton gradient detection polymer known in nature.This process is known as electrolocation,and allows the visualization of prey fish under conditions of low visibility.The bony fish have similar electroreceptors located along their lateral lines which consist of neuromast cells containing sensory hairs located within a cupula which contains a sensory gel polymer which detects distortions in fluid flow in channels within the lateral lines and signals are sent back to neural networks providing information on the environment around these fish.One species of dolphin,the Guiana dolphin,has electrosensory pits in its bill with similar roles to the ampullae but which have evolved from its vibrissal system.Only two terrestrial animals can undertake electrolocation,these are the Duck-billed platypus and long and short nosed Echidna.In this case the electrosensor is a highly evolved innervated mucous gland.The platypus has 40,000 electroreceptors around its bill through which it electrolocates food species.The platypus has poor eyesight,is a noctur
文摘Background Labyrinthine fistula （LF） is a very common clinical complication mainly caused by middle ear cholesteatoma. Whether the presence of different degree LF caused by middle ear cholesteatoma aggravates neurosensory hearing loss （NSHL） and what is the degree of the hearing loss caused by LF were still under controversial. This study aimed to investigate whether the LF degree is correlative with the age distribution, disease duration and hearing loss degree for cholesteatomatous patients. Methods The files of 143 patients with middle ear cholesteatoma were selected and reviewed in a retrospective study. Seventy-eight patients with LF were divided into three types according to the degree of destruction of labyrinth. Sixty-five patients without LF were randomly chosen for control. Then, we compared the clinical characteristics of patients with or without labyrinthine fistulae caused by middle ear cholesteatoma. Results According to the study, cholesteatomatous patients with LF were older and suffered longer disease duration than those without LF. Hearing loss is severe with high frequencies both in patients with and without LF. Moreover, inner ear impairment is correlative with the degree of destruction in labyrinth, and more severe destruction in labyrinth follow the more severe symptoms correlative with inner ear impairment. Conclusion Surgical intervention should be performed as early as possible for these cholesteatomatous patients.
文摘[背景]手臂振动病是(HAVD)我国的法定职业病之一,其发病机制尚不明确。长期接触电动振动工具的作业人员可增加患HAVD的风险。[目的]系统评价振动作业对工人上肢神经、血管、肌肉的影响。[方法]检索和收集中国知网、万方、Pub Med数据库关于手传振动对于HAVD影响的相关研究,文献发表时为1974年1月—2021年4月。使用纽卡斯尔-渥太华量表评估队列研究和病例对照研究质量,使用美国卫生保健研究和质量机构的质量评价标准评估横断面研究质量。使用Rev Man 5.4.1软件对纳入文献的结局指标(OR)进行统计分析,采用随机效应模型对有关振动性白指和神经感觉损伤文献中的效应量进行合并,纳入了腕管综合征的文献则采用固定效应模型合并效应量,并分别对其进行亚组分析和发表偏倚分析。使用Stata 16.0软件进行meta回归探索研究的异质性来源,对纳入的文献进行敏感性分析。[结果]本次从数据库共检索到716篇文献,并手动检索到18篇,排除不符合标准的文献后共34篇文献被纳入,涉及振动性白指、神经感觉损伤和腕管综合征的文献中分别有11004、7270和1722例研究对象。meta分析结果显示:与对照组相比,手传振动作业人员振动性白指合并后的OR为4.25(95%CI:2.72~6.65),神经感觉损伤合并后的OR为4.03(95%CI:2.46~6.61),腕管综合征合并后的OR为2.44(95%CI:1.61~3.71)。异质性检验发现:与振动性白指相关的原始研究存在异质性(I^(2)=81%,P<0.001),与神经感觉损伤相关的原始研究存在异质性(I^(2)=90%,P<0.001),与腕管综合征相关的原始研究的异质性可忽略(I^(2)=23%,P<0.001)。敏感性分析显示合并后的效应量(OR)结果较稳定、可靠。从meta回归的结果中可以看出影响振动性白指、神经感觉损伤的文献间高异质性因素分别是文献的发表时间(t=-2.10,P=0.049)、作业工人的工龄(t=-2.40,P=0.032)。[结论]手传振动是作�
