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In the selection of thoracic endovascular repair for aortic dissection (AD), it is important to distinguish between the subacute and chronic phases, but there is no reliable way to distinguish between them in patients with unknown onset of AD. The purpose of this study was to assess the diagnostic performance of 2-[18F] fluoro-2-deoxy-d-glucose (18F-FDG)-PET/computed tomography (PET/CT) for discriminating subacute AD from chronic AD.Thirteen patients with AD who were medically treated and followed up for 6 months were studied. 18F-FDG PET/CT images were obtained for each patient in the subacute phase (the first scan) and at 6 months (the second scan) after the onset. Target-to-background ratio (TBR) was measured as the maximum standardized uptake value (SUV) in the dissected aortic wall divided by blood pool SUV.TBR was significantly higher in the first scan (mean ± SD, 1.97 ± 0.32) than in the second scan (1.69 ± 0.29, P = 0.007). The area under the receiver operating characteristic curve of TBR for discriminating subacute AD from chronic AD was 0.76. With a threshold of 1.74, the TBR showed the sensitivity, specificity, and positive and negative predictive value of 85%, 69%, 73%, and 82%, respectively, for the discrimination of subacute AD from chronic AD.Metabolic assessment of dissected aortic wall by 18F-FDG PET/CT is useful in differentiating between subacute and chronic AD and can provide important information in determining the appropriate indication for treatment for patients with AD of unknown onset.

Poly (vinylidene fluoride) (PVDF) has been widely concerned because of its various transformations of crystal phase as well as its special dielectric, piezoelectric, and other electrical properties. In this paper, the temperature gradient (T-gradient) was constructed for studying the temperature dependence of crystallization behavior of PVDF and the heterogenous nucleation effect of multiwall carbon nanotubes (MWCNT) and graphene nano-platelets (GN). The aggregate structure, the change content of PVDF conformation, and the influence of heterogenous nucleating agent on the crystallization behavior of PVDF formed at different crystallization temperature (Tc) were investigated through three different dimensions by using FTIR for surface, WAXD/SAXS for bulk and AFM for cross-section respectively. The results showed that the low temperature and heterogenous nucleating agent were both conductive to the formation of γ phase of PVDF. The content of γ phase reached to 77% when Tc was lower than 61 ℃, and the proportion of γ (021) peak increases from 1.7–7.0% when PVDF crystallized at Tc =117 ℃ induced by MWCNT-rich. And the high density of nucleus and low Tc lead to the lower lamellar thickness and lower crystallite size. Higher content and lower crystallite size of γ phase leads to higher dielectric constant. The dielectric constant of sample crystallized at 61 ℃ which was induced by GN was significantly increased up to 6.2 which can lay a foundation for its future application in the field of dielectric.

A 79-year-old man with underlying alcoholic liver cirrhosis presented with complaints of a fever, abdominal pain, and difficulty walking. A diagnostic work-up revealed liver atrophy and chylous ascites, and spontaneous bacterial peritonitis (SBP) was diagnosed based on the cell and neutrophil counts. The Burkholderia cepacia complex (Bcc) was detected on blood and ascitic fluid cultures. Although broad-spectrum antibiotic therapy was initiated, the infection was difficult to control, and the patient died of multiple organ failure. Bcc is often multidrug-resistant and difficult to treat. SBP caused by Bcc has been rarely reported and may have a serious course, thus necessitating caution.

Subtle modification, adding methoxy groups to the triptycene termini of a telechelic polydimethylsiloxane (PDMS), dramatically improves mechanical properties, forming a thermoplastic PDMS without the need for covalent cross-linking.

The addition of a small fraction of solid nanoparticles to thermosetting polymers can substantially improve their fracture toughness, while maintaining various intrinsic thermomechanical properties. The underlying mechanism is largely related to the debonding process and subsequent formation of nanovoids at a nanoscale nanoparticle/epoxy interface, which is thought to be associated with a change in the structural and mechanical properties of the formed epoxy network at the interface compared with the matrix region. However, a direct characterization of the local physical properties at this nanoscale interface remains significantly challenging. Here, we employ a recently developed bimodal atomic force microscopy technique for the direct mapping of nanoscale elastic and adhesive responses of an amine-cured epoxy resin filled with ∼50 nm diameter silica nanoparticles. The obtained elastic modulus and dissipated energy maps with high spatial resolution evidence the existence of a ∼20-nm-thick interfacial epoxy layer surrounding the nanoparticles, which exhibits a reduced modulus and weaker adhesive response in comparison with the matrix properties. While the presence of such a soft and weak-adhesive interfacial layer is found not to affect the architecture of structural heterogeneities in the epoxy matrix, it conceivably supports the toughening mechanism related to the debonding and plastic nanovoid growth at the silica/epoxy interface. The incorporation of this soft interfacial layer into the Halpin-Tsai model also provides a good explanation for the effect of the silica fraction on the tensile modulus of cured epoxy nanocomposites.

The effects of the masticated state of isoprene rubber (IR) at the carbon black (CB) addition stage on subsequent mixing, microstructure, and physical properties in the case of a kneader with a characteristic large-diameter shaft are investigated by examining the mastication-time dependence. A sufficiently masticated IR shows a shorter black incorporation time, which results in an improved dispersion of CB and better physical properties. Observing the microstructure of a rubber compound using the atomic force microscope–based nanomechanical technique, poor CB dispersion is revealed for insufficient mastication. Specifically, large CB agglomerations surrounded by the interfacial rubber region with higher elastic modulus than that of a rubber matrix are formed. Such a large CB agglomeration, on the other hand, does not appear in rubber compounds with longer mastication times. The thickness of the interfacial region becomes shorter in these cases. These observations are further discussed by the concept of “rheological unit” introduced by Mooney et al. This study demonstrates that the microstructure of a rubber compound is highly heterogenous with rubber regions of different microscopic elastic moduli and that the microstructure has an influence on CB dispersion and the physical properties of rubber.

Inspired by the structure of the cornea, which is the transparent front part of the eye, we developed a transparent and tough silica composite elastomer consisting of poly[di(ethylene glycol)methyl...

Aim To assess the teratogenic risk of domperidone by comparing the incidence of major malformation with domperidone to a control. Methods Pregnancy outcome data were obtained for women at two Japanese facilities that provide counseling on drug use during pregnancy between April 1988 and December 2017. The incidence of major malformation was calculated among infants born to women taking domperidone (n = 519), nonteratogenic drugs (control, n = 1673), or metoclopramide (reference, n = 241) during the first trimester of pregnancy. Using the control group as reference, the crude odds ratio (OR) of the incidence of major malformation in the domperidone and metoclopramide groups was calculated using univariable logistic regression analysis. Adjusted OR was also calculated using multivariable logistic regression analysis adjusted for various other factors. Results The incidence of major malformation was 2.9% (14/485, 95% confidence interval [CI]: 1.6–4.8) in the domperidone group, 1.7% (27/1554, 95%CI: 1.1–2.5) in the control group, and 3.6% (8/224, 95%CI: 1.6–6.9) in the metoclopramide group. The adjusted multivariable logistic regression analysis showed no significant difference in incidence between the control and domperidone groups (adjusted OR: 1.86 [95%CI: 0.73–4.70], p = 0.191) or between the control and metoclopramide groups (adjusted OR: 2.20 [95%CI: 0.69–6.98], p = 0.183). Conclusions This observational cohort study showed that domperidone exposure during the first trimester was not associated with increased risk of major malformation in infants. These results may help alleviate the anxiety of patients who took domperidone during pregnancy.

Here we demonstrate a simple, yet powerful method, atomic force microscopy (AFM) nanomechanical mapping, to directly visualize the interdiffusion and microstructure at the interface between two polymers. Nanomechanical measurements on the interface between poly(vinyl chloride) (PVC) and poly(caprolactone) (PCL) allow quantification of diffusion kinetics, observation of microstructure, and evaluation of mechanical properties of the interdiffusion regions. These results suggest that nanomechanical mapping of interdiffusion enables the quantification of diffusion with high resolution over large distances without the need of labeling and the assessment of mechanical property changes resulting from the interdiffusion.

Background The relevance of aortic dissection chronicity to the development of stent graft–induced new entry (SINE) is unknown. Methods This study enrolled 69 patients who underwent thoracic endovascular aortic repair (TEVAR) for chronic aortic dissection from January 2006 to December 2017 and were followed up for ≥6 months. Their medical records were reviewed retrospectively. Patients were stratified according to TEVAR timing into an early group (≤6 months from the onset of aortic dissection) and a late group (>6 months after the onset). The incidence of SINE as well as the interval between TEVAR and the development of SINE was compared between these groups. Results During the follow-up period, SINE occurred in 12% (3/26) and 35% (15/43) of patients in the early and late groups, respectively (P = .029). The interval between TEVAR and SINE development was significantly longer in the late group than the early group (median, 92 days vs 1144 days, respectively; P = .002). According to the multivariate analysis results, the late group (hazard ratio, 3.667; 95% confidence interval, 1.037-12.968; P = .044) and the distal oversizing ratio (hazard ratio, 1.492; 95% confidence interval, 1.071-2.080; P = .018) were the independent predictors for SINE development. Conclusions TEVAR should be performed in the early period of the chronic phase to prevent SINE. Close and lifelong follow-up is mandatory for patients who undergo TEVAR >6 months after onset because SINE can develop several years after TEVAR in those patients.

Atomic force microscopy (AFM)-based nanoindentation technique has been widely used to investigate the mechanical properties of compliant specimens. When a sharp probe is indented into a soft and adhesive specimen, not only the rounded end of the probe but also the pyramidal base may be in contact. However, even in such a case, a contact model that assumes a paraboloidal tip geometry (the Hertz model or one of its expansions) is mainly employed to derive the mechanical properties; the error on the mechanical properties induced by the inaccurate tip geometry assumption has not been systematically clarified. Therefore, the focus of this work was put on quantifying this error with the assumption that the actual contact occurs between a hyperboloidal indenter and an elastic and adhesive sample surface. We demonstrated that the cone-paraboloid transition of the indentation curve is governed by a single parameter

The entropic and energetic elasticities of natural rubber with a nanomatrix structure are investigated by measuring the viscoelastic properties of deproteinized natural rubber (DPNR)-graft-polystyr...

The nanomechanical properties of polymers are sensitively affected by subtle differences in molecular structures. When the modulus of high-density polyethylene (HDPE) was measured with an atomic fo...

Although various strategies have been developed to prepare anisotropic polymeric particles, it remains challenging to fabricate monolayers of anisotropic polymeric particles, which can extend the applications of anisotropic particles. Here, we develop a novel and facile approach to fabricate monolayers of anisotropic polymeric particles. Monolayers of polystyrene (PS) microspheres with a mean diameter of 10 μm are deposited on glass substrates coated with poly(methyl methacrylate) films, followed by sequential selective solvent on-film annealing processes. Monolayers of anisotropic polymeric particles, such as the snowman-like PS particles, are successfully fabricated. Such unique structures possess the long-range ordering of monolayers (the structure factor) and the anisotropic geometry of individual particles (the form factor). The nanomechanical properties of the PS particles are also characterized using atomic force microscopy force volume measurements, showing a decrease in the Young's moduli of the PS particles owing to the looser packing of the polymer chains. This work provides the most facile and versatile strategy by far to fabricate monolayers of ordered anisotropic polymeric particles, which are inaccessible by other traditional means.

Progressive aortic enlargement (PAE) is a critical adverse event in patients with medically treated aortic dissection (AD). However, no reliable predictor of the PAE has been established. The purpose of this study was to evaluate the value of 18F-FDG PET/CT for the prediction of PAE in patients with medically treated AD. Sixteen patients with AD who underwent optimal medical therapy were enrolled. 18F-FDG PET/CT examinations were performed in subacute phase (2 weeks–3 months) after the onset of AD. Target-to-background ratio (TBR) was measured as the maximum standardized uptake value (SUV) in the dissected aortic wall divided by blood pool SUV. The relation between TBR and occurrence of PAE (> 10 mm/year) was evaluated. PAE was observed in four patients during the median follow-up period of 24 months. The TBR measured in the 4 patients showing PAE was significantly higher than that in the remaining 12 patients without PAE (2.44 ± 0.56 vs 1.87 ± 0.33, P = 0.025). The area under the receiver operating characteristic curve of TBR for predicting PAE was 0.82. With a threshold of 2.34, the TBR showed the sensitivity, specificity, and positive and negative predictive value of 75%, 92%, 75%, and 92%, respectively, for the prediction of PAE. Higher 18F-FDG uptake in the dissected aortic wall as determined by TBR is associated with increased risk of PAE in patients with medically treated AD. TBR shows good specificity and negative predictive value for predicting PAE.

Herein, we developed a practical method to produce high-performance organic thin-film transistors (OTFTs) based on highly layered crystalline organic semiconductors (OSCs) that form bilayer-type layered herringbone (b-LHB) packing and exhibit high intrinsic mobility. We applied the insulating polymer blend technique using a typical b-LHB OSC of 2-octyl-benzothieno[3,2

In order to explain or predict the macroscopic mechanical properties of polymer composites with complex nanostructures, atomic force microscopy (AFM)-based nanomechanics is one of the most appropriate tools because the local mechanical properties can be obtained by it. However, automatic force curve analysis based on contact mechanics would mislead us to the wrong conclusion. The purpose of this study is to elucidate this point by applying AFM nanomechanics on a carbon black (CB)-reinforced isoprene rubber (IR). The CB aggregates underneath the rubber surface prevent us from quantitatively evaluating the ratio of CB and interfacial polymer region (IPR), which is an important parameter to determine the macroscopic mechanical properties. In order to overcome this problem, transmission electron microtomography was incorporated to investigate the 3D structure in the same field of view as AFM nanomechanics. As a result, it was found that there are buried structures that do not appear in the AFM topographic image. In addition, we were able to reveal the existence of a force curve with an inflection point, which is characteristic of such "false" IPRs. To put it another way, we evidenced the existence of true IPRs for the first time by combining these state-of-the-art techniques.

In this study, atomic force microscopy (AFM) nanomechanics were used to visualize the nanoscale stress distribution in carbon black (CB)-reinforced isoprene rubber (IR) vulcanizates at different elongations and quantitatively evaluate their volume fractions for the first time. The stress concentrations in the protofibrous structure (stress chains) that formed around the CB filler in CB-reinforced IR vulcanizates were directly observed at the nanoscale. The relationship between the local nanoscale stress distribution and macroscopic tensile properties was revealed based on the microscopic stress distribution and microscopic spatial structure. This study can help us gain insight into the microscopic reinforcement mechanism of carbon black-containing rubber composites.

The topology of polymers affects their characteristic features, i.e., their microscopic structure and macroscopic properties. However, the topology of a polymer is usually fixed during the construction of the polymer chain and cannot be transformed after its determination during the synthesis. In this study, topology-transformable block copolymers that are connected via rotaxane linkages are introduced. We will present systems in which the topology transformation of block copolymers changes their 1) microphase-separated structures and 2) macroscopic mechanical properties. The combination of a rotaxane structure at the junction point and block copolymers that spontaneously form microphase-separated structures in the bulk provides access to systems that cannot be attained using conventional covalent bonds., The topology of a polymer is normally a fixed property of the material, derived from the characteristic of the monomers and their linkages. Here the authors present a method to transform the topology of block copolymers containing rotaxane linkages via acetylation.

The impact of psoas muscle area on overall survival is unknown for older patients undergoing elective thoracic endovascular aortic repair.We retrospectively reviewed 105 patients aged 75 years or more who underwent elective thoracic endovascular aortic repair for descending thoracic aortic aneurysm between January 2010 and December 2019. Psoas muscle area was measured at the L3 level with preoperative computed tomography and adjusted by height squared to derive psoas muscle mass index. The patients were stratified into two groups, sarcopenia and nonsarcopenia. sarcopenia was defined as a psoas muscle mass index less than 5.40 cmTwenty-three patients died during the follow-up period (median, 3 years). Thirty-eight patients (36%) were classified as sarcopenia. The 5-year overall survival rate was 46% (95% confidence interval, 29% to 73%) for sarcopenia and 84% (95% confidence interval, 74% to 94%) for nonsarcopenia. The overall survival was significantly lower in the sarcopenia group than in its matched general population (P = .004), whereas no statistically significant difference in overall survival was found between the nonsarcopenia group and its matched general population (P = .417). Sarcopenia was an independent risk factor for all-cause mortality (adjusted hazard ratio 2.64; 95% confidence interval, 1.02 to 6.82; P = .045).Psoas muscle mass index may be a good predictor of mortality among older patients undergoing elective thoracic endovascular aortic repair for descending thoracic aortic aneurysm.

Molecular aggregates were discovered in 1930’s, yet, the forces and excitonic coupling energy associated with the aggregate formation have not been detected so far. We directly measure such force and energy on single chains of the conjugated polymer polyfluorene using atomic force and fluorescence microscopes. The polyfluorene chain is attached on either side to a substrate and an AFM tip, respectively, and mechanically stretched under intense laser irradiation. The force – extension curves show force peaks that are attributed to gradual unfolding of the chain. Upon the irradiation, neighboring conjugated segments interact via excitonic coupling when in contact and experience an attractive force which is detected by the AFM. Analysis of the force curves provides excitonic coupling energy which is of same order as theoretically calculated values for a face-to-face fluorene dimer, and in agreement with the energy obtained from single-chain fluorescence spectra. Apart from contributing an essential piece of knowledge in the field of molecular photophysics, the work demonstrates on molecular scale a novel energy conversion mechanism from light to mechanical energy which could be potentially used, e.g., as a driving mechanism for molecular motors.

A protocol or guiding principle for the toughening of cross-linked polymers by rotaxane cross-linking is proposed. Rotaxane-cross-linked polymers (RCPs), which use rotaxane structures at the cross-...