Clinical Outcome of Percutaneous Endoscopic Lumbar Surgery (PELS) in Treatment of Lumbar Disc Herniation

Lumbar disc herniation is a spinal problem seen in both young and old people causing pain in the back with pain and numbness in lower extremity leading to disability limiting daily activities. When conservative treatments are ineffective, then it is treated by surgeries, more recently with minimal invasive percutaneous endoscopic lumbar surgery (PELS). One of the mostly accepted PELS by spinal surgeons is percutaneous transforaminal endoscopic lumbar discectomy, which can be performed for any age. The main aim of this review was to evaluate clinical outcome and safety based on the Oswestry Disable Index (ODI), Visual Analog Scale (VAS) and MacNab criteria and complications of PELS surgery and its advantages in clinical basis.

Highly durable machine-learned waterproof electronic glove based on low-cost thermal transfer printing for amphibious wearable applications

Gesture recording,modeling,and understanding based on a robust electronic glove(E-glove)are of great significance for efficient human-machine cooperation in harsh environments.However,such robust edge-intelligence interfaces remain challenging as existing E-gloves are limited in terms of integration,waterproofness,scalability,and interface stability between different components.Here,we report on the design,manufacturing,and application scenarios for a waterproof E-glove,which is of low cost,lightweight,and scalable for mass production,as well as environmental robustness,waterproofness,and washability.An improved neural network architecture is proposed to implement environment-adaptive learning and inference for hand gestures,which achieves an amphibious recognition accuracy of 100%in 26 categories by analyzing 2,600 hand gesture patterns.We demonstrate that the E-glove can be used for amphibious remote vehicle navigation via hand gestures,potentially opening the way for efficient human-human and human-machine cooperation in harsh environments.

Conductive Porous MXene for Bionic,Wearable,and Precise Gesture Motion Sensors

Reliable,wide range,and highly sensitive joint movement monitoring is essential for training activities,human behavior analysis,and human-machine interfaces.Yet,most current motion sensors work on the nano/microcracks induced by the tensile deformation on the convex surface of joints during joint movements,which cannot satisfy requirements of ultrawide detectable angle range,high angle sensitivity,conformability,and consistence under cyclic movements.In nature,scorpions sense small vibrations by allowing for compression strain conversion from external mechanical vibrations through crack-shaped slit sensilla.Here,we demonstrated that ultraconformal sensors based on controlled slit structures,inspired by the geometry of a scorpion’s slit sensilla,exhibit high sensitivity(0.45%deg^(-1)),ultralow angle detection threshold(~15°),fast response/relaxation times(115/72 ms),wide range(15°~120°),and durability(over 1000 cycles).Also,a user-friendly,hybrid sign language system has been developed to realize Chinese and American sign language recognition and feedback through video and speech broadcasts,making these conformal motion sensors promising candidates for joint movement monitoring in wearable electronics and robotics technology.

Bioinspired Stretchable MXene Deformation-Insensitive Hydrogel Temperature Sensors for Plant and Skin Electronics

Temperature sensing is of high value in the wearable healthcare,robotics/prosthesis,and noncontact physiological monitoring.However,the common mechanic deformation,including pressing,bending,and stretching,usually causes undesirable feature size changes to the inner conductive network distribution of temperature sensors,which seriously influences the accuracy.Here,inspired by the transient receptor potential mechanism of biological thermoreceptors that could work precisely under various skin contortions,we propose an MXene/Clay/poly(N-isopropylacrylamide)(PNIPAM)(MCP)hydrogel with high stretchability,spike response,and deformation insensitivity.The dynamic spike response is triggered by the inner conductive network transformation from the 3-dimensional structure to the 2-dimensional surface after water being discharged at the threshold temperature.The water discharge is solely determined by the thermosensitivity of PNIPAM,which is free from mechanical deformation,so the MCP hydrogels can perform precise threshold temperature(32℃)sensing under various deformation conditions,i.e.,pressing and 15%stretching.As a proof of concept,we demonstrated the applications in plant electronics for the real-time surface temperature monitoring and skin electronics for communicating between human and machines.Our research opens venues for the accurate temperature-threshold sensation on the complicated surface and mechanical conditions.