AIM: To investigate the effcacy of effuent biomarkers for peritoneal deterioration with functional decline in peritoneal dialysis (PD).METHODS: From January 2005 to March 2013, the subjects included 218 PD patient...AIM: To investigate the effcacy of effuent biomarkers for peritoneal deterioration with functional decline in peritoneal dialysis (PD).METHODS: From January 2005 to March 2013, the subjects included 218 PD patients with end-stage renal disease at 18 centers. Matrix metalloproteinase-2 (MMP-2), interleukin-6 (IL-6), hyaluronan, and cancer antigen 125 (CA125) in peritoneal effluent were quantified with enzyme-linked immunosorbent assay. Peritoneal solute transport rate was assessed by peritoneal equilibration test (PET) to estimate peritoneal deterioration.RESULTS: The ratio of the effuent level of creatinine (Cr) obtained 4 h after injection (D) to that of plasma was correlated with the effluent levels of MMP-2 (ρ = 0.74, P 〈 0.001), IL-6 (ρ = 0.46, P 〈 0.001), and hyaluronan (ρ = 0.27, P 〈 0.001), but not CA125 (ρ = 0.13, P = 0.051). The area under receiver operating characteristic curve for the effluent levels of MMP-2, IL-6, and hyaluronan against high PET category were 0.90, 0.78, 0.62, and 0.51, respectively. No patient developed new-onset encapsulating peritoneal sclerosis for at least 1.5 years after peritoneal effuent sampling.CONCLUSION: The effuent MMP-2 level most closely reflected peritoneal solute transport rate. MMP-2 can be a reliable indicator of peritoneal deterioration with functional decline.展开更多
Flexible thermoelectric(TE)materials that convert heat into electricity have been widely used in wearable electronics and other flexible devices.In this work,inorganic TE pillars were combined with thermoplastic polyu...Flexible thermoelectric(TE)materials that convert heat into electricity have been widely used in wearable electronics and other flexible devices.In this work,inorganic TE pillars were combined with thermoplastic polyurethane(TPU)to assemble a flexible string-shaped TE generator(TEG)for the fabrication of the thermoelectric fabric(TEF).Moreover,finite element analysis(FEA)was used to optimize the dimensions of the TE string and evaluate its performance.The FEA results showed that the inter-pillar spacing significantly affected the temperature difference,the output voltage and the internal resistance.A maximum power density of 3.43μW/cm^(2)(temperate gradientΔT=10.5 K)was achieved by the TE string with a diameter of 3.5 mm and an inter-pillar spacing of 2 mm.However,under the experimental condition,the achievable power density of the fabricated three-dimensional(3D)TEF was limited to 29%of the simulation result because of the inclination of the TE string within the fabric concerning heat plate contact and copper wire-TE pillar connections.The actual TE string also demonstrated high flexibility and stable mechanical properties after 450 bending cycles.Thus,the study would provide a foundation for future research in developing more efficient TEFs to offer a comfortable and conformable option for wearable energy harvesting applications.展开更多
基金supported by Terumo Core Technology Center (Kanagawa, Japan)
文摘AIM: To investigate the effcacy of effuent biomarkers for peritoneal deterioration with functional decline in peritoneal dialysis (PD).METHODS: From January 2005 to March 2013, the subjects included 218 PD patients with end-stage renal disease at 18 centers. Matrix metalloproteinase-2 (MMP-2), interleukin-6 (IL-6), hyaluronan, and cancer antigen 125 (CA125) in peritoneal effluent were quantified with enzyme-linked immunosorbent assay. Peritoneal solute transport rate was assessed by peritoneal equilibration test (PET) to estimate peritoneal deterioration.RESULTS: The ratio of the effuent level of creatinine (Cr) obtained 4 h after injection (D) to that of plasma was correlated with the effluent levels of MMP-2 (ρ = 0.74, P 〈 0.001), IL-6 (ρ = 0.46, P 〈 0.001), and hyaluronan (ρ = 0.27, P 〈 0.001), but not CA125 (ρ = 0.13, P = 0.051). The area under receiver operating characteristic curve for the effluent levels of MMP-2, IL-6, and hyaluronan against high PET category were 0.90, 0.78, 0.62, and 0.51, respectively. No patient developed new-onset encapsulating peritoneal sclerosis for at least 1.5 years after peritoneal effuent sampling.CONCLUSION: The effuent MMP-2 level most closely reflected peritoneal solute transport rate. MMP-2 can be a reliable indicator of peritoneal deterioration with functional decline.
基金National Natural Science Foundation of China(No.51973034)Natural Science Foundation of Shanghai,China(No.23ZR1402500)Fundamental Research Funds for the Central Universities,China(Nos.2232022G01 and 19D110106)。
文摘Flexible thermoelectric(TE)materials that convert heat into electricity have been widely used in wearable electronics and other flexible devices.In this work,inorganic TE pillars were combined with thermoplastic polyurethane(TPU)to assemble a flexible string-shaped TE generator(TEG)for the fabrication of the thermoelectric fabric(TEF).Moreover,finite element analysis(FEA)was used to optimize the dimensions of the TE string and evaluate its performance.The FEA results showed that the inter-pillar spacing significantly affected the temperature difference,the output voltage and the internal resistance.A maximum power density of 3.43μW/cm^(2)(temperate gradientΔT=10.5 K)was achieved by the TE string with a diameter of 3.5 mm and an inter-pillar spacing of 2 mm.However,under the experimental condition,the achievable power density of the fabricated three-dimensional(3D)TEF was limited to 29%of the simulation result because of the inclination of the TE string within the fabric concerning heat plate contact and copper wire-TE pillar connections.The actual TE string also demonstrated high flexibility and stable mechanical properties after 450 bending cycles.Thus,the study would provide a foundation for future research in developing more efficient TEFs to offer a comfortable and conformable option for wearable energy harvesting applications.