Diabetic wound healing still faces great challenges due to the excessive inflammation, easy infection, and impaired angiogenesis in wound beds. The immunoregulation of macrophages polarization toward M2 phenotype that facilitates the transition from inflammation to proliferation phase has been proved to be an effective way to improve diabetic wound healing. Herein, an M2 phenotype-enabled anti-inflammatory, antioxidant, and antibacterial conductive hydrogel scaffolds (GDFE) for producing rapid angiogenesis and diabetic wound repair are reported. The GDFE scaffolds are fabricated facilely through the dynamic crosslinking between polypeptide and polydopamine and graphene oxide. The GDFE scaffolds possess thermosensitivity, self-healing behavior, injectability, broad-spectrum antibacterial activity, antioxidant and anti-inflammatory ability, and electronic conductivity. GDFE effectively activates the polarization of macrophages toward M2 phenotype and significantly promotes the proliferation of dermal fibroblasts, the migration, and in vitro angiogenesis of endothelial cells through paracrine mechanisms. The in vivo results from a full-thickness diabetic wound model demonstrate that GDFE can rapidly promote the diabetic wound repair and skin regeneration, through fast anti-inflammation and angiogenesis and M2 macrophage polarization. This study provides highly efficient strategy for treating diabetic wound repair through designing the M2 polarization-enabled anti-inflammatory, antioxidant, and antibacterial bioactive materials. 相似文献
With the development of Computer-aided Diagnosis (CAD) and image scanning techniques, Whole-slide Image (WSI) scanners are widely used in the field of pathological diagnosis. Therefore, WSI analysis has become the key to modern digital histopathology. Since 2004, WSI has been used widely in CAD. Since machine vision methods are usually based on semi-automatic or fully automatic computer algorithms, they are highly efficient and labor-saving. The combination of WSI and CAD technologies for segmentation, classification, and detection helps histopathologists to obtain more stable and quantitative results with minimum labor costs and improved diagnosis objectivity. This paper reviews the methods of WSI analysis based on machine learning. Firstly, the development status of WSI and CAD methods are introduced. Secondly, we discuss publicly available WSI datasets and evaluation metrics for segmentation, classification, and detection tasks. Then, the latest development of machine learning techniques in WSI segmentation, classification, and detection are reviewed. Finally, the existing methods are studied, and the application prospects of the methods in this field are forecasted.
Evaluating the efficiency of healthcare services accurately can help in analyzing the rationality of inputs and outputs in such services. Considering the consistency and equity of assessment criteria, this study conducts the stochastic multicriteria acceptability analysis (SMAA-2) with a directional distance function to evaluate the efficiency of healthcare services in 31 provincial administrative regions of mainland China, as observed in 2018. We use SMAA-DDF to explore all the projection directions to the efficient frontier instead of a certain projection direction. We measure the maximum and average efficiencies for each of the 31 provincial healthcare services. Our empirical findings show that only seven provinces achieve optimal healthcare service efficiency; the eastern area performed the best, followed by the central, western, and northeast areas. Furthermore, the path along the projection directions is provided to help inefficient provinces improve their efficiency and obtain the best possible positions. 相似文献
This study aimed to prepare an efficient, cost-effective, and separable magnetic zeolite/chitosan composite (MZFA/CS) adsorbent from solid waste to deal with the water pollution of Cr(VI). The MZFA/CS was characterized by X-ray fluorescence (XRF), Fourier transform infrared (FTIR) spectroscopy, X-ray diffraction (XRD), and vibrating sample magnetometer (VSM) techniques. Then, the effect of pH, temperature, initial concentration of Cr(VI) ions, and contact time was considered in the study. For a sorbent dose of 0.1 g in 50 mL of a Cr(VI) solution, at a contact time of 30 min, temperature of 30°C, and a pH of 3, an adsorption capacity (qe) of 16.96 mg g−1 was achieved. Adsorption kinetics and isotherm data obtained for all adsorption systems were well-fitted by pseudo-second-order and Langmuir models, respectively. The thermodynamic study suggested that the adsorption process is spontaneous and endothermic in nature. In summary, the adsorbent with better separability (Ms = 16.83 emu g−1) and adsorbability was successfully fabricated. 相似文献
AbstractGraphene oxide (GO) was functionalized by polyether amine (PEA) via two methods which were one-pot modification in acetone (GON) and two steps with the intermediate product of GOCO-Cl generated (GONS). There were more PEA successfully grafted onto GO for GONS than GON. The onset polymerization temperatures of the benzoxazine (Bz) composites decreased by the inclusion of 1?wt% of GO, GON or GONS. Thermal stability of the polybenzoxazine (PBz) composites was significantly improved indicated from the increase of weight loss temperature. T10, T20 and T50 values of the composites with GONS were higher than that of the others. Toughness of PBzs may be enhanced by the incorporation of nanofillers, and GONS had stronger interfacial interaction with PBz matrix than GON. 相似文献