Fabrication of Graphene-Reinforced Nanocomposites with Improved Fracture Toughness in Net Shape for Complex 3D Structures via Digital Light Processing

A solvent-free method to fabricate graphene-reinforced nanocomposites in net shape via digital light processing (DLP) 3D printing has been developed in this work. The effect of graphene nanofillers on resin viscosity and wettability for various printing parameters has been examined, with a systematic characterization of the mechanical and thermomechanical properties. With the addition of 0.5 wt.% graphene nanoplatelets in the resin, the flexural modulus and fracture toughness have been improved by 14% and 28% from neat resin, respectively. Thermomechanical properties of graphene-reinforced nanocomposites were also enhanced compared with the neat resin, without scarification in their printability. The feasibility of utilizing the DLP method to fabricate a fracture toughness specimen (KIC test) without complex skill-dependent notch preparation steps was explored, with different notch tip angles printed for net-shaped specimens. This provided a simple and versatile way to perform a quick examination of reinforcing efficiency from nanofillers at very low cost with high resolution and reproducibility. To demonstrate the suitability of current resins for complexly shaped structures, a gyroid scaffold for tissue engineering applications based on current graphene nanocomposite resins has been successfully fabricated via DLP, showing the great potential of current photocurable resins for applications in various fields such as tissue engineering or personalized medical devices without the cost barriers of traditional methods

Abdominal Aortic Dissection in a Patient With Autosomal Dominant Polycystic Kidney Disease After Starting Peritoneal Dialysis

Autosomal dominant polycystic kidney disease (ADPKD), one of the most common genetic disorders, is caused by mutations in the PKD1 or PKD2 gene. ADPKD primarily affects the kidneys, causing the development of multiple bilateral cysts that are characteristic of this condition. Besides renal abnormalities, other manifestations of ADPKD include hepatic, pancreatic, and splenic cysts, intracranial aneurysms, aortic aneurysms, and mitral valve prolapse. Reports of ADPKD-associated abdominal aortic dissections are not rare, but there have been no reports of an ADPKD patient developing intestinal obstruction and abdominal aortic dissection after initiating peritoneal dialysis. Herein, we present one such case

Mesoscale nanoparticles encapsulated with emodin for targeting antifibrosis in animal models

The aim of this study is to explore the kidney-targeting capability of mesoscale nanoparticles (MNPs)-emodin (Em-MNPs) and its potential antifibrosis in the animal model. First, MNPs and Em-MNPs were synthesized via nanoprecipitation method, and their diameters were both ∼400 nm with the uniform size. The entrapment efficiency of MNPs was 45.1% when adding emodin at the concentration of 12 mg/mL. Moreover, cytotoxicity assay showed that Em-MNPs presented excellent biocompatibility in rat proximal tubular cells. Cellular uptake assay demonstrated that Em-MNPs had high-efficiency uptake, especially in the cytoplasm. Ex vivo organ fluorescence imaging revealed that Em-MNPs possessed specific kidney-targeting ability with relative long retention time in the kidney (∼24 h). In the renal unilateral ureteral obstruction model, Em-MNPs treatment could significantly alleviate kidney tubule injury and reduce extracellular matrix deposition compared with free MNPs. Herein, Em-MNPs with specific kidney-targeting and preferable antifibrosis effects in animal model may pave an avenue for treating renal diseases

Graphene-Reinforced Biodegradable Resin Composites for Stereolithographic 3D Printing of Bone Structure Scaffolds

A biodegradable UV-cured resin has been fabricated via stereolithography apparatus (SLA). The formulation consists of a commercial polyurethane resin as an oligomer, trimethylolpropane trimethacrylate (TEGDMA) as a reactive diluent and phenylbis (2, 4, 6-trimethylbenzoyl)-phosphine oxide (Irgacure 819) as a photoinitiator. The tensile strength of the three-dimensional (3D) printed specimens is 68 MPa, 62% higher than that of the reference specimens (produced by direct casting). The flexural strength and modulus can reach 115 MPa and 5.8 GPa, respectively. A solvent-free method is applied to fabricate graphene-reinforced nanocomposite. Porous bone structures (a jawbone with a square architecture and a sternum with a round architecture) and gyroid scaffold of graphene-reinforced nanocomposite for bone tissue engineering have been 3D printed via SLA. The UV-crosslinkable graphene-reinforced biodegradable nanocomposite using SLA 3D printing technology can potentially remove important cost barriers for personalized biological tissue engineering as compared to the traditional mould-based multistep methods

Retinopathy is associated with impaired cognition in patients undergoing peritoneal dialysis

AbstractObjective: Previous studies have shown a relationship between retinopathy and cognition including population with and without chronic kidney disease (CKD) but data regarding peritoneal dialysis (PD) are limited. This study aims to investigate the relationship between retinopathy and cognitive impairment in patients undergoing peritoneal dialysis (PD). Methods: In this observational study, we recruited a total of 107 participants undergoing PD, consisting of 48 men and 59 women, ages ranging from 21 to 78 years. The study followed a cross-sectional design. Retinal microvascular characteristics, such as geometric changes in retinal vascular including tortuosity, fractal dimension (FD), and calibers, were assessed. Retinopathy (such as retinal hemorrhage or microaneurysms) was evaluated using digitized photographs. The Modified Mini-Mental State Examination (3MS) was performed to assess global cognitive function. Results: The prevalence rates of retinal hemorrhage, microaneurysms, and retinopathy were 25%, 30%, and 43%, respectively. The mean arteriolar and venular calibers were 63.2 and 78.5 µm, respectively, and the corresponding mean tortuosity was 37.7 ± 3.6 and 37.2 ± 3.0 mm−1. The mean FD was 1.49. After adjusting for age, sex, education, mean arterial pressure, and Charlson index, a negative association was revealed between retinopathy and 3MS scores (regression coefficient: −3.71, 95% confidence interval: −7.09 to −0.33, p = 0.03). Conclusions: Retinopathy, a condition common in patients undergoing PD, was associated with global cognitive impairment. These findings highlight retinopathy, can serve as a valuable primary screening tool for assessing the risk of cognitive decline

Estimated 24-h urinary sodium excretion and risk of end-stage kidney disease

Summary: The association between sodium intake and long-term kidney disease endpoints is debated and yet to be proven. We aimed to investigate the associations of estimated 24-h urinary sodium excretion, reflecting daily sodium intake, with the incidence of end-stage kidney disease (ESKD). In this prospective cohort study including 444,375 UK Biobank participant, 865 (0.2%) ESKD events occurred after median follow-up of 12.7 years. For every 1 g increment in estimated 24-h urinary sodium excretion, multivariable-adjusted hazard ratio for incident ESKD was 1.09 (95% confidence interval 0.94–1.26). Nonlinear associations were not detected with restricted cubic splines. The null findings were confirmed by a series of sensitivity analyses, which attenuated potential bias from measurement errors of the exposure, regression dilution, reverse causality, and competing risks. In conclusion, there is insufficient evidence that estimated 24-h urinary sodium excretion is associated with the incidence of ESKD