Position and orientation measurement technology for bolter miner body based on dual-screen visual target

Aiming at the problem that it is difficult to achieve the real-time and accurate measurement of the bolter miner’s position and orientation during the excavation process in coal mines, which leads to the difficulty in achieving directional excavation, a guidance method for bolter miner based on dual-screen visual target is proposed. Using two vertically installed light-sensitive imaging screens to form the dual-screen visual target surfaces and the indication laser emitted by the laser instrument presents light spots on the front and rear target surfaces. Combining with the visual measurement, high-precision raster calibration and other technology are applied to establish the mapping relationship of the spot centroid between 2D-3D coordinates, which is used to form the point cloud data of the coordinates. Based on the principle of grid indexing, coordinate transformation and Euler angle solving, combining with the biaxial inclinometer at the bottom of target to obtain the bolter miner body’s real-time position and orientation, the key points’ horizontal/vertical deviations relative to the roadway axis are calculated, which can provide data support for deviation correction during the excavation process. The off-target problem of the system is analyzed by constructing a mathematical model. Meanwhile, the effectiveness of the guidance method is verified by building an experimental platform. The experimental results indicate that this method can achieve a precision measurement of six-degrees-of-freedom spatial pose for the machine body. When the measurement distance is 9 m, the repeatability measurement precision of the yaw angle is better than 0.01º and the error of absolute measurement is less than 0.05º. Within the measurement range of 15−40 m, which uses the total station and mining laser to set the planning line, the measurement errors of key points’ horizontal/vertical deviations are less than 5 mm and 15 mm, respectively. The guiding system developed based on this method has also been successfully applied to the underground roadway excavation in coal mine, which fully meets the requirements of underground roadway excavation and the positioning of the machine body’s key points. The error characteristic of the guiding method is independent of the test distance. Also, all optical measurement functions involved in the method are realized inside the target, which can effectively shield the influence of the underground complex environment for the measurement function, and greatly improve the capacity of anti-dust interference in field application

Bioengineered MSC-derived exosomes in skin wound repair and regeneration

Refractory skin defects such as pressure ulcers, diabetic ulcers, and vascular ulcers represent a challenge for clinicians and researchers in many aspects. The treatment strategies for wound healing have high cost and limited efficacy. To ease the financial and psychological burden on patients, a more effective therapeutic approach is needed to address the chronic wound. MSC-derived exosomes (MSC-exosomes), the main bioactive extracellular vesicles of the paracrine effect of MSCs, have been proposed as a new potential cell-free approach for wound healing and skin regeneration. The benefits of MSC-exosomes include their ability to promote angiogenesis and cell proliferation, increase collagen production, regulate inflammation, and finally improve tissue regenerative capacity. However, poor targeting and easy removability of MSC-exosomes from the wound are major obstacles to their use in clinical therapy. Thus, the concept of bioengineering technology has been introduced to modify exosomes, enabling higher concentrations and construction of particles of greater stability with specific therapeutic capability. The use of biomaterials to load MSC-exosomes may be a promising strategy to concentrate dose, create the desired therapeutic efficacy, and maintain a sustained release effect. The beneficial role of MSC-exosomes in wound healing is been widely accepted; however, the potential of bioengineering-modified MSC-exosomes remains unclear. In this review, we attempt to summarize the therapeutic applications of modified MSC-exosomes in wound healing and skin regeneration. The challenges and prospects of bioengineered MSC-exosomes are also discussed

The application and progress of tissue engineering and biomaterial scaffolds for total auricular reconstruction in microtia

Microtia is a congenital deformity of the ear with an incidence of about 0.8–4.2 per 10,000 births. Total auricular reconstruction is the preferred treatment of microtia at present, and one of the core technologies is the preparation of cartilage scaffolds. Autologous costal cartilage is recognized as the best material source for constructing scaffold platforms. However, costal cartilage harvest can lead to donor-site injuries such as pneumothorax, postoperative pain, chest wall scar and deformity. Therefore, with the need of alternative to autologous cartilage, in vitro and in vivo studies of biomaterial scaffolds and cartilage tissue engineering have gradually become novel research hot points in auricular reconstruction research. Tissue-engineered cartilage possesses obvious advantages including non-rejection, minimally invasive or non-invasive, the potential of large-scale production to ensure sufficient donors and controllable morphology. Exploration and advancements of tissue-engineered cartilaginous framework are also emerging in aspects including three-dimensional biomaterial scaffolds, acquisition of seed cells and chondrocytes, 3D printing techniques, inducing factors for chondrogenesis and so on, which has greatly promoted the research process of biomaterial substitute. This review discussed the development, current application and research progress of cartilage tissue engineering in auricular reconstruction, particularly the usage and creation of biomaterial scaffolds. The development and selection of various types of seed cells and inducing factors to stimulate chondrogenic differentiation in auricular cartilage were also highlighted. There are still confronted challenges before the clinical application becomes widely available for patients, and its long-term effect remains to be evaluated. We hope to provide guidance for future research directions of biomaterials as an alternative to autologous cartilage in ear reconstruction, and finally benefit the transformation and clinical application of cartilage tissue engineering and biomaterials in microtia treatment

Physical and Quality of Life Implications of Pelvic Exenteration

With improved perioperative care and surgical techniques, pelvic exenteration (PE) has improved the survival of advanced pelvic malignancies. However, it has been associated with significant morbidity, ranging from 31.6% to 86% depending on the reporting of the studies. Postoperative morbidity has been demonstrated to affect quality of life (QoL), which is important for cancer survivors. Thus, it is valuable to classify physical complications to accurately reflect the surgical morbidity and understand predictors of QoL. However, there is a lack of grading classification for PE, making it difficult to monitor and comparing surgical morbidity. The reporting of surgical complications has been inconsistent in the exenteration literature. Chapter 1 introduces the thesis. Chapter 2 identifies stronger associations between comprehensive complication index, the number of complications and length of stay than Clavien-Dindo Classification. These findings suggest that the number of complications is important after PE. However, all these classifications have their limitations. There may be a need to develop a new specific classification for PE. Chapter 3 determines some predictors for QoL for patients with locally advanced rectal cancer and locally recurrent rectal cancer (LRRC), but they are more reflective of the extent of the resection. Patients with LRRC tend to undergo more extensive surgery. However, both groups have similar QoL outcomes. Chapter 4 concludes the thesis. Chapter 2 emphasises the importance of a standardised classification system. Chapter 3 shows that patients with LRRC underwent a more extended resection but had comparable QoL outcomes. Future studies can investigate a more intense preoperative and early postoperative rehabilitation program, increasing their preoperative physical and mental strength and minimising their risks of postoperative complications

Haploidentical transplants deliver equal outcomes to matched sibling transplants: a propensity score-matched analysis

Abstract The success of allogeneic hematopoietic stem cell transplant for hematological malignancies is heavily dependent on the availability of suitable donors. Haploidentical donor (HID) and matched sibling donor (MSD) are two important donor options providing faster and easier sources of stem cells, however, due to confounding factors present in most retrospective studies, the validity of comparing outcomes between these two donor types remains uncertain. We conducted a post-hoc analysis of a prospective clinical trial (trial registration: Chinese Clinical Trial Registry; #ChiCTR-OCH-12002490; registered 22 February 2012; https://www.chictr.org.cn/showproj.aspx?proj=7061 ) to compare outcomes of HID versus MSD peripheral blood stem cell-derived transplants in patients with hematologic malignancies between 2015 and 2022. All HID-receiving patients had antithymocyte globulin-based conditioning. Propensity score matching was employed to minimize potential confounding factors between the two cohorts. A total of 1060 patients were initially reviewed and then 663 patients were ultimately included in the analysis after propensity score matching. The overall survival, relapse-free survival, non-relapse mortality rate and cumulative incidence of relapse were similar between HID and MSD cohorts. Subgroup analysis revealed that patients with positive measurable residual disease in first complete remission may have better overall survival with an HID transplant. The present demonstrated that haploidentical transplants can provide outcomes comparable to conventional MSD transplants, and HID should be recommended as one of the optimal donor choices for patients with positive measurable residual disease in first complete remission