Provision of bone conduction hearing implants in England in adults and children: a review of Hospital Episode Statistics data 2012-2021

OBJECTIVE

Bone conduction hearing implants are a well-established method of hearing rehabilitation in children and adults. This study aimed to review any changes in provision in England.

METHODS

The total number of bone conduction hearing implantations performed was analysed from 2012 to 2021 utilising Hospital Episode Statistics data for England.

RESULTS

The total number of procedures has increased by 58 per cent. One-stage bone conduction hearing implantations in adults accounts for the largest proportion of this increase (93 per cent of the total). The number performed in children has remained stable and accounts for 73 per cent (n = 433) of all two-stage procedures.

CONCLUSION

The data show that bone conduction hearing implant surgery is becoming increasingly popular, particularly in adults. This has correlated with the increase in availability, national recommendations and choice of devices.

LM-Gel Plasticine Based on Binary Cooperative with Kneadable Shaping and Conductivity

Liquid metal (LM)-based polymers have received growing interest for wearable health monitoring, electronic skins, and soft robotics. However, fabricating multifunctional LM-based polymers, in particular, featuring a convenient shaping ability while offering excellent deformability and conductivity remains a challenge. To overcome this obstacle, here, we propose a strategy to prepare LM-Gel "plasticine" (LGP) with great deformability, which is composed of a PVA (poly(vinyl alcohol)) soft network and an LM conductive phase. LGP can be easily constructed into different shapes such as plasticine and can be applied to different conditions (such as building a 3D circuit, circuit repair, and switch). Meanwhile, LGP has great conductivity (2.3 × 104 S/m) after surface annealing. Besides, LGP has a good electric heating performance, which shows the potential for application in wearable heating devices. Thus, this approach not only provides a way to prepare LM-polymer plasticine but also provides a novel perspective toward extending the applied range of LM-polymer composites.

Water-Triggered Self-Healing of Ti3C2Tx MXene Standalone Electrodes: Systematic Examination of Factors Affecting the Healing Process

MXenes, with their remarkable attributes, stand at the forefront of diverse applications. However, the challenge remains in sustaining their performance, especially concerning Ti3C2Tx MXene electrodes. Current self-healing techniques, although promising, often rely heavily on adjacent organic materials. This study illuminates a pioneering water-initiated self-healing mechanism tailored specifically for standalone MXene electrodes. Here, both water and select organic solvents seamlessly mend impaired regions. Comprehensive evaluations around solvent types, thermal conditions, and substrate nuances underline water's unmatched healing efficacy, attributed to its innate ability to forge enduring hydrogen bonds with MXenes. Optimal healing environments range from ambient conditions to a modest 50 °C. Notably, on substrates rich in hydroxyl groups, the healing efficiency remains consistently high. The proposed healing mechanism encompasses hydrogen bonding formation, capillary action-induced expansion of interlayer spacing, solvent lubrication, Gibbs free energy minimizing MXene nanosheet rearrangement, and solvent evaporation-triggered MXene layer recombination. MXenes' resilience is further showcased by their electrical revival from profound damages, culminating in the crafting of Joule-heated circuits and heaters.

3D Printed Conductive Hydrogel Patch Incorporated with MSC@GO for Efficient Myocardial Infarction Repair

Myocardial infarction (MI) results in an impaired heart function. Conductive hydrogel patch-based therapy has been considered as a promising strategy for cardiac repair after MI. In our study, we fabricated a three-dimensional (3D) printed conductive hydrogel patch made of fibrinogen scaffolds and mesenchymal stem cells (MSCs) combined with graphene oxide (GO) flakes (MSC@GO), capitalizing on GO's excellent mechanical property and electrical conductivity. The MSC@GO hydrogel patch can be attached to the epicardium via adhesion to provide strong electrical integration with infarcted hearts, as well as mechanical and regeneration support for the infarcted area, thereby up-regulating the expression of connexin 43 (Cx43) and resulting in effective MI repair in vivo. In addition, MI also triggers apoptosis and damage of cardiomyocytes (CMs), hindering the normal repair of the infarcted heart. GO flakes exhibit a protective effect against the apoptosis of implanted MSCs. In the mouse model of MI, MSC@GO hydrogel patch implantation supported cardiac repair by reducing cell apoptosis, promoting gap connexin protein Cx43 expression, and then boosting cardiac function. Together, this study demonstrated that the conductive hydrogel patch has versatile conductivity and mechanical support function and could therefore be a promising candidate for heart repair.

An In Situ-Gelling Conductive Hydrogel for Potential Use in Neural Tissue Engineering

Cerebral cavitation is usual following acute brain injuries, such as stroke and traumatic brain injuries, as well as after tumor resection. Minimally invasive implantation of an injectable scaffold in the cavity is a promising approach for potential regeneration of tissue loss. This study aimed at designing an in situ-gelling conductive hydrogel containing silk fibroin (SF), brain decellularized extracellular matrix (dECM), and carbon nanotubes (CNT) for potential use in brain tissue regeneration. Two percent w/v SF hydrogels with different concentrations of dECM (0.1%, 0.2%, or 0.3% w/v) and CNTs (0.05%, 0.1%, or 0.25% w/v) were fabricated and characterized. It was observed that with the addition of dECM, the porosity decreased, whereas swelling and electrical conductivity tended to increase. The addition of dECM also led to a faster resorption rate, but no significant change in compressive modulus. Addition of CNTs, on the other hand, led to a denser, stronger, and more regular porous structure, higher swelling ratio, faster gelation time, slower degradation rate, and a significant increase in electrical conductivity. dECM and CNTs combined together resulted in superior porosity, swelling, resorption rate, mechanical properties, and electrical conductivity compared with SF scaffolds containing only dECM or CNTs. Hydrogel samples containing 2% SF, 0.3% dECM, and 0.1% CNTs had a high porosity (58.9%), low swelling ratio (15.9%), high conductivity (2.35 × 10-4 S/m), and moderate degradation rate (37.3% after 21 days), appropriate for neural tissue engineering applications. Cell evaluation studies also showed that the hydrogel systems support the cell adhesion and growth, with no sign of significant cytotoxicity. Impact statement Tissue loss and formation of a fluid-filled cavity following stroke, traumatic brain injury, or brain tumor resection lead to sensorimotor and/or cognitive deficits. The lack of a healthy extracellular matrix in the cavity avoids the endogenous cell migration and axonal sprouting and may also worsen the secondary injuries to peri-lesional tissue. Due to the brain anatomy, simple implantation of tissue engineering scaffolds to the injured site is not possible in many cases. Therefore, the development of injectable scaffolds that support neural growth and differentiation is crucial for tissue repair or limiting the expansion of damage region.

A Highly Robust and Conducting Ultramicroporous 3D Fe(II)-Based Metal-Organic Framework for Efficient Energy Storage

Exploitation of metal-organic framework (MOF) materials as active electrodes for energy storage or conversion is reasonably challenging owing to their poor robustness against various acidic/basic conditions and conventionally low electric conductivity. Keeping this in perspective, herein, a 3D ultramicroporous triazolate Fe-MOF (abbreviated as Fe-MET) is judiciously employed using cheap and commercially available starting materials. Fe-MET possesses ultra-stability against various chemical environments (pH-1 to pH-14 with varied organic solvents) and is highly electrically conductive (σ = 0.19 S m-1) in one fell swoop. By taking advantage of the properties mentioned above, Fe-MET electrodes give prominence to electrochemical capacitor (EC) performance by delivering an astounding gravimetric (304 F g-1) and areal (181 mF cm-2) capacitance at 0.5 A g-1 current density with exceptionally high cycling stability. Implementation of Fe-MET as an exclusive (by not using any conductive additives) EC electrode in solid-state energy storage devices outperforms most of the reported MOF-based EC materials and even surpasses certain porous carbon and graphene materials, showcasing superior capabilities and great promise compared to various other alternatives as energy storage materials.

Resorbable conductive materials for optimally interfacing medical devices with the living

Implantable and wearable bioelectronic systems are arising growing interest in the medical field. Linking the microelectronic (electronic conductivity) and biological (ionic conductivity) worlds, the biocompatible conductive materials at the electrode/tissue interface are key components in these systems. We herein focus more particularly on resorbable bioelectronic systems, which can safely degrade in the biological environment once they have completed their purpose, namely, stimulating or sensing biological activity in the tissues. Resorbable conductive materials are also explored in the fields of tissue engineering and 3D cell culture. After a short description of polymer-based substrates and scaffolds, and resorbable electrical conductors, we review how they can be combined to design resorbable conductive materials. Although these materials are still emerging, various medical and biomedical applications are already taking shape that can profoundly modify post-operative and wound healing follow-up. Future challenges and perspectives in the field are proposed.

Unlocking the Power of Multicatalytic Synergistic Transformation: toward Environmentally Adaptable Organohydrogel

A sustainable and efficient multicatalytic chemical transformation approach is devised for the development of all-biobased environmentally adaptable polymers and gels with multifunctional properties. The catalytic system, utilizing Lignin aluminum nanoparticles (AlNPs)-aluminum ions (Al3+ ), synergistically combines multiple catalytic cycles to create robust, mechanically stable, and versatile organohydrogels. Single catalytic cycles alone fail to achieve desired results, highlighting the importance of cooperatively combining different cycles for successful outcomes. The transformation involves free radical crosslinking, reversible quinone-catechol reactions, and an autocatalytic mechanism, resulting in a dual crosslinking strategy that incorporates both covalent and ionic crosslinking. This approach creates a dynamic gel system with combined energy dissipation and storage mechanisms. The engineered organohydrogels demonstrate vital multifunctionalities such as good thermal stability, self-healing, and adhesive properties, flame-retardancy, mechanical resilience and durability, conductivity, viscoelastic properties, environmental adaptability, and resistance to extreme conditions such as freezing and drying. The developed catalytic technology and resulting gels hold significant potential for applications in flexible electronics, energy storage, actuators, and sensors.

A Novel Superhard, Wear-Resistant, and Highly Conductive Cu-MoSi2 Coating Fabricated by High-Speed Laser Cladding Technique

The pursuit of an advanced functional coating that simultaneously combines high hardness, wear resistance, and superior electrical conductivity has remained an elusive goal in the field of copper alloy surface enhancement. Traditional solid solution alloying methods often lead to a significant increase in electron scattering, resulting in a notable reduction in electrical conductivity, making it challenging to achieve a balance between high hardness, wear resistance, and high conductivity. The key lies in identifying a suitable microstructure where dislocation motion is effectively hindered while minimizing the scattering of conductive electrons. In this study, a novel Cu-MoSi2 coating was successfully fabricated on a CuCrZr alloy surface using the coaxial powder feeding high-speed laser cladding technique, with the addition of 10-30% MoSi2 particles. The coating significantly enhances the hardness and wear resistance of the copper substrate while maintaining favorable electrical conductivity. As the quantity of MoSi2 particles increases, the coating's hardness and wear resistance gradually improve, with minimal variance in conductivity. Among the coatings, the Cu-30%MoSi2 coating stands out with the highest hardness (974.5 HV0.5) and the lowest wear amount (0.062 mg/km), approximately 15 times the hardness of the copper base material (65 HV0.5) and only 0.45% of the wear amount (13.71 mg/km). Additionally, the coating exhibits a resistivity of 0.173 × 10-6 Ω·m. The extraordinary hardness and wear resistance of these coatings can be attributed to the dispersion strengthening effect of MoxSiy particles, while the high electrical conductivity is due to the low silicon content dissolved into the copper from the released MoSi2 particles, as well as the rapid cooling rates associated with the high-speed laser cladding process.

Fabrication of gelatin methacryloyl/graphene oxide conductive hydrogel for bone repair

The ideal bone repair materials possess a series of properties, such as injectability, good mechanical properties and bone inducibility. In the present study, gelatin methacryloyl (GelMA) and graphene oxide (GO) were selected to prepare conductive hydrogel by changing the concentration of GelMA and GO during the cross-link process. The effects of different contents of GelMA and GO to the hydrogel performance were investigated. The results showed that the mechanical properties of the hydrogel kept 16.37 ± 1.89 KPa after adding 0.1% GO, while the conductivity was improved to 1.36 ± 0.09 μS/cm. The porosity of hydrogel before and after mineralization could reach more than 90%. The mechanical properties of mineralized hydrogel was improved significantly, could reach 26.38 ± 2.29 KPa. Cell experiments indicated that the mineralized hydrogel with electrical stimulation obviously improve the alkaline phosphatase activity of the cells. GelMA/GO conductive hydrogel could be a promising candidate for bone repair and bone tissue engineering.

Aligned Electroactive Electrospun Fibrous Scaffolds for Peripheral Nerve Regeneration

Effective repair and functional recovery of large peripheral nerve deficits are urgent clinical needs. A biofunctional electroactive scaffold typically acts as a "bridge" for the repair of large nerve defects. In this study, we constructed a biomimetic piezoelectric and conductive aligned polypyrrole (PPy)/polydopamine (PDA)/poly-l-lactic acid (PLLA) electrospun fibrous scaffold to improve the hydrophilicity and cellular compatibility of PLLA and restore the weakened piezoelectric effect of PDA, which is beneficial in promoting Schwann cell differentiation and dorsal root ganglion neuronal extension and alignment. The aligned PPy/PDA/PLLA fibrous scaffold bridged the sciatic nerve of Sprague-Dawley rats with a 10 mm deficit, prevented autotomy, and promoted nerve regeneration and functional recovery, thereby activating the calcium and AMP-activated protein kinase signaling pathways. Therefore, electroactive fibrous scaffolds exhibit great potential for neural tissue regeneration.

Stretchable and Self-Healable Fiber-Shaped Conductors Suitable for Harsh Environments

Fiber-shaped conductors with high electrical conductivity, stretchability, and durability have attracted increasing attention due to their potential for integration into arbitrary wearable forms. However, these fiber conductors still suffer from low reliability and short life span, particularly in harsh environments. Herein, a conductive, environment-tolerant, stretchable, and healable fiber conductor (CESH), which consists of a self-healable and stretchable organohydrogel fiber core, a conductive and buckled silver nanowire coating, and a self-healable and waterproof protective sheath, is reported. Such a multilayer core-sheath design not only offers high stretchability (≈2400%), high electrical conductivity (1.0 × 106 S m-1 ), outstanding self-healing ability and durability, but also possesses unprecedented tolerance in harsh environments including wide working temperature (-60-20 °C), arid (≈10 % RH (RH: room humidity)), and underwater conditions. As proof-of-concept demonstrations, CESHs are integrated into various wearable formats as interconnectors to steadily perform the electric function under different mechanical deformations and harsh conditions. Such a new type of multifunctional fiber conductors can bridge the gap in stretchable and self-healing fiber technologies by providing ultrastable electrical conductance and excellent environmental tolerance, which can greatly expand the range of applications for fiber conductors.

Conductive Metal-Organic Frameworks with Tunable Dielectric Properties for Boosting Electromagnetic Wave Absorption

Metal-organic frameworks (MOFs) manifest enormous potential in promoting electromagnetic wave (EMW) absorption thanks to the tailored components, topological structure, and high porosity. Herein, rodlike conductive MOFs (cMOFs) composed of adjustable metal ions of Zn, Cu, Co, or Ni and ligands of hexahydroxytriphenylene (HHTP) are prepared to attain tunable dielectric properties for a tailored EMW absorption. Specifically, the influences of the cMOFs' composition, charge transport characteristic, topological crystalline structure, and anisotropy microstructure on dielectric and EMW absorption performance are ascertained, advancing the understanding of EMW attenuation mechanisms of MOFs. The boosted conductive and polarization losses derived from the conjugation effects and terminal groups, as well as shape anisotropy, lead to a prominent EMW absorption of the cMOFs. The Cu-HHTP confers a minimum reflection loss (RL_min) of -63.55 dB at the thickness of 2.9 mm and a maximum effective absorption bandwidth of 5.2 GHz. Moreover, Zn-HHTP showcases the absorption superiority in the S-band (2-4 GHz) with an RL_min of -62.8 dB at a thickness of 1.9 mm. This work not only hoists the mechanistic understanding of the structure-function relationships for the cMOFs but also offers guidelines for preparing functional MOF materials.

One-Step in Situ Synthesis of Tough and Highly Conductive Ionohydrogels with Water-Retentive and Antifreezing Properties

Flexible and conductive gels are promising materials as intelligent and wearable electronics. Herein, through a facile one-step in situ free-radical polymerization, tough VSNPs-PAA-Zr⁴⁺ ionohydrogels with integrated multiple functionalities are prepared, which are dually cross-linked by multivalent vinyl-functionalized silica nanoparticles (VSNPs) and metal coordination between Zr⁴⁺ and the carboxyl groups in PAA chains. The incorporation of Zr⁴⁺ with stable valency during polymerization enables the direct formation of a large number of metal coordination cross-links for adequate energy dissipation, overcoming the inhibition of unstable metal ions on the polymerization process. Meanwhile, VSNPs serve as multivalent cross-linkers and effective stress transfer centers. The obtained VSNPs-PAA-Zr⁴⁺ ionohydrogels show high toughness of up to 25 MJ m^-3 with a high tensile strength of 3010 kPa and a large elongation at break of 1360%, along with reliable adhesive performance. Attributed to use of an IL/water binary solvent, the ionohydrogels possess excellent water-retentive and antifreezing abilities. Moreover, the existence of large quantities of mobile ions endows the VSNPs-PAA-Zr⁴⁺ ionohydrogels with a superior conductivity of 4.77 S m^-1 and a high strain sensitivity with a gauge factor (GF) of 9.04, which are promising materials as intelligent and wearable strain sensors.

Construction of a Reciprocal-Supporting Phenol-amine@CuNW Network for Antisedimentation Conductive Ink

Homogeneously dispersed copper nanowire (CuNW) materials are the basis for practical applications in many types of electronic devices. At present, the dispersion of CuNWs in water is achieved through polymeric spatial site resistance effects primarily and the electrostatic dispersion mechanism in a few. However, the electrical conductivity of CuNWs could be weakened by the excessive addition of polymers; therefore, it is difficult to maintain a stable dispersion enduringly for surface charge modifiers. Based on the coagulation mechanism of colloids, a novel antisedimentation mechanism is refined by this work. Directed by this mechanism, a stable reciprocal-supporting antisedimentation conductive CuNW ink was achieved enduringly and a uniform conductive coating (1.81-5.65 Ω·sq^-1) was successfully manufactured. The tannic acid-polyethylene imine (TA-PEI) could support copper nanowires to maintain a stable height of 61.4% after 15 days best, while CuNWs in other systems would settle completely in one day. Meanwhile, the TA-PEI composite cluster antisedimentation network not only provided massive spatial potential resistance for CuNWs but also modified the surface charge of CuNWs. CuNWs were dispersed stably in this phenol-amine@CuNW network. Furthermore, the CuNWs were crosslinked more tightly with each other relying on the vigorous adhesive properties of TA-PEI. With this antisedimentation mechanism and simple treatment process, CuNW ink will be utilized in more applications.

Highly Transparent Carbon Nanofibrous Membranes Inspired by Dragonfly Wings

Carbon nanofibrous membrane (CNFM) materials are commonly black and opaque, and their poor optical performance severely limits their application in emerging fields, such as electronic skin, wearable devices, and environmental technologies. However, it is extremely difficult for carbon nanofibrous membranes to achieve high light transmittance owing to their complex fibrous structures and high light absorption. Few researchers have studied transparent carbon nanofibrous membrane (TCNFM) materials. In the current study, a biomimetic TCNFM inspired by dragonfly wings is fabricated using electrospinning technologies and a self-designed patterned substrate, with the aim to construct a differential electric field. Compared with the disordered CNFM, the resultant TCNFM yields an approximately 18-fold higher light transmittance. The freestanding TCNFMs also exhibit high porosities (>90%), good flexibility, and good mechanical properties. The mechanism by which the TCNFMs achieve high transparency and reduce light absorption is also elucidated. In addition, the TCNFMs display a high PM_0.3 removal efficiency (>90%), low air resistance (<100 Pa), and good conductive properties, including a low resistivity (<0.37 Ω·cm).

A Qualitative Experimental Proof of Principle of Self-Assembly in 3D Printed Microchannels towards Embedded Wiring in Biofuel Cells

A range of biotech applications, e.g., microfluidic benthic biofuel cells, require devices with the simultaneous capabilities of embedded electrical wiring, aqueous fluidic access, 3D arrays, biocompatibility, and affordable upscalability. These are very challenging to satisfy simultaneously. As a potential solution, herein we present a qualitative experimental proof of principle of a novel self-assembly technique in 3D printed microfluidics towards embedded wiring combined with fluidic access. Our technique uses surface tension, viscous flow, microchannel geometries, and hydrophobic/hydrophilic interactions to produce self-assembly of two immiscible fluids along the length of the same 3D printed microfluidic channel. The technique demonstrates a major step towards the affordable upscaling of microfluidic biofuel cells through 3D printing. The technique would be of high utility to any application that simultaneously requires distributed wiring and fluidic access inside 3D printed devices.

Fabrication of a High-Strength, Tough, Swelling-Resistant, Conductive Hydrogel via Ion Cross-Linking, Directional Freeze-Drying, and Rehydration

Conductive hydrogels have been in huge demand in biomedical and wearable electronics. However, the application of traditional conductive hydrogels is largely limited due to their poor mechanical properties. Here, a conductive hydrogel with excellent mechanical strength and swelling resistance properties is prepared by ion cross-linking, directional freeze-drying, and rehydration. First, the acrylamide and acrylic acid are polymerized in the κ-carrageenan solution to form the hydrogel. Then, the obtained hydrogel is cross-linked with Fe³⁺ by soaking in ferric chloride solution. Finally, the ionic cross-linked hydrogels are reinforced by directional freeze-drying and rehydration. The resulting hydrogel has excellent tensile strength (5.67 MPa) and high toughness (7.63 MJ/m³). It is worth noting that the hydrogel also had excellent anti-swelling properties. Its mechanical strength and volume almost show no changes after soaking in deionized water for 40 days. In addition, the hydrogel exhibits good ionic conductivity (0.091 S/m), high sensitivity, and excellent stability when applied as a strain sensor. This work proposes a simple method to fabricate a conductive hydrogel with great mechanical properties and swelling resistance, which displays huge potential in varied fields.

Formation of PLGA-PEDOT: PSS Conductive Scaffolds by Supercritical Foaming

The usage of conjugated materials for the fabrication of foams intended to be used as therapeutic scaffolds is gaining relevance these days, as they hold certain properties that are not exhibited by other polymer types that have been regularly used until the present. Hence, this work aims to design a specific supercritical CO₂ foaming process that would allow the production of porous polymeric devices with improved conductive properties, which would better simulate matrix extracellular conditions when used as therapeutic scaffolds (PLGA-PEDOT:PSS) systems. The effects of pressure, temperature, and contact time on the expansion factor, porosity, mechanical properties, and conductivity of the foam have been evaluated. The foams have been characterized by scanning electron and atomic force microscopies, liquid displacement, PBS degradation test, compression, and resistance to conductivity techniques. Values close to 40% porosity were obtained, with a uniform distribution of polymers on the surface and in the interior, expansion factors of up to 10 orders, and a wide range of conductivity values (2.2 × 10^-7 to 1.0 × 10^-5 S/cm) and mechanical properties (0.8 to 13.6 MPa Young's modulus in compression test). The conductive and porous scaffolds that have been produced by supercritical CO₂ in this study show an interesting potential for tissue engineering and for neural or cardiac tissue regeneration purposes due to the fact that electrical conductivity is a crucial factor for proper cell function and tissue development.

Design Principle and Proofing of a New Smart Textile Material That Acts as a Sensor for Immobility in Severe Bed-Confined Patients

The immobility of patients confined to continuous bed rest continues to raise a couple of very serious challenges for modern medicine. In particular, the overlooking of sudden onset immobility (as in acute stroke) and the delay in addressing the underlying conditions are of utmost importance for the patient and, in the long term, for the medical and social systems. This paper describes the design principles and concrete implementation of a new smart textile material that can form the substrate of intensive care bedding, that acts as a mobility/immobility sensor in itself. The textile sheet acts as a multi-point pressure-sensitive surface that sends continuous capacitance readings through a connector box to a computer running a dedicated software. The design of the capacitance circuit ensures enough individual points to provide an accurate description of the overlying shape and weight. We describe the textile composition and circuit design as well as the preliminary data collected during testing to demonstrate the validity of the complete solution. These results suggest that the smart textile sheet is a very sensitive pressure sensor and can provide continuous discriminatory information to allow for the very sensitive, real-time detection of immobility.

The Influence of the Structure of Cotton Fabrics on the Adhesion of Conductive Polymer Printed with 3D Printing Technology

Three-dimensional printing technology is being increasingly applied in a multitude of sectors. However, this technology is not generally applied in the same way as in other sectors, possibly due to the difficulty of adhesion between the polymer and the textile substrate. A textile garment is subjected to wear and tear during its lifetime, and a low tensile strength or rubbing resistance hinders a garment in most of the applications of this type of research. This study examined the influence of the characteristics of the cotton textile substrate, such as the weave structure and the yarn thickness, on the tensile strength of a 3D-printed element with conductive filament. Starting from the fabric with the highest tensile strength, different prints were made using this technology to incorporate conductive and heating properties into the fabric. The results validate the possibility of providing new properties to the textile by means of this technology; however, the correct selection of the textile used as a base substrate is important.

Conductive Cellulose-Derived Carbon Nanofibrous Membranes with Superior Softness for High-Resolution Pressure Sensing and Electrophysiology Monitoring

Here, a strategy to overcome the stiff and brittle nature of cellulose-derived carbon nanofibrils (CCNFs) is proposed through a facile, low-cost, and scalable approach. Flexible and conformal CCNFs with a low bending rigidity below 55.4 mN and tunable conductivities of 0.14-45.5 S m^-1 are developed by introducing silanol as a multieffect additive in the electrospun hybrid nanofibrous network and subsequent carbonization at a relatively high temperature (900 °C) and chemical vapor deposition of polypyrrole (PPy) on the hybrid carbon nanofibril surface. Silica acts as a lubricant in each rigid carbon fiber to improve flexibility of the CCNF structure as well as a template during cellulose carbonization to prevent the melting of carbon nanofibrils. Meanwhile, the uniform coating of PPy leads to an improvement in electrical conductivity while conserving the porous structure and compressibility of the CCNF nets. These conductive hybrid CCNF films are evaluated as mechanoreceptors and physiological sensors, which are demonstrated to be applied in intelligent electronics including electronic skin, human-machine interfaces, and epidermic electrodes. The design or working principles of the hybrid CCNFs for achieving optimum applicable effects when applied in different scenarios are revealed.

Nanomaterial-Based Electrically Conductive Hydrogels for Cardiac Tissue Repair

Cardiovascular disease is one of major causes of deaths, and its incidence has gradually increased worldwide. For cardiovascular diseases, several therapeutic approaches, such as drugs, cell-based therapy, and heart transplantation, are currently employed; however, their therapeutic efficacy and/or practical availability are still limited. Recently, biomaterial-based tissue engineering approaches have been recognized as promising for regenerating cardiac function in patients with cardiovascular diseases, including myocardial infarction (MI). In particular, materials mimicking the characteristics of native cardiac tissues can potentially prevent pathological progression and promote cardiac repair of the heart tissues post-MI. The mechanical (softness) and electrical (conductivity) properties of biomaterials as non-biochemical cues can improve the cardiac functions of infarcted hearts by mitigating myocardial cell death and subsequent fibrosis, which often leads to cardiac tissue stiffening and high electrical resistance. Consequently, electrically conductive hydrogels that can provide mechanical strength and augment the electrical activity of the infarcted heart tissue are considered new functional materials capable of mitigating the pathological progression to heart failure and stimulating cardiac regeneration. In this review, we highlight nanomaterial-incorporated hydrogels that can induce cardiac repair after MI. Nanomaterials, including carbon-based nanomaterials and recently discovered two-dimensional nanomaterials, offer great opportunities for developing functional conductive hydrogels owing to their excellent electrical conductivity, large surface area, and ease of modification. We describe recent results using nanomaterial-incorporated conductive hydrogels as cardiac patches and injectable hydrogels for cardiac repair. While further evaluations are required to confirm the therapeutic efficacy and toxicity of these materials, they could potentially be used for the regeneration of other electrically active tissues, such as nerves and muscles.

Exploratory tympanotomy in conductive hearing loss with normal pre-operative investigations

Objective

To investigate whether patients with conductive hearing loss (CHL) and normal preoperative investigations may benefit from exploratory tympanotomy (ET) and tailored treatment performed according to intraoperative findings.

Methods

Patients treated with ET for CHL with normal pre-operative otoscopy, tympanometry and CT scan from 2011 to 2019 were reviewed. Data regarding demographics, audiometry, intraoperative findings and surgery were collected and analysed to assess if they can predict post-operative air bone gap (ABG) closure and patient satisfaction.

Results

Forty-eight cases were included. Mean ABG significantly reduced (p < 0.001) from preoperative (38.4 dB) to postoperative (14.8 dB). Post-operative ABG closure within 10 dB was observed in 20 cases (41.7%). Overall satisfaction was reported in 60% of cases. Stapes fixation was the most common diagnosis (47.9%) and significantly associated with lower post-operative ABG and higher satisfaction.

Conclusions

In CHL with normal pre-operative investigations, ET represents the mainstay of treatment, even if audiological outcomes may widely vary. Intraoperative finding of stapes fixation (thus stapedotomy) ensures the best audiological and satisfaction outcomes.

Conductive Membranes Based on Cotton Fabric Coated with Polymers for Electrode Applications

This paper presents the evaluation of some electrodes based on polymeric conductive membranes (polyvinylidene fluoride (PVDF), polyvinyl alcohol (PVA) and polyethylene glycol (PEG)) for sensor applications. The electrodes were developed using textile support (weave structure-based 100% cotton yarns) and applying conductive membrane layers deposited on the textile surface. Coating the fabrics with thin layers of conductive membranes could generate new surfaces with the electrical resistance specific to conductive samples. Laboratory tests evaluated the physicomechanical and electrical properties. The surface resistance was investigated using a digital surface resistance meter by neglecting electrode polarization impedance. In addition, the correlation coefficients between the physicomechanical and electrical parameters obtained by the laboratory were analyzed. These conductive samples can be used to and develop flexible electrodes for moisture, temperature and strain sensors.

Probing the Conductive and Tribological Behaviors of Solid Additives in Multiply Alkylated Cyclopentanes for Sliding Electrical Contact

Sliding electrical contacts need to be lubricated by conductive lubricants to perform low energy dissipation, high reliability, and long service life. This work studied the thermal stability, anti-corrosion capacity, and conductive, and tribological behaviors of several solid additives in multiply alkylated cyclopentanes (MACs), including carbon nanotubes (CNTs), multilayer graphene (MG), and silver microparticles. The results showed that all the additives possessed favorable thermal stability and corrosion resistance; in particular, CNTs and MG exhibited lower and more stable electrical contact resistance (ECR) and better lubricity abilities than Ag microparticles. Moreover, based on the characterization of the worn surfaces and the film thickness calculation, the favorable conductive and tribological properties of CNTs and MG were related to the high conductivity and specific structure of the additives and the good chemical inertness of MACs.

High-Strength, Conductive, Antifouling, and Antibacterial Hydrogels for Wearable Strain Sensors

Conductive hydrogels have shown great potential in the field of flexible strain sensors. However, their application is greatly limited due to the poor antifouling and low mechanical strength. Unfortunately, it is still a challenge to improve these two distinct properties simultaneously. Herein, a hydrogel with high strength, good conductivity, and excellent antifouling and antibacterial properties was prepared through the synergistic effect of physical and chemical cross-linking. First, acrylic acid (AA), acrylamide (AM), and 2-methacryloyloxyethyl phosphorylcholine (MPC) monomers were polymerized in the presence of chitosan chains to form the hydrogel. Then, the prepared hydrogel was immersed in a ferric ion solution to further strengthen the hydrogel through ion coordination. The obtained CS-P(AM-MPC-AA_0.2)-Fe_0.1³⁺ hydrogel showed outstanding tensile strength (1.03 MPa), excellent stretchability (1075%), good toughness (7.03 MJ/m³), and fatigue resistance. The CS-P(AM-MPC-AA_0.2)-Fe_0.1³⁺ hydrogel also demonstrated good ion conductivity (0.42 S/m) and excellent antifouling and antibacterial properties. In addition, the strain sensor constructed by the CS-P(AM-MPC-AA_0.2)-Fe_0.1³⁺ hydrogel showed high sensitivity and good stability. This work presented a facile method to construct a zwitterionic hydrogel with high-strength, conductive, antifouling, and antibacterial properties, which suggested a promising gel platform for flexible wearable sensors.

Low Frequency Air-Bone Gap in Meniere's Disease: Relationship With Magnetic Resonance Imaging Features of Endolymphatic Hydrops

OBJECTIVES

The appearance of low-frequency air-bone gaps (LFABGs) in Meniere's disease (MD) is a recognized but relatively unexplored phenomenon. Two theories have been proposed to explain their etiology: increased perilymphatic pressure resulting in either reduced stapedial mobility or dampened transmission of acoustic energy, and direct contact between the dilated saccule and the stapes footplate. The aim of this study was to evaluate these two hypotheses by comparing delayed postgadolinium magnetic resonance imaging (MRI) features of two groups of patients with unilateral definite MD, those with and without LFABGs.

DESIGN

This retrospective case-control study was conducted at a tertiary otolaryngology unit in the United Kingdom. The study included 35 patients who satisfied the 2015 Barany criteria for unilateral definite MD. The cohort was divided into two groups, those with LFABGs (LFABG+ group) and those without (LFABG- group), according to the pure-tone audiometry performed within 6 months of MRI. Alternative potential causes for the LFABGs were excluded on the basis of otologic history, otoscopy, tympanometry, and/or imaging. Using a 4-hr delayed postgadolinium 3-dimensional fluid-attenuated inversion recovery sequence, two observers evaluated the severity of cochlear and vestibular endolymphatic hydrops (EH) and the presence of vestibular endolymphatic space contacting the oval window (VESCO). The air and bone conduction thresholds, ABGs and MRI features were compared between the LFABG+ and LFABG- groups. Where any of the variables were found to be significantly associated with the presence of ABGs, further analysis was performed to determine whether or not they were independent predictors. Continuous variables were compared using the independent t test if normally distributed, and the Mann-Whitney U test or Kruskall-Wallis test if not normally distributed. Categorical variables were compared with Pearson's Chi-squared test or Fishers/Fisher-Freeman-Halton exact tests.

RESULTS

There were 10 patients in the LFABG+ group (28.6%) and 25 patients in the LFABG- group (71.4%). The mean ABGs in the symptomatic ear at 500 Hz, 1 kHz, and 2 kHz were 15.1 dB ± 6.4, 10.5 dB ± 9.0, and 4.0 dB ± 7.7, respectively, in the LFABG+ group and 2.0 ± 5.8, 2.4 ± 4.4, and -0.8 ± 4.7 dB in the LFABG- group. The differences in ABGs between the two groups were statistically significant at all three test frequencies ( p < 0.001 at 500 Hz, p = 0.007 at 1 kHz, and p = 0.041 at 2 kHz). The presence of ABGs was significantly associated with both the grade of vestibular EH ( p = 0.049) and VESCO ( p = 0.009). Further analysis showed a statistically significant association between the grade of vestibular EH and VESCO ( p = 0.007), and only VESCO was an independent variable associated with the presence of LFABGs ( p = 0.045).

CONCLUSIONS

The study findings add to the existing body of evidence that LFABGs are a true audiological finding in MD and allow us to propose a mechanism. Analysis of delayed gadolinium-enhanced MRI suggests that direct contact between the distended saccule and the inner surface of the stapes footplate is the more likely underlying pathophysiological mechanism for this audiometric phenomenon.

Revised Manuscript with Corrections: Polyurethane-Based Conductive Composites: From Synthesis to Applications

The purpose of this review article is to outline the extended applications of polyurethane (PU)-based nanocomposites incorporated with conductive polymeric particles as well as to condense an outline on the chemistry and fabrication of polyurethanes (PUs). Additionally, we discuss related research trends of PU-based conducting materials for EMI shielding, sensors, coating, films, and foams, in particular those from the past 10 years. PU is generally an electrical insulator and behaves as a dielectric material. The electrical conductivity of PU is imparted by the addition of metal nanoparticles, and increases with the enhancing aspect ratio and ordering in structure, as happens in the case of conducting polymer fibrils or reduced graphene oxide (rGO). Nanocomposites with good electrical conductivity exhibit noticeable changes based on the remarkable electric properties of nanomaterials such as graphene, RGO, and multi-walled carbon nanotubes (MWCNTs). Recently, conducting polymers, including PANI, PPY, PTh, and their derivatives, have been popularly engaged as incorporated fillers into PU substrates. This review also discusses additional challenges and future-oriented perspectives combined with here-and-now practicableness.

Bimetallic Two-Dimensional Metal-Organic Frameworks for the Chemiresistive Detection of Carbon Monoxide

This paper describes the demonstration of a series of heterobimetallic, isoreticular 2D conductive metal-organic frameworks (MOFs) with metallophthalocyanine (MPc, M=Co and Ni) units interconnected by Cu nodes towards low-power chemiresistive sensing of ppm levels of carbon monoxide (CO). Devices achieve a sub-part-per-million (ppm) limit of detection (LOD) of 0.53 ppm toward CO at a low driving voltage of 0.1 V. MPc-based Cu-linked MOFs can continuously detect CO at 50 ppm, the permissible exposure limit required by the Occupational Safety and Health Administration (OSHA), for multiple exposures, and realize CO detection in air and in humid environment. Diffuse reflectance infrared Fourier transform spectroscopy (DRIFTS), density functional theory (DFT) calculations, and comparison experiments suggest the contribution of Cu nodes to CO binding and the essential role of MPc units in tuning and amplifying the sensing response.

Liquid metal polymer composite: Flexible, conductive, biocompatible, and antimicrobial scaffold

Gallium and its alloys, such as eutectic gallium indium alloy (EGaIn), a form of liquid metal, have recently attracted the attention of researchers due to their low toxicity and electrical and thermal conductivity for biomedical application. However, further research is required to harness EGaIn-composites advantages and address their application as a biomedical scaffold. In this research, EGaIn-polylactic acid/polycaprolactone composites with and without a second conductive filler, MXene, were prepared and characterized. The addition of MXene, into the EGaIn-composite, can improve the composite's electrochemical properties by connecting the liquid metal droplets resulting in electrically conductive continuous pathways within the polymeric matrix. The results showed that the composite with 50% EGaIn and 4% MXene, displayed optimal electrochemical properties and enhanced mechanical and radiopacity properties. Furthermore, the composite showed good biocompatibility, examined through interactions with fibroblast cells, and antibacterial properties against methicillin-resistant Staphylococcus aureus. Therefore, the liquid metal (EGaIn) polymer composite with MXene provides a first proof-of-concept engineering scaffold strategy with low toxicity, functional electrochemical properties, and promising antimicrobial properties.

A Highly Conductive, Self-Recoverable, and Strong Eutectogel of a Deep Eutectic Solvent with Polymer Crystalline Domain Regulation

It is desirable to fabricate an antifatigue gel for skin-mimicking sensors on the demand of long-term durability in practical usage. Here, we developed a physically cross-linked eutectogel based on a poly(vinyl alcohol)/poly(acrylic acid) (PVA/PAA) binary polymer skeleton and a deep eutectic solvent (DES). In this eutectogel, uniformly distributed PVA crystalline domains acted as stable physical cross-linkers, and high-density hydrogen bonds possessed great reversibility. Such a polymer network structure was expected to endow this eutectogel with excellent mechanical strength, stretchability, and a self-recovery ability. Specifically, this eutectogel exhibited a superior tensile strength of 2.6 MPa, a fracture strain of 680%, and a fracture toughness of 8.39 MJ m^-3. In cyclic stretching/releasing tests with a fixed strain of 100%, this eutectogel could recover its mechanical properties within a 600 s resting time. Based on this self-recoverable eutectogel, a reliable flexible sensor was fabricated, which possessed good sensitivity and stability over a wide strain range (1-300%). More importantly, the flexile sensor was able to maintain a highly repeatable response signal during 1000 consecutive stretching/releasing cycles, showing outstanding long-term durability. Given the excellent sensing performance, this eutectogel has promising potential in wearable electronics, human-machine systems, and soft robotics.

Conductive, Self-Healing, Adhesive, and Antibacterial Hydrogels Based on Lignin/Cellulose for Rapid MRSA-Infected Wound Repairing

The abuse of antibiotics induces the emergence of drug-resistant bacteria, which greatly increases the difficulty of clinical treatment of infected wounds. It is urgent to design a multifunctional wound dressing independent of antibiotics. In this work, we designed multifunctional hydrogels based on lignin and cellulose in natural polymers. Lignin with antioxidant properties could reduce silver nanoparticles in situ and could also be used as a crosslinking agent to construct hydrogels between hydroxypropyl cellulose modified with phenylboric acid by a dynamic borate bond. Hydrogels have excellent properties such as self-healing, shape adaptability, biocompatibility, blood compatibility, antioxidant properties, excellent broad-spectrum antimicrobial properties, good tissue adhesion, and electrical conductivity. The tissue adhesion of hydrogels endows them with an excellent hemostasis property in a rat liver injury model. In vivo experiments demonstrated that hydrogels can maintain a moist healing environment, reduce inflammatory cell infiltration, promote M2 macrophage polarization, accelerate collagen deposition, promote the regeneration of new blood vessels, and significantly speed up the wound healing of methicillin-resistant Staphylococcus aureus (MRSA)-infected wounds. Therefore, these multifunctional hydrogels are an excellent candidate to treat multiple stages of wound healing and have a broad application prospect in the medical field.

Conductive One-Dimensional Coordination Polymers with Tunable Selectivity for the Oxygen Reduction Reaction

Conductive materials involving nonprecious metal coordination complexes as electrocatalysts for the oxygen reduction reaction (ORR) have received increasing attention in recent years. Herein, we reported efficient ORR electrocatalysts containing M-S2N2 sites with tunable selectivity based on simple one-dimensional (1D) coordination polymers (CPs). The 1D CPs were synthesized from M(OAc)2 and 2,5-diamino-1,4-benzenedithiol (DABDT) by a solvent thermal method. Due to their good electrical conductivities (10-6-10-2 S cm-1), the 1D CPs could be used as ORR catalysts in low catalytic amounts without the addition of carbon materials. Cobalt-based CPs showed a well-organized structure of nanosheets with Co-S2N2 sites exposed and exhibited remarkable electrocatalytic ORR activity (Eonset = 0.93 V vs reversible hydrogen electrode (RHE), E1/2 = 0.82 V, n = 3.85, JL = 5.22 mA cm-2, Tafel slope of 63 mV dec-1) in alkaline media. However, nickel-based CPs favored a 2e- ORR process with ∼87% H2O2 selectivity and an Eonset of 0.78 V. This work provides new opportunities for the construction of ORR catalysts based on conductive nonprecious metal CPs.

Binary Network of Conductive Elastic Polymer Constraining Nanosilicon for a High-Performance Lithium-Ion Battery

Silicon-based anodes are attracting more interest in both science and industry due to their high energy density. However, the traditional polymeric binder and carbon additive mixture cannot successfully accommodate the huge volume change and maintain good conductivity when cycling. Herein, we report a multifunctional polymeric binder (PPTU) synthesized by the cross-linking of conducting polymer (PEDOT:PSS) and stretchable polymer poly(ether-thioureas) (PETU). The multifunctional polymeric binder could be curved on the surfaces of nanosilicon particles, forming an interweaving continuous three-dimensional network, which is beneficial to electron transfer and the mechanical stability. Furthermore, the binder is elastic and adhesive, and which can accommodate the huge volume change of silicon to keep its integrity. Utilizing this multifunctional polymeric binder instead of commercial poly(acrylic acid) binder and carbon black mixtures, the nanosilicon anode demonstrates enhanced cycling stability (2081 mAhg^-1 after 300 cycles) and rate performance (908 mAhg^-1 at 8 Ag^-1). The multifunctional polymeric binder has high conductivity, elasticity, and self-healing properties is a promising binder to promote progress toward a high performance lithium-ion battery.

Multivariate Correlation Analysis of the Electroconductive Textiles Obtained Using Functionalization by Radio-Frequency Oxygen Plasma Treatments

This paper presents a study concerning the preliminary treatments in radiofrequency (RF)oxygen (O₂) plasma used to obtain a hydrophilic effect on raw cotton fabrics followed by electroconductive thin film deposition to obtain electroconductive textile surfaces. In addition, this study presents a multivariate correlation analysis of experimental parameters. The treatment using RF plasma O₂ aimed to increase the hydrophilic character of the raw fabric and adherence of paste-based polymeric on polyvinyl alcohol (PVA) matrix and nickel (Ni), silver (Ag) or copper (Cu) microparticles. The purpose of the research was to develop electroconductive textiles for flexible electrodes, smart materials using a clean technology such as radiofrequency (RF) plasma O₂ to obtain a hydrophilic surface with zero wastewater and reduced chemicals and carbon footprint. To achieve the foreseen results, we used advanced functionalization technologies such as RF plasma O₂, followed by scraping a thin film of conductive paste-based Ni, Ag or Cu microparticles, and multivariate correlation methods to observe the dependence between parameters involved (dependent and independent variables). Overall, the fabrics treated in plasma with O₂ using a kHz or MHz generator and power 100–200 W present an excellent hydrophilic character obtained in 3 min. After RF O₂ plasma functionalization, a thin film based on polymeric matrix PVA and Ni microparticles have been deposited on the fabric surface to obtain electroconductive materials.

Fabrication of Conductive, Adhesive, and Stretchable Agarose-Based Hydrogels for a Wearable Biosensor

Herein, a strategy is proposed to prepare a conductive, self-adhesive, and stretchable agarose gel with the merits of distinct heat resistance, freeze resistance, and long-term moisture retention. To endow the gels with conductivity, monodisperse carbon nanotubes modified by polydopamine are introduced into the gel networks, which promote both conductivity and mechanical strength of the gels. Meanwhile, further addition of glycerol enhances excellent stretchability as well as heating/freezing tolerability and moisture retention of the gels. A wearable biosensor based on the gel is fabricated to record body motions precisely with good biocompatibility, which benefits the development of smart wearable devices.

Ultraflexible and Mechanically Strong Polymer/Polyaniline Conductive Interpenetrating Nanocomposite via In Situ Polymerization of Vinyl Monomer

Simultaneous enhancement of conductivity and mechanical properties for polyaniline/polymer nanocomposite still remains a big challenge. Here, a reverse approach via in situ polymerization (RIP) of vinyl monomers in waterborne polyaniline dispersion was raised to prepare conductive polyaniline (GPANI)/polyacrylate (PMB) interpenetrating polymer (GPANI-PMB) nanocomposite. GPANI/PMB physical blend was simultaneously prepared as reference. The conductive GPANI-PMB nanocomposite film with compact pomegranate-shape morphology is homogeneous, ultraflexible and mechanically strong. With incorporating a considerable amount of PMB into GPANI via the RIP method, only a slight decrease from 3.21 to 2.80 S/cm was detected for the conductivity of GPANI-PMB, while the tensile strength significantly increased from 25 to 43.5 MPa, and the elongation at break increased from 40% to 234%. The water absorption of GPANI-PMB3 after 72 h immersion decreased from 24.68% to 10.35% in comparison with GPANI, which is also higher than that of GPANI/PMB. The conductivity and tensile strength of GPANI-PMB were also much higher than that of GPANI/PMB (0.006 S/cm vs. 5.59 MPa). Moreover, the conductivity of GPANI-PMB remained almost invariable after folding 200 times, while that of GPANI/PMB decreased by almost half. This RIP approach should be applicable for preparing conventional conductive polymer nanocomposite with high conductivity, high strength and high flexibility.

A 3D-Printed Soft Fingertip Sensor for Providing Information about Normal and Shear Components of Interaction Forces

Sensing of the interaction forces at fingertips is of great value in assessment and rehabilitation therapy. Current force sensors are not compliant to the fingertip tissue and result in loss of touch sensation of the user. This work shows the development and characterization of a flexible fully-3D-printed piezoresistive shear and normal force sensor that uses the mechanical deformation of the finger tissue. Two prototypes of the sensing structure are evaluated using a finite element model and a measurement setup that applies normal and shear forces up to 10 N on a fingertip phantom placed inside the sensing structure, which is fixed to prevent slippage. Furthermore, the relation between strain (rate) and resistance of the conductive TPU, used for the strain gauges, is characterized. The applied normal and shear force components of the 3D-printed sensing structure can be partly separated. FEM analysis showed that the output of the sensor is largely related to the sensor geometry and location of the strain gauges. Furthermore, the conductive TPU that was used has a negative gauge factor for the strain range used in this study and might cause non-linear behaviors in the sensor output.

Self-Adhesion Conductive Sub-micron Fiber Cardiac Patch from Shape Memory Polymers to Promote Electrical Signal Transduction Function

Myocardial infarction (MI) constitutes the first cause of morbidity and mortality in our life, so using highly conductive and elastic materials to produce an engineered cardiac patch is an effective way to improve the myocardium infarction area function. Here, shape memory polymers of the polyurethane/polyaniline/silicon oxide (PU/PANI/SiO₂) electrospinning sub-micron fiber patch were precisely produced in the case of the hydrogen bonding effect and interaction between the carboxyl groups to provide compatibility, phase mixing/miscibility, and stability. The sub-micron fiber patch prepared by our group has some remarkable characteristics, such as sub-micron fibers, 3D porous structure, special thickness to simulate the extracellular matrix (ECM), elastic deformation, good properties in conducting weak electrical signals, stability to maintain the whole structure, and self-adhesion. This sub-micron fiber material has been proven to be effective, easy, and reliable. Through precise design of the material system, structure regulation, and performance optimization, the aim is to produce a sub-micron fiber cardiac patch to simulate the myocardium ECM and improve conductive signal transduction for potential MI therapy.

Electroactive Polymeric Composites to Mimic the Electromechanical Properties of Myocardium in Cardiac Tissue Repair

Due to the limited regenerative capabilities of cardiomyocytes, incidents of myocardial infarction can cause permanent damage to native myocardium through the formation of acellular, non-conductive scar tissue during wound repair. The generation of scar tissue in the myocardium compromises the biomechanical and electrical properties of the heart which can lead to further cardiac problems including heart failure. Currently, patients suffering from cardiac failure due to scarring undergo transplantation but limited donor availability and complications (i.e., rejection or infectious pathogens) exclude many individuals from successful transplant. Polymeric tissue engineering scaffolds provide an alternative approach to restore normal myocardium structure and function after damage by acting as a provisional matrix to support cell attachment, infiltration and stem cell delivery. However, issues associated with mechanical property mismatch and the limited electrical conductivity of these constructs when compared to native myocardium reduces their clinical applicability. Therefore, composite polymeric scaffolds with conductive reinforcement components (i.e., metal, carbon, or conductive polymers) provide tunable mechanical and electroactive properties to mimic the structure and function of natural myocardium in force transmission and electrical stimulation. This review summarizes recent advancements in the design, synthesis, and implementation of electroactive polymeric composites to better match the biomechanical and electrical properties of myocardial tissue.

Psychosocial outcome measures for conductive and mixed hearing loss treatment: An overview of the relevant literature

OBJECTIVE

To identify the psychosocial assessments utilized with individuals with conductive and/or mixed hearing loss as part of a broader effort by the Auditory Rehabilitation Outcomes Network (AURONET) group to develop a core set of patient-centred outcome measures.

DESIGN

A review of articles published between 2006 and 2016 was completed. Included studies had more than three adult participants, were available in English, and reported a psychosocial outcome from any treatment of mixed and/or conductive hearing loss.

STUDY SAMPLE

Sixty-six articles from seven databases.

RESULTS

Sixty-six articles met our inclusion/exclusion criteria. Within this set, 15 unique psychosocial or patient-reported outcome measures (PROs) were identified, with the Abbreviated Profile of Hearing Aid Benefit (APHAB) and Glasgow Benefit Inventory (GBI) being the most frequently dispensed. Five of the fifteen were only administered in one study. In-house questionnaires (IHQs) were reported in 19 articles.

CONCLUSIONS

Only 66 (22%) of the 300 articles with outcomes contained a PRO. Some of the mostly frequently employed PROs (e.g., APHAB) were judged to include only social items and no psychological items. Lack of PRO standardization and the use of IHQs make psychosocial comparisons across treatments in this population difficult for patients, clinicians and stakeholders.

The Role of Zinc Chloride in Enhancing Mechanical, Thermal and Electrical Performance of Ethylene Vinyl Acetate/Carbonized Wood Fiber Conductive Composite

Carbonized natural filler can offer the production of low cost composites with an eco-friendliness value. The evolving field of electronics encourages the exploration of more functions and potential for carbonized natural filler, such as by modifying its surface chemistry. In this work, we have performed surface modification on carbonized wood fiber (CWF) prior to it being used as filler in the ethylene vinyl acetate (EVA) composite system. Zinc chloride (ZnCl₂) with various contents (2 to 8 wt%) was used to surface modify the CWF and the effects of ZnCl₂ composition on the surface morphology and chemistry of the CWF filler were investigated. Furthermore, the absorptive, mechanical, thermal, and electrical properties of the EVA composites containing CWF-ZnCl₂ were also analyzed. SEM images indicated changes in the morphology of the CWF while FTIR analysis proved the presence of ZnCl₂ functional groups in the CWF. EVA composites incorporating the CWF-ZnCl₂ showed superior mechanical, thermal and electrical properties compared to the ones containing the CWF. The optimum content of ZnCl₂ was found to be 6 wt%. Surface modification raised the electrical conductivity of the EVA/CWF composite through the development of conductive deposits in the porous structure of the CWF as a channel for ionic and electronic transfer between the CWF and EVA matrix.

Wafer-Scale Lateral Self-Assembly of Mosaic Ti3C2Tx MXene Monolayer Films

Bottom-up assembly of two-dimensional (2D) materials into macroscale morphologies with emergent properties requires control of the material surroundings, so that energetically favorable conditions direct the assembly process. MXenes, a class of recently developed 2D materials, have found new applications in areas such as electrochemical energy storage, nanoscale electronics, sensors, and biosensors. In this paper, we present a lateral self-assembly method for wafer-scale deposition of a mosaic-type 2D MXene flake monolayer that spontaneously orders at the interface between two immiscible solvents. ReaxFF molecular dynamics simulations elucidate the interactions of a MXene flake with the solvents and its stability at the liquid/liquid interface, the prerequisite for MXene flakes self-assembly at the interface. Moreover, facile transfer of this monolayer onto a flat substrate (Si, glass) results in high-coverage monolayer films with uniform thickness and homogeneous optical properties. Multiscale characterization of the resulting films reveals the mosaic structure and sheds light on the electronic properties of the films, which exhibit good electrical conductivity over cm-scale areas.

Ultrastretchable, Tough, Antifreezing, and Conductive Cellulose Hydrogel for Wearable Strain Sensor

Conductive hydrogels have shown great potential in the field of flexible strain sensors. However, their application is greatly limited due to the low conductivity and poor mechanical properties at subzero temperatures. Herein, an ultrastretchable, tough, antifreezing, and conductive cellulose hydrogel was fabricated by grafting acrylonitrile and acrylamide copolymers onto the cellulose chains in the presence of zinc chloride using ceric ammonium nitrate as the initiator. The resulting hydrogel exhibited ultrastretchability (1730%), excellent tensile strength (160 kPa), high elasticity (90%), good toughness (1074.7 kJ/m³), and fatigue resistance property due to the existence of dipole-dipole and multiple hydrogen-bonding interactions on the hydrogel network. In addition, the introduced zinc chloride endowed the cellulose-based hydrogel with remarkable electric conductivity (1.54 S/m) and excellent antifreezing performance (-33 °C). Finally, the hydrogel showed high sensitivity and stability to monitor human activities. In summary, this work presented a facile strategy to construct conductive hydrogel with excellent antifreezing and mechanical properties simultaneously, which showed great potential for wearable strain sensors.

Understanding the Mechanism of High Capacitance in Nickel Hexaaminobenzene-Based Conductive Metal-Organic Frameworks in Aqueous Electrolytes

Recently, intrinsically conductive metal-organic frameworks (MOFs) have demonstrated promising performance in fast-charging energy storage applications and may outperform some current electrode materials (e.g., porous carbons) for supercapacitors in terms of both gravimetric and volumetric capacitance. In this report, we examine the mechanism of high capacitance in a nickel hexaaminobenzene-based MOF (NiHAB). Using a combination of in situ Raman and X-ray absorption spectroscopies, as well as detailed electrochemical studies in a series of aqueous electrolytes, we demonstrate that the charge storage mechanism is, in fact, a pH-dependent surface pseudocapacitance, and unlike typical inorganic systems, where transition metals change oxidation state during charge/discharge cycles, NiHAB redox activity is ligand-centered.

Tracing Carbon Nanotubes (CNTs) in Rat Peripheral Nerve Regenerated with Conductive Conduits Composed of Poly(lactide-co-glycolide) and Fluorescent CNTs

Nerve regeneration can be promoted using nerve guide conduits (NGCs). Carbon nanotubes (CNTs) are often used to prepare conductive NGCs, however, the major concern for their applications is the final location of the implanted CNTs in vivo. Herein, photoluminescent multiwalled CNTs (MWCNTs) were prepared and electrospun with poly(lactide-co-glycolide) (PLGA), followed by shaping into multichannel NGCs for repairing of injured rat sciatic nerve, thereby the distribution of CNTs in vivo could be detected via bioimaging. Photoluminescent MWCNTs (MWCNT-FITC) were prepared by functionalization with poly(glycidyl methacrylate) (PGMA) and fluorescein-isothiocyanate-isomer I (FITC) subsequently. The conductivity of the PLGA/MWCNT-FITC fibers was approx. 10^-4 S/cm at 3 wt % MWCNTs. Compared with PLGA fibers, Schwann cells on PLGA/MWCNT-FITC fibers matured at a faster rate, accordingly, nerve regeneration was promoted by the PLGA/MWCNT-FITC NGC. With a confocal laser scanning microscope and small-animal imaging system, the location of MWCNTs was detected. Alongside the degradation of PLGA, MWCNTs intended to aggregate and were entrapped in the regenerated nerve tissue without migrating into surrounding tissues and other organs (liver, kidneys, and spleen). This study provides a useful characterization method for MWCNTs and the guidance for in vivo applications of MWCNTs in tissue engineering.

Middle Ear Implant in a Patient With Fibrous Dysplasia: An Alternative for Hearing Restoration

We propose middle ear implants (MEI) as alternative hearing restoration option for patients with fibrous dysplasia of the temporal bone (FDTB). A 60-year-old man presented with unilateral right-sided conductive hearing loss (CHL) and FDTB. The Vibrant Soundbridge (VSB) MEI was implanted in the right ear. Preoperatively, the right side had a pure tone average (PTA) threshold of 67 dB, speech reception threshold (SRT) = 75 dB HL, and speech discrimination score (SDS) = 54% at 80 dB HL presentation level. Postoperative aided PTA threshold of the right ear was 28 db, aided SRT = 30 db, and SDS = 96% at 65dB HL. After excluding cholesteatoma, VSB provides an alternative hearing restoration technique for adults with FDTB and CHL due to stenosis of the external auditory canal and/or ossicular crowding.

Highly Conductive Cobalt Perthiolated Coronene Complex for Efficient Hydrogen Evolution

Metal-bis(dithiolene) is one of the most promising structures showing redox activity, excellent electron transport and magnetic properties as well as catalytic activities. Perthiolated coronene (PTC), an emerging highly symmetric ligand containing the smallest graphene nanoplate was employed to manufacture a hybrid material with fused metal-bis(dithiolene) and graphene nanoplate, and it has been demonstrated as an efficient strategy for the construction of multifunctional materials recently. Herein, Co-PTC, a 2D MOF containing Co-bis(dithiolene) and coronene units is prepared via a homogeneous reaction for the first time as powder samples, which are bar-shaped microparticles composed of nanosheets. A neutral formula of [Co₃ (C₂₄ S₁₂ )]_n is verified for Co-PTC. Co-PTC plays an ultrahigh conductivity of approximately 45 S cm^-1 at room temperature as compressed samples, which is among the highest value ever reported for the compressed powder samples of conducting MOFs. Moreover, Co-PTC exhibits good electrocatalytic performance in the hydrogen evolution reaction (HER) with a Tafel slope of 189 mV decade^-1 and an operating overpotential of 227 mV at 10 mA cm^-1 with pH=0, as well as a remarkable stability in the extremely acidic aqueous solutions, which is the best hydrogen evolution properties among metal-organic compounds.

Development of Soft sEMG Sensing Structures Using 3D-Printing Technologies

3D printing of soft EMG sensing structures enables the creation of personalized sensing structures that can be potentially integrated in prosthetic, assistive and other devices. We developed and characterized flexible carbon-black doped TPU-based sEMG sensing structures. The structures are directly 3D-printed without the need for an additional post-processing step using a low-cost, consumer grade multi-material FDM printer. A comparison between the gold standard Ag/AgCl gel electrodes and the 3D-printed EMG electrodes with a comparable contact area shows that there is no significant difference in the EMG signals' amplitude. The sensors are capable of distinguishing a variable level of muscle activity of the biceps brachii. Furthermore, as a proof of principle, sEMG data of a 3D-printed 8-electrode band are analyzed using a patten recognition algorithm to recognize hand gestures. This work shows that 3D-printed sEMG electrodes have great potential in practical applications.