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Multimodal treatment of cancer is an unstoppable revolution in clinical application. However, designing a platform that integrates therapeutic modalities with different pharmacokinetic characteristics remains a great challenge. Herein, we designed a universal lipid nanoplatform equipping a ROS-cleavable docetaxel prodrug (DTX-L-DTX) and an NF-E2-related factor 2 (NRF2) inhibitor (clobetasol propionate, CP). This simply fabricated nanomedicine enables superior synergistic molecularly targeted/chemo/radio therapy for lung cancer cascade by a transcription factor-driven ROS self-sustainable motion. Chemotherapy is launched via ROS-triggered DTX release. Subsequently, CP inhibits the expression of NRF2 target genes, resulting in efficient targeted therapy, meanwhile inducing sustained ROS generation which in turn facilitates chemotherapy by overcoming ROS consumption during the DTX release process. Finally, the introduction of radiotherapy further amplifies ROS, offering continuous mutual feedback to amplify the ultimate treatment performance. This strategy is conceptually and operationally simple, providing solutions to challenges in clinical cancer treatment and beyond.

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INTRODUCTION: Cardiac surgery requiring cardiopulmonary bypass had been unavailable in Northern Nigeria and the federal capital territory of Nigeria regularly. Several attempts in the past at setting up this service in a self-sustaining manner in Northern Nigeria had failed. This paper is a contrasting response to an earlier publication that emphasized the less-than-desirable role played by international cardiac surgery missions in the evolution of a sustainable open-heart surgery program in Nigeria. METHODS: The cardiothoracic unit of Federal Medical Centre, Abuja, was established on March 1, 2021, but could not conduct safe open-heart surgery. The model and strategies employed in commencing open-heart surgeries, including the choice of personnel training within the country and focused collaboration with foreign missions, are discussed. We also report the first seven patients to undergo cardiac surgery under cardiopulmonary bypass in our government-run hospital as well as the transition from foreign missions to local team operations. RESULTS: Seven patients were operated on within the first six months of setting up with high levels of skill transfer and local team participation, culminating in one of the operations entirely carried out by the local team of personnel. All outcomes were good at an average of one-year follow-up. CONCLUSION: In resource-constrained government-run hospitals, a functional, safe cardiac surgery unit can be set up by implementing well-planned strategies to mitigate encountered peculiar challenges. Furthermore, with properly harnessed foreign missions, a prior-trained local team of personnel can achieve independence and become a self-sustaining cardiac surgery unit within the shortest possible time.

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ABSTRACT Introduction: Cardiac surgery requiring cardiopulmonary bypass had been unavailable in Northern Nigeria and the federal capital territory of Nigeria regularly. Several attempts in the past at setting up this service in a self-sustaining manner in Northern Nigeria had failed. This paper is a contrasting response to an earlier publication that emphasized the less-than-desirable role played by international cardiac surgery missions in the evolution of a sustainable open-heart surgery program in Nigeria. Methods: The cardiothoracic unit of Federal Medical Centre, Abuja, was established on March 1, 2021, but could not conduct safe open-heart surgery. The model and strategies employed in commencing open-heart surgeries, including the choice of personnel training within the country and focused collaboration with foreign missions, are discussed. We also report the first seven patients to undergo cardiac surgery under cardiopulmonary bypass in our government-run hospital as well as the transition from foreign missions to local team operations. Results: Seven patients were operated on within the first six months of setting up with high levels of skill transfer and local team participation, culminating in one of the operations entirely carried out by the local team of personnel. All outcomes were good at an average of one-year follow-up. Conclusion: In resource-constrained government-run hospitals, a functional, safe cardiac surgery unit can be set up by implementing well-planned strategies to mitigate encountered peculiar challenges. Furthermore, with properly harnessed foreign missions, a prior-trained local team of personnel can achieve independence and become a self-sustaining cardiac surgery unit within the shortest possible time.

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Photo(electro)-piezo catalysis has emerged as one of the most effective strategies for sustainable environmental remediation. While various (nano)materials have been investigated for enhancing the intrinsic properties related to the interfacial band structure, increasing the efficiency by integration of materials with rational design for stress-strain applications has not yet been considered. Herein, we introduce kirigami strain engineering to photopiezo catalysts for enhancing efficiency by increasing the magnitude of applied strain and density of bends. Macroscale stretching motion is converted into localized bending by a pliable kirigami structure using similar or even lower input energy, which can be easily modulated by natural waves. The kirigami structure leads to a significant enhancement (∼250%) in the degradation of dyes, and we discovered the significant contribution of the oxygen reduction pathway in the charge-transfer mechanism, which corresponds to the observed enhancement. The photopiezo catalytic effects of kirigami were further highlighted by the small water reservoir test, showing its feasibility in nature for self-sustainable environmental remediation that can be modulated using motions of winds, waves, and life vibrations.

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Multimodal self-sustainable autonomous locomotions integrated into one individual system, are high-level intelligent behavioral characteristics of living organisms and are the scientific hotspot of bionic soft actuators. Here, we report a light-fueled soft actuator with multimodal self-sustainable movements based on a Seifert ribbon bounded by a Hopf link. The Seifert ribbon actuator can self-sense the illumination area adjustment, and the actuation component becomes either a discontinuous strip-like structure or a continuous toroidal structure, which can realize adaptive switches between self-sustained oscillatory and rotary motions. The two motion modes are applied to the self-oscillatory piezoelectric generation and self-rotational work multiplication of cargo transport, respectively. The unique smartness of Seifert surface topology advances the level of actuation intelligence with broad implications for the adaptability, multifunctionality, and autonomy of soft robots.

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Self-powered wireless sensor systems have emerged as an important topic for condition monitoring in nuclear power plants. However, commercial wireless sensor systems still cannot be fully self-sustainable due to the high power consumption caused by excessive signal processing in a mini-electronic computing system. In this sense, it is essential not only to integrate the sensor system with energy-harvesting devices but also to develop simple data processing methods for low power schemes. In this paper, we report a patch-type vibration visualization (PVV) sensor system based on the triboelectric effect and a visualization technique for self-sustainable operation. The PVV sensor system composed of a polyethylene terephthalate (PET)/Al/LCD screen directly converts the triboelectric signal into an informative black pattern on the LCD screen without excessive signal processing, enabling extremely low power operation. In addition, a proposed image processing method reconverts the black patterns to frequency and acceleration values through a remote-control camera. With these simple signal-to-pattern conversion and pattern-to-data reconversion techniques, a vibration visualization sensor network has successfully been demonstrated.

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A convenient, environment-friendly, and cost-effective method to keep anti-icing for a long time was highly desirable. Slippery lubricant layers were regarded to be effective and promising for anti-icing on different surfaces, but the drought-out of lubricants and the possible detriments to the environment were inevitable. By combining super-high molecular weight sodium polyacrylate (H-PAAS) with polyolefin through a one-pot method, a self-sustainable lubricating layer with extremely low ice adhesion of un-freezable water hydrogel was achieved at subzero conditions. The lubricant hydrogel layer could auto-spread and cover the surface of polyolefin after encountering supercooled water, frost, or ice. Due to the reduction of storage modulus in the interface, the ice adhesion of the specimen surfaces was far below 20 kPa, varying from 5.13 kPa to 18.95 kPa. Furthermore, the surfaces could preserve the fairly low adhesion after icing/de-icing cycles for over 15 times and thus exhibited sustainable durability. More importantly, this method could be introducing to various polymers and is of great promise for practical applications.

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River ecosystems are the most important resource of surface freshwater, but they have frequently been contaminated by excessive nutrient input of nitrogen (N) and phosphorus (P) in particular. An efficient and economic river water treatment technology that possesses the capacity of simultaneous N and P removal is urgently required. In this study, a solar-driven, self-sustainable electrolytic treatment was conducted in situ to intensify N and P removal from eutrophic river water. Solar panel was applied to provide the electrolysis setups with energy (voltage 10 ± 0.5 V), and the current density was controlled to be 0.06 ± 0.02 mA cm-2. Results indicated that the average removal efficiencies of total N (TN) and total P (TP) under electrolysis conditions reached 72.4 ± 11.7 and 13.8 ± 5.3 mg m-2 d-1, which were 3.7- and 4.7-fold higher compared to untreated conditions. Enhanced TN removal mainly reflected the abatement of nitrate N (NO3--N) (80.6 ± 4.1%). The formation of ferric ions through the electro-dissolution of the sacrificial iron anode improved TP removal by coprecipitation with SPS. Combined high-throughput sequencing and statistical analyses revealed that electrolysis significantly reshaped the microbial communities in both the sediment-water interface and suspended sediment (SPS), and hydrogenotrophic denitrifiers (e.g., Hydrogenophaga) were highly enriched under electrolysis conditions. These findings indicated that in situ electrolysis is a feasible and effective technology for intensified nutrient removal from river water.

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Microbial electrolysis cell (MEC) technology is a promising bioelectrochemical hydrogen production technology that utilizes anodic bio-catalytic oxidation and cathodic reduction processes. MECs require a lower external energy input than water electrolysis; however, as they also require the application of external power sources, this inevitably renders MEC systems a less sustainable option. This issue is the main obstacle hindering the practical application of MECs. Therefore, this review aims to introduce a self-sustainable MEC technology by combining conventional MECs with advanced carbon-neutral technologies, such as solar-, microbial-, osmotic-, and thermoelectric-powers (and their combinations). Moreover, new approaches to overcome the thermodynamic barriers and attain self-sustaining MECs are discussed in detail, thereby providing a working principle, current challenges, and future perspective in the field. This review provides comprehensive insights into reliable hydrogen production as well as the latest trends towards self-sustainable MECs for practical application.

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Wearable electronics presage a future in which healthcare monitoring and rehabilitation are enabled beyond the limitation of hospitals, and self-powered sensors and energy generators are key prerequisites for a self-sustainable wearable system. A triboelectric nanogenerator (TENG) based on textiles can be an optimal option for scavenging low-frequency and irregular waste energy from body motions as a power source for self-sustainable systems. However, the low output of most textile-based TENGs (T-TENGs) has hindered its way toward practical applications. In this work, a facile and universal strategy to enhance the triboelectric output is proposed by integration of a narrow-gap TENG textile with a high-voltage diode and a textile-based switch. The closed-loop current of the diode-enhanced textile-based TENG (D-T-TENG) can be increased by 25 times. The soft, flexible, and thin characteristics of the D-T-TENG enable a moderate output even as it is randomly scrunched. Furthermore, the enhanced current can directly stimulate rat muscle and nerve. In addition, the capability of the D-T-TENG as a practical power source for wearable sensors is demonstrated by powering Bluetooth sensors embedded to clothes for humidity and temperature sensing. Looking forward, the D-T-TENG renders an effective approach toward a self-sustainable wearable textile nano-energy nano-system for next-generation healthcare applications.

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In this paper, the far-field energy harvesting system for self-sustainable wireless autonomous sensor application is presented. The proposed autonomous sensor system consists of a wireless power supplier (active antenna) and far-field energy harvesting technology-enabled autonomous battery-less sensors. The wireless power supplier converts solar power to electromagnetic power in order to transfer power to multiple autonomous sensors wirelessly. The autonomous sensors have far-field energy harvesters which convert transmitted RF power to voltage regulated DC power to power-on the sensor system. The hybrid printing technology was chosen to build the autonomous sensors and the wireless power suppliers. Two popular hybrid electronics technologies (direct nano-particle printing and indirect copper thin film printing techniques) are discussed in detail.

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The detailed design considerations for the printed RFID-based sensor system is presented in this paper. Starting from material selection and metallization method, this paper discusses types of RFID-based sensors (single- & dual-tag sensor topologies), design procedures, and performance evaluation methods for the wireless sensor system. The electrical properties of the paper substrates (cellulose-based and synthetic papers) and the silver nano-particle-based conductive film are thoroughly characterized for RF applications up to 8 GHz. The reported technology could potentially set the foundation for truly “green”, low-cost, scalable wireless topologies for autonomous Internet-of-Things (IoT), bio-monitoring, and “smart skin” applications.

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The possibility to develop devices based on bioprocesses for solar energy harvesting is significant from the economic and environmental point of view. In this communication it has been demonstrated that such device can be can be made by controlling the equilibrium between photosynthetic and electrogenic cultures. This device is a membrane-less and mediator-free apparatus with a graphite plate anode and a stainless steel grid cathode with a steady electricity production of about 1 mV m(-2).

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