다중혈관 관상동맥 환자에서 y-문합을 이용하여 양쪽 내흉동맥만을 사용한 우회술의 조기 성적

抗原变异可使得多种致病微生物易于逃避宿主免疫应答。表达在感染红细胞表面的恶性疟原虫红细胞表面蛋白1（PfPMP1）与感染红细胞、内皮细胞、树突状细胞以及胎盘的单个或多个受体作用，在黏附及免疫逃避中起关键的作用。每个单倍体基因组var基因家族编码约60种成员，通过启动转录不同的var基因变异体为抗原变异提供了分子基础。

疟原虫var基因转换速率变化导致抗原变异[英]／Paul H, Robert P, Christodoulou Z, et al//Proc Natl Acad Sci U S A

Hydrogel delivery systems can leverage therapeutically beneficial outcomes of drug delivery and have found clinical use. Hydrogels can provide spatial and temporal control over the release of various therapeutic agents, including small-molecule drugs, macromolecular drugs and cells. Owing to their tunable physical properties, controllable degradability and capability to protect labile drugs from degradation, hydrogels serve as a platform in which various physiochemical interactions with the encapsulated drugs control their release. In this Review, we cover multiscale mechanisms underlying the design of hydrogel drug delivery systems, focusing on physical and chemical properties of the hydrogel network and the hydrogel-drug interactions across the network, mesh, and molecular (or atomistic) scales. We discuss how different mechanisms interact and can be integrated to exert fine control in time and space over the drug presentation. We also collect experimental release data from the literature, review clinical translation to date of these systems, and present quantitative comparisons between different systems to provide guidelines for the rational design of hydrogel delivery systems.

/pdf/designing-hydrogels-for-controlled-drug-delivery-3k03j5j2j9.pdf

Designing hydrogels for controlled drug delivery.

IN two previous notes1, Prof. Max Born and I have shown that one can obtain a theory of superconductivity by taking account of the fact that the interaction of the electrons with the ionic lattice is appreciable only near the boundaries of Brillouin zones, and particularly strong near the corners of these. This leads to the criterion that the metal should be superconductive if a set of corners of a Brillouin zone is lying very near the Fermi surface, considered as a sphere, which limits the region in the momentum space completely filled with electrons.

On the theory of superconductivity

Human skin is a remarkable organ. It consists of an integrated, stretchable network of sensors that relay information about tactile and thermal stimuli to the brain, allowing us to maneuver within our environment safely and effectively. Interest in large-area networks of electronic devices inspired by human skin is motivated by the promise of creating autonomous intelligent robots and biomimetic prosthetics, among other applications. The development of electronic networks comprised of flexible, stretchable, and robust devices that are compatible with large-area implementation and integrated with multiple functionalities is a testament to the progress in developing an electronic skin (e-skin) akin to human skin. E-skins are already capable of providing augmented performance over their organic counterpart, both in superior spatial resolution and thermal sensitivity. They could be further improved through the incorporation of additional functionalities (e.g., chemical and biological sensing) and desired properties (e.g., biodegradability and self-powering). Continued rapid progress in this area is promising for the development of a fully integrated e-skin in the near future.

25th Anniversary Article: The Evolution of Electronic Skin (E-Skin): A Brief History, Design Considerations, and Recent Progress

A large quantity of small molecules may migrate into a network of long polymers, causing the network to swell, forming an aggregate known as a polymeric gel. This paper formulates a theory of the coupled mass transport and large deformation. The free energy of the gel results from two molecular processes: stretching the network and mixing the network with the small molecules. Both the small molecules and the long polymers are taken to be incompressible, a constraint that we enforce by using a Lagrange multiplier, which coincides with the osmosis pressure or the swelling stress. The gel can undergo large deformation of two modes. The first mode results from the fast process of local rearrangement of molecules, allowing the gel to change shape but not volume. The second mode results from the slow process of long-range migration of the small molecules, allowing the gel to change both shape and volume. We assume that the local rearrangement is instantaneous, and model the long-range migration by assuming that the small molecules diffuse inside the gel. The theory is illustrated with a layer of a gel constrained in its plane and subject to a weight in the normal direction. We also predict the scaling behavior of a gel under a conical indenter.

https://imechanica.org/files/Kinetics%202007%2010%2022%20correct.pdf

A theory of coupled diffusion and large deformation in polymeric gels

Subject to a compressive membrane force, a film bonded to a compliant substrate often forms a pattern of wrinkles. This paper studies such wrinkles in a layered structure used in several recent experiments. The structure comprises a stiff film bonded to a compliant substrate, which in turn is bonded to a rigid support. Two types of analyses are performed. First, for sinusoidal wrinkles, by minimizing energy, we obtain the wavelength and the amplitude of the wrinkles for substrates of various moduli and thicknesses. Second, we develop a method to simultaneously evolve the two-dimensional pattern in the film and the three-dimensional elastic field in the substrate. The simulations show that the wrinkles can evolve into stripes, labyrinths, or herringbones, depending on the anisotropy of the membrane forces. Statistical averages of the amplitude and wavelength of wrinkles of various patterns correlate well with the analytical solution of the sinusoidal wrinkles.

Nonlinear analyses of wrinkles in a film bonded to a compliant substrate

https://imechanica.org/files/gel_in_equilibrium_2008_05_06%20submit.pdf

Inhomogeneous swelling of a gel in equilibrium with a solvent and mechanical load

When a voltage is applied to a layer of a dielectric elastomer, the layer reduces in thickness and expands in area. A recent experiment has shown that the homogeneous deformation of the layer can be unstable, giving way to an inhomogeneous deformation, such that regions of two kinds coexist in the layer, one being flat and the other wrinkled. To analyze this instability, we construct for a class of model materials, which we call ideal dielectric elastomers, a free-energy function comprising contributions from stretching and polarizing. We show that the free-energy function is typically non-convex, causing the elastomer to undergo a discontinuous transition from a thick state to a thin state. When the two states coexist in the elastomer, a region of the thin state has a large area, and wrinkles when constrained by nearby regions of the thick state. We show that an elastomer described by the Gaussian statistics cannot stabilize the thin state, but a stiffening elastomer near the extension limit can. We further show that the instability can be tuned by the density of cross links and the state of stress.

/pdf/electromechanical-hysteresis-and-coexistent-states-in-4ewpcpdug8.pdf

Electromechanical hysteresis and coexistent states in dielectric elastomers

Many engineering devices and natural phenomena involve gels that swell under the constraint of hard materials. The constraint causes a field of stress in a gel, and often makes the swelling inhomogeneous even when the gel reaches a state of equilibrium. This paper develops a theory of constrained swelling of a pH-sensitive hydrogel, a network of polymers bearing acidic groups, in equilibrium with an aqueous solution and mechanical forces. The condition of equilibrium is expressed as a variational statement of the inhomogeneous field. A free-energy function accounts for the stretching of the network, mixing of the network with the solution, and dissociation of the acidic groups. Within a Legendre transformation, the condition of equilibrium for the pH-sensitive hydrogel is equivalent to that for a hyperelastic solid. The theory is first used to compare several cases of homogenous swelling: a free gel, a gel attached to a rigid substrate, and a gel confined in three directions. To analyze inhomogeneous swelling, we implement a finite element method in the commercial software ABAQUS, and illustrate the method with a layer of the gel coated on a spherical rigid particle, and a pH-sensitive valve in microfluidics.

/pdf/a-theory-of-constrained-swelling-of-a-ph-sensitive-hydrogel-52onyrlfxj.pdf

Wei Hong

Papers

A theory of coupled diffusion and large deformation in polymeric gels

Nonlinear analyses of wrinkles in a film bonded to a compliant substrate

Inhomogeneous swelling of a gel in equilibrium with a solvent and mechanical load

Electromechanical hysteresis and coexistent states in dielectric elastomers

A theory of constrained swelling of a pH-sensitive hydrogel†‡