Objective: To provide clinical management guidelines for novel coronavirus in pregnancy. Methods:On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID-19 infection in pregnancy were discussed. Results:Ten key recommendations were provided for the management of COVID-19 infections in pregnancy. Conclusion:Currently, there is no clear evidence regarding optimal delivery timing, the safety of vaginal delivery, or whether cesarean delivery prevents vertical transmission at the time of delivery; therefore, route of delivery and delivery timing should be individualized based on obstetrical indications and maternal-fetal status.

Soft tubular actuators can be widely found both in nature and in engineering applications. The benefits of tubular actuators include (i) multiple actuation modes such as contraction, bending, and expansion; (ii) facile fabrication from a planar sheet; and (iii) a large interior space for accommodating additional components or for transporting fluids. Most recently developed soft tubular actuators are driven by pneumatics, hydraulics, or tendons. Each of these actuation modes has limitations including complex fabrication, integration, and nonuniform strain. Here, we design and construct soft tubular actuators using an emerging artificial muscle material that can be easily patterned with programmable strain: liquid crystal elastomer. Controlled by an externally applied electrical potential, the tubular actuator can exhibit multidirectional bending as well as large (~40%) homogenous contraction. Using multiple tubular actuators, we build a multifunctional soft gripper and an untethered soft robot.

Automatic classification of tissue types of region of interest (ROI) plays an important role in computer-aided diagnosis. In the current study, we focus on the classification of three types of brain tumors (i.e., meningioma, glioma, and pituitary tumor) in T1-weighted contrast-enhanced MRI (CE-MRI) images. Spatial pyramid matching (SPM), which splits the image into increasingly fine rectangular subregions and computes histograms of local features from each subregion, exhibits excellent results for natural scene classification. However, this approach is not applicable for brain tumors, because of the great variations in tumor shape and size. In this paper, we propose a method to enhance the classification performance. First, the augmented tumor region via image dilation is used as the ROI instead of the original tumor region because tumor surrounding tissues can also offer important clues for tumor types. Second, the augmented tumor region is split into increasingly fine ring-form subregions. We evaluate the efficacy of the proposed method on a large dataset with three feature extraction methods, namely, intensity histogram, gray level co-occurrence matrix (GLCM), and bag-of-words (BoW) model. Compared with using tumor region as ROI, using augmented tumor region as ROI improves the accuracies to 82.31% from 71.39%, 84.75% from 78.18%, and 88.19% from 83.54% for intensity histogram, GLCM, and BoW model, respectively. In addition to region augmentation, ring-form partition can further improve the accuracies up to 87.54%, 89.72%, and 91.28%. These experimental results demonstrate that the proposed method is feasible and effective for the classification of brain tumors in T1-weighted CE-MRI.

A rhodamine-based molecule, Rh-OH, is synthesized. Rh-OH exhibits a reversible mechanochromic luminescent character but a passivating response to UV light. An elastomeric polymer film based on polyurethane with embedded Rh-OH is prepared via a polycondensation reaction. The film shows mechanochromic and photochromic properties with reversible color change, which originates from the isomerization of the Rh-OH molecule from a twisted spirolactam in the ring-closed form to a planarized zwitterionic structure in the ring-open state.

A liquid crystal elastomer (LCE) can be regarded as an integration of mesogenic molecules into a polymer network. The LCE can generate large mechanical actuation when subjected to various external stimuli. Recently, it has been extensively explored to make artificial muscle and multifunctional devices. However, in the commonly adopted two-step crosslinking method for synthesizing monodomain LCEs, the LCE needs to be well-cross-linked in the first step before stretching, which increases the disorder of mesogenic molecules in the final state of the LCE and makes it very challenging to fabricate the LCE of complex shapes. In this article, we developed a new LCE with disulfide bonds, which can be reprogrammed from the polydomain state to the monodomain state either through heating or UV illumination, owing to the rearrangement of the polymer network induced by the metathesis reaction of disulfide bonds. In addition, the newly developed LCE can be easily reprocessed and self-healed by heating. Because of the excellent reprogrammability as well as reprocessability of the LCE, we further fabricated LCE-based active micropillar arrays through robust imprint lithography, which can be hardly achieved using the LCE prepared previously. Finally, we showed an excellent long-term durability of the newly developed LCE.

ObjectivePre-eclampsia (PE) is one of the malignant metabolic diseases that complicate pregnancy. Gut dysbiosis has been identified for causing metabolic diseases, but the role of gut microbiome in the pathogenesis of PE remains unknown.DesignWe performed a case–control study to compare the faecal microbiome of PE and normotensive pregnant women by 16S ribosomal RNA (rRNA) sequencing. To address the causative relationship between gut dysbiosis and PE, we used faecal microbiota transplantation (FMT) in an antibiotic-treated mouse model. Finally, we determined the microbiome translocation and immune responses in human and mouse placental samples by 16S rRNA sequencing, quantitative PCR and in situ hybridisation.ResultsPatients with PE showed reduced bacterial diversity with obvious dysbiosis. Opportunistic pathogens, particularly Fusobacterium and Veillonella, were enriched, whereas beneficial bacteria, including Faecalibacterium and Akkermansia, were markedly depleted in the PE group. The abundances of these discriminative bacteria were correlated with blood pressure (BP), proteinuria, aminotransferase and creatinine levels. On successful colonisation, the gut microbiome from patients with PE triggered a dramatic, increased pregestational BP of recipient mice, which further increased after gestation. In addition, the PE-transplanted group showed increased proteinuria, embryonic resorption and lower fetal and placental weights. Their T regulatory/helper-17 balance in the small intestine and spleen was disturbed with more severe intestinal leakage. In the placenta of both patients with PE and PE-FMT mice, the total bacteria, Fusobacterium, and inflammatory cytokine levels were significantly increased.ConclusionsThis study suggests that the gut microbiome of patients with PE is dysbiotic and contributes to disease pathogenesis.

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Fibers capable of generating axial contraction are commonly seen in nature and engineering applications. Despite the broad applications of fiber actuators, it is still very challenging to fabricate fiber actuators with combined large actuation strain, fast response speed, and high power density. Here, we report the fabrication of a liquid crystal elastomer (LCE) microfiber actuators using a facile electrospinning technique. Owing to the extremely small size of the LCE microfibers, they can generate large actuation strain (~60 percent) with a fast response speed (<0.2 second) and a high power density (400 watts per kilogram), resulting from the nematic-isotropic phase transition of liquid crystal mesogens. Moreover, no performance degradation is detected in the LCE microfibers after 106 cycles of loading and unloading with the maximum strain of 20 percent at high temperature (90 degree Celsius). The small diameter of the LCE microfiber also results in a self-oscillatory behavior in a steady temperature field. In addition, with a polydopamine coating layer, the actuation of the electrospun LCE microfiber can be precisely and remotely controlled by a near-infrared laser through photothermal effect. Using the electrospun LCE microfiber actuator, we have successfully constructed a microtweezer, a microrobot, and a light-powered microfluidic pump.