Wood Cell Wall Nanoengineering toward Anisotropic, Strong, and Flexible Cellulosic Hydrogel Sensors.

Achieving highly ionic conductive hydrogels from natural wood remains challenging owing to their insufficient surface area and low number of active sites on the cell wall. This study proposes a viable strategy to design a strong and anisotropic wood-based hydrogel through cell wall nanoengineering. By manipulating the microstructure of the wood cell wall, a flexible cellulosic hydrogel is achieved through Schiff base bonding via the polyacrylamide and cellulose molecular chains.

Effect of High-Intensity vs Low-Intensity Noninvasive Positive Pressure Ventilation on the Need for Endotracheal Intubation in Patients With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease: The HAPPEN Randomized Clinical Trial.

Importance: The effect of high-intensity noninvasive positive pressure ventilation (NPPV) on the need for endotracheal intubation in patients with an acute exacerbation of chronic obstructive pulmonary disease (COPD) is unknown.

Objective: To determine whether the use of high-intensity NPPV vs low-intensity NPPV reduces the need for endotracheal intubation in patients with an acute exacerbation of COPD and hypercapnia.

Design, Setting, And Participants: Randomized clinical trial conducted at 30 general respiratory non-intensive care unit wards of Chinese hospitals from January 3, 2019, to January 31, 2022; the last 90-day follow-up was on April 22, 2022.