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AbstractObjectiveTo assess efficacy and safety of laughter exercise in patients with symptomatic dry eye disease.DesignNon-inferiority randomised controlled trial.SettingRecruitment was from clinics and community and the trial took place at Zhongshan Ophthalmic Center, Sun Yat-sen University, the largest ophthalmic centre in China, between 18 June 2020 to 8 January 2021.ParticipantsPeople with symptomatic dry eye disease aged 18-45 years with ocular surface disease index scores ranging from 18 to 80 and tear film break-up time of eight seconds or less.InterventionsParticipants were randomised 1:1 to receive laughter exercise or artificial tears (0.1% sodium hyaluronic acid eyedrop, control group) four times daily for eight weeks. The laughter exercise group viewed an instructional video and participants were requested to vocalise the phrases “Hee hee hee, hah hah hah, cheese cheese cheese, cheek cheek cheek, hah hah hah hah hah hah” 30 times per five minute session. Investigators assessing study outcomes were masked to group assignment but participants were unmasked for practical reasons.Main outcome measuresThe primary outcome was the mean change in the ocular surface disease index (0-100, higher scores indicating worse ocular surface discomfort) from baseline to eight weeks in the per protocol population. The non-inferiority margin was 6 points of this index score. Main secondary outcomes included the proportion of patients with a decrease from baseline in ocular surface disease index score of at least 10 points and changes in dry eye disease signs, for example, non-invasive tear break up time at eight weeks.Results299 participants (mean age 28.9 years; 74% female) were randomly assigned to receive laughter exercise (n=149) or 0.1% sodium hyaluronic acid (n=150). 283 (95%) completed the trial. The mean change in ocular surface disease index score at eight weeks was −10.5 points (95% confidence interval (CI) −13.1 to −7.82) in the laughter exercise group and −8.83 (−11.7 to −6.02) in the control group. The upper boundary of the CI for difference in change between groups was lower than the non-inferiority margin (mean difference −1.45 points (95% CI −5.08 to 2.19); P=0.43), supporting non-inferiority. Among secondary outcomes, the laughter exercise was better in improving non-invasive tear break up time (mean difference 2.30 seconds (95% CI 1.30 to 3.30), P<0.001); other secondary outcomes showed no significant difference. No adverse events were noted in either study group.ConclusionsThe laughter exercise was non-inferior to 0.1% sodium hyaluronic acid in relieving subjective symptoms in patients with dry eye disease with limited corneal staining over eight weeks intervention.Trial registrationClinicalTrials.gov NCT04421300.

The fundamental mechanisms of solid lubrication are reviewed with examples from well-known solid lubricants like the transition metal dichalcogenides and diamond-like carbon families of coatings. Solid lubricants are applied either as surface coatings or as fillers in self-lubricating composites. Tribological (friction and wear) contacts with solid lubricant coatings typically result in transfer of a thin layer of material from the surface of the coating to the counterface, commonly known as a transfer film or tribofilm. The wear surfaces can exhibit different chemistry, microstructure, and crystallographic texture from those of the bulk coating due to surface chemical reactions with the surrounding environment. As a result, solid lubricant coatings that give extremely low friction and long wear life in one environment can fail to do so in a different environment. Most solid lubricants exhibit non-Amontonian friction behavior with friction coefficients decreasing with increasing contact stress. The main mechanism responsible for low friction is typically governed by interfacial sliding between the worn coating and the transfer film. Strategies are discussed for the design of novel coating architectures to adapt to varying environments.

Dry eye disease (DED) is the most common ocular surface disease, characterized by insufficient production and/or instability of the tear film. Tear substitutes are usually the first line of treatment for patients with DED. Despite the large variety of tear substitutes available on the market, few studies have been performed to compare their performance. There is a need to better understand the specific mechanical and pharmacological roles of each ingredient composing the different formulations. In this review, we describe the main categories of ingredients composing tear substitutes (e.g., viscosity-enhancing agents, electrolytes, osmo-protectants, antioxidants, lipids, surfactants and preservatives) as well as their effects on the ocular surface, and we provide insight into how certain components of tear substitutes may promote corneal wound healing, and/or counteract inflammation. Based on these considerations, we propose an approach to select the most appropriate tear substitute formulations according to the predominant etiological causes of DED.

Wear debris monitoring of lubricant oil is an important method to determine the health and failure mode of key components such as bearings and gears in rotatory machines. The permittivity of lubricant oil can be changed when the wear debris enters the oil. Capacitive sensing methods showed potential in monitoring debris in lubricant due to the simple structure and good response. In order to improve the detection sensitivity and reliability, this study proposes a new coaxial capacitive sensor network featured with parallel curved electrodes and non-parallel plane electrodes. As a kind of through-flow sensor, the proposed capacitive sensor network can be in situ integrated into the oil pipeline. The theoretical models of sensing mechanisms were established to figure out the relationship between the two types of capacitive sensors in the sensor network. The intensity distributions of the electric field in the coaxial capacitive sensor network are simulated to verify the theoretical analysis, and the effects of different debris sizes and debris numbers on the capacitance values were also simulated. Finally, the theoretical model and simulation results were experimentally validated to verify the feasibility of the proposed sensor network.

The range of lubricant applications has broadened to include multiple sectors, aiming to optimize the operational efficiency of mechanical systems. Given their adaptable friction-reducing properties, lubricants have recently been incorporated into energy harvesting technologies such as triboelectric nanogenerators (TENGs). In such devices, lubricants are essential for mitigating wear, facilitating heat dissipation, eliminating contaminants, and prolonging the service life of mechanically actuated energy harvesters. Notably, emerging developments in sliding and rotational-mode TENGs leverage lubricants to improve electrical output while reducing interface degradation. However, despite significant potential, TENGs still face inherent challenges, including interface friction and energy losses from air breakdown. Recent research indicates that these drawbacks can be effectively addressed by the intentional use of polymer-based lubricants, which contribute to maintaining micro/nanostructured surfaces and minimizing air breakdown, thereby enhancing charge storage capability and increasing device robustness. This review systematically examines the categories, physicochemical attributes, and operational roles of polymeric lubricants used in TENG technology. It underscores their combined function is both primary and support materials to augment triboelectric efficiency. In addition, the article assesses how different lubricants impact device performance and durability, providing a critical analysis of their suitability based on the operational benchmarks of lubricant-embedded TENG configurations.

Extreme pressure (EP) and antiwear (AW) additives are necessary for boundary lubrication. However, their mechanisms and physical and chemical properties remain unclear. EP and AW additives were reviewed to fill gaps in theoretical and industrial applications. Compounds containing chlorine, sulfur, and phosphorus elements were first used in boundary lubrication because of thermal reaction with metal to form film characteristics. First, the mechanisms of traditional EP and AW additives were analyzed, the physical and chemical properties were compared, and properties affecting factors were studied. Traditional EP and AW additives are not environmentally friendly, but nanoparticle EP and AW additives are excellent substitutes. The mechanisms of nanoparticle EP and AW additives were summarized. The influence of nanoparticle structure parameters, concentration, and media polarity on properties was studied. Second, the influence law of non-polar chain length on traditional EP and AW additives was revealed. The improvement interval of traditional EP and AW additives on the performance of the base fluid was determined. The structural advantage of low crystallinity onion-like and multilayer sheet-like low wrinkle effect of nanoparticles was explained. The particle size design principle attached to the surface roughness and size-dependent melting inhibition mechanism was established. The influence of concentration and media polarity on nanoparticle properties was obtained. Finally, the research of minimum amount matching database and mathematical selection model for traditional EP and AW additives and the molecular dynamics analysis of surface-modified nanoparticles and the development of green general-purpose additives based on molecular design are prospected.

Water-based lubricants (WBLs) have been at the forefront of recent research, due to the abundant availability of water at a low cost. However, in metallic tribo-systems, WBLs often exhibit poor performance compared to petroleum-based lubricants. Research and development indicate that nano-additives improve the lubrication performance of water. Some of these additives could be categorized as solid nanoparticles, ionic liquids, and bio-based oils. These additives improve the tribological properties and help to reduce friction, wear, and corrosion. This review explored different water-based lubricant additives and summarized their properties and performances. Viscosity, density, wettability, and solubility are discussed to determine the viability of using water-based nano-lubricants compared to petroleum-based lubricants for reducing friction and wear in machining. Water-based liquid lubricants also have environmental benefits over petroleum-based lubricants. Further research is needed to understand and optimize water-based lubrication for tribological systems completely.

BackgroundDry eye disease (DED) affects more than 14% of the elderly population causing decrease of quality of life, high costs and vision impairment. Current treatments for DED aim at lubricating and controlling inflammation of the ocular surface. Development of novel therapies targeting different pathogenic mechanisms is sought-after. The aim of this study is to evaluate safety and efficacy of recombinant human nerve growth factor (rhNGF) eye drops in patients with DED.MethodsForty consecutive patients with moderate to severe DED were included in a phase IIa, prospective, open label, multiple-dose, clinical trial to receive rhNGF eye drops at 20 µg/mL (Group 1: G1) or at 4 µg/mL (Group 2: G2) concentrations, two times a day in both eyes for 28 days (NCT02101281). The primary outcomes measures were treatment-emerged adverse events (AE), Symptoms Assessment in Dry Eye (SANDE) scale, ocular surface staining and Schirmer test.ResultsOf 40 included patients, 39 completed the trial. Both tested rhNGF eye drop concentrations were safe and well tolerated. Twenty-nine patients experienced at least one AE (14 in G1 and 15 in G2), of which 11 had at least 1 related AE (8 in G1 and 3 in G2). Both frequency and severity of DED symptoms and ocular surface damage showed significant improvement in both groups, while tear function improved only in G1.ConclusionsThe data of this study indicate that rhNGF eye drops in both doses is safe and effective in improving symptoms and signs of DED. Randomised clinical trials are ongoing to confirm the therapeutic benefit of rhNGF in DED.Trial registration number NCT02101281.

With the aim of developing a wear-resistant ultraviolet (UV)-cured self-lubricating coating, this study investigated the impact of matrix components and lubricants on UV-cured interpenetrating polymer network-polyurethane acrylate (IPN-PUA) self-lubricating coatings. Four coatings with different monomer combinations were prepared, using isophorone diisocyanate (IPDI) or tolylene-2,4-diisocyanate (TDI) in combination with hydroxypropyl acrylate (HPA) or 2-hydroxyethyl acrylate (HEA). These coatings were denoted as IPDI-HPA, IPDI-HEA, TDI-HPA, and TDI-HEA, respectively. The surface morphologies, compositions, friction and wear properties, as well as the comprehensive performances were investigated. The results indicated that IPDI-HPA had the lowest surface roughness and that TDI-HEA had the smallest wear rate, while TDI-HPA showed the best overall performance (roughness of 1.485 μm, coefficient of friction (COF) of 0.746, and wear rate of 10.64 × 10−14 m3/N·m). With TDI-HPA as the matrix, graphite and polytetrafluoroethylene (PTFE) particles of different sizes were added as lubricants. The T-P-25F (TDI-HPA coating with 25 μm sized PTFE) coating had self-lubricating capabilities, as was manifested by a friction coefficient of 0.395, which was 47% lower than that of the pure TDI-HPA coating, and it simultaneously showed outstanding wear-resistance performance. The wear rate of the T-P-25F coating was 3.97 × 10−14 m3/N·m, 62.7% lower than that of the pure TDI-HPA coating. This research provides valuable guidance for optimizing the performance of such coatings and yields a self-lubricating coating with excellent wear resistance.

Corneal abrasion is a frequent complication in critically ill, intubated patients, potentially leading to visual impairment. This study compares the efficacy of three ocular care methods in preventing corneal abrasion among this vulnerable population. We conducted a randomized controlled trial involving 156 intubated adult patients admitted to the ICU. Participants were randomly allocated to one of three intervention groups (n = 52 per group): (1) polyethylene cover only, (2) polyethylene cover with artificial tear drops, and (3) polyethylene cover with Lubratex eye ointment. One eye per patient was randomly assigned as the control, receiving standard ICU eye care. Daily assessments over five days included a standardized dryness and corneal abrasion checklist, graded strip evaluation of eye dryness, and documentation of corneal abrasion incidence. Data were analyzed using descriptive and inferential statistics (SPSS-18). The incidence of corneal abrasion was significantly lower in the group receiving polyethylene cover with Lubratex eye ointment (4%) compared to the polyethylene cover with artificial tears group (36%, p < 0.001) and the polyethylene cover only group (60%, p < 0.001). The combined application of a polyethylene cover with Lubratex eye ointment effectively prevents corneal abrasion in intubated ICU patients. This method demonstrates superior efficacy compared to polyethylene covers used alone or with artificial tears. We recommend its implementation as standard practice for corneal abrasion prophylaxis in this high-risk population. Trial Registration . This study is registered with the Iranian Registry of Clinical Trials (IRCT201506294736N8) and can be accessed at www.IRCT.ir .