A nomogram based on lymphocyte percentage for predicting hospital mortality in exertional heatstroke patients: a 13-year retrospective study

BACKGROUND: Exertional heatstroke(EHS) is a life-threatening disease without ideal prognostic markers for predicting hospital mortality.METHODS: This is a single-center retrospective study. Clinical data from EHS patients admitted to the Intensive Care Unit(ICU) of the General Hospital of Southern Theatre Command between January 1, 2008, and December 31, 2020, were recorded and analyzed. Univariate and multivariate logistic regression were used to identify the factors for mortality. The prediction model was developed with the prognostic markers, and a nomogram was established.RESULTS: The study ultimately enrolled 156 patients, and 15(9.6%) of patients died before discharge. The lymphocyte count(Lym) and percentage(Lym%) were significantly lower in nonsurvivors(P<0.05). The univariate and multivariate logistic regression analyses indicated that Lym% at the third day of admission(Lym% D3)(OR=0.609, 95%CI: 0.454–0.816) and hematocrit(HCT)(OR=0.908, 95%CI: 0.834–0.988) were independent protective factors for hospital mortality. A nomogram incorporating Lym% D3 with HCT was developed and demonstrated good discrimination and calibration ability. The comparison between the prediction model and scoring systems revealed that the prediction model had the largest area under the curve(AUC)(0.948, 95%CI: 0.900–0.977), with 100.00% sensitivity and 83.69% specificity, and a greater clinical net benefit.CONCLUSION: Severe EHS patients had a higher risk of experiencing prolonged lymphopenia. A nomogram based on Lym% D3 and HCT was developed to facilitate early identification and timely treatment of patients with potentially unfavorable prognoses.

Approaching High-Performance Lithium Storage Materials by Constructing Hierarchical CoNiO_(2)@CeO_(2)Nanosheets

In this work,the hierarchical CoNiO_(2)@CeO_(2)nanosheet composites were successfully prepared by a one-step hydrothermal process with a subsequent annealing process for the first time.The CeO_(2)nanoparticles successfully deposit on the surface of CoNiO_(2)nanosheet,and benefit the improvement of electrical contact between CoNiO_(2)and CeO_(2).CeO_(2)modification improve the reversibility of insertion/extraction of Li-ions and electrochemical reaction activity,and promotes the transport of Li-ions.Benefited of the unique architecture and component,the CoNiO_(2)@CeO_(2)nanosheet composites show high-reversible capacities,excellent cycling stability and good rate capability.The CoNiO_(2)@CeO_(2)(5.0 wt%)shows a charge/discharge capacity of 867.1/843.2 m Ah g^(-1)after 600 cycles at 1 A g^(-1),but the pristine CoNiO_(2)@CeO_(2)nanosheet only delivers a charge/discharge capacity of 516.9/517.6 m Ah g^(-1)after 500 cycles.The first-principles calculation reveals that valid interfaces between CeO_(2)and NiCoO_(2)can be formed,and the formation process of the interfaces is exothermic.The strong interfacial interaction resulting in an excellent structure stability and thus a cycling stability of the CoNiO_(2)@CeO_(2)material.This work provides an effective strategy to develop highperformance anode materials for advanced a lithium-ion battery,and the CoNiO_(2)@CeO_(2)nanosheet shows a sizeable potential as an anode material for next generation of high-energy Li-ion batteries.

Ferrocene-induced switchable preparation of metal-nonmetal codoped tungsten nitride and carbide nanoarrays for electrocatalytic HER in alkaline and acid media

Transition metal nitride/carbide(TMN/C)have been actively explored as low-cost hydrogen evolution reaction(HER)electrocatalysts owing to their Pt-like physical and chemical properties.Unfortunately,pure TMN/C suffers from strong hydrogen adsorption and lacks active centers for water dissociation.Herein,we developed a switchable WO_(3)-based in situ gas–solid reaction for preparing sophisticated Fe-N doped WC and Fe-C doped WN nanoarrays.Interestingly,the switch of codoping and phase can be effectively manipulated by regulating the amount of ferrocene.Resultant Fe-C-WN and Fe-N-WC exhibit robust electrocatalytic performance for HER in alkaline and acid electrolytes,respectively.The collective collaboration of morphological,phase and electronic effects are suggested to be responsible for the superior HER activity.The smallest|ΔGH*|value of Fe-NWC indicates preferable hydrogen-evolving kinetics on the Fe-N-WC surface for HER under acid condition,while Fe-C-WN is suggested to be beneficial to the adsorption and dissociation of H_(2)O for HER in alkaline electrolyte.

Self-standing Na-storage anode of Fe2O3 nanodots encapsulated in porous N-doped carbon nanofibers with ultra-high cyclic stability

Ultrasmall y-Fe203 nanodots （- 3.4 nm） were homogeneously encapsulated in interlinked porous N-doped carbon nanofibers （labeled as Fe2O3@C） at a considerable loading （-51 wt.%） via an electrospinning technique. Moreover, the size and content of Fe2O3 could be controlled by adjusting the synthesis conditions. The obtained Fe203@C that functioned as a self-standing membrane was used directly as a binder- and current collector-free anode for sodium-ion batteries, displaying fascinating electrochemical performance in terms of the exceptional rate capability （529 mA.h.gq at 100 mA-g-1 compared with 215 mA-h-g-1 at 10,000 mA.g-1） and unprecedented cyclic stability （98.3% capacity retention over 1,000 cycles）. Furthermore, the Na-ion full cell constructed with the Fe2O3C anode and a P2-Na2/3Ni1/3Mn2/302 cathode also exhibited notable durability with 97.2% capacity retention after 300 cycles. This outstanding performance is attributed to the distinctive three-dimensional network structure of the very-fine Fe203 nanoparticles uniformly embedded in the interconnected porous N-doped carbon nanofibers that effectively facilitated electronic/ionic transport and prevented active materials pulverization/aggregation caused by volume change upon prolonged cycling. The simple and scalable preparation route, as well as the excellent electrochemical performance, endows the Fe2O3@C nanofibers with great prospects as high-rate and long-life Na-storage anode materials.

Specific biotests to assess eco-toxicity of biodegradable polymer materials in soil

Eco-toxicity investigation of polymer materials was considered extremely necessary for their potential menace,which was widely use as mulching materials in agricultural.In this study,polyethylene(PE),polystyrene(PS)and synthetic biomaterials-Ecoflex and cellulose were applying into soil cultivated with two potential indicator plants species:oat(A v ena sati v a)and red radish(Raphanus sativum).Variety of chemical,biochemical parameters and enzyme activity in soil were proved as effective approach to evaluate polymers phytotoxicity in plant-soil mesocosm.The F-value of biomass,pH,heavy metal and electoral conductivity of Raphanus behaved significant different from T0.Significant analysis results indicated biodegradation was fast in PE than PS,besides,heavy metals were dramatically decrease in the end implied the plant absorption may help decrease heavy metal toxicity.The increase value at T2 of Dehydrogenase activity(0.84 higher than average value for Avena&0.91 higher for Raphanus),Metabolic Index(3.12 higher than average value for Avena&3.81 higher for Raphanus)means during soil enzyme activity was promoted by biodegradation for its heterotrophic organisms’energy transportation was stimulated.Statistics analysis was carried on Biplot PC1(24.2%of the total variance),PC2(23.2%of the total variance),versus PC3(22.8%of the total variance),which indicated phosphatase activity and metabolic index was significant correlated,and high correlation of ammonium and protease activity.Furthermore,the effects were more evident in Raphanus treatments than in Avena,suggesting the higher sensitivity of Raphanus to polymers treatment,which indicate biodegradation of polymers in Raphanus treatment has produced intermediate phytotoxic compounds.

Low-dose exposure to graphene oxide significantly increases the metal toxicity to macrophages by altering their cellular priming state

Owing to the novel physicochemical properties of graphene, materials such as graphene oxide （GO） are being developed for applications in various fields such as biomedicine. Nonetheless, considerable knowledge gaps still exist regarding the impact of GOs on environmental health and safety （EHS）. Thus far, its secondary toxicity, synergistic effects, and mal-adaption have not been focused much upon. Here, we show that at low concentrations （that did not directly result in significant cytotoxicity）, GO could greatly enhance metal toxicity in macrophages by altering their cellular priming state. Specificall）~ GO caused impairments to the cellular morphology and membrane integrity of macrophages, and remarkably enhanced the cellular uptake of Cd and other non-essential metal ions （such as Hg and Gd）. Furthermore, upon low-dose GO pre-treatment, the uptake of Cd at a non-toxic concentration brought about a remarkable amount of oxidative stress in macrophages, and ultimately resulted in increased cell death. Mechanistic investigations illustrated that GO pre-treatment triggered cell death through apoptosis because of Cd exposure. Overall this study＇s results reveal a new path for understanding the impact of GOs on EHS through the perspective of its synergistic and secondary effects, previously unidentified mechanisms via which nanomaterials might pose detrimental effects on organisms.