目的·构建成人重症监护病房(intensive care unit,ICU)患者转出后(ICU后患者)的早期症状网络;辨别网络中的核心症状和桥梁症状,对比综合ICU和心脏监护病房(coronary care unit,CCU)2个亚组的症状网络,分析症状的发生情况。方法...目的·构建成人重症监护病房(intensive care unit,ICU)患者转出后(ICU后患者)的早期症状网络;辨别网络中的核心症状和桥梁症状,对比综合ICU和心脏监护病房(coronary care unit,CCU)2个亚组的症状网络,分析症状的发生情况。方法·于2022年12月—2023年8月,从上海交通大学医学院附属第一人民医院综合ICU和CCU转入普通病房3 d(±48 h)的成人患者中方便抽样328例。采用患者一般情况和临床资料调查表、症状调查问卷(由医院焦虑抑郁量表、疲劳严重程度量表、理查兹-坎贝尔睡眠量表、疼痛数字评分法组成)对患者进行调查。基于Spearman相关性分析和GLASSO算法构建同期症状网络,计算网络的中心性指标,对比亚组症状网络的差异,并进行网络的边线准确性和中心性指标稳定性检验。结果·共收集有效问卷302份,问卷有效率92.1%。中心性指标计算结果显示,ICU后患者的早期症状网络中,强度最高的是“感到振奋和愉快”(rS=1.145),紧密性最高的是“对以往感兴趣的事情仍然有兴趣”(rC=1.851×10^(−3)),预期影响最高的是“疲劳影响体能”(rE=1.143)。桥梁强度前3位的是“心中充满烦恼”(rb=10.392)、“对以往感兴趣的事情仍然有兴趣”(rb=10.359)和疼痛(rb=10.221)。综合ICU和CCU患者转入普通病房后的早期症状网络在网络结构(M=0.289)和整体连接强度(GS综合ICU=13.876,GSCCU=13.838;S=0.039)上差异无统计学意义;对比亚组的中心性指标,除5个症状表现的强度和预期影响差异有统计学意义(均P<0.05)外,其他指标间差异均无统计学意义。ICU后患者早期症状网络的边线准确性和中心性指标稳定性良好。结论·成人ICU后患者早期的核心症状为焦虑和抑郁,疼痛是桥梁症状之一。综合ICU和CCU患者转出后的早期症状发生情况差异不大。医护人员要关注ICU后患者早期的不适症状,针对性开展干预以提升患者的舒适体验,促进其康复进程。展开更多
Metal sulfides are a class of promising anode materials for sodium-ion batteries(SIBs)owing to their high theoretical specific capacity.Nevertheless,the reactant products(polysulfides)could dissolve into electrolyte,s...Metal sulfides are a class of promising anode materials for sodium-ion batteries(SIBs)owing to their high theoretical specific capacity.Nevertheless,the reactant products(polysulfides)could dissolve into electrolyte,shuttle across separator,and react with sodium anode,leading to severe capacity loss and safety concerns.Herein,for the first time,gallium(Ga)-based liquid metal(LM)alloy is incorporated with MoS_(2)nanosheets to work as an anode in SIBs.The electron-rich,ultrahigh electrical conductivity,and self-healing properties of LM endow the heterostructured MoS_(2)-LM with highly improved conductivity and electrode integrity.Moreover,LM is demonstrated to have excellent capability for the adsorption of polysulfides(e.g.,Na_(2)S,Na_(2)S_(6),and S_(8))and subsequent catalytic conversion of Na_(2)S.Consequently,the MoS_(2)-LM electrode exhibits superior ion diffusion kinetics and long cycling performance in SIBs and even in lithium/potassium-ion battery(LIB/PIB)systems,far better than those electrodes with conventional binders(polyvinylidene difluoride(PVDF)and sodium carboxymethyl cellulose(CMC)).This work provides a unique material design concept based on Ga-based liquid metal alloy for metal sulfide anodes in rechargeable battery systems and beyond.展开更多
Renewable energy driven N_(2) electroreduction with air as nitrogen source holds great promise for realizing scalable green ammonia production.However,relevant out-lab research is still in its infancy.Herein,a novel S...Renewable energy driven N_(2) electroreduction with air as nitrogen source holds great promise for realizing scalable green ammonia production.However,relevant out-lab research is still in its infancy.Herein,a novel Sn-based MXene/MAX hybrid with abundant Sn vacancies,Sn@Ti_(2)CTX/Ti_(2)SnC–V,was synthesized by controlled etching Sn@Ti_(2)SnC MAX phase and demonstrated as an efficient electrocatalyst for electrocatalytic N2 reduction.Due to the synergistic effect of MXene/MAX heterostructure,the existence of Sn vacancies and the highly dispersed Sn active sites,the obtained Sn@Ti2CTX/Ti_(2)SnC–V exhibits an optimal NH_(3) yield of 28.4μg h^(−1) mg_(cat)^(−1) with an excellent FE of 15.57% at−0.4 V versus reversible hydrogen electrode in 0.1 M Na_(2)SO_(4),as well as an ultra-long durability.Noticeably,this catalyst represents a satisfactory NH3 yield rate of 10.53μg h^(−1) mg^(−1) in the home-made simulation device,where commercial electrochemical photovoltaic cell was employed as power source,air and ultrapure water as feed stock.The as-proposed strategy represents great potential toward ammonia production in terms of financial cost according to the systematic technical economic analysis.This work is of significance for large-scale green ammonia production.展开更多
Using angle-resolved photoemission spectroscopy and density functional theory calculations methods,we investigate the electronic structures and topological properties of ternary tellurides NbIrTe_(4),a candidate for t...Using angle-resolved photoemission spectroscopy and density functional theory calculations methods,we investigate the electronic structures and topological properties of ternary tellurides NbIrTe_(4),a candidate for type-II Weyl semimetal.We demonstrate the presence of several Fermi arcs connecting their corresponding Weyl points on both termination surfaces of the topological material.Our analysis reveals the existence of Dirac points,in addition to Weyl points,giving both theoretical and experimental evidences of the coexistence of Dirac and Weyl points in a single material.These findings not only confirm NbIrTe_(4) as a unique topological semimetal but also open avenues for exploring novel electronic devices based on its coexisting Dirac and Weyl fermions.展开更多
We report the detailed crystal structures and physical properties of Ru_(1-x)Mo_(x)alloys in the solid solution range of x=0.1-0.9.Structure characterizations indicate that the crystal structure changes from the hcp-M...We report the detailed crystal structures and physical properties of Ru_(1-x)Mo_(x)alloys in the solid solution range of x=0.1-0.9.Structure characterizations indicate that the crystal structure changes from the hcp-Mg-type,toβ-CrFe-type,and then bcc-W-type.The measurements of physical properties show that the Ru_(1-x)Mo_(x)samples with x≥0.2are superconductors and the superconducting transition temperature T_c as a function of Mo content exhibits a dome-like behavior.展开更多
文摘目的·构建成人重症监护病房(intensive care unit,ICU)患者转出后(ICU后患者)的早期症状网络;辨别网络中的核心症状和桥梁症状,对比综合ICU和心脏监护病房(coronary care unit,CCU)2个亚组的症状网络,分析症状的发生情况。方法·于2022年12月—2023年8月,从上海交通大学医学院附属第一人民医院综合ICU和CCU转入普通病房3 d(±48 h)的成人患者中方便抽样328例。采用患者一般情况和临床资料调查表、症状调查问卷(由医院焦虑抑郁量表、疲劳严重程度量表、理查兹-坎贝尔睡眠量表、疼痛数字评分法组成)对患者进行调查。基于Spearman相关性分析和GLASSO算法构建同期症状网络,计算网络的中心性指标,对比亚组症状网络的差异,并进行网络的边线准确性和中心性指标稳定性检验。结果·共收集有效问卷302份,问卷有效率92.1%。中心性指标计算结果显示,ICU后患者的早期症状网络中,强度最高的是“感到振奋和愉快”(rS=1.145),紧密性最高的是“对以往感兴趣的事情仍然有兴趣”(rC=1.851×10^(−3)),预期影响最高的是“疲劳影响体能”(rE=1.143)。桥梁强度前3位的是“心中充满烦恼”(rb=10.392)、“对以往感兴趣的事情仍然有兴趣”(rb=10.359)和疼痛(rb=10.221)。综合ICU和CCU患者转入普通病房后的早期症状网络在网络结构(M=0.289)和整体连接强度(GS综合ICU=13.876,GSCCU=13.838;S=0.039)上差异无统计学意义;对比亚组的中心性指标,除5个症状表现的强度和预期影响差异有统计学意义(均P<0.05)外,其他指标间差异均无统计学意义。ICU后患者早期症状网络的边线准确性和中心性指标稳定性良好。结论·成人ICU后患者早期的核心症状为焦虑和抑郁,疼痛是桥梁症状之一。综合ICU和CCU患者转出后的早期症状发生情况差异不大。医护人员要关注ICU后患者早期的不适症状,针对性开展干预以提升患者的舒适体验,促进其康复进程。
基金the financial support from the Australian Research Council (ARC) through Future Fellowship (FT210100298)DECRA Fellowship (DE230101068)+2 种基金Discovery Project (DP230100198 and DP210102215)Linkage Projects (LP220100088 and LP180100722)partially supported by AIIM FOR GOLD Grant (2017, 2018)
文摘Metal sulfides are a class of promising anode materials for sodium-ion batteries(SIBs)owing to their high theoretical specific capacity.Nevertheless,the reactant products(polysulfides)could dissolve into electrolyte,shuttle across separator,and react with sodium anode,leading to severe capacity loss and safety concerns.Herein,for the first time,gallium(Ga)-based liquid metal(LM)alloy is incorporated with MoS_(2)nanosheets to work as an anode in SIBs.The electron-rich,ultrahigh electrical conductivity,and self-healing properties of LM endow the heterostructured MoS_(2)-LM with highly improved conductivity and electrode integrity.Moreover,LM is demonstrated to have excellent capability for the adsorption of polysulfides(e.g.,Na_(2)S,Na_(2)S_(6),and S_(8))and subsequent catalytic conversion of Na_(2)S.Consequently,the MoS_(2)-LM electrode exhibits superior ion diffusion kinetics and long cycling performance in SIBs and even in lithium/potassium-ion battery(LIB/PIB)systems,far better than those electrodes with conventional binders(polyvinylidene difluoride(PVDF)and sodium carboxymethyl cellulose(CMC)).This work provides a unique material design concept based on Ga-based liquid metal alloy for metal sulfide anodes in rechargeable battery systems and beyond.
基金This work was supported by the National Natural Science Foundation of China(Nos.22308139,52071171,52202248)Natural Science Foundation of Liaoning Province(2023-MS-140)+11 种基金Liaoning BaiQianWan Talents Program(LNBQW2018B0048)Shenyang Science and Technology Project(21-108-9-04)Young Scientific and Technological Talents Project of the Department of Education of Liaoning Province(LQN202008)Key Research Project of Department of Education of Liaoning Province(LJKZZ20220015)Foundation of State Key Laboratory of Clean and Efficient Coal Utilization,Taiyuan University of Technology(MJNYSKL202301)Foundation of State Key Laboratory of High-efficiency Utilization of Coal and Green Chemical Engineering(KF2023006)Anhui Province Key Laboratory of Coal Clean Conversion and High Valued Utilization,Anhui University of Technology(CHV22-05)Australian Research Council(ARC)through Future Fellowship(FT210100298,FT210100806)Discovery Project(DP220100603)Linkage Project(LP210100467,LP210200504,LP210200345,LP220100088)Industrial Transformation Training Centre(IC180100005)schemesthe Australian Government through the Cooperative Research Centres Projects(CRCPXIII000077).
文摘Renewable energy driven N_(2) electroreduction with air as nitrogen source holds great promise for realizing scalable green ammonia production.However,relevant out-lab research is still in its infancy.Herein,a novel Sn-based MXene/MAX hybrid with abundant Sn vacancies,Sn@Ti_(2)CTX/Ti_(2)SnC–V,was synthesized by controlled etching Sn@Ti_(2)SnC MAX phase and demonstrated as an efficient electrocatalyst for electrocatalytic N2 reduction.Due to the synergistic effect of MXene/MAX heterostructure,the existence of Sn vacancies and the highly dispersed Sn active sites,the obtained Sn@Ti2CTX/Ti_(2)SnC–V exhibits an optimal NH_(3) yield of 28.4μg h^(−1) mg_(cat)^(−1) with an excellent FE of 15.57% at−0.4 V versus reversible hydrogen electrode in 0.1 M Na_(2)SO_(4),as well as an ultra-long durability.Noticeably,this catalyst represents a satisfactory NH3 yield rate of 10.53μg h^(−1) mg^(−1) in the home-made simulation device,where commercial electrochemical photovoltaic cell was employed as power source,air and ultrapure water as feed stock.The as-proposed strategy represents great potential toward ammonia production in terms of financial cost according to the systematic technical economic analysis.This work is of significance for large-scale green ammonia production.
基金Project supported by the National Natural Science Foundation of China (Grant Nos.12274455,12274459,and 12204533)the National Key R&D Program of China (Grant No.2022YFA1403800)the Beijing Natural Science Foundation (Grant No.Z200005)。
文摘Using angle-resolved photoemission spectroscopy and density functional theory calculations methods,we investigate the electronic structures and topological properties of ternary tellurides NbIrTe_(4),a candidate for type-II Weyl semimetal.We demonstrate the presence of several Fermi arcs connecting their corresponding Weyl points on both termination surfaces of the topological material.Our analysis reveals the existence of Dirac points,in addition to Weyl points,giving both theoretical and experimental evidences of the coexistence of Dirac and Weyl points in a single material.These findings not only confirm NbIrTe_(4) as a unique topological semimetal but also open avenues for exploring novel electronic devices based on its coexisting Dirac and Weyl fermions.
基金Project supported by Beijing Natural Science Foundation (Grant No.Z200005)the National Key R&D Program of China (Grant Nos.2018YFE0202600 and 2022YFA1403800)+1 种基金the National Natural Science Foundation of China (Grant No.12274459)Beijing National Laboratory for Condensed Matter Physics,and Collaborative Research Project of Laboratory for Materials and Structures,Institute of Innovative Research,Tokyo Institute of Technology。
文摘We report the detailed crystal structures and physical properties of Ru_(1-x)Mo_(x)alloys in the solid solution range of x=0.1-0.9.Structure characterizations indicate that the crystal structure changes from the hcp-Mg-type,toβ-CrFe-type,and then bcc-W-type.The measurements of physical properties show that the Ru_(1-x)Mo_(x)samples with x≥0.2are superconductors and the superconducting transition temperature T_c as a function of Mo content exhibits a dome-like behavior.
