Risk Factors of Enternal Nutrition Intolerance in Septic Patients:A Case-control Study

Objective:This study aimed to investigate the incidence of enteral nutrition intolerance(ENI)in patients with sepsis and explore potential risk factors.Methods:A case-control study was conducted in patients with sepsis who were receiving enteral nutrition(EN)at a tertiary hospital in China.The included patients were divided into the ENI group and the non-ENI group.Univariate and multivariate analyses were performed to identify the risk factors for ENI.Results:A total of 859 patients were included in the study.Among them,288(33.53%)patients experienced symptoms of ENI,including diarrhea,vomiting,bloating,and gastric retention.Logistic regression analysis revealed that the Acute Physiology and Chronic Health Evaluation H(APACHE H)score,thoracocentesis,and usage of cardiotonic drugs(namely,inotropes)were independent predictors of the ENI.Conclusion:The incidence of ENI is relatively high in patients with sepsis,especially in those who have higher APACHE H scores,have undergone thoracocentesis,and have received inotropes.

Effect of lithium content on electrochemical property of Li_(1+x)(Mn_(0.6)Ni_(0.2)Co_(0.2))_(1-x)O_2(0≤x≤0.3) composite cathode materials for rechargeable lithium-ion batteries

In order to confirm the optimal Li content of Li-rich Mn-based cathode materials(a fixed mole ratio of Mn to Ni to Co is0.6:0.2:0.2),Li1+x(Mn0.6Ni0.2Co0.2)1-xO2(x=0,0.1,0.2,0.3)composites were obtained,which had a typical layered structure with R3m and C2/m space group observed from X-ray powder diffraction(XRD).Electron microscopy micrograph(SEM)reveals that the particle sizes in the range of0.4-1.1μm increase with an increase of x value.Li1.2(Mn0.6Ni0.2Co0.2)0.8O2sample delivers a larger initial discharge capacity of275.7mA·h/g at the current density of20mA/g in the potential range of2.0-4.8V,while Li1.1(Mn0.6Ni0.2Co0.2)0.9O2shows a better cycle performance with a capacity retention of93.8%at0.2C after50cycles,showing better reaction kinetics of lithium ion insertion and extraction.

Graphene oxide wrapped magnetic nanoparticle composites induced by SiO_(2) coating with excellent regenerability

Graphene oxide(GO)wrapped Fe_(3)O_(4) nanoparticles(NPs)were prepared by coating the Fe_(3)O_(4) NPs with a SiO_(2) layer,and then modifying by amino groups,which interact with the GO nanosheets to form covalent bonding.The SiO_(2) coating layer plays a key role in integrating the magnetic nanoparticles with the GO nanosheets.The effect of the amount of SiO_(2) on the morphology,structure,adsorption,and regenerability of the composites was studied in detail.An appropriate SiO_(2) layer can effectively induce the GO nanosheets to completely wrap the Fe_(3)O_(4) NPs,forming a core-shell Fe_(3)O_(4)@SiO_(2)@GO composite where Fe_(3)O_(4)@SiO_(2) NPs are firmly encapsulated by GO nanosheets.The optimized Fe_(3)O_(4)@SiO_(2)@GO sample exhibits a high saturated adsorption capacity of 253 mg·g^(-1) Pb(Ⅱ)cations from wastewater,and the adsorption process is well fitted by Langmuir adsorption model.Notably,the composite displays excellent regeneration,maintaining a~90%adsorption capacity for five cycles,while other samples decrease their adsorption capacity rapidly.This work provides a theoretical guidance to improve the regeneration of the GO-based adsorbents.

Recent advancements in hydrometallurgical recycling technologies of spent lithium-ion battery cathode materials

The rapidly increasing production of lithium-ion batteries(LIBs)and their limited service time increases the number of spent LIBs,eventually causing serious environmental issues and resource wastage.From the perspectives of clean production and the development of the LIB industry,the effective recovery and recycling of spent LIBs require urgent solutions.This study provides an overview of the current hydrometallurgical processes employed in the recycling of spent cathode materials,focusing on the leaching of valuable metals and their postprocessing.In particular,this research reviews the various leaching systems(inorganic acid,organic acid,and ammonia)and the separation of valuable metals,and then,recommendations for subsequent study are offered in an attempt to contribute to the development of highly efficient methods for recycling spent cathode materials.In addition,a range of existing technologies,such as solvent extraction,chemical precipitation,electrochemical deposition,and regeneration,for the postprocessing of leaching solutions are summarized.Finally,the promising technologies,existing challenges and suggestions with respect to the development of effective and environmentally friendly recycling methods for handling spent cathode materials are identified.

3D nitrogen and boron dual-doped carbon quantum dots/reduced graphene oxide aerogel for advanced aqueous and flexible quasi-solid-state zinc-ion hybrid capacitors

As prospective energy storage devices,zinc-ion hybrid capacitors(ZHCs)still suffer from unsatisfactory cathode materials.Herein,the three dimensional(3D)N,B dual-doped carbon quantum dots/reduced graphene oxide(N,B-CQDs/rGO)composite aerogel is prepared via a onepot hydrothermal method.Thanks to the synergism of CQDs modification and N,B dual-doping,the resultant N,B-CQDs/rGO composite aerogel delivers superior electrochemical properties.Furthermore,the as-obtained N,B-CQDs/rGO composite aerogel is served as a cathode for aqueous and flexible quasi-solid-state ZHCs for the first time.Impressively,the aqueous N,B-CQDs/rGO//Zn ZHC manifests a large energy density of 96.2 Wh·kg^(-1)at80 W·kg^(-1)and still remains a high energy density of 54.7Wh·kg^(-1)at a superb power density of 80 kW·kg^(-1).Meanwhile,kinetic analyses are employed to elucidate the prominent power performance,and various ex situ tests are undertaken to explore the energy storage mechanism of aqueous ZHC.More notably,the flexible quasi-solid-state N,B-CQDs/rGO//Zn ZHC displays a desirable energy density(89.1μWh·cm^(-2)),a superior power density(96,000μW·cm^(-2))and exceptional flexible performance.The present study offers a valuable reference for designing and developing advanced cathode materials for aqueous and flexible quasi-solid-state ZHCs.

Template sacrificial controlled synthesis of hierarchical nanoporous carbon@NiCo_(2)S_(4)microspheres for high-performance hybrid supercapacitors

Binary transition metal sulfides are hotly investigated in advanced energy storage devices because of their ultra-high reversible capacity.Nevertheless,the unsatisfied rate capability and cycling stability still hinder their practical application.Herein,hierarchical nanoporous carbon@NiCo_(2)S_(4)(HNCMs@NCS)composites with coreshell flower-like structures were prepared by in situ growing of NiCo_(2)S_(4) nanosheets on HNCMs through a hydro thermal-as sis ted template sacrificial method.Benefiting from a synergistic effect between the NiCo_(2)S_(4)shell with high specific capacity and the HNCMs with unique porous structure,the synthesized flower-like HNCMs@NCS composites exhibit extraordinary electrochemical performances,including a high capacity of 346.9 mAh·g^(-1)at 1 A·g^(-1),superb rate property with86.4%initial capacity at 30 A·g^(-1)and predominant cycle stability with 81.2%capacity retention after 5000 cycles.Furthermore,the resulting HNCMs@NCS cathode was coupled with the chemical-activated HNCMs(AHNCMs)anode to construct a hybrid supercapacitor device.The asfabricated device exhibits superior energy density(49.9 Wh·kg^(-1)at 802 W·kg^(-1))and ultra-high power density(24 kW·kg^(-1)at 29.5 Wh·kg^(-1)).This fascinating result further demonstrates the tremendous prospect of the synthesized HNCMs@NCS composites as high-performance supercapacitor electrode materials.