MIL-100(V) derived porous vanadium oxide/carbon microspheres with oxygen defects and intercalated water molecules as high-performance cathode for aqueous zinc ion battery

The development of aqueous zinc ion battery cathode materials with high capacity and high magnification is still a challenge.Herein,porous vanadium oxide/carbon(p-VO_(x)@C,mainly VO_(2) with a small amount of V_(2)O_(3)) core/shell microspheres with oxygen vacancies are facilely fabricated by using a vanadium-based metal-organic framework(MIL-100(V)) as a sacrificial template.This unique structure can improve the conductivity of the VO_(x),accelerate electrolyte diffusion,and suppress structural collapse during circulation.Subsequently,H_(2)O molecules are introduced into the interlayer of VO_(x) through a highly efficient in-situ electrochemical activation process,facilitating the intercalation and diffusion of zinc ions.After the activation,an optimal sample exhibits a high specific capacity of 464.3 mA h g^(-1) at0.2 A g^(-1) and 395.2 mA h g^(-1) at 10 A g^(-1),indicating excellent rate performance.Moreover,the optimal sample maintains a capacity retention of about 89.3% after 2500 cycles at 10 A g^(-1).Density functional theory calculation demonstrates that the presence of oxygen vacancies and intercalated water molecules can significantly reduce the diffusion barrier for zinc ions.In addition,it is proved that the storage of zinc ions in the cathode is achieved by reversible intercalation/extraction during the charge and discharge process through various ex-situ analysis technologies.This work demonstrates that the p-VO_(x)@C has great potential for applications in aqueous ZIBs after electrochemical activation.

1例糖原累积病IV型合并急性肝衰竭患儿急性期的护理

总结2022年7月我科收治的1例糖原累积病IV型(glycogen storage disease typeIV,GSDIV)合并急性肝衰竭患儿急性期的护理经验。护理要点:监测血流动力学,积极抗休克;监测消化道出血量,实施止血治疗;开展人工肝治疗及预防相关并发症;连续监测血糖,根据病情与血糖动态调整营养治疗方案;开展远程探视和音乐治疗。经过6d的救治和护理,患儿病情好转,顺利进行肝移植。术后18d好转出院;随访1年,恢复良好。

负压封闭引流联合保留臀上动脉浅支的臀大肌肌皮瓣修复骶尾部IV期压疮的临床效果

目的:探讨负压封闭引流联合保留臀上动脉浅支的臀大肌旋转肌皮瓣修复骶尾部压疮的临床效果。方法:选取2019年6月—2023年10月温州医科大学附属第一医院收治的12例骶尾部压疮患者,其中男7例,女5例,年龄31~86岁。入院后I期予行负压封闭引流术,4~7 d后行保留臀上动脉浅支的臀大肌肌皮瓣修复创面。观察术后皮瓣成活情况、并发症发生情况,随访观察皮瓣外形、压疮复发情况。结果:本组12例患者,均因长期卧床致骶尾部受压出现IV期压疮,压疮病因:截瘫患者5例,各种原因所致的长期卧床患者7例,其中脑梗死后遗症患者2例,帕金森病患者3例,老年痴呆症患者1例,股骨颈骨折患者1例。病程2周至8年,清创后创面面积为5.0 cm×5.0 cm~10.0 cm×12.0 cm。12例患者术后皮瓣均完全成活,无皮瓣坏死、静脉淤血、创缘开裂等发生。术后随访2~6个月,皮瓣外形较佳、骶尾部软组织饱满、压疮无复发。结论:保留臀上动脉浅支的臀大肌旋转肌皮瓣血运可靠,设计、操作简单,皮瓣可修复面积大,切取不需要离断臀上动脉浅支,供瓣区一般能直接缝合,修复骶尾部压疮效果较佳。

Bullet-like vanadium-based MOFs as a highly active catalyst for promoting the hydrogen storage property in MgH_(2)

The practical application of magnesium hydride(MgH_(2))was seriously limited by its high desorption temperature and slow desorp-tion kinetics.In this study,a bullet-like catalyst based on vanadium related MOFs(MOFs-V)was successfully synthesized and doped with MgH_(2) by ball milling to improve its hydrogen storage performance.Microstructure analysis demonstrated that the as-synthesized MOFs was consisted of V_(2)O_(3) with a bullet-like structure.After adding 7wt%MOFs-V,the initial desorption temperature of MgH_(2) was reduced from 340.0 to 190.6℃.Besides,the MgH_(2)+7wt%MOFs-V composite released 6.4wt%H_(2) within 5 min at 300℃.Hydrogen uptake was started at 60℃under 3200 kPa hydrogen pressure for the 7wt%MOFs-V containing sample.The desorption and absorption apparent activity energies of the MgH_(2)+7wt%MOFs-V composite were calculated to be(98.4±2.9)and(30.3±2.1)kJ·mol^(-1),much lower than(157.5±3.3)and(78.2±3.4)kJ·mol^(−1) for the as-prepared MgH_(2).The MgH_(2)+7wt%MOFs-V composite exhibited superior cyclic property.During the 20 cycles isothermal dehydrogenation and hydrogenation experiments,the hydrogen storage capacity stayed almost unchanged.X-ray diffraction(XRD)and X-ray photoelectron spectrometer(XPS)measurements confirmed the presence of metallic vanadium in the MgH_(2)+7wt%MOFs-V composite,which served as catalytic unit to markedly improve the hydrogen storage properties of Mg/MgH_(2) system.

IV型车载储氢瓶聚合物内衬材料的氢气渗透性分析

详细总结论述了气体在高分子聚合物材料中的渗透机理,并简要介绍了有关IV型储氢瓶聚合物内衬氢气渗透性的测试方法以及国内外测试标准。基于此,进一步探讨了测试温度、测试压力以及聚合物材料性能对IV型储氢瓶内衬材料氢气渗透性的影响,并展望了未来的发展方向。

基于MIMIC-IV构建及评估脓毒症患者近期和远期死亡风险预测模型

目的:鉴于脓毒症的高发病率和高病死率,早期识别高风险患者并及时干预至关重要,而现有死亡风险预测模型在操作、适用性和预测长期预后等方面均存在不足。本研究旨在探讨脓毒症患者死亡的危险因素,构建近期和远期死亡风险预测模型。方法:从美国重症监护医学信息数据库IV(Medical Information Mart for Intensive Care-IV,MIMIC-IV)中选取符合脓毒症3.0诊断标准的人群,按7?3的比例随机分为建模组和验证组,分析患者的基线资料。采用单因素Cox回归分析和全子集回归确定脓毒症患者死亡的危险因素并筛选出构建预测模型的变量。分别用时间依赖性曲线下面积(area under the curve,AUC)、校准曲线和决策曲线评估模型的区分度、校准度和临床实用性。结果:共纳入14240例脓毒症患者,28 d和1年病死率分别为21.45%(3054例)和36.50%(5198例)。高龄、女性、高感染相关器官衰竭评分(sepsis-related organ failure assessment,SOFA)、高简明急性生理学评分(simplified acute physiology score II,SAPS II)、心率快、呼吸频率快、脓毒症休克、充血性心力衰竭、慢性阻塞性肺疾病、肝脏疾病、肾脏疾病、糖尿病、恶性肿瘤、高白细胞计数(white blood cell count,WBC)、长凝血酶原时间(prothrombin time,PT)、高血肌酐(serum creatinine,SCr)水平均为脓毒症死亡的危险因素(均P<0.05)。由PT、呼吸频率、体温、合并恶性肿瘤、合并肝脏疾病、脓毒症休克、SAPS II及年龄8个变量构建的模型,其28 d和1年生存的AUC分别为0.717(95%CI 0.710~0.724)和0.716(95%CI 0.707~0.725)。校准曲线和决策曲线表明该模型具有良好的校准度及较好的临床应用价值。结论:基于MIMIC-IV建立的脓毒症患者近期和远期死亡风险预测模型有较好的识别能力,对患者预后风险评估及干预治疗具有一定的临床参考意义。

Competitive Redox Chemistries in Vanadium Niobium Oxide for Ultrafast and Durable Lithium Storage

Niobium pentoxide(Nb_(2)O_(5))anodes have gained increasing attentions for high-power lithium-ion batteries owing to the outstanding rate capability and high safety.However,Nb2O5 anode suffers poor cycle stability even after modified and the unrevealed mechanisms have restricted the practical applications.Herein,the over-reduction of Nb5+has been demonstrated to be the critical reason for the capacity loss for the first time.Besides,an effective competitive redox strategy has been developed to solve the rapid capacity decay of Nb_(2)O_(5),which can be achieved by the incorporation of vanadium to form a new rutile VNbO_(4)anode.The highly reversible V^(3+)/V^(2+)redox couple in VNbO_(4)can effectively inhibit the over-reduction of Nb^(5+).Besides,the electron migration from V^(3+)to Nb5+can greatly increase the intrinsic electronic conductivity for VNbO4.As a result,VNbO4 anode delivers a high capacity of 206.1 mAh g^(−1)at 0.1 A g^(−1),as well as remarkable cycle performance with a retention of 93.4%after 2000 cycles at 1.0 A g^(−1).In addition,the assembled lithium-ion capacitor demonstrates a high energy density of 44 Wh kg^(−1)at 5.8 kW kg^(−1).In summary,our work provides a new insight into the design of ultra-fast and durable anodes.

基于STM32F373的光伏组件IV特性测试系统

为准确方便测量光伏组件的IV特性曲线,设计一款基于STM32F373的光伏组件IV特性测试系统,可测量开路电压、短路电流、IV曲线、PV曲线等。该系统由电流控制单元、信号采集单元、软件处理单元、通信单元、上位机显示单元等组成,采用电子负载电路,以STM32F373单片机DAC输出来调节恒流的电流,同时采集光伏电池的输出电压,对采集到的数据进行卡尔曼滤波和曲线拟合,将电压、电流、功率生成IV、PV曲线显示在TFT彩屏上。该系统还可将数据远程传输到PC端进行数据分析与曲线观察。结果表明,该系统采集曲线准确且速度快,性能良好,采集一次IV曲线的时间仅需1 s,测量的电压电流误差小于1%。该系统体积小便于携带且内部带有锂电池,可充电,可在室外使用。

Superior electrocatalytic negative electrode with tailored nitrogen functional group for vanadium redox flow battery

Development of electrodes with high electrocatalytic activity and stability is essential for solving problems that still restrict the extensive application of vanadium redox flow batteries(VRFBs).Here,we designed a novel negative electrode with superior electrocatalytic activity by tailoring nitrogen functional groups,such as newly formed nitro and pyridinic-N transformed to pyridonic-N,from the prenitrogen-doped electrode.It was experimentally confirmed that an electrode with pyridonic-N and nitro fuctional groups(tailored nitrogen-doped graphite felt,TNGF) has superior electrocatalytic acivity with enhanced electron and mass transfer.Density functional theory calulations demonstrated the pyridonic-N and nitro functional groups promoted the adsorption,charge transfer,and bond formation with the vanadium species,which is consistent with expermental results.In addition,the V2+/V3+redox reaction mechanism on pyridonic-N and nitro functional groups was estabilised based on density functional theory(DFT) results.When TNGF was applied to a VRFB,it enabled enhanced-electrolyte utilization and energy efficiencies(EE) of 57.9% and 64.6%,respectively,at a current density of 250 mA cm^(-2).These results are 18.6% and 8.9% higher than those of VRFB with electrode containing graphitic-N and pyridinicN groups.Interestingly,TNGF-based VRFB still operated with an EE of 59% at a high current density of300 mA cm^(-2).The TNGF-based VRFB exhibited stable cycling performance without noticeable decay of EE over 450 charge-discharge cycles at a current density of 250 mA cm^(-2).The results of this study suggest that introducing pyridonic-N and nitro groups on the electrode is effective for improving the electrochemical performance of VRFBs.

参苓白术散联合桂枝茯苓丸、达格列净治疗2型糖尿病肾病IV期的蛋白尿的随机对照研究

目的:观察参苓白术散联合桂枝茯苓丸、达格列净治疗2型糖尿病肾病IV期患者蛋白尿的临床疗效。方法:收集于2021年9月~2022年9月潍坊市益都中心医院就诊的诊断为2型糖尿病肾病IV期患者60例。采用随机、对照的临床研究设计分为治疗组和对照组,观察患者症状评分、实验室指标、疾病疗效等指标变化。结果:本研究最终纳入统计分析的治疗组29例、对照组28例。治疗后,治疗组的中医证候、蛋白尿、肾小球滤过率(eGFR)、糖化血红蛋白(HbA1c)、D-二聚体、尿NGAL、低密度脂蛋白疗效优于对照组(P 0.05)。对照组经治后,尿NGAL较治疗前明显下降(P < 0.05),其余指标与治疗前均无差异(P < 0.05)。两组均未见不良反应。结论:参苓白术散联合桂枝茯苓丸、达格列净治疗可减轻DKD IV期患者临床症状,降低蛋白尿、NGAL、糖化血红蛋白、D-二聚体、低密度脂蛋白,保护肾小管及肾小球、改善机体高凝状态及血糖,延缓肾功能下降,提高临床疗效。

18例不可切除IV期胸腺鳞癌的临床特征及预后分析

目的:探讨不可切除IV期胸腺鳞癌的临床特征、治疗方式和预后。方法:收集2018年1月1日至2022年12月31日期间就诊于青岛大学附属医院的18例不可切除IV期胸腺鳞癌患者的临床资料和治疗资料,并随访至2024年2月29日。结果:18例患者中男性12例,女性6例,中位发病年龄60岁;TNM分期IVA期9例,IVB期9例;单纯化疗8例,单纯放疗1例,序贯放化疗4例,同步放化疗2例,化疗联合免疫疗法3例。18例患者总进展率66.7%,中位PFS 27 (19~36)个月。IVA期和IVB期进展率分别为33.3%和100.0% (p = 0.009),中位PFS分别为50 (21~79)和21 (5~37)个月(p = 0.008)。单纯化疗,放化疗和化疗联合免疫疗法进展率分别为75.0%,66.7%,和33.3% (p = 0.793),中位PFS分别为24 (16~32),50 (27~73),和10 (4~16)个月(p = 0.057)。结论:不可切除IV期胸腺鳞癌主要采用以化疗为主的综合治疗,总体预后差,IVA期较IVB期好,化疗联合放疗或免疫疗法较单纯化疗好,建议对非广泛转移阶段的患者行精准治疗。

Bioleaching of vanadium from stone coal vanadium ore by Bacillus mucilaginosus:Influencing factors and mechanism

Vanadium and its derivatives are used in various industries,including steel,metallurgy,pharmaceuticals,and aerospace engineering.Although China has massive reserves of stone coal resources,these resources have low grades.Therefore,the effective extraction and recovery of metallic vanadium from stone coal is an important way to realize the efficient resource utilization of stone coal vanadium ore.Herein,Bacillus mucilaginosus was selected as the leaching strain.The vanadium leaching rate reached 35.5%after 20 d of bioleaching under optimal operating conditions.The cumulative vanadium leaching rate in the contact group reached 35.5%,which was higher than that in the noncontact group(9.3%).The metabolites of B.mucilaginosus,such as oxalic,tartaric,citric,and malic acids,dominated in bioleaching,accounting for 73.8%of the vanadium leaching rate.Interestingly,during leaching,the presence of stone coal stimulated the expression of carbonic anhydrase in bacterial cells,and enzyme activity increased by 1.335-1.905 U.Enzyme activity positively promoted the production of metabolite organic acids,and total organic acid content increased by 39.31 mg·L^(-1),resulting in a reduction of 2.51 in the pH of the leaching system with stone coal.This effect favored the leaching of vanadium from stone coal.Atomic force microscopy illustrated that bacterial leaching exacerbated corrosion on the surface of stone coal beyond 10 nm.Our study provides a clear and promising strategy for exploring the bioleaching mechanism from the perspective of microbial enzyme activity and metabolites.

Multiple-dimensioned defect engineering for graphite felt electrode of vanadium redox flow battery

The scarcity of wettability,insufficient active sites,and low surface area of graphite felt(GF)have long been suppressing the performance of vanadium redox flow batteries(VRFBs).Herein,an ultra-homogeneous multipledimensioned defect,including nano-scale etching and atomic-scale N,O codoping,was used to modify GF by the molten salt system.NH_(4)Cl and KClO_(3) were added simultaneously to the system to obtain porous N/O co-doped electrode(GF/ON),where KClO_(3) was used to ultra-homogeneously etch,and O-functionalize electrode,and NH4Cl was used as N dopant,respectively.GF/ON presents better electrochemical catalysis for VO_(2)+/VO_(2)+ and V3+/V2+ reactions than only O-functionalized electrodes(GF/O)and GF.The enhanced electrochemical properties are attributed to an increase in active sites,surface area,and wettability,as well as the synergistic effect of N and O,which is also supported by the density functional theory calculations.Further,the cell using GF/ON shows higher discharge capacity,energy efficiency,and stability for cycling performance than the pristine cell at 140 mA cm^(−2) for 200 cycles.Moreover,the energy efficiency of the modified cell is increased by 9.7% from 55.2% for the pristine cell at 260 mA cm^(−2).Such an ultra-homogeneous etching with N and O co-doping through“boiling”molten salt medium provides an effective and practical application potential way to prepare superior electrodes for VRFB.

Unraveling high efficiency multi-step sodium storage and bidirectional redox kinetics synergy mechanism of cobalt-doping vanadium disulfide anode

Sodium-based storage devices based on conversion-type metal sulfide anodes have attracted great atten-tion due to their multivalent ion redox reaction ability.However,they also suffer from sodium polysul-fides(NaPSs)shuttling problems during the sluggish Na^(+) redox process,leading to"voltage failure"and rapid capacity decay.Herein,a metal cobalt-doping vanadium disulfide(Co-VS_(2))is proposed to simulta-neously accelerate the electrochemical reaction of VS_(2) and enhance the bidirectional redox of soluble NaPSs.It is found that the strong adsorption of NaPSs by V-Co alloy nanoparticles formed in situ during the conversion reaction of Co-VS_(2) can effectively inhibit the dissolution and shuttle of NaPSs,and ther-modynamically reduce the formation energy barrier of the reaction path to effectively drive the complete conversion reaction,while the metal transition of Co elements enhances reconversion kinetics to achieve high reversibility.Moreover,Co-VS_(2) also produce abundant sulfur vacancies and unsaturated sulfur edge defects,significantly improve ionic/electron diffusion kinetics.Therefore,the Co-VS_(2) anode exhibits ultrahigh rate capability(562 mA h g^(-1) at 5 A g^(-1)),high initial coulombic efficiency(~90%)and 12,000 ultralong cycle life with capacity retention of 90%in sodium-ion batteries(SIBs),as well as impressive energy/power density(118 Wh kg^(-1)/31,250 W kg^(-1))and over 10.000 stable cycles in sodium-ion hybrid capacitors(SIHCs).Moreover,the pouch cell-type SIHC displays a high-energy density of 102 Wh kg^(-1) and exceed 600 stable cycles.This work deepens the understanding of the electrochemical reaction mechanism of conversion-type metal sulfide anodes and provides a valuable solution to the shuttlingofNaPSs inSIBsandSIHCs.

Vanadium oxide nanospheres encapsulated in N-doped carbon nanofibers with morphology and defect dual-engineering toward advanced aqueous zinc-ion batteries

Vanadium-based electrodes are regarded as attractive cathode materials in aqueous zinc ion batteries(ZIBs)caused by their high capacity and unique layered structure.However,it is extremely challenging to acquire high electrochemical performance owing to the limited electronic conductivity,sluggish ion kinetics,and severe volume expansion during the insertion/extraction process of Zn^(2+).Herein,a series of V_(2)O_(3)nanospheres embedded N-doped carbon nanofiber structures with various V_(2)O_(3)spherical morphologies(solid,core-shell,hollow)have been designed for the first time by an electrospinning technique followed thermal treatments.The N-doped carbon nanofibers not only improve the electrical conductivity and the structural stability,but also provides encapsulating shells to prevent the vanadium dissolution and aggregation of V_(2)O_(3)particles.Furthermore,the varied morphological structures of V_(2)O_(3)with abundant oxygen vacancies can alleviate the volume change and increase the Zn^(2+)pathway.Besides,the phase transition between V_(2)O_(3)and Zn_XV_(2)O_(5-m)·n H_(2)O in the cycling was also certified.As a result,the as-obtained composite delivers excellent long-term cycle stability and enhanced rate performance for coin cells,which is also confirmed through density functional theory(DFT)calculations.Even assembled into flexible ZIBs,the sample still exhibits superior electrochemical performance,which may afford new design concept for flexible cathode materials of ZIBs.

Polyoxidovanadates a new therapeutic alternative for neurodegenerative and aging diseases

Aging is a natural phenomenon characterized by a progressive decline in physiological integrity,leading to a deterioration of cognitive function and increasing the risk of suffering from chronic-degenerative diseases,including cardiovascular diseases,osteoporosis,cancer,diabetes,and neurodegeneration.Aging is considered the major risk factor for Parkinson’s and Alzheimer’s disease develops.Likewise,diabetes and insulin resistance constitute additional risk factors for developing neurodegenerative disorders.Currently,no treatment can effectively reverse these neurodegenerative pathologies.However,some antidiabetic drugs have opened the possibility of being used against neurodegenerative processes.In the previous framework,Vanadium species have demonstrated a notable antidiabetic effect.Our research group evaluated polyoxidovanadates such as decavanadate and metforminium-decavanadate with preventive and corrective activity on neurodegeneration in brain-specific areas from rats with metabolic syndrome.The results suggest that these polyoxidovanadates induce neuronal and cognitive restoration mechanisms.This review aims to describe the therapeutic potential of polyoxidovanadates as insulin-enhancer agents in the brain,constituting a therapeutic alternative for aging and neurodegenerative diseases.

Insights into the hydrogen evolution reaction in vanadium redox flow batteries:A synchrotron radiation based X-ray imaging study

The parasitic hydrogen evolution reaction(HER)in the negative half-cell of vanadium redox flow batteries(VRFBs)causes severe efficiency losses.Thus,a deeper understanding of this process and the accompanying bubble formation is crucial.This benchmarking study locally analyzes the bubble distribution in thick,porous electrodes for the first time using deep learning-based image segmentation of synchrotron X-ray micro-tomograms.Each large three-dimensional data set was processed precisely in less than one minute while minimizing human errors and pointing out areas of increased HER activity in VRFBs.The study systematically varies the electrode potential and material,concluding that more negative electrode potentials of-200 m V vs.reversible hydrogen electrode(RHE)and lower cause more substantial bubble formation,resulting in bubble fractions of around 15%–20%in carbon felt electrodes.Contrarily,the bubble fractions stay only around 2%in an electrode combining carbon felt and carbon paper.The detected areas with high HER activity,such as the border subregion with more than 30%bubble fraction in carbon felt electrodes,the cutting edges,and preferential spots in the electrode bulk,are potential-independent and suggest that larger electrodes with a higher bulk-to-border ratio might reduce HER-related performance losses.The described combination of electrochemical measurements,local X-ray microtomography,AI-based segmentation,and 3D morphometric analysis is a powerful and novel approach for local bubble analysis in three-dimensional porous electrodes,providing an essential toolkit for a broad community working on bubble-generating electrochemical systems.

Weakly Polarized Organic Cation-Modified Hydrated Vanadium Oxides for High-Energy Efficiency Aqueous Zinc-Ion Batteries

Vanadium oxides,par-ticularly hydrated forms like V_(2)O_(5)·nH_(2)O(VOH),stand out as promising cathode candidates for aqueous zinc ion batteries due to their adjustable layered structure,unique electronic characteristics,and high theoretical capacities.However,challenges such as vanadium dissolution,sluggish Zn^(2+)diffusion kinetics,and low operating voltage still hinder their direct application.In this study,we present a novel vanadium oxide([C_(6)H_(6)N(CH_(3))_(3)]_(1.08)V_(8)O_(20)·0.06H_(2)O,TMPA-VOH),developed by pre-inserting trimethylphenylammonium(TMPA+)cations into VOH.The incorporation of weakly polarized organic cations capitalizes on both ionic pre-intercalation and molecular pre-intercalation effects,resulting in a phase and morphology transition,an expansion of the interlayer distance,extrusion of weakly bonded interlayer water,and a substantial increase in V^(4+)content.These modifications synergistically reduce the electrostatic interactions between Zn^(2+)and the V-O lattice,enhancing structural stability and reaction kinetics during cycling.As a result,TMPA-VOH achieves an elevated open circuit voltage and operation voltage,exhibits a large specific capacity(451 mAh g^(-1)at 0.1 A g^(-1))coupled with high energy efficiency(89%),the significantly-reduced battery polarization,and outstanding rate capability and cycling stability.The concept introduced in this study holds great promise for the development of high-performance oxide-based energy storage materials.

智能IV诊断在分析光伏低效子阵中的应用

由于光伏子阵的非线性行为和其对运行环境的依赖性,传统的保护装置可能无法诊断光伏系统低效子阵问题。为此,业内进行了大量研究来克服这一问题的出现。然而,大多数方法不仅耗时较久,还存在较大的电量损失。同时,由于需要大量数据集,还存在数据过度拟合问题,导致准确率有所欠缺。在本研究中,通过应用华为AI BOOST智能IV诊断3.0,无论是实验评估还是实际应用,相比传统的诊断方法,均取得了较为明显的效果。

基于MIMIC-IV数据库中发生血流感染的危重疾病患者相关数据构建革兰阴性菌血流感染风险预测模型

目的 基于重症医学信息数据库(MIMIC-IV)中发生血流感染的危重疾病患者相关数据构建预测危重疾病患者革兰阴性菌血流感染发生风险预测模型,以期为预测危重疾病患者发生革兰阴性菌血流感染风险提供新的方法。方法 收集MIMIC-IV中2 503例发生血流感染的危重疾病患者的临床资料及实验室检查指标[血常规(红细胞、白细胞、血小板等)、血生化(钾离子、钙离子、氯离子、碳酸氢根、阴离子间隙和尿素氮等)、凝血功能指标(INR、PT、PTT)]数据。将所有危重疾病患者以7∶3的比例分为训练集(1 752例)和验证集(751例)。在训练集中使用LASSO回归初步筛选出危重疾病患者发生革兰阴性菌血流感染的影响因素,并将筛选出来的影响因素行多因素Logistic回归分析,建立危重疾病患者革兰阴性菌血流感染风险预测模型(列线图模型)。在训练集和验证集中通过受试者工作特征曲线(ROC)、校准曲线和决策曲线(DCA)分别对列线图模型的区分度、一致性、临床适用性进行评价。结果 年龄、患有肿瘤、肝胆系统疾病、嗜酒史、钾离子、钙离子、碳酸氢根、阴离子间隙和尿素氮为危重疾病患者发生革兰阴性菌血流感染风险的影响因素,基于以上影响因素采用Logistic回归分析,构建列线图模型。训练集和验证集中,列线图模型预测危重疾病患者发生革兰阴性菌血流感染的ROC下面积分别为0.711(95%CI 0.667~0.756)、0.705(95%CI 0.678~0.733);校准曲线表明列线图模型预测革兰阴性菌血流感染发生的结果与实际结果之间具有良好的一致性(P=0.764);DCA显示列线图模型具有良好的临床适用性。结论 成功构建了预测危重疾病患者发生革兰阴性菌血流感染风险的列线图模型,该模型预测性能较好,能有效识别血流感染高风险危重疾病患者。