The cardiovascular system at high altitude: A bibliometric and visualization analysis.

BACKGROUND: When exposed to high-altitude environments, the cardiovascular system undergoes various changes, the performance and mechanisms of which remain controversial. AIM: To summarize the latest research advancements and hot research points in the cardiovascular system at high altitude by conducting a bibliometric and visualization analysis. METHODS: The literature was systematically retrieved and filtered using the Web of Science Core Collection of Science Citation Index Expanded. A visualization analysis of the identified publications was conducted employing CiteSpace and VOSviewer. RESULTS: A total of 1674 publications were included in the study, with an observed annual increase in the number of publications spanning from 1990 to 2022. The United States of America emerged as the predominant contributor, while Universidad Peruana Cayetano Heredia stood out as the institution with the highest publication output. Notably, Jean-Paul Richalet demonstrated the highest productivity among researchers focusing on the cardiovascular system at high altitude. Furthermore, Peter Bärtsch emerged as the author with the highest number of cited articles. Keyword analysis identified hypoxia, exercise, acclimatization, acute and chronic mountain sickness, pulmonary hypertension, metabolism, and echocardiography as the primary research hot research points and emerging directions in the study of the cardiovascular system at high altitude. CONCLUSION: Over the past 32 years, research on the cardiovascular system in high-altitude regions has been steadily increasing. Future research in this field may focus on areas such as hypoxia adaptation, metabolism, and cardiopulmonary exercise. Strengthening interdisciplinary and multi-team collaborations will facilitate further exploration of the pathophysiological mechanisms underlying cardiovascular changes in high-altitude environments and provide a theoretical basis for standardized disease diagnosis and treatment.

Successful treatment of Purpureocillium lilacinum pulmonary infection with isavuconazole: A case report.

BACKGROUND: Purpureocillium lilacinum (P. lilacinum) is a saprophytic fungus widespread in soil and vegetation. As a causative agent, it is very rarely detected in humans, most commonly in the skin. CASE SUMMARY: In this article, we reported the case of a 72-year-old patient with chronic lymphocytic leukemia who was admitted with cough and fever. Computed tomography revealed an infection in the right lower lobe. Bronchoalveolar lavage fluid culture and metagenomic next-generation sequencing were ultimately confirmed to have a pulmonary infection with P. lilacinum. She was eventually discharged with good outcomes after treatment with isavuconazole. CONCLUSION: Pulmonary infection with P. lilacinum was exceedingly rare. While currently there are no definitive therapeutic agents, there are reports of high resistance to amphotericin B and fluconazole and good sensitivity to second-generation triazoles. The present report is the first known use of isavuconazole for pulmonary P. lilacinum infection. It provides new evidence for the characterization and treatment of clinical P. lilacinum lung infections.

Hollow Layered Iron-Based Prussian Blue Cathode with Reduced Defects for High-Performance Sodium-Ion Batteries.

Fe-based Prussian blue (Fe-PB) analogues have emerged as promising cathode materials for sodium-ion batteries, owing to their cost-effectiveness, high theoretical capacity, and environmental friendliness. However, their practical application is hindered by [Fe(CN)6] defects, negatively impacting capacity and cycle stability. This work reports a hollow layered Fe-PB composite material using 1,3,5-benzenetricarboxylic acid (BTA) as a chelating and etching agent by the hydrothermal method. Compared to benzoic acid, our approach significantly reduces defects and enhances the yield of Fe-PB. Notably, the hollow layered structure shortens the diffusion path of sodium ions, enhances the activity of low-spin Fe in the Fe-PB lattice, and mitigates volume changes during Na-ion insertion/extraction into/from Fe-PB. As a sodium-ion battery cathode, this hollow layered Fe-PB exhibits an impressive initial capacity of 95.9 mAh g-1 at a high current density of 1 A g-1. Even after 500 cycles, it still maintains a considerable discharge capacity of 73.1 mAh g-1, showing a significantly lower capacity decay rate (0.048%) compared to the control sample (0.089%). Moreover, the full cell with BTA-PB-1.6 as the cathode and HC as the anode provides a considerable energy density of 312.2 Wh kg-1 at a power density of 291.0 W kg-1. This research not only enhances the Na storage performance of Fe-PB but also increases the yield of products obtained by hydrothermal methods, providing some technical reference for the production of PB materials using the low-yield hydrothermal method.

Achieving High Rate and Long Cycle Performance of Na2FePO4F Cathode Through Co-Modification of Ti Doping and Carbon Coating.

Layered Na2FePO4F (NFPF) cathode material has received widespread attention due to its green nontoxicity, abundant raw materials, and low cost. However, its poor inherent electronic conductivity and sluggish sodium ion transportation seriously impede its capacity delivery and cycling stability. In this work, NFPF by Ti doping and conformal carbon layer coating via solid-state reaction is modified. The results of experimental study and density functional theory calculations reveal that Ti doping enhances intrinsic conductivity, accelerates Na-ion transport, and generates more Na-ion storage sites, and pyrolytic carbon from polyvinylpyrrolidone (PVP) uniformly coated on the NFPF surface improves the surface/interface conductivity and suppresses the side reactions. Under the combined effect of Ti doping and carbon coating, the optimized NFPF (marked as 5T-NF@C) exhibits excellent electrochemical performance, with a high capacity of 108.4 mAh g-1 at 0.2C, a considerable capacity of 80.0 mAh g-1 even at high current density of 10C, and a high capacity retention rate of 81.8% after 2000 cycles at 10C. When assembled into a full cell with a hard carbon anode, 5T-NF@C also show good applicability. This work indicates that co-modification of Ti doping and carbon coating makes NFPF achieve high rate and long cycle performance for sodium-ion batteries.

Inorganic Hybrid Interfacial Layer for a Stable Zinc Metal Anode.

In aqueous zinc-ion batteries (AZIBs), the zinc metal anode faces serious problems such as dendrite growth, interface corrosion, and byproduct accumulation, which hinder the commercialization process of AZIBs. Herein, an inorganic hybrid interfacial layer ZnF2/ZnSe (ZnFS) including the insulating interfacial phase (ZnF2) and conductive interfacial phase (ZnSe) has been manufactured. ZnF2 provides excellent corrosion resistance, inhibiting the corrosion and passivation of the zinc metal anode to enhance interfacial stability. The conductive ZnSe can reduce the interfacial resistance and induce the rapid migration of Zn2+, leading to the uniform deposition of Zn to inhibit the dendrite growth. Consequently, the Zn/ZnFS//Zn/ZnFS symmetrical batteries can run stably for more than 2200 h at 1 mA cm-2/1 mAh cm-2 and over 700 h at 5 mA cm-2/5 mAh cm-2. At the same time, the average Coulombic efficiency of the Zn/ZnFS//Ti half batteries reaches 98.3% after 600 cycles (1 mA cm-2/1 h), indicating that the reversibility of zinc was greatly improved. The full batteries based on the Zn/ZnFS anode and (NH4)2V10O25·8H2O cathode perform a high capacity ratio of 73.4% after 620 cycles at 1 A g-1. The concept of hybrid interface layer design can provide inspiration for the modification of metal anode.

Synergistic Modification of Fe-Based Prussian Blue Cathode Material Based on Structural Regulation and Surface Engineering.

The Fe-based Prussian blue (Fe-PB) composite is considered as one of the most potential cathode materials for sodium-ion batteries because of its abundant iron resources and high theoretical capacity. However, the crystal water and vacancy in the Fe-PB structure will lead to poor capacity and cycle stability. In this work, a Cu-modified Fe-PB composite (FeCu-PB@CuO) is successfully prepared through regulating the Fe-PB structure by Cu doping and engineering the surface by CuO coating. The density functional theory calculation results confirm that Cu preferentially replaces FeHS in the Fe-PB lattice and Cu doping reduces the bandgap. Our experiment results reveal that CuO coating can provide more active sites, inhibit side reactions, and potentially enhance the activity of FeHS. Due to the synergistic effect of Cu doping and CuO coating, FeCu-PB@CuO has a considerable initial discharge capacity of 123.5 mAh g-1 at 0.1 A g-1. In particular, at 2 A g-1, it delivers an impressive initial capacity of 84.3 mAh g-1, and the capacity decreasing rate of each cycle is only 0.02% over 1500 cycles. Therefore, the synergistic modification strategy of metal ion doping and metal oxide coating has tremendous application potential and can be extended to other electrode materials.

High-Performance Fe-Based Prussian Blue Cathode Material for Enhancing the Activity of Low-Spin Fe by Cu Doping.

Iron-based Prussian blue (FeHCF) has great application potential in the large-scale production of sodium-ion (Na+) batteries because of its high theoretical capacity and abundant Fe ore resources. However, the Fe(CN)6 vacancies and crystal water seriously affect the electrochemical performance. Herein, a Cu-doped FeHCF (Cu-FeHCF) cathode material is successfully prepared directly by a coprecipitation method. After Cu doping, the monoclinic structure and the quasi-cubic morphology are retained, but the electrochemical performance is significantly improved. In addition to few Fe(CN)6 vacancies and low crystal water, the improved performance is also related to the enhanced electrochemical activity of low-spin Fe and the stabilizing effect of Cu on the crystal structure. Moreover, Cu doping also controls the side reaction to a certain extent. As a result, after Cu doping, the initial discharge capacity is enhanced from 107.9 to 127.4 mA h g-1 at 100 mA g-1, especially the capacities contributed by low-spin Fe increase from 30.0, 21.7, and 16.7 mA h g-1 to 48.8, 45.4, and 43.7 mA h g-1 for the first three cycles, respectively. Even at 2 A g-1, Cu-FeHCF still has a promising initial capacity of 82.3 mA h g-1 and only a 0.047% capacity decay rate for each cycle over 500 cycles. Therefore, Cu-FeHCF shows excellent application potential in the field of Na+ energy storage batteries.

N/P-Dual-Doped Carbon-Coated Na3V2(PO4)2O2F Microspheres as a High-Performance Cathode Material for Sodium-Ion Batteries.

Na3V2(PO4)2O2F (NVPOF) is attracting great interest due to its large capacity and high working voltage. However, poor electronic conductivity limits the electrochemical performance of NVPOF. Herein, we fabricate N/P-dual-doped carbon-coated NVPOF microspheres (labeled as NVPOF@P/N/C) via a hydrothermal process followed by heat treatment. This microsphere-structured NVPOF@P/N/C composite has a relatively high tap density of 1.22 g/cm3. TEM and XPS results reveal that the dual-doped carbon layer is tightly coated on the NVPOF surface due to the bridging effect of P and has a good protective effect on NVPOF. Density functional theory (DFT) calculations confirm that a N/P-dual-doped carbon layer is advantageous to achieve higher electronic conductivity and lower migration activation energy than those of the undoped and single N- or P-doped carbon layer. As a cathode material for a sodium-ion battery (SIB), NVPOF@P/N/C exhibits high capacity (128 mAh/g at 0.5 C and 122 mAh/g at 2 C) and ultralong cycle performance (only 0.037% capacity fading rate per cycle in 500 cycles at 2 C). We believe that the NVPOF@P/N/C composite is appealing for high-performance SIBs with large energy density.

Treatment of large avulsion injury in perianal, sacral, and perineal regions by island flaps or skin graft combined with vacuum assisted closure.

BACKGROUND: Traumatic avulsion injuries to the anus, although uncommon, can result in serious complications and even death. Management of anal avulsion injuries remains controversial and challenging. This study aimed to investigate the clinical effects of treating large skin and subcutaneous tissue avulsion injuries in the perianal, sacral, and perineal regions with island flaps or skin graft combined with vacuum assisted closure. METHODS: Island flaps or skin graft combined with vacuum assisted closure, diverting ileostomy, the rectum packed with double-lumen tubes around Vaseline gauze, negative pressure drainage with continuous distal washing, wounds with skin grafting as well as specialized treatment were performed. RESULTS: The injuries healed in all patients. Six cases had incomplete perianal avulsion without wound infection. Wound infection was seen in four cases with annular perianal avulsion and was controlled, and the separated prowl lacuna was closed. The survival rate in 10 patients who underwent skin grafting was higher than 90%. No anal stenosis was observed after surgery, and ileostomy closure was performed at 3 months (six cases) and 6 months (four cases) after surgery, respectively. CONCLUSIONS: Covering a wound with an island flap or skin graft combined with vacuum assisted closure is successful in solving technical problems, protects the function of the anus and rapidly seals the wound at the same time.

Polydopamine-Derived Nitrogen-Doped Carbon-Covered Na3V2(PO4)2F3 Cathode Material for High-Performance Na-Ion Batteries.

Nitrogen-doped carbon-covered Na3V2(PO4)2F3 (NVPF/C-PDPA) composites have been successfully prepared by self-polymerization of dopamine on the NVPF surface and subsequent sintering. The X-ray diffraction results show that the NVPF/C-PDPA has good crystallinity and introducing dopamine does not affect the lattice structure of NVPF. The high-resolution transmission electron microscopy, high-angle annular dark-field images, and energy dispersive X-ray spectroscopy analyses reveal that the NVPF/C-PDPA particles are covered by a complete and uniform covering layer, which is effective at preventing corrosion of NVPF in the electrolyte to greatly increase cycling stability. Furthermore, N-doping into the carbon layer can produce additional active sites to improve the capacity especially the rate capacity. Such a NVPF/C-PDPA electrode delivers a remarkable rate capacity (98.0 mA h g-1 at 10 C) and superior cycle performance (∼95.8% capacity retention at 10 C after 800 cycles). We believe that this work may be beneficial for accelerating the development of high-performance electrode materials and the commercialization of Na-ion batteries.

Multi-heteroatom doped carbon coated Na3V2(PO4)3 derived from ionic liquids.

Multi-heteroatom (N, S and F) doped carbon coated Na3V2(PO4)3 (labeled as NVP/C-ILs) derived from an ionic liquid 1-ethyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide ([EMIM]TF2N) has been successfully fabricated. The as-prepared Na3V2(PO4)3 particles are well dispersed and closely coated with a multi-heteroatom (N, S and F) doped carbon layer. As a cathode for sodium-ion batteries, the NVP/C-ILs electrode exhibits high reversible specific capacity (117.5 mA h g-1 at 1C), superior rate performance (93.4 mA h g-1 at 10C) and excellent cycling stability (∼95% capacity retention ratio at 10C over 1000 cycles). The impressive electrochemical performance of NVP/C-ILs can be attributed to effectively conductive networks for electrons and Na+ ions induced by a joint effect of N, S and F doping on carbon. The use of multi-heteroatom doped carbon coated Na3V2(PO4)3 provides a facile and effective strategy for the fabrication of high performance electrode materials with low intrinsic electrical conductivity.

Enhanced Electrochemical Performance of Fast Ionic Conductor LiTi2(PO4)3-Coated LiNi1/3Co1/3Mn1/3O2 Cathode Material.

Layered LiNi1/3Co1/3Mn1/3O2 (NCM333) is successfully coated by fast ionic conductor LiTi2(PO4)3 (LTP) via a wet chemical method. The effects of LTP on the physicochemical properties and electrochemical performance are studied. The results reveal that a highly layered structure of NCM333 can be well maintained with less cation mixing after LTP coating. LTP of about 5 nm thickness is coated on the surface of NCM333. Such an LTP coating layer can effectively suppress the side reactions between NCM333 and electrolyte but will not hinder the lithium ion transmission. As a result, LTP-coated NCM333 owns an improved capability and cyclic performance, for example, NCM333/LTP delivers an initial capacity as high as 121.0 mA h g-1 with a capacity retention ratio of 82.3% after 200 cycles at 10 C, whereas NCM333 only has an initial capacity of 120.4 mA h g-1 with a very low capacity retention ratio of 66.4%. This method of using a fast ionic conductor like LTP as a coating material may provide a simple and effective strategy to modify those electrode materials with poor cyclic performance.

Anthracite-Derived Dual-Phase Carbon-Coated Li3V2(PO4)3 as High-Performance Cathode Material for Lithium Ion Batteries.

In this study, low cost anthracite-derived dual-phase carbon-coated Li3V2(PO4)3 composites have been successfully prepared via a traditional solid-phase method. XRD results show that the as-prepared samples have high crystallinity and anthracite introduction has no influence on the LVP crystal structure. The LVP/C particles are uniformly covered with a dual-phase carbon layer composed of amorphous carbon and graphitic carbon. The effect of the amount of anthracite on the battery performance of LVP as a cathode material has also been studied. The LVP/C composite obtained with 10 wt % anthracite (LVP/C-10) delivers the highest initial charge/discharge capacities of 186.1/168.2 mAh g-1 at 1 C and still retains the highest discharge capacity of 134.0 mAh g-1 even after 100 cycles. LVP/C-10 also displays an outstanding average capacity of 140.8 mAh g-1 at 5 C. The superior rate capability and cycling stability of LVP/C-10 is ascribed to the reduced particle size, decreased charge-transfer resistance, and improved lithium ion diffusion coefficient. Our results demonstrate that using anthracite as a carbon source opens up a new strategy for larger-scale synthesis of LVP and other electrode materials with poor electronic conductivity for lithium ion batteries.

Investigations on Zr incorporation into Li3V2(PO4)3/C cathode materials for lithium ion batteries.

Li3V2(PO4)3/C (LVP/C) composites have been modified by different ways of Zr-incorporation via ultrasonic-assisted solid-state reaction. The difference in the effect on the physicochemical properties and the electrochemical performance of LVP between Zr-doping and ZrO2-coating has also been investigated. Compared with pristine LVP/C, Zr-incorporated LVP/C composites exhibit better rate capability and cycling stability. In particular, the LVP/C-Zr electrode delivers the highest initial capacity of 150.4 mA h g-1 at 10C with a capacity retention ratio of 88.4% after 100 cycles. The enhanced electrochemical performance of Zr-incorporated LVP/C samples (LVZrP/C and LVP/C-Zr) is attributed to the increased ionic conductivity and electronic conductivity, the improved stability of the LVP structure, and the decreased charge-transfer resistance.

Investigation of Co-incorporated pristine and Fe-doped Li3V2(PO4)3 cathode materials for lithium-ion batteries.

Monoclinic Li3V2(PO4)3/C (LVP/C) and Li3V1.95Fe0.05(PO4)3/C (LVFP/C) composites were successfully modified by cobalt incorporation. The effects of cobalt incorporation on the structure, morphology and electrochemical performance of the LVP/C and LVFP/C composites were systematically investigated. The results show that most Co exists in the form of CoO and forms a hybrid layer with the carbon coating on the surface of the LVP and LVFP particles; moreover, a small part of Co enters into the LVP or LVFP lattices due to atomic diffusion. Compared with LVP/C and LVFP/C, Co-incorporated samples exhibit better electrochemical performance. In particular, under the common effect of doping and a hybrid layer (carbon and metal oxides) coating, the LVFP/C-Co electrode displays a prominent initial capacity of 124.7 mA h g-1 and a very low capacity fading of ∼0.04% per cycle even after 500 cycles at 20 C. This novel co-modification method with cation doping and a hybrid layer (carbon and metal oxide) coating is a highly effective way to improve the electrochemical performance and has great potential to be easily used to modify other cathode materials with poor electrical conductivity.

Systematic investigation on Cadmium-incorporation in Li2FeSiO4/C cathode material for lithium-ion batteries.

Cadmium-incorporated Li2FeSiO4/C composites have been successfully synthesized by a solid-state reaction assisted with refluxing. The effect and mechanism of Cd-modification on the electrochemical performance of Li2FeSiO4/C were investigated in detail by X-ray powder diffraction, X-ray photoelectron spectroscopy, scanning electron microscopy, Raman spectra, transmission electron microscopy, positron annihilation lifetime spectroscopy and Doppler broadening spectrum, and electrochemical measurements. The results show that Cd not only exists in an amorphous state of CdO on the surface of LFS particles, but also enters into the crystal lattice of LFS. Positron annihilation lifetime spectroscopy and Doppler broadening spectrum analyses verify that Cd-incorporation increases the defect concentration and the electronic conductivity of LFS, thus improve the Li(+)-ion diffusion process. Furthermore, our electrochemical measurements verify that an appropriate amount of Cd-incorporation can achieve a satisfied electrochemical performance for LFS/C cathode material.

Reduced graphene oxide modified Li2FeSiO4/C composite with enhanced electrochemical performance as cathode material for lithium ion batteries.

Reduced graphene oxide modified Li2FeSiO4/C (LFS/(C+rGO)) composite is successfully synthesized by a citric-acid-based sol-gel method and evaluated as cathode material for lithium ion batteries. The LFS/(C+rGO) shows an improved electronic conductivity due to the conductive network formed by reduced graphene oxide nanosheets and amorphous carbon in particles. Electrochemical impedance spectroscopy results indicate an increased diffusion coefficient of lithium ions (2.4 × 10(-11) cm(2) s(-1)) for LFS/(C+rGO) electrode. Compared with LFS with only amorphous carbon, the LFS/(C+rGO) electrode exhibits higher capacity and better cycling stability. It delivers a reversible capacity of 178 mAh g(-1) with a capacity retention ratio of 94.5% after 40 cycles at 0.1 C, and an average capacity of 119 mAh g(-1) at 2 C. The improved performance can be contributed to the reduced crystal size, good particle dispersion, and the improved conductive network between LFS particles.