Achieving a smooth "adsorption-diffusion-conversion" of polysulfides enabled by MnO2-ZnS p-n heterojunction for Li-S battery.

The commercial application of lithium-sulfur batteries is primarily impeded by the constant shuttling of soluble polysulfides and sluggish redox kinetics. Nowadays, the discovery of the heterojunction, which combines materials with diverse properties, offers a new perspective for overcoming these obstacles. Herein, a functional coating separator for the lithium-sulfur battery is designed using a MnO2-ZnS p-n heterojunction with a spontaneous built-in electric field (BIEF). The MnO2 nanowire provides suitable adsorption capacity for polysulfides, while the abundant reactive sites brought by ZnS ensure efficient conversion. Moreover, the BIEF significantly facilitates the migration of electrons and polysulfides at the MnO2-ZnS interface, enabling a smooth "adsorption-diffusion-conversion" reaction mechanism. By serving as both the adsorption module and catalytic sites, this BIEF allows batteries utilizing separators modified with MnO2-ZnS heterojunction to achieve an impressive initial capacity of 1511.1 mAh g-1 at 0.1C and maintain a capacity decay rate of merely 0.048% per cycle at 2.0C after 1000 cycles. Even when increasing sulfur loading to 9.4 mg cm-2 in lean electrolyte (5.4 µL mg-1), the battery still exhibits an ultrahigh areal capacity of 6.0 mAh cm-2 after 100 cycles.

Fospropofol disodium versus propofol for long-term sedation during invasive mechanical ventilation: A pilot randomized clinical trial.

STUDY OBJECTIVE: Fospropofol disodium is a propofol prodrug that is water-soluble and has a reduced risk of bacterial contamination and hypertriglyceridemia compared with propofol. Prior to implementing a large randomized trial, we investigated the feasibility, initial efficacy, and safety of fospropofol disodium compared with propofol in long-term mild-to-moderate sedation in intensive care units (ICUs). DESIGN: Single-centered, prospective, unblind, randomized, parallel-group clinical trial. SETTING: The general ICU of university-affiliated teaching hospital. PATIENTS: Adult patients (n = 60) expected to have mechanical ventilation for >24 h were enrolled and randomly assigned to the fospropofol or propofol group. INTERVENTIONS: The fospropofol group received continuous fospropofol disodium infusions and the propofol group received continuous propofol infusions. The sedation goal was a score of -3 to 0 on the Richmond Agitation and Sedation Scale (RASS). MEASUREMENTS: The primary outcome was the percentage of time spent in the target sedation range without rescue sedation. Safety outcomes were based on adverse events. Blood samples were collected to measure formate concentration in plasma. MAIN RESULTS: The median dose was 4.33 (IQR, 3.08-4.94) mg/kg/h in the fospropofol group and 1.96 (IQR, 1.44-2.94) mg/kg/h in the propofol group. The median percentage of time spent in the target RASS range without rescue sedation was identical in both groups, with 83.33% (IQR, 74.43%-100.00%) in the fospropofol group and 83.33% (IQR, 77.45%-100.00%) in the propofol group (p = 0.887). At least one adverse event was identifed in 23 (76.7%) fospropofol patients and 27 (90.0%) propofol patients. The most common adverse events were tachycardia and hypotension. No paresthesia, catheter-related bloodstream infection or propofol infusion syndrome in both groups was reported. Three patients in the fospropofol group had mild hypertriglyceridemia, and nine patients in propofol group had hypertriglyceridemia (mild in eight patients and moderate in one patient) (10% versus 30%, p = 0.104). The formate concentration in plasma was very low, and no significant difference was identified at any time point between the two groups. CONCLUSIONS: Fospropofol disodium appears to be a feasible, effective and safe sedative for patients receiving invasive mechanical ventilation with long-term sedation.

Field-Assisted Regulation Induced by Cobalt-Doped ZnO for Dendrite-Free Lithium Metal Anodes.

Lithium metal batteries are deemed as an optimal candidate for the next generation of durable energy storage devices. However, the growth of lithium dendrite and significant volume expansion pose as obstacles that impede the application of lithium metal batteries. In this work, a functional copper current collector was designed by coating it with Co-doped ZnO (Co/ZnO) to enhance the lithiophilicity through local electric fields and built-in magnetic fields induced by the ferromagnetic material. The incorporation of Co not only induces a local electric field and thus accelerating electron transfer, but also imparts the ferromagnetic behavior to ZnO, resulting in an internal magnetic field to regulate the dynamic trajectory. Profiting from the above advantages, the symmetric cells have excellent cycle stability in 1 mA cm-2 and 1 mAh cm-2 , maintaining ultra-low voltage for over 2000 h. This study provides a realizable pathway for next-generation current collector of copper modification.

Reinforcing the Adsorption and Conversion of Polysulfides in Li-S Battery by Incorporating Molybdenum into MnS/MnO Nanorods.

The Sabatier principle suggests that an excessive adsorption of lithium polysulfides (LiPSs) by metal compounds may hinder their conversion in the absence of a conversion module. Therefore, it is imperative to establish a synergetic effect mechanism between "strong adsorption" and "rapid conversion" for LiPSs. To achieve this coexistence, a molybdenum-doped MnS/MnO@C porous structure is designed as a multifunctional coating on the polypropylene (PP) separator. The incorporation of MnS/MnO@C enhances the adsorption capacity towards LiPSs, while molybdenum facilitates subsequent conversion. Benefiting from the synergistic effect of each component and its large specific surface area, the cell with Mo-doped MnS/MnO@C coating achieves smooth adsorption-diffusion-conversion processes and exhibits an appreciable rate performance with outstanding cycling stability. Even when sulfur loading increases to 9.68 mg cm-2 , the modified battery delivers an excellent initial areal capacity of 11.69 mAh cm-2 and maintains 6.97 mAh cm-2 after 50 cycles at 0.1 C. This study presents a promising approach to simultaneously accomplish "strong adsorption" and "rapid conversion" of polysulfides, offering novel perspectives for devising dual-functional modified separators.

Integrated PtxCoy-Hierarchical Carbon Matrix Electrocatalyst for Efficient Hydrogen Evolution Reaction.

Pt-based catalysts are regarded as state-of-the-art electrocatalysts for producing clean hydrogen energy; however, their wide application is restricted by their low abundance, high cost, and poor stability. Herein, we report an integrated PtxCoy-hierarchical carbon matrix electrocatalyst (Pt/Co@NCNTs, Pt3Co@NCNTs, PtCo@NCNTs, and PtCo3@NCNTs) that is developed using a thermally driven Co migration strategy forming alloy nanoparticles to achieve efficient hydrogen evolution reaction (HER). Benefiting from its electronic regulation effect and unique hierarchical hollow structure, the Pt3Co@NCNTs catalyst loaded with 11.5 wt % Pt exhibits superior catalytic performance and durability for HER compared with commercial 20 wt % Pt/C. Under both alkaline and acidic conditions, Pt3Co@NCNTs exhibits excellent HER activity with overpotentials of 21 and 45 mV at 10 mA cm-2, respectively. Density functional theory (DFT) results further verify that the interaction between Pt and Co in Pt3Co@NCNTs can modulate electronic rearrangement, optimize the d-band center, and accelerate water dissociation and *H desorption, thereby enhancing HER activity.

Remimazolam besylate versus propofol for deep sedation in critically ill patients: a randomized pilot study.

OBJECTIVE: To compare the efficacy and safety of remimazolam besylate and propofol for deep sedation in critically ill patients. METHODS: In this single-center, prospective, randomized, controlled pilot study, patients in the intensive care unit (ICU) requiring deep sedation were randomized to receive remimazolam besylate or propofol intravenously. Deep sedation was defined as a Richmond Agitation and Sedation Scale (RASS) score of - 4 or - 5. Sedation depth was monitored using RASS and Narcotrend Index (NI). The primary outcome was the percentage of time within the target sedation range without rescue sedation. The secondary outcomes included ventilator-free hours within 7 days, successful extubation, length of ICU stay, and 28-day mortality. Adverse events during the interventional period were also recorded. RESULTS: Thirty patients were assigned to each group. The median (IQR) RASS score was - 5.0 (- 5.0, - 4.0), and the median (IQR) NI value was 29.0 (21.0, 37.0) during the intervention period. Target RASS was reached a median of 100% of the sedation time in the two groups. No significant differences were observed in ventilator-free hours within 7 days, successful extubation, length of ICU stay, or 28-day mortality among groups. Hypotension occurred in 16 (53.3%) patients of remimazolam group and 18 (60.0%) patients of propofol group (p > 0.05). No patient experienced bradycardia. CONCLUSIONS: Remimazolam besylate appears to be an effective and safe agent for short-term deep sedation in critically ill patients. Our findings warrant large sample-sized randomized clinical trials.

Reinforcement of Electrocatalytic Oxygen Evolution Activity Enabled by Constructing Silver-Incorporated NiCo-PBA@NiFe-LDH Hierarchical Nanoboxes.

Complicated oxygen evolution reaction (OER) poses the bottleneck in improving the efficiency of hydrogen production through water electrolysis. Herein, an integrated strategy to modulate the electronic structure of NiFe layered double hydroxide (NiFe-LDH) is reported by constructing Ag-incorporated NiCo-PBA@NiFe-LDH heterojunction with a hierarchical hollow structure. This "double heterojunction" facilitates local charge polarization at the interface, thereby promoting electron transfer and reducing the adsorption energy of intermediates, ultimately enhancing the intrinsic activity of the catalyst. It is noteworthy that an exchange bias field is observed between NiCo-PBA and NiFe-LDH, which will be conducive to regulating the electron spin states of metals and facilitating the production of triplet oxygen. Additionally, the unique hierarchical nanoboxes provide a large specific surface area that ensures adequate exposure to adsorption sites and active sites. Profiting from the synergistic advantages, the overpotential is as low as 190 mV at a current density of 10 mA cm-2 , with a low Tafel slope of 21 mV dec-1 . Moreover, density functional theory (DFT) calculation further substantiated that the incorporation of Ag in the heterojunction can effectively reduce the adsorption energy of reactant intermediates and enhance the conductivity.

A Highly-Lithiophilic Mn3O4/ZnO-Modified Carbon Nanotube Film for Dendrite-Free Lithium Metal Anodes.

Lithium metal anode is deemed as a potential candidate for high energy density batteries, which has attracted increasing attention. Unfortunately, Li metal anode suffers from issues such as dendrite grown and volume expansion during cycling, which hinders its commercialization. Herein, we designed a porous and flexible self-supporting film comprising of single-walled carbon nanotube (SWCNT) modified with a highly-lithiophilic heterostructure (Mn3O4/ZnO@SWCNT) as the host material for Li metal anodes. The p-n-type heterojunction constructed by Mn3O4 and ZnO generates a built-in electric field that facilitates electron transfer and Li+ migration. Additionally, the lithiophilic Mn3O4/ZnO particles serve as the pre-implanted nucleation sites, dramatically reducing the lithium nucleation barrier due to their strong binding energy with lithium atoms. Moreover, the interwoven SWCNT conductive network effectively lowers the local current density and alleviates the tremendous volume expansion during cycling. Thanks to the aforementioned synergy, the symmetric cell composed of Mn3O4/ZnO@SWCNT-Li can stably maintain a low potential for more than 2500 h at 1 mA cm-2 and 1 mAh cm-2. Furthermore, the Li-S full battery composed of Mn3O4/ZnO@SWCNT-Li also shows excellent cycle stability. These results demonstrate that Mn3O4/ZnO@SWCNT has great potential as a dendrite-free Li metal host material.

Deletion of the tyrosine phosphatase Shp2 in cervical cancer cells promotes reprogramming of glutamine metabolism.

Shp2 is a nonreceptor protein tyrosine phosphatase that is overexpressed in cervical cancer. However, the role of Shp2 in the regulation of cervical cancer metabolism and tumorigenesis is unclear. EGFR signaling pathways are commonly dysregulated in cervical cancer. We showed that Shp2 knockout in cervical cancer cells decreased EGFR expression and downregulated downstream RAS-ERK activation. Although AKT was activated in Shp2 knockout cells, inhibition of AKT activation could not make cells more sensitive to death. Shp2 depletion inhibited cervical cancer cell proliferation and reduced tumor growth in a xenograft mouse model. 1 H NMR spectroscopic analysis showed that glutamine, glutamate, succinate, creatine, glutathione, and UDP-GlcNAc were significantly changed in Shp2 knockout cells. The intracellular glutamine level was higher in Shp2 knockout cells than in control cells. Further analysis demonstrated that Shp2 knockout promoted glutaminolysis and glutathione production by up-regulating the glutamine metabolism-related genes such as glutaminase (GLS). However, inhibition of GLS did not always make cells sensitive to death, which was dependent on glucose concentration. The level of oxidative phosphorylation was significantly increased, accompanied by an increased generation of reactive oxygen species in Shp2 knockout cells. Shp2 deficiency increased c-Myc and c-Jun expression, which may be related to the upregulation of glutamine metabolism. These findings suggested that Shp2 regulates cervical cancer proliferation, glutamine metabolism, and tumorigenicity.

Carotane sesquiterpenoids A-G from the desert endophytic fungus Fusarium sp. HM 166.

Seven undescribed carotane sesquiterpenoids named fusanoids A-G (1-7), along with one known analog (8) and two known sesterterpenes (9 and 10), were isolated from the fermentation broth of the desert endophytic fungi Fusarium sp. HM166. The structures of the compounds, including their absolute configurations, were determined by spectroscopic data, single-crystal X-ray diffraction analysis, and ECD calculations. Compound 10 showed cytotoxic activities against human hepatoma carcinoma cell line (Huh-7) and human breast cell lines (MCF-7 and MDA-MB-231), and compound 2 showed cytotoxic activity against MCF-7, while compounds 4-9 were inactive against all the tested cell lines. Compounds 4 and 10 showed potent inhibitory activities against the IDH1R132h mutant.

Boosting oxygen evolution reaction activity and durability of phosphate doped Ni(OH)2/FeOOH hierarchical microtubes by morphology engineering and reconstruction strategy.

Developing electrocatalysts with remarkable activity and durability is significant for efficient oxygen evolution reaction (OER). Herein, we designed phosphate doped Ni(OH)2/FeOOH hierarchical microtubes (denoted as POx-Ni(OH)2/FeOOH HMTs), obtained by phosphate doped NiFe Prussian blue analogue hierarchical microtubes (denoted as P-NF-PBA HMTs) completely reconstructing in OER process. POx-Ni(OH)2/FeOOH HMTs possess an extremely low overpotential of 237 mV at 30 mA cm-2 in alkaline electrolyte with the Tafel slope of 35 mV dec-1, and the catalysts can maintain excellent durability for 100 h at 30 mA cm-2. The remarkable electrochemical catalytic activity comes from the advantages of the hierarchical hollow structure, the modulation of electronic structure caused by phosphate doping, and the synergistic effect of Ni(OH)2 and FeOOH species produced by catalyst complete reconstruction in the OER process. This work may provide an effective strategy to develop highly efficient and durable electrocatalysts towards OER.

Lithiophilic hollow Co3[Co(CN)6]2 embedded carbon nanotube film for dendrite-free lithium metal anodes.

Lithium metal is considered to be an ideal anode material due to its ultra-high theoretical capacity and extremely low electric potential. Unfortunately, the infinite volume expansion and unregulated formation of lithium dendrites in the plating/stripping process restrict its practical utilization. Herein, we designed a hollow Co3[Co(CN)6]2 (CoCoPBA) embedded high-conductivity carbon film as a three-dimensional (3D) lithiophilic current collector (h-CoCoPBAs@SWCNT). The interwoven carbon nanotubes with hollow nanoparticles can effectively promote electron transfer and reduce local current density, adapting to the huge volume expansion in long-term electrochemical cycling. At the same time, lithiophilic hollow CoCoPBA nanoparticles provide abundant active sites due to their large surface area, efficiently reducing nucleation overpotential and making lithium deposition easier and more uniform, both confirmed by theoretical calculation and experiment. Accordingly, compared with bare Cu electrodes, h-CoCoPBAs@SWCNT electrodes have a flat and uniform Li deposition morphology, which is beneficial to enhance the cycle life of lithium metal anodes. And the symmetrical cell assembled by h-CoCoPBAs@SWCNT shows stable cycling performance of more than 500 h at 2 mA cm-2 with 1 mAh cm-2. Besides, the assembled lithium-sulfur full cell also has higher cycle stability and rate performance.

Role of Cholinergic Anti-Inflammatory Pathway in Protecting Sepsis-Induced Acute Lung Injury through Regulation of the Conventional Dendritic Cells.

BACKGROUND: The cholinergic anti-inflammatory pathway connects the immune response system and the nervous system via the vagus nerve. The key regulatory receptor is the α7-subtype of the nicotinic acetylcholine receptor (α7nAChR). Cholinergic anti-inflammatory pathway has been proved to be effective in suppressing the inflammation responses in acute lung injury (ALI). Dendritic cells (DCs), the important antigen-presenting cells, also express the α7nAChR. Past studies have indicated that reducing the quantity of mature conventional DCs and inhibiting the maturation of pulmonary DCs may prove effective for the treatment of ALI. However, the effects of cholinergic anti-inflammatory pathway on maturation, function, and quantity of DCs and conventional DCs in ALI remain unclear. OBJECTIVE: It was hypothesized that cholinergic anti-inflammatory pathway may inhibit the inflammatory response of ALI by regulating maturation, phenotype, and quantity of DCs and conventional DCs. METHODS: GTS-21 (GTS-21 dihydrochloride), an α7nAchR agonist, was prophylactically administered in sepsis-induced ALI mouse model and LPS-primed bone marrow-derived dendritic cells. The effects of GTS-21 were observed with respect to maturation, phenotype, and quantity of DCs, conventional DCs, and conventional DCs2 (type 2 conventional DCs) and the release of DC-related proinflammatory cytokines in vivo and in vitro. RESULTS: The results of the present study revealed that GTS-21 treatment decreased the maturation of DCs and the production of DC-related proinflammatory cytokines in vitro and in sepsis-induced ALI mouse model; it reduced the quantity of CD11c+MHCII+ conventional DCs and CD11c+CD11b+ conventional DCs2 in vivo experiment. CONCLUSIONS: Cholinergic anti-inflammatory pathway contributes to the reduction in the inflammatory response in ALI by regulating maturation, phenotype, and quantity of DCs, conventional DCs, and conventional DCs2.

Application of POCUS in patients with COVID-19 for acute respiratory distress syndrome management: a narrative review.

COVID-19 has inflicted the world for over two years. The recent mutant virus strains pose greater challenges to disease prevention and treatment. COVID-19 can cause acute respiratory distress syndrome (ARDS) and extrapulmonary injury. Dynamic monitoring of each patient's condition is necessary to timely tailor treatments, improve prognosis and reduce mortality. Point-of-care ultrasound (POCUS) is broadly used in patients with ARDS. POCUS is recommended to be performed regularly in COVID-19 patients for respiratory failure management. In this review, we summarized the ultrasound characteristics of COVID-19 patients, mainly focusing on lung ultrasound and echocardiography. Furthermore, we also provided the experience of using POCUS to manage COVID-19-related ARDS.

Metformin inhibits tumor growth and affects intestinal flora in diabetic tumor-bearing mice.

Many studies have found that diabetes increases the risk of some cancers such as hepatocellular carcinoma. However, there are few studies on the relationship between the two diseases and their effects on intestinal flora. Therefore, we used streptozotocin and high-fat diet to establish a mouse model of type 2 diabetes, and then inoculated the Huh-7 hepatocellular carcinoma cells to obtain mouse diabetic tumor model. Mice inoculated with Huh-7 cells alone served as control. The tumor size in the diabetic tumor group was significantly higher than that in the tumor group. Our study also showed that the expression levels of inflammation-related factors (TNFα, IL-1ß, IL-6, TLR4 and MCP1) in the diabetic tumor group were significantly higher than that in the tumor group. We found that metformin alleviated blood glucose level, reduced the expressions of inflammation-related factors and retarded xenograft tumor growth in the diabetic tumor group, but it couldn't reduce the tumor growth in the tumor group. Subsequent studies found that the content of some short chain fatty acids (SCFAs) including acetic acid, propionic acid and isobutyric acid decreased significantly in diabetic tumor group. Metformin increased short chain fatty acid levels (acetic acid, butyic acid and valeric acid) and enriched the abundance of SCFA-producing bacterial genera such as Ruminococcaceae, Clostridiales, Anaerovorax, Odoribacter and Marvinbryantia. In conclusion, type 2 diabetes could promote the growth of hepatoma cells in mice. Metformin could inhibit the growth of tumor under the condition of diabetes and play a role in the intestinal homeostasis in mice.

Embedding Fe3C and Fe3N on a Nitrogen-Doped Carbon Nanotube as a Catalytic and Anchoring Center for a High-Areal-Capacity Li-S Battery.

The biggest obstacles of putting lithium-sulfur batteries into practice are the sluggish redox kinetics of polysulfides and serious "shuttle effect" under high sulfur mass loading and lean-electrolyte conditions. Herein, Fe3C/Fe3N@nitrogen-doped carbon nanotubes (NCNTs) as multifunctional sulfur hosts are designed to realize high-areal-capacity Li-S batteries. The Fe3N and Fe3C particles attached to NCNT can promote the conversion of polysulfides. Besides, NCNT can not only enhance the chemisorption of polysulfides but also increase the special surface area and electrical conductivity by constructing a three-dimensional skeleton network. Integrating the merits of high electrical conductivity, high catalytic activity, and strong chemical binding interaction with lithium polysulfides (LiPSs) to achieve in situ anchoring conversion, the Fe3C/Fe3N@NCNT multifunctional hosts realize high sulfur mass loading and accelerate redox kinetics. The novel Fe3C/Fe3N@NCNT/S composite cathode exhibits steady cycle ability and a high areal capacity of 9.10 mAh cm-2 with a sulfur loading of 13.12 mg cm-2 at 2.20 mA cm-2 after 50 cycles.