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1.
Small ; 20(26): e2310843, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38247199

RESUMO

LiNO3 has attracted intensive attention as a promising electrolyte additive to regulate Li deposition behavior as it can form favorable Li3N, LiNxOy species to improve the interfacial stability. However, the inferior solubility in carbonate-based electrolyte restricts its application in high-voltage Li metal batteries. Herein, an artificial composite layer (referred to as PML) composed of LiNO3 and PMMA is rationally designed on Li surface. The PML layer serves as a reservoir for LiNO3 release gradually to the electrolyte during cycling, guaranteeing the stability of SEI layer for uniform Li deposition. The PMMA matrix not only links the nitrogen-containing species for uniform ionic conductivity but also can be coordinated with Li for rapid Li ions migration, resulting in homogenous Li-ion flux and dendrite-free morphology. As a result, stable and dendrite-free plating/stripping behaviors of Li metal anodes are achieved even at an ultrahigh current density of 20 mA cm-2 (>570 h) and large areal capacity of 10 mAh cm-2 (>1200 h). Moreover, the Li||LiFePO4 full cell using PML-Li anode undergoes stable cycling for 2000 cycles with high-capacity retention of 94.8%. This facile strategy will widen the potential application of LiNO3 in carbonate-based electrolyte for practical LMBs.

2.
Small ; 20(14): e2307116, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37988688

RESUMO

Iron trifluoride (FeF3) is attracting tremendous interest due to its lower cost and the possibility to enable higher energy density in lithium-ion batteries. However, its cycle performance deteriorates rapidly in less than 50 cycles at elevated temperatures due to cracking of the unstable cathode solid electrolyte interface (CEI) followed by active materials dissolution in liquid electrolyte. Herein, by engineering the salt composition, the Fe3O4-type CEI with the doping of boron (B) atoms in a polymer electrolyte at 60 °C is successfully stabilized. The cycle life of the well-designed FeF3-based composite cathode exceeds an unprecedented 1000 cycles and utilizes up to 70% of its theoretical capacities. Advanced electron microscopy combined with density functional theory (DFT) calculations reveal that the B in lithium salt migrates into the cathode and promotes the formation of an elastic and mechanic robust boron-contained CEI (BOR-CEI) during cycling, by which the durability of the CEI to frequent cyclic large volume changes is significantly enhanced. To this end, the notorious active materials dissolution is largely prohibited, resulting in a superior cycle life. The results suggest that engineering the CEI such as tuning its composition is a viable approach to achieving FeF3 cathode-based batteries with enhanced performance.

3.
Small ; : e2311739, 2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38420904

RESUMO

Rechargeable aprotic lithium (Li)-oxygen battery (LOB) is a potential next-generation energy storage technology because of its high theoretical specific energy. However, the role of redox mediator on the oxide electrochemistry remains unclear. This is partly due to the intrinsic complexity of the battery chemistry and the lack of in-depth studies of oxygen electrodes at the atomic level by reliable techniques. Herein, cryo-transmission electron microscopy (cryo-TEM) is used to study how the redox mediator LiI affects the oxygen electrochemistry in LOBs. It is revealed that with or without LiI in the electrolyte, the discharge products are plate-like LiOH or toroidal Li2 O2 , respectively. The I2 assists the decomposition of LiOH via the formation of LiIO3 in the charge process. In addition, a LiI protective layer is formed on the Li anode surface by the shuttle of I3 - , which inhibits the parasitic Li/electrolyte reaction and improves the cycle performance of the LOBs. The LOBs returned to 2e- oxygen reduction reaction (ORR) to produce Li2 O2 after the LiI in the electrolyte is consumed. This work provides new insight on the role of redox mediator on the complex electrochemistry in LOBs which may aid the design LOBs for practical applications.

4.
Int J Mol Sci ; 25(7)2024 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-38612538

RESUMO

Excessive alcohol intake will aggravate the health risk between the liver and intestine and affect the multi-directional information exchange of metabolites between host cells and microbial communities. Because of the side effects of clinical drugs, people tend to explore the intervention value of natural drugs on diseases. As a flavor substance, spices have been proven to have medicinal value, but they are still rare in treating hepatointestinal diseases caused by alcohol. This paper summarized the metabolic transformation of alcohol in the liver and intestine and summarized the potential value of various perfume active substances in improving liver and intestine diseases caused by alcohol. It is also found that bioactive substances in spices can exert antioxidant activity in the liver and intestine environment and reduce the oxidative stress caused by diseases. These substances can interfere with fatty acid synthesis, promote sugar and lipid metabolism, and reduce liver injury caused by steatosis. They can effectively regulate the balance of intestinal flora, promote the production of SCFAs, and restore the intestinal microenvironment.


Assuntos
Etanol , Fígado Gorduroso , Humanos , Intestinos , Especiarias
5.
Angew Chem Int Ed Engl ; : e202406198, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38864280

RESUMO

As a highly promising next-generation high-specific capacity anode, the industrial-scale utilization of micron silicon has been hindered by the issue of pulverization during cycling. Although numerous studies have demonstrated the effectiveness of regulating the inorganic components of the solid electrolyte interphase (SEI) in improving pulverization, the evolution of most key inorganic components in the SEI and their correlation with silicon failure mechanisms remain ambiguous. This study provides a clear and direct correlation between the lithium hydride (LiH) in the SEI and the degree of micron silicon pulverization in the battery system. The reverse lithiation behavior of LiH on micron silicon during de-lithiation exacerbates the localized stress in silicon particles and contributes to particle pulverization. This work successfully proposes a novel approach to decouple the SEI from electrochemical performance, which can be significant to decipher the evolution of critical SEI components at varied battery anode interfaces and analyze their corresponding failure mechanisms.

6.
J Am Chem Soc ; 145(19): 10576-10583, 2023 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-37130260

RESUMO

Li and Na metals with high energy density are promising in application in rechargeable batteries but suffer from degradation in the ambient atmosphere. The phenomenon that in terms of kinetics, Li is stable but Na is unstable in dry air has not been fully understood. Here, we use in situ environmental transmission electron microscopy combined with theoretical simulations and reveal that the different stabilities in dry air for Li and Na are reflected by the formation of compact Li2O layers on Li metal, while porous and rough Na2O/Na2O2 layers on Na metal are a consequence of the different thermodynamic and kinetics in O2. It is shown that a preformed carbonate layer can change the kinetics of Na toward an anticorrosive behavior. Our study provides a deeper understanding of the often-overlooked chemical reactions with environmental gases and enhances the electrochemical performance of Li and Na by controlling interfacial stability.

7.
Small ; 19(48): e2303864, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37525330

RESUMO

Silicon (Si) is regarded as one of the most promising anode materials for high-performance lithium-ion batteries (LIBs). However, how to mitigate its poor intrinsic conductivity and the lithiation/delithiation-induced large volume change and thus structural degradation of Si electrodes without compromising their energy density is critical for the practical application of Si in LIBs. Herein, an integration strategy is proposed for preparing a compact micron-sized Si@G/CNF@NC composite with a tight binding and dual-encapsulated architecture that can endow it with superior electrical conductivity and deformation resistance, contributing to excellent cycling stability and good rate performance in thick electrode. At an ultrahigh mass loading of 10.8 mg cm-2 , the Si@G/CNF@NC electrode also presents a large initial areal capacity of 16.7 mA h cm-2 (volumetric capacity of 2197.7 mA h cm-3 ). When paired with LiNi0.95 Co0.02 Mn0.03 O2 , the pouch-type full battery displays a highly competitive gravimetric (volumetric) energy density of ≈459.1 Wh kg-1 (≈1235.4 Wh L-1 ).

8.
Small ; 19(30): e2300420, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37046177

RESUMO

Constructing all-solid-state lithium-sulfur batteries (ASSLSBs) cathodes with efficient charge transport and mechanical flexibility is challenging but critical for the practical applications of ASSLSBs. Herein, a multiscale structural engineering of sulfur/carbon composites is reported, where ultrasmall sulfur nanocrystals are homogeneously anchored on the two sides of graphene layers with strong SC bonds (denoted as S@EG) in chunky expanded graphite particles via vapor deposition method. After mixing with Li9.54 Si1.74 P1.44 S11.7 Cl0.3 (LSPSCL) solid electrolytes (SEs), the fabricated S@EG-LSPSCL cathode with interconnected "Bacon and cheese sandwich" feature can simultaneously enhance electrochemical reactivity, charge transport, and chemomechanical stability due to the synergistic atomic, nanoscopic and microscopic structural engineering. The assembled InLi/LSPSCL/S@EG-LSPSCL ASSLSBs demonstrate ultralong cycling stability over 2400 cycles with 100% capacity retention at 1 C, and a record-high areal capacity of 14.0 mAh cm-2 at a record-breaking sulfur loading of 8.9 mg cm-2 at room temperature as well as high capacities with capacity retentions of ≈100% after 600 cycles at 0 and 60 °C. Multiscale structural engineered sulfur/carbon cathode has great potential to enable high-performance ASSLSBs for energy storage applications.

9.
BMC Cardiovasc Disord ; 23(1): 231, 2023 05 03.
Artigo em Inglês | MEDLINE | ID: mdl-37138214

RESUMO

BACKGROUND: The prognostic value of in-hospital hemoglobin drop in non-overt bleeding patients with acute myocardial infarction (AMI) admitted to the intensive care unit (ICU) remains insufficiently investigated. METHODS: A retrospective analysis was performed based on the Medical Information Mart for Intensive Care (MIMIC)-IV database. 2,334 ICU-admitted non-overt bleeders diagnosed with AMI were included. In-hospital hemoglobin values (baseline value on admission and nadir value during hospitalization) were available. Hemoglobin drop was defined as a positive difference between admission and in-hospital nadir hemoglobin. The primary endpoint was 180-day all-cause mortality. The time-dependent Cox proportional hazard models were structured to analyze the connection between hemoglobin drop and mortality. RESULTS: 2,063 patients (88.39%) experienced hemoglobin drop during hospitalization. We categorized patients based on the degree of hemoglobin drop: no hemoglobin drop (n = 271), minimal hemoglobin drop (< 3 g/dl; n = 1661), minor hemoglobin drop (≥ 3 g/dl & < 5 g/dl, n = 284) and major hemoglobin drop (≥ 5 g/dl; n = 118). Minor (adjusted hazard ratio [HR] = 12.68; 95% confidence interval [CI]: 5.13-31.33; P < 0.001) and major (adjusted HR = 13.87; 95% CI: 4.50-42.76; P < 0.001) hemoglobin drops were independently associated with increased 180-day mortality. After adjusting the baseline hemoglobin level, a robust nonlinear relationship was observed in the association between hemoglobin drop and 180-day mortality, with 1.34 g/dl as the lowest value (HR = 1.04; 95% CI: 1.00-1.08). CONCLUSION: In non-overt bleeding ICU-admitted patients with AMI, in-hospital hemoglobin drop is independently associated with higher 180-day all-cause mortality.


Assuntos
Infarto do Miocárdio , Humanos , Prognóstico , Estudos Retrospectivos , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/terapia , Hemoglobinas/análise , Hemorragia , Cuidados Críticos , Unidades de Terapia Intensiva , Hospitais
10.
Mikrochim Acta ; 190(11): 450, 2023 10 24.
Artigo em Inglês | MEDLINE | ID: mdl-37875688

RESUMO

Metal-based nanozymes with exceptional physicochemical property and intrinsic enzymatic properties have been widely used in industrial, medical, and diagnostic fields. However, low substrate affinity results in unsatisfying catalytic kinetic and instability in complicated conditions, which significantly decreases their sensitivity and reliability. Herein, an amorphous hollow manganese silicate nanosphere (defined as AHMS) has been successfully synthesized via a facile one-step hydrothermal method and utilized in the archetype for colorimetric detection of biothiols with high sensitivity and high reliability. The experimental data demonstrates that ultrafast affinity of the substrate contributes to enhanced sensitivity with outstanding catalytic kinetic features (Km = 27.1 µM) and low limit of detection (LODGSH = 20 nM). The designed sensor demonstrates a reliable applicability for analysis of biological liquids (fetal calf serum and Staphylococcus aureus) and design of visual logic gates. Therefore, AHMS provides a promising strategy for ultrasensitive and high-reliable biosensing.


Assuntos
Nanosferas , Oxirredutases , Manganês/química , Colorimetria/métodos , Reprodutibilidade dos Testes , Silicatos
11.
Nano Lett ; 22(1): 411-418, 2022 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-34941277

RESUMO

The very high ionic conductivity of Li10GeP2S12 (LGPS) solid electrolyte (SE) makes it a promising candidate SE for solid-state batteries in electrical vehicles. However, chemomechanical failure, whose mechanism remains unclear, has plagued its widespread applications. Here, we report in situ imaging lithiation-induced failure of LGPS SE. We revealed a strong size effect in the chemomechanical failure of LGPS particles: namely, when the particle size is greater than 3 µm, fracture/pulverization occurred; when the particle size is between 1 and 3 µm, microcracks emerged; when the particle size is less than 1 µm, no chemomechanical failure was observed. This strong size effect is interpreted by the interplay between elastic energy storage and dissipation. Our finding has important implications for the design of high-performance LGPS SE, for example, by reducing the particle size to less than 1 µm the chemomechanical failure of LGPS SE can be mitigated.

12.
Small ; 18(29): e2202069, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35739615

RESUMO

Replacing liquid electrolytes with solid polymer electrolytes (SPEs) is considered as a vital approach to developing sulfur (S)-based cathodes. However, the polysulfides shuttle and the growth of lithium (Li) dendrites are still the major challenges in polyethylene oxide (PEO)-based electrolyte. Here, an all-solid-state Li metal battery with flexible PEO-Li10 Si0.3 PS6.7 Cl1.8 (LSPSCl)-C-lithium bis(trifluoromethanesulfonyl)imide (LiTFSI) composite cathode (FCC) and PEO-LSPSCl-LiTFSI composite electrolyte (S-CPE) is designed. The initial capacity of the Li|S-CPE|FCC battery is 414 mAh g-1 with 97.8% capacity retention after 100 cycles at 0.1 A g-1 . Moreover, the battery displays remarkable capacity retention of 80% after 500 cycles at 0.4 A g-1 . Cryo-transmission electron microscopy (Cryo-TEM) reveals rich large-sized Li2 CO3 particles at the Li/PEO interface blocking the Li+ transport, but the layer with rich Li2 O nanocrystals, amorphous LiF and Li2 S at the Li/S-CPE interface suppresses the growth of lithium dendrite and stabilizes the interface. In situ optical microscopy demonstrates that the excellent cyclic stability of FCC is ascribed to the reversible shuttle of P-S-P species, resulting from the movement of ether backbone in PEO. This study provides strategies to mitigate the polysulfide shuttle effect and Li dendrite formation in designing high energy density solid-state Li-S-based batteries.

13.
Small ; 18(28): e2202006, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35689303

RESUMO

Conversion-type cathodes such as metal fluorides, especially FeF2 and FeF3 , are potential candidates to replace intercalation cathodes for the next generation of lithium ion batteries. However, the application of iron fluorides is impeded by their poor electronic conductivity, iron/fluorine dissolution, and unstable cathode electrolyte interfaces (CEIs). A facile route to fabricate a mechanical strong electrode with hierarchical electron pathways for FeF2 nanoparticles is reported here. The FeF2 /Li cell demonstrates remarkable cycle performances with a capacity of 300 mAh g-1 after a record long 4500 cycles at 1C. Meanwhile, a record stable high area capacity of over 6 mAh cm-2 is achieved. Furthermore, ultra-high rate capabilities at 20C and 6C for electrodes with low and high mass loading, respectively, are attained. Advanced electron microscopy reveals the formation of stable CEIs. The results demonstrate that the construction of viable electronic connections and favorable CEIs are the key to boost the electrochemical performances of FeF2 cathode.

14.
BMC Biol ; 19(1): 252, 2021 11 24.
Artigo em Inglês | MEDLINE | ID: mdl-34819062

RESUMO

BACKGROUND: Although electrical stimulation of the peripheral and central nervous systems has attracted much attention owing to its potential therapeutic effects on neuropsychiatric diseases, its non-cell-type-specific activation characteristics may hinder its wide clinical application. Unlike electrical methodologies, optogenetics has more recently been applied as a cell-specific approach for precise modulation of neural functions in vivo, for instance on the vagus nerve. The commonly used implantable optical waveguides are silica optical fibers, which for brain optogenetic stimulation (BOS) are usually fixed on the skull bone. However, due to the huge mismatch of mechanical properties between the stiff optical implants and deformable vagal tissues, vagus nerve optogenetic stimulation (VNOS) in free-behaving animals continues to be a great challenge. RESULTS: To resolve this issue, we developed a simplified method for the fabrication of flexible and stretchable polymer optical fibers (POFs), which show significantly improved characteristics for in vivo optogenetic applications, specifically a low Young's modulus, high stretchability, improved biocompatibility, and long-term stability. We implanted the POFs into the primary motor cortex of C57 mice after the expression of CaMKIIα-ChR2-mCherry detected frequency-dependent neuronal activity and the behavioral changes during light delivery. The viability of POFs as implantable waveguides for VNOS was verified by the increased firing rate of the fast-spiking GABAergic interneurons recorded in the left vagus nerve of VGAT-ChR2 transgenic mice. Furthermore, VNOS was carried out in free-moving rodents via chronically implanted POFs, and an inhibitory influence on the cardiac system and an anxiolytic effect on behaviors was shown. CONCLUSION: Our results demonstrate the feasibility and advantages of the use of POFs in chronic optogenetic modulations in both of the central and peripheral nervous systems, providing new information for the development of novel therapeutic strategies for the treatment of neuropsychiatric disorders.


Assuntos
Fibras Ópticas , Optogenética , Animais , Encéfalo , Camundongos , Camundongos Transgênicos , Polímeros , Nervo Vago
15.
Nano Lett ; 21(16): 6859-6866, 2021 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-34369786

RESUMO

The increasing demand for safe and dense energy storage has shifted research focus from liquid electrolyte-based Li-ion batteries toward solid-state batteries (SSBs). However, the application of SSBs is impeded by uncontrollable Li dendrite growth and short circuiting, the mechanism of which remains elusive. Herein, we conceptualize a scheme to visualize Li deposition in the confined space inside carbon nanotubes (CNTs) to mimic Li deposition dynamics inside solid electrolyte (SE) cracks, where the high-strength CNT walls mimic the mechanically strong SEs. We observed that the deposited Li propagates as a creeping solid in the CNTs, presenting an effective pathway for stress relaxation. When the stress-relaxation pathway is blocked, the Li deposition-induced stress reaches the gigapascal level and causes CNT fracture. Mechanics analysis suggests that interfacial lithiophilicity critically governs Li deposition dynamics and stress relaxation. Our study offers critical strategies for suppressing Li dendritic growth and constructing high-energy-density, electrochemically and mechanically robust SSBs.

16.
Small ; 17(23): e2100846, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33983675

RESUMO

Understanding polysulfide electrochemistry in high temperature sodium-sulfur (HT-Na-S) batteries is crucial for their practical applications. Currently the discharge capacity of commercial HT-Na-S battery achieves only one third of its theoretical capacity due to polysulfides formation, understanding of which is limited due to technical difficulty in direct imaging polysulfides. Herein, in situ transmission electron microscopy implemented with a microelectromechanical systems (MEMS) heating device is used to investigate the electrochemical reactions of HT-Na-S batteries. The formation and evolution of transient polysulfides during cycling are revealed in real-time. Upon discharge, sulfur transforms to long-chain polysulfides, short-chain polysulfides, and finally Na2 S or its mixture with polysulfides, and the process is reversible during charge at high temperatures. Surprisingly, by introducing nanovoids into the sulfur cathode to buffer the large volume change thus preserving the integrity of the electronic/ionic pathways and reducing the diffusion distance of Na+ ions, the sulfur cathode is fully discharged to Na2 S rather than the conventionally observed Na2 S2 at 300 °C. Moreover, the electrochemical reaction is swift and highly reversible. The in situ studies provide not only new understanding to the polysulfide electrochemistry, but also critical strategies to boost the capacity and cyclability of HT-Na-S batteries for large-scale energy storage applications.

17.
Small ; 17(20): e2008163, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33838019

RESUMO

Sodium and potassium are considered to be the most promising anode candidates due to their easy availability, low-cost and similar chemical properties to lithium. Here, novel 3D accordion-like fluorinated graphite nanosheets (FGNSs) are reported as cathodes for sodium primary batteries (SPBs) and potassium primary batteries (PPBs). The FGNSs-x cathode exhibits unprecedented power and energy density due to the impressive 3D structure, high F/C ratio (1.0), and more surface CC bonds (7.14%). The FGNSs-1.0 exhibits very high specific capacities of 831.3 and 834.1 mAh g-1 for SPBs and PPBs, respectively, close to the theoretical capacity. Besides, the maximum energy density of FGNSs-1.0 in SPBs and PPBs are 1960.5 and 2144.6 Wh kg-1 , respectively. The maximum power density for Na/CFx and K/CFx batteries could reach up to 7076.8 and 6227.4 W kg-1 , respectively. The electrochemical performance of FGNSs-1.0 at extreme temperatures (-30 to 100 °C), long storage time (60 days), high mass loading (3.6 mg cm-2 ), and pouch-type cell is also evaluated for the first time. Surprisingly, FGNSs-1.0 has outstanding performance in these projects. Therefore, the new-type Na/CFx and K/CFx primary battery systems developed here have broad application prospects in high-energy applications that require high-power, low-cost, and normal use under extreme conditions.

18.
BMC Cardiovasc Disord ; 21(1): 554, 2021 11 19.
Artigo em Inglês | MEDLINE | ID: mdl-34798829

RESUMO

BACKGROUND AND AIMS: Atherosclerosis is a vital cause of cardiovascular diseases. The correlation between proteinuria and atherosclerosis, however, has not been confirmed. This study aimed to assess whether there is a relationship between proteinuria and atherosclerosis. METHODS: From January 2016 to September 2020, 13,545 asymptomatic subjects from four centres in southern China underwent dipstick proteinuria testing and carotid atherosclerosis examination. Data on demography and past medical history were collected, and laboratory examinations were performed. The samples consisted of 7405 subjects (4875 males and 2530 females), excluding subjects failing to reach predefined standards and containing enough information. A multivariate logistic regression model was used to adjust the influence of traditional risk factors for atherosclerosis on the results. RESULTS: Compared with proteinuria-negative subjects, proteinuria-positive subjects had a higher prevalence rate of carotid atherosclerosis. The differences were statistically significant (22.6% vs. 26.7%, χ2 = 10.03, p = 0.002). After adjusting for common risk factors for atherosclerosis, age, sex, BMI, blood lipids, blood pressure, renal function, hypertensive disease, diabetes mellitus and hyperlipidaemia, proteinuria was an independent risk factor for atherosclerosis (OR = 1.191, 95% CI 1.015-1.398, p = 0.033). The Hosmer-Lemeshow test was used to test the risk prediction model of atherosclerosis, and the results showed that the model has high goodness of fit and strong independent variable prediction ability. CONCLUSIONS: Proteinuria is independently related to carotid atherosclerosis. With the increase in proteinuria level, the risk of carotid atherosclerotic plaque increases. For patients with positive proteinuria, further examination of atherosclerosis should not be ignored.


Assuntos
Doenças das Artérias Carótidas/epidemiologia , Proteinúria/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças das Artérias Carótidas/diagnóstico por imagem , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Prognóstico , Proteinúria/diagnóstico , Proteinúria/urina , Fitas Reagentes , Medição de Risco , Fatores de Risco , Ultrassonografia Doppler em Cores , Urinálise/instrumentação , Adulto Jovem
19.
Ann Clin Microbiol Antimicrob ; 20(1): 47, 2021 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-34174895

RESUMO

BACKGROUND: Pneumocystis jirovecii and Aspergillus fumigatus, are opportunistic pathogenic fungus that has a major impact on mortality in patients with systemic lupus erythematosus. With the potential to invade multiple organs, early and accurate diagnosis is essential to the survival of SLE patients, establishing an early diagnosis of the infection, especially coinfection by Pneumocystis jirovecii and Aspergillus fumigatus, still remains a great challenge. CASE PRESENTATION: In this case, we reported that the application of next -generation sequencing in diagnosing Pneumocystis jirovecii and Aspergillus fumigatus coinfection in a Chinese girl with systemic lupus erythematosus (SLE). Voriconazole was used to treat pulmonary aspergillosis, besides sulfamethoxazole and trimethoprim (SMZ-TMP), and caspofungin acetate to treat Pneumocystis jirovecii infection for 6 days. On Day 10 of admission, her chest radiograph displayed obvious absorption of bilateral lung inflammation though the circumstance of repeated fever had not improved. Unfortunately, the patient discharged from the hospital since the financial burden, and during the follow-up, it was documented the patient died within one week after discharge. CONCLUSIONS: This successful application of the next generation sequencing assisting the rapid diagnosis of Pneumocystis jirovecii and Aspergillus fumigatus coinfection provides a new perspective in the clinical approach against the systematic fungi infections and highlights the potential of this technique in rapid etiological diagnosis.


Assuntos
Aspergillus fumigatus/isolamento & purificação , Coinfecção/diagnóstico , Coinfecção/microbiologia , Lúpus Eritematoso Sistêmico/complicações , Pneumocystis carinii/isolamento & purificação , Pneumonia/diagnóstico , Pneumonia/microbiologia , Adolescente , Aspergillus fumigatus/genética , Caspofungina , Coinfecção/tratamento farmacológico , Feminino , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Lúpus Eritematoso Sistêmico/microbiologia , Infecções Oportunistas/microbiologia , Pneumocystis carinii/genética , Pneumonia/tratamento farmacológico , Sulfametoxazol/uso terapêutico , Trimetoprima/uso terapêutico , Voriconazol/uso terapêutico
20.
Small ; 16(28): e2001899, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32519445

RESUMO

Understanding the structural evolution of Li2 S upon operation of lithium-sulfur (Li-S) batteries is inadequate and a complete decomposition of Li2 S during charge is difficult. Whether it is the low electronic conductivity or the low ionic conductivity of Li2 S that inhibits its decomposition is under debate. Furthermore, the decomposition pathway of Li2 S is also unclear. Herein, an in situ transmission electron microscopy (TEM) technique implemented with a microelectromechanical systems (MEMS) heating device is used to study the precipitation and decomposition of Li2 S at high temperatures. It is revealed that Li2 S transformed from an amorphous/nanocrystalline to polycrystalline state with proceeding of the electrochemical lithiation at room temperature (RT), and the precipitation of Li2 S is more complete at elevated temperatures than at RT. Moreover, the decomposition of Li2 S that is difficult to achieve at RT becomes facile with increased Li+ ion conduction at high temperatures. These results indicate that Li+ ion diffusion in Li2 S dominates its reversibility in the solid-state Li-S batteries. This work not only demonstrates the powerful capabilities of combining in situ TEM with a MEMS heating device to explore the basic science in energy storage materials at high temperatures but also introduces the factor of temperature to boost battery performance.

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