Unveiling the photocatalytic marvels: Recent advances in solar heterojunctions for environmental remediation and energy harvesting.

In the quest for effective solutions to address Environ. Pollut. and meet the escalating energy demands, heterojunction photocatalysts have emerged as a captivating and versatile technology. These photocatalysts have garnered significant interest due to their wide-ranging applications, including wastewater treatment, air purification, CO2 capture, and hydrogen generation via water splitting. This technique harnesses the power of semiconductors, which are activated under light illumination, providing the necessary energy for catalytic reactions. With visible light constituting a substantial portion (46%) of the solar spectrum, the development of visible-light-driven semiconductors has become imperative. Heterojunction photocatalysts offer a promising strategy to overcome the limitations associated with activating semiconductors under visible light. In this comprehensive review, we present the recent advancements in the field of photocatalytic degradation of contaminants across diverse media, as well as the remarkable progress made in renewable energy production. Moreover, we delve into the crucial role played by various operating parameters in influencing the photocatalytic performance of heterojunction systems. Finally, we address emerging challenges and propose novel perspectives to provide valuable insights for future advancements in this dynamic research domain. By unraveling the potential of heterojunction photocatalysts, this review contributes to the broader understanding of their applications and paves the way for exciting avenues of exploration and innovation.

Accelerating catalytic conversion and chemisorption of polysulfides for advanced Li-S batteries from incorporating Fe0.64Ni0.36@Co5.47N hetero-nanocrystals into boron carbonitride nanotubes.

With the rapid development of large-scale clean energy, lithium-sulfur (Li-S) batteries are considered to be one of the most promising energy storage devices. In this manuscript, the polymetallic hetero-nanocrystal of iron nickel@cobalt nitride encapsulating into boron carbonitride nanotubes (Fe0.64Ni0.36@Co5.47N@BCN) was designed and optimized for use as a modified material for commercial polypropylene (PP) separators. The prepared Fe0.64Ni0.36@Co5.47N@BCN-12 hybrid material presents strong chemisorption and catalytic conversion capabilities, which endows the Fe0.64Ni0.36@Co5.47N@BCN-12//PP separator with enhanced polysulfide shuttling inhibition. The assembled Li-S cells with Fe0.64Ni0.36@Co5.47N@BCN-12//PP separators have minimized charge transfer resistance and faster redox kinetics. Additionally, cells with Fe0.64Ni0.36@Co5.47N@BCN-12//PP separator provide high reversible capacity of 674 mAh/g for 400 cycles at 0.5C and excellent cyclability for 1000 cycles at 2C with a low decay rate of 0.05 % per cycle. Therefore, this study provides a feasible functionalization route for improving the electrochemical performance of Li-S batteries through separator modification.

Solar energy powered electrochemical reduction of CO2 on In2O3 nanosheets with high energy conversion efficiency at a large current density.

Electrochemical CO2 reduction (ECO2R) to value-added chemicals offers a promising approach to both mitigate CO2 emission and facilitate renewable energy conversion. We demonstrate a solar energy powered ECO2R system operating at a relatively large current density (57 mA cm-2) using In2O3 nanosheets (NSs) as the cathode and a commercial perovskite solar cell as the electricity generator, which achieves the high solar to formate energy conversion efficiency of 6.6 %. The significantly enhanced operative current density with a fair solar energy conversion efficiency on In2O3 NSs can be ascribed to their high activity and selectivity for formate production, as well as the fast kinetics for ECO2R. The Faradic efficiencies (FEs) of formate In2O3 NSs are all above 93 %, with the partial current density of formate ranging from 2.3 to 342 mA cm-2 in a gas diffusion flow cell, which is among the widest for formate production on In-based catalysts. In-situ Raman spectroscopy and density functional theory simulations reveal that the exceptional performances of formate production on In2O3 NSs originates from the presence of abundant low coordinated edge sites, which effectively promote the selective adsorption of *OCHO while inhibiting *H adsorption.

Novel multi-mode anti-counterfeiting encryption material of CaAl12O19:Eu, Er with multi-color down-conversion luminescence, up-conversion luminescence, dynamic luminescence, and photochromism.

Multi-mode dynamic anti-counterfeiting materials can provide complex anti-counterfeiting performance and ensure the anti-counterfeiting strategy becomes more secure. Herein, a new type of multi-mode anti-counterfeiting encryption material of CaAl12O19:Eu, Er with different Er doping concentration was developed by sol-gel method. Interestingly, the CaAl12O19:Eu, Er phosphor and its composite have multi-mode anti-counterfeiting characteristics of multi-color down-conversion luminescence, up-conversion luminescence, dynamic luminescence, and photochromism. Effect of different Er doping concentration on the down-conversion luminescence, up-conversion luminescence, dynamic luminescence, and photochromism of CaAl12O19:Eu, Er was systematically investigated, and the relevant mechanisms were discussed. These anti-counterfeiting features can be simultaneously applied in both bright and dark fields, which can achieve high-level anti-counterfeiting in both spatial and temporal dimensions. The CaAl12O19:Eu, Er phosphors cannot be easily replaced by other materials with the same anti-counterfeiting properties. They display good application foreground in the field of anti-counterfeiting encryption.

Core-shell Ru@Co2P synergistic catalyst as polysulfides adsorption-catalytic conversion mediator with enhanced redox kinetics in lithium-sulfur batteries.

Lithium-sulfur batteries (LSBs) have emerged as the research hotspot due to their compelling merits, including high specific capacity (1675 mAh g-1), theoretical energy density (2600 Wh kg-1), environmental friendliness, and economic advantages. However, challenges still exist for further application due to their inherent issues such as the natural insulation, shuttle effect, and volume expansion of sulfur cathode during the continuous cycle processes. These factors obstruct the lithium ions (Li+) transfer process and sulfur utilization, resulting in significant impedance and inducing inferior battery performance. Herein, the core-shell nanocube anchoring ruthenium atoms and dicobalt phosphate (Ru@Co2P@NC) were fabricated as the effective catalyst and inhibited barrier for LSBs. On the one hand, the core-shell structure offers numerous channels to expedite Li+ diffusion. On the other hand, ruthenium (Ru) and dicobalt phosphate (Co2P) active sites facilitate the chemical capture of lithium polysulfides (LiPSs), accelerating sluggish kinetics. Ru@Co2P@NC modified cells not only exhibited a high initial specific capacity (1609.35 mAh g-1) at 0.5C and enduring stability with high specific capacity retention of 906.60 mAh g-1 at 0.5C after 400 cycles but also possessed low capacity attenuation rate of 0.07 % per cycle after 600 cycles (1C, Sulfur loading: 1.2 mg). Interestingly, the modified cells demonstrated a high specific capacity and long-cycle stability with high sulfur loading (from 1.984 to 3.137 mg), which provides a promising research approach for high-performance LSBs.

Phase change material composites based on 3D lignin-derived porous carbon prepared by in-situ activation for efficient solar-driven energy conversion and storage.

Utilization of three-dimensional biomass-derived porous carbons can effectively address issues of easy leakage, low thermal conductivity, and weak photothermal conversion of phase change materials (PCMs). This enables the production of high-performance composites for solar-induced energy collection, conversion, and storage. In this study, hierarchical lignin-derived porous carbon (HLPC), microporous lignin-derived porous carbon (MILPC) and mesoporous lignin-derived porous carbon (MELPC) were prepared through high-temperature in-situ activation using lignosulphonate (LS) as a carbon precursor and CaCO3, KOH and ZnCO3 as activators. Carbon-based PCM composites with high performance were obtained by encapsulating paraffin wax (PW) in porous carbon supports. Results demonstrated that PW/HLPC exhibited comprehensive performance superior to other tested PW composites owing to its higher specific surface area (2,358 m2/g), larger pore volume (1.1 cm3/g) and well-interconnected framework structure. Additionally, PW/HLPC displayed relatively high latent heat (123.4 kJ/kg), photothermal conversion and storage efficiency (95 %), and photoelectric conversion performance (174.5 mV). Moreover, PW/HLPC also showed better leak-proof properties at 90 °C. The cycling stability and photothermal conversion performance of PW/HLPC were superior to those of the selected crude biochar-based PW composites. This study highlights the advantages of the prepared PW/HLPC for both the high-value utilization of lignin and its practical applications in solar-induced energy harvest, conversion, and storage.

Interfacial SbOC bond and structural confinement synergistically boosting the reaction kinetics and reversibility of Sb2Se3/NC nanorods anode for sodium storage.

Antimony selenide (Sb2Se3) has been considered as a prospective material for sodium-ion batteries (SIBs) because of its large theoretical capacity. Whereas, grievous volume expansion caused by the conversion-alloying reaction leads to fast capacity decay and inferior cycle stability. Herein, the confined Sb2Se3 nanorods in nitrogen-doped carbon (Sb2Se3/NC) with interfacial chemical bond is designed to further enhance sodium storage properties of Sb2Se3. The robust enhancing effect of interfacial SbOC bonds can significantly promote electron transfer, Na+ ions diffusion kinetics and alloying reaction reversibility, combining the synergistic effect of the unique confinement structure of N-doped carbon shells can efficiently alleviate the volume change to ensure the structural integrity. Moreover, in-situ X-ray diffraction reveals intercalation/de-intercalation, conversion/reversed conversion reaction and alloying/de-alloying reaction mechanisms, and the kinetics analysis demonstrates the diffusion-controlled to contribute high capacity. As a result, Sb2Se3/NC anode delivers a high reversible capacity of 612.6 mAh/g at 0.1 A/g with a retentive specific capacity of 471.4 mAh/g after 1000 cycles, and long-cycle durability of over 2000 cycle with the reversible capacities of 371.1 and 297.3 mAh/g at 1 and 2 A/g are achieved, respectively, and an good rate capability. This distinctive interfacial chemical bonds and confinement effect design shows potential applications in the improved conversion/alloying-type materials for SIBs.

Tandem Pt/TiO2 and Fe3C catalysts for direct transformation of CO2 to light hydrocarbons under high space velocity.

CO2 hydrogenation to hydrocarbons under high space velocity is crucial for industrial applications, but traditional Fe-based catalysts often suffer from the low activity and poor stability. Herein, we report a new tandem catalyst system combining Pt/TiO2 catalysts with Fe3C catalysts for the direct conversion of CO2 into C2-C4 hydrocarbons under high space velocity. The Pt/TiO2 component promotes *CO intermediate production with an enhanced Reverse Water-Gas Shift (RWGS) reaction efficiency, providing a highly reactive species for the Fe3C catalyst to achieve Fischer-Tropsch synthesis (FTS). By maximizing the contact interface between the Pt/TiO2 and Fe-based components through a granule mixing configuration, we achieve significant enhancements in both CO2 conversion rate (24.0 %) and C2-C4 hydrocarbons selectivity (51.1 %) under the gaseous hourly space velocity (GHSV) of 100000 mL gcat-1h-1. Besides, excellent stability is achieved by the tandem catalysts with continuous catalysis for up to 80 h without significant decrease in activity. Through modulation of the reduction states of iron oxide, we effectively tune the composition of Fe-based catalyst, thereby tailoring the product distribution. Through this work, we not only offer a promising avenue for reducing CO2 for efficient CO2 utilization but also highlight the importance of catalyst design in advancing sustainable chemical synthesis.

Sodium citrate enhancing electrodeposition of metallic arsenic from toxic trivalent arsenic and the mechanism understanding.

Electrochemical conversion of hypertoxic trivalent arsenic to value-added metallic arsenic can not only contribute to pollution abatement, but also resources reutilization, therefore being widely explored. Electrochemical reduction of trivalent arsenic as a promising way is widely explored. However, the high efficiency conversion is retarded by the sluggish reduction kinetics of AsO33- and fierce evolution of side products of both H2 and toxic AsH3. Herein, by using the sodium citrate as the additive, the current efficiency for metal arsenic production is increased greatly from 60% to 91%, with the accompanied evolution of hypertoxic AsH3 being restrained from 0.15 Nm3/tAs to 0.022 Nm3/tAs, promising a high-efficiency and green process. The electrochemical tests and electrode surface characterizations as well as DFT calculations indicate that the added sodium citrate promotes both the diffusion of reactive AsO33- towards the cathode and its subsequent adsorption on the Ti cathode, contributing to smoother reduction for generating metal arsenic, with the evolution of toxic AsH3 being hindered at the same time. The results can provide new insights for the high-efficiency and greener conversion of hypertoxic trivalent arsenic to value-added metallic arsenic.

Integrated identification and detection of hydration state and its evolution using terahertz technology.

The accurate detection of dehydration processes in hydrated drugs can reveal various intermolecular vibration modes mediated by hydrogen bonds between water molecules and other components, which underpin the further development of pharmaceutical science, food safety and biophysics. Herein, terahertz (THz) technology is utilized to investigate the dehydration state of d(+)-Raffinose pentahydrate (Rf·5H2O), in conjunction with imaging-based point by point scanning data acquisition and barcodes methods, to establish an innovative platform integrated identification, trace detection, and application capabilities. Our study demonstrates that the dehydration process of Rf·5H2O can be dynamically monitored through the evolution of its THz absorption peaks, offering more precise results compared to XRD and Raman spectroscopies. Moreover, the absorbance spectra data collected at each individual pixel is utilized to build visualized THz images, achieving an ultralow minimum content required for detection of 0.032 µg/(50 µm)2. Additionally, we introduce a THz spectra-barcode conversion system that not only ensures efficient electronic recordkeeping but also enhances user readability, thereby facilitating the practical applications of THz technology.

Up-conversion luminescence and temperature sensing properties of Ho3+-, Tm3+-, and Yb3+-codoped Bi2WO6 materials in a water environment.

A series of x%Ho3+, 5 %Tm3+, y%Yb3+:Bi2WO6 (x = 0, 0.5, 1, 3, 5; y = 0.5, 1, 3) luminescent materials was prepared using a high-temperature solid-phase method. The microstructure, up-conversion luminescence, and temperature sensing properties of the synthesized powders were analyzed. X-ray diffraction patterns revealed that doping with Ho3+, Tm3+, and Yb3+ ions at certain concentrations did not affect the orthorhombic crystal structure of the Bi2WO6 host. Scanning electron microscopy revealed that the morphology of the sample consisted of lumpy particles with a particle size range of 1-5 µm and agglomeration. SEM mapping and energy-dispersive X-ray spectroscopy analyses revealed that each element was relatively uniformly distributed on the particle surface. Under 980 nm excitation (380 mW), the strongest luminescence of the sample was obtained when both Ho3+ and Yb3+ doping concentrations were 1 %. Compared with the luminescence of the 5 %Tm3+ and 1 %Yb3+:Bi2WO6 sample, with increasing Ho3+ concentrations, the luminescence intensity of Tm3+ was first enhanced and subsequently weakened, whereas the luminescence of Ho3+ was significantly weakened, which indicates the positive energy transfer from Ho3+ â†’ Tm3+. At 980 nm (80-380 mW), for the 1 %Ho3+, 5 %Tm3+, and 1 %Yb3+:Bi2WO6 sample, the 538 nm, 545 nm, 660 nm, and 804 nm emission peaks originated from the two-photon absorption. FIR660 nm/804 nm, FIR545 nm/804 nm, and FIR538 nm/804 nm were used to characterize the temperature and corresponded to temperature sensitivities Sr of 0.0046 K-1, 0.022 K-1 and 0.024 K-1 at 573 K, respectively. At 498 K, the minimum temperature resolution δT values were 0.03384 K, 0.03203 K and 0.04373 K. When the temperature increased from 298 K to 573 K, the powder sample luminescence gradually shifted from the yellow-green region to the red region. The results of environmental discoloration and thermochromic performance tests indicate that this sample has potential application in optical anti-counterfeiting. FIR804 nm /660 nm and FIR804 nm /538 nm were obtained for the 40 NTU turbidity suspension under identical excitation conditions. At 298 K, for the 40 NTU turbidity sample, the maximum Sr values were 0.0197 K-1 and 0.0405 K-1; at 340 K, the minimum temperature resolutions δT values were 0.54037 K and 0.66237 K. When the temperature decreased from 340 K to 298 K, the luminescence of the 40 NTU suspension samples gradually shifted from the yellow region to the green region.

Application of new tetra-cationic imidazolium ionic liquids for capture and conversion of CO2 to amphiphilic calcium carbonate nanoparticles as a green additive in water based drilling fluids.

Conversion and capture of carbon pollutants based on carbon dioxide to valuable green oil-field chemicals are target all over the world for controlling the global warming. The present article used new room temperature amphiphilic imidazolium ionic liquids with superior surface activity in the aqueous solutions to convert carbon dioxide gas to superior amphiphilic calcium carbonate nanoparticles. In this respect, tetra-cationic ionic liquids 2-(4-dodecyldimethylamino) phenyl)-1,3-bis (3-dodecyldimethylammnonio) propyl) bromide-1-H-imidazol-3-ium acetate and 2-(4-hexyldimethylamino) phenyl)-1,3-bis(3-hexcyldimethylammnonio) propyl) bromide-1 H-imidazol-3-ium acetate were prepared. Their chemical structures, thermal as well as their carbon dioxide absorption/ desorption characteristics were evaluated. They were used as solvent and capping agent to synthesize calcium carbonate nanoparticles with controlled crystalline lattice, sizes, thermal properties and spherical surface morphologies. The prepared calcium carbonate nanoparticles were used as additives for the commercial water based drilling mud to improve their filter lose and rheology. The data confirm that the lower concentrations of 2-(4-dodecyldimethylamino) phenyl)-1,3-bis (3-dodecyldimethylammnonio) propyl) bromide-1-H-imidazol-3-ium acetate achieved lower seawater filter lose and improved viscosities.

A Retrospective Analysis of Late Open Conversions Following Failed Endovascular Aneurysm Repair.

Background: The incidence of late open surgical conversions (OSCs) has recently increased. Vascular surgeons face additional technical challenges in late conversion surgery of failed endovascular aneurysm repair (EVAR) due to the presence of a previously deployed endograft. Based on our institutional experience, this study aimed to delineate methods to improve late open conversion outcomes, proposing solutions for technical challenges. Methods: All preoperative OSC data on failed EVARs operated in our Cardiovascular Surgery Clinic between January 2017 and January 2024 were evaluated retrospectively. Study endpoints included early (30-day or in-hospital) and late follow-up outcomes. Early outcomes included perioperative mortality and morbidities, intensive care unit (ICU) period, and length of hospital stay (LOS). The main outcome of interest during follow-up was overall survival. Results: Sixteen patients in our hospital, comprising eight elective and eight emergency procedures, underwent OSCs following EVAR. The difference between the 30-day mortality rates for the elective and urgent late conversions was significant (p < 0.001). Of these patients, 15 were male, with a mean age of 70.8 years (range: 62-80). Preoperative cardiac shock status and low hematocrit level (<20%) were independent mortality factors (p < 0.001). The ICU period was 8.7 ± 5.3 days (2-20 days) on average, and LOS was 17.3 ± 8.4 (6-29 days) days on average. The mean time to open surgical conversion in this cohort was 44.4 ± 16.8 months. The 5-year overall survival rate was 43.75%. Conclusions: The incidence of open surgical conversion is notably growing. Emergent open surgical conversions exhibit poorer mortality outcomes compared to elective procedures. Further data are essential to evaluate the ramifications of expanding the use of EVAR beyond the instructions for use (IFU) guidelines. The procedures involving patients who challenge the IFU criteria should be conducted at experienced centers and require close monitoring. Open surgical repair (OSR) as the initial treatment opportunity could be an alternative strategy for improving outcomes in this patient cohort.

Efficient polarization conversion metasurface for scattered beam control and RCS reduction.

This study proposes and experimentally validates a multifunctional, ultra-wideband polarization conversion metasurface. The design integrates polarization conversion and electromagnetic scattering functions into a single structure, enabling applications in polarization conversion, beam control, and effective reduction of the radar cross-section (RCS). The metasurface achieves linear-to-circular polarization conversion with an axial ratio (AR) of less than 3 dB across dual-band ranges of 14.6-26.8 GHz and 31-33.5 GHz. Additionally, by adjusting metallic resonant rings within the unit structure, cross-polarization conversion with a polarization conversion ratio (PCR) greater than 0.9 is realized in the 13.6-29.8 GHz frequency range, maintaining excellent stability even at oblique incidence angles up to 50°. Leveraging the phase cancellation principle, various coding arrays are designed to precisely control the scattered beams, reducing the RCS by more than 10 dB. The comparison of simulation and experimental results further validates the wide application potential of this polarization converter in fields such as wireless communication, antenna engineering, and radar stealth.

Fine structural tuning of diphenylaniline-based dyes for designing semiconductors relevant to dye-sensitized solar cells.

Motivated by recent study on synthesized N, N-diphenylaniline (DPA)-based dyes [DOI: https://doi.org/10.1016/j.solener.2022.01.062 ] for use in dye-sensitized solar cells (DSSCs), we theoretically design several dyes and explore their potential for enhancing the efficiency of DSSCs. Our designed dyes are based on the molecular structure of synthesized DPA-azo-A and DPA-azo-N dyes with a donor-π-bridge-acceptor (D-π-A) framework. In this research, we aim to develop the power conversion efficiency (PCE) of DSSCs by fine-tuning the molecular structure of the synthesized dyes. To this end, we focus on designing dyes by replacing the units of DPA-azo-A and DPA-azo-N with a variety of donor, π-bridge, and acceptor. Hence the density functional theory (DFT) and time-dependent density functional theory (TD-DFT) calculations are done to explore their structure, electronic, optical, charge transport, and photovoltaic properties. Among all newly designed and reference dyes, the D3-azo-N and DPA-π3-N dyes which are designed by substituting the donor (DPA) and π-bridge (azo) units of DPA-azo-N with D3 and π3, respectively exhibit the highest PCE of 45.46% (for D3-azo-N) and 43.20% (for DPA-π3-N) and can be favorable dyes for improving the efficiency of DSSCs. Therefore, the dyes that are designed by substituting the donor and π-bridge units of synthesized dyes have more impact on improving the efficiency of DSSCs than those that involve replacing the acceptor units. Consequently, our theoretical findings will provide valuable insights for the experimentalists to employ these novel effective dyes and boost the performance of DSSCs.

Clinical outcomes of conversion surgery after induction immunochemotherapy for borderline resectable T4 esophageal squamous cell carcinoma.

BACKGROUND: The current treatment strategies for borderline resectable esophageal squamous cell carcinoma remain controversial. This study aimed to evaluate the efficacy and safety of programmed cell death 1 inhibitors combined with chemotherapy, followed by conversion surgery, for borderline resectable esophageal squamous cell carcinoma. METHODS: Patients with borderline resectable esophageal squamous cell carcinoma treated with induction immunochemotherapy from January 1, 2020 to July 1, 2023 at our hospital were retrospectively analyzed. The primary study outcome was the R0 resection rate. Secondary study outcomes included progression-free survival (PFS), overall survival (OS), pathological complete remission (pCR) rate, and safety. RESULTS: Forty patients with borderline resectable esophageal squamous cell carcinoma were included in the analysis. The R0 resection rate was 23/40 (57.5%); the conversion success rate was 27/40 (67.5%), and the pCR rate was 11/40 (27.5%). The median follow-up was 23.6 months (95% CI, 19.1-28.2). One-year OS and PFS rates were 77.7% and 71.8%, respectively. The incidence rate of Grade 3-4 adverse events was 10%. There was a significant difference in PFS between patients who underwent surgery and those who did not (P = 0.008, HR: 0.144 95%CI: 0.034-0.606). However, the difference in OS was not significant (P = 0.128, HR: 0.299 95%CI: 0.063-1.416). Patients who achieved clinical downstaging after induction therapy had significantly better OS (P = 0.004 h: 0.110 95%CI: 0.025-0.495) and PFS (P = 0.0016, HR: 0.106 95%CI: 0.026-0.426) compared to those who did not. CONCLUSIONS: Conversion surgery after induction immunochemotherapy is a promising new strategy with a high conversion rate, inspiring R0 resection rate, significant pathological remission rate, and mild toxicity for borderline resectable esophageal squamous cell carcinoma.

Intermediate hepatocellular carcinoma: new horizons and prospects for our patients.

INTRODUCTION: In recent years, significant progress has been made in treatment strategies for intermediate-stage hepatocellular carcinoma (HCC), which is a highly heterogeneous patient population requiring tailored therapies based on tumor characteristics. METHODS: We conducted a comprehensive review of treatment approaches for intermediate-stage HCC, highlighting the evolution of treatment options over time. While chemoembolization remains the standard therapy for many patients, it has advanced to include combinations with systemic therapies, known as combination therapy, which is becoming the new standard of care for this group. CONCLUSION: Based on our clinical and research experience, combination therapy is increasingly recognized as the preferred first-line treatment for intermediate-stage HCC patients. This approach allows most patients to be candidates for subsequent curative-intent treatments, while a smaller number will require palliative care.

Bedaquiline versus injectable containing regimens for rifampicin-resistant and multidrug-resistant tuberculosis in a reference center in Brazil - a real-world evidence study using a retrospective design.

BACKGROUND: Drug resistance (DR) is one of the several challenges to global tuberculosis (TB) control. The implementation of bedaquiline (BED) for DR-TB after more than 40 years was expected to improve treatment outcomes as well as microbiologic conversion and adverse events (AE) occurrence. METHODS: Retrospective cohort study based on secondary data of patients with rifampicin-resistant (RR) or multidrug-resistant (MDR) TB reported to the Outpatient Clinic of Mycobacterial Diseases of the Thorax Diseases Institute - Federal University of Rio de Janeiro - Brazil, between 2016 and 2023. We aimed to evaluate microbiologic conversion, AE and TB treatment outcomes and compare them according to the treatment regimen used for RR/MDR-TB patients under routine conditions [Injectable Containing Regimens (ICR) versus BED Containing Regimens (BCR)]. Logistic regression and survival analysis using Cox regression and Kaplan Meier curve were used for statistical analysis. RESULTS: Of the 463 DR-TB patients notified during the study period, 297 (64.1%) were included for analysis (ICR = 197 and BCR = 100). Overall AEs were more frequent (83.7 vs. 16.3%, p < 0.001) and occurred earlier in the ICR group (15 days vs. 65 days, p = 0.003). There were no cases of cardiotoxicity requiring interruption of BED treatment. None of the regimens of treatment tested were associated with smear or culture conversion on Cox regression analysis (p = 0.60 and 0.88, respectively). BED-containing regimens were also associated with favorable outcomes in multivariable logistic regression [adjusted odds ratio (aOR) = 2.63, 95% confidence interval (CI)1.36-5.07, p = 0.004], as higher years of schooling, primary drug resistance, and no previous TB treatment. In the survival analysis, BCR was inversely associated with the occurrence of AE during treatment follow-up (aHR 0.24, 95% CI 0.14-0.41, p < 0.001). In addition, TB treatment regimens with BED were also associated with favorable outcomes (aHR 2.41, 95% CI 1.62-3.57, p < 0.001), along with no illicit drug use and primary drug resistance. CONCLUSIONS: The implementation of a fully oral treatment for RR/MDR-TB in a reference center in Brazil was safe and associated with favorable outcomes under routine conditions, despite social, demographic, and behavioral factors that may influence TB treatment completion.

Interfacial energy conversion mechanism between 3003 aluminum alloy and 321 stainless steel in vaporizing foil actuator welding process.

Conventional welding methods encounter significant challenges, including poor weldability, low joint strength, and the formation of brittle intermetallic compounds, primarily due to the substantial disparities in the physical and chemical properties of aluminum and iron. To mitigate these issues, the vaporizing foil actuator welding (VFAW) process has emerged as a highly promising solid-phase welding technology, particularly suitable for joining dissimilar metals with pronounced differences in properties, such as aluminum alloys and stainless steels. The present study provides an innovative quantitative analysis of the interfacial impact energy conversion mechanisms within the VFAW process. The analysis reveals that the energy responsible for accelerating the flyer workpiece comprises burst vaporization energy ( E d ) and continuous vaporization energy ( E p ), with E d identified as the primary energy source, contributing approximately 65-80% of the total energy required for acceleration. Further examination elucidates the mechanisms underlying heat generation and transfer during the interface collision. The investigation identifies the formation of an overheating zone at the interface, attributed to the combined effects of plastic deformation energy and adiabatic shear energy within the flyer workpiece. Consequently, the interface temperature can rise significantly, reaching up to 1394 K, with impact velocities as high as 925 m/s. The analyses contribute to establishing a theoretical foundation for understanding the interface bonding mechanisms characteristic of the vaporizing foil actuator welding method.

Management of PFO in paradoxical embolic stroke with hemorrhagic conversion: a case report.

A paradoxical embolism is defined as a venous thrombus that crosses through a heart defect, into the systemic circulation, usually through a patent foramen ovale. Treatment varies between closure of patent foramen ovale vs. medical management based on a variety of individual risk factors and the cardiac defect's characteristics. We describe a case of paradoxical stroke complicated by hemorrhagic conversion, ultimately requiring an IVC filter.