Double cross-linked 3D layered PBI proton exchange membranes for stable fuel cell performance above 200 °C.

Phosphoric acid doped proton exchange membranes often experience performance degradation above 200 °C due to membrane creeping and phosphoric acid evaporation, migration, dehydration, and condensation. To address these issues, here we present gel-state polybenzimidazole membranes with double cross-linked three-dimensional layered structures via a polyphosphoric acid sol-gel process, enabling stable operation above 200 °C. These membranes, featuring proton-conducting cross-linking phosphate bridges and branched polybenzimidazole networks, effectively anchor and retain phosphoric acid molecules, prevent 96% of its dehydration and condensation, improve creep resistance, and maintain excellent proton conductivity stability. The resulting membrane, with superior through-plane proton conductivity of 0.348 S cm-1, delivers outstanding peak power densities ranging from 1.20-1.48 W cm-2 in fuel cells operated at 200-240 °C and a low voltage decay rate of only 0.27 mV h-1 over a 250-hour period at 220 °C, opening up possibilities for their direct integration with methanol steam reforming systems.

Current status and influencing factors of spiritual needs of patients with advanced cancer: a cross-sectional study.

BACKGROUND: Spiritual needs have been associated with better physical health outcomes and provide a context for patients to gain hope and significance in coping with disease. This study aimed to understand the status of spiritual needs of patients with advanced cancer and conducted a quantitative study on the relationship between patient-reported physical, psychological, and social influencing factors and spiritual needs based on a biopsychosocial-spiritual model. METHODS: In this study, 200 oncology inpatients from Shandong Province were recruited using a convenience sampling method to conduct a cross-sectional survey using general data from December 2020 to June 2022. Correlation analysis was used to analyze the correlation between spiritual needs and cancer-related fatigue, anxiety and depression, the family care index, and social support. Multiple regression analysis was used to analyze the relationship between spiritual needs and the influencing factors. RESULTS: The spiritual needs score of the patients with advanced cancer was high. Multiple regression analysis revealed that cancer-related fatigue, social support, and religious beliefs influenced the spiritual needs of patients with advanced cancer. Compared with married patients, widowed or divorced patients scored 8.531 points higher on spiritual needs. Cancer-related fatigue, social support, religious beliefs, and marital status (divorced or widowed) explained 21.4% of the total variation in the spiritual needs of patients with advanced cancer. CONCLUSION: The spiritual needs of patients with advanced cancer were significantly correlated with cancer-related fatigue, depression, social support, and other factors. Religious beliefs, marital status, cancer-related fatigue, and social support were the main factors influencing the spiritual needs of patients with advanced cancer. This is a quantitative study, and medical staff can provide targeted spiritual care for patients with cancer based on the above influencing factors.

C-shaped porous polypropylene fibers for rapid oil absorption and effective on-line oil spillage monitoring.

Development of efficient absorbent materials for detection and treatment of offshore oil spillages remained a challenge. In this work, C-shaped polypropylene oil-absorbent fibers with sub-micron internal pores were prepared by combining spun-bonding technique and thermally induced phase separation (TIPS). The effect of drawing speed on the phase separation and the porous morphology of the shaped fiber non-woven fabric (NWF) was investigated. C-shaped NWF with porous morphology had large water contact angle, higher porosity, larger specific surface area, and increased oil absorption speed and capacity. An online oil spillage detection system was developed using porous C-shaped NWF and an oxygen sensing probe, showing shorter response time and higher signal-to-noise (STN) ratio. The response time for detecting the spillage of soybean oil and diluted crude oil (0.5 mL/0.8 L) in water were only 24 s and 10 s, respectively. The reliable oil detection low detection limit (RLDL) of the oxygen sensing probe was reduced 173 times (from 36.5 g/L to 0.21 g/L) when combined with C-shaped porous fiber NWF.

Which Frailty Evaluation Method Can Better Improve the Predictive Ability of the SASA for Postoperative Complications of Patients Undergoing Elective Abdominal Surgery?

Purpose: To determine which frailty method can better improve the predictive ability of the Surgical Apgar Score combined with American Society of Anesthesiologists physical status classification (SASA). Patients and Methods: A prospective cohort study was conducted. A total of 194 elderly patients undergoing elective abdominal surgery were included. Preoperative frailty using FRAIL questionnaire, frailty index (FI), Clinical Frailty Scale (CFS) and SASA scores was assessed. Primary outcome was in-hospital Clavien-Dindo ≥grade II complications. Multiple logistic regression was used to examine the association between frailty and complications. Receiver operating characteristic curves were used to explore the predictive ability of frailty. Results: According to the FRAIL, FI and CFS criteria, the prevalence of frailty in the study population was 43.8%, 32.5%, and 36.6%, respectively. After adjusting for all covariates, frailty was significantly associated with postoperative complications in hospital by FRAIL [odds ratio: 5.11, 95% CI: 1.41-18.44, P = 0.013], by FI [OR: 4.25, 95% CI: 1.21-14.90, P = 0.024] and by CFS [OR: 5.10, 95% CI: 1.52-17.17, P = 0.008]. The area under the curve (AUC) for SASA was 0.768 (95% CI: 0.702-0.826). Addition of frailty assessment (FRAIL, FI and CFS) increased the AUC to 0.787 (95% CI: 0.722-0.842), 0.798 (95% CI: 0.734-0.852), and 0.815 (95% CI: 0.753-0.867), respectively. Compared to SASA, only addition of CFS had a significant difference (P = 0.0478). Conclusion: Frailty is an effective predictor of postoperative complications in elderly Chinese patients undergoing elective abdominal surgery. Frailty assessment of CFS can better improve the predictive ability of SASA.

Facile Fabrication of Electrospun Nanofibrous Aerogels for Efficient Oil Absorption and Emulsified Oil-Water Separation.

Developing superabsorbents for efficiently separating immiscible oil-water mixtures and oil-water emulsions are highly desirable for addressing oily wastewater pollution problems, but it remains a challenge. Ultralight nanofibrous aerogels (NFAs) with unique wetting properties show great potential in oily wastewater treatment. In this study, a facile and efficient method for producing hierarchical porous structured NFAs with hydrophobicity for high efficiency oil-water separation was developed. The synthesis included three steps: wet electrospinning, freeze drying, and in situ polymerization. The obtained NFA demonstrated outstanding oil absorption capacity toward numerous oils and organic solvents, as well as efficient surfactant-stabilized water-in-oil emulsion separation with high separation flux and excellent separation efficiency. Furthermore, these NFAs displayed excellent corrosion resistance and outstanding recoverability. We assume that the resultant NFAs fabricated by this facile strategy are highly promising as ideal oil absorbents for practical oily wastewater treatment under harsh conditions.

Melatonin Suppresses Apoptosis of Nucleus Pulposus Cells through Inhibiting Autophagy via the PI3K/Akt Pathway in a High-Glucose Culture.

Diabetes mellitus- (DM-) associated hyperglycemia promotes apoptosis of disc nucleus pulposus (NP) cells, which is a contributor to intervertebral disc degeneration (IDD). Melatonin is able to protect against cell apoptosis. However, its effects on apoptosis of NP cell in a high-glucose culture remain unclear. The purpose of the present study was to investigate the effects and molecular mechanism of melatonin on NP cell apoptosis in a high-glucose culture. NP cells were cultured in the baseline medium supplemented with a high-glucose concentration (0.2 M) for 3 days. The control cells were only cultured in the baseline medium. Additionally, the pharmaceutical inhibitor LY294002 was added along with the culture medium to investigate the possible role of the PI3K/Akt pathway. Apoptosis, autophagy, and activity of the PI3K/Akt pathway of NP cells among these groups were evaluated. Compared with the control NP cells, high glucose significantly increased cell apoptosis ratio and caspase-3/caspase-9 activity and decreased mRNA expression of Bcl-2, whereas it increased mRNA or protein expression of Bax, caspase-3, cleaved caspase-3, cleaved PARP, and autophagy-related molecules (Atg3, Atg5, Beclin-1, and LC3-II) and decreased protein expression of p-Akt compared with the control cells. Additionally, melatonin partly inhibited the effects of high glucose on those parameters of cell apoptosis, autophagy, and activation of PI3K/Akt. In conclusion, melatonin attenuates apoptosis of NP cells through inhibiting the excessive autophagy via the PI3K/Akt pathway in a high-glucose culture. This study provides new theoretical basis of the protective effects of melatonin against disc degeneration in a DM patient.

On-site marine oil spillage monitoring probes formed by fixing oxygen sensors into hydrophobic/oleophilic porous materials for early-stage spotty pollution warning.

In this study, an efficient on-site marine oil spillage monitoring probe was developed by fixing oxygen consumption sensors into hydrophobic/oleophilic oil-absorbing porous materials. The impact of thickness and characters of the porous materials, the types of spilled oil, and the presence of salts and vibration in water on the parameters of the obtained signals was investigated. The probe could be used to detect the various representative types of spilled oils including lubricating oil, corn oil, soybean oil, n-hexane, petroleum ether and toluene, even in simulated sea water vibrating at different levels, having over 33 times reduced reliable low detection limit (RLDL) in detecting soybean oil in water (from 36.5 g L-1 to 1.1 g L-1). The response time and signal-to-noise ratios (SNRs) of the probe varied greatly with the dynamic absorbing speed and oxygen barrier property of the spilled oils in the porous material, respectively. The probe showing the highest SNR of 190 dB for a 50 g L-1 on-site soybean oil spillage and the fastest response time of 9 s for a 50 g L-1 on-site toluene spillage in water may potentially be used as a key component in near-shore marine oil spillage monitoring systems to provide early-stage pollution warning.

Comparison of three frailty measures for 90-day outcomes of elderly patients undergoing elective abdominal surgery.

BACKGROUND: To compare the predictive power of three different evaluation methods of frailty for 90-day outcomes of elderly patients undergoing elective abdominal surgery. METHODS: A prospective cohort study was conducted with 194 patients and a postoperative follow-up period of 90 days. Preoperative frailty was evaluated using the five-item FRAIL questionnaire, 54-item frailty index (FI), and nine-item Clinical Frailty Scale (CFS). Receiver operating curves were used to compare the predictive ability for 90-day mortality and long-term hospitalization (LTH), and logistic regression was used to calculate odds ratios and 95% confidence intervals. RESULTS: The incidence rates of frailty assessed using FRAIL, FI, and CFS criteria were 43.8%, 32.5% and 36.6%, respectively. The 90-day mortality and LTH of frail patients were significantly higher than those of non-frail patients regardless of which criteria were used. The CFS and FI predicted 90-day mortality better than FRAIL (CFS versus FRAIL: P = 0.005; FI versus FRAIL: P = 0.041), and the CFS predicted LTH better than FRAIL (P = 0.032). CONCLUSIONS: Patients diagnosed with frailty had significantly higher 90-day mortality and LTH regardless of which criteria were used. The CFS and FI were better predictors of 90-day mortality, and the CFS was a better predictor of LTH.

An intelligent superwetting PVDF membrane showing switchable transport performance for oil/water separation.

A superamphiphilic poly(vinylidene fluoride) (PVDF) membrane with superoleophobicity under water and superhydrophobicity under oil is successfully prepared. Due to the switchable transport performance, the membrane is applicable to the separation of various oil-in-water and water-in-oil emulsions with a droplet size greater than 20 nm, and shows superior permeability and antifouling properties, as well as a high separation efficiency.