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Despite the impressive merits of gel electrolytes for aqueous Zn-ion batteries, it remains a significant challenge to design and develop the gel electrolyte with high ionic conductivity, excellent dimensional stability, and long cycle life. Herein, a composite electrolyte (PTP) with thermolastic polyurethane -poly(m-phenylene isophthalamide) nanofiber-reinforced polyvinyl alcohol gel strategy is proposed for highly reversible Zn plating/stripping. Mechanically robust and ultrathin PTP contains functional groups for building ion migration channels and immobilizing water molecules, which accelerates Zn2+ migration and mitigates water-related side reactions. Thus, the Zn anodes exhibit excellent electrochemical performance involving high cycling stability (6500 h at 5 mA cm-2 , 5 mA h cm-2 ) and achieving an exceptional cumulative capacity of more than 16 000 mA h cm-2 . This enhancement is well maintained when combined with MnO2 cathode. This work provides a reasonable solution for stabilizing Zn anodes and also provides new ideas for the modification of nanofiber-reinforced gel electrolytes.
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Lithium-sulfur batteries (LSBs) have the advantages of high theoretical specific capacity, excellent energy density, abundant elemental sulfur reserves. However, the LSBs is mainly limited by shuttling of lithium polysulfides (LiPSs), slow reaction kinetics of sulfur cathode. For solving the above problems, by developing high-performance battery separators, the reversible capacity, Coulombic efficiency (CE) and cycle life of LSBs can be effectively enhanced. Carbon-free based metal compounds are expected to be highly efficient separator modifiers for a new generation of high-performance LSBs by virtue of superior chemical adsorption capacity, strong catalytic properties and excellent lithophilicity to a certain extent. They can give play to the synergistic effect of their "adsorption-catalysis" sites to accelerate the redox kinetics of LiPSs, and their good lithophilicity can accelerate the Li+ transport kinetics, thus showing more remarkable electrochemical performances. However, a comprehensive summary of carbon-free metal compounds-modified separators for LSBs is still lacking. Here, this review systematically summarizes the researching progresses and performance characteristics of carbon-free-based metal compounds modified materials for separators of LSBs, and summarizes the corresponding mechanisms of using carbon-based separators to enhance the performance of LSBs. Finally, the review also looks forward to the prospects of LSBs using carbon-free metal compounds separators.
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The unsatisfactory lithium-ion conductivity (σ) and limited mechanical strength of polymer solid electrolytes hinder their wide applications in solid-state lithium metal batteries (SSLMBs). Here, a thin piezoelectric polymer solid electrolyte integrating electromechanical coupling and ferroelectric polarization effects has been designed and prepared to achieve long-term stable cycling of SSLMBs. The ferroelectric Bi4Ti3O12 nanoparticle (BIT NPs) loaded poly(vinylidene fluoride-trifluoroethylene) (P(VDF-TrFE)) piezoelectric nanofibers (B-P NFs) membranes are introduced into the poly(ethylene oxide) (PEO) matrix, endowing the composite electrolyte with unique polarization and piezoelectric effects. The piezoelectric nanofiber membrane with a 3D network structure not only promotes the dissociation of lithium (Li) salts through the polarization effect but also cleverly utilizes the coupling effect of a mechanical stress-local electric field to achieve dynamic regulation of the Li electroplating process. Through the corresponding experimental tests and density functional theory calculations, the intrinsic mechanism of piezoelectric electrolytes improving σ and suppressing Li dendrites is fully revealed. The obtained piezoelectric electrolyte has achieved stable cycling of LiFePO4 batteries over 2000 cycles and has also shown good practical application potential in flexible pouch batteries.
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Iodide perovskites have demonstrated their unprecedented high efficiency and commercialization potential, and their superior optoelectronic properties, such as high absorption coefficient, high carrier mobility, and narrow direct bandgap, have attracted much attention, especially in solar cells, photodetectors, and light-emitting diodes (LEDs). However, whether it is organic iodide perovskite, organic-inorganic hybrid iodide perovskite or all-inorganic iodide perovskite the stability of these iodide perovskites is still poor and the contamination is high. In recent years, scholars have studied more iodide perovskites to improve their stability as well as optoelectronic properties from various angles. This paper systematically reviews the strategies (component engineering, additive engineering, dimensionality reduction engineering, and phase mixing engineering) used to improve the stability of iodide perovskites and their applications in recent years.
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A 3D crimped sulfonated polyethersulfone-polyethylene oxide(C-SPES/PEO) nanofiber membrane and long-range lanthanum cobaltate(LaCoO3 ) nanowires are collectively doped into a PEO matrix to acquire a composite solid electrolyte (C-SPES-PEO-LaCoO3 ) for all-solid-state lithium metal batteries(ASSLMBs). The 3D crimped structure enables the fiber membrane to have a large porosity of 90%. Therefore, under the premise of strongly guaranteeing the mechanical properties of C-SPES-PEO-LaCoO3 , the ceramic nanowires conveniently penetrated into the 3D crimped SPES nanofiber without being blocked, which can facilitate fast ionic conductivity by forming 3D continuous organic-inorganic ion transport pathways. The as-prepared electrolyte delivers an excellent ionic conductivity of 2.5 × 10-4 S cm-1 at 30 °C. Density functional theory calculations indicate that the LaCoO3 nanowires and 3D crimped C-SPES/PEO fibers contribute to Li+ movement. Particularly, the LiFePO4 /C-SPES-PEO-LaCoO3 /Li and NMC811/C-SPES-PEO-LaCoO3 /Li pouch cell have a high initial discharge specific capacity of 156.8 mAh g-1 and a maximum value of 176.7 mAh g-1 , respectively. In addition, the universality of the penetration of C-SPES/PEO nanofibers to functional ceramic nanowires is also reflected by the stable cycling performance of ASSLMBs based on the electrolytes, in which the LaCoO3 nanowires are replaced with Gd-doped CeO2 nanowires. The work will provide a novel approach to high performance solid-state electrolytes.
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Developing highly efficient bi-functional noble-metal-free oxygen electrocatalysts with low-cost and scalable synthesis approach is challenging for zinc-air batteries (ZABs). Due to the flexible valence state of manganese, MnF2 is expected to provide efficient OER. However, its insulating properties may inhibit its OER process to a certain degree. Herein, during the process of converting the manganese source in the precursor of porous carbon nanofibers (PCNFs) to manganese fluoride, the manganese source is changed to manganese acetate, which allows PCNFs to grow a large number of hollow carbon nanorods (HCNRs). Meanwhile, manganese fluoride will transform from the aggregation state into uniformly dispersed MnF2 nanodots, thereby achieving highly efficient OER catalytic activity. Furthermore, the intrinsic ORR catalytic activity of the HCNRs/MnF2 @PCNFs can be enhanced due to the charge modulation effect of MnF2 nanodots inside HCNR. In addition, the HCNRs stretched toward the liquid electrolyte can increase the capture capacity of dissolved oxygen and protect the inner MnF2 , thereby enhancing the stability of HCNRs/MnF2 @PCNFs for the oxygen electrocatalytic process. MnF2 surface-modulated HCNRs can strongly enhance ORR activity, and the uniformly dispersed MnF2 can also provide higher OER activity. Thus, the prepared HCNRs/MnF2 @PCNFs obtain efficient bifunctional oxygen catalytic ability and high-performance rechargeable ZABs.
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Lithium-sulfur batteries (LSBs) are attracting much attention due to their high theoretical energy density and are considered to be the predominant competitors for next-generation energy storage systems. The practical commercial application of LSBs is mainly hindered by the severe "shuttle effect" of the lithium polysulfides (LiPSs) and the serious damage of lithium dendrites. Various carbon materials with different characteristics have played an important role in overcoming the above-mentioned problems. Carbon spheres (CSs) are extensively explored to enhance the performance of LSBs owing to their superior structures. The review presents the state-of-the-art advances of CSs for advanced high-energy LSBs, including their preparation strategies and applications in inhibiting the "shuttle effect" of the LiPSs and protecting lithium anodes. The unique restriction effect of CSs on LiPSs is explained from three working mechanisms: physical confinement, chemical interaction, and catalytic conversion. From the perspective of interfacial engineering and 3D structure designing, the protective effect of CSs on the lithium anode is also analyzed. Not only does this review article contain a summary of CSs in LSBs, but also future directions and prospects are discussed. The systematic discussions and suggested directions can enlighten thoughts in the reasonable design of CSs for LSBs in near future.
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Carbono , Litio , Carbono/química , Suministros de Energía Eléctrica , Electrodos , Litio/química , AzufreRESUMEN
In this paper, a novel, nonbinary (NB) LDPC-coded probabilistic shaping (PS) scheme for a Rayleigh fading channel is proposed. For the NB LDPC-coded PS scheme in Rayleigh fading channel, the rotation angle of 16 quadrature amplitude modulation (QAM) constellations, 64QAM constellations and 256QAM constellations are optimized by the exhaustive search. The simulation results verify the information-theoretical analysis. Compared with the binary LDPC-coded PS scheme for Rayleigh fading channel, the proposed NB LDPC-coded PS scheme can improve error performance. In summary, the proposed NB LDPC-coded PS scheme for Rayleigh fading channel is reliable and thus suitable for future communication systems.
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All-solid-state electrolytes have received extensive attention due to their excellent safety and good electrochemical performance. However, due to the harsh conditions of the preparation process, the commercial production of all-solid-state electrolytes remains a challenge. The outbreak of the novel coronavirus pneumonia (COVID-19) has caused great inconvenience to people, while also allowing soft, lightweight and mass-producible non-woven fabrics in masks come into sight. Here, a polymer/polymer solid composite electrolyte is obtained by introducing the polyamide 6 (PA6) microfiber non-woven fabric into PEO polymer through the hot-pressing method. The addition of the PA6 non-woven fabric with lithium-philic properties can not only reduce the crystallinity of the polymer, but also provide more functional transmission sites and then promote the migration of lithium ions at the molecular level. Moreover, due to the sufficient mechanical strength and flexibility of the PA6 non-woven fabric, the composite electrolyte shows excellent inhibition ability of lithium dendrite growth and high electrochemical stability. The novel design concept of introducing low-cost and large-scale production of non-woven fabrics into all-solid-state composite electrolytes to develop high-performance lithium metal batteries is attractive, and can also be broadened to the combination of different types of polymers to meet the needs of various batteries.
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Discovery of novel two-dimensional (2D) materials is of fundamental importance but remains challenging. In this work, we design a simple and facile bottom-up approach to fabricate a new family of 2D acetate-based light lanthanide fluoride nanomaterials (F-Ln, Ln = La, Ce, Pr, Nd) at room temperature and atmosphere pressure, for the first time. Various characterization techniques confirm that as-synthesized F-Ln exhibit an ultrathin morphology with thickness up to 1.45 nm and lateral dimensions up to several hundred nanometers. Microstructure analysis demonstrates that F-Ln are a series of defect-rich 2D nanomaterials, which consist of nanocrystals with sub-10 nm domains. Structure characterization of F-Ce, a typical example, infers that BN-like F-Ce one-atom-layers sandwiched by intercalated acetate anions stack alternately along [001] direction to form nanocrystal building blocks of F-Ce. The study of growth mechanism suggests that three procedures are involved in the formation of F-Ce: hydrolysis reaction of cerium(III) acetate, structure transformation induced by fluorine ions, and assembly process guided by acetate anions. The as-prepared nanosheets show excellent stability with respect to environment stimuli such as air, heat, solvent, and high-energy electron beam. This study enriches the library of 2D materials and paves the way for future application of such 2D materials in areas such as catalysis, adsorption, separation, and energy storage/conversion.
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BACKGROUND: Recently published data show that postoperative apnea-hypopnea index (AHI) is significantly increased in some patients without preoperative sleep apnea. These patients may be at risk of developing perioperative adverse events related to sleep-disordered breathing (SDB). The objective of this study was to investigate the incidence and predictors of postoperative moderate-to-severe SDB (AHI > 15 events/h) in patients without sleep apnea preoperatively. METHODS: In a prospective observational fashion, patients were invited to undergo sleep studies with a portable device (Embletta X100) preoperatively at home and postoperatively on the first and third night after surgery in the hospital or at home. The primary outcome was the incidence of postoperative moderate-to-severe SDB (AHI > 15 events/h) in non-sleep apnea patients (preoperative AHI ≤ 5 events/h). Logistic regression was used to evaluate the association of clinical factors and preoperative sleep parameters with the occurrence of postoperative moderate-to-severe SDB. RESULTS: A total of 120 non-sleep apnea patients completed the study, of which 31 (25.8% [95% confidence interval: 18.3%-34.6%]) patients were found to have AHI > 15 events/h on postoperative night 1 and/or postoperative night 3 (postoperative SDB group), and 89 (74%) patients had an AHI ≤ 15 events/h on both postoperative night 1 and 3 (postoperative non-SDB group). The patients in the postoperative SDB group were older (60 ± 13 vs 53 ± 12 years, P = 0.008) with more smokers (32.3% vs 15.7%, P = 0.048) and had a greater increase in the obstructive apnea index (adjusted P = 0.0003), central apnea index (adjusted P = 0.0012), and hypopnea index (adjusted P = 0.0004). Multivariate logistic regression analysis found that age and preoperative respiratory disturbance index (RDI) were significantly associated with the occurrence of postoperative moderate-to-severe SDB, P = 0.018 and P = 0.006, respectively. The sensitivity privilege cutoff of RDI at 4.9 events/h identified 70.2% to 96.4%patients developing postoperative moderate-to-severe SDB. CONCLUSIONS: At least 18.3% of non-sleep apnea patients developed moderate-to-severe SDB after surgery. Age and preoperative RDI were associated with the occurrence of postoperative moderate-to-severe SDB.
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Síndromes de la Apnea del Sueño/epidemiología , Procedimientos Quirúrgicos Operativos/efectos adversos , Adulto , Factores de Edad , Anciano , Distribución de Chi-Cuadrado , Femenino , Humanos , Incidencia , Modelos Logísticos , Pulmón/fisiopatología , Masculino , Persona de Mediana Edad , Análisis Multivariante , Ontario/epidemiología , Estudios Prospectivos , Respiración , Factores de Riesgo , Índice de Severidad de la Enfermedad , Sueño , Síndromes de la Apnea del Sueño/diagnóstico , Síndromes de la Apnea del Sueño/fisiopatología , Fumar/efectos adversos , Fumar/epidemiología , Factores de Tiempo , Resultado del TratamientoRESUMEN
BACKGROUND: Anesthetics, analgesics, and surgery may profoundly affect sleep architecture and aggravate sleep-related breathing disturbances. The authors hypothesized that patients with preoperative polysomnographic evidence of obstructive sleep apnea (OSA) would experience greater changes in these parameters than patients without OSA. METHODS: After obtaining approvals from the Institutional Review Boards, consented patients underwent portable polysomnography preoperatively and on postoperative nights (N) 1, 3, 5, and 7 at home or in hospital. The primary and secondary outcome measurements were polysomnographic parameters of sleep-disordered breathing and sleep architecture. RESULTS: Of the 58 patients completed the study, 38 patients had OSA (apnea hypopnea index [AHI] >5) with median preoperative AHI of 18 events per hour and 20 non-OSA patients had median preoperative AHI of 2. AHI was increased after surgery in both OSA and non-OSA patients (P < 0.05), with peak increase on postoperative N3 (OSA vs. non-OSA, 29 [14, 57] vs. 8 [2, 18], median [25th, 75th percentile], P < 0.05). Hypopnea index accounted for 72% of the postoperative increase in AHI. The central apnea index was low (median = 0) but was significantly increased on postoperative N1 in only non-OSA patients. Sleep efficiency, rapid eye movement sleep, and slow-wave sleep were decreased on N1 in both groups, with gradual recovery. CONCLUSIONS: Postoperatively, sleep architecture was disturbed and AHI was increased in both OSA and non-OSA patients. Although the disturbances in sleep architecture were greatest on postoperative N1, breathing disturbances during sleep were greatest on postoperative N3.
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Complicaciones Posoperatorias/fisiopatología , Síndromes de la Apnea del Sueño/fisiopatología , Apnea Obstructiva del Sueño/fisiopatología , Fases del Sueño/fisiología , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Anestesia , Comorbilidad , Interpretación Estadística de Datos , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Oxígeno/sangre , Dolor Postoperatorio/terapia , Polisomnografía , Periodo Preoperatorio , Estudios Prospectivos , Tamaño de la Muestra , Apnea Obstructiva del Sueño/complicaciones , Factores Socioeconómicos , Resultado del Tratamiento , Adulto JovenRESUMEN
INTRODUCTION: The knowledge on the mechanism of the postoperative exacerbation of sleep-disordered breathing may direct the perioperative management of patients with obstructive sleep apnea. The objective of this study is to investigate the factors associated with postoperative severity of sleep-disordered breathing. METHODS: After obtaining approvals from Institutional Review Boards, consenting patients underwent portable polysomnography preoperatively, and on postoperative nights 1 and 3 in hospital or at home. The primary outcomes were polysomnography parameters measuring the sleep-disordered breathing. They were treated as repeated measurement variables and analyzed for associated factors by mixed models. RESULTS: Three hundred seventy-six patients, 168 men and 208 women, completed polysomnography on preoperative and postoperative night 1. Age was 59 ± 12 yr (mean ± SD). Preoperative apnea-hypopnea index (AHI) was 12 (4, 26) (median [25th, 75th percentile]) events per hour. Thirty-five patients had minor surgeries, 292 intermediate surgeries, and 49 major surgeries, with 210 general anesthesia and 166 regional anesthesia. The 72-h opioid dose was 55 (14, 85) mg intravenous morphine-equivalent dose. Preoperative AHI, age, and 72-h opioid dose were associated with postoperative AHI. Preoperative central apnea index, male sex, and general anesthesia were associated with postoperative central apnea index. Slow wave sleep percentage was inversely associated with postoperative AHI and central apnea index. CONCLUSIONS: Patients with a higher preoperative AHI were predicted to have a higher postoperative AHI. Preoperative AHI, age, and 72-h opioid dose were positively associated with postoperative AHI. Preoperative central apnea, male sex, and general anesthesia were associated with postoperative central apnea index.
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Complicaciones Posoperatorias/fisiopatología , Síndromes de la Apnea del Sueño/fisiopatología , Adulto , Factores de Edad , Anciano , Analgésicos Opioides/administración & dosificación , Analgésicos Opioides/efectos adversos , Anestesia , Apnea/fisiopatología , Interpretación Estadística de Datos , Relación Dosis-Respuesta a Droga , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Manejo del Dolor/métodos , Dolor Postoperatorio/tratamiento farmacológico , Dolor Postoperatorio/epidemiología , Polisomnografía , Postura/fisiología , Estudios Prospectivos , Factores Sexuales , Apnea Obstructiva del Sueño/cirugía , Fases del Sueño/efectos de los fármacos , Posición Supina/fisiologíaRESUMEN
The necessity for effective wastewater treatment and purification has grown as a result of the increasing pollution issues brought on by industrial and municipal wastewater. Membrane bioreactor (MBR) technology stands out when compared to other treatment methods because of its high efficiency, environmental friendliness, small footprint, and ease of maintenance. However, the development and application of membrane bioreactors has been severely constrained by the higher cost and shorter service life of these devices brought on by membrane biofouling issues resulting from contaminants and bacteria in the water. The nanoscale size of the electrospinning products provides unique microstructure, and the technology facilitates the production of structurally different membranes, or the modification and functionalization of membranes, which makes it possible to solve the membrane fouling problem. Therefore, many current studies have attempted to use electrospinning in MBRs to address membrane fouling and ultimately improve treatment efficacy. Meanwhile, in addition to solving the problem of membrane fouling, the fabrication technology of electrospinning also shows great advantages in constructing thin porous fiber membrane materials with controllable surface wettability and layered structure, which is helpful for the performance enhancement of MBR and expanding innovation. This paper systematically reviews the application and research progress of electrospinning in MBRs. Firstly, the current status of the application of electrospinning technology in various MBRs is introduced, and the relevant measures to solve the membrane fouling based on electrospinning technology are analyzed. Subsequently, some new types of MBRs and new application areas developed with the help of electrospinning technology are introduced. Finally, the limitations and challenges of merging the two technologies are presented, and pertinent recommendations are provided for future research on the use of electrospinning technology in membrane bioreactors.
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Compounding of suitable fillers with PEO-based polymers is the key to forming high-performance electrolytes with robust network structures and homogeneous Li+-transport channels. In this work, we innovatively and efficiently prepared Al2O3 nanofibers and deposited an aqueous dispersion of Al2O3 into a membrane via vacuum filtration to construct a nanofiber membrane with a three-dimensional (3D) network structure as the backbone of a PEO-based solid-state electrolyte. The supporting effect of the nanofiber network structure improved the mechanical properties of the reinforced composite solid-state electrolyte and its ability to inhibit the growth of Li dendrites. Meanwhile, interconnected nanofibers in the PEO-based electrolyte and the strong Lewis acid-base interactions between the chemical groups on the surface of the inorganic filler and the ionic species in the PEO matrix provided facilitated pathways for Li+ transport and regulated the uniform deposition of Li+. Moreover, the interaction between Al2O3 and lithium salts as well as the PEO polymer increased free Li+ concentration and maintained its stable electrochemical properties. Hence, assembled Li/Li symmetric cells achieved a cycle life of more than 2000 h. LFP/Li and NMC811/Li cells provided high discharge specific capacities of up to 146.9 mA h g-1 (0.5C and 50 °C) and 166.9 mA h g-1 (0.25C and 50 °C), respectively. The prepared flexible self-supporting 3D nanofiber network structure construction can provide a simple and efficient new strategy for the exploitation of high-performance solid-state electrolytes.
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Converting CO2 into valuable chemicals can provide a new path to mitigate the greenhouse effect, achieving the aim of "carbon neutrality" and "carbon peaking". Among numerous electrocatalysts, Zn-based materials are widely distributed and cheap, making them one of the most promising electrocatalyst materials to replace noble metal catalysts. Moreover, the Zn metal itself has a certain selectivity for CO. After appropriate modification, such as oxide derivatization, structural reorganization, reconstruction of the surfaces, heteroatom doping, and so on, the Zn-based electrocatalysts can expose more active sites and adjust the d-band center or electronic structure, and the FE and stability of them can be effectively improved, and they can even convert CO2 to multi-carbon products. This review aims to systematically describe the latest progresses of modified Zn-based electrocatalyst materials (including organic and inorganic materials) in the electrocatalytic carbon dioxide reduction reaction (eCO2RR). The applications of modified Zn-based catalysts in improving product selectivity, increasing current density and reducing the overpotential of the eCO2RR are reviewed. Moreover, this review describes the reasonable selection and good structural design of Zn-based catalysts, presents the characteristics of various modified zinc-based catalysts, and reveals the related catalytic mechanisms for the first time. Finally, the current status and development prospects of modified Zn-based catalysts in eCO2RR are summarized and discussed.
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Solid-state lithium metal batteries (SSLMBs) have gained significant attention in energy storage research due to their high energy density and significantly improved safety. But there are still certain problems with lithium dendrite growth, interface stability, and room-temperature practicality. Nature continually inspires human development and intricate design strategies to achieve optimal structural applications. Innovative solid-state electrolytes (SSEs), inspired by diverse natural species, have demonstrated exceptional physical, chemical, and mechanical properties. This review provides an overview of typical bionic-structured materials in SSEs, particularly those mimicking plant and animal structures, with a focus on their latest advancements in applications of solid-state lithium metal batteries. Commencing from plant structures encompassing roots, trunks, leaves, flowers, fruits, and cellular levels, the detailed influence of biomimetic strategies on SSE design and electrochemical performance are presented in this review. Subsequently, the recent progress of animal-inspired nanostructures in SSEs is summarized, including layered structures, surface morphologies, and interface compatibility in both two-dimensional (2D) and three-dimensional (3D) aspects. Finally, we also evaluate the current challenges and provide a concise outlook on future research directions. We anticipate that the review will provide useful information for future reference regarding the design of bionic-structured materials in SSEs.
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BACKGROUND: Obstructive sleep apnea (OSA) may worsen postoperatively. The objective of this randomized open-label trial is to determine whether perioperative auto-titrated continuous positive airway pressure (APAP) treatment decreases postoperative apnea hypopnea index (AHI) and improves oxygenation in patients with moderate and severe OSA. METHODS: The consented patients with AHI of more than 15 events/h on preoperative polysomnography were randomized into the APAP or control group (receiving routine care). The APAP patients received APAP for 2 or 3 preoperative, and 5 postoperative nights. All patients were monitored with oximetry for 7 to 8 nights (N) and underwent polysomnography on postoperative N3. The primary outcome was AHI on the postoperative N3. RESULTS: One hundred seventy-seven OSA patients undergoing orthopedic and other surgeries were enrolled (APAP: 87 and control: 90). There was no difference between the two groups in baseline data. One hundred six patients (APAP: 40 and control: 66) did polysomnography on postoperative N3, and 100 patients (APAP: 39 and control: 61) completed the study. The compliance rate of APAP was 45%. The APAP usage was 2.4-4.6 h/night. In the APAP group, AHI decreased from preoperative baseline: 30.1 (22.1, 42.5) events/h (median [25th, 75th percentile]) to 3.0 (1.0, 12.5) events/h on postoperative N3 (P < 0.001), whereas, in the control group, AHI increased from 30.4 (23.2, 41.9) events/h to 31.9 (13.5, 50.2) events/h, P = 0.302. No significant change occurred in the central apnea index. CONCLUSIONS: The trial showed the feasibility of perioperative APAP for OSA patients. Perioperative APAP treatment significantly reduced postoperative AHI and improved oxygen saturation in the patients with moderate and severe OSA.
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Presión de las Vías Aéreas Positiva Contínua/métodos , Atención Perioperativa/métodos , Complicaciones Posoperatorias/prevención & control , Apnea Obstructiva del Sueño/terapia , Procedimientos Quirúrgicos Operativos , Estudios de Factibilidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Polisomnografía/métodos , Estudios Prospectivos , Apnea Obstructiva del Sueño/cirugía , Resultado del TratamientoRESUMEN
In this study, the yttrium trifluoride-doped polyacrylonitrile(PAN) based carbon nanofibers (YF3-PAN-CNFs) are successfully designed and prepared through the electro-blow spinning and carbonization strategies. And the YF3-PAN-CNFs acted as main materials of functional layer for modifying separator of lithium metal batteries are systematically studied and analyzed. The prepared CNFs have long-range ordered structures and high conductivity, which can extremely improve the transport of lithium ions and electrons during charge-discharge processes. The lithiophilic YF3 nanoparticles formed in the carbonization process can endow enough active sites to produce alloying reaction with Li, which makes the plating/stripping of Li more uniform. For the assembled Li||lithium iron phosphate (LiFePO4) battery, it still maintains a high specific discharge capacity of 137.1 mAh g-1 after 500 cycles at 0.5 C, which there is almost no specific discharge capacity degradation after long cycle. The modified separator for the Li||Li symmetric battery can effectively suppress the growth of lithium dendrites and improve cycle stability. Meanwhile, based on the strong chemical bonding between YF3 and lithium polysulfide combining the effectively physical confinement of the YF3-PAN-CNFs coating layer, the "shuttle effect" of lithium polysulfide also can be greatly suppressed. Thus the assembled Li||S battery using the separator has excellent electrochemical performance. Therefore, the YF3-PAN-CNFs modified separator will have a promising application prospect in lithium metal batteries even other high performance secondary batteries.
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Recently, the multi-level interwoven structured micro/nano fiber membranes with coarse and fine overlaps have attracted lots of attention due to their advantages of high surface roughness, high porosity, good mechanical strength, etc., but their simple and direct preparation methods still need to be developed. Herein, the multi-level structured micro/nano fiber membranes were prepared novelly and directly by a one-step electrospinning technique based on the principle of micro-phase separation caused by polymer incompatibility using polystyrene (PS) and polyvinylidene fluoride-hexafluoropropylene copolymer (PVDF-HFP) as raw materials. It was found that different spinning fluid parameters and various spinning process parameters will have a significant impact on its morphology and structures. Under certain conditions (the concentration of spinning solution is 18 wt%, the mass ratio of PS to PVDF-HFP is 1:7, the spinning voltage is 30 kV, and the spinning receiving distance is 18 cm), the PS/PVDF-HFP membrane with optimal multi-level structured micro/nano fiber membranes could be obtained, which present an average pore size of 4.38 ± 0.10 µm, a porosity of 78.9 ± 3.5%, and a water contact angle of 145.84 ± 1.70°. The formation mechanism of micro/nano fiber interwoven structures was proposed through conductivity and viscosity tests. In addition, it was initially used as a separation membrane material in membrane distillation, and its performance was preliminarily explored. This paper provides a theoretical and experimental basis for the research and development of an efficient and feasible method for the preparation of multi-level micro/nano fiber membranes.