Clinical practice guidelines for the nutrition of colorectal cancer patients: a systematic review.

PURPOSE: The aim of this study is to rigorously assess the methodological quality of published clinical practice guidelines (CPGs) related to nutrition among colorectal cancer patients, to compile consensus recommendations, and to evaluate the quality of the included CPGs. METHODS: The systematic search covered eight electronic databases, two relevant professional association websites, and six guideline websites from their inception up to January 22, 2023. The methodological quality of the eligible guidelines was evaluated using the Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument, and then, consensus recommendations were synthesized. The scores for each domain were expressed as the mean ± standard deviation (SD). Using the mean score as the benchmark for comparison, they were subsequently ranked from highest to lowest. The included guidelines were then categorized as having "high," "moderate," or "low" quality based on their scores. RESULTS: The literature search yielded ten guidelines. The findings indicated that the "Clarity of presentation" domain had the highest mean score (65.2 ± 7.7). This demonstrates how the guidelines effectively articulate recommendations. Additionally, the "Scope and purpose" domain achieved a mean score of 60.7 ± 10.9, followed by "Rigor of development" (51.7 ± 15.7), "Editorial independence" (51.1 ± 21), "Stakeholder involvement" (48 ± 16.8), and "Applicability" domains (47.5 ± 17.3). Two CPGs received an overall rating of "high quality" and were recommended; four CPGs received an overall rating of "moderate" and were recommended with modifications; and four CPGs received an overall rating of "low quality" and were not recommended. Furthermore, this study compiled twenty consensus recommendations related to nine distinct clinical issues. CONCLUSION: This study identified disparities in the methodological quality of the included CPGs, particularly in the "Applicability" domain, thus emphasizing the need for advancement in clinical feasibility and implementation. Notably, there is few guidelines specifically targeting colorectal cancer nutrition. These synthesized findings provided an intuitive, convenient, and comprehensive reference for evaluating nutrition among colorectal cancer patients. When applying these results, users should make careful decisions based on their specific situations.

Ultrastable Bioderived Organic Anode Induced by Synergistic Coupling of Binder/Carbon-Network for Advanced Potassium-Ion Storage.

Bioderived molecules have been identified as viable anodes for organic potassium-ion batteries (OPIBs) due to the abundance of the necessary natural resources, their high capacity, and their sustainability. However, the high solubility and the inherent nonconductivity cause serious capacity decay and large voltage hysteresis. Here, the biomass molecule juglone was cross-linked with a carbon nanotube network, coupling and cooperating with sodium alginate binder (J@CNT-SA), and was proposed to inhibit small molecule dissolution via weak intermolecular interactions. The synergistic effect of hydrogen bonding and π-π stacking is proven for its outstanding reversible high capacities (262 mA h g-1 at 0.05 A g-1), and a remarkable long life span with capacity retention of 77% over 5000 cycles. Further in situ Fourier transform infrared spectroscopy (FTIR) was performed to reveal the electrochemical mechanism. The feasibility of juglone as an anode for PIBs paves the way for other natural organic small molecules to be investigated as potential energy storage materials.

Hierarchical Triple-Shelled MnCo2 O4 Hollow Microspheres as High-Performance Anode Materials for Potassium-Ion Batteries.

Metal oxide anode materials generally possess high theoretical capacities. However, their further development in potassium-ion batteries (KIBs) is limited by self-aggregation and large volume fluctuations during charge/discharge processes. Herein, hierarchical MnCo2 O4 hollow microspheres (ts-MCO HSs) with three porous shells that consist of aggregated primary nanoparticles are fabricated as anode materials of KIBs. The porous shells are in favor of reducing the diffusion path of K-ions and electrons, and thus the rate performance can be enhanced. The unique triple-shelled hollow structure is believed to provide sufficient contact between electrolyte and metal oxides, possess additional active storage sites for K-ions, and buffer the volume change during K-ions insertion/extraction. A high specific capacity of 243 mA h g-1 at 100 mA g-1 in the 2nd cycle and a highly improved rate performance of 153 mA h g-1 at 1 A g-1 are delivered when cycled between 0.01 and 3.0 V. In addition, the transformation of substances during charging/discharging processes are intuitively demonstrated by the in situ X-ray diffraction strategy for the first time, which further proves that the unique structure of ts-MCO HSs with three porous shells can significantly enhance the potassium ions storage performance.

Achieving Sustainable and Stable Potassium-Ion Batteries by Leaf-Bioinspired Nanofluidic Flow.

In nature, living systems have evolved integrated structures, matching optimized nanofluidics to adapt to external conditions. In rechargeable batteries, high-capacity electrodes are often plagued by the crucial and universal bottleneck of dissolution and shuttle of active substance into electrolyte, posing obstacles of inevitable capacity degradation. Introducing the concept of intelligent nanofluidics to electrodes, a leaf-bioinspired electrode configuration with hierarchical architecture to tackle this problem is proposed. This integrated structure with fine-tuned surface pores and unobstructed interior porous media, can spatially control the anisotropic nanofluidic flux, in an efficient and self-protectable way: tailoring the outflow across the electrode's surface and free transport in interior, to ensure speedy and stable energy conversion. As proofs of concept, applications of sustainable electrodes rejuvenated from fallen leaf and spent commercial batteries, are designed with leaf-bioinspired architecture. Both KCoS2 and KS battery systems show advanced steady cycling with effectively mitigated shuttle issues in this smart architecture (0.15% and 0.21% capacity decay per cycle), even at high areal mass loading, when compared with open porous structure (0.60% and 0.39%). This work may pave a new way from a biomimetic view to integrated electrode engineering with regulated surface shielding to conquer the universal dissolution-shuttle problems facing high-capacity materials.

Ultrathin Surface Coating of Nitrogen-Doped Graphene Enables Stable Zinc Anodes for Aqueous Zinc-Ion Batteries.

Owing to the high volumetric capacity and low redox potential, zinc (Zn) metal is considered to be a remarkably prospective anode for aqueous Zn-ion batteries (AZIBs). However, dendrite growth severely destabilizes the electrode/electrolyte interface, and accelerates the generation of side reactions, which eventually degrade the electrochemical performance. Here, an artificial interface film of nitrogen (N)-doped graphene oxide (NGO) is one-step synthesized by a Langmuir-Blodgett method to achieve a parallel and ultrathin interface modification layer (≈120 nm) on Zn foil. The directional deposition of Zn crystal in the (002) planes is revealed because of the parallel graphene layer and beneficial zincophilic-traits of the N-doped groups. Meanwhile, through the in situ differential electrochemical mass spectrometry and in situ Raman tests, the directional plating morphology of metallic Zn at the interface effectively suppresses the hydrogen evolution reactions and passivation. Consequently, the pouch cells pairing this new anode with LiMn2 O4 cathode maintain exceptional energy density (164 Wh kg-1 after 178 cycles) at a reasonable depth of discharge, 36%. This work provides an accessible synthesis method and in-depth mechanistic analysis to accelerate the application of high-specific-energy AZIBs.

Polypyrrole-Modified Prussian Blue Cathode Material for Potassium Ion Batteries via In Situ Polymerization Coating.

Potassium-ion batteries (PIBs) have received significant attention because of the abundant potassium reserves and similar electrochemistry of potassium to that of lithium. Because of the open framework and structural controllability, Prussian blue and its analogues (PB) are considered to be competitive cathodes of PIBs. However, the intrinsic lattice defects and poor electronic conductivity of PBs induce poor cycling performance and rate capability. Herein, we propose a polypyrrole-modified Prussian blue material (KHCF@PPy) via an in situ polymerization coating method for the first time. KHCF@PPy possesses a low defect concentration and improved electronic conductivity, and the electrode was found to exhibit 88.9 mA h g-1 discharge capacity at 50 mA g-1, with 86.8% capacity retention after 500 cycles. At a higher current density of 1000 mA g-1, the initial discharge capacity was 72.1 mA h g-1, which dropped slightly to 61.8 mA h g-1 after 500 cycles. The capacity decay rate was 0.03% per cycle. Detailed characterization showed a lack of phase transition during the charge and discharge processes and determined that K ions were not completely extracted from the monoclinic structure, possibly contributing to the excellent cycling stability. This simple surface modification method represents a promising means of mitigating issues currently associated with PB-based cathodes for PIBs.

Porous Graphene Films with Unprecedented Elastomeric Scaffold-Like Folding Behavior for Foldable Energy Storage Devices.

The development of fully foldable energy storage devices is a major science and engineering challenge, but one that must be overcome if next-generation foldable or wearable electronic devices are to be realized. To overcome this challenge, it is necessary to develop new electrically conductive materials that exhibit superflexibility and can be folded or crumpled without plastic deformation or damage. Herein, a graphene film with engineered microvoids is prepared by reduction (under confinement) of its precursor graphene oxide film. The resultant porous graphene film can be single folded, double folded, and even crumpled, but springs back to its original shape without yielding or plastic deformation akin to an elastomeric scaffold after the applied stress is removed. Even after thermal annealing at ≈1300 °C, the folding performance of the porous graphene film is not compromised and the thermally annealed film exhibits complete foldability even in liquid nitrogen. A solid-state foldable supercapacitor is demonstrated with the porous graphene film as the device electrode. The capacitance performance is nearly identical after 2000 cycles of single-folding followed by another 2000 cycles of double folding.