A Functional Electrolyte Containing P-Phenyl Diisothiocyanate (PDITC) Additive Achieves the Interphase Stability of High Nickel Cathode in a Wide Temperature Range.

The lithium-ion batteries (LIBs) with high nickel cathode have high specific energy, but as the nickel content in the cathode active material increases, batteries are suffering from temperature limitations, unstable performance, and transition metal dissolution during long cycling. In this work, a functional electrolyte with P-phenyl diisothiocyanate (PDITC) additive is developed to stabilize the performance of LiNi0.8 Co0.1 Mn0.1 O2 (NCM811)/graphite LIBs over a wide temperature range. Compared to the batteries without the additive, the capacity retention of the batteries with PDITC-containing electrolyte increases from 23 % to 74 % after 1400 cycles at 25 °C, and from 15 % to 85 % after 300 cycles at 45 °C. After being stored at 60 °C, the capacity retention rate and capacity recovery rate of the battery are also improved. In addition, the PDITC-containing battery has a higher discharge capacity at -20 °C, and the capacity retention rate increases from 79 % to 90 % after 500 cycles at 0 °C. Both theoretical calculations and spectroscopic results demonstrate that PDITC is involved in constructing a dense interphase, inhibiting the decomposition of the electrolyte and reducing the interfacial impedance. The application of PDITC provides a new strategy to improve the wide-temperature performance of the NCM811/graphite LIBs.

Comparative clinical efficacy of percutaneous coaxial large-channel endoscopic lumbar interbody fusion and transforaminal lumbar interbody fusion for degenerative lumbar spinal stenosis: a retrospective study.

This study aimed to evaluate the clinical efficacy of percutaneous coaxial large-channel endoscopic lumbar interbody fusion (PCLE-LIF) and transforaminal lumbar interbody fusion (TLIF) in the treatment of degenerative lumbar spinal stenosis. The clinical data of patients with degenerative lumbar spinal stenosis who underwent PCLE-LIF (experimental group) and TLIF (control group) surgery from September 2019 to September 2021 were retrospectively analyzed. We collected clinical data and compared the two groups in terms of perioperative parameters, treatment response rate, inflammatory response markers, postoperative complications, postoperative pain, and functional recovery. The results showed that the treatment outcomes in the experimental group were significantly better than those in the control group. Specifically, perioperative parameters and inflammatory response markers in the experimental group were significantly better than those in the control group, with statistically significant differences (P < 0.05). The overall treatment response rate in the experimental group was significantly higher than that in the control group (P < 0.05). Meanwhile, the incidence of postoperative complications in the experimental group was lower than that in the control group, postoperative VAS pain scores and ODI functional scores were lower, and postoperative JOA functional scores were higher than those in the control group, with statistically significant differences (P < 0.05). In conclusion, PCLE-LIF appears to be a promising technique with better clinical outcomes in the treatment of degenerative lumbar spinal stenosis.

Current-Induced Magnetization Switching in Light-Metal-Oxide/Ferromagnetic-Metal Bilayers via Orbital Rashba Effect.

The orbital angular momentum (OAM) generation as well as its associated orbital torque is currently a matter of great interest in spin-orbitronics and is receiving increasing attention. In particular, recent theoretical work predicts that the oxidized light metal Cu can serve as an efficient OAM generator through its surface orbital Rashba effect. Here, for the first time, the crucial current-induced magnetic-field-free in-plane magnetization reversal is experimentally demonstrated in CoFeB/CuOx bilayers without any heavy elements. We show that the critical current density can be comparable to that of strong spin-orbit coupling systems with heavy metals (Pt and Ta) and that the magnetization reversal mechanism is governed by coherent rotation in the grains through the second-harmonic and magneto-optical Kerr effect measurements. Our results indicate that light metal oxides can play an equally important role as heavy metals in magnetization reversal, broadening the choice of materials for engineering spintronic devices.

Comparison of the efficacy of low-molecular-weight heparin and fondaparinux sodium after total knee arthroplasty: a retrospective cohort study.

BACKGROUND: Low-molecular-weight heparin (LMWH) and fondaparinux sodium (FPX) are routinely used to prevent deep vein thrombosis (DVT) after total knee arthroplasty (TKA). In this study, we compared the effects of these agents in preventing post-TKA DVT. METHODS: Clinical data of patients who underwent unilateral TKA for unicompartmental knee osteoarthritis at the Ningxia Medical University General Hospital between September 2021 and June 2022 were retrospectively analyzed. Based on the anticoagulation agent used, the patients were divided into LMWH and FPX groups (34 and 37 patients, respectively). Changes in perioperative coagulation-related indicators, d-dimer and platelet count, perioperative complete blood count, amount of blood loss, lower-limb DVT, pulmonary embolism, and allogeneic blood transfusion were determined. RESULTS: Intergroup differences in d-dimer or fibrinogen (FBG) levels before and 1 or 3 days after surgery were not significant (all p > 0.05); within-group pairwise comparisons indicated significant differences (all, p < 0.05). Intergroup differences in preoperative prothrombin time (PT), thrombin time, activated partial PT, and international normalized ratio were not significant (all p > 0.05), whereas significant differences were detected on postoperative days 1 and 3 (all p < 0.05). Intergroup differences in platelet counts before and 1 or 3 days after surgery were not significantly different (all p > 0.05). Pairwise comparisons of hemoglobin and hematocrit levels between patients in the same group before and 1 or 3 days after surgery revealed significant differences in both groups (all p < 0.05); however, intergroup differences were not significant (all p > 0.05). Although intergroup differences in visual analog scale (VAS) scores before and 1 or 3 days after surgery were not significant (p > 0.05), we detected significant intragroup differences in VAS scores before and 1 or 3 days after surgery (p < 0.05). The treatment cost ratio was significantly lower in the LMWH group than in the FPX group (p < 0.05). CONCLUSION: Both LMWH and FPX can effectively prevent DVT after TKA. There are some suggestive signals that FPX may have more beneficial pharmacological effects and clinical significance, while LMWH is cheaper and therefore more economical.

Conformational Changes of Acyl Carrier Protein Switch the Chain Length Preference of Acyl-ACP Thioesterase ChFatB2.

Microbial fatty acids are synthesized by Type II fatty acid synthase and could be tailored by acyl-ACP thioesterase. With the prospects of medium-chain fatty-acid-derivative biofuels, the selectivity of thioesterase has been studied to control the fatty acid product chain length. Here, we report an alternative approach by manipulating the acyl carrier protein portion of acyl-ACP to switch the chain length propensity of the thioesterase. It was demonstrated that ChFatB2 from Cuphea hookeriana preferred C10-ACP to C8-ACP with ACP from E. coli, while converting preference to C8-ACP with ACP from Cuphea lanceolate. Circular dichroism (CD) results indicated that the C8-EcACP encountered a 34.4% α-helix increment compared to C10-EcACP, which resulted in an approximate binding affinity decrease in ChFatB2 compared to C10-EcACP. Similarly, the C10-ClACP2 suffered a 45% decrease in helix content compared to C8-ClACP2, and the conformational changes resulted in an 18% binding affinity decline with ChFatB2 compared with C10-ClACP2. In brief, the study demonstrates that the ACP portion of acyl-ACP contributes to the selectivity of acyl-ACP thioesterase, and the conformational changes of EcACP and ClACP2 switch the chain length preference of ChFatB2 between C8 and C10. The result provides fundamentals for the directed synthesis of medium-chain fatty acids based on regulating the conformational changes of ACPs.

Hypoxia Inhibits Subretinal Inflammation Resolution Thrombospondin-1 Dependently.

Hypoxia is potentially one of the essential triggers in the pathogenesis of wet age-related macular degeneration (wetAMD), characterized by choroidal neovascularization (CNV) which is driven by the accumulation of subretinal mononuclear phagocytes (MP) that include monocyte-derived cells. Here we show that systemic hypoxia (10% O2) increased subretinal MP infiltration and inhibited inflammation resolution after laser-induced subretinal injury in vivo. Accordingly, hypoxic (2% O2) human monocytes (Mo) resisted elimination by RPE cells in co-culture. In Mos from hypoxic mice, Thrombospondin 1 mRNA (Thbs1) was most downregulated compared to normoxic animals and hypoxia repressed Thbs-1 expression in human monocytes in vitro. Hypoxic ambient air inhibited MP clearance during the resolution phase of laser-injury in wildtype animals, but had no effect on the exaggerated subretinal MP infiltration observed in normoxic Thbs1-/--mice. Recombinant Thrombospondin 1 protein (TSP-1) completely reversed the pathogenic effect of hypoxia in Thbs1-/--mice, and accelerated inflammation resolution and inhibited CNV in wildtype mice. Together, our results demonstrate that systemic hypoxia disturbs TSP-1-dependent subretinal immune suppression and promotes pathogenic subretinal inflammation and can be therapeutically countered by local recombinant TSP-1.

Characteristics of Clostridium difficile isolates and the burden of hospital-acquired Clostridium difficile infection in a tertiary teaching hospital in Chongqing, Southwest China.

BACKGROUND: Clostridium difficile infection (CDI), especially hospital-acquired Clostridium difficile infection (HA-CDI), continues to be a public health problem and has aroused great concern worldwide for years. This study aimed to elucidate the clinical and epidemiological features of HA-CDI and the characteristics of C.difficile isolates in Chongqing, Southwest China. METHODS: A case-control study was performed to identify the clinical incidence and risk factors of HA-CDI. C. difficile isolates were characterised by polymerase chain reaction (PCR) ribotyping, multilocus sequence typing (MLST), toxin gene detection and antimicrobial susceptibility testing. RESULTS: Of the 175 suspicious patients, a total of 122 patients with antibiotic-associated diarrhea (AAD) were included in the study; among them, 38 had HA-CDI. The incidence of AAD and HA-CDI was 0.58 and 0.18 per 1000 patient admissions, respectively. Chronic renal disease and cephalosporin use were independent risk factors for HA-CDI. Fifty-five strains were assigned into 16 sequence types (STs) and 15 ribotypes (RTs). ST2/RT449 (8, 14.5%) was the predominant genotype. Of the 38 toxigenic isolates, A + B + CDT- isolates accounted for most (34, 89.5%) and 1 A + B + CDT+ isolate emerged. No isolate was resistant to vancomycin, metronidazole or tigecycline, with A-B-CDT- being more resistant than A + B + CDT-. CONCLUSIONS: Different genotypes of C. difficile strains were witnessed in Chongqing, which hinted at the necessary surveillance of HA-CDI. Adequate awareness of patients at high risk of HA-CDI acquisition is advocated and cautious adoption of cephalosporins should be highlighted.

Quantum dynamics of atomic Rydberg excitation in strong laser fields.

Neutral atoms have been observed to survive intense laser pulses in high Rydberg states with surprisingly large probability. Only with this Rydberg-state excitation (RSE) included is the picture of intense-laser-atom interaction complete. Various mechanisms have been proposed to explain the underlying physics. However, neither one can explain all the features observed in experiments and in time-dependent Schrödinger equation (TDSE) simulations. Here we propose a fully quantum-mechanical model based on the strong-field approximation (SFA). It well reproduces the intensity dependence of RSE obtained by the TDSE, which exhibits a series of modulated peaks. They are due to recapture of the liberated electron and the fact that the pertinent probability strongly depends on the position and the parity of the Rydberg state. We also present measurements of RSE in xenon at 800 nm, which display the peak structure consistent with the calculations.

Mucosal immunization with purified OmpA elicited protective immunity against infections caused by multidrug-resistant Acinetobacter baumannii.

Multidrug-resistant Acinetobacter baumannii (A. baumannii) is a rapidly emerging pathogen causing infections with high mortality rates due to inadequate medical treatment. New ways to prevent and treat such infections are of a critical medical need. In this study, intranasal vaccination with A. baumannii outer membrane protein A (OmpA) induced both systemic and mucosal antibodies. After challenge intraperitoneally by clinical strains of multidrug-resistant A. baumannii, mice immunized with OmpA had a significantly higher survival rate than control mice. The OmpA protein level tested positive by western blot in clinical strains of A. baumannii. Furthermore, characterization of human sera for anti-OmpA immunoglobulin G (IgG) antibody levels demonstrated that OmpA protein was immunogenic in healthy individuals and patients with A. baumannii invasive infections. In conclusion, to the best of our knowledge, this is the first study protective efficacy of mucosal immunization with OmpA as a protein antigen against multidrug-resistant A. Baumannii.

Voltage Control of Multiple Electrochemical Processes during Lithium Ion Migration in NiFe2O4 Ferrite.

Li-ion-based electric field control has been attracting significant attention, since it is able to penetrate deep into materials to exhibit diverse and controllable electrochemical processes, which offer more degrees of freedom to design multifunctional devices with low power consumption. As opposed to previous studies that mainly focused on single lithiation/delithiation mechanisms, we reveal three Li-ion modulation mechanisms in the same NiFe2O4 spinel ferrite by in situ magnetometry, i.e., intercalation, conversion, and space charge, which are respectively demonstrated in high, medium, and low voltage range. During the intercalation stage, the spinel structure is preserved, and a reversible modulation of magnetization arises from the charge transfer-induced variation of Fe valence states (Fe2+/Fe3+). Conversion-driven change in magnetization is the largest up to 89 emu g-1, due to the structural and magnetic phase transitions. Although both intercalation and conversion exhibit sluggish kinetics and long response times, the space charge manifests a faster switching speed and superior durability due to its interface electrostatic effect. These results not only provide a clear and comprehensive understanding on Li-based modulation mechanisms but also facilitate multifunctional and multiscenario applications, such as multistate memory, micromagnetic actuation, artificial synapse, and energy storage.

Tungsten phosphide on nitrogen and phosphorus-doped carbon as a functional membrane coating enabling robust lithium-sulfur batteries.

Lithium-sulfur batteries (LSBs) hold great potential as future energy storage technology, but their widespread application is hampered by the slow polysulfide conversion kinetics and the sulfur loss during cycling. In this study, we detail a one-step approach to growing tungsten phosphide (WP) nanoparticles on the surface of nitrogen and phosphorus co-doped carbon nanosheets (WP@NPC). We further demonstrate that this material provides outstanding performance as a multifunctional separator in LSBs, enabling higher sulfur utilization and exceptional rate performance. These excellent properties are associated with the abundance of lithium polysulfide (LiPS) adsorption and catalytic conversion sites and rapid ion transport capabilities. Experimental data and density functional theory calculations demonstrate tungsten to have a sulfophilic character while nitrogen and phosphorus provide lithiophilic sites that prevent the loss of LiPSs. Furthermore, WP regulates the LiPS catalytic conversion, accelerating the Li-S redox kinetics. As a result, LSBs containing a polypropylene separator coated with a WP@NPC layer show capacities close to 1500 mAh/g at 0.1C and coulombic efficiencies above 99.5 % at 3C. Batteries with high sulfur loading, 4.9 mg cm-2, are further produced to validate their superior cycling stability. Overall, this work demonstrates the use of multifunctional separators as an effective strategy to promote LSB performance.

Survival nomogram for osteosarcoma patients: SEER data retrospective analysis with external validation.

This study aimed to develop a nomogram based on the clinicopathological factors affecting the prognosis of osteosarcoma patients to help clinicians predict the overall survival of osteosarcoma patients. A total of 1362 patients diagnosed with osteosarcoma were enrolled in this study, among which, 1081 cases were enrolled from the SEER (Surveillance, Epidemiology, and End Results) database as training group, while 281 patients from two Clinical Medicine Center database were used in validation group. Univariate and multivariate Cox analyses were performed to identify the independent prognostic factors for overall survival. Nomogram predicting the 3- and 5-year overall survival probability was constructed and validated. Multiple validation methods, including calibration plots, consistency indices (C-index), and area under the receiver operating characteristic curve (AUC) were used to validate the accuracy and the reliability of the prediction models. Decision curve analysis (DCA) was conducted to validate the clinical application of the prediction model. Furthermore, all patients were divided into low- and high-risk groups based on their nomogram scores. Kaplan-Meier (KM) curves were applied to compare the difference in survival between the two groups. Predictors in the prediction model included age, sex, tumor size, primary site, grade, M stage, and surgery. Our results showed that the model displayed good prediction ability, and the calibration plots demonstrated great power both in the training and the validation groups. In the training group, C-index was 0.80, and the 3- and 5-year AUCs of the nomogram were 0.82 and 0.81, respectively. In the validation group, C-index was 0.79, and the 3- and 5-year AUCs of the nomogram were 0.85 and 0.83, respectively. Furthermore, DCA data indicated the potential clinical application of this model. Therefore, our prediction model could help clinicians evaluate prognoses, identify high-risk individuals, and provide individualized treatment recommendation for patients with osteosarcoma.

Designing nitrogen-enriched heterogeneous NiS@CoNi2S4 embedded in nitrogen-doped carbon with hierarchical 2D/3D nanocage structure for efficient alkaline hydrogen evolution and triiodide reduction.

Fabrication of efficient non-precious electrocatalysts with hierarchical nanostructures and the desired compositions is highly desirable to enhance the catalytic activity and stability for hydrogen evolution reaction (HER) and triiodide reduction reaction (IRR). This work proposes a zeolitic imidazolate framework (ZIF) template-based strategy to generate sulfide embedded in nitrogen-doped carbon with a hierarchical 2D/3D nanocage structure. ZIF-67, as a sacrificial template, is first etched to form 2D/3D NiCo layered double hydroxide/2-Methylimidazole (NiCo LDH/MeIm) and then converted to CoNi2S4 nanoparticles embedded in nitrogen-doped carbon (CoNi2S4/NC) through one-step sulfurization and pyrolysis. When a core-shell ZIF-8@ZIF-67 is designed as a template for the generation of Ni@NiCo LDH/MeIm, the obtained NiS@CoNi2S4/NC not only retains the unique 2D/3D nanostructure but also has a high N content, abundant active sites, larger specific surface area, and hierarchical pore distribution. NiS@CoNi2S4/NC mediates an overpotential of 126 mV at 10 mA cm-2 and a Tafel slope of 47.2 mV dec-1 in the alkaline HER. The solar cell equipped with NiS@CoNi2S4/NC as the IRR catalyst achieves a high cell efficiency of 7.96 %. NiS@CoNi2S4/NC shows durably high HER and IRR activity. This controllable synthetic strategy provides a valuable support for developing efficient catalysts in electrocatalytic energy conversion systems.

Dual CoxSy-Modified Tungsten Disulfide Double-Heterojunction Electrocatalyst for Efficient Hydrogen Evolution in All-pH Media.

The rational design and preparation of a heterogeneous electrocatalyst for hydrogen evolution reaction (HER) has become a research hotspot, while applicable and pH-universal tungsten disulfide (WS2)-based hybrid composites are rarely reported. Herein, we propose a novel hybrid catalyst (WS2/Co9S8/Co4S3) comprising two heterojunctions of WS2/Co4S3 and WS2/Co9S8, which grow on the porous skeleton of Co, N-codoped carbon (Co/NC) flexibly applicable to all-pH electrolytes. The effect of double heterogeneous coupling on HER activity is explored as the highly flexible heterojunction is conducive to tune the activity of the catalyst, and the synergistic interaction of the double heterojunctions is maximized by adjusting the proportion of heterojunction components. Theoretical calculations show that both WS2/Co9S8 and WS2/Co4S3 heterojunctions have a Gibbs free energy of H reaction (|ΔGH*|) close to 0.0 eV and a facile decomposition water barrier. As collective synergy of dual CoxSy-modified WS2 double heterojunction, WS2/Co9S8/Co4S3 greatly enhances HER activity compared to bare Co9S8/Co4S3 or single heterojunction (WS2/Co9S8) in all-pH media. Besides, we have elucidated the unique HER mechanism of the double heterojunction to decompose H2O and confirm its excellent activity under alkaline and neutral conditions. Thus, this work provides new insights into WS2-based hybrid materials potentially applied to sustainable energy.

Niobium- and cobalt-modified dual-source-derived porous carbon with a honeycomb-like stable structure for supercapacitor and hydrogen evolution reaction.

Designing porous carbon materials with tailored architecture and appropriate compositions is essential for supercapacitor (SC) and hydrogen evolution reaction (HER). Herein, Nb/Co-modified dual-source porous carbon (Nb/Co-DSPC) with a honeycomb structure was obtained by introducing a secondary carbon source (Co/Zn-ZIF) and transition metal Nb into activated Typha carbon (ATC). The addition of a secondary carbon source and Nb resulted in superior specific surface area (1272.38 m2/g), excellent hydrophilicity (34.73°) and abundant bimetallic active sites (Nb/Co-Nx) in Nb/Co-DSPC, providing excellent charge storage capacity and electrocatalytic activity. The Nb/Co-DSPC electrode displayed an outstanding capacitance of 337 F/g at 0.5 A/g and showed excellent stability after 15,000 charge-discharge cycles. In addition, Nb/Co-DSPC shows an overpotential of 114 mV at 10 mA cm-2, better than those of Co-DSPC (139 mV) and ATC (162 mV) alone. This study offers a reliable strategy for advanced multifunctional porous carbon electrode materials preparations.

Development of a nomogram to predict medication nonadherence risk in patients with rheumatoid arthritis.

OBJECTIVES: Poor adherence among patients with chronic diseases including inflammatory rheumatic diseases (IRDs) is a complex and serious global health care problem. This study aimed to develop an intelligent nomogram using retrospectively collected patient clinical data for predicting nonadherence to biologic treatment in rheumatoid arthritis (RA) patients. METHODS: The clinical characteristics of 102 RA patients were collected from outpatients and inpatients at the Orthopedic Departments of Ningxia General Hospital of Ningxia Medical University and Ningxia Hui Autonomous Region People's Hospital from October 2020 to September 2021. Adherence was evaluated using the proportion of treatment days covered within 6 months as the outcome event. A least absolute shrinkage and selection operator (LASSO) regression analysis was used to identify risk predictors, and then multivariate logistic regression analysis was applied to construct the risk prediction model. Furthermore, the nomogram was plotted by multivariable logistic regression. RESULTS: Among the 102 patients analyzed, 43 patients did not adhere to biologic therapy for various reasons. LASSO regression analysis identified age, sex, education level, disease activity, monthly income, medical insurance, and adverse drug reactions as the significant risk predictors. By incorporating these factors, the nomogram was plotted which showed good discrimination, calibration, and clinical value. The C-index was 0.759 (95% CI: 0.665-0.853), and the area under the receiver operating characteristic (ROC) curve was 0.7416 with a good calibration ability. Decision curve analysis showed that the prediction effect of this model could benefit about 75% of the patients without compromising the interests of other patients. CONCLUSIONS: This nomogram could help medical staff identify patients with higher risk of nonadherence early, so that intervention measures can be taken in time.

Defect engineering tuning electron structure of biphasic tungsten-based chalcogenide heterostructure improves its catalytic activity for hydrogen evolution and triiodide reduction.

The design and exploration of high-efficiency and low-cost electrode catalysts are of great significance to the development of novel energy conversion technologies. In this work, metal and nonmetal heteroatoms co-doped biphasic tungsten-based chalcogenide heterostructured catalyst (Co-WS2/P-WO2.9) with rich defects is successfully synthesized by a vulcanization technique. The electrocatalytic performance of WS2/WO3 in the hydrogen evolution reaction (HER) and triiodide reduction reaction is significantly enhanced by modifying and optimizing its electronic structure through a defect engineering strategy. As an electrocatalyst for HER, the optimized Co-WS2/P-WO2.9 exhibits a low overpotential at 10 mA cm-2 of 146 and 120 mV with small Tafel slopes of 86 and 74 mV dec-1 in alkaline and acidic electrolyte, respectively. In addition, a Co-WS2/P-WO2.9 assembled solar cell yields a short circuit current density of 15.85 mA cm-2, an open-circuit voltage of 0.74 V, a fill factor of 0.66, and a competitive power conversion efficiency (7.83%), which is comparable or higher than conventional Pt-based solar cell (16.02 mA cm-2, 0.70 V, 0.63, 7.14%). The formation of a heterostructure in Co-WS2/P-WO2.9 leads to the presence of a built-in electric field in the interfacial region between Co-WS2 and P-WO2.9, which leads to an increased open-circuit voltage from 0.70 V for Pt to 0.74 V for Co-WS2/P-WO2.9. This work can provide a technical support for developing high-performance heterostructured catalysts, which open up a way for improving catalytic performance of heterostructured catalysts in the field of electrocatalysis.

1,2,3,4-Tetrakis(2-cyanoethoxy)butane (TCEB)-Assisted Construction of Self-Repair Electrode Interface Films to Improve the Performance of 4.5 V Pouch LiCoO2/Artificial Graphite Full Cells Operating at 45 °C.

1,2,3,4-Tetrakis(2-cyanoethoxy)butane (TCEB) is first evaluated as a functional electrolyte additive to increase the charge cutoff voltage and energy density of pouch LiCO2 (LCO)/artificial graphite (AG) lithium-ion batteries (LIBs) at a high temperature of 45 °C. The charge (0.7 C) and discharge (1 C) tests show that TCEB effectively improves the cycle stability of cells under a high charge cutoff voltage of 4.5 V. At 25 °C, the capacity retention of the cells with TCEB increases from 0.0% to 72.1% after 1200 cycles. At 45 °C, the capacity retention of the cells without TCEB after 50 cycles is close to 0.0%, while the capacity retention of the cells with TCEB is still 81.6%, even after 350 cycles. The spectroscopic characterization results demonstrate that the TCEB electrolyte additive participates in the construction of a self-repair electrode/electrolyte interface film. Subsequently, low impedance and strong protective layers are formed on the two electrode surfaces. The quantitative analysis results and a theoretical calculation also show that TCEB effectively inhibits the dissolution of Co3+ and maintains the structural integrity of electrode materials. These results indicate that TCEB endows LIBs with excellent cycle stability and is a promising electrolyte additive for the high-voltage and high-temperature conditions of LCO-based LIBs.

2,3,4,5,6-Pentafluorophenyl Methanesulfonate as a Versatile Electrolyte Additive Matches LiNi0.5Co0.2Mn0.3O2/Graphite Batteries Working in a Wide-Temperature Range.

An electrolyte using 2,3,4,5,6-pentafluorophenyl methanesulfonate (PFPMS) as a versatile additive is investigated through calculating the molecular orbital energies of additives and solvents and designing the electrolyte composition, and the comparative performances of LiNi0.5Co0.2Mn0.3O2/graphite cells operating in a wide-temperature range are improved. It is revealed that PFPMS can form interfacial films on both the cathode and anode surfaces, resulting in a decrease of the cell impedance and the side reactions between the active materials and electrolyte. Compared to the cells without additive of 74.9% and those with vinylene carbonate (VC) of 76.7%, the cycling retention of the cell with 1.0 wt % PFPMS reaches 91.7% after 400 cycles at room temperature. In particular, for the high-temperature storage at 60 °C for 7 d, the cell containing 1.0 wt % PFPMS exhibits optimal capacity retention of 86.3% and capacity recovery of 90.6%; for the low-temperature discharge capacity retention at -20 °C, the cell with 1.0 wt % PFPMS maintains at 66.3% at 0.5 C, while for the cells without additive and containing 1.0 wt % VC, their retention values are 55.0 and 62.1%, respectively. The excellent cycling, wide-temperature practicability, and rate capability of the cells with PFPMS demonstrate that the electrolyte with PFPMS additive is promising for applications in LiNi0.5Co0.2Mn0.3O2/graphite batteries.

Heteroresistance to carbapenems in invasive Pseudomonas aeruginosa infections.

Heteroresistance is common in a variety of microbes, however carbapenem heteroresistance among invasive Pseudomonas aeruginosa infections has not been thoroughly characterised to date. The objective of this study was to investigate the mechanisms, molecular epidemiology and risk factors for invasive carbapenem-heteroresistant P. aeruginosa (CHPA) infections between 2011 and 2015 in Chongqing, China. A significant increase in the rates of heteroresistance to imipenem and meropenem was observed during the study period. Mechanistic analysis revealed that efflux system overexpression and decreased OprD could have contributed to carbapenem heteroresistance in P. aeruginosa. It was also observed that all of the subpopulations produced enhanced levels of biofilm compared with their native strains. Moreover, previous carbapenem exposure was identified as a common independent risk factor for imipenem-heteroresistant (IPM-HR) and meropenem-heteroresistant (MEM-HR) isolates, but patients infected with MEM-HR isolates were at higher risk of poor outcomes than those with IPM-HR isolates. Most importantly, there was a remarkable increase in the prescription of carbapenems during the study period, which was demonstrated to correlate significantly with the quarterly increasing prevalence of IPM-HR and MEM-HR isolates, respectively. These findings show the necessity of routine detection of carbapenem-heteroresistant strains and that strict control of carbapenem use is critical to reduce CHPA infections in hospitalised patients.