High-Throughput Designed and Laser-Etched NiFeCrVTi High-Entropy Alloys with High Catalytic Activities and Corrosion Resistance for Hydrogen Evolution in Seawater.

Electrocatalytic hydrogen evolution from seawater through wind or solar energy is a cost-effective way to produce green hydrogen fuel. However, the lack of highly active and anti-corrosive electrocatalysts in seawater severely hinders the industrial application. Herein, a novel Ni1.1FeCr0.4V0.3Ti0.3 high-entropy alloy (HEA) is designed through high throughput computing and prepared via powder metallurgy with the surface treated by laser etching under different laser power. The laser-etched NiFeCrVTi high-entropy alloys exhibit a unique periodically ordered structure with multiple active centers and high porosity. The Ni-HEA-30 displays remarkable hydrogen evolution reaction (HER) performance with an overpotential of 55.9 mV and a Tafel slope of 47.3 mV dec-1 in seawater. Density functional theory (DFT) calculations are applied to identify the real active sites for HER on the HEA surface as the key factor for both proton and intermediate transformation, which also reveals that the Cr atom promotes the adsorption energy of water molecules, and the modulation of the electronic structure plays a crucial role in optimizing the hydrogen binding capabilities of the Ni atoms within the alloy. Additionally, the electrocatalyst displays high corrosion resistance in seawater, contributing to the good durability for hydrogen production. This work uncovers a new paradigm to develop novel electrocatalysts with superior reaction activity in seawater.

Spontaneous Internal Electric Field in Heterojunction Boosts Bifunctional Oxygen Electrocatalysts for Zinc-Air Batteries: Theory, Experiment, and Application.

Heterojunctions are a promising class of materials for high-efficiency bifunctional oxygen electrocatalysts in both oxygen reduction reaction (ORR) and oxygen evolution reaction (OER). However, the conventional theories fail to explain why many catalysts behave differently in ORR and OER, despite a reversible path (* O2 ⇋* OOH⇋* O⇋* OH). This study proposes the electron-/hole-rich catalytic center theory (e/h-CCT) to supplement the existing theories, it suggests that the Fermi level of catalysts determines the direction of electron transfer, which affects the direction of the oxidation/reduction reaction, and the density of states (DOS) near the Fermi level determines the accessibility for injecting electrons and holes. Additionally, heterojunctions with different Fermi levels form electron-/hole-rich catalytic centers near the Fermi levels to promote ORR/OER, respectively. To verify the universality of the e/h-CCT theory, this study reveals the randomly synthesized heterostructural Fe3 N-FeN0.0324 (Fex N@PC with DFT calculations and electrochemical tests. The results show that the heterostructural F3 N-FeN0.0324 facilitates the catalytic activities for ORR and OER simultaneously by forming an internal electron-/hole-rich interface. The rechargeable ZABs with Fex N@PC cathode display a high open circuit potential of 1.504 V, high power density of 223.67 mW cm-2 , high specific capacity of 766.20 mAh g-1 at 5 mA cm-2 , and excellent stability for over 300 h.

Regulation of Atomic Fe-Spin State by Crystal Field and Magnetic Field for Enhanced Oxygen Electrocatalysis in Rechargeable Zinc-Air Batteries.

Highly-active and low-cost bifunctional electrocatalysts for oxygen reduction and evolution are essential in rechargeable metal-air batteries, and single atom catalysts with Fe-N-C are promising candidates. However, the activity still needs to be boosted, and the origination of spin-related oxygen catalytic performance is still uncertain. Herein, an effective strategy to regulate local spin state of Fe-N-C through manipulating crystal field and magnetic field is proposed. The spin state of atomic Fe can be regulated from low spin to intermediate spin and to high spin. The cavitation of dxz and dyz orbitals of high spin FeIII can optimize the O2 adsorption and promote the rate-determining step (*O2 to *OOH). Benefiting from these merits, the high spin Fe-N-C electrocatalyst displays the highest oxygen electrocatalytic activities. Furthermore, the high spin Fe-N-C-based rechargeable zinc-air battery displays a high power density of 170 mW cm-2 and good stability.

600-GHz high-temperature superconducting sub-harmonic mixer coupled using a double-Y-type slot integrated lens antenna.

In this paper, we present a quasi-optically coupled 600-GHz high-temperature superconducting (HTS) sub-harmonic mixer for communication and sensing applications. The mixer features an innovative double-Y-type slot integrated lens antenna, which can efficiently couple the radio frequency (RF) and local oscillator (LO) signals with a small frequency ratio by exciting the half-wave and full-wave resonant current modes on the slot, respectively. Considering the low impedance characteristics of HTS Josephson junctions, a coplanar-waveguide stepped impedance transformer is utilized for minimizing the mismatching loss. A cascaded filter network is designed to prevent the high-frequency signal leakage at both bands while coupling the intermediate-frequency (IF) signal output efficiently. Based on this antenna design and an established HTS step-edge junction technology, a 600-GHz mixer prototype was designed, fabricated and measured, which was compared with the simulation results. The achieved conversion gain and noise temperature are the best performance specs as reported to date for HTS harmonic mixers at comparable frequencies and operating temperatures.

MOF-Derived Robust and Synergetic Acid Sites Inducing C-N Bond Disruption for Energy-Efficient CO2 Desorption.

Amine-based scrubbing technique is recognized as a promising method of capturing CO2 to alleviate climate change. However, the less stability and poor acidity of solid acid catalysts (SACs) limit their potential to further improve amine regeneration activity and reduce the energy penalty. To address these challenges, here, we introduce two-dimensional (2D) cobalt-nitrogen-doped carbon nanoflakes (Co-N-C NSs) driven by a layered metal-organic framework that work as SACs. The designed 2D Co-N-C SACs can exhibit promising stability, superhydrophilic surface, and acidity. Such 2D structure also contains well-confined Co-N4 Lewis acid sites and -OH Brønsted acid sites to have a synergetic effect on C-N bond disruption and significantly increase CO2 desorption rate by 281% and reduce the reaction temperatures to 88 °C, minimizing water evaporation by 20.3% and subsequent regeneration energy penalty by 71.7% compared to the noncatalysis.

Anodic Electrolysis Strategy Enabled Fe/FeCl2 Electrode for Scalable Fe/FeCl2-Graphite Molten Salt Battery.

The Fe/FeCl2-Graphite molten salt battery is a promising technology for large-scale energy storage, offering a long lifespan, a low operating temperature (<200 °C), and cost efficiency. However, its practical applications are hindered by the lack of a scalable preparation approach and insufficient redox stability in the Fe/FeCl2 electrode. Our study introduces an electrochemical anodic electrolysis (EAE) strategy, employing the anodic process (Fe → Fe2+) in an Al|AlCl3/NaCl/LiCl|Fe electrolysis system for the Fe/Fe2+ negative electrode in the Fe/FeCl2-Graphite battery. The EAE strategy forms an oxidized film, preventing incipient dissolution in the electrolyte and addressing redox stability issues with FeCl2 as the active substance. The Fe/Fe2+ negative electrode prepared by the EAE strategy exhibits a stabilized capacity of 0.72 mAh/cm2 after 7000 cycles at 5 mA/cm2, with a lower polarization level (∼29 mV) compared to FeCl2 as the active component. The flexibility of the EAE strategy is validated in both galvanostatic and potentiostatic processes, with a discharge capacity of 14 mAh after 1000 cycles, a capacity retention rate of 85%, and a Coulombic efficiency of 98% in the potentiostatic anodic electrolysis Fe/Fe2+ electrode. The scalability and reliability of the EAE strategy are further demonstrated in capacity-expanded Fe/FeCl2-Graphite batteries, reaching a discharge capacity of 155.1 mAh after 1000 cycles at 130 mA, with a capacity retention rate of 94%. For the first time, we showcased an EAE approach capable of producing Fe/Fe2+ electrodes at a rate of about 68.6 m2 per day. Additionally, we successfully assembled an Fe/FeCl2-Graphite battery at about a 0.42 ampere-hour level, paving the way for the scalable application of Fe/FeCl2-Graphite batteries.

Application of ionic liquid extractant in enhanced separation of 2-propanol-n-hexane azeotrope system.

2-Propanol and n-hexane are widely used (as) chemical reagents in electronic, pharmaceutical, and chemical industries. An efficient separation of the azeotropic system of 2-propanol-n-hexane is of profound practical significance. By using the conductor-like screening model for real solve (COSMO-RS) predictive model, ionic liquids as extractants for separating the azeotropic system of 2-propanol-n-hexane were evaluated with selectivity coefficients (S) and capacity (C) as the evaluation indexes. Based on the evaluation results, one high-performance extractants named hydroxylamine Cl (C8A19) was selected from 435 kinds of ionic liquids designed by combining 29 kinds of anions and 15 kinds of cations. Moreover, the reliability of the model in predicting the vapor-liquid phase equilibrium behavior of 2-propanol-n-hexane system was verified. Then, the effect of C8A19 on the vapor-liquid phase equilibrium of the 2-propanol-n-hexane system was investigated theoretically and experimentally. The results show that the azeotrope of the system can be broken when the molar fraction of C8A19 is 0.02, denoting that C8A19 can be used for enhanced separation of 2-propanol-n-hexane system. On the basis of the aforementioned study, the selectivity mechanism of the extractant was analyzed from the perspective of microscopic molecular interactions by using the descriptor (σ-profiles) of COSMO-RS. This study provides both theoretical and data support for further designing high-performance ionic liquid extractants and extraction process.

High-Entropy Oxides for Rechargeable Batteries.

High-entropy oxides (HEOs) have garnered significant attention within the realm of rechargeable batteries owing to their distinctive advantages, which encompass diverse structural attributes, customizable compositions, entropy-driven stabilization effects, and remarkable superionic conductivity. Despite the brilliance of HEOs in energy conversion and storage applications, there is still lacking a comprehensive review for both entry-level and experienced researchers, which succinctly encapsulates the present status and the challenges inherent to HEOs, spanning structural features, intrinsic properties, prevalent synthetic methodologies, and diversified applications in rechargeable batteries. Within this review, the endeavor is to distill the structural characteristics, ionic conductivity, and entropy stabilization effects, explore the practical applications of HEOs in the realm of rechargeable batteries (lithium-ion, sodium-ion, and lithium-sulfur batteries), including anode and cathode materials, electrolytes, and electrocatalysts. The review seeks to furnish an overview of the evolving landscape of HEOs-based cell component materials, shedding light on the progress made and the hurdles encountered, as well as serving as the guidance for HEOs compositions design and optimization strategy to enhance the reversible structural stability, electrical properties, and electrochemical performance of rechargeable batteries in the realm of energy storage and conversion.

Molecular and functional characterization of ribosome protein S24 in ovarian development of Macrobrachium nipponense.

Ribosomal proteins (RPs) have mang extraribosomal functions including regulation of ovarian development in some organisms. In order to solve the problem of rapid ovarian maturation in Macrobrachium nipponense aquaculture, this study identified a RPS24 (MnRPS24) gene from M. nipponense, which encodes a protein of ßßαßαααα folding structure type. MnRPS24 exhibited the greatest expressions in the female adult stage among the six growth stages, in the ovary among the nine tissues, and in the stage I ovary among the six ovarian development stages. The MnRPS24 protein located in the cytoplasm of oogonia, previtellogenic and early-vitellogenic oocytes, and the follicular cells surrounding the oocytes. The expression of the vitellogenin (MnVg), vitellogenin receptor (MnVgr), cell cycle protein B (MnCyclin B) and cell division cyclin 2 (MnCdc2) genes were increased by recombinant MnRPS24 protein incubation. Conversely, the expression of the Wee1 kinase (MnWee1) gene was decreased. MnRPS24 gene silencing downregulated the expression for MnVg, MnVgr, MnCyclin B and MnCdc2 and upregulated the expression for MnWee1. Furthermore, MnRPS24 gene silencing delayed the vitellogenesis of oocytes, halting the progression of ovarian development. The findings of this research demonstrate that MnRPS24 could potentially function as a stimulator in promoting the development of ovaries in M. nipponense.

Rational Design of Organic Electrocatalysts for Hydrogen and Oxygen Electrocatalytic Applications.

Efficient electrocatalysts are pivotal for advancing green energy conversion technologies. Organic electrocatalysts, as cost-effective alternatives to noble-metal benchmarks, have garnered attention. However, the understanding of the relationships between their properties and electrocatalytic activities remains ambiguous. Plenty of research articles regarding low-cost organic electrocatalysts started to gain momentum in 2010 and have been flourishing recently though, a review article for both entry-level and experienced researchers in this field is still lacking. This review underscores the urgent need to elucidate the structure-activity relationship and design suitable electrode structures, leveraging the unique features of organic electrocatalysts like controllability and compatibility for real-world applications. Organic electrocatalysts are classified into four groups: small molecules, oligomers, polymers, and frameworks, with specific structural and physicochemical properties serving as activity indicators. To unlock the full potential of organic electrocatalysts, five strategies are discussed: integrated structures, surface property modulation, membrane technologies, electrolyte affinity regulation, and addition of anticorrosion species, all aimed at enhancing charge efficiency, mass transfer, and long-term stability during electrocatalytic reactions. The review offers a comprehensive overview of the current state of organic electrocatalysts and their practical applications, bridging the understanding gap and paving the way for future developments of more efficient green energy conversion technologies.

The identification of a serpin with immune defense role in oriental river prawn Macrobrachium nipponense.

Serpins are a protein superfamily of serine protease inhibitors. One of their functions is to participate in immune responses by inhibiting the activation of prophenoloxidase. To elucidate the immune role of serpin in Macrobrachium nipponense, a serpin gene (Mnserpin) was cloned from M. nipponense in this study. Mnserpin protein has an N-terminal signal peptide and a serpin domain that contains a hinge region, a signature sequence of serpin and a P1(arginine)-P1' scissile bond, and evolutionally closely related to the crustacean serpins. Mnserpin highly expressed in the hepatopancreas and gill. Mnserpin expression increased first and then decreased after Vibrio parahaemolyticus and Aeromonas hydrophila infection, and was knocked down by dsMnserpin injection with a maximum knockdown efficiency of 92 %. Mnserpin knockdown increased the expression of the clip domain serine protease and prophenoloxidase genes and phenoloxidase activity of M. nipponense as well as its mortality rate after V. parahaemolyticus and A. hydrophila infection. The recombinant Mnserpin (rMnserpin) showed bacteria-binding and bacteriostatic activity in vitro. Moreover, rMnserpin injection decreased the bacterial number and the mortality rate of M. nipponense post V. parahaemolyticus and A. hydrophila infection. These results suggested that Mnserpin plays a major role in the innate immune response of M. nipponense.

Towards Practical Application of Li-S Battery with High Sulfur Loading and Lean Electrolyte: Will Carbon-Based Hosts Win This Race?

As the need for high-energy-density batteries continues to grow, lithium-sulfur (Li-S) batteries have become a highly promising next-generation energy solution due to their low cost and exceptional energy density compared to commercially available Li-ion batteries. Research into carbon-based sulfur hosts for Li-S batteries has been ongoing for over two decades, leading to a significant number of publications and patents. However, the commercialization of Li-S batteries has yet to be realized. This can be attributed, in part, to the instability of the Li metal anode. However, even when considering just the cathode side, there is still no consensus on whether carbon-based hosts will prove to be the best sulfur hosts for the industrialization of Li-S batteries. Recently, there has been controversy surrounding the use of carbon-based materials as the ideal sulfur hosts for practical applications of Li-S batteries under high sulfur loading and lean electrolyte conditions. To address this question, it is important to review the results of research into carbon-based hosts, assess their strengths and weaknesses, and provide a clear perspective. This review systematically evaluates the merits and mechanisms of various strategies for developing carbon-based host materials for high sulfur loading and lean electrolyte conditions. The review covers structural design and functional optimization strategies in detail, providing a comprehensive understanding of the development of sulfur hosts. The review also describes the use of efficient machine learning methods for investigating Li-S batteries. Finally, the outlook section lists and discusses current trends, challenges, and uncertainties surrounding carbon-based hosts, and concludes by presenting our standpoint and perspective on the subject.

Oxidization-Temperature-Triggered Rapid Preparation of Large-Area Single-Crystal Cu(111) Foil.

The controlled preparation of single-crystal Cu(111) is intensively investigated owing to the superior properties of Cu(111) and its advantages in synthesizing high-quality 2D materials, especially graphene. However, the accessibility of large-area single-crystal Cu(111) is still hindered by time-consuming, complicated, and high-cost preparation methods. Here, the oxidization-temperature-triggered rapid preparation of large-area single-crystal Cu(111) in which an area up to 320 cm2 is prepared within 60 min, and where low-temperature oxidization of polycrystalline Cu foil surface plays a vital role, is reported. A mechanism is proposed, by which the thin Cux O layer transforms to a Cu(111) seed layer on the surface of Cu to induce the formation of a large-area Cu(111) foil, which is supported by both experimental data and molecular dynamics simulation results. In addition, a large-size high-quality graphene film is synthesized on the single-crystal Cu(111) foil surface and the graphene/Cu(111) composites exhibit enhanced thermal conductivity and ductility compared to their polycrystalline counterpart. This work, therefore, not only provides a new avenue toward the monocrystallinity of Cu with specific planes but also contributes to improving the mass production of high-quality 2D materials.

Ampere-hour-scale soft-package potassium-ion hybrid capacitors enabling 6-minute fast-charging.

Extreme fast charging of Ampere-hour (Ah)-scale electrochemical energy storage devices targeting charging times of less than 10 minutes are desired to increase widespread adoption. However, this metric is difficult to achieve in conventional Li-ion batteries due to their inherent reaction mechanism and safety hazards at high current densities. In this work, we report 1 Ah soft-package potassium-ion hybrid supercapacitors (PIHCs), which combine the merits of high-energy density of battery-type negative electrodes and high-power density of capacitor-type positive electrodes. The PIHC consists of a defect-rich, high specific surface area N-doped carbon nanotube-based positive electrode, MnO quantum dots inlaid spacing-expanded carbon nanotube-based negative electrode, carbonate-based non-aqueous electrolyte, and a binder- and current collector-free cell design. Through the optimization of the cell configuration, electrodes, and electrolyte, the full cells (1 Ah) exhibit a cell voltage up to 4.8 V, high full-cell level specific energy of 140 Wh kg-1 (based on the whole mass of device) with a full charge of 6 minutes. An 88% capacity retention after 200 cycles at 10 C (10 A) and a voltage retention of 99% at 25 ± 1 °C are also demonstrated.

Exosomal transfer leads to chemoresistance through oxidative phosphorylation-mediated stemness phenotype in colorectal cancer.

Background: Recently years have seen the increasing evidence identifying that OXPHOS is involved in different processes of tumor progression and metastasis and has been proposed to be a potential therapeutical target for cancer treatment. However, the exploration in oxidative phosphorylation-mediated chemoresistance is still scarce. In our study, we identify exosomal transfer leads to chemoresistance by reprogramming metabolic phenotype in recipient cells. Methods: RNA sequencing analysis was used to screen altered targets mediating exosome transfer-induced chemoresistance. Seahorse assay allowed us to measure mitochondrial respiration. Stemness was measured by spheroids formation assay. Serum exosomes were isolated for circ_0001610 quantification. Results: The induced oxidative phosphorylation leads to more stem-like properties, which is dependent on the transfer of exosomal circ_0001610. Exosome transfer results in the removal of miR-30e-5p-mediated suppression of PGC-1a, a master of mitochondrial biogenesis and function. Consequently, increased PGC-1a reshapes cellular metabolism towards oxidative phosphorylation, leading to chemoresistance. Inhibition of OXPHOS or exosomal si-circ_0001610 increases the sensitivity of chemotherapy by decreasing cell stemness in vitro and in vivo. Conclusion: Our data suggests that exosomal circ_0001610-induced OXPHOS plays an important role in chemoresistance and supports a therapeutical potential of circ_0001610 inhibitors in the treatment of oxaliplatin-resistant colorectal cancer by manipulating cell stemness.

In-Situ-Grown Cu Dendrites Plasmonically Enhance Electrocatalytic Hydrogen Evolution on Facet-Engineered Cu2 O.

Herein, facet-engineered Cu2 O nanostructures are synthesized by wet chemical methods for electrocatalytic HER, and it is found that the octahedral Cu2 O nanostructures with exposed crystal planes of (111) (O-Cu2 O) has the best hydrogen evolution performance. Operando Raman spectroscopy and ex-situ characterization techniques showed that Cu2 O is reduced during HER, in which Cu dendrites are grown on the surface of the Cu2 O nanostructures, resulting in the better HER performance of O-Cu2 O after HER (O-Cu2 O-A) compared with that of the as-prepared O-Cu2 O. Under illumination, the onset potential of O-Cu2 O-A is ca. 52 mV positive than that of O-Cu2 O, which is induced by the plasmon-activated electrochemical system consisting of Cu2 O and the in-situ generated Cu dendrites. Incident photon-to-current efficiency (IPCE) measurements and the simulated UV-Vis spectrum demonstrate the hot electron injection (HEI) from Cu dendrites to Cu2 O. Ab initio nonadiabatic molecular dynamics (NAMD) simulations revealed the transfer of photogenerated electrons (27 fs) from Cu dendrites to Cu2 O nanostructures is faster than electron relaxation (170 fs), enhancing its surface plasmons activity, and the HEI of Cu dendrites increases the charge density of Cu2 O. These make the energy level of the catalyst be closer to that of H+ /H2 , evidenced by the plasmon-enhanced HER electrocatalytic activity.

Silicon quantum dots inlaid micron graphite anode for fast chargeable and high energy density Li-ion batteries.

The pursuit of rapid charging and high energy density in commercial lithium-ion batteries (LIBs) has been one of the priorities in battery research. Silicon-Carbon (Si-C), a possible substitute for graphite as an anode electrode material, is one prospect to achieving this goal. There is a debate as to whether nanoscale or the micron-scale silicon is more favourable as anode materials for LIBs. Micron-scale silicon exhibits relatively higher initial coulomb efficiency (CE) compared with nanoscale silicon, while its cycle stability is poorer. However, minimizing silicon normally benefits the cycle stability, but introduces serious side reactions, due to the large active surface for nanoscale silicon. Here, we propose silicon quantum dots (Si QDs) inlaid in micron graphite (SiQDs-in-MG) as an anode for high energy density and fast charging LIBs. The Si QDs almost eliminate the volume change typically observed in Si during long-term cycling, while the graphite blocks solvent entering the channels and contacting the SiQDs, promoting the generation of a stable solid electrolyte interphase, which is not in direct contact with the Si. SiQDs-in-MG addresses the main issues for Si-based anodes and is expected to achieve high energy density when in combination with a Lithium-Nickel-Manganese-Cobalt-Oxide (NMC) cathode in pouch cells.

Significance of nutrients in oxygen-depleted bottom waters via various origins on the mid-outer shelf of the East China Sea during summer.

East China Sea (ECS) is considered one of the largest dissolved oxygen (DO) depleted areas in the world's oceans. To assess the relative importance of water sources and biological processes to modulate low DO water over the ECS shelf, we conducted 7 cruises in the summers between 2004 and 2015. To cover a broad study area, observations were taken by both Chinese and Japanese research vessels in 2013, the consistent DO values were obtained in the intercalibration station from China and Japan. The subsurface/bottom water DO depletion was observed over both the inner and mid-outer shelves. In 2009 and 2013, the low DO (3-4.2 mg L-1) area covered ca. 4 × 104 km2 on the mid-outer shelf, comparable with the reported area of summer hypoxia off the Changjiang estuary. On the basis of a seven endmember mixing model using heavy rare earth elements, temperature and salinity data collected in 2013 and 2015, we determined that on the southern shelf the low DO water mainly originated from Kuroshio Subsurface Water (28-72%). Both the DO level in the dominant source water and organic matter (OM) remineralization modulated the formation and expansion of low DO waters. Oxygen-depleted bottom waters featured with high nutrients were both transported from the water's source regions and produced by OM remineralization on the mid-outer shelf. The estimated regenerated nutrient fluxes derived from OM respiration in the bottom water of the mid-outer shelf were equivalent to 18-37% of the nitrate and nitrite, and 2 to 5-fold the phosphorus, delivered from the Changjiang River in summer. The large quantity of regenerated nutrients from oxygen-depleted bottom waters on the mid-outer shelf could be utilized and support primary production in the adjacent oceans. Our findings provide valuable observation for simulation models of nutrient cycles and budgets in the ECS and adjacent oceans.

Effects of Silicone Mattress Combined with Hydrocolloid Dressing on Pressure Ulcers and Phlebitis in ICU Patients with Liver Failure.

Objective: This study was aimed at clarifying the application effect of silicone mattress combined with hydrocolloid dressing in ICU patients with liver failure. Methods: A total of 86 patients with liver failure admitted to the intensive care unit (ICU) of the Fifth Medical Center of Chinese PLA General Hospital from September 2018 to September 2020 were selected as the research subjects. Patients treated with conventional sponge mattress and routine nursing care were included in group A (n = 43), and those treated with silicone mattress combined with hydrocolloid dressing were included in group B (n = 43). The incidence of pressure ulcers and phlebitis, the scores of Visual Analogue Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI), and the nursing satisfaction were observed and compared between the two groups. Results: The incidence of pressure ulcers in group B (6.98%) was lower than that in group A (25.58%). The incidence of phlebitis in group B was lower than that in group A (20.93% vs. 53.49%). The VAS score of group B was 2.16 ± 0.38, which was lower than that of group A (4.86 ± 1.09). The PSQI score of group B was lower than that of group A (9.74 ± 2.76 vs. 14.84 ± 3.95). A higher nursing satisfaction was determined in group B compared with group A (93.02% vs. 76.74%). Conclusions: Silicone mattress combined with hydrocolloid dressing can reduce the incidence of pressure ulcers and phlebitis in ICU patients with liver failure, reduce complications, and improve nursing satisfaction, which is worthy of clinical promotion.

Prognostic Significance of Cuproptosis-Related Gene Signatures in Breast Cancer Based on Transcriptomic Data Analysis.

Breast cancer (BRCA) remains a serious threat to women's health, with the rapidly increasing morbidity and mortality being possibly due to a lack of a sophisticated classification system. To date, no reliable biomarker is available to predict prognosis. Cuproptosis has been recently identified as a new form of programmed cell death, characterized by the accumulation of copper in cells. However, little is known about the role of cuproptosis in breast cancer. In this study, a cuproptosis-related genes (CRGs) risk model was constructed, based on transcriptomic data with corresponding clinical information relating to breast cancer obtained from both the TCGA and GEO databases, to assess the prognosis of breast cancer by comprehensive bioinformatics analyses. The CRGs risk model was constructed and validated based on the expression of four genes (NLRP3, LIPT1, PDHA1 and DLST). BRCA patients were then divided into two subtypes according to the CRGs risk model. Furthermore, our analyses revealed that the application of this risk model was significantly associated with clinical outcome, immune infiltrates and tumor mutation burden (TMB) in breast cancer patients. Additionally, a new clinical nomogram model based on risk score was established and showed great performance in overall survival (OS) prediction, confirming the potential clinical significance of the CRGs risk model. Collectively, our findings revealed that the CRGs risk model can be a useful tool to stratify subtypes and that the cuproptosis-related signature plays an important role in predicting prognosis in BRCA patients.