RESUMO
Silicon carbide (SiC) membrane has emerged as a promising class of inorganic ceramic membranes with many advantageous attributes and has been used for a variety of industrial microfiltration (MF) processes. The state-of-the-art industrial manufacturing of SiC membranes based on the particle sintering method can only achieve an average pore size that ranges from 40 nm to a few micrometers, which is still unsatisfactory for ultrafiltration (UF) applications. Thus, the pore size control of SiC membranes remains a focus of continuing study. Herein, we provide an in situ sol-gel modification strategy to tailor the pore size of SiC membranes by a superficial deposition of SiO2 onto the membrane surface and membrane pore channels. Our in situ sol-gel modification method is simple and effective. Furthermore, the physical characteristics and the filtration performance of the membrane can easily be controlled by the in situ reaction time. With an optimal in situ reaction time of 30 min, the average pore size of the membrane can be reduced from macropores (400 nm) to mesopores (below 20 nm), and the retention ability for 20 nm fluorescent PS microspheres can be improved from 5% to 93%; the resultant SiC/SiO2 composite membranes are imparted with water permeance of 77 L·m-2·h-1·bar-1, improved anti-protein-fouling properties, excellent performance, and anti-acid stabilities. Therefore, modified SiC/SiO2 membranes based on the in situ sol-gel process have great potential as UF membranes for a variety of industrial processes.
RESUMO
BACKGROUND: Acute kidney injury (AKI) has become a worldwide public health problem, but little information is available about the disease burden in China. We aimed to evaluate the burden of AKI and assess the availability of diagnosis and treatment in China. METHODS: We launched a nationwide, cross-sectional survey of adult patients who were admitted to hospital in 2013 in academic or local hospitals from 22 provinces in mainland China. Patients with suspected AKI were screened out on the basis of changes in serum creatinine by the Laboratory Information System, and we reviewed medical records for 2 months (January and July) to confirm diagnoses. We assessed rates of AKI according to two identification criteria: the 2012 Kidney Disease: Improving Global Outcomes (KDIGO) AKI definition and an increase or decrease in serum creatinine by 50% during hospital stay (expanded criteria). We estimated national rates with data from the 2013 report by the Chinese National Health and Family Planning Commission and National Bureau of Statistics. FINDINGS: Of 2,223,230 patients admitted to the 44 hospitals screened in 2013, 154,950 (7·0%) were suspected of having AKI by electronic screening, of whom 26,086 patients (from 374,286 total admissions) were reviewed with medical records to confirm the diagnosis of AKI. The detection rate of AKI was 0·99% (3687 of 374,286) by KDIGO criteria and 2·03% (7604 of 374,286) by expanded criteria, from which we estimate that 1·4-2·9 million people with AKI were admitted to hospital in China in 2013. The non-recognition rate of AKI was 74·2% (5608 of 7555 with available data). Renal referral was done in 21·4% (1625 of 7604) of the AKI cases, and renal replacement therapy was done in 59·3% (531 of 896) of those who had the indications. Delayed AKI recognition was an independent risk factor for in-hospital mortality, and renal referral was an independent protective factor for AKI under-recognition and mortality INTERPRETATION: AKI has become a huge medical burden in China, with substantial underdiagnosis and undertreatment. Nephrologists should take the responsibility for leading the battle against AKI. FUNDING: National 985 Project of China, National Natural Science Foundation of China, Beijing Training Program for Talents, International Society of Nephrology Research Committee, and Bethune Fund Management Committee.