Ultrauniform Plating of Lithium on 10-nm-Scale Ordered Carbon Grids for Long Lifespan Lithium Metal Batteries.

Tailorable lithium (Li) nucleation and uniform early-stage plating is essential for long-lifespan Li metal batteries. Among factors influencing the early plating of Li anode, the substrate is critical, but a fine control of the substrate structure on a scale of ≈10 nm has been rarely achieved. Herein, a carbon consisting of ordered grids is prepared, as a model to investigate the effect of substrate structure on the Li nucleation. In contrast to the individual spherical Li nuclei formed on the flat graphene, an ultrauniform and nuclei-free Li plating is obtained on the ordered carbon with a grid size smaller than the thermodynamical critical radius of Li nucleation (≈26 nm). Simultaneously, an inorganic-rich solid-electrolyte-interphase is promoted by the cross-sectional carbon layers of such ordered grids which are exposed to the electrolyte. Consequently, the carbon grids with a grid size of ≈10 nm show a favorable cycling stability for more than 1100 cycles measured at 2 mA cm-2 in a half cell. With LiNi0.8Co0.1Mn0.1O2 as cathode, the assembled full cell with a cathode capacity of 3 mAh cm-2 and a negative/positive ratio of 1.67 demonstrates a stable cycling for over 130 cycles with a capacity retention of 88%.

Association of Cardiac Valve Calcification and 1-year Mortality after Lower-extremity Amputation in Diabetic Patients: A Retrospective Study.

BACKGROUND: Cardiac valve calcification predisposes patients to a higher risk of adverse cardiovascular events. This study aimed to investigate the association between cardiac valve calcification and 1-year mortality in diabetic patients after lower-extremity amputation. METHODS: This was a retrospective study conducted on the clinical data of diabetic patients who underwent lower-extremity amputation admitted to the Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China for diabetic foot ulcers needed lower extremity amputation surgery between July 2017 and March 2021. Detailed preoperative medical assessments were performed and recorded. Cardiac valve calcification was assessed using echocardiography at baseline. Oneyear follow-up assessments were conducted and included clinical visits, hospital record assessments, and telephone reviews to obtain the survival status of patients. RESULTS: Ninety-three diabetic patients participated in the study. The 1-year follow-up mortality rate after amputation was 24.7%. Compared to the survival group, the prevalence of cardiac valve calcification and the Revised Cardiac Risk Index [RCRI] were higher in the mortality group. In the Cox regression analysis, cardiac valvular calcification [HR=3.427, 95% CI=1.125- 10.443, P=0.030] was found to be an independent predictor of all-cause mortality after amputation. In addition, the patients with both aortic valve calcification and mitral annular calcification had a higher all-cause mortality rate [50%]. Receiver operator characteristic curve analysis showed a stronger predictive ability when using a combination of calcified valve number and RCRI [AUC=0.786 95%, CI=0.676-0.896, P=0.000]. CONCLUSION: In diabetic patients after lower-extremity amputation, cardiac valve calcification was associated with all-cause mortality during 1-year follow-up. Combination of calcified valve number and RCRI score showed a stronger predictive value for mortality.

Intraoperative accidental hypothermia as a probable cause of malignant ventricular arrhythmias in an elderly patient undergoing transurethral resection of prostate: A case report.

Background: Intraoperative hypothermia is a common but severe condition that is defined as a core body temperature below 36 °C. Accidental hypothermia can produce coagulopathy, immunosuppression and peripheral hypoperfusion that can ultimately lead to life-threatening ventricular arrhythmias and vital organ injury, and it is significantly associated with perioperative complications and mortality. Case description: We report the case of an 82-year-old man who presented with persistent ventricular tachycardia intraoperatively due to accidental hypothermia. The patient was diagnosed with benign prostatic hypertrophy and scheduled for transurethral resection of the prostate. Laboratory tests showed moderate anemia, and echocardiography indicated mild tricuspid and mitral regurgitation. The patient received general anesthesia with endotracheal intubation. Four hours after the start of surgery, the patient developed sudden ventricular tachycardia with severe hypotension. Arterial blood gas sampling indicated that there was no disturbance of electrolytes, acid-base balance or excessive bleeding. The rectal temperature was measured immediately, and the core temperature was 32 °C. The patient received antiarrhythmic therapy and rewarming measures. No additional ventricular arrhythmias appeared after the core temperature rose to 35 °C and the blood pressure returned to normal. The patient was transferred to the intensive care unit after surgery for further observation and was moved to the general ward the next day. He was discharged 4 days later without significant organ damage. Conclusions: Intraoperative hypothermia may increase ventricular arrhythmia risk, especially in elderly patients. Surgeons and anesthesiologists should pay more attention to preventing and reversing accidental hypothermia, necessitating aggressive efforts to maintain normothermia during surgery.

Regulating the Wettability of Hard Carbon through Open Mesochannels for Enhanced K+ Storage.

Hard carbons are deemed as promising anode materials for high-performance potassium-ion battery, but their commercialization is still hindered by the insufficient K+ transfer kinetics and poor potassiophilicity. Herein, these issues are addressed by improving the wettability of hard carbon, which can be achieved by the introduction of open mesochannels. A series of such hollow mesoporous carbon capsules with different dimensions are synthesized, which exhibit markedly enhanced wettability with electrolyte compared to the microporous counterparts. Various characterizations confirm its effects on promoting the kinetics and potassiophilicity of as-synthesized carbons, which can be additionally improved by S-doping. As a result, the 2D mesoporous carbon anode exhibits excellent rate capability (122.2 mAh g-1 at 4 A g-1 ), high reversible capacity (396.6 mAh g-1 at 0.1 A g-1 after 200 cycles), and outstanding cycling stability (197.0 mAh g-1 at 2 A g-1 after 1400 cycles). In addition, the hollow mesoporous architecture can effectively buffer the volume expansion and thus stabilize the carbon anodes, as visualized by in situ transmission electron microscopy. This work provides new insight for enhanced K+ storage performance from the perspective of anode wettability with electrolyte, as well as a universal anode design that combines mesochannels architecture with heteroatom doping.

Superfast Mass Transport of Na/K Via Mesochannels for Dendrite-Free Metal Batteries.

Fast ion diffusion in anode hosts enabling uniform distribution of Li/Na/K is essential for achieving dendrite-free alkali-metal batteries. Common strategies, e.g. expanding the interlayer spacing of anode materials, can enhance bulk diffusion of Li but are less efficient for Na and K due to their larger ionic radius. Herein, a universal strategy to drastically improve the mass-transport efficiency of Na/K by introducing open mesochannels in carbon hosts is proposed. Such pore engineering can increase the accessible surface area by one order of magnitude, thus remarkably accelerating surface diffusion, as visualized by in situ transmission electron microscopy. In particular, once the mesochannels are filled by the Na/K metals, they become the superfast channels for mass transport via the mechanism of interfacial diffusion. Thus-modified carbon hosts enable Na/K filling in their inner cavities and uniform deposition across the whole electrodes with fast kinetics. The resulting Na-metal anodes can exhibit stable dendrite-free cycling with outstanding rate performance at a high current density of up to 30 mA cm-2 . This work presents an inspiring attempt to address the sluggish transport issue of Na/K, as well as valuable insights into the mass-transport mechanism in porous anodes for high-performance alkali-metal storage.

An Encapsulation-Based Sodium Storage via Zn-Single-Atom Implanted Carbon Nanotubes.

The properties of high theoretical capacity, low cost, and large potential of metallic sodium (Na) has strongly promoted the development of rechargeable sodium-based batteries. However, the issues of infinite volume variation, unstable solid electrolyte interphase (SEI), and dendritic sodium causes a rapid decline in performance and notorious safety hazards. Herein, a highly reversible encapsulation-based sodium storage by designing a functional hollow carbon nanotube with Zn single atom sites embedded in the carbon shell (ZnSA -HCNT) is achieved. The appropriate tube space can encapsulate bulk sodium inside; the inner enriched ZnSA sites provide abundant sodiophilic sites, which can evidently reduce the nucleation barrier of Na deposition. Moreover, the carbon shell derived from ZIF-8 provides geometric constraints and excellent ion/electron transport channels for the rapid transfer of Na+ due to its pore-rich shell, which can be revealed by in situ transmission electron microscopy (TEM). As expected, Na@ZnSA -HCNT anodes present steady long-term performance in symmetrical battery (>900 h at 10 mA cm-2 ). Moreover, superior electrochemical performance of Na@ZnSA -HCNT||PB full cells can be delivered. This work develops a new strategy based on carbon nanotube encapsulation of metallic sodium, which improves the safety and cycling performance of sodium metal anode.

Enhanced Cyclability of Lithium Metal Anodes Enabled by Anti-aggregation of Lithiophilic Seeds.

Constructing 3D skeletons modified with lithiophilic seeds has proven effective in achieving dendrite-free lithium metal anodes. However, these lithiophilic seeds are mostly alloy- or conversion-type materials, and they tend to aggregate and redistribute during cycling, resulting in the failure of regulating Li deposition. Herein, we address this crucial but long-neglected issue by using intercalation-type lithiophilic seeds, which enable antiaggregation owing to their negligible volume expansion and high electrochemical stability against Li. To exemplify this, a 3D carbon-based host is built, in which ultrafine TiO2 seeds are uniformly embedded in nitrogen-doped hollow porous carbon spheres (N-HPCSs). The TiO2@N-HPCSs electrode exhibits superior Coulombic efficiency, high-rate capability, and long-term stability when evaluated as compertitive anodes for Li metal batteries. Furthermore, the superiority of intercalation-type seeds is comprehensively revealed through controlled experiments by various in situ/ex situ electron and optical microscopies, which highlights the excellent structural stability and lithiophilicity of TiO2 nanoseeds upon repeated cycling.

Mechanistic Probing of Encapsulation and Confined Growth of Lithium Crystals in Carbonaceous Nanotubes.

Encapsulation of lithium in the confined spaces within individual nanocapsules is intriguing and highly desirable for developing high-performance Li metal anodes. This work aims for a mechanistic understanding of Li encapsulation and its confined growth kinetics inside 1D enclosed spaces. To achieve this, amorphous carbon nanotubes are employed as a model host using in situ transmission electron microscopy. The carbon shells have dual roles, providing geometric/mechanical constraints and electron/ion transport channels, which profoundly alter the Li growth patterns. Li growth/dissolution takes place via atom addition/removal at the free surfaces through Li+ diffusion along the shells in the electric field direction, resulting in the formation of unusual Li structures, such as poly-crystalline nanowires and free-standing 2D ultrathin (1-2 nm) Li membranes. Such confined front-growth processes are dominated by Li {110} or {200} growing faces, distinct from the root growth of single-crystal Li dendrites outside the nanotubes. Controlled experiments show that high lithiophilicity/permeability, enabled by sufficient nitrogen/oxygen doping or pre-lithiation, is critical for the stable encapsulation of lithium inside carbonaceous nanocapsules. First-principles-based calculations reveal that N/O doping can reduce the diffusion barrier for Li+ penetration, and facilitate Li filling driven by energy minimization associated with the formation of low-energy Li/C interfaces.

Fast and Durable Potassium Storage Enabled by Constructing Stress-Dispersed Co3Se4 Nanocrystallites Anchored on Graphene Sheets.

Transition metal dichalcogenides are regarded as promising anode materials for potassium-ion batteries (PIBs) because of their high theoretical capacities. However, due to the large atomic radius of K+, the structural damage caused by the huge volume expansion upon potassiation is much more severe than that of their lithium counterparts. In this research, a stress-dispersed structure with Co3Se4 nanocrystallites orderly anchored on graphene sheets is achieved through a two-step hydrothermal treatment to alleviate the structural deterioration. The ability to reduce the contact stress by the well-dispersed Co3Se4 nanocrystallites during K+ intercalation, together with the highly conductive graphene matrix, provides a more reliable and efficient anode architecture than its two agminated counterparts. Given these advantages, the optimized electrode delivers excellent cycling stability (301.8 mA h g-1 after 500 cycles at 1 A g-1), as well as an outstanding rate capacity (203.8 mA h g-1 at 5 A g-1). Further in situ and ex situ characterizations and density functional theory calculations elucidate the potassium storage mechanism of Co3Se4 during the conversion reaction and reveal the fast electrochemical kinetics of the rationally designed electrode. This work provides a practical approach for constructing stable metal-selenide anodes with long cycle life and high-rate performance for PIBs.

Unveiling Intrinsic Potassium Storage Behaviors of Hierarchical Nano Bi@N-Doped Carbon Nanocages Framework via In Situ Characterizations.

Metallic bismuth has drawn attention as a promising alloying anode for advanced potassium ion batteries (PIBs). However, serious volume expansion/electrode pulverization and sluggish kinetics always lead to its inferior cycling and rate properties for practical applications. Therefore, advanced Bi-based anodes via structural/compositional optimization and sur-/interface design are needed. Herein, we develop a bottom-up avenue to fabricate nanoscale Bi encapsulated in a 3D N-doped carbon nanocages (Bi@N-CNCs) framework with a void space by using a novel Bi-based metal-organic framework as the precursor. With elaborate regulation in annealing temperatures, the optimized Bi@N-CNCs electrode exhibits large reversible capacities and long-duration cyclic stability at high rates when evaluated as competitive anodes for PIBs. Insights into the intrinsic K+ -storage processes of the Bi@N-CNCs anode are put forward from comprehensive in situ characterizations.

Robust Lithium Metal Anodes Realized by Lithiophilic 3D Porous Current Collectors for Constructing High-Energy Lithium-Sulfur Batteries.

Lithium-sulfur (Li-S) batteries are attractive candidates for next-generation rechargeable batteries. With the steady development of sulfur cathodes, the recent revival of research on dendrite-free Li metal anodes offers opportunities to improve the stabilities and safety of Li-S batteries. However, the low capacities and low Li utilizations of current Li anodes hinder the improvement of the energy densities of Li-S batteries. Here, we present a facile approach to fabricate lithiophilic three-dimensional porous current collectors by modifying commercial metal foams with yolk-shell structured N-doped porous carbon nanosheets. Benefiting from the structure-based rational design, this current collector is able to generate dendrite-free Li anodes with improved Coulombic efficiencies and life spans, enabling carbon/sulfur cathodes to exhibit significantly enhanced stabilities (e.g., 78.1% of capacity retention after 1400 cycles). More importantly, we successfully constructed a high-areal-capacity Li-S full cell (9.84 mAh cm-2) with 82% Li utilization. This work provides a promising route toward high-energy-density Li-S batteries.

A generalized strategy for the synthesis of two-dimensional metal oxide nanosheets based on a thermoregulated phase transition.

Two-dimensional (2D) metal oxide (MO) nanomaterials, like graphene, possess unique electrical, mechanical, optical and catalytic performances, and have attracted substantial research interest recently. However, it remains a challenge to easily obtain 2D MO nanosheets by a generalized synthetic pathway. Here, we report a general and facile strategy for the synthesis of 2D MO nanosheets induced by nonionic surfactant micelles. Notably, the novel strategy primarily relies on the thermoregulated phase transition of the micelles. The resulting 2D MO nanosheets show high specific surface areas. As a demonstration, Sb2O3 nanosheets synthesized by our method as anodes for sodium-ion batteries (SIBs) have a high reversible capacity of 420 mA h g-1 and a high capacity retention of 99% after 150 cycles at 0.1 A g-1. Mn3O4 nanosheets for supercapacitors have a remarkable specific capacitance of 127 F g-1 at a current density of 0.5 A g-1. Even at a large current density of 5 A g-1 after 10 000 cycles, 96% of the specific capacitance is retained, demonstrating the remarkable performance of these nanosheets for energy storage applications.