The proton ceramic electrochemical cell(PCEC),distinguished by its robust all-solid-state construction,emerges as a particularly promising contender in the realm of hydrogen production technologies.However,inadequate ...The proton ceramic electrochemical cell(PCEC),distinguished by its robust all-solid-state construction,emerges as a particularly promising contender in the realm of hydrogen production technologies.However,inadequate water-storage capability(hydration)and limited proton mobility within conventional PCEC oxygen electrodes hinder the efficiency of water splitting to oxygen,thereby restricting the broader application of PCECs.Here,we report a Ni-doped perovskite oxygen electrode Sr_(2)Fe_(1.4)Ni_(0.1)Mo_(1.5)O_(6-δ)(SFNM),where the incorporation of nickel can effectively amplify the concentration of oxygen vacancies while synergistically enhancing the hydration interaction between water molecules and the perovskite lattice.The enhanced hydration capacity facilitates proton-defect formation and lowers the energy barrier for proton migration.Benefiting from these synergistic enhancements,SFNM demonstrates a substantially reduced polarization resistance of approximately 0.078Ωcm^(2)at700℃under humidified conditions(pH_(2)O=0.1 atm).A PCEC utilizing the SFNM electrode achieves a remarkable current density of 2.60 A cm^(2)with an applied voltage of 1.3 V at 700℃.Furthermore,the PCEC exhibits favorable stability over a duration of 200 h.These outstanding results emphasize the potential of Ni doping to substantially improve both the hydration efficiency and proton mobility within perovskite electrode materials,positioning them as excellent candidates for high-performance PCECs.展开更多
BACKGROUND Spontaneous renal rupture is a rare disease in the clinic.The causes of spontaneous renal rupture include extrarenal factors,intrarenal factors,and idiopathic factors.Reports on infection secondary to spont...BACKGROUND Spontaneous renal rupture is a rare disease in the clinic.The causes of spontaneous renal rupture include extrarenal factors,intrarenal factors,and idiopathic factors.Reports on infection secondary to spontaneous renal rupture and the complications of spontaneous renal rupture are scarce.Furthermore,there are few patients with spontaneous renal rupture who present only with fever.CASE SUMMARY We present the case of a 52-year-old female patient who was admitted to our hospital.She presented only with fever,and the cause of the disease was unclear.She underwent a contrast-enhanced computed tomography(CT)scan,which showed that the left renal capsule had a crescent-shaped,low-density shadow;the perirenal fat was blurred,and exudation was visible with no sign of calculi,malignancies,instrumentation,or trauma.Under ultrasound guidance,a pigtail catheter was inserted into the hematoma,and fluid was drained and used for the bacterial test,which proved the presence of Klebsiella pneumoniae.Two months later,abdominal CT showed that the hematoma was absorbed,so the drainage tube was removed.The abdominal CT was normal after 4 mo.CONCLUSION Spontaneous renal rupture due to intrarenal factors causes a higher proportion of shock and is more likely to cause anemia.展开更多
BACKGROUND Accidental dural puncture(ADP)and subsequent post-dural puncture headache(PDPH)remain common complications of epidural procedures for obstetric anesthesia and analgesia.No clear consensus exists on the best...BACKGROUND Accidental dural puncture(ADP)and subsequent post-dural puncture headache(PDPH)remain common complications of epidural procedures for obstetric anesthesia and analgesia.No clear consensus exists on the best way to prevent PDPH after ADP.CASE SUMMARY We report our findings in twenty parturients who underwent an incorporated strategy of epidural analgesia followed by epidural hydroxyethyl starch(HES)to prevent PDPH after ADP with a 16-gauge Tuohy needle during epidural procedures.ADP with a 16-gauge Tuohy needle occurred in nine parturients undergoing a cesarean section(CS)and in eleven parturients receiving labor analgesia.An epidural catheter was re-sited at the same or adjacent intervertebral space in all patients.After CS,the epidural catheter was used for postoperative pain relief over a 48-h period.After delivery in eleven cases,epidural infusion was maintained for 24 h.Thereafter,15 mL of 6%HES 130/0.4 was administered via the epidural catheter immediately prior to catheter removal.None of the parturients developed PDPH or neurologic deficits over a follow-up period of at least two months to up to one year postpartum.CONCLUSION An incorporated strategy of epidural analgesia followed by epidural hydroxyethyl starch may have great efficacy in preventing PDPH after ADP.展开更多
BACKGROUND Staphylococcus aureus bacteraemia(SAB)is among the leading causes of bacteraemia and infectious endocarditis.The frequency of infectious endocarditis(IE)among SAB patients ranges from 5%to 10%-12%.In adults...BACKGROUND Staphylococcus aureus bacteraemia(SAB)is among the leading causes of bacteraemia and infectious endocarditis.The frequency of infectious endocarditis(IE)among SAB patients ranges from 5%to 10%-12%.In adults,the characteristics of epidermolytic hyperkeratosis(EHK)include hyperkeratosis,erosions,and blisters.Patients with inflammatory skin diseases and some diseases involving the epidermis tend to exhibit a disturbed skin barrier and tend to have poor cellmediated immunity.CASE SUMMARY We describe a case of SAB and infective endocarditis in a 43-year-old male who presented with fever of unknown origin and skin diseases.After genetic tests,the skin disease was diagnosed as EHK.CONCLUSION A breached skin barrier secondary to EHK,coupled with inadequate sanitation,likely provided the opportunity for bacterial seeding,leading to IE and deepseated abscess or organ abscess.EHK may be associated with skin infection and multiple risk factors for extracutaneous infections.Patients with EHK should be treated early to minimize their consequences.If patients with EHK present with prolonged fever of unknown origin,IE and organ abscesses should be ruled out,including metastatic spreads.展开更多
BACKGROUND Hemophagocytic lymphohistiocytosis(HLH)is a rare but life-threatening condition.It is an immune-mediated disease that has a wide range of causes,elicits a hyperinflammatory response,and results in multiple ...BACKGROUND Hemophagocytic lymphohistiocytosis(HLH)is a rare but life-threatening condition.It is an immune-mediated disease that has a wide range of causes,elicits a hyperinflammatory response,and results in multiple organ damage.Clinical presentations vary,and in some cases,jaundice occurs as the first symptom.CASE SUMMARY We report the case of a 71-year-old female patient who presented with jaundice.She was admitted to our hospital because of the occurrence of“jaundice for half a month”,and upon examination,obstructive jaundice with choledocholithiasis and gallstones was suggested.Cholecystectomy and choledocholithotomy were performed.However,the jaundice did not improve after surgery.We found splenomegaly,cytopenia,hypertriglyceridemia,hypofibrinogenemia,and elevated ferritin.Bone marrow biopsy revealed hemophagocytosis.Later,cardiac arrest occurred when she returned 3 wk after the surgery.We considered that HLH was triggered by septic shock.The patient’s condition deteriorated rapidly,with multiple organ dysfunction and severe gastrointestinal bleeding.Corticosteroid therapy and symptomatic treatment failed to save her life.CONCLUSION Jaundice rarely presents as the first symptom in HLH patients.The HLH in this case was triggered by septic shock with jaundice as the first symptom.Clinicians should try hard to reduce missed diagnoses and misdiagnoses.展开更多
Dissimilarity nitrate reduction to ammonium(DNRA)is of significance in agriculture ecosystems as the process is beneficial to N retention in soils.However,how fertilization regimes influence DNRA rates and functional ...Dissimilarity nitrate reduction to ammonium(DNRA)is of significance in agriculture ecosystems as the process is beneficial to N retention in soils.However,how fertilization regimes influence DNRA rates and functional microbes in agriculture was rarely estimated.In the present study,a 2-year pot experiment was conducted in two contrasting paddy soils to evaluate the effects of straw and nitrogen addition on DNRA process and the related functional microbes,using stable isotope tracer and molecular ecology techniques.The results showed that the abundance and transcription activity of nitrite reductase encoding gene(nrfA)involved in DNRA process and DNRA rates were significantly higher in alkaline soils than in acidic soils.Straw incorporation significantly enhanced nrfA gene abundance and transcription activity,with a greater effect in alkaline soil than in acidic soil.The rates of DNRA,abundance and transcription activity of nrfA gene positively correlated to soil C/N and C/NO_(3)^(-) induced by straw application.Sequencing analysis based on nrfA gene transcript showed that Deltaproteobacteria was the most dominant group in both soil types(30.9%-67.4%),while Gammaproteobacteria,Chloroflexi,Actinobacteria were selectively enriched by straw incorporation.These results demonstrated that DNRA activity can be improved by straw return practice in paddy soils while the effect will vary among soil types due to differentiated functional microbial communities and edaphic properties.展开更多
基金financially supported by the National Key R&D Program of China(No.2022YFB4002501)the National Natural Science Foundation of China(No.52202208)
文摘The proton ceramic electrochemical cell(PCEC),distinguished by its robust all-solid-state construction,emerges as a particularly promising contender in the realm of hydrogen production technologies.However,inadequate water-storage capability(hydration)and limited proton mobility within conventional PCEC oxygen electrodes hinder the efficiency of water splitting to oxygen,thereby restricting the broader application of PCECs.Here,we report a Ni-doped perovskite oxygen electrode Sr_(2)Fe_(1.4)Ni_(0.1)Mo_(1.5)O_(6-δ)(SFNM),where the incorporation of nickel can effectively amplify the concentration of oxygen vacancies while synergistically enhancing the hydration interaction between water molecules and the perovskite lattice.The enhanced hydration capacity facilitates proton-defect formation and lowers the energy barrier for proton migration.Benefiting from these synergistic enhancements,SFNM demonstrates a substantially reduced polarization resistance of approximately 0.078Ωcm^(2)at700℃under humidified conditions(pH_(2)O=0.1 atm).A PCEC utilizing the SFNM electrode achieves a remarkable current density of 2.60 A cm^(2)with an applied voltage of 1.3 V at 700℃.Furthermore,the PCEC exhibits favorable stability over a duration of 200 h.These outstanding results emphasize the potential of Ni doping to substantially improve both the hydration efficiency and proton mobility within perovskite electrode materials,positioning them as excellent candidates for high-performance PCECs.
文摘BACKGROUND Spontaneous renal rupture is a rare disease in the clinic.The causes of spontaneous renal rupture include extrarenal factors,intrarenal factors,and idiopathic factors.Reports on infection secondary to spontaneous renal rupture and the complications of spontaneous renal rupture are scarce.Furthermore,there are few patients with spontaneous renal rupture who present only with fever.CASE SUMMARY We present the case of a 52-year-old female patient who was admitted to our hospital.She presented only with fever,and the cause of the disease was unclear.She underwent a contrast-enhanced computed tomography(CT)scan,which showed that the left renal capsule had a crescent-shaped,low-density shadow;the perirenal fat was blurred,and exudation was visible with no sign of calculi,malignancies,instrumentation,or trauma.Under ultrasound guidance,a pigtail catheter was inserted into the hematoma,and fluid was drained and used for the bacterial test,which proved the presence of Klebsiella pneumoniae.Two months later,abdominal CT showed that the hematoma was absorbed,so the drainage tube was removed.The abdominal CT was normal after 4 mo.CONCLUSION Spontaneous renal rupture due to intrarenal factors causes a higher proportion of shock and is more likely to cause anemia.
文摘BACKGROUND Accidental dural puncture(ADP)and subsequent post-dural puncture headache(PDPH)remain common complications of epidural procedures for obstetric anesthesia and analgesia.No clear consensus exists on the best way to prevent PDPH after ADP.CASE SUMMARY We report our findings in twenty parturients who underwent an incorporated strategy of epidural analgesia followed by epidural hydroxyethyl starch(HES)to prevent PDPH after ADP with a 16-gauge Tuohy needle during epidural procedures.ADP with a 16-gauge Tuohy needle occurred in nine parturients undergoing a cesarean section(CS)and in eleven parturients receiving labor analgesia.An epidural catheter was re-sited at the same or adjacent intervertebral space in all patients.After CS,the epidural catheter was used for postoperative pain relief over a 48-h period.After delivery in eleven cases,epidural infusion was maintained for 24 h.Thereafter,15 mL of 6%HES 130/0.4 was administered via the epidural catheter immediately prior to catheter removal.None of the parturients developed PDPH or neurologic deficits over a follow-up period of at least two months to up to one year postpartum.CONCLUSION An incorporated strategy of epidural analgesia followed by epidural hydroxyethyl starch may have great efficacy in preventing PDPH after ADP.
文摘BACKGROUND Staphylococcus aureus bacteraemia(SAB)is among the leading causes of bacteraemia and infectious endocarditis.The frequency of infectious endocarditis(IE)among SAB patients ranges from 5%to 10%-12%.In adults,the characteristics of epidermolytic hyperkeratosis(EHK)include hyperkeratosis,erosions,and blisters.Patients with inflammatory skin diseases and some diseases involving the epidermis tend to exhibit a disturbed skin barrier and tend to have poor cellmediated immunity.CASE SUMMARY We describe a case of SAB and infective endocarditis in a 43-year-old male who presented with fever of unknown origin and skin diseases.After genetic tests,the skin disease was diagnosed as EHK.CONCLUSION A breached skin barrier secondary to EHK,coupled with inadequate sanitation,likely provided the opportunity for bacterial seeding,leading to IE and deepseated abscess or organ abscess.EHK may be associated with skin infection and multiple risk factors for extracutaneous infections.Patients with EHK should be treated early to minimize their consequences.If patients with EHK present with prolonged fever of unknown origin,IE and organ abscesses should be ruled out,including metastatic spreads.
文摘BACKGROUND Hemophagocytic lymphohistiocytosis(HLH)is a rare but life-threatening condition.It is an immune-mediated disease that has a wide range of causes,elicits a hyperinflammatory response,and results in multiple organ damage.Clinical presentations vary,and in some cases,jaundice occurs as the first symptom.CASE SUMMARY We report the case of a 71-year-old female patient who presented with jaundice.She was admitted to our hospital because of the occurrence of“jaundice for half a month”,and upon examination,obstructive jaundice with choledocholithiasis and gallstones was suggested.Cholecystectomy and choledocholithotomy were performed.However,the jaundice did not improve after surgery.We found splenomegaly,cytopenia,hypertriglyceridemia,hypofibrinogenemia,and elevated ferritin.Bone marrow biopsy revealed hemophagocytosis.Later,cardiac arrest occurred when she returned 3 wk after the surgery.We considered that HLH was triggered by septic shock.The patient’s condition deteriorated rapidly,with multiple organ dysfunction and severe gastrointestinal bleeding.Corticosteroid therapy and symptomatic treatment failed to save her life.CONCLUSION Jaundice rarely presents as the first symptom in HLH patients.The HLH in this case was triggered by septic shock with jaundice as the first symptom.Clinicians should try hard to reduce missed diagnoses and misdiagnoses.
基金supported by the Fundamental Research Funds for the Central Universities(No.WJ1014005)the Natural Science Foundation of Shanghai Municipality(No.11ZR1408800)+2 种基金Innovation Program of Shanghai Municipal Education Commission(No. 12ZZ047)Doctoral Fund of Ministry of Education of China(No. 20110074120008)the National Natural Science Foundation of China(No.21106043)
文摘A convenient and scalable synthesis of 1-amino-5-cyanonaphthalene was described.
基金financially supported by the National Natural Science Foundation of China(41771288)National Key Research and Development Program(2017YFE0109800)supported by the Youth Innovation Promotion Association(2012031),Chinese Academy of Sciences.
文摘Dissimilarity nitrate reduction to ammonium(DNRA)is of significance in agriculture ecosystems as the process is beneficial to N retention in soils.However,how fertilization regimes influence DNRA rates and functional microbes in agriculture was rarely estimated.In the present study,a 2-year pot experiment was conducted in two contrasting paddy soils to evaluate the effects of straw and nitrogen addition on DNRA process and the related functional microbes,using stable isotope tracer and molecular ecology techniques.The results showed that the abundance and transcription activity of nitrite reductase encoding gene(nrfA)involved in DNRA process and DNRA rates were significantly higher in alkaline soils than in acidic soils.Straw incorporation significantly enhanced nrfA gene abundance and transcription activity,with a greater effect in alkaline soil than in acidic soil.The rates of DNRA,abundance and transcription activity of nrfA gene positively correlated to soil C/N and C/NO_(3)^(-) induced by straw application.Sequencing analysis based on nrfA gene transcript showed that Deltaproteobacteria was the most dominant group in both soil types(30.9%-67.4%),while Gammaproteobacteria,Chloroflexi,Actinobacteria were selectively enriched by straw incorporation.These results demonstrated that DNRA activity can be improved by straw return practice in paddy soils while the effect will vary among soil types due to differentiated functional microbial communities and edaphic properties.
