AIM： The aim of the work is to study the pyrolysis characteristics of Radix Rhizoma Rhei, Cortex Moudan Radicis, and Radix Sanguisorbae in an inert atmosphere of argon （Ar）, and to investigate the mechanism of the ...AIM： The aim of the work is to study the pyrolysis characteristics of Radix Rhizoma Rhei, Cortex Moudan Radicis, and Radix Sanguisorbae in an inert atmosphere of argon （Ar）, and to investigate the mechanism of the carbonizing process of the three traditional Chinese herbs. METHODS： The pyrolysis characteristics of the crude materials and their extracts were studied by thermogravimetry-mass spectrometry （TG-MS） in a carrier gas of argon, coupled with Fourier transform infrared spectrometry （FTIR） and scanning electron microscopy （SEM） methods. Correlation of the pyrolysis behaviors with the carbonizing process by stir-frying of traditional Chinese medicines was made. RESULTS： Within the temperature range of 200-300 ℃, which is the testing range for the study of the carbonizing process of Chinese herbs, the temperatures indicated by the maximum weight loss rate peak of the above three extracts were taken as the upper-limit temperatures of the carbonizing process of the herbs, and which were 200, 240 and 247 ℃ for Radix Rhizoma Rhei, Cortex Moudan Radicis, and Radix Sanguisorbae, respectively. The ion monitoring signal peaks detected by the TG-MS method corresponded with reports that the level of chemical components of traditional Chinese medicinal materials would decrease after the carbonizing process. It was confirmed by Fourier transform infrared spectrometry （FTIR） and scanning electron microscopy （SEM） methods that better results of ＂medicinal property preservation＂ could be obtained by heating at 200 ℃ for Radix Rhizoma Rhei, at about 250 ℃ for Cortex Moudan Radicis, and Radix Sanguisorbae, as the relative intensity values of the common peaks were among the middle of their three carbonized samples by programmed heating. CONCLUSION： The upper-limit temperatures of the carbonizing process for Radix Rhizoma Rhei, Cortex Moudan Radicis and Radix Sanguisorbae were 200, 240 and 247 ℃ respectively. It is feasible to research the mechanism and technology of the carbonizing process of traditional Chinese medicinal materials using thermogravimetry, Fourier transform infrared spectrometry, and scanning electron microscopy methods.展开更多
[Objectives]To optimize the processing technology of baked Rheum tanguticum carbon.[Methods]Firstly,the baking temperature and baking time were investigated by single factor,and the content of 5-hydroxymethylfurfural(...[Objectives]To optimize the processing technology of baked Rheum tanguticum carbon.[Methods]Firstly,the baking temperature and baking time were investigated by single factor,and the content of 5-hydroxymethylfurfural(5-HMF)was determined by HPLC.The main influencing factors of baking effect were baking temperature,baking time and tablet specifications.The L 9(34)orthogonal design experiment was carried out to optimize the processing technique of R.tanguticum carbon.[Results]The optimum processing technique was as follows:small-sized tablets,controlled oven baking temperature at(210±2)℃,and baking time of 20 min.[Conclusions]The optimum processing technique of R.tanguticum carbon is reasonable and feasible.Thus,this experiment can provide a certain reference for processing method and quality control of R.tanguticum carbon.展开更多
This paper introduces a new approach to metal surface hardening. By utilizing thermally cycling and mixed agents to speed up diffusion of diffusing elements, the carbonizing rate is greatly enhanced and the structure ...This paper introduces a new approach to metal surface hardening. By utilizing thermally cycling and mixed agents to speed up diffusion of diffusing elements, the carbonizing rate is greatly enhanced and the structure of the strengthened case is more satisfactory, thus obtaining much longer services of machine parts. The mechanism of the new approach is discussed.展开更多
A carbonization method is reported to improve the thermal conductivity of carbon nanotube (CNT) arrays. After being impregnated with phenolic resins, CNT arrays were carbonized at a temperature up to 1400°C. As a...A carbonization method is reported to improve the thermal conductivity of carbon nanotube (CNT) arrays. After being impregnated with phenolic resins, CNT arrays were carbonized at a temperature up to 1400°C. As a result, pyrolytic carbon was formed and connected non-neighboring CNTs. The pyrolysis improved the room temperature conductivity from below 2 W/m·K up to 11.8 and 14.6 W/m·K with carbonization at 800°C and 1400°C, respectively. Besides the light mass density of 1.1 g/cm3, the C/C composites demonstrated high thermal stability and a higher conductivity up to 21.4 W/m·K when working at 500°C.展开更多
We put forward a new and ingenious method for the preparation of a new adsorbent by soaking, carbonizing and activating the mixture of hygroscopic salt and biomass material. The new adsorbent has high porosity, unifor...We put forward a new and ingenious method for the preparation of a new adsorbent by soaking, carbonizing and activating the mixture of hygroscopic salt and biomass material. The new adsorbent has high porosity, uniform distribution and high content of Ca Cl2, and exhibits high adsorption performance. The ammonia uptake and specific cooling power（SCP） at 5 min adsorption time can reach as high as 0.19 g·g^-1 and 793.9 W·kg^-1, respectively. The concept of utilizing the biomass materials and hygroscopic salts as raw materials for the preparation of adsorbents is of practical interest with respect to the potential quantity of biomass materials around the world, indicating that there would be a new market for biomass materials.Key words： biomass material; adsorption system; ammonia; calcium chloride; activated carbon展开更多
A novel chromatography stationary phase with a quasi-graphitized carbon modified shell has been developed. Coal pitch was directly carbonized on the surface of porous silica with in-situ carbonization. The carbonized ...A novel chromatography stationary phase with a quasi-graphitized carbon modified shell has been developed. Coal pitch was directly carbonized on the surface of porous silica with in-situ carbonization. The carbonized coal pitch coating exhibits some degree of graphitization with a 78 nm-thick layer on the surface of silica and a 0.5 nm-thick layer on the inner surface of the mesopores. Based on the special structure of the graphitized carbon coating, the novel stationary phase can provide multiple interactions such as hydrophobic interaction, π-π interaction and dipole-dipole interaction. The novel composite material exhibited unique separation selectivity and excellent separation efficiency for polar compounds, including imidazoles, nucleosides and pesticides. Besides, the packed column also exhibited great repeatability with the RSDs of the retention time of nucleosides between 0.07%-0.50%(n = 5). Finally, satisfied result was achieved in the separation of fullerenes on the new column, suggesting the great potential in the industrial-scale purification of fullerenes.展开更多
FACED with the increasing threat from global warming,the importance of limiting the rise of the global temperatures within 1.5 degrees Celsius has become self-evident.To meet the Paris Agreement objective,by the end o...FACED with the increasing threat from global warming,the importance of limiting the rise of the global temperatures within 1.5 degrees Celsius has become self-evident.To meet the Paris Agreement objective,by the end of this century,global carbon dioxide emissions are expected to fall to zero.As for China,in September 2020,President Xi Jinping announced the meaningful goal of reaching carbon neutrality by 2060.This not only demonstrates China’s determination to go green,but will also serve as a stimulus for Chinese companies to accelerate technological innovation and industrial upgrading towards a green and sustainable economic development mode.展开更多
As global warming caused by greenhouse gases grows (GHGs) into a global environmental threat, carbon dioxide emissions are drawing increasing attention in these years. Among all emission sources, transportation is a m...As global warming caused by greenhouse gases grows (GHGs) into a global environmental threat, carbon dioxide emissions are drawing increasing attention in these years. Among all emission sources, transportation is a major contributor to climate change because of its high dependence on fossil fuels. The International Maritime Organization (IMO) has therefore been promoting the reduction of fuel usage and carbon emissions for container ships by such measures as improving shipping route selection, shipping speed optimization, and constructing clean energy propulsion systems. In this paper, a review of the impact of carbon dioxide emissions on climate change is presented;the current situations of carbon dioxide emissions, decarbonizing methods, IMO regulations, and possible future directions of decarbonizing in the maritime transportation industry are also discussed. Based on the result, it is found that in the case that non intelligent ships still occupy the vast majority of operating ships, the use of new energy as the main propulsion fuel has the defects of high renewal cost and long effective period. It is more likely to achieve energy conservation and emission reduction in the shipping industry in a short period of time by using intelligent means and artificial intelligence to assist ship operation. .展开更多
Plastic waste recycling is a focal point in today's sustainable development efforts.Improper disposal can lead to secondary pollution,posing threats to the environment and human health.In this study,we aim to recy...Plastic waste recycling is a focal point in today's sustainable development efforts.Improper disposal can lead to secondary pollution,posing threats to the environment and human health.In this study,we aim to recycle waste epoxy resin and glass fiber-reinforced epoxy resin composites via an electroless plating and a carbonization process,to design high-value-added carbon materials for microwave absorption.By pulverizing solid waste and introducing magnetic metal nanoparticles onto its surface,a composite carbon material capable of excellent microwave absorption performance was successfully developed.Specifically,doping nickel particles into carbon materials derived from glass fiber/epoxy resin achieved a wide effective absorption bandwidth(EAB)of 5.9 GHz with a matching thickness of 1.9 mm,covering nearly the entire Ku band,and achieving a minimum reflection loss(RLmin)of−36 dB simultaneously.The superior absorption performance is attributed to multiple reflections or scattering of electromagnetic waves within the material,as well as conduction and magnetic losses,dipole and interfacial polarization effects.These results demonstrate that through rational design and optimization,waste epoxy and waste glass fiber-reinforced epoxy resin-based composite materials can be effectively recycled into high-performance microwave absorbing materials,offering a straightforward and efficient pathway for waste resource utilization.展开更多
China’s inland waterway transport sector is facing the challenge of achieving carbon neutrality goals amidst its rapid development.However,the carbon mitigation potential of targeted interventions within inland water...China’s inland waterway transport sector is facing the challenge of achieving carbon neutrality goals amidst its rapid development.However,the carbon mitigation potential of targeted interventions within inland waterway transport networks remains poorly understood.We construct a port-to-port carbon emission inventory for the inland waterway transport sector from 2019 to 2050.Jiangxi province,a typical dynamically developing region,is selected as the study area given its plans for the large-scale construction of new inland waterways in the future.Our results reveal that while waterway optimization improves cargo transport efficiency,it may lead to higher carbon emissions by 2030.However,with intensified mitigation efforts,it can contribute to significant emission reductions by 2050.In terms of strategic interventions,prioritizing transport technology upgrades(e.g.,improve energy efficiency)in the short-term,while transitioning to alternative fuels in the long-term,could reduce to 0.76 Mt emissions by 2050,representing a 72%decrease compared to 2019 levels.Our findings from the typical complex waterway transport network in China offer valuable insights for managing carbon emissions in inland waterways globally,especially in regions contemplating the expansion of their inland waterway systems.展开更多
The food supply chain is currently challenged by the imperative to sustainably feed the increasingly expanding population while simultaneously striving to meet global net-zero emission targets.The dairy sector is wide...The food supply chain is currently challenged by the imperative to sustainably feed the increasingly expanding population while simultaneously striving to meet global net-zero emission targets.The dairy sector is widely considered as a carbon-intensive industry,contributing to significant greenhouse gas(GHG)emissions thereby exacerbating global warming.Here,we first summarize recent studies on determining GHG emissions of various dairy products,which suggests that farms are the primary emission hotspots in the dairy supply chain.Next,the vital role of novel techniques and emerging strategies to reduce carbon emissions in the dairy industry is emphasized at both localand systematic levels.The implementation of targeted techniques at each stage,along with policy initiatives such as carbon pricing,plant-based alternatives,international standards and clean air act,play a vital role in establishing global optimization to mitigate climate warming.Despite these progresses,standards and guidelines of emission reduction for the dairy industry are currently lacking,which calls for continuous efforts to fill the gap.展开更多
The development of materials with excellent microwave absorption(MWA)and electromagnetic interference(EMI)shielding performances has currently received attention.Herein,mesophase pitch-based carbon foam(MPCF)with 3D i...The development of materials with excellent microwave absorption(MWA)and electromagnetic interference(EMI)shielding performances has currently received attention.Herein,mesophase pitch-based carbon foam(MPCF)with 3D interconnected pore structure was prepared through the high pressure pyrolysis of mesophase coal tar pitch.It is found that the 3D interconnected cellular pores of MPCF facilitate multiple reflections of electromagnetic waves,which results in the minimum reflection loss(RLmin)value of MPCF reaches-37.84 dB with the effective absorption bandwidth(EAB)of 5.44 GHz at a thickness of 2.70 mm,and the total average electromagnetic shielding effectiveness(SE_(T))under 3.00 mm thickness achieves 26.52 dB in X-band.Subsequently,MPCF is activated by KOH to obtain activated carbon foam(A-MPCF).The average SE_(T)of A-MPCF achieves 103.00 dB for abundant nanopores on the pore cell walls,which leads to a transition from the multiple reflections of electromagnetic waves on the walls to diffuse reflection.Unfortunately,the reflection coefficient(R)of A-MPCF increases from 0.78 to 0.90.To reduce the R value,Fe_(3)O_(4)/A-MPCF was fabricated via the in situ growth of nano Fe_(3)O_(4)on A-MPCF.Consequently,the R value of Fe_(3)O_(4)/A-MPCF was reduced from 0.90 to 0.74,whereas the MWA performance was only slightly decreased.This work proposes a simple strategy for simultaneously adjusting MWA and EMI shielding performances of materials.展开更多
To elucidate the effect of calcite-regulated activated carbon(AC)structure on low-temperature denitrification performance of SCR catalysts,this work prepared a series of Mn-Ce/De-AC-xCaCO_(3)(x is the calcite content ...To elucidate the effect of calcite-regulated activated carbon(AC)structure on low-temperature denitrification performance of SCR catalysts,this work prepared a series of Mn-Ce/De-AC-xCaCO_(3)(x is the calcite content in coal)catalysts were prepared by the incipient wetness impregnation method,followed by acid washing to remove calcium-containing minerals.Comprehensive characterization and low-temperature denitrification tests revealed that calcite-induced structural modulation of coal-derived AC significantly enhances catalytic activity.Specifically,NO conversion increased from 88.3%of Mn-Ce/De-AC to 91.7%of Mn-Ce/De-AC-1CaCO_(3)(210℃).The improved SCR denitrification activity results from the enhancement of physicochemical properties including higher Mn^(4+)content and Ce^(4+)/Ce^(3+)ratio,an abundance of chemisorbed oxygen and acidic sites,which could strengthen the SCR reaction pathways(richer NH_(3)activated species and bidentate nitrate active species).Therefore,NO removal is enhanced.展开更多
Green transplant refers to the realization of the importance of understanding and improving the environmental footprint of transplantation through sustainable practices.This involves assessing the entire transplantati...Green transplant refers to the realization of the importance of understanding and improving the environmental footprint of transplantation through sustainable practices.This involves assessing the entire transplantation process including preoperative evaluation,donation,organ and patient transportation,surgery,postoperative recovery,and follow-up.This is a topic that has not been fully addressed yet,but its importance is being increasingly appreciated in surgery.The aim of this study was to investigate the carbon footprint associated with transplantation and propose sustainable mitigating solutions.A comprehensive review of the existing literature on transplantation was conducted and supplemented with findings from the broader fields of surgical and perioperative care,given the scarcity of available data.The analysis identified the most involved environmental factors and attempted to offer practical solutions based on current sustainability practices.Notably,no study has yet examined the carbon footprint associated with the entire transplantation procedure.Only five studies have attempted to assess the environmental impact of kidney or liver transplants,but they focused,almost explicitly,on specific steps of the process.By employing an extrapolative methodology from the broader surgical field,we determined that the primary contributors to the environmental impact of transplantation are energy,consumables and materials,anesthesia and pharmaceuticals,transportation,and water.This review offers practical solutions utilizing the 5R framework,emphasizing sustainability to ensure transplantation remains clinically and environmentally relevant.展开更多
Heteroatom-doped carbon is considered a promising alternative to commercial Pt/C as an efficient catalyst for the oxygen reduction reaction(ORR).This study presents the synthesis of iron-loaded,sulfur and nitrogen co-...Heteroatom-doped carbon is considered a promising alternative to commercial Pt/C as an efficient catalyst for the oxygen reduction reaction(ORR).This study presents the synthesis of iron-loaded,sulfur and nitrogen co-doped carbon(Fe/SNC)via in situ incorporation of 2-aminothiazole molecules into zeolitic imidazolate framework-8(ZIF-8)through coordination between metal ions and organic ligands.Sulfur and nitrogen doping in carbon supports effectively modulates the electronic structure of the catalyst,increases the Brunauer-Emmett-Teller surface area,and exposes more Fe-N_(x)active centers.Fe-loaded,S and N co-doped carbon with Fe/S molar ratio of 1:10(Fe/SNC-10)exhibits a half-wave potential of 0.902 V vs.RHE.After 5000 cycles of cyclic voltammetry,its half-wave potential decreases by only 20 mV vs.RHE,indicating excellent stability.Due to sulfur s lower electronegativity,the electronic structure of the Fe-N_(x)active center is modulated.Additionally,the larger atomic radius of sulfur introduces defects into the carbon support.As a result,Fe/SNC-10 demonstrates superior ORR activity and stability in alkaline solution compared with Fe-loaded N-doped carbon(Fe/NC).Furthermore,the zinc-air battery assembled with the Fe/SNC-10 catalyst shows enhanced performance relative to those assembled with Fe/NC and Pt/C catalysts.This work offers a novel design strategy for advanced energy storage and conversion applications.展开更多
Electrocatalytic nitrate reduction reaction(NO3RR)represents a sustainable and environmentally benign route for ammonia(NH3)synthesis.However,NO3RR is still limited by the competition from hydrogen evolution reaction(...Electrocatalytic nitrate reduction reaction(NO3RR)represents a sustainable and environmentally benign route for ammonia(NH3)synthesis.However,NO3RR is still limited by the competition from hydrogen evolution reaction(HER)and the high energy barrier in the hydrogenation step of nitrogen-containing intermediates.Here,we report a selective etching strategy to construct Ru M nanoalloys(M=Fe,Co,Ni,Cu)uniformly dispersed on porous nitrogen-doped carbon substrates for efficient neutral NH3electrosynthesis.Density functional theory calculations confirm that the synergic effect between Ru and transition metal M modulates the electronic structure of the alloy,significantly lowering the energy barrier for the conversion of*NO_(2)to*HNO_(2).Experimentally,the optimized Ru Fe-NC catalyst achieves 100%Faraday efficiency with a high yield rate of 0.83 mg h^(-1)mg^(-1)catat a low potential of-0.1 V vs.RHE,outperforming most reported catalysts.In situ spectroscopic analyses further demonstrate that the Ru M-NC effectively promotes the hydrogenation of nitrogen intermediates while inhibiting the formation of hydrogen radicals,thereby reducing HER competition.The Ru FeNC assembled Zn-NO_(3)^(-)battery achieved a high open-circuit voltage and an outstanding power density and capacity,which drive selective NO_(3)^(-)conversion to NH3.This work provides a powerful synergistic design strategy for efficient NH3electrosynthesis and a general framework for the development of advanced multi-component catalysts for sustainable nitrogen conversion.展开更多
Carbon superstructures with multiscale hierarchies and functional attributes represent an appealing cathode candidate for zinc hybrid capacitors,but their tailor-made design to optimize the capacitive activity remains...Carbon superstructures with multiscale hierarchies and functional attributes represent an appealing cathode candidate for zinc hybrid capacitors,but their tailor-made design to optimize the capacitive activity remains a confusing topic.Here we develop a hydrogen-bond-oriented interfacial super-assembly strategy to custom-tailor nanosheet-intertwined spherical carbon superstructures(SCSs)for Zn-ion storage with double-high capacitive activity and durability.Tetrachlorobenzoquinone(H-bond acceptor)and dimethylbenzidine(H-bond donator)can interact to form organic nanosheet modules,which are sequentially assembled,orientally compacted and densified into well-orchestrated superstructures through multiple H-bonds(N-H···O).Featured with rich surface-active heterodiatomic motifs,more exposed nanoporous channels,and successive charge migration paths,SCSs cathode promises high accessibility of built-in zincophilic sites and rapid ion diffusion with low energy barriers(3.3Ωs-0.5).Consequently,the assembled Zn||SCSs capacitor harvests all-round improvement in Zn-ion storage metrics,including high energy density(166 Wh kg-1),high-rate performance(172 m Ah g^(-1)at 20 A g^(-1)),and long-lasting cycling lifespan(95.5%capacity retention after 500,000 cycles).An opposite chargecarrier storage mechanism is rationalized for SCSs cathode to maximize spatial capacitive charge storage,involving high-kinetics physical Zn^(2+)/CF_(3)SO_(3)-adsorption and chemical Zn^(2+)redox with carbonyl/pyridine groups.This work gives insights into H-bond-guided interfacial superassembly design of superstructural carbons toward advanced energy storage.展开更多
Global land monsoon precipitation(GLMP)is highly sensitive to changes in interhemispheric thermal contrast(ITC).Amplified interhemispheric asymmetries of GLMP due to enhanced ITC driven by high-level anthropogenic emi...Global land monsoon precipitation(GLMP)is highly sensitive to changes in interhemispheric thermal contrast(ITC).Amplified interhemispheric asymmetries of GLMP due to enhanced ITC driven by high-level anthropogenic emissions are expected to simultaneously increase the probability of regional floods and droughts,threatening ecosystems within global terrestrial monsoon regions and the freshwater supply for billions of residents in these areas.In this study,the responses of GLMP to the evolution of ITC toward the carbon neutrality goal are assessed using multimodel outputs from a new model intercomparison project(CovidMIP).The results show that the Northern Hemisphere-Southern Hemisphere(NH-SH)asymmetry of GLMP in boreal summer weakens during the 2040s,as a persistent reduction in well-mixed greenhouse gas(WMGHG)emissions leads to a downward trend in the ITC after 2040.At the same time,the reduction in WMGHG emissions dampens the Eastern Hemisphere-Western Hemisphere(EH-WH)asymmetry of GLMP by inducing La Niña-like cooling and enhancing moisture transport to Inner America.The resulting increases in land monsoon precipitation(LMP)may alleviate drought under the global warming scenario by about 19%-25%and 7%-9%in the WH and SH monsoon regions,respectively.However,a persistent reduction in aerosol emissions in Asia will dominate the increases in LMP in this region until the mid-21st century,and these increases may be approximately 23%-60%of the growth under the global warming scenario.Our results highlight the different rates of response of aerosol and WMGHG concentrations to the carbon neutrality goal,leading to various changes in LMP at global and regional scales.展开更多
We conducted a field campaign to investigate the chemical composition,sources,and light absorption of submicron aerosols(PM_(1))from early 2022 in Nanjing,China.The average concentration of PM_(1) was 31μg m^(−3),org...We conducted a field campaign to investigate the chemical composition,sources,and light absorption of submicron aerosols(PM_(1))from early 2022 in Nanjing,China.The average concentration of PM_(1) was 31μg m^(−3),organics(33%)constituted the largest fraction,followed by nitrate(30%),sulfate(18%),ammonium(15%),chloride(3%),and rBC(2%).Four organic aerosol(OA)subcomponents were identified,including two primary OA(POA)and two secondary OA(SOA).The less-oxidized SOA(LO-OOA)contributes the most to the total OA mass(59%).LO-OOA is tightly correlated with the tracer ion C_(2)H_(4)O_(2)^(+)from levoglucosan,and another aged biomass-burning derived species,K_(3)SO_(4)^(+),suggesting it was likely influenced by aged biomass-burning OA.Our study also revealed that fireworks during the Spring Festival have a detrimental impact on air quality,contributing to secondary formation and accumulation under static winter meteorological conditions,prolonging the pollution duration.Also,LO-OOA was found to have the strongest light-absorbing ability.Our results highlight that the light absorption of LO-OOA can mainly be attributed to the C_(x)H_(y)N^(+) family,increased with the double-bond equivalent value.The more-oxidized SOA(MO-OOA)exhibited a negligible light absorption and was strongly correlated with daytime photochemical processes,implying a light-bleaching effect.This study enhances our understanding of the regional contribution of biomass combustion and fireworks to PM_(1) pollution in Nanjing,a typical megacity in the Yangtze River Delta region,during winter,aiding in the development of strategies for long-term air quality improvement in the region.展开更多
It is challenging to diagnose isolated hyperbilirubinemia with rare and complex etiologies under the constraints of traditional testing conditions.Herein,we present a rare case of coexisting Gilbert syndrome(GS)and er...It is challenging to diagnose isolated hyperbilirubinemia with rare and complex etiologies under the constraints of traditional testing conditions.Herein,we present a rare case of coexisting Gilbert syndrome(GS)and erythropoietic protoporphyria(EPP),which has not been previously documented.CASE SUMMARY We present a rare case of coexisting GS and EPP in a 23-year-old Chinese male with a long history of jaundice and recently found splenomegaly.Serial nonspecific hemolysis screening tests yielded inconsistent results,and investigations for common hemolytic etiologies were negative.However,Levitt’s carbon monoxide breath test,which measures erythrocyte lifespan(the gold-standard marker of hemolysis),demonstrated significant hemolysis,revealing a markedly shortened erythrocyte lifespan of 11 days(normal average 120 days).Genetic testing subsequently confirmed EPP with a homozygous ferrochelatase gene mutation and GS with a heterozygous uridine diphosphate glucuronosyl trans-ferase 1A1 gene mutation.CONCLUSION The rapid,non-invasive Levitt’s carbon monoxide breath test resolved the diagnostic challenge posed by a rare and complex cause of hyperbilirubinemia.展开更多
文摘AIM： The aim of the work is to study the pyrolysis characteristics of Radix Rhizoma Rhei, Cortex Moudan Radicis, and Radix Sanguisorbae in an inert atmosphere of argon （Ar）, and to investigate the mechanism of the carbonizing process of the three traditional Chinese herbs. METHODS： The pyrolysis characteristics of the crude materials and their extracts were studied by thermogravimetry-mass spectrometry （TG-MS） in a carrier gas of argon, coupled with Fourier transform infrared spectrometry （FTIR） and scanning electron microscopy （SEM） methods. Correlation of the pyrolysis behaviors with the carbonizing process by stir-frying of traditional Chinese medicines was made. RESULTS： Within the temperature range of 200-300 ℃, which is the testing range for the study of the carbonizing process of Chinese herbs, the temperatures indicated by the maximum weight loss rate peak of the above three extracts were taken as the upper-limit temperatures of the carbonizing process of the herbs, and which were 200, 240 and 247 ℃ for Radix Rhizoma Rhei, Cortex Moudan Radicis, and Radix Sanguisorbae, respectively. The ion monitoring signal peaks detected by the TG-MS method corresponded with reports that the level of chemical components of traditional Chinese medicinal materials would decrease after the carbonizing process. It was confirmed by Fourier transform infrared spectrometry （FTIR） and scanning electron microscopy （SEM） methods that better results of ＂medicinal property preservation＂ could be obtained by heating at 200 ℃ for Radix Rhizoma Rhei, at about 250 ℃ for Cortex Moudan Radicis, and Radix Sanguisorbae, as the relative intensity values of the common peaks were among the middle of their three carbonized samples by programmed heating. CONCLUSION： The upper-limit temperatures of the carbonizing process for Radix Rhizoma Rhei, Cortex Moudan Radicis and Radix Sanguisorbae were 200, 240 and 247 ℃ respectively. It is feasible to research the mechanism and technology of the carbonizing process of traditional Chinese medicinal materials using thermogravimetry, Fourier transform infrared spectrometry, and scanning electron microscopy methods.
基金Supported by Major Project of Wuhan Municipal Health Commission(WZ19A01)
文摘[Objectives]To optimize the processing technology of baked Rheum tanguticum carbon.[Methods]Firstly,the baking temperature and baking time were investigated by single factor,and the content of 5-hydroxymethylfurfural(5-HMF)was determined by HPLC.The main influencing factors of baking effect were baking temperature,baking time and tablet specifications.The L 9(34)orthogonal design experiment was carried out to optimize the processing technique of R.tanguticum carbon.[Results]The optimum processing technique was as follows:small-sized tablets,controlled oven baking temperature at(210±2)℃,and baking time of 20 min.[Conclusions]The optimum processing technique of R.tanguticum carbon is reasonable and feasible.Thus,this experiment can provide a certain reference for processing method and quality control of R.tanguticum carbon.
文摘This paper introduces a new approach to metal surface hardening. By utilizing thermally cycling and mixed agents to speed up diffusion of diffusing elements, the carbonizing rate is greatly enhanced and the structure of the strengthened case is more satisfactory, thus obtaining much longer services of machine parts. The mechanism of the new approach is discussed.
文摘A carbonization method is reported to improve the thermal conductivity of carbon nanotube (CNT) arrays. After being impregnated with phenolic resins, CNT arrays were carbonized at a temperature up to 1400°C. As a result, pyrolytic carbon was formed and connected non-neighboring CNTs. The pyrolysis improved the room temperature conductivity from below 2 W/m·K up to 11.8 and 14.6 W/m·K with carbonization at 800°C and 1400°C, respectively. Besides the light mass density of 1.1 g/cm3, the C/C composites demonstrated high thermal stability and a higher conductivity up to 21.4 W/m·K when working at 500°C.
基金Funded by the National Natural Science Foundation of China(No.51106161)the National Hi-Tech Research and Development Program of China(No.2012AA053003)the Guangdong Province and Chinese Academy of Sciences Comprehensive Strategic Cooperation Projects(2012B091100263)
文摘We put forward a new and ingenious method for the preparation of a new adsorbent by soaking, carbonizing and activating the mixture of hygroscopic salt and biomass material. The new adsorbent has high porosity, uniform distribution and high content of Ca Cl2, and exhibits high adsorption performance. The ammonia uptake and specific cooling power（SCP） at 5 min adsorption time can reach as high as 0.19 g·g^-1 and 793.9 W·kg^-1, respectively. The concept of utilizing the biomass materials and hygroscopic salts as raw materials for the preparation of adsorbents is of practical interest with respect to the potential quantity of biomass materials around the world, indicating that there would be a new market for biomass materials.Key words： biomass material; adsorption system; ammonia; calcium chloride; activated carbon
基金supported by the National Natural Science Foundation of China (No. 21974045)the Science and Technology Commission of Shanghai Municipality (No. 19142201100)+1 种基金the Fundamental Research Funds for the Central Universities (No. JKJ01211718)the National Key R&D Program of China (No. 2021YFF0701900)。
文摘A novel chromatography stationary phase with a quasi-graphitized carbon modified shell has been developed. Coal pitch was directly carbonized on the surface of porous silica with in-situ carbonization. The carbonized coal pitch coating exhibits some degree of graphitization with a 78 nm-thick layer on the surface of silica and a 0.5 nm-thick layer on the inner surface of the mesopores. Based on the special structure of the graphitized carbon coating, the novel stationary phase can provide multiple interactions such as hydrophobic interaction, π-π interaction and dipole-dipole interaction. The novel composite material exhibited unique separation selectivity and excellent separation efficiency for polar compounds, including imidazoles, nucleosides and pesticides. Besides, the packed column also exhibited great repeatability with the RSDs of the retention time of nucleosides between 0.07%-0.50%(n = 5). Finally, satisfied result was achieved in the separation of fullerenes on the new column, suggesting the great potential in the industrial-scale purification of fullerenes.
文摘FACED with the increasing threat from global warming,the importance of limiting the rise of the global temperatures within 1.5 degrees Celsius has become self-evident.To meet the Paris Agreement objective,by the end of this century,global carbon dioxide emissions are expected to fall to zero.As for China,in September 2020,President Xi Jinping announced the meaningful goal of reaching carbon neutrality by 2060.This not only demonstrates China’s determination to go green,but will also serve as a stimulus for Chinese companies to accelerate technological innovation and industrial upgrading towards a green and sustainable economic development mode.
文摘As global warming caused by greenhouse gases grows (GHGs) into a global environmental threat, carbon dioxide emissions are drawing increasing attention in these years. Among all emission sources, transportation is a major contributor to climate change because of its high dependence on fossil fuels. The International Maritime Organization (IMO) has therefore been promoting the reduction of fuel usage and carbon emissions for container ships by such measures as improving shipping route selection, shipping speed optimization, and constructing clean energy propulsion systems. In this paper, a review of the impact of carbon dioxide emissions on climate change is presented;the current situations of carbon dioxide emissions, decarbonizing methods, IMO regulations, and possible future directions of decarbonizing in the maritime transportation industry are also discussed. Based on the result, it is found that in the case that non intelligent ships still occupy the vast majority of operating ships, the use of new energy as the main propulsion fuel has the defects of high renewal cost and long effective period. It is more likely to achieve energy conservation and emission reduction in the shipping industry in a short period of time by using intelligent means and artificial intelligence to assist ship operation. .
基金supported by the National Natural Science Foundation of China(No.52173264)the Natural Science Foundation Project of Chongqing(No.cstc2024ycjh-bgzxm0005)+1 种基金the Fundamental Research Funds for the Central Universities(No.SWU-XDJH202314)The authors thanks Dr.Xi Tang in Southwest University for the technical support in the use of the vector network analyzer.
文摘Plastic waste recycling is a focal point in today's sustainable development efforts.Improper disposal can lead to secondary pollution,posing threats to the environment and human health.In this study,we aim to recycle waste epoxy resin and glass fiber-reinforced epoxy resin composites via an electroless plating and a carbonization process,to design high-value-added carbon materials for microwave absorption.By pulverizing solid waste and introducing magnetic metal nanoparticles onto its surface,a composite carbon material capable of excellent microwave absorption performance was successfully developed.Specifically,doping nickel particles into carbon materials derived from glass fiber/epoxy resin achieved a wide effective absorption bandwidth(EAB)of 5.9 GHz with a matching thickness of 1.9 mm,covering nearly the entire Ku band,and achieving a minimum reflection loss(RLmin)of−36 dB simultaneously.The superior absorption performance is attributed to multiple reflections or scattering of electromagnetic waves within the material,as well as conduction and magnetic losses,dipole and interfacial polarization effects.These results demonstrate that through rational design and optimization,waste epoxy and waste glass fiber-reinforced epoxy resin-based composite materials can be effectively recycled into high-performance microwave absorbing materials,offering a straightforward and efficient pathway for waste resource utilization.
基金supported by the National Natural Science Foundation of China(No.72304192)Hongyi Xie acknowledges the support of the China Scholarship Council Program(No.202406100207).
文摘China’s inland waterway transport sector is facing the challenge of achieving carbon neutrality goals amidst its rapid development.However,the carbon mitigation potential of targeted interventions within inland waterway transport networks remains poorly understood.We construct a port-to-port carbon emission inventory for the inland waterway transport sector from 2019 to 2050.Jiangxi province,a typical dynamically developing region,is selected as the study area given its plans for the large-scale construction of new inland waterways in the future.Our results reveal that while waterway optimization improves cargo transport efficiency,it may lead to higher carbon emissions by 2030.However,with intensified mitigation efforts,it can contribute to significant emission reductions by 2050.In terms of strategic interventions,prioritizing transport technology upgrades(e.g.,improve energy efficiency)in the short-term,while transitioning to alternative fuels in the long-term,could reduce to 0.76 Mt emissions by 2050,representing a 72%decrease compared to 2019 levels.Our findings from the typical complex waterway transport network in China offer valuable insights for managing carbon emissions in inland waterways globally,especially in regions contemplating the expansion of their inland waterway systems.
基金financially supported by National Natural Science Foundation of China under No.32302265.
文摘The food supply chain is currently challenged by the imperative to sustainably feed the increasingly expanding population while simultaneously striving to meet global net-zero emission targets.The dairy sector is widely considered as a carbon-intensive industry,contributing to significant greenhouse gas(GHG)emissions thereby exacerbating global warming.Here,we first summarize recent studies on determining GHG emissions of various dairy products,which suggests that farms are the primary emission hotspots in the dairy supply chain.Next,the vital role of novel techniques and emerging strategies to reduce carbon emissions in the dairy industry is emphasized at both localand systematic levels.The implementation of targeted techniques at each stage,along with policy initiatives such as carbon pricing,plant-based alternatives,international standards and clean air act,play a vital role in establishing global optimization to mitigate climate warming.Despite these progresses,standards and guidelines of emission reduction for the dairy industry are currently lacking,which calls for continuous efforts to fill the gap.
基金Supported by the National Natural Science Foundation of China(22378181).
文摘The development of materials with excellent microwave absorption(MWA)and electromagnetic interference(EMI)shielding performances has currently received attention.Herein,mesophase pitch-based carbon foam(MPCF)with 3D interconnected pore structure was prepared through the high pressure pyrolysis of mesophase coal tar pitch.It is found that the 3D interconnected cellular pores of MPCF facilitate multiple reflections of electromagnetic waves,which results in the minimum reflection loss(RLmin)value of MPCF reaches-37.84 dB with the effective absorption bandwidth(EAB)of 5.44 GHz at a thickness of 2.70 mm,and the total average electromagnetic shielding effectiveness(SE_(T))under 3.00 mm thickness achieves 26.52 dB in X-band.Subsequently,MPCF is activated by KOH to obtain activated carbon foam(A-MPCF).The average SE_(T)of A-MPCF achieves 103.00 dB for abundant nanopores on the pore cell walls,which leads to a transition from the multiple reflections of electromagnetic waves on the walls to diffuse reflection.Unfortunately,the reflection coefficient(R)of A-MPCF increases from 0.78 to 0.90.To reduce the R value,Fe_(3)O_(4)/A-MPCF was fabricated via the in situ growth of nano Fe_(3)O_(4)on A-MPCF.Consequently,the R value of Fe_(3)O_(4)/A-MPCF was reduced from 0.90 to 0.74,whereas the MWA performance was only slightly decreased.This work proposes a simple strategy for simultaneously adjusting MWA and EMI shielding performances of materials.
基金Supported by the Science and Technology Cooperation and Exchange special project of Cooperation of Shanxi Province(202404041101014)the Fundamental Research Program of Shanxi Province(202403021212333)+3 种基金the Joint Funds of the National Natural Science Foundation of China(U24A20555)the Lvliang Key R&D of University-Local Cooperation(2023XDHZ10)the Initiation Fund for Doctoral Research of Taiyuan University of Science and Technology(20242026)the Outstanding Doctor Funding Award of Shanxi Province(20242080).
文摘To elucidate the effect of calcite-regulated activated carbon(AC)structure on low-temperature denitrification performance of SCR catalysts,this work prepared a series of Mn-Ce/De-AC-xCaCO_(3)(x is the calcite content in coal)catalysts were prepared by the incipient wetness impregnation method,followed by acid washing to remove calcium-containing minerals.Comprehensive characterization and low-temperature denitrification tests revealed that calcite-induced structural modulation of coal-derived AC significantly enhances catalytic activity.Specifically,NO conversion increased from 88.3%of Mn-Ce/De-AC to 91.7%of Mn-Ce/De-AC-1CaCO_(3)(210℃).The improved SCR denitrification activity results from the enhancement of physicochemical properties including higher Mn^(4+)content and Ce^(4+)/Ce^(3+)ratio,an abundance of chemisorbed oxygen and acidic sites,which could strengthen the SCR reaction pathways(richer NH_(3)activated species and bidentate nitrate active species).Therefore,NO removal is enhanced.
文摘Green transplant refers to the realization of the importance of understanding and improving the environmental footprint of transplantation through sustainable practices.This involves assessing the entire transplantation process including preoperative evaluation,donation,organ and patient transportation,surgery,postoperative recovery,and follow-up.This is a topic that has not been fully addressed yet,but its importance is being increasingly appreciated in surgery.The aim of this study was to investigate the carbon footprint associated with transplantation and propose sustainable mitigating solutions.A comprehensive review of the existing literature on transplantation was conducted and supplemented with findings from the broader fields of surgical and perioperative care,given the scarcity of available data.The analysis identified the most involved environmental factors and attempted to offer practical solutions based on current sustainability practices.Notably,no study has yet examined the carbon footprint associated with the entire transplantation procedure.Only five studies have attempted to assess the environmental impact of kidney or liver transplants,but they focused,almost explicitly,on specific steps of the process.By employing an extrapolative methodology from the broader surgical field,we determined that the primary contributors to the environmental impact of transplantation are energy,consumables and materials,anesthesia and pharmaceuticals,transportation,and water.This review offers practical solutions utilizing the 5R framework,emphasizing sustainability to ensure transplantation remains clinically and environmentally relevant.
基金financial support of the National Natural Science Foundation of China(No.52472271)the National Key Research and Development Program of China(No.2023YFE0115800)。
文摘Heteroatom-doped carbon is considered a promising alternative to commercial Pt/C as an efficient catalyst for the oxygen reduction reaction(ORR).This study presents the synthesis of iron-loaded,sulfur and nitrogen co-doped carbon(Fe/SNC)via in situ incorporation of 2-aminothiazole molecules into zeolitic imidazolate framework-8(ZIF-8)through coordination between metal ions and organic ligands.Sulfur and nitrogen doping in carbon supports effectively modulates the electronic structure of the catalyst,increases the Brunauer-Emmett-Teller surface area,and exposes more Fe-N_(x)active centers.Fe-loaded,S and N co-doped carbon with Fe/S molar ratio of 1:10(Fe/SNC-10)exhibits a half-wave potential of 0.902 V vs.RHE.After 5000 cycles of cyclic voltammetry,its half-wave potential decreases by only 20 mV vs.RHE,indicating excellent stability.Due to sulfur s lower electronegativity,the electronic structure of the Fe-N_(x)active center is modulated.Additionally,the larger atomic radius of sulfur introduces defects into the carbon support.As a result,Fe/SNC-10 demonstrates superior ORR activity and stability in alkaline solution compared with Fe-loaded N-doped carbon(Fe/NC).Furthermore,the zinc-air battery assembled with the Fe/SNC-10 catalyst shows enhanced performance relative to those assembled with Fe/NC and Pt/C catalysts.This work offers a novel design strategy for advanced energy storage and conversion applications.
基金financially supported by National Natural Science Foundation of China(22466010)Guizhou Provincial Basic Research Program(Natural Science)ZK[2023]47 and key program ZD[2025]075+6 种基金Innovation and Entrepreneurship Project for overseas Talents in Guizhou Province[2022]02Specific Natural Science Foundation of Guizhou University(X202207)the national undergraduate innovation and entrepreneurship training program(gzugc2023006gzusc2024012)SRT project of Guizhou university(2023SRT0292023SRT024)supported by Shanghai Technical Service Center of Science and Engineering Computing,Shanghai University。
文摘Electrocatalytic nitrate reduction reaction(NO3RR)represents a sustainable and environmentally benign route for ammonia(NH3)synthesis.However,NO3RR is still limited by the competition from hydrogen evolution reaction(HER)and the high energy barrier in the hydrogenation step of nitrogen-containing intermediates.Here,we report a selective etching strategy to construct Ru M nanoalloys(M=Fe,Co,Ni,Cu)uniformly dispersed on porous nitrogen-doped carbon substrates for efficient neutral NH3electrosynthesis.Density functional theory calculations confirm that the synergic effect between Ru and transition metal M modulates the electronic structure of the alloy,significantly lowering the energy barrier for the conversion of*NO_(2)to*HNO_(2).Experimentally,the optimized Ru Fe-NC catalyst achieves 100%Faraday efficiency with a high yield rate of 0.83 mg h^(-1)mg^(-1)catat a low potential of-0.1 V vs.RHE,outperforming most reported catalysts.In situ spectroscopic analyses further demonstrate that the Ru M-NC effectively promotes the hydrogenation of nitrogen intermediates while inhibiting the formation of hydrogen radicals,thereby reducing HER competition.The Ru FeNC assembled Zn-NO_(3)^(-)battery achieved a high open-circuit voltage and an outstanding power density and capacity,which drive selective NO_(3)^(-)conversion to NH3.This work provides a powerful synergistic design strategy for efficient NH3electrosynthesis and a general framework for the development of advanced multi-component catalysts for sustainable nitrogen conversion.
基金financially supported by the National Natural Science Foundation of China(Nos.22272118,22172111,and 22309134)the Science and Technology Commission of Shanghai Municipality,China(Nos.22ZR1464100,20ZR1460300,and 19DZ2271500)+2 种基金the China Postdoctoral Science Foundation(2022M712402),the Shanghai Rising-Star Program(23YF1449200)the Zhejiang Provincial Science and Technology Project(2022C01182)the Fundamental Research Funds for the Central Universities(2023-3-YB-07)。
文摘Carbon superstructures with multiscale hierarchies and functional attributes represent an appealing cathode candidate for zinc hybrid capacitors,but their tailor-made design to optimize the capacitive activity remains a confusing topic.Here we develop a hydrogen-bond-oriented interfacial super-assembly strategy to custom-tailor nanosheet-intertwined spherical carbon superstructures(SCSs)for Zn-ion storage with double-high capacitive activity and durability.Tetrachlorobenzoquinone(H-bond acceptor)and dimethylbenzidine(H-bond donator)can interact to form organic nanosheet modules,which are sequentially assembled,orientally compacted and densified into well-orchestrated superstructures through multiple H-bonds(N-H···O).Featured with rich surface-active heterodiatomic motifs,more exposed nanoporous channels,and successive charge migration paths,SCSs cathode promises high accessibility of built-in zincophilic sites and rapid ion diffusion with low energy barriers(3.3Ωs-0.5).Consequently,the assembled Zn||SCSs capacitor harvests all-round improvement in Zn-ion storage metrics,including high energy density(166 Wh kg-1),high-rate performance(172 m Ah g^(-1)at 20 A g^(-1)),and long-lasting cycling lifespan(95.5%capacity retention after 500,000 cycles).An opposite chargecarrier storage mechanism is rationalized for SCSs cathode to maximize spatial capacitive charge storage,involving high-kinetics physical Zn^(2+)/CF_(3)SO_(3)-adsorption and chemical Zn^(2+)redox with carbonyl/pyridine groups.This work gives insights into H-bond-guided interfacial superassembly design of superstructural carbons toward advanced energy storage.
基金funded by the National Natural Science Foundation of China(Grant No.42275039)the Meteorological Joint Fund by NSF and CMA(Grant No.U2342224)+1 种基金the National Key R&D Program of China(Grant No.2022YFC3701202)the S&T Development Fund of CAMS(Grant No.2024KJ019)。
文摘Global land monsoon precipitation(GLMP)is highly sensitive to changes in interhemispheric thermal contrast(ITC).Amplified interhemispheric asymmetries of GLMP due to enhanced ITC driven by high-level anthropogenic emissions are expected to simultaneously increase the probability of regional floods and droughts,threatening ecosystems within global terrestrial monsoon regions and the freshwater supply for billions of residents in these areas.In this study,the responses of GLMP to the evolution of ITC toward the carbon neutrality goal are assessed using multimodel outputs from a new model intercomparison project(CovidMIP).The results show that the Northern Hemisphere-Southern Hemisphere(NH-SH)asymmetry of GLMP in boreal summer weakens during the 2040s,as a persistent reduction in well-mixed greenhouse gas(WMGHG)emissions leads to a downward trend in the ITC after 2040.At the same time,the reduction in WMGHG emissions dampens the Eastern Hemisphere-Western Hemisphere(EH-WH)asymmetry of GLMP by inducing La Niña-like cooling and enhancing moisture transport to Inner America.The resulting increases in land monsoon precipitation(LMP)may alleviate drought under the global warming scenario by about 19%-25%and 7%-9%in the WH and SH monsoon regions,respectively.However,a persistent reduction in aerosol emissions in Asia will dominate the increases in LMP in this region until the mid-21st century,and these increases may be approximately 23%-60%of the growth under the global warming scenario.Our results highlight the different rates of response of aerosol and WMGHG concentrations to the carbon neutrality goal,leading to various changes in LMP at global and regional scales.
基金support from the Natural Science Foundation of Jiangsu Province(Grant No.BK20240036)the National Natural Science Foundation of China(Grant Nos.U24A20515,22276099,and 22361162668)Guangxi Key Research and Development Program,China(Grant No.Guike AB24010074)。
文摘We conducted a field campaign to investigate the chemical composition,sources,and light absorption of submicron aerosols(PM_(1))from early 2022 in Nanjing,China.The average concentration of PM_(1) was 31μg m^(−3),organics(33%)constituted the largest fraction,followed by nitrate(30%),sulfate(18%),ammonium(15%),chloride(3%),and rBC(2%).Four organic aerosol(OA)subcomponents were identified,including two primary OA(POA)and two secondary OA(SOA).The less-oxidized SOA(LO-OOA)contributes the most to the total OA mass(59%).LO-OOA is tightly correlated with the tracer ion C_(2)H_(4)O_(2)^(+)from levoglucosan,and another aged biomass-burning derived species,K_(3)SO_(4)^(+),suggesting it was likely influenced by aged biomass-burning OA.Our study also revealed that fireworks during the Spring Festival have a detrimental impact on air quality,contributing to secondary formation and accumulation under static winter meteorological conditions,prolonging the pollution duration.Also,LO-OOA was found to have the strongest light-absorbing ability.Our results highlight that the light absorption of LO-OOA can mainly be attributed to the C_(x)H_(y)N^(+) family,increased with the double-bond equivalent value.The more-oxidized SOA(MO-OOA)exhibited a negligible light absorption and was strongly correlated with daytime photochemical processes,implying a light-bleaching effect.This study enhances our understanding of the regional contribution of biomass combustion and fireworks to PM_(1) pollution in Nanjing,a typical megacity in the Yangtze River Delta region,during winter,aiding in the development of strategies for long-term air quality improvement in the region.
文摘It is challenging to diagnose isolated hyperbilirubinemia with rare and complex etiologies under the constraints of traditional testing conditions.Herein,we present a rare case of coexisting Gilbert syndrome(GS)and erythropoietic protoporphyria(EPP),which has not been previously documented.CASE SUMMARY We present a rare case of coexisting GS and EPP in a 23-year-old Chinese male with a long history of jaundice and recently found splenomegaly.Serial nonspecific hemolysis screening tests yielded inconsistent results,and investigations for common hemolytic etiologies were negative.However,Levitt’s carbon monoxide breath test,which measures erythrocyte lifespan(the gold-standard marker of hemolysis),demonstrated significant hemolysis,revealing a markedly shortened erythrocyte lifespan of 11 days(normal average 120 days).Genetic testing subsequently confirmed EPP with a homozygous ferrochelatase gene mutation and GS with a heterozygous uridine diphosphate glucuronosyl trans-ferase 1A1 gene mutation.CONCLUSION The rapid,non-invasive Levitt’s carbon monoxide breath test resolved the diagnostic challenge posed by a rare and complex cause of hyperbilirubinemia.
