Anionic Sublattices in Halide Solid Electrolytes: A Case Study with the High-Pressure Phase of Li3ScCl6

The Li3MX6 compounds (M=Sc, Y, In; X=Cl, Br) are known as promising ionic conductors due to their compatibility with typical metal oxide cathode materials. In this study, we have successfully synthesized γ-Li3ScCl6 using high pressure for the first time in this family. Structural analysis revealed that the high-pressure polymorph crystallizes in the polar and chiral space group P63mc with hexagonal close-packing (hcp) of anions, unlike the ambient-pressure α-Li3ScCl6 and its spinel analog with cubic closed packing (ccp) of anions. Investigation of the known Li3MX6 family further revealed that the cation/anion radius ratio, rM/rX, is the factor that determines which anion sublattice is formed and that in γ-Li3ScCl6, the difference in compressibility between Sc and Cl exceeds the ccp rM/rX threshold under pressure, enabling the ccp-to-hcp conversion. Electrochemical tests of γ-Li3ScCl6 demonstrate improved electrochemical reduction stability. These findings open up new avenues and design principles for lithium solid electrolytes, enabling routes for materials exploration and tuning electrochemical stability without compositional changes or the use of coatings.

Optimized In Situ Doping Strategy Stabling Single-Crystal Ultrahigh-Nickel Layered Cathode Materials

Single-crystal Ni-rich cathodes offer promising prospects in mitigating intergranular microcracks and side reaction issues commonly encountered in conventional polycrystalline cathodes. However, the utilization of micrometer-sized single-crystal particles has raised concerns about sluggish Li+ diffusion kinetics and unfavorable structural degradation, particularly in high Ni content cathodes. Herein, we present an innovative in situ doping strategy to regulate the dominant growth of characteristic planes in the single-crystal precursor, leading to enhanced mechanical properties and effectively tackling the challenges posed by ultrahigh-nickel layered cathodes. Compared with the traditional dry-doping method, our in situ doping approach possesses a more homogeneous and consistent modifying effect from the inside out, ensuring the uniform distribution of doping ions with large radius (Nb, Zr, W, etc). This mitigates the generally unsatisfactory substitution effect, thereby minimizing undesirable coating layers induced by different solubilities during the calcination process. Additionally, the uniformly dispersed ions from this in situ doping are beneficial for alleviating the two-phase coexistence of H2/H3 and optimizing the Li+ concentration gradient during cycling, thus inhibiting the formation of intragranular cracks and interfacial deterioration. Consequently, the in situ doped cathodes demonstrate exceptional cycle retention and rate performance under various harsh testing conditions. Our optimized in situ doping strategy not only expands the application prospects of elemental doping but also offers a promising research direction for developing high-energy-density single-crystal cathodes with extended lifetime.

Molecular anchoring of free solvents for high-voltage and high-safety lithium metal batteries

Constraining the electrochemical reactivity of free solvent molecules is pivotal for developing high-voltage lithium metal batteries, especially for ether solvents with high Li metal compatibility but low oxidation stability ( <4.0 V vs Li+/Li). The typical high concentration electrolyte approach relies on nearly saturated Li+ coordination to ether molecules, which is confronted with severe side reactions under high voltages ( >4.4 V) and extensive exothermic reactions between Li metal and reactive anions. Herein, we propose a molecular anchoring approach to restrict the interfacial reactivity of free ether solvents in diluted electrolytes. The hydrogen-bonding interactions from the anchoring solvent effectively suppress excessive ether side reactions and enhances the stability of nickel rich cathodes at 4.7 V, despite the extremely low Li+/ether molar ratio (1:9) and the absence of typical anion-derived interphase. Furthermore, the exothermic processes under thermal abuse conditions are mitigated due to the reduced reactivity of anions, which effectively postpones the battery thermal runaway.

Constructing an Anion-Braking Separator to Regulate Local Li+ Solvation Structure for Stabilizing Lithium Metal Batteries

Lithium metal batteries (LMBs) offer significant advantages in energy density and output voltage, but they are severely limited by uncontrollable Li dendrite formation resulting from uneven Li+ behaviors and high reactivity with potential co-solvent plating. Herein, to uniformly enhance the Li behaviors in desolvation and diffusion, the local Li+ solvation shell structure is optimized by constructing an anion-braking separator, hence dynamically reducing the self-amplifying behavior of dendrites. As a prototypal, two-dimensional lithiated-montmorillonite (LiMMT) is blade-coated on the commercial separator, where abundant -OH groups as Lewis acidic sites and electron acceptors could selectively adsorb corresponding FSI- anions, regulating the solvation shell structure and restricting their migration. Meanwhile, the weakened anion mobility delays the time of breaking electrical neutrality, and the Li nucleation density is quantified through the respective experimental, theoretical and spectroscopical results, providing a comprehensive understanding of modifying anion and cation behaviors on dendritic growth suppression. As anticipated, a long Li plating/stripping lifespan up to 1800 h and a significantly increased average Coulombic efficiency of 98.8% are achieved under 3.0 mAh cm-2. The fabricated high-loading Li-LFP or Li-NCM523 full-cells display the cycle durability with enhanced capacity retention of nearly 100%, providing the instructive guide towards realizing dendrite-free LMBs.

Amorphous Aluminum Oxide-Coated NaFe0.33Ni0.33Mn0.33O2 Cathode Materials: Enhancing Interface Charge Transfer for High-Performance Sodium-Ion Batteries

Layered cathode materials for sodium-ion batteries (SIBs) have gained considerable attention as promising candidates owing to their high capacity and potential for industrial scalability. Nonetheless, challenges arise from stress and structural degradation resulting from the deposition of larger ion radius species, leading to diminished cyclic stability and rate performance. In this study, we present a novel and straightforward strategy that combines the synergistic effects of an amorphous aluminum oxide coating and aluminum ion doping. This approach effectively addresses the issues of grain cracking and expands the interlayer spacing of alkali metal ions in SIB materials, thereby enhancing their overall performance. Consequently, it optimizes the diffusion of charge carriers and facilitates interfacial charge transfer, leading to remarkable improvements in the performance of the NaNi0.33Mn0.33Fe0.33O2 material with 0.4 wt % amorphous aluminum oxide coating (NNMF-0.4A), which exhibits reversible capacities of 135.7, 114.3, 106.8, 99.9, 89.5, and 77.1 mAh g-1 at 0.1, 0.5, 1, 2, 5, and 10 C, respectively. Furthermore, the NNMF-0.4A material maintains a capacity of 76.7 mA g-1 after 500 cycles at a current density of 800 mA g-1 (10 C), with a capacity retention rate of 98.2%. Our findings present a groundbreaking pathway for modifying high-power sodium-ion battery cathode materials, contributing to the advancement of sustainable energy storage technologies.

Induction Chemotherapy and Toripalimab for Larynx Preservation in Resectable Locally Advanced Laryngeal/Hypopharyngeal Carcinoma: Preliminary Results of INSIGHT Study

PURPOSE/OBJECTIVE(S)

Previous studies have demonstrated excellent pathological response of induction PD-1 inhibitor with chemotherapy for locally advanced head and neck cancer. To our knowledge, there is scarce evidence on induction chemotherapy (ICT) and PD-1 inhibitor in organ preservation for patients (pts) with laryngeal/hypopharyngeal carcinoma. Hence, the aim of this study is to evaluate the efficacy and toxicities of ICT and PD-1inhibitor (Toripalimab) followed by radiotherapy or surgery, for pts with resectable locally advanced laryngeal/hypopharyngeal carcinoma.

MATERIALS/METHODS

This isa single-arm phase II study. Pts with histopathologic confirmed, resectable locally advanced laryngeal/hypopharyngeal squamous cell carcinoma and ECOG PS 0-1 were eligible. Three cycles of ICT (paclitaxel 175 mg/m d1, cisplatin 25 mg/m d1-3) combined with PD-1 inhibitor (Toripalimab 240 mg d0) were given. Response assessment (RECIST 1.1) was performed post-ICT. Patients with complete response (CR)/partial response (PR) of primary tumor received concurrent chemoradiation, followed by maintenance therapy of Toripalimab for eight cycles. Otherwise, patients were referred to surgery, followed by adjuvant radiation (RT)/chemoradiation (CRT), and then maintenance therapy of Toripalimab. The primary endpoint is larynx-preservation (LP) rate at 3 months post-RT. Forty-two patients were planned. Based on a two-stage Fleming design (one-sided α:10%, power: 80%), if at least 22 patients attained LP of the first 27 patients in stage I or at least thirty-two pts attained LP of the 42 patients at the end of stage II, the null hypothesis would be rejected. The cohort would enroll 15 more pts in stage II if 19-21 pts in stage I observed LP, and the study would be terminated if the number of pts with LP were less than 18 in stage I.

RESULTS

A total of 27 pts were enrolled. By the cut-off date Feb 8, 2023, all reached at least 3 months of follow-up post-RT. Median age was 63 (53-74) years with 92.6% male. Hypopharyngeal cancer accounted for 66.7%. There were 74.1% who were T3 to T4, and 77.7% were N2 to N3. Six cases had primary invasion of esophagus and five pts underwent pretreatment tracheostomy. ORR of ICT was 85.2%. Afterward, 21 pts were treated with concurrent CRT, while 6 pts received surgery of primary tumor. At 3 months post-RT, 23 pts attained organ preservation and the LP rate was 85.2%. With a median follow-up of 13.5 months, 1-year OS rate, PFS rate and LP survival rate was 83.1%, 79.5% and 79.4%, respectively. During ICT, 22.2% of pts experienced grade 3-4 treatment-related AEs (TRAEs). The most common grade 3-4 TRAEs were nausea and neutrophil count decreased.

CONCLUSION

The primary endpoint LP rate was met. In this cohort of extensive locally advanced laryngeal/hypopharyngeal carcinoma, ICT and Toripalimab followed by radiotherapy or surgery resulted in satisfactory short-term LP rate and encouraging survival.

High-performance expanded graphite regenerated from spent lithium-ion batteries by integrated oxidation and purification method

Currently, the recycling of spent lithium-ion batteries (LIBs) has mainly been focused on the extraction of precious metals, such as lithium, cobalt and nickel from cathodes, while the waste graphite anode has been overlooked due to its low-cost production and abundant resources reserve. However, there are enormous potential value and pollution risk in the view of graphite recycling. Thus, we propose an original method to prepare expanded graphite (EG) as new anode material generated from waste graphite in LIBs which integrates the oxidation and purification in one-step. By regulating the oxidizability of potassium hypermanganate in the sulfur-phosphorus mixed acid system, the expansion of graphite and removal of impurities are realized simultaneously and thoroughly. As anticipated, the shortening of preparation process and purification procedure can also reduce the generation of polluting substances and production cost. It displays excellent electrochemical performance (reversible capacity of 435.8 mAh·g-1 at 0.1C and long-term cycling property of 370 mAh·g-1 at 1C after 1000 cycles), which is even higher than that of pristine commercial graphite. This delicate strategy of high-performance expanded graphite recycling achieves the integration of purification and value-added processes, providing the instructive guide to regenerate industrial-grade anode materials for the increasing LIBs demand in the future.

DTI of Opioid-Exposed Fetuses Using ComBat Harmonization: A Bi-Institutional Study

BACKGROUND AND PURPOSE

The underlying mechanisms leading to altered cognitive, behavioral, and vision outcomes in children with prenatal opioid exposure are yet to be fully understood. Some studies suggest WM alterations in infants and children with prenatal opioid exposure; however, the time course of WM changes is unknown. We aimed to evaluate differences in diffusion tensor imaging MRI parameters in the brain between opioid exposed fetuses and normal controls.

MATERIALS AND METHODS

This is a pilot, prospective cohort study in which subjects in the third trimester of pregnancy underwent fetal DTI of the brain with 20 noncolinear diffusion directions and a b-value of 500 s/mm2 at 2.5-mm isotropic resolution.

RESULTS

The study included a total of 26 fetuses, 11 opioid-exposed (mean gestational age, 32.61 [SD, 2.35] weeks) and 15 unexposed controls (mean gestational age, 31.77 [SD, 1.68] weeks). After we adjusted for gestational age, fractional anisotropy values were significantly higher in opioid-exposed fetuses relative to controls in 8 WM tracts: the bilateral lemniscus (left: P = .017; right: P = .020), middle cerebellar peduncle (P = .027), left inferior cerebellar peduncle (P = .026), right sagittal stratum (P = .040), right fornix stria terminalis (P = .022), right inferior fronto-occipital fasciculus (P = .011), and the right uncinate fasciculus (P = .033). Significant alteration was also identified in other DTI indices involving a series of brain regions.

CONCLUSIONS

Our data demonstrate initial evidence of cerebral WM microstructural differences between opioid-exposed fetuses and unexposed controls. Further studies in larger patient populations will be needed to fully understand these findings.

Cobalt/aluminum co-substitution in a LiNi0.9Mn0.1O2 layered cathode for improving kinetics

We report the improved kinetic mechanism of a nickel-rich LiNi_0.84Mn_0.10Co_0.03Al_0.03O₂ cathode. The important role of Co/Al in inhibiting cation disorder to increase the lithium ion diffusion rate is revealed. Impressively, it retains an excellent capacity retention of 76.8% after 200 cycles under the high-rate condition (5C).

In-situ catalytic mechanism coupling quantum dot effect for achieving high-performance sulfide anode in potassium-ion batteries

Though numerous framework structures have been constructed to strengthen the reaction kinetics and durability, the inevitable generation of polysulfide dissolution during conversion-process can cause irreparable destruction to ion-channel and crystal structure integrality, which has become a huge obstacle to the application of metal-sulfide in potassium-ion batteries. Herein, the quantum dot structure with catalytic conversion capability is synchronously introduced into the design of FeS₂ anode materials to heighten its K⁺-storage performance. The constructed quantum dot structure anchored by the graphene with space-confinement effect can shorten the ion diffusion path and enlarge the active area, thus accelerating the K⁺-ions transmission kinetics and absorption action, respectively. The intermediate phase of formed Fe-nanoclusters possesses high-active catalysis ability, which can effectively suppress the polysulfide shuttle combined with the enhanced absorption effect, fully guaranteeing the structure stability and cycling reversibility. Predictably, the fabricated quantum dot FeS₂ can express a prominent advantage in rapid potassiation/depotassiation processes (518.1 mAh g^-1, 10 A g^-1) and a superior cycling lifespan with gratifying reversible capacity at superhigh rate (177.7 mAh g^-1, 9000 cycles, 5 A g^-1). Therefore, engineering quantum dot structure with self-induced catalysis action for detrimental polysulfide is an achievable strategy to implement high-performance sulfide anode materials for K-ions accommodation.

Enabling Reversible Reaction by Uniform Distribution of Heterogeneous Intermediates on Defect-Rich SnSSe/C Layered Heterostructure for Ultralong-Cycling Sodium Storage

2D layered Sn-based materials have attracted enormous attention due to their remarkable performance in sodium-ion batteries. Nevertheless, this promising candidate involves a complex Na⁺ -storage process with multistep conversion-alloying reactions, which induces the uneven dispersion of heterogeneous intermediate accompanied by severe agglomeration of metallic Sn⁰ , inescapably resulting in poor reaction reversibility with sluggish rate capability and inferior cyclic lifespan. Herein, a delicately layered heterostructure SnSSe/C consisting of defect-rich SnSSe and graphene is designed and successfully achieved via a facile hydrothermal process. The equal anionic substitution of Se in SnSSe crystal can trigger numerous defects, which can not only facilitate Na⁺ diffusion but also accelerate the nucleation process by inducing quantum-dot-level uniform distribution of heterogeneous intermediates, Na₂ Se/Na₂ S and Sn⁰ . Concurrently, in situ formed uniform Na₂ Se/Na₂ S grain boundaries confined by this unique layered heterostructure may effectively suppress the agglomeration of metallic Sn⁰ nanograins and boost the reversibility of conversion-alloying reaction. As a result, the SnSSe/C displays significant improvement in Na-storage performance, in terms of remarkable rate capability and ultralong cycling lifespan. This work, focusing on controlling intermediate distribution, provides an effective strategy to boost reaction reversibility, which can be wildly employed in conversion-based electrodes for energy storage regions.

Designed graphite with an activated edge for fast-charging lithium-ion storage properties

Graphite with an activated edge is carefully designed via a controllable solution treatment and sintering process. The simultaneous existence of extra active sites and expanded layers at the edge enable it to exhibit excellent fast-charging performance in a half-cell and full-cell set-up. This work highlights an overall understanding of polarization and the optimum structure for a fast-charging anode.

Enabling high energy lithium metal batteries via single-crystal Ni-rich cathode material co-doping strategy

High-capacity Ni-rich layered oxides are promising cathode materials for secondary lithium-based battery systems. However, their structural instability detrimentally affects the battery performance during cell cycling. Here, we report an Al/Zr co-doped single-crystalline LiNi_0.88Co_0.09Mn_0.03O₂ (SNCM) cathode material to circumvent the instability issue. We found that soluble Al ions are adequately incorporated in the SNCM lattice while the less soluble Zr ions are prone to aggregate in the outer SNCM surface layer. The synergistic effect of Al/Zr co-doping in SNCM lattice improve the Li-ion mobility, relief the internal strain, and suppress the Li/Ni cation mixing upon cycling at high cut-off voltage. These features improve the cathode rate capability and structural stabilization during prolonged cell cycling. In particular, the Zr-rich surface enables the formation of stable cathode-electrolyte interphase, which prevent SNCM from unwanted reactions with the non-aqueous fluorinated liquid electrolyte solution and avoid Ni dissolution. To prove the practical application of the Al/Zr co-doped SNCM, we assembled a 10.8 Ah pouch cell (using a 100 μm thick Li metal anode) capable of delivering initial specific energy of 504.5 Wh kg^-1 at 0.1 C and 25 °C.

Assessing Long-Term Cycling Stability of Single-Crystal Versus Polycrystalline Nickel-Rich NCM in Pouch Cells with 6 mAh cm-2 Electrodes

Lithium-ion batteries based on single-crystal LiNi_{1- x - y} Co_x Mn_y O₂ (NCM, 1-x-y ≥ 0.6) cathode materials are gaining increasing attention due to their improved structural stability resulting in superior cycle life compared to batteries based on polycrystalline NCM. However, an in-depth understanding of the less pronounced degradation mechanism of single-crystal NCM is still lacking. Here, a detailed postmortem study is presented, comparing pouch cells with single-crystal versus polycrystalline LiNi_0.60 Co_0.20 Mn_0.20 O₂ (NCM622) cathodes after 1375 dis-/charge cycles against graphite anodes. The thickness of the cation-disordered layer forming in the near-surface region of the cathode particles does not differ significantly between single-crystal and polycrystalline particles, while cracking is pronounced for polycrystalline particles, but practically absent for single-crystal particles. Transition metal dissolution as quantified by time-of-flight mass spectrometry on the surface of the cycled graphite anode is much reduced for single-crystal NCM622. Similarly, CO₂ gas evolution during the first two cycles as quantified by electrochemical mass spectrometry is much reduced for single-crystal NCM622. Benefitting from these advantages, graphite/single-crystal NMC622 pouch cells are demonstrated with a cathode areal capacity of 6 mAh cm^-2 with an excellent capacity retention of 83% after 3000 cycles to 4.2 V, emphasizing the potential of single-crystalline NCM622 as cathode material for next-generation lithium-ion batteries.

Flexible FeVOx porous nanorods on carbon cloth for long-life aqueous energy storage

We report the FeVO_x porous nanorods on carbon cloth as a novel cathode material for flexible aqueous energy storage. It exhibits excellent electrochemical properties and cycling stability in supercapacitors and zinc-ion batteries. Moreover, this work makes significant progress for developing high-performance electrodes and provides a foundation for future research.

The effect of adhesive surface with porcelain sintering and two silane coupling agents on the adhesive properties of zirconia

Background

To explore the effect of adhesive surface with porcelain sintering and different silane coupling agents on adhesive properties of zirconia ceramics.

Methods

Zirconia blocks (n=72) were randomly divided into two large groups (n=36) according to whether the adhesive surface was treated with sintered porcelain: N (no porcelain sintering), P (porcelain sintering). Then, according to different silane coupling agents, each group was randomly divided into three small groups, six small groups in total (n=12): NN (no porcelain sintering and agent), NM (no porcelain sintering + Monobond-S), NC (no porcelain sintering + Clearfil Repair); PN (porcelain sintering + no agent), PM (porcelain sintering + Monobond-S), PC (porcelain sintering + Clearfil Repair). After surface treatment, RelyX Unicem Cement was used to make ceramic-resin bonding specimens. Then, each of the six small groups was randomly divided into two subgroups; shear bond strength (SBS) was tested and bond failure mode was analyzed before and after thermal cycling 5,000 times.

Results

(I) SBS analysis: the SBS values of the P groups were significantly higher than those of the N groups (P<0.05). The groups treated with silane coupling agents showed higher SBS values than the control group (P<0.05), and the PC groups showed the highest SBS values (P<0.05). The SBS of each group was significantly decreased after thermal cycling (P<0.05). (II) The microcharacteristics under scanning electron microscopy and energy spectrum analysis: the ceramic blocks being treated by porcelain sintering showed more roughness than the control group. A large amount of silicon (Si) appeared on the surface of the ceramic blocks after porcelain sintering.

Conclusions

(I) Treating the adhesive surface by porcelain sintering can improve the bonding strength between zirconia and RelyX Unicem Cement, and the effect was better in conjunction with silane coupling agent. (II) The two kinds of silane coupling agent (Monobond-S, Clearfil Repair) can improve the bonding strength between zirconia and resin cement. The effect of Clearfil Repair is better than that of Monobond-S. (III) Thermal cycling had a significant adverse effect on SBS between zirconia and RelyX Unicem Cement. Clearfil Repair is helpful in improving the durability of zirconia bonding strength.

Maternal Obesity during Pregnancy is Associated with Lower Cortical Thickness in the Neonate Brain

BACKGROUND AND PURPOSE

Recent studies have suggested that maternal obesity during pregnancy is associated with differences in neurodevelopmental outcomes in children. In this study, we aimed to investigate the relationships between maternal obesity during pregnancy and neonatal brain cortical development.

MATERIALS AND METHODS

Forty-four healthy women (28 normal-weight, 16 obese) were prospectively recruited at <10 weeks' gestation, and their healthy full-term neonates (23 boys, 21 girls) underwent brain MR imaging. All pregnant women had their body composition (fat mass percentage) measured at ∼12 weeks of pregnancy. All neonates were scanned at ∼2 weeks of age during natural sleep without sedation, and their 3D T1-weighted images were postprocessed by the new iBEAT2.0 software. Brain MR imaging segmentation and cortical surface reconstruction and parcellation were completed using age-appropriate templates. Mean cortical thickness for 34 regions in each brain hemisphere defined by the UNC Neonatal Cortical Surface Atlas was measured, compared between groups, and correlated with maternal body fat mass percentage, controlled for neonate sex and race, postmenstrual age at MR imaging, maternal age at pregnancy, and the maternal intelligence quotient and education.

RESULTS

Neonates born to obese mothers showed significantly lower (P ≤ .05, false discovery rate-corrected) cortical thickness in the left pars opercularis gyrus, left pars triangularis gyrus, and left rostral middle frontal gyrus. Mean cortical thickness in these frontal lobe regions negatively correlated (R = -0.34, P = .04; R = -0.50, P = .001; and R = -0.42, P = .01; respectively) with the maternal body fat mass percentage measured at early pregnancy.

CONCLUSIONS

Maternal obesity during pregnancy is associated with lower neonate brain cortical thickness in several frontal lobe regions important for language and executive functions.

In situ inorganic conductive network formation in high-voltage single-crystal Ni-rich cathodes

High nickel content in LiNi_xCo_yMn_zO₂ (NCM, x ≥ 0.8, x + y + z = 1) layered cathode material allows high specific energy density in lithium-ion batteries (LIBs). However, Ni-rich NCM cathodes suffer from performance degradation, mechanical and structural instability upon prolonged cell cycling. Although the use of single-crystal Ni-rich NCM can mitigate these drawbacks, the ion-diffusion in large single-crystal particles hamper its rate capability. Herein, we report a strategy to construct an in situ Li_1.4Y_0.4Ti_1.6(PO₄)₃ (LYTP) ion/electron conductive network which interconnects single-crystal LiNi_0.88Co_0.09Mn_0.03O₂ (SC-NCM88) particles. The LYTP network facilitates the lithium-ion transport between SC-NCM88 particles, mitigates mechanical instability and prevents detrimental crystalline phase transformation. When used in combination with a Li metal anode, the LYTP-containing SC-NCM88-based cathode enables a coin cell capacity of 130 mAh g⁻¹ after 500 cycles at 5 C rate in the 2.75-4.4 V range at 25 °C. Tests in Li-ion pouch cell configuration (i.e., graphite used as negative electrode active material) demonstrate capacity retention of 85% after 1000 cycles at 0.5 C in the 2.75-4.4 V range at 25 °C for the LYTP-containing SC-NCM88-based positive electrode.

Single-crystal Ni-rich cathodes suffer from side reactions with the electrolyte and slow Li-ion transport during high-voltage cycling. Herein, a Li_1.4Y_0.4Ti_1.6(PO₄)₃ coating is applied to facilitate the Li-ion transport and improve the cycling life of the cell.

Understanding the enhancement effect of boron doping on the electrochemical performance of single-crystalline Ni-rich cathode materials

Ni-rich layered oxides are considered as promising cathode materials for Li-ion batteries (LIBs) due to their satisfying theoretical specific capacity and reasonable cost. However, poor cycling stability caused by structural collapse and interfacial instability of the Ni-rich cathode material limits the further applications of commercialization. Herein, a series of B-doped single-crystal LiNi_0.83Co_0.05Mn_0.12O₂ (NCM) are designed and fabricated, aiming to improve the structural stability and enlarge the Li⁺-ions diffusion paths simultaneously. It reveals that B-doping at TM layers will facilitate the formation of stronger B-O covalent bonds and expand the layered distance, significantly enhancing the thermodynamics and kinetic of NCM electrode. With the synergistic effect of single-crystalline architecture and appropriate B-doping, it can effectively alleviate the occurrence of internal strain with structural degradation and boost the intrinsic rate capability synchronously. As anticipated, the 0.6 mol % B-doped NCM electrode exhibits enhanced rate property and superior cycle stability, even at the harsh condition of high-temperature and elevated cut-off voltage. Remarkably, when tested in pouch-type full-cell, it maintains high reversible capacity with superior capacity retention of 91.35% over 500 cycles with only 0.0173% decay per cycle. This research illustrates the feasibility of B-doping and single-crystalline architecture to improve the electrochemical performance, which is beneficial to understand the enhancement effect and provides the design strategy for the commercialization progress of Ni-rich cathode materials.

Clinical epidemiology and outcome of HIV-associated talaromycosis in Guangdong, China, during 2011-2017

OBJECTIVES

Talaromycosis is an invasive mycosis endemic to Southeast Asia. This study aimed to investigate the epidemiology, clinical features and prognostic factors of HIV-associated talaromycosis in Guangdong, China.

METHODS

We retrospectively evaluated HIV patients hospitalized with histopathology- or culture-confirmed talaromycosis between 2011 and 2017. Factors associated with poor prognosis were identified using logistic regression.

RESULTS

Overall, 1079 patients with HIV-associated talaromycosis were evaluated. Both the number and prevalence of talaromycosis among HIV admissions increased from 125 and 15.7% in 2011 to 253 and 18.8% in 2017, respectively, reflecting the increase in HIV admissions. Annual admissions peaked during the rainy season between March and August. Common clinical manifestations included fever (85.6%), peripheral lymphadenopathy (72.3%), respiratory symptoms (60.8%), weight loss (49.8%), skin lesions (44.5%) and gastrointestinal symptoms (44.3%). Common laboratory abnormalities were hypoalbuminaemia (98.6%), anaemia (95.6%), elevated aspartate aminotransferase level (AST) (76.9%), elevated alkaline phosphatase level (55.8%) and thrombocytopenia (53.7%). The median CD4 count was 9 cells/μL. Talaromyces marneffei was isolated from blood and bone marrow cultures of 66.6% and 74.5% of patients, respectively. The rate increased to 86.6% when both cultures were performed concurrently. At discharge, 14% of patients showed worsening conditions or died. Leucocytosis, thrombocytopenia, elevated AST, total bilirubin, creatinine and azole monotherapy independently predicted poor prognosis.

CONCLUSIONS

The incidence of HIV-associated talaromycosis has increased in Guangdong with the high HIV burden in China. Skin lesions were seen in less than half of patients. Induction therapy with azole alone is associated with higher mortality. Findings from this study should help to improve treatment of the disease.

Enhancing the Rapid Na+-Storage Performance via Electron/Ion Bridges through GeS2/Graphene Heterojunction

Hybridizing carbonous matrix into metal sulfide is confirmed as an effective strategy to enhance electrode conductance and structure stability. However, a comprehensive understanding of the interface reaction mechanism between active materials and carbon substrate is still urgently needed. Based on the band energy theory, a route to enhance the rate ability for electrode is exploited on regulating interfaces of substrates/active heterojunction. Herein, the highly stable Na⁺-storage performance of GeS₂/3DG is delicately designed, where the hierarchical structure is enabled by uniformly overcoating GeS₂ nanograins with graphene matrix. Different from the widespread doping route of active materials for fast ion transfer, we focus on the effects of interface regulation on the high-rate Na^- ion-storage performance of substrate/active materials. Here, a well-designed interface of the C-Ge bond at the heterointerface induced by hierarchical GeS₂/graphene heterojunction is pioneeringly explored, which can result in a fast electron transfer by reducing electron gathering polarization. More importantly, defects in graphene can alleviate the polarization aroused by ion concentration, which not only offers anchoring/doping sites for C-Ge bond but also provides extra ion channels for Na-ion transportation into GeS₂. This interface regulation of constructing metal-carbon bonds will shine light on the reaction kinetics and interface stability and contribute to the fundamental understanding of interface reaction mechanisms for metal sulfide anode materials.

Maternal Anxiety and Depression during Late Pregnancy and Newborn Brain White Matter Development

BACKGROUND AND PURPOSE

Anxiety and depression during pregnancy have been associated with an increased risk of adverse neurodevelopmental outcomes in offspring. We aimed to study the in utero effects of maternal anxiety and depression on early brain development.

MATERIALS AND METHODS

Pregnant women were recruited at ∼36 weeks of gestation for this prospective study. They were assessed for anxiety symptoms by the State-Trait Anxiety Inventory and for depression symptoms by the Beck Depression Inventory, 2nd Edition. After delivery, infant underwent an MR imaging examination of the brain without sedation, including DTI, for evaluation of white matter (WM) development. Infant fractional anisotropy values, a putative marker of WM integrity, were correlated with the mothers' State-Trait Anxiety Inventory and Beck Depression Inventory scores by using both tract-based spatial statistics and ROI methods.

RESULTS

Thirty-four infants were included in this study. Both maternal State-Anxiety and Trait-Anxiety scores negatively correlated (P < .05, corrected) with fractional anisotropy values in widespread brain WM regions; Beck Depression Inventory scores also negatively correlated (P < .05) with fractional anisotropy values in one cluster in the brain. Further ROI analyses confirmed significant negative correlations between average fractional anisotropy values in ROIs including left and right prefrontal WM, left and right middle frontal gyrus WM, and the fornix, and State-Anxiety (R values, -0.47 to -0.67; P values, .008 to <.001), Trait-Anxiety (R, -0.37 to -0.59; P, .04 to <.001), and Beck Depression Inventory (R values, -0.36 to -0.55; P, .05 to .002) scores.

CONCLUSIONS

Higher maternal anxiety and depression symptom scores during late pregnancy were associated with lower estimated infant brain WM development, which indicated in utero influences of maternal mental health during pregnancy on the developing brain.

Brain Cortical Structure and Executive Function in Children May Be Influenced by Parental Choices of Infant Diets

BACKGROUND AND PURPOSE

While it is known that breastfeeding promotes healthy brain development in children, the potential effects of formulas substantially differing in composition (ie, milk-based versus soy-based) during infancy on brain development are unclear.

MATERIALS AND METHODS

Seventy-one 8-year-old children who were predominantly breastfed, milk formula fed, or soy formula fed during infancy were recruited for an MR imaging examination of the brain and a Behavior Rating Inventory of Executive Function assessment (completed via a questionnaire to the parents). Brain cortical features measured from MR imaging such as cortical thickness and surface area were extracted and compared among groups and correlated with Behavior Rating Inventory of Executive Function test scores.

RESULTS

Clusters in the frontal and occipital lobes showed significant differences (cluster-wise P  ≤  .05, corrected for multiple comparisons) in cortical thickness or surface area among the 3 diet groups. The effects were more prominent for boys, particularly for comparison of the milk formula fed versus soy formula fed boys. Assessments of executive function and behavior showed significantly lower Behavior Rating Inventory of Executive Function test scores in soy formula fed versus milk formula fed groups, which were mostly attributed to differences in boys. There were no differences between milk formula fed and breastfed groups for either sex. Mean cortical thickness for several of the clusters in the brain showing infant diet-associated effects significantly correlated with Behavior Rating Inventory of Executive Function scores.

CONCLUSIONS

Choices of infant diets (ie, breastfed, milk formula fed, soy formula fed) may have long-term and sex-specific effects on the cortical development and executive function and behavior of children's brains.

[Real-world efficacy and safety of lopinavir/ritonavir and arbidol in treating with COVID-19 : an observational cohort study]

Objective: To evaluate the efficacy and safety of lopinavir/ritonavir (LPV/r) and arbidol in the treatment of COVID-19 in the real world. Methods: The clinical data of 178 patients diagnosed with COVID-19 admitted to Guangzhou Eighth People's Hospital were retrospectively analyzed from January 21 to February 9, 2020. According to the patient's antiviral treatment regimen, 178 patients were divided into 4 groups including LPV/r group (59 patients), arbidol group (36 patients), combination therapy with LPV/r plus arbidol group (25 patients) and the conventional treatment group without any antiviral drugs (58 patients). The main observation end points of the study was the negative conversion time of nucleic acid of the novel coronavirus (2019-nCoV) in pharyngeal swab. Results: The baseline of 4 groups before treatment was consistent and comparable. The negative conversion time of nucleic acid of the 2019-nCoV in pharyngeal swab was (10.20 ± 3.49), (10.11 ± 4.68), (10.86 ± 4.74), (8.44 ± 3.51) days separately in the LPV/r group, the arbidol group, the combination therapy group, and the conventional treatment group without significant difference (F = 2.556, P = 0.058). There was also no significant difference in the rate of negative conversion rate of 2019-nCoV nucleic acid, the improvement ration in clinical symptoms, and the improvement ration of pulmonary infection in the lung CT imaging (P> 0.05). However, a statistically significant difference was found in the proportion of deterioration changing from mild/moderate to severe/critical type at day 7 (χ(2) = 9.311, P = 0.017) as follows: the combination therapy group (24.0%, 6/25), the arbidol group ( 16.7%, 6/36), LPV/r group (5.4%, 3/56) and conventional treatment group (5.2%, 3/58). Moreover, the frequency of adverse reactions in the three groups receiving antiviral drugs was significantly higher than that in the conventional treatment group (χ(2) = 14.875, P = 0.002). Conclusions: No evidences could prove that LPV/r and arbidol could shorten the negative conversion time of novel coronavirus nucleic acid in pharyngeal swab nor improve the symptoms of patients. Furthermore, the combination usage of LPV/r and arbidol may not benefit for improving the disease. Noteworthy, the adverse reactions of the antiviral drugs should be paid careful attention during the treatment.

Composition and Architecture Design of Double-Shelled Co0.85 Se1- x Sx @Carbon/Graphene Hollow Polyhedron with Superior Alkali (Li, Na, K)-Ion Storage

The exploration of materials with reversible and stable electrochemical performance is crucial in energy storage, which can (de) intercalate all the alkali-metal ions (Li⁺ , Na⁺ , and K⁺ ). Although transition-metal chalcogenides are investigated continually, the design and controllable preparation of hierarchical nanostructure and subtle composite withstable properties are still great challenges. Herein, component-optimal Co_0.85 Se_{1- x} S_x nanoparticles are fabricated by in situ sulfidization of metal organic framework, which are wrapped by the S-doped graphene, constructing a hollow polyhedron framework with double carbon shells (CoSSe@C/G). Benefiting from the synergistic effect of composition regulation and architecture design by S-substitution, the electrochemical kinetic is enhanced by the boosted electrochemistry-active sites, and the volume variation is mitigated by the designed structure, resulting in the advanced alkali-ion storage performance. Thus, it delivers an outstanding reversible capacity of 636.2 mAh g^-1 at 2 A g^-1 after 1400 cycles for Li-ion batteries. Remarkably, satisfactory initial charge capacities of 548.1 and 532.9 mAh g^-1 at 0.1 A g^-1 can be obtained for Na-ion and K-ion batteries, respectively. The prominent performance combined with the theory calculation confirms that the synergistic strategy can improve the alkali-ion transportation and structure stability, providing an instructive guide for designing high-performance anode materials for universal alkali-ion storage.

Bimetallic Sulfide Sb2S3@FeS2 Hollow Nanorods as High-Performance Anode Materials for Sodium-Ion Batteries

Constructing a heterojunction and introducing an interfacial interaction by designing ideal structures have the inherent advantages of optimizing electronic structures and macroscopic mechanical properties. An exquisite hierarchical heterogeneous structure of bimetal sulfide Sb₂S₃@FeS₂ hollow nanorods embedded into a nitrogen-doped carbon matrix is fabricated by a concise two-step solvothermal method. The FeS₂ interlayer expands in situ grow on the interface of hollow Sb₂S₃ nanorods within the nitrogen-doped graphene matrix, forming a delicate heterostructure. Such a well-designed architecture affords rapid Na⁺ diffusion and improves charge transfer at the heterointerfaces. Meanwhile, the strongly synergistic coupling interaction among the interior Sb₂S₃, interlayer FeS₂, and external nitrogen-doped carbon matrix creates a stable nanostructure, which extremely accelerates the electronic/ion transport and effectively alleviates the volume expansion upon long cyclic performance. As a result, the composite, as an anode material for sodium-ion batteries, exhibits a superior rate capability of 537.9 mAh g^-1 at 10 A g^-1 and excellent cyclic stability with 85.7% capacity retention after 1000 cycles at 5 A g^-1. Based on the DFT calculation, the existing constructing heterojunction in this composite can not only optimize the electronic structure to enhance the conductivity but also favor the Na₂S adsorption energy to accelerate the reaction kinetics. The outstanding electrochemical performance sheds light on the strategy by the rational design of hierarchical heterogeneous nanostructures for energy storage applications.

A Protocol for Transverse Cardiac Slicing and Optical Mapping in Murine Heart

Thin living tissue slices have recently emerged as a new tissue model for cardiac electrophysiological research. Slices can be produced from human cardiac tissue, in addition to small and large mammalian hearts, representing a powerful in vitro model system for preclinical and translational heart research. In the present protocol, we describe a detailed mouse heart transverse slicing and optical imaging methodology. The use of this technology for high-throughput optical imaging allows study of electrophysiology of murine hearts in an organotypic pseudo two-dimensional model. The slices are cut at right angles to the long axis of the heart, permitting robust interrogation of transmembrane potential (Vm) and calcium transients (CaT) throughout the entire heart with exceptional regional precision. This approach enables the use of a series of slices prepared from the ventricles to measure Vm and CaT with high temporal and spatial resolution, allowing (i) comparison of successive slices which form a stack representing the original geometry of the heart; (ii) profiling of transmural and regional gradients in Vm and CaT in the ventricle; (iii) characterization of transmural and regional profiles of action potential and CaT alternans under stress (e.g., high frequency pacing or β-adrenergic stimulation) or pathological conditions (e.g., hypertrophy). Thus, the protocol described here provides a powerful platform for innovative research on electrical and calcium handling heterogeneity within the heart. It can be also combined with optogenetic technology to carry out optical stimulation; aiding studies of cellular Vm and CaT in a cell type specific manner.

Enhancing High-Voltage Performance of Ni-Rich Cathode by Surface Modification of Self-Assembled NASICON Fast Ionic Conductor LiZr2(PO4)3

Coating methodology is commonly employed in the enhancement of Ni-rich cathodes for Li-ion batteries as an efficient approach, while its strategy and effect are still great challenges to achieve success in surface modifications for comprehensive electrochemical properties. In this work, the surface of Ni-rich cathode LiNi_0.82Co_0.15Al_0.03O₂ (NCA) is modified by intimately coating NASICON-type solid electrolyte LiZr₂(PO₄)₃ (LZP) via a facile approach involving electrostatic attraction. With well-designed architecture and a uniform NASICON-type LZP nanolayer wrapping over the NCA microsphere, the entire electrode demonstrates exceptional Li⁺ diffusion and conductivity and suppresses the side reaction between electrolyte and electroactive NCA, stabilizing the phase interface with less Li⁺/Ni²⁺ cation mixing. As a result, the NCA@LZP can deliver a high reversible capacity of 182 mAh g^-1 at 1C in 2.7-4.3 V, maintaining the capacity retention of 84.6% after 100 cycles. More importantly, the structure stability of NCA is enhanced substantially by surface modification of LZP at high cutoff voltage. It achieves a reversible capacity of 204 mAh g^-1 and keeps 100.4 mAh g^-1 after 500 cycles at 1C in the potential range of 2.7-4.5 V. This effective strategy of using NASICON fast ionic conductor like LZP as a coating layer may provide a new insight to modify the surface of Ni-rich electrode, improving the rate capability and cyclic performance under high voltage.

Fabrication of SnS2/Mn2SnS4/Carbon Heterostructures for Sodium-Ion Batteries with High Initial Coulombic Efficiency and Cycling Stability

SnS₂ has been extensive studied as an anode material for sodium storage owing to its high theoretical specific capacity, whereas the unsatisfied initial Coulombic efficiency (ICE) caused by the partial irreversible conversion reaction during the charge/discharge process is one of the critical issues that hamper its practical applications. Hence, heterostructured SnS₂/Mn₂SnS₄/carbon nanoboxes (SMS/C NBs) have been developed by a facial wet-chemical method and utilized as the anode material of sodium ion batteries. SMS/C NBs can deliver an initial capacity of 841.2 mAh g^-1 with high ICE of 90.8%, excellent rate capability (752.3, 604.7, 570.1, 546.9, 519.7, and 488.7 mAh g^-1 at the current rate of 0.1, 0.5, 1.0, 2.0, 5.0, and 10.0 A g^-1, respectively), and long cycling stability (522.5 mAh g^-1 at 5.0 A g^-1 after 500 cycles). The existence of SnS₂/Mn₂SnS₄ heterojunctions can effectively stabilize the reaction products Sn and Na₂S, greatly prevent the coarsening of nanosized Sn⁰, and enhance reversible conversion--alloying reaction, which play a key role in improving the ICE and extending the cycling performance. Moreover, the heterostructured SMS coupled with the interacting carbon network provides efficient channels for electrons and Na⁺ diffusion, resulting in an excellent rate performance.

Synergistical Coupling Interconnected ZnS/SnS2 Nanoboxes with Polypyrrole-Derived N/S Dual-Doped Carbon for Boosting High-Performance Sodium Storage

Metal sulfides possess tremendous potentials owing to their high specific capacity for sodium storage. However, the huge volume expansion, accompanied with structural collapse and unsatisfied electric conductivity upon continuous cycling, always lead to inferior rate capability and severe cycling fading. In this work, binary metal sulfide (ZnS/SnS₂ ) nanoboxes confined in N/S dual-doped carbon shell (ZSS@NSC) are fabricated through a facile co-precipitation method involving the wrapping of polypyrrole, and subsequent in situ sulfidation process. Such a well-designed heterogeneity between ZnS and SnS₂ provides rapid Na⁺ insertion and enhanced charge transport by creating an electric field at the heterointerface. More significantly, the formation of polypyrrole-derived N/S dual-doped carbon is synergistically coupled with the ZnS/SnS₂ to create a unique and robust architecture, further strengthening the interconnect function at the heterointerface, which improves electric/ion transfer and mitigates the volume variation during the long-term cycling process. Herein, this as-prepared ZSS@NSC exhibits satisfied specific capacity, excellent rate property, and superior cyclic stability (a reversible capacity of 456.2 mAh g^-1 with excellent capacity retention of 97.2% after 700 stable cycles at ultrahigh rate of 5 A g^-1 ). The boosted Na-storage properties demonstrate that the optimized strategy of structure-engineering has a broad prospect to promote energy storage applications.

Rational Design of TiO-TiO2 Heterostructure/Polypyrrole as a Multifunctional Sulfur Host for Advanced Lithium-Sulfur Batteries

Despite outstanding theoretical energy density (2600 Wh kg^-1) and low cost of lithium-sulfur (Li-S) batteries, their practical application is seriously hindered by inferior cycle performance and low Coulombic efficiency due to the "shuttle effect" of lithium polysulfides (LiPSs). Herein, we proposed a strategy that combines TiO-TiO₂ heterostructure materials (H-TiO _x, x = 1, 2) and conductive polypyrrole (PPy) to form a multifunctional sulfur host. Initially, the TiO-TiO₂ heterostructure can enhance the redox reaction kinetics of sulfur species and improve the conductivity of sulfur cathode together with the PPy coating layer. Moreover, the defect-abundant H-TiO _x matrices can trap LiPSs by the formation of Ti-S bond via the Lewis acid-base interaction. Furthermore, the PPy coating can physically hinder the diffusion of LiPSs, as well as chemically adsorb LiPSs by the polar-polar mechanism. Benefiting from the synergistic effect of H-TiO _x and PPy layer, the novel cathode delivered high specific capacities at different current rates (1130, 990, 932, 862, and 726 mAh g^-1 at 0.1, 0.2, 0.3, 0.5, and 1C, respectively) and an ultralow capacity decay of 0.0406% per cycle after 1000 cycles at 1C. This work can not only indicate effectiveness of employing H-TiO _x materials to realize the LiPSs immobilization but also shed light on the feasibility of combining different materials to achieve the multifunctional sulfur hosts for advanced Li-S batteries.

Cesarean Delivery Impacts Infant Brain Development

BACKGROUND AND PURPOSE

The cesarean delivery rate has increased globally in the past few decades. Neurodevelopmental outcomes associated with cesarean delivery are still unclear. This study investigated whether cesarean delivery has any effect on the brain development of offspring.

MATERIALS AND METHODS

A total of 306 healthy children were studied retrospectively. We included 3 cohorts: 2-week-old neonates (cohort 1, n = 32/11 for vaginal delivery/cesarean delivery) and 8-year-old children (cohort 2, n = 37/23 for vaginal delivery/cesarean delivery) studied at Arkansas Children's Hospital, and a longitudinal cohort of 3-month to 5-year-old children (cohort 3, n = 164/39 for vaginal delivery/cesarean delivery) studied independently at Brown University. Diffusion tensor imaging, myelin water fraction imaging, voxel-based morphometry, and/or resting-state fMRI data were analyzed to evaluate white matter integrity, myelination, gray matter volume, and/or functional connectivity, respectively.

RESULTS

While not all MR imaging techniques were shared across the institutions/cohorts, post hoc analyses showed similar results of potential effects of cesarean delivery. The cesarean delivery group in cohort 1 showed significantly lower white matter development in widespread brain regions and significantly lower functional connectivity in the brain default mode network, controlled for a number of potential confounders. No group differences were found in cohort 2 in white matter integrity or gray matter volume. Cohort 3 had significantly different trajectories of white matter myelination between groups, with those born by cesarean delivery having reduced myelin in infancy but normalizing with age.

CONCLUSIONS

Cesarean delivery may influence infant brain development. The impact may be transient because similar effects were not observed in older children. Further prospective and longitudinal studies may be needed to confirm these novel findings.

Facile synthesis of a molybdenum phosphide@carbon nanocomposite as an advanced anode material for sodium-ion batteries

The MoP@C nanocomposite was successfully fabricated via a facile sol–gel approach, which demonstrated excellent electrochemical properties as a sodium-ion battery anode.

Room-temperature solution synthesis of ZnMn2O4 nanoparticles for advanced electrochemical lithium storage

Taking advantage of synergistic effects, the ternary metal oxides have attracted tremendous interest. Herein, ZnMn₂O₄ nano-particles have been fabricated via a facile one-step approach at room temperature, that of simply mixing ZnO and MnO in KOH aqueous solution without templates. When used as an anode for lithium ion batteries, it delivers the excellent structure stability (1028.9 mA h g⁻¹ at 1.0 A g⁻¹ after 400 cycles). Surprisingly, the low-cost and eco-friendly route provides a novel strategy to synthesize the mixed transition metal oxide electrodes with readily scaled-up production.

ZnMn₂O₄ nanoparticles were fabricated via a low-cost and ecofriendly one-step approach at room temperature. The particles exhibited excellent structure stability and superior lithium storage.