Reduced Volume Expansion of Micron-Sized SiOx via Closed-Nanopore Structure Constructed by Mg-Induced Elemental Segregation

The inherently huge volume expansion during Li uptake has hindered the use of Si-based anodes in high-energy lithium-ion batteries. While some pore-forming and nano-architecting strategies show promises to effectively buffer the volume change, other parameters essential for practical electrode fabrication, such as compaction density, are often compromised. Here we propose a new in situ Mg doping strategy to form closed-nanopore structure into a micron-sized SiOx particle at a high bulk density. The doped Mg atoms promote the segregation of O, so that high-density magnesium silicates form to generate closed nanopores. By altering the mass content of Mg dopant, the average radii (ranged from 5.4 to 9.7 nm) and porosities (ranged from 1.4 % to 15.9 %) of the closed pores are precisely adjustable, which accounts for volume expansion of SiOx from 77.8 % to 22.2 % at the minimum. Benefited from the small volume variation, the Mg-doped micron-SiOx anode demonstrates improved Li storage performance towards realization of a 700-(dis)charge-cycle, 11-Ah-pouch-type cell at a capacity retention of >80 %. This work offers insights into reasonable design of the internal structure of micron-sized SiOx and other materials that undergo conversion or alloying reactions with drastic volume change, to enable high-energy batteries with stable electrochemistry.

Three-Dimensional Self-Supported Ge Anode for Advanced Lithium-Ion Batteries

Three-dimensional (3D) self-supported Ge anode is one of the promising candidates to replace the traditional graphite anode material for high-performance binder-free lithium-ion batteries (LIBs). The enlarged surface area and the shortened ions/electrons transporting distance of the 3D electrode would greatly facilitate the rapid transfer of abundant lithium ions during cycling, thus achieve enhanced energy and power density during cycling. Cycle stability of the 3D self-supported Ge electrode would be improved due to the obtained enough space could effectively accommodate the large volume expansion of the Ge anode. In this review, we first describe the electrochemical properties and Li ions storage mechanism of Ge anode. Moreover, the recent advances in the 3D self-supported Ge anode architectures design are majorly illustrated and discussed. Challenges and prospects of the 3D self-supported Ge electrode are finally provided, which shed light on ways to design more reliable 3D Ge-based electrodes in energy storage systems.

Metal Phosphide Anodes in Sodium-Ion Batteries: Latest Applications and Progress

Sodium-ion batteries (SIBs), as the next-generation high-performance electrochemical energy storage devices, have attracted widespread attention due to their cost-effectiveness and wide geographical distribution of sodium. As a crucial component of the structure of SIBs, the anode material plays a crucial role in determining its electrochemical performance. Significantly, metal phosphide exhibits remarkable application prospects as an anode material for SIBs because of its low redox potential and high theoretical capacity. However, due to volume expansion limitations and other factors, the rate and cycling performance of metal phosphides have gradually declined. To address these challenges, various viable solutions have been explored. In this paper, the recent research progress of metal phosphide materials for SIBs is systematically reviewed, including the synthesis strategy of metal phosphide, the storage mechanism of sodium ions, and the application of metal phosphide in electrochemical aspects. In addition, future challenges and opportunities based on current developments are presented.

First-Principles Dynamics Investigation of Germanium as an Anode Material in Multivalent-Ion Batteries

Germanium, a promising electrode material for high-capacity lithium ion batteries (LIBs) anodes, attracted much attention because of its large capacity and remarkably fast charge/discharge kinetics. Multivalent-ion batteries are of interest as potential alternatives to LIBs because they have a higher energy density and are less prone to safety hazards. In this study, we probed the potential of amorphous Ge anodes for use in multivalent-ion batteries. Although alloying Al and Zn in Ge anodes is thermodynamically unstable, Mg and Ca alloys with Ge form stable compounds, Mg2.3Ge and Ca2.4Ge that exhibit higher capacities than those obtained by alloying Li, Na, or K with Ge, corresponding to 1697 and 1771 mA·h·g-1, respectively. Despite having a slightly lower capacity than Ca-Ge, Mg-Ge shows an approximately 150% smaller volume expansion ratio (231% vs. 389%) and three orders of magnitude higher ion diffusivity (3.0 × 10-8 vs. 1.1 × 10-11 cm2 s-1) than Ca-Ge. Furthermore, ion diffusion in Mg-Ge occurs at a rate comparable to that of monovalent ions, such as Li+, Na+, and K+. The outstanding performance of the Mg-Ge system may originate from the coordination number of the Ge host atoms and the smaller atomic size of Mg. Therefore, Ge anodes could be applied in multivalent-ion batteries using Mg2+ as the carrier ion because its properties can compete with or surpass monovalent ions. Here, we report that the maximum capacity, volume expansion ratio, and ion diffusivities of the alloying electrode materials can be understood using atomic-scale structural properties, such as the host-host and host-ion coordination numbers, as valuable indicators.

Bismuth-Nanoparticles-Embedded Porous Carbon Derived from Seed Husks as High-Performance for Anode Energy Electrode

In energy application technology, the anode part of the electrode is typically composed of carbon-coated materials that exhibit excellent electrochemical performance. The carbon-coated electrodes facilitate electrochemical reactions involving the fuel and the oxidant. Energy electrodes are used in stationary power plants to generate electricity for the grid. These large-scale installations are known as distributed generation systems and contribute to grid stability and reliability. Understanding the practical applications of energy materials remains a significant hurdle in the way of commercialization. An anode electrode has one key limitation, specifically with alloy-type candidates, as they tend to exhibit rapid capacity degradation during cycling due to volume expansion. Herein, biomass-derived carbon from sunflowers (seeds husks) via pyrolysis and then bismuth nanoparticles are treated with carbon via a simple wet-chemical method. The electrode Bi@C offers several structural advantages, such as high capacity, good cycling stability, and exceptional capability at the current rate of 500 mA g-1, delivering a capacity of 731.8 mAh g-1 for 200 cycles. The biomass-derived carbon coating protects the bismuth nanoparticles and contributes to enhanced electronic conductivity. Additionally, we anticipate the use of low-cost biomass with hybrid composition has the potential to foster environment-friendly practices in the development of next-generation advanced fuel cell technology.

Gradient Lithium Metal Infusion in Ag-Decorated Carbon Fibers for High-Capacity Lithium Metal Battery Anodes

Lithium (Li) metal is a promising anode material for high-energy-density Li batteries due to its high specific capacity. However, the uneven deposition of Li metal causes significant volume expansion and safety concerns. Here, we investigate the impact of a gradient-infused Li-metal anode using silver (Ag)-decorated carbonized cellulose fibers (Ag@CC) as a three-dimensional (3D) current collector. The loading level of the gradient-infused Li-metal anode is controlled by the thermal infusion time of molten Li. In particular, a 5 s infusion time in the Ag@CC current collector creates an appropriate space with a lithiophilic surface, resulting in improved cycling stability and a reduced volume expansion rate. Moreover, integrating a 5 s Ag@CC anode with a high-capacity cathode demonstrates superior electrochemical performance with minimal volume expansion. This suggests that a gradient-infused Li-metal anode using Ag@CC as a 3D current collector represents a novel design strategy for Li-metal-based high-capacity Li-ion batteries.

Mechano-Electrochemically Promoting Lithium Atom Diffusion and Relieving Accumulative Stress for Deep-Cycling Lithium Metal Anodes

Lithium metal batteries (LMBs) can double the energy density of lithium-ion batteries. However, the notorious lithium dendrite growth and large volume change are not well addressed, especially under deep cycling. Here, an in-situ mechanical-electrochemical coupling system is built, and it is found that tensile stress can induce smooth lithium deposition. Density functional theory (DFT) calculation and finite element method (FEM) simulation confirm that the lithium atom diffusion energy barrier can be reduced when the lithium foils are under tensile strain. Then tensile stress is incorporated into lithium metal anodes by designing an adhesive copolymer layer attached to lithium in which the copolymer thinning can yield tensile stress to the lithium foil. Elastic lithium metal anode (ELMA) is further prepared via introducing a 3D elastic conductive polyurethane (CPU) host for the copolymer-lithium bilayer to release accumulated internal stresses and resist volume variation. The ELMA can withstand hundreds of compression-release cycles under 10% strain. LMBs paired with ELMA and LiNi0.8 Co0.1 Mn0.1 O2 (NCM811) cathode can operate beyond 250 cycles with 80% capacity retention under practical condition of 4 mAh cm-2 cathode capacity, 2.86 g Ah-1 electrolyte-to-capacity ratio (E/C) and 1.8 negative-to-cathode capacity ratio (N/P), five times of the lifetime using lithium foils.

Validating the Mechanism Underlying the Slacking of the Gate-Opening Behavior in Flexible Metal-Organic Frameworks Arising from the Application of External Force

Flexible metal-organic frameworks (MOFs) are innovative adsorbents expected to revolutionize conventional separation systems as they exhibit stepwise adsorption arising from structural transitions, commonly known as "gate opening." However, because MOFs are typically obtained in powder form, they require shaping for industrial applications. In our previous study, we reported that the stepwise uptake observed in the CO₂ gate opening of ELM-11 ([Cu(BF₄)₂(4,4'-bipyridine)₂]) became less distinct when molded with polymer binders and found that this slacking phenomenon could be caused by the polymer binder inhibiting the structural change of the ELM-11 particles. In this study, we aimed to fully validate and generalize the mechanism behind the slacking of gate adsorption from both theoretical and experimental perspectives. First, we conducted grand canonical molecular dynamics simulations for a simplified MOF model to directly calculate free energy profiles of the particle to validate the slacking theory without any assumptions. The results confirmed the fundamental assumption made in our previous study that the deformation of the flexible motifs within the MOF particles occurs sequentially, which is a key factor contributing to the slacking phenomenon. The second part of the study focused on the relationship between the volume expansion ratio of MOFs and the degree of slacking. The relationship predicted by the theory was experimentally validated by comparing ELM-11, which exhibits 30% volume expansion, to another MOF with a mutually interpenetrating jungle-gym structure, which exhibits 10% volume expansion. These findings strengthened and generalized the understanding of the mechanism underlying the slacking of gate adsorption induced upon the application of external force, which could guide the fabrication of molded MOFs while maintaining a high adsorption efficiency for various industrial applications.

Nanosecond Laser "Pulling" Patterning of Micro-Nano Structures on Zr-Based Metallic Glass

Flexible and controllable fabrication of micro-nano structures on metallic glasses (MGs) endow them with more functional applications, but it is still challenging due to the unique mechanical, physical, and chemical properties of MGs. In this study, inspired by a new physical phenomenon observed in the nanosecond laser-MG interaction (i.e., the surface structure is transformed from the normally observed microgroove into the micro-nano bulge at a critical peak laser power intensity), a nanosecond laser "pulling" method is proposed to pattern the MG surface. The formation mechanism and evolution of the micro-nano bulge are investigated in detail, and accordingly, various micro-nano structures including the unidirectional stripe, pillar, cross-hatch patterns, "JLU", circle, triangle, and square, are derived and created on the MG surface, which affects the surface optical diffraction. Overall, this study provides a highly flexible and controllable method to fabricate micro-nano structures on MGs.

Understanding the Configurational Entropy Evolution in Metal-Phosphorus Solid Solution for Highly Reversible Li-Ion Batteries

The high-entropy materials (HEM) have attracted increasing attention in catalysis and energy storage due to their large configurational entropy and multiunique properties. However, it is failed in alloying-type anode due to their Li-inactive transition-metal compositions. Herein, inspired by high-entropy concept, the Li-active elements instead of transition-metal ones are introduced for metal-phosphorus synthesis. Interestingly, a new Zn_x Ge_y Cu_z Si_w P₂ solid solution is successfully synthesized as proof of concept, which is first verified to cubic system in F-43m. More specially, such Zn_x Ge_y Cu_z Si_w P₂ possesses wide-range tunable region from 9911 to 4466, in which the Zn_0.5 Ge_0.5 Cu_0.5 Si_0.5 P₂ accounts for the highest configurational entropy. When served as anode, Zn_x Ge_y Cu_z Si_w P₂ delivers large capacity (>1500 mAh g^-1 ) and suitable plateau (≈0.5 V) for energy storage, breaking the conventional view that HEM is helpless for alloying anode due to its transition-metal compositions. Among them, the Zn_0.5 Ge_0.5 Cu_0.5 Si_0.5 P₂ exhibits the highest initial coulombic efficiency (ICE) (93%), Li-diffusivity (1.11 × 10^-10 ), lowest volume-expansion (34.5%), and best rate performances (551 mAh g^-1 at 6400 mA g^-1 ) owing to its largest configurational entropy. Possible mechanism reveals the high entropy stabilization enables good accommodation of volume change and fast electronic transportation, thus supporting superior cyclability and rate performances. This large configurational entropy strategy in metal-phosphorus solid solution may open new avenues to develop other high-entropy materials for advanced energy storage.

Solid-State Surface Patterning on Polymer Using the Microcellular Foaming Process

This study proposes a novel process that integrates the molding and patterning of solid-state polymers with the force generated from the volume expansion of the microcellular-foaming process (MCP) and the softening of solid-state polymers due to gas adsorption. The batch-foaming process, which is one of the MCPs, is a useful process that can cause thermal, acoustic, and electrical characteristic changes in polymer materials. However, its development is limited due to low productivity. A pattern was imprinted on the surface using a polymer gas mixture with a 3D-printed polymer mold. The process was controlled with changing weight gain by controlling saturation time. A scanning electron microscope (SEM) and confocal laser scanning microscopy were used to obtain the results. The maximum depth could be formed in the same manner as the mold geometry (sample depth: 208.7 μm; mold depth: 200 μm). Furthermore, the same pattern could be imprinted as a layer thickness of 3D printing (sample pattern gap and mold layer gap: 0.4 mm), and surface roughness was increased according to increase in the foaming ratio. This process can be used as a novel method to expand the limited applications of the batch-foaming process considering that MCPs can impart various high-value-added characteristics to polymers.

Corrosion Behavior of Cobalt Oxide and Lithium Carbonate on Mullite-Cordierite Saggar Used for Lithium Battery Cathode Material Sintering

Mullite-cordierite ceramic saggar is a necessary consumable material used in the synthesis process of LiCoO₂ that is easily eroded during application. In our study, we systematically investigated the characteristics and surface corrosion behavior of waste saggar samples. We divided the cross sections of waste saggar into the attached layer, hardened layer, permeability layer, and matrix layer. Then, we examined the high-temperature solid-state reactions between saggar powder and lithium carbonate or cobalt oxide to identify erosion reactants correlating with an increase in the number of recycled saggars. The results of time-of-flight secondary ion mass spectrometric analysis (TOF-SIMS) prove that the maximum erosion penetration of lithium can reach 2 mm. However, our morphology and elemental distribution analysis results show that the erosion penetration of cobalt was only 200 μm. When enough lithium carbonate reacted, lithium aluminate and lithium silicate were the main phases. Our X-ray computed tomography (X-ray CT) analysis results show that the change in phase volume before and after the reaction, including the generation of oxygen and carbon dioxide gas, led to the internal crack expansion of the material-saggar interface. Our results can contribute to improving saggar and upgrading waste saggar utilization technology.

Effect of physicochemical properties on popping characteristics of selected pearl millet varieties

BACKGROUND

Pearl millet, commonly known as 'Bajra', is a nutrigrain, mostly used in pulverized form to make unleavened pancakes, dumplings, porridge, etc., in India. Popping, a traditional method of millet processing, is used in making ready-to-eat snacks. Pearl millet is underutilized in India. The present work aims to study the effect of the parameters of pearl millet such as variety, chemical composition, pericarp thickness, amylose content, and processing temperature on the volume expansion ratio and sensory properties of popped pearl millet.

METHODOLOGY

A conventional salt-popping technique was used at three different temperatures (220 °C, 240 °C, and 260 °C) for five pearl millet varieties (ABPC 4-3, AHB 1269, AHB 1666, AIMP 92901, and PPC-6). Parameters such as color, diameter, density, amylose content, pericarp thickness, and proximate composition were analyzed. Popping characteristics such as volume expansion ratio, popping yield, and sensory properties of popped grains were studied.

RESULTS

It was observed that pericarp thickness and amylose content were positively correlated with the popping qualities of grains. AIMP 92901 offered more desirable properties such as suitable moisture content (87.5 g kg^-1 ), lowest equivalent diameter (2.07 mm), highest bulk density (0.84 g cm^-3 ), true density (1.41 g cm^-3 ), pericarp thickness (30.82 μm), and amylose content (19.75 g kg^-1 ) than the other varieties that were studied. Hence, the highest popping yield (72.83%) and expansion ratio (6.15) was observed in the AIMP 92901 pearl millet variety at 260 °C.

CONCLUSION

Conventional salt popping at 260 °C yielded the best popping characteristics. Pearl millet variety AIMP-92 901 developed by VNMKV (Vasantrao Naik Marathwada Krishi Vidyapeeth, Parbhani), Parbhani was found to have more desirable popping characteristics (in terms of all the parameters explained in results). © 2022 Society of Chemical Industry.

Blood volume and chronic kidney disease in heart failure - Can volume expansion help balance the Cardio-Renal Axis for better clinical outcomes?

Intravascular volume is largely regulated by the kidneys but how differences in intravascular volume profiles interact with chronic kidney disease (CKD) to influence outcomes in chronic heart failure (HF) has not been explored. Our hypothesis was that a greater degree of volume expansion (VE) would moderate the impact of CKD on HF-related clinical outcomes. Quantitative blood volume (BV) data were available in 137 patients at the time of hospital discharge using a nuclear medicine radiolabeled albumin indicator-dilution technique. The study patients were stratified by the cohort median glomerular filtration rate (GFR, 44 ml/min/1.73 m² ). An a priori cut-point of ≥+25% above normal BV was then used to further stratify the two GFR subgroups and prospectively analyzed for 1-year HF-related mortality or 1st re-hospitalization. Persistent BV expansions ≥+25% were present in 51% of the cohort. In the subgroup with GFR above the median (N = 68) greater or lesser BV expansion from +25% did not differentiate outcomes. However, in the subgroup with GFR below the median (N = 69), BV expansion-stratified risk (log-rank p = 0.022) with <+25% VE associated with poorer outcomes, while VE ≥ + 25% was associated with lower risk and comparable to GFR above the median. In patients with chronic HF, significant intravascular VE and CKD are common co-existing conditions. The presence of larger VE, however, appears to be a factor mitigating the impact of declining renal function on clinical outcomes, and as an element of volume pathophysiology warrants further study.

Evaluating Cement Treated Aggregate Base Containing Steel Slag: Mechanical Properties, Volume Stability and Environmental Impacts

Steel slag has been commonly used in road engineering as cementitious material; however, its application in base course is not widely reported. Four contents of steel slag (0%, 30%, 50%, 75% by volume) were blended into different cement (3%, 4%, 5%, 6% by weight)-treated aggregates. Mechanical properties, volume stability, economic benefits and environmental influences of steel slag mixtures were investigated for the feasibility of applying steel slag in semi-rigid base course. Abrasion, crushing and elongated particle content were compared against limestone aggregate, showing that steel slag has the potential of replacing natural aggregate in concrete. Steel slag is beneficial for reinforcement of the strength and stiffness. The mixture has the highest strength and stiffness when bended with 50% steel slag at 4% cement content. By treating steel slag with CH3COOH or adding silica fume, volume expansion of steel slag can effectively be controlled. Larger size steel slag (>4.75 mm) and higher cement content are recommended due to heavy metal leaching risk, especially in salty humid areas. Steel slag has sound economic benefits due to the relatively low price. Environmental benefits can also be achieved given that the transport CO2eq emission of steel slag is accounted for. With proper control in production process, steel slag is a very promising alternative material to be utilized in cement-stabilized base course in road engineering.

Key Factor Determining the Cyclic Stability of the Graphite Anode in Potassium-Ion Batteries

Graphite is the most commonly used anode material for not only commercialized lithium-ion batteries (LIBs) but also the emerging potassium-ion batteries (PIBs). However, the graphite anode in PIBs using traditional dilute ester-based electrolyte systems shows obvious capacity fading, which is in contrast with the extraordinary cyclic stability in LIBs. More interestingly, the graphite in concentrated electrolytes for PIBs exhibits outstanding cyclic stability. Unfortunately, this significant difference in cycling performance has not raised concern up to now. In this work, by comparing the cyclic stability and graphitization degree of the graphite anode upon cycling, we reveal that the underlying mechanism of the capacity fading of the graphite anode in PIBs is not the larger volume expansion of graphite caused by the intercalation of potassium ions but the continual accumulation of the solid electrolyte interphase (SEI) on the surface of graphite. By X-ray photoelectron and nuclear magnetic resonance spectroscopies combined with chemical synthesis, it is concluded that the accumulation of the SEI may mainly come from the continual deposition of a kind of oligomer component, which blocks intercalation and deintercalation of potassium ions in graphite anodes. The designed SEI-cleaning experiment further verifies the above conclusion. This finding clarifies the crucial factor determining the cyclic stability of graphite and provides scientific guidance for application of the graphite anode for PIBs.

Strategies for Controlling or Releasing the Influence Due to the Volume Expansion of Silicon inside Si-C Composite Anode for High-Performance Lithium-Ion Batteries

Currently, silicon is considered among the foremost promising anode materials, due to its high capacity, abundant reserves, environmental friendliness, and low working potential. However, the huge volume changes in silicon anode materials can pulverize the material particles and result in the shedding of active materials and the continual rupturing of the solid electrolyte interface film, leading to a short cycle life and rapid capacity decay. Therefore, the practical application of silicon anode materials is hindered. However, carbon recombination may remedy this defect. In silicon/carbon composite anode materials, silicon provides ultra-high capacity, and carbon is used as a buffer, to relieve the volume expansion of silicon; thus, increasing the use of silicon-based anode materials. To ensure the future utilization of silicon as an anode material in lithium-ion batteries, this review considers the dampening effect on the volume expansion of silicon particles by the formation of carbon layers, cavities, and chemical bonds. Silicon-carbon composites are classified herein as coated core-shell structure, hollow core-shell structure, porous structure, and embedded structure. The above structures can adequately accommodate the Si volume expansion, buffer the mechanical stress, and ameliorate the interface/surface stability, with the potential for performance enhancement. Finally, a perspective on future studies on Si-C anodes is suggested. In the future, the rational design of high-capacity Si-C anodes for better lithium-ion batteries will narrow the gap between theoretical research and practical applications.

Carbon Nanoarchitectonics with Bi Nanoparticle Encapsulation for Improved Electrochemical Deionization Performance

Electrochemical deionization (EDI) is hopefully the next generation of water treatment technology. Bismuth (Bi) is a promising anode material for EDI, due to its high capacity and selectivity toward Cl^-, but the large volume expansion and severe pulverization aggressively attenuated the EDI cycling performance of Bi electrodes. Herein, carbon-layer-encapsulated nano-Bi composites (Bi@C) were prepared by a simple pyrolysis method using a Bi-based metal-organic framework as a precursor. Bi nanoparticles are uniformly coated within the carbon layer, in which the Bi-O-C bond enhances the interaction between Bi and C. Such a structure effectively relieves the stress caused by volume expansion by the encapsulation effect of the carbon layer. Moreover, the introduction of a carbon skeleton provides a conductive network. As a consequence, the Bi@C composite delivered excellent electrochemical performance with a capacity of 537.6 F g^-1 at 1 mV s^-1. The Cl^- removal capacity was up to 133.5 mg g^-1 at 20 mA g^-1 in 500 mg L^-1 NaCl solution. After 100 cycles, the Bi@C electrode still maintains 71.8% of its initial capacity, which is much higher than the 26.3% of the pure Bi electrode. This study provides a promising strategy for improving EDI electrode materials.

Encapsulating a Responsive Hydrogel Core for Void Space Modulation in High-Stability Graphene-Wrapped Silicon Anodes

Due to its formidably high theoretical capacity (3590 mAh/g at room temperature), silicon (Si) is expected to replace graphite as the dominant anode for higher energy density lithium (Li)-ion batteries. However, stability issues stemming from silicon's significant volume expansion (∼300%) upon lithiation have slowed down commercialization. Herein, we report the design of a scalable process to engineer core-shell structures capable of buffering this volume expansion, which utilize a core made up of a poly(ethylene oxide)-carboxymethyl cellulose hydrogel and silicon protected by a crumpled graphene shell. The volume expansion of the hydrogel upon exposure to water creates a void space between the Si-Si and Si-rGO interfaces within the core when the gel dries. Unlike sacrificial spacers, the dehydrated hydrogel remains in the core and acts as an elastic Li-ion conductor, which improves the stability and high rate performance. The optimized composite electrodes retain ∼81.7% of their initial capacity (1055 mAh/(g_rGO+gel+Si)) after 320 cycles when an active material loading of 1 mg/cm² is used. At more practical mass loadings (2.5 mg/cm²), the electrodes achieve 2.04 mAh/cm² and retain 79% of this capacity after 200 cycles against a lithium half-cell. Full cells assembled using a lithium ion phosphate cathode lose only 6.7% of their initial capacity over 100 cycles, demonstrating the potential of this nanocomposite anode for use in next-generation Li-ion batteries.

Acute Intravenous NaCl and Volume Expansion Reduces Sodium-Chloride Cotransporter Abundance and Phosphorylation in Urinary Extracellular Vesicles

Background

Sodium chloride (NaCl) loading and volume expansion suppress the renin-angiotensin-aldosterone system to reduce renal tubular reabsorption of NaCl and water, but effects on the sodium-chloride cotransporter (NCC) and relevant renal transmembrane proteins that are responsible for this modulation in humans are less well investigated.

Methods

We used urinary extracellular vesicles (uEVs) as an indirect readout to assess renal transmembrane proteins involved in NaCl and water homeostasis in 44 patients with hypertension who had repeatedly raised aldosterone/renin ratios undergoing infusion of 2 L of 0.9% saline over 4 hours.

Results

When measured by mass spectrometry in 13 patients, significant decreases were observed in NCC (median fold change [FC]=0.70); pendrin (FC=0.84); AQP2 (FC=0.62); and uEV markers, including ALIX (FC=0.65) and TSG101 (FC=0.66). Immunoblotting reproduced the reduction in NCC (FC=0.54), AQP2 (FC=0.42), ALIX (FC=0.52), and TSG101 (FC=0.55) in the remaining 31 patients, and demonstrated a significant decrease in phosphorylated NCC (pNCC; FC=0.49). However, after correction for ALIX, the reductions in NCC (FC=0.90) and pNCC (FC=1.00) were no longer apparent, whereas the significant decrease in AQP2 persisted (FC=0.62).

Conclusion

We conclude that (1) decreases in NCC and pNCC, induced by acute NaCl loading and volume expansion, may be due to diluted post-test urines; (2) the lack of change of NCC and pNCC when corrected for ALIX, despite a fall in plasma aldosterone, may be due to the lack of change in plasma K⁺; and (3) the decrease in AQP2 may be due to a decrease in vasopressin in response to volume expansion.

Molecular Design of Isocyanurate Core-Based Acrylates Undergoing Volume Expansion on Radical Photo-Polymerization

We report the synthesis of acrylates with an isocyanurate substituent that show significant volume expansion on radical photo-polymerization. The acrylate consisting of benzyl bisurethane moieties exhibits the largest volume expansion among them and contributes to restrict volume change upon its radical photo-copolymerization with a diacrylate exhibiting volume shrinkage. Furthermore, it is revealed that the correlation between the volume change behavior and the polymer structure through the radical photo-polymerization of the isocyanurate core-based diacrylate with benzyl bisurethane moieties under various concentration conditions. This article is protected by copyright. All rights reserved.

Development and Evaluation of Sn Foil Anode for Sodium-Ion Batteries

Metal foil electrodes are simple to prepare and have a high active material loading, making them well suited for the fabrication of inexpensive high-energy-density batteries. Herein, Sn metal foil is used as a binder- and conductive additive-free anode for sodium-ion batteries, achieving a high reversible specific capacity of 692 mAh g^-1 and coulombic efficiency of 99% after 100 cycles at a rate of 0.1 C. During the first discharge process, the anode undergoes area expansion. It then splits into multiple parts during the first-charge process. Upon cycling, the separated parts reconnect and form a single piece with a porous and robust coral structure owing to the self-healing nature of the anode. A full cell with a Sn foil anode and Na₃ V₂ (PO₄ )₃ cathode shows a stable cycle life of 100 mAh g^-1 for 300 cycles. Thus, the cracking or pulverization of the Sn anode is not the principal origin of poor cycling properties. The adopted strategy will promote the development and commercialization of high-capacity metal foil anodes that undergo volume changes during charge/discharge cycling.

Cage-Confinement Pyrolysis Strategy to Synthesize Hollow Carbon Nanocage-Coated Copper Phosphide for Stable and High-Capacity Potassium-Ion Storage

Metal phosphides with a high theoretical capacity and low redox potential have been proposed as promising anodes for potassium-ion batteries (PIBs). A reasonable configuration design and introduction of a hollow structure with adequate internal void spaces are effective strategies to overcome the volume expansion of metal phosphides in potassium-ion batteries. Herein, we report a cage-confinement pyrolysis strategy to obtain hollow nanocage-structured nitrogen/phosphorus dual-doped carbon-coated copper phosphide (Cu3P/CuP2@NPC), which exhibits a high initial charge capacity (409 mA h g-1 at 100 mA g-1) and an outstanding cycle performance (100 mA h g-1 after 5000 cycles at 1000 mA g-1) as an anode material for PIBs. The novel hollow nanocage structure could prevent volume expansion during cycling and reduce the electron/ion diffusion distance. Besides, the nitrogen/phosphorus dual-doped carbon-coated layer could promote electronic conductivity. In situ X-ray diffraction (XRD) measurements are conducted to study the potassiation/depotassiation mechanism of Cu3P/CuP2@NPC and reveal the structure stability during the cycle process, which further proves that the design ideas of the conductive carbon layer and the hollow structure with adequate internal void spaces are successful.

Growth Mechanism of Micro/Nano Metal Dendrites and Cumulative Strategies for Countering Its Impacts in Metal Ion Batteries: A Review

Metal-ion batteries are capable of delivering high energy density with a longer lifespan. However, they are subject to several issues limiting their utilization. One critical impediment is the budding and extension of solid protuberances on the anodic surface, which hinders the cell functionalities. These protuberances expand continuously during the cyclic processes, extending through the separator sheath and leading to electrical shorting. The progression of a protrusion relies on a number of in situ and ex situ factors that can be evaluated theoretically through modeling or via laboratory experimentation. However, it is essential to identify the dynamics and mechanism of protrusion outgrowth. This review article explores recent advances in alleviating metal dendrites in battery systems, specifically alkali metals. In detail, we address the challenges associated with battery breakdown, including the underlying mechanism of dendrite generation and swelling. We discuss the feasible solutions to mitigate the dendrites, as well as their pros and cons, highlighting future research directions. It is of great importance to analyze dendrite suppression within a pragmatic framework with synergy in order to discover a unique solution to ensure the viability of present (Li) and future-generation batteries (Na and K) for commercial use.

Plasma Leak From the Circulation Contributes to Poor Outcomes for Preterm Infants: A Working Hypothesis

Preterm infants are at high risk of death and disability resulting from brain injury. Impaired cardiovascular function leading to poor cerebral oxygenation is a significant contributor to these adverse outcomes, but current therapeutic approaches have failed to improve outcome. We have re-examined existing evidence regarding hypovolemia and have concluded that in the preterm infant loss of plasma from the circulation results in hypovolemia; and that this is a significant driver of cardiovascular instability and thus poor cerebral oxygenation. High capillary permeability, altered hydrostatic and oncotic pressure gradients, and reduced lymphatic return all combine to increase net loss of plasma from the circulation at the capillary. Evidence is presented that early hypovolemia occurs in preterm infants, and that capillary permeability and pressure gradients all change in a way that promotes rapid plasma loss at the capillary. Impaired lymph flow, inflammation and some current treatment strategies may further exacerbate this plasma loss. A framework for testing this hypothesis is presented. Understanding these mechanisms opens the way to novel treatment strategies to support cardiovascular function and cerebral oxygenation, to replace current therapies, which have been shown not to change outcomes.

High Energy Density Single-Crystal NMC/Li6PS5Cl Cathodes for All-Solid-State Lithium-Metal Batteries

To match the high capacity of metallic anodes, all-solid-state batteries require high energy density, long-lasting composite cathodes such as Ni-Mn-Co (NMC)-based lithium oxides mixed with a solid-state electrolyte (SSE). However in practice, cathode capacity typically fades due to NMC cracking and increasing NMC/SSE interface debonding because of NMC pulverization, which is only partially mitigated by the application of a high cell pressure during cycling. Using smart processing protocols, we report a single-crystal particulate LiNi_0.83Mn_0.06Co_0.11O₂ and Li₆PS₅Cl SSE composite cathode with outstanding discharge capacity of 210 mA h g^-1 at 30 °C. A first cycle coulombic efficiency of >85, and >99% thereafter, was achieved despite a 5.5% volume change during cycling. A near-practical discharge capacity at a high areal capacity of 8.7 mA h cm^-2 was obtained using an asymmetric anode/cathode cycling pressure of only 2.5 MPa/0.2 MPa.

Hollow Graphene as an Expansion-Inhibiting Electrical Interconnector for Silicon Electrodes in Lithium-Ion Batteries

Huge volume changes of silicon particles upon alloying and dealloying reactions with lithium are a major reason for the poor cycle performance of silicon-based anodes for lithium-ion batteries. To suppress dimensional changes of silicon is a key strategy in attempts to improve the electrochemical performance of silicon-based anodes. Here, we demonstrate that a conductive agent can be exploited to offset the mechanical strain imposed on silicon electrodes caused by volume expansion of silicon associated with lithiation. Hollow graphene particles as a conductive agent inhibit volume expansion by absorbing the swelling of silicon upon lithiation through flattening the free voids surrounded by the graphene shell. As a result, silicon electrodes with hollow graphene showed a height expansion of 20.4% after full lithiation with a capacity retention of 69% after 200 cycles, while the silicon electrode with conventional carbon black showed an expansion of 76.8% under the same conditions with a capacity retention of 38%. Some of the deflated hollow graphene returns to its initial shape on delithiation due to the mechanical flexibility of the graphene shell layer. Such a robust microstructure of a silicon electrode incorporating hollow graphene that serves as both an expansion inhibitor and a conductive agent greatly improves capacity retention compared with silicon electrodes with the conventionally used carbon black.

Influence of temperature on volume, weight and density changes of i-gel masks

BACKGROUND

The i-gel mask is a second-generation, single-use supraglottic airway device which does not have an inflatable cuff. The cuff consists of a thermoplastic elastomer and its mechanism of sealing still remains unclear. Various theories such as temperature-dependent changes in hardness and volume expansion as well as fluid absorption have been discussed. The aim of the present study is to investigate changes in volume, weight and density caused by temperature changes.

MATERIAL AND METHODS

Three i-gel masks (sizes 3, 4 and 5) were heated in a water bath from 10°C to 50°C in 5°C steps. The changes in weight, volume, and density were measured at each temperature step. In a second study, the identical parameters of masks (n = 5 of sizes 3, 4 and 5) used in patients were investigated. Results of volume and density between benchtop and patient measurements were examined for correlation.

RESULTS

All masks investigated, regardless of the size, showed a significant linear temperature-dependent volume expansion (sizes 3, 4 and 5: P < 0.001), a weight increase (sizes 3: P = 0.018; 4: P = 0.027; and 5: P = 0.006) and a linear decrease in density (sizes 3, 4 and 5: P < 0.001). There was a very strong correlation between the results of benchtop and patient measurements (volume: P < 0.001; density: P < 0.001).

CONCLUSIONS

We observed significant changes in all three properties investigated. Thus, a temperature-dependent volume expansion and weight increasement was observed, which can be considered as a further explanation for improved sealing after insertion.

Functional echocardiographic preload markers in neonatal septic shock

BACKGROUND

There are no established clinical or laboratory markers of preload adequacy and fluid responsiveness in management of neonatal shock. Functional echocardiographic preload markers are evaluated in children and adults, but there is no data in neonatal septic shock. We evaluated five functional echocardiographic preload markers during intravenous volume resuscitation in neonatal septic shock.

OBJECTIVE

(1) To compare baseline functional echocardiographic preload markers between neonates with septic shock and their "matched" healthy controls. (2) To compare echocardiographic preload markers before and after intravenous volume resuscitation.

METHODS

In this cohort study, we enrolled neonates with septic shock (cases) and recorded five preload markers - inferior vena cava collapsibility index (IVC-CI), left ventricular end-diastolic (LVEDV) & end-systolic volume (LVESV) and their indices (LVEDVI, LVESVI) - before initiation of intravenous fluid resuscitation (baseline evaluation). An equal number of "matched hemodynamically stable" controls were recruited, who underwent functional echocardiographic assessment once. In neonates with shock, we recorded these markers again after volume resuscitation.

RESULTS

We analyzed 46 neonates (23 cases and 23 controls). Neonates with shock had significantly elevated baseline IVC-CI as compared to controls [53% (21, 100) vs. 20% (15, 24) respectively, p-value = .01). Rest 4 echocardiographic markers (LVEDV, LVESV, LVEDVI, and LVESVI) were comparable between cases and controls. Sixteen neonates (70% of 23) received intravenous fluid resuscitation and rest 7 (30%) were started directly on vasoactive drugs. None of the preload markers changed significantly after volume resuscitation as compared to the baseline values including IVC-CI, which was almost significant [74% (33, 100) at baseline to 48% (13, 93) after 10 mL/kg and 50% (40, 69) after 20 mL/kg, (p = .05). All preload markers were comparable between survivors and non-survivors.

CONCLUSION

Neonates with septic shock had significantly elevated IVC-CI at baseline as compared to hemodynamically stable neonates. None of the preload markers changed significantly after volume resuscitation as compared to the baseline values including IVC-CI, which was almost significant.

Comparison between pulse pressure variation and systolic pressure variation measured from a peripheral artery for accurately predicting fluid responsiveness in mechanically ventilated dogs

OBJECTIVE

To compare pulse pressure variation (PPV) and systolic pressure variation (SPV) measured from a peripheral artery to predict fluid responsiveness in anesthetized healthy dogs.

STUDY DESIGN

Prospective study.

ANIMALS

A total of 39 dogs (13.8-26.8 kg) anesthetized with isoflurane for elective ovariohysterectomy.

METHODS

Ventilation was controlled (tidal volume 12 mL kg^-1; 40% inspiratory pause). PPV and SPV were recorded from a dorsal pedal artery catheter using an automated algorithm. A fluid challenge (FC) with lactated Ringer's solution (20 mL kg^-1 over 15 minutes) was administered once (21 animals) or twice (18 animals) before surgery. Increases in transpulmonary thermodilution stroke volume index > 15% from values recorded before each FC defined responders to volume expansion. Final fluid responsiveness status was based on the response to single FC or second FC. Predictive ability of PPV and SPV was compared by receiver operating characteristic (ROC) curve analysis and by the range of cut-off values associated with uncertain results (gray zone).

RESULTS

All animals after the single FC were responders; all animals administered two FCs were nonresponders after the second FC. The area under the ROC curve (AUROC) of PPV (0.968) did not differ from that of SPV (0.937) (p = 0.45). Best cut-off thresholds to discriminate responders from nonresponders were >11.7% (PPV) and >7.4 mmHg (SPV). The gray zone of PPV and SPV was 8.2-14.6% and 7.0-7.4 mmHg, respectively. The percentage of animals with PPV and SPV values within the gray zone was less for SPV (10.2%) than for PPV (30.8%).

CONCLUSIONS AND CLINICAL RELEVANCE

PPV and SPV obtained from the dorsal pedal artery are useful predictors of fluid responsiveness in dogs. Using an automated algorithm, SPV may more accurately predict fluid responsiveness than PPV, with responders identifiable by PPV > 14.6% and SPV > 7.4 mmHg.

Surface Oxidation Layer-Mediated Conformal Carbon Coating on Si Nanoparticles for Enhanced Lithium Storage

Si is a well-known high-capacity lithium-ion battery anode material; however, it suffers from conductivity and volume expansion issues. Herein, we develop a "surface oxidation" strategy to introduce a SiO_x layer on Si nanoparticles for subsequent carbon coating. It is found that the surface SiO_x layer could facilitate the conformal resin coating process through strong interactions with phenolic resin, and well-defined core@double-shell-structured Si@SiO_x@C can be obtained after further carbonization. Without the surface SiO_x layer, only a negligible fraction of Si nanoparticles can be encapsulated into the carbon matrix. With enhanced conductivity and confined volume change, Si@SiO_x@C demonstrates high reversible capacity as well as long-term durability.

High-phosphorus diet controlled for sodium elevates blood pressure in healthy adults via volume expansion

Whether increasing exposure to dietary phosphorus can lead to adverse clinical outcomes in healthy people is not clear. In this open‐label prospective cross‐over study, we are to explore the impact of various dietary phosphorus intake on mineral, sodium metabolisms and blood pressure in young healthy adults. There were 3 separate study periods of 5 days, each with a 5 days washout period between different diets interventions. Six young healthy male volunteers with normal nutrition status were recruited in Phase I Clinical Research Center and sequentially exposed to the following diets: (a) normal‐phosphorus diet (NPD): 1500 mg/d, (b) low‐phosphorus diet (LPD): 500 mg/d, (c) high‐phosphorus diet (HPD): 2300 mg/d. HPD induced a significant rise in daily average serum phosphate (1.47 ± 0.02 mmol/L [4.56 ± 0.06 mg/dl]) compared to NPD (1.34 ± 0.02 mmol/L [4.15 ± 0.06 mg/dL]) and LPD (1.17 ± 0.02 mmol/L [3.63 ± 0.06 mg/dL]) (p < .05). Daily average levels of serum parathyroid hormone and fibroblast growth factor 23 in HPD were significantly higher, and serum 1,25(OH)₂D₃ was remarkably lower than those in LPD. HPD induced a significant decrease in daily average serum aldosterone and an increase in daily average atrial natriuretic peptide level compared to LPD. The 24‐hour urine volume in HPD subjects was less than that in LPD subjects. HPD significantly increased daily average systolic blood pressure by 6.02 ± 1.24 mm Hg compared to NPD and by 8.58 ± 1.24mm Hg compared to LPD (p < .05). Our study provides the first evidence that 5‐day high‐phosphorus diet can induce elevation in SBP in young healthy adults, which may due to volume expansion.

Chronic intermittent hypoxia impairs diuretic and natriuretic responses to volume expansion in rats with preserved low-pressure baroreflex control of the kidney

We examined the effects of exposure to chronic intermittent hypoxia (CIH) on baroreflex control of renal sympathetic nerve activity (RSNA) and renal excretory responses to volume expansion (VE) before and after intrarenal transient receptor potential vanilloid 1 (TRPV1) blockade by capsaizepine (CPZ). Male Wistar rats were exposed to 96 cycles of hypoxia per day for 14 days (CIH) or normoxia. Urine flow and absolute Na+ excretion during VE were less in CIH-exposed rats, but the progressive decrease in RSNA during VE was preserved. Assessment of the high-pressure baroreflex revealed an increase in the operating and response range of RSNA and decreased slope in CIH-exposed rats with substantial hypertension [+19 mmHg basal mean arterial pressure (MAP)] but not in a second cohort with modest hypertension (+12 mmHg). Intrarenal CPZ caused diuresis, natriuresis, and a reduction in MAP in sham-exposed (sham) and CIH-exposed rats. After intrarenal CPZ, diuretic and natriuretic responses to VE in CIH-exposed rats were equivalent to those of sham rats. TRPV1 expression in the renal pelvic wall was similar in both experimental groups. Exposure to CIH did not elicit glomerular hypertrophy, renal inflammation, or oxidative stress. We conclude that exposure to CIH 1) does not impair the low-pressure baroreflex control of RSNA; 2) has modest effects on the high-pressure baroreflex control of RSNA, most likely indirectly due to hypertension; 3) can elicit hypertension in the absence of kidney injury; and 4) impairs diuretic and natriuretic responses to fluid overload. Our results suggest that exposure to CIH causes renal dysfunction, which may be relevant to obstructive sleep apnea.

The influence of increased venous return on right ventricular dyssynchrony during acute and sustained hypoxaemia

NEW FINDINGS

What is the central question of this study? Right ventricular dyssynchrony is a marker of function that is elevated in healthy individuals exposed to acute hypoxia, but does it remain elevated during sustained exposure to high altitude hypoxia, and can it be normalised by augmenting venous return? What is the main finding and its importance? For the first time it is demonstrated that (i) increasing venous return in acute hypoxia restores the synchrony of right ventricular contraction and (ii) dyssynchrony is evident after acclimatisation to high altitude, and remains sensitive to changes in venous return. Therefore, the interpretation of right ventricular dyssynchrony requires consideration the prevailing haemodynamic state.

ABSTRACT

Regional heterogeneity in timing of right ventricular (RV) contraction (RV dyssynchrony; RVD) occurs when pulmonary artery systolic pressure (PASP) is increased during acute hypoxia. Interestingly, RVD is not observed during exercise, a stimulus that increases both PASP and venous return. Therefore, we hypothesised that RVD in healthy humans is sensitive to changes in venous return, and examined whether (i) increasing venous return in acute hypoxia lowers RVD and (ii) if RVD is further exaggerated in sustained hypoxia, given increased PASP is accompanied by decreased ventricular filling at high altitude. RVD, PASP and right ventricular end-diastolic area (RVEDA) were assessed using transthoracic two-dimensional and speckle-tracking echocardiography during acute normobaric hypoxia ( F i O 2  = 0.12) and sustained exposure (5-10 days) to hypobaric hypoxia (3800 m). Venous return was augmented with lower body positive pressure at sea level (LBPP; +10 mmHg) and saline infusion at high altitude. PASP was increased in acute hypoxia (20 ± 6 vs. 28 ± 7, P < 0.001) concomitant to an increase in RVD (18 ± 7 vs. 38 ± 10, P < 0.001); however, the addition of LBPP during hypoxia decreased RVD (38 ± 0 vs. 26 ± 10, P < 0.001). Sustained hypoxia increased PASP (20 ± 4 vs. 26 ± 5, P = 0.008) and decreased RVEDA (24 ± 4 vs. 21 ± 2, P = 0.042), with RVD augmented (14 ± 5 vs. 31 ± 12, P = 0.001). Saline infusion increased RVEDA (21 ± 2 vs. 23 ± 3, P = 0.008) and reduced RVD (31 ± 12 vs. 20 ± 9, P = 0.001). In summary, an increase in PASP secondary to acute and sustained exposure to hypoxia augments RVD, which can be at least partly reduced via increased venous return.

Effects of intracerebroventricular leptin and orexin-A on the baroreflex control of renal sympathetic nerve activity in conscious rats fed a normal or high-fat diet

This study examined the effect of leptin and orexin-A on autonomic baroreflex control in conscious Wistar rats exposed to high-fat (45% fat) or normal (3.4%) diet for 4 weeks. Renal sympathetic nerve activity (RSNA), mean arterial pressure (MAP) and heart rate (HR) were monitored during the generation of baroreflex gain curves and acute volume expansion (VEP). Intracerebroventricular (ICV) leptin (1 μg/min) increased RSNA in the normal diet group (0.31 ± 0.04 vs 0.23 ± 0.03 mV/s) and MAP in the high-fat diet group (115 ± 5 vs 105 ± 5 mm Hg, P < .05). Orexin-A (50 ng/min) increased RSNA, HR and MAP in the high-fat diet group (0.26 ± 0.03 vs 0.22 ± 0.02 mV/s, 454 ± 8 vs 417 ± 12 beats/min, 117 ± 1 vs 108 ± 1 mm Hg) and the normal diet group (0.18 ± 0.05 vs 0.17 ± 0.05 mV/s, 465 ± 10 vs 426 ± 6 beats/min, 116 ± 2 vs 104 ± 3 mm Hg). Baroreflex sensitivity for RSNA was increased during ICV leptin by 50% in the normal diet group, compared to 14% in the high-fat diet group (P < .05). Similarly, orexin-A increased baroreflex sensitivity by 56% and 50% in the high-fat and normal diet groups, respectively (all P < .05). During ICV saline, VEP decreased RSNA by 31 ± 5% (P < .05) after 10 minutes and the magnitude of this response was blunted during ICV infusion of leptin (17 ± 2%, P < .05) but not orexin-A in the normal diet group. RSNA response to VEP was not changed during ICV leptin or orexin-A in the high-fat diet group. These findings indicate possible central roles for leptin and orexin-A in modulating the baroreflexes under normal or increased fat intake in conscious rats and potential therapeutic approaches for obesity associated hypertension.

The Effects of Acute and Chronic Inflammation on the Dynamics of Fluid Shift of Ringer's Solution and Hemodynamics during Surgery

The aim of this study was to investigate the influences of acute and chronic inflammation on the dynamics of fluid shift of Ringer's solution and hemodynamics in patients during surgery. Thirty-seven patients with the American Society of Anesthesiologists (ASA) grades I-II were enrolled and allocated to two study groups according to the type of disease and operation and inflammation, including patients undergoing emergency appendectomy (Acute group, n = 19) and patients undergoing elective cholecystectomy (Chronic group, n = 18). All of the patients were administered 15 mL/kg of Ringer's lactated (LR) solution at a constant rate over 35 min before the induction of anesthesia. Plasma dilution (PD), volume expansion (VE), volume expansion efficiency (VEE), and extravascular volume (EVV) were calculated based on the concentration of hemoglobin within 2 h post-infusion. Heart rate (HR), arterial blood pressure and urine output were also recorded. PD and VE peaked at the end of infusion, while VEE peaked at the beginning of infusion in all of the patients. After infusion, PD, VE and VEE in the Acute group were all higher than those in the Chronic group (p < 0.05). PD and VE were higher during anesthesia or surgery than during awake or non-surgery (p < 0.001). The mean arterial pressure (MAP) and diastolic pressure (DBP) in the Acute group were significantly lower (p < 0.001) and HR was significantly higher (p < 0.001) than in the Chronic group during the study periods. It was suggested that patients with acute inflammation be treated with individualized fluid therapy during surgery.

A Scalable Silicon Nanowires-Grown-On-Graphite Composite for High-Energy Lithium Batteries

Silicon (Si) is the most promising anode candidate for the next generation of lithium-ion batteries but difficult to cycle due to its poor electronic conductivity and large volume change during cycling. Nanostructured Si-based materials allow high loading and cycling stability but remain a challenge for process and engineering. We prepare a Si nanowires-grown-on-graphite one-pot composite (Gt-SiNW) via a simple and scalable route. The uniform distribution of SiNW and the graphite flakes alignment prevent electrode pulverization and accommodate volume expansion during cycling, resulting in very low electrode swelling. Our designed nanoarchitecture delivers outstanding electrochemical performance with a capacity retention of 87% after 250 cycles at 2C rate with an industrial electrode density of 1.6 g cm^-3. Full cells with NMC-622 cathode display a capacity retention of 70% over 300 cycles. This work provides insights into the fruitful engineering of active composites at the nano- and microscales to design efficient Si-rich anodes.

Determining the Volume Expansion at Grain Boundaries Using Extended Energy-Loss Fine Structure Analysis

Grain boundaries (GBs) play an important role in material behavior, so considerable effort has gone into determining their structure and properties. Studies of GBs have revealed a correlation between the GB energy and expansion of the planes normal to the GB, or the so-called normal volume expansion. In this investigation, the volume expansion at several GBs was experimentally determined using extended energy-loss fine structure (EXELFS) analysis in a scanning/transmission electron microscope, allowing changes in the nearest-neighbor (n.n.) distances to be determined with nanometer spatial resolution. EXELFS performed on three-model GBs showed that the average n.n. distances at the GBs increased with increasing GB energy. Additionally, the total volume expansion at the GBs, calculated using complementary plasmon energy profiles, showed excellent agreement with volume expansions measured using other experimental techniques. Hence, this study demonstrates that EXELFS is a useful technique to measure the normal volume expansion at GBs. When combined with the results from complementary studies on the same GBs using valence electron energy-loss spectroscopy, this work further shows that the GB energy increases in relation to both the decrease in electron density at the GB and an accompanying increase in specific volume expansion at the GB.

Key Aspects of Lithium Metal Anodes for Lithium Metal Batteries

Rechargeable batteries are considered promising replacements for environmentally hazardous fossil fuel-based energy technologies. High-energy lithium-metal batteries have received tremendous attention for use in portable electronic devices and electric vehicles. However, the low Coulombic efficiency, short life cycle, huge volume expansion, uncontrolled dendrite growth, and endless interfacial reactions of the metallic lithium anode are major obstacles in their commercialization. Extensive research efforts have been devoted to address these issues and significant progress has been made by tuning electrolyte chemistry, designing electrode frameworks, discovering nanotechnology-based solutions, etc. This Review aims to provide a conceptual understanding of the current issues involved in using a lithium metal anode and to unveil its electrochemistry. The most recent advancements in lithium metal battery technology are outlined and suggestions for future research to develop a safe and stable lithium anode are presented.

The exaggerated natriuresis of essential hypertension occurs independently of changes in renal medullary blood flow

AIMS

In patients with essential hypertension, abnormal renal sodium handling includes exaggerated natriuresis in response to extracellular volume expansion. We tested the hypothesis that exaggerated natriuresis is associated with increases in medullary and/or cortical renal blood flow.

METHODS

Patients with mild essential hypertension, but no signs of end organ damage, and control subjects were studied after 4 days of dietary standardization (<60 mmol Na⁺  day^-1 ) preceded in patients by a 14-day drug washout period. On the study day, subjects received a 4-hour intravenous volume expansion with saline (2.1% of body mass). Renal medullary and cortical blood flows were measured by PET scanning using H₂ ¹⁵ O as tracer; anatomical regions of interest were defined by contrast-enhanced CT scanning.

RESULTS

In patients, arterial blood pressure increased during volume expansion (107 ± 2-114 ± 3 mm Hg, P < 0.05) in contrast to the control group (92 ± 2-92 ± 2 mm Hg). Renal sodium excretion increased more in patients than in controls (+133 ± 31 µmol min^-1 vs +61 ± 14 µmol min^-1 , respectively, P < 0.05) confirming exaggerated natriuresis. During volume expansion, renal medullary blood flow did not change significantly in patients (2.8 ± 0.4-2.5 ± 0.5 mL (g tissue)^-1  min^-1 ) or in controls (3.2 ± 0.3-3.1 ± 0.2 mL (g tissue)^-1 min^-1 ). In control subjects, renal cortical blood flow fell during volume expansion (4.1 ± 0.3-3.7 ± 0.2 mL (g tissue)^-1  min^-1 , P < 0.05) in contrast to patients in which deviations remained insignificant.

CONCLUSION

Exaggerated natriuresis, a hallmark of essential hypertension, is not mediated by increases in regional, renal blood flow.

Hydrogel Tissue Expanders for Stomatology. Part II. Poly(styrene-maleic anhydride) Hydrogels

Self-inflating soft tissue expanders represent a valuable modality in reconstructive surgery. For this purpose, particularly synthetic hydrogels that increase their volume by swelling in aqueous environment are used. The current challenge in the field is to deliver a material with a suitable protracted swelling response, ideally with an induction period (for sutured wound healing) followed by a linear increase in volume lasting several days for required tissue reconstruction. Here, we report on synthesis, swelling, thermal, mechanical and biological properties of novel hydrogel tissue expanders based on poly(styrene-alt-maleic anhydride) copolymers covalently crosslinked with p-divinylbenzene. The hydrogels exerted hydrolysis-driven swelling response with induction period over the first two days with minimal volume change and gradual volume growth within 30 days in buffered saline solution. Their final swollen volume reached more than 14 times the dry volume with little dependence on the crosslinker content. The mechanical coherence of samples during swelling and in their fully swollen state was excellent, the compression modulus of elasticity being between 750 and 850 kPa. In vitro cell culture experiments and in vivo evaluation in mice models showed excellent biocompatibility and suitable swelling responses meeting thus the application requirements as soft tissue expanders.

Revisiting the Electrochemical Lithiation Mechanism of Aluminum and the Role of Li-rich Phases (Li1+x Al) on Capacity Fading

Aluminum is an appealing anode material for high-energy-density lithium-ion batteries (LIBs), owing to its low cost, environmental benignity, high specific capacity, and lower relative volume expansion compared with other alloying materials. However, both, the working and capacity fading processes are not yet consistently and comprehensively understood, which has largely hindered its development. In this study, the electrochemical alloying process of aluminum anodes with lithium is systematically studied by the combination of several in situ and ex situ techniques, providing new insights into phase transitions, electrode dynamics, and surface chemistry. Particular attention is paid to the role of the Li-rich alloys (Li_1+x Al). Its existence on the surface of the Al electrode is unexpectedly observed, and its growth in the electrode bulk is found to be strictly correlated with cell failure. Interestingly, cell failure can be delayed by choosing an appropriate electrolyte. This work contributes to a solid and comprehensive understanding of the puzzling Al (de-)lithiation processes, which is fundamental and highly enlightening for future research work on Al and other alloyed anodes.

Minimized Volume Expansion in Hierarchical Porous Silicon upon Lithiation

Silicon (Si) remains one of the most promising anode materials for next-generation lithium-ion batteries (LIBs). The key challenge for Si anodes is the huge volume change during lithiation-delithiation cycles that leads to electrode pulverization and rapid capacity fading. Here, we report a hierarchical porous Si (hp-Si) with a tailored porous structure [tunable primary pores (20-200 nm) and secondary nanopores (∼3-10 nm)] that can effectively minimize the volume expansion. An in situ transmission electron microscopy (TEM) study revealed that the hp-Si material with the same porosity but larger primary pores can more effectively accommodate lithiation-induced volume expansion, giving rise to a much reduced apparent volume expansion on both material and electrode levels. Chemomechanical modeling revealed that because of the different relative stiffnesses of the lithiated and unlithiated Si phases, the primary pore size plays a key role in accommodating the volume expansion of lithiated Si. The higher structural stability of the hp-Si materials with larger primary pores also maintains the fast diffusion channels of the connective pores, giving rise to better power capability and capacity retention upon electrochemical cycling. Our findings point toward an optimized hp-Si material with minimal volume change during electrochemical cycling for next-generation LIBs.

Comparison of the diagnostic accuracy of dynamic and static preload indexes to predict fluid responsiveness in mechanically ventilated, isoflurane anesthetized dogs

OBJECTIVE

To compare the diagnostic accuracy of pulse pressure variation (PPV), stroke volume variation from pulse contour analysis (SVV_PCA), plethysmographic variability index (PVI), central venous pressure (CVP) and global end-diastolic volume index measured by transpulmonary thermodilution (GEDVI_TPTD) to predict fluid responsiveness (FR) in dogs.

STUDY DESIGN

Prospective study.

ANIMALS

A group of 40 bitches (13.8-26.8 kg) undergoing ovariohysterectomy.

METHODS

Anesthesia was maintained with isoflurane under volume-controlled ventilation (tidal volume 12 mL kg^-1; inspiratory pause during 40% of inspiratory time; inspiration:expiration ratio 1:1.5). Transpulmonary thermodilution cardiac output was recorded through a femoral artery catheter. FR was evaluated by a fluid challenge (lactated Ringer's, 20 mL kg^-1 over 15 minutes) administered once (n = 21) or twice (n = 18) before surgery. Individuals were responders if stroke volume index measured by transpulmonary thermodilution increased >15% after the last fluid challenge.

RESULTS

Of the 39 animals studied, 21 were responders and 18 were nonresponders. Area under the receiver operating characteristics curve (AUROC) was 0.976, 0.906, 0.868 and 0.821 for PPV, PVI, CVP and SVV_PCA, respectively (p < 0.0001 from AUROC = 0.5). GEDVI_TPTD failed to predict FR (AUROC: 0.660, p = 0.078). Best cut-off thresholds discriminating responders and nonresponders, with respective zones of diagnostic uncertainty (gray zones) were: PPV >16% (15-16%), PVI >11% (10-13%), SVV_PCA >10% (9-18%) and CVP ≤1 mmHg (0-3 mmHg). Percentage of animals within gray zone limits was 13% (PPV), 28% (PVI), 51% (SVV_PCA) and 67% (CVP).

CONCLUSIONS AND CLINICAL RELEVANCE

PPV has better diagnostic accuracy to predict FR (conclusive results in nearly 90% of population) than other preload indexes in healthy dogs. When invasive blood pressure is unavailable, PVI will predict FR with reasonable accuracy (conclusive results in approximately 70% of the population). PPV and PVI values above gray zone limits (>16% and >13%, respectively) can reliably predict responders to volume expansion.

Silicon-Based Anodes with Long Cycle Life for Lithium-Ion Batteries Achieved by Significant Suppression of Their Volume Expansion in Ionic-Liquid Electrolyte

Elemental Si has a high theoretical capacity and has attracted attention as an anode material for high energy density lithium-ion batteries. Rapid capacity fading is the main problem with Si-based electrodes; this is mainly because of a massive volume change in Si during lithiation-delithiation. Here, we report that combining an ionic-liquid electrolyte with a charge capacity limit of 1000 mA h g^-1 significantly suppresses Si volume expansion, improving the cycle life. Phosphorus-doping of Si also enhances the suppression and increases the Li⁺ diffusion coefficient. In contrast, the Si layer expands significantly in an organic electrolyte even with the charge capacity limit and even in an ionic-liquid electrolyte without the limit. We demonstrated that the homogeneously distributed Si lithiation-delithiation, phase-transition control from the Si to Li-rich Li-Si alloy phases, formation of a surface film with structural and/or mechanical stability, and faster Li⁺ diffusion contribute to suppressing Si volume expansion.

Alterations in regional kidney oxygenation during expansion of extracellular fluid volume in conscious healthy sheep

Expansion of extracellular fluid volume with crystalloid solutions is a common medical intervention, but its effects on renal cortical and medullary oxygenation are poorly understood. Therefore, we instrumented sheep under general anesthesia to enable continuous measurement of systemic and renal hemodynamics, global renal oxygen delivery and consumption, and intrarenal tissue perfusion and oxygen tension (Po₂) in conscious animals ( n = 7). The effects of three sequential intermittent infusions of 500 ml of compound sodium lactate solution, administered at hourly intervals, were determined. Volume expansion induced transient increases in mean arterial pressure (+7 ± 2%), central venous pressure (+50 ± 19%), and cardiac output (+15 ± 3%). There were sustained increases in renal medullary tissue Po₂ (+35 ± 10%) despite increases in global renal oxygen consumption (+66 ± 18%) and renal oxygen extraction (+64 ± 8%). Volume expansion did not significantly alter renal blood flow, renal oxygen delivery, or medullary perfusion. The sustained increase in medullary Po₂ was paralleled by increased bladder urine Po₂ (34 ± 4%). Cortical perfusion and Po₂ did not change significantly. Our findings indicate that extracellular fluid volume expansion can increase renal medullary oxygenation, providing a potential mechanistic basis for its use as prophylaxis against iatrogenic acute kidney injury. They also indicate that continuous measurement of bladder urine Po₂ could be used to monitor the effects of volume expansion on medullary oxygenation. However, the mechanisms mediating increased medullary oxygenation during volume expansion remain to be determined.

The Prevention and Management of Contrast-induced Acute Kidney Injury: A Mini-review of the Literature

Contrast-induced acute kidney injury, also called contrast-induced nephropathy, is one of the main causes of acute renal failure/acute kidney injury (AKI) in hospitalized patients within 48 to 72 hours of contrast media administration during various radiologic procedures. Several factors can be responsible for contrast-induced acute tubular necrosis (ATN); however, patient and procedure-related factors play the lead role in determining the development of contrast-induced nephropathy. There is no definitive treatment and hydration remains the mainstay preventive strategy. This article will review the incidence, criteria for definitive diagnosis, and an effective approach on how to prevent contrast-induced nephropathy in a clinical setup.

Diagnostic accuracy of a calibrated abdominal compression to predict fluid responsiveness in children

BACKGROUND

Fluid administration to increase stroke volume index (SVi) is a cornerstone of haemodynamic resuscitation. We assessed the accuracy of SVi variation during a calibrated abdominal compression manoeuvre (ΔSVi-CAC) to predict fluid responsiveness in children.

METHODS

Patients younger than 8 yr with acute circulatory failure, regardless of their ventilation status, were selected. SVi, calculated as the average of five velocity-time integrals multiplied by the left ventricular outflow tract surface area, was recorded at four different steps: baseline, after an abdominal compression with a calibrated pressure of 25 mm Hg, after return to baseline, and then after a volume expansion (VE) of 10 ml kg^-1 lactated Ringer solution over 10 min. Patients were classified as responders if SVi variation after volume expansion (ΔSVi-VE) increased by at least 15%.

RESULTS

The 39 children included had a median [inter-quartile range (IQR)] age of 9 [5-31] months. Twenty patients were fluid responders and 19 were non-responders. ΔSVi-CAC correlated with ΔSVi-VE (r=0.829; P<0.001). The area under the receiver operating characteristic curve (ROC_AUC) was 0.94 [95% confidence interval (CI), 0.85-0.99]. The best threshold for ΔSVi-CAC was 11% with a specificity of 95% [95% CI, 84-100] and a sensitivity of 75% [95% CI, 55-95]. ROC_AUC of respiratory variation of IVC diameter (ΔIVC) was 0.53 [95% CI, 0.32-0.72].

CONCLUSION

ΔSVi-CAC during abdominal compression was a reliable method to predict fluid responsiveness in children with acute circulatory failure regardless of their ventilation status.

CLINICAL TRIALS REGISTRATION

CPP Lyon sud est II: n° ANSM 2015-A00388-41 Clinicaltrial.gov: NCT02505646.

[Pulmonary congestion and hypertension in hemodialysis patients]

Mild to moderate volume expansion is a frequent complication in dialysis patients and acute volume overload, such as acute pulmonary oedema, is one of the most worrying medical emergency in these patients. Estimated systolic blood pressure in the pulmonary artery (ePASP) is an important risk factor of mortality and cardiovascular (CV) events in the general population and in patients on dialysis. Therefore, the assessment of body water in dialysis patients is useful both from the clinical point of view for monitoring fluids as well as for prognostic purposes. However, there is still debated about what is the most suitable instrument to measure the circulating volume in clinical practice in dialysis patients. Pulmonary ultrasound is a new application of ultrasound to evaluate the content of water in the lungs and it has been recently used in high risk patients. The B-lines are a promising technique that has to be properly tested before being used and appropriately implemented in everyday clinical practice.

Tuning the Outward to Inward Swelling in Lithiated Silicon Nanotubes via Surface Oxide Coating

Electrochemically induced mechanical degradation hinders the application of Si anodes in advanced lithium-ion batteries. Hollow structures and surface coatings have been often used to mitigate the degradation of Si-based anodes. However, the structural change and degradation mechanism during lithiation/delithiation of hollow Si structures with coatings remain unclear. Here, we combine in situ TEM experiment and chemomechanical modeling to study the electrochemically induced swelling of amorphous-Si (a-Si) nanotubes with different thicknesses of surface SiOx layers. Surprisingly, we find that no inward expansion occurs at the inner surface during lithiation of a-Si nanotubes with native oxides. In contrast, inward expansion can be induced by increasing the thickness of SiOx on the outer surface, thus reducing the overall outward swelling of the lithiated nanotube. Moreover, both the sandwich lithiation mechanism and the two-stage lithiation process in a-Si nanotubes remain unchanged with the increasing thickness of surface coatings. Our chemomechanical modeling reveals the mechanical confinement effects in lithiated a-Si nanotubes with and without SiOx coatings. This work not only provides insights into the degradation of nanotube anodes with surface coatings but also sheds light onto the optimal design of hollow anodes for high-performance lithium-ion batteries.