Volume Changes Research Articles

In Ukrainian

The CMs were obtained in argon in three stages: 1) heating (4 grad/min) to the specified temperature t in the range of 350–825 °С; 2) isothermal exposure 1 h; 3) cooling, washing from alkali and drying. Samples are denoted as CM(t). The CM yield (Y, %) and CMs elemental composition are determined. Based on low-temperature (77 K) nitrogen adsorption-desorption isotherms, integral and differential dependences of the specific surface area SDFT (m2/g) and pore volume V (cm3/g) on the average pore diameter (D, nm) were calculated by 2D-NLDFT-НS method (SAIEUS program). They were used to define volumes of ultramicropores (Vumi), supermicropores (Vsmi) and micropores (Vmi). The total pore volume V was calculated from the nitrogen amount adsorbed at a relative pressure p/p0 ~ 1.0. The S values of ultramicropores (Sumi), supermicropores (Ssmi) and micropores (Smi) were similarly determined. The CM yield was established to decrease linearly (R2 = 0.979) from 70.2 to 45.3 % with an increase in temperature from 350 to 825 °С. The carbon content decreases to a minimum value at 500 °С (72.6 %), and then increases to a maximum value (87.5 %) at 825 °С; the oxygen content changes antibatically. Two temperature regions were identified: region I (≤ 500 °С) of increasing the oxygen content due to reactions in which KOH acts as a donor of O atoms; region II (≥ 500 °C) of dominating the thermal destruction of functional groups (carboxyl, lactone, ester) with the release of CO and CO2, and condensation increasing the size of polyarenes of the CM secondary framework and formsng single Сar-Саr bonds between them. The CM(350) sample was found to contain only mesopores (D ≥ 10 nm) and macropores. An activation temperature increase to 400 °C initiates the additional formation of small-diameter micropores and mesopores. In samples CM(400) - CM(825), the main portion of newly formed pores falls on pores with D ≤ 5 nm. With increasing temperature, the micropores volume increases almost linearly (R2 = 0.992). The Vumi and Vsmi volumes increase up to 600 °C. At higher temperatures the ultramicropores volume decreases due to transforming ultramicropores (D ≤ 0.7 nm) into supermicropores (D = 0.7–2.0 nm). Portion of the ultramicropores volume changes with a maximum (23.9 %) in the CM(600) sample. The SBET specific surface area linearly (R2 = 0.992) increases with temperature up to 1729 m2/g. The SDFT values are close to SBET, but noticeably lower (1514–1530 m2/g) for CM(785)-CM(825). The micropores specific surface area increases to 1415 m2/g, and ultramicropore surface Sumi changes extremely with a maximum (526 m2/g) for the CM(600) sample, which should be expected based on the temperature dependence of the Vumi parameter. The decrease in Sumi values after the maximum is compensated by an increase in the supermicropore surface. Such an effect - the redistribution of pores by size in the microporous range (D ≤ 2 nm) with an increase in the alkaline activation temperature is not described in the literature. The portion of the micropores surface is dominant (92.6–97.0 %) in samples prepared at t ≥ 450 °C. The portion of the ultramicropore surface is maximum (56.3 %) in CM(500). Pores are revealed that do not form at all at 450–750 °C. These are supermicropores (D = 0.96–2.00 nm) and mesopores of small diameters (D = 2.0–2.82 nm). This effect was assumed to be due to the properties of the CM supramolecular framework, which is formed from polyarene fragments of the initial and activated coals having polyarenes with diameters of the same order (1.68–2.54 nm).

Mapping geodetically inferred Antarctic ice surface height changes into thickness changes: a sensitivity study

Abstract. Determining recent Antarctic ice volume changes from satellite altimeter measurements of ice surface height requires a correction for contemporaneous vertical crustal deformation. This correction must consider two main sources of crustal deformation: (1) ongoing glacial isostatic adjustment (GIA), that is, the deformational, gravitational, and rotational response to Late Pleistocene and Holocene ice and ocean mass changes and (2) modern ice mass change. In this study, we seek to quantify the uncertainties associated with each of these corrections. Corrections of ice surface height changes for correction 1 have generally involved the adoption of global models of GIA defined by some preferred combination of ice history and mantle viscoelastic structure. We have computed the GIA correction generated from a coupled ice sheet–sea level model and a realistic Earth model incorporating three-dimensional viscoelastic structure. Integrating the difference between this correction and those from recent GIA analyses widely adopted in the literature yields an uncertainty in total present-day ice volume change equivalent to approximately 10 % of Antarctic ice mass loss inferred for the period 2010–2020. This reinforces earlier work indicating that ice histories characterized by relatively high excess ice volume at the Last Glacial Maximum may be introducing a significant error in estimates of modern melt rates. Regarding correction 2, a spatially invariant scaling has commonly been used to convert GIA-corrected ice surface height changes obtained from satellite altimetry to ice volume estimates. We adopt modeling results based on a projection of Antarctic ice mass change over the period 2015–2055 to demonstrate a spatial variability in the scaling of up to 10 % across the ice sheet. Furthermore, using these calculations, we find a systematic error of ∼ 3 % in the projected net ice volume change, with most of the difference arising in areas of West Antarctica above mantle zones of low viscosity.

Analysis of factors influencing the trajectory of fatigue in maintenance haemodialysis patients: a longitudinal study.

To explore the potential categories and influencing factors of fatigue trajectory in maintenance haemodialysis patients. Between June 2023 and December 2023, a convenience sample of 306 maintenance haemodialysis patients in a tertiary hospital haemodialysis centre in Zhenjiang City was selected as the study population, and patient information was collected monthly after the baseline survey using the General Information Questionnaire, Pittsburgh Sleep Quality Scale, Piper Fatigue Revision Scale, Collaborative Social Support Scale, Patient Health Questionnaire Depression Scale, Comprehensive Economic Toxicity Rating Scale, and Fear of Disease Progression Simplified Scale, for a total of six follow-up visits. In addition, the potential category growth model was used to identify the developmental trajectory of fatigue, and univariate analysis and binary logistic regression were used to analyse its determinants. The 6month fatigue trajectory of maintenance haemodialysis patients could be divided into two categories: persistent low-fatigue group (59.8%) and fluctuating high-fatigue group (40.2%). Age, surgical history, level of social support, sleep, economic toxicity, and changes in ultrafiltration volume during dialysis were the influencing factors for repeated fatigue in maintenance haemodialysis patients (p < 0.05). The fatigue trajectory of maintenance haemodialysis patients is heterogeneous, suggesting that clinical workers should focus on the haemodialysis patients with repeated fatigue and make targeted interventions to improve their fatigue status and reduce the occurrence of adverse events in patients.

Facial tightening using a novel vacuum-assisted microneedle fractional radiofrequency system: A prospective, randomized, split-face study.

The microneedle fractional radiofrequency system (MFRS) is able to rejuvenate facial appearance by heating and coagulating certain depth of skin tissue. To evaluate the safety and efficacy of a novel vacuum-assisted MFRS for facial contour tightening. This prospective, randomized, split-face study included 21 patients who underwent three treatments with a vacuum-assisted MFRS at 1-month intervals. Half of the face was treated with the MFRS; the other half was untreated (control). Facial volume changes and wrinkles were objectively measured using a three-dimensional imaging system and VISIA-CR. Volume changes of the treated midface were -0.24 ± 0.75, -0.59 ± 0.92, and -0.55 ± 0.65 mL at 1, 3, 6 months follow-up; however, measurements of the control side were 0.08 ± 0.70, -0.08 ± 0.53, and - 0.10 ± 0.86 mL, indicating significant reductions (p < 0.05). The number of facial wrinkles on the treated side was significantly reduced to 12.44 ± 4.85 at 3 months and sustained at 6 months (11.11 ± 4.100) compared to the control side (14.89 ± 5.26 and 13.22 ± 4.44, respectively; p < 0.05). No long-term side effects occurred. The vacuum-assisted MFRS is safe and effective and is recommended for improving facial tightening and reducing wrinkles. This technology is sufficient to ensure the insertion depth, thus helping to improve the treatment accuracy and safety. The MFRS provides sustained effects for at least 6 months.

Sea Urchin-Like NiCo-LDH Hollow Spheres Anchored on 3D Graphene Aerogel for High-Performance Supercapacitors.

To enhance the inherent poor conductivity and low cycling stability of dimetallic layered double hydroxides (LDHs) materials, designing a synergistic effect between EDLC capacitors and pseudocapacitors is an efficient strategy. In this paper, we utilized a solvothermal technique employing Co-glycerate as a precursor to prepare sea urchin-like NiCo-LDH hollow spheres anchored on a 3D graphene aerogel. The unique morphology of these hollow microspheres significantly expand the specific surface area and exposes more active sites, while reducing the volume changes of materials during long-term charging and discharging processes. The 3D graphene aerogel serves as a conductive skeleton, improving the material's electrical conductivity and buffering high current. The sea urchin-like NiCo-LDH hollow spheres anchored on 3D graphene aerogel (H-NiCo-LDH@GA) has a specific surface area of 51 m2 g-1 and the ID/IG value is 1.02. The H-NiCo-LDH@GA demonstrate a significant specific capacitance of 236.8 mAh g-1 at 1 A g-1, with a remarkable capacity retention rate of 63.1 % even at 20 A g-1. Even after 8000 cycles at 10 A g-1, the capacity retention still remains at 96.3 %, presenting excellent cycling stability.

TRPV4 and chloride channels mediate volume sensing in trabecular meshwork cells.

Aqueous humor drainage from the anterior eye determines intraocular pressure (IOP) under homeostatic and pathological conditions. Swelling of the trabecular meshwork (TM) alters its flow resistance but the mechanisms that sense and transduce osmotic gradients remain poorly understood. We investigated TM osmotransduction and its role in calcium and chloride homeostasis using molecular analyses, optical imaging and electrophysiology. Anisosmotic conditions elicited proportional changes in TM cell volume, with swelling, but not shrinking, evoking elevations in intracellular calcium concentration [Ca2+]TM. Hypotonicity-evoked calcium signals were sensitive to HC067047, a selective blocker of TRPV4 channels, whereas the agonist GSK1016790A promoted swelling under isotonic conditions. TRPV4 inhibition partially suppressed hypotonicity-induced volume increases and reduced the magnitude of the swelling-induced membrane current, with a substantial fraction of the swelling-evoked current abrogated by Cl- channel antagonists DIDS and niflumic acid. The transcriptome of volume-sensing chloride channel candidates in primary human was dominated by ANO6 transcripts, with moderate expression of ANO3, ANO7, ANO10 transcripts and low expression of LTTRC genes that encode constituents of the volume-activated anion channel. Imposition of 190 mOsm but not 285 mOsm hypotonic gradients increased conventional outflow in mouse eyes. TRPV4-mediated cation influx thus works with Cl- efflux to sense and respond to osmotic stress, potentially contributing to pathological swelling, calcium overload and intracellular signaling that could exacerbate functional disturbances in inflammatory disease and glaucoma.

(008) VAGINAL TESTOSTERONE ABSORBANCE AFTER SEXUAL AROUSAL

Abstract Introduction While topical (exogenous) estrogens have been a focus of treatment for vaginal pain, recent work has shown testosterone may also revitalize weakened vaginal tissue. This research has documented that vaginal tissue responds well to exogenous testosterone treatment, supporting the hypothesis that endogenous testosterone may play a significant role in vaginal health. However, is it not known how the dynamics of vaginal arousal may contribute to activity of endogenous testosterone within the vaginal environment. Specifically, there is reason to expect that vaginal sexual arousal may activate mechanisms within the vaginal tissue that increase absorption of testosterone from the mucosal layer into the tissue beneath. Objective This project aims to characterize the influence of vaginal arousal on the presence of testosterone in the vaginal mucosa both pre- and post-arousal, and the within-person stability of these effects over time (3 weeks). Methods Analyses are drawn from an ongoing clinical trial in which participants complete 3 in-lab sessions spaced 3 weeks apart, in which they provided samples of cervicovaginal fluid before and after watching an erotic video (~7 minutes). For each fluid sample, participants insert a disposable menstrual cup, which sits loosely around the cervix, for about 10 minutes. After the post-arousal menstrual cup is removed, participants complete a survey battery that includes demographics and measures of sexual function and sexual desire. Results For the present analysis, data were drawn from 68 participants that had pre- and post-arousal samples for at least one study session. Preliminary tests revealed that, controlling for changes in fluid volume, testosterone in the vaginal mucosa decreased significantly between pre- and post-vaginal sexual arousal (F(1, 197.26) = 67.29, p &amp;lt; .0001). Additional data regarding the association between absorption of testosterone during arousal and self-reported sexual functioning will also be presented. Conclusions Though further work is needed to confirm testosterone is absorbed into the surrounding vaginal tissue, our findings suggest a significant movement of testosterone out of cervicovaginal fluid during sexual arousal. Likely, the increased blood flow that accompanies vaginal sexual arousal allows for greater absorption of testosterone originally present in the mucosa into the vaginal tissue. If vaginal sexual arousal allows for greater testosterone absorption, it may provide a unique window of time during which application of exogenous testosterone may be most advantageous. Further, if endogenous testosterone absorption happens during masturbation or sexual activity, this may function over the longer term as a protective factor for tissue integrity. Disclosure No.

Double-layer carbon coated on the micrometer bismuth by photothermal effect as anode for high-rate sodium-ion batteries

Bismuth (Bi) is considered a promising anode material for high-rate sodium-ion batteries (SIBs) due to its unique layered crystal structure which can easily insert/extract sodium-ion (Na+). However, the cycle stability of micrometer Bi with great commercial potential needs to be improved. Because the large volume change occurs during alloying/dealloying of Bi and sodium (Na) resulting in the crack of Bi, which reduces the stability of the battery. Herein, we design a Bi/Bi2O3@C composite where a double-layer carbon coated commercial micrometer Bi/Bi2O3 particles. The heat generated by Bi/Bi2O3 particles under ultraviolet (UV) exposure (called photothermal effect) accelerates the decomposition rate of photoinitiator, which in turn improves the polymerization rate of the monomer on the surface of Bi/Bi2O3 particles. So that, the surface of Bi/Bi2O3 particles is coated with a dense polymer, while the polymer away from the particle is relatively loose, thus forming a dense-loose double-layer carbon during the annealing process. The dense carbon layer can effectively protect against the volume effect of Bi/Bi2O3, and the loose carbon layer can provide channels for the transport of Na+. As a result, Bi/Bi2O3@C exhibits excellent cycling stability with a capacity retention rate of 94.5 % after 1600 cycles at 10 A g−1.

Influence of Polypropylene Fiber on Concrete Permeability under Freeze-Thaw Conditions and Mechanical Loading.

Polypropylene fiber reinforcement is an effective method to enhance the durability of concrete structures. With the increasing public interest in the widespread use of polypropylene fiber reinforced concrete (PFRC), the necessity of evaluating the mechanism of polypropylene fiber (PF) on the permeability of concrete has become prominent. This paper describes the influence of PF on the concrete permeability exposed to freeze-thaw cycles under compressive and tensile stress. The permeability of PFRC under compressive and tensile loads is accurately measured by a specialized permeability setup. The permeability of PFRC under compressive and tensile loads, the volume change of PFRC under compressive load, and the relationship between compressive stress levels at minimum permeability and minimum volume points of PFRC are discussed. The results indicate that the addition of PF adversely affects the permeability of concrete without freeze-thaw damage and cracks. However, it decreases the permeability of concrete specimens exposed to freeze-thaw cycles and cracking. Under compressive load, the permeability of PFRC initially decreases slowly and follows by a significant increase as the compressive stress level increases. This phenomenon correlates with the volume change of the specimen. The compressive stress level of the minimum permeability point and compressive stress level of the minimum volume point of PFRC exhibit a linear correlation, with a fitted proportional function parameter γ ≈ 0.98872. Under tensile load, the permeability of PFRC increases gradually with radial deformation and follows by a significant increase. The strain-permeability curves of PFRC under loading are studied and consist of two stages. In stage I, the permeability of PFRC gradually decreases with the increase of strain under compressive load, while the permeability increases with the increase of strain under tensile load. In stage II, under compressive load, the permeability of PFRC increases with the increase of freeze-thaw cycles, whereas under tensile load, the permeability gradually decreases with the increase of freeze-thaw cycles. The reduction of PF on the permeability of PFRC under tensile load is greater than that under compressive load. In future research, the relationship between strain and permeability of PFRC can be integrated with its constitutive relationship between stress and strain to provide a reference for the application of PF in the waterproofing of concrete structures.

Beat Pilot Tone (BPT): Simultaneous MRI and RF motion sensing at arbitrary frequencies.

To introduce a simple system exploitation with the potential to turn MRI scanners into general-purpose radiofrequency (RF) motion monitoring systems. Inspired by Pilot Tone (PT), this work proposes Beat Pilot Tone (BPT), in which two or more RF tones at arbitrary frequencies are transmitted continuously during the scan. These tones create motion-modulated standing wave patterns that are sensed by the receiver coil array, incidentally mixed by intermodulation in the receiver chain, and digitized simultaneously with the MRI data. BPT can operate at almost any frequency as long as the intermodulation products lie within the bandwidth of the receivers. BPT's mechanism is explained in electromagnetic simulations and validated experimentally. Phantom and volunteer experiments over a range of transmit frequencies suggest that BPT may offer frequency-dependent sensitivity to motion. Using a semi-flexible anterior receiver array, BPT appears to sense cardiac-induced body vibrations at microwave frequencies ( 1.2 GHz). At lower frequencies, it exhibits a similar cardiac signal shape to PT, likely due to blood volume changes. Other volunteer experiments with respiratory, bulk, and head motion show that BPT can achieve greater sensitivity to motion than PT and greater separability between motion types. Basic multiple-input multiple-output ( MIMO) operation with simultaneous PT and BPT in head motion is demonstrated using two transmit antennas and a 22-channel head-neck coil. BPT may offer a rich source of motion information that is frequency-dependent, simultaneous, and complementary to PT and the MRI exam.

Stable operation of SiO anodes enabled by a multifunctional molecular crosslinker

SiO anodes are promising for energy-dense lithium-ion batteries, however, they suffer from short cycle life caused by large volume change (∼200%) and low initial Coulomb efficiency (ICE). Herein, we report a conceptual strategy to boost the electrochemical performance of SiO by enhancing the interaction between binders and conductive additives via a molecular crosslinker with both pyrene ring and adamantyl group (AdPy). Benefiting from the inclusion interaction between beta-cyclodextrin polymers (βCDp) and AdPy as well as the π-π interaction between single-walled carbon nanotube (SWCNT) and AdPy, a robustly conductive and adhesive network is constructed for maintaining integral electrode structure and robust conductive network during charge/discharge cycles. The resultant SiO electrode with SWCNT/AdPy-βCDp networks achieves larger initial capacity, higher ICE and better cycle stability than those of SiO electrode with SWCNT/βCDp complex, indicating the key role of AdPy crosslinker in enhancing electrochemical performance. Experimental results suggest that the interaction between binders and conductive additives can effectively alleviate stress generated from SiO volume changes during cycling. This work provides a promising platform to construct dynamic cross-linking conductive and adhesive network for boosting the lithium storage performance of high-capacity electrode materials.

Implications of interhospital patient transfers for emergency medical services transportation systems in the Netherlands: a retrospective study

ObjectivesInterhospital patient transfers have become routine. Known drivers are access to specialty care and non-clinical reasons, such as limited capacity. While emergency medical services (EMS) providers act as main patient...

Framingham Stroke Risk Profile Score and White Matter Disease Progression.

To evaluate the relationship between Framingham Stroke Risk Profile (FSRP) score and rate of white matter hyperintensity (WMH) progression and cognition. Consecutive patients enrolled in the Mayo Clinic Florida Familial Cerebrovascular Diseases Registry (2011-2020) with 2 brain-MRI scans at least 1 year apart were included. The primary outcome was annual change in WMH volume (cm3/year) stratified as fast versus slow (above vs. below median). Cognition was assessed using a Mini-Mental State Exam (MMSE, 0-30). FSRP score (0 to 8) was calculated by summing the presence of age 65 years or older, smoking, systolic blood pressure greater than 130 mmHg, diabetes, coronary disease, atrial fibrillation, left ventricular hypertrophy, and antihypertensive medication use. Linear and logistic regression analyses were performed to examine the association between FSRP and WMH progression, and cognition. In all, 207 patients were included, with a mean age of 60±16 y and 54.6% female. FSRP scores risk distribution was: 31.9% scored 0 to 1, 36.7% scored 2 to 3, and 31.4% scored ≥4. The baseline WMH volume was 9.6 cm3 (IQR: 3.3-28.4 cm3), and the annual rate of WMH progression was 0.9 cm3/year (IQR: 0.1 to 3.1 cm3/year). A higher FSRP score was associated with fast WMH progression (odds ratio, 1.45; 95% CI: 1.22-1.72; P<0.001) and a lower MMSE score (23.6 vs. 27.1; P<0.001). There was a dose-dependent relationship between higher FSRP score and fast WMH progression (odds ratios, 2.20, 4.64, 7.86, 8.03 for FSRP scores 1, 2, 3, and ≥4, respectively; trend P<0.001). This study demonstrated an association between higher FSRP scores and accelerated WMH progression, as well as lower cognition.

Habenular volume changes after venlafaxine treatment in patients with major depression.

Habenula, a hub brain region controlling monoaminergic brain center, has been implicated in major depressive disorder (MDD) and as a possible target of antidepressant response. Nevertheless, the effect of antidepressant drug treatment on habenular volumes remains unknown. The objective of the present research was to study habenular volume change after antidepressant treatment in patients with MDD, and assess whether it is associated with clinical improvement. Fifty patients with a current major depressive episode (MDE) in the context of MDD, and antidepressant-free for at least 1 month, were assessed for habenula volume (3T MRI with manual segmentation) before and after a 3 months sequence of venlafaxine antidepressant treatment. A 2.3% significant increase in total habenular volume (absolute volume: P = 0.0013; relative volume: P = 0.0055) and a 3.3% significant increase in left habenular volume (absolute volume: P = 0.00080; relative volume: P = 0.0028) were observed. A significant greater variation was observed in male patients (4.8%) compared to female patients. No association was observed between habenular volume changes and response and remission. Some habenula volume changes were associated with improvement of olfactory pleasantness. Habenular volumes increased after 3 months of venlafaxine treatment in depressed patients. Further studies should assess whether cell proliferation and density or dendritic structure variations are implied in these volume changes.

Effect of Resected Lung Volume on Pulmonary Function and Residual Lung Volume in Patients Undergoing Segmentectomy: A Retrospective Study.

We elucidated the effects of planned resection volume on postoperative pulmonary function and changes in residual lung volume during segmentectomy. This study included patients who underwent thoracoscopic segmentectomy between January 2017 and December 2022 and met eligibility criteria. Pre- and post-resection spirometry and computed tomography were performed. Three-dimensional reconstructions were performed by using computed tomography images to calculate the volumes of the resected, remaining, and nonoperative side regions. Based on the resected region volume, patients were divided into the higher and lower volume segmentectomy groups. Changes in lung volume and pulmonary function before and after the surgery were comparatively analyzed. The median percentage of resected lung volume was 10.9%, forming the basis for categorizing patients into the two groups. Postoperative forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) ratios to preoperative measurements in both groups did not differ significantly (FEV1, p = 0.254; FVC, p = 0.777). Postoperative FEV1 and FVC ratios to their predicted postoperative values were significantly higher in the higher volume segmentectomy group than in the lower volume segmentectomy group (FEV1, p = 0003; FVC, p < 0.001). The higher volume segmentectomy group showed significantly greater post-to-preoperative lung volume ratio in overall, contralateral, ipsilateral, residual lobe and residual segment than the lower volume segmentectomy group. Postoperative respiratory function did not differ significantly between the higher- and lower-volume segmentectomy groups, indicating improved respiratory function because of substantial postoperative residual lung expansion. Our findings would aid in determining the extent of resection during segmentectomy.

Ertugliflozin for Functional Mitral Regurgitation Associated With Heart Failure: EFFORT Trial.

The morbidity and mortality rates of patients with heart failure (HF) and functional mitral regurgitation (MR) remain substantial despite guideline-directed medical therapy for HF. We evaluated the efficacy of ertugliflozin for reduction of functional MR associated with HF with mild to moderately reduced ejection fraction. The EFFORT trial (Ertugliflozin for Functional Mitral Regurgitation) was a multicenter, double-blind, randomized trial to examine the hypothesis that the sodium-glucose cotransporter 2 inhibitor ertugliflozin is effective for improving MR in patients with HF with New York Heart Association functional class II or III, 35%≤ejection fraction<50%, and effective regurgitant orifice area of chronic functional MR >0.1 cm2 on baseline echocardiography. We randomly assigned 128 patients to receive either ertugliflozin or placebo in addition to guideline-directed medical therapy for HF. The primary end point was change in effective regurgitant orifice area of functional MR from baseline to the 12-month follow-up. Secondary end points included changes in regurgitant volume, left ventricular (LV) volume indices, left atrial volume index, LV global longitudinal strain, and NT-proBNP (N-terminal pro-B-type natriuretic peptide). The treatment groups were generally well-balanced with regard to baseline characteristics: mean age, 66±11 years; 61% men; 13% diabetes; 51% atrial fibrillation; 43% use of angiotensin receptor-neprilysin inhibitor; ejection fraction, 42±8%; and effective regurgitant orifice area, 0.20±0.12 cm2. The decrease in effective regurgitant orifice area was significantly greater in the ertugliflozin group than in the placebo group (-0.05±0.06 versus 0.03±0.12 cm2; P<0.001). Compared with placebo, ertugliflozin significantly reduced regurgitant volume by 11.2 mL (95% CI, -16.1 to -6.3; P=0.009), left atrial volume index by 6.0 mL/m2 (95% CI, -12.16 to 0.15; P=0.005), and LV global longitudinal strain by 1.44% (95% CI, -2.42% to -0.46%; P=0.004). There were no significant between-group differences regarding changes in LV volume indices, ejection fraction, or NT-proBNP levels. Serious adverse events occurred in one patient (1.6%) in the ertugliflozin group and 6 (9.2%) in the placebo group (P=0.12). Among patients with functional MR associated with HF, ertugliflozin significantly improved LV global longitudinal strain and left atrial remodeling, and reduced functional MR. Sodium-glucose cotransporter 2 inhibitors may be considered for patients with functional MR. URL: https://www.clinicaltrials.gov; Unique identifier: NCT04231331.

A voxel-based magnetic resonance study of cortical gray matter structures in intermittent exotropia

Objective: To explore the changes in gray matter volume of the cerebral cortex in patients with intermittent exotropia (IXT) using the voxel-based analysis and to analyze the correlation between these changes and clinical manifestations. Methods: This was a cross-sectional study. A collection of 15 consecutive patients diagnosed with IXT at Tianjin Eye Hospital from March 2021 to May 2022 formed the exotropia group, which comprised 8 males and 7 females, with an average age of (23.5±5.2) years. Ten healthy individuals, 3 males and 7 females, with an average age of (27.0±7.5) years, were selected as the control group. All participants underwent assessments of exotropia severity and Titmus stereoacuity. Three-dimensional high-resolution brain images were obtained through MRI scans. Voxel-based morphometry was employed to preprocess the MRI data, and the SPM toolbox in MATLAB was utilized to analyze differences of images between the two groups. Regions of interest (ROI) with structural abnormalities in the gray matter volume analysis were selected, and the ratio of gray matter voxel values in the ROI to the mean gray matter voxel values of the whole brain for each participant was calculated using the MarsBaR software. The correlation between this ratio and exotropia severity as well as the common logarithm of Titmus stereoacuity was analyzed. Results: The differences in age, gender distribution, and refractive error between the two groups were not statistically significant (all P>0.05). However, there were statistically significant differences in the degree of strabismus and Titmus stereoacuity (both P<0.001). Compared to the control group, patients in the strabismus group exhibited decreased gray matter volume in several brain regions, including the wedges of the medial surface of the cerebral hemisphere (decreased by 89 voxels), the left lingual gyrus (decreased by 176 voxels), the left calcarine sulcus V3 area (decreased by 30 voxels), the central anterior gyrus of the right frontal lobe (decreased by 192 voxels), the gray matter of the left hippocampal gyrus (decreased by 20 voxels), and the bilateral lateral geniculate nuclei (decreased by 100 and 40 voxels on the left and right sides, respectively). These differences were all statistically significant (all P<0.001). Additionally, there was an increase in gray matter volume in several brain regions, including the bilateral caudate nuclei (increased by 60 and 76 voxels on the left and right sides, respectively) and the left precentral gyrus (increased by 36 voxels). These differences were also statistically significant (all P<0.001). A group-level analysis identified 10 brain regions with structural differences between the two groups, which were used as ROI. The gray matter volume ratio was negatively correlated with the degree of exotropia (all P<0.05) in the ROI of the left wedges (r=-0.670), left calcarine sulcus V3 area (r=-0.610), and left lingual gyrus (r=-0.684). The gray matter volume ratio was negatively correlated with lgTS (all P<0.05) in the ROI of the left wedges (r=-0.568) and the central anterior gyrus of the right frontal lobe (r=-0.563). Conclusions: Patients with IXT exhibit decreased gray matter volume in the horizontal connection areas between the primary visual cortices V1 and V2. The reduction in gray matter volume of the lingual gyrus and the dorsal visual pathway V3 area becomes more pronounced with increasing exotropia severity, while the gray matter volume of the precentral gyrus (BA6 area) decreases with worsening stereoacuity.

Interlayer Structure Manipulation of FeOCl/MXene with Soft/Hard Interface Design for Safe Water Production Using Dechlorination Battery Deionization

AbstractSuffering from the susceptibility to decomposition, the potential electrochemical application of FeOCl has greatly been hindered. The rational design of the soft‐hard material interface can effectively address the challenge of stress concentration and thus decomposition that may occur in the electrodes during charging and discharging. Herein, interlayer structure manipulation of FeOCl/MXene using soft‐hard interface design method were conducted for electrochemical dechlorination. FeOCl was encapsulated in Ti3C2Tx MXene nanosheets by electrostatic self‐assembly layer by layer to form a soft‐hard mechanical hierarchical structure, in which Ti3C2Tx was used as flexible buffer layers to relieve the huge volume change of FeOCl during Cl− intercalation/deintercalation and constructed a conductive network for fast charge transfer. The CDI dechlorination system of FeOCl/Ti3C2Tx delivered outstanding Cl− adsorption capacity (158.47 ± 6.98 mg g−1), rate (6.07 ± 0.35 mg g−1 min−1), and stability (over 94.49 % in 30 cycles), and achieved considerable energy recovery (21.14 ± 0.25 %). The superior dechlorination performance was proved to originate from the Fe2+/Fe3+ topochemical transformation and the deformation constraint effect of Ti3C2Tx on FeOCl. Our interfacial design strategy enables a hard‐to‐soft integration capacity, which can serve as a universal technology for solving the traditional problem of electrode volume expansion.

Facile synthesis of porous ZnCo2O4 micro–flower decorated with SWCNTs toward superior lithium storage performance

Binary metal oxides ZnM2O4 (A = Co, Fe, Mn) with spinel structures have been widely studied for their high theoretical specific capacity, relatively low cost, controllable morphology and synergistic effect between metal oxides with different charging and discharging mechanisms. However, the electrochemical properties are seriously affected by the huge volume change during cycles and poor electronic conductivity. In this work, porous ZnCo2O4 micro–flowers self–assembled from nano–sheets are successfully prepared by a simple solvothermal method followed by a heat treatment process without the aid of any soft/hard templates, and the resulting ZnCo2O4 active material is further decorated with SWCNTs. The phase composition, morphology characteristic, specific surface area, pore size distribution, elemental valence state and other information of the as–prepared samples are analyzed by relevant techniques such as XRD, FTIR, FESEM, (HR)TEM, TGA, Raman, N2 adsorption/desorption measurement and XPS. As anode materials in Li–ion batteries, the ZnCo2O4/SWCNTs product exhibits high charge/discharge specific capacity, excellent cycling stability and remarkable rate capability. Excellent electrochemical performance benefits from the special micro–/nano–structure characteristics of the as–synthesized ZnCo2O4/SWCNTs electrode material and good dynamic characteristics during cycling.

A gradient-distributed binder with high energy dissipation for stable silicon anode

Silicon is considered as a promising alternative to traditional graphite anode for lithium-ion batteries. Due to the dramatic volume expansion of silicon anode generated from the insertion of Li+ ions, the binder which can suppress the severe volume change and repeated massive stress impact during cycling is required greatly. Herein, we design a gradient-distributed two-component binder (GE-PAA) to achieve excellent cyclic stability, and reveal the mechanism of high energy dissipative binder stabilized silicon electrodes. The inner layer of the electrode is the polyacrylic acid polymer (PAA) with high Young’s modulus, which is used as the skeleton binder to stabilize the silicon particle interface and the electrode structure. The outer layer is the gel electrolyte polymer (GE) with lower Young’s modulus, which releases the stress generated during the lithiation and de-lithiation process effectively, achieving the high structural stability at the molecular level and silicon particles. Due to the synergistic effect of the gradient binder design, the silicon electrode retains a reversible capacity of 1557.4 mAh g-1 after 200 cycles at the current density of 0.5 C and 1539.2 mAh g-1 at a high rate of 1.8 C. This work provides a novel binder design strategy for Si anode with long cycle stability.