Risk factors for bloodstream infection among patients admitted to an intensive care unit of a tertiary hospital of Shanghai, China.

Blood flow infections (BSIs) is common occurrences in intensive care units (ICUs) and are associated with poor prognosis. The study aims to identify risk factors and assess mortality among BSI patients admitted to the ICU at Shanghai Ruijin hospital north from January 2022 to June 2023. Additionally, it seeks to present the latest microbiological isolates and their antimicrobial susceptibility. Independent risk factors for BSI and mortality were determined using the multivariable logistic regression model. The study found that the latest incidence rate of BSI was 10.11%, the mortality rate was 35.21% and the mean age of patients with BSI was 74 years old. Klebsiella pneumoniae was the predominant bacterial isolate. Logistic multiple regression revealed that tracheotomy, tigecycline, gastrointestinal bleeding, shock, length of hospital stay, age and laboratory indicators (such as procalcitonine and hemoglobin) were independent risk factors for BSI. Given the elevated risk associated with use of tracheotomy and tigecycline, it underscores the importance of the importance of cautious application of tracheostomy and empirical antibiotic management strategies. Meanwhile, the independent risk factors of mortality included cardiovascular disease, length of hospital stay, mean platelet volume (MPV), uric acid levels and ventilator. BSI patients exhibited a significant decrease in platelet count, and MPV emerged as an independent factor of mortality among them. Therefore, continuous monitoring of platelet-related parameters may aid in promptly identifying high-risk patients and assessing prognosis. Moreover, monitoring changes in uric acid levels may serve as an additional tool for prognostic evaluation in BSI patients.

Photo Energy-Enhanced Oxygen Reduction and Evolution Kinetics in Zn-Air Batteries.

Harvesting solar energy directly to boost the sluggish kinetics of oxygen reduction reaction (ORR) and oxygen evolution reaction (OER) on an air cathode is a promising approach. Herein, we synthesize a step-scheme (S-scheme) titanium dioxide-indium selenide (TiO2-In2Se3) heterojunction catalyst. The onset potential in ORR under light illumination reaches 1.28 V and the onset potential decreases to 0.48 V in OER. When an S-scheme TiO2-In2Se3 heterojunction is exposed to light, photogenerated electrons at the conduction band (CB) of TiO2 migrate to the valence band (VB) of In2Se3 due to the built-in electric field. The photogenerated electrons with strong reduction capability on the CB of In2Se3 and the holes with strong oxidation capability on the VB of TiO2 boost the cathode reaction kinetics (ORR/OER). The excellent outcome reveals tremendous commercial potential of photo-enhanced Zn-air batteries.

A dual S-scheme TiO2@In2Se3@Ag3PO4 heterojunction for efficient photocatalytic CO2 reduction.

The excellent photoresponse of semiconductors enables them to be promising photocatalysts for CO2 reduction, but practical application is hampered by fast recombination of photogenerated carriers, low CO2 capture capacity and poor stability. Herein, mesoporous hollow nanospheres of a dual S-scheme titanium dioxide@indium selenide@silver phosphate (TiO2@In2Se3@Ag3PO4) heterojunction with a large specific surface area are designed and synthesized. The products of photocatalytic CO2 reduction are CH4, CH3OH and CO with yields of 3.98, 4.32 and 8.2 µmol g-1 h-1, respectively, and the photocatalysts exhibit excellent cycle performance. The excellent photocatalytic performance is attributed to the large specific surface area of the samples and the construction of dual S-scheme heterojunctions. The large specific surface area can provide sufficient active sites for photocatalytic activity. Simultaneously, the built-in electric field (IEF) in the dual S-scheme exposed to light can facilitate the migration of photogenerated electrons from the CB of the oxidation photocatalyst (OP) to the VB of the reduction semiconductor (RP), where they recombine with the photogenerated holes on the VB of the RP, leaving behind photogenerated carriers with high redox ability for photocatalytic activity. This work provides new insights into the mechanism and design of highly efficient heterojunction photocatalysts for CO2 reduction.

Developing High Performance GaP/Si Heterojunction Solar Cells.

To improve the efficiency of Si-based solar cells beyond their Shockley-Queisser limit, the optimal path is to integrate them with III-V-based solar cells. In this work, we present high performance GaP/Si heterojunction solar cells with a high Si minority-carrier lifetime and high crystal quality of epitaxial GaP layers. It is shown that by applying phosphorus (P)-diffusion layers into the Si substrate and a SiNx layer, the Si minority-carrier lifetime can be well-maintained during the GaP growth in the molecular beam epitaxy (MBE). By controlling the growth conditions, the high crystal quality of GaP was grown on the P-rich Si surface. The film quality is characterized by atomic force microscopy and high-resolution x-ray diffraction. In addition, MoOx was implemented as a hole-selective contact that led to a significant increase in the short-circuit current density. The achieved high device performance of the GaP/Si heterojunction solar cells establishes a path for further enhancement of the performance of Si-based photovoltaic devices.

Evaluation of the Coupled Two-Dimensional Main Chain Torsional Potential in Modeling Intrinsically Disordered Proteins.

Intrinsically disordered proteins (IDPs) carry out crucial biological functions in essential biological processes of life. Because of the highly dynamic and conformationally heterogeneous nature of the disordered states of IDPs, molecular dynamics simulations are becoming an indispensable tool for the investigation of the conformational ensembles and dynamic properties of IDPs. Nevertheless, there is still no consensus on the most reliable force field in molecular dynamics simulations for IDPs hitherto. In this work, the recently proposed AMBER99SB2D force field is evaluated in modeling some disordered polypeptides and proteins by checking its ability to reproduce experimental NMR data. The results highlight that when the ildn side-chain corrections are included, AMBER99SB2D-ildn exhibits reliable results that agree with experiments compared with its predecessors, the AMBER14SB, AMBER99SB, AMBER99SB-ildn, and AMBER99SB2D force fields, and that decreasing the overall magnitude of protein-protein interactions in favor of protein-water interactions is a key ingredient behind the improvement.

Determination of volatile compounds in turbot (Psetta maxima) during refrigerated storage by headspace solid-phase microextraction and gas chromatography-mass spectrometry.

BACKGROUND: A procedure based on headspace solid phase microextraction (HS-SPME) and gas chromatography-mass spectrometry (GC-MS)was developed for the study of the volatile profile characteristics of turbot during refrigerated storage at 4°C for 20 days in order to find possible markers of freshness or spoilage. RESULTS: A total of 61 volatile compounds including aldehydes, ketones, esters, alcohols, alkenes, alkanes, aromatics, amines and others were identified in turbot muscle extracted by the optimised HS-SPME method. The volatile profile characteristics of turbot at different storage periods were specified by principal component analysis (PCA). The concentrations of hexanal, heptanal, (2E,4E)-heptadienal, acetophenone, 2-undecanone and 1-octen-3-ol decreased during storage, whereas benzene acetaldehyde, 6-methyl-5-hepten-2-one, 2-nonanone, acetic acid butyl ester, 3-methyl-1-butanol and trimethylamine increased. CONCLUSION: SPME-GC-MS combined with PCA may be a useful method for monitoring the volatile profile characteristics of turbot during storage, which could be potentially used for freshness evaluation.

Enhancing the lateral photovoltaic effect by coating the absorbing film on metal-oxide-semiconductor structure.

By coating with a carbon film and graphene sheet (GS) on position-sensitive detectors based on the metal-oxide-semiconductor structure, sensitivity, linearity, and saturation power are significantly improved. We attribute this enhancement of absorptivity to lasers. The improvement effect of carbon film is more obvious than that of GS coating because of GS's high conductivity.