Characteristics, management and outcomes of critically ill COVID-19 patients admitted to ICU in hospitals in Bangladesh: a retrospective study.

OBJECTIVES: This study aimed to analyze the epidemiological and clinical characteristics of COVID-19 cases and investigate risk factors including comorbidities and age in relation with the clinical aftermath of COVID-19 in ICU admitted cases in Bangladesh. METHODS: In this retrospective study, epidemiological and clinical characteristics, complications, laboratory results, and clinical management of the patients were studied from data obtained from 168 individuals diagnosed with an advanced prognosis of COVID-19 admitted in two hospitals in Bangladesh. RESULTS: Individuals in the study sample contracted COVID-19 through community transmission. 56.5% (n = 95) cases died in intensive care units (ICU) during the study period. The median age was 56 years and 79.2% (n = 134) were male. Typical clinical manifestation included Acute respiratory distress syndrome (ARDS) related complications (79.2%), fever (54.2%) and cough (25.6%) while diabetes mellitus (52.4%), hypertension (41.1%) and heart diseases (16.7%) were the conventional comorbidities. Clinical outcomes were detrimental due to comorbidities rather than age and comorbid individuals over 50 were at more risk. In the sample, oxygen saturation was low (< 95% SpO2) in 135 patients (80.4%) and 158 (93.4%) patients received supplemental oxygen. Identical biochemical parameters were found in both deceased and surviving cases. Administration of antiviral drug Remdesivir and the glucocorticoid, Dexamethasone increased the proportion of surviving patients slightly. CONCLUSIONS: Susceptibility to developing critical illness due to COVID-19 was found more in comorbid males. These atypical patients require more clinical attention from the prospect of controlling mortality rate in Bangladesh.

Investigation of modified graphene for energy storage applications.

Lithium-ion batteries (LIB) have been receiving extensive attention because of the high specific energy density for wide applications such as electronic vehicles, commercial mobile electronics, and military applications. In LIB, graphite is the most commonly used anode material; however, lithium-ion intercalation in graphite is limited, hindering the battery charge rate and capacity. To overcome this obstacle, nanostructured anode assembly has been extensively studied to increase the lithium-ion diffusion rate. Among these approaches, high specific surface area metal oxide nanowires connecting nanostructured carbon materials accumulation have shown propitious results for enhanced lithium intercalation. Recently, nanowire/graphene hybrids were developed for the enhancement of LIB performance; however, almost all previous efforts employed nanowires on graphene in a random fashion, which limited lithium-ion diffusion rate. Therefore, we demonstrate a new approach by hydrothermally growing uniform nanowires on graphene aerogel to further improve the performance. This nanowire/graphene aerogel hybrid not only uses the high surface area of the graphene aerogel but also increases the specific surface area for electrode-electrolyte interaction. Therefore, this new nanowire/graphene aerogel hybrid anode material could enhance the specific capacity and charge-discharge rate. Scanning electron microscopy (SEM) and X-ray diffraction (XRD) are used for materials characterization. Battery analyzer and potentio-galvanostat are used for measuring the electrical performance of the battery. The testing results show that nanowire graphene hybrid anode gives significantly improved performance compared to graphene anode.