Evaluation of Cathode Gas Composition and Temperature Influences on Alkaline Anion Exchange Membrane Fuel Cell (AAEMFC) Performance

The effects of different temperatures (55, 65, 75 and 85 °C) and cathode gas compositions (O2, synthetic air, air and 90% synthetic air+10% CO2) on alkaline anion exchange membrane fuel cell (AAEMFC) were evaluated. Membrane electrode assemblies (MEA) were fabricated using commercial anion exchange membrane (AEM) in OH- form and Pt catalyst. Polarization curves and voltage responses during constant current were performed in order to describe the influences of temperature and gas composition on the AAEMFC performance. The experimental results showed that the fuel cell performance increases with elevating temperatures for all applied gas compositions. Highest power density of 34.7 mW cm-2 was achieved for pure O2 as cathode feed. A decrease to 20.3 mW cm-2 was observed when cathode gas composition was changed to synthetic air due to reduction of the O2 partial pressure. The presence of CO2 in atmospheric air applied to the cathode stream caused a further drop of the maximum power density to 15.2 mW cm-2 driven by neutralization of OH- ions with CO2

Evolution over Time of Ventilatory Management and Outcome of Patients with Neurologic Disease∗

OBJECTIVES: To describe the changes in ventilator management over time in patients with neurologic disease at ICU admission and to estimate factors associated with 28-day hospital mortality. DESIGN: Secondary analysis of three prospective, observational, multicenter studies. SETTING: Cohort studies conducted in 2004, 2010, and 2016. PATIENTS: Adult patients who received mechanical ventilation for more than 12 hours. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Among the 20,929 patients enrolled, we included 4,152 (20%) mechanically ventilated patients due to different neurologic diseases. Hemorrhagic stroke and brain trauma were the most common pathologies associated with the need for mechanical ventilation. Although volume-cycled ventilation remained the preferred ventilation mode, there was a significant (p < 0.001) increment in the use of pressure support ventilation. The proportion of patients receiving a protective lung ventilation strategy was increased over time: 47% in 2004, 63% in 2010, and 65% in 2016 (p < 0.001), as well as the duration of protective ventilation strategies: 406 days per 1,000 mechanical ventilation days in 2004, 523 days per 1,000 mechanical ventilation days in 2010, and 585 days per 1,000 mechanical ventilation days in 2016 (p < 0.001). There were no differences in the length of stay in the ICU, mortality in the ICU, and mortality in hospital from 2004 to 2016. Independent risk factors for 28-day mortality were age greater than 75 years, Simplified Acute Physiology Score II greater than 50, the occurrence of organ dysfunction within first 48 hours after brain injury, and specific neurologic diseases such as hemorrhagic stroke, ischemic stroke, and brain trauma. CONCLUSIONS: More lung-protective ventilatory strategies have been implemented over years in neurologic patients with no effect on pulmonary complications or on survival. We found several prognostic factors on mortality such as advanced age, the severity of the disease, organ dysfunctions, and the etiology of neurologic disease