12 research outputs found

    Evaluation of Sn0.9_{0.9}Fe0.1_{0.1}O2‐ή_{2‐ ή} as Potential Anode Material for Sodium‐Ion Batteries

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    The introduction of transition metals such as iron in oxides of alloying elements as, for instance, SnO2_2 has been proven to enable higher capacities and superior charge storage performance when used as lithium-ion electrode materials. Herein, we report the evaluation of such electrode materials, precisely (carbon-coated) Sn0.9_{0.9}Fe0.1_{0.1}O2−ή_{2−ή}(−C), for sodium-ion battery applications. The comparison with SnO2_2 as reference material reveals the beneficial impact of the presence of iron in the tin oxide lattice, enabling higher specific capacities and a greater reversibility of the de-/sodiation process – just like for lithium-ion battery applications. The overall achievable capacity, however, remains relatively low with about 300 mAh g−1^{−1} and up to more than 400 mAh g−1^{−1} for Sn0.9_{0.9}Fe0.1_{0.1}O2−ή_{2-ή} and Sn0.9_{0.9}Fe0.1_{0.1}O2−ή_{2−ή}-C, respectively, compared to the theoretical specific capacity of more than 1,300 mAh g−1^{−1} when assuming a completely reversible alloying and conversion reaction. The subsequently performed ex situ/operando XRD and ex situ TEM/EDX analysis unveils that this limited capacity results from an incomplete de-/sodiation reaction, thus, providing valuable insights towards an enhanced understanding of alternative reaction mechanisms for sodium-ion anode material candidates

    Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

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    Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally
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