34 research outputs found

    Mixed matrix membranes based on ionic liquids and porous organic polymers for selective CO2 separation

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    The Associate Laboratory Institute for Health and Bioeconomy - i4HB ( LA/P/0140/2020 ), which are financed by national funds from FCT/MCTES. The authors also thank the National Natural Science Foundation of China (No. 21772013 ) and Beijing Natural Science Foundation (No. 2202049 ) for generous support. Publisher Copyright: © 2022 Elsevier B.V.The development of more efficient materials is a crucial step in the development of gas separation membranes. In this work, we combine ionic liquids (ILs) and porous organic polymers (POPs) for the first time to fabricate a new type of mixed matrix iongel membranes, which are entirely composed of organic materials. The new azo-POPs reported in this work were specifically designed due to their “CO2-philic” feature to be incorporated in iongel materials. The membranes, comprising 80 wt% of [C2mim][TFSI] IL and 20 wt% of poly(ethylene glycol) diacrylate (PEGDA) network, were prepared using a solvent-free UV curing method. The unique properties of azo-POPs within the iongel material resulted in the fabrication of dense and defect-free membranes with improved gas separation performances, in terms of both CO2 permeability (62.3–90.6 barrer) and, CO2/CH4 (9.9–12.0), CO2/H2 (6.0–12.1) and CO2/N2 (16.8–53.1) ideal selectivities, with the latter revealing to be highly dependent on the morphological properties of the azo-POPs. Furthermore, iongel characterization in terms of morphology, chemical structure and thermal properties, confirmed the potential of the novel mixed matrix iongels for CO2 separation processes.publishersversionpublishe

    Global injury morbidity and mortality from 1990 to 2017 : results from the Global Burden of Disease Study 2017

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    Correction:Background Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries. Methods We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs). Findings In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505). Interpretation Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care.Peer reviewe

    Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

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    Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

    Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

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    Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

    Incorporation of Azo-Linkage to Elevate the Redox Potential of Triphenylamine-Based Porous Organic Polymer Cathodes for Li-Ion Batteries

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    Porous organic polymers with triphenylamine (TPA) subunits have attracted a lot of attention as advanced electrodes for Li-ion batteries (LIBs) but with poor rate performance and low stability. In this work, azo-linkage has been incorporated into TPA-based porous organic polymers to increase the redox potential while maintaining the capacity of TPA. The cathodes based on azo-linked porous organic polymers (Azo-POP-10, Azo-POP-11, and Azo-POP-12) exhibited a high redox potential of 3.8 V and can be charged up to 4.5 V. A stable electrochemical performance is observed and our designed cathodes retain 84% (Azo-POP-10), 87% (Azo-POP-11), and 75% (Azo-POP-12) of their initial capacities at a current density of 1000 mAg–1. Over 60% capacity retention is observed even after 1000 charge–discharge cycles. Moreover, the cathodes still delivered a stable capacity even at a very high current density of 20,000 mAg–1, showing excellent stability under fast charging conditions. A cutoff potential of 4.5 V and a current density of 20,000 mAg–1 are the highest parameters for TPA-based materials to date. The unique material design is mainly responsible for this excellent performance, and we believe that this report can inspire the further development of organic cathodes with fast charging and better stability
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