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Our results may open up the possibility of implementing the low-dimensional granular magnetic materials in nanodevice applications.Metallic lithium (Li) anodes are crucial for the development of high specific energy batteries yet are plagued by their poor cycling efficiency. Electrode architecture engineering is vital for maintaining a stable anode volume and suppressing Li corrosion during cycling. In this paper, a reduced graphene oxide "host" framework for Li metal anodes is further optimized by embedding silicon (Si) nanoparticles between the graphene layers. They serve as Li nucleation seeds to promote Li deposition within the framework even without prestored Li. Meanwhile, the LixSi alloy particles serve as supporting "pillars" between the graphene layers, enabling a minimized thickness shrinkage after full stripping of metallic Li. Combined with a Li compatible electrolyte, a 99.4% Coulombic efficiency over ∼600 cycles is achieved, and stable cycling of a Li||NMC532 full cell for ∼380 cycles with negligible capacity decay is realized.Fossil fuel internal combustion engines generate and release a huge amount of nitrogen dioxide, leading to respiratory and allergic diseases such as asthma, pneumonia, and possibly tuberculosis. Here we develop an alveolus-inspired membrane sensor (AIMS) for self-powered wearable nitrogen dioxide detection and personal physiological assessment. The bionic AIMS exhibits an excellent sensitivity up to 452.44%, a good linearity of 0.976, and superior selectivity under a NO2 concentration of 50 ppm. Furthermore, the AIMS can also be employed to diagnose human breath behaviors for breath analysis. The fundamental sensing mechanism is established using a combination of thermodynamic analysis, finite-element analysis, and phase-field simulations. It is found that the depolarization field inside the sensitive materials plays a crucial role in the self-powered gas-sensing performance. This work not only provides an efficient, low-cost, portable, and environmentally friendly means for active environmental assessment and personal biomonitoring but also provides a deep understanding of the gas-sensing mechanisms.Mechanical displacement in commonly used piezoelectric materials is typically restricted to linear or biaxial in nature and to a few percent of the material dimensions. Here, we show that free-standing BaTiO3 membranes exhibit nonconventional electromechanical coupling. Under an external electric field, these superelastic membranes undergo controllable and reversible "sushi-rolling-like" 180° folding-unfolding cycles. This crease-free folding is mediated by charged ferroelectric domains, leading to giant >3.8 and 4.6 μm displacements for a 30 nm thick membrane at room temperature and 60 °C, respectively. Further increasing the electric field above the coercive value changes the fold curvature, hence augmenting the effective piezoresponse. Finally, it is found that the membranes fold with increasing temperature followed by complete immobility of the membrane above the Curie temperature, allowing us to model the ferroelectric domain origin of the effect.Solar steam generation as a promising solar energy conversion technology has attracted considerable interest in achieving seawater desalination and water purification. Although wood with fast water transportation and excellent heat localization has drawn particular interest in regard to its application for solar steam generation, challenges still remain in terms of its complicated processing techniques and relatively low efficiency. Here, we propose a facile, cost-efficient, and scalable brushing method to prepare an aluminophosphate-treated wood (Wood@AlP) solar steam generation device. The aluminophosphate compound deposited on the wood surface can not only be considered as the Lewis acid catalyst capable of accelerating the formation of the carbon layer but also provide an aluminophosphate layer with a hierarchical porous structure, which is beneficial for broad solar absorption and vapor escape. Cenicriviroc order On the other hand, benefiting from the natural hydrophilicity, low thermal conductivity, and excellent water transportation of wood, the obtained Wood@AlP device can float on seawater and exhibit a high solar thermal efficiency of 90.8% with a net evaporation rate of 1.423 kg m-2 h-1 under 1 sun illumination.OBJECTIVES Patients are unintentionally, yet frequently, harmed in situations that are deemed preventable. Incident reporting systems help prevent harm, yet there is considerable variability in how patient safety incidents are reported. This may lead to inconsistent or unnecessary patterns of incident reporting and failures to identify serious patient safety incidents. This systematic review aims to describe international approaches in relation to defining serious reportable patient safety incidents. METHODS Multiple electronic and gray literature databases were searched for articles published between 2009 and 2019. Empirical studies, reviews, national reports, and policies were included. A narrative synthesis was conducted because of study heterogeneity. RESULTS A total of 50 articles were included. There was wide variation in the terminology used to represent serious reportable patient safety incidents. Several countries defined a specific subset of incidents, which are considered sufficiently serious, yet preventable if appropriate safety measures are taken. Terms such as "never events," "serious reportable events," or "always review and report" were used. The following dimensions were identified to define a serious reportable patient safety incident (1) incidents being largely preventable; (2) having the potential for significant learning; (3) causing serious harm or have the potential to cause serious harm; (4) being identifiable, measurable, and feasible for inclusion in an incident reporting system; and (5) running the risk of recurrence. CONCLUSIONS Variations in terminology and reporting systems between countries might contribute to missed opportunities for learning. International standardized definitions and blame-free reporting systems would enable comparison and international learning to enhance patient safety.Two cases of epithelial implantation after small-incision lenticule extraction (SMILE) treated by NdYAG laser and interface sweeping are described. A 40-year-old woman and 33-year-old man underwent SMILE and subsequently were noted to have epithelial cells implanted into the surgical interface. One case was treated using NdYAG laser. The laser was focused to the level of the interface with an energy level of 0.3 mJ. The treatment covered the entire area of epithelial implantation. The second case was treated by opening the original SMILE incision and sweeping the residual epithelial cells from the interface followed by a washout. Both the NdYAG laser and interface sweeping proved to be effective in reducing or eliminating the epithelial cells from the SMILE interface. Further studies are needed to report on overall safety and efficacy of these 2 techniques.A 62-year-old woman was referred with reduced vision in her left eye and suspected retinal detachment. Bilateral laser in situ keratomileusis with KAMRA corneal inlay insertion was performed in the left eye 2 years earlier. On examination, a shadow from the corneal inlay limited posterior segment examination even with dilated fundoscopy, but a temporal raised lesion extending over the macula was noted. Ocular ultrasound confirmed a large tumor consistent with malignant melanoma, requiring enucleation. It is unclear whether the patient had baseline dilated fundoscopy before corneal inlay implantation; however, a pinhole effect for the patient will cause a pinhole effect for the clinician, potentially limiting the fundal view. The authors emphasize the importance of appropriate informed consent patients, including discussion of rare risks and complications, which can have profound implications. In this case, the elective refractive procedure potentially masked an intraocular tumor. Enucleation may have been avoided if the lesion had been identified at an earlier stage.PURPOSE To compare fracture characteristics of intraocular lenses (IOLs) used in transscleral fixation with the Gore-Tex suture. SETTING Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada. DESIGN Experimental study. METHODS A model was designed to compare the eyelet fracture characteristics of enVista MX60 IOL (model available before June 2018), the enVista MX60E IOL (current model), the Akreos AO60 IOL, and the CZ70BD IOL. Tension was applied through the Gore-Tex suture and measured with a digital force gauge. Two suture configurations (radial and nonradial) were tested using the MX60E IOL. RESULTS A total of 25 trials were conducted. The mean eyelet fracture force was 1.666 newtons (N) for the MX60 IOL (range, 1.000-2.000), 1.000 N for the MX60E IOL (range, 1.000-1.000), 2.330 N for the AO60 IOL (range, 2.000-3.000), and 0.998 N for the CZ70BD IOL (range, 0.990-1.000). When compared with the MX60E IOL, a greater eyelet strength was observed with the MX60 (P = .024) and AO60 (P = .004) IOLs. Radial and nonradial suture configurations did not affect the MX60E eyelet fracture force. CONCLUSIONS The enVista MX60E eyelet may be less resistant to Gore-Tex suture tear out compared with the MX60 and AO60 IOLs. Altering suture configuration did not affect enVista eyelet resistance to fracture. During off-label use in transscleral fixation, extra caution should be taken when handling IOLs and applying tension on sutures.PURPOSE To investigate the accuracy of 8 different biometric formulas in combined phacovitrectomy and the effect of constant optimization on refractive outcome. SETTING Ludwig-Maximilians-University, Munich, Germany. DESIGN Retrospective observational case series. METHODS In this single-center study, patients with cataract and epiretinal membrane who underwent combined phacovitrectomy with internal limiting membrane peeling (Group B) and axial length-matched patients who underwent phacoemulsification (Group A) were included. In Group C, optimized constants from Group A were applied in patients of Group B. One eye of each patient was included. Main outcome measures after constant optimization for each biometric formula were refractive prediction error (PE), mean absolute error (MAE), and percentages of eyes with a PE within ±0.25 diopters (D), ±0.5 D, and ±1.0 D. RESULTS The study comprised 128 patients. For all formulas in Group A and Group B, refractive PE was 0.000 (P = .964 and P = .967, respectively). For formulas Barrett, Haigis, Hill, Hoffer Q, Holladay 1, Holladay 2, Kane, and SRK-T, refractive PE was -0.147, -0.204, -0.180, -0.212, -0.180, -0.178, -0.153, and -0.159, respectively, in Group C (P = .569); MAE was 0.346, 0.375, 0.382, 0.379, 0.355, 0.377, 0.318, and 0.364, respectively, in Group A (P = .286); 0.402, 0.422, 0.417, 0.427, 0.417, 0.402, 0.370, and 0.401, respectively, in Group B (P = .364); and 0.401, 0.424, 0.419, 0.444, 0.424, 0.404, 0.391, and 0.422, respectively, in Group C (P = .767). Effect of constant optimization in phacovitrectomy was statistically significant for all formulas (P less then .001 for each formula). CONCLUSIONS No statistically significant difference was observed between the biometric formulas with regard to PE and MAE. However, in terms of phacovitrectomy, constant optimization should be considered for individual intraocular lens power calculations attributable to myopic shift.
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