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BACKGROUND: Information on salt consumption patterns is needed to inform the need for and design of salt reduction strategies. OBJECTIVES: In northern Ghana, this study aimed to estimate household consumption of salt, including salt from bouillon, and compare (estimated) women and childrens salt intake to global recommendations; to estimate the proportion of salt consumed from bouillon; and to identify factors, including knowledge, attitudes, and practices, associated with household salt consumption. METHODS: Employing mixed-methods methodology, we conducted a pilot survey (n = 369 households enrolled) and focus group discussions (FGDs; n = 20) in Tolon and Kumbungu districts (14 urban, 14 rural clusters) (clinicaltrials.gov registry: NCT04632771). Households reported purchases of discretionary salt (DS, table salt) and bouillon cubes. DS and total salt (TS; DS+salt from bouillon) consumption for women (15-49 y) and children (2-5 y) were estimated using the Adult Male Equivalent method and compared with global recommendations (

Purpose: To investigate the effect of personalized sweat sodium replacement on drinking behavior, sodium and water balance, and thermophysiological responses during and after ultraendurance running in hot conditions. Methods: Nine participants (7 male, 2 female) completed two 5-hour treadmill runs (60% maximum oxygen uptake, 30°C ambient temperature), in a double-blind randomized crossover design, consuming sodium chloride (SODIUM) capsules to replace 100% of previously assessed losses or placebo (PLACEBO). Fluid was consumed ad libitum. Results: No effect of SODIUM was observed for ad libitum fluid intake or net fluid balance (P >.05). Plasma sodium concentration increased in both trials, but to a greater extent in SODIUM at 2.5 hours (mean [SD]: 4 [4] mmol·L−1 vs 1 [5] mmol·L−1; P <.05) and postexercise (4 [3] mmol·L−1 vs 1 [5] mmol·L−1; P <.05). Plasma volume change was not different between trials (P >.05) but was strongly correlated with sodium balance in SODIUM (r =.880, P <.01). No effect of sodium replacement was observed for heart rate, rectal temperature, thermal comfort, perceived exertion, or physiological strain index. During the 24 hours postexercise, ad libitum fluid intake was greater following SODIUM (2541 [711] mL vs 1998 [727] mL; P =.04), as was urinary sodium excretion (NaCl: 66 [35] mmol, Pl: 21 [12] mmol; P <.01). Conclusions: Personalized sweat sodium replacement during ultraendurance running in hot conditions, with ad libitum fluid intake, exacerbated the rise in plasma sodium concentration compared to no sodium replacement but did not substantially influence overall body-water balance or thermophysiological strain. A large sodium deficit incurred during exercise leads to substantial renal sodium conservation postexercise. [ABSTRACT FROM AUTHOR]

The reactions of Cl, Br, and I with Nan=2,3 produced in a supersonic expansion form Na2* and Na* excited states extending across the visible and ultraviolet regions. Emission in the region extending from 410 to 600 nm indicates selectively formed excited state Na2 emission features. Experimental evidence suggests that this emission is associated with Na3 + X reactions. Broadband (0.5 cm−1) laser measurements demonstrate gain (population inversion) for select features at∼524–528(1%), ∼492(0.3%), and ∼458.7–461(0.8%) nm. Single mode (0.007 cm−1) measurements extending from 528.03 to 527.63 nm demonstrate amplification involving five to six individual rovibronic levels with a maximum gain close to 3% recorded at 527.9 nm. The observed gain is associated with select transitions from levels of the Na2 11Πu state populated, via identified curve crossings, through collision induced transfer from long-lived Na2 21Σg+ and 11Πg reservoir states. Collision induced population buildup in the lowest vibrational levels of these reservoir states and collision induced transfer to the Na2 11Πu state create a population inversion in transitions to the X 1Σg+ state of Na2. The observed amplification is aided by rapid vibrational and rotational relaxation in both the Na2 ground and excited reservoir states producing amplifiers in the visible region like the HF amplifier in the infrared. This study suggests the importance of reaction populated and energy storing long-lived reservoir states in small sodium molecule combustion processes and indicates the potential for providing new short wavelength visible and ultraviolet amplifiers for future laser-based chemical propulsion concepts. [ABSTRACT FROM AUTHOR]

The reactions of Cl, Br, and I with Nan=2,3 produced in a supersonic expansion form Na2* and Na* excited states extending across the visible and ultraviolet regions. Emission in the region extending from 410 to 600 nm indicates selectively formed excited state Na2 emission features. Experimental evidence suggests that this emission is associated with Na3 + X reactions. Broadband (0.5 cm−1) laser measurements demonstrate gain (population inversion) for select features at∼524–528(1%), ∼492(0.3%), and ∼458.7–461(0.8%) nm. Single mode (0.007 cm−1) measurements extending from 528.03 to 527.63 nm demonstrate amplification involving five to six individual rovibronic levels with a maximum gain close to 3% recorded at 527.9 nm. The observed gain is associated with select transitions from levels of the Na2 11Πu state populated, via identified curve crossings, through collision induced transfer from long-lived Na2 21Σg+ and 11Πg reservoir states. Collision induced population buildup in the lowest vibrational levels of these reservoir states and collision induced transfer to the Na2 11Πu state create a population inversion in transitions to the X 1Σg+ state of Na2. The observed amplification is aided by rapid vibrational and rotational relaxation in both the Na2 ground and excited reservoir states producing amplifiers in the visible region like the HF amplifier in the infrared. This study suggests the importance of reaction populated and energy storing long-lived reservoir states in small sodium molecule combustion processes and indicates the potential for providing new short wavelength visible and ultraviolet amplifiers for future laser-based chemical propulsion concepts. [ABSTRACT FROM AUTHOR]

There is a bidirectional pathophysiological interaction between the heart and the kidneys, and prolonged physiological stress to the heart and/or the kidneys can cause adverse cardiorenal complications, including but not limited to subclinical cardiomyopathy, heart failure and chronic kidney disease. Whilst more common in individuals with Type 2 diabetes, cardiorenal complications also occur in the absence of diabetes. Sodium-glucose cotransporter 2 inhibitors (SGLT2i) were initially approved to reduce hyperglycaemia in patients with Type 2 diabetes. Recently, these agents have been shown to significantly improve cardiovascular and renal outcomes in patients with and without Type 2 diabetes, demonstrating a robust reduction in hospitalisation for heart failure and reduced risk of progression of chronic kidney disease, thus gaining approval for use in treatment of heart failure and chronic kidney disease. Numerous potential mechanisms have been proposed to explain the cardiorenal effects of SGLT2i. This review provides a simplified summary of key potential cardiac and renal mechanisms underlying the cardiorenal benefits of SGT2i and explains these mechanisms in the clinical context. Key mechanisms related to the clinical effects of SGLT2i on the heart and kidneys explained in this publication include their impact on (1) tissue oxygen delivery, hypoxia and resultant ischaemic injury, (2) vascular health and function, (3) substrate utilisation and metabolic health and (4) cardiac remodelling. Knowing the mechanisms responsible for SGLT2i-imparted cardiorenal benefits in the clinical outcomes will help healthcare practitioners to identify more patients that can benefit from the use of SGLT2i.

Sodium-dependent glucose transporters (SGLTs) couple a downhill Na+ ion gradient to actively transport sugars. Here, we investigate the impact of the membrane potential on vSGLT structure and function using sugar uptake assays, double electron-electron resonance (DEER), electrostatic calculations, and kinetic modeling. Negative membrane potentials, as present in all cell types, shift the conformational equilibrium of vSGLT towards an outward-facing conformation, leading to increased sugar transport rates. Electrostatic calculations identify gating charge residues responsible for this conformational shift that when mutated reduce galactose transport and eliminate the response of vSGLT to potential. Based on these findings, we propose a comprehensive framework for sugar transport via vSGLT, where the cellular membrane potential facilitates resetting of the transporter after cargo release. This framework holds significance not only for SGLTs but also for other transporters and channels.

BackgroundAs the only place in a store where customers must pass through, checkouts may be especially influential over purchases. Research is needed to understand the healthfulness of checkout environments.ObjectivesThe objective of this study was to classify checkout product facings in California food stores.MethodsIn a cross-sectional study, 102 stores, including chains (dollar stores, drugstores, specialty food stores, supermarkets, and mass merchandisers) and independent supermarkets and grocery stores were sampled from 4 northern California cities. Observational assessments of each checkout product facing were conducted in February 2021 using the Store CheckOUt Tool. Facings were classified by category and healthfulness, defined by meeting Berkeley's Healthy Checkout Ordinance's healthy checkout standards: unsweetened beverages and specific foods containing ≤5 g added sugar and ≤200 mg sodium per serving. Log binomial regressions compared healthfulness by store and checkout characteristics.ResultsOf 26,758 food and beverage checkout facings, the most common categories were candy (31%), gum (18%), sugar-sweetened beverages (SSBs; 11%), salty snacks (9%), mints (7%), and sweets (6%). Water represented only 3% and fruits and vegetables 1% of these facings. Only 30% of food and beverage facings met Berkeley's healthy checkout standards, with 70% not meeting the standards. The percentage of food and beverage facings not meeting the standards was even higher (89%) among snack-sized packages (≤2 servings/package). Compared with chain supermarkets, mass merchandisers, and specialty food stores (34%-36%), dollar and independent grocery stores had a lower percentage of food and beverage facings that met the healthy checkout standards (18%-20%; P < 0.05). Compared with lane and register areas (35%), endcaps and snaking sections within checkouts had fewer food and beverage facings that met the standards (21%-23%; P < 0.001).ConclusionsMost foods and beverages at checkout consisted of candy, SSBs, salty snacks, and sweets and failed to meet the healthy checkout standards.Curr Dev Nutr 2023;xx:xx.

By reaction of sodium electride or NaC2H with the anhydrous sodium salt of propiolic acid, Na(OOC−C≡C−H), in liquid ammonia crystalline powders of Na2C3O2 were obtained. The structure analysis based on synchrotron powder diffraction data revealed that Na2C3O2 crystallizes in a monoclinic unit cell (I2/a, Z=4) exhibiting the elusive Y‐shaped −C≡C−COO− anion, which is unprecedented in a crystalline compound up to now. IR/Raman and solid‐state NMR spectroscopic investigations with assignments supported by DFT‐based ab initio calculations confirm this finding. Reaction with sodium electride led to a higher crystallinity of the product, but additionally a by‐product apparently due to decomposition and polymerization of Na2C3O2 was formed. No such by‐product was observed in the reaction with NaC2H, which turned out to be a milder metalation route. However, the product of the latter reaction is less crystalline. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions Whether blood laboratory analyses differ in patients who later suffer in‐hospital cardiac arrest (IHCA) compared to other hospitalised patients remains unknown. The aim of this study was to describe pre‐arrest sampling frequencies, results, and trends in blood laboratory analyses in patients with IHCA compared to controls.This study was a matched case–control study using national registries in Denmark. Cases were defined as patients with IHCA from 2017 to 2021. Controls were defined as hospitalised patients and were matched on age, sex, and date and length of admission. Data on a total of 51 different blood laboratory analyses were obtained. The laboratory analyses of primary interest were lactate, sodium, potassium, and haemoglobin. The index time for cases was defined as the time of cardiac arrest, and a corresponding index time was defined for controls based on the time to cardiac arrest for their corresponding case. Blood sampling frequencies were reported for blood laboratory analyses obtained either within the last 24 h before the index time or between the time of hospital admission and the index time. Blood sampling results were reported for blood laboratory analyses obtained within the last 24 h before the index time.A total of 9268 cases and 92,395 controls were included in this study. Cases underwent more frequent sampling of all blood laboratory analyses compared to controls. This higher sampling frequency was more pronounced for lactate compared to sodium, potassium, or haemoglobin. The last measured lactate was higher in cases (median [IQR]: 2.3 [1.3, 4.9]) compared to controls (median [IQR]: 1.3 [0.9, 2.0]). Differences in sodium, potassium, and haemoglobin were negligible. The proportion of abnormally elevated levels of lactate and potassium increased as time to cardiac arrest decreased; no such effect was seen in controls. No temporal trend was evident for sodium or haemoglobin.Patients with IHCA undergo more frequent blood sampling prior to IHCA and have higher levels of lactate compared to matched controls. [ABSTRACT FROM AUTHOR]

Diluents have been extensively employed to overcome the disadvantages of high viscosity and sluggish kinetics of high‐concentration electrolytes, but generally do not change the pristine solvation structure. Herein, a weakly coordinating diluent, hexafluoroisopropyl methyl ether (HFME), is applied to regulate the coordination of Na+ with diglyme and anion and form a diluent‐participated solvate. This unique solvation structure promotes the accelerated decomposition of anions and diluents, with the construction of robust inorganic‐rich electrode‐electrolyte interphases. In addition, the introduction of HFME reduces the desolvation energy of Na+, improves ionic conductivity, strengthens the antioxidant, and enhances the safety of the electrolyte. As a result, the assembled Na||Na symmetric cell achieves a stable cycle of over 1800 h. The cell of Na||P'2‐Na0.67MnO2 delivers a high capacity retention of 87.3 % with a high average Coulombic efficiency of 99.7 % after 350 cycles. This work provides valuable insights into solvation chemistry for advanced electrolyte engineering. [ABSTRACT FROM AUTHOR]

Background: Clinical magnetic resonance imaging (MRI) studies often use Cartesian gradient-echo (GRE) sequences with ~2-ms echo times (TEs) to monitor apparent total sodium concentration (aTSC). We compared Cartesian GRE and ultra-short echo time three-dimensional (3D) radial-readout sequences for measuring skeletal muscle aTSC. Methods: We retrospectively evaluated 211 datasets from 112 volunteers aged 62.3 ± 12.1 years (mean ± standard deviation), acquired at 3 T from the lower leg. For 23Na MRI acquisitions, we used a two-dimensional Cartesian GRE sequence and a density-adapted 3D radial readout sequence with cuboid field-of-view (DA-3D-RAD-C). We calibrated the 23Na MR signal using reference tubes either with or without agarose and subsequently performed a relaxation correction. Additionally, we employed a six-echo 1H GRE sequence and a multi-echo spin-echo sequence to calculate proton density fat fraction (PDFF) and water T2. Paired Wilcoxon signed-rank test, Cohen dz for paired samples, and Spearman correlation were used. Results: Relaxation correction effectively reduced the differences in muscle aTSC between the two acquisition and calibration methods (DA-3D-RAD-C using NaCl/agarose references: 20.05 versus 19.14 mM; dz = 0.395; Cartesian GRE using NaCl/agarose references: 19.50 versus 18.82 mM; dz = 0.427). Both aTSC of the DA-3D-RAD-C and Cartesian GRE acquisitions showed a small but significant correlation with PDFF as well as with water T2. Conclusions: Different 23Na MRI acquisition and calibration approaches affect aTSC values. Applying relaxation correction is advised to minimize the impact of sequence parameters on quantification, and considering additional fat correction is advisable for patients with increased fat fractions. Relevance statement: This study highlights relaxation correction's role in improving sodium MRI accuracy, paving the way for better disease assessment and comparability of measured sodium signal in patients. Key points: • Differences in MRI acquisition methods hamper the comparability of sodium MRI measurements. • Measured sodium values depend on used MRI sequences and calibration method. • Relaxation correction during postprocessing mitigates these discrepancies. • Thus, relaxation correction enhances accuracy of sodium MRI, aiding its clinical use. [ABSTRACT FROM AUTHOR]

We describe here the synthesis of isoselenochromenes via a nucleophilic selenocyclization reaction of benzodiynes with sodium selenide. The central parameters that affect this cyclization reaction were studied, and the best reaction conditions were applied to different substrates to determine the scope of the method. The results indicated that isoselenochromenes were obtained in higher yields when the reactions were performed by the addition of NaBH4 (3 equiv), at room temperature, under nitrogen atmosphere, to a solution of elemental selenium (2 equiv) in dimethylformamide (2 mL). After 1 h, a benzodiynes (0.25 mmol) solution in EtOH (3 mL) was added at room temperature. The reaction was stirred at 75 °C until the starting material was consumed. The best conditions were applied to benzodiynes having electron‐rich, electron poor aromatic rings, and alkyl groups directly bonded to the alkynes. The same reaction condition was extended to isothiochromene derivatives but failed to prepare isotelurochromenes. The isoselenochromenes were easily transformed into three new classes of organoselenium compounds using classical methods available in the literature. We also conducted several control experiments to propose a reaction mechanism. [ABSTRACT FROM AUTHOR]

Objectives: To compare the efficacy of nadroparin and fondaparinux sodium for prevention of deep vein thromboembolism (DVT) in lower extremities after total hip arthroplasty (THA) and total knee arthroplasty (TKA). Methods: A total of 592 patients were enrolled in the study. Clinical data of patients who underwent total hip arthroplasty (THA) and total knee arthroplasty (TKA) in our hospital from December 2021 to September 2022 were retrospectively collected, which mainly included patients' general information, surgery-related information, and DVT-related information. The patients were categorized into the nadroparin group(n = 278) and the fondaparinux sodium group(n = 314) according to the types of anticoagulants used. Anticoagulant therapy began 12–24 h after operation and continued until discharge. DVT prevalence between two groups was compared. The Statistical Package for Social Sciences (SPSS) software version 25 (SPSS, Armonk, NY, USA) was used for statistical analysis. Results: The prevalence of DVT in the nadroparin group and the fondaparinux sodium group was 8.3% (23/278) and 15.0% (47/314), respectively(p = 0.012). Statistical analysis showed that nadroparin group showed a lower prevalence of thrombosis than fondaparinux group (OR = 1.952, P = 0.012). Subgroup analyses showed that nadroparin group had a lower prevalence of DVT than fondaparinux group in some special patients groups such as female patients (OR = 2.258, P = 0.007), patients who are 65–79 years old (OR = 2.796, P = 0.004), patients with hypertension (OR = 2.237, P = 0.042), patients who underwent TKA (OR = 2.091, P = 0.011), and patients who underwent combined spinal-epidural anesthesia (OR = 2.490, P = 0.003) (P < 0.05). Conclusion: Nadroparin may have an advantage over fondaparinux sodium in preventing DVT in lower extremities after THA and TKA. [ABSTRACT FROM AUTHOR]

[Display omitted] • TFC NF membranes were fabricated by coating a loose network-like interlayer. • TA/PSS interlayer riches in –SO 3 H and –OH to form 36.3–63.9 nm PA layer. • TFC-2 presents 22.7 L m−2 h−1 bar−1 pure water flux and 97.1 % rejection Na 2 SO 4. The traditional polyamide composite nanofiltration membranes have high selectivity and low water permeance, so it is necessary to find strategies to raise the permeance. Herein, a novel polyamide nanofiltration membranes with high permeance were fabricated by coating a loose hydrophilic network-like interlayer, where tannic acid (TA) with pentapophenol arm structure binds to poly(4-styrenesulfonate) (PSS) polymer through hydrogen and ionic interactions. The effects of the network-like TA/PSS interlayer on surface morphology, surface hydrophobicity, and the interfacial polymerization mechanism were investigated. The outcomes demonstrated that the TA/PSS interlayer can offer a favorable environment for interfacial polymerization, enhance the hydrophilicity of the substrate membrane, and delay the release of piperazine (PIP). The optimized TFC-2 presents pure water flux of 22.7 ± 2.8 L m−2 h−1 bar−1, Na 2 SO 4 rejection of 97.1 ± 0.5 %, and PA layer thickness of about 38.9 ± 2.5 nm. This provides new strategies for seeking to prepare simple interlayers to obtain high-performance nanofiltration membranes. [ABSTRACT FROM AUTHOR]

A porous organic polymer (POP) has been developed for dual-ion storage in all organic symmetric rechargeable batteries. The triphenylamine-pyrene-based POP could host sodium and hexafluorophosphate ions acting as the anode and the cathode, respectively, through the adsorption-intercalation and insertion mechanism. The current study highlights the concept of widening the potential window of a dual ion battery by judicious selection of the constituent moieties. [ABSTRACT FROM AUTHOR]

Background and purpose Patients and methods Results Conclusion Blood pressure variability, in acute stroke, may be an important modifiable determinant of functional outcome after stroke. In a large international cohort of participants with acute stroke, it was sought to determine the association of blood pressure variability (in the early period of admission) and functional outcomes, and to explore risk factors for increased blood pressure variability.INTERSTROKE is an international case–control study of risk factors for first acute stroke. Blood pressure was recorded at the time of admission, the morning after admission and the time of interview in cases (median time from admission 36.7 h). Multivariable ordinal regression analysis was employed to determine the association of blood pressure variability (standard deviation [SD] and coefficient of variance) with modified Rankin score at 1‐month follow‐up, and logistic regression was used to identify risk factors for blood pressure variability.Amongst 13,206 participants, the mean age was 62.19 ± 13.58 years. When measured by SD, both systolic blood pressure variability (odds ratio 1.13; 95% confidence interval 1.03–1.24 for SD ≥20 mmHg) and diastolic blood pressure variability (odds ratio 1.15; 95% confidence interval 1.04–1.26 for SD ≥10 mmHg) were associated with a significant increase in the odds of poor functional outcome. The highest coefficient of variance category was not associated with a significant increase in risk of higher modified Rankin score at 1 month. Increasing age, female sex, high body mass index, history of hypertension, alcohol use, and high urinary potassium and low urinary sodium excretion were associated with increased blood pressure variability.Increased blood pressure variability in acute stroke, measured by SD, is associated with an increased risk of poor functional outcome at 1 month. Potentially modifiable risk factors for increased blood pressure variability include low urinary sodium excretion. [ABSTRACT FROM AUTHOR]

Sodium plating–stripping with high reversibility is still an intractable challenge for sodium metal‐based batteries due to the fragile natural solid‐electrolyte interphase (SEI) film and severe Na dendrites growth. Herein, a surface reconstruction strategy is proposed and a rooted heterogeneous interlayer derived from in situ reactions between tin selenide and Na metal (abbr. Na/SnSe) is produced to regulate Na+ deposition behavior and impede dendrite growth. The high sodiophilic Na15Sn4 component demonstrates the robust combination and dendrite suppression capability, inhibiting fracture and delamination problems during volume variation. Meanwhile, the superionic Na2Se ingredient contributes to the optimized Na+ conduction efficiency and low nucleation overpotential, enabling uniform distribution of electrical fields and ultimately eliminating Na dendrites. Consequently, the reconfigured multifunctional Na/SnSe interphase realizes a long‐term lifespan over 2400 h at 0.5 mA cm−2/1 mAh cm−2 in symmetric cell with an extremely low voltage hysteresis. Moreover, the assembled Na/SnSe||NaNi1/3Fe1/3Mn1/3O2 pouch cell achieves exceptional cycling stability and capacity retention (90.4 mAh g−1 after 1800 cycles at a high current density of 2 A g−1), exploiting an avenue for designing durable SEI layer and high‐quality sodium metal batteries. [ABSTRACT FROM AUTHOR]

Here, the sodium storage mechanism in commercial grade hard carbon with a low surface area is comprehensively investigated using electrochemical impedance spectroscopy (EIS), the galvanostatic intermittent titration technique, and in situ Raman spectroscopy for fresh and cycled electrodes. The reversible shift of the carbon G‐band peak on Raman spectra and substantial change of the charge‐transfer resistance in the sloping region of the voltage profile indicates the intercalation of sodium ions into hard carbon, whereas the low‐voltage plateau is associated with the pore‐filling process. In situ Raman analysis at low frequencies reveals that the pore filling is progressed via formation of small sodium clusters in closed pores. Prolonged cycling demonstrates that intercalation is stable and consistent throughout multiple charge–discharge cycles. The transition from intercalation to pore filling strongly affects the diffusion behavior, leading to considerably slower diffusivity at low voltage. The EIS effectively differentiates the contribution of adsorption to charge storage. The gradual growth of the solid‐electrolyte interphase layer affects the rise of the interfacial resistance as cycling progresses. In combination with the slower diffusivity, the low‐voltage plateau region strictly impedes fast de/sodiation and eventually causes capacity fade. [ABSTRACT FROM AUTHOR]

The buried interface between perovskite and the electron transport layer (ETL) played a crucial role in improving the power conversion efficiency (PCE) and stability of n-i-p structured perovskite solar cells (PSCs). Commercially prepared SnO2-based ETL films often suffered from severe interface defects, imperfect energy level alignment, and uncontrollable perovskite nucleation sites, hindering the achievement of highly efficient and stable PSCs. In this study, the hindering factors of commercial SnO2 ETL films were all addressed by the incorporation of a non-toxic multifunctional molecule, natural sodium lignosulfonate (SL) into the SnO2 ETL precursor, and ameliorated perovskite films were obtained. As a result, the PCE of a reference device (19.60%) was improved to 21.12% after doping with SL. Furthermore, unencapsulated SLdoped devices exhibited excellent environmental stability. After 840 h of storage at ~20% RH, the SLmodified device retained ~83% of its initial PCE, well exceeding the control device (~13%). In addition, our findings suggest a novel strategy aimed at improving the efficiency and stability of PSCs by the incorporation of non-toxic multifunctional molecules such as natural SL. [ABSTRACT FROM AUTHOR]

Sodium tungsten bronzes (Na x WO 3) are reduced metal oxides with applications in nanoparticle plasmonics. Despite decades of research, little is known about the conditions under which they can corrode. Here, Na x WO 3 nanoparticles were exposed to high-humidity air for 71 days to induce corrosion. The samples were studied ex-situ by using X-ray diffraction, scanning electron microscopy, and energy-dispersive X-ray spectroscopy. The low-Na sample (x = 0.4) corroded slowly into a single, insulating, hydrated Na–W– O –N phase over 10 weeks. The high-Na sample (x = 0.7) fully corroded after only 4 weeks, decomposing into at least 3 corrosion products, including the phase observed in the low-Na sample. Despite the complex corrosion process, the corrosion rate of both samples was reasonably well-described by a first-order rate equation, allowing for straightforward estimation of the corrosion kinetics. Although the corrosion phases could not be unambiguously determined, the EDS and XRD data suggests that the phases are hydrated, sodiated tungstates which appear to contain N. These findings help clarify the conditions under which the tungsten bronzes can corrode and are important for designing applications which use tungsten bronze nanoparticles. [ABSTRACT FROM AUTHOR]

The buried interface between perovskite and the electron transport layer (ETL) played a crucial role in improving the power conversion efficiency (PCE) and stability of n-i-p structured perovskite solar cells (PSCs). Commercially prepared SnO2-based ETL films often suffered from severe interface defects, imperfect energy level alignment, and uncontrollable perovskite nucleation sites, hindering the achievement of highly efficient and stable PSCs. In this study, the hindering factors of commercial SnO2 ETL films were all addressed by the incorporation of a non-toxic multifunctional molecule, natural sodium lignosulfonate (SL) into the SnO2 ETL precursor, and ameliorated perovskite films were obtained. As a result, the PCE of a reference device (19.60%) was improved to 21.12% after doping with SL. Furthermore, unencapsulated SLdoped devices exhibited excellent environmental stability. After 840 h of storage at ~20% RH, the SLmodified device retained ~83% of its initial PCE, well exceeding the control device (~13%). In addition, our findings suggest a novel strategy aimed at improving the efficiency and stability of PSCs by the incorporation of non-toxic multifunctional molecules such as natural SL. [ABSTRACT FROM AUTHOR]

The phase state of Cu2+ complexes with acrylamide and sodium acrylate copolymers at different copolymer concentrations and components molar ratios was studied. The change in complex stoichiometry from 2 to 3 carboxylate groups per Cu2+ ion was detected with an increase of copolymer concentration. In the concentrated solutions of copolymers, gelation is observed upon addition of Cu2+ ions, with the lowest concentration of copper required for gelation decreasing with the increase in copolymer concentration. These hydrogels are attributed to the formation of meta-stable inter-polymer metal complexes, which are able to persist due to a low segment mobility. The phase separation of complexes is shown to be associated with the bidentate coordination of carboxylate groups to Cu2+ ions, while the hydrogels formed in concentrated solutions mostly consist of bridging structures. Gelation threshold corresponds to the second critical concentration of poly(acrylamide-co-sodium acrylate) and is lower for copolymers with the higher molecular weight. Low acrylate content in the copolymers prevents collapse of the hydrogels caused by the salting-out effect. A higher gel content can be reached by increasing the copolymer concentration or the molar ratio of copper ions to carboxylate groups, with the latter reducing the swelling degree. [ABSTRACT FROM AUTHOR]

The pathophysiology behind sodium retention in heart failure with preserved ejection fraction (HFpEF) remains poorly understood. We hypothesized that patients with HFpEF have impaired natriuresis and diuresis in response to volume expansion and diuretic challenge, which is associated with renal hypo‐responsiveness to endogenous natriuretic peptides. Nine HFpEF patients and five controls received saline infusion (0.25 mL/kg/min for 60 min) followed by intravenous furosemide (20 mg or home dose) 2 h after the infusion. Blood and urine samples were collected at baseline, 2 h after saline infusion, and 2 h after furosemide administration; urinary volumes were recorded. The urinary cyclic guanosine monophosphate (ucGMP)/plasma B‐type NP (BNP) ratio was calculated as a measure of renal response to endogenous BNP. Wilcoxon rank‐sum test was used to compare the groups. Compared to controls, HFpEF patients had reduced urine output (2480 vs.3541 mL; p = 0.028), lower urinary sodium excretion over 2 h after saline infusion (the percentage of infused sodium excreted 12% vs. 47%; p = 0.003), and a lower baseline ucGMP/plasma BNP ratio (0.7 vs. 7.3 (pmol/mL)/(mg/dL)/(pg/mL); p = 0.014). Patients with HFpEF had impaired natriuretic response to intravenous saline and furosemide administration and lower baseline ucGMP/plasma BNP ratios indicating renal hypo‐responsiveness to NPs. [ABSTRACT FROM AUTHOR]

Background: Obtaining and interpreting blood gases and electrolytes is fundamental to the management of many critically ill patients. In such conditions, the speed and accuracy of tests, particularly ABG and electrolytes, to detect and monitor metabolic derangements is very important. Even though most ABG equipment can measure electrolyte concentrations, 2 separate samples -one whole blood and the other -serum are drawn and sent for analysis. Also there is a lack of consensus on the interchangeability of the values of electrolytes obtained from the two machines, which prevents the use of just one sample for the estimation of both these analytes. This study is being undertaken to assess the concordance between whole blood electrolytes measured by a point-of-care device and serum electrolytes measured in an auto-analyzer. Materials and methods: This is a cross-sectional, data of samples from patients hospitalized, in a tertiary care between January 2017 to March 2018. Patients of all age groups tested for electrolytes i.e. Sodium, Potassium and Chloride were both by the ABL800 FLEX from RADIOMETER COPENHAGEN (Direct ISE technology) and Dimension Clinical Chemistry System from SIEMENS (Indirect ISE technology). Results & Conclusion: There were a total of 255 samples were used for the study in whom electrolytes was done by both ABG analyser and Chemistry Analyser. The values of sodium potassium and chloride done on ABG analyser and the Chemistry analyser the p value was statistically significant it was found to have a strong positive correlation (r = 0.8325 for K+; r = 0.8763 for Na+; and r = 0.8695 for Cl-). Furthermore, the Bland Altman plot showed that the values were lying between the 95% CI of the mean difference which shows there is a good agreement between the two instruments. [ABSTRACT FROM AUTHOR]

Introduction: Physical, psychological, and behavioral symptoms are present in premenstrual syndrome (PMS), a chronic illness. It disappears after menstruation and happens during the luteal phase of the menstrual cycle. Eight to fifteen percent of women who are of reproductive age experience PMS. Aim and Objectives a) To estimate and compare the serum levels of sodium and potassium in females with and without PMS. b) To compare the levels of sodium and potassium during pre and post menstrual phases in PMS. METHODOLOGY:Young females aged between 18-25 years with a regular menstrual cycle of 28±3 days for at least 6 months with and without PMS willing to give informed consent were included Participants were divided into two groups equally, 40 women in each group. Group A (Non-PMS group) was the young females woman without premenstrual syndrome, and Group B (PMS group) was the young females with premenstrual syndrome for at least 3 consecutive symptomatic cycles before starting treatment. 3 ml venous blood sample was collected before and after the onset of menstruation during pre-menstrual and post menstrual phases in females with and without PMS. The sample was centrifuged for the separation of serum, used for the estimation and sodium and potassium levels using ISE metho in the Biochemistry Laboratory. Results and Discussion In the present study, it is seen that the mean levels of sodium were decreased in subjects with PMS compared to the subjects without PMS, this was statistically highly significant. Similarly, the potassium levels were reduced in patients with PMS compared to the subjects without PMS, this was statistically highly significant. The electrolytes levels were compared between pre and post menstrual phases in PMS subjects, it is evident that there were significant differences between the two phases in PMS subjects. Conclusion: In the present study, it is evident that the serum electrolytes were significantly altered in subjects with PMS and had a significant change during pre and post menstrual phases in PMS subjects, signifying the potential role of these electrolytes in subjects with PMS symptoms. [ABSTRACT FROM AUTHOR]

Introduction: In the last decade, del Nido cardioplegia has been embedded in adult cardiac surgery involving CABG and aortic valve surgical procedures. We reviewed our early experience with del Nido cardioplegia in the setting of minimally invasive mitral valve surgery. Methods: Data on 120 consecutive patients operated between 03/2021 and 06/2022 were retrieved from our internal database (infective endocarditis and urgent operations were excluded). Patients were divided into two groups according to the use of Histidine-Tryptophan-Ketoglutarate or del Nido cardioplegia. A propensity match analysis was performed using thirteen preoperative and intraoperative variables. Several intraoperative data and early postoperative outcomes were investigated, including cardiac enzymes (Troponin I HS and CK-MB) measured upon arrival in the Intensive Care Unit (ICU), after 12 hours and everyday thereafter. Results: There was no difference in preoperative characteristics and surgical techniques between both unmatched and matched Histidine-Tryptophan-Ketoglutarate and del Nido populations. Patients in the del Nido group received a lower volume of cardioplegia (p < 0.001) and ultrafiltration during CPB (p < 0.001). Histidine-Tryptophan-Ketoglutarate was associated with a lower rate of post cross-clamp spontaneous defibrillation (p < 0.001) and showed a lower level of blood sodium after CPB (p < 0.001). The release of cardiac enzymes was similar between the two groups (p = 0.72). There was no difference in terms of postoperative morbidity and 30 day mortality. Conclusions: del Nido cardioplegia in the setting of minimally invasive mitral valve surgery seemed safe with acceptable myocardial protection and excellent early outcomes. [ABSTRACT FROM AUTHOR]

The article emphasizes the importance of accurately referencing and understanding the historical background of scientific terms in biomedicine. It uses the example of the gene name ENA1 to illustrate how misinterpretation and misrepresentation of terms can occur. The article highlights the need for accurate and culturally sensitive terminology in scientific research. The given text is a list of references that cover various topics in gene regulation, ion transport, drug targets, and microbial evolution in different organisms. These references can be helpful for library patrons conducting research on these specific subjects. [Extracted from the article]

Due to the almost unlimited resource and acceptable performance, Sodium‐ion batteries (SIBs) have been regarded as a promising alternative for lithium‐ion batteries (LIBs) for grid‐scale energy storage. As the key material of SIBs, hard carbon (HC) plays a decisive role in determining the batteries' performance. Nevertheless, the micro‐structure of HCs is quite complex and the random organization of turbostratically stacked graphene layers, closed pores, and defects make the structure‐performance relationship insufficiently revealed. On the other hand, the impending large‐scale deployment of SIBs leads to producing HCs with low‐cost and abundant precursors actively pursued. In this work, the recent progress of preparing HCs from different precursors including biomass, polymers, and fossil fuels is summarized with close attention to the influences of precursors on the structural evolution of HCs. After a brief introduction of the structural features of HCs, the recent understanding of the structure‐performance relationship of HCs for sodium storage is summarized. Then, the main focus is concentrated on the progress of producing HCs from distinct precursors. After that, the pros and cons of HCs derived from different precursors are comprehensively compared to conclude the selection rules of precursors. Finally, the further directions of HCs are deeply discussed to end this review. [ABSTRACT FROM AUTHOR]

Occupational heat stress increases the risk of acute kidney injury (AKI). This study presents a secondary analysis to generate novel hypotheses for future studies by investigating the diagnostic accuracy of thermal, hydration, and heart rate assessments in discriminating positive AKI risk following physical work in the heat in unacclimatized individuals. Unacclimatized participants (n = 13, 3 women, age: ∼23 years) completed four trials involving 2 h of exercise in a 39.7 ± 0.6 °C, 32 ± 3% relative humidity environment that differed by experimental manipulation of hyperthermia (i.e., cooling intervention) and dehydration (i.e., water drinking). Diagnostic accuracy was assessed via receiver operating characteristic curve analysis. Positive AKI risk was identified when the product of concentrations insulin-like growth factor binding protein 7 and tissue inhibitor of metalloproteinase-2 [IGFBP7∙TIMP-2] exceeded 0.3 (ng∙mL−1)2∙1000−1. Peak absolute core temperature had the acceptable discriminatory ability (AUC = 0.71, p = 0.009), but a relatively large variance (AUC 95% CI: 0.57–0.86). Mean body temperature, urine specific gravity, urine osmolality, peak heart rate, and the peak percent of both maximum heart rate and heart rate reserve had poor discrimination (AUC = 0.66–0.69, p ≤ 0.051). Mean skin temperature, percent change in body mass and plasma volume, and serum sodium and osmolality had no discrimination (p ≥ 0.072). A peak increase in mean skin temperature of >4.7 °C had a positive likelihood ratio of 11.0 which suggests clinical significance. These data suggest that the absolute value of peak core temperature and the increase in mean skin temperature may be valuable to pursue in future studies as a biomarker for AKI risk in unacclimatized workers. [ABSTRACT FROM AUTHOR]

We evaluated changes in hyperhydration and beverage hydration index (BHI, a composite measure of fluid balance after consuming a test beverage relative to water) during resting, induced by the consumption of beverages containing glycerol and sodium supplemented with fast-absorbing sucrose or slow-absorbing isomaltulose. In a randomized crossover, single-blinded protocol (clinical trials registry: UMIN000042644), 14 young physically active adults (three women) consumed 1 L of beverage containing either 7% glycerol + 0.5% sodium (Gly + Na), Gly + Na plus 7% sucrose (Gly + Na + Suc), Gly + Na plus 7% isomaltulose (Gly + Na + Iso), or water (CON) over a 40 min period. We assessed the change in plasma volume (ΔPV), BHI (calculated from cumulative urine output following consumption of water relative to that of the beverage), and blood glucose and sodium for 180 min after initiating ingestion. Total urine volume was reduced in all beverages containing glycerol and sodium compared to CON (all P ≤ 0.002). The addition of isomaltulose increased BHI by ∼45% (3.43 ± 1.0 vs. 2.50 ± 0.7 for Gly + Na, P = 0.011) whereas sucrose did not (2.6 ± 0.6, P = 0.826). The PV expansion was earliest for Gly + Na (30 min), slower for Gly + Na + Suc (90 min), and slowest for Gly + Na + Iso (120 min) with a concomitant lag in the increase of blood glucose and sodium concentrations. Supplementation of beverages containing glycerol and sodium with isomaltulose but not sucrose enhances BHI from those of glycerol and sodium only under a resting state, likely due to the slow absorption of isomaltulose-derived monosaccharides (i.e., glucose and fructose). [ABSTRACT FROM AUTHOR]

This study aimed to determine the effect of pre-exercise hyperhydration on endurance performance (primary outcome), heart rate, thermoregulation, and perceptual responses (secondary outcomes). Six academic databases were searched to February 2023. Only studies reporting differences in hydration between intervention and placebo/control were included. Meta-analysis determined overall effect size (Hedges' g), and meta-regression the influence of independent moderators (ambient temperature, hyperhydration agent, exercise mode, extent of hyperhydration). Overall, 10 publications generating 19 effect estimates for primary outcomes, and 11 publications reporting 48 effect estimates for secondary outcomes, were included. A small-to-moderate improvement in time-to-exhaustion (TTE) (Hedges' g = 0.31, 95% CI: 0.13–0.50, p = 0.001) and time trial (TT) (g = 0.25, 95% CI: 0.002–0.51, p = 0.049) but not total work (TW) tasks (p = 0.120) was found following hyperhydration. No moderating effects were observed. No effect of hyperhydration was found for heart rate following steady state (SS) exercise (p = 0.069) or the performance task (p = 0.072), nor for body temperature post-SS (p = 0.132) or post-performance task (p = 0.349), but meta-regression of sodium versus glycerol showed lower body temperature post-performance task with sodium (g = 0.80, t (5) = 2.65, p = 0.046). No effects were found for perceived exertion or thermal comfort. Study heterogeneity was low, lacking representation of elite and female athletes, and weight-bearing (i.e., running) exercise modalities. These results suggest pre-exercise hyperhydration provides a small-to-moderate benefit to endurance performance in TTE and TT, but not TW performance tasks. While no moderating effects were observed, lack of heterogeneity makes it difficult to generalise these findings. [ABSTRACT FROM AUTHOR]

Introduction: Newly developed wearable fabric sensors (WFS) can increase the ease and accuracy of sweat sodium measurements by performing simultaneous sampling and analysis on the body during exercise. Purpose: Determine the accuracy of a WFS for measurement of sodium concentration in sweat. METHODS: Subjects wore a WFS prototype and sweat collectors on their forearm during cycle ergometry. Subjects exercised at a moderate intensity (~ 65% heart rate reserve) for 30–60 min. Sweat samples were collected and analyzed using a commercial sweat sodium analyzer (SSA) every 10–15 min. WFS were adhered with an armband and connected to custom built electronics. Accuracy was determined by comparing predicted WFS concentration to the actual concentration from the commercial SSA and analyzed statistically using ANOVA and Bland−Altman plots. Results: A total of 19 subjects completed the study. The average sweat sodium concentration was 59 mM ± 22 mM from a SSA compared with 54 mM ± 22 mM from the WFS. Overall, the average accuracy of the WFS was 88% in comparison to the SSA with p = 0.45. A line of best fit comparing predicted versus actual sweat sodium concentration had a slope of 0.99, intercept of – 4.46, and an r2 of 0.90. Bland−Altman analysis showed the average concentration difference between the WFS and the SSA was 5.35 mM, with 99% of data points between ± 1.96 times the standard deviation. Conclusion: The WFS accurately predicted sweat sodium concentration during moderate intensity cycle ergometry. With the need for precise assessment of sodium loss, especially during long duration exercise, this novel analysis method can benefit athletes and coaches. Further research involving longer duration and more intense exercise is warranted. [ABSTRACT FROM AUTHOR]

Nd3+-doped graphitic carbon nitride nanosheets incorporated with heteropoly phosphotungstic acid (Nd3+-g-C3N4-HPA) were synthesised, and their optical response, band structure and charge separation efficiency were analysed. UV–vis diffuse reflectance spectral studies revealed that Nd3+ doping and HPA incorporation led to an increase in absorption intensity, which enhances the range of visible light absorption. Improved separation efficiency and reduction in the recombination rate of photogenerated electrons and holes are supported by photoluminescence studies. This novel photocatalyst was applied for the removal of the antibiotic, ceftriaxone sodium from water and attained complete degradation within 75 min of sunlight irradiation, demonstrating that the Nd3+-g-C3N4-HPA photocatalyst would be beneficial for eliminating persistent organic pollutants like dyes and pharmaceutical compounds from wastewater. Investigations revealed that superoxide anion radicals and holes play a significant role in the photocatalytic degradation of pollutants. Furthermore, a possible degradation pathway of ceftriaxone sodium was proposed using mass spectral analysis. [ABSTRACT FROM AUTHOR]

OBJECTIVES: To perform a detailed examination of sodium levels, hyponatremia and sodium fluctuations, and their association with delayed cerebral ischemia (DCI) and poor outcome after aneurysmal subarachnoid hemorrhage (aSAH). DESIGN: An observational cohort study from a prospective SAH Registry. SETTING: Tertiary referral center focused on SAH treatment in the Amsterdam metropolitan area. PATIENTS: A total of 964 adult patients with confirmed aSAH were included between 2011 and 2021. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A total of 277 (29%) developed DCI. Hyponatremia occurred significantly more often in DCI patients compared with no-DCI patients (77% vs. 48%). Sodium levels, hyponatremia, hypernatremia, and sodium fluctuations did not predict DCI. However, higher sodium levels were significantly associated with poor outcome in DCI patients (DCI onset –7, DCI +0, +1, +2, +4, +5, +8, +9 d), and in no-DCI patients (postbleed day 6–10 and 12–14). Also, hypernatremia and greater sodium fluctuations were significantly associated with poor outcome in both DCI and no-DCI patients. CONCLUSIONS: Sodium levels, hyponatremia, and sodium fluctuations were not associated with the occurrence of DCI. However, higher sodium levels, hypernatremia, and greater sodium fluctuations were associated with poor outcome after aSAH irrespective of the presence of DCI. Therefore, sodium levels, even with mild changes in levels, warrant close attention. [ABSTRACT FROM AUTHOR]

Porous microcarriers as cell carriers have attracted extensive research interest in tissue engineering. In this work sodium alginate (SA) and sodium alginate/platelet-rich plasma (SA/PRP) porous microcarriers cross-linked by SrCl2 (SA-Sr2+ and SA/PRP-Sr2+) were prepared using an emulsion method combined with a freeze-drying method. The in-vitro degradation behaviors of the SA-Sr2+ and SA/PRP-Sr2+ porous microcarriers in phosphate-buffered saline (PBS) were investigated. The cell proliferation ability and osteogenic activity of the SA-Sr2+ and SA/PRP-Sr2+ porous microcarriers were investigated by culturing rat bone marrow mesenchymal stem cells (rBMSCs). During the degradation process, the degradation behaviors, including changes of the pH of the PBS and the weight loss and morphology, of both the SA-Sr2+ and SA/PRP-Sr2+ porous microcarriers showed a similar change. After 6 wk of degradation, parts of both the SA-Sr2+ and SA/PRP-Sr2+ porous microcarriers collapsed. The SA/PRP-Sr2+ porous microcarriers showed higher cell proliferation ability and osteoinductive ability than the SA-Sr2+ porous microcarriers during a culture time of 14 days. [ABSTRACT FROM AUTHOR]

Background: Tubular dysfunction can cause electrolyte disturbances with potentially serious consequences. We studied the epidemiology and outcomes of electrolyte disturbances and tubular dysfunction among critically ill children and evaluated their relationships with acute kidney injury (AKI). Methods: We conducted a prospective cohort study recruiting children aged 1 month to ≤ 18 years old admitted to the pediatric intensive care unit (PICU) from 6/2020 to 6/2021. The serum levels of sodium, potassium, calcium, phosphate, and magnesium were reviewed and simultaneous urinary investigations for tubular function were performed among children with electrolyte disturbances. Results: Altogether there were 253 episodes of admission. The median (interquartile) age was 4.9 (1.3–11.0) years and 58.1% were male. The median number of electrolyte disorders was 3 (2–4) types. Hypophosphatemia (74.2%), hypocalcemia (70.3%) and hypermagnesemia (52.9%) were the three commonest types of disturbances. Urinary electrolyte wasting was commonly observed among children with hypomagnesemia (70.6%), hypophosphatemia (67.4%) and hypokalemia (28.6%). Tubular dysfunction was detected in 82.6% of patients and urinary β2-microglobulin level significantly correlated with the severity of tubular dysfunction (p < 0.001). The development of tubular dysfunction was independent of AKI status. Tubular dysfunction was associated with mortality (p < 0.001) and was an independent predictor of PICU length of stay (LOS) (p < 0.001). The incorporation of the tubular dysfunction severity into the AKI staging system improved the prediction of PICU LOS. Conclusions: Tubular dysfunction was associated with both morbidity and mortality in critically ill children and its assessment may help to capture a more comprehensive picture of acute kidney insult. [ABSTRACT FROM AUTHOR]

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Sodium metal batteries have become popular owing to their low redox potential, high theoretical capacity, and superior energy density. But the formation of sodium dendrites during electrochemical cycles diminishes the security and longevity of these batteries. In response to this challenge, we employ lignin as a carbon source to fabricate a three‐dimensional (3D) carbon framework current collector. This framework boosts an expansive specific surface area and a wealth of oxygen‐rich functional groups. These components serve to cushion the volume fluctuations of sodium metal throughout the electrochemical cycle, directing the even deposition of sodium ions. The as‐prepared anode displays a low overpotential of −7 mV and a stable cycling life of 400 hours at 0.5 mA cm−2. When coupled with Na3V2(PO4)3 cathode, the full cell can achieve a capacity of 97.6 mAh g−1 and a capacity retention of 94.7 % after 60 cycles. This research shows that using lignin as a carbon source to prepare a 3D carbon framework current collector is an effective mean to inhibit the harmful effects of sodium dendrites on batteries. [ABSTRACT FROM AUTHOR]

In this study we investigate the Na insertion process occurring in the "free carbon" phase embedded in two different SiCN(O) matrices with operando Raman spectroscopy. The two SiCN(O) samples have been prepared using two different thermal treatments carried out at 1000 °C (SiCN(O)1000) and 1400 °C (SiCN(O)1400). X‐ray diffraction as well as argon adsorption reveal significant structural and morphological differences between the materials. SiCN(O)1000 shows an amorphous nature whereas SiCN(O)1400 reveals the presence of crystalline β‐SiC, accompanied by a notable increase in surface area (from 56.7 m2/g to 331 m2/g) and micropore volume (from 0.02 cm3/g to 0.12 cm3/g). These alterations in the ceramic matrix due to thermal treatment affect significantly the electrochemical performance with initial de‐sodiation capacities of 112.4 mAh/g and 52.3 mAh/g for SiCN(O)1000 and SiCN(O)1400, respectively. Operando Raman spectroscopy, carried out during the sodiation and de‐sodiation of the SiCN(O) ceramics, reveals the microstructural changes occurring to the "free carbon" phase during the storage of sodium ions. As sodium is inserted, a shift in the G‐band position is observed in both the samples from about 1600 cm−1 to 1555 cm−1, with a concomitant decrease of the D‐band intensity and the distance between defects (LD) growing from 7.5 nm to 17.5 nm. Upon de‐sodiation, SiCN(O)1400 exhibits an inferior storage reversibility compared to SiCN(O)1000. This may be attributed to the irreversible sodium trapping occurring in SiCN(O)1400, highlighted by the reduced efficiency of the electrochemical process. [ABSTRACT FROM AUTHOR]

Introduction: Dysnatremia is strongly associated with poor prognosis in acute kidney injury (AKI); however, the impact of sodium trajectories on the prognosis of patients with AKI has not yet been well elucidated. This study aimed to assess the association between sodium trajectories in patients with AKI and mortality at 30-day and 1-year follow-up. Methods: This retrospective cohort study used data from Medical Information Mart for Intensive Care (MIMIC)-IV database, and patients diagnosed with AKI within 48 h after admission were enrolled. Group-based trajectory models (GBTM) were applied to map the developmental course of the serum sodium fluctuations. Kaplan–Meier survival curve was used to compare differences in mortality in AKI patients with distinct serum sodium trajectories. Hazard ratios (HRs) were calculated to determine the association between trajectories and prognosis using Cox proportional hazard models. Results: A total of 9,314 AKI patients were enrolled. Three distinct sodium trajectories were identified including: (i) stable group (ST, in which the serum sodium levels remained relatively stable, n = 4,935; 53.0%), (ii) descending group (DS, in which the serum sodium levels declined, n = 2,994; 32.15%) and (iii) ascending group (AS, in which the serum sodium levels were elevated, n = 1,383; 14.85%). There was no significant difference in age and gender distribution among the groups. The 30-day mortality rates were 7.9% in ST, 9.5% in DS and 16.6% in AS (p < 0.001). The results of 1-year mortality rates were similar (p < 0.001). In adjusted analysis, patients in the DS (HR = 1.22, 95% confidence interval [CI], 1.04–1.43, p = 0.015) and AS (HR = 1.68, 95% CI, 1.42–2.01, p = 0.013) groups had higher risks of 30-day mortality compared to those in the ST group. Conclusion: In patients with AKI, the serum sodium trajectories were independently associated with 30-day and 1-year mortality. Association between serum sodium level trajectories and prognosis in patients with AKI deserve further study. [ABSTRACT FROM AUTHOR]

Background: MRI can provide information on kidney structure, perfusion, and oxygenation. Furthermore, it allows for the assessment of kidney sodium concentrations and handling, allowing multiparametric evaluation of kidney physiology. Multiparametric MRI is promising for establishing prognosis and monitoring treatment responses in kidney diseases, but its intraindividual variation during the day is unresolved. Purpose: To investigate the variation in multiparametric MRI measurements from the morning to the evening. Study Type: Prospective. Population: Ten healthy volunteers, aged 29 ± 5 without history of kidney disease. Field Strength/Sequence: 3 T/T1 mapping, blood‐oxygen level dependent imaging, arterial spin labeling perfusion imaging, diffusion weighted imaging, and sodium imaging. Assessment: A multiparametric MRI protocol, yielding T1, R2*, ADC, renal blood flow and renal sodium levels, was acquired in the morning, noon, and evening. The participants were fasting prior to the first examination. Urine biochemical analyses were performed to complement MRI data. The cortex and medulla were analyzed separately in a semi‐automatic fashion, and gradients of total sodium concentration (TSC) and R2* gradients were calculated from outer cortex to inner medulla. Statistical Test: Analyses of variance and mixed‐effects models to estimate differences from time of day. Coefficients of variation to assess variability within and between participants. A P‐value <0.05 was considered statistically significant. Results: The coefficients of variation varied from 5% to 18% for proton‐based parametric sequences, while it was 38% for TSC over a day. Data Conclusion: Multiparametric MRI is stable over the day. The coefficients of variation over a day were lower for proton multiparametric MRI, but higher for sodium MRI. Evidence Level: 2 Technical Efficacy: Stage 2 [ABSTRACT FROM AUTHOR]

Seeking for composite electrolytes reinforced all-solid-state sodium ion batteries with superior long lifespan and rate performance remains a great challenge. Here, a unique strategy to tailor the architecture of composite electrolyte via inserting polymer chains into a small quantity of sulfate sodium grafted C48H28O32Zr6 (UIOSNa) is proposed. The intimate contact between polymer segments and UIOSNa with limited pore size facilitates the anion immobilization of sodium salts and reduction of polymer crystallinity, thereby providing rapid ion conduction and reducing the adverse effect caused by the immigration of anions. The grafting of −SO3Na groups on fillers allows the free movement of more sodium ions to further improve t Na + and ionic conductivity. Consequently, even with the low content of UIOSNa fillers, a high ionic conductivity of 6.62 × 10−4 S·cm−1 at 60 °C and a transference number of 0.67 for the special designed composite electrolyte are achieved. The assembled all-solid-state sodium cell exhibits a remarkable rate performance for 500 cycles with 95.96% capacity retention at a high current rate of 4 C. The corresponding pouch cell can stably work for 1000 cycles with 97.03% capacity retention at 1 C, which is superior to most of the reported composite electrolytes in the literature. [ABSTRACT FROM AUTHOR]

Transition metal dichalcogenides are attractive anode materials for sodium ion batteries (SIBs) due to their high theoretical capacity and large interlayer spacing. However, its practical application is hampered by the sluggish kinetics of Na+ insertion and structure collapse caused by Na+ insertion/deinsertion. Herein, the heterostructures of MoSe2 nanosheets vertically growing on bowl-like carbon (MoSe2@C) are designed and prepared by a template method coupled with selenization treatment to boost storage sodium performance. The hollow and collapse could provide enough storage space for Na+ and alleviate the volume expansion during the charge/discharge processes. MoSe2 nanosheets vertically grown on carbon could expose more active sites for adsorbing Na+ to enhance the utilization rate of electrode materials. Moreover, building heterostructures by combining different phase components could facilitate Na+ diffusion and advance reaction kinetics. Benefiting from these merits, the bowllike MoSe2@C shows outstanding reversible capacity (356.8 mAh·g−1 after 1500 cycles at 1 A·g−1) and remarkable rate performance (249.9 mAh·g−1 10 A·g−1). [ABSTRACT FROM AUTHOR]

Purpose: Both sodium T1 triple quantum (TQ) signal and T1 relaxation pathways have a unique sensitivity to the sodium molecular environment. In this study an inversion recovery time proportional phase increment (IRTQTPPI) pulse sequence was investigated for simultaneous and reliable quantification of sodium TQ signal and bi‐exponential T1 relaxation times. Methods: The IRTQTPPI sequence combines inversion recovery TQ filtering and time proportional phase increment. The reliable and reproducible results were achieved by the pulse sequence optimized in three ways: (1) optimization of the nonlinear fit for the determination of both T1‐TQ signal and T1 relaxation times; (2) suppression of unwanted signals by assessment of four different phase cycles; (3) nonlinear sampling during evolution time for optimal scan time without any compromises in fit accuracy. The relaxation times T1 and T2 and the TQ signals from IRTQTPPI and TQTPPI were compared between 9.4 and 21.1 T. The motional environment of the sodium nuclei was evaluated by calculation of correlation times and nuclear quadrupole interaction strengths. Results: Reliable measurements of the T1‐TQ signals and T1 bi‐exponential relaxation times were demonstrated. The fit parameters for all four phase cycles were in good agreement with one another, with a negligible influence of unwanted signals. The agar samples yielded normalized T1‐TQ signals from 3% to 16% relative to single quantum (SQ) signals at magnetic fields of both 9.4 and 21.1 T. In comparison, the normalized T2‐TQ signal was in the range 15%–35%. The TQ/SQ signal ratio was decreased at 21.1 T as compared with 9.4 T for both T1 and T2 relaxation pathways. The bi‐exponential T1 relaxation time separation ranged from 15 to 18 ms at 9.4 T and 15 to 21 ms at 21.1 T. The T2 relaxation time separation was larger, ranging from 28 to 35 ms at 9.4 T and 37 to 40 ms at 21.1 T. Conclusion: The IRTQTPPI sequence, while providing a less intensive TQ signal than TQTPPI, allows a simultaneous and reliable quantification of both the T1‐TQ signal and T1 relaxation times. The unique sensitivities of the T1 and T2 relaxation pathways to different types of molecular motion provide a deeper understanding of the sodium MR environment. [ABSTRACT FROM AUTHOR]