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Background: Sore throat is a common complication after general anesthesia. Oral care solutions have been used to reduce the incidence of oral complications or ventilator-associated pneumonia, but their effect on postoperative sore throat (POST) is unclear. This study aims to investigate whether oral care solution can alleviate POST in patients undergoing i-gel laryngeal mask general anesthesia. Methods: A total of 120 patients who were scheduled for elective surgery under laryngeal mask general anesthesia were enrolled. The patients were randomly assigned to an experimental group (oral care solution) and a control group (0.9% saline) and gargled for 1 min with 10mL of oral care solution or saline 5 min before anesthesia induction. The primary outcomes were the overall incidence of sore throat within 24 h and incidence at 20 min, 1 h, 6 h, 24 h after removal of i-gel. The secondary outcomes were the severity of sore throat at the four time points and incidence of hoarseness, cough within 24 h after removal of i-gel. Results: A total of 111 patients were included in the analysis. The overall incidence of sore throat within 24 h in the experimental group was significantly lower than that in the control group, as was the incidence at four time points (P<0.05). The VAS scores at the four time points in the experimental group were significantly lower than those in the control group (P<0.05), and the results of repeated measurement analysis of variance showed that time effect and intergroup effect were statistically significant (P<0.001). No differences were found between the groups in the incidence of hoarseness and cough. Conclusion: Gargling with oral care solution before anesthesia induction can significantly reduce the incidence and severity of POST in patients undergoing i-gel laryngeal mask general anesthesia.
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Facilitating the exposure of the active crystal facets on the surfaces of composite catalysts is a representative route to promote catalytic activity. Based on a tailored galvanic replacement reaction, herein, a self-assembly route is reported to prepare Pt-WC/CNT with Pt (200) preferential orientation and well-dispersed structure, which are capable of substantially boosting electrocatalysis in hydrogen evolution reaction (HER). Formation mechanism reveals that the (200)-dominated Pt-based catalysts form in galvanic replacement reaction through selective anchored on WC, and the multistep galvanic replacement process plays a critical role to realize the Pt (200)-dominated growth in higher Pt loading catalyst. These unique structural features endow the Pt-WC/CNT with a high turnover frequency of 94.18 H2·s-1 at 100 mV overpotential, 7-fold higher than that of commercial Pt/C (13.55 H2·s-1), ranking it among the most active catalysts. In addition, this method, which combines with gas-solid reaction and galvanic replacement reaction, paves the way to scalable synthesis as Pt facets-controllable composite catalysts to challenge commercial Pt/C.
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We report the fabrication of silver nanoparticles evenly imbedded into TiN submicrospheres via one-pot solvothermal reaction and subsequent nitridation for electrochemical detecting of hydrogen peroxide. The precursor of TiO2 submicrospheres and high dispersion of silver nanoparticles are regulated by the alcoholysis of tetrabutyl titanate and reducibility of enol in vitamin C. The ion nitriding promoted the conductivity and micro-nano porous structure on the surface of TiN submicrospheres, which increase the dispersity of silver nanoparticles and make contributions to avoid aggregations. More importantly, the electrochemical response of Ag-TiN submicrospheres to H2O2 was remarkably enhanced due to the co-effects of Ag and N-doping. It provides a superior sensing performance for electrochemical detection of hydrogen peroxide at - 0.3 V with a high sensitivity of 33.25 µA mmol L-1 cm-2, wide linear range of 0.05-2100 µM and low detection limit of 7.7 nM. The fabricated sensor also reliably applied in detection of H2O2 in milk samples with good reproducibility, repeatability and storage stability.
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Core-shell composites with strong phase-phase contact could provide an incentive for catalytic activity. A simple, yet efficient, H2O-mediated method has been developed to synthesize a mesoscopic core-shell W@WC architecture with a dodecahedral microstructure, via a one-pot reaction. The H2O plays an important role in the resistance of carbon diffusion, resulting in the formation of the W core and W-terminated WC shell. Density functional theory (DFT) calculations reveal that adding W as core reduced the oxygen adsorption energy and provided the W-terminated WC surface. The W@WC exhibits significant electrocatalytic activities toward hydrogen evolution and nitrobenzene electroreduction reactions, which are comparable to those found for commercial Pt/C, and substantially higher than those found for meso- and nano-WC materials. The experimental results were explained by DFT calculations based on the energy profiles in the hydrogen evolution reactions over WC, W@WC, and Pt model surfaces. The W@WC also shows a high thermal stability and thus may serve as a promising more economical alternative to Pt catalysts in these important energy conversion and environmental protection applications. The current approach can also be extended or adapted to various metals and carbides, allowing for the design and fabrication of a wide range of catalytic and other multifunctional composites.
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In exploration of low-cost electrocatalysts for direct methanol fuel cells (DMFCs), Pt modified tungsten carbide (WC) materials are found to be great potential candidates for decreasing Pt usage whilst exhibiting satisfactory reactivity. In this work, the mechanisms, onset potentials and activity for electrooxidation of methanol were studied on a series of Pt-modified WC catalysts where the bare W-terminated WC(0001) substrate was employed. In the surface energy calculations of a series of Pt-modified WC models, we found that the feasible structures are mono- and bi-layer Pt-modified WCs. The tri-layer Pt-modified WC model is not thermodynamically stable where the top layer Pt atoms tend to accumulate and form particles or clusters rather than being dispersed as a layer. We further calculated the mechanisms of methanol oxidation on the feasible models via methanol dehydrogenation to CO involving C-H and O-H bonds dissociating subsequently, and further CO oxidation with the C-O bond association. The onset potentials for the oxidation reactions over the Pt-modified WC catalysts were determined thermodynamically by water dissociation to surface OH* species. The activities of these Pt-modified WC catalysts were estimated from the calculated kinetic data. It has been found that the bi-layer Pt-modified WC catalysts may provide a good reactivity and an onset oxidation potential comparable to pure Pt and serve as promising electrocatalysts for DMFCs with a significant decrease in Pt usage.
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Preparing metal-supported graphene nanocomposites is both interesting and challenging because of their well-defined morphologies and have potential application for oxygen reduction reaction (ORR). Here, we present an easy approach to synthesizing a novel hybrid material composed of Pt@Au nanorods (NRs) uniformly dispersed on the pyridyne cycloaddition of graphene (Pt@Au-PyNG), and the material serves as a high-performance catalyst for ORR. This hybrid electrocatalyst significantly decreases the use of Pt by using Pt dispersed on Au NRs and shows a markedly high activity toward ORR. The resulting Pt@Au-PyNG hybrid displayed comparable electrocatalytic activity and better stability than commercial Pt/C in alkaline solutions toward ORR. The hybrid effectively blocks CO formation to increase catalyst resistance to CO poisoning, thereby decreasing the amount of Pt needed. Free-energy diagrams for ORR on Pt@Au (111) through dissociative and associative mechanisms show that OH or O hydrogenation is the rate-limiting step based on DFT calculations.
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We developed a facile method to synthesize core-shell WC@meso-Pt nanocatalysts by carburizing ammonium tungstate and copper nitrate via gas-solid reactions, followed by a Pt replacement reaction. The mesoporous nanocomposite displays higher activity and stability towards methanol electrooxidation than commercial Pt/C catalysts.
