Graphene materials (GMs) as supercapacitor electrode materials have been investigated. GMs are prepared from graphene oxide sheets, and subsequently suffer a gas-based hydrazine reduction to restore the conducting carbon network. A maximum specific capacitance of 205 F/g with a measured power density of 10 kW/kg at energy density of 28.5 Wh/kg in an aqueous electrolyte solution has been obtained. Meanwhile, the supercapacitor devices exhibit excellent long cycle life along with ∼90% specific capacitance retained after 1200 cycle tests. These remarkable results demonstrate the exciting commercial potential for high performance, environmentally friendly and low-cost electrical energy storage devices based on this new 2D graphene material.
Rationale:
Use of ACEIs (angiotensin-converting enzyme inhibitors) and ARBs (angiotensin II receptor blockers) is a major concern for clinicians treating coronavirus disease 2019 (COVID-19) in patients with hypertension.
Objective:
To determine the association between in-hospital use of ACEI/ARB and all-cause mortality in patients with hypertension and hospitalized due to COVID-19.
Methods and Results:
This retrospective, multi-center study included 1128 adult patients with hypertension diagnosed with COVID-19, including 188 taking ACEI/ARB (ACEI/ARB group; median age 64 [interquartile range, 55–68] years; 53.2% men) and 940 without using ACEI/ARB (non-ACEI/ARB group; median age 64 [interquartile range 57–69]; 53.5% men), who were admitted to 9 hospitals in Hubei Province, China from December 31, 2019 to February 20, 2020. In mixed-effect Cox model treating site as a random effect, after adjusting for age, gender, comorbidities, and in-hospital medications, the detected risk for all-cause mortality was lower in the ACEI/ARB group versus the non-ACEI/ARB group (adjusted hazard ratio, 0.42 [95% CI, 0.19–0.92];
P
=0.03). In a propensity score-matched analysis followed by adjusting imbalanced variables in mixed-effect Cox model, the results consistently demonstrated lower risk of COVID-19 mortality in patients who received ACEI/ARB versus those who did not receive ACEI/ARB (adjusted hazard ratio, 0.37 [95% CI, 0.15–0.89];
P
=0.03). Further subgroup propensity score-matched analysis indicated that, compared with use of other antihypertensive drugs, ACEI/ARB was also associated with decreased mortality (adjusted hazard ratio, 0.30 [95% CI, 0.12–0.70];
P
=0.01) in patients with COVID-19 and coexisting hypertension.
Conclusions:
Among hospitalized patients with COVID-19 and coexisting hypertension, inpatient use of ACEI/ARB was associated with lower risk of all-cause mortality compared with ACEI/ARB nonusers. While study interpretation needs to consider the potential for residual confounders, it is unlikely that in-hospital use of ACEI/ARB was associated with an increased mortality risk.
In this study, activated carbon (AC)-Fe 3 O 4 nanoparticles asymmetric supercapacitor cells have been assembled and characterized in 6 M KOH aqueous electrolyte for the first time. The nanostructure Fe 3 O 4 was prepared by the microwave method. It only cost several minutes to prepare magnetite nanoparticles with average particle size of 35 nm. The electrochemical performances of the hybrid AC-Fe 3 O 4 supercapacitor were tested by cyclic voltammetry, electrochemical impedance spectroscopy, and galvanostatic charge-discharge tests. The results show that the asymmetric supercapacitor has electrochemical capacitance performance within potential range 0-1.2 V. The supercapacitor delivered a specific capacitance of 37.9 F/g at a current density of 0.5 mA/cm 2 . The result of cyclic characteristic test showed that it also can keep 82% of initial capacity over 500 cycles.
Summary
The safety and efficacy of anti-diabetic drugs are critical for maximizing the beneficial impacts of well-controlled blood glucose on the prognosis of individuals with COVID-19 and pre-existing type 2 diabetes (T2D). Metformin is the most commonly prescribed first-line medication for T2D, but its impact on the outcomes of individuals with COVID-19 and T2D remains to be clarified. Our current retrospective study in a cohort of 1,213 hospitalized individuals with COVID-19 and pre-existing T2D indicated that metformin use was significantly associated with a higher incidence of acidosis, particularly in cases with severe COVID-19, but not with 28-day COVID-19-related mortality. Furthermore, metformin use was significantly associated with reduced heart failure and inflammation. Our findings provide clinical evidence in support of continuing metformin treatment in individuals with COVID-19 and pre-existing T2D, but acidosis and kidney function should be carefully monitored in individuals with severe COVID-19.
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