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Objective: Delirium is a common postoperative complication in elderly patients with intertrochanteric femur fracture. This study aimed at analyzing risk factors for postoperative delirium (POD) in patients after proximal femoral nail anti-rotation (PFNA). Methods: From February 2017 to February 2021, we included elderly patients with intertrochanteric fractures who underwent PFNA. The predictive ability and cut-off value of neutrophil/lymphocyte ratio (NLR) for POD were evaluated using receiver operating characteristic (ROC) curve. Univariate and multivariate analyses were used to investigate the association between NLR and POD. Results: We enrolled 315 patients. The ROC curve suggested that NLR ≥ 4.85 was the optimal cut-off value for POD. The POD and non-POD groups differed significantly in age, diabetes, time from injury to operation, preoperative albumin level, neutrophil count, and NLR (P < 0.05). Logistic regression indicated that NLR ≥ 4.85 (odds ratio [OR] = 3.491; 95% confidence interval [CI]: 1.731-5.982; P < 0.001), old age (OR = 1.921; 95% CI: 1.267-4.125; P < 0.001), time from injury to operation ≥ 48 h (OR = 1.733; 95% CI: 1.212-3.542; P = 0.007), and preoperative albumin level ≤ 35 g/L (OR = 2.274; 95% CI: 1.662-4.846; P = 0.001) increased the risk of POD. Conclusion: Old age, time from injury to operation ≥ 48 h, preoperative albumin level ≤ 35 g/L, and NLR ≥ 4.85 were independent risk factors for POD. Thus, NLR may predict POD in elderly patients with intertrochanteric femur fractures after PFNA.

Natural organic matter (NOM) can impede the removal of organic micro-pollutants (OMPs) through several mechanisms, including inner filter effect, competition with the target OMP, and radical scavenging, during synchronous adsorption/photocatalysis of multi-functional composites. In this study, the fate and inhibitory mechanisms of sulfamerazine (SMZ, a model OMP) that occurred in presence of seven different NOM samples (i.e. three standard NOM surrogates, a river water sample, a carbon filter effluent and two different sand filter effluents) during the adsorption/photocatalysis by a composite of Bi2O3-TiO2 supported on powdered activated carbon (Bi2O3-TiO2/PAC, abbreviated as BTP) when exposed to visible light irradiation were revealed. The results indicated that adsorption played a greater attribution than photocatalysis on SMZ removal. The primary impediment to the adsorption and photocatalytic degradation of SMZ was attributed to the presence of terrestrial-derived, humic-like NOM fractions with high aromaticity. The adsorption efficacy of SMZ was weakened by the absorption of NOM and its degradation products onto the BTP surface. The inner filter effect, competition between NOM and SMZ, and radical scavenging were responsible for the reduced photocatalysis of SMZ. In the cases of real water matrices, the presence of inorganic anion and co-existed NOM reduced the removal of SMZ. In summary, the findings of this work offer a comprehensive comprehension of the impact of NOM fractions on photocatalysis, emphasizing the necessity to examine the interplay between NOM and background inorganic constituents in the degradation of OMP via adsorption/photocatalysis.

Potassium ions batteries (PIBs) have been regarded as a promising choice for electrical energy storage technology due to the wide distribution of potassium resources. However, developing low-cost and robust earth-rich anode materials is still a major challenge for the practical and scalable usage of PIBs. Herein, for the first time, we developed nitrogen doped carbon coating CoS2/CuCo2S4 heterostructure (CoS2/CuCo2S4@NCs) hollow spheres and evaluated as anode for PIBs. The CoS2 and CuCo2S4 heterostructure interface could generate a built-in electric field, which can fasten electrons transportation. The nanostructures could shorten the diffusion length of K+ and provide large surface area to contact with electrolytes. Furthermore, the inner hollow sphere morphology along with the carbon layer could accommodate the volume expansion during cycling. What’s more, the N-doped carbon could increase the conductivity of the anodes. Benefitting from the above features, the CoS2/CuCo2S4@NCs displays an outstanding rate capability (309 mAh g−1 at 500 mA g−1 after 250 cycles) and a long-term cycling life (112 mAh g−1 at 1000 mA g−1 after 1000 cycles) in ether-based electrolyte. Conversion reaction mechanism in CoS2/CuCo2S4@NCs anode is also revealed through ex situ XRD characterizations. This work provides a practical direction for investigating metal sulfides as anode for PIBs.

The recycling technology of photocatalyst powdery has hardly been mature in the photocatalytic oxidation so far. In this work, the hollow TiO2 microspheres with an appropriate thickness are confined in carbon microspheres (CMSs) to form hollow TiO2@CMSs, which are physically integrated with carbon-fiber textile by van der Waals (vdW) interactions to generate separable and recyclable hollow TiO2@CMSs/carbon-fiber vdW heterostructures. Such separable and recyclable heterostructures show remarkable oxidation of 2,4-dinitrophenol. From our detailed characterization and density functional theory (DFT) calculations, we found that carbon fiber can trap electrons exerted from the excitation of hollow TiO2@CMSs and creates holes in hollow TiO2 microspheres, which endow the carbon fiber with photoelectric activity through coherent charge injection. This study indicates that our general strategy for the fabrication of hollow TiO2@CMSs/carbon-fiber vdW heterostructures can be used as separable and recyclable photocatalyst and photoelectrocatalyst with potential industrial applications in environment-related fields.