Analysis of thermal management and anti-mechanical abuse of multi-functional battery modules based on magneto-sensitive shear thickening fluid

Electric vehicles(EVs)have garnered significant attention as a vital driver of economic growth and environmental sustainability.Nevertheless,ensuring the safety of high-energy batteries is now a top priority that cannot be overlooked during large-scale applications.This paper proposes an innovative active protection and cooling integrated battery module using smart materials,magneto-sensitive shear thickening fluid(MSTF),which is specifically designed to address safety threats posed by lithium-ion batteries(LIBs)exposed to harsh mechanical and environmental conditions.The theoretical framework introduces a novel approach for harnessing the smoothed-particle hydrodynamics(SPH)methodology that incorporates the intricate interplay of non-Newtonian fluid behavior,capturing the fluid-structure coupling inherent to the MSTF.This approach is further advanced by adopting an enhanced Herschel-Bulkley(H-B)model to encapsulate the intricate rheology of the MSTF under the influence of the magnetorheological effect(MRE)and shear thickening(ST)behavior.Numerical simulation results show that in the case of cooling,the MSTF is an effective cooling medium for rapidly reducing the temperature.In terms of mechanical abuse,the MSTF solidifies through actively applying the magnetic field during mechanical compression and impact within the battery module,resulting in 66%and 61.7%reductions in the maximum stress within the battery jellyroll,and 31.1%and 23%reductions in the reaction force,respectively.This mechanism effectively lowers the risk of short-circuit failure.The groundbreaking concepts unveiled in this paper for active protection battery modules are anticipated to be a valuable technological breakthrough in the areas of EV safety and lightweight/integrated design.

A pre-strain strategy of current collectors for suppressing electrode debonding in lithium-ion batteries

The interfacial debonding between the active layer and the current collector has been recognized as a critical mechanism for battery fading,and thus has attracted great efforts focused on the related analyses.However,much still remains to be studied regarding practical methods for suppressing electrode debonding,especially from the perspective of mechanics.In this paper,a pre-strain strategy of current collectors to alleviate electrode debonding is proposed.An analytical model for a symmetric electrode with a deformable and limited-thickness current collector is developed to analyze the debonding behavior involving both a pre-strain of the current collector and an eigen-strain of the active layers.The results reveal that the well-designed pre-strain can significantly delay the debonding onset(by up to 100%)and considerably reduce the debonding size.The critical values of the pre-strain are identified,and the pre-strain design principles are also provided.Based on these findings,this work sheds light on the mechanical design to suppress electrode degradation.

Bifurcations for counterintuitive post-inhibitory rebound spike related to absence epilepsy and Parkinson disease

Seizures are caused by increased neuronal firing activity resulting from reduced inhibitory effect and enhancement of inhibitory modulation to suppress this activity is used as a therapeutic tool.However,recent experiments have shown a counterintuitive phenomenon that inhibitory modulation does not suppress but elicit post-inhibitory rebound(PIR)spike along with seizure to challenge the therapeutic tool.The nonlinear mechanism to avoid the PIR spike can present theoretical guidance to seizure treatment.This paper focuses on identifying credible bifurcations that underlie PIR spike by modulating multiple parameters in multiple theoretical models.The study identifies a codimension-2 bifurcation called saddle-node homoclinic orbit(SNHOB),which is an intersection between saddle node bifurcation on invariant cycle(SNIC)and other two bifurcations.PIR spike cannot be evoked for the SNIC far from the SNHOBbut induced for the SNIC close to the SNHOB,which extends the bifurcation condition for PIR spike from the well-known Hopf to SNIC.Especially,in a thalamic neuron model,increases of conductance of T-type Ca^(2+)(TC a)channel induce SNIC bifurcation approaching to the SNHOB to elicit PIR spikes,closely matching experimental results of the absence seizure or Parkinson diseases.Such results imply that,when inhibition is employed to relieve absence seizure and Parkinson diseases related to PIR spike,modulating SNIC to get far from the SNHOBto avoid PIR spike is the principle.The study also addresses the complex roles of TCacurrent and comprehensive relationships between PIR spike and nonlinear conceptions such as bifurcation types and shapes of threshold curve.

Building Feedback-Regulation System Through Atomic Design for Highly Active SO_(2)Sensing

Reasonably constructing an atomic interface is pronouncedly essential for surface-related gas-sensing reaction.Herein,we present an ingen-ious feedback-regulation system by changing the interactional mode between single Pt atoms and adjacent S species for high-efficiency SO_(2)sensing.We found that the single Pt sites on the MoS_(2)surface can induce easier volatiliza-tion of adjacent S species to activate the whole inert S plane.Reversely,the activated S species can provide a feedback role in tailoring the antibonding-orbital electronic occupancy state of Pt atoms,thus creating a combined system involving S vacancy-assisted single Pt sites(Pt-Vs)to synergistically improve the adsorption ability of SO_(2)gas molecules.Further-more,in situ Raman,ex situ X-ray photoelectron spectroscopy testing and density functional theory analysis demonstrate the intact feedback-regulation system can expand the electron transfer path from single Pt sites to whole Pt-MoS_(2)supports in SO_(2)gas atmosphere.Equipped with wireless-sensing modules,the final Pt1-MoS_(2)-def sensors array can further realize real-time monitoring of SO_(2)levels and cloud-data storage for plant growth.Such a fundamental understanding of the intrinsic link between atomic interface and sensing mechanism is thus expected to broaden the rational design of highly effective gas sensors.

Compact magneto-optical traps using planar optics

Magneto-optical traps (MOTs) composed of magnetic fields and light fields have been widely utilized to cool andconfine microscopic particles. Practical technology applications require miniaturized MOTs. The advancement of planaroptics has promoted the development of compact MOTs. In this article, we review the development of compact MOTs basedon planar optics. First, we introduce the standardMOTs. We then introduce the gratingMOTs with micron structures, whichhave been used to build cold atomic clocks, cold atomic interferometers, and ultra-cold sources. Further, we introducethe integrated MOTs based on nano-scale metasurfaces. These new compact MOTs greatly reduce volume and powerconsumption, and provide new opportunities for fundamental research and practical applications.

Research on Maneuver Decision-Making of Multi-Agent Adversarial Game in a Random Interference Environment

The strategy evolution process of game players is highly uncertain due to random emergent situations and other external disturbances.This paper investigates the issue of strategy interaction and behavioral decision-making among game players in simulated confrontation scenarios within a random interference environment.It considers the possible risks that random disturbances may pose to the autonomous decision-making of game players,as well as the impact of participants’manipulative behaviors on the state changes of the players.A nonlinear mathematical model is established to describe the strategy decision-making process of the participants in this scenario.Subsequently,the strategy selection interaction relationship,strategy evolution stability,and dynamic decision-making process of the game players are investigated and verified by simulation experiments.The results show that maneuver-related parameters and random environmental interference factors have different effects on the selection and evolutionary speed of the agent’s strategies.Especially in a highly uncertain environment,even small information asymmetry or miscalculation may have a significant impact on decision-making.This also confirms the feasibility and effectiveness of the method proposed in the paper,which can better explain the behavioral decision-making process of the agent in the interaction process.This study provides feasibility analysis ideas and theoretical references for improving multi-agent interactive decision-making and the interpretability of the game system model.

Effect of pore size on CH4/N2 separation using activated carbon

In this paper,a model of activated carbon was established by molecular simulation and the separation performance of N2 and CH4 on activated carbon was studied.In order to evaluate the adsorption selectivity and diffusion selectivity of N2 and CH4,Grand Canonical Monte Carlo and molecular dynamic methods were used to obtain equilibrium adsorption isotherms and mean square displacements of N2 and CH4 on activated carbon with different pore sizes.Research results showed that the difference in adsorption isosteric heat of N2 and CH4 at the pore size of 0.46 nm is the largest,which is 5.759 and 7.03 kcal·mol^-1(1 cal=4.184 J),respectively.Activated carbon with pore size of 0.46 nm has the best N2 and CH4 adsorption selectivity,while its diffusion selectivity is not obvious.

Combined use of non-biological artif icial liver treatments for patients with acute liver failure complicated by multiple organ dysfunction syndrome

BACKGROUND:Acute liver failure(ALF) caused by viral and non-viral hepatitis is often accompanied with severe metabolic disorders,the accumulation of toxic substances and continuous release and accumulation of a large number of endogenous toxins and inflammatory mediators. The present study aimed to investigate the effects of various combined non-biological artif icial liver treatments for patients with acute liver failure(ALF) complicated by multiple organ dysfunction syndrome(MODS).METHODS:Thirty-one patients with mid- or late-stage liver failure complicated by MODS(score 4) were randomly divided into three treatment groups:plasmapheresis(PE) combined with hemoperfusion(HP) and continuous venovenous hemodiafiltration(CVVHDF),PE+CVVHDF,and HP+CVVHDF,respectively. Heart rate(HR) before and after treatment,mean arterial pressure(MAP),respiratory index(PaO2/FiO2),hepatic function,platelet count,and blood coagulation were determined.RESULTS:Signifi cant improvement was observed in HR,MAP,PaO2/FiO2,total bilirubin(TBIL) and alanine aminotransferase(ALT) levels after treatment(P<0.05). TBIL and ALT decreased more signifi cantly after treatment in the PE+CVVHDF and PE+HP+CVVHDF groups(P<0.01). Prothrombin time(PT) and albumin were signifi cantly improved only in the PE+CVVHDF and PE+HP+CVVHDF groups(P<0.05). TBIL decreased more significantly in the PE+HP+CVVHDF group than in the HP+CVVHDF and PE+CVVHDF groups(P<0.05). The survival rate of the patients was 58.1%(18/31),viral survival rate 36.4%(4/11),and non-viral survival rate 70%(14/20).CONCLUSION:Liver function was relatively improved after treatment,but PE+HP+CVVHDF was more efficient for the removal of toxic metabolites,especially bilirubin. The survival rate was signifi cantly higher in the patients with non-viral liver failure than in those with viral liver failure.

Understanding the Li diffusion mechanism and positive effect of current collector volume expansion in anode free batteries

In anode free batteries(AFBs), the current collector acts as anode simultaneously and has large volume expansion which is generally considered as a negative effect decreasing the structural stability of a battery. Moreover, despite many studies on the fast lithium diffusion in the current collector materials of AFB such as copper and aluminum, the involved Li diffusion mechanism in these materials remains poorly understood. Through first-principles calculation and stress-assisted diffusion equations, here we study the Li diffusion mechanism in several current collectors and related alloys and clarify the effect of volume expansion on Li diffusion respectively. It is suggested that due to the lower Li migration barriers in aluminum and tin, they should be more suitable to be used as AFB anodes, compared to copper, silver, and lead. The Li diffusion facilitation in copper with a certain number of vacancies is proposed to explain why the use of copper with a thickness≤100 nm as the protective coating on the anode improves the lifetime of the batteries. We show that the volume expansion has a positive effect on Li diffusion via mechanical–electrochemical coupling. Namely, the volume expansion caused by Li diffusion will further induce stress which in turn affects the diffusion. These findings not only provide in-depth insight into the operating principle of AFBs, but also open a new route toward design of improved anode through utilizing the positive effect of mechanical–electrochemical coupling.

Enhanced production of glycyrrhetic acid 3-O-mono-β-D-glucuronide by fed-batch fermentation using p H and dissolved oxygen as feedback parameters

Glycyrrhetic acid 3-O-mono-β-D-glucuronide （GAMG）, the major functional ingredient in licorice, has widespread applications in food, pharmacy and cosmetics industry. The production of GAMG through Penicillium purpurogenum Li-3 cultivation was for the first time performed through both batch and fed-batch processes in bioreactors. In batch process, under optimal conditions （pH 5.0, temperature 32℃, agitation speed 100 r. rain 1）, 3.55 g. L^-1 GAMG was obtained in a 2.5 L fermentor. To further enhance GAMG production, a fine fed-batch process was developed by using pH and DO as feedback parameters. Starting from 48 h, 100 m190 g-L 1 substrate Glycyrrhizin （GL） was fed each time when pH increased to above 5.0 and DO was increased to above 80%. This strategy can significantly enhance GAMG production： the achieved GL conversion was 95.34% with GAMG yield of 95.15%, and GAMG concentration was 16.62 g. L^-1 which was 5 times higher than that of batch. Then, a two-step separation strat- egy was established to separate GAMG from fermentation broth by crude extraction of 15 ml column packed with D10I resin followed by fine purification with preparative C18 chromatography. The obtained GAMG purity was 95.79%. This study provides a new insight into the industrial bioprocess of high-level GAMG production.

Production of ^(87)Rb Bose-Einstein Condensate in an Asymmetric Crossed Optical Dipole Trap

We report the production of ^(87)Rb Bose–Einstein condensate in an asymmetric crossed optical dipole trap(ACODT)without the need of an additional dimple laser.In our experiment,the ACODT is formed by two laser beams with different radii to achieve efficient capture and rapid evaporation of laser cooled atoms.Compared to the cooling procedure in a magnetic trap,the atoms are firstly laser cooled and then directly loaded into an ACODT without the pre-evaporative cooling process.In order to determine the optimal parameters for evaporation cooling,we optimize the power ratio of the two beams and the evaporation time to maximize the final atom number left in the ACODT.By loading about 6×10^(5) laser cooled atoms in the ACODT,we obtain a pure Bose–Einstein condensate with about 1.4×10^(4) atoms after 19 s evaporation.Additionally,we demonstrate that the fringe-type noises in optical density distributions can be reduced via principal component analysis,which correspondingly improves the reliability of temperature measurement.

The influence of the Insight-HXMT/LE time response on timing analysis

The LE is the low energy telescope that is carried on Insight-HXMT.It uses swept charge devices(SCDs)to detect soft X-ray photons.LE’s time response is caused by the structure of the SCDs.With theoretical analysis and Monte Carlo simulations we discuss the influence of LE time response(LTR)on the timing analysis from three aspects:the power spectral density,the pulse profile and the time lag.After the LTR,the value of power spectral density monotonously decreases with the increasing frequency.The power spectral density of a sinusoidal signal reduces by a half at frequency 536 Hz.The corresponding frequency for quasi-periodic oscillation(QPO)signals is 458 Hz.The root mean square(RMS)of QPOs holds a similar behaviour.After the LTR,the centroid frequency and full width at half maxima(FWHM)of QPOs signals do not change.The LTR reduces the RMS of pulse profiles and shifts the pulse phase.In the time domain,the LTR only reduces the peak value of the cross-correlation function while it does not change the peak position;thus it will not affect the result of the time lag.When considering the time lag obtained from two instruments and one among them is LE,a 1.18 ms lag is expected caused by the LTR.The time lag calculated in the frequency domain is the same as that in the time domain.

Application of Tranexamic Acid in Shoulder Arthroscopic Surgery:A Randomised Controlled Trial

Objective To explore the optimal administration route of tranexamic acid(TXA)in shoulder arthroscopic surgery.Methods Patients undergoing arthroscopic rotator cuff repair were randomly divided into four groups:control group(without TXA treatment),intravenous group(TXA was intravenously administered 10 minutes before surgery),irrigation group(TXA was added to the irrigation fluid during subacromial decompression and acromioplasty),and intravenous plus irrigation group(TXA was applied both intravenously and via intra-articular irrigation).The primary outcome was visual clarity assessed with visual analog scale(VAS)score,and the secondary outcomes included irrigation fluid consumption and time to subacromial decompression and acromioplasty procedure.Results There were 134 patients enrolled in the study,including 33 in the control group,35 in the intravenous group,32 in the irrigation group,and 34 in the intravenous plus irrigation group.The median and interquartile range of VAS scores for the intravenous,irrigation,and intravenous plus irrigation groups were 2.70(2.50,2.86)(Z=-3.677,P=0.002),2.67(2.50,2.77)(Z=-3.058,P<0.001),and 2.91(2.75,3.00)(Z=-6.634,P<0.001),respectively,significantly higher than that of the control group[2.44(2.37,2.53)].Moreover,the control group consumed more irrigation fluid than the intravenous group,irrigation group,and intravenous plus irrigation group(all P<0.05).The intravenous plus irrigation group consumed less irrigation fluid than either the intravenous group or the irrigation group(both P<0.001).There was no difference in subacromial decompression and acromioplasty operative time among the four groups.Conclusion TXA applied both topically and systematically can improve intraoperative visual clarity,and the combined application is more effective.

Efficacy of Huoxue Qianyang Qutan Recipe on essential hypertension:A randomized,double-blind,placebo-controlled trial

Background:Hypertension,a prevalent disease,is a significant risk factor for coronary heart disease.Huoxue Qianyang Qutan Recipe (HQQR),a traditional Chinese herbal remedy,has been used for treating hypertension over several years.Objective:This study assesses HQQR’s efficacy for controlling blood pressure among patients with hypertension related to blood stasis,yang hyperactivity and phlegm.Design,setting,participants and interventions:A randomized controlled trial was conducted at the Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,China,from July 2020 to June 2022.Major components of HQQR were identified using thin-layer chromatography and high-performance liquid chromatography.Participants aged18–80 years,exhibiting traditional Chinese medicine syndromes of blood stasis,yang hyperactivity or phlegm,along with grades 1 or 2 hypertension,were randomly categorized into two groups.The intervention group was given HQQR granules alongside conventional hypertension treatment,while the control group was given placebo granules in addition to conventional treatment for 12 weeks.Main outcome measures:The primary outcome was clinic blood pressure,whereas secondary outcomes included metabolic indices (e.g.,homeostasis model assessment of insulin resistance[HOMA-IR],total cholesterol[TC],low-density lipoprotein cholesterol and triglyceride),target organ damage indices (left ventricular mass index and urinary albumin creatinine ratio[UACR]) and inflammation indices(interleukin-6[IL-6]and high-sensitivity C-reactive protein[hs-CRP]).Results:HQQR’s primary components were identified as salvianolic acid B,emodin and ferulic acid.Of the 216 participants (108 in each group),compared to the control,the intervention group exhibited significant improvements (P<0.001) in clinic systolic blood pressure ([136.24±7.63]vs[130.06±8.50]mmHg),clinic diastolic blood pressure ([84.34±8.72]vs[80.46±6.05]mmHg),home systolic blood pressure([131.64±8.74]vs[122.36±8.45]mmHg) and home diastolic blood pressure ([78.47±9.53]vs[71.79±6.82]mm Hg).HQQR demonstrated a reduction in ambulatory blood pressure (24-hour systolic blood pressure:[133.75±10.49]vs[132.46±8.84]mmHg and 24-hour diastolic blood pressure:[84.12±8.01]vs[82.11±7.45]mmHg) and an improvement in HOMA-IR ([4.09±1.72]vs[3.98±1.44]),TC ([4.66±1.47]vs[3.75±1.81]mmol/L) and UACR (75.94[5.12,401.12]vs 45.61[4.26,234.26]).Moreover,HQQR demonstrated a decrease in hs-CRP (1.46[0.10,10.53]vs 0.57[0.12,3.99]mg/L) and IL-6 (6.69[2.00,29.74]vs 5.27[2.00,9.73]pg/mL),with no reported side effects (P<0.001).Conclusion:This study highlights the therapeutic potential of HQQR use in ameliorating blood pressure,glycolipid metabolism,and inflammation in patients with hypertension.

miR-138调控年龄相关性白内障晶状体上皮细胞抗氧化应激作用的机制

目的:探讨miR-138对年龄相关性白内障晶状体上皮细胞抗氧化应激能力的影响及其作用机制。方法:采用实时定量PCR(RT-q PCR)检测年龄相关性白内障与正常人透明晶状体前囊膜组织中及人晶状体上皮细胞系(SRA01/04)氧化应激模型中miR-138的表达水平。利用2',7'-二氯荧光黄双乙酸盐(DCFH-DA)荧光探针检测细胞内源性活性氧(reactive oxygen species,ROS)水平。向人晶状体上皮细胞中分别转染miR-138 mimics,mimic controls,miR-138 inhibitors,inhibitor controls 72h后细胞暴露于400μmol/L H_2O_2 1h,采用RT-qPCR检测p53和Bax的mRNA表达,western blotting检测p53和Bax的蛋白表达水平,MTS法检测细胞增殖活力。结果:与正常对照组相比,年龄相关性白内障晶状体组织中与人晶状体上皮细胞氧化应激模型中miR-138的表达均显著升高,差异有统计学意义(P<0.001);人晶状体上皮细胞氧化应激模型中内源性ROS的水平明显升高,差异有统计学意义(P<0.001)。相对于对照组,miR-138 mimics组p53和Bax的mRNA、蛋白表达水平均明显升高,细胞增殖活力明显下降,差异有统计学意义(均P<0.001);miR-138 inhibitors组p53和Bax的mRNA、蛋白表达水平均明显下降,细胞增殖活力显著升高,差异有统计学意义(均P<0.001)。结论:miR-138在年龄相关性白内障囊膜组织中表达上调,通过正调控下游靶基因p53和Bax,下调人晶状体上皮细胞抗氧化应激的能力,抑制人晶状体上皮细胞增殖和修复,从而参与年龄相关性白内障的发生过程。

基于视觉图像识别的番茄表面农药残留量无损检测方法

为了提高对番茄表面农药残留量的准确检测能力,提出一种基于视觉图像识别的番茄表面农药残留量无损检测方法。采用激光成像技术进行番茄表面农药残留区域视觉图像采集,对采集的番茄表面图像进行农药残留量的光谱特征分析,提取番茄表面农药残留区域的边缘轮廓特征,根据特征提取结果进行番茄表面农药残留区域视觉图像重构,在重构的区域图像中采用分块匹配技术进行番茄表面农药残留量区域分割,结合自适应分块特征匹配方法实现番茄表面农药残留量检测识别。仿真结果表明,采用该方法进行番茄表面农药残留量的无损性较好,输出图像的信息饱和度较高,提高了对番茄表面农药残留量的准确检测能力,在番茄病虫害防治和农药的去除等方面具有很好的应用价值。

基于AHP—熵权法的不动产统一登记制度实施评估研究

我国的不动产统一登记制度自2015年3月正式实施以来,其制度实施状况尚未得到科学、系统的评估。为完善不动产统一登记制度,本文运用AHP—熵权法构建了不动产统一登记制度实施的定量化评估模型,并进行实证分析。结果表明:不动产统一登记制度自实施以来取得了较好的效果,各地制度实施情况虽存在差异,但整体运行情况良好,登记信息全国联网统一管理大幅压缩了不动产登记的程序、时间和费用。本文从优化登记人员队伍、加快促进各登记部门间的信息共享、建立完整的档案资料数据库、加大中西部地区线上办理宣传力度等方面提出制度改进建议,为"不动产登记法"的立法起草提供理论支撑。

尼龙微粉对生物降解聚丁二酸丁二醇酯结晶性能的影响

采用溶液共混法制备了不同尼龙微粉含量的聚丁二酸丁二醇酯(PBS)/尼龙微粉共混物,X射线衍射测试的结果表明尼龙微粉的加入不改变PBS结晶晶体结构;进一步采用偏光显微镜进行结晶行为的观测,结果表明尼龙微粉可诱导PBS在微粉表面快速成核结晶,成核密度增大,并且晶体只能沿着近乎垂直于微粉表面的方向生长;但是在相同结晶温度下,不同尼龙微粉含量的PBS复合材料具有相同的晶体生长速率。同时差示扫描量热研究也证实了PBS在尼龙微粉表面附生结晶的行为,并且随尼龙微粉含量的增加,其结晶峰先向高温方向移动,随后向低温方向移动,结晶度小幅降低。

rs3804100、rs3804099及rs2295080基因多态性与黑龙江省2型糖尿病患者并发肺结核关系的研究

目的探究Toll样受体2(Toll-like receptor 2,TLR2)rs3804100、rs3804099位点和哺乳动物雷帕霉素靶蛋白(mammalian target of rapamycin,mTOR)rs2295080位点基因多态性与2型糖尿病并发肺结核的关系。方法选择2017年1-9月黑龙江省传染病防治院收治的300例2型糖尿病并发肺结核患者作为观察组,以及同时期在哈尔滨医科大学附属第四医院内分泌科就诊的300例2型糖尿病患者作为对照组。所有患者收集血液提取DNA,用PCR技术对TLR2的rs3804100、rs3804099位点及mTOR的rs2295080位点进行基因多态性检测,并对这3个基因位点多态性与2型糖尿病并发肺结核的关系进行单因素和logistic多因素分析。结果单因素分析结果显示,TLR2的rs3804100位点TT、TC、CC(T:胸腺嘧啶;C:胞嘧啶)基因型在观察组和对照组分布构成比分别为51.3%(154/300)、25.7%(77/300)、23.0%(69/300)和47.0%(141/300)、31.3%(94/300)、21.7%(65/300),差异无统计学意义(χ^2=2.382,P=0.304);TLR2的rs3804099位点TT、TC、CC基因型在观察组和对照组分布构成比分别为53.0%(159/300)、29.7%(89/300)、17.3%(52/300)和54.3%(163/300)、33.0%(99/300)、12.7%(38/300),差异无统计学意义(χ^2=2.759,P=0.252);mTOR的rs2295080位点TT、TG、GG(G:鸟嘌呤)基因型在观察组和对照组分布构成比分别为26.7%(80/300)、67.3%(202/300)、6.0%(18/300)和24.3%(73/300)、66.0%(198/300)、9.7%(29/300),差异无统计学意义(χ^2=2.935,P=0.231)。logistic多因素分析结果显示,TLR2的rs3804100位点TC、CC基因型的OR(95%CI)值分别为1.261(0.591~2.689)和1.284(0.542~3.042),P值分别为0.549和0.569;TLR2的rs3804099位点TC、CC基因型的OR(95%CI)值分别为0.752(0.461~1.227)和0.729(0.430~1.235),P值分别为0.254和0.240;mTOR的rs2295080位点TG、GG基因型的OR(95%CI)值分别为1.789(0.890~3.596)和1.603(0.839~3.063),P值分别为0.103和0.153。结论 TLR2基因rs3804100、rs3804099位点及mTOR的rs2295080位点多态性与黑龙江省2型糖尿病并发肺结核均无相关性。

房角分离或小梁切除联合超声乳化治疗PACG合并年龄相关性白内障

目的:分析房角分离或小梁切除术联合超声乳化(Phaco)治疗原发性闭角型青光眼(PACG)合并年龄相关性白内障的有效性和安全性。方法:回顾性研究。收集我院2013-03/2018-02期间收治的PACG合并年龄相关性白内障患者96例108眼。根据治疗方式不同分为房角分离术联合Phaco组(A组,50例54眼)和小梁切除术联合Phaco(B组,46例54眼)。比较两组患者术前和末次随访时最佳矫正视力、眼压、中央前房深度、角膜内皮细胞计数,以及手术失败率、术后复发率、手术时间、平均住院日。结果:两组患者术后至少随访12mo,最佳矫正视力明显提高,且眼压比术前明显下降(P<0.01)。术后B组眼压明显低于A组(P=0.004),而最佳矫正视力低于A组(P=0.012)。两组患者中央前房深度比术前明显加深(P<0.01),但两组间无差异(P=0.231)。末次随访时角膜内皮细胞计数、六角形细胞比例组间无差异(P>0.05)。A组手术时间较B组短(P=0.022),且平均住院日明显低于B组(P<0.001)。两组手术失败率(P=0.243)和术后复发率(P=0.113)无差异。结论:房角分离联合Phaco治疗PACG合并白内障和小梁切除联合Phaco手术具有相似疗效和安全性。前者更容易获得较好视力,手术时间短,可以缩短住院时间,而后者手术失败率和复发率较低,更适合慢性PACG患者。