拉米呋定与乙肝疫苗预防HBcAb阳性供肝儿童肝移植术后新发乙肝病毒感染效果的对照研究

目的比较拉米呋定与乙肝疫苗方案预防乙型肝炎核心抗体(hepatitis B core antibody,HBcAb)阳性供肝儿童肝移植术后新发乙型肝炎病毒(hepatitis B virus,HBV)感染效果。方法对天津市第一中心医院自2013年5月—2019年6月251例接受HBcAb阳性供肝儿童肝移植的资料进行回顾性分析,依据采用预防方案的不同分为拉米呋定组和乙肝疫苗组,对两组患儿的新发乙肝病毒感染情况以及临床资料进行比较分析。结果拉米呋定组45例和乙肝疫苗组206例,两组在供受者的临床特征方面无显著差异,两组的新发乙肝病毒感染例数分别为5例(11.1%)和10例(4.9%),发生率无显著统计意义(P=0.075),停用拉米呋定与新发乙肝存在关系。结论单用拉米呋定和乙肝疫苗均是有效预防HBcAb阳性供肝术后新发乙肝的方案,停用拉米呋定会增加新发乙肝的风险。

Outcomes in children with biliary atresia following liver transplantation

BACKGROUND: Congenital biliary atresia is a rare condition characterized by idiopathic dysgenesis of the bile ducts. If untreated, congenital biliary atresia leads to liver cirrhosis, liver failure and premature death. The present study aimed to evaluate the outcomes of orthotopic liver transplantation in children with biliary atresia. METHOD: We retrospectively analyzed 45 patients with biliary atresia who had undergone orthotopic liver transplantation from September 2006 to August 2012. RESULTS: The median age of the patients was 11.0 months (5-102). Of the 45 patients, 41 were younger than 3 years old. Their median weight was 9.0 kg (4.5-29.0), 34 of the 45 patients were less than 10 kg. Thirty-one patients had undergone Kasai portoenterostomy prior to orthotopic liver transplantation. We performed 30 living donor liver transplants and 15 split liver transplants. Six patients died during a follow-up. The median follow-up time of surviving patients was 11.4 months (1.4-73.7). The overall 1-, 2- and 3-year survival rates were 88.9%, 84.4% and 84.4%, respectively. CONCLUSION: With advances in surgical techniques and management, children with biliary atresia after liver transplantation can achieve satisfactory survival in China, although there remains a high risk of complications in the early postoperative period.

Indium doped CsPbI3 films for inorganic perovskite solar cells with efficiency exceeding 17%

In recent years,all-inorganic perovskite materials have set off a research boom owing to features,such as good thermal stability,suitable bandgap,and fascinating optical properties.However,the power conversion efficiency(PCE)and the ambient stability of all-inorganic perovskite solar cells still remain a challenge.Herein,we investigate the effect of the addition of InI3 into CsPbI3 film on the corresponding device.InI3 incorporation could retard the crystallization process and control the growth rate of CsPbI3 polycrystalline films,yielding a high quality film with large grains and few voids.The increment in electrostatic potential and the reduction of carrier recombination enabled the open-circuit voltage of fabricated perovskite solar cell to be increased from 0.89 to 0.99 V.The champion device delivered a power conversion efficiency of 17.09%,which is higher than 14.36%for the reference device.And the InI3-included solar cell without any encapsulation retained 77%of its original efficiency after 860 h aging at room temperature in N2 condition.

Smelting recrystallization of CsPbBrI_(2)perovskites for indoor and outdoor photovoltaics

A smelting multiple recrystallization strategy and its effects on the morphology,composition,and defects of CsPbBrI_(2)film were investigated.An optimal number(n=2)of recrystallization cycles improved the crystallinity and phase purity,minimized the grain boundaries,and optimized the crystal structure,yielding a high-quality perovskite film with significantly reduced defects density.The corresponding photovoltaic devices exhibited a champion efficiency of 16.02%under AM 1.5 G illumination and presented an even higher indoor efficiency of 33.50%under an LED(2956 K,P_(in):334.41𝜇W/cm^(2)).This recrystallization method offers a promising strategy for developing high-performance indoor and outdoor photovoltaics.Direct recrystallization in the cells was also explored to achieve enhanced stability and longer lifetime in humid conditions.

Fabrication and characterization of ZnO/Se1‑xTex solar cells

Selenium(Se)element is a promising light-harvesting material for solar cells because of the large absorption coefcient and prominent photoconductivity.However,the efciency of Se solar cells has been stagnated for a long time owing to the suboptimal bandgap(>1.8 eV)and the lack of a proper electron transport layer.In this work,we tune the bandgap of the absorber to the optimal value of Shockley-Queisser limit(1.36 eV)by alloying 30%Te with 70%Se.Simultaneously,ZnO electron transport layer is selected because of the proper band alignment,and the mild reaction at ZnO/Se_(0.7)Te_(0.3) interface guarantees a good-quality heterojunction.Finally,a superior efciency of 1.85%is achieved on ZnO/Se_(0.7)Te_(0.3)solar cells.