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1.
J Am Chem Soc ; 146(19): 13055-13065, 2024 May 15.
Article in English | MEDLINE | ID: mdl-38695850

ABSTRACT

Sulfur reduction reaction (SRR) facilitates up to 16 electrons, which endows lithium-sulfur (Li-S) batteries with a high energy density that is twice that of typical Li-ion batteries. However, its sluggish reaction kinetics render batteries with only a low capacity and cycling life, thus remaining the main challenge to practical Li-S batteries, which require efficient electrocatalysts of balanced atom utilization and site-specific requirements toward highly efficient SRR, calling for an in-depth understanding of the atomic structural sensitivity for the catalytic active sites. Herein, we manipulated the number of Fe atoms in iron assemblies, ranging from single Fe atom to diatomic and triatomic Fe atom groupings, all embedded within a carbon matrix. This led to the revelation of a "volcano peak" correlation between SRR catalytic activity and the count of Fe atoms at the active sites. Utilizing operando X-ray absorption and X-ray diffraction spectroscopies, we observed that polysulfide adsorption-desorption and electrochemical conversion kinetics varied up and down with the incremental addition of even a single iron atom to the catalyst's metal center. Our results demonstrate that the metal center with exactly two iron atoms represents the optimal configuration, maximizing atom utility and adeptly handling the conversion of varied intermediate sulfur species, rendering the Li-S battery with a high areal capacity of 23.8 mAh cm-2 at a high sulfur loading of 21.8 mg cm-2. Our results illuminate the pivotal balance between atom utilization and site-specific requirements for optimal electrocatalytic performance in SRR and diverse electrocatalytic reactions.

2.
Sci Rep ; 14(1): 6814, 2024 03 21.
Article in English | MEDLINE | ID: mdl-38514736

ABSTRACT

The present study aims to assess the treatment outcome of patients with diabetes and tuberculosis (TB-DM) at an early stage using machine learning (ML) based on electronic medical records (EMRs). A total of 429 patients were included at Chongqing Public Health Medical Center. The random-forest-based Boruta algorithm was employed to select the essential variables, and four models with a fivefold cross-validation scheme were used for modeling and model evaluation. Furthermore, we adopted SHapley additive explanations to interpret results from the tree-based model. 9 features out of 69 candidate features were chosen as predictors. Among these predictors, the type of resistance was the most important feature, followed by activated partial throm-boplastic time (APTT), thrombin time (TT), platelet distribution width (PDW), and prothrombin time (PT). All the models we established performed above an AUC 0.7 with good predictive performance. XGBoost, the optimal performing model, predicts the risk of treatment failure in the test set with an AUC 0.9281. This study suggests that machine learning approach (XGBoost) presented in this study identifies patients with TB-DM at higher risk of treatment failure at an early stage based on EMRs. The application of a convenient and economy EMRs based on machine learning provides new insight into TB-DM treatment strategies in low and middle-income countries.


Subject(s)
Diabetes Mellitus , Humans , Comorbidity , Treatment Failure , Electronic Health Records , Machine Learning
3.
J Am Chem Soc ; 146(7): 4752-4761, 2024 Feb 21.
Article in English | MEDLINE | ID: mdl-38334447

ABSTRACT

Alloy anode materials have garnered unprecedented attention for potassium storage due to their high theoretical capacity. However, the substantial structural strain associated with deep potassiation results in serious electrode fragmentation and inadequate K-alloying reactions. Effectively reconciling the trade-off between low-strain and deep-potassiation in alloy anodes poses a considerable challenge due to the larger size of K-ions compared to Li/Na-ions. In this study, we propose a chemical bonding modulation strategy through single-atom modification to address the volume expansion of alloy anodes during potassiation. Using black phosphorus (BP) as a representative and generalizing to other alloy anodes, we established a robust P-S covalent bonding network via sulfur doping. This network exhibits sustained stability across discharge-charge cycles, elevating the modulus of K-P compounds by 74%, effectively withstanding the high strain induced by the potassiation process. Additionally, the bonding modulation reduces the formation energies of potassium phosphides, facilitating a deeper potassiation of the BP anode. As a result, the modified BP anode exhibits a high reversible capacity and extended operational lifespan, coupled with a high areal capacity. This work introduces a new perspective on overcoming the trade-off between low-strain and deep-potassiation in alloy anodes for the development of high-energy and stable potassium-ion batteries.

4.
Front Nutr ; 11: 1354287, 2024.
Article in English | MEDLINE | ID: mdl-38414489

ABSTRACT

Objective: The objective of this study is to explore the prevalence and attributable burden of diet high in processed meat (DHIPM) in global, regional, and national level due to the burden caused by unhealthy dietary pattern worldwide. Design: Cross-sectional study. Materials and design: All the data involved in this research were obtained from Global Burden of Diseases Study 2019. DisMod-MR 2.1, a Bayesian meta-regression tool, was used to estimate the prevalence, which was measured by summary exposure value (SEV) and attributable burden of DHIPM. The Spearman rank order correlation method was performed to measure the correlation between sociodemographic index (SDI) and the prevalence as well as attributable burden. The estimated annual percentage change (EAPC) was calculated to demonstrate the temporal trends. Results: Globally, there were 304.28 thousand deaths and 8556.88 disability-adjusted life years (DALYs) caused by DHIPM in 2019 and increased by 34.63 and 68.69%, respectively. The prevalence had decreased slightly from 1990 to 2019, however increased in most regions and countries, especially in middle SDI regions, despite the implicitly high prevalence in high SDI regions. Countries with higher SDI values were facing higher prevalence and attributable burden of DHIPM while developing countries were observed with severer temporal trends. Compared with women, men had suffered from lower exposure level however graver attributable burden of DHIPM in the past three decades. Conclusion: The progress of continuous urbanization allowed increasingly severe prevalence and attributable burden of DHIPM, thus the challenge to alleviate this trend was acute. Effective measures such as education on beneficial dietary pattern and supplement on healthy food were urgently required, especially in developing regions and countries.

5.
Adv Mater ; 36(13): e2308675, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38100819

ABSTRACT

The most successful lithium-ion batteries (LIBs) based on ethylene carbonate electrolytes and graphite anodes still suffer from severe energy and power loss at temperatures below -20 °C, which is because of high viscosity or even solidification of electrolytes, sluggish de-solvation of Li+ at the electrode surface, and slow Li+ transportation in solid electrolyte interphase (SEI). Here, a coherent lithium phosphide (Li3P) coating firmly bonding to the graphite surface to effectively address these challenges is engineered. The dense, continuous, and robust Li3P interphase with high ionic conductivity enhances Li+ transportation across the SEI. Plus, it promotes Li+ de-solvation through an electron transfer mechanism, which simultaneously accelerates the charge transport kinetics and stands against the co-intercalation of low-melting-point solvent molecules, such as propylene carbonate (PC), 1,3-dioxolane, and 1,2-dimethoxyethane. Consequently, an unprecedented combination of high-capacity retention and fast-charging ability for LIBs at low temperatures is achieved. In full-cells encompassing the Li3P-coated graphite anode and PC electrolytes, an impressive 70% of their room-temperature capacity is attained at -20 °C with a 4 C charging rate and a 65% capacity retention is achieved at -40 °C with a 0.05 C charging rate. This research pioneers a transformative trajectory in fortifying LIB performance in cryogenic environments.

6.
Chem Sci ; 14(42): 11761-11767, 2023 Nov 01.
Article in English | MEDLINE | ID: mdl-37920336

ABSTRACT

The direct functionalization of inert C-H bonds has long been a "holy grail" for the chemistry world. In this report, the direct C(sp3)-N bond formation of unactivated alkanes is reported with a GaN based Mott-Schottky catalyst under photocatalytic reaction conditions. Long term stability and reaction efficiency (up to 92%) were achieved with this photocatalyst. The deposition of a Pd co-catalyst on the surface of GaN significantly enhanced the reaction efficiency. Microscopic investigation suggested a remarkable interaction in the Pd/GaN Schottky junction, giving a significant Pd/GaN depletion layer. In addition, density functional theory (DFT) calculations were performed to show the distinct performance of Pd nanoparticles at the atomic level.

7.
J Am Chem Soc ; 2023 Nov 01.
Article in English | MEDLINE | ID: mdl-37909780

ABSTRACT

Electrochemical Li-alloying reactions with Li-rich alloy phases render a much higher theoretical capacity that is critical for high-energy batteries, and the accompanying phase transition determines the alloying/dealloying reversibility and cycling stability. However, the influence of phase-transition characteristics upon the thermodynamic properties and diffusion kinetic mechanisms among the two categories of alloys, solid-solutions and intermetallic compounds, remains incomplete. Here we investigated three representative Li-alloys: Li-Ag alloy of extended solid-solution regions; Li-Zn alloy of an intermetallic compound with a solid-solution phase of a very narrow window in Li atom concentration; and Li-Al alloy of an intermetallic compound. Solid-solution phases undertake a much lower phase-transition energy barrier than the intermetallic compounds, leading to a considerably higher Li-alloying/dealloying reversibility and cycling stability, which is due to the subtle structural change and chemical potential gradient built up inside of the solid-solution phases. These two effects enable the Li atoms to enter the bulk of the Li-Ag alloy to form a homogeneous alloy phase. The pouch cell of the Li-rich Li20Ag alloy pairs with a LiNi0.8Co0.1Mn0.1O2 cathode under an areal capacity of 3.5 mAh cm-2 can retain 87% of its initial capacity after 250 cycles with an enhanced Coulombic efficiency of 99.8 ± 0.1%. While Li-alloying reactions and the alloy phase transitions have always been tightly linked in past studies, our findings provide important guidelines for the intelligent design of components for secondary metal batteries.

8.
Chem Commun (Camb) ; 60(1): 98-101, 2023 Dec 19.
Article in English | MEDLINE | ID: mdl-38031459

ABSTRACT

In this article, waste shell is directly used as a raw material to synthesize CaV3O7 as a cathode for aqueous zinc ion batteries. The obtained cathode material exhibits better performance than that of CaV3O7 prepared from pure calcium carbonate as a raw material. At 0.1 A g-1, the CaV3O7 prepared by spent shell as a calcium source displays a highly reversible discharge capacity of 373 mA h g-1. A high initial discharge capacity of 177.7 mA h g-1 can be gained at 5.0 A g-1, and the specific capacity remains at 133.3 mA h g-1 with a capacity retention of 75% after 3000 cycles. This work may spark inspiration for energy storage and generate more effective routes for recycling solid waste.

9.
PNAS Nexus ; 2(11): pgad347, 2023 Nov.
Article in English | MEDLINE | ID: mdl-38024421

ABSTRACT

Prior to the eventual arrival of carbon neutrality, solar-driven syngas production from methane steam reforming presents a promising approach to produce transportation fuels and chemicals. Simultaneous activation of the two reactants, i.e. methane and water, with notable geometric and polar discrepancy is at the crux of this important subject yet greatly challenging. This work explores an exceptional semiconducting hybrid of RhOx/GaN@InGaN nanowires for overcoming this critical challenge to achieve efficient syngas generation from methane steam reforming by photocatalysis. By coordinating density functional theoretical calculations and microscopic characterizations, with in situ spectroscopic measurements, it is found that the multifunctional RhOx/GaN interface is effective for simultaneously activating both CH4 and H2O by stretching the C-H and O-H bonds because of its unique Lewis acid/base attribute. With the aid of energetic charge carriers, the stretched C-H and O-H bonds of reactants are favorably cleaved, resulting in the key intermediates, i.e. *CH3, *OH, and *H, to sit on Rh sites, Rh sites, and N sites, respectively. Syngas is subsequently produced via energetically favored pathway without additional energy inputs except for light. As a result, a benchmarking syngas formation rate of 8.1 mol·gcat-1·h-1 is achieved with varied H2/CO ratios from 2.4 to 0.8 under concentrated light illumination of 6.3 W·cm-2, enabling the achievement of a superior turnover number of 10,493 mol syngas per mol Rh species over 300 min of long-term operation. This work presents a promising strategy for green syngas production from methane steam reforming by utilizing unlimited solar energy.

10.
Nat Commun ; 14(1): 5230, 2023 Aug 26.
Article in English | MEDLINE | ID: mdl-37634043

ABSTRACT

Kagome-lattice materials possess attractive properties for quantum computing applications, but their synthesis remains challenging. Herein, based on the compelling identification of the two cleavable surfaces of Co3Sn2S2, we show surface kagome electronic states (SKESs) on a Sn-terminated triangular Co3Sn2S2 surface. Such SKESs are imprinted by vertical p-d electronic hybridization between the surface Sn (subsurface S) atoms and the buried Co kagome-lattice network in the Co3Sn layer under the surface. Owing to the subsequent lateral hybridization of the Sn and S atoms in a corner-sharing manner, the kagome symmetry and topological electronic properties of the Co3Sn layer is proximate to the Sn surface. The SKESs and both hybridizations were verified via qPlus non-contact atomic force microscopy (nc-AFM) and density functional theory calculations. The construction of SKESs with tunable properties can be achieved by the atomic substitution of surface Sn (subsurface S) with other group III-V elements (Se or Te), which was demonstrated theoretically. This work exhibits the powerful capacity of nc-AFM in characterizing localized topological states and reveals the strategy for synthesis of large-area transition-metal-based kagome-lattice materials using conventional surface deposition techniques.

11.
Sci Adv ; 9(22): eadg4346, 2023 Jun 02.
Article in English | MEDLINE | ID: mdl-37256956

ABSTRACT

In aromatic systems with large π-conjugated structures, armchair and zigzag configurations can affect each material's electronic properties, determining their performance and generating certain quantum effects. Here, we explore the intrinsic effect of armchair and zigzag pathways on charge transport through single hexabenzocoronene molecules. Theoretical calculations and systematic experimental results from static carbon-based single-molecule junctions and dynamic scanning tunneling microscope break junctions show that charge carriers are preferentially transported along the hexabenzocoronene armchair pathway, and thus, the corresponding current through this pathway is approximately one order of magnitude higher than that through the zigzag pathway. In addition, the molecule with the zigzag pathway has a smaller energy gap. In combination with its lower off-state conductance, it shows a better field-effect performance because of its higher on-off ratio in electrical measurements. This study on charge transport pathways offers a useful perspective for understanding the electronic properties of π-conjugated systems and realizing high-performance molecular nanocircuits toward practical applications.

12.
Nat Commun ; 14(1): 2047, 2023 Apr 11.
Article in English | MEDLINE | ID: mdl-37041153

ABSTRACT

Solar photoelectrochemical reactions have been considered one of the most promising paths for sustainable energy production. To date, however, there has been no demonstration of semiconductor photoelectrodes with long-term stable operation in a two-electrode configuration, which is required for any practical application. Herein, we demonstrate the stable operation of a photocathode comprising Si and GaN, the two most produced semiconductors in the world, for 3,000 hrs without any performance degradation in two-electrode configurations. Measurements in both three- and two-electrode configurations suggest that surfaces of the GaN nanowires on Si photocathode transform in situ into Ga-O-N that drastically enhances hydrogen evolution and remains stable for 3,000 hrs. First principles calculations further revealed that the in-situ Ga-O-N species exhibit atomic-scale surface metallization. This study overcomes the conventional dilemma between efficiency and stability imposed by extrinsic cocatalysts, offering a path for practical application of photoelectrochemical devices and systems for clean energy.

13.
Small ; 19(24): e2208282, 2023 Jun.
Article in English | MEDLINE | ID: mdl-36919577

ABSTRACT

In view of their high lithium storage capability, phosphorus-based anodes are promising for lithium-ion batteries. However, the low reduction potential (0.74 V versus Li+ /Li) of the commonly used ethylene carbonate-based electrolyte does not allow the early formation of a solid electrolyte interphase (SEI) prior to the initial phosphorus alloying reaction (1.5 V versus Li+ /Li). In the absence of a protective SEI, the phosphorus anode develops cracks, creating additional P/electrolyte interfaces. This results in the loss of P and the formation of a discontinuous SEI, all of which greatly reduce the electrochemical performance of the anode. Here, the effect of solvent reduction potential on the structure of the SEI is investigated. It is found that solvents with a high reduction potential, such as fluoroethylene carbonate, decompose to form an SEI concomitantly with the P alloying reaction. This results in a continuous, mechanically robust, and Li3 PO4 -rich SEI with improved Li-ion conductivity. These attributes significantly improve the cyclic stability and rate performance of the phosphorus-based anode.

14.
ChemSusChem ; 16(14): e202300312, 2023 Jul 21.
Article in English | MEDLINE | ID: mdl-36942356

ABSTRACT

Due to the designable structure and capacity, organic materials are promising candidates for lithium-ion batteries. Herein, we report a novel type of porous organic frameworks (POFs) based on the coupling reaction of diazonium salt as the anodes for lithium ion storage. The active center containing an azo group and the adjacent lithium-philic adsorption site is constructed to investigate the electrochemical behaviors and reaction mechanism. As synthesized POF material (named as POF-AN) exhibits high reversible lithium storage capacities of 523 mAh g-1 at 0.5 A g-1 and 445 mAh g-1 at 2.0 A g-1 after 1500 cycles, showing excellent cycle stability and rate performance. The detailed characterizations reveal that the azo group can act as an electrochemical active site that reversibly bonds with Li-ions, and the adjacent oxygen atoms can electrostatically adsorb with Li-ions to promote the lithium storage reaction. This adsorption-assisted three-atom redox center is beneficial to synergistically enhance the adsorption and intercalation of lithium ions, which can further improve the capacity and cycle stability. By replacing the precursor, it is also facile to synthesize more similar structure types. The reversible redox chemistry of the adsorption-assisted three-atom active center provides new opportunities for the development of long lifespan and high-rate organic anodes.

15.
Front Public Health ; 11: 1115177, 2023.
Article in English | MEDLINE | ID: mdl-36817912

ABSTRACT

Background: Tracheobronchial stenosis, particularly central airway stenosis, which frequently results in severe complications such as lung damage, occurs in patients with tracheobronchial tuberculosis (TBTB). Objectives: To analyze the clinical characteristics of patients with central airway stenosis due to tuberculosis (CASTB). Methods: Retrospective analysis was performed on the clinical features, radiological features, bronchoscopic features and treatment of 157 patients who were diagnosed with CASTB in two tertiary hospitals in Chongqing, China, from May 2020 to May 2022. Results: CASTB mostly occurs in young patients and females. Patients with CASTB exhibited different symptoms repeatedly during the disease, especially varying degrees of dyspnea, prompting many patients to undergo bronchoscopic intervention and even surgery. Patients with cicatricial strictures constituted the highest proportion of the TBTB subtype with CASTB and 35.7% of the patients with CASTB were found to have tracheobronchomalacia (TBM) under bronchoscopy. CASTB and TBM mainly involved the left main bronchus. Patients with lower levels of education had higher rates of TBM. Patients with TBM manifested shortness of breath more frequently than patients without TBM. Patients with TBTB who had undergone bronchoscopic interventions have a higher rate of TBM. Conclusions: Despite mostly adequate anti-tuberculosis chemotherapy, patients with TBTB can present with CASTB involving severe scarring stenosis, bronchial occlusion, tracheobronchomalacia and even destroyed lung.


Subject(s)
Bronchial Diseases , Tracheobronchomalacia , Tuberculosis , Female , Humans , Constriction, Pathologic/complications , Retrospective Studies , Tuberculosis/complications , Bronchial Diseases/complications , Bronchial Diseases/diagnosis , Tracheobronchomalacia/complications , Dyspnea
16.
COPD ; 20(1): 1-8, 2023 12.
Article in English | MEDLINE | ID: mdl-36594682

ABSTRACT

Aiming to optimize the diagnosis of pulmonary embolism (PE) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD), we conducted a retrospective study enrolling 185 AECOPD patients, of whom 90 were diagnosed with PE based on computed tomography pulmonary angiography (CTPA). Ten characteristic indicators and 27 blood indicators were extracted for each patient. First, we quantified the importance of each indicator for diagnosing PE in AECOPD using fuzzy rough sets (FRS) and selected the more important indicators to construct a support vector machine (SVM) diagnosis model called FRS-SVM. The performance of the proposed diagnosis model on the test sets was compared to that of the logistic regression model. The average accuracy and area under the curve (AUC) of the proposed model for the test sets in 10 independent trials were 94.67% and 0.944, respectively, compared to 80.41% and 0.809 for the logistic regression model. Thus, we validated the higher accuracy and stability of the FRS-SVM for PE diagnosis in patients with AECOPD. This model improved the prediction probability before CTPA and can be used in clinical practice to help doctors make decisions.


Subject(s)
Pulmonary Disease, Chronic Obstructive , Pulmonary Embolism , Humans , Pulmonary Disease, Chronic Obstructive/complications , Pulmonary Disease, Chronic Obstructive/diagnosis , Support Vector Machine , Retrospective Studies , Pulmonary Embolism/diagnosis , Pulmonary Embolism/diagnostic imaging
17.
Angew Chem Int Ed Engl ; 62(3): e202214351, 2023 Jan 16.
Article in English | MEDLINE | ID: mdl-36416106

ABSTRACT

Appling an electrochemical catalyst is an efficient strategy for inhibiting the shuttle effect and enhancing the S utilization of Li-S batteries. Carbon-based materials are the most common conductive agents and catalyst supports used in Li-S batteries, but the correlation between the diversity of hybridizations and sulfur reduction reaction (SRR) catalytic activity remains unclear. Here, by establishing two forms of carbon models, i.e., graphitic carbon (GC) and amorphous carbon (AC), we observe that the nitrogen atom doped in the GC possesses a higher local charge density and a lower Gibbs free energy towards the formation of polysulfides than in the AC. And the GC-based electrode consistently inherits considerably enhanced SRR kinetics and superior cycling stability and rate capability in Li-S batteries. Therefore, the function of carbon in Li-S batteries is not only limited as conductive support but also plays an unignorable contribution to the electrocatalytic activities of SRR.

18.
Small ; 19(3): e2205532, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36399646

ABSTRACT

A major issue with Li-O2 batteries is their slow oxygen reduction and evolution kinetics, necessitating catalysts with high catalytic activity to improve reaction kinetics and cycle stability. Herein, a nano-heterostructured catalyst composed of Co3 O4 and Fe2 O3 (Co3 O4 /Fe2 O3 ) with a porous rod morphology is achieved through an interfacial engineering strategy by constructing Fe2 O3 on the Co3 O4 surface, which can function as a high-performance cathode in order to efficiently encourage the oxygen reduction and evolution while also reduce the battery polarization during charging and discharging. The density functional theory (DFT) calculations show the differences in charge density at the interface of nano-heterostructures, demonstrating the occurrence of an electron transfer process in the interface region of Co3 O4 and Fe2 O3 , implying a strong electronic coupling transfer, and in turn changing the electronic structure of the Co3 O4 . This significantly reduces the adsorption energy of LiO2 intermediates, thereby effectively lowering the overpotential. The resultant Li-O2 battery has larger discharge specific capacity, lower overpotential for the efficient oxygen evolution/reduction, as well as good cycling stability of 280 cycles. This work demonstrates an effective method to fabricate the nano-heterostrucutred materials with enhanced catalytic efficiency for advanced energy applications.

19.
Small ; 18(18): e2107199, 2022 05.
Article in English | MEDLINE | ID: mdl-35373497

ABSTRACT

Na metal anode (NMA) is one of the most promising candidate materials for next-generation low-cost sodium metal batteries. However, the preferred deposition of Na metal at the anode/separator interface increases the risk of dendrite penetration of the separator, consequently, reduces safety and life of batteries with NMA. In this study, a Na deposition-regulating strategy is shown by designing a gradiently graphitized 3D carbon fiber (CF) framework as host (grad-CF), whereby Na is guided to deposit preferentially at the bottom of the anode, safely away from the separator. The obtained Na anode significantly reduces the probability of dendrite-induced short circuits. The grad-CF host enables NMA stable cycling at a high current density of 6 mA cm-2 . When the Na@grad-CF is applied as anode in full cells pared with Na3 V2 (PO4 )3 (NVP) cathode, it exhibits a reversible capacity of 73 mA h g-1 after 500 cycles with a low decay rate of 0.13%.


Subject(s)
Electric Power Supplies , Sodium , Electrodes , Ions
20.
Infect Drug Resist ; 15: 111-125, 2022.
Article in English | MEDLINE | ID: mdl-35068934

ABSTRACT

BACKGROUND: The purpose of this study was to investigate the association of the triglyceride glucose (TyG) index, a surrogate marker of insulin resistance (IR) with a high sensitivity of 96.5% and a specificity of 85.0% for the diagnosis of IR, with computed tomography (CT) features in patients with tuberculosis and diabetes mellitus. METHODS: A total of 247 subjects were enrolled from July, 2020 to May, 2021. The basic clinical features and CT features were analyzed. In addition, multivariate logistic regression analysis models were employed to evaluate the association of the TyG indicator with CT features in participants. RESULTS: In the quartile groups of TyG index, air bronchial sign detection rate was 11.7%, 14.5%, 23.2%, and 44.1%; large segmented leafy shadow detection rate was 27.9%, 40.6%, 46.4%, and 66.2%; thick-walled cavity was found in 38.2%, 43.4%, 57.9%, and 69.1%; the rate of multiple cavities was 17.6%, 27.5%, 36.2%, 52.9%; the rate of lymph node enlargement was 22.1%, 17.4%, 28.9%, and 38.2%, respectively. In addition, the positive relation with the TyG index and the prevalence of abnormal CT signs was observed in the fully adjusted model: TyG, per one-unit increase: air bronchial sign: adjusted odds ratio (AOR) 3.92, 95% CI 1-15.35, P = 0.049; multiple cavities: AOR 4.1, 95% CI 1.26-13.31, P = 0.019; thick-walled cavity: AOR 2.89, 95% CI 1.05-8.03, P = 0.041. In quartile of TyG index, compared with patients in quartile 1, the AOR (95% CI) values for air bronchial sign in quartile 4 was 8.1 (1.7-44), p = 0.011; multiple cavities was 7.1 (1.7-32), p = 0.008; thick-walled cavity was 7.8 (1.9-34.7), p = 0.005. CONCLUSION: The present study showed that an increased TyG index was positively related to the severity of patients with T2DM-PTB.

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