| 1 | Modified endoscopic transnasal orbital apex decompression in dysthyroid optic neuropathy显示文摘Background:To describe the surgical technique and assess the clinical efficacy and safety of modified endoscopic transnasal orbital apex decompression in the treatment of dysthyroid optic neuropathy.Methods:In this retrospective research,forty-two subjects(74 orbits)who underwent modified endoscopic transnasal orbital apex decompression for the treatment of dysthyroid optic neuropathy were enrolled.Preoperative and postoperative best-corrected visual acuity(BCVA),visual field mean deviation(MD),Hertel exophthalmometry,and new onset diplopia were assessed before and after the intervention.The Wilcoxon test was used for differential analysis.Linear mixed-models’analyses were conducted to assess the potential predictors for BCVA change.Results:Postoperatively,the mean BCVA improved from 0.70±0.62 logMAR to 0.22±0.33 logMAR.BCVA significantly improved in 69 eyes(93%),remained stable in 4 eyes(5%)and deteriorated in 1 eye(1%).MD of visual fields improved from−13.73±9.22 dB to−7.23±7.04 dB.Proptosis decreased from 19.57±3.38mm to 16.35±3.01mm.Preoperative BCVA,MD of visual fields and medical rectus diameter were independent factors associated with improvements in BCVA(P<0.05)by linear mixed-models’analyses.Eighteen patients(42.9%)developed new diplopia postoperatively.Conclusion:Modified endoscopic transnasal orbital apex decompression effectively restores vision in dysthyroid optic neuropathy. | Yunhai Tu Mingna Xu Andy D.Kim Michael T.M.Wang Zhaoqi Pan Wencan Wu | 2021 | Eye and Vision2021，8，1： | 4 |
| 2 | Designing ultrastrong maraging stainless steels with improved uniform plastic strain via controlled precipitation of coherent nanoparticles显示文摘The development of ultrastrong maraging stainless steels(MSSs)is always in high demand.However,traditional high-strength MSSs generally exhibit early plastic instability with a low uniform strain since the precipitated nanoparticles are non-coherent with the body-centered-cubic(BCC)lath martensitic matrix.Here,we design a novel ultrahigh strength MSS(Fe-5.30 Cr-13.47 Ni-3.10 Al-1.22 Mo-0.50 W-0.23 Nb-0.03 C-0.005 B,wt.%)using a cluster formula approach.A fabulous microstructure consisting of a uniform distribution of high-density coherent B2-Ni Al nanoprecipitates(3-5 nm)in BCC martensitic matrix was successfully obtained.This alloy has not only an exceedingly high ultimate tensile strength of 2.0 GPa,but also a decent uniform elongation of 4.2%-5.1%,which is almost triple of the value observed in existing MSSs.We present an in-depth discussion on the origins of ultrahigh strength and uniform plastic strain in the new alloy to validate our design strategy and further offer a new pathway to exploit highperformance MSSs. | Z.H.Wang B.Niu Q.Wang C.Dong J.C.Jie T.M.Wang T.G.Nieh | 2021 | Journal of Materials Science & Technology2021，，34： | 2 |
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