RESUMEN
Lithium polysulfides are intermediate products formed during the discharge and charge of lithium-sulfur batteries and have good solubility in electrolyte solutions. Therefore, the properties and structure of solutions of lithium polysulfides in electrolyte solutions affect the energy characteristics of the lithium-sulfur battery. In this work, the structure and physicochemical properties (density, ionic conductivity, and self-diffusion coefficients) of solutions of lithium disulfide, tetrasulfide, and octasulfide in lithium perchlorate tetrasolvate with sulfolane in a wide range of concentrations (0.2-12 M) were studied using the molecular dynamics method. With increasing concentrations of lithium polysulfides, the proportion of sulfur atoms in the coordination sphere of the lithium cation increases and the proportion of sulfolane molecules decreases. It has been established that the ability of the polysulfide anion to act as a bridging ligand leads to the formation of clusters, including lithium perchlorate, lithium polysulfides, and sulfolane. It has been shown that the tendency to form clusters increases with an increasing number of sulfur atoms in the polysulfide anion. At high concentrations of lithium polysulfides, regardless of their size, the electrolyte system becomes a single cluster. With an increase in the concentration of lithium polysulfides in the electrolyte system, its density increases and the ionic conductivity and diffusion coefficients of the system components decrease.
RESUMEN
Introduction: Until recently no major epidemiological research of primary hyperparathyroidism (PHPT) has been conducted in the Russian Federation, this led to the creation of the Russian online registry. The objective of this study is to estimate the clinical and biochemical profile, classical and non-classical complications, surgical intervention and medical therapy of the patients with different forms of PHPT in the Russian Federation. Materials and methods: The cross-sectional, observational, continuous study was conducted at the Endocrinology Research Centre (Moscow). The present study explored retrospective data from 6003 patients submitted to the Registry between 12.12.2016 and 25.10.2022 from 81 regions of the Russian Federation (http://pgpt.clin-reg.ru/). Results: The median age was 59 [60; 66] years with a female:male ratio of 11.7:1. Symptomatic PHPT was observed in 74.3% while asymptomatic form - only in 25.7% of cases. Bone pathology was the predominant clinical manifestation in 62.5% of cases (n=2293), mostly in combination with visceral complications 45.7% (n=1676). The majority of patients (63.3%) had combined visceral disorders including kidney damage in 51.8% and gastroduodenal erosions/ulcers in 32.3% of patients. Symptomatic patients were older (60 [53; 67] vs. 54 [45; 62] years, p<0.001) and had more severe biochemical alterations of calcium-phosphorus metabolism. Cardiovascular disease (СVD) was recorded in 48% of patients, among them the most frequent was arterial hypertension (up to 93.9%). A genetic test was conducted in 183 cases (suspicious for hereditary PHPT) revealing the mutations in MEN1, CDC73, RET genes in 107, 6 and 2 cases, respectively. Surgery was performed in 53.4% of patients with remission achievement in 87%, the relapse/persistence were recorded in 13% of cases. Histological examination revealed carcinoma in 4%, atypical adenoma in 2%, adenoma in 84% and hyperplasia in 11% of cases. Drug therapy was prescribed in 54.0% of cases, most often cholecalciferol. Conclusion: The detection rate of PHPT has increased in the Russian Federation in recent years. This increase is associated with the start of online registration. However, the majority of patients remain symptomatic with significant alterations of phosphorus-calcium metabolism that indicates delayed diagnosis and requires further modifications of medical care.