ABSTRACT
The worldwide pandemic, coronavirus COVID-19, has been posing a serious threat to the global economy and security in last 2 years. The monthly consumption and subsequent discarding of 129 billion masks (equivalent to 645,000 tons) pose a serious detrimental impact on environmental sustainability. In this study, we report a novel type of nanofibrous membranes (NFMs) with supreme filtration performance and controllable degradation rates, which are mainly composed of polylactic acid (PLA) and artificially cultured diatom frustules (DFs). In this way, the filtration efficiency of particular matter (PM) and the pressure drop were significantly improved in the prepared PLA/DFs NFMs as compared with the neat PLA NFM. In specific, with incorporation of 5% DFs into fibers, PM0.3 removal with a filtration efficiency of over 99% and a pressure drop of 109 Pa were achieved with a membrane thickness of only 0.1 mm. Moreover, the yield strength and crystallinity degree of the PLA/DFs5 NFMs were sharply increased from 1.88 Mpa and 26.37% to 2.72 Mpa and 30.02%. Besides those unique characters, the PLA/DFs5 presented excellent degradability, accompanied by the degradation of 38% in 0.01 M sodium hydroxide solution after 7 days and approximately 100% in natural condition after 42 days, respectively. Meanwhile, the environmentally friendly raw materials of the composite polylactic acid and artificially cultured diatom frustules could be extracted from corn-derived biomass and artificially cultivated diatoms, ensuring the conformance to carbon neutrality and promising applications in personal protection. Supplementary information: The online version contains supplementary material available at 10.1007/s42114-022-00474-7.
ABSTRACT
Background and Purpose To investigate the effect of prior ischemic stroke on the outcomes of patients hospitalized with coronavirus disease 2019 (COVID-19), and to describe the incidence, clinical features, and risk factors of acute ischemic stroke (AIS) following COVID-19. Methods In this population-based retrospective study, we included all the hospitalized positive patients with COVID-19 at Wuhan City from December 29, 2019 to April 15, 2020. Clinical data were extracted from administrative datasets coordinated by the Wuhan Health Commission. The propensity score matching and multivariate logistic regression analyses were used to adjust the confounding factors. Results There are 36,358 patients in the final cohort, in which 1,160 (3.2%) had a prior stroke. After adjusting for available baseline characteristics, patients with prior stroke had a higher proportion of severe and critical illness and mortality. We found for the first time that the premorbid modified Rankin Scale (MRS) grouping (odds ratio [OR] = 1.796 [95% CI 1.334–2.435], p < 0.001) and older age (OR = 1.905 [95% CI 1.211–3.046], p = 0.006) imparted increased risk of death. AIS following COVID-19 occurred in 124 (0.34%) cases, and patients with prior stroke had a much higher incidence of AIS (3.4%). Logistic regression analyses confirmed an association between the severity of COVID-19 with the incidence of AIS. COVID-19 patients with AIS had a significantly higher mortality compared with COVID-19 patients without stroke and AIS patients without COVID-19. Conclusions Coronavirus disease 2019 patients with prior stroke, especially those with the higher premorbid MRS or aged, have worse clinical outcomes. Furthermore, COVID-19 increases the incidence of AIS, and the incidence is positively associated with the severity of COVID-19.