Extending the Record of Terpenes from Soft Coral Sarcophyton mililatensis.

In the present study, a new polyoxygenated cembranoid named sarcomililatol H (1) as well as six known terpenes 2-7 with different skeletons were isolated from South China Sea soft coral Sarcophyton mililatensis. Based on the comprehensive analyses of 1D and 2D NMR spectroscopic data, the structure of the new compound 1 was established. This new cembranoid was characterized by the presence of the rarely encountered tetrahydropyran ring with the ether linkage across C-2 and C-12. By applying the time-dependent density functional theory electronic circular dichroism (TDDFT ECD) approach, the absolute configuration of sarcomililatol H (1) was determined. All of the isolates were subjected to the anti-inflammatory and anti-tumor bioassays. However, none of them was active in these evaluations. Additionally, the preliminary virtual screening of inhibitory against SARS-CoV-2 by molecular docking showed that diterpene 1 could be regarded as a SARS-CoV-2 main protease (Mpro ) inhibitor (binding energy: -7.63 kcal/mol). The discovery of these terpenes has expanded the chemical diversity and complexity of terpenes from the species S. mililatensis.

Radiative effects and feedbacks of anthropogenic aerosols on boundary layer meteorology and fine particulate matter during the COVID-19 lockdown over China.

The COVID-19 epidemic has exerted significant impacts on human health, social and economic activities, air quality and atmospheric chemistry, and potentially on climate change. In this study, an online coupled regional climate-chemistry-aerosol model (RIEMS-Chem) was applied to explore the direct, indirect, and feedback effects of anthropogenic aerosols on radiation, boundary layer meteorology, and fine particulate matter during the COVID-19 lockdown period from 23 January to 8 April 2020 over China. Model performance was validated against a variety of observations for meteorological variables, PM2.5 and its chemical components, aerosol optical properties, as well as shortwave radiation flux, which demonstrated that RIEMS-Chem was able to reproduce the spatial distribution and temporal variation of the above variables reasonably well. During the study period, direct radiative effect (DRE) of anthropogenic aerosols was stronger than indirect radiative effect (IRE) in most regions north of the Yangtze River, whereas IRE dominated over DRE in the Yangtze River regions and South China. In North China, DRE induced larger changes in meteorology and PM2.5 than those induced by IRE, whereas in South China, the changes by IRE were remarkably larger than those by DRE. Emission reduction alone during the COVID-19 lockdown reduced PM2.5 concentration by approximately 32 % on average over East China. As a result, DRE at the surface was weakened by 15 %, whereas IRE changed little over East China, leading to a decrease in total radiative effect (TRE) by approximately 7 % in terms of domain average. The DRE-induced changes in meteorology and PM2.5 were weakened due to emission reduction, whereas the IRE-induced changes were almost the same between the cases with and without emission reductions. By aerosol radiative and feedback effects, the COVID-19 emission reductions resulted in 0.06 °C and 0.04 °C surface warming, 1.6 and 4.0 µg m-3 PM2.5 decrease, 0.4 and 1.3 mm precipitation increase during the lockdown period in 2020 in terms of domain average over North China and South China, respectively, whereas the lockdown caused negligible changes on average over East Asia.

How can employees break free from helplessness in critical work incidents?

Critical incidents, defined as traumatic time-limited events, often happen unexpectedly, and have largely impacted employees in many ways. In this study, we apply the conservation of resources theory as our overarching framework to examine whether and when employees involved in a critical work incident would experience helplessness at work, which may consequently spill over into the life domain and negatively impact their well-being. Taking the COVID-19 as a typical example of critical incidents, we collected multiwave data from 765 Chinese doctors. The results showed that perceived COVID-19 event strength is positively related to doctors' helplessness at work, which further negatively impacts their presence of meaning in life. Besides, meaningful work exacerbates the effect of perceived COVID-19 event strength on doctors' helplessness, while social support and psychological detachment reduce the negative impact of helplessness on their presence of meaning in life. Our study calls attention to protection of the mental health and psychological well-being of employees faced with critical incidents at work and their psychological recovery, and sheds light on the effectiveness of social support and psychological detachment as resource replenishing mechanisms, while cautions against further emphasizing work meaningfulness to employees confronted with a highly novel, disruptive, and critical work event.

Establishment of a new method for rapid detection of SARS-CoV-2 by visual LAMP (without nucleic acid extraction)

A new type of coronavirus (SARS-CoV-2) infection caused acute or fatal pneumonia. The virus is another coronavirus that is transmitted from animal to human and capable of transmitted from human to human, following the severe acute respiratory syndrome coronavirus (SARS-CoV) and the Middle East respiratory syndrome coronavirus (MERS CoV). In order to control the epidemic as soon as possible, there is an urgent need, for rapid detection and confirmation of infected patients. In this study, according to the SARS CoV-2 whole genome published in GenBank as target gene, LAMP Desiner 2.0 software was used to screen efficient and highly specific combinatorial loop primers. The amplification characteristics of Bst 4.0 DNA polymerase relys RNA as template for DNA synthesis. Viral RNA-positive test results showed that 5 to 20 copies of virus nucleic acid could be detected. The inactivated virus was directly used as amplification template for clinical detection. The amplified nucleic acid molecules are combined with OG (Orange-Green) dye. Positive samples are green and negative samples are orange yellow.. The established SARS-CoV-2 one-step visual constant temperature rapid detection method realizes rapid detection of nucleic acids with high sensitivity. This study provides a new method for SARS-CoV-2 detection.

Epidemiological monitoring to ascertain if SARS-CoV-2 infects dogs and cats

2019 novel coronavirus (SARS-CoV-2) is a new strain of coronavirus that has never been found in humans. SARS-CoV-2 is a beta coronavirus. whereas the coronaviruses infecting pet dogs and cats arise mainly from a-coronaviruses. Whether SARS-CoV-2 infects cats, dogs and other pets is an important public-health issue during this time. In the present study, respiratory-tract symptoms in 20 pet cats and 4 pet dogs (especially with obvious fever and cough symptoms) in Beijing, China, were detected by fluorescence quantitative polymerase chain reaction (PCR) of SARS-CoV-2 and established diagnostic methods. Throat swabs were collected to detect the nucleic acids of SARS-CoV-2 using fluorescence quantitative PCR and to detect other pathogens. The nucleic acids of SARS-CoV-2 were not present in the 24 pets that we evaluated.

Investigation of the influence of mineral dust on airborne particulate matter during the COVID-19 epidemic in spring 2020 over China.

A regional air quality model system (RAQMS) driven by the Weather Research and Forecasting model (WRF) is applied to investigate the distribution and evolution of mineral dust and anthropogenic aerosols over China in April 2020, when air quality was improved due to reduced human activity during the COVID-19 epidemic, whereas dust storms began to attack China and deteriorated air quality. A dust deflation model was developed and improved mineral dust prediction. Model validation demonstrated that RAQMS was able to reproduce PM10, PM2.5 and aerosol components reasonably well. China suffered from three dust events in April 2020, with the maximum hourly PM10 concentrations exceeding 700 µg m-3 in downwind cities over the North China Plain (NCP). Mineral dust dominated PM10 mass (>80%) over the Gobi deserts in north and west China, while it comprised approximately 30-50% of PM10 over wide areas of east China. The domain and monthly mean dust mass fractions in PM10 were estimated to be 47% and 43% over the North China Plain and east China, respectively. On average, mineral dust contributed up to 22% and 21% of PM2.5 mass over the North China Plain and east China in April 2020, respectively. Sulfate and nitrate produced by heterogeneous chemical reactions on dust surface accounted for approximately 9% and 13% of secondary inorganic aerosols (SIA) concentration over the North China Plain and east China, respectively. The results from this study demonstrated that mineral dust made an important contribution to particulate matter mass during the COVID-19 epidemic in spring 2020 over China.

Development of a TaqMan loop-mediated isothermal amplification assay for the rapid detection of pigeon paramyxovirus type 1.

Pigeon paramyxovirus-1 (PPMV-1) is a strain of Newcastle disease virus (NDV) that has adapted to infect pigeons and poses a constant threat to the commercial poultry industry. Early detection via rapid and sensitive methods, along with timely preventative and mitigating actions, is important for reducing the spread of PPMV-1. Here, we report the development of a TaqMan loop-mediated isothermal amplification assay (TaqMan-LAMP) for rapid and specific detection of PPMV-1 based on the F gene. This system makes use of six novel primers and a TaqMan probe that targets nine distinct regions of the F gene that are highly conserved among PPMV-1 isolates. The results showed that the limit of detection was 10 copies µL-1 for PPMV-1 cDNA and 0.1 ng for PPMV-1 RNA. The reaction was completed within 25 min and was thus faster than conventional RT-PCR. Moreover, no cross-reactions with similar viruses or with peste des petits ruminants virus (PPRV) or NDV LaSota vaccine strains were observed under the same conditions. To evaluate the applicability of the assay, the TaqMan-LAMP assay and a commercial RT-PCR assay were compared using 108 clinical samples, and the concordance rate between two methods was found to be 96.3%. The newly developed PPMV-1 TaqMan-LAMP assay can therefore be used for simple, efficient, rapid, specific, and sensitive diagnosis of PPMV-1 infections.

15-Month Health Outcomes of Hospitalized COVID-19 Patients from Onset: A Cohort Study (preprint)

Background: The long-term impact of COVID-19 on patient health has been a recent focus. This study aims to determine the persistent symptoms and psychological conditions of patients hospitalized with COVID-19 15 months after onset. The potential risk factors were also explored.Methods: A cohort of COVID-19 patients discharged from February 20, 2020 to March 31, 2020 was recruited. Follow-ups were conducted using validated questionnaires and psychological screening scales at 15 months after onset to evaluate the patients’ health status. The risk factors for long-term health impacts and their associations with disease severity was analyzed.Findings: 534 COVID-19 patients were enrolled. The median age of the patients was 62.0 years old (IQR 52.0-70.0) and 295 were female (55.2%). The median time from onset to follow-up was 460.0 (451.0-467.0) days. Sleep disturbance (18.5%, 99/534) and fatigue (17.2%, 92/534) were the most common persistent symptoms. 6.4% (34/534) of the patients had depression, 9.2% (49/534) were anxious, 13.0% (70/534) had insomnia and 4.7% (25/534) suffered from posttraumatic stress disorder (PTSD). Multivariate adjusted logistic regression analysis showed that glucocorticoid use during hospitalization (OR 3.58, 95% CI 1.12-11.44) was significantly associated with an increased risk of fatigue. The OR values for anxiety and sleep disorders were 2.36 (95% CI 1.07-5.20) and 2.16 (95% CI 1.13-4.14) in females compared with males. The OR value of PTSD was 25.6 (95% CI 3.3-198.4) in patients with persistent symptoms to those without persistent symptoms. No significant associations were observed between fatigue syndrome or adverse mental outcomes and disease severity.Interpretation: 15-month follow-up in this study aroused the need of extended rehabilitation intervention for complete recovery in COVID-19 patients. Funding: None to declare. Declaration of Interest: All the authors declare no competing interests.Ethical Approval: The Research Ethics Committee of Shanghai Changzheng Hospital approved this study (2020SL007).

The efficacy of reduced-visit prenatal care model during the coronavirus disease 2019 pandemic: A protocol for systematic review and meta-analysis.

BACKGROUND: While this reduced-visit prenatal care model during the COVID-19 pandemic is well-intentioned, there is still a lack of relevant evidence to prove its effectiveness. Therefore, in order to provide new evidence-based medical evidence for clinical treatment, we undertook a systematic review and meta-analysis to assess the efficacy of reduced-visit prenatal care model during the COVID-19 pandemic. METHODS: The online literature will be searched using the following combination of medical subject heading terms: "prenatal care" OR "prenatal nursing" AND "reduced-visit" OR "reduce visit" OR "virtual visit." MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science will be searched without any language restrictions. A standard data extraction form is used independently by 2 reviewers to retrieve the relevant data from the articles. The outcome measures are as following: pregnancy-related stress, satisfaction with care, quality of care. The present study will be performed by Review Manager Software (RevMan Version 5.3, The Cochrane Collaboration, Copenhagen, Denmark). P < .05 is set as the significance level. RESULTS: It is hypothesized that reduced-visit prenatal care model will provide similar outcomes compared with traditional care model. CONCLUSIONS: The results of our review will be reported strictly following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria and the review will add to the existing literature by showing compelling evidence and improved guidance in clinic settings. OSF REGISTRATION NUMBER: 10.17605/OSF.IO/WYMB7.

Pivoting Dental Practice Management during the COVID-19 Pandemic-A Systematic Review.

Background and Objectives: The aims of this systematic review were to identify additional infection control measures implemented in dental practice globally to prevent cross-infection and evaluate the psychological impacts of the pandemic among dental professionals. Materials and Methods: A sequential systematic literature search was conducted from December 2019 to 30 April 2020 through PubMed, CINAHL, Scopus, Google Scholar, Embase, and Web of Science databases. The search yielded the following results: "COVID-19" (n = 12,137), "Novel corona virus" (n = 63), "COVID-19 and dentistry" (n = 46), "COVID-19 and oral health" (n = 41), "Novel Corona virus and Dentistry" (n = 0), "dental health and Novel Coronavirus" (n = 26), and "dental practice and Novel Coronavirus" (n = 6). Results: After a careful review and eliminating articles based on inclusion and exclusion criteria, the final review included 13 articles. Management of infection control is discussed extensively in the literature and remains the main theme of many Coronavirus Disease 2019 (COVID-19) articles on dentistry. Telephone triage using a questionnaire, hand hygiene, personal protective equipment (PPE) for clinical and nonclinical staff, a preprocedural mouth rinse, and aerosol management have been discussed and implemented in few countries. Three studies recommended that elective treatments for patients with a temperature of >100.4 F or 38 °C should be postponed or performed in an airborne infection isolation room (AIIR) or negative-pressure room. Limiting the number of patients in the waiting area, the removal of shared objects, proper ventilation, and physical distancing were highly recommended. Psychological distress among dental professionals in relation to existing medical conditions and self-efficacy has been discussed. Conclusions: Although the COVID-19 pandemic has had a substantial impact on the dental profession worldwide, our review highlights many practice management approaches to adopt the new norm. More research highlighting evidence-based safety practices and multisectoral collaboration is required to help dental professionals make informed decisions and make the profession safe, both for the patient and dental professionals.

Guidelines for innovation in dental education during the coronavirus disease 2019 pandemic.

During the current coronavirus disease 2019 (COVID-19) pandemic, dental education and training requiring face-to-face interaction must prioritize infection prevention and the safety of students, staff, and patients. In July 2020, the Association for Dental Education, Asia Pacific (ADEAP) published safety guidelines for safe dental education during the COVID-19 pandemic. These guidelines summarize ADEAP recommendations for classroom-based courses, reopening of simulated training courses and dental clinics, and provision of clinical skills training courses in dentistry during the COIVID-19 pandemic. They have been formulated to ensure the safety of students and teaching staff, dental auxiliary staff, and patients. However, the present guidelines are considered appropriate only when the number of COVID-19 epidemic cases has been significantly reduced, i.e. when the epidemiological curve has flattened in the area concerned. The criteria for lifting restrictions on activities should be consistent with relevant jurisdictional guidelines.

Rhabdomyolysis is Associated with Hospital Mortality in Patients with COVID-19 (preprint)

Purpose: To evaluate the clinical features and outcomes of rhabdomyolysis (RM) in patients with COVID-19. Method: A single center retrospective cohort study of 1,014 consecutive hospitalized patients with confirmed COVID-19 at the Huoshenshan hospital in Wuhan, China, between February 17 and April 12, 2020. Results: : The overall incidence of RM was 2.2%. Comparing with patients without RM, patients with RM tended to have a higher risk of deterioration, representing by higher ratio to be admitted to the intensive care unit (ICU) (90.9 % vs 5.3%, P <0.001), and to undergo mechanical ventilation (86.4 % vs 2.7% P <0.001). Compared with patients without RM, patients with RM had laboratory test abnormalities, including indicators of inflammation, coagulation activation and kidney injury. Patients with RM had a higher risk of hospital death ( P < 0.001). Cox proportional hazard regression model confirmed that RM indicators, including peak creatine kinase (CK) >1000 IU/L (HR=6.46, 95% CI: 3.02-13.86), peak serum myoglobin (MYO) >1000 ng/mL (HR=9.85, 95% CI: 5.04-19.28) were independent risk factors for in-hospital death. Additionally, patients with COVID-19 that developed RM tended to have a delayed virus clearance. Conclusion: RM might be an important factor contributing to adverse outcomes of patients with COVID-19. Early detection and effective intervention of RM may help reduce deaths of patients with COVID-19.

Analysis of CT image and clinical characteristics of 55 patients with corona virus disease 2019 and delayed diagnosis and treatment

Objective To analyze the clinical and CT imaging features of some patients diagnosed having corona virus disease 2019 (COVID-19) with delayed diagnosis and treatment in Wuhan, Hubei Province for providing a reference for diagnosis and treatment of the disease. Methods A total of 55 patients diagnosed as having COVID-19 by RT-PCT or CT admitted to Wuhan Taikang Tongji COVID-19 Specialized Hospital from 2020-02-15 to 2020-02-25 were retrospectively analyzed. Case data were collected on the first-day history, and the chest CT, blood routine and C-response protein measurements. The clinical manifestations, laboratory examinations and CT imaging features of the patients were analyzed. Results The first symptoms included fever in 33 cases (60.0%), cough in 30(54.6%) expectoration in 7(12.7%), dyspnea in 9(16.4%), chest distress in 15(27.3%), headache in 4(7.3%), fatigue in 33(60.0%), muscle soreness in 10(18.2%) and diarrhea in 7(12.7%). Most of the patients had normal white blood cell, lymphocyte and C-reactive protein levels. The imaging manifestations of CT lesions can be roughly divided into three categories: stripe shadow and consolidation as main clinical manifestations (26 cases, 47.3%), stripe shadow and consolidation mixed with ground glass opacity (10 cases, 18.2%) and patchy ground glass opacity (19 cases, 34.5%). Patients with more than two lobes involved were older, while other clinical and laboratory indexes were not closely related to imaging findings. Conclusions Most of the COVID-19 patients with delayed diagnosis and treatment may improve their clinical symptoms at the time of hospitalization with normal white blood cell, lymphocyte and C-reactive protein levels. Stripe shadow, consolidation, and patchy ground glass opacity are the major CT imaging findings. The patients with extensive lesions are older than these with localized CT imaging findings.

Covid-19 outbreak and Oral Health Concerns – A Systematic Review (preprint)

Background:The aim of this systematic review is to shed light on practical implications of Covid-19 pandemic for the profession of dentistry. It examines the current literature and dental guidelines on Covid-19 in a systematic manner.Methods:A sequential systematic literature search was conducted on Pubmed, Medline, CINAHL, Scopus, Google scholar, Embase of Web of Science. The search results yielded the following results-Covid-19 (n=5171), Novel corona virus (n=63), Covid- 19 and dentistry (n=46), Covid-19 and oral health (n=41) Novel Corona virus and Dentistry (n=0), dental health and Novel Coronavirus (n=26), and dental practice and Novel Coronavirus (n=6)Results:The final review included 13 articles after elimination of other articles based on inclusion and exclusion criteria. Original articles and systematic reviews addressing 2019-nCoV and dentistry were entitled for inclusion, case reports, case series, correspondences, editorials were not included. Bias risk assessment was assessed using the Newcastle-Ottawa Scale (NOS)Conclusion:Covid-19 pandemic is an existential crisis for the profession of dentistry and requires a complete rethink about many aspects of the profession due to the nature of dental work. Evidence based research and multi-sectorial collaboration is required to make the profession safe again, both for the patient and dental team.