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1.
Chemosphere ; 335: 139056, 2023 Sep.
Article in English | MEDLINE | ID: covidwho-2328007

ABSTRACT

Carbonaceous aerosols have great adverse impacts on air quality, human health, and climate. However, there is a limited understanding of carbonaceous aerosols in semi-arid areas. The correlation between carbonaceous aerosols and control measures is still unclear owing to the insufficient information regarding meteorological contribution. To reveal the complex relationship between control measures and carbonaceous aerosols, offline and online observations of carbonaceous aerosols were conducted from October 8, 2019 to October 7, 2020 in Hohhot, a semi-arid city. The characteristics and sources of carbonaceous aerosols and impacts of anthropogenic emissions and meteorological conditions were studied. The annual mean concentrations (± standard deviation) of fine particulate matter (PM2.5), organic carbon (OC), and elemental carbon (EC) were 42.81 (±40.13), 7.57 (±6.43), and 2.25 (±1.39) µg m-3, respectively. The highest PM2.5 and carbonaceous aerosol concentrations were observed in winter, whereas the lowest was observed in summer. The result indicated that coal combustion for heating had a critical role in air quality degradation in Hohhot. A boost regression tree model was applied to quantify the impacts of anthropogenic emissions and meteorological conditions on carbonaceous aerosols. The results suggested that the anthropogenic contributions of PM2.5, OC, and EC during the COVID-19 lockdown period were 53.0, 15.0, and 2.36 µg m-3, respectively, while the meteorological contributions were 5.38, 2.49, and -0.62 µg m-3, respectively. Secondary formation caused by unfavorable meteorological conditions offset the emission reduction during the COVID-19 lockdown period. Coal combustion (46.4% for OC and 35.4% for EC) and vehicular emissions (32.0% for OC and 50.4% for EC) were the predominant contributors of carbonaceous aerosols. The result indicated that Hohhot must regulate coal use and vehicle emissions to reduce carbonaceous aerosol pollution. This study provides new insights and a comprehensive understanding of the complex relationships between control strategies, meteorological conditions, and air quality.


Subject(s)
Air Pollutants , COVID-19 , Humans , Air Pollutants/analysis , Environmental Monitoring , Communicable Disease Control , Respiratory Aerosols and Droplets , Particulate Matter/analysis , Vehicle Emissions/analysis , Coal/analysis , Seasons , Carbon/analysis , China
2.
J Phys Chem B ; 127(20): 4396-4405, 2023 05 25.
Article in English | MEDLINE | ID: covidwho-2324522

ABSTRACT

The receptor-binding domain (RBD) of the SARS-CoV-2 spike protein is considered as a key target for the design and development of COVID-19 drugs and inhibitors. Due to their unique structure and properties, ionic liquids (ILs) have many special interactions with proteins, showing great potential in biomedicine. Nevertheless, few research studies have been carried out on ILs and the spike RBD protein. Here, we explore the interaction of ILs and the RBD protein through large-scale molecular dynamics simulations (4 µs in total). It was found that IL cations with long alkyl chain lengths (nchain) could spontaneously bind to the cavity region of the RBD protein. The longer the alkyl chain is, the stabler the cations bind to the protein. The binding free energy (ΔG) had the same trend, peaking at nchain = 12 with -101.19 kJ/mol. The cationic chain lengths and their fit to the pocket are decisive factors that influence the binding strength of cations and proteins. The cationic imidazole ring has a high contact frequency with phenylalanine and tryptophan, and the hydrophobic residues phenylalanine, valine, leucine, and isoleucine are the most interacting residues with side chains of cations. Meanwhile, through analysis of the interaction energy, the hydrophobic and π-π interactions are the main contributors to the high affinity between cations and the RBD protein. In addition, the long-chain ILs would also act on the protein through clustering. These studies not only provide insights into the molecular interaction between ILs and the RBD of SARS-CoV-2 but also contribute to the rational design of IL-based drugs, drug carriers, and selective inhibitors as a therapeutic for SARS-CoV-2.


Subject(s)
COVID-19 , Ionic Liquids , Humans , SARS-CoV-2/metabolism , Spike Glycoprotein, Coronavirus/chemistry , Ionic Liquids/chemistry , Molecular Dynamics Simulation , Protein Binding , Cations , Phenylalanine/metabolism
3.
Front Psychiatry ; 14: 1100242, 2023.
Article in English | MEDLINE | ID: covidwho-2319645

ABSTRACT

Objective: In early March 2022, the highly contagious Omicron variant rapidly emerged in Shanghai. This study aimed to explore the prevalence and associated factors of depression and anxiety in isolated or quarantined populations under lockdown. Methods: A cross-sectional study was conducted between May 12 and 25, 2022. The depressive and anxiety symptoms, perceived stress, self-efficacy and perceived social support in the 167 participants under isolated or quarantined were examined using the Patient Health Questionnaires-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Perceived Stress Scale-10 (PSS-10), the General Self-Efficacy Scale (GSES) and the Perceived Social Support Scale (PSSS). Data on demographic information were also collected. Findings: The prevalence of depression and anxiety in isolated or quarantined populations was estimated to be 12 and 10.8%, respectively. Higher education level, being healthcare workers, being infected, longer duration of segregation and higher perceived stress level were identified as risk factors for depression and anxiety. Furthermore, the relationship between perceived social support and depression (anxiety) was mediated not only by perceived stress but also the chain of self-efficacy and perceived stress. Conclusion: Being infected, higher education level, longer duration of segregation and higher perceived stress were associated with higher levels of depression and anxiety among isolated or quarantined populations under lockdown. The formulation of psychological strategies that promote one's perceived social support and self-efficacy as well as reduce perceived stress is supposed to be drawn.

4.
ACS Sens ; 8(5): 1960-1970, 2023 05 26.
Article in English | MEDLINE | ID: covidwho-2306620

ABSTRACT

Rapid and accurate detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is one of the most effective measures to control the coronavirus disease 2019 (COVID-19) pandemic. However, there is still lack of an ideal detection platform capable of high sample throughput, portability, and multiplicity. Herein, by combining Hive-Chip (capillary microarray) and reverse transcriptional loop-mediated isothermal amplification (RT-LAMP), we developed an iPad-controlled, high-throughput (48 samples at one run), portable (smaller than a backpack), multiplex (monitoring 8 gene fragments in one reaction), and real-time detection platform for SARS-CoV-2 detection. This platform is composed of a portable Hive-Chip device (HiCube; 32.7 × 29.7 × 20 cm, 5 kg), custom-designed software, and optimized Hive-Chips. RT-LAMP primers targeting seven SARS-CoV-2 genes (S, E, M, N, ORF1ab, ORF3a, and ORF7a) and one positive control (human RNase P) were designed and prefixed in the Hive-Chip. On-chip RT-LAMP showed that the limit of detection (LOD) of SARS-CoV-2 synthetic RNAs is 1 copy/µL, and there is no cross-reaction among different target genes. The platform was validated by 100 clinical samples of SARS-CoV-2, and the results were highly consistent with those of the traditional real-time PCR assay. In addition, on-chip detection of 6 other respiratory pathogens showed no cross-reactivity. Overall, our platform has great potential for fast, accurate, and on-site detection of SARS-CoV-2.


Subject(s)
COVID-19 , SARS-CoV-2 , Humans , SARS-CoV-2/genetics , COVID-19/diagnosis , COVID-19 Testing , Limit of Detection , RNA, Viral/genetics , RNA, Viral/analysis
5.
J Hazard Mater ; 452: 131321, 2023 06 15.
Article in English | MEDLINE | ID: covidwho-2268725

ABSTRACT

A large number of surgical masks (SMs) to be discarded indiscriminately during the spread of COVID-19. The relationship between the changes of masks entering the environment and the succession of the microorganisms on them is not yet clear. The natural aging process of SMs in different environments (water, soil, and atmosphere) was simulated, the changes and succession of the microbial community on SMs with aging time were explored. The results showed that the SMs in water environment had the highest aging degree, followed by atmospheric environment, and SMs in soil had the lowest aging degree. The results of high-throughput sequencing demonstrated the load capacity of SMs for microorganisms, showed the important role of environment in determining microbial species on SMs. According to the relative abundance of microorganisms, it is found that compared with the water environment, the microbial community on SMs in water is dominated by rare species. While in soil, in addition to rare species, there are a lot of swinging strains on the SMs. Uncovering the ageing of SMs in the environment and its association with the colonization of microorganisms will help us understand the potential of microorganisms, especially pathogenic bacteria, to survive and migrate on SMs.


Subject(s)
COVID-19 , Soil , Humans , Soil/chemistry , Masks , Water , COVID-19/prevention & control , Atmosphere , Plastics
6.
Int J Public Health ; 68: 1605688, 2023.
Article in English | MEDLINE | ID: covidwho-2270760

ABSTRACT

Objective: To investigate the mediating effects of anxiety and depression in the relationship between insomnia and burnout among Chinese nurses under the regular COVID-19 epidemic prevention and control. Methods: Convenience sampling was applied to recruit 784 nurses in Jiangsu Province, China. The respondents completed the survey via mobile devices. Demographic questionnaire, Insomnia Severity Index, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9 and Maslach Burnout Inventory were used to assess demographic information, insomnia, anxiety, depression, and burnout, respectively. Hayes PROCESS macro was employed to examine the mediation model. Results: Insomnia, anxiety, depression and burnout were positively and significantly associated with each other. Anxiety and depression played partial mediation effects between insomnia and burnout with the mediation effect of anxiety and depression accounting for 28.87% and 31.69% of the total effect, respectively. Conclusion: Insomnia may lead to burnout through the parallel mediating effects of anxiety and depression in Chinese nurses. Interventions on sleep, anxiety and depression from the hospital management were essential to ameliorate nurses' burnout status under the regular COVID-19 epidemic prevention and control.


Subject(s)
Burnout, Professional , COVID-19 , Nurses , Sleep Initiation and Maintenance Disorders , Humans , Anxiety/epidemiology , Burnout, Professional/epidemiology , COVID-19/epidemiology , COVID-19/prevention & control , Depression/epidemiology , East Asian People , Sleep Initiation and Maintenance Disorders/epidemiology
7.
Biosens Bioelectron ; 219: 114816, 2022 Oct 17.
Article in English | MEDLINE | ID: covidwho-2242673

ABSTRACT

Airborne transmissibility of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has highlighted the urgent need for aerosol monitoring of SARS-CoV-2 to prevent sporadic outbreaks of COVID-19. The inadequate sensitivity of conventional methods and the lack of an on-site detection system limited the practical SARS-CoV-2 monitoring of aerosols in public spaces. We have developed a novel SARS-CoV-2-in-aerosol monitoring system (SIAMs) which consists of multiple portable cyclone samplers for collecting aerosols from several venues and a sensitive "sample-to-answer" microsystem employing an integrated cartridge for the analysis of SARS-CoV-2 in aerosols (iCASA) near the sampling site. By seamlessly combining viral RNA extraction based on a chitosan-modified quartz filter and "in situ" tetra-primer recombinase polymerase amplification (tpRPA) into an integrated microfluidic cartridge, iCASA can provide an ultra-high sensitivity of 20 copies/mL, which is nearly one order of magnitude greater than that of the commercial kit, and a short turnaround time of 25 min. By testing various clinical samples of nasopharyngeal swabs, saliva, and exhaled breath condensates obtained from 23 COVID-19 patients, we demonstrate that the positive rate of our system was 3.3 times higher than those of the conventional method. Combining with multiple portable cyclone samplers, we detected 52.2% (12/23) of the aerosol samples, six times higher than that of the commercial kit, collected from the isolation wards of COVID-19 patients, demonstrating the excellent performance of our system for SARS-CoV-2-in-aerosol monitoring. We envision the broad application of our microsystem in aerosol monitoring for fighting the COVID-19 pandemic.

8.
Anal Chem ; 95(4): 2339-2347, 2023 01 31.
Article in English | MEDLINE | ID: covidwho-2232476

ABSTRACT

Surveillance of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in aquatic environments attracted attention due to its considerable impacts on human health and ecology, especially in countries with poor sanitation standards. Based on a strategy of one-stop extraction and in situ amplification, we developed an ultrasensitive method that uses a polyacrylamide derivative-modified filter disc (PAD-FD), in which highly diluted RNA can be efficiently concentrated onto the filter disc and directly used for amplification. A newly designed spin column with a cup-like filter base facilitated the non-contact transfer of the affinity filter disc from the column to a PCR tube. The limit of detection of the PAD-FD coupled with RT-qPCR is 10 copies/mL. Using 32 suspected SARS-CoV-2 samples, we demonstrated that the detection rate of our method (62.5%, 20/32) was triple the rate of the commercial kit (18.8%, 6/32). Using a PAD-FD, 56.3% (18/32) and 40.6% (13/32) of the 10-fold-dilution samples with river and tap water, respectively, were detected. Even when diluted 100-fold, 28.1% (9/32) and 37.5% (12/32) were still detected in river and tap water, respectively. We believe that the PAD-FD method offers an accurate testing tool for monitoring viral RNA in aquatic environments, contributing to the forewarning of the SARS-CoV-2 outbreak and the breaking of the transmission chain.


Subject(s)
COVID-19 , SARS-CoV-2 , Humans , SARS-CoV-2/genetics , COVID-19/diagnosis , Sensitivity and Specificity , COVID-19 Testing , RNA, Viral/genetics , RNA, Viral/analysis
9.
Biomolecules ; 13(1)2022 12 28.
Article in English | MEDLINE | ID: covidwho-2237120

ABSTRACT

It is very important to compute the mutation spectra, and simulate the intra-host mutation processes by sequencing data, which is not only for the understanding of SARS-CoV-2 genetic mechanism, but also for epidemic prediction, vaccine, and drug design. However, the current intra-host mutation analysis algorithms are not only inaccurate, but also the simulation methods are unable to quickly and precisely predict new SARS-CoV-2 variants generated from the accumulation of mutations. Therefore, this study proposes a novel accurate strand-specific SARS-CoV-2 intra-host mutation spectra computation method, develops an efficient and fast SARS-CoV-2 intra-host mutation simulation method based on mutation spectra, and establishes an online analysis and visualization platform. Our main results include: (1) There is a significant variability in the SARS-CoV-2 intra-host mutation spectra across different lineages, with the major mutations from G- > A, G- > C, G- > U on the positive-sense strand and C- > U, C- > G, C- > A on the negative-sense strand; (2) our mutation simulation reveals the simulation sequence starts to deviate from the base content percentage of Alpha-CoV/Delta-CoV after approximately 620 mutation steps; (3) 2019-NCSS provides an easy-to-use and visualized online platform for SARS-Cov-2 online analysis and mutation simulation.


Subject(s)
COVID-19 , Humans , COVID-19/genetics , Computer Simulation , SARS-CoV-2/genetics , Mutation
10.
Atmosphere ; 13(12):2121, 2022.
Article in English | MDPI | ID: covidwho-2163226

ABSTRACT

Under the impact of COVID-19 and the needs for urban expansion, a large number of outpatient buildings have been rapidly constructed, but the problem of high energy consumption has always been ignored. There is a lack of research on the adaptability of building shape in different climate zones. Many studies have shown that a reasonable shape in the early stage of design can significantly reduce the energy consumption of buildings. Therefore, it helps if architects quickly select a reasonable shape that can effectively reduce energy consumption. This study summarized a number of outpatient building cases in China and proposed three typical building shapes: centralized-type (Shape-1), corridor-type (Shape-2), and courtyard-type (Shape-3). The Design Builder tool was used to simulate and analyze the typical building energy consumption in different climate zones. The simulation results show that Shape-2 (angle: 0°) should be chosen in severe cold zone;Shape-1 (angle: 90°) should be chosen in cold zone;Shape-1 (angle: 0°) should be chosen in hot summer and cold winter zone;Shape-1 (angle: 60°) should be chosen in hot summer and warm winter zone;and Shape-1 or Shape-2 can be chosen in warm zone. The results of this study can provide suggestions for the energy saving design of outpatient buildings in China and other areas with similar conditions. The result can help architects make rapid shape selection in the early stage of design.

11.
Nature ; 612(7941): 748-757, 2022 12.
Article in English | MEDLINE | ID: covidwho-2151056

ABSTRACT

Middle East respiratory syndrome coronavirus (MERS-CoV) and several bat coronaviruses use dipeptidyl peptidase-4 (DPP4) as an entry receptor1-4. However, the receptor for NeoCoV-the closest known MERS-CoV relative found in bats-remains unclear5. Here, using a pseudotype virus entry assay, we found that NeoCoV and its close relative, PDF-2180, can efficiently bind to and use specific bat angiotensin-converting enzyme 2 (ACE2) orthologues and, less favourably, human ACE2 as entry receptors through their receptor-binding domains (RBDs) on the spike (S) proteins. Cryo-electron microscopy analysis revealed an RBD-ACE2 binding interface involving protein-glycan interactions, distinct from those of other known ACE2-using coronaviruses. We identified residues 337-342 of human ACE2 as a molecular determinant restricting NeoCoV entry, whereas a NeoCoV S pseudotyped virus containing a T510F RBD mutation efficiently entered cells expressing human ACE2. Although polyclonal SARS-CoV-2 antibodies or MERS-CoV RBD-specific nanobodies did not cross-neutralize NeoCoV or PDF-2180, an ACE2-specific antibody and two broadly neutralizing betacoronavirus antibodies efficiently inhibited these two pseudotyped viruses. We describe MERS-CoV-related viruses that use ACE2 as an entry receptor, underscoring a promiscuity of receptor use and a potential zoonotic threat.


Subject(s)
Angiotensin-Converting Enzyme 2 , Chiroptera , Middle East Respiratory Syndrome Coronavirus , Receptors, Virus , Virus Internalization , Animals , Humans , Angiotensin-Converting Enzyme 2/metabolism , Chiroptera/metabolism , Chiroptera/virology , Cryoelectron Microscopy , Middle East Respiratory Syndrome Coronavirus/classification , Middle East Respiratory Syndrome Coronavirus/isolation & purification , Middle East Respiratory Syndrome Coronavirus/metabolism , Protein Binding , Receptors, Virus/metabolism , Spike Glycoprotein, Coronavirus/chemistry , Spike Glycoprotein, Coronavirus/metabolism , Dipeptidyl Peptidase 4/metabolism , Viral Zoonoses
12.
J Clin Med ; 11(19)2022 Oct 01.
Article in English | MEDLINE | ID: covidwho-2066192

ABSTRACT

BACKGROUND: ST-segment elevation myocardial infarction (STEMI) is a leading cause of death worldwide. A shock index (SI), modified SI (MSI), delta-SI, and shock index-C (SIC) are known predictors of STEMI. This retrospective cohort study was designed to compare the predictive value of the SI, MSI, delta-SI, and SIC with thrombolysis in myocardial infarction (TIMI) risk scales. METHOD: Patients > 20 years old with STEMI who underwent percutaneous coronary intervention (PCI) were included. Receiver operating characteristic (ROC) curve analysis with the Youden index was performed to calculate the optimal cutoff values for these predictors. RESULTS: Overall, 1552 adult STEMI cases were analyzed. The thresholds for the emergency department (ED) SI, MSI, SIC, and TIMI risk scales for in-hospital mortality were 0.75, 0.97, 21.00, and 5.5, respectively. Accordingly, ED SIC had better predictive power than the ED SI and ED MSI. The predictive power was relatively higher than TIMI risk scales, but the difference did not achieve statistical significance. After adjusting for confounding factors, the ED SI > 0.75, MSI > 0.97, SIC > 21.0, and TIMI risk scales > 5.5 were statistically and significantly associated with in-hospital mortality of STEMI. Compared with the ED SI and MSI, SIC (>21.0) had better sensitivity (67.2%, 95% CI, 58.6-75.9%), specificity (83.5%, 95% CI, 81.6-85.4%), PPV (24.8%, 95% CI, 20.2-29.6%), and NPV (96.9%, 95% CI, 96.0-97.9%) for in-hospital mortality of STEMI. CONCLUSIONS: SIC had better discrimination ability than the SI, MSI, and delta-SI. Compared with the TIMI risk scales, the ACU value of SIC was still higher. Therefore, SIC might be a convenient and rapid tool for predicting the outcome of STEMI.

13.
Chinese Veterinary Science / Zhongguo Shouyi Kexue ; 50(1):10-19, 2020.
Article in Chinese | CAB Abstracts | ID: covidwho-2056573

ABSTRACT

The aim of this study is to establish an indirect ELISA technique for detecting the SIgA antibody against porcine epidemic diarrhea virus (PEDV) to evaluate its mucosal immunity. Firstly, the S1D gene (534-789 aa) of PEDV was cloned into the pET-28a(+) vector, and induced in Escherichia coli BL21 (DE3) by IPTG, the product of which was in the form of inclusion bodies. According to Western-blot, the target protein S1D with antigenic activity was 32 ku in molecular weight and could be well detected. Then, the S1D protein was denatured by 8 mol/L urea, purified and gradient as the coating antigen to establish an indirect ELISA for detecting the PEDV specific SIgA antibody in nasal or oral mucus by optimizing conditions. And the optimal antigen coating concentration of ELISA was 2 micro g mL, the working concentrations of nasal mucus was 1:1 and the optimal blocking solution was 50 g/L skimmed milk, while the working concentrations and optimal blocking solution were 1:2 and 30 g/L BSA in oral mucus, the working concentrations of the enzyme-labeled antibody was 1:2 000 in nasal and oral mucus. Finally, 84 samples of oral and nasal mucus from immunized pigs were detected by S1D of ELISA, and the coincidence rate could reach 95.2% compared with purified PEDV of ELISA. In conclusion, the indirect ELISA established in this study provided a quick, simple, sensitive, and specific method to detect PEDV specific SigA for evaluating the level of PEDV mucosal immunity.

14.
Atmospheric Chemistry and Physics ; 22(18):12153-12166, 2022.
Article in English | ProQuest Central | ID: covidwho-2040263

ABSTRACT

A knowledge gap exists concerning how chemical composition and sources respond to implemented policy control measures for aerosols, particularly in a semi-arid region. To address this, a single year's offline measurement was conducted in Hohhot, a semi-arid city in northern China, to reveal the driving factors of severe air pollution in a semi-arid region and assess the impact of the COVID-19 lockdown measures on chemical characteristics and sources of PM2.5. Organic matter, mineral dust, sulfate and nitrate accounted for 31.5 %, 14.2 %, 13.4 % and 12.3 % of the total PM2.5 mass, respectively. Coal combustion, vehicular emission, crustal source and secondary inorganic aerosols were the main sources of PM2.5 in Hohhot, at 38.3 %, 35.0 %, 13.5 %, and 11.4 %, respectively. Due to the coupling effect of emission reduction and improved atmospheric conditions, the concentration of secondary inorganic components, organic matter and elemental carbon declined substantially from the pre-lockdown (pre-LD) period to the lockdown (LD) and post-lockdown (post-LD) periods. The source contribution of secondary inorganic aerosols increased (from 21.1 % to 37.8 %), whereas the contribution of vehicular emission reduced (from 35.5 % to 4.4 %) due to lockdown measures. The rapid generation of secondary inorganic components caused by unfavorable meteorological conditions during lockdown led to serious pollution. This study elucidates the complex relationship between air quality and environmental policy.

15.
Int J Energy Res ; 2022 Sep 18.
Article in English | MEDLINE | ID: covidwho-2034777

ABSTRACT

Despite the high theoretical capacity and energy density of lithium-sulfur (Li-S) batteries, the development of Li-S batteries has been slow due to the poor electrical conductivity and the shuttle effect of the electrode materials, resulting in low sulfur utilization and fast long-term cycling capacity decay. The modified carbon materials are often used as sulfur hosts to significantly improve the cycling performance of the materials, but also bring high-cost issues. Here, the porous carbon materials are synthesized quickly and conveniently by the microwave cross-linking method using discarded medical masks as carbon sources and concentrated sulfuric acid as solvent. However, poor surface and structural properties limit the application of materials. The porous carbon material is modified with p-toluene disulfide and urea as the sulfur and nitrogen sources by the microwave cross-linking method, which not only improves the porosity and specific surface area of the porous carbon material, but also improved the electrical conductivity and interlayer spacing of the material. As synthesized SN-doped porous carbon is employed as the sulfur host, which exhibits a high discharge capacity (1349.3 mAh g-1) at 0.1°C, the S-porous C/S, N-porous C/S, and SN-porous C/S can maintain 78.1, 43.9, and 59.5% of the initial capacity after 500 cycles. The results indicate that the doping of S and N atoms provides sufficient active sites for the chemisorbed lithium polysulfides (LiPSs) to improve the reaction kinetics of the materials.

16.
J Clin Med ; 11(17)2022 Aug 25.
Article in English | MEDLINE | ID: covidwho-2023793

ABSTRACT

BACKGROUND: To explore the feasibility and effectiveness of multifaceted quality improvement intervention based on the clinical decision support system (CDSS) in VTE prophylaxis in hospitalized patients. METHODS: A randomized, department-based clinical trial was conducted in the department of respiratory and critical care medicine, orthopedic, and general surgery wards. Patients aged ≥18 years, without VTE in admission, were allocated to the intervention group and received regular care combined with multifaceted quality improvement intervention based on CDSS during hospitalization. VTE prophylaxis rate and the occurrence of hospital-associated VTE events were analyzed as primary and secondary outcomes. RESULTS: A total of 3644 eligible residents were enrolled in this trial. With the implementation of the multifaceted quality improvement intervention based on the CDSS, the VTE prophylaxis rate of the intervention group increased from 22.93% to 34.56% (p < 0.001), and the incidence of HA-VTE events increased from 0.49% to 1.00% (p = 0.366). In the nonintervention group, the VTE prophylaxis rate increased from 24.49% to 27.90% (p = 0.091), and the incidence of HA-VTE events increased from 0.47% to 2.02% (p = 0.001). CONCLUSIONS: Multifaceted quality improvement intervention based on the CDSS strategy is feasible and expected to facilitate implementation of the recommended VTE prophylaxis strategies and reduce the incidence of HA-VTE in hospital. However, it is necessary to conduct more multicenter clinical trials in the future to provide more reliable real-world evidence.

17.
Biosens Bioelectron ; 216: 114683, 2022 Nov 15.
Article in English | MEDLINE | ID: covidwho-2007469

ABSTRACT

Developing highly accurate and simple approaches to rapidly identify and isolate SARS-CoV-2 infected patients is important for the control of the COVID-19 pandemic. We, herein, reported the performance of a Cas12a-assisted RTF-EXPAR strategy for the identification of SARS-CoV-2 RNA. This assay combined the advantages of RTF-EXPAR with CRISPR-Cas12a can detect SARS-CoV-2 within 40 min, requiring only isothermal control. Particularly, the simultaneous use of EXPAR amplification and CRISPR improved the detection sensitivity, thereby realizing ultrasensitive SARS-CoV-2 RNA detection with a detection limit of 3.77 aM (∼2 copies/µL) in an end-point fluorescence read-out fashion, and at 4.81 aM (∼3 copies/µL) level via a smartphone-assisted analysis system (RGB analysis). Moreover, Cas12a increases the specificity by intrinsic sequence-specific template recognition. Overall, this method is fast, sensitive, and accurate, needing minimal equipment, which holds great promise to meet the requirements of point-of-care molecular detection of SARS-CoV-2.


Subject(s)
Biosensing Techniques , COVID-19 , Biosensing Techniques/methods , COVID-19/diagnosis , CRISPR-Cas Systems/genetics , Humans , Nucleic Acid Amplification Techniques/methods , Pandemics , RNA, Viral/analysis , RNA, Viral/genetics , SARS-CoV-2/genetics , Sensitivity and Specificity
18.
Comput Electr Eng ; 102: 108212, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-2003994

ABSTRACT

Corona Virus Disease 2019 (COVID-19) has led to an increase in attacks targeting widespread smart devices. A vulnerable device can join multiple botnets simultaneously or sequentially. When different attack patterns are mixed with attack records, the security analyst produces an inaccurate report. There are numerous studies on botnet detection, but there is no publicly available solution to classify attack patterns based on the control periods. To fill this gap, we propose a novel data-driven method based on an intuitive hypothesis: bots tend to show time-related attack patterns within the same botnet control period. We deploy 462 honeypots in 22 countries to capture real-world attack activities and propose an algorithm to identify control periods. Experiments have demonstrated our method's efficacy. Besides, we present eight interesting findings that will help the security community better understand and fight botnet attacks now and in the future.

19.
J Environ Manage ; 318: 115609, 2022 Sep 15.
Article in English | MEDLINE | ID: covidwho-1914592

ABSTRACT

The regional management on greenhouse gas (GHG) emissions is essential to the success of global carbon reduction. However, previous studies mostly focused on the city or country levels, while the management of GHG emissions on the township level has not been fully studied. This study proposed a framework of carbon management on the township level and developed a calculation tool for accounting GHG emissions. The case study of Lingshan Island, located in eastern China, was conducted through a site visit and interviews. A questionnaire survey was performed to collect data for carbon accounting. It is found that the island had a negative carbon emission of -1336 t CO2e in 2020, which is mostly contributed from energy and electricity consumption. Due to the COVID-19 pandemic, the number of tourists decreased in 2020 and the carbon emission was 224 t CO2e lower than in 2019. The proposed framework consists of five steps and requires the collaboration of the government, the locals, researchers and other stakeholders. The framework was validated through a focus group meeting and the suggestions on carbon management at township level were provided. This study paves a way of carbon accounting and management for the less urbanized regions.


Subject(s)
COVID-19 , Greenhouse Gases , COVID-19/epidemiology , Carbon/analysis , China , Greenhouse Effect , Humans , Pandemics
20.
J Virol ; 96(14): e0047722, 2022 07 27.
Article in English | MEDLINE | ID: covidwho-1909579

ABSTRACT

The mechanisms of colostrum-mediated virus transmission are difficult to elucidate because of the absence of experimental animal models and the difficulties in tissue sample collection from mothers in the peripartum period. Porcine epidemic diarrhea virus (PEDV) is a reemerging enteropathogenic coronavirus that has catastrophic impacts on the global pig industry. PEDV primarily infects neonatal piglets by multiple routes, especially 1- to 2-day-old neonatal piglets. Here, our epidemiological investigation and animal challenge experiments revealed that PEDV could be vertically transmitted from sows to neonatal piglets via colostrum, and CD3+ T cells in the colostrum play an important role in this process. The results showed that PEDV colonizing the intestinal epithelial cells (IECs) of orally immunized infected sows could be transferred to CD3+ T cells located just beneath the IECs. Next, PEDV-carrying CD3+ T cells, with the expression of integrin α4ß7 and CCR10, migrate from the intestine to the mammary gland through blood circulation. Arriving in the mammary gland, PEDV-carrying CD3+ T cells could be transported across mammary epithelial cells (MECs) into the lumen (colostrum), as illustrated by an autotransfusion assay and an MECs/T coculture system. The PEDV-carrying CD3+ T cells in colostrum could be interspersed between IECs of neonatal piglets, causing intestinal infection via cell-to-cell contact. Our study demonstrates for the first time that colostrum-derived CD3+ T cells comprise a potential route for the vertical transmission of PEDV. IMPORTANCE The colostrum represents an important infection route for many viruses. Here, we demonstrate the vertical transmission of porcine epidemic diarrhea virus (PEDV) from sows to neonatal piglets via colostrum. PEDV colonizing the intestinal epithelial cells could transfer the virus to CD3+ T cells located in the sow intestine. The PEDV-carrying CD3+ T cells in the sow intestine, with the expression of integrin α4ß7 and CCR10, arrive at the mammary gland through blood circulation and are transported across mammary epithelial cells into the lumen, finally leading to intestinal infection via cell-to-cell contact in neonatal piglets. Our study not only demonstrates an alternative route of PEDV infection but also provides an animal model of vertical transmission of human infectious disease.


Subject(s)
Colostrum , Coronavirus Infections , Infectious Disease Transmission, Vertical , Porcine epidemic diarrhea virus , Swine Diseases , Animals , Animals, Newborn , Colostrum/virology , Coronavirus Infections/transmission , Coronavirus Infections/veterinary , Female , Infectious Disease Transmission, Vertical/veterinary , Porcine epidemic diarrhea virus/physiology , Swine , Swine Diseases/transmission , Swine Diseases/virology , T-Lymphocytes/virology
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