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Background Delayed diagnosis and inadequate treatment caused by limited biomarkers were associated with outcomes of COVID-19 patients. It is necessary to find other promising biomarkers and candidate targets for defining dysregulated inflammatory state besides the typical biomarkers and drug targets have been used clinically.Methods In a cohort of hospitalized COVID-19 patients with varying degrees of illness severity, we characterized TREM-1 and TREM-2 expression in plasma and on the surface of cell subpopulations using ELISA and flow cytometry, respectively. And their correlations with disease severity and contrast with main clinical indicators were evaluated.Results We found the increased expression of soluble TREM-1 and TREM-2 in plasma from COVID-19 patients compared to the control group. Moreover, membrane-bound TREM-1 and TREM-2 expression was also upregulated on the cell surface of circulating blood T cells from COVID-19 patients. Correlation analysis results showed the sTREM-2 level was negatively correlated with PaO2/FiO2, but positively correlated with CRP, PCT and IL-6 level. Receiver operating characteristic (ROC) curves presented that TREM-1 and TREM-2 exhibited strong predictive abilities, and their expression was equal to CRP and IL-6, and better than leukocytes or neutrophil absolute count and PCT in distinguishing disease severity.Conclusion These results highlighted the important role of TREM-1 and TREM-2 in viral infection. TREM-2 and TREM-1 were critical host immune factors in response to SARS-COV-2 infection and could serve as potential diagnostic and therapeutic biomarkers of COVID-19.
Subject(s)
COVID-19ABSTRACT
With the rapid development of China's new energy industry, the consumption demand for copper resources is increasing. As a key raw material, copper resources are becoming increasingly important. Taking the demand for copper commodities in China's new energy development as the research background and the international trade environment and pattern of copper supply as the research perspective, this paper makes an overall assessment of the commodity supply risk of China's copper industrial chain from 2010 to 2021 using the complex network and the newly established three-dimensional risk assessment model and finally reaches the following conclusions. The supply risk of commodities in China's copper industrial chain has been rising continuously since 2019 after experiencing fluctuating development in the early stage and a continuous decline in recent years, and there may be a trend of continuing to rise. The supply risk of China's copper industrial chain was gradually reduced from upstream to midstream and downstream, and the supply risk of copper smelting was more severe. The disruption potential risk of China's copper industrial chain was relatively low, and the international import market structure of copper commodities was relatively reasonable. The supply risk characteristics of each link in China's copper industrial chain were different. Due to the influence of import dependence, the copper mining industry had a high risk of trade exposure. However, the smelting and copper processing industries had certain limitations in production management, operation management and technology research and development, and their ability to withstand risks was weak. In addition, the impact of the domestic COVID-19 epidemic ha caused a high industrial chain vulnerability risk.
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The global outbreak of COVID-19 has become an important research topic in healthcare since 2019. RT-PCR is the main method for detecting COVID-19, but the long detection time is a problem. Therefore, the pathological study of COVID-19 with CT image is an important supplement to RT-RCT. The current TVLoss based segmentation promotes the connectivity of diseased areas. However, normal pixels between some adjacent diseased areas are wrongly identified as diseased pixels. In addition, the proportion of diseased pixels in CT images is small, and the traditional BCE based U-shaped network only focuses on the whole CT without diseased pixels, which leads to blurry border and low contrast in the predicted result. In this way, this paper proposes a SCTV-UNet to solve these problems. By combining spatial and channel attentions on the encoder, more visual layer information are obtained to recognize the normal pixels between adjacent diseased areas. By using the composite function DTVLoss that focuses on the pixels in the diseased area, the problem of blurry boundary and low contrast caused by the use of BCE in traditional U-shaped networks is solved. The experiment shows that the segmentation effect of the proposed SCTV-UNet has significantly improved by comparing with the SOTA COVID-19 segmentation networks, and can play an important role in the detection and research of clinical COVID-19.
Subject(s)
COVID-19 , Border DiseaseABSTRACT
Hoarding behavior can effectively improve people's ability to resist risks, so as to reduce the negative effects of risks. However, excessive hoarding behavior will seriously reduce people's quality of life. The COVID-19 pandemic can cause excessive hoarding in a large number of people in a short period of time, and also cause a series of economic problems such as social material shortage. It is unclear how hoarding levels are linked to fear and negative emotions caused by COVID-19 among people of different educational backgrounds and social status. The purpose of this study was to explore the relationship between fear of COVID-19 and hoarding behavior in different populations in school and social contexts, as well as the mediating role of negative emotions and the moderating role of subjective/objective social status and education level in this process. An online cross-sectional survey was conducted in various provinces in China in January 2022. Demographic information, the MacArthur Scale of Subjective Social Status, the Fear of COVID-19 scale, the Depression Anxiety Stress-21, and the Saving Inventory-Revised were used to evaluate the severity of individual hoarding symptoms, the frequency of hoarding, the degree of fear, and the negative emotions (depression, anxiety, stress) caused by COVID-19. Research data showed that fear of COVID-19 was significantly correlated with hoarding behavior (p < 0.05). Fear of COVID-19 was significantly lower in the student sample than in the nonstudent sample (p < 0.05). Negative emotions played a mediating role in the relationship between fear of COVID-19 and hoarding behavior (p < 0.05). Educational and economic levels moderated this process, but social status did not. Compared with the student sample, educational background and income had less of a moderating effect on the depression, anxiety, and stress caused by fear of COVID-19 in the nonstudent sample. However, these factors had a more regulative effect on the clutter and excessive acquisition behavior caused by depression, anxiety, and stress, although not on difficulty discarding. These findings suggest that reduce negative emotions in the population, improve cognitive levels, and provide financial support from governments may be effective ways to reduce hoarding symptoms.
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The lockdown and the strict regulation measures implemented by Chinese government due to the outbreak of the COVID-19 pandemic not only decelerated the spread of the virus but also brought a positive effect on the nationwide atmospheric quality. In this study, we extended our previous research on remotely sensed estimation of PM2.5 concentrations in Yangtze River Delta region (i.e., YRD) of China from 2019 to the strict regulation period of 2020 (i.e., 24 Jan, 2020-31 Aug, 2020). Unlike the method using aerosol optical depth (AOD) developed in previous studies, we validated the possibility of moderate resolution imaging spectroradiometer (MODIS) top-of-atmosphere (TOA) reflectance (i.e., MODIS TOA) at 21 bands in estimating the PM2.5 concentrations in YRD region. Two random forests (i.e., TOA-sig RF and TOA-all RF) incorporated with different MODIS TOA datasets were developed, and the results showed that the TOA-sig RF model performed better with R2 of 0.81 (RMSE=8.07 μg/m3) than TOA-all RF model with R2 of 0.79 (RMSE=9.13 μg/m3). The monthly averaged PM2.5 exhibited the highest value of 50.81 μg/m3 in YRD region in January 2020 and sharply decreased from February to August 2020. The annual mean PM2.5 concentrations derived by TOA-sig RF model were 47.74, 32.14, and 21.04 μg/m3 in winter, spring, and summer in YRD during the strict regulation period of 2020, respectively, showing much lower values than those in 2019. Our research demonstrated that the PM2.5 concentrations could be effectively estimated by using MODIS TOA reflectance at 21 bands and the random forest.
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Under the goal of a “new development pattern”, it is of great practical significance to accurately identify the economic growth effect of fiscal and tax policies. This paper constructs a TVP-FAVAR model to measure the economic effects of China’s fiscal and tax policies at the aggregate and structural levels. The results show that the reduction in total tax has a positive effect on real variables such as output and consumption;especially at the present stage, the promotion effect of total tax reduction on economic growth is relatively strong, but the stimulation effect on price is relatively weak. Further, the tax structure in which the ratio of direct tax to total tax increases and the ratio of indirect tax to total tax decreases is more conducive to the increase in output and consumption, and will not strongly stimulate the rise of price level. Therefore, at this stage, China should continue to vigorously implement the tax reduction policy and ensure the continuity of the tax reduction policy. At the same time, we should continue to optimize the tax structure and give better play to the regulatory role of fiscal and tax policies in income redistribution, so as to achieve the goal that fiscal and tax policies help build a “new development pattern” and promote high-quality economic development.
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The human coronavirus HCoV-19 infection can cause acute respiratory distress syndrome (ARDS), hypercoagulability, hypertension, extrapulmonary multiorgan dysfunction. Effective antiviral and anti-coagulation agents with safe clinical profiles are urgently needed to improve the overall prognosis. We screened an FDA approved drug library and found that an anticoagulant agent dipyridamole (DIP) suppressed HCoV-19 replication at an EC50 of 100 nM in vitro. It also elicited potent type I interferon responses and ameliorated lung pathology in a viral pneumonia model. In analysis of twelve HCoV-19 infected patients with prophylactic anti-coagulation therapy, we found that DIP supplementation was associated with significantly increased platelet and lymphocyte counts and decreased D-dimer levels in comparison to control patients. Two weeks after initiation of DIP treatment, 3 of the 6 severe cases (60%) and all 4 of the mild cases (100%) were discharged from the hospital. One critically ill patient with extremely high levels of D-dimer and lymphopenia at the time of receiving DIP passed away. All other patients were in clinical remission. In summary, HCoV-19 infected patients could potentially benefit from DIP adjunctive therapy by reducing viral replication, suppressing hypercoagulability and enhancing immune recovery. Larger scale clinical trials of DIP are needed to validate these therapeutic effects.