Mechanism and potential treatments for gastrointestinal dysfunction in patients with COVID-19.

The global coronavirus disease 2019 (COVID-19) has become one of the biggest threats to the world since 2019. The respiratory and gastrointestinal tracts are the main targets for severe acute respiratory syndrome coronavirus 2 infection for they highly express angiotensin-converting enzyme-2 and transmembrane protease serine 2. In patients suffering from COVID-19, gastrointestinal symptoms have ranged from 12% to 61%. Anorexia, nausea and/or vomiting, diarrhea, and abdominal pain are considered to be the main gastrointestinal symptoms of COVID-19. It has been reported that the direct damage of intestinal mucosal epithelial cells, malnutrition, and intestinal flora disorders are involved in COVID-19. However, the underlying mechanisms remain unclear. Thus, in this study, we reviewed and discussed the correlated mechanisms that cause gastrointestinal symptoms in order to help to develop the treatment strategy and build an appropriate guideline for medical workers.

Decisions on train rescheduling and locomotive assignment during the COVID-19 outbreak: A case of the Beijing-Tianjin intercity railway.

Travel restriction measures have been widely implemented to curb the continued spread of COVID-19 during the Chinese Lunar New Year celebrations. Many operation lines and train schedules of China's railway were either heavily adjusted or canceled. In this study, a mixed-integer linear programming model and a two-step solution algorithm were developed to handle such large-scale adjustments. The formulation considers a flexible time window for each operation line and locomotive traction operations, and minimizes the number of locomotives utilized with their total idle time for train rescheduling and locomotive assignment, respectively. The solution algorithm determines the minimum locomotive fleet size based on the optimal train rescheduling results; it then reduces the traction idle time of locomotives. In response to the uncertainty of COVID-19, two tailored approaches were also designed to recover and remove operation lines, which can insert and cut operation lines based on the results of locomotive assignment. Finally, we conducted a case study of the Beijing-Tianjin intercity railway from the start of the COVID-19 outbreak to the recovery of operations.

GPS Trajectory-Based Spatio-Temporal Variations of Traffic Accessibility under Public Health Emergency Consideration

Medical services are essential to public concerns and living qualities. Facing new public health events, the spatio-temporal variation of healthcare accessibility can be different, which is ignored in the previous accessibility studies. In this paper, we study the spatio-temporal variation of healthcare accessibility and residents' accessibility to the designated hospitals under public health emergencies such as COVID-19. Metropolitan Beijing is chosen as the study area. Then, we analyze the spatial disparity and the temporal variation and measure the matching degree between healthcare accessibility and population density. From the perspective of epidemic prevention, we evaluate the medical capacity of the designated hospitals. The autocorrelation method is used to analyze the spatial correlation of residents' accessibility to designated hospitals in the study area. A conclusion can be drawn that 74.14% grids in the study area have proportionate population density and healthcare accessibility. We find that the 5th Medical Center has sufficient medical resources, and Puren hospital is less affected by time. Moreover, the result of residents' accessibility to the designated hospitals presents a pattern of high-value aggregation in the arterial road neighborhood. At the same time, the peripheral areas show a trend of low-value aggregation. The research in healthcare accessibility can provide a reference for policymakers in medical service development and public emergency management. [ABSTRACT FROM AUTHOR] Copyright of Journal of Advanced Transportation is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

[Discussion on Management of Epidemic Prevention Consumables in Response to COVID-19 in Our Hospital].

Compared with normal medical consumables, the management of epidemic prevention consumables in response to COVID-19 is special. Based on the practical management experience of a hospital in Shanghai, this article expounds through various aspects such as classified protection requirements, interpretation of domestic and foreign standards for epidemic prevention consumables, targeted use countermeasures, material supply of Hubei medical teams, and the management of inbound and outbound of epidemic prevention consumables, covering the whole process of epidemic prevention consumables management. The purpose of this paper is to provide ideas and references for the management of epidemic prevention materials.