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Introduction: Coronavirus disease 2019 (COVID-19) is the current global pandemic of which residual symptoms exhibited by post-acute, rehabilitating patients include fatigue, dyspnoea, and insomnia. Chinese medicine (CM) has been widely used in China to treat different stages of COVID-19. While there are a significant number of clinical studies suggesting its efficacy and safety in its use during acute stage, there are very few randomized controlled trials focusing on the rehabilitation stage. Liujunzhi Decoction and Shashen Maidong Decoction are frequently recommended by official clinical guidelines in China to treat COVID-19 patients in rehabilitation stage. This double-blind, randomized, placebo controlled study aims to evaluate the efficacy and safety of the combination of the two formulae [named "COVID-19 Rehab Formula (CRF)"] in treating COVID-19 residual symptoms (long COVID). Methods: Eligible subjects will be randomly divided into treatment group and control group in 1:1 ratio. Treatment group will receive CRF along with certain pre-defined CM according to symptoms for 8 weeks, while control group will receive equivalent packs of placebo for 8 weeks. Data in terms of Fatigue Severity Score (FSS), self-reported COVID-19 long term symptom assessment, the modified British Medical Research Council (mMRC) Dyspnoea Scale, EuroQol Five-Dimension Five-Level (EQ-5D-5L) Questionnaire, pulmonary function test and adverse events will be collected and analyzed by SPSS 24. Blood test on liver and renal functions will also be conducted as safety measures. Conclusion: This study will evaluate the efficacy and safety of CRF in the treatment COVID-19 residual symptoms in a scientifically rigorous design. Clinical trial registration: [ClinicalTrials.gov], identifier [NCT04924881].
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This paper explores the impacts of the COVID-19 pandemic on the global green bond and conventional assets, including commodity, treasury, stock and clean energy markets, using Diebold and Yilmaz (2012) and Baruník and Krehlík, 2018b spillover framework. The results show that spillover transmitted from COVID-19 is relatively strong over a medium- and long-term horizon, and the spillover effects sharply increased when the pandemic became severe. Furthermore, green bonds are most affected by the COVID-19 pandemic, followed by the treasury, while the other conventional assets are only slightly affected. Additionally, our findings also contain a low-risk portfolio during COVID-19 pandemic.
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The COVID-19 pandemic has led to extensive news coverage, causing investor sentiment to swing, which has further increased financial market price volatility. There is an increasing need to find a hedge against sentiment risk. This paper examines the hedge capabilities of gold and Bitcoin against COVID-19-related news sentiment (CNS) risk under a nonlinear autoregressive distributed lag (NARDL) model. Our empirical results reveal that there is an obvious asymmetric effect from the CNS on gold prices in the short run and that the decrease in the COVID-19-related news index would have a greater impact on gold prices than when it increases. The impact of CNS on Bitcoin prices is asymmetric in the long and short term, especially in the long term. In addition, we conclude that gold is a hedge against CNS risk in the long term, and the hedging effect of Bitcoin is mainly reflected in the short-term.
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Site-selective lysine modification of peptides and proteins in aqueous solutions or in living cells is still a big challenge today. Here, we report a novel strategy to selectively quinolylate lysine residues of peptides and proteins under native conditions without any catalysts using our newly developed water-soluble zoliniums. The zoliniums could site-selectively quinolylate K350 of bovine serum albumin and inactivate SARS-CoV-2 3CLpro via covalently modifying two highly conserved lysine residues (K5 and K61). In living HepG2 cells, it was demonstrated that the simple zoliniums (5b and 5B) could quinolylate protein lysine residues mainly in the nucleus, cytosol, and cytoplasm, while the zolinium-fluorophore hybrid (8) showed specific lysosome-imaging ability. The specific chemoselectivity of the zoliniums for lysine was validated by a mixture of eight different amino acids, different peptides bearing potential reactive residues, and quantum chemistry calculations. This study offers a new way to design and develop lysine-targeted covalent ligands for specific application.
Subject(s)
Lysine , Peptides , Coronavirus 3C Proteases/chemistry , Lysine/chemistry , Peptides/chemistry , SARS-CoV-2/enzymology , Serum Albumin, Bovine/chemistry , Water/chemistryABSTRACT
BACKGROUND: Although visceral leishmaniasis (VL) was largely brought under control in most regions of China during the previous century, VL cases have rebounded in western and central China in recent decades. The aim of this study was to investigate the epidemiological features and spatial-temporal distribution of VL in mainland China from 2004 to 2019. METHODS: Incidence and mortality data for VL during the period 2004-2019 were collected from the Public Health Sciences Data Center of China and annual national epidemic reports of VL, whose data source was the National Diseases Reporting Information System. Joinpoint regression analysis was performed to explore the trends of VL. Spatial autocorrelation and spatial-temporal clustering analysis were conducted to identify the distribution and risk areas of VL transmission. RESULTS: A total of 4877 VL cases were reported in mainland China during 2004-2019, with mean annual incidence of 0.0228/100,000. VL incidence showed a decreasing trend in general during our study period (annual percentage change [APC] = -4.2564, 95% confidence interval [CI]: -8.0856 to -0.2677). Among mainly endemic provinces, VL was initially heavily epidemic in Gansu, Sichuan, and especially Xinjiang, but subsequently decreased considerably. In contrast, Shaanxi and Shanxi witnessed significantly increasing trends, especially in 2017-2019. The first-level spatial-temporal aggregation area covered two endemic provinces in northwestern China, including Gansu and Xinjiang, with the gathering time from 2004 to 2011 (relative risk [RR] = 13.91, log-likelihood ratio [LLR] = 3308.87, P < 0.001). The secondary aggregation area was detected in Shanxi province of central China, with the gathering time of 2019 (RR = 1.61, LLR = 4.88, P = 0.041). The epidemic peak of October to November disappeared in 2018-2019, leaving only one peak in March to May. CONCLUSIONS: Our findings suggest that VL is still an important endemic infectious disease in China. Epidemic trends in different provinces changed significantly and spatial-temporal aggregation areas shifted from northwestern to central China during our study period. Mitigation strategies, including large-scale screening, insecticide spraying, and health education encouraging behavioral change, in combination with other integrated approaches, are needed to decrease transmission risk in areas at risk, especially in Shanxi, Shaanxi, and Gansu provinces.
Subject(s)
Epidemics/statistics & numerical data , Epidemiological Monitoring , Leishmaniasis, Visceral/epidemiology , Public Health/statistics & numerical data , Spatio-Temporal Analysis , Adolescent , Child , Child, Preschool , China/epidemiology , Humans , Incidence , Infant , Infant, Newborn , Leishmaniasis, Visceral/mortality , PopulationABSTRACT
BACKGROUND: The coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome-related coronavirus-2 (SARS-CoV-2) is pandemic. However, the origins and global transmission pattern of SARS-CoV-2 remain largely unknown. We aimed to characterize the origination and transmission of SARS-CoV-2 based on evolutionary dynamics. METHODS: Using the full-length sequences of SARS-CoV-2 with intact geographic, demographic, and temporal information worldwide from the GISAID database during 26 December 2019 and 30 November 2020, we constructed the transmission tree to depict the evolutionary process by the R package "outbreaker". The affinity of the mutated receptor-binding region of the spike protein to angiotensin-converting enzyme 2 (ACE2) was predicted using mCSM-PPI2 software. Viral infectivity and antigenicity were tested in ACE2-transfected HEK293T cells by pseudovirus transfection and neutralizing antibody test. RESULTS: From 26 December 2019 to 8 March 2020, early stage of the COVID-19 pandemic, SARS-CoV-2 strains identified worldwide were mainly composed of three clusters: the Europe-based cluster including two USA-based sub-clusters; the Asia-based cluster including isolates in China, Japan, the USA, Singapore, Australia, Malaysia, and Italy; and the USA-based cluster. The SARS-CoV-2 strains identified in the USA formed four independent clades while those identified in China formed one clade. After 8 March 2020, the clusters of SARS-CoV-2 strains tended to be independent and became "pure" in each of the major countries. Twenty-two of 60 mutations in the receptor-binding domain of the spike protein were predicted to increase the binding affinity of SARS-CoV-2 to ACE2. Of all predicted mutants, the number of E484K was the largest one with 86 585 sequences, followed by S477N with 55 442 sequences worldwide. In more than ten countries, the frequencies of the isolates with E484K and S477N increased significantly. V367F and N354D mutations increased the infectivity of SARS-CoV-2 pseudoviruses (P < 0.001). SARS-CoV-2 with V367F was more sensitive to the S1-targeting neutralizing antibody than the wild-type counterpart (P < 0.001). CONCLUSIONS: SARS-CoV-2 strains might have originated in several countries simultaneously under certain evolutionary pressure. Travel restrictions might cause location-specific SARS-CoV-2 clustering. The SARS-CoV-2 evolution appears to facilitate its transmission via altering the affinity to ACE2 or immune evasion.
Subject(s)
COVID-19/transmission , Evolution, Molecular , Spike Glycoprotein, Coronavirus/genetics , Antibodies, Neutralizing/immunology , Antibodies, Viral/immunology , HEK293 Cells , Humans , Mutation , Pandemics , SARS-CoV-2/geneticsABSTRACT
Based on the high-frequency heterogeneous autoregressive (HAR) model, this paper investigates whether coronavirus news (in China and globally) contains incremental information to predict the volatility of China's crude oil, and studies which types of coronavirus news can better forecast China's crude oil volatility. Considering the information overlap among various coronavirus news items and making full use of the information in various coronavirus news items, this paper uses two prevailing shrinkage methods, lasso and elastic nets, to select coronavirus news items and then uses the HAR model to predict China's crude oil volatility. The results show that (i) coronavirus news can be utilized to significantly predict China's crude oil volatility for both in-sample and out-of-sample analyses; (ii) the Panic Index (PI) and the Country Sentiment Index (CSI) have a greater impact on China's crude oil volatility. Additionally, China's Fake News Index (FNI) have a significant impact on China's crude oil volatility forecast; and (iii) global coronavirus news provides more incremental information than China's coronavirus news for predicting the volatility of China's crude oil market, which indicates that global coronavirus news is also a key factor to consider when predicting the market volatility of China's crude oil.
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In response to environmental pollution and the spread of Coronavirus Disease 2019 (COVID-19), this paper proposes a new type of smart mask design, and specifically proposes an optimized double closed-loop control method, especially an improved filtering fusion algorithm. Using the filtering fusion algorithm proposed in this paper, after the Kalman filter (KF) filters the raw data of the attitude sensor, explicit complementary filtering and data fusion are used to obtain the attitude angle of the body. At the same time, the obtained attitude angle is combined with acceleration and blood oxygen concentration to obtain the behaviour characteristic value. On this basis, the speed of the oxygen supply fan captured by the photoelectric sensor is used to form a closed loop with the characteristic value of the behaviour. Finally, the structure of the mask is upgraded and optimized through fluid mechanics simulation, and experiments have verified that the combination of the replaceable filter cloth, the intelligent control system and the ultraviolet disinfection device can effectively protect people's health.
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The outbreak of news and opinions during the COVID-19 pandemic is unprecedented in this age of rapid dissemination of information. The ensuing uncertainty has led to the emergence of heightened volatility in prices of crude oil futures. Whether such news has predictive value for the volatility of crude oil futures during the COVID-19 pandemic is examined in this research. We proposed a modeling framework, genetic algorithm regularization online extreme learning machine with forgetting factor (GA-RFOS-ELM), to estimate the effects of news during the COVID-19 pandemic on the volatility of crude oil futures. GA-RFOS-ELM could learn block-by-block with fixed or varying block size when considering the block own valid period. The experimental results illustrate that news during the COVID-19 pandemic has more predictive information, which is crucial for short-term volatility forecasting of crude oil futures. The novel approach illustrates that online update learning ability is needed during the COVID-19 pandemic, which could be effective and efficient in volatility forecasting of crude oil futures. The contributions of our study are significant for investors and administrators to predict and understand the behavior of volatility during the COVID-19 pandemic.
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Health support has been sought by the public from online social media after the outbreak of novel coronavirus disease 2019 (COVID-19). In addition to the physical symptoms caused by the virus, there are adverse impacts on psychological responses. Therefore, precisely capturing the public emotions becomes crucial to providing adequate support. By constructing a domain-specific COVID-19 public health emergency discrete emotion lexicon, we utilized one million COVID-19 theme texts from the Chinese online social platform Weibo to analyze social-emotional volatility. Based on computed emotional valence, we proposed a public emotional perception model that achieves: (1) targeting of public emotion abrupt time points using an LSTM-based attention encoder-decoder (LAED) mechanism for emotional time-series, and (2) backtracking of specific triggered causes of abnormal volatility in a cognitive emotional arousal path. Experimental results prove that our model provides a solid research basis for enhancing social-emotional security outcomes.