Rifampicin resistant Mycobacterium tuberculosis in Vietnam, 2020-2022.

Objective: We conducted a descriptive analysis of multi-drug resistant tuberculosis (MDR-TB) in Vietnam's two largest cities, Hanoi and Ho Chi Minh city. Methods: All patients with rifampicin resistant tuberculosis were recruited from Hanoi and surrounding provinces between 2020 and 2022. Additional patients were recruited from Ho Chi Minh city over the same time period. Demographic data were recorded from all patients, and samples collected, cultured, whole genome sequenced and analysed for drug resistance mutations. Genomic susceptibility predictions were made on the basis of the World Health Organization's catalogue of mutations in Mycobacterium tuberculosis associated with drug resistance, version 2. Comparisons were made against phenotypic drug susceptibility test results where these were available. Multivariable logistic regression was used to assess risk factors for previous episodes of tuberculosis. Results: 233/265 sequenced isolates were of sufficient quality for analysis, 146 (63 %) from Ho Chi Minh City and 87 (37 %) from Hanoi. 198 (85 %) were lineage 2, 20 (9 %) were lineage 4, and 15 (6 %) were lineage 1. 17/211 (8 %) for whom HIV status was known were infected, and 109/214 (51 %) patients had had a previous episode of tuberculosis. The main risk factor for a previous episode was HIV infection (odds ratio 5.1 (95 % confidence interval 1.3-20.0); p = 0.021). Sensitivity for predicting first-line drug resistance from whole genome sequencing data was over 90 %, with the exception of pyrazinamide (85 %). For moxifloxacin and amikacin it was 50 % or less. Among rifampicin-resistant isolates, prevalence of resistance to each non-first-line drug was < 20 %. Conclusions: Drug resistance among most MDR-TB strains in Vietnam's two largest cities is confined largely to first-line drugs. Living with HIV is the main risk factor among patients with MDR-TB for having had a previous episode of tuberculosis.

Single axonal characterization of trigeminocerebellar projection patterns in the mouse.

The cerebellar projection from the trigeminal nuclear complex is one of the major populations of the cerebellar inputs. Although this projection is essential in cerebellar functional processing and organization, its morphological organization has not been systematically clarified. The present study addressed this issue by lobule-specific retrograde neuronal labeling and single axonal reconstruction with anterograde labeling. The cerebellar projection arose mainly from the interpolaris subdivision of the spinal trigeminal nucleus (Sp5I) and the principal trigeminal sensory nucleus (Pr5). Although crus II, paramedian lobule, lobule IX, and simple lobule were the major targets, paraflocculus, and other lobules received some projections. Reconstructed single trigeminocerebellar axons showed 77.8 mossy fiber terminals on average often in multiple lobules but no nuclear collaterals. More terminals were located in zebrin-negative or lightly-positive compartments than in zebrin-positive compartments. While Pr5 axons predominantly projected to ipsilateral crus II, Sp5I axons projected either predominantly to crus II and paramedian lobule often bilaterally, or predominantly to lobule IX always ipsilaterally. Lobule IX-predominant-type Sp5I neurons specifically expressed Gpr26. Gpr26-tagged neuronal labeling produced a peculiar mossy fiber distribution, which was dense in the dorsolateral lobule IX and extending transversely to the dorsal median apex in lobule IX. The projection to the cerebellar nuclei was observed in collaterals of ascending Sp5I axons that project to the diencephalon. In sum, multiple populations of trigeminocerebellar projections showed divergent projections to cerebellar lobules. The projection was generally complementary with the pontine projection and partly matched with the reported orofacial receptive field arrangement.

Antimicrobial Resistance Patterns of Staphylococcus Aureus Isolated at a General Hospital in Vietnam Between 2014 and 2021.

Purpose: Staphylococcus aureus is a commensal bacteria species that can cause various illnesses, from mild skin infections to severe diseases, such as bacteremia. The distribution and antimicrobial resistance (AMR) pattern of S. aureus varies by population, time, geographic location, and hospital wards. In this study, we elucidated the epidemiology and AMR patterns of S. aureus isolated from a general hospital in Vietnam. Methods: This was a cross-sectional study. Data on all S. aureus infections from 2014 to 2021 were collected from the Microbiology department of Military Hospital 103, Vietnam. Only the first isolation from each kind of specimen from a particular patient was analyzed using the Cochran-Armitage and chi-square tests. Results: A total of 1130 individuals were diagnosed as S. aureus infection. Among them, 1087 strains were tested for AMR features. Most patients with S. aureus infection were in the age group of 41-65 years (39.82%). S. aureus isolates were predominant in the surgery wards, and pus specimens were the most common source of isolates (50.62%). S. aureus was most resistant to azithromycin (82.28%), erythromycin (82.82%), and clindamycin (82.32%) and least resistant to teicoplanin (0.0%), tigecycline (0.16%), quinupristin-dalfopristin (0.43%), linezolid (0.62%), and vancomycin (2.92%). Methicillin-resistant S. aureus (MRSA) and multidrug-resistant (MDR) S. aureus were prevalent, accounting for 73.02% and 60.90% of the total strains respectively, and the strains isolated from the intensive care unit (ICU) had the highest percentage of multidrug resistance (77.78%) among the wards. Conclusion: These findings highlight the urgent need for continuous AMR surveillance and updated treatment guidelines, particularly considering high resistance in MRSA, MDR strains, and ICU isolates. Future research focusing on specific resistant populations and potential intervention strategies is crucial to combat this rising threat.

Synthesis of CoWO4/g-C3N4 Z-scheme heterojunction for the efficient photodegradation of diazinon with the addition of H2O2.

Pesticides are on the list of substances that are routinely monitored by agencies and organizations in various natural environments and habitats. Diazinon (DZN) is the active ingredient in more than 20 agricultural pesticides, it causes the most damage and has been prohibited in many countries around the world. The final product CoWO4/g-C3N4 Z-scheme heterojunction was successfully synthesized in this work, where CoWO4 nanoparticles were deposited on the surface of g-C3N4. CoWO4/g-C3N4 structure allowed for the efficient separation of photo-generated electron-hole pairs, with electrons at the CoWO4 CB migrating to the g-C3N4 VB and preserving the electrons at the g-C3N4 CB and holes in the CoWO4 VB. The photodegradation efficiency of DZN using CoWO4/g-C3N4 Z-scheme heterojunction was investigated, as compared with its precursors, such as CoWO4, and g-C3N4. CoWO4/g-C3N4 Z-scheme heterojunction demonstrated the highest degradation capacity for DZN removal. Based on the results, the photocatalysis of the CoWO4/g-C3N4 Z-scheme heterojunction can be recycled for the effective removal of DZN by simple washing after three runs, proving the heterojunction's stability and suggesting CoWO4 as a promising material for the removal of DZN from contaminated water sources.

An efficient data-driven desalination approach for the element-scale forward osmosis (FO)-reverse osmosis (RO) hybrid systems.

Freshwater shortages are a consequence of the rapid increase in population, and desalination of saltwater has gained popularity as an alternative water treatment method in recent years. To date, the forward osmosis-reverse osmosis (FO-RO) hybrid technology has been proposed as a low-energy and environmentally friendly next-generation seawater desalination process. Scaling up the FO-RO hybrid system significantly affects the success of a commercial-scale process. However, neither the ideal structure nor the membrane components for plate-and-frame FO (PFFO) and spiral-wound FO (SWFO) are known. This study aims to explore and optimize the performance of SWFO-RO and PFFO-RO hybrid element-scale systems in the desalination of seawater. The results showed that both hybrid systems could yield high water recovery under optimal operating conditions. The prediction of the system performance (water flux and reverse salt flux) by artificial intelligence was considerably better (R > 0.99, root mean square error <5%) than that of conventional mass balance models. A Markov-based decision tree successfully classified the water flux level in hybrid systems. An optimal set of operational conditions for each membrane system was proposed. For example, in RO, a combination of the feed solution (FS) flow rate (≥17.5 L/min), FS concentration (<17,500 ppm), and operation pressure (<35 bar) would result in high water permeability (>40 LMH). In addition, five SWFO elements and four PFFO elements should be the optimal numbers of FO membranes in the hybrid FO-RO system for effective seawater desalination, especially for long-term operation.

Magnesium oxide nanoparticles modified biochar derived from tea wastes for enhanced adsorption of o-chlorophenol from industrial wastewater.

In this work, magnesium oxide nanoparticles supported biochar derived from tea wastes (MgO@TBC) was prepared as an effective adsorbent for removing hazardous o-chlorophenol (o-CP) from industrial wastewater. The surface area, porous structure, surface functional groups and surface charge of tea waste biochar (TBC) significantly enhanced after the modification process. The best uptake performance of o-CP was found at pH = 6.5 and 0.1 g of MgO@TBC adsorbent. According to the adsorption isotherm, the adsorption of o-CP onto MgO@TBC followed the Langmuir model with a maximum uptake capacity of 128.7 mg/g, which was 26.5% higher than TBC (94.6 mg/g). MgO@TBC could be reused for eight cycles with a high o-CP uptake performance (over 60%). Besides, it also exhibited good removal performance of o-CP from industrial wastewater with a removal rate of 81.7%. The adsorption behaviors of o-CP onto MgO@TBC are discussed based on the experimental results. This work may provide information to prepare an effective adsorbent for removing hazardous organic contaminants in wastewater.

Effect of substituting glutamine with lysine on structural and biological properties of antimicrobial peptide Polybia-MP1.

The natural antimicrobial peptide Polybia-MP1 is a promising candidate for developing new treatment therapy for infection and cancer. It showed broad-spectrum antimicrobial and anticancer activity with high safety on healthy cells. However, previous sequence modification usually resulted in at least one of two consequences: a notable increase in hemolytic activity or a considerable decrease in activity against Gram-negative bacteria and cancer cells. Herein, a new approach was applied by replacing the amino acid Glutamine at position 12 with Lysine and generating the MP1-Q12K analog. Our preliminary data suggested an enhancement in antibacterial and antifungal activity, whereas the anticancer and hemolytic activity of the two peptides were comparable. Moreover, MP1-Q12K was found to be less self-assembly than Polybia-MP1, which further supports the enhancement of antimicrobial properties. Hence, this study provides new information regarding the structure-activity relationships of Polybia-MP1 and support for the development of potent, selective antimicrobial peptides.

Synthesis of solar-driven Cu-doped graphitic carbon nitride photocatalyst for enhanced removal of caffeine in wastewater.

Caffeine (CaF), a widely consumed compound, has been associated with various harmful effects on human health, including metabolic, cardiovascular disease, and reproductive disorders. Moreover, it poses a signifincant threat to organisms and aquatic ecosystems, leading to water pollution concerns. Therefore, the removal of CaF from wastewater is crucial for mitigating water pollution and minimizing its detrimental impacts on both humans and the environment. In this study, a solar-driven Cu-doped graphitic carbon nitride (Cu/CN) photocatalyst was synthesized and evaluated for its effectiveness in oxidizing CaF in wastewater. The Cu/CN photocatalyst, with a low band gap energy of 2.58eV, exhibited superior performance in degrading CaF compared to pure graphitic carbon nitride (CN). Under solar light irradiation, CuCN achieved a remarkable CaF degradation efficiency of 98.7% CaF, surpassing CN's efficiency of 74.5% by 24.2%. The synthesized Cu/CN photocatalyst demonstrated excellent removal capability, achieving a removal rate of over 88% for CaF in wastewater. Moreover, the reusability test showed that Cu/CN could be successfully reused up to five cycles maintaining a high removal efficiency of 74% for CaF in the fifth cycle. Additionally, the study elucidated the oxidation mechanism of CaF using solar-driven Cu/CN photocatalyst and highlighted the environmental implications of the process.

Polypyrrole-based nanocomposites doped with both salicylate/molybdate and graphene oxide for enhanced corrosion resistance on low-carbon steel.

In this work, polypyrrole-based nanocomposites doped with graphene oxide, molybdate, and salicylate (PPy/GO/Mo/Sal) were synthesized via in situ electrochemical polymerization to enhance the anti-corrosion protection performance of polymer coatings. The morphology and structures of the coatings were characterized by SEM, EDX, FTIR, Raman spectroscopy, and XRD. The protection abilities of coatings against corrosion were investigated in 0.1 M NaCl solution with EIS potentiodynamic polarization, salt spray test, and open-circuit potential (OCP) measurements. The results showed that with the presence of both molybdate/salicylate and GO in the PPy matrix, the nanocomposite coating exhibited an excellent protection ability against corrosion for low-carbon steel, better than that with only GO as filler. Compared to the nanocomposites doped with only salicylate or salicylate/GO, the one doped with both molybdate/salicylate and GO exhibited the longest protection plateau (ca. 100 h) on the OCP-time curves with some fluctuation points known as the self-healing action of molybdate dopant. It also resulted in a decrease in the corrosion current (Tafel plots), a higher impedance (Bode plot), and a better protection performance in salt spray tests. In this case, the anti-corrosion ability of the coatings was provided through a barrier and self-healing mechanism.

Graphitic carbon nitride metal-free photocatalyst for the simultaneous removal of emerging pharmaceutical pollutants in wastewater.

The presence of pharmaceutical pollutants in water has emerged as a significant public health concern due to their potential adverse impacts, including the development of antibiotic resistance. Consequently, advanced oxidation processes based on photocatalysis have garnered considerable attention for treating pharmaceutical contaminants in wastewater. In this study, graphitic carbon nitride (g-CN), a metal-free photocatalyst, was synthesized by the polymerization of melamine and assessed as a potential candidate for the photodegradation of acetaminophen (AP) and carbamazepine (CZ) in wastewater. Under alkaline conditions, g-CN demonstrated high removal efficiencies of 98.6% and 89.5% for AP and CZ, respectively. The relationships between degradation efficiency and catalyst dosage, initial pharmaceutical concentration, and photodegradation kinetics were investigated. Increasing the catalyst dose facilitated the removal of antibiotic contaminants, with an optimum catalyst dose of 0.1 g, achieving a photodegradation efficiency of 90.2% and 82.7% for AP and CZ, respectively. The synthesized photocatalyst removed over 98% of AP (1 mg/L) within 120 min, with a rate constant of 0.0321 min-1, 2.14 times faster than that of CZ. Quenching experiments revealed that g-CN was active under solar light and generated highly reactive oxidants such as hydroxyl (•OH) and superoxide (•O2-). The reuse test confirmed the good stability of g-CN for treating pharmaceuticals during three repeated cycles. Finally, the photodegradation mechanism and environmental impacts were discussed. This study presents a promising approach for treating and mitigating pharmaceutical contaminants in wastewater.

Free satellite image data application for monitoring land use cover changes in the kon ha nung plateau, vietnam.

Remote sensing imagery is the most suitable tool for monitoring, managing, and evaluating land-use overlay fluctuations, especially forest cover for large areas. Free- and medium-resolution satellite imagery is a useful tool that allows scientific researchers and management organizations to monitor forest development in developing countries, such as Vietnam. In this study, we used SPOT 4 and Planet remote sensing data to assess land-use status fluctuations in the Kon Ha Nung Plateau area, Vietnam, between 2000 and 2021 (the overall accuracy was 90.52%, Kappa value = 0.89). The results showed that from 2000 to 2010, the rate of natural forest loss in this area was 0.32%/year, of which, more than 6500 ha were converted to other uses. Between 2010 and 2021, the rate of natural forest loss gradually decreased (0.09%/year) instead of fluctuating between different types of land use. The area of forests, perennial crop land, and annual crop land tended to increase from 2000 to 2010; however, from 2010 to 2021, the area of plantation forests decreased markedly, while the area of perennial crop land and annual crop land continued to expand. The analysis of the policies on forest management, exploitation, and protection was applied locally, to explain the causes of the change in spatiotemporal aspects of the types of land-use cover in the Kon Ha Nung Plateau. Restoring forest areas during 2010-2021 initially improved effectiveness in forest management and protection. Furthermore, the results provide a better understanding of the current position and role of the government apparatus, cadres, and ethnic minorities in socioeconomic development associated with forest protection and development on the Kon Ha Nung Plateau. The results of this study can help managers monitor annual forest-cover fluctuations based on free remote sensing imagery to reduce both the cost of management and surveying, yielding relatively accurate results.

Encoding of environmental illumination by primate melanopsin neurons.

Light regulates physiology, mood, and behavior through signals sent to the brain by intrinsically photosensitive retinal ganglion cells (ipRGCs). How primate ipRGCs sense light is unclear, as they are rare and challenging to target for electrophysiological recording. We developed a method of acute identification within the live, ex vivo retina. Using it, we found that ipRGCs of the macaque monkey are highly specialized to encode irradiance (the overall intensity of illumination) by blurring spatial, temporal, and chromatic features of the visual scene. We describe mechanisms at the molecular, cellular, and population scales that support irradiance encoding across orders-of-magnitude changes in light intensity. These mechanisms are conserved quantitatively across the ~70 million years of evolution that separate macaques from mice.

Investigation of EG-Bi2S3 nanorods photocatalytic activity under visible light for dye degradation from aquatic system.

Bi2S3, 5 ml EG-Bi2S3, and 10 ml EG-Bi2S3 were synthesized by employing solvothermal route. X-ray diffraction, UV-vis absorption, photoluminescence, Raman, scanning electron microscopic studies confirmed the structural, optical, morphological behaviors. The XRD pattern of Bi2S3, 5 ml EG-Bi2S3, and 10 ml EG-Bi2S3 was correlated well with JCPDS # 65-2435. The crystallite size was found to be 57, 49, and 40 nm. The photoluminescence spectra showed semiconducting property of prepared Bi2S3, 5 ml EG-Bi2S3, and 10 ml EG-Bi2S3. The absorption spectra of Bi2S3, 5 ml EG-Bi2S3, and 10 ml EG-Bi2S3 nanorods were well matched with the spectra of a previous report. The bandgap values of Bi2S3, 5 ml EG-Bi2S3, and 10 ml EG-Bi2S3 were calculated to be 1.56, 1.45, and 1.3 eV in reducing order. The morphology of Bi2S3, 5 ml EG-Bi2S3, and 10 ml EG-Bi2S3 samples showed the development of nanorods. The 10 ml EG-Bi2S3 sample showed better development of nanorods with the addition of ethylene glycol. The agglomeration was considerably reduced with the mixing of solvent. Bi2S3, 5 ml EG-Bi2S3, and 10 ml EG-Bi2S3 catalysts were added to the methylene blue dye solution and its photocatalytic properties were investigated by reducing toxic pollutants under light. The 10 ml EG-Bi2S3 sample with neutral pH and 0.1 g of catalyst was added and investigated which showed 86% of efficiency towards dye degradation. The narrow bandgap, defined morphology of 10 ml EG-Bi2S3, made a positive result towards efficient photocatalytic activity.

Enhanced photocatalytic decomposition of phenol in wastewater by using La-TiO2 nanocomposite.

In this work, La-TiO2 nanocomposite was synthesized by loading lanthanum onto TiO2 and used for improving photodegradation of phenol in wastewater. The characterizations of La-TiO2 demonstrated that the loading of La onto TiO2 not only increased its adsorption light zone up to 470 nm but also decreased the band gap energy from 3.1 to 2.64 eV. Photoluminescence spectra of La-TiO2 confirmed the enhancing separation rate between electron and hole, leading to improve photodegradation efficiency of phenol. The removal rate of phenol was influenced by solution pH and alkaline conditions could bring better removal efficiency. In presence of light, the photodegradation efficiency of phenol by TiO2 was 64.1%, while it increased up to 93.4% by La-TiO2 photocatalyst. La-TiO2 nanocomposite was tested for five cycles and it showed only 13.8% dropping in the photodegradation efficiency of phenol. Besides, over 82% of phenol was removed from the wastewater sample by modified TiO2, demonstrating the potential of La-TiO2 photocatalyst for water pollution control.

Porous adsorbent derived from acid activation of food waste biochar: A sustainable approach for novel removal chlorophenol in wastewater.

In this study, porous biochar (PBC) was prepared by acid activation of biochar derived from food waste (FWBC) and used as a suitable approach for the removal of 4-chlorophenol (CP) in wastewater. The characterization of PBC and the influent of different experimental conditions are determined. After the acid activation process, the surface area, porosity, and functional groups of PBC were developed. The removal performances of CP (1 mg/L) by PBC and FWBC were archived at 97.8 and 82.1%, respectively. Adsorption kinetics and isotherms of CP were followed by the second-order and Langmuir models, respectively. The maximum capacities of CP uptake onto mono-layer of FWBC and PBC based on the Langmuir model were determined at 79.8 and 108.7 mg/g, respectively. Besides, PBC could remove more than 89% CP from wastewater within 45 min of reaction time and it is suitable to reuse 8 times with over 60% adsorption efficiency of CP. In addition, the adsorption mechanism and environmental impact were discussed in detail. This work could bring a sustainable approach to the treatment of CP in wastewater as well as the management of food waste in Vietnam.

Thermally stable cellulose nanospheres prepared from office waste paper by complete removal of hydrolyzed sulfate groups.

Cellulose nanocrystals are commonly obtained by acid hydrolysis, particularly with H2SO4. However, a small amount of deposited sulfate-groups contributes to the degradation of their thermal stability. This study prepared thermally-stable and sulfate-group-free cellulose nanospheres (CNSs) from office waste paper by H2SO4 hydrolysis followed by solvolytic desulfation. The optimal desulfation conditions (i.e., 5 wt% MeOH, reaction temperature of 90 °C, a reaction time of 20 min, 0.5 mM pyridine) were preliminarily found from a one-factor-at-a-time experiment and validated by the results of a central composite design. The optimal desulfation conditions promoted environmental sustainability with less pyridine and MeOH and comparably shorter reaction time. The desulfated CNSs had a significant thermal stability enhancement from 186 to 340 °C. Comprehensive characterization of the morphology, chemical composition, and thermal behavior of the desulfated CNSs reconfirmed the complete removal of sulfate groups without harmful pyridine residues, demonstrating the potential use of the thermally stable CNSs.

Reducing Crime by Remediating Vacant Lots: The Moderating Effect of Nearby Land Uses.

Objective: Place-based blight remediation programs have gained popularity in recent years as a crime reduction approach. This study estimated the impact of a citywide vacant lot greening program in Philadelphia on changes in crime over multiple years, and whether the effects were moderated by nearby land uses. Methods: The vacant lot greening program was assessed using quasi-experimental and experimental designs. Entropy distance weighting was used in the quasi-experimental analysis to match control lots to be comparable to greened lots on pre-existing crime trends. Fixed-effects difference-in-differences models were used to estimate the impact of the vacant lot greening program in quasi-experimental and experimental analyses. Results: Vacant lot greening was estimated to reduce total crime and multiple subcategories in both the quasi-experimental and experimental evaluations. Remediating vacant lots had a smaller effect on reducing crime when they were located nearby train stations and alcohol outlets. The crime reductions from vacant lot remediations were larger when they were located near areas of active businesses. There is some suggestive evidence that the effects of vacant lot greening are larger when located in neighborhoods with higher pre-intervention levels of social cohesion. Conclusions: The findings suggest that vacant lot greening provides a sustainable approache to reducing crime in disadvantaged neighborhoods, and the effects may vary by different surrounding land uses. To better understand the mechanisms through which place-based blight remediation interventions reduce crime, future research should measure human activities and neighborly socialization in and around places before and after remediation efforts are implemented.

A low-cost, flexible extruder for liposomes synthesis and application for Murrayafoline A delivery for cancer treatment.

Liposomal encapsulation is a drug delivery strategy with many advantages, such as improved bioavailability, ability to carry large drug loads, as well as controllability and specificity towards various targeted diseased tissues. Currently, most preparation techniques require an additional extrusion or filtering step to obtain monodisperse liposomes with the size of less than 100 nm. In this study, a compact liposome extruder was designed at a cost of $4.00 and used to synthesize liposome suspensions with defined particle size and high homogeneity for Murrayafoline A (Mu-A) loading and release. The synthesized MuA-loaded liposomes displayed a biphasic drug release and remained stable under the storage condition of 4°C. They also significantly reduced the viability of HepG2 cells in the cancer spheroids by 25%. The low-cost, flexible liposome extruder would allow the researchers to study liposomes and their applications in a cost-effective manner.

Phenotypes of disease severity in a cohort of hospitalized COVID-19 patients: results from the IMPACC study

BackgroundBetter understanding of the association between characteristics of patients hospitalized with coronavirus disease 2019 (COVID-19) and outcome is needed to further improve upon patient management. MethodsImmunophenotyping Assessment in a COVID-19 Cohort (IMPACC) is a prospective, observational study of 1,164 patients from 20 hospitals across the United States. Disease severity was assessed using a 7-point ordinal scale based on degree of respiratory illness. Patients were prospectively surveyed for 1 year after discharge for post-acute sequalae of COVID-19 (PASC) through quarterly surveys. Demographics, comorbidities, radiographic findings, clinical laboratory values, SARS-CoV-2 PCR and serology were captured over a 28-day period. Multivariable logistic regression was performed. FindingsThe median age was 59 years (interquartile range [IQR] 20); 711 (61%) were men; overall mortality was 14%, and 228 (20%) required invasive mechanical ventilation. Unsupervised clustering of ordinal score over time revealed distinct disease course trajectories. Risk factors associated with prolonged hospitalization or death by day 28 included age [≥] 65 years (odds ratio [OR], 2.01; 95% CI 1.28-3.17), Hispanic ethnicity (OR, 1.71; 95% CI 1.13-2.57), elevated baseline creatinine (OR 2.80; 95% CI 1.63-4.80) or troponin (OR 1.89; 95% 1.03-3.47), baseline lymphopenia (OR 2.19; 95% CI 1.61-2.97), presence of infiltrate by chest imaging (OR 3.16; 95% CI 1.96-5.10), and high SARS-CoV2 viral load (OR 1.53; 95% CI 1.17-2.00). Fatal cases had the lowest ratio of SARS-CoV-2 antibody to viral load levels compared to other trajectories over time (p=0.001). 589 survivors (51%) completed at least one survey at follow-up with 305 (52%) having at least one symptom consistent with PASC, most commonly dyspnea (56% among symptomatic patients). Female sex was the only associated risk factor for PASC. InterpretationIntegration of PCR cycle threshold, and antibody values with demographics, comorbidities, and laboratory/radiographic findings identified risk factors for 28-day outcome severity, though only female sex was associated with PASC. Longitudinal clinical phenotyping offers important insights, and provides a framework for immunophenotyping for acute and long COVID-19. FundingNIH RESEARCH IN CONTEXTO_ST_ABSEvidence before this studyC_ST_ABSWe did a systematic search of the PubMed database from January 1st, 2020 until April 24th, 2022 using the search terms: "hospitalized" AND "SARS-CoV-2" OR "COVID-19" AND "Pro-spective" AND "Antibody" OR "PCR" OR "long term follow up" and applying the following filters: "Multicenter Study" AND "Observational Study". No language restrictions were applied. While clinical, laboratory, and radiographic features associated with severe COVID-19 in hospitalized adults have been described, description of the kinetics of SARS-CoV-2 specific assays available to clinicians (e.g. PCR and binding antibody) and their integration with other variables is scarce for both short and long term follow up. The current literature is comprised of several studies with small sample size, cross-sectional design with laboratory data typically only recorded at a single point in time (e.g., on admission), limited clinical characteristics, variable duration of follow up, single-center setting, retrospective analyses, kinetics of either PCR or antibody testing but not both, and outcomes such as death or, mechanical ventilation that do not allow delineation of variations in clinical course. Added value of this studyIn our large longitudinal multicenter cohort, the description of outcome severity, was not limited to survival versus death, but encompassed a clinical trajectory approach leveraging longitudinal data based on time in hospital, disease severity by ordinal scale based on degree of respiratory illness, and presence or absence of limitations at discharge. Fatal COVID-19 cases had the lowest ratio of antibody to viral load levels over time as compared to non-fatal cases. Integration of PCR cycle threshold and antibody values with demographics, baseline comorbidities, and laboratory/radiographic findings identified additional risk factors for outcome severity over the first 28 days. However, female sex was the only variable associated with persistence of symptoms over time. Persistence of symptoms was not associated with clinical trajectory over the first 28 days, nor with antibody/viral loads from the acute phase. Implications of all the available evidenceThe described calculated ratio (binding IgG/PCR Ct value) is unique compared to other studies, reflecting host pathogen interactions and representing an accessible approach for patient risk stratification. Integration of SARS-CoV-2 viral load and binding antibody kinetics with other laboratory as well as clinical characteristics in hospitalized COVID-19 patients can identify patients likely to have the most severe short-term outcomes, but is not predictive of symptom persistence at one year post-discharge.

Synthesis and Characterization of Polypyrrole Film Doped with Both Molybdate and Salicylate and Its Application in the Corrosion Protection for Low Carbon Steel.

Polypyrrole (PPy) films doped with molybdate and salicylate have been successfully electropolymerized on low carbon steel in aqueous solutions containing both molybdate and salicylate in a one-step process that did not require any pre-treatment of the steel substrate. Salicylate-doped PPy films were synthesized in the same way for comparison. The steel surface was rapidly inhibited and the PPy-based films were formed on it easily. The PPy-based films were characterized by Fourier transform infrared, scanning electron microscopy, energy dispersive X-ray, and thermal gravimetric analysis methods. The corrosion protection performance of the coatings was investigated with electrochemical impedance spectroscopy, open circuit potential (OCP), salt spray test, and Tafel polarization. It was found that in the presence of both molybdate and salicylate as dopants, the films on steel could present a better corrosion resistance than PPy film doped with only salicylate. The self-healing property of PPy-based films was observed on the OCP measurement with the fluctuation of rest potential. The salt spray test results showed that the PPy film doped with both salicylate and molybdate was more salt-resistant than the PPy film doped with only salicylate. The results suggest that the PPy coatings doped with both molybdate and salicylate are potential for application as metallic anti-corrosion coatings.