Client and program-level factors associated with planned use of medications for opioid use disorder in specialty substance use treatment programs: Evidence from linked administrative data and survey data.

BACKGROUND: Most patients in specialty drug treatment programs that are not federally licensed Opioid Treatment Programs (OTPs) programs do not receive medications for opioid use disorder (MOUD). METHODS: We linked results from a survey of non-OTP treatment program directors in New Jersey (n = 81) to statewide administrative records of admissions for opioid use to those programs between July 2021-June 2022. Using multi-level regression, we examined the association of three types of factors with planned MOUD use: program survey responses, client-level factors, and program-level client characteristic mix. RESULTS: Of 9583 opioid treatment admissions in non-OTP settings, 41 % included treatment plans involving MOUD. Programs where directors reported staff concerns about buprenorphine's efficacy or diversion had a lower proportion of clients with planned MOUD, as did programs reporting too little physical space to prescribe. Being self-referred to treatment, unemployed and not looking for work, aged 30-49, heroin use (vs. prescription opioid use), and stimulant use in addition to opioids, were positively associated with planned MOUD; while non-Medicaid insurance, and Black and Hispanic race/ethnicity, were negatively associated with planned MOUD. Clients were more likely to have planned MOUD if their programs had a higher proportion of clients aged 30 or older, heroin as primary "drug of abuse," stimulant use, and not working but actively looking for work. CONCLUSION: Findings suggest addressing program staff attitudes toward buprenorphine could help increase planned MOUD. There is also a need to improve access for clients with non-Medicaid insurance, address within-program race and ethnic disparities, and address employment-related barriers to medication.

Study of a coal fly ash-based integrated CO2 capture-mineralization material: Preparation method, modification mechanism, and CO2 mineralization property.

Utilizing industrial solid waste for CO2 mineralization not only reduces CO2 emissions but also promotes the resource utilization of solid waste. Additionally, it allows for the permanent sequestration of CO2 and enables green value-added utilization of the products. Coal fly ash (CFA) is one of the most abundant industrial solid wastes with significant carbon mineralization potential. To overcome the challenge of inefficient direct CO2 mineralization by CFA, this study investigated the preparation of novel integrated CO2 capture-mineralization materials (ICCM) with flower-like cluster structures through the modification of CFA. The active Al and Si in CFA were activated to form minerals with high specific surface area, such as ettringite (AFt) and calcium silicate hydrate (C-S-H), which were also susceptible to carbonation. These minerals formed a flocculent structure, enabling the ICCM to possess both CO2 capture and in-situ mineralization capabilities. Experimental studies investigated the effects of CFA content, mineral attractant (MA), and alkaline substances on the physicochemical properties of ICCM, obtaining optimal modification conditions for ICCM preparation. Further orthogonal experiments explored the effects of flue gas temperature, humidity, and CFA content on the capture and mineralization of CO2 by ICCM, identifying humidity as a primary factor. Under optimal conditions, each gram of ICCM could adsorb and mineralize 48 mg of CO2. After carbonation, ICCM generated nano-sized calcium carbonate, predominantly in the form of calcite, with minor amounts of vaterite. This study provided a new type of solid waste-based green material and theoretical support for carbon mineralization, serving the development of Carbon Capture, Utilization and Storage technology.

Drought-induced assembly of rhizosphere mycobiomes shows beneficial effects on plant growth.

Beneficial interactions between plants and rhizosphere fungi can enhance plant adaptability during drought stress. However, harnessing these interactions will require an in-depth understanding of the response of fungal community assembly to drought. Herein, by using different varieties of wheat plants, we analyzed the drought-induced changes in fungal community assembly in rhizosphere and bulk soil. We demonstrated that drought significantly altered the fungal communities, with the contribution of species richness to community beta diversity increased in both rhizosphere and bulk soil compartments during drought stress. The stochastic processes dominated fungal community assembly, but the relative importance of deterministic processes, mainly homogeneous selection, increased in the drought-stressed rhizosphere. Drought induced an increase in the relative abundance of generalists in the rhizosphere, as opposed to specialists, and the top 10 abundant taxa that enriched under drought conditions were predominantly generalists. Notably, the most abundant drought-enriched taxon in rhizosphere was a generalist, and the corresponding Chaetomium strain was found capable of improving root length and activating ABA signaling in wheat plants through culture-based experiment. Together, these findings provide evidence that host plants exert a strong influence on rhizospheric fungal community assembly during stress and suggest the fungal communities that have experienced drought have the potential to confer fitness advantages to the host plants. IMPORTANCE: We have presented a framework to integrate the shifts in community assembly processes with plant-soil feedback during drought stress. We found that environmental filtering and host plant selection exert influence on the rhizospheric fungal community assembly, and the re-assembled community has great potential to alleviate plant drought stress. Our study proposes that future research should incorporate ecology with plant, microbiome, and molecular approaches to effectively harness the rhizospheric microbiome for enhancing the resilience of crop production to drought.

Emission characteristics of condensable particulate matter during the production of solid waste-based sulfoaluminate cement: Compositions, heavy metals, and preparation impacts.

Recycling solid waste for preparing sulfoaluminate cementitious materials (SACM) represents a promising approach for low-carbon development. There are drastic physical-chemical reactions during SACM calcination. However, there is a lack of research on the flue gas pollutants emissions from this process. Condensable particulate matter (CPM) has been found to constitute the majority of the primary PM emitted from various fuel combustion. In this study, the emission characteristics of CPM during the calcination of SACM were determined using tests in both a real-operated kiln and laboratory experiments. The mass concentration of CPM reached 96.6 mg/Nm3 and occupied 87% of total PM emission from the SACM kiln. Additionally, the mass proportion of SO42- in the CPM reached 93.8%, thus indicating that large quantities of sulfuric acid mist or SO3 were emitted. CaSO4 was one key component for the formation of main mineral ye'elimite (3CaO·3Al2O3·CaSO4), and its decomposition probably led to the high SO42- emission. Furthermore, the use of CaSO4 as a calcium source led to SO42- emission factor much higher than conventional calcium sources. Higher calcination temperature and more residence time also increased SO42- emission. The most abundant heavy metal in kiln flue gas and CPM was Zn. However, the total condensation ratio of heavy metals detected was only 40.5%. CPM particles with diameters below 2.5 µm and 4-20 µm were both clearly observed, and components such as Na2SO4 and NaCl were conformed. This work contributes to the understanding of CPM emissions and the establishment of pollutant reduction strategies for waste collaborative disposal in cement industry.

Barriers and facilitators to use of buprenorphine in state-licensed specialty substance use treatment programs: A survey of program leadership.

INTRODUCTION: Medications for opioid use disorder (MOUD), including buprenorphine, reduce overdose risk and improve outcomes for individuals with opioid use disorder (OUD). However, historically, most non-opioid treatment program (non-OTP) specialty substance use treatment programs have not offered buprenorphine. Understanding barriers to offering buprenorphine in specialty substance use treatment settings is critical for expanding access to buprenorphine. This study aims to examine program-level attitudinal, financial, and regulatory factors that influence clients' access to buprenorphine in state-licensed non-OTP specialty substance use treatment programs. METHODS: We surveyed leadership from state-licensed non-OTP specialty substance use treatment programs in New Jersey about organizational characteristics, including medications provided on- and off-site and percentage of OUD clients receiving any type of MOUD, and perceived attitudinal, financial, and regulatory barriers and facilitators to buprenorphine. The study estimated prevalence of barriers and compared high MOUD reach (n = 36, 35 %) and low MOUD reach (n = 66, 65 %) programs. RESULTS: Most responding organizations offered at least one type of MOUD either on- or off-site (n = 80, 78 %). However, 71 % of organizations stated that fewer than a quarter of their clients with OUD use any type of MOUD. Endorsement of attitudinal, financial, and institutional barriers to buprenorphine were similar among high and low MOUD reach programs. The most frequently endorsed government actions suggested to increase use of buprenorphine were facilitating access to long-acting buprenorphine (n = 95, 96 %), education and stigma reduction for clients and families (n = 95, 95 %), and financial assistance to clients to pay for medications (n = 90, 90 %). CONCLUSIONS: Although non-OTP specialty substance use programs often offer clients access to MOUD, including buprenorphine, most OUD clients do not actually receive MOUD. Buprenorphine uptake in these settings may require increased financial support for programs and clients, more robust education and training for providers, and efforts to reduce the stigma associated with medication among clients and their families.

Method of smoldering combustion for the treatment of oil sludge-contaminated soil.

There is an urgent need to globally remediate oil sludge-contaminated soil (OSS). Smoldering combustion is a new low-energy approach for the treatment of organic waste. Therefore, the feasibility of smoldering combustion for the treatment of OSS was investigated in this study using a series of laboratory-scale experiments. The effective remediation of OSS was found to be achievable when the mass ratio of oil sludge in the sample reached 1/12 and above. Experimental results showed that smoldering at peak temperatures above 500 °C was found to completely remove petroleum hydrocarbons from the samples. The mass ratio of oil sludge in the sample had little effect on the distribution of the major elements (Si, Al, and Ca) in the smoldering products, and most of the minerals in the oil sludge adhered to the surface of the soil particles after smoldering. The smoldering heating environment is detrimental to the reusability of the soil, increases soil pH and available phosphorus content, and decreases organic carbon and total nitrogen content. Moreover, the influence of the airflow rate and material height on smoldering characteristics was investigated. Matching the appropriate airflow rate can help maintain optimal smoldering conditions, and smoldering remains stable with increasing material height. The addition of recovered oil to a sample with a low mass ratio of oil sludge can help with smoldering ignition and improve the removal efficiency of petroleum hydrocarbons. This study has confirmed that smoldering can be used to treat OSS within a broad range of oil sludge concentrations without pretreatment.

Microbial mechanism of biochar addition to reduce N2O emissions from soilless substrate systems.

The soilless peat-based substrate partially solves the global soil problem in greenhouse vegetable production. However, it still produces serious N2O emissions due to the application of nutrient solutions. The pyrolysis biochar is regarded as an effective measure to reduce soil N2O emissions. However, the effect and mechanism of biochar on N2O emissions from the soilless substrate remain unknown. Therefore, this study set up six treatments by adjusting the ratio of biochar addition of peat-based substrate: 0% (0BC), 2% (2BC), 4% (4BC), 6% (6BC), 8% (8BC) and 10% (10BC) (v/v). The results showed that compared to the control treatment, N2O emissions reduced by 81%, 71%, 51%, 61%, and 75% in the 2BC, 4BC, 6BC, 8BC and 10BC treatments, respectively. In addition, lettuce yield increased by 10% and 7% in the 2BC and 4BC treatments and decreased by 0.5%, 4% and 6% in the 6BC, 8BC and 10BC treatments, respectively. Combining stable isotope technology, qPCR analysis and high-throughput sequencing, five microbial pathways of N2O production, including bacterial and archaea nitrification (BN and AN), denitrification performed by fungi, denitrifier bacteria and nitrifier bacteria (FD, DD and ND), were roughly distinguished. In addition, the extent of N2O reduction was obtained by δ18O vs.δ15NSP map. For all treatments, overall, the DD process (over 50%) was the main process of N2O production and reduction, while ND and AN processes were almost negligible (less 5%). In detail, the decrease of N2O emissions was caused by decreasing the contribution of FD in the 6BC, 8BC and 10BC treatments and reducing the contribution of BN in the 0BC and 2BC treatments. In addition, biochar addition increased the extent of N2O reduction to N2. In summary, the 2% biochar addition presented the greatest extent of N2O reduction to N2 (83%) and the lowest N2O emissions as well as the highest lettuce yields and nitrogen utilization efficiency. Therefore, 2% biochar is deemed the most optimal addition to the peat-based substrate.

Nitrogen transformation and its microbial mechanism under co-composting of biogas slurry with garden waste.

Large amount of garden waste is consecutively produced in China every year. The composting with urea and microbial inoculum makes it possible to dispose garden waste in large quantities. However, composting accompanies with serious nitrogen loss and environmental problems. The biogas slurry contains considerable nitrogen nutrients and microorganisms, which theoretically could be used as alternative to urea and bacteria to reduce nitrogen loss, respectively. We set up three treatments of biogas slurry + garden waste (GB), biogas slurry + garden waste + urea (GBU), and biogas slurry + garden waste + urea + microbial inoculum (GBUM) to investigate the decomposition, nitrogen conversion and nitrogen loss in the co-composting process. The results showed that the high tempe-rature period of GB treatment was longer and more stable compared to that of GBU and GBUM treatments. The pH and EC value of GB treatment would benefit composting process and generated products with the highest germination index (GI) (221.8%). In addition, NH3 and N2O emission rates in the GB treatment were 2.59 mg·kg-1·d-1 and 3.65 µg·kg-1·d-1, respectively, being 99.0% and 50.0% lower than that in the GBU treatment and 99.4% and 40.7% lower than that in the GBUM treatment. The results of δ18O vs. δ15NSP dual isotopocule plots approach analysis showed that the GB and GBU treatments were dominated by denitrification, and that the contribution of denitrification was higher in the GB treatment. In contrast, the GBUM treatment was dominated by nitrification. The degree of N2O reduction in GB treatment (83.7%) was higher than the other two treatments. It was clear that GB treatment had the best maturity and lowest nitrogen loss in all treatments by enhancing the N2O reduction process during denitrification to reduce N2O emission. In conclusion, the biogas slurry and garden wastes could be directly co-composted without the limitation of C/N and microbial addition. The co-composting method could protect the environment and save resources leading to the recycling of waste in actual production.

Improvement of the reduction of condensable particulate matter in flue gas scrubbing process.

Condensable particulate matter (CPM) is characterized by complex composition, non-negligible emission concentration, and fine or ultrafine in size after conversion to particles, which is difficult to remove. Current methods to control CPM are not fully developed and mainly focus on synergistic removal of CPM in existing air pollution control devices, such as CPM reduction through scrubbing processes in wet flue gas desulfurization (WFGD) systems. In this work, an experimental system including a simulated WFGD scrubber, also referred to as the primary scrubber (PS), and a secondary scrubber (SS) was built to explore measures to improve the CPM reduction performance during scrubbing. The operating parameters of the liquid-to-gas (L/G) ratio and the spray temperature in the two scrubbers were tuned in the experiments. The results indicated that CPM could be reduced in the PS by conversion to filterable particulate matter (FPM), and captured by the spray droplets through the effects of dissolution and condensation, but the reduction was not very efficient. In the SS, the reduction performance of CPM could be further improved due to increased dissolution of CPM caused by increased opportunities for gas-liquid contact, and increased condensation of CPM due to lower spray temperature. The FPM transformed from the CPM in the PS could also be reduced in the SS by the effects of diffusiophoresis and thermophoresis contributed by water vapor condensation. An increase in the L/G ratio could improve the CPM reduction.

The effect of dietary carbohydrate and calorie restriction on weight and metabolic health in overweight/obese individuals: a multi-center randomized controlled trial.

BACKGROUND: Both low-carbohydrate (LC) and calorie-restricted (CR) diets have been shown to have metabolic benefits. However, the two regimens have yet to be thoroughly compared. We conducted a 12-week randomized trial to compare the effects of these diets separately and in combination on both weight loss and metabolic risk factors in overweight/obese individuals. METHODS: A total of 302 participants were randomized to LC diet (n = 76), CR diet (n = 75), LC + CR diet (n = 76), or normal control (NC) diet (n = 75) using a computer-based random number generator. The primary outcome was the change in body mass index (BMI). The secondary outcomes included body weight, waist circumference, waist-to-hip ratio, body fat, and metabolic risk factors. All participants attended health education sessions during the trial. RESULTS: A total of 298 participants were analyzed. BMI change over 12 weeks was - 0.6 (95% CI, - 0.8 to - 0.3) kg/m2 in NC, - 1.3 (95% CI, - 1.5 to - 1.1) kg/m2 in CR, - 2.3 (95% CI, - 2.6 to - 2.1) kg/m2 in LC, and - 2.9 (95% CI, - 3.2 to - 2.6) kg/m2 in LC + CR. LC + CR diet was more effective than LC or CR diet alone at reducing BMI (P = 0.001 and P < 0.001, respectively). Furthermore, compared with the CR diet, the LC + CR diet and LC diet further reduced body weight, waist circumference, and body fat. Serum triglycerides were significantly reduced in the LC + CR diet group compared with the LC or CR diet alone. Plasma glucose, homeostasis model assessment of insulin resistance, and cholesterol concentrations (total, LDL, and HDL) did not change significantly between the groups during the 12-week intervention. CONCLUSIONS: The reduction of carbohydrate intake without restricting caloric intake is more potent to achieve weight loss over 12 weeks when compared to a calorie-restricted diet in overweight/obese adults. The combination of restricting carbohydrate and total calorie intake may augment the beneficial effects of reducing BMI, body weight, and metabolic risk factors among overweight/obese individuals. TRIAL REGISTRATION: The study was approved by the institutional review board of Zhujiang Hospital of Southern Medical University and registered at the China Clinical Trial Registration Center (registration number: ChiCTR1800015156).

Effect of CaO Sourced from CaCO3 or CaSO4 on Phase Formation and Mineral Composition of Iron-Rich Calcium Sulfoaluminate Clinker.

The performance of iron-rich calcium sulfoaluminate (IR-CSA) cement is greatly affected by mineral composition and mineral activity in the clinker. This study aims to identify the effect of CaO sources, either CaCO3 or CaSO4, on the phase formation and mineral composition of the IR-CSA clinker. Targeted samples were prepared with different proportions of CaCO3 and CaSO4 as CaO sources at 1300 °C for 45 min. Multiple methods were used to identify the mineralogical conditions. The results indicate that the mineral composition and performance of the IR-CSA clinker could be optimized by adjusting the CaO source. Both Al2O3 and Fe2O3 tend to incorporate into C4A3-xFxS¯ with an increase in CaSO4 as a CaO source, which leads to an increased content of C4A3-xFxS¯ but a decreased ferrite phase. In addition, clinkers prepared with CaSO4 as a CaO source showed much higher x value in C4A3-xFxS¯ and higher compressive strength than clinker prepared with CaCO3 as the sole CaO source. The crystal types of both C4A3-xFxS¯ and C2S were also affected, but showed different trends with the transition of the CaO source. The findings provide a possible method to produce IR-CSA cement at a low cost through cooperative utilization of waste gypsum and iron-bearing industrial solid wastes.

Consensus of Chinese experts on strengthening personalized prevention and treatment of type 2 diabetes.

Up to now, there has not yet been guidance or consensus from Chinese experts in the field of personalized prevention and treatment of type 2 diabetes. In view of the above, the endocrinology diabetes Professional Committee of Chinese Non-government Medical Institutions Association, the integrated endocrinology diabetes Professional Committee of the integrated medicine branch of Chinese Medical Doctor Association, and the diabetes education and microvascular complications group of the diabetes branch of the Chinese Medical Association organized relevant experts to discuss and reach the "Chinese expert consensus on strengthening personalized prevention and treatment of type 2 diabetes" for reference in clinical practice.

Distribution of the existence forms of condensable particulate matter during condensation: The surface collection and the space suspension forms.

Condensable particulate matter (CPM), as an air pollutant that has received wide attention in recent years, has a high emission concentration compared to filterable particulate matter (FPM), yet there is not a well-developed removal method. Air pollution control devices (APCDs) with a condensation process have a certain effect on CPM removal, which inspired us to study the condensation behavior of CPM. During the condensation process, the condensed CPM may exist in two final forms: one was collected by the cold surface that caused the condensation; the other was converted to fine particles and suspended in the space of the flue. In a sense, the surface collection form can reflect the removal of CPM, while the CPM in the space suspension form should be further separated with the aim of removal. In this work, we adopted a CPM sampling system based on EPA Method 202 to reveal the distribution of the condensation behavior of CPM. In this sampling system, the CPM collected by all the cooling surfaces, including the cooling coil and impingers, can be counted as the surface collection form, while those collected by the terminal CPM filter can be regarded as the space suspension form. It was found that about 75 % of CPM was collected by the cooling surfaces, which suggested that CPM preferred to be in the surface collection form than the space suspension form. This preference characteristic also could be observed in the inorganic (CPMi) and organic components of the CPM (CPMo). Among the CPMi, almost all NH4+ and SO42- condensed in the form of surface collection. The preference characteristics in CPM's (and its components') condensation behavior are similar under every temperature reduction condition. In this work, the interference of CPM measurement error was resolved by the statistical method of ANOVA.

Insights into production and consumption processes of nitrous oxide emitted from soilless culture systems by dual isotopocule plot and functional genes.

Soilless culture systems (SCS) play an increasing role in greenhouse vegetable production. In the SCS, soilless substrates serve as the major substitute for soil, supplying nutrients to plants but releasing greenhouse gases into the atmosphere. Remarkably, there is a serious problem of N2O emission due to excessive input of N fertilizer. However, the microbial processes of N2O production and consumption in soilless substrates have been rarely studied resulting in difficultly interpreting for its global warming potential. Therefore, these pathways from two classic soilless substrates under two irrigation patterns were investigated by stable isotope technology combined with qPCR analysis in present study. The results according to the dual isotopocule plot of δ15NSP vs. δ18O showed that the mean contribution of denitrification and the mean extent of N2O reduction of case i (Reduction-Mixing) were 26.2 and 81.2 % for the treatment of peat based substrate under drip irrigation (PD), 47.7 and 70.3 % for the treatment of coir substrate under drip irrigation (CD), 29.0 and 80.8 % for the treatment of peat based substrate under tidal irrigation (PT), and 50.8 and 47.4 % for the treatment of coir substrate under tidal irrigation (CT). These results were also further confirmed by the abundance of major functional genes including AOA amoA, nirK and nosZ. Altogether, N2O emission and its microbial processes are determined by substrate types instead of irrigation patterns. For detail, denitrification dominated in the peat based substrate and nitrification dominated in the coir substrate. Compared to the coir substrate, the peat based substrate had higher abundance of functional genes and stronger denitrification and thus generated more N2O. For the two soilless substrates, moreover, the microbiome replaced the mineral N content as the limiting factor for N2O emission. In the SCS, in summary, the two soilless substrates play an important role in tomato growth, but might suffer from inorganic nutrient surplus and microbial shortage. More importantly, the combined analysis of N2O isotopocule deltas and functional genes is a robust tool and provides reliable conclusions for clarifying the microbial processes of N2O production and consumption, thus it is also recommended for use in environments other than soilless substrates.

Wheat genotypes with higher yield sensitivity to drought overproduced proline and lost minor biomass under severer water stress.

To clarify the differences in growth and yield responses to drought stress among genotypes contrasting in environmental background, dryland and irrigated genotypes, as well as the underlying biochemical mechanism would provide valuable information for developing superior dryland cultivars. Pot experiments for the whole life cycle in fifteen genotypes and comparative metabolomics analysis for seedlings between two drought tolerant (DT) dryland genotypes and two drought sensitive (DS) irrigated ones were carried out. The DT dryland genotypes suffered heavy biomass loss during severer drought but showed minor yield loss ultimately, while the DS irrigated ones showed minor biomass loss but greater yield loss. Additionally, the superior DT dryland genotypes showed better yield performance under both drought stress and well-watered conditions, indicating their possessing both drought tolerance and high yield potential traits. Suffering severer drought stress, seedling leaves of the DS irrigated genotypes increased some amino acids and organic acids to maintain cell metabolism and accumulate more biomass. Proline in particular was overproduced, which might cause toxicity to cell systems and lead to enormous yield loss ultimately. In contrast, DT dryland genotypes increased the beneficial amino acid and phenolic acids to enhance cell self-protection for alleviating drought damage and efficiently minimized yield loss ultimately.

Preoptimized phage cocktail for use in aerosols against nosocomial transmission of carbapenem-resistant Acinetobacter baumannii: A 3-year prospective intervention study.

Using bacteriophages (phages) as environmental sanitizers has been recognized as a potential alternative method to remove bacterial contamination in vitro; however, very few studies are available on the application of phages for infection control in hospitals. Here, we performed a 3-year prospective intervention study using aerosolized phage cocktails as biocontrol agents against carbapenem-resistant Acinetobacter baumannii (CRAB) infection in the hospital. When a CRAB-infected patient was identified in an intensive care unit (ICU), their surrounding environment was chosen for phage aerosol decontamination. Before decontamination, 501 clinical specimens from the patients were subjected to antibiotic resistance analysis and phage typing. The optimal phage cocktails were a combination of different phage families or were constructed by next-evolutionary phage typing with the highest score for the host lysis zone to prevent the development of environmental CRAB phage resistance. The phage infection percentage of the antibiotic-resistant A. baumannii strains was 97.1%, whereas the infection percentage in the antibiotic-susceptible strains was 79.3%. During the phage decontamination periods from 2017 to 2019, the percentage of carbapenem-resistant A. baumannii in test ICUs decreased significantly from 65.3% to 55%. The rate of new acquisitions of CRAB infection over the three years was 4.4 per 1000 patient-days, which was significantly lower than that in the control wards (8.9 per 1000 patient-days) where phage decontamination had never been performed. In conclusion, our results support the potential of phage cocktails to decrease CRAB infection rates, and the aerosol generation process may make this approach more comprehensive and time-saving.

Effect of Different Fertilizations on the Plant-Available Nitrogen in Soil Profile (0-100 cm): A Study on Chinese Cabbage.

The aim of this study is to analyze the variations in the plant-available nitrogen (PAN) concentrations in the soil profile. Different fertilizers were applied for Chinese cabbage plantation (CCP) in the experimental fields of the Shunyi region. The treatments used for the comparative analysis are (i) no fertilizer and plantation (NVP), (ii) no fertilizer with CCP (CTP), (iii) fertilization as urea (URP), and (iv) potassium nitrate (KNP) and chicken manure (CMP) with CCP. It was concluded that the yield was significantly high in URP, CMP, and KNP as compared to CTP. In URP, maximum PAN in soil layers 0-60 cm was recorded during crop production and in 60-100 cm after harvesting as compared to other treatments. Significant variations in soil pH and electrical conductivity (EC) for the soil profile (0-100 cm) from the initial values with respect to time and treatments were observed. CMP showed maximum ammonium in the upper layers of 0-60 cm throughout the season, whereas minimum PAN was observed in NVP but increased in lower layers of 60-100 cm. In general, all fertilizers raised the PAN below the soil 60-100 cm which indicates their potential for nitrate leaching (NL).

The influence of soil acidification on N2O emissions derived from fungal and bacterial denitrification using dual isotopocule mapping and acetylene inhibition.

Denitrification, as both origins and sinks of N2O, occurs extensively, and is of critical importance for regulating N2O emissions in acidified soils. However, whether soil acidification stimulates N2O emissions, and if so for what reason contributes to stimulate the emissions is uncertain and how the N2O fractions from fungal (ffD) and bacterial (fbD) denitrification change with soil pH is unclear. Thus, a pH gradient (6.2, 7.1, 8.7) was set via manipulating cropland soils (initial pH 8.7) in North China to illustrate the effect of soil acidification on fungal and bacterial denitrification after the addition of KNO3 and glucose. For source partitioning, we used and compared SP/δ18O mapping approach (SP/δ18O MAP) and acetylene inhibition technique combined isotope two endmember mixing model (AIT-IEM). The results showed significantly higher N2O emissions in the acidified soils (pH 6.2 and pH 7.1) compared with the initial soil (pH 8.7). The cumulative N2O emissions during the whole incubation period (15 days) ranged from 7.1 mg N kg-1 for pH 8.7-18.9 mg N kg-1 for pH 6.2. With the addition of glucose, relative to treatments without glucose, this emission also increased with the decrement of pH values, and were significantly stimulated. Similarly, the highest N2O emissions and N2O/(N2O + N2) ratios (rN2O) were observed in the pH 6.2 treatment. But the difference was the highest cumulative N2O + N2 emissions, which were recorded in the pH 7.1 treatment based on SP/δ18O MAP. Based on both approaches, ffD values slightly increased with the acidification of soil, and bacterial denitrification was the dominant pathway in all treatments. The SP/δ18O MAP data indicated that both the rN2O and ffD were lower compared to AIT-IEM. It has been known for long that low pH may lead to high rN2O of denitrification and ffD, but our documentation of a pervasive pH-control of rN2O and ffD by utilizing combined SP/δ18O MAP and AIT-IEM is new. The results of the evaluated N2O emissions by acidified soils are finely explained by high rN2O and enhanced ffD. We argue that soil pH management should be high on the agenda for mitigating N2O emissions in the future, particularly for regions where long-term excessive nitrogen fertilizer is likely to acidify the soils.

Role of key-stone microbial taxa in algae amended soil for mediating nitrogen transformation.

Although the plant-growth promotion by algae have been studied comprehensively, their impacts on indigenous soil microbiome remain largely unexplored. Herein we conducted a greenhouse experiment to investigate the changes in soil properties and corresponding microbial communities (bacterial, fungal and protists) after 2-year application of algae and their dynamic variation within 60 days immediately after algae addition. In comparison with Control treatment, the impact of algae on soil properties and microbial communities was huge, especially the content of nitrate was decreased however soluble organic nitrogen (SON) was increased. The increased copies of nifH gene suggested the improved potential of nitrogen fixation in algae treated soil. By constructing multitrophic ecological network, soil microorganisms were divided into several modules, and two key-stone microbial taxa (module 1 and 2) showed strong associations with the content of nitrate and SON. With addition of algae, the abundance of most microbial taxa was decreased and increased in module 1 and module 2, respectively. Particularly, module 1 and module 2 were proved to be taxonomically and functionally comprised of different microbes. Moreover, random forest analysis and structural equation model indicated that the key-stone microbial taxa were more important factors affecting the content of nitrate and SON than algae, bacterial, fungal and protistan communities and the influence of algae on soil nitrogen cycling mostly depended on their indirect effects via module 1 and 2.

Performance verification of five commercial RT-qPCR diagnostic kits for SARS-CoV-2.

BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has caused a global pandemic beginning in 2020, can be detected by reverse-transcription polymerase chain reaction (RT-PCR). However, owing to the urgent need for a large number of detection kits, the time spent researching and developing these kits has been shortened during the pandemic, and the kits that are being used commercially have not undergone full and independent evaluation. To ensure the accuracy of SARS-CoV-2 test results, performance verification of commercial Real-Time quantitative PCR (RT-qPCR) kits is required. METHODS: The performance of five commercial RT-qPCR diagnostic kits for SARS-CoV-2 used in China was evaluated using a coronavirus disease 2019 (COVID-19) RNA liquid performance verification reference product-manufactured by Guangzhou Bondson (BDS) Biotechnology Co., Ltd.,Guangzhou, China-that uses droplet digital RT-PCR technology combined with fluorescence quantitative PCR. The five kits of Novel Coronavirus 2019-nCoV nucleic acid detection kit (RT-qPCR method) evaluated were Da An (Da An Gene Co., Ltd. of Sun Yat-sen University), Liferiver (Shanghai ZJ Bio-Tech Co., Ltd.), Kinghawk (Beijing Kinghawk Pharmaceutical Co., Ltd.), eDiagnosis (Wuhan Easy Diagnosis Biomedicine Co., Ltd.), and Maccura (Maccura Biotechnology Co., Ltd.). Performance verification criteria included the coincidence rate, limit of detection (LoD), cross-reactivity, precision, and anti-interference. Finally, through the BDS performance verification reference product kit, clinical samples are used to verify its clinical diagnostic efficacy. RESULTS: The coincidence rate was 100% for all kits except for Kinghawk, which was 95%. The LoD for Da An, eDiagnosis and Maccura was 250copies/mL, and it was 1000 copies/ml for Liferiver. Kinghawk was not able to detect its advertised LoD of 500 copies/ml. The cross-reactivity test results were all negative. Moreover, all kits had a coefficient of variation less than 5%; however, Liferiver showed the best precision. Da An, Liferiver, and eDiagnosis showed higher sensitivity to the nucleocapsid (N) gene than they did to the open reading frame (ORF) 1ab genes. Anti-interference results for all five kits were positive. The results of clinical diagnostic efficacy were that the specificity of the four kits was 1.000 (0.877-1.000), the sensitivity of Da An was 1.000 (0.850-1.000), Liferiver was 0.964 (0.798-0.998), Maccura was 0.893 (0.706-0.972), and eDiagnosis was 0.857 (0.664-0.953). CONCLUSIONS: All commercial RT-qPCR diagnostic kits for SARS-CoV-2 passed the BDS performance verification, except for Kinghawk (batch No:20200608113) which failed to detect the LoD of 500 copies/mL. Da An and Liferiver have excellent clinical diagnostic specificity and sensitivity. This study can provide guidance for the selection or optimization of RT-qPCR diagnostic test kits for SARS-CoV-2.