A Trial of Lopinavir-Ritonavir in Adults Hospitalized with Severe Covid-19.

BACKGROUND: No therapeutics have yet been proven effective for the treatment of severe illness caused by SARS-CoV-2. METHODS: We conducted a randomized, controlled, open-label trial involving hospitalized adult patients with confirmed SARS-CoV-2 infection, which causes the respiratory illness Covid-19, and an oxygen saturation (Sao2) of 94% or less while they were breathing ambient air or a ratio of the partial pressure of oxygen (Pao2) to the fraction of inspired oxygen (Fio2) of less than 300 mm Hg. Patients were randomly assigned in a 1:1 ratio to receive either lopinavir-ritonavir (400 mg and 100 mg, respectively) twice a day for 14 days, in addition to standard care, or standard care alone. The primary end point was the time to clinical improvement, defined as the time from randomization to either an improvement of two points on a seven-category ordinal scale or discharge from the hospital, whichever came first. RESULTS: A total of 199 patients with laboratory-confirmed SARS-CoV-2 infection underwent randomization; 99 were assigned to the lopinavir-ritonavir group, and 100 to the standard-care group. Treatment with lopinavir-ritonavir was not associated with a difference from standard care in the time to clinical improvement (hazard ratio for clinical improvement, 1.31; 95% confidence interval [CI], 0.95 to 1.80). Mortality at 28 days was similar in the lopinavir-ritonavir group and the standard-care group (19.2% vs. 25.0%; difference, -5.8 percentage points; 95% CI, -17.3 to 5.7). The percentages of patients with detectable viral RNA at various time points were similar. In a modified intention-to-treat analysis, lopinavir-ritonavir led to a median time to clinical improvement that was shorter by 1 day than that observed with standard care (hazard ratio, 1.39; 95% CI, 1.00 to 1.91). Gastrointestinal adverse events were more common in the lopinavir-ritonavir group, but serious adverse events were more common in the standard-care group. Lopinavir-ritonavir treatment was stopped early in 13 patients (13.8%) because of adverse events. CONCLUSIONS: In hospitalized adult patients with severe Covid-19, no benefit was observed with lopinavir-ritonavir treatment beyond standard care. Future trials in patients with severe illness may help to confirm or exclude the possibility of a treatment benefit. (Funded by Major Projects of National Science and Technology on New Drug Creation and Development and others; Chinese Clinical Trial Register number, ChiCTR2000029308.).

Synthesis and Reactivity of a Zinc Diazoalkyl Complex: [3+2] Cycloaddition Reaction with Carbon Monoxide.

This work reports the synthesis, characterization, and reactivity of the first example of a well-defined zinc α-diazoalkyl complex. Treatment of zinc(I)-zinc(I) bonded compound L2 Zn2 [L=CH3 C(2,6-i Pr2 C6 H3 N)CHC(CH3 )(NCH2 CH2 PPh2 )] or zinc(II) hydride LZnH with trimethylsilyldiazomethane affords zinc diazoalkyl complex LZnC(N2 )SiMe3 . This complex liberates N2 in the presence of a nickel catalyst to form an α-zincated phosphorus ylide by reacting with the pendant phosphine. It selectively undergoes formal [3+2] cycloaddition with CO2 or CO to form the corresponding product with a five-membered heterocyclic core. Notably, the use of CO in such a [3+2] cycloaddition reaction is unprecedented, reflecting a novel CO reaction mode.

A Planar Nickelaspiropentane Complex with Magnesium-Based Metalloligands: Synthesis, Structure, and Synergistic Dihydrogen Activation.

The nature of transition-metal-olefin bonding has been explained by the Dewar-Chatt-Duncanson model within a continuum of two extremes, namely, a π-complex and a metallacyclopropane. The textbook rule suggests that a low-spin late-transition-metal-ethylene complex more likely forms a π-complex rather than a metallacyclopropane. Herein, we report a low-spin late-transition-metal-bis-ethylene complex forming an unprecedented planar metalla-bis-cyclopropane structure with magnesium-based metalloligands. Treatment of LMgEt (L = [(DippNCMe)2CH]-, Dipp = 2,6-iPr2C6H3) with Ni(cod)2 (cod = 1,5-cyclooctadiene) formed the heterotrimetallic complex (LMg)2Ni(C2H4)2, which features a linear Mg-Ni-Mg linkage and a planar coordination geometry at the nickel center. Both structural features and computational studies strongly supported the Ni(C2H4)2 moiety as a nickelaspiropentane. The exposure of (LMg)2Ni(C2H4)2 to 1 bar H2 at room temperature produced a four-hydride-bridged complex (LMg)2Ni(µ-H)4. The profile of H2 activation was elucidated by density functional theory calculations, which indicated a novel Mg/Ni cooperative activation mechanism with no oxidation occurring at the metal center, differing from the prevailing mono-metal-based redox mechanism. Moreover, the heterotrimetallic complex (LMg)2Ni(C2H4)2 catalyzed the hydrogenation of a wide range of unsaturated substrates under mild conditions.

Persistent Currents in Rings of Ultracold Fermionic Atoms.

We have produced persistent currents of ultracold fermionic atoms trapped in a ring, with lifetimes greater than 10 sec in the strongly interacting regime. These currents remain stable well into the BCS regime at sufficiently low temperature. We drive a circulating BCS superfluid into the normal phase and back by changing the interaction strength and find that the probability for quantized superflow to reappear is remarkably insensitive to the time spent in the normal phase and the minimum interaction strength. After ruling out spontaneous current formation for our experimental conditions, we argue that the reappearance of superflow is due to weak damping of normal currents in this limit. These results establish that ultracold fermionic atoms with tunable interactions can be used to create matter-wave circuits similar to those previously created with weakly interacting bosonic atoms.

Synthesis and Reactivity of Triangular Heterometallic Complexes Containing Zn-Zn Bond.

This work provides a facile access to a series of triangular [Zn2M] (M = group 10 and 11 metals) clusters. Treatment of Zn-Zn-bonded compounds [LZn-ZnL] (L = CH3C(2,6-iPr2C6H3N)CHC(CH3)(NCH2CH2PR2); R = Ph, iPr) with zero-valent transition-metal reagents selectively afforded the corresponding triangular clusters [Zn2M], where M = Ni(0), Pd(0), and Pt(0). Notably, the isoelectronic triangular clusters [Zn2M]+, where M = Ag(I) and Cu(I), could also be obtained by reactions of [LZn-ZnL] with AgOTf and CuOTf, respectively. The [Zn2Ag]+ complex containing elusive Zn-Ag bonds was investigated by density functional theory analysis, showing a 3c-2e bonding feature in the metallic ring. The electrochemical behaviors of [Zn2M] complexes were examined and revealed the donation of electron density from the Zn-Zn σ-bond to the metal centers. Reaction of the [Zn2Ni] complex with isocyanide gave heterometallic species by coordination of isocyanide to the nickel center, keeping the trimetallic ring core structure intact. In contrast, the Zn-Zn bond was rapidly cleaved upon treatment of the [Zn2Ni] complex with dihydrogen or phenyl acetylene, generating the hydride- or acetylide-bridged heterotrimetallic complex.

The impact of laryngopharyngeal reflux disease on 95 hospitalized patients with COVID-19 in Wuhan, China: A retrospective study.

Studies have demonstrated that comorbidities, especially cardiovascular and endocrine diseases, correlated with poorer clinical outcomes. However, the impact of digestive system diseases has not been issued. The aim of this study is to determine the impact of laryngopharyngeal reflux disease (LPRD) on hospitalized patients with coronavirus disease 2019 (COVID-19). We extracted clinical data regarding 95 patients in Wuhan Jinyintan Hospital, Wuhan, China, between 26 January and 21 February 2020. The Reflux Symptom Index (RSI) was used to assess the presence and severity of LPRD. An RSI greater than 13 is considered to be abnormal. A total of 95 patients with COVID-19 were enrolled, with 61.1% (58/95), 32.6% (31/95), and 6.3% (6/95) being moderately ill, severely ill, and critically ill, respectively. In this study, 38.9% (37/95) of the patient had an RSI score over 13, which was indicative of LPRD. In univariable analysis, the age and RSI scores of severely or critically ill patients were statistically significantly higher than patients with moderate disease (P = .026 and P = .005, respectively). After controlling for age difference in a multivariable model, the RSI greater than 13, compared to RSI equal to 0, was associated with significantly higher risk of severe infection (P < .001; odds ratio [OR] = 11.411; 95% confidence interval [CI], 2.95-42.09) and critical infection (P = .028; OR= 19.61; 95% CI, 1.38-277.99). Among hospitalized patients with COVID-19, RSI scores greater than 13, indicative of LPRD, correlated with poorer clinical outcomes. The prevalence of LPRD may be higher than the general population, which indicated that COVID-19 can impair the upper esophageal sphincter and aggravate reflux.

Corticosteroid therapy for coronavirus disease 2019-related acute respiratory distress syndrome: a cohort study with propensity score analysis.

BACKGROUND: The impact of corticosteroid therapy on outcomes of patients with coronavirus disease 2019 (COVID-19) is highly controversial. We aimed to compare the risk of death between COVID-19-related ARDS patients with corticosteroid treatment and those without. METHODS: In this single-center retrospective observational study, patients with ARDS caused by COVID-19 between January 20, 2020, and February 24, 2020, were enrolled. The primary outcome was 60-day in-hospital death. The exposure was prescribed systemic corticosteroids or not. Time-dependent Cox regression models were used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for 60-day in-hospital mortality. RESULTS: A total of 382 patients [60.7 ± 14.1 years old (mean ± SD), 61.3% males] were analyzed. The median of sequential organ failure assessment (SOFA) score was 2.0 (IQR 2.0-3.0). Of these cases, 94 (24.6%) patients had invasive mechanical ventilation. The number of patients received systemic corticosteroids was 226 (59.2%), and 156 (40.8%) received standard treatment. The maximum dose of corticosteroids was 80.0 (IQR 40.0-80.0) mg equivalent methylprednisolone per day, and duration of corticosteroid treatment was 7.0 (4.0-12.0) days in total. In Cox regression analysis using corticosteroid treatment as a time-varying variable, corticosteroid treatment was associated with a significant reduction in risk of in-hospital death within 60 days after adjusting for age, sex, SOFA score at hospital admission, propensity score of corticosteroid treatment, comorbidities, antiviral treatment, and respiratory supports (HR 0.42; 95% CI 0.21, 0.85; p = 0.0160). Corticosteroids were not associated with delayed viral RNA clearance in our cohort. CONCLUSION: In this clinical practice setting, low-dose corticosteroid treatment was associated with reduced risk of in-hospital death within 60 days in COVID-19 patients who developed ARDS.

Metagenomic analysis of soil microbial community under PFOA and PFOS stress.

Perfluorinated compounds (PFCs) contamination of soil has attracted global attention in recent years but influences of PFCs on microorganisms in the soil environment have not been fully described. In this study, the effects of perfluorooctane sulphonate (PFOS) and perfluoroctanoic acid (PFOA) on bacterial communities were determined by Illumina Miseq sequencing and Illumina Hiseq Xten. The stimulation of PFCs pollutants on soil bacterial richness and community diversity were observed. Sequencing information indicated that Proteobacteria, Acidobacteria, Actinobacteria, Chloroflexi, Firmicutes, and Gemmatimonadetes were the dominant bacterial phyla. Two genera, Bacillus and Sphingomonas, exhibited adverse responses toward PFCs pollution. Carbohydrate-active enzymes (CAZy), Kyoto Encyclopedia of Genes and Genomes (KEGG) and NCBI databases were used to elucidate the proteins and function action of soil microbial to PFCs pollution. Pathways such as Carbohydrate metabolism, Global and overview maps and Membrane transport in the soil microbes were affected by PFCs stress. CAZy analysis revealed that glycosyl transferases (GTs) in PFCs-polluted soils showed more active, while glycoside hydrolases (GHs) were inhibited severely.

Gold(I)-Catalyzed Cyclization/Carbonylation Cascade Reaction of 1,6-Diynes: An Access to ß,γ-Unsaturated Ketones.

A gold-catalyzed cyclization/carbonylation cascade reaction of 1,6-diynes is reported. The reaction goes through 6-exo-dig and 6-endo-dig cyclizations in sequence, followed by hydration to provide the ß,γ-unsaturated ketones with moderate to high yields under mild reaction conditions. This is the first example of intercepting the postulated 1,3-oxazine vinylgold intermediate with another pendant alkyne, which not only verifies the proposed mechanism but also provides the ketone products with cyclized 1,2,3,6-tetrahydropyridine or 3,6-dihydro-2H-pyran frameworks from corresponding diynes.

Effect of protein-polysaccharide hybrid gelator system on the material properties and 3D extrusion printability of mashed potatoes.

Mashed potatoes (MP) are famous as ready-to-eat products due to their excellent taste and texture. Problems such as complex injection occur when MP is used as a 3D printing material. To improve the smoothness of MP loading into a 3D syringe barrel and its 3D extrusion printability, the effects of the protein-polysaccharide hybrid gelator developed with different gelatin-B (GB, 2%, 4%, 6%) and κ-carrageenan (KG, 1%) on the rheology and 3D extrusion printability of MP were studied. The rheological results showed that the MP developed a glass transition temperature by adding the hybrid gelator. Adding 1% KG+6% GB (w/w, dry base) to the hybrid gelator has good shear thinning and self-supporting properties and showed the best geometric accuracy. In the extrusion stage, the yield stress, the consistency index (K), and the flow behavior index (n) of MP were 470.69 Pa, 313.48 Pa·sn, and 0.159, respectively. In the recovery stage, the shear recovery time is 30 s. In the self-supporting stage, the storage modulus and loss modulus are significantly higher than those of other groups and have the strongest mechanical properties. Moreover, water distribution, Fourier transform infrared spectroscopy, X-ray diffraction analysis, and microstructure of printed MP with different hybrid gelators were observed. The addition of hybrid gelators reduced the content of free water in MP. Hybrid gelators did not produce new functional groups in the printed materials and did not change the structure of starch. These results provide new insights for applying protein and polysaccharide hybrid gelators in 3D printing.

EEG feature selection method based on maximum information coefficient and quantum particle swarm.

To reduce the dimensionality of EEG features and improve classification accuracy, we propose an improved hybrid feature selection method for EEG feature selection. First, MIC is used to remove irrelevant features and redundant features to reduce the search space of the second stage. QPSO is then used to optimize the feature in the second stage to obtain the optimal feature subset. Considering that both dimensionality and classification accuracy affect the performance of feature subsets, we design a new fitness function. Moreover, we optimize the parameters of the classifier while optimizing the feature subset to improve the classification accuracy and reduce the running time of the algorithm. Finally, experiments were performed on EEG and UCI datasets and compared with five existing feature selection methods. The results show that the feature subsets obtained by the proposed method have low dimensionality, high classification accuracy, and low computational complexity, which validates the effectiveness of the proposed method.

Retrospective study of influencing factors on the outcomes of luteal phase stimulation in patients with dual stimulation.

Background: Dual/double stimulation (DS) is an ovarian stimulation strategy that has emerged in recent years; it is characterized by two rounds of ovarian stimulation and oocyte retrieval in the same menstrual cycle. DS can greatly shorten the time required to obtain valid embryos in assisted reproduction. For fertility preservation, DS can speed up oocyte storage process. However, factors influencing luteal phase ovarian stimulation (LPS) outcomes in DS have not been elucidated. Methods: A total of 156 cycles from 78 cases were studied. Patients were grouped and analyzed according to their follicular phase ovarian stimulation (FPS) types. Female ages, ovarian stimulation protocols, number of oocytes retrieved, embryo quality were recorded. Comparisons of outcomes were conducted between different groups. Results: Our study found that LPS obtained similar outcomes to follicular phase stimulation (FPS), and that the choice of FPS protocol affected the efficiency of LPS, the antagonist protocol and progestin-primed ovarian stimulation (PPOS) protocol resulted in better embryo outcomes in LPS. In LPS of DS, sufficient stimulation duration was the guarantee of embryo quality (number of available embryos: ß = 0.145, 95% CI [0.078-0.211], P = 0.000; number of high-quality embryos: ß = 0.114, 95% CI [0.057-0.171], P = 0.000). Discussion: This study provided ideas for the precise use of DS. We suggest to further expand the sample size of DS in the future, conduct prospective controlled studies, unify the sample size of each subgroup, include the ovarian reserve of patients in the grouping basis, and exclude the influence of male factors. We hope that this study will help further refinement of DS so as to maximize patient benefits from it. Conclusion: When the DS strategy is considered in the follicular phase, the antagonist protocol and PPOS protocol are more recommended for better embryo outcomes in LPS. During LPS, adequate ovarian stimulation duration is the most important guarantee for LPS efficiency.

Paeonol alleviates ulcerative colitis in mice by increasing short-chain fatty acids derived from Clostridium butyricum.

BACKGROUND: Increasing evidence suggests that repairing the damaged intestinal epithelial barrier and restoring its function is the key to solving the problem of prolonged ulcerative colitis. Previous studies have shown that paeonol (pae) can alleviate colitis by down-regulating inflammatory pathways. In addition, pae also has a certain effect on regulating intestinal flora. However, it remains unclear whether pae can play a role in repairing the intestinal barrier and whether there is a relationship between the therapeutic effect and the gut microbiota. PURPOSES: The aim of this study is to investigate the effect of pae on intestinal barrier repair in UC mice and how the gut microbiota plays a part in it. STUDY DESIGN AND METHODS: The therapeutic effect of pae was evaluated in a 3% DSS-induced UC mouse model. The role of pae in repairing the intestinal barrier was evaluated by detecting colonic cupped cells by Alcian blue staining, the expression of colonic epithelial tight junction protein by immunofluorescence and western blot, and the proportion of IL-22+ILC3 cells in the lamina propria lymphocytes by flow cytometry. Subsequently, 16S rRNA sequencing was used to observe the changes in intestinal flora, GC-MS was used to detect the level of SCFAs, and qPCR was used to identify the abundance of Clostridium butyricum in the intestine to evaluate the effect of pae on the gut microbiota. The antibiotic-mediated depletion of the gut flora was then used to verify that pae depends on C. butyricum to play a healing role. Finally, non-targeted metabolomics was employed to investigate the potential pathways of pae regulating C. butyricum. RESULTS: Pae could improve intestinal microecological imbalance and promote the production of short-chain fatty acids (SCFAs). Most importantly, we identified C. butyricum as a key bacterium responsible for the intestinal barrier repair effect of pae in UC mice. Eradication of intestinal flora by antibiotics abolished the repair of the intestinal barrier and the promotion of SCFAs production by pae, while C. butyricum colonization could restore the therapeutic effects of pae in UC mice, which further confirmed that C. butyricum was indeed the "driver bacterium" of pae in UC treatment. Untargeted metabolomics showed that pae regulated some amino acid metabolism and 2-Oxocarboxylic acid metabolism in C. butyricum. CONCLUSIONS: Our study showed that the restoration of the impaired intestinal barrier by pae to alleviate colitis is associated with increased C. butyricum and SCFAs production, which may be a promising strategy for the treatment of UC.

Simultaneous determination of 13 components in oxidative hair dyes by high-performance chromatography using an ion-pair reagent.

A reliable high-performance liquid chromatography (HPLC) method was developed for the simultaneous determination of 13 dye intermediates, including benzenediamines, aminophenols, benzenediols, naphthalenediol, and diaminopyridine, in oxidative hair dyes. Samples were extracted with 50% ethanol by adding sodium dithionite to prevent oxidation. The influences of buffer type, buffer pH, ion-pair reagent, and elution gradient were studied. A C18 column with aqueous compatibility and acetonitrile-citric acid mobile phase system (pH 2.6) with sodium 1-octanesulfonate as ion-pair reagent were selected for the separation of target compounds. Detection was performed by a diode array detector, (DAD) and two different wavelengths (280 and 331 nm) were used for quantification. Results showed that 13 dye intermediates got good separation within 25 min. The detection limits of these compounds were in the range of 0.2-2 mg/l. The calibration curves were linear within 2-500 mg/l with 0.999 as a typical correlation coefficient. The recoveries of target compounds in hair dyes ranged from 81.7% to 102.0% with four addition levels. The method described was validated by five different laboratories and successfully applied to the analysis of commercial oxidative hair dyes.

Synthesis and reactivity of heterometallic complexes containing Mg- or Zn-metalloligands.

Heteronuclear metal complexes comprising main group metals and transition metals have attracted widespread attention from researchers due to their applications in stoichiometric and catalytic activation of small molecules with possible cooperative effects. Herein, the advances of heterometallic complexes containing Mg- or Zn-metalloligands over the past ten years are reviewed. They consist of two parts: (i) synthetic approaches to heterometallic complexes. Only a brief discussion is made on the different Mg/Zn precursors since they have been summarized before. (ii) Stoichiometric and catalytic reactivities of heterometallic complexes containing Mg/Zn metalloligands. The exploration of the cooperative catalytic reaction of heterometallic complexes is still in its infancy, promising but challenging; thus, further investigations are required in the future.

Removal of PFASs from water by carbon-based composite photocatalysis with adsorption and catalytic properties: A review.

Per- and polyfluoroalkyl substances (PFASs) are a class of persistent organic pollutants widely distributed in aquatic environments. The adsorption and photocatalytic methods have been widely used to remove PFASs in water because of their respective advantages. Still, they have apparent defects when used alone. Therefore, the adsorption and photocatalytic technologies are combined through suitable preparation methods, and the excellent properties of the two are used to synergize the treatment of organic pollutants. This strategy of "concentrating" pollutants and then degrading them in a centralized manner plays an essential role in removing trace PFASs. Nevertheless, a review focusing on this kind of adsorption photocatalyst system is lacking. This review will fill this gap and provide a reference for developing a carbon-based composite photocatalyst. Firstly, different carbon-based composite photocatalysts are reviewed in detail, focusing on the differences in various composite materials' excellent adsorption and catalytic properties. Secondly, the factors influencing the removal effect of carbon-based composite photocatalysts are discussed. Thirdly, the removal mechanism of carbon-based composite photocatalysts is summarized in detail. The removal process involves two steps: adsorption and photodegradation. The adsorption process involves multiple cooperative adsorption mechanisms, and photocatalytic degradation includes oxidative and reductive degradation. Fourthly, the comparison of adsorption-photocatalysis with common treatment techniques (including removal rate, range of adaptation, cost, and the possibility of expanding application) is summarized. Finally, the prospects of carbon-based composite photocatalysts for repairing PFASs are given by evaluating the performance of different composites.

Hot extrusion 3D printing technologies based on starchy food: A review.

Three-dimensional (3D) printing is a new technique used to construct complex geometric forms for personalized nutrition and customization. With good rheological and gelling properties, starch materials have great potential in the 3D printed food industry. The successful printing of materials depends on various aspects, and current researches have focused on discussing the influence of the rheological properties of starch materials on printing, while the researches on the printing characteristics with other starch properties, material processing methods, printing process parameters are still insufficient. This review mainly focuses on the relationship between the material properties of starch foods and hot extrusion 3D printing, discussing the influence of material properties (rheology, adhesiveness, thermal properties, microstructure and component interaction) on the feasibility of printing. In addition, the effects of additives (hydrocolloids, lipids, fiber, protein, salt and other), processing methods, and process parameters (nozzle diameter, print height, print speed, and throughput) on printing are reviewed.

A review of responses of terrestrial organisms to perfluorinated compounds.

Perfluorinated compounds (PFCs) are a class of persistent organic pollutants with widespread distribution in the environment. Since the soil environment has become a significant sink for PFCs, the toxicological assessment about their potential effects on terrestrial organisms is necessary. This review compiles the toxicity researches of regular and emerging PFCs on classical terrestrial biota i.e. microorganisms, earthworms, and plants. In the soil environment, the bioavailability of PFCs much depends on their adsorption in soil, which is affected by soil properties and PFCs structure. By the exploration of bacterial community richness and structure, the gene expression, the influences of PFCs on soil microorganisms were revealed; while the plants and earthworms manifested the PFCs disruption not only through macroscopic indicators, but also from molecular and metabolite responses. Basically, the addition of PFCs would accelerate the production of reactive oxygen species (ROS) in terrestrial organisms, while the excessive ROS could not be eliminated by the defense system causing oxidative damage. Nowadays, the PFCs toxic mechanisms discussed are limited to a single strain, Escherichia coli; thus, the complexity of the soil environment demands further in-depth researches. This review warrants studies focus on more potential quantitative toxicity indicators, more explicit elaboration on toxicity influencing factors, and environmentally relevant concentrations to obtain a more integrated picture of PFCs toxicity on terrestrial biota.

Nickel-catalyzed synthesis of Zn(I)-Zn(I) bonded compounds.

This work reports the first catalyzed synthesis of d-block metal-metal bonded complexes. The treatment of terminal zinc hydrides [LZnH] [L = CH3C(2,6-iPr2C6H3N)CHC(CH3)(N(CH2)nCH2PR2); n = 1, 2; R = Ph, iPr] in the presence of 5 mol% Ni(CO)2(PPh3)2 afforded Zn(I)-Zn(I) bonded compounds [L2Zn2] in high isolated yields with concomitant elimination of dihydrogen. Stoichiometric reactions, kinetic studies and DFT calculations were conducted to elucidate the reaction mechanism.

Risk factors for disease severity in COVID-19 patients: A single-center retrospective study.

Background: The outbreak of coronavirus disease 2019 (COVID-19) has posed a huge threat to human health. However, little is known regarding the risk factors associated with COVID-19 severity. We aimed to explore early-stage disease risk factors associated with eventual disease severity. Methods: This study enrolled 486 hospitalized, non-intensive care unit (ICU)-admitted adult patients with COVID-19 (age ≥ 18 years) treated at Wuhan Jinyintan Hospital, who were divided into three groups according to disease severity. The demographic, clinical, and laboratory data at admission and clinical outcomes were compared among severity groups, and the risk factors for disease severity were identified by multiple regression analysis. Results: Of 486 patients with COVID-19, 405 (83.33%) were discharged, 33 (6.71%) died outside of the ICU, and 48 (7.20%) were still being treated in the ICU by the time the study period ended. Significant differences in age, lymphocyte counts, and the levels of procalcitonin, aspartate aminotransferase, and D-dimer (P < 0.001 for all) among the three groups. Further analysis showed that older age, decreased lymphocyte counts, and increased procalcitonin, aspartate aminotransferase, and D-dimer levels were significantly associated with disease progression. Conclusion: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may impair the immune system, the blood coagulation system, and hepatic and cardiac function. Some clinical characteristics and laboratory findings can help identify patients with a high risk of disease severity, which can be significant for appropriate resource allocation during the COVID-19 pandemic.