Tuning Electrocatalytic Activities of Dealloyed Nanoporous Catalysts by Macroscopic Strain Engineering.

It is technically challenging to quantitatively apply strains to tune catalysis because most heterogeneous catalysts are nanoparticles, and lattice strains can only be applied indirectly via core-shell structures or crystal defects. Herein, we report quantitative relations between macroscopic strains and hydrogen evolution reaction (HER) activities of dealloyed nanoporous gold (NPG) by directly applying macroscopic strains upon bulk NPG. It was found that macroscopic compressive strains lead to a decrease, while macroscopic tensile strains improve the HER activity of NPG, which is in line with the d-band center model. The overpotential and onset potential of HER display approximately a linear relation with applied macroscopic strains, revealing an ∼2.9 meV decrease of the binding energy per 0.1% lattice strains from compressive to tensile. The methodology with the high strain sensitivity of electrocatalysis, developed in this study, paves a new way to investigate the insights of strain-dependent electrocatalysis with high precision.

Construction of Fe/Co-N4 Single-Atom Sites for the Oxygen Reduction Reaction in Zinc-Air Batteries.

Insight into the modulation effect of oxygen reduction reaction (ORR) active centers is of profound significance but remains a great challenge. Here, we designed Co, Fe dual-metal single-atom sites (CoFe-DSAs/NC) uniformly anchored on nitrogen-doped multiwalled carbon nanotubes for boosting ORR performance through regulating the 4d electronic orbitals of the Co-N4 active site. Mechanism studies revealed that for the first time the neighboring Fe-N4 atomic sites were able to regulate the d-band center of Co-N4 single-atom active centers while maintaining the balance of adsorption-desorption affinity for O2 and oxygen-containing species on Co-N4, thereby resulting in a superior ORR performance with a positive half-wave potential (0.90 V vs RHE). The assembled zinc-air battery based on CoFe-DSAs/NC exhibited an increased open-circuit voltage (1.48 V) and an elevated specific capacity (782.33 mAh·g-1). The work provides a new clue for reasonably designing high-performance ORR catalysts through adjusting the d-band center of active sites.

In-Sb Covalent Bonds over Sb2Se3/In2Se3 Heterojunction for Enhanced Photoelectrochemical Water Splitting.

Antimony selenide is a promising P-type photocatalyst, but it has a large number of deep energy level defects, leading to severe carrier recombination. The construction of a heterojunction is a common way to resolve this problem. However, the conventional heterojunction system inevitably introduces interface defects. Herein, we employ in situ synthesis to epitaxially grow In2Se3 nanosheets on Sb2Se3 nanorods and form In-Sb covalent interfacial bonds. This petal-shaped heterostructure reduced interface defects and enhanced the efficiency of carrier separation and transport. In this work, the photocurrent density in the proposed Sb2Se3/In2Se3 photocathode is 0.485 mA cm-2 at 0 VRHE, which is 30 times higher than that of pristine Sb2Se3 and it has prominent long-term stability for 24 h without obvious decay. The results reveal that the synergy of the bidirectional built-in electric field constructed between In2Se3 and Sb2Se3 and the solid In-Sb interfacial bonds together build a high-efficiency transport channel for the photogenerated carriers that display enhanced photoelectrochemical (PEC) water-splitting performance. This work provides efficient guidance for reducing interface defects via the in situ synthesis and construction of interfacial bonds.

Insights into the fate of antibiotics in constructed wetland systems: Removal performance and mechanisms.

Antibiotics have been recognized as emerging contaminants that are widely distributed and accumulated in aquatic environment, posing a risk to ecosystem at trace level. Constructed wetlands (CWs) have been regarded as a sustainable and cost-effective alternative for efficient elimination of antibiotics. This review summarizes the removal of 5 categories of widely used antibiotics in CWs, and discusses the roles of the key components in CW system, i.e., substrate, macrophytes, and microorganisms, in removing antibiotics. Overall, the vertical subsurface flow CWs have proven to perform better in terms of antibiotic removal (>78%) compared to other single CWs. The adsorption behavior of antibiotics in wetland substrates is determined by the physicochemical properties of antibiotics, substrate configuration and operating parameters. The effects of wetland plants on antibiotic removal mainly include direct (e.g., plant uptake and degradation) and indirect (e.g., rhizosphere processes) manners. The possible interactions between microorganisms and antibiotics include biosorption, bioaccumulation and biodegradation. The potential strategies for further enhancement of the antibiotic removal performance in CWs included optimizing operation parameters, innovating substrate, strengthening microbial activity, and integrating with other treatment technologies. Taken together, this review provides useful information for facilitating the development of feasible, innovative and intensive antibiotic removal technologies in CWs, as well as enhancing the economic viability and ecological sustainability.

Transition-Metal Carbides as Hydrogen Evolution Reduction Electrocatalysts: Synthetic Methods and Optimization Strategies.

With the strengths of zero carbon emission and high gravimetric energy density, hydrogen energy is recognized as a primary choice for future energy supply. Electrochemical water splitting provides a promising strategy for effective and sustainable hydrogen production through renewable electricity, and one of the immediate challenges toward its large-scale application is the availability of low-cost and efficient electrocatalysts for the hydrogen evolution reaction (HER). Given the enormous efforts in the exploration of potential transition-metal carbide (TMC) electrocatalysts, this review aims to summarize the recent advances in synthetic methods and optimization strategies of TMC electrocatalysts. Additionally, the perspectives for the development of novel efficient TMC-based catalysts are also proposed.

A porous heterostructure catalyst for oxygen evolution: synergy between IrP2nanocrystals and ultrathin P,N-codoped carbon nanosheets.

Designing efficient and robust oxygen evolution reaction (OER) electrocatalysts is of great importance for various electrochemical energy storage and conversion applications. Herein, we developed IrP2nanocrystals uniformly anchored in P,N-codoped carbon nanosheets (IrP2@PNC-NS) as highly active OER electrocatalysts. The ultrathin PNC-NS reconstructs an agaric-like porous structure, which can inhibit the agglomeration of the IrP2nanocrystals effectively. Moreover, thein-situphosphatization leads to the formation of a strong electron interaction between PNC-NS and IrP2nanocrystals, endowing the heterostructure materials with satisfying synergistic effects. Benefiting from the collaborative advantages of ideal configuration structure and favorable synergistic effects, IrP2@PNC-NS exhibits excellent OER performance with a low overpotential of 221 mV at 10 mA cm-2, and a small Tafel slope of 37.5 mV dec-1. DFT calculations reveal that the synergistic effects derived from the IrP2/PNC interfaces, which can effectively tune the activation barriers towards facilitating the oxygen evolution process. This work provides new insight into the design of heterostructure materials for advanced OER electrocatalysts.

The algicidal efficacy and the mechanism of Enterobacter sp. EA-1 on Oscillatoria dominating in aquaculture system.

The global escalation and intensification of cyanobacterial blooms require powerful algaecides. This study investigated the algicidal efficacy and mechanism of EA-1 against Oscillatoria. Bacteria EA-1, identified as Enterobacter, was isolated with high algicidal activity against harmful cyanobacteria. Results showed that a complete removal of Oscillatoria was observed within 3 days with the initial Chl-a concentration of 1.74 mg/L. Physiological responses of Oscillatoria revealed that EA-1 induced severe lipid peroxidation and the ultimate decline of antioxidant enzyme activities. Moreover, the contents for both intracellular protein and carbohydrate of each algae cell increased first and then decreased. Scanning electron microscope (SEM) and transmission electron microscopy (TEM) analysis clarified that the possible process of Oscillatoria lysis included the breach of cross wall, followed by the disruption of photosynthetic membrane and incipient nucleus, and the ultimate outflow of inclusion. Confocal laser scanning microscopy (CLSM) analysis illustrated the degradation process of incipient nucleus in Oscillatoria.

Nanoselenium transformation and inhibition of cadmium accumulation by regulating the lignin biosynthetic pathway and plant hormone signal transduction in pepper plants.

Selenium (Se) can promote the growth and resistance of agricultural crops as fertilizers, while the role of nano-selenium (nano-Se) against Cd remains unclear in pepper plants (Capsicum annuum L.). Biofortification with nano-Se observably restored Cd stress by decreasing the level of Cd in plant tissues and boosting the accumulation in biomass. The Se compounds transformed by nano-Se were primarily in the form of SeMet and MeSeCys in pepper tissues. Differential metabolites and the genes of plant signal transduction and lignin biosynthesis were measured by employing transcriptomics and determining target metabolites. The number of lignin-related genes (PAL, CAD, 4CL, and COMT) and contents of metabolites (sinapyl alcohol, phenylalanine, p-coumaryl alcohol, caffeyl alcohol, and coniferaldehyde) were remarkably enhanced by treatment with Cd1Se0.2, thus, maintaining the integrity of cell walls in the roots. It also enhanced signal transduction by plant hormones and responsive resistance by inducing the biosynthesis of genes (BZR1, LOX3, and NCDE1) and metabolites (brassinolide, abscisic acid, and jasmonic acid) in the roots and leaves. In general, this study can enable a better understanding of the protective mechanism of nano-Se in improving the capacity of plants to resist environmental stress.

The behaviors of Microcystis aeruginosa and microcystins during the Fe2+/persulfate (PS) preoxidation-coagulation and flocs storage period.

The frequent occurrence of toxin-producing cyanobacteria blooms driven by anthropogenic eutrophication has become a major threat to aquaculture ecosystems worldwide. In this study, the behavior of M. aeruginosa cells during flocs storage period of 6 days was first investigated after pre-oxidation and coagulation of Fe2+/PS. Fe2+/PS achieved a superior removal efficiency of 90.7% for OD680 and 90.4% for chl-a. The contents of extracellular MCs in the pre-oxidation and coagulation system were significantly (P < 0.05) lower than those in the control. A significant (P < 0.05) difference in intracellular protein between the control and the coagulated systems was observed. Three-dimensional fluorescence excitation emission matrix (EEM) was employed to investigate the variations in extracellular organic matter (EOM) during flocs storage. The results indicated the presence of four peaks, representing protein-like substances, intermediate dissolved microbial metabolites, fulvic and humic-like compounds in the Fe2+/PS process. And the intensities of four peaks were all decreased in the Fe2+/PS system compared to those in the control. A low level of accumulated residual Fe of 0.28 mg/L was observed without posing potential environmental risk. The results showed that the M. aeruginosa cells were under stressful conditions after 3-d storage due to the decomposition of extracellular polymeric substances (EPSs) and the insufficient supply of nutrients. However, SEM results indicated that no significant alteration in cell morphology was observed. Therefore, with high removal of M. aeruginosa, low MCs concentrations, and trivial cell damage, the Fe2+/PS preoxidation-coagulation was proved to be an environmental-friendly method for cyanobacteria removal without yielding serious secondary pollution. This work will contribute to better understanding and managing the cyanobacteria-laden aquaculture water after pre-oxidation and coagulation.

The Stabilization Effect of CO2 in Lithium-Oxygen/CO2 Batteries.

The lithium (Li)-air battery has an ultrahigh theoretical specific energy, however, even in pure oxygen (O2 ), the vulnerability of conventional organic electrolytes and carbon cathodes towards reaction intermediates, especially O2 - , and corrosive oxidation and crack/pulverization of Li metal anode lead to poor cycling stability of the Li-air battery. Even worse, the water and/or CO2 in air bring parasitic reactions and safety issues. Therefore, applying such systems in open-air environment is challenging. Herein, contrary to previous assertions, we have found that CO2 can improve the stability of both anode and electrolyte, and a high-performance rechargeable Li-O2 /CO2 battery is developed. The CO2 not only facilitates the in situ formation of a passivated protective Li2 CO3 film on the Li anode, but also restrains side reactions involving electrolyte and cathode by capturing O2 - . Moreover, the Pd/CNT catalyst in the cathode can extend the battery lifespan by effectively tuning the product morphology and catalyzing the decomposition of Li2 CO3 . The Li-O2 /CO2 battery achieves a full discharge capacity of 6628 mAh g-1 and a long life of 715 cycles, which is even better than those of pure Li-O2 batteries.

Longitudinal relations between future planning and adolescents' academic achievement in China.

INTRODUCTION: Planning for the future is important for adolescents' development and academic adaptation. Most prior research has focused primarily on the effects of future planning on adolescents' academic achievement, and there is a dearth of literature examining the effects of adolescents' academic achievement on their future planning. The current study examined the longitudinal reciprocal relations between adolescents' future planning and academic achievement in China. METHODS: The study sample consisted of 775 Chinese junior high school students (391 boys, 384 girls; Mage = 13.38 years, SD = 0.89). Future planning and academic achievement were measured at three time points that were equally spaced by a 6-month lag. Path analyses with cross-lagged effects were used to examine the longitudinal reciprocal relations between adolescents' future planning and academic achievement. RESULTS: The associations between future educational planning and academic achievement were reciprocal. Future occupational commitment predicted adolescents' academic achievement, and academic achievement predicted adolescents' affects concerning future occupation. However, there was no significant association between future occupational exploration and academic achievement. Moreover, these patterns of longitudinal relations applied equally to boys and girls, and younger and older adolescents. CONCLUSIONS: The reciprocal relations between future planning processes and academic achievement differed across domains (e.g., educational and occupational domains). These findings suggest that future planning may be a protective factor for improving adolescents' academic achievement, and high academic achievement may also be beneficial for Chinese adolescents' future planning.

Prevalence and risk factors for pulmonary arterial hypertension in end-stage renal disease patients undergoing continuous ambulatory peritoneal dialysis.

BACKGROUND: Pulmonary arterial hypertension (PAH) is a major complication in renal failure patients, but very little information is available on the cardiovascular parameters in these patients. The prevalence and risk factors for PAH were systematically evaluated in patients with end-stage renal diseases (ESRD) undergoing continuous ambulatory peritoneal dialysis (CAPD). METHODS: Between January 2010 and January 2014, 177 ESRD patients (85 males and 92 females) undergoing CAPD therapy were recruited. General data, biochemical parameters and echocardiographic findings were collected and PAH risk factors studied. RESULTS: Study participants consisted of 65 patients (36.52%) with PAH (PAH group) and 112 patients without PAH (non-PAH group). The interdialytic weight gain, systolic blood pressure and diastolic blood pressure (DBP), mean arterial pressure and hypertensive nephropathy incidence in the PAH group were significantly higher than the non-PAH group (all p < 0.05). There were significant differences between PAH group and non-PAH group in C-reactive protein-positive rate, N-terminal pro-brain natriuretic peptide (NT-proBNP), hemoglobin, prealbumin and serum albumin levels (all p < 0.05). Compared with non-PAH group, PAH group showed significant increases in right ventricular internal diameter (RVID), right ventricular outflow tract diameter (RVOTD), main pulmonary artery diameter, left atrial diameter (LAD), left ventricular end-diastolic diameter, interventricular septal thickness, left ventricular mass index, early diastolic mitral annulus velocity and valve calcification incidence (all p < 0.05), and decreased left ventricular ejection fraction (LVEF), tricuspid annulus plane systolic excursion (TAPSE) and early diastolic blood flow peak and mitral annulus velocity (E/E') (all p < 0.05). Logistic regression analysis revealed that DBP, NT-proBNP, LAD, RVID, RVOTD, LVEF, TAPSE and E/E' are major risk factors for PAH. CONCLUSION: We observed a high incidence of PAH in ESRD patients undergoing CAPD. Logistic regression analysis revealed that DBP, NT-proBNP, LAD, RVID, RVOTD, LVEF, TAPSE and E/E' are high-risk factors for PAH in ESRD patients undergoing CAPD.

Prevention of retrograde peri-implantitis caused by pulpal/periapical lesions in adjacent teeth: A literature review.

OBJECTIVES: To present a comprehensive review on retrograde peri-implantitis (RPI), focusing on its epidemiology, etiology, clinical manifestations, classification, treatment, and prevention strategies. DATA: The widespread development of implantology has led to heightened concerns regarding implant failure attributed to peri-implantitis (PI). In contrast to conventional PI, retrograde peri-implantitis (RPI), defined as inflammation originating from the apical of the implant towards the crown, has gained increasing attention. Various factors can contribute to RPI, among which untreated pulpal or periapical lesions from adjacent teeth are considered as main causes. SOURCES AND STUDY SELECTION: Using PubMed as the source for eligible literature, a total of 73 cases (from 36 articles) were identified for review. The search items are (["retrograde peri-implantitis" OR "periapical peri-implantitis" OR "peri-apical implant lesion*"] AND ["risk factor*" OR "treatment*" OR "prevent*"]). CONCLUSIONS: Currently, clinicians often inadequately address the evaluation and management of pulpal or periapical lesions in the adjacent teeth in RPI, neglecting its causes and further the preventive measures. Overall, RPI influences the success of dental implants and therefore valid diagnosis and prevention are obligatory. Until now, there has been no relative instructions for clinicians. Moreover, new research directions (e.g. molecular biology and immunology) as well as innovative treatment (e.g. lasers and novel materials) may facilitate the precise prevention and early diagnosis of RPI.

Insights into the inhibitory effects of trichloroisocyanuric acid disinfectant on the phototransformation of polypropylene microplastics.

The chemical components in the natural aquatic environment have the potential to be involved in phototransformation of microplastics (MPs). Little information is available regarding the mediation effects of artificially introduced chemicals on MP phototransformation, especially those used in aquaculture water that are vulnerable to human interference. Herein, this study investigated the phototransformation process and mechanism of polypropylene microplastic (PP MPs) in presence of trichloroisocyanuric acid (TCCA) disinfectant with unique properties unlike the conventional inorganic chlorine disinfectants. The results showed that the presence of TCCA inhibited the surface photooxidation of PP MPs. Analysis of PP MP surface and reaction filtrate indicated that the inhibitory effects were likely derived from TCCA derivatives and the weakening in promoting effect of polypropylene microplastic-derived dissolved organic matter (PP-DOM) as photolytic byproducts, with the more important role of free chlorine in initial period and that of other chlorine species (i.e., the adsorbed chloride ions (Cl-), newly formed carbon-chlorine (CCl) bonds, chlorinated cyanurates, and chlorinated products) in middle and later period. The study highlights for the first time the important role of chlorine species derived from TCCA in phototransformation process of co-existed PP MPs and proposes a previously unrecognized phototransformation pathway, which will provide a new understanding and knowledge for the environmental behavior of MPs in aquaculture environment.

Characteristics and Prognosis of Type 2 Myocardial Infarction Through Worsening Renal Function and NT-proBNP in Older Adults with Pneumonia.

Background: Type 2 myocardial infarction (MI) is becoming more recognized. This study aimed to assess the factors linked to type 2 MI in older adults with pneumonia and further determine the predictive factors of 90-day adverse events (refractory heart failure, cardiogenic shock, and all-cause mortality). Methods: A single-center retrospective analysis was conducted among older adults with pneumonia. The primary outcome was the prevalence of type 2 MI. The secondary objective was to assess the adverse events in these patients with type 2 MI within 90 days. Results: A total of 2618 patients were included. Of these, 361 patients (13.8%) suffered from type 2 MI. Multivariable predictors of type 2 MI were chronic kidney disease (CKD), age-adjusted Charlson comorbidity index (ACCI) score, and NT-proBNP > 4165pg/mL. Moreover, the independent predictive factors of 90-day adverse events included NT-proBNP > 4165pg/mL, age, ACCI score, and CKD. The Kaplan-Meier adverse events curves revealed that the type 2 MI patients with CKD and NT-proBNP > 4165pg/mL had a higher risk than CKD or NT-proBNP > 4165pg/mL alone. Conclusion: Type 2 MI in older pneumonia hospitalization represents a heterogeneous population. Elevated NT-proBNP level and prevalence of CKD are important predictors of type 2 MI and 90-day adverse events in type 2 MI patients.

Symptom Clusters in Children With Leukemia Receiving Chemotherapy: A Scoping Review.

BACKGROUND: Leukemia represents the most prevalent childhood malignancy. Understanding the symptom clusters (SCs) associated with leukemia may help develop an effective care plan for affected children. OBJECTIVES: The aims of this study were to summarize the methods of identifying SCs; ascertain the types, attributes, and changing patterns of SCs during different chemotherapy phases; and provide a point of reference for the subsequent improvement of symptom management in pediatric leukemia. METHODS: The methodological framework employed was the Joanna Briggs Institute Scoping Review Guide. A comprehensive search was conducted across various databases, including PubMed, EMBASE, CINAHL, Web of Science, MEDLINE, Scopus, and China National Knowledge Infrastructure from inception until July 15, 2023. RESULTS: A total of 14 articles were included in this review, 6 in English and 8 in Chinese. The Memorial Symptom Assessment Scale 10-18 is the most commonly used instrument, whereas factor analysis is the most common statistical method for SC identification. The SCs were classified into 12 categories. The most severe SCs varied across different phases. Specifically, the emotional cluster dominated the prechemotherapy phase, the gastrointestinal cluster surfaced during postinduction therapy, and the consolidation and maintenance therapy phases revealed the self-image disorder cluster. CONCLUSION: Various consistent and dynamic SCs manifest among pediatric patients with leukemia undergoing chemotherapy. IMPLICATIONS FOR PRACTICE: Future research endeavors should formulate clear criteria to determine the stability and consistency of SCs, validate SC composition and characteristics, and devise precise symptom management protocols based on SC characteristics in the distinct chemotherapy phases.

CuNi alloy anchored on dual-substrate TiOx/N-doped carbon nanofibers as a bifunctional electrocatalyst for rechargeable zinc-air batteries.

Development of non-noble metal-based electrocatalysts to enhance the performance of zinc-air batteries (ZABs) is of great significance, but it remains a formidable challenge due to their poor stability and activity. Herein, a bifunctional CuNi-TiOx/NCNFS electrocatalyst, featuring with electron-rich copper-nickel (CuNi) alloy nanoparticles anchored on titanium oxide/N-doped carbon nanofibers (TiOx/NCNFS), is constructed by a dual-substrate loading strategy. The introduction of TiOx has led to a significant increase in the stability of the dual-substrate. The strong electronic interaction between CuNi and TiOx strengthens the anchoring of active metal sites, thus accelerating the electron transfer. Theoretical calculations unclose that NCNFS can regulate the charge distribution of TiOx, inducing the charge transfer from NCNFS â†’ TiOx â†’ CuNi, thereby reducing the d-band center of Cu and Ni, which is beneficial to the desorption of intermediate oxide species of the oxygen evolution reaction (OER) and oxygen reduction reaction (ORR). Therefore, CuNi-TiOx/NCNFS delivers a remarkable bifunctional performance with a low OER overpotential of 258 mV at 10 mA cm-2 and an ORR half-wave potential of 0.85  V. When assembled into ZABs, CuNi-TiOx/NCNFS shows a low potential gap of 0.64 V, a higher power density of 149.6 mW cm-2 at 330 mA cm-2, and an outstanding stability for 250 h at 5mA cm-2. This study provides a novel approach by constructing dual-substrate to tune the electronic structure of active metal sites for efficient rechargeable ZABs.

Antiviral effectiveness and survival correlation of azvudine and nirmatrelvir/ritonavir in elderly severe patients with COVID-19: a retrospective real-world study.

Background: Azvudine and nirmatrelvir/ritonavir are approved to treat mild-to-moderate coronavirus disease 2019 (COVID-19) in adults with a high risk for progression to severe infection. We sought to compare the antiviral effectiveness and clinical outcomes of elderly severe patients with COVID-19 receiving these two antiviral agents. Methods: In this observational study, we identified 249 elderly patients with severe COVID-19 infection who were admitted to the Second Medical Center of the People's Liberation Army General Hospital from December 2022 to January 2023, including 128 azvudine recipients, 66 nirmatrelvir/ritonavir recipients and 55 patients not received antiviral treatments. We compared the cycle threshold (Ct) value dynamic change of all three groups. The primary outcome was a composite outcome of disease progression, including all-cause death, intensive care unit admission, and initiation of invasive mechanical ventilation. The outcomes of all enrolled patients were followed up from the electronic medical record system. Kaplan-Meier and Cox risk proportional regression analyses were used to compare the clinical outcomes of all three groups. To more directly compare the effectiveness of the two antiviral drugs, we performed propensity-score matching between the two antiviral groups and compared antiviral efficacy and clinical outcomes in the matched population. Findings: Among 249 patients (mean age, 91.41 years), 77 patients died during the follow-up period. When compared to patients who did not receive any antivirals, neither nirmatrelvir/ritonavir nor azvudine demonstrated a survival benefit. The Cox analysis of the all-cause death of the three groups showed that the risk of death was 0.730 (0.423-1.262) in the azvudine group 0.802 (0.435-1.480) and in the nirmatrelvir/ritonavir group compared with the non-antiviral group. After propensity score matching, we included 58 azvudine recipients and 58 nirmatrelvir/ritonavir recipients. The fitted curve of the Ct value after matching illustrated that the rate of viral decline in the early stage of nirmatrelvir/ritonavir treatment seems to surpass that of azvudine, but there was no statistical significance. Azvudine was seemly associated with a lower risk of composite outcomes (HR:1.676, 95% CI:0.805-3.488) and short-term all-cause death (HR: 1.291, 95%CI: 0.546-3.051). Interpretation: Patients who received azvudine have a similar antiviral effectiveness and survival curve trend compared to nirmatrelvir/ritonavir. In this limited series, antiviral treatment was not associated with a significant clinical benefit. This lack of clinical benefit might be attributed to potential bias. Funding: This study was supported by the "National Key R&D Program of China" (Funding No. 2020YFC2008900) and the National Defense Science and Technology Innovation Special Zone Project (223-CXCY-N101-07-18-01).

Foot-and-mouth disease virus carrier status in Bos grunniens yaks.

BACKGROUND: The carrier status of foot-and-mouth disease virus (FMDV) is complicated, and the role of carrier animals in virus transmission is controversial. To investigate the carrier status of FMDV in animals that live in high altitude, Bos grunniens yaks were infected experimentally with FMDV O/Akesu/58. RESULTS: All of the yaks showed clinical signs of foot-and-mouth disease (FMD). Total antibody levels against FMDV measured by liquid-phase blocking enzyme-linked immunosorbent assay (LPB-ELISA) and antibody levels against nonstructural proteins (NSP) showed dynamic changes. Three of the five yaks were indentified as carrier animals by RT-PCR method, and the OP fluids from carrier yaks can cause cytopathic effect (CPE) on BHK-21 cells. At last, five persistent infection strains were isolated. Nucleotide mutations of VP1 gene were analyzed. CONCLUSIONS: After infected with FMDV, all of the yaks showed typical clinical signs. Yaks can keep carrier status for at least 8 months. Total antibody levels against FMDV measured by LPB-ELISA and antibody levels against NSP were at high level for carrier yaks. Sequence alignment of the five isolated strains showed obvious gene and protein mutations.

Prediction of Outcomes Through Cystatin C and cTnI in Elderly Type 2 Myocardial Infarction Patients.

Background: Chronic kidney disease (CKD) and coronary artery disease (CAD) are strongly associated. Cystatin C (Cys C) is a more sensitive marker of early renal insufficiency. This study aimed to evaluate the prognostic implications of combined of Cys C and cardiac troponin I (cTnI) on 90-day outcomes in elderly patients with type 2 myocardial infarction (MI). Methods: The data of consecutive type 2 MI patients aged 80 years and older who received Cys C and cTnI measurements within 24 h of admission were retrospectively reviewed. The endpoint was a 90-day all-cause and cardiac mortality. Results: A total of 4326 patients were included. During the 90-day follow-up period, a higher all-cause and cardiac mortality was observed in patients with Cys C ≥ 1.49mg/L than in patients with Cys C < 1.49 mg/L (P <0.001). After the multivariate logistic regression adjustments, the higher CysC and cTnI levels remained independent predictors of the 90-day all-cause mortality and cardiac mortality. Moreover, the Kaplan-Meier all-cause and cardiac mortality event-free survival curves showed that the patients with the presence of elevated levels of both Cys C and cTnI had a significantly increased risk than those with Cys C or cTnI alone. Conclusion: Elevated Cys C level is an independent risk factor for all-cause and cardiac mortality in the elderly type 2 MI population. The predictive ability of the combined use of Cys C and cTnI in elderly type 2 MI patients is stronger than that of Cys C or cTnI alone.