Plasma cell-free DNA promise monitoring and tissue injury assessment of COVID-19.

Coronavirus 2019 (COVID-19) is a complex disease that affects billions of people worldwide. Currently, effective etiological treatment of COVID-19 is still lacking; COVID-19 also causes damages to various organs that affects therapeutics and mortality of the patients. Surveillance of the treatment responses and organ injury assessment of COVID-19 patients are of high clinical value. In this study, we investigated the characteristic fragmentation patterns and explored the potential in tissue injury assessment of plasma cell-free DNA in COVID-19 patients. Through recruitment of 37 COVID-19 patients, 32 controls and analysis of 208 blood samples upon diagnosis and during treatment, we report gross abnormalities in cfDNA of COVID-19 patients, including elevated GC content, altered molecule size and end motif patterns. More importantly, such cfDNA fragmentation characteristics reflect patient-specific physiological changes during treatment. Further analysis on cfDNA tissue-of-origin tracing reveals frequent tissue injuries in COVID-19 patients, which is supported by clinical diagnoses. Hence, our work demonstrates and extends the translational merit of cfDNA fragmentation pattern as valuable analyte for effective treatment monitoring, as well as tissue injury assessment in COVID-19.

Low-Cost and Scalable Platform with Multiplexed Microwell Array Biochip for Rapid Diagnosis of COVID-19.

Sensitive detection of SARS-CoV-2 is of great importance for inhibiting the current pandemic of COVID-19. Here, we report a simple yet efficient platform integrating a portable and low-cost custom-made detector and a novel microwell array biochip for rapid and accurate detection of SARS-CoV-2. The instrument exhibits expedited amplification speed that enables colorimetric read-out within 25 minutes. A polymeric chip with a laser-engraved microwell array was developed to process the reaction between the primers and the respiratory swab RNA extracts, based on reverse transcriptase loop-mediated isothermal amplification (RT-LAMP). To achieve clinically acceptable performance, we synthesized a group of six primers to identify the conserved regions of the ORF1ab gene of SARS-CoV-2. Clinical trials were conducted with 87 PCR-positive and 43 PCR-negative patient samples. The platform demonstrated both high sensitivity (95.40%) and high specificity (95.35%), showing potentials for rapid and user-friendly diagnosis of COVID-19 among many other infectious pathogens.

Micro/nanodevices for assessment and treatment in stomatology and ophthalmology.

Micro/nanodevices have been widely applied for the real-time monitoring of intracellular activities and the delivery of exogenous substances in the past few years. This review focuses on miniaturized micro/nanodevices for assessment and treatment in stomatology and ophthalmology. We first summarize the recent progress in this field by examining the available materials and fabrication techniques, device design principles, mechanisms, and biosafety aspects of micro/nanodevices. Following a discussion of biochemical sensing technology from the cellular level to the tissue level for disease assessment, we then summarize the use of microneedles and other micro/nanodevices in the treatment of oral and ocular diseases and conditions, including oral cancer, eye wrinkles, keratitis, and infections. Along with the identified key challenges, this review concludes with future directions as a small fraction of vast opportunities, calling for joint efforts between clinicians and engineers with diverse backgrounds to help facilitate the rapid development of this burgeoning field in stomatology and ophthalmology.

Techno-economic analyses of solid-state anaerobic digestion and composting of yard trimmings.

Solid-state anaerobic digestion (SS-AD) and composting are two potential alternatives to divert yard trimmings from landfills. This study aimed to evaluate the techno-economic feasibility of commercial-scale SS-AD and composting systems (20,000 metric tons (MT)/year) that received both yard trimmings and liquid AD effluent using a modeling software, SuperPro Designer. Both the SS-AD and composting systems were shown to be economically feasible. While their revenues were comparable ($48/MT), SS-AD with digestate drying showed a higher capital cost ($256/MT vs. $84/MT) but a lower non-facility-dependent operating cost ($11/MT vs. $21/MT) than composting. The payback time, internal rate of return (IRR), and net present value (NPV) were estimated to be ∼10 years, 8%, and $0.2 million, respectively, for SS-AD, and ∼4.9 years, 33%, and $1.8 million, respectively, for composting. Digestate drying was necessary to make SS-AD profitable via the sale of byproduct, but it was also the most energy intensive step, relying on heat recovery to reduce costs. Moreover, the economics of SS-AD were highly improved (NPV $2 million) with financial incentives (i.e. investment tax credits), indicating that incentives were critical to the economic feasibility of current SS-AD systems that utilize lignocellulosic biomass. However, renewable identification numbers (RINs) and renewable energy certificates (RECs) had minor effects. Furthermore, the economics of both systems were most sensitive to plant size, tipping fees, and byproduct/compost price. The results suggest SS-AD may be favored for centralized management while composting for de-centralized management of yard trimmings. Alternative ways to valorize digestate should be evaluated in future studies.

Profiling of glucosinolates and flavonoids in Rorippa indica (Linn.) Hiern. (Cruciferae) by UHPLC-PDA-ESI/HRMS(n).

An UHPLC-PDA-ESI/HRMS(n) profiling method was used to identify the glucosinolates and flavonoids of Rorippa indica (Cruciferae), a wild vegetable and Chinese herb used to treat cough, diarrhea, and rheumatoid arthritis. Thirty-three glucosinolates, more than 40 flavonol glycosides, and 18 other phenolic and common organic compounds were identified. The glucosinolates and polyphenols were separated by UHPLC. High-resolution deprotonated molecules provided high accuracy mass values that were used to determine formulas and provide putative identification of the glucosinolates and flavonoids. The fragments from multistage mass spectrometry were used to elucidate the structures. The concentrations of the main components were based on UV peak areas and molar relative response factors with a single calibration standard. This study found this plant to be a rich source for glucosinolates, containing 24 new glucosinolates, including 14 glucosylated glucosinolates that were previously unidentified.

Assessment of polychlorinated dibenzo-p-dioxins and dibenzofurans contribution from different media to surrounding duck farms.

Since the "Toxic Egg Event" broke out in central Taiwan, the possible sources of the high content of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in eggs have been a serious concern. In this study, the PCDD/F contents in different media (feed, soil and ambient air) were measured. Evaluation of the impact from electric arc furnace dust treatment plant (abbreviated as EAFDT plant), which is site-specific to the "Toxic Egg Event", on the duck total-PCDD/F daily intake was conducted by both Industrial Source Complex Short Term model (ISCST) and dry and wet deposition models. After different scenario simulations, the worst case was at farm A and at 200 g feed and 5 g soil for duck intake, and the highest PCDD/F contributions from the feed, original soil and stack flue gas were 44.92, 47.81, and 6.58%, respectively. Considering different uncertainty factors, such as the flow rate variation of stack flue gas and errors from modelling and measurement, the PCDD/F contribution fraction from the stack flue gas of EAFDT plant may increase up to twice as that for the worst case (6.58%) and become 13.2%, which was still much lower than that from the total contribution fraction (86.8%) of both feed and original soil. Fly ashes contained purposely in duck feed by the farmers was a potential major source for the duck daily intake. While the impact from EAFDT plant has been proven very minor, the PCDD/F content in the feed and soil, which was contaminated by illegal fly ash landfills, requires more attention.

Quality-initiated prophylactic antibiotic use in laparoscopic-assisted vaginal hysterectomy.

BACKGROUND: An evidence-based initiation of quality improvement activity for reducing the usage of prophylactic antibiotic in laparoscopic-assisted vaginal hysterectomy (LAVH) in a tertiary hospital. AIMS: The authors investigated whether single or multiple doses of cefazoline were more cost-effective in preventing postoperative infection associated with LAVH. METHODS: The study groups comprised of 310 patients who had undergone LAVH continuously in a medical centre. Patients were divided into two groups on the basis of whether they received a single dose or multiple doses (range: two to four doses) of cefazoline during the perioperative period. Postoperative infections such as pelvic cellulitis or abscess, vaginal cuff abscess, wound infection and urinary tract infection that occurred either during hospitalisation or within one month after discharge were observed and recorded. Incremental cost-effectiveness ratio (ICER) was calculated using the mean direct drug cost and the prophylactic effect of infection in both groups. RESULTS: The prophylactic effect of infection was similar in the single-dose group and the multiple-dose group (94.6% vs 93.9%, P = 0.986). The ICER was significantly lower in the single-dose group (153.3 vs 460.4, P < 0.001). CONCLUSIONS: The result revealed that a single dose of cefazoline is more cost-effective than multiple doses in the prevention of infection associated with LAVH. It fulfils the goal of cost minimisation and quality of care in today's environment of medical cost containment.

Sequential assessment of urodynamic findings before and after tension-free vaginal tape (TVT) operation for female genuine stress incontinence.

OBJECTIVES: To sequentially compare the urodynamic findings in patients with genuine stress incontinence (GSI) before and after tension-free vaginal tape (TVT) operation. PATIENTS AND METHODS: Between January 2001 and January 2002, 24 consecutive patients with GSI who completed multi-channel urodynamic study and 20-minute pad test before operation and at 3, 6, and 12 months after operation were enrolled. The sequential urodynamic findings of each case were compared and analyzed. RESULTS: The mean age of the 24 patients was 60.6+/-10.7 years with the parity of 3.5+/-1.4. No statistical differences in voiding and storage functions before and after TVT operation were noted. In contrast, significant changes of stress urethral pressure profile (sUPP) including maximal urethral pressure, maximal urethral closure pressure, functional urethral length, urethral closure area and continence area were observed at 6 and 12 months postoperatively ( p<0.03 ). The median pad weight test decreased from 72g (range 10-220) to 0g 3 months after operation and remained unchanged at 6 and 12 months postoperatively. CONCLUSIONS: This prospective study demonstrates that TVT operation, if done properly, does not significantly impair voiding and storage functions. The significantly increased sUPP parameters may contribute, at least in part, to the high cure rate of TVT operation.