Characteristics and outcomes of COVID-19 in Chinese immune thrombocytopenia patients: A prospective cohort study.

The coronavirus disease 2019 (COVID-19) pandemic has a significant impact on the immune system. This is the first and largest study on pre-existing immune thrombocytopenia (ITP) patients infected with COVID-19 in China. We prospectively collected ITP patients infected with COVID-19 enrolled in the National Longitudinal Cohort of Hematological Diseases (NICHE, NCT04645199) and followed up for at least 1 month after infection. One thousand and one hundred forty-eight pre-existing ITP patients were included. Two hundred and twelve (18.5%) patients showed a decrease in the platelet (PLT) count after infection. Forty-seven (4.1%) patients were diagnosed with pneumonia. Risk factors for a decrease in the PLT count included baseline PLT count <50 × 109/L (OR, 1.76; 95% CI, 1.25-2.46; p = 0.001), maintenance therapy including thrombopoietin receptor agonists (TPO-RAs) (OR, 2.27; 95% CI, 1.60-3.21; p < 0.001) and previous splenectomy (OR, 1.98; 95% CI, 1.09-3.61; p = 0.03). Risk factors for pneumonia included age ≥40 years (OR, 2.45; 95% CI, 1.12-5.33; p = 0.02), ≥2 comorbidities (OR, 3.47; 95% CI, 1.63-7.64; p = 0.001), maintenance therapy including TPO-RAs (OR, 2.14; 95% CI, 1.17-3.91; p = 0.01) and immunosuppressants (OR, 3.05; 95% CI, 1.17-7.91; p = 0.02). In this cohort study, we described the characteristics of pre-existing ITP patients infected with COVID-19 and identified several factors associated with poor outcomes.

Amundsen Sea Ice Loss Contributes to Australian Wildfires.

Wildfires in Australia have attracted extensive attention in recent years, especially for the devastating 2019-2020 fire season. Remote forcing, such as those from tropical oceans, plays an important role in driving the abnormal weather conditions associated with wildfires. However, whether high latitude climate change can impact Australian fires is largely unclear. In this study, we reveal a robust relationship between Antarctic sea ice concentration (SIC), primarily over the Amundsen Sea region, with Australian springtime fire activity, by using reanalysis data sets, AMIP simulation results, and a state-of-the-art climate model simulation. Specifically, a diminished Amundsen SIC leads to the formation of a high-pressure system above Australia as a result of the eastward propagation of Rossby waves. Meanwhile, two strengthened meridional cells originating from the tropic and polar regions also enhance subsiding airflow in Australia, resulting in prolonged arid and high-temperature conditions. This mechanism explains about 28% of the variability of Australian fire weather and contributed more than 40% to the 2019 extreme burning event, especially in the eastern hotspots. These findings contribute to our understanding of polar-low latitude climate teleconnection and have important implications for projecting Australian fires as well as the global environment.

Pioneering Piezoelectric-Driven Atomic Hydrogen for Efficient Dehalogenation of Halogenated Organic Pollutants.

The electrocatalytic hydrodehalogenation (EHDH) process mediated by atomic hydrogen (H*) is recognized as an efficient method for degrading halogenated organic pollutants (HOPs). However, a significant challenge is the excessive energy consumption resulting from the recombination of H* to H2 production in the EHDH process. In this study, a promising strategy was proposed to generate piezo-induced atomic H*, without external energy input or chemical consumption, for the degradation and dehalogenation of HOPs. Specifically, sub-5 nm Ni nanoparticles were subtly dotted on an N-doped carbon layer coating on BaTiO3 cube, and the resulted hybrid nanocomposite (Ni-NC@BTO) can effectively break C-X (X = Cl and F) bonds under ultrasonic vibration or mechanical stirring, demonstrating high piezoelectric driven dehalogenation efficiencies toward various HOPs. Mechanistic studies revealed that the dotted Ni nanoparticles can efficiently capture H* to form Ni-H* (Habs) and drive the dehalogenation process to lower the toxicity of intermediates. COMSOL simulations confirmed a "chimney effect" on the interface of Ni nanoparticle, which facilitated the accumulation of H+ and enhanced electron transfer for H* formation by improving the surface charge of the piezocatalyst and strengthening the interfacial electric field. Our work introduces an environmentally friendly dehalogenation method for HOPs using the piezoelectric process independent of the external energy input and chemical consumption.

Wavelength Division Multiplexing-Based High-Sensitivity Surface Plasmon Resonance Imaging Biosensor for High-Throughput Real-Time Molecular Interaction Analysis.

In this study, we report the successful development of a novel high-sensitivity intensity-based Surface Plasmon Resonance imaging (SPRi) biosensor and its application for detecting molecular interactions. By optimizing the excitation wavelength and employing a wavelength division multiplexing (WDM) algorithm, the system can determine the optimal excitation wavelength based on the initial refractive index of the sample without adjusting the incidence angle. The experimental results demonstrate that the refractive index resolution of the system reaches 1.77×10-6 RIU. Moreover, it can obtain the optimal excitation wavelength for samples with an initial refractive index in the range of 1.333 to 1.370 RIU and accurately monitor variations within the range of 0.0037 RIU without adjusting the incidence angle. Additionally, our new SPRi technique realized real-time detection of high-throughput biomolecular binding processes, enabling analysis of kinetic parameters. This research is expected to advance the development of more accurate SPRi technologies for molecular interaction analysis.

Concentration Phase Separation of Substitution-Doped Atoms in TMDCs Monolayer.

The density and spatial distribution of substituted dopants affect the transition metal dichalcogenides (TMDCs) materials properties. Previous studies have demonstrated that the density of dopants in TMDCs increases with the amount of doping, and the phenomenon of doping concentration difference between the nucleation center and the edge is observed, but the spatial distribution law of doping atoms has not been carefully studied. Here, it is demonstrated that the spatial distribution of dopants changes at high doping concentrations. The spontaneous formation of an interface with a steep doping concentration change is named concentration phase separation (CPS). The difference in the spatial distribution of dopants on both sides of the interface can be identified by an optical microscope. This is consistent with the results of spectral analysis and microstructure characterization of scanning transmission electron microscope. According to the calculation results of density functional theory, the chemical potential has two relatively stable energies as the doping concentration increases, which leads to the spontaneous formation of CPS. Understanding the abnormal phenomena is important for the design of TMDCs devices. This work has great significance in the establishment and improvement of the doping theory and the design of the doping process for 2D materials.

Selective and Stable CO2 Electroreduction to CH4 via Electronic Metal-Support Interaction upon Decomposition/Redeposition of MOF.

The CO2 electroreduction to fuels is a feasible approach to provide renewable energy sources. Therefore, it is necessary to conduct experimental and theoretical investigations on various catalyst design strategies, such as electronic metal-support interaction, to improve the catalytic selectivity. Here a solvent-free synthesis method is reported to prepare a copper (Cu)-based metal-organic framework (MOF) as the precursor. Upon electrochemical CO2 reduction in aqueous electrolyte, it undergoes in situ decomposition/redeposition processes to form abundant interfaces between Cu nanoparticles and amorphous carbon supports. This Cu/C catalyst favors the selective and stable production of CH4 with a Faradaic efficiency of ≈55% at -1.4 V versus reversible hydrogen electrode (RHE) for 12.5 h. The density functional theory calculation reveals the crucial role of interfacial sites between Cu and amorphous carbon support in stabilizing the key intermediates for CO2 reduction to CH4 . The adsorption of COOH* and CHO* at the Cu/C interface is up to 0.86 eV stronger than that on Cu(111), thus promoting the formation of CH4 . Therefore, it is envisioned that the strategy of regulating electronic metal-support interaction can improve the selectivity and stability of catalyst toward a specific product upon electrochemical CO2 reduction.

A Qualitative Study of Emergency Physicians' and Nurses' Experiences Caring for Patients With Psychiatric Conditions and/or Substance Use Disorders.

STUDY OBJECTIVE: Patients with psychiatric conditions and/or substance use disorders (SUDs) frequently seek care in emergency departments (EDs), where providing care for these populations can involve considerable challenges. This study aimed to develop a comprehensive data-driven model of the complex challenges and unique dynamics associated with caring for these populations in the ED, as well as the effect on patient care quality. METHODS: We conducted a preplanned topical analysis of grounded theory data obtained from semistructured interviews with 86 ED physicians and nurses from 8 hospitals in the Northeastern USA. Participants provided detailed descriptions of their experiences and challenges in caring for patients with psychiatric conditions and/or SUDs. We identified themes inductively using constant comparative analysis and developed a grounded model of physicians' and nurses' perceptions of challenges, biases, and effects on patient care. RESULTS: Emergency physicians and nurses described emotional, diagnostic, and logistical challenges that patients with psychiatric conditions and/or SUDs present. These challenges are magnified by existing health care system issues and social structures, which fuel and reinforce negative attitudes, expectations, and biases. In combination, these processes create negative health care experiences for patients, physicians, and nurses and can adversely affect patient care quality and ED staff well-being. CONCLUSION: Our findings uncover a cyclical process whereby challenges and biases associated with patients with psychiatric conditions and/or SUDs can reciprocally threaten patient care quality. Systemic changes and localized interventions are urgently needed to mitigate challenges, reduce bias, improve patient care, and improve physicians' and nurses' experiences in the ED.

Thermal stability and decomposition kinetics of mixed-cation halide perovskites.

Organic-inorganic halide perovskites (OIHPs) have emerged as one of the most efficient photovoltaic materials due to their superior properties. However, improving their stability remains a key challenge. Herein, we investigate the thermal decomposition properties of OIHP FAxMA1-xPbI3 with mixed cations of formamidinium (FA) and methylammonium (MA). Using thermogravimetric analysis together with Fourier transform infrared spectroscopy, we identify and monitor the gaseous decomposition products as a function of temperature and cation composition. Thermal decomposition products of both MA and FA cations were observed at all stages of the thermal decomposition process, contrary to previous expectations. The yield, release sequence and kinetics of the organic gaseous products were found to depend strongly on the ratio between FA and MA cations. Furthermore, cesium ion doping was investigated as a potential strategy to improve the thermal stability of mixed cation perovskites. These results provide new insights into the effect of cation mixing on perovskite stability, suggesting that optimizing the cation ratios and decomposition pathways can guide approaches to boost the stability and performance of mixed cation perovskites.

Wetting-regulated gas-involving (photo)electrocatalysis: biomimetics in energy conversion.

(Photo)electrolysis of water or gases with water to species serving as industrial feedstocks and energy carriers, such as hydrogen, ammonia, ethylene, propanol, etc., has drawn tremendous attention. Moreover, these processes can often be driven by renewable energy under ambient conditions as a sustainable alternative to traditional high-temperature and high-pressure synthesis methods. In addition to the extensive studies on catalyst development, increasing attention has been paid to the regulation of gas transport/diffusion behaviors during gas-involving (photo)electrocatalytic reactions towards the goal of creating industrially viable catalytic systems with high reaction rates, excellent long-term stabilities and near-unity selectivities. Biomimetic surfaces and systems with special wetting capabilities and structural advantages can shed light on the future design of (photo)electrodes and address long-standing challenges. This article is dedicated to bridging the fields of wetting and catalysis by reviewing the cutting-edge design methodologies of both gas-evolving and gas-consuming (photo)electrocatalytic systems. We first introduce the fundamentals of various in-air/underwater wetting states and their corresponding bioinspired structural properties. The relationship amongst the bubble transport behavior, wettability, and porosity/tortuosity is also discussed. Next, the latest implementations of wetting-related design principles for gas-evolving reactions (i.e. the hydrogen evolution reaction and oxygen evolution reaction) and gas-consuming reactions (i.e. the oxygen reduction reaction and CO2 reduction reaction) are summarized. For photoelectrode designs, additional factors are taken into account, such as light absorption and the separation, transport and recombination of photoinduced electrons and holes. The influences of wettability and 3D structuring of (photo)electrodes on the catalytic activity, stability and selectivity are analyzed to reveal the underlying mechanisms. Finally, remaining questions and related future perspectives are outlined.

Direct Observation of Oxygen Evolution and Surface Restructuring on Mn2O3 Nanocatalysts Using In Situ and Ex Situ Transmission Electron Microscopy.

Direct observation of oxygen evolution reaction (OER) on catalyst surface may significantly advance the mechanistic understanding of OER catalysis. Here, we report the first real-time nanoscale observation of chemical OER on Mn2O3 nanocatalyst surface using an in situ liquid holder in a transmission electron microscope (TEM). The oxygen evolution process can be directly visualized from the development of oxygen nanobubbles around nanocatalysts. The high spatial and temporal resolution further enables us to unravel the real-time formation of a surface layer on Mn2O3, whose thickness oscillation reflects a partially reversible surface restructuring relevant to OER catalysis. Ex situ atomic-resolution TEM on the residual surface layer after OER reveals its amorphous nature with reduced Mn valence and oxygen coordination. Besides shedding light on the dynamic OER catalysis, our results also demonstrate a powerful strategy combining in situ and ex situ TEM for investigating various chemical reaction mechanisms in liquid.

Quiet Ego Intervention Enhances Flourishing by Increasing Quiet Ego Characteristics and Trait Emotional Intelligence: A Randomized Experiment.

The quiet ego-a personality construct characterized by empathy, inclusivity, non-defensiveness, and growth-mindedness in self-other relations-correlates positively with varied health markers. There is also emerging evidence that quiet-ego-based interventions may have a positive impact on health-related outcomes. However, no research has examined whether such interventions promote psychological flourishing and through what mechanisms. We addressed this gap with a randomized longitudinal experiment, hypothesizing that a quiet ego contemplation would improve participants' flourishing and that the link between the intervention and flourishing would be mediated by higher trait emotional intelligence (EI). Using Amazon MTurk, we randomly assigned 75 participants to a 3-session intervention or control condition. As hypothesized, participants in the intervention condition reported higher trait EI scores that, in turn, elevated their flourishing. Results extend the causal benefits of brief quiet ego interventions to psychological flourishing. Given the study's context during the COVID-19 pandemic, the findings may have implications for mitigating the negative impact of the pandemic. Supplementary Information: The online version contains supplementary material available at 10.1007/s10902-022-00560-z.

Ferroelectric Enhanced Performance of a GeSn/Ge Dual-Nanowire Photodetector.

GeSn offers a reduced bandgap than Ge and has been utilized in Si-based infrared photodetectors with an extended cutoff wavelength. However, the traditional GeSn/Ge heterostructure usually consists of defects like misfit dislocations due to the lattice mismatch issue. The defects with the large feature size of a photodetector fabricated on bulk GeSn/Ge heterostructures induce a considerable dark current. Here, we demonstrate a flexible GeSn/Ge dual-nanowire (NW) structure, in which the strain relaxation is achieved by the elastic deformation without introducing defects, and the feature dimension is naturally at the nanoscale. A photodetector with a low dark current can be built on a GeSn/Ge dual-NW, which exhibits an extended detection wavelength beyond 2 µm and enhanced responsivity compared to the Ge NW. Moreover, the dark current can be further suppressed by the depletion effect from the ferroelectric polymer side gate. Our work suggests the flexible GeSn/Ge dual-NW may open an avenue for Si-compatible optoelectronic circuits operating in the short-wavelength infrared range.

All-polarization-maintaining, all-normal-dispersion mode-locked fiber laser with spectral filtering in a nonlinear optical loop mirror.

The spectral filtering effect is essential to dissipative dynamics in an all-normal-dispersion (ANDi) mode-locked fiber laser. In this study, we numerically and experimentally demonstrate the spectral filtering process of a nonlinear optical loop mirror (NOLM). Taking advantage of the 40/60 NOLM's spectral filtering ability, we designed a novel all-polarization-maintaining ANDi mode-locked fiber laser without using a separate spectral filter. The NOLM functions as an artificial saturable absorber and a spectral filter in an ANDi cavity. During mode locking, we observed that the NOLM decreased the spectral width of the pulse from 5.46 to 4.38 nm. The fiber laser generated 509-fs compressed pulses at the repetition rate of 13.4 MHz. Our work provides a promising novel and compact ANDi fiber laser for ultrafast photonic applications.

Rational Synthesis of Amorphous Iron-Nickel Phosphonates for Highly Efficient Photocatalytic Water Oxidation with Almost 100 % Yield.

A simple solvent ligation effect was successfully used to disrupt the growth of a model compound, Fe[(OH)(O3 P(CH2 )2 CO2 H)]⋅H2 O (MIL-37), into an extended 2D structure by replacing water with dimethylformamide (DMF) as the solvent during the synthesis. Owing to the lack of -OH group, which provides the corner-sharing (binding) oxygen atoms for the octahedra, an amorphous and porous structure is formed. When Fe3+ is partially replaced by Ni2+ , the amorphous structure remains and the resultant binary metal catalyst displays excellent photocatalytic oxygen evolution activity with almost 100 % yield achieved under visible light irradiation using [Ru(bpy)3 ]2+ as the photosensitizer. This study opens up new possibilities of using the simple solvent effect to synthesize high surface area metal phosphonates for catalytic and other applications.

NO2 gas sensor based on graphene decorated with Ge quantum dots.

We report a NO2 gas sensor based on germanium quantum dots (GeQDs)/graphene hybrids. Graphene was directly grown on germanium through chemical vapor deposition and the GeQDs were synthesized via molecular beam epitaxy. The samples were characterized by atomic force microscope, Raman spectra, scanning electron microscope, x-ray photoelectron spectroscope and transmission electron microscope with energy dispersive x-ray. By introducing GeQDs on graphene, the gas sensor sensitivity to NO2 was improved substantially. With the optimization of the growth time of GeQDs (600 s), the response sensitivity to 10 ppm NO2 can be as high as 3.88, which is 20 times higher than that of the graphene sensor without GeQDs decoration. In addition, the 600 s GeQDs/graphene hybrid sensor exhibits fast response and recovery rates as well as excellent stability. Our work may provide a new route to produce low-power consumption, portable, and room temperature gas sensor which is amenable to mass production.

Robust 700 MHz mode-locked Yb:fiber laser with a biased nonlinear amplifying loop mirror.

We demonstrate a self-starting 700 MHz repetition rate Yb:fiber laser incorporated with a phase biased nonlinear amplifying loop mirror as an artificial saturable absorber. The laser delivers a maximum power of 150 mW and a pulse width of 215 fs at a pump power of 710 mW. The integration of relative intensity noise (RIN) between 10 Hz and 10 MHz results in a minimum integrated RIN of 0.015%. The phase noise of the fundamental repetition rate was also characterized at different net-cavity dispersion. Although the laser is made of nonpolarization maintaining fiber, the mode locking sustains over two weeks in open air, showing its environmental stability.

Synthesis and Luminescence Properties of Bi3+-Activated K2MgGeO4: A Promising High-Brightness Orange-Emitting Phosphor for WLEDs Conversion.

In this article we synthesized a series of phosphors K2MgGeO4:Bi3+ with high brightness for white light-emitting diodes (WLEDs) conversion and investigated their crystal structures and luminescence properties using powder X-ray diffraction, diffuse reflectance spectra, X-ray photoelectron spectroscopy, photoluminescence spectra, and absolute quantum efficiency. K2MgGeO4:Bi3+ phosphor exhibits intense absorption in near-UV area and presents a broad asymmetric emission band with the main peak located at 614 nm, which was ascribed to the 3P1 → 1S0 transition of Bi3+. The absolute quantum efficiency of the K2MgGeO4:0.01Bi3+ phosphor was measured to be 66.6%. Also, this orange emission with color chromaticity coordinates of (0.4989, 0.4400) has an excellent resistance to thermal quenching: its integrated intensity at 393 K still maintained ∼85% of the one at room temperature. The WLEDs devices with Ra = 93.8 were fabricated by employing K2MgGeO4:0.01Bi3+ as an orange phosphor, which contains abundant red light component in its emission spectrum. The excellent luminescent performance of K2MgGeO4:0.01Bi3+ suggests that it is a promising orange-emitting phosphor for near-ultraviolet WLEDs.

Modulating Reward Induces Differential Neurocognitive Approaches to Sustained Attention.

Reward and motivation have powerful effects on cognition and brain activity, yet it remains unclear how they affect sustained cognitive performance. We have recently shown that a variety of motivators improve accuracy and reduce variability during sustained attention. In the current study, we investigate how neural activity in task-positive networks supports these sustained attention improvements. Participants performed the gradual-onset continuous performance task with alternating motivated (rewarded) and unmotivated (unrewarded) blocks. During motivated blocks, we observed increased sustained neural recruitment of task-positive regions, which interacted with fluctuations in task performance. Specifically, during motivated blocks, participants recruited these regions in preparation for upcoming targets, and this activation predicted accuracy. In contrast, during unmotivated blocks, no such advanced preparation was observed. Furthermore, during motivated blocks, participants had similar activation levels during both optimal (in-the-zone) and suboptimal (out-of-the-zone) epochs of performance. In contrast, during unmotivated blocks, task-positive regions were only engaged to a similar degree as motivated blocks during suboptimal (out-of-the-zone) periods. These data support a framework in which motivated individuals act as "cognitive investors," engaging task-positive resources proactively and consistently during sustaining attention. When unmotivated, however, the same individuals act as "cognitive misers," engaging maximal task-positive resources only during periods of struggle.

870 fs, 448 kHz pulses from an all-polarization-maintaining Yb-doped fiber laser with a nonlinear amplifying loop mirror.

We demonstrate a mode-locked long all-polarization-maintaining fiber laser with a nonlinear amplifying loop mirror. The fiber oscillator directly delivers 221 ps chirped pulses at the repetition rate of 448 kHz. The pulses can be further amplified up to 134 nJ and compressed down to 870 fs by a grating pair. This kind of laser is self-starting and stable long term, and it has potential application in high-power fiber amplification for industrial applications.

A Flexible Temperature Sensor Based on Reduced Graphene Oxide for Robot Skin Used in Internet of Things.

Flexible electronics, which can be distributed on any surface we need, are highly demanded in the development of Internet of Things (IoT), robot technology and electronic skins. Temperature is a fundamental physical parameter, and it is an important indicator in many applications. Therefore, a flexible temperature sensor is required. Here, we report a simple method to fabricate three lightweight, low-cost and flexible temperature sensors, whose sensitive materials are reduced graphene oxide (r-GO), single-walled carbon nanotubes (SWCNTs) and multi-wall carbon nanotubes (MWCNTs). By comparing linearity, sensitive and repeatability, we found that the r-GO temperature sensor had the most balanced performance. Furthermore, the r-GO temperature sensor showed good mechanical properties and it could be bent in different angles with negligible resistance change. In addition, the performance of the r-GO temperature sensor remained stable under different kinds of pressure and was unaffected by surrounding environments, like humidity or other gases, because of the insulating layer on its sensitive layer. The easy-fabricated process and economy, together with the remarkable performance of the r-GO temperature sensor, suggest that it is suitable for use as a robot skin or used in the environment of IoT.