Comparative analysis of clinical features of lower respiratory tract infection with respiratory syncytial virus and influenza virus in adults: a retrospective study.

BACKGROUND: Respiratory syncytial virus (RSV) infection in adults remains less recognized and understood, both socially and clinically, compared to influenza virus infection. This retrospective study aims to delineate and compare the clinical manifestations of adult RSV and influenza virus infections in the lower respiratory tract, thereby enhancing awareness of RSV lower respiratory tract infection and providing strategic insights for its prevention and treatment. METHODS: Clinical data from January 2019 to December 2020 were analyzed for 74 patients with RSV and 129 patients with influenza A/B virus lower respiratory tract infections who were admitted to respiratory or intensive care units. All patients had complete clinical data with positive IgM and negative IgG viral antibodies. Comparison parameters included onset timing, baseline data, clinical manifestations, supplementary examination results, treatment methods, and prognosis, while logistic regression was employed to ascertain the correlation of clinical features between the two patient groups. RESULTS: In comparison to the influenza group, the RSV group presented less frequently with fever at admission but exhibited a higher incidence of dyspnea and wheezing on pulmonary auscultation (P < 0.01). RSV infection was more prevalent among patients with underlying diseases, particularly chronic obstructive pulmonary disease (COPD) and demonstrated a higher probability of co-infections, most notably with Mycoplasma (P < 0.01). The RSV group had significantly higher lymphocyte counts (P < 0.01) and exhibited more incidences of pleural thickening, pulmonary fibrosis, and emphysema (P < 0.05). The use of non-invasive mechanical ventilation was more common, and hospital stays were longer in the RSV group compared to the influenza group (P < 0.05). Logistic multivariate regression analysis further revealed that age and tachypnea incidence were significantly higher in the RSV group (P < 0.05). CONCLUSION: Compared to influenza virus infection, adults with COPD are more susceptible to RSV infection. Moreover, RSV infection elevates the risk of co-infection with Mycoplasma and may lead to conditions such as pleural thickening, pulmonary fibrosis, and emphysema. The requirement for non-invasive mechanical ventilation is higher in RSV-infected patients, who also tend to have longer hospital stays. Therefore, greater awareness and preventive strategies against RSV infection are imperative.

Resolving plasmonic hotspots by label-free super-resolution microscopy.

The plasmonic hotspot of metal nanostructures has small dimension far beyond the optical diffraction limit. When trying to locate the hotspot using fluorescent probes, the localization is significantly distorted due to the coupling of emission and surface plasmon. A label-free technique can solve the problem, which uses hotspot emission as the native probe. We demonstrate a super-resolution microscopy investigation based on this idea. By modulating hotspot emission of crossed silver nanowires, which have a pair of plasmonic hotspots approximately 100 nm apart at the intersection, we precisely locate and separate them with nanometer precision. This label-free technique could be applied for analyzing hotspot distribution with high efficiency and precision.

Missing-Linker 2D Conductive Metal Organic Frameworks for Rapid Gas Detection.

The structural diversity and tunability of metal organic frameworks (MOFs) represent an ideal material platform for a variety of practical scenarios ranging from gas storage/separation to catalysis, yet their application in chemiresistive gas sensing is relatively lacking, due to the requirements of combined electrical conductivity and optimized gas adsorption properties. Here, we report an effective chemical sensing strategy based on missing-linker two-dimensional conductive MOF, with incorporated defects via a simple ligand oxidization method. The multiple hydroxyl defect sites in the conductive 2D missing-linker amorphous Ni-HAB (aNi-HAB) enable rapid adsorption and desorption of water molecules compared to crystalline Ni-HAB (cNi-HAB). As a result, the aNi-HAB sensory device shows good sensitivity, selectivity, linearity, fast response/recovery rate, and excellent stability, which can be further improved by Nafion functionalization. Theoretical investigations including transient current measurement, density functional theory (DFT) calculations, and systematic performance evaluation of isostructural 2D aM-HAB (M = Cu, Fe, Co) MOF showed that unique transport mechanism and adsorption/activation energies originated from hydrogen bonding at defective sites are critical for enhanced humidity response, and further confirmed that defect engineering through missing linker incorporation is a general and effective approach to tune the sensing properties of conductive MOF materials.

Super-resolution nanoscopy by coherent control on nanoparticle emission.

Super-resolution nanoscopy based on wide-field microscopic imaging provided high efficiency but limited resolution. Here, we demonstrate a general strategy to push its resolution down to ~50 nm, which is close to the range of single molecular localization microscopy, without sacrificing the wide-field imaging advantage. It is done by actively and simultaneously modulating the characteristic emission of each individual emitter at high density. This method is based on the principle of excited state coherent control on single-particle two-photon fluorescence. In addition, the modulation efficiently suppresses the noise for imaging. The capability of the method is verified both in simulation and in experiments on ZnCdS quantum dot-labeled films and COS7 cells. The principle of coherent control is generally applicable to single-multiphoton imaging and various probes.

In-plane stimulated emission of polycrystalline CH3NH3PbBr3 perovskite thin films.

Hybrid organic-inorganic lead halide perovskites have been investigated extensively within the last decades, for its great potential in efficient solar cells and as an ideal light source. Among the studies on stimulated emission (SE), the emission is either out-of-plane for polycrystalline films or in-plane with randomly aligned single microcrystals and nanowires. In this work, we revealed in-plane propagation of SE from bromine-based perovskite polycrystalline thin films (CH3NH3PbBr3, or MAPbBr3). The output from in-plane SE is an order higher than the out-of-plane emission. It is proposed that large crystalline flakes in the films lead to the in-plane lasing phenomena. The output coupling can be found at grain boundaries, intergrain gaps, and artificial structures. Simulative results support the experimental phenomenon that large crystalline grains are profitable for in-plane propagation and over 90% photons can be sufficiently outcoupled when the gap is larger than a micron. Considering the fabrication and handling convenience, we propose that the MAPbBr3 thin films can be easily integrated for in-plane applications as the light source for photonic chips etc.

Exciton and bi-exciton mechanisms in amplified spontaneous emission from CsPbBr3 perovskite thin films.

We studied temperature-dependent amplified spontaneous emission (ASE) in CsPbBr3 perovskite thin films. For temperatures 180-360 K, a narrow-band lasing is observed. However, a new accompanying ASE band appears below 180 K, indicating a more complicated behavior. The two ASE bands are strongly correlated and in competition; they are assigned as exciton and bi-exciton recombination. We estimated the exciton binding energy (EB = 27.3 meV) and that of the bi-exciton, which is lower than the EB. The reduced effective mass of the exciton is estimated as µ = 0.11 me. This discovery identifies more details of the ASE phenomenon.

Investigation on binding energy and reduced effective mass of exciton in organic-inorganic hybrid lead perovskite films by a pure optical method.

The exciton binding energy and its reduced effective mass in hybrid lead perovskite, which play a key role in the process of excitons forming, largely determine the excellent optical properties of the perovskite materials and hence, the device performance. We introduce the systematic measurements on these two parameters of the organic-inorganic hybrid perovskite films of (MA/FA)Pb(Br/I)3 by a unique temperature and density-resolved optical spectroscopic method. The method is simple and straightforward, since it directly observes the exciton ionization and recombination. Our results describe the fundamental photoelectric properties for understanding the excellent performance of the perovskite materials.