Unveiling the Activity and Mechanism Alterations by Pyrene Decoration on a Co(II) Macrocyclic Catalyst for CO2 Reduction.

Mechanistic studies involving characterization of crucial intermediates are desirable for rational optimization of molecular catalysts toward CO2 reduction, while fundamental challenges are associated with such studies. Herein we present the systematic mechanistic investigations on a pyrene-appended CoII macrocyclic catalyst in comparison with its pyrene-free prototype. The comparative results also verify the reasons of the higher catalytic activity of the pyrene-tethered catalyst in noble-metal-free CO2 photoreduction with various photosensitizers, where a remarkable apparent quantum yield of 36±3 % at 425 nm can be obtained for selective CO production. Electrochemical and spectroelectrochemical studies in conjunction with DFT calculations between the two catalysts have characterized the key CO-bound intermediates and revealed their different CO-binding behavior, demonstrating that the pyrene group endows the corresponding CoII catalyst a lower catalytic potential, a higher stability, and a greater ease in CO release, all of which contribute to its better performance.

Mononuclear indium(III) photosensitizers for photo-dehalogenation and olefin reduction.

Photoactive main-group complexes have been relatively underexplored in photocatalytic applications. Herein, we report a family of indium(III) complexes (In-1-In-4) containing pyridylpyrrolide ligands with different amounts of methyl groups, which all exhibit intense visible-light absorption as well as blue-green emission with nanosecond emission lifetimes and emission quantum yields of 6.7-12.5%. Electrochemical studies and quantum chemical calculations indicate that their (photo-)redox processes involve only ligand-centered events, which efficiently mediate photocatalytic dehalogenation and olefin reduction.

Cobalt-based tripodal complexes as molecular catalysts for photocatalytic CO2 reduction.

Construction of artificial photosynthetic systems including CO2 reduction is a promising pathway to produce carbon-neutral fuels and mitigate the greenhouse effect concurrently. However, the exploitation of earth-abundant catalysts for photocatalytic CO2 reduction remains a fundamental challenge, which can be assisted by a systematic summary focusing on a specific catalyst family. Cobalt-based complexes featuring tripodal ligands should merit more insightful discussion and summarization, as they are one of the most examined catalyst families for CO2 photoreduction. In this feature article, the key developments of cobalt-based tripodal complexes as molecular catalysts for light-driven CO2 reduction are discussed to offer an upcoming perspective, analyzing the present progress in electronic/steric tuning through ligand modification and dinuclear design to achieve a synergistic effect, as well as the bottlenecks for further development.

Coronary artery dilation in children with febrile illnesses other than Kawasaki disease: A case report and literature review.

Background: Coronary artery dilation (CAD) had rarely been described as a cardiac complication of febrile disease other than Kawasaki disease (KD). There are rare cases complicated by CAD reported in patients with Mycoplasma pneumoniae (MP) infection. Case presentation: A 6-year-old boy with severe Mycoplasma pneumoniae pneumonia (MPP) was transferred to our hospital due to significant respiratory distress on the 11th day from disease onset. Nadroparin, levofloxacin, and methylprednisolone followed by oral prednisone were aggressively prescribed. His clinical condition gradually achieved remission, and the drugs were withdrawn on the 27th day. Regrettably, the recurrent fever attacked him again in the absence of infection-toxic manifestations. Necrotizing pneumonia (NP) was found on chest CT. And echocardiography revealed right CAD (diameter, 3.40mm; z-score, 3.8), however, his clinical and laboratory findings did not meet the diagnostic criteria of KD. CAD was proposed to result from MP infection, and aspirin was prescribed. Encouragingly, the CAD regressed one week later (diameter, 2.50mm; z-score, 1.4). Additionally, the child defervesced seven days after the initiation of prednisone and Nadroparin treatment. The patient was ultimately discharged home on the 50th day. During follow-up, the child was uneventful with normal echocardiography and fully resolved chest CT lung lesions. Conclusions: CAD can develop in patients with severe MP infection. Pediatricians should be alert to the possibility of CAD in patients with severe MP infection and recognize that CAD might also develop in febrile disease rather than KD.

Effects of mixed substrates of different agricultural and forestry residues on the cutting seedlings of Thuja sutchuenensis.

To screen environment-friendly seedling cultivation substrates which could replace peat and with less cost, we compared the effects of different agricultural and forestry residue mixed substrates on cutting propagation of Thuja sutchuenensis, in an experiment following randomized block design. There were five types of mixed substrates, including peat + vermiculite + perlite (T1), edible mushroom residue (EMR) + vermiculite + perlite (T2), carbo-nized rice husk (CRH) + vermiculite + perlite (T3), EMR + slag + sawdust (T4) and CRH + EMR + slag (T5). The results showed that the bulk density of T3 was the lowest, followed by T2, which significantly differed from other mixed substrates. The non-capillary porosity of T2 was significantly greater than that of T1, while the capillary porosity and the total porosity of T2 was lower than T1 and T3, respectively. T2 had the highest contents of total nitrogen, total phosphorus, total potassium, alkali-hydrolyzed nitrogen, available phosphorus, substrate moisture and the highest pH, which differed significantly from other mixed substrates in most chemical indicators. The membership function values of rooting rate and growth indicators of cuttings with different mixed substrates were in order of T2 > T3 > T1> T5 > T4. Most indicators with larger grey relation values were physical indicators. The top five indicators were capillary water capacity, total potassium, field water capacity, maximum water capacity, and total porosity, with both capillary water capacity and total potassium content ranking first. In general, the physicochemical properties, rooting rate, and growth characteristics of cuttings under T2 were better than those of other mixed substrates. The capillary water capacity and total potassium were the main factors affecting rooting and growth of cuttings. At the early stage of cutting, the physical properties of mixed substrate had greater effect on rooting rate and growth of cuttings than the chemical properties. Overall, our results suggested that T2 should be preferred in the cutting propagation of T. sutchuenensis.

Direct Current Treatment Tuning Crystallinity Leading to High-Performance p-Type Sb2Te3 Flexible Thin Films.

With the development of wearable electronics, inorganic flexible thin films (f-TFs) with high thermoelectric performance have attracted increasing research interest. To further enhance the thermoelectric performance of p-type inorganic Sb2Te3-based f-TFs, we employed direct current treatment to tune the crystallinity by rationally tuning the direct current treatment time. Correspondingly, a high electrical conductivity of >845 S cm-1 and a moderate Seebeck coefficient of >110 µV K-1 within the entire measurement temperature range have been simultaneously achieved. Consequently, a high power factor of 12.84 µW cm-1 K-2 at 423 K has been realized in the as-prepared p-type Sb2Te3 f-TF treated by a direct current of 5 A for 4 min. A flexible thermoelectric device has been further assembled to demonstrate the power-generating capacity. This study indicates that the direct current treatment is an effective method to improve the thermoelectric performance of Sb2Te3 f-TFs.

Case report: cerebral venous sinus thrombosis and pulmonary embolism as the initial presentation in a child with asymptomatic primary nephrotic syndrome.

Background: Cerebral venous sinus thrombosis (CVST) is rare, but potentially life-threatening. The clinical course definitely become more unpredictable and fatal in patients complicated by pulmonary embolism (PE). Nephrotic syndrome (NS) is an uncommon etiology of CVST. Concurrence of CVST and PE at the initial onset of NS is extremely unusual and rarely reported. Considering that edema might be absent in NS individuals, thromboembolic events probably become unrecognized, thereby causing a missed or delayed diagnosis and poor outcome. Herein, we described an extraordinary case of an adolescent boy presenting with both CVST and PE initially just within 5 days of disease onset, who was ultimately diagnosed with asymptomatic NS, aiming to emphasize a high index of suspicion of these diseases in patients with conditions of hypercoagulability. Case presentation: A 13-year-old male child presented acutely with dizziness, fever and dyspnea, with signs of shock but undetected edema. Initial laboratory investigations revealed hypoalbuminemia, typical images of pneumonia, and normal radiographic findings on non-enhanced computed tomography of head. Despite evidence of hypoalbuminemia and neurological symptoms, the child was still misdiagnosed as pneumonia. His dyspnea and period of headache deteriorated even if hemodynamic stability and undetected fever after initial therapy. The delayed urinalysis and 24-h urine examination both showed massive proteinuria. A computed tomography angiography of chest along with cranial magnetic resonance imaging/magnetic resonance venography were subsequently performed, consistent with the imaging features of PE and CVST, respectively. The diagnosis of asymptomatic primary NS complicated by PE and CVST was ultimately confirmed. The patient received corticosteroids and antithrombotic therapy with satisfactory results. Conclusion: A persistent clinical suspicion of CVST should be borne in mind in patients with a sudden, new or worsening headache, specifically among those with prothrombotic conditions. NS should always be considered in the differential diagnosis of risk factors for CVST, even in absence of edema. Since CVST and PE can be present simultaneously at extraordinary early-onset of NS, early radiological diagnosis is clinically substantial to proper management and satisfactory long-term outcomes.

Boosting CO2 photoreduction by π-π-induced preassembly between a Cu(I) sensitizer and a pyrene-appended Co(II) catalyst.

The design of a highly efficient system for CO2 photoreduction fully based on earth-abundant elements presents a challenge, which may be overcome by installing suitable interactions between photosensitizer and catalyst to expedite the intermolecular electron transfer. Herein, we have designed a pyrene-decorated Cu(I) complex with a rare dual emission behavior, aiming at additional π-interaction with a pyrene-appended Co(II) catalyst for visible light-driven CO2-to-CO conversion. The results of 1H NMR titration, time-resolved fluorescence/absorption spectroscopies, quantum chemical simulations, and photocatalytic experiments clearly demonstrate that the dynamic π-π interaction between sensitizer and catalyst is highly advantageous in photocatalysis by accelerating the intermolecular electron transfer rate up to 6.9 × 105 s-1, thus achieving a notable apparent quantum yield of 19% at 425 nm with near-unity selectivity. While comparable to most earth-abundant molecular systems, this value is over three times of the pyrene-free system (6.0%) and far surpassing the benchmarking Ru(II) tris(bipyridine) (0.3%) and Ir(III) tris(2-phenylpyridine) (1.4%) photosensitizers under parallel conditions.

Homoleptic Al(III) Photosensitizers for Durable CO2 Photoreduction.

Exploiting noble-metal-free systems for high-performance photocatalytic CO2 reduction still presents a key challenge, partially due to the long-standing difficulties in developing potent and durable earth-abundant photosensitizers. Therefore, based on the very cheap aluminum metal, we have deployed a systematic series of homoleptic Al(III) photosensitizers featuring 2-pyridylpyrrolide ligands for CO2 photoreduction. The combined studies of steady-state and time-resolved spectroscopy as well as quantum chemical calculations demonstrate that in anerobic CH3CN solutions at room temperature, visible-light excitation of the Al(III) photosensitizers leads to an efficient population of singlet excited states with nanosecond-scale lifetimes and notable emission quantum yields (10-40%). The results of transient absorption spectroscopy further identified the presence of emissive singlet and unexpectedly nonemissive triplet excited states. More importantly, the introduction of methyl groups at the pyrrolide rings can greatly improve the visible-light absorption, reducing power, and durability of the Al(III) photosensitizers. With triethanolamine, BIH (1,3-dimethyl-2-phenyl-2,3-dihydro-1H-benzo[d]imidazole), and an Fe(II)-quaterpyridine catalyst, the most methylated Al(III) photosensitizer achieves an apparent quantum efficiency of 2.8% at 450 nm for selective (>99%) CO2-to-CO conversion, which is nearly 28 times that of the unmethylated one (0.1%) under identical conditions. The optimal system realizes a maximum turnover number of 10250 and higher robustness than the systems with Ru(II) and Cu(I) benchmark photosensitizers. Quenching experiments using fluorescence spectroscopy elucidate that the photoinduced electron transfer in the Al(III)-sensitized system follows a reductive quenching pathway. The remarkable tunability and cost efficiency of these Al(III) photosensitizers should allow them as promising components in noble-metal-free systems for solar fuel conversion.

Dietary Effects on Chronic Venous Disease.

BACKGROUND: Diet is fundamental to maintaining and improving human health. There is ample evidence identifying the beneficial and/or harmful effects of diet on noncommunicable diseases such as obesity, diabetes mellitus, and cardiovascular disease. However, the associations of the diet to chronic venous disease has not been fully described. METHODS: Data were collected through a cross-sectional survey conducted on 1,571 community-dwelling adults in 2018. Diet intake frequency was assessed using valid food group consumption frequency questionnaires. Multivariable logistic regression models were used to evaluate the association of diet with chronic venous disease. RESULTS: In total, 857 participants were diagnosed with chronic venous disease. Those who ate soybean products daily and 4-6 days/week had a 51-31% lower risk of chronic venous disease compared with those who only occasionally consumed soybean food, respectively. Participants who consumed eggs and egg products 1-3 days/week versus those who only occasionally ate eggs showed a lower risk of chronic venous disease [odds ratio (OR) 0.542, 95% confidence interval (CI) 0.375-0.782]. Eating fried food 4-6 days each week was associated with an increased risk of chronic venous disease (OR 3.872, 95% CI 1.263-11.599) compared with those who only occasionally ate fried foods. There is a decreasing tendency of the adjusted OR for eating soybean products daily with the severity of disease [chronic venous disease (C0-C2): OR 0.575, 95% CI 0.408-0.812; chronic venous insufficiency (C3-C6): OR 0.222, 95% CI 0.114-0.435]. CONCLUSIONS: A higher frequency in the consumption of soybean products and eggs were associated with a lower risk of chronic venous disease. High level of fried food consumption was positively associated with risk of chronic venous disease. There are certain specific trends in relation to dietary consumption and severity of disease, although these trends were less strong. These associations are largely independent of other dietary and nondietary factors.

TSD-Truncated Structurally Aware Distance for Small Pest Object Detection.

As deep learning has been successfully applied in various domains, it has recently received considerable research attention for decades, making it possible to efficiently and intelligently detect crop pests. Nevertheless, the detection of pest objects is still challenging due to the lack of discriminative features and pests' aggregation behavior. Recently, intersection over union (IoU)-based object detection has attracted much attention and become the most widely used metric. However, it is sensitive to small-object localization bias; furthermore, IoU-based loss only works when ground truths and predicted bounding boxes are intersected, and it lacks an awareness of different geometrical structures. Therefore, we propose a simple and effective metric and a loss function based on this new metric, truncated structurally aware distance (TSD). Firstly, the distance between two bounding boxes is defined as the standardized Chebyshev distance. We also propose a new regression loss function, truncated structurally aware distance loss, which consider the different geometrical structure relationships between two bounding boxes and whose truncated function is designed to impose different penalties. To further test the effectiveness of our method, we apply it on the Pest24 small-object pest dataset, and the results show that the mAP is 5.0% higher than other detection methods.

Post-Electric Current Treatment Approaching High-Performance Flexible n-Type Bi2Te3 Thin Films.

Inorganic n-type Bi2Te3 flexible thin film, as a promising near-room temperature thermoelectric material, has attracted extensive research interest and application potentials. In this work, to further improve the thermoelectric performance of flexible Bi2Te3 thin films, a post-electric current treatment is employed. It is found that increasing the electric current leads to increased carrier concentration and electric conductivity from 1874 S cm−1 to 2240 S cm−1. Consequently, a high power factor of ~10.70 µW cm−1 K−2 at room temperature can be achieved in the Bi2Te3 flexible thin films treated by the electric current of 0.5 A, which is competitive among flexible n-type Bi2Te3 thin films. Besides, the small change of relative resistance <10% before and after bending test demonstrates excellent bending resistance of as-prepared flexible Bi2Te3 films. A flexible device composed of 4 n-type legs generates an open circuit voltage of ~7.96 mV and an output power of 24.78 nW at a temperature difference of ~35 K. Our study indicates that post-electric current treatment is an effective method in boosting the electrical performance of flexible Bi2Te3 thin films.

Development and validation of a clinical prediction model for post thrombotic syndrome following anticoagulant therapy for acute deep venous thrombosis.

OBJECTIVES: To identify independent prediction factors for post thrombotic syndrome (PTS) following acute deep vein thrombosis (DVT) and develop a clinical prediction model assessing the risk of PTS in individual patient. METHODS: We prospectively recruited consecutive adult patients with acute DVT who were managed at Shanxi Bethune Hospital, China between June 2014 and December 2016. Investigator assessed PTS using the Villalta scale at 1, 6, 12, 18 and 24 months following diagnosis of DVT. Variable selection was performed by applying the least absolute shrinkage and selection operator (LASSO) with 10-fold cross-validation. Based on these data, we established a clinical prediction model for the development of PTS following DVT. The Bootstrap method was used for internal validation. During the process of model development, we re-collected the information of DVT patients from 2016 to 2017 for a temporal validation. The performance of the prediction model included discrimination and calibration, and clinical utility of prediction model was also evaluated using a decision curve analysis. RESULTS: A total of 808 consecutive patients with acute DVT were enrolled in the training and validation datasets, of which 540 patients were included in the training dataset for the development of prediction model and the other 268 patients were in the other dataset for temporal validation. Seventy-six patients in training dataset developed PTS. The prediction factors associated with PTS were ilio-femoral DVT (OR = 4.835, 95% CI: 2.471-9.463), active cancer (OR = 3.006, 95% CI: 1.404-6.435), history of chronic venous insufficiency (OR = 7.464, 95% CI: 3.568-15.616), previous venous thromboembolism (OR = 6.326, 95% CI: 2.872-13.932), and chronic kidney disease (OR = 9.916, 95% CI: 2.238-43.937), duration of compression therapy <6 months (OR = 2.894, 95% CI: 1.595-5.251). The c index of the prediction model was 0.825 (0.774-0.877), and the c index of internal validation and temporal verification were 0.816 and 0.773 (95% CI: 0.699-0.848), indicated that the prediction model had a good discrimination in predicting PTS risk following DVT. All the calibration curve showed the model had a good calibration. The decision curve analysis showed a better net benefit of prediction model predicting PTS risk within threshold probability ranged from 0% to 72% and 86% to 98% in training dataset, and 0% to 58% in the validation datasets. CONCLUSION: Our prediction model can accurately estimate the likelihood of PTS risk and identify high-risk patients who may develop PTS following DVT based on individual characteristics, but further external validation is still required.

Learning With Noisy Labels via Self-Reweighting From Class Centroids.

Although deep neural networks have been proved effective in many applications, they are data hungry, and training deep models often requires laboriously labeled data. However, when labeled data contain erroneous labels, they often lead to model performance degradation. A common solution is to assign each sample with a dynamic weight during optimization, and the weight is adjusted in accordance with the loss. However, those weights are usually unreliable since they are measured by the losses of corrupted labels. Thus, this scheme might impede the discriminative ability of neural networks trained on noisy data. To address this issue, we propose a novel reweighting method, dubbed self-reweighting from class centroids (SRCC), by assigning sample weights based on the similarities between the samples and our online learned class centroids. Since we exploit statistical class centers in the image feature space to reweight data samples in learning, our method is robust to noise caused by corrupted labels. In addition, even after reweighting the noisy data, the decision boundaries might still suffer distortions. Thus, we leverage mixed inputs that are generated by linearly interpolating two random images and their labels to further regularize the boundaries. We employ the learned class centroids to evaluate the confidence of our generated mixed data via measuring feature similarities. During the network optimization, the class centroids are updated as more discriminative feature representations of original images are learned. In doing so, SRCC will generate more robust weighting coefficients for noisy and mixed data and facilitates our feature representation learning in return. Extensive experiments on both the synthetic and real image recognition tasks demonstrate that our method SRCC outperforms the state of the art on learning with noisy data.

Compression Therapy Following Endovenous Thermal Ablation of Varicose Veins: A Systematic Review and Meta-Analysis.

OBJECTIVE: A systematic review and meta-analysis were performed to evaluate the necessity for compression therapy with elastic stockings following endovenous thermal ablation (EVTA) for chronic venous insufficiency. METHODS: MedLine, ScienceDirect and the Cochrane Library were searched for the relevant literature according to the inclusion and exclusion criteria. Two researchers independently extracted data and assessed the quality of the literature. Randomized controlled trials comparing the use of elastic stockings for compression therapy versus no compression therapy following RFA or EVLA for varicose veins were included in this study. The primary outcome of postoperative pain was assessed using the visual analogue pain scale. Secondary outcomes included the bruising score, quality of life, venous clinical severity score, time to return to normal activities, complications, and the rate of saphenous vein occlusion. The mixed effect model or random effect model was used to calculate relative risk (RR), mean difference (MD) or standardized mean difference following the heterogeneity test. Sensitivity analysis was performed for outcomes with high heterogeneity (I2 >50%). Outcomes were described qualitatively for studies that could not be pooled. RESULTS: Six RCTs with 1,045 subjects were included. Overall, postoperative compression therapy significantly reduced the mean pain in the first 10 days post-EVTA (MD = - 4.98,95% CI: -8.71 to -1.24), and the time to return to normal activities (MD = -1.01, 95% CI: -1.97 to -0.06). In terms of the bruising score, the venous clinical severity score, complications (RR = 1.05,95% CI: 0.55-2.00), quality of life at 2 weeks (MD = -0.71,95% CI: -2.09 to 0.67) and 6 months (MD = 0.26,95% CI: -1.22 to 1.74), and the saphenous vein occlusion rate (RR=1.00,95% CI: 0.95-1.04), there were no significant differences between the compression and control groups. CONCLUSION: Our study recommends the routine use of compression therapy with elastic stockings following EVTA of varicose veins to reduce postoperative pain and the time to return to normal activities. However, further multi-center and high-quality randomized clinical trials are needed for the unified treatment for varicose veins, the target population as well as the duration of compression therapy on whether elastic stockings is beneficial following EVTA.

LukS-PV Induces Apoptosis via the SET8-H4K20me1-PIK3CB Axis in Human Acute Myeloid Leukemia Cells.

Evidence suggests that histone modification disorders are involved in leukemia pathogenesis. We previously reported that LukS-PV, a component of Panton-Valentine leukocidin (PVL), has antileukemia activities that can induce differentiation, increase apoptosis, and inhibit proliferation of acute myeloid leukemia (AML) cells. Furthermore, LukS-PV inhibited hepatoma progression by regulating histone deacetylation, speculating that LukS-PV may exert antileukemia activity by targeting histone modification regulators. In this study, the results showed that LukS-PV induced apoptosis by downregulating the methyltransferase SET8 and its target histone H4 monomethylated at Lys 20 (H4K20me1). Furthermore, chromatin immunoprecipitation sequencing and polymerase chain reaction identified the kinase PIK3CB as a downstream target gene for apoptosis mediated by SET8/H4K20me1. Finally, our results indicated that LukS-PV induced apoptosis via the PIK3CB-AKT-FOXO1 signaling pathway by targeting SET8. This study indicates that SET8 downregulation is one of the mechanisms by which LukS-PV induces apoptosis in AML cells, suggesting that SET8 may be a potential therapeutic target for AML. Furthermore, LukS-PV may be a drug candidate for the treatment of AML that targets epigenetic modifications.

Clinicopathological features and prognostic significance of C5aR in human solid tumors: a Meta-analysis.

BACKGROUND: C5aR has been extensively studied in recent years as an essential component of the complement system. However, the role of C5aR in tumors has not been sufficiently investigated and summarized. The aim of this meta-analysis was to investigate the prognostic value of C5aR in solid tumors as well as the correlation between C5aR and clinicopathological features. METHODS: Relevant study collection was performed in PubMed, Embase, Web of Science, BIOSIS Previews, Cochrane Library until July 10, 2021. Pooled hazard ratios (HRs), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. Sensitivity analyses were performed to assess the robustness of this study, while publication bias was tested by Begg's and Egger's tests. RESULTS: A total of 11 studies involving 1577 patients were included in the study. Our results suggest that the high-level C5aR expression in tumor tissue predicted unsatisfactory overall survival (OS) (HR = 1.92, 95% CI:1.47-2.50, P < 0.001) and recurrence-free survival (RFS) (HR = 2.19, 95% CI:1.47-3.27, P < 0.001). Besides, a higher level of C5aR expression was associated with larger tumor size (OR = 1.58, 95% CI: 1.18-2.10, P = 0.002) and the occurrence of metastases in lymph nodes (OR = 1.99, 95% CI: 1.46-2.72, P<0.001), whereas it was independent of tumor stage, vascular invasion and tumor differentiation. CONCLUSION: In conclusion, C5aR may be a potential biomarker for evaluating tumor prognosis and treatment.

Metal-Ligand Cooperation in Cp*Ir-Pyridylpyrrole Complexes: Rational Design and Catalytic Activity in Formic Acid Dehydrogenation and CO2 Hydrogenation under Ambient Conditions.

Interconversion between CO2 + H2 and FA/formate is the most promising strategy for the fixation of carbon dioxide and reversible hydrogen storage; however, FA dehydrogenation and CO2 hydrogenation are usually studied separately using different catalysts for each reaction. This report describes of the catalysis of [Cp*Ir(N∧N)(X)]n+ (Cp* = 1,2,3,4,5-pentamethylcyclopentadienyl; X = Cl, n = 0; X = H2O, n = 1) bearing a proton-responsive N∧N pyridylpyrrole ligand for both reactions. Complex 2-H2O catalyzes FA dehydrogenation at 90 °C with a TOFmax of 45 900 h-1. Its catalysis is more active in aqueous solution than in neat solution under base-free conditions. These complexes also catalyze CO2 hydrogenation in the presence of base to formate under atmospheric pressure (CO2/H2 = 0.05 MPa/0.05 MPa) at 25 °C with a TOF value of 4.5 h-1 in aqueous solution and with a TOF value of 29 h-1 in a methanol/H2O mixture solvent. The possible mechanism is proposed by intermediate characterization and KIE experiments. The extraordinary activity of these complexes are mainly attributed to the metal-ligand cooperative effect of the the pyrrole group to accept a proton in the dehydrogenation of formic acid and assist cooperative heterolytic H-H bond cleavage in CO2 hydrogenation.

Case Report: Metagenomic Next-Generation Sequencing in Diagnosis of Legionella pneumophila Pneumonia in a Patient After Umbilical Cord Blood Stem Cell Transplantation.

We report a case of hospital-acquired Legionella pneumonia that was detected by metagenomic next-generation sequencing (mNGS) of blood from a 7-year-old girl after umbilical cord blood stem cell transplantation (UCBT) with myelodysplastic syndrome. UCBT is traditionally associated with an increased risk of infection, particularly during the first 3 months after transplantation. Controlling interstitial pneumonia and severe infection is the key to reducing patient mortality from infection. Legionella pneumophila can cause a mild cough to rapidly fatal pneumonia. After mNGS confirmed that the pathogen was L. pneumophila, azithromycin, cefoperazone sulbactam, and posaconazole were used for treatment, and the patient's temperature decreased and remained normal. The details of this case highlight the benefits of the timely use of metagenomic NGS to identify pathogens for the survival of immunocompromised patients.

Diagnostic significance of circulating miRNAs in Kawasaki disease in China: Current evidence based on a meta-analysis.

BACKGROUND: There is no golden standard for the diagnosis of Kawasaki disease (KD), the most common cause of acquired heart disease in children in many countries. In recent years, many studies have focused on the relationship between microRNAs (miRNAs) and KD. Thus, we perform this meta-analysis to understand the role of circulating miRNAs as a biomarker to detect KD. METHODS: We searched PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, and China National Knowledge Infrastructure through March 10, 2019. Meta-disc 1.4 and STATA 15.1 (Stata Corporation, College Station, TX) were used to conduct the meta-analysis. RESULTS: Six eligible articles were included in this meta-analysis. The overall performance of total mixed miRNAs detection was: pooled sensitivity, 0.7 (95% confidence interval, 0.66-0.74); pooled specificity, 0.87 (95% confidence interval, 0.83-0.90); and area under the summary receiver operating characteristic curves value (SROC), 0.8302. The meta-regression analysis indicated that the specimen types, the composition of the control group, and types of the reference miRNA were not responsible for the existing heterogeneities. The subgroup analysis showed that SROC of the plasma group (0.8890) was more significant than the serum group (0.7204), and SROC of the non-healthy control group (0.9622) was more significant than the healthy control group (0.8096). CONCLUSIONS: : This is the first meta-analysis show that miRNAs may be used as novel biomarkers for detecting KD, especially for distinguishing KD from other febrile diseases. More studies are needed in the future to clarify the association between KD and miRNAs. PROSPERO REGISTRATION NUMBER: CRD42019129976.